Points Database

Location Guides:

: Ciliao : Second Crevice

Bl-32 : Foot Taiyang Bladder 32


Meetings:
Meeting of Bladder with Gall Bladder, Bladder Divergent and Kidney Divergent

Location:
Over the second posterior sacral foramen.

Needling:
Perpendicular insertion 0.5 - 1 cun, or 1.5 - 2 cun through the foramen using a slightly oblique medial and inferior insertion.

Warning:
Contraindicated during pregnancy.


TCM Actions:
Regulates the lower jiao and facilitates urination and defecation
Regulates menstruation and stops leucorrhoea
Benefits the lumbar region and legs

TCM Indications:
  • Painful urinary dysfunction, dark urine, retention of urine, difficulty in urination and defecation, constipation, borborygmus, watery diarrhoea, shan disorder, hardness and distension below the Heart.
  • Red and white leucorrhoea, dysmenorrhoea, irregular menstruation, infertility, pain of childbirth.
  • Lumbar pain, sacral pain, numbness of the lumbar region extending down to the feet, lumbar pain radiating to the genitals, sciatica, pain and painful obstruction of the lower limb, hemiplegia.

    Neuroanatomy:
    Superficial Innervation: Dorsal rami of S1 - S3
    Dermatome Segment: S3
    Deeper Structures: Sacral nerve S1 emerging from foramen

    Notes:
    As one of the Baliao or "eight crevices" located in the sacral foramen which all regulate urination, defecation, menstruation and lumbar region, and being at the same level as the bladder-shu Pangguangshu Bl-28 this point is the strongest of the Baliao for regulating urination.


    Reference Notes: (click to display)