Acupuncture Points for Vertebrobasilar Insufficiency

6 sourced protocols, each with its citation.

AcuiQ posts on X about the papers it indexes. Follow @acu_iq

Each card names its evidence kind. What these labels mean

Protocol (2 points)

100%

ST09 · GV20

Point 1 of 2

ST09Man's Prognosis

ST09 acupoint
Click to enlarge

Click to view all layers

🗺️ Meridian: Stomach Meridian

🇨🇳 Chinese: 人迎 (rén yíng)

🎯 Location: Level with tip of the adam's apple where pulsation of the common the carotid artery is palpable on the anterior border of the scm muscle.

⚠️ Cautions: Caution near carotid artery; avoid deep needling.

🛡️ Treats: Asthma, Dizziness, Chest Fullness, Vomiting, Swelling

GV20100 Convergences

GV20 acupoint
Click to enlarge

Click to view all layers

🗺️ Meridian: Governing Vessel

🇨🇳 Chinese: 百會 (bǎi huì)

🎯 Location: On the midline of the head 5 thumb widths directly above the midpoint of the anterior hairline approximately on the midpoint of the line connecting apex of the ears.

⚠️ Cautions: No specific contraindications.

🛡️ Treats: Cough, Chest Pain, Palpitations, Jaundice, Qi Deficiency

Study-reported

Needling + Moxibustion

Point selection reported in a published study.

doi:10.12998/wjcc.v12.i19.3676 ↗
Corroborated by a second study. GV20 also appears in another study-reported protocol for the same search. A second publication is not necessarily a second research group. doi:10.16367/j.issn.1003-5028.2014.10.087 ↗
Press Needles
1 box, $19.99

Protocol (8 points)

100%

ST36 · BL10 · PC06 · GB20 · GB21 · GV14 · GV16 · GV20

Point 1 of 8

ST36Leg Three Miles

ST36 acupoint
Click to enlarge

Click to view all layers

🗺️ Meridian: Stomach Meridian

🇨🇳 Chinese: 足三里 (zú sān lǐ)

🎯 Location: 3 thumb widths below ST35, 1 finger breadth (middle finger) from anterior border of the tibia.

⚠️ Cautions: Caution in cases of severe varicose veins.

🛡️ Treats: Cough, Fever, Poor Appetite, Diarrhea, Shortness of Breath

BL10Celestial Pillar

BL10 acupoint
Click to enlarge

Click to view all layers

🗺️ Meridian: Bladder Meridian

🇨🇳 Chinese: 天柱 (tiān zhù)

🎯 Location: 1.3 thumb widths lateral to the midpoint of the posterior hairline and in the depression on the lateral aspect of the trapezius.

⚠️ Cautions: Caution with vertebral artery.

🛡️ Treats: Dizziness, Wind, Pain, Epilepsy, Nasal Congestion

PC06Inner Gate

PC06 acupoint
Click to enlarge

Click to view all layers

🗺️ Meridian: Pericardium Meridian

🇨🇳 Chinese: 內關 (nèi guān)

🎯 Location: 2 thumb widths above the transverse crease of the wrist between tendons of the palmaris longus and flexor carpi radialis.

⚠️ Cautions: Caution in severe deficiency conditions.

🛡️ Treats: Fever, Diarrhea, Anxiety, Dizziness, Spleen Qi Deficiency

GB20Wind Pool

GB20 acupoint
Click to enlarge

Click to view all layers

🗺️ Meridian: Gallbladder Meridian

🇨🇳 Chinese: 風池 (fēng chí)

🎯 Location: In the depression the between upper portion of the scm and trapezius on the same level with GV16.

⚠️ Cautions: Caution with vertebral artery; avoid deep perpendicular needling.

🛡️ Treats: Stress, Fever, Dizziness, Tinnitus, Wind

GB21Shoulder Well

GB21 acupoint
Click to enlarge

Click to view all layers

🗺️ Meridian: Gallbladder Meridian

🇨🇳 Chinese: 肩井 (jiān jǐng)

🎯 Location: On the shoulder directly above the nipple at the midpoint of the line connecting GV14 and acromion the at the highest point of the shoulder.

