Bladder 49 (BL 49) Yi She — Abode of Thought

This point, level with the Spleen Shu, strengthens the Spleen, resolves damp and supports the intellect (yi).

Bladder 49 (BL 49) Yi She 意舍 — Abode of Thought

Location

On the back, 3 cun lateral to the lower border of the spinous process of the eleventh thoracic vertebra (T11), level with BL-20.

Anatomy

On the latissimus dorsi; the posterior intercostal artery; the dorsal rami of the thoracic nerves.

Actions & Functions

  • Strengthens the Spleen and resolves damp
  • Harmonises the middle burner and supports the intellect (yi)

Indications

Abdominal distension, borborygmus and diarrhoea, jaundice, poor appetite, and pensiveness.

Needling

0.5-0.7 cun, oblique insertion towards the spine.

Moxibustion Suitability

Suitable for moxibustion.

Point Combinations

With BL-20 to strengthen the Spleen.

Classical Text References

The outer Back-Shu of the Spleen, associated with the yi (intellect).

Cautions & Contraindications

Avoid deep insertion towards the kidney; needle obliquely.

Latest Research

Latest peer-reviewed research on this point will be summarised here, with citations linked to PubMed, via our research integration.

About Attilio

Doctor of Chinese medicine, acupuncture expert and author of My Fertility Guide and My Pregnancy Guide.

Check Also

PubMed research

Traditional Chinese Medicine Improves Nutritional Status in Maintenance Haemodialysis Patients, Meta-Analysis Finds

Research summary (Traditional Chinese Medicine): Efficacy of traditional Chinese medicine in improving nutritional status among Chinese maintenance hemodialysis patients: a meta-analysis of - Frontiers in nutrition, 2026.