Acupuncture Points for Pelvic Floor Dysfunction

5 sourced protocols, each with its citation.

Each card names its evidence kind. What these labels mean

Protocol (11 points)

100%

ST36 · SP06 · BL23 · BL24 · BL31 · BL32 · BL33 · BL34 · BL35 · CV03 · CV04

ST36Leg Three Miles

ST36 acupoint
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🗺️ Meridian: Stomach Meridian

🇨🇳 Chinese: 足三里 (zú sān lǐ)

🎯 Location: 3 thumb widths below ST35, 1 finger breadth (middle finger) from anterior border of the tibia.

⚠️ Cautions: Caution in cases of severe varicose veins.

🛡️ Treats: Cough, Fever, Poor Appetite, Diarrhea, Shortness of Breath

SP06Three Yin Intersection

SP06 acupoint
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🗺️ Meridian: Spleen Meridian

🇨🇳 Chinese: 三陰交 (sān yīn jiāo)

🎯 Location: 3 thumb widths directly above the tip of the medial malleolus posterior to the medial border of the tibia.

⚠️ Cautions: Traditionally forbidden in pregnancy – these are the points used to bring on labour at term. Controlled data show no excess of preterm birth or stillbirth (Carr 2015), but in pregnancy needle only on a clear obstetric indication.

🛡️ Treats: Diarrhea, Dizziness, Tinnitus, Palpitations, Abdominal Bloating

BL23Kidney Shu Point

BL23 acupoint
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🗺️ Meridian: Bladder Meridian

🇨🇳 Chinese: 腎俞 (shèn shū)

🎯 Location: 1.5 thumb widths lateral to the GV04 at the level of the lower border of the spinous process of the 2nd lumbar vertebra.

⚠️ Cautions: Avoid deep perpendicular needling.

🛡️ Treats: Cough, Diarrhea, Asthma, Tinnitus, Qi Deficiency

BL24Sea Of Qi Shu Point

BL24 acupoint
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🗺️ Meridian: Bladder Meridian

🇨🇳 Chinese: 氣海俞 (qì hǎi shū)

🎯 Location: 1.5 thumb widths lateral to the du mai at the level of the lower border of the spinous process of the 3rd lumbar vertebra.

⚠️ Cautions: Avoid deep perpendicular needling.

🛡️ Treats: Diarrhea, Abdominal Pain, Hemorrhoids, Menstrual Cramps, Leg Weakness

BL31Upper Bone Hole

BL31 acupoint
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🗺️ Meridian: Bladder Meridian

🇨🇳 Chinese: 上髎 (shàng liáo)

🎯 Location: On the sacrum at the midpoint between posterior superior iliac spine and posterior midline just at the 1st posterior sacral foramen.

⚠️ Cautions: Caution in sacroiliac dysfunction.

🛡️ Treats: Fever, Knee Pain, Common Cold, Vomiting, Back Pain

BL32Second Bone Hole

BL32 acupoint
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🗺️ Meridian: Bladder Meridian

🇨🇳 Chinese: 次髎 (cì liáo)

🎯 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.

🛡️ Treats: Constipation, Pain, Urinary Retention, Infertility, Sciatica

BL33Middle Bone Hole

BL33 acupoint
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🗺️ Meridian: Bladder Meridian

🇨🇳 Chinese: 中髎 (zhōng liáo)

🎯 Location: On the sacrum medial and inferior to the BL32 just at the 3rd posterior sacral foramen.

⚠️ Cautions: Caution in sacroiliac dysfunction.

🛡️ Treats: Constipation, Abdominal Bloating, Pain, Urinary Retention, Infertility

BL34Lower Bone Hole

BL34 acupoint
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🗺️ Meridian: Bladder Meridian

🇨🇳 Chinese: 下髎 (xià liáo)

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

⚠️ Cautions: Caution in sacroiliac dysfunction.

🛡️ Treats: Diarrhea, Constipation, Swelling, Lower Back Pain, Painful Urination

BL35Meeting Of Yang

BL35 acupoint
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🗺️ Meridian: Bladder Meridian

🇨🇳 Chinese: 會陽 (huì yáng)

🎯 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.

🛡️ Treats: Diarrhea, Leg Pain, Dysentery, Rectal Prolapse, Hemorrhoids

CV03Central Pivot

CV03 acupoint
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🗺️ Meridian: Conception Vessel

🇨🇳 Chinese: 中極 (zhōng jí)

🎯 Location: On the anterior midline 4 thumb widths below umbilicus.

