BL32 Cihe (Second Bone Hole)

次髎cì héCihe

Bladder Meridian

Location of acupuncture point BL32 Cihe (Second Bone Hole)
35
Indications
190
Protocols
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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 DefecationBenefit LegsBenefit Regulate Jiao LowerBenefit UrinationStomach RumblingConstipationDiarrhoea WateryShan DisorderBelow Heart BloatingDefecation ProblemsUrinary ProblemsMenstrual CrampsHardness Below HeartHemiplegiaInfertilityVaginal DischargeLeucorrhea Vaginal Discharge RedWhite Vaginal DischargeBack Lumbar NumbnessInferior Limbs NumbnessPainLower Back PainChildbirth PainGenital PainSacrum PainIrregular PeriodsPeriod / Menstruation IrregularRegulate Jiao LowerUrinary RetentionSciaticaBi Arthralgia Leg SyndromeBi / Arthralgia Leg SyndromePainful UrinationUrine Dark

Protocols using BL32

The 50 best-sourced of 190, ranked by strength of evidence. The count above is the full figure.

  • Low Back Pain, Pelvic Girdle Pain, Sacroiliac Pain, Symphysis Pain, Pregnancy Second Trimester, Pregnancy Third TrimesterLI04, ST36, SP12, BL26, BL32, BL33, BL54, BL60, KD11, GB30, GV20 (doi:10.1186/1472-6882-8-34)
  • Pregnancy Post-term, Labor InductionLI04, SP06, BL32, BL54 (doi:10.1080/14767050902906386)
  • Bladder Dysfunction Neurogenic, Incontinence UrinaryBL32, CV03, CV04 (doi:10.1093/ecam/nep010)
  • Back Pain, Sciatica Pain, Herniated Nucleus PulposusBL23, BL24, BL25, BL26, BL31, BL32, BL33, BL34, BL40, BL57, BL60, GB30 (doi:10.1093/ecam/nep085)
  • Fatigue, Insomnia, Irritability, Hot FlashesSP06, HT07, BL15, BL23, BL32, PC06, GB34, LV03, GV20 (doi:10.1016/j.urology.2010.03.033)
  • Dysmenorrhea, Menstrual Pain, Qi-blood Stagnation, Mood ChangesLI04, SP04, SP06, SP08, SP10, BL32, LV03, CV03, CV06 (doi:10.1093/ecam/nep239)
  • Dysmenorrhea, Menstrual Pain, Mood Changes, Qi-blood DeficiencyST36, SP06, SP08, BL17, BL20, BL32, CV04, CV06 (doi:10.1093/ecam/nep239)
  • Dysmenorrhea, Menstrual Pain, Mood Changes, Damp-heat Lower-jiaoLI11, ST28, ST29, ST40, SP06, SP09, BL22, BL32, GB34, LV02 (doi:10.1093/ecam/nep239)
  • Back Low Pain, Acute Pain, Referred PainLI04, BL29, BL30, BL31, BL32, BL40, BL54, BL58, BL62, KD03, GB30, LV03, GV03, GV04 (doi:10.1186/1745-6215-12-241)
  • Urinary Retention, Incomplete Bladder Emptying, Stroke SequelaeSP06, BL28, BL32 (doi:10.2147/CIA.S37531)
  • Lumbar Pain, Low-back PainBL23, BL24, BL25, BL26, BL32, BL40, BL60, GB30, GB34 (doi:10.1155/2013/872142)
  • Constipation, Urinary Incontinence, Urinary Retention, Bladder Dysfunction Neurogenic, Bowel Dysfunction Neurogenic, Spinal Cord Injury TraumaticBL32, BL33, BL35 (doi:10.1155/2013/543174)
  • Anxiety, Night Sweats, Infertility Female, Hot Flashes, Vaginal Dryness, Mood Swings, Amenorrhea Premature, Menopause PrematureST25, ST28, ST29, ST36, SP06, BL32, KD03, GB13, LV03, CV03, CV04, GV20, GV24 (doi:10.1155/2014/718675)
  • Enuresis Nocturnal, BedwettingST36, SP04, SP06, SP12, HT07, HT09, BL23, BL28, BL32, KD03, KD05, CV02, CV03, CV06, GV04, GV15, GV20 (doi:10.1177/147323000303100611)