⚠️ Cautions: Avoid deep needling – risk of pneumothorax. Traditionally forbidden in pregnancy – these are the points used to bring on labour at term. Controlled data show no excess of preterm birth or stillbirth (Carr 2015), but in pregnancy needle only on a clear obstetric indication.

🛡️ Treats: Cough, Shortness of Breath, Phlegm, Kidney Deficiency, Depression

GV14Great Vertebra

GV14 acupoint
Click to enlarge

Click to view all layers

🗺️ Meridian: Governing Vessel

🇨🇳 Chinese: 大椎 (dà zhuī)

🎯 Location: Below spinous process of the 7th cervical vertebra approximately at the level of the shoulders.

⚠️ Cautions: Caution with C7 vertebra.

🛡️ Treats: Fever, Shortness of Breath, Weakness, Heat, Chest Fullness

GV16Wind Mansion

GV16 acupoint
Click to enlarge

Click to view all layers

🗺️ Meridian: Governing Vessel

🇨🇳 Chinese: 風府 (fēng fǔ)

🎯 Location: 1 thumb width directly above the midpoint of the posterior hairline directly below external occipital protuberance in the depression the between trapezius of the both sides.

⚠️ Cautions: Caution; proximity to foramen magnum.

🛡️ Treats: Stress, Heat Chest, Anxiety, Sweating, Dizziness

GV20100 Convergences

GV20 acupoint
Click to enlarge

Click to view all layers

🗺️ Meridian: Governing Vessel

🇨🇳 Chinese: 百會 (bǎi huì)

🎯 Location: On the midline of the head 5 thumb widths directly above the midpoint of the anterior hairline approximately on the midpoint of the line connecting apex of the ears.

⚠️ Cautions: No specific contraindications.

🛡️ Treats: Cough, Chest Pain, Palpitations, Jaundice, Qi Deficiency

Study-reported

Point selection reported in a published study.

doi:10.16367/j.issn.1003-5028.2014.10.087 ↗
Corroborated by a second study. GV20 also appears in another study-reported protocol for the same search. A second publication is not necessarily a second research group. doi:10.12998/wjcc.v12.i19.3676 ↗

Protocol (2 points)

90%

BL10 · GB20

Point 1 of 2

BL10Celestial Pillar

BL10 acupoint
Click to enlarge

Click to view all layers

🗺️ Meridian: Bladder Meridian

🇨🇳 Chinese: 天柱 (tiān zhù)

🎯 Location: 1.3 thumb widths lateral to the midpoint of the posterior hairline and in the depression on the lateral aspect of the trapezius.

⚠️ Cautions: Caution with vertebral artery.

🛡️ Treats: Dizziness, Wind, Pain, Epilepsy, Nasal Congestion

GB20Wind Pool

GB20 acupoint
Click to enlarge

Click to view all layers

🗺️ Meridian: Gallbladder Meridian

🇨🇳 Chinese: 風池 (fēng chí)

🎯 Location: In the depression the between upper portion of the scm and trapezius on the same level with GV16.

⚠️ Cautions: Caution with vertebral artery; avoid deep perpendicular needling.

🛡️ Treats: Stress, Fever, Dizziness, Tinnitus, Wind

Text or case report

Point selection recorded in a clinical text or case report.

Dong Yu-xiang et al.. [Controlled observation on acupuncture at Fengchi (GB 20) and Tianzhu (BL 10) for treatment of vertebrobasilar insufficiency].. Zhongguo zhen jiu = Chinese acupuncture & moxibustion, 2016
Substantiated by a study. BL10, GB20 also appear in a study-reported protocol for the same search. That study did not test this prescription. doi:10.16367/j.issn.1003-5028.2014.10.087 ↗

Protocol (10 points)

90%

LI11 · ST36 · ST40 · ST44 · SP04 · SP09 · PC06 · GB20 · GV20 · XH05

Point 1 of 10

LI11Pond At The Bend

LI11 acupoint
Click to enlarge

Click to view all layers

🗺️ Meridian: Large Intestine Meridian

🇨🇳 Chinese: 曲池 (qū chí)

🎯 Location: When elbow is flexed point is in the depression the at the lateral end of the transverse cubital crease midway between LU05 and lateral epicondyle of the humerus.

