Sacral Painaccording to TCM

What is Sacral Pain?

Sacral pain refers to discomfort or aching in the sacral region, the triangular bone at the base of the spine, nestled between the two hip bones. This pain can range from a dull ache to sharp, intense discomfort and is often associated with conditions such as sacroiliac joint dysfunction, lower back issues, or trauma. Sacral pain can be exacerbated by activities such as prolonged sitting, standing, or heavy lifting, and it may radiate to the lower back, buttocks, or legs.

How does TCM view Sacral Pain?

Traditional Chinese Medicine (TCM) offers a unique perspective on sacral pain, focusing on the underlying patterns of disharmony within the body. Unlike Western medicine, which typically attributes sacral pain to structural or mechanical issues, TCM considers a range of potential causes, including Stagnation of Qi and Blood, Damp-Cold accumulation, and Kidney Deficiency. Identifying the correct pattern is essential for effective treatment, as TCM aims to address the root cause of the pain rather than just alleviating the symptoms.

Acupoints for Sacral Pain

In TCM, specific acupoints are utilized to alleviate sacral pain by restoring balance and promoting the smooth flow of energy. Several acupoints in the Bladder Channel are particularly effective. Chengfu BL-36, located in the middle of the gluteal crease, helps remove obstructions from the channel and treats hemorrhoids. Ciliao BL-32, found in the second posterior sacral foramen, regulates the Lower Burner, facilitates urination and defecation, and benefits the lower back and legs. Yinmen BL-37, situated 6 cun below Chengfu BL-36, strengthens the lower back. Baihuanshu BL-30, at the level of the fourth posterior sacral foramen, benefits the anus, strengthens the lower back and legs, regulates menstruation, and stops seminal emissions or leukorrhea.

Additionally, acupoints in the Governing Vessel can also be beneficial. Yaoshu DU-2, located in the hiatus of the sacrum, expels Interior Wind and strengthens the lower back. By stimulating these acupoints, TCM practitioners aim to alleviate sacral pain, improve energy flow, and restore overall balance and harmony within the body.

Explore below some acupoints used to address sacral pain, organized by meridian.

  • By Meridian
  • Bladder Channel
  • Governing Vessel
Pangguangshu BL-28

Pangguangshu BL-28

At the level of the 2nd posterior sacral foramen, 1.5 cun lateral to the posterior midline, in the depression between the medial border of the posterior superior iliac spine (PSIS) and the sacrum.

Baihuanshu BL-30

Baihuanshu BL-30

At the level of the 4th posterior sacral foramen, 1.5 cun lateral to the posterior midline.

Ciliao BL-32

Ciliao BL-32

In the 2nd posterior sacral foramen, about midway between the posterior superior iliac spine (PSIS) and the midline.

Zhongliao BL-33

Zhongliao BL-33

In the 3rd posterior sacral foramen, between the posterior superior iliac spine and the midline.

Xialiao BL-34

Xialiao BL-34

In the 4th posterior sacral foramen, between the posterior superior iliac spine and the midline.

Chengfu BL-36

Chengfu BL-36

In the middle of the gluteal crease. Locate the point in prone position.

Yinmen BL-37

Yinmen BL-37

6 cun below Chenfu BL-36, on the line joing Chengfu BL-36 and Weizhong BL-40.

Yaoshu DU-2

Yaoshu DU-2

In the hiatus of the sacrum.