# BL26 Guanyuanyu (Original Qi Gate Shu Point) – Bladder Meridian

關元俞 · guān yuán yú

Location: 1.5 thumb widths lateral to the du mai at the level of the lower border of the spinous process of the 5th lumbar vertebra.

Cautions: Avoid deep perpendicular needling.

Canonical page: https://acuiq.com/points/bl26

## Indications

An indication list is a reference index, not a prescription – see the protocols below for sourced treatments.

Muscle Wasting, Benefit Regulate Jiao Lower, Constipation, Distension Deficiency, Distension Deficiency, Diarrhea, Abdominal Bloating, Abdominal Bloating, Urinary Problems, Urinary Problems, Bedwetting, Fibroids / Masses Jia Ju Abdomen, Fibroids Masses Jia Ju Abdomen, Lower Back Pain, Lower Back Pain, Regulate Jiao Lower, Wind Taxation Syndrome, Wind-taxation Syndrome, Thirsting Excessive, Thirsting Excessive, Frequent Urination, Frequent Urination, Back Lumbar Weakness, Back Lumbar Weakness

## Most often selected alongside BL26

Sourced protocols in the index pairing each point with this one. Corpus frequency, not a combination to use.

- BL25 (Large Intestine Shu Point) – 43 protocols
- BL23 (Kidney Shu Point) – 40 protocols
- BL24 (Sea Of Qi Shu Point) – 36 protocols
- BL40 (Middle Of The Crease) – 22 protocols
- GB30 (Jumping Circle) – 22 protocols
- GV03 (Yang Lumbar Gate) – 21 protocols
- BL60 (Kunlun (Mountains)) – 20 protocols
- ST36 (Leg Three Miles) – 14 protocols

