BL32 (Second Bone Hole)

次髎cì hé

Bladder Meridian

Location of acupuncture point BL32 (Second Bone Hole)
58
Indications
12
Protocols

Location

On the sacrum medial and inferior to the posterior superior iliac spine just at the 2nd posterior sacral foramen.

Cautions

Caution in sacroiliac dysfunction.

Indications

Conditions for which BL32 is listed as indicated. An indication list is a reference index, not a prescription – see the protocols below for sourced treatments.

Benefit Back LumbarBenefit Back LumbarBenefit DefecationBenefit DefecationBenefit LegsBenefit LegsBenefit Regulate Jiao LowerBenefit UrinationBenefit UrinationStomach RumblingStomach RumblingConstipationDiarrhoea WateryDiarrhoea WateryShan DisorderShan DisorderBelow Heart BloatingBelow Heart BloatingDefecation ProblemsDefecation ProblemsUrinary ProblemsUrinary ProblemsMenstrual CrampsHardness Below HeartHardness Below HeartHemiplegiaInfertilityVaginal DischargeVaginal DischargeLeucorrhea Vaginal Discharge RedLeucorrhea Vaginal Discharge RedLeucorrhea Vaginal Discharge WhiteLeucorrhea Vaginal Discharge WhiteBack Lumbar NumbnessBack Lumbar NumbnessInferior Limbs NumbnessInferior Limbs NumbnessPainLower Back PainLower Back PainChildbirth PainChildbirth PainGenital PainGenital PainSacrum PainSacrum PainIrregular PeriodsPeriod / Menstruation IrregularRegulate Jiao LowerUrinary RetentionUrinary RetentionSciaticaBi Arthralgia Leg SyndromeBi / Arthralgia Leg SyndromePainful UrinationPainful UrinationUrine DarkUrine Dark

Protocols using BL32

  • Labor PainBL32 (https://doi.org/10.1016/s0254-6272(15)30149-7)
  • Back Low PainST36, 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)
  • Leg Pain, Buttock Pain, Low Back Pain, Mobility Reduced, Spinal Stenosis Lumbar, Neurogenic ClaudicationSP09, BL23, BL25, BL32, BL39, BL40, BL51, BL52, BL54, BL57, BL60, GB30, GB34, GB39, GV03 (https://doi.org/10.1016/j.imr.2025.101204)
  • Fatigue, Dizziness, Dysmenorrhea, Nausea, Menstrual Cramping PainSP06, BL32, LV03 (https://doi.org/10.2147/JPR.S498184)
  • Dysuria, Nocturia, Urinary Frequency, Urinary Urgency, Benign Prostatic Hyperplasia, Urinary ObstructionBL32, BL33 (https://doi.org/10.1155/2019/1439141)
  • PCOS, Infertility Anovulatory, Hyperandrogenism, Menstrual Irregularity OligomenorrheaLI04, ST25, ST29, SP06, SP09, BL32, LV03, CV04, GV20 (https://doi.org/10.1097/MD.0000000000028674)
  • Labor Pain, Anxiety Labor, Fear ChildbirthBL32 (Akbarzadeh Marzieh et al.. Comparison of the effects of doula supportive care and acupressure at the BL32 point on the mother's anxiety level and delivery outcome.. Iranian journal of nursing and midwifery research, 2015)
  • Leg Pain, Buttock Pain, Low Back Pain, Stenosis Lumbar Spinal, Claudication Neurogenic, Gait DisturbanceBL23, BL32, BL39, BL51, BL52, BL54, BL57, GB30, GB34, GB39, GV03 (https://doi.org/10.2147/JPR.S438219)
  • Dizziness, Tinnitus, Forgetfulness, Knee Pain, Heel Pain, Infertility Female, Lumbosacral Pain, Infertility Advanced-reproductive-age, Kidney-qi-deficiency, Menstruation Dim-color, Menstruation Thin-texture, Libido DecreasedST25, SP06, BL23, BL32, KD03, KD12, TB03, LV03, CV04, CV12, GV20 (https://doi.org/10.1097/MD.0000000000034768)
  • Urinary Retention Spinal Cord InjuryBL32, BL33 (https://doi.org/10.13702/j.1000-0607.20250263)
  • Dysmenorrhea, Menstrual Pain, Mood Changes, Damp-heat Lower-jiaoLI11, ST28, ST29, ST40, SP06, SP09, BL22, BL32, GB34, LV02 (https://doi.org/10.1093/ecam/nep239)
  • Lactation Insufficient, Urinary Retention Postpartum, Uterine Contraction Postpartum Pain, Depression PostpartumBL31, BL32, BL33, BL34, KD01, CV08 (https://doi.org/10.1001/jamanetworkopen.2022.13261)