Location
On the sacrum 0.5 thumb widths lateral to the tip of the coccyx.
Cautions
Do not needle into thrombosed or actively inflamed haemorrhoidal tissue, and observe strict asepsis in this region.
Indications
Conditions for which BL35 is listed as indicated. An indication list is a reference index, not a prescription – see the protocols below for sourced treatments.
Benefit CoccyxBenefit CoccyxBenefit Regulate Jiao LowerCold AbdomenCold AbdomenYang Qi DeficiencyYang Qi DeficiencyDiarrheaDysenteryErectile DysfunctionErectile / Impotence ProblemsHemorrhoidsHaemorrhoids ChronicHaemorrhoids ChronicGenital ItchingGenital ItchingVaginal DischargeVaginal DischargeLower Back PainLower Back PainButtock PainButtock PainCoccyx PainCoccyx PainLeg PainLeg PainLeg Walking Uphill PainLeg Walking Uphill PainRectal ProlapseRectal ProlapseRegulate Jiao LowerBlood in StoolBlood in StoolDamp Heat SyndromeDamp-heat Syndrome
Protocols using BL35
- Incontinence Urinary Stress – BL33, BL35 (doi:10.1186/1745-6215-14-315 ↗)
- Constipation, Urinary Incontinence, Urinary Retention, Bladder Dysfunction Neurogenic, Bowel Dysfunction Neurogenic, Spinal Cord Injury Traumatic – BL32, BL33, BL35 (doi:10.1155/2013/543174 ↗)
- Nocturia, Urinary Frequency, Urinary Urgency, Urinary Incontinence Mixed, Urinary Incontinence Stress, Urinary Incontinence Urgency – BL33, BL35 (doi:10.1186/1472-6882-14-301 ↗)
- Urinary Incontinence Stress, Urinary Incontinence Exertional – BL33, BL35 (doi:10.1186/s13063-015-0560-1 ↗)
- Incontinence Urinary Stress, Urine Leakage Exertion, Urine Leakage Coughing, Urine Leakage Sneezing – BL33, BL35 (doi:10.1371/journal.pone.0150821 ↗)
- Sexual Dysfunction, Pelvic Pain, Chronic Prostatitis, Prostate Pain, Urinary Tract Symptoms Lower – SP06, BL23, BL33, BL35 (doi:10.1186/s12906-016-1428-y ↗)
- Sexual Dysfunction, Voiding Dysfunction, Pelvic Pain, Prostatitis Chronic – BL30, BL35 (doi:10.1186/s12906-017-1768-2 ↗)
- Pelvic Pain, Prostatitis Chronic, Urogenital Pain, Urinary Symptoms Lower Urinary Tract – SP06, BL23, BL33, BL35 (doi:10.1097/MD.0000000000012887 ↗)
- Incontinence Urinary Stress, Incontinence Urinary Mixed Stress-predominant – BL33, BL35 (doi:10.1136/bmjspcare-2019-002034 ↗)
- Nocturia, Urinary Frequency, Urinary Urgency, Incontinence Urinary Mixed, Incontinence Urgency, Incontinence Stress – SP06, BL33, BL35 (doi:10.1186/s12906-019-2784-1 ↗)
- Nocturia, Urinary Urgency, Urinary Incontinence Urgency, Urinary Frequency Daytime – SP06, BL23, BL33, BL35 (doi:10.1186/s12906-020-03018-y ↗)
- Nocturia, Urination Frequent, Benign Prostatic Hyperplasia, Urination Urgency, Urination Incomplete Emptying, Urinary Intermittent Stream – SP06, SP09, BL33, BL35, CV04 (doi:10.1097/MD.0000000000030429 ↗)
- 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 ↗)
- Nocturia, Urinary Frequency, Urinary Urgency, Overactive Bladder, Urge Incontinence – SP06, BL32, BL35, KD03, CV03 (doi:10.2147/IJWH.S494135 ↗)
- Pelvic Chronic Pain, Lumbosacral Pain, Lower-abdomen Pain, Pelvic-inflammatory-disease – LI04, SP06, SP09, BL33, BL35, LV03 (doi:10.3390/medicina61020354 ↗)
- Fatigue, Anxiety, Depression, Lumbar Pain, Abdomen Lower Pain, Pelvic Chronic Pain, Bowel Dysfunction Constipation – ST25, SP06, BL23, BL32, BL33, BL35, CV03, CV04, CV12 (doi:10.2147/IJWH.S541559 ↗)
- 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 ↗)
