BL54 Zhibian (Lowermost In Order)

Location

On the level of the 4th posterior sacral foramen 3 thumb widths lateral to the median sacral crest.

Indications

Conditions for which BL54 is listed as indicated. An indication list is a reference index, not a prescription – see the protocols below for sourced treatments.

TCM actions

What classical sources say BL54 does in the terms of Chinese medicine theory. These describe the point, not a condition.

Protocols using BL54

The 50 best-sourced of 94, ranked by strength of evidence. The count above is the full figure.

• Dysmenorrhea Primary – BL25, BL54 (doi:10.1016/s0254-6272(09)60035-2 ↗)
• Dysmenorrhea Primary – SP06, SP10, BL54, CV06 (doi:10.1016/s0254-6272(09)60035-2 ↗)
• Leg Pain, Prolapse Of The Lumbar Intervertebral Disc, Low Back Pain – BL23, BL25, BL31, BL32, BL33, BL34, BL40, BL54 (doi:10.1016/s0254-6272(09)60003-0 ↗)
• 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 (doi:10.1186/1472-6882-8-34 ↗)
• Pregnancy Post-term, Labor Induction – LI04, SP06, BL32, BL54 (doi:10.1080/14767050902906386 ↗)
• Stenosis Lumbar Spinal, Radiculopathy L5, Claudication Neurogenic, Lower Extremity Pain, Gluteal Pain – BL23, BL25, BL40, BL53, BL54, BL57, GB34 (doi:10.1186/s12906-018-2087-y ↗)
• Dysmenorrhea Primary, Menstrual Pain, Pelvic Pain – LI04, ST28, ST36, SP10, BL20, BL32, BL54, LV03 (doi:10.1155/2019/7978180 ↗)
• Sciatica, Low Back Pain, Spondylolisthesis Lumbar Degenerative – BL23, BL40, BL54, BL57, GB30, GB31, GB34, GV02, GV03, GV04 (doi:10.1155/2022/6016542 ↗)
• Back Pain, Lumbar Pain, Low Back Pain, Back Low Pain, Disability Functional, Lumbosacral Pain – BL23, BL25, BL26, BL54 (doi:10.1097/MD.0000000000034407 ↗)
• Incontinence Urinary Stress, Pelvic Floor Dysfunction Postpartum, Pelvic Floor Muscle Weakness – BL54 (doi:10.1007/s00192-023-05698-9 ↗)
• Incontinence Urinary Stress, Pelvic Floor Dysfunction – BL54 (doi:10.1007/s00345-024-05004-2 ↗)
• Sciatica, Leg Pain, Sciatica Pain, Back Lower Pain, Lower-back Pain, Gluteal Pain, Leg Radiating Pain, Neurological-deficit – BL23, BL25, BL40, BL54, BL57, BL60, GB30, GB34, GB39 (doi:10.1177/2515690X251355513 ↗)
• Anxiety, Tinnitus, Headache, Dysmenorrhea, Insomnia, Neck Pain, Premenstrual Syndrome, Eye Twitching – SI11, SI12, SI13, BL54, BL60, TB17, TB18, TB19, TB20, GB30, GB34, LV04 (doi:10.12998/wjcc.v13.i21.103200 ↗)
• 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 (doi:10.21037/acr-2025-189 ↗)
• Dysmenorrhea, Cramping, Abdominal Pain, Menstrual Pain, Pelvic Pain – ST28, SP06, BL54 (doi:10.2147/IJWH.S264023 ↗)
• Leg Pain, Buttock Pain, Low Back Pain, Stenosis Lumbar Spinal, Claudication Neurogenic, Gait Disturbance – SP09, BL23, BL25, BL32, BL39, BL40, BL51, BL52, BL54, BL57, BL60, GB30, GB34, GB39, GV03 (doi:10.2147/JPR.S438219 ↗)
