Location
On the transverse crease of the dorsum of the wrist in the depression the lateral to the tendon of the extensor digitorum communis.
Cautions
No specific contraindications.
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.
AgitationMuscle WastingDeafnessDisease FebrileDisease FebrileDry MouthDry MouthChest FullnessChest FullnessHeatTendon Ligament StiffnessImmobility Tendon / LigamentMalariaOppressionPainArm PainArm PainHeart PainHeart PainNeck PainNeck PainShoulder PainShoulder PainWrist PainWrist PainPharyngitisWrist RednessWrist RednessSpontaneous SweatingSpontaneous Sweating SwellingWrist SwellingWrist SwellingCarpal Tunnel SyndromeCarpal Tunnel SyndromeThirsting ExcessiveThirsting ExcessiveWrist WeaknessWrist Weakness
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 (https://doi.org/10.1155/2013/839132)
- 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)
- 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)
- Paralysis Upper Limb, Spasticity, Cerebral Palsy Spastic Hemiplegic, Hand Problems, Arm Problems – LI03, LI04, LI05, LI10, LI11, LI13, LI14, LI15, SI03, SI05, SI09, SI11, PC06, TB04, TB05, TB14, GB21 (https://doi.org/10.1177/2515690X251317438)
- Shoulder Pain, Paralysis Hemiplegia, Stroke Sequelae, Limited Range Of Motion Shoulder – LU03, LI10, LI14, LI15, SI09, TB04, TB14, GB21 (https://doi.org/10.1155/2015/694973)
- Carpal Tunnel Syndrome, Wrist Pain, Hand Weakness, Hand Numbness, Tingling Fingers – LI05, SI04, BL23, TB04, TB05, CV04 (https://doi.org/10.27820/d.cnki.gszxy.2023.000394)
- Rheumatoid Arthritis, Joint Pain, Inflammation Joint – LI05, LI11, LI15, ST36, SP05, SP09, HT03, SI05, SI08, BL40, BL62, KD06, PC07, TB04, TB10, TB14, GB34, GB40 (https://doi.org/10.1186/s12906-025-04891-1)
- Carpal Tunnel Syndrome, Wrist Pain, Hand Weakness, Hand Numbness, Tingling Fingers – LI05, SI04, BL13, BL15, TB04, TB05, GV11, GV12, GV13 (https://doi.org/10.27820/d.cnki.gszxy.2023.000394)
- Heart Pain – LU02, LU04, LU05, LU08, LU09, ST19, ST36, SP02, SP03, SP04, SP14, HT01, HT03, HT04, HT06, HT07, HT09, SI01, SI08, BL14, BL15, BL17, BL45, BL64, KD01, KD20, PC02, PC03, PC04, PC05, PC06, PC07, PC08, PC09, TB01, TB04, TB06, TB10, LV01, LV02, LV03, LV13, CV06, CV09, CV11, CV12, CV14, CV15, CV17, CV22, GV01, GV08, GV20 (DEADMAN-COMPOSITE)
- Shoulder Pain – LU01, LU05, LU06, LU07, LU09, LI01, LI02, LI06, LI09, LI11, LI13, LI15, LI16, ST10, ST12, ST19, ST28, HT05, SI01, SI03, SI04, SI05, SI06, SI09, SI10, SI11, SI13, SI14, SI15, SI16, SI17, BL12, BL13, BL15, BL18, BL20, BL42, BL43, BL44, BL45, BL59, PC02, TB01, TB03, TB04, TB05, TB06, TB10, TB12, TB13, TB14, TB15, GB10, GB20, GB21, GB22, GB23, GB34, GB41, CV17, GV16, XH45, XU08 (DEADMAN-COMPOSITE)
- Neck Pain – LU11, LI02, ST05, ST06, ST12, SI02, SI03, SI07, SI14, SI16, SI17, BL09, BL18, BL44, BL58, BL59, BL66, BL67, PC06, TB02, TB04, TB15, TB16, TB21, GB04, GB10, GB11, GB12, GB13, GB19, GB20, GB21, GB39, GB40, LV03, LV14, GV16, GV17, GV19, XH06, XH15 (DEADMAN-COMPOSITE)
- Wrist Pain – LU07, LU08, LU09, LU11, LI05, LI06, SI02, SI04, SI05, PC07, TB04, GB04, GB40 (DEADMAN-COMPOSITE)