⚠️ Cautions: Monitor blood pressure and avoid strong stimulation where hypertension is uncontrolled or unstable; hypertensive crisis is a medical emergency. Avoid excessive stimulation in weak patients.

🛡️ Treats: Diarrhea, Dizziness, Heat, Vomiting, Abdominal Bloating

ST36Leg Three Miles

ST36 acupoint
Click to enlarge

Click to view all layers

🗺️ Meridian: Stomach Meridian

🇨🇳 Chinese: 足三里 (zú sān lǐ)

🎯 Location: 3 thumb widths below ST35, 1 finger breadth (middle finger) from anterior border of the tibia.

⚠️ Cautions: Caution in cases of severe varicose veins.

🛡️ Treats: Cough, Fever, Poor Appetite, Diarrhea, Shortness of Breath

ST40Abundant Bulge

ST40 acupoint
Click to enlarge

Click to view all layers

🗺️ Meridian: Stomach Meridian

🇨🇳 Chinese: 豐隆 (fēng lóng)

🎯 Location: 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.

⚠️ Cautions: No specific contraindications.

🛡️ Treats: Cough, Chest Pain, Shortness of Breath, Phlegm, Asthma

ST44Inner Court

ST44 acupoint
Click to enlarge

Click to view all layers

🗺️ Meridian: Stomach Meridian

🇨🇳 Chinese: 內庭 (nèi tíng)

🎯 Location: Proximal to the web margin the between 2nd and 3rd toes in the depression the distal and lateral to the 2nd metatarsodigital joint.

⚠️ Cautions: Anticoagulant therapy or a coagulopathy raises the risk of haematoma at the needling site – apply prolonged pressure on withdrawal. The precaution governs technique; bleeding disorders remain a treatable indication.

🛡️ Treats: Diarrhea, Tinnitus, Common Cold, Constipation, Abdominal Pain

SP04Grandfather Grandson

SP04 acupoint
Click to enlarge

Click to view all layers

🗺️ Meridian: Spleen Meridian

🇨🇳 Chinese: 公孫 (gōng sūn)

🎯 Location: In the depression the distal and inferior to the base of the 1st metatarsal bone at the junction of the red and white skin.

⚠️ Cautions: Contraindicated during pregnancy.

🛡️ Treats: Diarrhea, Jaundice, Depression, Vomiting, Abdominal Bloating

SP09Yin Mound Spring

SP09 acupoint
Click to enlarge

Click to view all layers

🗺️ Meridian: Spleen Meridian

🇨🇳 Chinese: 陰陵泉 (yīn líng quán)

🎯 Location: 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.

⚠️ Cautions: Avoid in cases of knee inflammation.

🛡️ Treats: Heat Chest, Fever, Diarrhea, Shortness of Breath, Jaundice

PC06Inner Gate

PC06 acupoint
Click to enlarge

Click to view all layers

🗺️ Meridian: Pericardium Meridian

🇨🇳 Chinese: 內關 (nèi guān)

🎯 Location: 2 thumb widths above the transverse crease of the wrist between tendons of the palmaris longus and flexor carpi radialis.

⚠️ Cautions: Caution in severe deficiency conditions.

🛡️ Treats: Fever, Diarrhea, Anxiety, Dizziness, Spleen Qi Deficiency

GB20Wind Pool

GB20 acupoint
Click to enlarge

Click to view all layers

🗺️ Meridian: Gallbladder Meridian

🇨🇳 Chinese: 風池 (fēng chí)

🎯 Location: In the depression the between upper portion of the scm and trapezius on the same level with GV16.

⚠️ Cautions: Caution with vertebral artery; avoid deep perpendicular needling.

🛡️ Treats: Stress, Fever, Dizziness, Tinnitus, Wind

GV20100 Convergences

GV20 acupoint
Click to enlarge

Click to view all layers

🗺️ Meridian: Governing Vessel

🇨🇳 Chinese: 百會 (bǎi huì)

🎯 Location: On the midline of the head 5 thumb widths directly above the midpoint of the anterior hairline approximately on the midpoint of the line connecting apex of the ears.

