# Acupoints for Spinal Stenosis Lumbar 4 sourced protocols for Spinal Stenosis Lumbar. Canonical page: https://acuiq.com/symptoms/spinal-stenosis-lumbar ## Protocols | # | Points | Dosage | Frequency | Source | Kind | Caveat | |---|---|---|---|---|---|---| | 1 | SP06 (Three Yin Intersection), SP09 (Yin Mound Spring), BL23 (Kidney Shu Point), BL25 (Large Intestine Shu Point), BL56 (Sinew Support), BL57 (Mountain Support), GB30 (Jumping Circle), GB34 (Yang Mound Spring), GB39 (Suspended Bell), GV03 (Yang Lumbar Gate), GV04 (Life Gate) | – | – | doi:10.1155/2015/263898 | trial | Point selection reported in a published study. | | 2 | SP09 (Yin Mound Spring), BL23 (Kidney Shu Point), BL25 (Large Intestine Shu Point), BL32 (Second Bone Hole), BL39 (Outside Of The Crease), BL40 (Middle Of The Crease), BL51 (Vitals Gate), BL52 (Willpower Room), BL54 (Lowermost In Order), BL57 (Mountain Support), BL60 (Kunlun (Mountains)), GB30 (Jumping Circle), GB34 (Yang Mound Spring), GB39 (Suspended Bell), GV03 (Yang Lumbar Gate) | – | – | doi:10.1016/j.imr.2025.101204 | trial | Point selection reported in a published study. | | 3 | ST36 (Leg Three Miles), ST40 (Abundant Bulge), BL22 (Sanjiao Shu Point), BL23 (Kidney Shu Point), BL24 (Sea Of Qi Shu Point), BL25 (Large Intestine Shu Point), BL26 (Original Qi Gate Shu Point), BL53 (Bladder Vitals), BL54 (Lowermost In Order), GB30 (Jumping Circle), GB31 (Wind Market), GB34 (Yang Mound Spring), LV03 (Great Surge), GV03 (Yang Lumbar Gate), GV04 (Life Gate), GV05 (Suspended Pivot) | – | – | doi:10.1016/j.imr.2025.101204 | trial | Point selection reported in a published study. | | 4 | SP09 (Yin Mound Spring), BL23 (Kidney Shu Point), BL25 (Large Intestine Shu Point), BL32 (Second Bone Hole), BL39 (Outside Of The Crease), BL40 (Middle Of The Crease), BL51 (Vitals Gate), BL52 (Willpower Room), BL54 (Lowermost In Order), BL57 (Mountain Support), BL60 (Kunlun (Mountains)), GB30 (Jumping Circle), GB34 (Yang Mound Spring), GB39 (Suspended Bell), GV03 (Yang Lumbar Gate) | – | – | doi:10.1016/j.imr.2025.101204 | trial | Point selection reported in a published study. | ## Point locations | Point | Name | Meridian | Location | |---|---|---|---| | SP06 | Three Yin Intersection | Spleen Meridian | 3 thumb widths directly above the tip of the medial malleolus posterior to the medial border of the tibia. | | SP09 | Yin Mound Spring | Spleen Meridian | On the lower border of the medial condyle of the tibia in the depression the posterior and inferior to the medial condyle of the tibia. | | BL23 | Kidney Shu Point | Bladder Meridian | 1.5 thumb widths lateral to the GV04 at the level of the lower border of the spinous process of the 2nd lumbar vertebra. | | BL25 | Large Intestine Shu Point | Bladder Meridian | 1.5 thumb widths lateral to the GV03 at the level of the lower border of the spinous process of the 4th lumbar vertebra. | | BL56 | Sinew Support | Bladder Meridian | On the line connecting BL40 and BL57 in the center of the belly of the gastrocnemius 5 thumb widths below BL40. | | BL57 | Mountain Support | Bladder Meridian | On the posterior midline of the leg between BL40 and BL60 in the pointed depression the formed below gastrocnemius belly when leg is stretched or heel is lifted. | | GB30 | Jumping Circle | Gallbladder Meridian | At the junction of the lateral ⅓ and medial ⅔ of the distance between prominence of the greater trochanter and hiatus of the sacrum, GV02; when locating point put patient in the lateral recumbent position the with thigh flexed. | | GB34 | Yang Mound Spring | Gallbladder Meridian | In the depression the anterior and inferior to the head of the fibula. | | GB39 | Suspended Bell | Gallbladder Meridian | 3 thumb widths above the tip of the external malleolus on the anterior border of the fibula. | | GV03 | Yang Lumbar Gate | Governing Vessel | Below spinous process of the 4th lumbar vertebra at the level with iliac crest. | | GV04 | Life Gate | Governing Vessel | Below spinous process of the 2nd lumbar vertebra. | | BL32 | Second Bone Hole | Bladder Meridian | On the sacrum medial and inferior to the posterior superior iliac spine just at the 2nd posterior sacral foramen. | | BL39 | Outside Of The Crease | Bladder Meridian | Lateral to the BL40 on the medial border of the tendon of the biceps femoris. | | BL40 | Middle Of The Crease | Bladder Meridian | Midpoint of the transverse crease of the popliteal fossa between tendons of the biceps femoris and semitendinosus. | | BL51 | Vitals Gate | Bladder Meridian | 3 thumb widths lateral to the GV05 at the level of the lower border of the spinous process of the 1st lumbar vertebra. | | BL52 | Willpower Room | Bladder Meridian | 3 thumb widths lateral to the GV04 at the level of the lower border of the spinous process of the 2nd lumbar vertebra. | | BL54 | Lowermost In Order | Bladder Meridian | On the level of the 4th posterior sacral foramen 3 thumb widths lateral to the median sacral crest. | | BL60 | Kunlun (Mountains) | Bladder Meridian | In the depression the between tip of the external malleolus and achilles tendon. | | ST36 | Leg Three Miles | Stomach Meridian | 3 thumb widths below ST35, 1 finger breadth (middle finger) from anterior border of the tibia. | | ST40 | Abundant Bulge | Stomach Meridian | 8 thumb widths superior to the tip of the external malleolus, lateral to the ST38 about 2 finger breadth (middle finger) lateral to the anterior border of the tibia. | | BL22 | Sanjiao Shu Point | Bladder Meridian | 1.5 thumb widths lateral to the GV05 at the level of the lower border of the spinous process of the 1st lumbar vertebra. | | BL24 | Sea Of Qi Shu Point | Bladder Meridian | 1.5 thumb widths lateral to the du mai at the level of the lower border of the spinous process of the 3rd lumbar vertebra. | | BL26 | Original Qi Gate Shu Point | Bladder Meridian | 1.5 thumb widths lateral to the du mai at the level of the lower border of the spinous process of the 5th lumbar vertebra. | | BL53 | Bladder Vitals | Bladder Meridian | 3 thumb widths lateral to the median sacral crest at the level of the 2nd posterior sacral foramen. | | GB31 | Wind Market | Gallbladder Meridian | On the midline of the lateral aspect of the thigh, 7 thumb widths above the transverse popliteal crease; when patient is standing erect with hands close to the sides, point is where tip of the middle finger touches. | | LV03 | Great Surge | Liver Meridian | On the dorsum of the foot in the depression the distal to the junction of the 1st and 2nd metatarsal bones. | | GV05 | Suspended Pivot | Governing Vessel | Below spinous process of the 1st lumbar vertebra. | --- AcuiQ-authored content (the protocol compilation, symptom and meridian prose, research essays) is licensed CC-BY-4.0: https://creativecommons.org/licenses/by/4.0/. 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