NAME
PISHU
LOCATION
1.5 cun lateral to the lower border of the spinous process of the eleventh thoracic vertebra
Locate at the highest visible point of the paraspinal muscles
 1.5 cun lateral to DU-6 Jizhong at the level of the lower border of the spinous process of the eleventh thoracic vertebra
NEEDLING
Oblique insertion towards the spine, 0.5 to 1 cun.
 Transverse oblique insertion 1 to 1.5 cun.
Caution: perpendicular needling or oblique needling away from the spine carries a substantial risk of pneumothorax.
 Straight insertion, slanted slightly toward the spine1 to 1.5 cun  Sensation: local soreness, numbness and distention extending to the lumbar region
 Caution: Do not needle to deeply in order to avoid puncturing the Kidneys or Liver.
 Locate at the visible highest point of the paraspinal muscles.
 Puncture obliquely 0.5-0.7 cun
Moxibustion is applicable
COMMAND FUNCTIONS
Back-Shu (Associated) (Transporting) point of the Spleen
ACTIONS
Tonifies Spleen Qi
Regulates the Qi  of the Spleen and assists its transportive and transformative functions
 Tonifies Spleen Yang
Tonifies the Spleen and Stomach
 Regulates the Stomach, especially Yin
Resolves Dampness
 Trasnsforms Dampness, Spleen and Stomach Damp-Heat, Damp-Phlegm and Xold-Phlegm
 Warms Cold
 Raises Spleen Qi
Holds the Blood
Nourishes and harmonizes the Blood
Tonifies Ying Qi and Blood
 Regulates and harmonizes the Qi of the Middle Jiao
Reduces digestive Stagnation
 Softens hard masses
Expedites lactation
INDICATIONS
Disention and pain of the abdomen
Focal distention
Abdominal masses
Lack of appetite
Remains thin despite much eating
Spleen Qi Cold
 Undigested food in the stools
Diarrhea
 Dysenteric disorder
Chronic childhood fright Wind
Childhood nutritional impairment
Drum distention
Deficiency-taxation
Jaundice (Yin-type)
 Yellow body with abdominal fullness and vomiting
Pain in the lateral costal region
 Gastritis
Ulcers
 Nervous vomiting
 Hepatitis
 Anemia
 Chronic hemorrhagic diseases
 Weakness in the limbs
 Lumps in the chest and abdomen
 Tiredness
 Hemafecia with dysentery
 Vomiting
 Epigastric pain
 Backache
 Atrophy disorder due to Damp-Heat
 Ascites
 Stomach ache or epigastric pain due to Stomach Qi Deficiency and Cold
 Anxiety and palpitations due to Qi and Blood Deficiency
 Constipation
Insufficient lactation due to Deficiency
             Hemafecia
Hematuria
Hematemesis
Menorrhagia
Chronic hemorrhage
Uterine prolapse
Edema
Somnolence
 Lassitude
Heaviness of the body with no desire to move
 No desire to move the four limbs
Malarial diseases with alternating chills and fever
 Lumbar pain
Pain of the shoulder and back
Skin pain
Turbid white urine
Clonic spasm
 Prolapsed Stomach
    Indigestion
Enteritis
Hepato-Splenomegaly
Urticaria
Constriction of the esophagus inhibiting swallowing
 Loose stools
 Deficiency bleeding
 Dysphagia
Neurasthenia
Middle Jiao wasting and thirsting
 Qi-type painful urinary dysfunction (Lin)
Pancreatitis
Borborygmus
Stomach dysfunction with insomnia
 Dizziness and vertigo due to Phlegm
Cough with profuse sputum
 Lymphadenitis
COMBINATIONS
| UB-28 Pangguanshu | UB-21 Weishu | SI-19 Tinggong | 
| Spleen Deficiency with undigested food in the stool | Much eating but remains thin Abdominal pain with no pleasure in eating | Sadness below the Heart | 
| SP-1 Yinbai UB-18 Ganshu REN-13 Shangwan | HT-1 Jiquan GB-24 Riyue | UB-18 Ganshu UB-52 Zhishi | 
| Hematemesis and spontaneous external bleeding | Loss of use of the four limbs | Acute pain of both lateral costal regions | 
| UB-18 Ganshu REN-13Shangwan | UB-17 Geshu M-BW-12 Yishu UB-23 Shenshu N-BW-20 Pirexue | DU-14 Dazhui ST-36 Zusanli SP-6 Sanyinjiao | 
| Epistaxis with spitting of Blood | Diabetes | Leukopenia (moxa) | 
| UB-23 Shenshu | ||
| Nourishes Blood | 
CONTRAINDICATIONS
NOTES
This point is specifically indicated for remaining thin despite much eating. this is a very important point for nearly all chronic diseases when the person is very depleted of energy.
