Acupuncture - 四川大学

Acupuncture - 四川大学

Acupuncturology West China Hospital TCM Department Acupoints on DU Meridian

The DU Meridian (Governor Vessel) originates from the lower abdomen, descends and emerges at the perineu m. It then travels backwards along the i nterior side of the spinal column, rea ching Fengfu (DU-16). From there it enters into the brain an d ascends towards the vertex. From the vertex, it proceeds downw ards along the forehead to the colum nella of the nose. The first point of the channel is Chan

gqiang (DU-1) and the last one is Yin jiao (DU-28). There are 28 points on the channel. Summary of the Indications Disease relevant to its pertaining organ

stroke sequelae, meningitis, epilepsy, etc. Disease relevant to its connecting organs stiff lips, prolapse of the uterus, neurosis, aphasia, etc. Disease placed on the area where DU Meridian runs by pain and stiffness at the back, muscle spasm in the region of neck and shoulder, v ertex headache, etc. Mental illnesses, febrile diseases Changqiang DU-1 Location On the midline, midway between the tip of the coccyx and the anus.

Changqiang DU-1 How to find First, locate the coccyx superior to the a nus, then palpate for its tip. From the tip of the coccyx, palpate with pressure tow ards the anus. Du-1 can often be located based on a strong de Qi sensation.

Needling After thorough disinfection, vertically 0. 51 cun. Avoid puncturing the rectum. Actions/Indications ---Clears Damp-Heat, lifts the Qi ---Opens the channel and alleviates pai n ---Calms the shen Yaoyangguan (DU-3)

Location On the midline, below the spinous pr ocess of the 4th lumbar vertebra (L 4). How to find First, locate the line (a line connectin g the two most superior points on th e iliac crest), which generally interse cts with the spinous process of L4. (Note: Point location in the lumbar r egion is dependent on the patients p osition). Locate Du-3 on the midline, below the spinous process of L4.

Yaoyangguan (DU-3) Needling 0.51 cun strictly vertically to the skin or obliquely in an inferior direction (gene rally, there is only danger of accidental puncture of the spinal canal from the leve l of L2 in a cranial direction). Actions/Indications ---Dispels Wind, Cold and Dampness ---Regulates Qi in the Lower Burner, strengthens the Original Qi (yuan qi)

Special features Important local point for combined back and leg pain Mingmen (DU-4) Location On the posterior midline, below the s pinous process of the 2nd lumbar ve rtebra (L2).

Actions/Indications ---Tonifies Kidney Yang (especially w ith moxibustion), warms the mingme n, strengthens the Kidneys, regulates the du mai, benefits the lumbar regio n ---Pacifies Wind in the du mai Special features Major point for tonifying Yang, espec ially Kidney Yang Zhiyang (DU-9)

Location On the midline, below the spinous pr ocess of the 7th thoracic vertebra (T 7). How to find Find T7 and locate Du-9 on the midli ne, below its spinous process. Actions/Indications ---Strengthens the Spleen and elimin ates Dampness

---Clears Damp-Heat from the Middle Burner ---Harmonises the Upper Burner Dazhui (DU-14) Location On the midline, below the spinous proce ss of the 7th cervical vertebra (C7).

Actions/Indications ---Clears Wind, firms and regulates the s urface, dispels pathogenic factors ---Clears Heat ---Calms (internal) Wind and the shen ---Strengthens Qi and Yang in deficiency conditions ---Benefits the spine, especially the cerv ical spine Special features Meeting point with all Yang channels, Se a of Qi point. Fengfu (DU-16)

Yamen (DU-15) Caution: Dangerous point with deep needling! Strictly no needling in a superior direction, danger of puncturing the cerebellomedullary cistern (also site for suboccipital puncture). Baihui (DU-20) Location At the junction of a line connecting t

he apices of the ears and the midline, 5 cun from the anterior or 7 cun fro m the posterior hairline respectively. How to find Spreading hands technique: Place th e hands on both sides of the head, wi th the little fingers touching the apic es of the ears. Join the thumbs on the midline and locate Du-20 in shallow depression on the vertex of the head. Baihui (DU-20)

Needling 0.51 cun transversely (subcutaneously) towards the posterior (reducing effect) or the anterior (tonifying effect). Caution: Apply pressure to head points after ne edle removal to avoid bleeding. Remember to remove the needle after treatment. Actions/Indications ---Calms Wind, pacifies Yang, benefits the Brain and sensory organs, calms the sh en ---Nourishes the Sea of Marrow; applying moxibustion raises the Yang Special features Meeting point with the BL, G.B., T.B. and LIV channels; Sea of Marrow point. Imp

ortant point for descending the Yang (reducing needle techniques) or raising the Yang (tonifying needle techniques, moxibustion). Shangxing (DU-23) Shenting (DU-24) Suliao (DU-25) Shuigou (DU-26) Location

Below the nose, on the upper third of the philtrum. Note: shuigou (Water G rave) is an alternative name for this point. How to find Locate the philtrum, which forms a d istinct groove on the midline betwee n the root of the nose and the margin of the upper lip. Locate DU-26 sligthl y superior to the midpoint of the phil trum. Shuigou (DU-26)

