下極俞 (Xiàjíshū) — Lower Extreme Shu
Extra point · Extra (Back) · point EX-B5
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.
3D view
The 3D view is not available on this device. The 2D maps above show the same point.
Drag, or focus the model and use the arrow keys, to rotate; + and − to zoom; 0 to reset; Esc to close.
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.
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
Functions
- Tonifies Kidney yang and strengthens the lower back
- Regulates the intestines and urination
- Opens the channel locally
Indications
Similar Points
Sources
- Focks C, ed. Atlas of Acupuncture. Edinburgh: Churchill Livingstone Elsevier, 2008. (Locating method and actions.)
📝 Notes
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