Pressure Point: BL 20 – Pishu
- Name (Chinese): Pishu – (脾俞)
- Name (English): Spleen Transporter
- Introduction: Pishu (BL 20) is a crucial acupressure point located on the Bladder meridian. It is associated with the spleen and is utilized for various therapeutic purposes in traditional Chinese medicine.
Location
Pishu (BL-20) is located 1.5 cun lateral to the lower border of the spinous process of the 11th thoracic vertebra (T11).
Pressure Point Identification
- To locate Pishu, find the spinous process of the 7th cervical vertebra (C7). It remains palpable during neck flexion and extension. Count down eleven spinous processes to reach T11.
- Alternatively, locate T7, which aligns with the inferior angle of the scapula when the patient is seated with arms hanging down. Count down four thoracic vertebrae to find T11.
- Another method is to find the articulation of the most inferior rib (T12) and palpate superiorly to T11. Pishu (BL-20) is then 1.5 cun lateral to the lower border of T11. Yishe (BL-49) is at the same level but 3 cun lateral to T11.
- Points between Fufen (BL-41) and Zhibian (BL-54) are in the lateral branch of the Bladder Channel, while those between Fengmen (BL-12) and Baihuanshu (BL-30) are in the medial branch.
Benefits
- Supports spleen function
- Harmonizes digestive processes
- Regulates water metabolism
- Alleviates digestive discomfort
Technique
- Apply steady, firm pressure with the thumb or index finger.
- Use circular or kneading motions for 1-2 minutes.
- Repeat on the other side if needed.
Precautions
- Avoid excessive pressure, especially in sensitive individuals.
- If there is discomfort or pain, adjust the pressure accordingly.
- Pregnant women should exercise caution and consult with a healthcare professional.
Conditions Treated
- Indigestion
- Abdominal bloating
- Water retention
- Spleen-related issues
Related Points
- Yishe (BL-49): 3 cun lateral to T11, at the same level.
- Fufen (BL-41) to Zhibian (BL-54): Lateral branch of the Bladder Channel.
- Fengmen (BL-12) to Baihuanshu (BL-30): Medial branch of the Bladder Channel.
- These points collectively influence the Bladder meridian.
Frequently Asked Questions (FAQs)
Can Pishu help with bloating and gas?
Yes, applying pressure to Pishu BL 20 may help alleviate symptoms of indigestion, including bloating and gas.
Are there any specific techniques to stimulate Pishu BL 20?
Circular or kneading motions with steady pressure are effective. Adjust the pressure based on comfort.
Can Pishu be used during pregnancy?
Pregnant women should use caution and seek advice from a healthcare professional before applying pressure to Pishu BL 20.