BL20 Piyu (Spleen Shu Point)

Location

1.5 thumb widths lateral to the GV06 at the level of the lower border of the spinous process of the 11th thoracic vertebra.

Indications

Conditions for which BL20 is listed as indicated. An indication list is a reference index, not a prescription – see the protocols below for sourced treatments.

Protocols using BL20

The 50 best-sourced of 328, ranked by strength of evidence. The count above is the full figure.

• Period Short, Period Scanty, Period Low, Period Light, Hypomenorrhea Follicular, Kidney Qi Weakness, Kidney Jing Weakness, Mai Ren Deficiency, Mai Chong Deficiency, Restore Yin, Yang Weakness, Facial Paralysis, Facial Paralysis, Period Short, Period Scanty, Period Low, Period Light, Hypomenorrhea Follicular, Kidney Qi Weakness, Kidney Jing Weakness, Mai Ren Deficiency, Mai Chong Deficiency, Restore Yin, Yang Weakness – BL17, BL20, BL23, KD03, CV04 (doi:10.1016/S0254-6272(09)60059-5 ↗)
• Facial Paralysis, Facial Paralysis – BL17, BL20, BL23, KD03, CV04 (doi:10.1016/S0254-6272(09)60059-5 ↗)
• Immune Deficiency, Immune Dysregulation – ST36, BL18, BL20, BL23 (doi:10.1093/ecam/nel107 ↗)
• Fatigue, Anxiety, Depression, Insomnia, Fibromyalgia, Widespread Pain – LI04, SP06, BL18, BL20, PC06, GB34, LV03 (doi:10.1186/1745-6215-12-59 ↗)
• Dysmenorrhea, Menstrual Pain, Mood Changes, Qi-blood Deficiency – ST36, SP06, SP08, BL17, BL20, BL32, CV04, CV06 (doi:10.1093/ecam/nep239 ↗)
• Hot Flashes, Vasomotor Symptoms, Menopause Perimenopause, Menopause Postmenopause – LI04, LI11, ST36, SP06, HT07, BL15, BL18, BL20, BL23, KD03, PC06, GB34, LV03, CV06, CV17, GV14, GV20 (doi:10.1097/gme.0b013e31821f9171 ↗)
• Headache, Muscle Pain, Fatigue Chronic, Fatigue Unexplained, Sleep Unrefreshing, Memory Impaired, Malaise Post-exertional – BL11, BL13, BL15, BL18, BL20, BL23, GB20, GV20 (doi:10.1186/1745-6215-14-147 ↗)
• Knee Pain, Osteoarthritis Knee, Stiffness Joint – ST06, ST34, ST35, ST36, SP04, SP05, SP06, SP09, SP10, BL20, BL40, BL57, BL58, BL60, BL62, KD03, KD10, GB33, GB34, LV08 (doi:10.1155/2013/182528 ↗)
• Joint Pain, Muscle Pain, Fatigue Chronic, Sleep Unrefreshing, Fatigue Post-exertional – BL11, BL13, BL15, BL18, BL20, BL23, GB20, GV20 (doi:10.1186/s13063-015-0857-0 ↗)
• Incontinence Urinary Stress, Incontinence Urinary Mixed, Incontinence Urinary Urgency – SP03, SP06, BL14, BL18, BL20, BL23, BL28, BL31, BL32, BL33, BL34, KD03, KD07, PC06, LV03, CV03, CV04, CV06, GV04, GV20 (doi:10.1136/acupmed-2015-010828 ↗)
• Asthma, Wheezing, Dyspnea – BL13, BL20, BL23, GV14 (doi:10.1155/2015/846851 ↗)
• Anxiety, Back Pain, Miscarriage Threatened, Bleeding Vaginal, Cramping Abdominal – LU07, LI11, ST36, ST37, SP01, SP04, HT07, BL20, BL23, BL57, BL62, KD06, KD09, KD21, KD27, PC06, TB04, TB05, TB06, GB30, GB34, GB41, LV02, LV03, CV04, GV04, GV20 (doi:10.1186/s12884-016-1092-8 ↗)
• Copd, Dyspnea Exertional, Respiratory Obstruction – LU01, LU09, LI18, ST36, BL13, BL20, BL23, GB12 (doi:10.1097/MD.0000000000004879 ↗)
• Epigastric Pain, Dyspepsia Functional, Burning Epigastric – ST36, ST44, SP09, BL20, BL21, PC06, LV03, LV13, LV14, CV12, CV17 (doi:10.1186/s13063-017-1845-3 ↗)
• Hyperglycemia, Prediabetes, Impaired Glucose Tolerance – LI04, ST36, ST37, ST39, ST40, SP06, SP09, BL18, BL20, BL21, LV03, LV13, LV14, CV12, GV09 (doi:10.1186/s13063-017-2014-4 ↗)
• Hyperlipidemia, Elevated Ldl-c, Elevated Tc, Elevated Tg – ST25, ST40, BL15, BL18, BL20, BL23, CV14 (doi:10.1186/s13063-017-2029-x ↗)
