UB-34 Xialiao - Lower Sacral Bone

English:	Lower Crevice
Also Known As:

Location

• On the sacrum, medial and inferior to UB-33 Zhongliao, just at the posterior sacral foramen.
• Over the fourth posterior sacral foramen.

Needling

• Puncture perpendicularly 0.8 to 1.2 cun.
• Moxibustion is applicable.
• 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.
• Perpendicular insertion 0.5 to 1 cun, or 1.5 to 2 cun through the foramen.

Command Functions

• Meeting point of the Gall Bladder channel

Actions

• Regulates the Lower Jiao
• Facilitates urination and defecation
• Regulates menstruation
• Stops leukorrhea
• Benefits the lumbar region and legs
• Nourishes the Kidneys

Indications

Low back pain Lower abdominal pain Dysuria Constipation Morbid leukorrhea Lower back and foot numbness Paralysis of the lower extremities Pain and stiffness of the lower back and sacrum Sciatica Anal fissures Hemorrhoids Uterovaginal prolapse Difficult or delayed labor Indices labor Sequelae of infantile paralysis Itching, swelling and pain of the genitals Incessant green leukorrhea leading to vaginal pain and pain radiating to the lower abdomen Lumbar pain radiating to the testicles

Infertility Impotence Irregular menstruation Dysmenorrhea Ovarian pain or inflammation Leukorrhea Spermatorrhea Orchitis Urinary retention Difficult urination due to infection Skin irritation in the genital region Uterovaginal inflammation Peritonitis Diarrhea Lumbosacral disorders Borborygmus Difficult defecation Hemafecia Painful urinary dysfunction Shan disorder Pain of the sacrum and coccyx

Combinations

UB-31 Shangliao UB-32 Ciliao UB-33 Zhongliao SP-6 Sanyinjiao REN-4 joined to REN-3 Guanyuan joined to Zhongji	UB-31 Shangliao UB-32 Ciliao UB-33 Zhongliao ST-36 Zusanli SP-6 Sanyinjiao SP-10 Xuehai M-CA-18 Zigong REN-6 Qihai REN-4 Guanyuan	UB-31 Shangliao UB-32 Zhongliao UB-33 Zhongliao DU-1 Changqiang UB-57 Chengshan
Dysmenorrhea	Dysfunctional uterine bleeding	Anal fissures
UB-22 Sanjiaoshu UB-27 Xiaochangshu UB-49 Yishe LIV-13 Zhangmen
Borborygmus Abdominal distention Watery diarrhea

Contraindications

Notes

• UB-31, Shangliao, UB-32 Ciliao, UB-33 Zhongliao and UB-34 Xiaoliao 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.