BL20 Spleen Shu

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

BL20 (Pí Shū, “Spleen Shu”) is the Back-Shu of Spleen point of the Bladder Meridian. BL20 is located on the back, 1.5 cun lateral to the lower border of the spinous process of the eleventh thoracic vertebra (T11). It fortifies the Spleen, harmonizes the Stomach, and resolves dampness.

Location

BL20 is located on the back, 1.5 cun lateral to the lower border of the spinous process of the eleventh thoracic vertebra (T11).

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

Fortifies the Spleen, harmonizes the Stomach, and resolves dampness.

Indications

Abdominal distention, diarrhea, poor appetite, fatigue, jaundice, edema.

Back-Shu of Spleen

Clinical notes

As the Back-Shu point of the Spleen, BL20 is a cornerstone for all Spleen and Stomach disharmonies, particularly Spleen Qi deficiency and dampness. It is renowned for its powerful action in fortifying the Spleen, resolving dampness, and harmonizing the Stomach, making it essential for digestive issues like poor appetite, abdominal distension, diarrhea, and fatigue. It is often combined with BL21 (Stomach Shu) to comprehensively address digestive imbalances.

On the Bladder channel

BL20 is one of 67 points on the Bladder Meridian. Nearby points:

Frequently asked questions

Where is BL20 located?

BL20 is located on the back, 1.5 cun lateral to the lower border of the spinous process of the eleventh thoracic vertebra (T11).

What is BL20 used for?

BL20 fortifies the Spleen, harmonizes the Stomach, and resolves dampness. Common clinical indications include abdominal distention, diarrhea, poor appetite, fatigue, jaundice, edema.

How is BL20 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 BL20 on?

BL20 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.