BL23 Shèn Shū

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

BL23 (Shèn Shū, “Shèn Shū”) is the Back-Shu of the Kidney point of the Bladder Meridian. It is located on the lower back, 1.5 cun lateral to the lower border of the spinous process of the second lumbar vertebra (L2). This level is generally horizontal with the umbilicus. It tonifies Kidney Qi, Yin, and Yang, strengthens the lower back, benefits the ears, regulates the water passages, and strengthens the reproductive system.

Location

On the lower back, 1.5 cun lateral to the lower border of the spinous process of the second lumbar vertebra (L2). This level is generally horizontal with the umbilicus.

Needling

Perpendicular-oblique insertion towards the spine, 0.5 to 1.5 cun. Deep perpendicular insertion carries a risk of injuring the kidney.

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TCM functions

Tonifies Kidney Qi, Yin, and Yang, strengthens the lower back, benefits the ears, regulates the water passages, and strengthens the reproductive system..

Indications

Virtual consumption and emaciation, deafness, Kidney deficiency, chronic cold of the water organ (Kidney), abdominal fullness and distension, fullness and pain in the two flanks drawing to the lower abdomen, intestinal rumbling, borborygmus, diarrhea with undigested food, urinary dripping, turbid urine, bloody urine, seminal emission, dream emission, Kidney wind, sitting with a bent waist, lower back pain, thirst, five taxations and seven injuries, exhaustion, stiffness and pain in the knees, coldness of the lower back as if sitting in water, head heaviness, body heat, shivering and chills, eating a lot but remaining thin, yellow-black facial complexion, intestinal rumbling, weakness and cold in the four limbs, edema like water, cold and heat, abdominal pain, qi inversion with heart pain, stomach cold and distension, hiccups, lower back pain that prevents bending or extending, jaundice, bone and joint cold and heat, difficult urination, tetanus with heat, chronic cough, shortness of breath, turbid and red urine, lower back and body soreness, epilepsy,pain that pulls between the lower back and abdomen, heaviness in the lower limbs, inability to eat, malaria..

Back-Shu of the Kidney

Clinical notes

As the Back-Shu point of the Kidney, BL23 is a paramount point for tonifying all aspects of the Kidney system, including Qi, Yin, Yang, and Essence. It is a primary choice for chronic lower back pain due to deficiency, as well as a wide range of constitutional issues like fatigue, sexual dysfunction, infertility, and developmental disorders. Its use in treating edema, urinary problems, and deafness reflects its role in governing water metabolism and opening to the ears.

On the Bladder channel

BL23 is one of 67 points on the Bladder Meridian. Nearby points:

Frequently asked questions

Where is BL23 located?

BL23 (Shèn Shū) is located on the lower back, 1.5 cun lateral to the lower border of the spinous process of the second lumbar vertebra (L2). This level is generally horizontal with the umbilicus.

What is BL23 used for?

BL23 tonifies Kidney Qi, Yin, and Yang, strengthens the lower back, benefits the ears, regulates the water passages, and strengthens the reproductive system. Common clinical indications include virtual consumption and emaciation, deafness, Kidney deficiency, chronic cold of the water organ (Kidney), abdominal fullness and distension, fullness and pain in the two flanks drawing to the lower abdomen, intestinal rumbling, borborygmus, diarrhea with undigested food, urinary dripping, turbid urine, bloody urine, seminal emission, dream emission, Kidney wind, sitting with a bent waist, lower back pain, thirst, five taxations and seven injuries, exhaustion, stiffness and pain in the knees, coldness of the lower back as if sitting in water, head heaviness, body heat, shivering and chills, eating a lot but remaining thin, yellow-black facial complexion, intestinal rumbling, weakness and cold in the four limbs, edema like water, cold and heat, abdominal pain, qi inversion with heart pain, stomach cold and distension, hiccups, lower back pain that prevents bending or extending, jaundice, bone and joint cold and heat, difficult urination, tetanus with heat, chronic cough, shortness of breath, turbid and red urine, lower back and body soreness, epilepsy,pain that pulls between the lower back and abdomen, heaviness in the lower limbs, inability to eat, malaria.

How is BL23 needled?

Perpendicular-oblique insertion towards the spine, 0.5 to 1.5 cun. Deep perpendicular insertion carries a risk of injuring the kidney. Caution: Overlies the thoracic cavity — risk of PNEUMOTHORAX. Needle obliquely or transversely, never deeply or perpendicularly toward the chest wall. The Suwen warns that needling into the Kidney can cause death in five or six days. The Zhen Jiu Ju Ying repeats this warning. This highlights the importance of correct depth and angle to avoid puncturing the organ.

Which meridian is BL23 on?

BL23 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.