  • Obesity, PCOS, Insulin Resistance, Hormonal ImbalanceST25, SP06, BL17, BL32, CV06, CV12 (doi:10.1016/s0254-6272(13)60166-1)
  • Labor Pain, Anxiety Labor, Delivery PainBL32 (doi:10.1155/2014/129208)
  • Dysmenorrhea, Menstrual Pain, Abdomen Lower PainST36, SP06, SP08, SP10, BL23, BL32, LV03, CV03, CV04, CV06 (doi:10.1155/2015/752194)
  • Incontinence Urinary Stress, Incontinence Urinary Mixed, Incontinence Urinary UrgencySP03, 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)
  • Labor Pain, Labor ProlongedBL32 (doi:10.5539/gjhs.v8n3p236)
  • Urinary Retention Post-stroke, Bladder Dysfunction Incomplete EmptyingBL31, BL32, BL33, BL34 (doi:10.1186/s13063-016-1315-3)
  • Spinal Cord Injury, Bladder Dysfunction Neurogenic, Urinary Retention ChronicSP06, SP09, BL23, BL28, BL31, BL32, BL33, BL34, CV02, CV03, CV04, CV06 (doi:10.1155/2016/9245186)
  • Labor PainBL32 (doi:10.1016/s0254-6272(15)30149-7)
  • Dizziness, Headache, Syncope, Menstrual Pain, Uterine Bleeding Dysfunctional, Dysmenorrhea Severe, Menstruation Irregular, Clots MenstrualLU07, LI04, LI11, ST29, ST36, ST40, ST44, SP04, SP06, SP08, SP09, SP10, SI03, BL23, BL32, BL62, KD03, KD06, KD07, KD14, GB41, GB43, LV03, CV03, CV04, CV06, GV04, GV20, GV24 (doi:10.1136/bcr-2018-224725)
  • Constipation, Urinary Incontinence, Incontinence Post-surgicalBL32, BL33, BL34 (doi:10.1097/MD.0000000000015687)
  • Infertility Female, Hypomenorrhea, Menstrual Irregularity, Fallopian Tube Obstruction Bilateral, Diminished Ovarian ReserveST25, BL32, BL33, CV04 (doi:10.1097/MD.0000000000017160)
  • Dysuria, Nocturia, Urinary Frequency, Urinary Urgency, Benign Prostatic Hyperplasia, Urinary ObstructionBL32, BL33 (doi:10.1155/2019/1439141)
  • Dysmenorrhea Primary, Menstrual Pain, Pelvic PainLI04, ST28, ST36, SP10, BL20, BL32, BL54, LV03 (doi:10.1155/2019/7978180)
  • Coccyx Pain, Low-back Pain, Fracture Coccyx, CoccydyniaBL23, BL25, BL32, GV20 (doi:10.1097/MD.0000000000018860)
  • Diarrhea, Abdominal Pain, Ulcerative Colitis, Blood In StoolBL31, BL32, BL33, BL34 (doi:10.1186/s12906-020-03101-4)
  • Frequency Urinary, Urgency Urinary, Discomfort Urinary Catheter-related, Suprapubic Pain, Agitation PostoperativeBL32, BL33, BL34, CV03, CV04, CV05, CV06, CV07 (doi:10.1155/2021/6691459)
  • PCOS, Infertility Anovulatory, Hyperandrogenism, Menstrual Irregularity OligomenorrheaLI04, ST25, ST29, SP06, SP09, BL32, LV03, CV04, GV20 (doi:10.1097/MD.0000000000028674)
  • Insufficient Lactation, Urinary Retention Postpartum, Uterine Contraction Postpartum Pain, Depression PostpartumBL31, BL32, BL33, BL34, KD01, CV08 (doi:10.1001/jamanetworkopen.2022.13261)
  • Fatigue, Nausea, Diarrhea, Waist Pain, Dysmenorrhea Primary, Menstrual Pain, Lower-abdomen PainSP06, BL31, BL32, BL33, BL34, CV04 (doi:10.1155/2022/1281336)
  • Nocturia, Urinary Retention Postoperative, Voiding DifficultySP06, BL32, CV03, CV04 (doi:10.2147/CIA.S382912)
  • Urinary Retention Postoperative, Postoperative Anal Pain, Anal Bloating, Hemorrhoids Mixed PostoperativeBL32, BL33 (doi:10.1007/s00384-023-04403-y)
