Pishu BL20 : Nomenclature, Location, Function, Indication, Method

Pishu is the place where the Qi of the spleen infuses into the back.


Pi: Spleen Shu:point
Pishu is the place where the Qi of the spleen infuses into the back.

Pi: Spleen Shu: point
The point is the place where the Qi of the spleen is infused into the back.
Point: BL20
Chinese Name: 脾俞
Name: Pishu
English Name/Meaning: Spleen Transporter
Pinyin: pí shū
Han Geul 한글: bi yu 비유
Romaji: hi yu
Vietnamese: Tỳ du


1.5 cun lateral to the lower border of the spinous process of the 11th thoracic vertebra.

Functions of pishu:

  • Regulates spleen qi and assist in transformation and transportation. (Helps with digestion).
  • Supports the earth and eliminates dampness (feeling of heaviness , reduced appetite).
  • Nourishes the blood.


  • Gastric disorder, such as abdominal distension, chronic diarrhea, dysentery, hematochezia, anorexia.
  • Edema, jaundice.


Puncture obliquely 0.5-0.8cun.


Back-Shu Point of the Spleen.


Deep perpendicular or needling in a wrong direction carries a substantial risk of causing a pneumothorax.

Dr. Ishwar Gyawali

Dr. Ishwar Gyawali is Consultant Acupuncturist and Ayurveda Physician from Kathmandu, Nepal. He had completed BAMS (Bachelor of Ayurveda Medicine and Surgery), a five and half year course on Ayurveda Medicine from Kirtipur Campus affiliated to Tribhuvan University ,Institute Of Medicine, Nepal under scholarship in 2011. He had completed his MD in TCM from Nanjing University Of Chinese Medicine in 2016 under scholarship of Ministry of Education, Nepal. With an experience of Serving for Government of Nepal for 2 years and private practise for more than 5 years, he has sound knowledge in Ayurveda as well as Chinese Medicine. He is a registered Doctor in NAMC (Nepal Ayurveda Medical Council ) both as a physician as well as TCM/Acupuncture Specialist.