## Protocols using BL26 (50 best-sourced of 56)

| Symptoms | Points | Course | Source | Kind | Caveat |
|---|---|---|---|---|---|
| Low Back Pain, Pelvic Girdle Pain, Sacroiliac Pain, Symphysis Pain, Pregnancy Second Trimester, Pregnancy Third Trimester | LI04, ST36, SP12, BL26, BL32, BL33, BL54, BL60, KD11, GB30, GV20 | 42 days | doi:10.1186/1472-6882-8-34 | trial | Point selection reported in a published study. |
| Back Pain, Sciatica Pain, Herniated Nucleus Pulposus | BL23, BL24, BL25, BL26, BL31, BL32, BL33, BL34, BL40, BL57, BL60, GB30 | 15 days | doi:10.1093/ecam/nep085 | trial | Point selection reported in a published study. |
| Lumbar Pain, Low-back Pain | BL23, BL24, BL25, BL26, BL32, BL40, BL60, GB30, GB34 | – | doi:10.1155/2013/872142 | trial | Point selection reported in a published study. |
| Tinnitus, Tinnitus Kidney-yin-deficiency | SI19, BL26, KD13, TB21, GB02 | 28 days | doi:10.1186/1745-6215-15-397 | trial | Point selection reported in a published study. |
| PCOS, Infertility Anovulatory, Hyperandrogenism, Anovulation, Oligoovulation | SP06, SP10, BL17, BL26, KD03, LV03, CV03, GV04 | 63 days | doi:10.1186/s13063-016-1375-4 | trial | Point selection reported in a published study. |
| Low Back Chronic Pain | BL23, BL24, BL25, BL26, BL40, BL60, GV03 | 56 days | doi:10.1097/MD.0000000000010790 | trial | Point selection reported in a published study. |
| Leg Pain, Lower Back Pain, Disc Herniation Lumbar | BL23, BL24, BL25, BL26, BL40, BL60, GB30, GV03 | 14 days | doi:10.1097/MD.0000000000011951 | trial | Point selection reported in a published study. |
| Radicular Pain, Low-back Pain, Paresthesia Lower-limb, Disc-herniation Lumbar | BL23, BL24, BL25, BL26, BL40, BL60, GB03, GV03 | 14 days | doi:10.1155/2018/5871657 | trial | Point selection reported in a published study. |
| Chronic Pain, Back Low Pain, Disability Lumbar | BL23, BL24, BL25, BL26, BL40, BL60, GB30, GB31, GV03 | 56 days | doi:10.1186/s13063-018-3049-x | trial | Point selection reported in a published study. |
| Low Back Pain, Paresthesia Lower Extremity, Disc Herniation Lumbar, Radiating Lower Extremity Pain, Lower Extremity Weakness | BL23, BL24, BL25, BL26, BL40, BL60, GB03, GV03 | 14 days | doi:10.2147/JPR.S234761 | trial | Point selection reported in a published study. |
| Back Low Chronic Pain | BL23, BL24, BL25, BL26, BL40, BL60, GV03 | 56 days | doi:10.1097/MD.0000000000022526 | trial | Point selection reported in a published study. |
| Leg Weakness, Low-back Pain, Claudication Neurogenic, Lower-extremity Pain, Stenosis Lumbar-spinal | BL23, BL24, BL25, BL26, BL40, BL60, GB30, GB31, GV03 | 56 days | doi:10.2147/JPR.S399132 | trial | Point selection reported in a published study. |
| Leg Weakness, Low-back Pain, Claudication Neurogenic, Lower-extremity Pain, Stenosis Lumbar-spinal | BL23, BL24, BL25, BL26, BL40, BL60, GB30, GB31, GV03 | 56 days | doi:10.2147/JPR.S399132 | trial | Point selection reported in a published study. |
| Leg Numbness, Lumbar Pain, Back Low Pain, Lower-limb Pain, Lower-limb Numbness, Disc-herniation Lumbar, Herniation Disc Lumbar | SP06, BL22, BL23, BL24, BL25, BL26, BL40, KD03, GB30 | 10 days | doi:10.12998/wjcc.v11.i10.2308 | trial | Point selection reported in a published study. |
| Back Pain, Lumbar Pain, Low Back Pain, Back Low Pain, Disability Functional, Lumbosacral Pain | BL23, BL25, BL26, BL54 | 14 days | doi:10.1097/MD.0000000000034407 | trial | Point selection reported in a published study. |
| Sciatica, Lumbar Pain, Low Back Pain, Lumbar Disc Herniation, Disc-herniation Lumbar, Lower-extremity Right Pain, Leg Right Numbness, Scoliosis Lumbar | BL23, BL24, BL25, BL26, BL36, BL37, BL40, BL57, BL60, GB30 | 84 days | doi:10.1097/MD.0000000000036684 | trial | Point selection reported in a published study. |
| Radiculopathy, Lower-limb Numbness, Lower-back Pain, Radiating Lower-limb Pain, Disc-herniation Lumbar Extruded | BL23, BL24, BL25, BL26, BL27, BL28, BL29, BL30, GB30 | 28 days | doi:10.3389/fneur.2024.1381292 | trial | Point selection reported in a published study. |
| Groin Pain, Lower Back Pain, Sacroiliac Pain, Pubic Symphysis Pain, Difficulty Walking, Postpartum Symphysis Pubis Diastasis, Qi Stagnation Blood Stasis | BL23, BL24, BL25, BL26, BL27, BL28, BL29, BL30, BL53, BL54, GB27, GB28 | 23 days | doi:10.21037/acr-2025-189 | trial | Point selection reported in a published study. |