  • 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 (doi:10.1097/MD.0000000000034768)
  • Fatigue, Constipation, Abdominal Distension, Voiding Dysfunction, Urinary Retention Acute, Herpes Zoster SacralSP06, BL32, BL33, CV02, CV03 (doi:10.1097/MD.0000000000036007)
  • Chronic Pain, Low Back Pain, Disability Low BackSP06, BL23, BL31, BL32, BL33, BL60 (doi:10.1016/j.jams.2018.02.002)
  • Fatigue, Dysmenorrhea, Acne, Obesity Abdominal, PCOS, AnovulationST25, BL23, BL32, GB26 (doi:10.13702/j.1000-0607.20230575)
  • Fatigue, Dizziness, Tinnitus, Depression, Absent Periods, Dysmenorrhea, Insomnia, Infertility, Arthralgia, Oligomenorrhea, Hot Flashes, Vaginal Dryness, Premature Ovarian InsufficiencySP06, SP10, BL18, BL20, BL23, BL32, KD16, CV04, CV06 (doi:10.3389/fmed.2024.1357824)
  • Nocturia, Urinary Frequency, Urinary Urgency, Overactive Bladder, Urge IncontinenceSP06, BL32, BL35, KD03, CV03 (doi:10.2147/IJWH.S494135)
  • Infertility, Obesity, PCOS, Insulin Resistance, Hyperandrogenism, Ovulatory DysfunctionST25, SP06, BL23, BL32, KD03, KD12, GB13, LV03, CV04, CV12, GV20, GV24 (doi:10.3389/fendo.2024.1509152)
  • Depression Postpartum, Mood Disorder Postpartum, Anxiety Postpartum, Insomnia Postpartum, Postpartum Mood ChangesBL31, BL32, BL33, BL34, KD01, CV08 (doi:10.1159/000543477)
  • Fecal Incontinence, Sleep Disturbance, Defecation Frequent, Evacuation Incomplete, Bowel UrgencyBL31, BL32, BL33, BL34, GV01 (doi:10.3389/fmed.2025.1517325)
  • Fracture Coccyx, Sacrococcygeal Pain, Subluxation Coccyx, Difficulty SittingBL31, BL32, BL33, BL34 (doi:10.1097/MD.0000000000044068)
  • Incontinence Urinary, Incontinence Stress, Prostatectomy Post-radical, Postoperative Radical ProstatectomyBL32, BL33, BL34 (doi:10.1001/jamanetworkopen.2025.34491)
  • Fatigue, Anxiety, Depression, Lumbar Pain, Abdomen Lower Pain, Pelvic Chronic Pain, Bowel Dysfunction ConstipationST25, SP06, BL23, BL32, BL33, BL35, CV03, CV04, CV12 (doi:10.2147/IJWH.S541559)
  • Urinary Incontinence Stress, Pelvic Floor DysfunctionST36, SP06, BL23, BL24, BL31, BL32, BL33, BL34, BL35, CV03, CV04 (doi:10.11817/j.issn.1672-7347.2025.240242)
  • Urinary Retention, Spinal Cord Injury, Urinary Retention Spinal Cord InjuryBL32, BL33 (doi:10.13702/j.1000-0607.20250263)
  • Premature Ejaculation, Sexual DysfunctionST36, SP12, SP13, BL23, BL27, BL28, BL29, BL30, BL31, BL32, BL33, BL34, BL47, KD01, KD03, CV04, CV06 (doi:10.4103/0973-6131.113408)

Most often selected alongside BL32

How many sourced protocols in the index pair each point with BL32. Corpus frequency, not a combination to use.

  • SP06Three Yin Intersection89 protocols
  • BL23Kidney Shu Point78 protocols
  • CV04Original Qi Gate71 protocols
  • BL33Middle Bone Hole66 protocols
  • CV03Central Pivot52 protocols
  • LV03Great Surge48 protocols
  • ST36Leg Three Miles45 protocols
  • BL31Upper Bone Hole39 protocols
  • BL34Lower Bone Hole39 protocols
  • GV20100 Convergences32 protocols
  • BL25Large Intestine Shu Point30 protocols
  • KD03Great Stream30 protocols