BL-27 - Small Intestine Shu
小肠俞 - Xiǎo cháng shū
Point Region: Lower back
BL-27 Xiaochangshu, the Back-Shu point of the Small Intestine, is a master point for separating the pure from the turbid. In Chinese medicine, the Small Intestine is responsible for sorting through the food we eat, separating the useful nutrients from the waste. On an emotional level, it helps us to sort through our thoughts and emotions, deciding what to keep and what to discard.
Think of Xiaochangshu as a point of discernment and clarity. It's especially useful for digestive issues like abdominal pain, diarrhea, and bloating that are caused by the body's inability to properly sort and absorb nutrients. On an emotional level, it helps to alleviate a scattered mind, promoting a sense of mental clarity and focus.
By supporting the Small Intestine's function, BL-27 helps to restore a sense of order and clarity in our lives. It's a point that reminds us that true health comes from the ability to distinguish between what nourishes us and what holds us back.
Location & How to Find
Anatomical Location: 1.5 cun lateral to the first posterior sacral foramen (S1).
How to Locate:
- Place your hands on your tailbone area just below your lower back
- Feel for the first small depression (hole) in the tailbone
- Move about one and a half finger-widths to the side from the center - this is BL-27

Primary Functions
Digestive System
- Supports small intestine function
- Improves nutrient absorption
- Treats abdominal pain and distension
- Regulates digestive processes
Urinary & Kidney System
- Treats urinary disorders
- Supports bladder function
Musculoskeletal System
- Relieves lower back and pelvic pain
- Treats sacral disorders
Clinical Applications
Primary Indications
- Hemorrhoids
- Vaginal discharge
- Urinary difficulty
- Lower back pain
- Pelvic inflammatory disease
Related Health Concerns
Common Conditions:
Related Acupoints
Select a point to learn about its location, primary functions, clinical applications, and protocols.
BL-27 Protocols
N/A
Important Precautions
- Caution during pregnancy