Shangliao BL-31 Acupuncture Point

Shangliao BL-31

Chinese: 上髎

Pinyin: Shàng Liáo


In the 1st posterior sacral foramen, about midway between the posterior superior iliac spine and the midline. 

How to locate

First identify the Tuffier's line which connects the highest points of the iliac crest. The spinous process  of the 4th lumber vertebra (L4) mostly falls on this line. 

Then palpate in an inferior direction, passing  L5, and reach the most superior sacral spinous process. Palpate in a lateral direction on the level of the sacral processes for the depression of the sacral foramina. 

Shaoliao BL-31 is located on the first and the highest foramen. 

Main actions

  1. Regulates the Lower Burner and facilitates urination and defecation
  2. Resolves Dampness and regulates menstruation
  3. Benefits the lower back and legs


Vertically 0.7–1 cun. Or 1.5-2 cun through the foramen. 

Caution:Reducing Needling techniques are contraindicated during pregnancy, except for promoting labor. 


Commentary for Shangliao BL-31

'Liao' means crevice, thus BL-31, BL-32, BL-33 and BL-34 are called 'Siliao'(Four crevices) or 'Baliao'(Eight crevice since there are four crevices on each side). They are called so, due to their location in the four sacral foramina. 

Shangliao BL-31 (Upper crevice) is at the highest sacral foramina. Ciliao BL-32 (Second crevice) is at the second. Zhongliao BL-33 (Middle crevice) the third, while Xialiao BL-34 (Lower crevice) is the last one. 

All these four points share similar actions, but Ciliao BL-32 is the most important one with the widest indication. 

Shangliao BL-31 is comparatively less important. First of all, it regulates the Lower Burner and treats urination and defecation Difficulties. Kidney Deficiency is an important underlying pattern for this disorder, which is frequently seen in elderly and weak patients.

Furthermore, by removing Dampness from the Lower Burner, it is effective in treating gynecological disorders  such as dysmenorrhoea, infertility, irregular menstruation, itching and pain of the genitals as well as white, red and white leukorrhea. 

All these four points benefit the lumbar region, lower back and legs. They remove the Painful Obstructions from the Channel by invigorating the Qi and Blood. Ciliao BL-32 and Zhongliao BL-33 have the most effect on this action. 

Finally, BL-31 also strengthens Qi and promotes the Qi ascending so as to treat anus or Uterus prolapse, seminal emission and impotence.