Shiqizhui Shíqīzhuī

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

Shiqizhui (Shíqīzhuī, “Shíqīzhuī”) is an extra (non-channel) acupuncture point. It is located on the midline of the lower back, in the depression directly below the spinous process of the fifth lumbar vertebra (L5). It tonifies the Kidneys, strengthens the lower back, regulates menstruation, and alleviates pain.

Location

On the midline of the lower back, in the depression directly below the spinous process of the fifth lumbar vertebra (L5).

Needling

Perpendicular or slightly superior oblique insertion, 0.5 to 1.5 cun.

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TCM functions

Tonifies the Kidneys, strengthens the lower back, regulates menstruation, and alleviates pain..

Indications

Lower back pain, leg pain, difficult urination, irregular menstruation, dysmenorrhea, prolapse of the uterus, paralysis of the lower limbs, painful obstruction of the legs and knees, seminal emission, nocturnal emission, turbid urine, abdominal distention, diarrhea..

Clinical notes

Shiqizhui is a primary empirical point for acute and chronic lower back pain, particularly when centered in the lumbosacral region. Its location directly influences the local spinal nerves and muscles, making it effective for sciatica and pain radiating down the leg. It is also a key point for gynecological issues like dysmenorrhea and irregular cycles, as well as urogenital disorders, reflecting its ability to regulate the Lower Jiao.

Frequently asked questions

Where is Shiqizhui located?

Shiqizhui (Shíqīzhuī) is located on the midline of the lower back, in the depression directly below the spinous process of the fifth lumbar vertebra (L5).

What is Shiqizhui used for?

Shiqizhui tonifies the Kidneys, strengthens the lower back, regulates menstruation, and alleviates pain. Common clinical indications include lower back pain, leg pain, difficult urination, irregular menstruation, dysmenorrhea, prolapse of the uterus, paralysis of the lower limbs, painful obstruction of the legs and knees, seminal emission, nocturnal emission, turbid urine, abdominal distention, diarrhea.

How is Shiqizhui needled?

Perpendicular or slightly superior oblique insertion, 0.5 to 1.5 cun. Caution: Needling should be performed with care to avoid piercing the spinal canal. Deep perpendicular insertion is contraindicated, especially in thin patients.

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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.