6 Extra PointsLocation
3.5 cun lateral to the posterior midline, on the level of the lower
border of the spinous process of the 1st lumbar vertebra (L1).How to find
Locate the T7 (➞3.4.2) and count down 6 spinous processes to
L1. Locate Ex-B-4on the level of the lower border of its spinous
process, 3.5 cun lateral to the midline. Use the Tuffier’s line (L4,
➞3.4.3) to confirm the location of this point: from L4, count up
the spinous processes of L3 to L1.
Located on the same level are ➞Du-5(on the midline), a point
of ➞Ex-B-2/BL-22/BL-51(0.5/1.5/3 cun lateral to the midline)
as well as ➞G.B.-25(on the lower border of the free end of the
12th rib).Needling
0.8–1 cun obliquely in a medial direction. Caution: Injury to the
kidneys!Actions/Indications
● Improves the Qi flow between the Upper and Middle Burner
● Eliminates local Qi and Blood stagnationEx-B-4 Fullness Root PIGEN
BL-22Spinous process L1
Spinous process L2BL-51
Spinous process L2Spinous process L1G.B.-2512th rib3.5 cunLevel of the
iliac crestsSpinous process L1Spinous process L2Ex-B-423254354Ex-B-6521 2 3 4 5 236301Bladder channel,
lateral branch
Bladder channel,
medial branchDu maiEx-B-8Ex-B-4Ex-B-5 Ex-B-5
Ex-B-7Ex-B-11Du-5Spinous process L1
Spinous process L2
Spinous process L3Ch06a-F10028.qxd 2/23/08 1:26 PM Page 576