TB04 Yangchi (Yang Pool)

Location

On the transverse crease of the dorsum of the wrist in the depression the lateral to the tendon of the extensor digitorum communis.

Categories

• Yuan-Source point of the Triple Burner meridian

The classical groups this point belongs to, from Deadman, Al-Khafaji & Baker, A Manual of Acupuncture.

Indications

Conditions for which TB04 is listed as indicated. An indication list is a reference index, not a prescription – see the protocols below for sourced treatments.

Protocols using TB04

• Tremor, Parkinson's Disease, Motor Disorder, Bradykinesia, Rigidity Cogwheel, Balance Disturbance – LU05, LI05, LI11, LI15, ST41, SP09, HT03, SI06, SI09, BL36, BL40, KD03, PC02, PC03, PC07, TB02, TB04, TB14, GB30, GB34, LV04 (doi:10.1016/s0254-6272(09)60004-2 ↗)
• Wrist Pain, Palm Radial Numbness, Finger Numbness, Fingers Pain, Stiffness Wrist, Sensory Fingers Problems, Motor Fingers Problems – LI11, PC07, TB04, TB05 (doi:10.1016/s0254-6272(10)60007-6 ↗)
• Joint Pain, Stiffness Joint, Deformity Joint, Fluorosis Skeletal, Bi-syndrome – LU05, LI04, LI11, LI15, ST35, ST40, ST41, SP06, SP10, BL10, BL17, TB04, GB29, GB30, GV03, GV14 (doi:10.1155/2013/839132 ↗)
• Arrhythmia Atrial Fibrillation, Arrhythmia Persistent – ST36, ST37, HT07, PC05, PC06, TB04 (doi:10.1155/2015/613970 ↗)
• Shoulder Pain, Paralysis Hemiplegia, Stroke Sequelae, Limited Range Of Motion Shoulder – LU03, LI10, LI14, LI15, SI09, TB04, TB14, GB21 (doi:10.1155/2015/694973 ↗)
• Immune Deficiency, Fatigue Cancer – LU08, SI05, BL66, TB04, CV12 (doi:10.1155/2015/703439 ↗)
• Anxiety, Back Pain, Miscarriage Threatened, Bleeding Vaginal, Cramping Abdominal – LU07, LI11, ST36, ST37, SP01, SP04, HT07, BL20, BL23, BL57, BL62, KD06, KD09, KD21, KD27, PC06, TB04, TB05, TB06, GB30, GB34, GB41, LV02, LV03, CV04, GV04, GV20 (doi:10.1186/s12884-016-1092-8 ↗)
• Fatigue, Cancer, Immune Deficiency – LU08, SI05, BL66, TB04, CV12 (doi:10.1016/s0254-6272(15)30061-3 ↗)
• Anxiety, Depression, Insomnia, Itching, Itchiness Skin, Pruritus, Prurigo Nodularis, Pruritus Chronic – LI04, LI11, ST25, ST36, ST42, SP06, SP10, SI04, BL17, BL64, TB04, TB05, GB20, GB40, CV06, CV12, GV14, GV16, GV20, GV24 (doi:10.2147/CCID.S336109 ↗)
• Allodynia, Complex Regional Pain Syndrome, Hand Swelling, Wrist Left Pain, Hand Left Pain – LI05, SI04, TB04, TB05 (doi:10.3390/children8121187 ↗)
• Paralysis Upper Limb, Cerebral Palsy, Spasticity, Cerebral Palsy Spastic Hemiplegic, Hand Problems, Arm Problems, Upper Limb Weakness, Spastic Hemiplegia – LI03, LI04, LI05, LI10, LI11, LI13, LI14, LI15, SI03, SI05, SI09, SI11, PC06, TB04, TB05, TB14, GB21 (doi:10.1177/2515690X251317438 ↗)