• Leg Pain, Buttock Pain, Low Back Pain, Stenosis Lumbar Spinal, Claudication Neurogenic, Gait Disturbance – BL23, BL32, BL39, BL51, BL52, BL54, BL57, GB30, GB34, GB39, GV03 (doi:10.2147/JPR.S438219 ↗)
• Leg Pain, Buttock Pain, Low Back Pain, Mobility Reduced, Spinal Stenosis Lumbar, Neurogenic Claudication – SP09, BL23, BL25, BL32, BL39, BL40, BL51, BL52, BL54, BL57, BL60, GB30, GB34, GB39, GV03 (doi:10.1016/j.imr.2025.101204 ↗)
• 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 (doi:10.1016/j.imr.2025.101204 ↗)
• 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 ↗)
• Bladder Dysfunction Neurogenic, Urinary Incontinence Stress, Prostate Disease – ST28, BL54 (doi:10.53469/jcmp.2025.07(05).06 ↗)
• Sacroiliac Pain, Functional Disability Lumbar – BL40, BL54, GB30 (doi:10.13703/j.0255-2930.2016.04.006 ↗)
• Lumbar Pain, Lumbar Disc Herniation, Sciatica Radicular – BL25, BL26, BL36, BL54, BL57, GB30, GB34 (doi:10.16448/j.cjtcm.2005.06.045 ↗)
• Urinary Retention – LI04, ST28, ST36, SP06, SP09, SP10, BL22, BL23, BL28, BL32, BL54, KD03, LV03, CV02, CV03, CV04, CV06, GV20 (doi:10.13288/j.11-2166/r.2013.23.017 ↗)
• Bone Pain, Leg Numbness, Cancer Lung, Bone Metastasis – ST31, ST32, ST36, BL23, BL25, BL54, BL60, GB31, GB34, GB41, LV03 (doi:10.3389/fonc.2026.1684346 ↗)
• Sciatica, Leg Numbness, Low Back Pain, Back Low Pain, Lumbar Disc Herniation, Herniation Disc Lumbar – BL40, BL54, BL57, BL60, GB30, GB31, GB34, GB39 (doi:10.1155/prm/9030734 ↗)
• Insomnia, Ulcer, Chronic Wound – SP06, BL11, BL30, BL41, BL53, BL54, GB39, CV08, GV03, GV14 (doi:10.12659/MSM.951574 ↗)
• Urinary Incontinence Stress, Incontinence Stress Urinary – ST28, BL33, BL35, BL54, KD12, CV04 (doi:10.13703/j.0255-2930.20240408-k0001 ↗)
• Paralysis Spastic Post-stroke – LI04, LI11, LI14, LI15, ST31, ST32, ST34, SP06, SP09, SP10, HT03, SI03, BL54, KD01, PC06, TB05, GB30, GB34, GB39, LV03 (doi:10.1016/s0254-6272(15)30071-6 ↗)
• Fibromyalgia Pain Musculoskeletal Diffuse – LI11, ST14, ST15, ST36, HT07, BL15, BL16, BL17, BL35, BL54, KD03, PC06, GB20, GB21, GB30, LV08 (doi:10.1016/s0254-6272(15)30037-6 ↗)
• Leg Pain, Low Back Pain, Spinal Stenosis Lumbar, Neurogenic Claudication – SP09, BL23, BL25, BL32, BL39, BL40, BL51, BL52, BL54, BL57, BL60, GB30, GB34, GB39, GV03 (doi:10.1016/j.imr.2025.101204 ↗)
• Knee Pain, Osteoarthritis Knee, Stiffness Knee, Liver-kidney Deficiency, Wind-Cold-Damp Bi Syndrome – ST32, BL38, BL54, BL60, KD03, GB29, GB33, LV07 (doi:10.13703/j.0255-2930.20250424-k0005 ↗)
• Incontinence Urinary, Incontinence Urinary Stress, Stress Urinary Incontinence – ST28, BL54 (doi:10.13703/j.0255-2930.20200410-k0005 ↗)
• Sciatica, Lumbar Disc Herniation – BL54, GB30, GB34, GB39 (doi:10.1016/j.heliyon.2023.e20041 ↗)
