EX-B5

Xiajishu

Star

下極俞 (Xiàjíshū) — Lower Extreme Shu

Extra point · Extra (Back) · point EX-B5

Not yet clinically reviewed

Traditionally used for

  • Digestion
  • Bowel health
  • Urinary & fluids
  • Pain & joints

Location

On the lower back, on the posterior midline, below the spinous process of L3.

Focks' Atlas of Acupuncture also records a three-point variant: this midline point plus two points 3 cun lateral to it.

How to locate: With the patient prone, find L4 on the line joining the iliac crests, move up one spinous process to L3, and locate the point on the midline in the depression below its tip.

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

Body map, back: EX-B5 · Lower back
Fig. — EX-B5 · Lower back After Albinus, 1747
Body map, back: EX-B5 · Lower back

EX-B5 · 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

Approximate placement, carried over from our 2D body map onto a single adult male model (BodyParts3D) and checked against the point's location text. Shown on one side of the body. Locate the point on your patient by the location text and palpation, not by this model.

Cun on this part of the body
Between the bilateral medial borders of the scapula: 6 B-cun; this scale is half of the 6 B-cun between the two medial borders (posterior midline to one border), 3 B-cun (WHO 2008, General Guidelines, Proportional Bone (Skeletal) Measurements, p. 12).
Needle angle and depth
Needling not assessed: no cited needling data for this point.

3D anatomy: BodyParts3D, © The Database Center for Life Science licensed under CC Attribution 4.0 International (licence). Subset, simplified and recoloured by Verscienta — changes and licence details.

Needling

Depth: 0.5–1.0 cun
Angle: Perpendicular

Functions

  • Tonifies Kidney yang and strengthens the lower back
  • Regulates the intestines and urination
  • Opens the channel locally

Indications

Low back paindiarrhoea and abdominal paindifficult urinationweakness of the legs

Similar Points

Sources

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

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