• Rheumatoid Arthritis, Joint Pain, Inflammation Joint – LI05, LI11, LI15, ST36, SP05, SP09, HT03, SI05, SI08, BL40, BL62, KD06, PC07, TB04, TB10, TB14, GB34, GB40 (doi:10.1186/s12906-025-04891-1 ↗)
• Stroke, Shoulder Pain, Shoulder-hand Syndrome, Stroke Sequelae, Shoulder-hand Syndrome Post-stroke, Edema Hand – LI15, SI04, SI09, TB02, TB04, TB14 (doi:10.1186/s12906-025-04916-9 ↗)
• Carpal Tunnel Syndrome, Wrist Pain, Hand Weakness, Hand Numbness, Tingling Fingers – LI05, SI04, BL13, BL15, TB04, TB05, GV11, GV12, GV13 (doi:10.27820/d.cnki.gszxy.2023.000394 ↗)
• Carpal Tunnel Syndrome, Wrist Pain, Hand Weakness, Hand Numbness, Tingling Fingers – LI05, SI04, BL23, TB04, TB05, CV04 (doi:10.27820/d.cnki.gszxy.2023.000394 ↗)
• Endometriosis Qi Deficiency – ST36, SP01, SP06, TB04, GV20 (doi:10.1016/s0254-6272(09)60034-0 ↗)
• Arthralgia Wandering Wind Bi – LI04, LI11, LI15, ST35, SP10, BL12, BL60, TB04, TB05, GB30, GB31, GB34, GB39, GV14 (doi:10.1016/s0254-6272(10)60032-5 ↗)
• Arthralgia Painful Cold Bi – LI04, LI11, LI15, ST35, BL39, BL60, TB04, TB05, GB30, GB31, GB34, GB39, CV04, GV14 (doi:10.1016/s0254-6272(10)60032-5 ↗)
• Arthralgia Fixed Dampness Bi – LI04, LI11, LI15, ST35, ST40, SP09, BL60, TB04, TB05, GB30, GB31, GB34, GB39, GV14 (doi:10.1016/s0254-6272(10)60032-5 ↗)
• Arthralgia Heat Bi Joint Swelling Fever – LI02, LI04, LI11, LI15, ST35, BL60, TB04, TB05, GB30, GB31, GB34, GB39, GV14 (doi:10.1016/s0254-6272(10)60032-5 ↗)
• Arthralgia Blood Stasis Bi Joint Deformity Numbness – LI04, LI11, LI15, ST35, SP10, BL17, BL60, TB04, TB05, GB30, GB31, GB34, GB39, GV14 (doi:10.1016/s0254-6272(10)60032-5 ↗)
• Heart Bi Palpitation Chest Pain Shortness Of Breath – LI04, LI11, LI15, ST35, HT05, BL15, BL60, TB04, TB05, GB30, GB31, GB34, GB39, GV14 (doi:10.1016/s0254-6272(10)60032-5 ↗)
• Paralysis Spastic Post-stroke – LI04, LI11, LI15, SP06, SP09, HT01, HT03, BL60, KD01, KD03, PC06, PC07, PC08, TB04, TB05, GB30, GB31, GB33, GB34, GB39, LV03, LV08 (doi:10.1016/s0254-6272(15)30071-6 ↗)
• Paralysis Spastic Post-stroke – LU05, LI15, ST31, SP10, HT01, BL36, BL62, KD06, PC07, TB04, TB10, LV08 (doi:10.1016/s0254-6272(15)30071-6 ↗)
• Tinnitus – LU07, BL23, TB04, TB17, GB02 (doi:10.13703/j.0255-2930.20211102-k0002 ↗)
• Parkinson's Disease – LI10, BL24, BL58, TB04, GB33 (doi:10.1002/mds.70343 ↗)
• Paralysis Upper Limb, Cerebral Palsy Spastic Hemiplegic – LI03, LI04, LI05, LI10, LI11, LI13, LI14, LI15, SI03, SI05, SI09, SI11, PC06, TB04, TB05, TB14, GB21 (doi:10.1177/2515690X251317438 ↗)
• Cervical Spondylotic Radiculopathy – LI14, TB04, XB02C4, XB02C6, XU12 (doi:10.3389/fnagi.2023.1140531 ↗)
• Spasticity Post-stroke, Hemiplegia Post-stroke – SI03, BL57, BL62, TB04, TB05, TB10, TB14, GB30, GB34, GB39, GB40 (doi:10.13703/j.0255-2930.2018.10.002 ↗)