Needling 0.30.5 cun obliquely in a superior direction. Caution: Needling this point may b e painful. Actions/Indications ---Revives consciousness ---Benefits the face and nose, eliminates (external) Wind ---Benefits the spine Special features Meeting point with the LI and ST channels. Major point for acute emergencies: N

eedle with strongly reducing technique. If no acupuncture needle is available, us e a syringe or perform strong acupressure with the nail of the thumb or index fin ger, supporting the patients chin with the same hand. Can be used in cases of ne edle collapse first remove all other needles. Yinjiao (DU-28) Location On the inside of the upper lip, at the j

unction of the frenulum and the upp er gum. Needling 0.10.2 cun obliquely in a superior di rection or prick to bleed. Do not pun cture the frenulum. Actions/Indications ---Clears Heat (especially from the ey es and the mouth) Acupoints on REN Meridian

The REN Meridian (Conception Vessel) arises from inside of the lower abdome n, and emerges from the perineum goi ng forward and upward into the pubic region. It then ascends along the interior of th e abdomen, passing through the front midline reaching the throat.

It ascends further to curve around the l ips, passing through the maxillary part and entering the infraorbital region. The first point of the meridian is Huiyi n (REN-1) and the last one is Chengjia ng (REN-24). There are 24 points on th e meridian. Summary of the Indications

Disease relevant to its connecting organs retention of the placenta, irregular menstruation, morbid leucorrhea, dry throat, gingivitis, etc. Disease placed on the area where REN Meridian runs by pruritus vulvae, lower abdominal pain, pain of the front part of the chest, swellin g face, pain and swelling in the sublingual area, etc. Mental disease, health care Huiyin (REN-1)

Location In the centre of the perineum. How to find In women: midway between the anu s and the posterior labial commissur e. In men: midway between the anus a nd the scrotum. Needling Vertically 0.51 cun. Caution: Contrai ndicated during pregnancy.

Huiyin (REN-1) Actions/Indications ---Clears Heat ---Strengthens the Kidneys ---Drains Dampness ---Regulates menstruation Special features Meeting point with the du mai and the chong mai. As a Sun Si Miao Ghost point, Ren-1 is traditionally indicated for treating epilepsy and psychoses.

Guanyuan (REN-4) Location On the anterior midline, 2 cun superi or to the upper border of the pubic s ymphysis or 3 cun inferior to the um bilicus. Needling Vertically 0.51.2 cun. Caution: Perit oneum. Needling contraindicated du ring pregnancy.

Guanyuan (REN-4) Actions/Indications ---Tonifies the Original Qi (yuan qi), benefits the Essence (jing), strengthens and nourishes the Kidneys as well as the Blood and Yin ---Eliminates Cold and Dampness from the Lower Burner (especially with moxib ustion) Special features Front-mu point of the Small Intestine, meeting point with the SP, KID and LIV cha nnels. Important point for tonification. Major point for urogenital disorders (esp

ecially gynaecological disorders). Qihai (REN-6) Location On the anterior midline, 1.5 cun infer ior to the umbilicus or 3.5 cun superi or to the upper border of the pubic s ymphysis. Needling Vertically 0.81.5 cun. Caution: Perit

oneum, pregnancy. According to som e authors, this point should never be needled with strong reducing techni ques owing to its strong Qi tonifying action. Moxibustion and cupping are recommended for this point. Qihai (REN-6) Actions/Indications ---Tonifies the Original Qi (yuan qi) as well as Qi in general, strengthens the Kidn

eys (especially Kidney Yang), regulates Qi, harmonises Blood and eliminates Da mpness Special features Important tonification point for mental and physical exhaustion, strengthens esp ecially the Qi and Yang with moxibustion. One of the most important acupunctur e points. Shenque (REN-8)

Location In the centre of the umbilicus. Needling Needling contraindicated. Only indir ect moxibustion (on salt or ginger, m oxa pole, moxa box). Actions/Indications ---Warms and stabilises the Yang and the Intestines Zhongwan (REN-12)

Location On the anterior midline, 4 cun superi or to the umbilicus or 4 cun inferior t o the sternocostal angle. Needling 0.81.5 cun vertically or obliquely to wards surrounding points. Caution: Peritoneum, pregnancy. If indicated, moxa is recommended. Zhongwan (REN-12)

Actions/Indications ---Harmonises and tonifies the Middle Burner, descends counterflow Qi, regulate s the Qi flow and alleviates pain, transforms Dampness Special features Front-mu point of the stomach, hui-meeting point of the fu-Organs. Major point f or (functional) stomach disorders. Danzhong (REN-17) Location

On the anterior midline, on the level of the 4th intercostal space. Needling Depending on the indication, 0.51 cun transversely (subcutaneously) in a sup erior or inferior direction or towards th e nipples (for mamillary disorders). Ca ution: Intracardiac needling, pneumoth orax. The sternum can be very thin in t his area owing to embryonic ossificatio n disorders! Moxibustion is recommen ded in order to tonify the Qi, but cautio n with asthmatic patients.

Danzhong (REN-17) Actions/Indications ---Regulates and benefits the Qi, unbinds the chest, descends counterflow Lung a nd Stomach Qi ---Benefits the breasts Special features Front-mu point of the Pericardium, meeting point with the SP, KID, S.I. and T.B. c hannels. Hui-meeting point of the Qi. Sea of Qi. Important point for respiratory d isorders.

