BL52 Zhishi

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

BL52 (Zhishi, “Zhishi”) is an acupuncture point on the Bladder Meridian. It is located on the lower back, 3 cun lateral to the lower border of the spinous process of the second lumbar vertebra (L2), level with the Kidney Shu point (BL23) and the Du Mai point Ming Men (DU4). It strengthens the Kidneys and fortifies the lumbar region, regulates urination, dispels dampness, and resolves hardness and stagnation in the abdomen.

Location

On the lower back, 3 cun lateral to the lower border of the spinous process of the second lumbar vertebra (L2), level with the Kidney Shu point (BL23) and the Du Mai point Ming Men (DU4).

Needling

Perpendicular or slightly oblique insertion, 1.0 to 1.5 cun. Deep needling carries a risk of injuring the kidney, so caution is advised, especially on thin patients.

TCM functions

Strengthens the Kidneys and fortifies the lumbar region, regulates urination, dispels dampness, and resolves hardness and stagnation in the abdomen..

Indications

Abdominal hardness and tension, back pain with inability to bend forward or backward, genital swelling, genital pain, urinary dripping or incontinence, dream-emission, seminal loss, lumbar spinal stiffness, difficulty with forward and backward bending, indigestion, vomiting, reversal cold, sharp pain in the hypochondria, choleraic disorders, lumbar pain with spinal rigidity, urinary-syndrome..

Clinical notes

As the outer point of the Kidney Shu, Zhishi strongly tonifies Kidney Qi and Yang, making it a primary point for chronic lower back pain, weakness, and stiffness, especially when associated with Kidney deficiency. It is also used for disorders of the genitourinary system, such as impotence, seminal emission, and difficult urination, reflecting its close relationship with the Kidney organ. Its ability to treat abdominal hardness suggests a function in resolving stagnation and accumulation in the lower jiao.

On the Bladder channel

BL52 is one of 67 points on the Bladder Meridian. Nearby points:

Frequently asked questions

Where is BL52 located?

BL52 (Zhishi) is located on the lower back, 3 cun lateral to the lower border of the spinous process of the second lumbar vertebra (L2), level with the Kidney Shu point (BL23) and the Du Mai point Ming Men (DU4).

What is BL52 used for?

BL52 strengthens the Kidneys and fortifies the lumbar region, regulates urination, dispels dampness, and resolves hardness and stagnation in the abdomen. Common clinical indications include abdominal hardness and tension, back pain with inability to bend forward or backward, genital swelling, genital pain, urinary dripping or incontinence, dream-emission, seminal loss, lumbar spinal stiffness, difficulty with forward and backward bending, indigestion, vomiting, reversal cold, sharp pain in the hypochondria, choleraic disorders, lumbar pain with spinal rigidity, urinary-syndrome.

How is BL52 needled?

Perpendicular or slightly oblique insertion, 1.0 to 1.5 cun. Deep needling carries a risk of injuring the kidney, so caution is advised, especially on thin patients.

Which meridian is BL52 on?

BL52 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.