# BL54 Zhibian (Lowermost In Order) – Bladder Meridian

秩邊 · zhì biān

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

Cautions: No specific contraindications.

Canonical page: https://acuiq.com/points/bl54

## Indications

An indication list is a reference index, not a prescription – see the protocols below for sourced treatments.

Leg Muscle Wasting, Leg Muscle Wasting, Benefit Back Lumbar, Benefit Back Lumbar, Benefit Regulate Urination, Cold Back Lumbar, Cold Back Lumbar, Cold Sacrum, Cold Sacrum, Kidney Deficiency, Kidney Deficiency, Degeneration Spine Lumbar, Degeneration Spine Lumbar, Disease Hip Joint, Disease Hip Joint, Defecation Problems, Defecation Problems, Urinary Problems, Urinary Problems, Hemorrhoids, Leucorrhea Cloudy, Leucorrhea Cloudy, Pain, Lower Back Pain, Lower Back Pain, Buttock Pain, Buttock Pain, Genital Pain, Genital Pain, Regulate Urination, Urinary Retention, Urinary Retention, Sciatica, Channel Stagnation, Channel Stagnation, Bi Arthralgia Leg Syndrome, Bi / Arthralgia Leg Syndrome, Urine Dark, Urine Dark

## Most often selected alongside BL54

Sourced protocols in the index pairing each point with this one. Corpus frequency, not a combination to use.

- GB30 (Jumping Circle) – 27 protocols
- BL23 (Kidney Shu Point) – 25 protocols
- GB34 (Yang Mound Spring) – 24 protocols
- BL25 (Large Intestine Shu Point) – 22 protocols
- BL40 (Middle Of The Crease) – 17 protocols
- BL32 (Second Bone Hole) – 16 protocols
- BL60 (Kunlun (Mountains)) – 15 protocols
- BL57 (Mountain Support) – 13 protocols