Tiantu (REN-22) Needling Initial vertical insertion 0.2 cun (in o rder to penetrate the skin), then dire ct the tip of the needle inferiorly and continue to insert the needle parallel to the posterior aspect of the sternu m up to 0.51 cun. Caution: Dangero us point. Wrong insertion technique (for example, vertical or oblique retr osternal needling) may lead to injury of the big vessels and organs inside t

he mediastinum. This point should only be needled by experienced practitioners. Location 0.5 cun superior to the sternum, in t he centre of the suprasternal fossa. Tiantu (REN-22)

Actions/Indications ---Descends counterflow Lung Qi, alleviates coughing and dyspnoea, benefits the throat Special features Meeting point with the yin wei mai, Window of Heaven point. Important emerge ncy point for acute asthma attacks. Acupoints on Lung Meridian

The Lung Meridian of Hand-Taiyin Zhongfu (LU 1) Shaoshang (LU 11) There are 11 points on each side. Summary of the Indications

Disease relevant to lung cough, asthma, hemoptysis, common cold, flu, fever due to common cold or flu, e tc. Disease relevant to its connecting organs throat disease, disease of head and face, disease of five sense organs, gastric flu, etc. Disease placed on the area where Lung Meridian runs by fullness in the chest, pain in the chest, etc. Needling: Obliquely to a maximal depth of 0.8 cun. No needling in a medial direction! Risk of pneumothorax! Yunmen (LU-2)

Zhongfu (LU-1) Chize (LU-5) Location In the cubital crease, on the radial as pect of the tendon of the biceps. How to find By slightly flexing the forearm, the bi

ceps tendon becomes more visible. L U-5 is located on its radial aspect in t he cubital crease. Needling Vertically 0.51 cun. Needle with the arm slightly flexed. Use bloodletting f or Heat disorders. Caution: Avoid cu bital vein. Chize (LU-5)

Actions/Indications --- Clears Heat in the Upper Burner --- Descends the Lung Qi --- Regulates the water passages --- Opens the channel and luo-connecting vessels, alleviates pain Special features He-sea point, Water point, sedation point, distal point for the Lung, local point fo r the elbow. Use bloodletting for disorders of the skin and Lung due to excess an d/or Heat. Lieque (LU-7)

Location On the radial aspect of the forearm, d irectly above the styloid process of t he radius, approximately 1.5 cun pro ximal to the wrist joint space (wrist c rease) in a V-shaped groove. Needling Lift the skin above the styloid proces s by pinching it. Insert the needle 0.5 1 cun obliquely and proximally (red ucing) or distally (tonifying). Caution : Cephalic vein.

Lieque (LU-7) Actions/Indications --- Supports the occiput and head --- Releases the Exterior, expels Wind, descends the Lung Qi --- Opens and regulates the ren mai --- Regulates the water passages --- Opens the channel and luo-connecting channel, alleviates pain Special features Luo-connecting point, opening point of the ren mai.

Taiyuan (LU-9) Location On the ventral aspect of the wrist, at the level of the wrist joint space (mo st distal wrist crease), on the radial a spect of the radial artery and ulnar t o the tendon of the abductor pollicis longus muscle. Needling Vertically 0.20.5 cun. Caution: Avoid

radial artery. If the needle is pulsatin g (desired effect), no additional stim ulation! Taiyuan (LU-9) Actions/Indications --- Strengthens the Lung, transforms Phlegm, descends the Lung Qi --- Regulates and harmonises the vessels (relationship between zong qi and Bloo d circulation) --- Opens the channel, alleviates pain

Special features Yuan-source point, shu-stream point, Earth point, tonification point, hui-meeting point of the vessels. Important point for tonifying the Lung Qi and Yin, especially with chronic disorders. Shaoshang (LU-11) Location

On the thumb, 0.1 cun from the radial corn er of the nail. Needling 0.10.2 cun vertically or obliquely in a pro ximal direction or prick to bleed. Actions/Indications --- Frees the senses --- Regulates the Lung Qi --- Clears Heat (especially from the throat) --- Opens the channel Special features Jing-well point, Wood point, important dis tal point for sore throat caused by Wind-H eat.

Acupoints on Large Intestine Meridi an The Large Intestine Meridian of Han d-Yangming Shangyang (LI-1)

Yingxiang (LI-20) There are 20 points on each side. Summary of the Indications Disease relevant to its pertaining organ gastrointestinal disease

Disease relevant to its connecting organs disease of the nose, lower gum and throat Disease placed on the area where DU Meridian runs by diseases of head, face and upper limbs Febrile disease, mental disease, dermatosis Shangyang (LI-1) Location On the index finger, 0.1 cun from the radial corner of the nail.