⚠️ Cautions: No specific contraindications.

🛡️ Treats: Cough, Chest Pain, Palpitations, Jaundice, Qi Deficiency

XH05Supreme Yang (Sun)

XH05 acupoint
Click to enlarge

Click to view all layers

🗺️ Meridian: Extra Points: Head

🇨🇳 Chinese: 太陽 (tài yáng)

🎯 Location: At the temple, in the tender depression the approximately 1 thumb width posterior to the midpoint between the lateral extremity of the eyebrow & the outer canthus of the eye.

⚠️ Cautions: Caution with temporal artery.

🛡️ Treats: Dizziness, Heat, Wind, Swelling, Pain

Text or case report

Needling · 13 sessions over 13 days

Same patient; prescription changed for a later course

Point selection recorded in a clinical text or case report.

Chen Jirui, Nissi Wang (eds). Acupuncture Case Histories from China. Seattle: Eastland Press, 1988
Substantiated by a study. ST36, PC06, GB20, GV20 also appear in a study-reported protocol for the same search. That study did not test this prescription. doi:10.16367/j.issn.1003-5028.2014.10.087 ↗
Press Needles
130 needles for this course · 2 boxes, $39.98

Protocol (15 points)

90%

LI11 · ST36 · ST40 · ST44 · SP04 · SP09 · SI19 · PC06 · CV22 · GV20 · XH01A · XH01B · XH01C · XH01D · XH05

Point 1 of 15

LI11Pond At The Bend

LI11 acupoint
Click to enlarge

Click to view all layers

🗺️ Meridian: Large Intestine Meridian

🇨🇳 Chinese: 曲池 (qū chí)

🎯 Location: When elbow is flexed point is in the depression the at the lateral end of the transverse cubital crease midway between LU05 and lateral epicondyle of the humerus.

⚠️ Cautions: Monitor blood pressure and avoid strong stimulation where hypertension is uncontrolled or unstable; hypertensive crisis is a medical emergency. Avoid excessive stimulation in weak patients.

🛡️ Treats: Diarrhea, Dizziness, Heat, Vomiting, Abdominal Bloating

ST36Leg Three Miles

ST36 acupoint
Click to enlarge

Click to view all layers

🗺️ Meridian: Stomach Meridian

🇨🇳 Chinese: 足三里 (zú sān lǐ)

🎯 Location: 3 thumb widths below ST35, 1 finger breadth (middle finger) from anterior border of the tibia.

⚠️ Cautions: Caution in cases of severe varicose veins.

🛡️ Treats: Cough, Fever, Poor Appetite, Diarrhea, Shortness of Breath

ST40Abundant Bulge

ST40 acupoint
Click to enlarge

Click to view all layers

🗺️ Meridian: Stomach Meridian

🇨🇳 Chinese: 豐隆 (fēng lóng)

🎯 Location: 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.

⚠️ Cautions: No specific contraindications.

🛡️ Treats: Cough, Chest Pain, Shortness of Breath, Phlegm, Asthma

ST44Inner Court

ST44 acupoint
Click to enlarge

Click to view all layers

🗺️ Meridian: Stomach Meridian

🇨🇳 Chinese: 內庭 (nèi tíng)

🎯 Location: Proximal to the web margin the between 2nd and 3rd toes in the depression the distal and lateral to the 2nd metatarsodigital joint.

⚠️ Cautions: Anticoagulant therapy or a coagulopathy raises the risk of haematoma at the needling site – apply prolonged pressure on withdrawal. The precaution governs technique; bleeding disorders remain a treatable indication.

🛡️ Treats: Diarrhea, Tinnitus, Common Cold, Constipation, Abdominal Pain

SP04Grandfather Grandson

SP04 acupoint
Click to enlarge

Click to view all layers

🗺️ Meridian: Spleen Meridian

🇨🇳 Chinese: 公孫 (gōng sūn)

🎯 Location: In the depression the distal and inferior to the base of the 1st metatarsal bone at the junction of the red and white skin.

