Upper and Lower Back Acupuncture Points

Upper and Lower Back (12 Points)

Pai Huan Shu (261, BL 30) Located at the level of the fourth sacral foramen 1.5 tsun lateral to the dorsal midline of the sacral hiatus and medial to the greater sciatic foramen (Fig. 17).

Nerve Supply Posterior branch of the fifth lumbar nerve (LS); posterior branches of the second, third, and fourth sacral nerves (S2, 3, 4); inferior gluteal nerve (L4, 5, Sl, 2)
Blood Supply Superior and inferior gluteal arteries
Method Oblique insertion upward 0.5-1.0 tsun
Indications Hemorrhoids, prolapse of the rectum, lumbago, impotence, scrotal eczema, schizophrenia

Ming Men (24, VG 4) Located in the midline inferior to the spinous process of the second and third lumbar vertebrae (Fig. 17).

Nerve Supply Posterior branches of the first and second lumbar nerves (LI, 2)
Blood Supply Posterior branches of lumbar arteries
Method Perpendicular insertion 0.5-1.0 tsun
Indications Lumbago, enuresis, genitourinary tract disorders, endometritis, impotence

Ta Chang Shu (256, BL 25) Located 1.5 tsun lateral to the spinous process between the fourth and fifth lumbar vertebrae, and between the thoracolumbar fascia and the longissimus and iliocostal muscles (Fig. 17).

Nerve Supply Posterior branch of the third lumbar nerve (L3)
Blood Supply Posterior branch of the fourth lumbar artery
Menthod Perpendicular or oblique insertion toward the vertebral body 1.0-1.5 tsun
Indications Lumbago, paralysis of the lower extremities, poliomyelitis, sciatica, enteritis, hemorrhoids, constipation

Shen Shu (254, BL 23) Located 1.5 tsun lateral to the spinous process of the second lumbar vertebra and between the outer thoracolumbar fascia and sacrospinal muscle and the deeper longissimus muscle (Fig. 17).

Nerve Supply Posterior branch of the first lumbar nerve (LI)
Blood Supply Posterior branch of the second lumbar artery
Method Perpendicular insertion 1-2 tsun
Indications Nephritis, renal colic, neurasthenia, enuresis, impotence, lumbago

Wei Shu (252, BL 21) Located 1.5 tsun lateral to the spinous process of the 12th thoracic vertebra and between the outer thoracolumbar fascia and sacrospinal muscle and the deeper longissimus muscle (Fig. 17).

Nerve Supply Posterior branch of the 12th thoracic nerve (T 12)
Blood Supply Posterior branches of the subcostal and first lumbar arteries
Method Perpendicular insertion 0.5-1.0 tsun
Indications Stomach pain, enteritis, duodenal ulcer, hepatitis, pancreatitis, insomnia, dyspepsia, nausea, vomiting

Tan Shu (250, BL 19) Located 1.5 tsun lateral to the spinous process of the 10th thoracic vertebra and between the outer thoracolumbar fascia and sacrospinal muscle and the deeper longissimus muscle (Fig. 17).

Nerve Supply Posterior branch of the 10th thoracic nerve (T10)
Blood Supply Posterior branch of the intercostal artery
Method Oblique insertion toward the vertebral body 0.5-1.0 tsun
INndications Infectious hepatitis, gastritis, cholecystitis, lymphadenitis, biliary colic, abdominal distension, pleurodynia, sciatica

Hsin Shu (246, BL 15) Located 1.5 tsun lateral to the spinous process of the fifth thoracic vertebra in the sacrospinal and trapezius muscles (Fig. 17).

Nerve Supply Posterior branch of the fifth thoracic nerve (TS)
Blood Supply Posterior branch of the intercostal artery
Method Oblique insertion toward the vertebral body 0.5-1.0 tsun
Indications Tachycardia, epilepsy, pleurodynia, hysteria, atrial fibrillation

Chih Yang (19, VG 9) Located in the midline inferior to the spinous process of the seventh thoracic vertebra at the level of the inferior angle of the scapula in the trapezius muscle at one of its origins (Fig. 17).

Nerve Supply Posterior branch of the seventh thoracic nerve (T7)
Blood Supply Posterior branch of the intercostal artery
Method Oblique insertion toward the body of the vertebra 0.5-1.5 tsun
Indications Chest pain, back pain, biliary colic, bronchial asthma; particularly useful for atrial fibrillation
Method Perpendicular insertion 0.5-1.5 tsun
Indications Sacral neuralgia, sciatica, infantile paralysis, endometritis, spermatorrhea, leukorrhea, anal disorders

Ling Tai (18, VG 10) Located inferior to the spinous process of the sixth thoracic vertebra in the interspinous ligament at the origin of the rhomboideus major and trapezius muscles (Fig. 17).

Nerve Supply Posterior branch of the sixth thoracic nerve (T6)
Blood Supply Posterior branch of the sixth intercostal artery
Method Oblique and slightly upward insertion 0.5-1.0 tsun
Indications Bronchial asthma, bronchitis, epigastric pain, back pain
behind
Chang Chiang (27, VG 1) Located in the anococcygeal ligament, midway between the tip of the coccyx and the anus (Fig. 18).

Nerve Supply Coccygeal nerve (SS, Cl); inferior rectal (hemorrhoidal) nerve (S4, 5)
Blood Supply Inferior rectal (hemorrhoidal) artery

Ta Chui (14, VG 14) Located between the spinous process of the seventh cervical and first thoracic vertebrae (Fig. 19).

Nerve Supply Posterior branch of the eighth cervical nerve (C8)
Blood Supply Transverse cervical artery
Method Perpendicular insertion 0.5-1.5 tsun; deeper insertion must not be done under any circumstances.
Indications Common cold, fever, malaria, epilepsy, neck pain, bronchitis, bronchial asthma, hepatitis
back
Chien Ching (208, GB 21) Located in the superior part of the trapezius muscle, midway between Ta Chui (14, VG 14) and the acromion. The levator scapula and supraspinatus muscles lie deep beneath this point
(Fig. 19).

Nerve Supply Medial and lateral supraclavicular nerves (C4, 5, 6); accessory nerve
Blood Supply Superior scapular artery
Method Perpendicular insertion 0.5-0.8 tsun; deep insertion must not be done under any circumstances.
Indications Shoulder, neck, and back pain; neck rigidity and stiffness; hyperthyroidism; functional uterine bleeding; mastitis

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