Needling 0.20.3 cun vertically or obliquely in a proximal direction. For acute disor ders (pain, inflammation), prick to bl eed with needle, lancet or three-edge d needle. Actions/Indications --- Expels pathogenic factors and ope ns the channel

--- Frees the senses Special features Jing-well point, Metal point. Hegu (LI-4) Location On the radial aspect of the hand, bet ween the 1st and 2nd metacarpal bo nes, closer to the 2nd metacarpal bo ne and approximately at its midpoint

. Needling 0.51 cun vertically or slightly obliqu ely towards the palmar aspect of the hand. Caution: Reducing needle tech niques are contraindicated during pr egnancy; exception: to induce labour. Hegu (LI-4) Actions/Indications

--- Releases the Exterior (main point!) --- Regulates the face and head --- Regulates the Defensive Qi (wei qi) and sweating --- Opens the channel and luo-connecting vessels --- Alleviates pain --- Promotes labour Special features Yuan-source point. Most important analgesic point for the whole body. Most important single distal point for disorders of the face and sensory organs. I t is the most commonly used point in clinical practice. Quchi (LI-11)

Location With the elbow flexed, on the lateral end of the elbow crease, in a depress ion between the end of the crease an d the lateral epicondyle of the humer us, on the extensor carpi radialis lon gus muscle. Needling Vertically 11.5 cun Quchi (LI-11)

Actions/Indications --- Clears Heat, expels Wind --- Clears yangming Fire --- Cools the Blood, drains Dampness, alleviates itching --- Opens the channel Special features He-sea point, Earth point, tonification point. Important point for Heat conditions and disorders of the upper extremity. Jianyu (LI-15)

Location In the depression distal and anterior to the acromion, between the clavicu lar and acromial portions of the delt oid muscle. Needling With the arm slightly adducted, 11. 5 cun obliquely in the bony cleft and in a posterior direction; with the arm abducted, 0.51 cun vertically. Cautio n: Shoulder joint.

Jianyu (LI-15) Actions/Indications --- Expels Wind-Damp, opens the channel, alleviates pain, supports the shoulder joint --- Expels Wind --- Regulates the Qi, resolves Phlegm Special features Meeting point with the yang qiao mai. Important local point for disorders of the shoulder, often used with other channel points of the upper extremity.

Yingxiang (LI-20) Location In the nasolabial groove, on the level of the midpoint of the lateral border of the ala nasi.

Needling 0.30.5 cun vertically, obliquely or trans versely (subcutaneously) in a medial an d superior direction towards the extra p oint Shangyingxiang. Actions/Indications --- Opens the nasal passages, expels Wi nd, clears Heat Special features Meeting point with the ST channel, exit point. Most important local point for dis orders of the nose.

Acupoints on Stomach Meridian The Stomach Meridian of Foot-Yangming Chengqi (ST-1) Lidui (ST-45) There are 45 points on each side.

Summary of the Indications Diseases of the stomach and intestines Disorders of the head, face and the five sense organs Mental diseases Febrile diseases Other conditions along the pathway of the channel Chengqi (ST-1)

Location With the eyes looking straight ahead, dir ectly below the centre of the pupil, betwe en the eyeball and the infraorbital ridge. Needling Ask the patient to look upward, gently pus h the eyeball upwards and insert the need le vertically along the orbital ridge in a do rsal direction.

No needle manipulation! After removing t he needle, press firmly on the insertion sit e for about one minute to prevent haemat oma. Inform the patient that it may still be possible for a haematoma to develop. Chengqi (ST-1) Actions/Indications --- Expels Wind and Heat, clears and benefits the eyes

Special features Meeting point with the yang qiao mai and ren mai, also with the du mai. Jiache (ST-6) Location With the teeth clenched, on the highest prominence of the masseter muscle, ap proximately one finger-width (middle f inger) anterior and superior to the ang le of the jaw.

Needling Insertion with the patients mouth slig htly opened (relaxed masseter muscle) . Vertically 0.30.5 cun or obliquely or t ransversely (subcutaneously) 11.5 cu n in the direction of ST-4, ST-5, ST-7, fo r example, in cases of facial paralysis. Jiache (ST-6) Actions/Indications

--- Eliminates Wind, benefits the jaw and teeth, opens the channel and luo vessel s, alleviates pain Special features Important local point for the jaw region. Its location corresponds to a commonly used trigger point on the masseter muscle. Tianshu (ST-25) Location 2 cun lateral to the umbilicus. Needling

Vertically 0.51.5 cun. For gynaecologic al disorders, obliquely in an inferior dire ction towards the uterus. Caution: Peritoneum, pregnancy. The needle may reach the aponeuroses of the oblique abdominal musculature a t the transition to the sheath of the rectu s abdominis muscle. Tianshu (ST-25)

Actions/Indications --- Regulates the Spleen, Stomach and Intestines, eliminates Dampness and clear s Damp-Heat --- Eliminates stagnation Special features Front-mu point of the Large Intestine. Important point for disorders of the gastr ointestinal tract. Zusanli (ST-36) Location

3 cun distal to ST-35 (lateral eye of t he knee) and 1 fingerbreadth lateral to the anterior crest of the tibia, on t he tibialis anterior muscle. Needling Vertically 11.5 cun. Moxibustion is often used on this point. Zusanli (ST-36) Actions/Indications

--- Regulates the Stomach, strengthens the Spleen, transforms Dampness --- Tonifies Qi and Yang, nourishes the Blood and Yin --- Calms the shen --- Opens the channel Special features He-sea point, Earth point, lower he-sea point of the Stomach. Main point to tonif y Qi and Blood for general weakness. Very important point. Fenglong (ST-40)

