BL49 Yishe

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

BL49 (Yishe, “Yishe”) is an acupuncture point on the Bladder Meridian. It is located on the back, 3 cun lateral to the midline, at the level of the lower border of the spinous process of the eleventh thoracic vertebra (T11). It harmonizes the middle jiao, resolves dampness, clears damp-heat, and benefits the Spleen and Stomach.

Location

On the back, 3 cun lateral to the midline, at the level of the lower border of the spinous process of the eleventh thoracic vertebra (T11).

Needling

Oblique insertion towards the spine, 0.5 to 1.0 cun. Deep perpendicular or oblique lateral insertion carries a risk of pneumothorax.

TCM functions

Harmonizes the middle jiao, resolves dampness, clears damp-heat, and benefits the Spleen and Stomach..

Indications

Abdominal fullness and vacuity distention, slippery stool, diarrhea, back pain, aversion to wind and cold, inability to eat or drink, vomiting, wasting and thirsting (diabetes), body heat, yellow eyes, yellow face, chest fullness, chest and back pain, gurgling intestines, urinary redness and yellowing..

Clinical notes

Yishe is a key point for addressing digestive disorders stemming from Spleen and Stomach disharmony, particularly when dampness is a factor. It effectively treats abdominal distention, loose stools, and poor appetite. Its classical indication for wasting and thirsting (Xiao Ke) highlights its role in regulating fluid metabolism and addressing symptoms like excessive thirst and urination, often seen in diabetes. The point also treats jaundice and back pain, reflecting its ability to clear damp-heat and open the Bladder channel.

On the Bladder channel

BL49 is one of 67 points on the Bladder Meridian. Nearby points:

Frequently asked questions

Where is BL49 located?

BL49 (Yishe) is located on the back, 3 cun lateral to the midline, at the level of the lower border of the spinous process of the eleventh thoracic vertebra (T11).

What is BL49 used for?

BL49 harmonizes the middle jiao, resolves dampness, clears damp-heat, and benefits the Spleen and Stomach. Common clinical indications include abdominal fullness and vacuity distention, slippery stool, diarrhea, back pain, aversion to wind and cold, inability to eat or drink, vomiting, wasting and thirsting (diabetes), body heat, yellow eyes, yellow face, chest fullness, chest and back pain, gurgling intestines, urinary redness and yellowing.

How is BL49 needled?

Oblique insertion towards the spine, 0.5 to 1.0 cun. Deep perpendicular or oblique lateral insertion carries a risk of pneumothorax.

Which meridian is BL49 on?

BL49 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.