BL33 Zhongliao

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

BL33 (Zhongliao, “Zhongliao”) is an acupuncture point on the Bladder Meridian. It is located on the sacrum, in the third posterior sacral foramen. It modern research suggests BL33 may play a role in improving ovarian function by downregulating the expression of insulin-like growth factor 1 receptor (IGF-1R) mRNA in ovarian tissue. It is also identified as a central point in networks related to chronic pelvic pain.

Location

On the sacrum, in the third posterior sacral foramen.

Needling

Needling depth for BL33 can range from 20-50 mm, with some studies indicating deep needling to 60-70 mm, aiming for the third posterior sacral foramen. Electroacupuncture is a common technique, often applied with a 50-Hz continuous wave for 30 minutes per session, or at 2/10 Hz with 0.1-1.0 mA. It is frequently used in conjunction with other Baliao points (BL31, BL32, BL34) and other points like GV1, RN4, RN3, ST36, RN6, SP6, BL23, BL20, BL28, and KI3. Moxibustion has also been used in combination with BL33.

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TCM functions

Modern research suggests BL33 may play a role in improving ovarian function by downregulating the expression of insulin-like growth factor 1 receptor (IGF-1R) mRNA in ovarian tissue. It is also identified as a central point in networks related to chronic pelvic pain..

Indications

Modern clinical applications of BL33 include chemotherapy-related cognitive impairment, chronic pelvic pain (especially in females), poor ovarian response, and urinary incontinence. It has also been used in studies related to endometrial receptivity..

Clinical notes

This point is located in a sacral foramen, which are typically used for local conditions.

On the Bladder channel

BL33 is one of 67 points on the Bladder Meridian. Nearby points:

Frequently asked questions

Where is BL33 located?

BL33 (Zhongliao) is located on the sacrum, in the third posterior sacral foramen.

What is BL33 used for?

BL33 modern research suggests BL33 may play a role in improving ovarian function by downregulating the expression of insulin-like growth factor 1 receptor (IGF-1R) mRNA in ovarian tissue. It is also identified as a central point in networks related to chronic pelvic pain. Common clinical indications include modern clinical applications of BL33 include chemotherapy-related cognitive impairment, chronic pelvic pain (especially in females), poor ovarian response, and urinary incontinence. It has also been used in studies related to endometrial receptivity.

How is BL33 needled?

Needling depth for BL33 can range from 20-50 mm, with some studies indicating deep needling to 60-70 mm, aiming for the third posterior sacral foramen. Electroacupuncture is a common technique, often applied with a 50-Hz continuous wave for 30 minutes per session, or at 2/10 Hz with 0.1-1.0 mA. It is frequently used in conjunction with other Baliao points (BL31, BL32, BL34) and other points like GV1, RN4, RN3, ST36, RN6, SP6, BL23, BL20, BL28, and KI3. Moxibustion has also been used in combination with BL33. Caution: Traditionally avoided or used with caution in PREGNANCY (strong qi/blood-moving or labour-promoting action).

Which meridian is BL33 on?

BL33 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.