Location At the midpoint of the line joining ST-35 and ST-41 and 2 fingerbreadths lateral to the ant erior crest of the tibia or 1 fingerbreadth lat eral to ST-38, between the extensor digitoru m longus and peroneus brevis muscles. Needling Vertically or obliquely 11.5 cun Actions/Indications --- Transforms Dampness and Phlegm, clear s Phlegm in the Lung and Heart, calms the s

hen Special features Luo-connecting point. Main acupuncture poi nt for eliminating Phlegm. Acupoints on Spleen Meridian

The Spleen Channel of Foot-Taiyin Yinbai (SP-1) Dabao (SP-21) There are 21 points on each side. Summary of the Indications Diseases of the spleen and stomach Gynecological disorders External genital problems

Other conditions along the pathway of the channel Yinbai (SP-1) Location On the big toe, 0.1 cun from the medi al corner of the nail.

Special features Jing-well point, Wood point, importa nt distal point for the lower abdome n. Actions/Indications --- Regulates the Blood --- Regulates the Spleen --- Unbinds the chest --- Calms the shen --- Revives consciousness Needling 0.10.2 cun vertically or obliquely in

a proximal direction or prick to blee d with a needle, lancet or three-edge d needle. Sanyinjiao (SP-6) Location 3 cun proximal to the highest promin ence of the medial malleolus, on the posterior border of the medial crest of the tibia.

Needling Vertically or obliquely 12 cun. Cauti on: Contraindicated during pregnanc y, particularly with reducing needle t echniques; exception: to promote lab our. Sanyinjiao (SP-6) Actions/Indications --- Tonifies the Spleen and the Stomach, eliminates Dampness --- Nourishes the Blood and Yin, regulates menstruation, promotes labour

--- Regulates urination, benefits the genitals, harmonises the Lower Burner --- Calms the shen Special features Meeting point with the Liver and Kidney channels and the yin qiao mai. Very imp ortant point for disorders of the Lower Burner (especially for gynaecological dis orders, birth and urinary disorders), as well as for many digestive disorders and psychological disorders (caused by Blood and Yin deficiency). Xuehai (SP-10) Location

With the knee flexed, SP-10 is locate d 2 cun proximal and slightly medial to the medial superior border of the patella, in a depression on the vastus medialis muscle. Needling Vertically or obliquely 11.5 cun Xuehai (SP-10) Actions/Indications

--- Strengthens the Blood, dispels Blood stasis, cools the Blood, stops bleeding, re gulates menstruation, benefits the skin --- Local point for disorders of the knee Special features Important point for regulating the Blood Daheng (SP-15) Location 4 cun lateral to the centre of the umb ilicus, on the mamillary line.

Needling Vertically 11.5 cun. Caution: Periton eum, pregnancy. Deep needling may reach the aponeuroses of the transve rse abdominal musculature. Daheng (SP-15) Actions/Indications --- Regulates and moves Qi in the Intestines (promotes bowel movement by stim ulating peristalsis)

Special features Meeting point with the yin wei mai. Important point for regulating the Large Inte stine Qi. Dabao (SP-21) Location On the midaxillary line, in the 6th int ercostal space. Needling 0.50.8 cun obliquely or transversely

(subcutaneously), parallel to the inte rcostal space or with or against the c hannel pathway. Caution: Pneumothorax Dabao (SP-21) Actions/Indications --- Regulates Qi and Blood, governs and wraps all the luo-connecting vessels of t he body --- Unbinds the chest

Special features Great luo-connecting point of the spleen. Acupoints on Heart Meridian The Heart Meridian of Hand-Shaoyin Jiquan (HT-1)

Shaochong (HT-9) There are 9 points on each side. Summary of the Indications Heart and chest diseases Mental illnesses Other conditions along the pathway of the channel Jiquan (HT-1)

Location With the arm abducted, in the centre of the axilla, medial to the axillary art ery. Needling Palpate for the artery before needlin g! 0.51 cun vertically in the directio n of GB-21 (border of the trapezius, middle of the shoulder). Caution: Axi llary plexus and artery. Needling in a medial direction may puncture the lu

ng! Jiquan (HT-1) Actions/Indications --- Unbinds the chest --- Opens the channel --- Nourishes the Heart Yin Special features Important point in Qigong practice: During practice (and in everyday life), the ax illary region should always be slightly open to allow for the free circulation of Qi

and Blood to and from the upper extremity. Shaohai (HT-3) Location With the elbow flexed, this point is in a depression between the ulnar end of the transverse cubital crease and t he medial epicondyle of the humerus . Needling

0.51.5 cun obliquely in a distal or pr oximal direction or vertically. Shaohai (HT-3) Actions/Indications --- Transforms Phlegm, clears Heat (from the heart), calms the shen --- Opens the channel and luo-vessels Special features He-sea point, Water point. Important local point, important calming point.

Shenmen (HT-7) Location On the ventral aspect of the wrist joi nt space (most distal wrist crease), radial to the insertion of the tendon of the flexor carpi ulnaris muscle. Needling 0.30.5 cun vertically or transversely deep to the tendon (parallel to the w rist crease 0.50.8 cun). Caution: Uln

ar artery/nerve. Painful point! Shenmen (HT-7) Actions/Indications --- Regulates and strengthens the Heart (Blood and Yin), calms the shen --- Clears Heat from the Heart channel --- Moves Qi locally for disorders of the wrist Special features Yuan-source point, shu-stream point, Earth point, sedation point. Major point for calming the shen.

