BL 34 — Xià Liáo (下髎) — Lower Bone Hole
On this page
1. Overview
BL 34 — Xià Liáo (下髎) — is an acupuncture point on the Bladder meridian. Its English name, Lower Bone Hole, reflects the point’s classical character and location. It is used regularly in acupuncture practice for a range of conditions.
I am Dr (TCM) Attilio D’Alberto, a member of the British Acupuncture Council with over 25 years of clinical experience, practising at my clinic in Wokingham, Berkshire.
2. Location
In the fourth sacral foramen.
3. Actions
- Regulates the lower Jiao and resolves Damp-Heat
- Relieves sacral and coccygeal pain
- Promotes urination and defaecation
4. Indications
- Lower sacral and coccygeal pain
- Constipation and diarrhoea
- Painful urination from Damp-Heat
- Leucorrhoea and pelvic inflammatory conditions
5. Needling
Perpendicular insertion 1.0–1.5 cun into the foramen.
Important: Acupuncture should only be performed by a fully qualified practitioner. All needles I use are sterile, single-use and disposed of in a clinical sharps container immediately after treatment.
6. Clinical notes
BL 34 is the fourth and lowest of the Eight Liao sacral foramen points. Combined with BL 31, 32 and 33 it forms the complete Eight Liao prescription for sacral and pelvic conditions. Electroacupuncture across BL 31–34 produces powerful sacral plexus stimulation used for chronic pelvic pain, endometriosis and bladder disorders.
7. Treatment at my clinic
I use BL 34 as part of tailored acupuncture prescriptions for conditions including Endometriosis, Back pain, Urinary tract infections. Each treatment is individually designed following a full TCM assessment.
I see patients in person at my clinic in Wokingham, Berkshire. Visit the prices page for consultation fees. Return to the acupuncture points directory or the acupuncture main page.
