Pressure Point: BL 34 – Xialiao
- Name (Chinese): Xialiao – (下髎)
- Name (English): Lower Bone Hole
- Introduction: Xialiao (BL-34) is a crucial pressure point located in the lower back region, specifically in the 4th sacral foramen. It is associated with the Bladder meridian in traditional Chinese medicine.
Location
In the 4th posterior sacral foramen, between the posterior superior iliac spine and the midline.
Pressure Point Identification
- Start by identifying Tuffier’s line, connecting the highest points of the iliac crest, where the spinous process of the 4th lumbar vertebra (L4) aligns.
- Palpate inferiorly, passing L5, until reaching the most superior sacral spinous foramen. Continue palpating to locate the 4th foramen where Xialiao BL-34 is found.
- Identify all 4 sacral foramens simultaneously: Place the little finger on the 4th foramen, with the ring, middle, and index fingers forming a slightly V-shaped line in a superior direction. Palpate for the depressions of the sacral foramens.
- In this position, the index finger rests on Shangliao BL-31 (1st foramen), the middle finger on Ciliao BL-32 (2nd foramen), the ring finger on Zhongliao BL-33 (3rd foramen), and the little finger on Xialiao BL-34 (4th foramen).
Benefits
- Supports lower back pain relief
- Alleviates sacral and lumbar discomfort
- Aids in addressing issues related to the reproductive system
Technique
Apply firm and steady pressure using thumbs or fingers, employing circular or pulsating motions.
Precautions
Exercise caution in cases of pregnancy, recent injuries, or underlying medical conditions. Consult with a healthcare professional if uncertain.
Conditions Treated
- Lower back pain
- Sciatica
- Menstrual discomfort
Related Points
- Shangliao BL-31 (1st sacral foramen)
- Ciliao BL-32 (2nd sacral foramen)
- Zhongliao BL-33 (3rd sacral foramen)
- Xialiao BL-34 (4th sacral foramen)
These points collectively address various aspects of lower back and sacral health, promoting balance along the Bladder meridian.
Frequently Asked Questions (FAQs)
Can pressure on Xialiao BL 34 help with menstrual cramps?
Yes, applying pressure to Xialiao BL 34 may help alleviate menstrual discomfort and cramps.
Is there a specific time or frequency for stimulating Xialiao BL-34?
Daily acupressure sessions or as needed for pain relief are common. However, individual needs may vary.
Can Xialiao BL-33 be stimulated during pregnancy?
It’s advisable to consult with a healthcare provider before applying pressure to Xialiao BL 34 during pregnancy to ensure safety.