6 Extra PointsLocation
On the midline, below the spinous process of the 5th lumbar
vertebra (L5).How to find
Locate the Tuffier’s line and L4 (➞3.4.3). Next, palpate in an
inferior direction to the next vertebra (L5) and locate Ex-B-8
below the border of its spinous process, at the lumbosacral joint.
Located on the same level are a point of ➞Ex-B-2/BL-26
(0.5/1.5 cun lateral to the midline).Needling
0.5–1 cun vertically to the skin or obliquely in an inferior direc-
tion. The patient’s back should be straight or slightly flexed to
avoid a spinal puncture. Oblique insertions in a superior direction
should only be carried out by experienced practitioners, as in
small persons (regardless of their weight), the spinal canal can be
reached after only 1.25 cun. Caution: In pregnant women about to
go into labour, this point might have a labour-promoting effect.Actions/Indications
● Tonifies the Kidneys
● Opens the channel locallyEx-B-8 Below the 17th Vertebra SHIQIZHUI/SHIQIZHUIXIA
MidlineBL-26Spinous process L3
Spinous process L4
Spinous process L5Level of the
iliac crestsSpinous process L3Spinous process L2Spinous process L1Ex-B-2
(parts)Level of the
iliac crestsEx-B-8Spinous process L4Spinous process L5Spinous process L123254354Ex-B-6521 2 3 4 5 236301Du maiEx-B-8Ex-B-4Ex-B-5 Ex-B-5
Ex-B-7Ex-B-11Bladder channel,
outer branch
Bladder channel,
inner branchDu-3Spinous process L4
Level of the
iliac crestsBL-23
BL-52Du-4Tuffier’s lineCh06b-F10028.qxd 2/22/08 10:04 PM Page 580