Bladder Meridian

Yishe BL49: Nomenclature, Location, Functions, Indications

The spleen stores ideas. Yishe, BL49 is at the level of Pishu, (BL20) like a residence for the Qi of  the spleen.


Yi: ideas She: residence
The spleen stores ideas. Yishe is at the level of Pishu, (BL20) like a residence for the Qi of the spleen.
Point: BL49
Chinese Name: 意舍
English Name/Meaning: Abode of Consciousness of Potentials
Pinyin: yì shě
Han Geul 한글: ui sa 의사
Romaji: i sha(?) Ý xá


3 cun lateral to Jizhong (GV6), at the level of the lower border of the spinous process of the eleventh thoracic vertebra.

Functions of Yishe:

  • Clears and drains damp heat.
  • Tonifies the spleen.
  • Benefits intellect.
  • Stimulates memorization and concerntration.


  • Poor memory and concentration, Obsessive thoughts.
  • Abdominal distension, borborygmus, vomiting, diarrhea, difficulty in swallowing, sensation of heat, jaundice.


Oblique insertion towards lateral 0.3 to 0.5 cun.


Good for intellectual issues due to spleen.


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


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.