BL31 Shangliao

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

BL31 (Shangliao, “Shangliao”) is an acupuncture point on the Bladder Meridian. Located in the first posterior sacral foramen, approximately one-third of the distance from the posterior superior iliac spine (PSIS) to the midline of the sacrum. It based on the classical indications, this point appears to regulate the lower jiao and open the orifices, particularly the ears.

Location

Located in the first posterior sacral foramen, approximately one-third of the distance from the posterior superior iliac spine (PSIS) to the midline of the sacrum.

Needling

Perpendicular or slightly oblique insertion, directed medially and inferiorly into the first posterior sacral foramen, 1.0 to 1.5 cun.

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TCM functions

Based on the classical indications, this point appears to regulate the lower jiao and open the orifices, particularly the ears..

Indications

Loss of voice, epilepsy, fullness in the heart and abdomen, tinnitus, deafness, a sensation as if the ear is blocked, ringing in the ears like cicadas..

Clinical notes

Shangliao is the first and most superior of the 'baliao' points, a critical group for treating disorders of the lower jiao, including urinary, gynecological, and lumbar issues. While the provided classical text focuses on its effect on the upper orifices, particularly the ears and voice, its location makes it indispensable in modern practice for sacral pain and pelvic disorders. The classical mention of 'fullness in the heart and abdomen' hints at a broader regulatory function.

On the Bladder channel

BL31 is one of 67 points on the Bladder Meridian. Nearby points:

Frequently asked questions

Where is BL31 located?

Located in the first posterior sacral foramen, approximately one-third of the distance from the posterior superior iliac spine (PSIS) to the midline of the sacrum.

What is BL31 used for?

BL31 based on the classical indications, this point appears to regulate the lower jiao and open the orifices, particularly the ears. Common clinical indications include loss of voice, epilepsy, fullness in the heart and abdomen, tinnitus, deafness, a sensation as if the ear is blocked, ringing in the ears like cicadas.

How is BL31 needled?

Perpendicular or slightly oblique insertion, directed medially and inferiorly into the first posterior sacral foramen, 1.0 to 1.5 cun. Caution: Traditionally avoided or used with caution in PREGNANCY (strong qi/blood-moving or labour-promoting action).

Which meridian is BL31 on?

BL31 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.