BL 45 — Yì Xǐ (譩譆) — Surprise
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1. Overview
BL 45 — Yì Xǐ (譩譆) — is an acupuncture point on the Bladder meridian. Its English name, Surprise, reflects the point’s classical character and location. It is used in acupuncture practice as part of channel-balancing prescriptions 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. I use BL 45 as part of individually tailored acupuncture prescriptions at my clinic in Wokingham, Berkshire.
2. Location
3 cun lateral to the midline, level with the lower border of the spinous process of the sixth thoracic vertebra and level with BL-16 Dushu.
3. Actions
- Expels Wind
- Clears Heat
- Descends Lung Qi
- Invigorates Qi and Blood
- Alleviates pain
4. Indications
- Cough
- Dyspnea
- Febrile disease with no sweat
- Visual dizziness
- Attack by Wind with absence of sweat
- Eye pain
- Epistaxis
- Malaria
- Headache in children while eating
5. Needling
Oblique insertion, 0.3-0.5 cun.
Important: Acupuncture should only be performed by a fully qualified practitioner. Never attempt self-needling. All needles I use are sterile, single-use and disposed of immediately after treatment in a clinical sharps container.
6. Clinical notes
BL 45 Yì Xǐ (Surprise) is used as part of channel-balancing prescriptions tailored to the patient’s individual TCM diagnosis.
7. Treatment at my clinic
I use BL 45 as part of tailored acupuncture prescriptions for conditions including Cough, Headache, Shoulder pain, Back pain, Asthma. 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.















