BL21 Stomach Shu

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

BL21 (Wèi Shū, “Stomach Shu”) is the Back-Shu of Stomach point of the Bladder Meridian. BL21 is located on the back, 1.5 cun lateral to the lower border of the spinous process of the twelfth thoracic vertebra (T12). It harmonizes the Stomach, regulates Qi, and alleviates pain.

Location

BL21 is located on the back, 1.5 cun lateral to the lower border of the spinous process of the twelfth thoracic vertebra (T12).

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

Harmonizes the Stomach, regulates Qi, and alleviates pain.

Indications

Stomachache, abdominal distention, vomiting, indigestion, acid reflux.

Back-Shu of Stomach

Clinical notes

BL21, the Back-Shu point of the Stomach, is indispensable for harmonizing the Stomach and regulating its Qi, making it a primary point for a wide range of gastrointestinal disorders. It is particularly effective for conditions such as nausea, vomiting, acid reflux, epigastric pain, and indigestion, whether due to Stomach Qi rebellion or food stagnation. Its ability to alleviate pain makes it useful for acute Stomach discomfort. It is frequently paired with BL20 (Spleen Shu) to address the Spleen and Stomach together.

On the Bladder channel

BL21 is one of 67 points on the Bladder Meridian. Nearby points:

Frequently asked questions

Where is BL21 located?

BL21 is located on the back, 1.5 cun lateral to the lower border of the spinous process of the twelfth thoracic vertebra (T12).

What is BL21 used for?

BL21 harmonizes the Stomach, regulates Qi, and alleviates pain. Common clinical indications include stomachache, abdominal distention, vomiting, indigestion, acid reflux.

How is BL21 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 BL21 on?

BL21 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.