XB02T4 Huatuojiaji (Hua Tuo's Para-Vertebral Point - T4)

華佗夾脊huà tuó jiā jǐHuatuojiaji

Extra Points: Back

Location of acupuncture point XB02T4 Huatuojiaji (Hua Tuo's Para-Vertebral Point - T4)
5
Indications
14
Protocols
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Location

0.5 - 1 thumb width lateral to the depressions below the spinous processes of the twelve thoracic vertebrae & five lumbar vertebrae in the clinical practice the points located 0.5 - 1 thumb width lateral to the depressions below the spinous processes of the seven cervical vertebra are also used as additional huatuojiaji points.

Cautions

Avoid deep perpendicular needling; risk of pneumothorax.

Indications

Conditions for which XB02T4 is listed as indicated. An indication list is a reference index, not a prescription – see the protocols below for sourced treatments.

Circulation BloodArm DisorderHeart DisorderLung DisorderQi Stagnation

TCM actions

What classical sources say XB02T4 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 XB02T4

  • 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 ↗)
  • Spasticity Upper Limb, Paralysis Spastic Post-stroke – LI15, SI09, SI11, SI13, GV14, GV20, XB02T1, XB02T2, XB02T3, XB02T4, XB02T5, XB02T6, XB02T7, XB02T8 (doi:10.13703/j.0255-2930.20190505-0006 ↗)
  • Headache, Tinnitus Chronic, Neck Pain – SI11, SI12, SI13, BL54, BL60, TB17, TB18, TB19, TB20, GB30, GB34, LV04, XB02C3, XB02C4, XB02C5, XB02T3, XB02T4, XB02T5 (doi:10.12998/wjcc.v13.i21.103200 ↗)
  • Motor Dysfunction Upper Limb, Motor Dysfunction Post-stroke – LI10, LI11, LI15, ST36, GB30, GB34, XB02C4, XB02C5, XB02C6, XB02C7, XB02T1, XB02T2, XB02T3, XB02T4, XB02T5 (doi:10.13703/j.0255-2930.20240627-0001 ↗)
  • Stroke, Spasticity Post-stroke, Spasticity Upper Limb, Hemiplegia Post-stroke – LI11, LI15, GB30, GB34, XB02C4, XB02C5, XB02C6, XB02C7, XB02T1, XB02T2, XB02T3, XB02T4, XB02T5 (doi:10.13702/j.1000-0607.20250130 ↗)
  • 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 ↗)
  • Chest Pain, Chest Pain – LI04, BL13, BL14, BL15, BL16, BL17, PC04, PC06, CV17, XB02C3, XB02C4, XB02C5, XB02C6, XB02C7, XB02T1, XB02T2, XB02T3, XB02T4, XB02T5, XB02T6, XB02T7, XB02T8, XB02T9 (Deadman, Al-Khafaji & Baker, A Manual of Acupuncture – point group actions)
  • Palpitations – HT07, BL14, BL15, PC04, PC06, CV17, XB02T2, XB02T3, XB02T4, XB02T5, XB02T6 (Deadman, Al-Khafaji & Baker, A Manual of Acupuncture – point group actions)
  • Kidney Yin Deficiency, Kidney Yin Deficiency – LU07, LU08, SP06, BL23, KD01, KD02, KD03, KD05, KD06, XB02T4 (Yang Yong-Xuan, clinical point-selection notes)
  • Heart Yin Deficiency, Heart Yin Deficiency – ST27, ST45, HT06, HT07, BL14, BL15, KD04, XB02T4, XB02T5 (Yang Yong-Xuan, clinical point-selection notes)
  • Palpitations, Mitral Regurgitation – LU04, BL15, PC06, XB02T4 (Henry C. Lu. Clinical Cases of Acupuncture)
  • Syringomyelia – LI04, LI11, LI15, XB02T1, XB02T2, XB02T3, XB02T4, XB02T5 (Henry C. Lu. Clinical Cases of Acupuncture)
  • Paralysis Paraplegia, Tuberculosis Spine – ST25, ST31, ST36, ST41, BL23, BL31, BL32, BL33, BL34, BL37, BL40, BL60, GB31, GB34, GB39, GB40, CV06, XB02T4, XB02T5, XB02T6 (Zhang Dengbu. Acupuncture Cases from China: A Digest of Difficult and Complicated Case Histories. Edinburgh: Churchill Livingstone, 1994)
  • 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)

Most often selected alongside XB02T4

How many sourced protocols in the index pair each point with XB02T4. Corpus frequency, not a combination to use.

  • XB02T5Hua Tuo's Para-Vertebral Point - T512 protocols
  • XB02T3Hua Tuo's Para-Vertebral Point - T310 protocols
  • XB02T2Hua Tuo's Para-Vertebral Point - T29 protocols
  • XB02T1Hua Tuo's Para-Vertebral Point - T17 protocols
  • XB02T6Hua Tuo's Para-Vertebral Point - T67 protocols
  • GB30Jumping Circle5 protocols
  • LI15Shoulder And Clavicle5 protocols
  • XB02C4Hua Tuo's Para-Vertebral Point - C45 protocols
  • XB02C5Hua Tuo's Para-Vertebral Point - C55 protocols
  • XB02T7Hua Tuo's Para-Vertebral Point - T75 protocols
  • XB02T8Hua Tuo's Para-Vertebral Point - T85 protocols
  • BL15Heart Shu Point4 protocols