XB02L4 Huatuojiaji – acupuncture point

Location

0.5 - 1 thumb width lateral to the depressions below the spinous processes of the fourth lumbar vertebra.

Cautions

Caution near spinal cord; avoid deep perpendicular needling.

Indications

Conditions for which XB02L4 is listed as indicated. An indication list is a reference index, not a prescription – see the protocols below for sourced treatments.

Circulation BloodBladder DisorderLarge Intestine DisorderLeg DisorderSmall Intestine DisorderUterus DisorderQi Stagnation

TCM actions

What classical sources say XB02L4 does in the terms of Chinese medicine theory. These describe the point, not a condition.

Benefit Regulate Five ZangBenefit Regulate Six FuBenefit Regulate YangBenefit Regulate YinRegulate Five ZangRegulate Six FuRegulate YangRegulate Yin

Protocols using XB02L4

Leg Swelling, Gait Impaired, Stiff Skin Syndrome, Skin Sclerosis, Limited Joint Mobility – BL40, GB29, GB30, GB31, GB34, XB02L2, XB02L3, XB02L4, MS08 (doi:10.13703/j.0255-2930.20240824-k0002 ↗)
Low Back Pain, Stenosis Lumbar Spinal, Claudication Neurogenic – BL23, BL25, BL28, XB02L1, XB02L2, XB02L3, XB02L4, XB02L5 (doi:10.1016/j.imr.2026.101323 ↗)
Sciatica, Low Back Pain – BL23, BL25, GB30, XB02L1, XB02L2, XB02L3, XB02L4, XB02L5 (doi:10.13703/j.0255-2930.20210405-k0004 ↗)
Fatigue, Fatigue Post-stroke – PC06, GV26, XB02L1, XB02L2, XB02L3, XB02L4, XB02L5, XB02T1, XB02T10, XB02T11, XB02T12, XB02T2, XB02T3, XB02T4, XB02T5, XB02T6, XB02T7, XB02T8, XB02T9 (doi:10.13703/j.0255-2930.20211104-0002 ↗)
Low Back Pain, Low Back Acute Pain – SP06, BL23, BL24, BL25, BL26, BL40, XB02L3, XB02L4, XB02L5 (doi:10.3390/healthcare11222939 ↗)
Low Back Pain, Low Back Acute Pain – SP06, BL23, BL24, BL25, BL26, BL40, GV03, GV04, XB02L3, XB02L4, XB02L5 (doi:10.3390/healthcare11222939 ↗)
Buttock Pain, Gluteal Pain – SP06, BL40, BL54, GB30, GB34, XB02L1, XB02L2, XB02L3, XB02L4, XB02L5 (doi:10.13703/j.0255-2930.2016.10.011 ↗)
Low Back Pain, Lumbar Disc Herniation – BL23, GV03, GV04, XB02L1, XB02L2, XB02L3, XB02L4, XB02L5 (doi:10.2147/JPR.S457724 ↗)
Low Back Pain, Lumbar Disc Herniation – BL23, BL25, BL40, XB02L1, XB02L2, XB02L3, XB02L4, XB02L5 (doi:10.2147/JPR.S457724 ↗)
Low Back Chronic Pain, Lumbar Disc Herniation – BL23, BL25, BL40, GV03, XB02L3, XB02L4, XB02L5 (doi:10.13703/j.0255-2930.20240522-k0002 ↗)
Stiff Skin Syndrome, Skin Sclerosis – BL40, GB29, GB30, GB31, GB34, XB02L2, XB02L3, XB02L4, MS08 (doi:10.13703/j.0255-2930.20240824-k0002 ↗)
Leg Pain, Low Back Pain, Spinal Stenosis Lumbar Degenerative, Claudication Neurogenic – ST36, ST40, BL22, BL23, BL24, BL25, BL26, BL53, BL54, GB30, GB31, GB34, LV03, GV03, GV04, GV05, XB02L1, XB02L2, XB02L3, XB02L4, XB02L5 (doi:10.1016/j.imr.2025.101204 ↗)
