4 Acupuncture Points of the Twelve Primary Channels
Location
1.5 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
For orientation in the lumbar region (➞3.4.3), first, determine the
Tuffier’s line (a line connecting the highest points of the iliac
crests), which in most cases intersects with the spinous process
of L4 (note: this varies depending on the patient’s position ➞3.4.3).
From there, count upward to the lower border of the spinous
process of L1 and, on this level, locate BL-221.5 cun in a lateral
direction, on the highest point of the paraspinal musculature.
Located on the same level are ➞Du-5(on the midline), a point
of ➞Ex-B-2/BL-51/Ex-B-4(0.5 cun/3 cun/3.5cun lateral of the
midline).
Needling
Obliquely 0.5–1.5 cun. Caution: Kidneys.
Actions/Indications
● Regulates the Triple Burner
● Opens the water passages and promotes urination
● Has an effect on the shaoyang
Special features
Back-shupoint of the Triple Burner. Especially regulates the
relationship between the Middle and Lower Burner.
BL-22 San Jiao Shu SANJIAOSHU
BL-51
Spinous process L2
Spinous process L1
Spinous process L1 Ex-B-4
Ex-B-2
(parts)
Spinous process L1
Spinous process L2
Spinous process L3
1.5
cun
BL-22
Level of the
iliac crests
Spinous process L1
Spinous process L2
Spinous process L3
Spinous process L4
Spinous process L5
Level of the iliac crests
(dependent on patient position)
Level of spinous process C4
17
18
20
23
25
8
6
4
Ex-B-6^3
52
49
47
46
9
10
11
12
1
2
3
4
5
9
Ex-B-4
Ex-B-5 Ex-B-5
Ex-B-7
Ex-B-3
Du-3
Level of Spinous process L4
the iliac
crests
BL-23
BL-52
Du-4
Tuffier‘s line
Du-5
Spinous process L1
Spinous process L2
Spinous process L3
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