GV5

Xuanshu

Star

懸樞 (Xuánshū) — Suspended Pivot

Du (Governing) channel · point 5

Not yet clinically reviewed

Traditionally used for

  • Digestion
  • Bowel health
  • Pain & joints

Location

On the lower back, on the posterior midline, in the depression below the spinous process of L1.

How to locate: Find L4 on the line joining the highest points of the iliac crests and count up three spinous processes to L1; the point is in the depression below it, level with BL22 and BL51.

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

Body map, back: GV5 · Lower back
Fig. — GV5 · Lower back After Albinus, 1747
Body map, back: GV5 · Lower back

GV5 · 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
  1. Perpendicular (90° to the skin), 0.5–1 cun. Deadman P, Al-Khafaji M, Baker K, p. 538

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

Cited needling

  1. Perpendicular insertion
    Depth 0.5–1 cun
    skindeeper

Depths describe average adult habitus in the cited population, never a single safe number for the patient in front of you. Palpate and adjust.

Sources (1)
  1. Deadman P, Al-Khafaji M, Baker K. A Manual of Acupuncture. Hove: Journal of Chinese Medicine Publications; 1998 — p. 538 Supports: techniques (names this point)

Site notes · not cited

Depth: 0.5–1.0 cun
Angle: Oblique, directed superiorly

Functions

  • Strengthens the lower back and activates the channel
  • Regulates qi in the lower burner
  • Regulates the intestines

Indications

Low back pain and stiffnessdiarrhoea and abdominal painindigestion

Sources

  • World Health Organization. WHO Standard Acupuncture Point Locations in the Western Pacific Region. Manila: WHO Regional Office for the Western Pacific, 2008. (Location.)
  • Focks C, ed. Atlas of Acupuncture. Edinburgh: Churchill Livingstone Elsevier, 2008. (Locating method and actions.)

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