• Ankylosing Spondylitis – BL54, GV01, GV04, GV14, GV20 (doi:10.13703/j.0255-2930.20210925-k0001 ↗)
• Low Back Pain, Chronic Nonspecific Low-back Pain – BL23, BL25, BL26, BL54 (doi:10.1097/MD.0000000000034407 ↗)
• Pelvic Floor Dysfunction Postpartum, Pelvic Floor Dysfunction, Urinary Incontinence Stress Postpartum – BL54 (doi:10.1007/s00192-023-05698-9 ↗)
• Buttock Pain, Gluteal Pain – SP06, BL40, BL54, GB30, GB34, XB02L1, XB02L2, XB02L3, XB02L4, XB02L5 (doi:10.13703/j.0255-2930.2016.10.011 ↗)
• Pelvic Girdle Pain – LI04, ST36, SP12, BL26, BL32, BL33, BL54, BL60, KD11, GB30, GV20 (doi:10.1186/1472-6882-8-34 ↗)
• Low Back Pain, Pelvic Girdle Pain – BL23, BL24, BL25, BL26, BL27, BL28, BL31, BL32, BL54 (doi:10.1186/s40814-016-0107-6 ↗)
• Sciatica, Leg Radiating Pain – BL23, BL25, BL40, BL54, BL57, BL60, GB30, GB34, GB39 (doi:10.1177/2515690X251355513 ↗)
• Headache, Tinnitus Chronic, Neck Pain – SI11, SI12, SI13, BL54, BL60, TB17, TB18, TB19, TB20, GB30, GB34, LV04, XB02C3, XB02C4, XB02C5, XB02T3, XB02T4, XB02T5 (doi:10.12998/wjcc.v13.i21.103200 ↗)
• 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 ↗)
• Leg Pain, Low Back Pain, Spinal Stenosis Lumbar Degenerative, Claudication Neurogenic – SP09, BL23, BL25, BL32, BL39, BL40, BL51, BL52, BL54, BL57, BL60, GB30, GB34, GB39, GV03, XB02L1, XB02L2, XB02L3, XB02L4, XB02L5 (doi:10.1016/j.imr.2025.101204 ↗)
• 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 ↗)
• Lung Cancer, Hip Pain, Bone Metastasis – ST32, ST36, BL23, BL25, BL54, BL60, GB31, GB34, GB41, LV03, XB02L2, XB02L3, XB02L4, XB02L5 (doi:10.3389/fonc.2026.1684346 ↗)
• Sciatica, Low Back Pain, Lumbar Disc Herniation – BL40, BL54, BL57, BL60, GB30, GB31, GB34, GB39, XB02L4, XB02L5, XB02S1 (doi:10.1155/prm/9030734 ↗)
• Stenosis Lumbar Spinal – SP09, BL23, BL25, BL32, BL39, BL40, BL51, BL52, BL54, BL57, BL60, GB30, GB34, GB39, GV03 (doi:10.2147/JPR.S438219 ↗)
• Stenosis Lumbar Spinal – SP09, BL23, BL25, BL32, BL39, BL40, BL51, BL52, BL54, BL57, BL60, GB30, GB34, GB39, GV03 (doi:10.2147/JPR.S438219 ↗)
• Urinary Retention, Urinary Retention Postoperative – BL28, BL54, BL60, CV02, CV03 (doi:10.3831/kpi.2024.27.2.123 ↗)

Most often selected alongside BL54

How many sourced protocols in the index pair each point with BL54. Corpus frequency, not a combination to use.

• BL23Kidney Shu Point45 protocols
• GB34Yang Mound Spring37 protocols
• GB30Jumping Circle36 protocols
• BL25Large Intestine Shu Point30 protocols
• BL40Middle Of The Crease26 protocols
• BL32Second Bone Hole25 protocols
• BL60Kunlun (Mountains)23 protocols
• SP06Three Yin Intersection22 protocols
• BL57Mountain Support19 protocols
• GB39Suspended Bell19 protocols
• GV03Yang Lumbar Gate18 protocols
• ST36Leg Three Miles17 protocols

Other points on the Bladder Meridian