• Epigastric Pain, Dyspepsia Functional, Postprandial Fullness, Satiety Early, Nausea Postprandial – ST34, ST36, ST40, ST42, BL20, BL21, PC06, CV12 (doi:10.1136/bmjopen-2017-018430 ↗)
• Bone Pain, Back Low Pain, Osteoporosis Primary – BL20, BL23, GV03, GV04 (doi:10.12659/MSM.909725 ↗)
• Weight Loss, Copd, Dyspnea, Malnutrition, Exercise Intolerance – LU01, LU09, LI18, ST36, BL13, BL20, BL23, KD03, GB12, CV04, CV12 (doi:10.1186/s12906-018-2341-3 ↗)
• Osteoporosis, Bone Pain, Muscle Weakness, Fracture Risk – ST36, SP06, BL11, BL20, BL23, BL40, KD03, CV04, GV03, GV04 (doi:10.1155/2019/2705263 ↗)
• Dysmenorrhea Primary, Menstrual Pain, Pelvic Pain – LI04, ST28, ST36, SP10, BL20, BL32, BL54, LV03 (doi:10.1155/2019/7978180 ↗)
• Lung Cancer, Dyspnea, Pneumonitis Radiation, Inflammation Pulmonary – LU01, LU02, LU09, LI04, ST36, BL13, BL20, BL23, KD03, PC06, GB12, LV03, CV04, CV12, GV14 (doi:10.1177/1534735420908327 ↗)
• Cough, Phlegm, Copd – LU07, LU09, ST36, ST40, SP06, BL12, BL13, BL20, BL23, KD03, CV12 (doi:10.1186/s12906-020-02899-3 ↗)
• Cough, Phlegm, Wheezing, Copd – ST36, ST40, BL12, BL20, KD01 (doi:10.1186/s12906-020-02899-3 ↗)
• Copd, Reduced Quality Of Life – BL13, BL15, BL18, BL20, BL23 (doi:10.1186/s12906-020-02899-3 ↗)
• Overweight, Obesity Simple, Bmi Elevated – LI04, LI11, ST21, ST24, ST25, ST26, ST27, ST28, ST32, ST34, ST36, ST37, ST39, ST40, ST44, SP04, SP06, SP09, SP14, SP15, SP16, BL20, BL21, TB06, GB26, LV13, CV04, CV06, CV07, CV09, CV10, CV12, CV13 (doi:10.1155/2020/2367610 ↗)
• Diarrhea, Abdominal Pain, Ulcerative Colitis, Blood In Stool – ST25, ST36, SP04, BL20, BL21, BL23, BL25, KD03, CV04, CV12 (doi:10.1186/s12906-020-03101-4 ↗)
• Diarrhea, Abdominal Pain, Ulcerative Colitis, Blood In Stool – ST25, ST36, SP06, BL18, BL20, BL23, GV01 (doi:10.1186/s12906-020-03101-4 ↗)
• Diarrhea, Abdominal Pain, Ulcerative Colitis, Blood In Stool – ST25, ST36, SP04, BL16, BL20, BL21, BL22, BL25, KD03, CV04, GV02, GV06 (doi:10.1186/s12906-020-03101-4 ↗)
• Anxiety, Insomnia, Lethargy, Diarrhea, Psychomotor Retardation, Depression Bipolar, Malaise General – LI04, ST25, ST27, ST36, SP06, BL15, BL18, BL20, PC06, GB20, GB21, LV03, CV04, GV20 (doi:10.1177/1179547620967379 ↗)
• Proteinuria, Chronic Kidney Disease, Renal Insufficiency, Elevated Creatinine – ST36, SP06, BL20, BL23, CV04, GV04 (doi:10.1155/2020/6128673 ↗)
• Vomiting, Nausea, Abdominal Pain, Abdominal Bloating, Postprandial Fullness, Satiety Early, Gastroparesis Diabetic, Loss Of Appetite – ST21, ST25, ST36, SP06, BL18, BL20, BL21, BL23, PC06, CV12 (doi:10.1155/2021/6649331 ↗)
• Anxiety, Stool Loose, Menstruation Irregular, Vision Visual Field Defect, Vision Blind Spot, Neck Myofascial Pain – LI04, LI10, ST36, SP03, SP06, SP09, SP10, HT08, SI03, SI13, BL10, BL18, BL20, BL22, BL23, BL65, PC06, PC07, GB20, GB21, GB34, LV03, GV14, GV20, MS14 (doi:10.1177/21649561211021081 ↗)
• Obesity, Obesity Abdominal, Overweight, Waist Circumference Elevated – LI11, ST24, ST25, ST36, ST40, BL20, BL21, TB06, CV09, CV12 (doi:10.1155/2022/4780019 ↗)
• Fatigue, Depression, Insomnia, Poor Appetite, Lower Limb Weakness, Upper Limb Weakness, Muscle Atrophy Progressive, Paralysis Motor Neuron – LI04, LI10, LI11, LI15, ST32, ST36, ST41, SP06, BL18, BL20, BL23, KD03, PC06, TB05, GB20, GB34, CV04, CV06, CV12, CV23, GV14, GV20 (doi:10.1155/2022/6541600 ↗)
• Obesity, Overweight – ST25, ST40, BL20, CV12 (doi:10.3389/fendo.2022.952373 ↗)
