TB4 Yang Pool

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

TB4 (Yángchí, “Yang Pool”) is the Yuan-source point of the Triple Burner Meridian. It is located on the dorsal wrist crease, in the depression between the tendons of extensor digitorum and extensor digiti minimi. It clears heat, activates the channel and alleviates pain.

Location

On the dorsal wrist crease, in the depression between the tendons of extensor digitorum and extensor digiti minimi.

Needling

Perpendicular insertion 0.3-0.5 cun. Avoid the tendons.

TCM functions

Clears heat, activates the channel and alleviates pain.

Indications

Wrist pain, weakness of the wrist, malaria, deafness, thirst.

Yuan-source

Clinical notes

As the Yuan-source point of the San Jiao, TB4 is primarily used to regulate the San Jiao's Qi and clear heat, especially from the upper burner. It is a key point for wrist pain, weakness, and immobility, particularly when associated with wind-cold-damp obstruction. It also addresses heat conditions along the San Jiao channel, such as thirst and irritability. A classic pairing is with TB5 for wrist and hand issues.

On the Triple Burner channel

TB4 is one of 23 points on the Triple Burner Meridian. Nearby points:

Frequently asked questions

Where is TB4 located?

TB4 (Yángchí) is located on the dorsal wrist crease, in the depression between the tendons of extensor digitorum and extensor digiti minimi.

What is TB4 used for?

TB4 clears heat, activates the channel and alleviates pain. Common clinical indications include wrist pain, weakness of the wrist, malaria, deafness, thirst.

How is TB4 needled?

Perpendicular insertion 0.3-0.5 cun. Avoid the tendons.

Which meridian is TB4 on?

TB4 is a point on the Triple Burner Meridian (Sān Jiāo).

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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.