UB-32 Ciliao - Second Sacral Bone
| English: | Second Crevice / Second Bone-hole |
| Also Known As: |
Location
- On the sacrum, medial and inferior to the posterosuperior iliac spine, just at the second posterior sacral foramen.
- Over the second posterior sacral foramen.
Needling
- Straight insertion 1 to 2 cun. Sensation: distention and soreness in the sacral region, sometimes extending to the legs.
Note: when locating the foramen, the fingers can be used to find the hole into which the needle is inserted. If the foramen cannot be found, withdraw the needle slightly and try a different angle. - Puncture perpendicularly 0.8 to 1.2 cun.
- Moxibustion is applicable.
- Perpendicular insertion 0.5 to 1 cun.
- 1.5 to 2 cun through the foramen. Needling the foramen is facilitated by a slightly oblique medial and inferior insertion.
Command Functions
- Meeting point of the Gall Bladder channel
Actions
- Regulates the Lower Jiao
- Facilitates urination and defecation
- Regulates menstruation
- Nourishes the Kidneys
- Stops leukorrhea
- Benefits the lumbar region and legs
- Invigorates Kidney Qi
- Removes Blood Stasis in the uterus
Indications
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Combinations
| UB-31 | UB-31 | UB-31 |
Dysmenorrhea | Dysfunctional uterine bleeding | Anal fissures |
Inducing labor | Difficult urination and defecation (100 cones of moxa) | Infertility |
LIV-13 | ||
Lumbar pain and aversion to Cold | Rigidity of the lumbar spine with inability to turn | Sciatica |
Contraindications
Notes
- UB-31, Shangliao, UB-32 Ciliao, UB-33 Zhongliao and UB-34 Xialiao are considered a group of points known as the Eight Crevices (Eight Seams) Baliao. They share the characteristics of regulating the urinary system, (UB-32 Ciliao and to a lesser extent UB-33 Zhongliao are the strongest), the Intestines (UB-34 Xialiao has the widest effect), gynecological disorders (UB-34 Xialiao has the strongest effect) and moving Qi and Blood in the channels and collaterals of the local area and the lower limbs (UB-32 Ciliao and UB-33 Zhongliao are the strongest).
- All four of these points tonify the Kidneys.
- They are specific for genital disorders.
- They tonify the whole body.
- These points can induce labor.
- UB-32 Ciliao is the most important of the four points and the one that is the most tonifying of the Kidneys and Jing.
- It is important for the treatment of infertility in women.
Five Elements Spirit Perspective
| Worsley | Provides a sense of ancestry and order. The number two stands for how Heaven and Earth flow into each other, the relationship of Yin and Yang, light and dark, Sun and Moon, and these flows bring about the transformations out of which everything arises and to which it returns in balance. Location: On the sacrum, within the 2nd sacral foramen. |
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From Class
- BL-23 Shenshu / BL-32 Ciliao (e-stim): For stagnant PCOS-type infertility: e-stim BL-23 to BL-32 (thread into the foramen) from after bleeding until ovulation, plus lower-abdominal and femoral massage. (Lewis)
- BL-23 to BL-32 e-stim / ear Shenmen & Sympathetic: E-stim BL-23→BL-32 before IVF transfer (not after) to reduce sympathetic holding; ear Shenmen and Sympathetic calm sympathetic overdrive, which blocks conception. (Lewis)
- E-stim BL-23 to BL-32 before implantation: Regulate the cycle and improve qi/blood to reproductive organs; follicular phase sets up, luteal phase focuses on Earth banking the embryo. (Lewis)
- Labor progression points: LU-7, SI-3 + BL-62, reduce Du-14, BL-40, BL-57, BL-31, BL-32, GB-41, GB-26–28: LU-7 descends Lung qi; back labor: open Du with SI-3 (+BL-62), reduce Du-14; BL-40/57 open the tailbone; BL-31/32 release; waist stall: GB-41, GB-26–28. (Lewis)
- Urinary issues/fetal drop: BL-23, Du-4, BL-63, KI-3, KI-7, Du-20; damp-heat: BL-22, BL-28, BL-32, BL-53, BL-63, SP-9: Kidney weakness: Jin Gui Shen Qi Wan with these points; Spleen sinking: Bu Zhong Yi Qi Tang, BL-20, Du-20, ST-36, BL-28; damp-heat: Zi Shen Tang. (Lewis)
- Bladder & Kidney divergent channels: Bladder divergent begins at BL-40; Kidney divergent begins at KI-10, goes to BL-40, up to the low back, then loops into the Dai Mai (BL-32). (Yuen)
- Early pregnancy — HCG not doubling: Question the health of Jing/embryo (qi, blood, yang); moxa the Baliao points (BL-31–34) and over Zigong to bring vitality and yang. (Lewis)