Acupuncture Points Notebook

: Baohuang : Bladder's Vitals

Bl-53 : Foot Taiyang Bladder 53

Master Tung's Three Rivers
Master Tung's Double Rivers

3 cun lateral to the midline, at the level of the second sacral vertebra (S2).

Perpendicular insertion 1 - 1.5 cun

TCM Actions:
Benefits the lumbar region, activates the channel and alleviates pain
Regulates the lower jiao and benefits urination

TCM Indications:
  • Pain and stiffness of the lumbar region, sciatica.
  • Hardness and fullness of the hypogastrium, retention of urine, dribbling urination, oedema, inability to urinate or defecate.
  • Borborygmus, abdominal distension, undigested food in the stool, aversion to wind.

    Superficial Innervation: Dorsal rami of S1 - S3
    Dermatome Segment: S3
    Deeper Structures: Neuromuscular junction of the superior gluteal nerve (L4 - S1) with the gluteus medius muscle

    Master Tung's Three Rivers (San Jiang) are three lines of points, one along the midline below each spinous process from L1 to S2 with the another two either side 3 cun lateral to the midline from L2 to S2. They are pricked to bleed a spot of blood.
    They relate to the water phase and Kidneys and are indicated for lumbar pain and conditions of the abdomen, bowels and uterus. Those 3 cun from the midline can also be used for sciatica and as distal points pain of arm, elbows or shoulders (McCann, 2014, Pricking the Vessels).

    The Double Seas (Shuang He) are a set of 12 points bilaterally 3 cun lateral to the spine at the levels of L2 to S2. They are pricked in cases of pain in the upper extremities or pain and lack of strength in the upper back and shoulders (ibid.).

    Reference Notes: (click to display)