AA1 Neck/Lumbosacral/Abdomen Points

Question 1

CV4 location and needling technique

• Location
• Insertion
• Depth

Answer 1

CV4 location and needling technique

Location

On the anterior midline, 3 cun below the centre of the umbilicus, 2 cun above the symphysis pubis

Insertion

oblique insertion, usually aiming superiorly (with the direction of the meridian)

Depth

0.5-1 cun, do not go past the resistance felt at the linea alba

Question 2

CV6 location and needling technique

• Location
• Insertion
• Depth

Answer 2

CV6 location and needling technique

Location:

On the anterior midline, 1.5 cun below the centre of the umbilicus, 3.5 cun above the symphysis pubis (internally ~ at the level of the bifurcation of the abdominal aorta)

Insertion:

oblique, generally in the direction of the flow of the meridian, inferior to superior

Depth:

0.8 – 1 cun

Do not go past the resistance felt at the linea alba.

Question 3

CV12 location and needling technique

• Location
• Insertion
• Depth

Answer 3

CV12 location and needling technique

Location

On the anterior midline, midway between the sternocostal angle and the centre of the umbilicus, 4 cun below the sternocostal angle and 4 cun above the umbilicus

Insertion

Oblique insertion, usually aiming superiorly (with the direction of the meridian).

Depth

0.5-1 cun

Do not go past the resistance felt at the linea alba

Question 4

GV3 location and needling technique

• Location
• Insertion
• Depth

Answer 4

GV3 location and needling technique

Location

On the midline of the back below the lower border of L4 spinous process.

Insertion

posterior to anterior, perpendicular to the skin.

Depth

1 cun

Question 5

GV4 location and needling technique

• Location
• Insertion
• Depth

Answer 5

GV4 location and needling technique

Location

On the midline of the back below the inferior margin of the L2 spinous process.

Insertion

posterior to anterior, perpendicular to the skin, slightly upwards

Depth

0.7-1 cun

Question 6

BL23 location and needling technique

• Location
• Insertion
• Depth

Answer 6

BL23 location and needling technique

Location

1.5 cun lateral to the midline at the level of the lower border of the spinous process of L2.

Insertion

oblique, 30- 45 degree angle to the skin, lateral to medial towards the midline

Depth

1-1.2 cun

Question 7

BL25 location and needling technique

• Location
• Insertion
• Depth

Answer 7

BL25 location and needling technique

Location

1.5 cun lateral to the midline at the level of the lower border of L4 spinous process

Insertion

perpendicular to the skin, posterior to anterior

Depth

1 - 1.5 cun

Question 8

GV14 location and needling technique

Answer 8

GV14 location and needling technique

Location

On the midline of the neck, between C7 and T1 spinous processes

Insertion

slightly superiorly, generally the needle will follow the space between the spinous processes.

Depth

1 cun

Question 9

GB20 location and needling technique

• Location
• Insertion
• Depth

Answer 9

GB20 location and needling technique

Location:

In the depression below the occipital bone at the level of GV 16, between the origin of trapezius and sternocleidomastoid muscles, midway between the midline and the mastoid process

Insertion:

Towards the tip of the nose or opposite eye on a horizontal plane

Depth:

0.5-1 cun, no deeper to avoid puncturing the vertebral artery

Caution: avoid deep needling (vertebral artery at ~ 40mm from skin), and avoid directing the needle towards the foramen magnum.

Question 10

SI15 location and needling technique

• Location
• Insertion
• Depth

Answer 10

SI15 location and needling technique

Location

2 cun lateral to the midline at the level of the lower border of spinous process of C7 (GV 14).

Insertion

Oblique, inferior to superior, towards the midline

Deep perpendicular insertion may cause pneumothorax. Pick up muscle while inserting.

Depth

0.5 – 1.0 cun