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BL-34
 These points are described together because of their similar actions and indications. BL-31 (shangliao) ‘Upper Crevice’, 1st sacral foramen BL-32 (ciliao) ‘Second Crevice’, 2nd sacral foramen BL-33 (zhongliao) ‘Middle Crevice’, 3rd sacral foramen BL-34 (xialiao) ‘Lower Crevice’, 4th sacral foramen Location BL-31: Over the 1st sacral foramen BL-32: Over the 2nd sacral foramen BL-33: Over the 3rd sacral foramen BL-34: Over the 4th sacral foramen How to find For more detail on orientation in the lumbar and sacral region, ➞3.4.3, 3.4.4. First, locate L5. The next palpable structure in an inferior direction is the most superior sacral spinous process. Palpate in a lateral direction on the level of the sacral processes for the depressions of the sacral foramina. Or: Locate the 4th sacral foramen on the level of the superior end of the rima ani (sometimes a bit more superiorly or inferiorly). Place the little finger on the 4th foramen, then the ring, middle and index fingers on a slightly V-shaped line in a superior direction, palpating for the depressions of the sacral foramina. With the fingers in this position, the index finger will be resting on the 1st foramen (BL-31), the middle finger on the 2nd foramen (BL-32), the ring finger on the 3rd foramen (BL-33) and the little finger on the 4th foramen (BL-34). Located on the same level as BL-31–BL-34 are the points ➞ BL-27–BL-30 on the inner branch of the BL channel (1.5 cun lateral to the midline) as well as ➞ BL-53 (on the level of BL-32) and ➞ BL-54 (on the level of BL-34), both 3 cun lateral to the midline. Also on the level of BL-34 is ➞ Ex-B-11 (3.5 cun lateral to the midline). Actions/Indications ● Regulates the Lower Burner, promotes urination (all eight points) (BL-32 and BL-33 have the strongest action in cases of urinary disorders, while BL-34 has the strongest action in cases of genital disorders) ● Strengthens the Kidneys and Essence (jing) ● Benefits the Intestines (BL-34 has the strongest action in cases of intestinal disorders) ● Promotes labour (for example, use BL-32 with electroacupuncture) ● Benefits the lumbar region (BL-32 and BL-33 have the strongest action) Special features According to some authors, meeting point with the G.B. channel. Clinically, BL-32 is the most commonly used point owing to its widest range of indications. Electro-acupuncture at BL-32 is useful for alleviating pain during labour: after needling this point, bend the handle of the needle in a superior direction at a 90° angle and tape it to the skin. Now attach the electro-stimulation. This method allows the woman to lie down if desired. Moxibustion of the baliao is indicated for difficult urination or defaecation due to Kidney deficiency in elderly people. | |
| Category: Urinary Bladder Meridian (BL) | | |
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