POINT: UB-32 (URINARY BLADDER-32)

English:	Second Crevice
Also Known As:

On the sacrum, medial and inferior to the posterosuperior iliac spine, just at the second posterior sacral foramen.
Over the second posterior sacral foramen.

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.

UB-31 Shangliao UB-33 Zhongliao UB-34 Xialiao SP-6 Sanyinjiao REN-4 joined to REN-3 **Guanyuan joined to Zhongji**	UB-31 Shangliao UB-33 Zhongliao UB-34 Xialiao ST-36 Zusanli SP-6 *Sanyinjiao* SP-10 Xuehai M-CA-18 Zigong REN-6 Qihai REN-4 Guanyuan	UB-31 Shangliao UB-33 Zhongliao UB-34 Xialiao DU-1 Changqiang UB-57 Chengshan
Dysmenorrhea	Dysfunctional uterine bleeding	Anal fissures
LI-4 Hegu SP-6 Sanyinjiao	UB-31 Shangliao UB-33 Zhongliao UB-34 Xialiao	KI-1 Yongquan SP-5 Shangqiu
Inducing labor	Difficult urination and defecation (100 cones of moxa)	Infertility
UB-53 Baohuang UB-56 Chengjin	LIV-13 Zhangmen	UB-36 Chengfu UB-54 Zhibian UB-40 Weizhong UB-60 Kunlun
Lumbar pain and aversion to Cold	Rigidity of the lumbar spine with inability to turn	Sciatica

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.