Leg Pain, Low Back Pain, Spinal Stenosis Lumbar Degenerative, Claudication Neurogenic – SP09, BL23, BL25, BL32, BL39, BL40, BL51, BL52, BL54, BL57, BL60, GB30, GB34, GB39, GV03, XB02L1, XB02L2, XB02L3, XB02L4, XB02L5 (doi:10.1016/j.imr.2025.101204 ↗)
Low Back Pain, Spinal Stenosis Lumbar Degenerative, Stenosis Lumbar Spinal, Claudication Neurogenic – BL23, BL24, BL25, BL40, BL60, GB30, XB02L2, XB02L3, XB02L4, XB02L5 (doi:10.3390/medicina62010225 ↗)
Back Low Pain, Claudication Neurogenic, Leg Radiating Pain, Spinal Stenosis Lumbar – BL23, BL25, BL28, XB02L1, XB02L2, XB02L3, XB02L4, XB02L5 (doi:10.1016/j.imr.2026.101323 ↗)
Lung Cancer, Hip Pain, Bone Metastasis – ST32, ST36, BL23, BL25, BL54, BL60, GB31, GB34, GB41, LV03, XB02L2, XB02L3, XB02L4, XB02L5 (doi:10.3389/fonc.2026.1684346 ↗)
Sciatica, Low Back Pain, Lumbar Disc Herniation – BL40, BL54, BL57, BL60, GB30, GB31, GB34, GB39, XB02L4, XB02L5, XB02S1 (doi:10.1155/prm/9030734 ↗)
Low Back Pain, Lumbar Disc Herniation – BL23, BL25, BL40, XB02L3, XB02L4, XB02L5, XB02S1 (doi:10.2147/JPR.S594368 ↗)
Spasticity Lower Limb Post-stroke, Spastic Hemiplegia – LI14, LI15, BL36, GB30, XB02C2, XB02C3, XB02C4, XB02C5, XB02C6, XB02C7, XB02L1, XB02L2, XB02L3, XB02L4, XB02L5, XB02S1, XB02T10, XB02T11, XB02T12, XB02T2, XB02T3, XB02T4, XB02T5, XB02T6, XB02T7, XB02T8, XB02T9 (doi:10.13703/j.0255-2930.20250715-k0001 ↗)
Low Back Pain, Lumbar Disc Herniation – BL23, BL40, GV03, XB02L3, XB02L4, XB02L5 (doi:10.2147/jpr.s566903 ↗)
Low Back Pain, Third Lumbar Vertebrae Transverse Process Syndrome – BL24, BL40, XB02L2, XB02L3, XB02L4 (doi:10.13703/j.0255-2930.2017.08.003 ↗)
Cerebral Palsy – GV03, GV04, XB02L2, XB02L3, XB02L4, XB02L5 (doi:10.13703/j.0255-2930.2018.06.007 ↗)
Lumbar Disc Herniation – BL40, GB30, XB02L3, XB02L4, XB02L5 (doi:10.13703/j.0255-2930.2019.05.001 ↗)
Lumbar Disc Herniation – BL25, XB02L3, XB02L4, XB02L5, XB02S1 (doi:10.13703/j.0255-2930.20220215-k0006 ↗)
Cerebral Palsy, Ataxia – LI15, ST25, SI11, TB14, XB02C4, XB02L1, XB02L4 (doi:10.13702/j.1000-0607.180191 ↗)
Constipation – LI04, ST25, ST36, ST37, SP06, SP15, BL25, TB06, CV04, CV06, XB02L1, XB02L2, XB02L3, XB02L4, XB02L5, XB02T10, XB02T11, XB02T12 (Deadman, Al-Khafaji & Baker, A Manual of Acupuncture – point group actions)
Diarrhea – ST25, ST36, ST37, SP03, SP06, SP09, BL25, CV06, CV08, XB02L1, XB02L2, XB02L3, XB02L4, XB02L5, XB02T10, XB02T11, XB02T12 (Deadman, Al-Khafaji & Baker, A Manual of Acupuncture – point group actions)
Diabetes – LU10, ST36, SP06, BL13, BL23, KD03, CV06, XB02L1, XB02L2, XB02L3, XB02L4, XB02L5, XB02T11, XB02T12 (Chen Jirui, Nissi Wang (eds). Acupuncture Case Histories from China. Seattle: Eastland Press, 1988)
Diabetes – ST36, SP06, BL20, BL23, GB34, CV03, XB02L1, XB02L2, XB02L3, XB02L4, XB02L5, XB02T11, XB02T12 (Chen Jirui, Nissi Wang (eds). Acupuncture Case Histories from China. Seattle: Eastland Press, 1988)