## Protocols using BL54 (50 best-sourced of 53)

| Symptoms | Points | Course | Source | Kind | Caveat |
|---|---|---|---|---|---|
| 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 | 42 days | doi:10.1186/1472-6882-8-34 | trial | Point selection reported in a published study. |
| Pregnancy Post-term, Labor Induction | LI04, SP06, BL32, BL54 | 14 days | doi:10.1080/14767050902906386 | trial | Point selection reported in a published study. |
| Back Low Pain, Acute Pain, Referred Pain | LI04, BL29, BL30, BL31, BL32, BL40, BL54, BL58, BL62, KD03, GB30, LV03, GV03, GV04 | 1 days | doi:10.1186/1745-6215-12-241 | trial | Point selection reported in a published study. |
| Back Low Pain, Acute Pain, Referred Pain | LI04, BL23, BL25, BL40, BL52, BL54, BL58, BL62, KD03, GB30, LV03 | 1 days | doi:10.1186/1745-6215-12-241 | trial | Point selection reported in a published study. |
| Stenosis Lumbar Spinal, Radiculopathy L5, Claudication Neurogenic, Lower Extremity Pain, Gluteal Pain | BL23, BL25, BL40, BL53, BL54, BL57, GB34 | 28 days | doi:10.1186/s12906-018-2087-y | trial | Point selection reported in a published study. |
| Dysmenorrhea Primary, Menstrual Pain, Pelvic Pain | LI04, ST28, ST36, SP10, BL20, BL32, BL54, LV03 | 90 days | doi:10.1155/2019/7978180 | trial | Point selection reported in a published study. |
| Sciatica, Low Back Pain, Spondylolisthesis Lumbar Degenerative | BL23, BL40, BL54, BL57, GB30, GB31, GB34, GV02, GV03, GV04 | 21 days | doi:10.1155/2022/6016542 | trial | Point selection reported in a published study. |
| Back Pain, Lumbar Pain, Low Back Pain, Back Low Pain, Disability Functional, Lumbosacral Pain | BL23, BL25, BL26, BL54 | 14 days | doi:10.1097/MD.0000000000034407 | trial | Point selection reported in a published study. |
| Incontinence Urinary Stress, Pelvic Floor Dysfunction Postpartum, Pelvic Floor Muscle Weakness | BL54 | 28 days | doi:10.1007/s00192-023-05698-9 | trial | Point selection reported in a published study. |
| Incontinence Urinary Stress, Pelvic Floor Dysfunction | BL54 | 1 days | doi:10.1007/s00345-024-05004-2 | trial | Point selection reported in a published study. |
| 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 | 21 days | doi:10.1177/2515690X251355513 | trial | Point selection reported in a published study. |
| Anxiety, Tinnitus, Headache, Dysmenorrhea, Insomnia, Neck Pain, Premenstrual Syndrome, Eye Twitching | SI11, SI12, SI13, BL54, BL60, TB17, TB18, TB19, TB20, GB30, GB34, LV04 | 30 days | doi:10.12998/wjcc.v13.i21.103200 | trial | Point selection reported in a published study. |
| 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 | 23 days | doi:10.21037/acr-2025-189 | trial | Point selection reported in a published study. |
| Dysmenorrhea, Cramping, Abdominal Pain, Menstrual Pain, Pelvic Pain | ST28, SP06, BL54 | 45 days | doi:10.2147/IJWH.S264023 | trial | Point selection reported in a published study. |
| 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 | 10 days | doi:10.2147/JPR.S438219 | trial | Point selection reported in a published study. |
| 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 | 10 days | doi:10.2147/JPR.S438219 | trial | Point selection reported in a published study. |
| 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 | 42 days | doi:10.1016/j.imr.2025.101204 | trial | Point selection reported in a published study. |
| 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 | 42 days | doi:10.1016/j.imr.2025.101204 | trial | Point selection reported in a published study. |
| 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 | trial | Point selection reported in a published study. |
| Bladder Dysfunction Neurogenic, Urinary Incontinence Stress, Prostate Disease | ST28, BL54 | – | doi:10.53469/jcmp.2025.07(05).06 | trial | Point selection reported in a published study. |
| Sacroiliac Pain, Functional Disability Lumbar | BL40, BL54, GB30 | 20 days | doi:10.13703/j.0255-2930.2016.04.006 | trial | Point selection reported in a published study. |
| Lumbar Pain, Lumbar Disc Herniation, Sciatica Radicular | BL25, BL26, BL36, BL54, BL57, GB30, GB34 | – | doi:10.16448/j.cjtcm.2005.06.045 | trial | Point selection reported in a published study. |
| 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 | trial | Point selection reported in a published study. |
| Bone Pain, Leg Numbness, Cancer Lung, Bone Metastasis | ST31, ST32, ST36, BL23, BL25, BL54, BL60, GB31, GB34, GB41, LV03 | 28 days | doi:10.3389/fonc.2026.1684346 | trial | Point selection reported in a published study. |
| 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 | trial | Point selection reported in a published study. |
| Insomnia, Ulcer, Chronic Wound | SP06, BL11, BL30, BL41, BL53, BL54, GB39, CV08, GV03, GV14 | 14 days | doi:10.12659/MSM.951574 | trial | Point selection reported in a published study. |
| Urinary Incontinence Stress, Incontinence Stress Urinary | ST28, BL33, BL35, BL54, KD12, CV04 | 56 days | doi:10.13703/j.0255-2930.20240408-k0001 | trial | Point selection reported in a published study. |
