Zhishi 志室
Low back (lumbar region), 3 cun out from the back midline at the level of L2.
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Vertebra l2 · Latissimus dorsi muscle · Iliocostalis lumborum muscle · Quadratus lumborum muscle
Rendered straight from the 3D model at the computed location. The glowing ring marks Zhishi.
On this page
1Where is Zhishi?
Low back (lumbar region), 3 cun out from the back midline at the level of L2.
The level is set by the lower edge of the L2 spinous process.
Vertebra l2 · Latissimus dorsi muscle · Iliocostalis lumborum muscle · Quadratus lumborum muscle
2How do I find it on my body?
- From T12, count down two spinous processes to L2. Cross-check by counting up two from L4.
- Take the height of the lower edge of that spinous process.
- Press 3 cun out from the midline. Carry the 3-cun width from the upper back (midline to the inner border of the shoulder blade) down to the low back.
A cun is a body-scaled unit of length. The precise way is to divide a bone length into equal parts (proportional bone cun); finger widths are a quick estimate.
- iliocostalis lumborum
- The lower-back part of the outermost column of erector spinae. It runs from the back of the pelvis to the lower ribs.
- quadratus lumborum
- A square muscle deep in the lower back, between the lowest rib and the top of the pelvis. It bends the waist to the side.
- spinous process
- The bony spike sticking backward from the middle of each spine bone. The row of bumps you feel down the middle of the back is these, and they serve as the counting marks for back points.
- latissimus dorsi
- The broad muscle covering the lower back and sides. It runs from the lower back and pelvis, behind the armpit, to the humerus, and pulls the arm down and back, as in a pull-up.
3Before you press
- Do not press this point during pregnancy.
- Points over the low back and sacrum are traditionally avoided in pregnancy (WHO acupuncture safety guidelines, 1999).
- Avoid broken or swollen skin and press only to a comfortable level.
- Acupressure is not a substitute for medical care.
4How has it been used traditionally?
- Lateral to the Kidney back-shu point (BL23); in classical theory zhi (will) belongs to the Kidney, and the name means 'chamber of zhi'.
From traditional texts — not a claim of effect.
?FAQ
Where exactly is Zhishi?
Low back (lumbar region), 3 cun out from the back midline at the level of L2. The level is set by the lower edge of the L2 spinous process.
How do I find Zhishi?
From T12, count down two spinous processes to L2. Cross-check by counting up two from L4. Take the height of the lower edge of that spinous process. Press 3 cun out from the midline. Carry the 3-cun width from the upper back (midline to the inner border of the shoulder blade) down to the low back. it is level with Shenshu (BL23) and, on the midline, with Mingmen (GV4).
Can I press it during pregnancy?
Do not press this point during pregnancy.
What should I watch out for?
Do not press this point during pregnancy. Points over the low back and sacrum are traditionally avoided in pregnancy (WHO acupuncture safety guidelines, 1999). Avoid broken or swollen skin and press only to a comfortable level. Acupressure is not a substitute for medical care.
Sources
- Location: WHO Standard Acupuncture Point Locations in the Western Pacific Region (2008), p. 125
- Standard comparison: Chinese national standard GB/T 12346-2021 (Nomenclature and location of meridian points), p. 19 — same location
- Korean anatomical terms: KMLE medical dictionary
- Traditional-use cross-check: AcuAtlas dataset (CC BY 4.0)
- Classical record: Zhenjiu Jiayi Jing vol. 3, sec. 9 (3-cun back line)
- Safety: WHO Guidelines on Basic Training and Safety in Acupuncture (1999), p. 20 — lumbosacral points in pregnancy
- 3D: computed on Z-Anatomy (CC BY-SA 4.0) · BodyParts3D © DBCLS
Positions computed from the WHO standard locations (2008) on Z-Anatomy (CC BY-SA 4.0) · BodyParts3D © DBCLS. For reference only — not a substitute for diagnosis or treatment. See a clinician if you are unwell.