Sciatica, Lumbar Lower Back Pain, Lumbar Disc Herniation – BL37, BL40, BL57, BL64, GB30, GB34, GB40, XB02L4, XB02L5 (Chen Jirui, Nissi Wang (eds). Acupuncture Case Histories from China. Seattle: Eastland Press, 1988)
Urolithiasis, Renal Colic Pain – XB02L4 (Henry C. Lu. Clinical Cases of Acupuncture)
Quadriplegia, Myelitis Acute – LI10, LI15, SP06, BL18, BL23, TB08, GB34, GB39, XB02C2, XB02C3, XB02C4, XB02C5, XB02C7, XB02L2, XB02L3, XB02L4, XB02L5, XB02T1 (Zhang Dengbu. Acupuncture Cases from China: A Digest of Difficult and Complicated Case Histories. Edinburgh: Churchill Livingstone, 1994)
Quadriplegia, Myelitis Acute – ST40, SP06, SP09, KD06, PC06, XB02C2, XB02C3, XB02C4, XB02C5, XB02C7, XB02L2, XB02L3, XB02L4, XB02L5, XB02T1 (Zhang Dengbu. Acupuncture Cases from China: A Digest of Difficult and Complicated Case Histories. Edinburgh: Churchill Livingstone, 1994)
Low Back Pain, Lumbar Spondylosis – BL23, BL25, BL52, XB02L2, XB02L3, XB02L4, XB02L5 (Zhu Bing, Wang Hongcai (eds). Case Studies from the Medical Records of Leading Chinese Acupuncture Experts. London: Singing Dragon, 2011)
Sciatica, Low Back Pain, Lumbar Disc Herniation – BL25, BL40, GB30, GB34, GB36, XB02L4, XB02L5, XB08 (Zhu Bing, Wang Hongcai (eds). Case Studies from the Medical Records of Leading Chinese Acupuncture Experts. London: Singing Dragon, 2011)
Low Back Pain – ST25, ST36, ST41, SP06, SP09, BL40, BL60, KD03, GB30, GB31, LV03, CV04, CV06, GV20, XB02L1, XB02L2, XB02L3, XB02L4, XB02L5, XB02T1, XB02T10, XB02T11, XB02T12, XB02T2, XB02T3, XB02T4, XB02T5, XB02T6, XB02T7, XB02T8, XB02T9 (Liu XH. Biomechanical changes of acupuncture treatment for lower back range of motion. MSc thesis, Memorial University of Newfoundland, 2014. https://hdl.handle.net/20.500.14783/11457)
Qi Stagnation, Stasis Blood, Paralysis (infant), Benefit Regulate Yin, Benefit Regulate Wei, Paralysis Lower Limb, Qi Stagnation, Stasis Blood, Paralysis (infant), Benefit Regulate Yin, Benefit Regulate Wei, Paralysis Lower Limb – ST31, ST36, ST41, SP06, BL60, GB30, GB34, GB39, XB02L1, XB02L2, XB02L3, XB02L4, XB02L5 (sacredlotus.com ↗)

Most often selected alongside XB02L4

How many sourced protocols in the index pair each point with XB02L4. Corpus frequency, not a combination to use.

XB02L3Hua Tuo's Para-Vertebral Point - L332 protocols
XB02L5Hua Tuo's Para-Vertebral Point - L532 protocols
XB02L2Hua Tuo's Para-Vertebral Point - L225 protocols
BL23Kidney Shu Point18 protocols
BL25Large Intestine Shu Point17 protocols
BL40Middle Of The Crease17 protocols
XB02L1Hua Tuo's Para-Vertebral Point - L117 protocols
GB30Jumping Circle14 protocols
GB34Yang Mound Spring12 protocols
SP06Three Yin Intersection11 protocols
ST36Leg Three Miles8 protocols
GV03Yang Lumbar Gate7 protocols

XB02L4 Huatuojiaji (Hua Tuo's Para-Vertebral Point - L4)