| 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 | 42 days | doi:10.1016/j.imr.2025.101204 | trial | Point selection reported in a published study. |
| 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 | trial | Point selection reported in a published study. |
| Incontinence Urinary, Incontinence Urinary Stress, Stress Urinary Incontinence | ST28, BL54 | 10 days | doi:10.13703/j.0255-2930.20200410-k0005 | trial | Point selection reported in a published study. |
| Sciatica, Lumbar Disc Herniation | BL54, GB30, GB34, GB39 | – | doi:10.1016/j.heliyon.2023.e20041 | trial | Point selection reported in a published study. |
| Ankylosing Spondylitis | BL54, GV01, GV04, GV14, GV20 | 21 days | doi:10.13703/j.0255-2930.20210925-k0001 | trial | Point selection reported in a published study. |
| Low Back Pain, Chronic Nonspecific Low-back Pain | BL23, BL25, BL26, BL54 | 14 days | doi:10.1097/MD.0000000000034407 | trial | Point selection reported in a published study. |
| Pelvic Floor Dysfunction Postpartum, Pelvic Floor Dysfunction, Urinary Incontinence Stress Postpartum | BL54 | 28 days | doi:10.1007/s00192-023-05698-9 | trial | Point selection reported in a published study. |
| Buttock Pain, Gluteal Pain | SP06, BL40, BL54, GB30, GB34, XB02L1, XB02L2, XB02L3, XB02L4, XB02L5 | 28 days | doi:10.13703/j.0255-2930.2016.10.011 | trial | Point selection reported in a published study. |
| Pelvic Girdle Pain | LI04, ST36, SP12, BL26, BL32, BL33, BL54, BL60, KD11, GB30, GV20 | – | doi:10.1186/1472-6882-8-34 | trial | Point selection reported in a published study. |
| Low Back Pain, Pelvic Girdle Pain | BL23, BL24, BL25, BL26, BL27, BL28, BL31, BL32, BL54 | – | doi:10.1186/s40814-016-0107-6 | trial | Point selection reported in a published study. |
| Sciatica, Leg Radiating Pain | BL23, BL25, BL40, BL54, BL57, BL60, GB30, GB34, GB39 | 21 days | doi:10.1177/2515690X251355513 | trial | Point selection reported in a published study. |
| Headache, Tinnitus Chronic, Neck Pain | SI11, SI12, SI13, BL54, BL60, TB17, TB18, TB19, TB20, GB30, GB34, LV04, XB02C3, XB02C4, XB02C5, XB02T3, XB02T4, XB02T5 | 11 days | doi:10.12998/wjcc.v13.i21.103200 | trial | Point selection reported in a published study. |
| 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 | trial | Point selection reported in a published study. |
| 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 | trial | Point selection reported in a published study. |
| 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 | trial | Point selection reported in a published study. |
| 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 | trial | Point selection reported in a published study. |
| Sciatica, Low Back Pain, Lumbar Disc Herniation | BL40, BL54, BL57, BL60, GB30, GB31, GB34, GB39, XB02L4, XB02L5, XB02S1 | 28 days | doi:10.1155/prm/9030734 | trial | Point selection reported in a published study. |
| Dysmenorrhea Primary | BL25, BL54 | – | GAO Nan, 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 | text | Point selection recorded in a clinical text or case report. |
| Dysmenorrhea Primary | SP06, SP10, BL54, CV06 | – | YANG Zhao-gang. cited in ZHAO Li & LI Pei. A Survey of Acupuncture Treatment for Primary Dysmenorrhea. Journal of Traditional Chinese Medicine, 2009, 29(1): 71-73 | text | Point selection recorded in a clinical text or case report. |
| Leg Pain, Prolapse Of The Lumbar Intervertebral Disc, Low Back Pain | BL23, BL25, BL31, BL32, BL33, BL34, BL40, BL54 | 110 days | 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 | text | Point selection recorded in a clinical text or case report. |
| Sciatica, Intervertebral Disc Displacement, Sciatic Radiculopathy | BL23, BL24, BL25, BL26, BL31, BL32, BL54, GB30 | – | The Effectiveness of Doin (Conduction Exercise) of the Pelvic Joint for HLD With Radiating Leg Pain. ClinicalTrials.gov NCT03571503 | text | Point selection recorded in a clinical text or case report. |
| 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] | text | Point selection recorded in a clinical text or case report. |
| Lumbar Pain, Lumbar Disc Herniation, Qi Stagnation And Blood Stasis | ST25, BL17, BL23, BL40, BL54, BL57, PC06, GB31, GB34, LV08 | 20 days | 颜纯钏刘慧李琳慧付勇唐奔胡思越陈平. 龙虎交战针法针刺力敏腧穴治疗气滞血瘀型腰椎间盘突出症的效果. 中国医学创新 ., 2023 [CNKI] | text | Point selection recorded in a clinical text or case report. |

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AcuiQ-authored prose (symptom and meridian descriptions, the wiki, the auricular crosswalk) is licensed CC-BY-4.0: https://creativecommons.org/licenses/by/4.0/. The assembled protocol compilation is not: build on it with attribution, but do not redistribute it whole as a dataset – https://acuiq.com/terms. The underlying findings are the cited sources' claims – each entry carries its citation; verify against the source before relying on it. Not medical advice: https://acuiq.com/terms