⚠️ Cautions: Avoid needling over the gravid uterus after the first trimester; where used in pregnancy, needle shallowly and only on a clear obstetric indication. Empty the bladder before needling.

🛡️ Treats: Absent Periods, Back Pain, Pain, Damp, Edema

CV04Original Qi Gate

CV04 acupoint
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🗺️ Meridian: Conception Vessel

🇨🇳 Chinese: 關元 (guān yuán)

🎯 Location: On the anterior midline 3 thumb widths below umbilicus.

⚠️ Cautions: Avoid needling over the gravid uterus after the first trimester; where used in pregnancy, needle shallowly and only on a clear obstetric indication. Bleeding in pregnancy requires obstetric assessment.

🛡️ Treats: Cough, Diarrhea, Anxiety, Shortness of Breath, Kidney Deficiency

Study-reported

Needling + Electroacupuncture · 12 sessions

Point selection reported in a published study.

doi:10.11817/j.issn.1672-7347.2025.240242 ↗
Corroborated by a second study. BL31, BL32, BL33, BL34 also appear in another study-reported protocol for the same search. A second publication is not necessarily a second research group. pubmed.ncbi.nlm.nih.gov ↗
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132 needles for this course · 2 boxes, $39.98

Protocol (4 points)

100%

ST36 · SP06 · CV04 · CV06

ST36Leg Three Miles

ST36 acupoint
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🗺️ Meridian: Stomach Meridian

🇨🇳 Chinese: 足三里 (zú sān lǐ)

🎯 Location: 3 thumb widths below ST35, 1 finger breadth (middle finger) from anterior border of the tibia.

⚠️ Cautions: Caution in cases of severe varicose veins.

🛡️ Treats: Cough, Fever, Poor Appetite, Diarrhea, Shortness of Breath

SP06Three Yin Intersection

SP06 acupoint
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🗺️ Meridian: Spleen Meridian

🇨🇳 Chinese: 三陰交 (sān yīn jiāo)

🎯 Location: 3 thumb widths directly above the tip of the medial malleolus posterior to the medial border of the tibia.

⚠️ Cautions: Traditionally forbidden in pregnancy – these are the points used to bring on labour at term. Controlled data show no excess of preterm birth or stillbirth (Carr 2015), but in pregnancy needle only on a clear obstetric indication.

🛡️ Treats: Diarrhea, Dizziness, Tinnitus, Palpitations, Abdominal Bloating

CV04Original Qi Gate

CV04 acupoint
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🗺️ Meridian: Conception Vessel

🇨🇳 Chinese: 關元 (guān yuán)

🎯 Location: On the anterior midline 3 thumb widths below umbilicus.

⚠️ Cautions: Avoid needling over the gravid uterus after the first trimester; where used in pregnancy, needle shallowly and only on a clear obstetric indication. Bleeding in pregnancy requires obstetric assessment.

🛡️ Treats: Cough, Diarrhea, Anxiety, Shortness of Breath, Kidney Deficiency

CV06Sea Of Qi

CV06 acupoint
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🗺️ Meridian: Conception Vessel

🇨🇳 Chinese: 氣海 (qì hǎi)

🎯 Location: On the anterior midline 1.5 thumb widths below umbilicus.

⚠️ Cautions: Avoid needling over the gravid uterus after the first trimester; where used in pregnancy, needle shallowly and only on a clear obstetric indication.

🛡️ Treats: Diarrhea, Shortness of Breath, Constipation, Yang Weakness, Abdominal Bloating

Study-reported

Moxibustion · 24 sessions over 12 weeks

Point selection reported in a published study.

doi:10.13703/j.0255-2930.20200821-k0001 ↗
Corroborated by a second study. ST36, SP06, CV04 also appear in another study-reported protocol for the same search. A second publication is not necessarily a second research group. doi:10.11817/j.issn.1672-7347.2025.240242 ↗

Protocol (4 points)

100%

BL31 · BL32 · BL33 · BL34

BL31Upper Bone Hole

BL31 acupoint
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🗺️ Meridian: Bladder Meridian

🇨🇳 Chinese: 上髎 (shàng liáo)

🎯 Location: On the sacrum at the midpoint between posterior superior iliac spine and posterior midline just at the 1st posterior sacral foramen.

⚠️ Cautions: Caution in sacroiliac dysfunction.

🛡️ Treats: Fever, Knee Pain, Common Cold, Vomiting, Back Pain

BL32Second Bone Hole

BL32 acupoint
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🗺️ Meridian: Bladder Meridian

🇨🇳 Chinese: 次髎 (cì liáo)

🎯 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.

