# XB02T4 Huatuojiaji (Hua Tuo's Para-Vertebral Point - T4) – Extra Points: Back

華佗夾脊 · huá tuó jiā jǐ

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.

Canonical page: https://acuiq.com/points/xb02t4

## Indications

An indication list is a reference index, not a prescription – see the protocols below for sourced treatments.

Benefit Regulate Five Zang, Benefit Regulate Six Fu, Benefit Regulate Yang, Benefit Regulate Yin, Circulation Blood, Circulation Blood, Arm Disorder, Arm Disorder, Heart Disorder, Heart Disorder, Lung Disorder, Lung Disorder, Regulate Five Zang, Regulate Six Fu, Regulate Yang, Regulate Yin, Qi Stagnation, Qi Stagnation

## Most often selected alongside XB02T4

Sourced protocols in the index pairing each point with this one. Corpus frequency, not a combination to use.

- XB02T5 (Hua Tuo's Para-Vertebral Point - T5) – 8 protocols
- XB02T3 (Hua Tuo's Para-Vertebral Point - T3) – 7 protocols
- XB02T2 (Hua Tuo's Para-Vertebral Point - T2) – 6 protocols
- XB02T1 (Hua Tuo's Para-Vertebral Point - T1) – 5 protocols
- XB02C4 (Hua Tuo's Para-Vertebral Point - C4) – 4 protocols
- XB02C5 (Hua Tuo's Para-Vertebral Point - C5) – 4 protocols
- XB02T6 (Hua Tuo's Para-Vertebral Point - T6) – 4 protocols
- BL14 (Absolute Yin Shu Point) – 3 protocols

## Protocols using XB02T4

| Symptoms | Points | Course | Source | Kind | Caveat |
|---|---|---|---|---|---|
| Fatigue, Fatigue Post-stroke | PC06, GV26, XB02L1, XB02L2, XB02L3, XB02L4, XB02L5, XB02T1, XB02T10, XB02T11, XB02T12, XB02T2, XB02T3, XB02T4, XB02T5, XB02T6, XB02T7, XB02T8, XB02T9 | 28 days | doi:10.13703/j.0255-2930.20211104-0002 | trial | Point selection reported in a published study. |
| Spasticity Upper Limb, Paralysis Spastic Post-stroke | LI15, SI09, SI11, SI13, GV14, GV20, XB02T1, XB02T2, XB02T3, XB02T4, XB02T5, XB02T6, XB02T7, XB02T8 | 14 days | doi:10.13703/j.0255-2930.20190505-0006 | trial | Point selection reported in a published study. |
| Headache, Tinnitus Chronic, Neck Pain | SI11, SI12, SI13, BL54, BL60, TB17, TB18, TB19, TB20, GB30, GB34, LV04, XB02C3, XB02C4, XB02C5, XB02T3, XB02T4, XB02T5 | 11 days | doi:10.12998/wjcc.v13.i21.103200 | trial | Point selection reported in a published study. |
| Motor Dysfunction Upper Limb, Motor Dysfunction Post-stroke | LI10, LI11, LI15, ST36, GB30, GB34, XB02C4, XB02C5, XB02C6, XB02C7, XB02T1, XB02T2, XB02T3, XB02T4, XB02T5 | 28 days | doi:10.13703/j.0255-2930.20240627-0001 | trial | Point selection reported in a published study. |
| Stroke, Spasticity Post-stroke, Spasticity Upper Limb, Hemiplegia Post-stroke | LI11, LI15, GB30, GB34, XB02C4, XB02C5, XB02C6, XB02C7, XB02T1, XB02T2, XB02T3, XB02T4, XB02T5 | 28 days | doi:10.13702/j.1000-0607.20250130 | trial | Point selection reported in a published study. |
| 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 | 7 days | Deadman, Al-Khafaji & Baker, A Manual of Acupuncture – point group actions | text | Point selection recorded in a clinical text or case report. |
| Palpitations | HT07, BL14, BL15, PC04, PC06, CV17, XB02T2, XB02T3, XB02T4, XB02T5, XB02T6 | 7 days | Deadman, Al-Khafaji & Baker, A Manual of Acupuncture – point group actions | text | Point selection recorded in a clinical text or case report. |
| Kidney Yin Deficiency, Kidney Yin Deficiency | LU07, LU08, SP06, BL23, KD01, KD02, KD03, KD05, KD06, XB02T4 | 7 days | Yang Yong-Xuan, clinical point-selection notes | text | Point selection recorded in a clinical text or case report. |
| Heart Yin Deficiency, Heart Yin Deficiency | ST27, ST45, HT06, HT07, BL14, BL15, KD04, XB02T4, XB02T5 | 7 days | Yang Yong-Xuan, clinical point-selection notes | text | Point selection recorded in a clinical text or case report. |

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AcuiQ-authored prose (symptom and meridian descriptions, the wiki, the auricular crosswalk) is licensed CC-BY-4.0: https://creativecommons.org/licenses/by/4.0/. The assembled protocol compilation is not: build on it with attribution, but do not redistribute it whole as a dataset – https://acuiq.com/terms. The underlying findings are the cited sources' claims – each entry carries its citation; verify against the source before relying on it. Not medical advice: https://acuiq.com/terms