| Contracture Knee, Brachial Plexus Injury, Muscle Atrophy, Paralysis Upper Extremity, Paralysis Lower Extremity, Contracture Ankle, Contracture Shoulder, Contracture Elbow, Scoliosis, Neuromotor Impairment, Steppage Gait | LU01, LI04, LI05, LI11, LI14, ST34, ST36, ST41, SP09, SP10, SI05, SI06, SI07, SI09, BL11, BL12, BL22, BL23, BL24, BL25, BL26, BL36, BL37, BL39, BL55, BL56, BL57, BL58, BL60, BL61, BL62, KD03, KD04, KD05, KD06, TB09, GB20, GB21, GB40 | 10 days | doi:10.3831/KPI.2013.16.009 | trial | Point selection reported in a published study. |
| Cough, Fatigue, Anxiety, Insomnia, Respiratory Dysfunction, Loss Of Appetite, Post-covid Rehabilitation | LU06, LI11, ST25, ST36, BL13, BL17, BL26, CV06, CV08, CV12, GV14 | 14 days | doi:10.1016/j.imr.2020.100479 | trial | Point selection reported in a published study. |
| Fatigue, Anxiety, Respiratory Dysfunction, Loss Of Appetite, Post-covid Rehabilitation, Digestive Weakness | LU01, ST25, ST36, SP06, BL26, PC06, CV12, CV17, GV20 | 14 days | doi:10.1016/j.imr.2020.100479 | trial | Point selection reported in a published study. |
| Fatigue, Respiratory Dysfunction, Post-covid Rehabilitation | ST36, BL24, BL26, CV12, GV14 | 14 days | doi:10.1016/j.imr.2020.100479 | trial | Point selection reported in a published study. |
| Leg Pain, Buttock Pain, Low Back Pain, Mobility Reduced, Spinal Stenosis Lumbar, Neurogenic Claudication | ST36, ST40, BL22, BL23, BL24, BL25, BL26, BL53, BL54, GB30, GB31, GB34, LV03, GV03, GV04, GV05 | 42 days | doi:10.1016/j.imr.2025.101204 | trial | Point selection reported in a published study. |
| Leg Pain, Leg Numbness, Leg Weakness, Radiculopathy Lumbar, Lower-back Pain | BL22, BL23, BL24, BL25, BL26, BL27, BL31, BL32, BL33, BL34, BL54, GB30, GV03, GV04 | – | doi:10.3831/KPI.2025.28.4.269 | trial | Point selection reported in a published study. |
| Lumbar Pain, Low Back Pain | BL22, BL23, BL24, BL25, BL26 | 6 days | doi:10.15294/kemas.v16i2.22650 | trial | Point selection reported in a published study. |
| Lumbar Pain, Lumbar Disc Herniation, Sciatica Radicular | BL25, BL26, BL36, BL54, BL57, GB30, GB34 | – | doi:10.16448/j.cjtcm.2005.06.045 | trial | Point selection reported in a published study. |
| Lumbar Pain, Stenosis Lumbar Spinal, Claudication Neurogenic, Lower Extremity Pain | SP06, BL23, BL24, BL25, BL26, BL27, BL36, BL40, BL57, BL60, GB30, GB31, GB34, GV03, GV04 | – | doi:10.13517/j.cnki.ccm.2025.05.015 | trial | Point selection reported in a published study. |
| Back Pain, Lumbar Stiffness, Lumbar Pain, Back Acute Pain, Low Back Acute Pain | SP06, BL23, BL24, BL25, BL26, BL40, GV03, GV04 | 4 days | doi:10.3390/healthcare11222939 | trial | Point selection reported in a published study. |
| Pelvic Pain, Pubic Pain, Diastasis Symphysis-pubis | BL23, BL24, BL25, BL26, GB27, GB28 | 23 days | doi:10.21037/acr-2025-189 | trial | Point selection reported in a published study. |
| Sciatica, Leg Pain, Lower Back Pain, Sciatica Discogenic | BL25, BL26 | 28 days | doi:10.13703/j.0255-2930.20250402-0001 | trial | Point selection reported in a published study. |
| Infertility Male, Asthenospermia | ST29, BL26, CV03, CV04, CV12, GV03 | 56 days | doi:10.13703/j.0255-2930.20210927-k0003 | trial | Point selection reported in a published study. |
| Low Back Chronic Pain | BL23, BL24, BL25, BL26, BL40, BL60, GV03, XB05 | 56 days | doi:10.1097/MD.0000000000022526 | trial | Point selection reported in a published study. |
| Low Back Pain, Stenosis Lumbar Spinal | BL23, BL24, BL25, BL26, BL40, BL60, GB30, GB31, GV03 | 56 days | doi:10.2147/JPR.S399132 | trial | Point selection reported in a published study. |
| Low Back Pain, Chronic Nonspecific Low-back Pain | BL23, BL25, BL26, BL54 | 14 days | doi:10.1097/MD.0000000000034407 | trial | Point selection reported in a published study. |
| Low Back Pain, Low Back Acute Pain | SP06, BL23, BL24, BL25, BL26, BL40, XB02L3, XB02L4, XB02L5 | – | doi:10.3390/healthcare11222939 | trial | Point selection reported in a published study. |
| Low Back Pain, Low Back Acute Pain | SP06, BL23, BL24, BL25, BL26, BL40, GV03, GV04, XB02L3, XB02L4, XB02L5 | – | doi:10.3390/healthcare11222939 | trial | Point selection reported in a published study. |
| Sciatica, Low Back Pain, Disc Herniation Lumbar | BL23, BL24, BL25, BL26, BL27, BL28, BL29, BL30, GB30 | 23 days | doi:10.3389/fneur.2024.1381292 | trial | Point selection reported in a published study. |
