EX-B4

Pigen

Star

痞根 (Pǐgēn) — Root of the Mass

Extra point · Extra (Back) · point EX-B4

Not yet clinically reviewed

Traditionally used for

  • Digestion
  • Pain & joints

Location

On the lower back, 3.5 cun lateral to the lower border of the spinous process of L1.

How to locate: With the patient prone, find L4 on the line joining the highest points of the iliac crests and count up three spinous processes to L1; the point is 3.5 cun lateral to the lower border of the L1 spinous process, level with GV5.

Distances are in cun, a proportional unit — how to measure.

Body map, back: EX-B4 · Lower back
Fig. — EX-B4 · Lower back After Albinus, 1747
Body map, back: EX-B4 · Lower back

EX-B4 · Lower back · Albinus, Tabulae sceleti et musculorum, 1747

The vertebral column — Gray's Anatomy plate
The vertebral column Gray's Anatomy, 1918
The vertebral column — Gray's Anatomy plate

The vertebral column · Gray's Anatomy, 1918

3D view

3D view not available for this point: its position can't be carried onto the 3D model reliably (it failed a placement check). The 2D maps above show it.

Needling

Depth: 0.5–1.0 cun
Angle: Perpendicular

Functions

  • Dissipates masses and accumulations
  • Regulates qi between the upper and middle burner
  • Moves local qi and blood stagnation and relieves lumbar pain

Indications

Abdominal masses and hepatosplenomegalylow back painabdominal pain and distension

Sources

  • Focks C, ed. Atlas of Acupuncture. Edinburgh: Churchill Livingstone Elsevier, 2008. (Locating method and actions.)

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