Xuanshu 懸樞
On the lower back, on the back midline: the hollow just below the L1 spinous process (first lumbar vertebra).
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Location and structures come from our 3D model; only the drawing style was refined with AI. Labels are added by us.


Vertebra l1 · Vertebra l2 · Interspinales lumborum muscles · Interspinales lumborum muscles
Rendered straight from the 3D model at the computed location. The glowing ring marks Xuanshu.
On this page
1Where is Xuanshu?
On the lower back, on the back midline: the hollow just below the L1 spinous process (first lumbar vertebra).
Vertebra l1 · Vertebra l2 · Interspinales lumborum muscles · Interspinales lumborum muscles
2How do I find it on my body?
- From GV4 (below L2), count one spinous process up to L1.
- Or find the lowest thoracic spinous process (T12) and count one down.
- Press the hollow just below L1.
- interspinales lumborum
- Tiny muscles linking the spinous processes of neighboring lumbar bones. They help straighten the lower back.
- 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.
3Before you press
- Do not press during pregnancy.
- WHO's acupuncture safety guidelines (1999) note that lumbosacral points are traditionally avoided in pregnancy.
- The point is the hollow just below a spinous process, so do not press hard on the bone or knock it.
- 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?
- The name means 'suspended pivot'. It carries no special category in the classical lists.
From traditional texts — not a claim of effect.
?FAQ
Where exactly is Xuanshu?
On the lower back, on the back midline: the hollow just below the L1 spinous process (first lumbar vertebra).
How do I find Xuanshu?
From GV4 (below L2), count one spinous process up to L1. Or find the lowest thoracic spinous process (T12) and count one down. Press the hollow just below L1.
Can I press it during pregnancy?
Do not press during pregnancy.
What should I watch out for?
Do not press during pregnancy. WHO's acupuncture safety guidelines (1999) note that lumbosacral points are traditionally avoided in pregnancy. The point is the hollow just below a spinous process, so do not press hard on the bone or knock it. 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. 206
- Standard comparison: Chinese national standard GB/T 12346-2021 (Nomenclature and location of meridian points)
- Traditional-use cross-check: AcuAtlas dataset (CC BY 4.0)
- Safety: WHO Guidelines on Basic Training and Safety in Acupuncture (1999), p. 20
- 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.