🛡️ Treats: Constipation, Pain, Urinary Retention, Infertility, Sciatica

BL33Middle Bone Hole

BL33 acupoint
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🗺️ Meridian: Bladder Meridian

🇨🇳 Chinese: 中髎 (zhōng liáo)

🎯 Location: On the sacrum medial and inferior to the BL32 just at the 3rd posterior sacral foramen.

⚠️ Cautions: Caution in sacroiliac dysfunction.

🛡️ Treats: Constipation, Abdominal Bloating, Pain, Urinary Retention, Infertility

BL34Lower Bone Hole

BL34 acupoint
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🗺️ Meridian: Bladder Meridian

🇨🇳 Chinese: 下髎 (xià liáo)

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

⚠️ Cautions: Caution in sacroiliac dysfunction.

🛡️ Treats: Diarrhea, Constipation, Swelling, Lower Back Pain, Painful Urination

Study-reported

Electroacupuncture · 15 sessions

Improved from baseline; no control group

Point selection reported in a published study.

pubmed.ncbi.nlm.nih.gov ↗
Corroborated by a second study. BL31, BL32, BL33, BL34 also appear in another study-reported protocol for the same search. A second publication is not necessarily a second research group. doi:10.11817/j.issn.1672-7347.2025.240242 ↗

Single-point entry

100%

BL54Lowermost In Order

BL54 acupoint
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🗺️ Meridian: Bladder Meridian

🇨🇳 Chinese: 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.

🛡️ Treats: Kidney Deficiency, Pain, Urinary Retention, Hemorrhoids, Sciatica

Study-reported

Needling · 1 session

Point selection reported in a published study.

doi:10.1007/s00345-024-05004-2 ↗
Corroborated by a second study. BL54 also appears in another study-reported protocol for the same search. A second publication is not necessarily a second research group. doi:10.1007/s00192-023-05698-9 ↗
Press Needles
1 needles for this course · 1 box, $19.99

Single-point entry

100%

BL54Lowermost In Order

BL54 acupoint
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🗺️ Meridian: Bladder Meridian

🇨🇳 Chinese: 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.

🛡️ Treats: Kidney Deficiency, Pain, Urinary Retention, Hemorrhoids, Sciatica

Study-reported

Needling + Moxibustion · 12 sessions over 4 weeks

Point selection reported in a published study.

doi:10.1007/s00192-023-05698-9 ↗
Corroborated by a second study. BL54 also appears in another study-reported protocol for the same search. A second publication is not necessarily a second research group. doi:10.1007/s00345-024-05004-2 ↗
Press Needles
12 needles for this course · 1 box, $19.99
AcuiQ Self-Treatment Guide
Acupressure you can do at home, every protocol traced to a trial. – $12.99, free updates for life

Points cited for Pelvic Floor Dysfunction

How often each point appears across the 5 entries ranked highest for Pelvic Floor Dysfunction. Citation frequency, not a recommendation.

  • BL31Upper Bone HoleBladder Meridian2 of 5
  • BL32Second Bone HoleBladder Meridian2 of 5
  • BL33Middle Bone HoleBladder Meridian2 of 5
  • BL34Lower Bone HoleBladder Meridian2 of 5
  • BL54Lowermost In OrderBladder Meridian2 of 5
  • CV04Original Qi GateConception Vessel2 of 5
  • SP06Three Yin IntersectionSpleen Meridian2 of 5
  • ST36Leg Three MilesStomach Meridian2 of 5
  • BL23Kidney Shu PointBladder Meridian1 of 5
  • BL24Sea Of Qi Shu PointBladder Meridian1 of 5
  • BL35Meeting Of YangBladder Meridian1 of 5
  • CV03Central PivotConception Vessel1 of 5

Tested, no effect found

These studies tested the points below for Pelvic Floor Dysfunction and found no effect. They are not counted above.

BL18 · BL23 · BL25 · BL33 · BL34 – doi:10.5152/tjg.2024.22516 – No better than another treatment

How the studies delivered it

What the 5 studies behind the entries above ran, counted once per study. A record of the trials, not a recommendation.

  • Needling3 of 5
  • Electroacupuncture2 of 5
  • Moxibustion2 of 5

Sessions: the 5 studies that gave a count ran a median of 12 (middle half 12 to 15).

Course: the 3 studies that gave a length ran a median of 4 weeks (middle half 15 days to 8 weeks).

After a treatment: what large safety surveys recorded, and which reactions need a doctor.

Disclaimer: The acupoint information provided is for educational purposes only.