• Fatigue, Cancer, Immunodeficiency – LU08, SI05, BL66, TB04, CV12 (Kim DJ, Park SH, Seo JC, Kim KS, Sohn KC, Shin IH, Ryoo HM. Efficacy of Saam acupuncture treatment on improvement of immune cell numbers in cancer patients: a pilot study. J Tradit Chin Med 2014; 34(5): 550-554)
• Cervical Spondylosis, Acute Neck Pain, Neck Pain Musculoskeletal, Degenerative Cervical Spine – LU07, SI03, SI05, SI15, BL60, BL62, TB04, GB20, GB21, GB40 (Comparison of Manual Acupuncture at Distal Acupoints Versus Electroacupuncture at Local Acupoints in Patients With Acute Neck Pain Due to Cervical Spondylosis. ClinicalTrials.gov NCT07240623)
• Heaviness, Joint Pain, Joint Swelling, Arthritis Rheumatic, Aversion To Cold – LI11, LI15, ST36, BL17, BL23, TB04 (Wei He. Clinical Observation on the Therapeutic Effect of Thermal Needle for 40 Cases of Rheumatic Arthritis. Acupuncture Research, 2004)
• Constipation, Parkinsonism – LU05, LI04, LI11, ST25, ST36, ST37, BL40, KD03, PC06, TB04, GB34, CV12 (吴春媛时晶 李婷倪敬年魏明清. 基于数据挖掘技术分析针刺治疗帕金森病便秘的选穴规律. 实用心脑肺血管病杂志 ., 2024 [CNKI])
• Bi Syndrome, Fever Rheumatic, Arthritis Rheumatoid, Fibrositis, Neuralgia, Gout, General Pain, Bi Syndrome, Fever Rheumatic, Arthritis Rheumatoid, General Pain – LI04, LI11, LI15, ST41, SP21, SI03, BL17, BL62, TB04, GB30, GB34, GB39 (sacredlotus.com ↗)
• Bi Syndrome, Fever Rheumatic, Arthritis Rheumatoid, Fibrositis, Neuralgia, Gout, Wrist Pain, Bi Syndrome, Fever Rheumatic, Arthritis Rheumatoid, Wrist Pain – LI05, SI05, TB04, TB05 (sacredlotus.com ↗)
• Qi Stagnation, Stasis Blood, Paralysis (infant), Benefit Regulate Yin, Benefit Regulate Wei, Intorsion, Hand Extorsion Stiffness, Qi Stagnation, Stasis Blood, Paralysis (infant), Benefit Regulate Yin, Benefit Regulate Wei, Hand Extorsion Stiffness – LI05, HT03, SI03, TB04, TB09 (sacredlotus.com ↗)
• Fire Mingmen, Urinary Retention, Fire Mingmen, Urinary Retention – BL23, TB04, CV04, GV04, GV20 (sacredlotus.com ↗)
• Sprain Wrist, Sprain Wrist – TB04, TB05 (sacredlotus.com ↗)
• Qi Deficiency, Ovarian Problems, Bleeding Uterine, Qi Deficiency, Ovarian Problems, Bleeding Uterine – ST36, SP01, SP06, TB04, CV04, GV20 (sacredlotus.com ↗)

Most often selected alongside TB04

How many sourced protocols in the index pair each point with TB04. Corpus frequency, not a combination to use.

• LI11Pond At The Bend18 protocols
• TB05Outer Gate18 protocols
• LI15Shoulder And Clavicle17 protocols
• GB34Yang Mound Spring13 protocols
• LI04Junction Valley13 protocols
• GB30Jumping Circle12 protocols
• GB39Suspended Bell9 protocols
• LI05Yang Stream9 protocols
• BL60Kunlun (Mountains)8 protocols
• GV14Great Vertebra8 protocols
• SI05Yang Valley8 protocols
• ST36Leg Three Miles8 protocols

Other points on the Triple Burner Meridian