BL34 Xiahe (Lower Bone Hole)

Location

On the sacrum medial and inferior to the BL33 just at the 4th posterior sacral foramen.

Indications

Conditions for which BL34 is listed as indicated. An indication list is a reference index, not a prescription – see the protocols below for sourced treatments.

Protocols using BL34

• Back Pain, Sciatica Pain, Herniated Nucleus Pulposus – BL23, BL24, BL25, BL26, BL31, BL32, BL33, BL34, BL40, BL57, BL60, GB30 (doi:10.1093/ecam/nep085 ↗)
• Constipation Functional, Stool Hard, Constipation Chronic, Defecation Difficulty – ST25, ST36, ST37, BL25, BL33, BL34, TB06, CV04, CV06 (doi:10.1155/2015/396396 ↗)
• 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 ↗)
• Urinary Retention Post-stroke, Bladder Dysfunction Incomplete Emptying – BL31, BL32, BL33, BL34 (doi:10.1186/s13063-016-1315-3 ↗)
• Spinal Cord Injury, Bladder Dysfunction Neurogenic, Urinary Retention Chronic – SP06, SP09, BL23, BL28, BL31, BL32, BL33, BL34, CV02, CV03, CV04, CV06 (doi:10.1155/2016/9245186 ↗)
• Constipation, Urinary Incontinence, Incontinence Post-surgical – BL32, BL33, BL34 (doi:10.1097/MD.0000000000015687 ↗)
• Nocturia, Urinary Frequency, Urinary Urgency, Overactive Bladder, Urgency Incontinence – SP06, BL33, BL34, KD03, CV04, CV06, GV20 (doi:10.1155/2020/1705964 ↗)
• Diarrhea, Abdominal Pain, Ulcerative Colitis, Blood In Stool – BL31, BL32, BL33, BL34 (doi:10.1186/s12906-020-03101-4 ↗)
• Frequency Urinary, Urgency Urinary, Discomfort Urinary Catheter-related, Suprapubic Pain, Agitation Postoperative – BL32, BL33, BL34, CV03, CV04, CV05, CV06, CV07 (doi:10.1155/2021/6691459 ↗)
• Insufficient Lactation, Urinary Retention Postpartum, Uterine Contraction Postpartum Pain, Depression Postpartum – BL31, BL32, BL33, BL34, KD01, CV08 (doi:10.1001/jamanetworkopen.2022.13261 ↗)
• Fatigue, Nausea, Diarrhea, Waist Pain, Dysmenorrhea Primary, Menstrual Pain, Lower-abdomen Pain – SP06, BL31, BL32, BL33, BL34, CV04 (doi:10.1155/2022/1281336 ↗)
• 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 ↗)
• Pelvic Pain, Anorectal Pain, Defecation Disorder, Pelvic Floor Dysfunction – BL18, BL23, BL25, BL33, BL34 (doi:10.5152/tjg.2024.22516 ↗)
• Depression Postpartum, Mood Disorder Postpartum, Anxiety Postpartum, Insomnia Postpartum, Postpartum Mood Changes – BL31, BL32, BL33, BL34, KD01, CV08 (doi:10.1159/000543477 ↗)
• Fecal Incontinence, Sleep Disturbance, Defecation Frequent, Evacuation Incomplete, Bowel Urgency – BL31, BL32, BL33, BL34, GV01 (doi:10.3389/fmed.2025.1517325 ↗)
• Fracture Coccyx, Sacrococcygeal Pain, Subluxation Coccyx, Difficulty Sitting – BL31, BL32, BL33, BL34 (doi:10.1097/MD.0000000000044068 ↗)
• Incontinence Urinary, Incontinence Stress, Prostatectomy Post-radical, Postoperative Radical Prostatectomy – BL32, BL33, BL34 (doi:10.1001/jamanetworkopen.2025.34491 ↗)
• Urinary Incontinence Stress, Pelvic Floor Dysfunction – ST36, SP06, BL23, BL24, BL31, BL32, BL33, BL34, BL35, CV03, CV04 (doi:10.11817/j.issn.1672-7347.2025.240242 ↗)
• Premature Ejaculation, Sexual Dysfunction – ST36, SP12, SP13, BL23, BL27, BL28, BL29, BL30, BL31, BL32, BL33, BL34, BL47, KD01, KD03, CV04, CV06 (doi:10.4103/0973-6131.113408 ↗)
• Childbirth Pain, Labor Pain – LI04, BL31, BL32, BL33, BL34, GB30, LV03 (doi:10.2147/JPR.S46693 ↗)
• 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 ↗)
• Dysuria, Urinary Frequency, Urinary Urgency, Benign Prostatic Hyperplasia, Lower Urinary Tract Symptoms – BL31, BL32, BL33, BL34 (doi:10.27465/d.cnki.gzzyc.2024.000579 ↗)
• Urinary Tract Infection, Urinary Retention, Neurogenic Bladder – ST36, SP06, BL31, BL32, BL33, BL34, BL57, KD01, CV03, CV04, CV06, CV08, GV20 (doi:10.16821/j.cnki.hsjx.2014.16.027 ↗)
• Depression Post-stroke, Urinary Retention Post-stroke – SP06, BL31, BL32, BL33, BL34, PC06, GV20 (doi:10.27026/d.cnki.ggszc.2023.000230 ↗)
