Pressure Point: BL 49 – Yishe

  • Name (Chinese): Yishe – (意舍)
  • Name (English): Abode of Thought
  • Introduction: Yishe (BL 49) is a significant pressure point in traditional Chinese medicine, located on the Bladder meridian. It is associated with the “Abode of Thought” and is positioned 3 cun lateral to the lower border of the spinous process of the 11th thoracic vertebra (T11).

Location

Yishe (BL-49) is precisely located 3 cun lateral to the lower border of the spinous process of the 11th thoracic vertebra (T11).

BL 49 Yishe

Pressure Point Identification

  • To locate BL-49, start by finding the spinous process of the 7th cervical vertebra (C7) and move downward. The spinous process of T11 is eleven processes below C7.
  • Alternatively, locate the spinous process of T7, which aligns with the inferior angle of the scapula. Count four thoracic vertebrae downward to reach T11.
  • Another method is to find the articulation of the most inferior rib (T12) and palpate upward to T11. Yishe BL-49 is then positioned 3 cun lateral to the lower border of T11.
  • Points like Pishu BL-20 are at the same level but 1.5 cun lateral to T11. Points located 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

  • Promotes mental clarity and focus.
  • Alleviates emotional stress and tension.
  • Supports the health of the Bladder meridian.

Technique

Apply firm, circular pressure using your thumb or fingers on BL-49 for 1-2 minutes, focusing on relaxation and deep breathing.

Precautions

Avoid excessive pressure, especially if the person has spinal issues. Consult a healthcare professional if unsure about the suitability of acupressure for a specific condition.

Conditions Treated

  • Mental fatigue
  • Stress and anxiety
  • Poor concentration

Related Points

  • Pishu BL-20 (1.5 cun lateral to T11)
  • Fufen BL-41 and Zhibian BL-54 (lateral branch of the Bladder Channel)
  • Fengmen BL-12 and Baihuanshu BL-30 (medial branch of the Bladder Channel)

Frequently Asked Questions (FAQs)

Can BL 49 help with insomnia?

Yes, BL 49 is believed to help calm the mind and alleviate stress, potentially contributing to improved sleep quality.

Are there any visual or palpable signs to confirm the correct location of BL-49?

Palpation of the spinous process and counting down from C7 or up from T12 provides a reliable method. BL-49 may feel tender or exhibit subtle temperature changes.

How often should acupressure on BL 49 be performed for optimal benefits?

Daily acupressure for 5-10 minutes on BL-49 can be beneficial. Adjust based on individual response and needs.

Pressure points – Bladder Meridian (BL)