⚠️ Cautions: Contraindicated during pregnancy.

🛡️ Treats: Diarrhea, Jaundice, Depression, Vomiting, Abdominal Bloating

SP09Yin Mound Spring

SP09 acupoint
Click to enlarge

Click to view all layers

🗺️ Meridian: Spleen Meridian

🇨🇳 Chinese: 陰陵泉 (yīn líng quán)

🎯 Location: 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.

⚠️ Cautions: Avoid in cases of knee inflammation.

🛡️ Treats: Heat Chest, Fever, Diarrhea, Shortness of Breath, Jaundice

SI19Palace Of Hearing

SI19 acupoint
Click to enlarge

Click to view all layers

🗺️ Meridian: Small Intestine Meridian

🇨🇳 Chinese: 聽宮 (tīng gōng)

🎯 Location: Anterior to the tragus and posterior to the condyloid process of the mandible in the depression the formed when mouth is open.

⚠️ Cautions: Needle with the mouth open, and avoid deep needling towards the tympanic membrane.

🛡️ Treats: Tinnitus, Deafness, Epilepsy, Voice Loss, Toothache

PC06Inner Gate

PC06 acupoint
Click to enlarge

Click to view all layers

🗺️ Meridian: Pericardium Meridian

🇨🇳 Chinese: 內關 (nèi guān)

🎯 Location: 2 thumb widths above the transverse crease of the wrist between tendons of the palmaris longus and flexor carpi radialis.

⚠️ Cautions: Caution in severe deficiency conditions.

🛡️ Treats: Fever, Diarrhea, Anxiety, Dizziness, Spleen Qi Deficiency

CV22Celestial Prominence

CV22 acupoint
Click to enlarge

Click to view all layers

🗺️ Meridian: Conception Vessel

🇨🇳 Chinese: 天突 (tiān tū)

🎯 Location: In the center of the suprasternal fossa.

⚠️ Cautions: Avoid deep needling; caution with trachea.

🛡️ Treats: Cough, Fever, Shortness of Breath, Asthma, Coughing Blood

GV20100 Convergences

GV20 acupoint
Click to enlarge

Click to view all layers

🗺️ Meridian: Governing Vessel

🇨🇳 Chinese: 百會 (bǎi huì)

🎯 Location: On the midline of the head 5 thumb widths directly above the midpoint of the anterior hairline approximately on the midpoint of the line connecting apex of the ears.

⚠️ Cautions: No specific contraindications.

🛡️ Treats: Cough, Chest Pain, Palpitations, Jaundice, Qi Deficiency

XH01AFour Spirit Brightness

XH01A acupoint
Click to enlarge

Click to view all layers

🗺️ Meridian: Extra Points: Head

🇨🇳 Chinese: 四神聰 (sì shén cōng)

🎯 Location: Four points at the vertex of the scalp, grouped around baihui du-20 & located 1 thumb width anterior, posterior & lateral to the it.

⚠️ Cautions: No specific contraindications.

🛡️ Treats: Dizziness, Depression, Wind, Deafness, Epilepsy

XH01BFour Spirit Brightness

XH01B acupoint
Click to enlarge

Click to view all layers

🗺️ Meridian: Extra Points: Head

🇨🇳 Chinese: 四神聰 (sì shén cōng)

🎯 Location: Four points at the vertex of the scalp, grouped around baihui du-20 & located 1 thumb width anterior, posterior & lateral to the it.

⚠️ Cautions: No specific contraindications.

🛡️ Treats: Dizziness, Depression, Wind, Deafness, Epilepsy

XH01CFour Spirit Brightness

XH01C acupoint
Click to enlarge

Click to view all layers

🗺️ Meridian: Extra Points: Head

🇨🇳 Chinese: 四神聰 (sì shén cōng)

🎯 Location: Four points at the vertex of the scalp, grouped around baihui du-20 & located 1 thumb width anterior, posterior & lateral to the it.

⚠️ Cautions: No specific contraindications.