Acupoints on Small Intestine Meridia n The Small Intestine Channel of Hand-Taiyang Shaoze (SI-1) Tinggong (SI-19)

There are 19 points on each side. Summary of the Indications Head, neck, ears, eyes and throat diseases Febrile diseases Mental illnesses Other conditions along the pathway of the channel Houxi (SI-3)

Location On the ulnar border of the hand, in t he depression proximal to the metac arpophalangeal joint, at the border o f the red and white skin. Needling 0.51 cun horizontally below the bo ne that is, vertically to the skin tow ards the palm or 0.20.3 cun obliq uely in a distal direction. Caution: Pai nful point.

Houxi (SI-3) Actions/Indications --- Eliminates Wind and Heat from the taiyang (SI, BL) --- Opens the channel and the luo vessels --- Clears Heat and benefits the orifices --- Regulates the du mai, calms the shen Special features Shu-stream point, Wood point, tonification point, opening (master) point of the du mai. Important distal point for pain, stiffness and contractures along the cour

se of the channel and for disorders of the cervical spine. Tinggong (SI-19) Location Anterior to the ear, with the mouth ope n at the level of the middle of the tragus , in a depression between the tragus an d condyloid process of the mandible. Needling 0.51 cun vertically or slightly obliquel

y in an inferior direction. Needle with t he mouth open (to avoid intra-articular needling). Caution: This point is locate d close to the superficial temporal arter y and the auriculotemporal nerve . Tinggong (SI-19) Actions/Indications --- Benefits the ears --- Calms the shen

Special features Meeting point with the Gall Bladder and Triple Energizer Meridians. Important l ocal point for disorders of the ears. Acupoints on Bladder Meridian The Bladder Meridian of Foot-Taiyang

Jingming (BL-1) Zhiyin (BL-67) There are 67 points on each side. Summary of the Indications Diseases of the head, eyes, neck, back, lumbar region and lower limbs, as well as mental illnesses. The indications of the Back-Shu Points on the first lateral line of the back and the points on the second line parallel to the 1st lateral line also incl ude disorders of their related viscera, tissues and organs. Cuanzhu (BL-2)

Location In a depression at the medial end of t he eyebrow, directly above the inner canthus of the eye. Needling 0.30.5 cun obliquely from lateral to medial or transversely (subcutaneously) in the direction of t he disorder. Caution: Branches of the frontal nerve, facial nerve, blo od vessels! According to the

majority of authors, moxibustion is c ontraindicted. Cuanzhu (BL-2) Actions/Indications --- Benefits the eyes --- Expels external pathogenic factors such as Wind, clears Heat --- Clears the head --- Moves Qi in the Bladder divergent channel (for example, for painful haemorrh oids)

Special features Important and frequently used local point for the eye region. Good point for excess and Heat syndromes of the eye region: prick to bleed (pun cture the point and let it bleed), but avoid facial haematoma. Feishu (BL-13) Location 1.5 cun lateral to the posterior midli ne, on the level of the lower border of the spinous process of the 3rd tho

racic vertebra (T3). Needling 0.51 cun obliquely towards the spin e. In clinical practice, this point is often needled transversely (s ubcutaneously) towards the spine. Caution: Pneumothorax. For c hronic Lung Qi deficiency without He at signs, use moxibustion. Feishu (BL-13)

Actions/Indications --- Tonifies, spreads and descends the Lung Qi, nourishes the Lung Yin --- Clears Heat from the Lung --- Releases the Exterior --- Opens the channel, alleviates pain Special features Back-shu point of the lung. Major point for all disorders of the Lung (Lung defici ency and excess patterns). Xinshu (BL-15)

Location 1.5 cun lateral to the posterior midli ne, on the level of the lower border o f the spinous process of the 5th thor acic vertebra (T5). Needling 0.51 cun obliquely towards the spin e. In clinical practice, this point is often needled transversely (s ubcutaneously) towards the spine. Caution: Pneumothorax. Xinshu (BL-15)

Actions/Indications --- Tonifies and nourishes the Heart, regulates the Heart Qi --- Unbinds the chest and removes Blood stasis --- Calms the shen --- Clears Fire, moves Qi locally and along the channel pathway: for example, for disorders of the thoracic spine and intercostal region Special features Back-shu point of the Heart Ganshu (BL-18)

Location 1.5 cun lateral to the posterior midli ne, on the level of the lower border o f the spinous process of the 9th thor acic vertebra (T9). Needling 0.51 cun obliquely towards the spin e. In clinical practice, this point is often needled transversely (s ubcutaneously) towards the

spine. Caution: Pneumothorax. Ganshu (BL-18) Actions/Indications --- Spreads Liver Qi, cools Fire, clears Damp-Heat, regulates and nourishes Liver Blood, subdues (internal) Wind --- Benefits the eyes --- Benefits the sinews Special features Back-shu point of the Liver

