Acupuncture Points Notebook

Location Guides:

: Xiaochangshu : Small Intestine Shu

Bl-27 : Foot Taiyang Bladder 27

Back-Shu point of the small intestine
Trigger point (Travell & Simons, 1998, Trigger Point Manual; Melzack, Stillwell & Fox, 1977, Trigger Points and Acupuncture Points for Pain: Correlations and Implications, Pain 3, p3-23)

Meeting of Bladder with

1.5 cun lateral to the midline, at the level of the first posterior sacral foramen.

Perpendicular insertion 0.5 - 1 cun

TCM Actions:
Separates the pure from the turbid
Regulates the intestines and bladder
Drains turbid dampness and claers damp-heat
Regulates small intestine qi

TCM Indications:
  • Diarrhoea, dysenteric disorder, blood and mucus in the stools, haemorrhoids, pain of haemorrhoids, constipation.
  • Dark yellow urine, enuresis, retention of urine, difficult urination and defecation, blood in the urine, leucorrhoea, seminal emission.
  • Lower abdominal pain, painful shan disorder, testicular pain that radiates to the lumbar region.
  • Wasting the thirsting disorder, dry mouth that is hard to endure, agitation of the Heart with shortness of breath, swollen feet.

    Superficial Innervation: Dorsal rami of S1 - S3
    Dermatome Segment: S3
    Deeper Structures: Dorsal rami of S1

    Trigger Point Associations:
    Muscle: Multifidus
    Myotome Innervation: Posterior branches of dorsal rami from S1
    Pain Referral Pattern: Around the point and radiating down the buttock to the sacrum with some radiation to the posterior aspect of the upper thigh and to the abdomen directly anterior to the point
    Indications: Myalgia of the long extensors of the back ; Paraumbilicai pain.

    Main function is in regulating water balance with regards to the bladder and intestines.


    In Tibetan medicine:
    Moxa point (AMNH, Tibetan Medical Paintings)

    Reference Notes: (click to display)