| Pelvic Girdle Pain | LI04, ST36, SP12, BL26, BL32, BL33, BL54, BL60, KD11, GB30, GV20 | – | doi:10.1186/1472-6882-8-34 | trial | Point selection reported in a published study. |
| Low Back Pain, Pelvic Girdle Pain | BL23, BL24, BL25, BL26, BL27, BL28, BL31, BL32, BL54 | – | doi:10.1186/s40814-016-0107-6 | trial | Point selection reported in a published study. |
| Leg Pain, Low Back Pain, Spinal Stenosis Lumbar Degenerative, Claudication Neurogenic | ST36, ST40, BL22, BL23, BL24, BL25, BL26, BL53, BL54, GB30, GB31, GB34, LV03, GV03, GV04, GV05, XB02L1, XB02L2, XB02L3, XB02L4, XB02L5 | – | doi:10.1016/j.imr.2025.101204 | trial | Point selection reported in a published study. |
| Pubic Symphysis Pain, Postpartum Symphysis Pubis Diastasis | BL23, BL24, BL25, BL26, BL27, BL28, BL29, BL30, BL53, BL54, GB27, GB28 | – | doi:10.21037/acr-2025-189 | trial | Point selection reported in a published study. |
| Cold Large Intestine, Cold Large Intestine | BL25, BL26, KD16 | 7 days | Yang Yong-Xuan, clinical point-selection notes | text | Point selection recorded in a clinical text or case report. |
| Fatigue, Dizziness, Headache, Depression, Lassitude, Knee Pain, Head Vertex Pain, Dyspnea, Heaviness Lower Limbs, Lower Back Pain | LI04, ST36, SP06, HT07, BL15, BL17, BL18, BL20, BL21, BL23, BL26, KD03, PC06, GB20, LV03, CV06, CV12, GV20, GV24 | 50 days | HU Jin-sheng. Acupuncture Treatment of Chronic Fatigue Syndrome. Journal of Traditional Chinese Medicine, 2009, 29(3): 234-236 | text | Point selection recorded in a clinical text or case report. |
| Back Pain, Abdominal Pain, Labor Pain | LI04, ST36, SP06, BL25, BL26 | 1 days | Wu Lingling, Liu Xiaohui, Yin Yuzhu, Sun Ke, Wu Ling, Yi Wei, Li Shangrong, Hou Hongying. Effectiveness of acupuncture versus spinal-epidural anesthesia on labor pain: a randomized controlled trial. J Tradit Chin Med 2017; 37(5): 629-635 | text | Point selection recorded in a clinical text or case report. |
| Lumbar Pain, Radiculopathy Lumbar, Herniation Disc Lumbar | BL25, BL26 | 12 days | Liu Yaru et al.. Efficacy and safety of electroacupuncture in treatment of lumbar disc herniation: a protocol for a cohort study.. Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan, 2020 | text | Point selection recorded in a clinical text or case report. |
| Renal Colic Pain | BL21, BL22, BL23, BL24, BL26, BL45, BL46, BL47, BL48, BL49 | 1 days | Acupuncture Versus Titrated Morphine in Patients With Renal Colic. ClinicalTrials.gov NCT02781415 | text | Point selection recorded in a clinical text or case report. |
| Sciatica, Intervertebral Disc Displacement, Sciatic Radiculopathy | BL23, BL24, BL25, BL26, BL31, BL32, BL54, GB30 | – | The Effectiveness of Doin (Conduction Exercise) of the Pelvic Joint for HLD With Radiating Leg Pain. ClinicalTrials.gov NCT03571503 | text | Point selection recorded in a clinical text or case report. |
| Lumbar Disc Herniation | ST36, BL24, BL25, BL26, BL28, BL57, GB30, GB34 | – | Clinical Research on the Efficacy of Thread-embedding Acupuncture on Herniated Intervertebral Disc of Lumbar Spine. ClinicalTrials.gov NCT03236753 | text | Point selection recorded in a clinical text or case report. |
| Back Low Pain | ST36, BL23, BL24, BL25, BL26, BL32, BL40, BL60, KD03, GB30, GB34, GV03 | – | 이인선 et al.. 요통 침치료를 위한 경혈 선정에 관한 체계적 문헌 고찰. Korean Journal of Acupuncture, 2012 | text | Point selection recorded in a clinical text or case report. |
| Low Back Pain | ST36, BL23, BL24, BL25, BL26, BL32, BL40, BL60, KD03, GB30, GB34, GV03 | – | In‐Seon Lee et al.. Systematic Review of Selection of Acupuncture Points for Lower Back Pain. Korean Journal of Acupuncture, 2012 | text | Point selection recorded in a clinical text or case report. |

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AcuiQ-authored prose (symptom and meridian descriptions, the wiki, the auricular crosswalk) is licensed CC-BY-4.0: https://creativecommons.org/licenses/by/4.0/. The assembled protocol compilation is not: build on it with attribution, but do not redistribute it whole as a dataset – https://acuiq.com/terms. The underlying findings are the cited sources' claims – each entry carries its citation; verify against the source before relying on it. Not medical advice: https://acuiq.com/terms