Pishu (BL-20) Location 1.5 cun lateral to the posterior midli ne, on the level of the lower border o f the spinous process of the 11th tho racic vertebra (T11). Needling 0.51 cun obliquely towards the spin e. In clinical practice, this point is often needled transversely (s

ubcutaneously) towards the spine. Caution: Pneumothorax. Pishu (BL-20) Actions/Indications --- Tonifies the Spleen Qi and Yang, regulates Qi in the Middle, raises Qi --- Transforms Dampness --- Holds and nourishes Blood Special features Back-shu point of the spleen. Major point for tonifying the Middle Energizer, esp

ecially for Spleen deficiency syndromes. Use moxibustion or tonifying needle tec hniques for nourishing the Blood. Shenshu (BL-23) Location 1.5 cun lateral to the posterior midli ne, on the level of the lower border o f the spinous process of the 2nd lum bar vertebra (L2). Needling

Vertically or obliquely 0.51.5 cun. C aution: Kidneys. Shenshu (BL-23) Actions/Indications --- Strengthens the Kidneys, tonifies the Kidney Qi and Yang, benefits the Essence (jing), nourishes the Kidney Yin --- Regulates the Lower Burner, benefits the uterus --- Benefits the bones and the marrow --- Benefits the eyes and ears

--- Strengthens the lower back Special features Back-shu point of the Kidneys. Major point for tonifying the Kidneys. Use tonifyi ng needle techniques for all Kidney deficiency syndromes. Moxibustion tonifies e specially the Kidney Yang. Weizhong (BL-40) Location In the centre of the popliteal crease, betwee n the tendons of the biceps femoris and se

mitendinosus muscles. Needling Vertically 0.51.5 cun. Caution: Popliteal ne rve, artery and vein lie deep to this point.To clear Heat and eliminate stasis: bleed the su perficial veins, possibly followed by brief cu pping. BL-40 is also indicated as a distal poi nt for the lower back: needle with the patie nt standing and ask them to move their low er back gently while manipulating the needl e (only short needle retention). Weizhong (BL-40)

Actions/Indications --- Clears (summer) Heat, stops vomiting and diarrhoea --- Cools the Blood --- Benefits the lower back and knees, opens the channel and luo vessels, alleviat es pain Varicosity Special features He-sea point, Earth point, lower he-sea point of the Bladder. Important distal poi nt for the lower back, point with a wide range of indications.

Zhiyin (BL-67) Location On the dorsal aspect of the little toe, 0.1 cun from the lateral corner of the nail. Needling Vertically 0.1 cun or obliquely 0.2 cu n in the direction of the foot. Prick to bleed. Caution: Painful point.

Zhiyin (BL-67) Actions/Indications --- Scientifically established: conversion of breech presentations prior to birth: m oxibustion and electro-acupuncture at this point seem to be most effective (appr oximately 7080%) --- Facilitates labour --- Expels pathogenic factors from the opposite end of the channel Special features Jing-Well point, Metal point, tonification point.

Acupoints on Kidney Meridian The Kidney Meridian of Foot-Shaoyin Yongquan (KI-1) Shufu (KI-27) There are 27 points on each side.

Summary of the Indications Gynecological, genital, kidney, lung, and throat diseases and other conditions alo ng the pathway of the channel. Yongquan (KI-1) Location On the sole of the foot, in a depression be tween the 2nd and 3rd metatarsal bones,

at the junction of the anterior third and t he posterior two-thirds of the sole. Needling Needling this point is very painful and is t herefore only recommended for severe di sorders or in an emergency. Acupressure is commonly used instead; moxibustion is possible. Yongquan (KI-1)

Actions/Indications --- Revives collapsed Yang --- Clears excess, Heat and Wind from the head, lowers Yang --- Calms the shen Special features Jing-well point, Wood point, sedation point. KI-1 is the lowest acupuncture point on the body and the only point on the sole of the foot. For this reason, it plays an important role in Qigong, forming a grounding point in the centre of the foot, wh ere the energies of the Earth and Man unite. During practice, the centre of gravit y should be above this point. Fuliu (KI-7)

Location 2 cun proximal toTaixi KI-3, at the an terior border of the Achilles tendon. Needling Vertically 0.51 cun Fuliu (KI-7)

Actions/Indications --- Regulates the water passages and treats edema, strengthens the Kidneys(espe cially Kidney Yang),drains Dampness and clears Damp-Heat --- For disorders of the Intestines due to Damp-Heat Strengthens the lumbar regi on Special features Jing-river point, Metal point, tonification point Acupoints on Pericardium M eridian

The Pericardium Meridian of Hand-Jueyin Tianchi (PC-1) Zhongchong (PC-9) There are 9 points on each side. Summary of the Indications

Diseases of the heart, chest and stomach Mental illnesses Other conditions along the pathway of the channel Neiguan (PC-6) Location 2 cun proximal to the anterior wrist j oint space (most distal wrist creas e), between the tendons of the palm aris longus and flexor carpi radialis muscles.

