DU5 Suspended Pivot

Reviewed by · Licensed Acupuncturist & TCM Physician · Last reviewed June 2026

DU5 (Xuanshu, “Suspended Pivot”) is an acupuncture point on the Governing Vessel Meridian. It is located on the midline of the lower back, in the depression below the spinous process of the first lumbar vertebra (L1). It strengthens the lumbar spine, regulates the intestines, and resolves accumulation.

Location

On the midline of the lower back, in the depression below the spinous process of the first lumbar vertebra (L1).

Needling

Slight superior oblique insertion, 0.5 to 1.0 cun. Deep insertion toward the vertebral body is contraindicated to avoid the spinal canal.

TCM functions

Strengthens the lumbar spine, regulates the intestines, and resolves accumulation..

Indications

Abdominal accumulation that moves up and down, indigestion of grain and water, diarrhea, retained accumulation in the abdomen, abdominal pain, lumbar spine stiffness, inability to bend or extend..

Clinical notes

Xuanshu is a local point for lumbar pain and stiffness, particularly when there is difficulty with flexion and extension. Its classical indications also strongly emphasize its role in treating digestive disorders, such as abdominal masses, indigestion, and diarrhea. This reflects the close relationship between the Governing Vessel, the Kidneys, and the digestive functions of the Spleen and Stomach.

On the Governing Vessel channel

DU5 is one of 28 points on the Governing Vessel Meridian. Nearby points:

Frequently asked questions

Where is DU5 located?

DU5 (Xuanshu) is located on the midline of the lower back, in the depression below the spinous process of the first lumbar vertebra (L1).

What is DU5 used for?

DU5 strengthens the lumbar spine, regulates the intestines, and resolves accumulation. Common clinical indications include abdominal accumulation that moves up and down, indigestion of grain and water, diarrhea, retained accumulation in the abdomen, abdominal pain, lumbar spine stiffness, inability to bend or extend.

How is DU5 needled?

Slight superior oblique insertion, 0.5 to 1.0 cun. Deep insertion toward the vertebral body is contraindicated to avoid the spinal canal.

Which meridian is DU5 on?

DU5 is a point on the Governing Vessel Meridian (Dū Mài).

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⚠️ This page is for general education and is not medical advice. Acupuncture is a traditional practice; evidence varies by condition and study quality, and individual results differ. It does not replace diagnosis or treatment by a licensed professional. Always consult a qualified acupuncturist or physician.