• Urinary Incontinence Stress Postpartum – BL31, BL32, BL33, BL34, CV08 (doi:10.13359/j.cnki.gzxbtcm.2022.10.021 ↗)
• Urinary Incontinence Stress Postpartum – BL31, BL32, BL33, BL34 (doi:10.13359/j.cnki.gzxbtcm.2022.10.021 ↗)
• Urinary Retention Post-stroke – ST28, SP06, SP09, BL28, BL32, BL33, BL34, CV03, CV04 (doi:10.19917/j.cnki.1005-0779.023135 ↗)
• Spinal Cord Injury, Neurogenic Bladder, Urinary Dysfunction Retention – ST36, SP06, SP09, BL23, BL28, BL31, BL32, BL33, BL34, CV03, CV04, CV06 (doi:10.16294/j.cnki.1007-659x.2020.02.006 ↗)
• Fecal Incontinence, Bowel Dysfunction Postoperative, Bowel Urgency, Fecal Incontinence, Bowel Urgency, Bowel Dysfunction, Rectal Cancer – BL23, BL31, BL32, BL33, BL34, GV04 (doi:10.3389/fmed.2026.1815559 ↗)
• Urinary Retention, Spinal Cord Injury, Bladder Dysfunction Neurogenic, Spinal Cord Injury, Bladder Neurogenic – ST36, SP09, BL31, BL32, BL33, BL34, CV03, CV04 (doi:10.13703/j.0255-2930.20221027-k0005 ↗)
• Erectile Dysfunction – BL31, BL32, BL33, BL34 (doi:10.13703/j.0255-2930.20240924-0001 ↗)
• Incontinence Urinary Stress, Pelvic Floor Weakness – ST36, SP06, BL23, BL31, BL32, BL33, BL34, BL35, CV03, CV04, CV06 (doi:10.11817/j.issn.1672-7347.2025.240242 ↗)
• Constipation Functional, Straining Defecation, Defecation Difficulty – BL31, BL32, BL33, BL34 (doi:10.1097/md.0000000000046143 ↗)
• Constipation Functional, Straining Defecation, Defecation Incomplete, Defecation Difficulty – BL31, BL32, BL33, BL34 (doi:10.1097/MD.0000000000046143 ↗)
• Bleeding Uterine, Intrauterine Residue Post-curettage – BL31, BL32, BL33, BL34 (doi:10.13703/j.0255-2930.20200716-k0003 ↗)
• Lactation Insufficiency, Urinary Retention – BL31, BL32, BL33, BL34, KD01, CV08 (doi:10.1001/jamanetworkopen.2022.13261 ↗)
• Anorectal Pain – ST36, BL20, BL21, BL23, BL34, BL35, BL57, GB26, CV04, CV06, CV12, GV01, GV20 (doi:10.1097/MD.0000000000035462 ↗)
• Anorectal Pain, Levator Ani Syndrome – BL18, BL23, BL25, BL33, BL34 (doi:10.5152/tjg.2024.22516 ↗)
• Defecation Frequent, Bowel Urgency, Rectal Cancer Lower Post-operative, Fecal Incontinence – BL31, BL32, BL33, BL34, GV01 (doi:10.3389/fmed.2025.1517325 ↗)
• Coccyx Pain, Fracture Coccyx, Sacrococcygeal Pain – BL31, BL32, BL33, BL34 (doi:10.1097/MD.0000000000044068 ↗)
• Urinary Incontinence, Urinary Incontinence Stress, Prostatectomy Post-radical – BL32, BL33, BL34 (doi:10.1001/jamanetworkopen.2025.34491 ↗)
• Urinary Incontinence, Incontinence Urinary Stress, Urinary Incontinence Stress – ST36, SP06, BL23, BL24, BL31, BL32, BL33, BL34, BL35, CV03, CV04 (doi:10.11817/j.issn.1672-7347.2025.240242 ↗)
• Dysmenorrhea Primary – ST28, BL20, BL31, BL32, BL33, BL34, LV03 (LIU Yong-jiu, et al. cited in ZHAO Li & LI Pei. A Survey of Acupuncture Treatment for Primary Dysmenorrhea. Journal of Traditional Chinese Medicine, 2009, 29(1): 71-73)
• Leg Pain, Prolapse Of The Lumbar Intervertebral Disc, Low Back Pain – BL23, BL25, BL31, BL32, BL33, BL34, BL40, BL54 (ZHAO Bin-xiu et al. Clinical Effects of Acupuncture after Surgical Operation in Patients with Prolapse of the Lumbar Intervertebral Disc. Journal of Traditional Chinese Medicine, 2008, 28(4): 250-254)
• PCOS, Kidney-yang Deficiency – BL31, BL32, BL33, BL34 (王任阳陈培芳夏德鹏陈燕军张雪飞高楠. 针刺结合隔姜灸八髎穴治疗肾阳虚证多囊卵巢综合征疗效观察. 亚太传统医药 ., 2023 [CNKI])

Most often selected alongside BL34

How many sourced protocols in the index pair each point with BL34. Corpus frequency, not a combination to use.

• BL33Middle Bone Hole43 protocols
• BL32Second Bone Hole39 protocols
• BL31Upper Bone Hole34 protocols
• CV04Original Qi Gate16 protocols
• BL23Kidney Shu Point15 protocols
• CV06Sea Of Qi11 protocols
• SP06Three Yin Intersection11 protocols
• CV03Central Pivot10 protocols
• ST36Leg Three Miles10 protocols
• BL25Large Intestine Shu Point6 protocols
• GV20100 Convergences6 protocols
• BL28Bladder Shu Point5 protocols

Other points on the Bladder Meridian