Acupuncture Points Notebook

: Huanmen : Gate of Suffering

Ex-BW-6 : Extra Back/Waist 6

Trigger point (Travell & Simons, 1998, Trigger Point Manual)

1.5 cun lateral to the prominence of the spinous process of the fifth thoracic vertebra (T5).

Oblique insertion towards the spine, 0.5 - 1 cun, or transverse-oblique insertion 1 - 1.5 cun

Perpendicular needling or oblique needling away from the spine carries a substantial risk of causing a pneumothorax.

TCM Actions:
Nourishes yin and clears heat
Tonifies qi

TCM Indications:
  • The five taxations and the seven injuries, steaming bone disorder, tidal fever, night sweating, agitation and heat, poor appetite, heaviness of the limbs, fatigue, lack of strength, cough, dyspnoea.

    Superficial Innervation: Posterior cutaneous thoracic nerves from T5
    Dermatome Segment: T5

    Trigger Point Associations:
    Muscle: Multifidus
    Myotome Innervation: Dorsal rami of spinal nerves from T5
    Pain Referral Pattern: Local to point and to midline
    Indications: Back pain

    Reference Notes: (click to display)