Bladder 20 (BL20) – Pishu, Spleen Shu

Location

BL20 is located bilaterally to the spine, at the level of the 18th thoracic vertebra, in the depression between the back and rib muscles.

Functions

BL20 is used to strengthen the spleen, promote digestion, and support the immune system. It can also help with weakness or fatigue.

Indicators

Girth / Saddle Area Problems, Fatigue / Exhaustion, Weakness, Withers Tension, Flat topline, Back tension, Effusion, Damp Pattern, Damp-Heat in the Digestive Tract, Loss of Appetite, Fluctuating appetite, Decreased Appetite, Soft Feces, Obstipation, Digestive Imbalance, Mild Colic Tendency, Bloating / Flatulence, Abdominal Fullness, Abdominal Discomfort

Safety

Treatment of this point should be done carefully to avoid stressing or injuring the horse. Always consult a professional if unsure.

Medical information

BL20 is located 1.5 cun lateral to the lower border of the spinous process of the 18th thoracic vertebra, in the area of the long back muscles.

BL20 is the back-Shu point of the spleen, regulates Qi and blood, strengthens the middle, promotes transformation and transportation, and is used for spleen Qi deficiency, digestive disorders, and chronic weakness.

When needling BL20, pay attention to depth and direction to avoid injuring underlying structures. Avoid deep needling in very thin horses.