- Urinary Retention, Neurogenic Bladder, Bladder Dysfunction – BL32, BL33, BL35 (doi:10.13703/j.0255-2930.20231216-k0001 ↗)
- Urinary Incontinence Stress, Kidney Qi Deficiency – ST36, BL23, BL32, BL35, CV03, CV04 (doi:10.27213/d.cnki.glnzc.2021.000585 ↗)
- Hemorrhoids, Bleeding Rectal, Anal Pain – BL25, BL32, BL35, BL57, GV01 (doi:10.13193/j.issn.1673-7717.2017.12.003 ↗)
- Incontinence Bladder, Urinary Problems, Incontinence Urinary Stress – SP06, BL23, BL32, BL35, BL40, KD12, CV03, CV04 (doi:10.1097/MD.0000000000048316 ↗)
- Urination Dysfunction, Urinary-retention Postoperative, Surgery Total-hip-arthroplasty – BL32, BL35, CV03, CV04 (doi:10.13703/j.0255-2930.20230302-k0005 ↗)
- Prostatitis Chronic, Pelvic Chronic Pain – SP06, BL23, BL33, BL35 (doi:10.13703/j.0255-2930.20230626-k0003 ↗)
- Incontinence Stress Urinary – ST28, BL33, BL35, BL54, KD12, CV04 (doi:10.13703/j.0255-2930.20240408-k0001 ↗)
- Hyperplasia Prostate Benign, Urinary Symptoms Lower Tract, Overactive Bladder – BL35 (doi:10.13703/j.0255-2930.20240322-k0003 ↗)
- 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 ↗)
- Pelvic Pain, Pelvic Chronic Pain, Pelvic Inflammatory Disease – LI04, SP06, SP09, BL33, BL35, LV03 (doi:10.3390/medicina61020354 ↗)
- Pelvic Pain, Abdomen Lower Pain, Pelvic Chronic Pain, Adenomyosis – ST25, SP06, BL23, BL32, BL33, BL35, CV03, CV04, CV12, XC01 (doi:10.2147/IJWH.S541559 ↗)
- Nocturia, Frequency Urinary, Urgency Urinary, Menopause, Overactive Bladder, Incontinence Urge – SP06, BL32, BL35, KD03, CV03 (doi:10.2147/IJWH.S494135 ↗)
- Urination Difficulty, Prostatitis Chronic, Pelvic Chronic Pain – SP06, BL23, BL33, BL35 (doi:10.13703/j.0255-2930.20221113-k0006 ↗)
- Heat Bladder, Damp Bladder, Heat Bladder, Damp Bladder – ST28, SP11, SP12, HT08, BL22, BL27, BL28, BL31, BL35, BL36, BL39, KD10 (Yang Yong-Xuan, clinical point-selection notes)
- Chronic Prostatitis With Chronic Pelvic Pain Syndrome – SP06, BL23, BL33, BL35 (Acupuncture for Chronic Prostatitis/Chronic Pelvic Pain Syndrome. ClinicalTrials.gov NCT03213938)
- Urinary Stress Incontinence – BL33, BL35 (Efficacy and Safety Study of Electroacupuncture for Simple Female Stress Urinary incontinence-a Multicenter Trial. ClinicalTrials.gov NCT01784172)
- Urinary Dysfunction, Chronic Prostatitis, Pelvic Pain – BL32, BL35, CV03, CV04 (张杰. 慢性前列腺炎患者尿流率—尿道括约肌肌电图检测及电针治疗研究. , [CNKI])
- Lower Limb Numbness, Lower Limb Weakness, Peripheral Nerve Injury Lower Limb – ST31, ST36, ST41, SP09, BL23, BL32, BL33, BL35, BL40, BL54, GB30, GB34 (章明星王蕊刘阳阳刘建卫郭义. 基于现代文献总结针灸治疗周围神经损伤选穴规律. 北京中医药大学学报 ., 2015 [CNKI])
- Urinary Dysfunction, Urethral Syndrome Female, Pelvic Floor Muscle Tension – BL32, BL35, CV03, CV04 (张杰刘朝东丁燕. 电针治疗女性尿道综合征疗效观察. 重庆医学 ., 2009 [CNKI])
- Nocturia, Overactive Bladder, Sleep Disturbance – SP06, BL23, BL29, BL33, BL35 (程觅冉津川阮铄荃胡静顾尤嘉赵小凡陈炳力明树人李璟侯文光. 针刺治疗膀胱源性夜尿症的疗效观察及对特定腧穴红外辐射温度变化的影响. 中国中医药科技 ., 2024 [CNKI])
- Urinary Incontinence Stress – BL23, BL32, BL33, BL35, GV20 (陈文婷赵子玲 钱蔚丽陈大隆. 基于数据挖掘探讨针灸治疗压力性尿失禁的选穴规律. 广西中医药 ., 2019 [CNKI])
- Fibromyalgia Pain Musculoskeletal Diffuse – LI11, ST14, ST15, ST36, HT07, BL15, BL16, BL17, BL35, BL54, KD03, PC06, GB20, GB21, GB30, LV08 (Bai Y, Guo Y, Wang H, Chen B, Wang Z, Liu Y, Zhao X, Li Y. Efficacy of acupuncture on fibromyalgia syndrome: a Meta-analysis. Journal of Traditional Chinese Medicine 2014; 34(4): 381-391.)