🛡️ Treats: Dizziness, Depression, Wind, Deafness, Epilepsy

XH01DFour Spirit Brightness

XH01D acupoint
Click to enlarge

Click to view all layers

🗺️ Meridian: Extra Points: Head

🇨🇳 Chinese: 四神聰 (sì shén cōng)

🎯 Location: Four points at the vertex of the scalp, grouped around baihui du-20 & located 1 thumb width anterior, posterior & lateral to the it.

⚠️ Cautions: No specific contraindications.

🛡️ Treats: Dizziness, Depression, Wind, Deafness, Epilepsy

XH05Supreme Yang (Sun)

XH05 acupoint
Click to enlarge

Click to view all layers

🗺️ Meridian: Extra Points: Head

🇨🇳 Chinese: 太陽 (tài yáng)

🎯 Location: At the temple, in the tender depression the approximately 1 thumb width posterior to the midpoint between the lateral extremity of the eyebrow & the outer canthus of the eye.

⚠️ Cautions: Caution with temporal artery.

🛡️ Treats: Dizziness, Heat, Wind, Swelling, Pain

Text or case report

Needling · 24 sessions

Same patient; prescription changed for a later course

Point selection recorded in a clinical text or case report.

Chen Jirui, Nissi Wang (eds). Acupuncture Case Histories from China. Seattle: Eastland Press, 1988
Substantiated by a study. ST36, PC06, GV20 also appear in a study-reported protocol for the same search. That study did not test this prescription. doi:10.16367/j.issn.1003-5028.2014.10.087 ↗
Press Needles
360 needles for this course · 4 boxes, $79.96

Single-point entry

90%

LV03Great Surge

LV03 acupoint
Click to enlarge

Click to view all layers

🗺️ Meridian: Liver Meridian

🇨🇳 Chinese: 太衝 (tài chōng)

🎯 Location: On the dorsum of the foot in the depression the distal to the junction of the 1st and 2nd metatarsal bones.

⚠️ Cautions: Monitor blood pressure and avoid strong stimulation where hypertension is uncontrolled or unstable; hypertensive crisis is a medical emergency.

🛡️ Treats: Cough, Diarrhea, Anxiety, Shortness of Breath, Sweating

Text or case report

Point selection recorded in a clinical text or case report.

Wang Guo-Ming et al.. [Impacts of Taichong (LR 3) on blood flow velocity in patients with vertebrobasilar insufficiency].. Zhongguo zhen jiu = Chinese acupuncture & moxibustion, 2011
Not substantiated. Studies in the index cover this search, and none of their protocols use any of these points.
Hot Spots™ Press Needles
Sterile 1.5mm press needles on 3M backing tape · 100 per box
$19.99
per box · choose the quantity at checkout
AcuiQ Self-Treatment Guide
Acupressure you can do at home, every protocol traced to a trial. – $12.99, free updates for life

Related symptoms

Often treated alongside Vertebrobasilar Insufficiency:

Points cited for Vertebrobasilar Insufficiency

How often each point appears across the 6 entries ranked highest for Vertebrobasilar Insufficiency. Citation frequency, not a recommendation.

  • GV20100 ConvergencesGoverning Vessel4 of 6
  • GB20Wind PoolGallbladder Meridian3 of 6
  • PC06Inner GatePericardium Meridian3 of 6
  • ST36Leg Three MilesStomach Meridian3 of 6
  • BL10Celestial PillarBladder Meridian2 of 6
  • LI11Pond At The BendLarge Intestine Meridian2 of 6
  • SP04Grandfather GrandsonSpleen Meridian2 of 6
  • SP09Yin Mound SpringSpleen Meridian2 of 6
  • ST40Abundant BulgeStomach Meridian2 of 6
  • ST44Inner CourtStomach Meridian2 of 6
  • XH05Supreme Yang (Sun)Extra Points: Head2 of 6
  • CV22Celestial ProminenceConception Vessel1 of 6

How the studies delivered it

What the 2 studies behind the entries above ran, counted once per study. A record of the trials, not a recommendation.

  • Needling1 of 2
  • Moxibustion1 of 2

After a treatment: what large safety surveys recorded, and which reactions need a doctor.

Disclaimer: The acupoint information provided is for educational purposes only.