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POINT: UB-28 (URINARY BLADDER-28)

NAME: PANGGUANGSHU

English:	Bladder Shu
Also Known As:	Bladder's Hollow

LOCATION:

1.5 cun lateral to the midline at the level of the second posterior sacral foramen UB-32 Ciliao.

NEEDLING:

Perpendicular insertion 0.5 to 1 cun.
Straight insertion 1 to 1.5 cun. Sensation local distention and soreness, sometimes extending to the buttocks.
Puncture perpendicularly 0.8 to 1.2 cun.
Moxibustion is applicable.

COMMAND FUNCTIONS:

Back-Shu point of the Bladder

ACTIONS:

Regulates the Bladder
Clears Damp-Heat from the Lower Jiao
Dispels Stagnation
Resolves masses
Benefits the lumbar region and legs
Benefits the lumbar vertebrae
Resolves Dampness
Stops pain
Opens the water pathways in the Lower Jiao
Strengthens the loins

INDICATIONS:

Difficult urination
Dark urination with unsmooth flow
Retention of urine
Enuresis
Turbid painful urinary dysfunction
Diarrhea
Diarrhea with abdominal pain
Difficult defecation
Constipation
Abdominal fullness
Abdominal masses in women
Wasting and thirsting disorder
Diminished Qi
Weakness of the leg and knee
Cold and contraction of the lower leg
Sciatica
Dysuria
Spermatorrhea
Prostatitis
Hematuria
Lower back, sacrum or sacroiliac pain and stiffness
Cold back and lower extremities
Lower urinary tract stones

Seminal emission
Swelling and pain of the External genitalia
General ulceration, swelling, damp-itching and pain of the vagina
Deficiency swelling of the penis
Stiffness and pain of the sacrum and coccyx
Stiffness and pain of the lumbar spine that radiates to the hypogastrium
Difficulty bending
Wind-taxation lumbar stiffness and pain
Stiffness and pain of the lower spine and buttock
Inability to sit for long
Atrophy disorder and heaviness of the leg
Numbness of the leg
Diabetes
Urinary incontinence
Urination with seminal discharge
Borborygmus

COMBINATIONS:

HT-5 Tongli LIV-1 Dadun SP-11 Jimen LIV-3 Taichong UB-40 Weizhong HT-7 Shenmen	GB-12 Wangu UB-27 Xiaochangshu UB-30 Baihuanshu or KI-3 Taixi KI-10 Yingu UB-23 Shenshu REN-6 Qihai REN-4 Guanyuan	UB-20 Pishu
Enuresis	Dark urine	Spleen Deficiency with undigested food in the stool Transforms fluids in the Lower Jiao and promotes diuresis
KI-18 Shiguan	REN-8 Shenque DU-20 Baihui	UB-26 Guanyuanshu
Difficult defecation with abdominal pain	Rectal prolapse	Wind-taxation lumbar pain
UB-27 Xiaochangshu UB-40 Weizhong DU-2 Yaoshu KI-1 Yongchuan	UB-23 Shenshu SP-9 Yinlingquan SP-6 Sanyinjiao	UB-23 Shenshu REN-2 Qugu SP-6 Sanyinjiao
Stiffness and pain of the lumbar region	Urinary tract infection	Prostatitis
UB-23 Shenshu SP-9 Yinlingquan	UB-23 Shenshu
Expels renal stones	Strengthens the lower back

CONTRAINDICATIONS:

NOTES:

This point's principle action is to drain Damp-Heat from the Bladder and genital system.