• Cough, Wheezing, Spontaneous Sweating, Dyspnea, Shortness Of Breath, Chest Tightness, Sputum Expectoration, Chronic Obstructive Pulmonary Disease – BL13, BL20, BL23 (doi:10.1155/2022/4084505 ↗)
• Loss of Appetite, Chemotherapy Nausea, Fatigue Cancer, Anorexia Cancer-associated – LI04, LI11, ST25, ST36, ST37, SP06, SP09, HT07, BL20, BL21, BL23, PC06, CV04, CV06, CV12, GV20 (doi:10.1155/2022/4251458 ↗)
• Asthma, Respiratory Wheezing, Respiratory Dyspnea – BL13, BL15, BL17, BL20, BL23, CV04, GV14 (doi:10.19852/j.cnki.jtcm.2023.01.013 ↗)
• Lymphedema Upper-limb, Edema Arm, Post-mastectomy Swelling, Breast-cancer Complication – LU05, LI11, LI14, SI09, SI11, BL13, BL20, BL23, PC06, TB05, GB21, CV17, GV14 (doi:10.1177/15347354231172735 ↗)
• Headache, Sore Throat, Joint Pain, Muscle Pain, Fatigue Chronic, Sleep Unrefreshing, Memory Impaired, Fatigue Post-exertional, Cold Intolerance, Concentration Impaired, Yang Deficiency Spleen-kidney, Lumbar Weakness – BL11, BL13, BL14, BL15, BL17, BL18, BL19, BL20, BL21, BL22, BL23, BL25, GV02, GV03, GV04, GV05, GV06, GV07, GV08, GV09, GV10, GV11, GV12, GV13, GV14 (doi:10.1186/s12967-023-04250-z ↗)
• Spasticity, Cerebral Palsy Spastic, Motor Impairment Gross Motor, Movement Disorder Posture – SP03, SP06, BL18, BL20, GB34, LV03 (doi:10.2147/NDT.S424102 ↗)
• Anorectal Pain, Rectal Pain, Anorectal Bloating, Defecation Disorder – ST36, BL20, BL21, BL23, BL34, BL35, BL57, GB26, CV04, CV06, CV12, GV01, GV20 (doi:10.1097/MD.0000000000035462 ↗)
• Fatigue, Copd, Dyspnea, Dyspnea Exertional, Exercise Intolerance, Fatigue Leg – LU01, LU09, LI18, ST36, BL13, BL20, BL23, KD03, GB12, CV04, CV12 (doi:10.1186/s12906-024-04353-0 ↗)
• Cough Chronic, Dyspnea, Exercise Intolerance, Sputum Excess, Respiratory Airflow Limitation – LU01, ST36, ST40, BL13, BL20, BL23 (doi:10.1186/s12906-024-04412-6 ↗)
• Fatigue, Dizziness, Tinnitus, Depression, Absent Periods, Dysmenorrhea, Insomnia, Infertility, Arthralgia, Oligomenorrhea, Hot Flashes, Vaginal Dryness, Premature Ovarian Insufficiency – SP06, SP10, BL18, BL20, BL23, BL32, KD16, CV04, CV06 (doi:10.3389/fmed.2024.1357824 ↗)
• Fatigue, Constipation, Insomnia, Weight Loss, Eating Disorder Arfid, Food Avoidance, Abdominal Bloating, Taste Disturbance, Tongue Pain – LI04, ST19, ST20, ST24, ST25, ST36, ST40, SP04, SP06, HT07, SI03, BL15, BL19, BL20, BL21, BL22, KD06, PC06, GV20 (doi:10.7759/cureus.61912 ↗)
• Copd, Dyspnea, Lung Function Decline, Airway Obstruction – ST36, BL13, BL20, BL23 (doi:10.1186/s12906-024-04630-y ↗)
• Obesity, Appetite Excessive, Overweight, Appetite Increased – ST25, BL20, BL21, BL25, LV13, CV12 (doi:10.2147/DMSO.S487877 ↗)
• Anxiety, Fibromyalgia, Whole-body Pain, Mood Depressive – ST25, ST27, ST36, SP04, SP06, HT07, SI03, BL16, BL18, BL19, BL20, BL21, BL23, BL62, KD03, KD06, TB05, LV03, LV08 (doi:10.7759/cureus.74385 ↗)

Most often selected alongside BL20

How many sourced protocols in the index pair each point with BL20. Corpus frequency, not a combination to use.

• ST36Leg Three Miles193 protocols
• BL23Kidney Shu Point187 protocols
• SP06Three Yin Intersection116 protocols
• CV04Original Qi Gate114 protocols
• BL18Liver Shu Point105 protocols
• CV12Stomach Centre86 protocols
• BL13Lung Shu Point84 protocols
• BL21Stomach Shu Point80 protocols
• BL15Heart Shu Point72 protocols
• CV06Sea Of Qi67 protocols
• LV03Great Surge67 protocols
• PC06Inner Gate61 protocols

Other points on the Bladder Meridian