Needling 0.51 cun vertically or obliquely in a proximal or lateral direction. Caution : The median nerve is located directl y below this point. Neiguan (PC-6) Actions/Indications --- Calms the shen

--- Unbinds the chest --- Harmonises the Stomach --- Opens the channel Special features Luo-connecting point, opening (master) point of the yin wei mai. Main point for nausea and vomiting. Very important point. Acupoints on Triple Energizer Meridi an

The Triple Energizer Meridian of H and-Shaoyang Guanchong (TE-1) Sizukong (TE-23) There are 23 points on each side. Summary of the Indications Diseases of the head, throat, ears, chest and hypochondriac region, febrile diseas es and other conditions along the pathway of the channel.

Waiguan (TE-5) Location 2 cun proximal to the dorsal wrist joi nt space (dorsal wrist crease), betw een the radius and the ulna. Needling Vertically or obliquely 0.51.5 cun. C aution: Movement of the hand/arm d uring needle retention may cause be

nding of the needle. Waiguan (TE-5) Actions/Indications --- Expels Wind and benefits the head and ears, clears Heat, opens and regulates the yang wei mai --- Opens the channel and alleviates pain Special features Luo-connecting point, opening (master) point of the yang wei mai. Major point f or expelling Wind-Heat, analgesic point for the upper extremity.

Yifeng (TE-17) Location With the patients mouth open, in the depression behind the earlobe, betwee n the mastoid process and the mandibl e. Needling This point should be needled with the patients mouth slightly open. Caution:

This point is close to the facial nerve, t herefore no deep needling. Superior to the transverse process, the vertebral a rtery curves round posteriorly, therefo re strictly needle 0.51 cun in an anter ior direction. Yifeng (TE-17) Actions/Indications --- Expels (external) Wind, benefits the ears, clears Heat, opens the channel and l

uo-connecting vessels, alleviates pain Special features Meeting point with the GB channel. Important local point for disorders of the ear s and the temporomandibular joint. Acupoints on Gallbladder Meridian

The Gallbladder Meridian of Foot-Shaoyang Tongziliao (GB-1) Zuqiaoyin (GB-44) There are 44 points on each side. Summary of the Indications Disorders of the lateral sides of the head, eyes, ears, and throat. Mental illnesses, febrile diseases and other conditions along the pathway of the channel. Tongziliao (GB-1)

Location In a bony depression on the lateral asp ect of the orbital margin, on the level o f the outer canthus of the eye. Needling 0.20.3 cun obliquely in a posterior dir ection or up to 1 cun transversely (sub cutaneously) towards taiyang.

Actions/Indications ---Expels Wind and Heat from the eyes Special features Meeting point with the SI and TE chan nels. Fengchi (GB-20) Location At the lower border of the occipital b one, in the depression between the o

rigins of the sternocleidomastoid an d trapezius muscles. Needling Needle with the patients head bent f orward and the tip of the needle poi nting inferiorly. Depending on the po sition of the head, insertion towards the tip of the nose or the contralater al orbit, 0.51.2 cun. Fengchi (GB-20)

Actions/Indications --- Eliminates Wind, benefits the head, clears the sensory organs --- Opens the channel --- With tonifying needle technique: strengthens the Marrow and the Brain Special features Meeting point with the yang wei mai. Major point for all Wind disorders, very i mportant point for disorders of the head and eyes. Yanglingquan (GB-34)

Location In the depression anterior and inferi or to the head of the fibula, between the peroneus longus and extensor di gitorum longus muscles. Needling 11.5 cun vertical insertion between the tibia and fibula towards the inter osseous membrane. Caution: Deep p eroneal nerve with deep needling, in some cases also common peroneal n erve. The needle may reach the inter osseous membrane as well as the epi neural tissue of the peroneal nerve.

Yanglingquan (GB-34) Actions/Indications --- Benefits the tendons and joints --- Opens the channel, alleviates pain, benefits the lateral costal region --- Clears Damp-Heat from the Liver and Gall Bladder --- Spreads Liver Qi Special features He-sea point, Earth point, hui-meeting point of the tendons (coordination/move ment), lower he-sea point of the Gall Bladder. Major point for disorders of the te

ndons and musculature. Xuanzhong (GB-39) Location 3 cun proximal to the highest prominence of the lateral malleolus, on the anterior bo rder of the fibula.

Needling Vertically 11.5 cun Actions/Indications --- Opens the channel, benefits the tendon s and bones --- Benefits the Marrow, clears Wind-Dam pness --- Clears Heat from the Gall Bladder Special features Hui-meeting point of the Marrow. Importa nt distal point for disorders of the cervical spine. Acupoints on Liver Meridian

The Liver Meridian of Foot-Jueyin Dadun (LR-1) Qimen (LR-14) There are 14 points on each side. Summary of the Indications

Diseases of the liver and gallbladder, gynecological and genital diseases, and con ditions along the pathway of the channel. Taichong (LR-3) Location On the dorsum of the foot, between t he 1st and 2nd metatarsal bones, in t he depression proximal to the metat

arsophalangeal joints and the proxi mal angle between the two bones. Needling Vertically or slightly obliquely 0.51 cun. Caution during pregnancy. Taichong (LR-3) Actions/Indications --- Spreads Liver Qi, clears the head, benefits the eyes, nourishes Liver Blood and Liver Yin, calms spasms, alleviates pain, regulates menstruation and the Lower B

urner --- Eliminates (internal) Wind, pacifies Liver Yang Special features Yuan-source point, shu-stream point, Earth point. Major point for spreading Live r Qi. Thanks

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