BL18 Liver Shu

Reviewed by · Licensed Acupuncturist & TCM Physician · Last reviewed June 2026

BL18 (Gān Shū, “Liver Shu”) is the Back-Shu of Liver point of the Bladder Meridian. BL18 is located on the back, 1.5 cun lateral to the lower border of the spinous process of the ninth thoracic vertebra (T9). It spreads Liver Qi, regulates blood, and benefits the eyes and tendons.

Location

BL18 is located on the back, 1.5 cun lateral to the lower border of the spinous process of the ninth thoracic vertebra (T9).

Needling

Oblique insertion medially 0.5-1 cun; caution for pneumothorax.

⚠ Pneumothorax risk: oblique/shallow only, never deep perpendicular over the chest wall.

TCM functions

Spreads Liver Qi, regulates blood, and benefits the eyes and tendons.

Indications

Hypochondriac pain, jaundice, eye diseases, headache, dizziness, irregular menstruation.

Back-Shu of Liver

Clinical notes

As the Back-Shu point of the Liver, BL18 is paramount for all Liver disharmonies, especially Liver Qi stagnation and Liver Blood deficiency. It is best known for its ability to soothe the Liver, regulate Qi, and benefit the eyes, making it a primary point for conditions like headaches, dizziness, and eye disorders. It is frequently paired with LIV3 to enhance its effect on spreading Liver Qi and calming the spirit.

On the Bladder channel

BL18 is one of 67 points on the Bladder Meridian. Nearby points:

Frequently asked questions

Where is BL18 located?

BL18 is located on the back, 1.5 cun lateral to the lower border of the spinous process of the ninth thoracic vertebra (T9).

What is BL18 used for?

BL18 spreads Liver Qi, regulates blood, and benefits the eyes and tendons. Common clinical indications include hypochondriac pain, jaundice, eye diseases, headache, dizziness, irregular menstruation.

How is BL18 needled?

Oblique insertion medially 0.5-1 cun; caution for pneumothorax. Caution: ⚠ Pneumothorax risk: oblique/shallow only, never deep perpendicular over the chest wall.

Which meridian is BL18 on?

BL18 is a point on the Bladder Meridian (Zú Tài Yáng Páng Guāng Jīng).

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⚠️ This page is for general education and is not medical advice. Acupuncture is a traditional practice; evidence varies by condition and study quality, and individual results differ. It does not replace diagnosis or treatment by a licensed professional. Always consult a qualified acupuncturist or physician.