Points Database

: Huanmen : Gate of Suffering

Ex-BW-6 : Extra Back/Waist 6

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

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

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

Warning:
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.

    Neuroanatomy:
    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)