XB02L4 Huatuojiaji (Hua Tuo's Para-Vertebral Point - L4)
華佗夾脊huá tuó jiā jǐHuatuojiaji
15
Indications
21
Protocols
AcuiQ Self-Treatment Guide
Acupressure you can do at home, every protocol traced to a trial. – $12.99, free updates for life
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.
Benefit Regulate Five ZangBenefit Regulate Six FuBenefit Regulate YangBenefit Regulate YinCirculation BloodBladder DisorderLarge Intestine DisorderLeg DisorderSmall Intestine DisorderUterus DisorderRegulate Five ZangRegulate Six FuRegulate YangRegulate YinQi Stagnation
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 ↗)
- 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)
- 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 - L320 protocols
- XB02L5Hua Tuo's Para-Vertebral Point - L519 protocols
- XB02L2Hua Tuo's Para-Vertebral Point - L216 protocols
- BL25Large Intestine Shu Point14 protocols
- BL23Kidney Shu Point13 protocols
- XB02L1Hua Tuo's Para-Vertebral Point - L112 protocols
- BL40Middle Of The Crease11 protocols
- GB30Jumping Circle9 protocols
- GB34Yang Mound Spring8 protocols
- SP06Three Yin Intersection6 protocols
- BL54Lowermost In Order5 protocols
- BL60Kunlun (Mountains)5 protocols