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.

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

• 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 ↗)
• 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 ↗)
• 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)
• 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 (REN Xiao-ming. Fifty Cases of Parkinson's Disease Treated by Acupuncture Combined with Madopar. Journal of Traditional Chinese Medicine, 2008, 28(4): 255-257)
• Wrist Pain, Palm Radial Numbness, Fingers Numbness, Fingers Pain, Stiffness Wrist, Sensory Fingers Problems, Motor Fingers Problems – LI11, PC07, TB04, TB05 (CAI De-feng. Warm-needling plus Tuina Relaxing for the Treatment of Carpal Tunnel Syndrome. Journal of Traditional Chinese Medicine, 2010, 30(1): 23-24)
• 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])
• Endometriosis Qi Deficiency – ST36, SP01, SP06, TB04, GV20 (HAN Yu-fen, HOU Li-hui, ZHOU Ya-jie, WU Xiao-ke. A Survey of TCM Treatment for Endometriosis. Journal of Traditional Chinese Medicine, 2009, 29(1): 64-70.)
• Arthralgia Wandering Wind Bi – LI04, LI11, LI15, ST35, SP10, BL12, BL60, TB04, TB05, GB30, GB31, GB34, GB39, GV14 (ZHANG En-qin. Bi Syndrome (Arthralgia Syndrome). Journal of Traditional Chinese Medicine, 2010, 30(2): 145-152.)
• Arthralgia Painful Cold Bi – LI04, LI11, LI15, ST35, BL39, BL60, TB04, TB05, GB30, GB31, GB34, GB39, CV04, GV14 (ZHANG En-qin. Bi Syndrome (Arthralgia Syndrome). Journal of Traditional Chinese Medicine, 2010, 30(2): 145-152.)
• Arthralgia Fixed Dampness Bi – LI04, LI11, LI15, ST35, ST40, SP09, BL60, TB04, TB05, GB30, GB31, GB34, GB39, GV14 (ZHANG En-qin. Bi Syndrome (Arthralgia Syndrome). Journal of Traditional Chinese Medicine, 2010, 30(2): 145-152.)
• Arthralgia Heat Bi Joint Swelling Fever – LI02, LI04, LI11, LI15, ST35, BL60, TB04, TB05, GB30, GB31, GB34, GB39, GV14 (ZHANG En-qin. Bi Syndrome (Arthralgia Syndrome). Journal of Traditional Chinese Medicine, 2010, 30(2): 145-152.)
• Arthralgia Blood Stasis Bi Joint Deformity Numbness – LI04, LI11, LI15, ST35, SP10, BL17, BL60, TB04, TB05, GB30, GB31, GB34, GB39, GV14 (ZHANG En-qin. Bi Syndrome (Arthralgia Syndrome). Journal of Traditional Chinese Medicine, 2010, 30(2): 145-152.)
• Heart Bi Palpitation Chest Pain Shortness Of Breath – LI04, LI11, LI15, ST35, HT05, BL15, BL60, TB04, TB05, GB30, GB31, GB34, GB39, GV14 (ZHANG En-qin. Bi Syndrome (Arthralgia Syndrome). Journal of Traditional Chinese Medicine, 2010, 30(2): 145-152.)
• 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 (Liu Xiafei, Bao Chunling, Dong Guirong. Using acupoint-to-acupoint penetrative needling to treat poststroke spastic paralysis: a clinical progress review. Journal of Traditional Chinese Medicine 2014 October 15; 34(5): 609-615.)
• Paralysis Spastic Post-stroke – LU05, LI15, ST31, SP10, HT01, BL36, BL62, KD06, PC07, TB04, TB10, LV08 (Liu Xiafei, Bao Chunling, Dong Guirong. Using acupoint-to-acupoint penetrative needling to treat poststroke spastic paralysis: a clinical progress review. Journal of Traditional Chinese Medicine 2014 October 15; 34(5): 609-615.)
• 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
• LI15Shoulder And Clavicle17 protocols
• TB05Outer Gate17 protocols
• LI04Junction Valley13 protocols
• GB34Yang Mound Spring12 protocols
• GB30Jumping Circle11 protocols
• LI05Yang Stream9 protocols
• BL60Kunlun (Mountains)8 protocols
• GB39Suspended Bell8 protocols
• GV14Great Vertebra8 protocols
• SI05Yang Valley8 protocols
• ST36Leg Three Miles8 protocols

Other points on the Triple Burner Meridian