Back-Shu of the Small Intestine · Fire · Bladder inner line
BL-27Xiǎo Cháng Shū 小腸俞
Back-Shu of the Small Intestine 小腸. Front-Mù pair: REN-4 Guān Yuán.
Spinal level
S1
1.5 cùn lateral to the spine
Element
Fire
Front-Mù pair
REN-4 Guān Yuán
Location
1.5 cùn lateral to the median sacral crest, level with the 1st posterior sacral foramen (S1).
Actions
- Regulates the Small Intestine
- Clears Damp-Heat from the Lower Jiāo
- Separates the pure from the turbid
Indications
Lower abdominal pain, dysuria, sacral pain, seminal emission.
Located on the sacrum — needled shallowly, moxa welcome.
Needling technique
Perpendicular 0.8–1.2 cùn into the sacrum. Do not attempt to enter the foramen.
Moxibustion
Very responsive to moxa for cold-type Lower Jiāo patterns.
Cautions
Avoid strong stimulation in pregnancy.
Classical pairings
- REN-4 Guān Yuán — Front-Mù of the Small Intestine
- SI-4 Wàn Gǔ — Yuán-source of the Small Intestine
- BL-28 Páng Guāng Shū — combined for Lower Jiāo Damp-Heat
Open in the point database
View live location diagrams, additional research citations and full needling metadata for BL-27.
Open BL-27 in the point database →Educational reference for licensed practitioners and students. Not medical advice — always correlate with a full TCM assessment and Western clinical judgement.