AA1 Point Locations Flashcards
LI4 location and needling technique
- Location
- Insertion
- Depth
LI4 Needling technique
Location: At the level of the midpoint of the second metacarpal, between the first and second metacarpal on the dorsum of the hand. Feel for a depression and a tender spot
Insertion: perpendicular
Depth: 0.5 cun
HT7 needling technique
- Location
- Insertion
- Depth
HT7 needling technique
Location
On the wrist crease (palmar aspect) located between the ulnar styloid process and the pisiform bone, lateral to (on the radial side) of the flexor carpi ulnaris tendon.
Insertion
Perpindicular
Depth
0.25-0.5 cun
TE5 location and needling technique
- Location
- Insertion
- Depth
TE5
Location
On the dorsal aspect of the forearm, 2 cun proximal to the wrist crease corresponding to the radiocarpal joint between the radius and the ulna in the interosseus space
Insertion:
perpendicular
Depth:
0.5 - 1 cun
PC6 location and needling technique
- Location
- Insertion
- Depth
PC6
Location:
On the flexor surface of the forearm, 2 cun proximal to the wrist crease between palmaris longus and flexor carpi radialis longus.
Insertion:
perpendicular
Depth: 0.5 - 1 cun
LI10 location and needling technique
- Location
- Insertion
- Depth
LI10
Location
2 cun distal to LI 11 on the line connecting LI 11 and LI 5 in the depression between brachioradialis and extensor carpi radialis longus
Insertion:
Perpendicular.
Depth:
1-1.2 cun
L11 location and needling technique
- Location
- Insertion
- Depth
L11 location and needling technique
Location
On the transverse cubital crease, midpoint between the lateral edge of the biceps aponeurosis and the most prominent point of the lateral epicondyle, in the depression between extensor carpi radialis longus and brachioradialis
Insertion
Aim towards the midpoint of the elbow joint (bicipital aponeurosis).
Depth
1-1.5 cun
PC3 location and needling technique
- Location
- Insertion
- Depth
PC3 location and needling technique
Location
On the transverse cubital crease on the medial side of the bicipital aponeurosis
Insertion
Intra-articular, perpendicular, into the cubital fossa
Depth
0.5 - 1 cun
LI15 location and needling technique
- Location
- Insertion
- Depth
LI15 location and needling technique
Location
With the arm abducted, identify the anterior tip of the acromion. To locate the point, slide down into the depression/dimple between the anterior and middle fibers of the deltoid. If patient is unable to abduct to 90 ° the point may be located with the arm by the side.
Insertion
intra-articular, toward the midpoint of the axilla (HT1)
Depth
1-1.5 cun
TE14 location and needling technique
- Location
- Insertion
- Depth
TE14 location and needling technique
Location
With the arm abducted, identify the posterior tip of the acromion. To locate the point, slide down into the depression/dimple between the posterior and middle fibers of the deltoid.
Insertion
Intra-articular, toward the midpoint of the axilla (HT 1)
Depth
1-1.5 cun
SI11 location and needling technique
- Location
- Insertion
- Depth
SI11
Location
Midway on the line connecting the midpoint of the upper margin of the spine of the scapula (SI 12) and the inferior angle of the scapula. Alternatively, locate the point at the junction of the upper one third and lower two thirds on the line connecting the midpoint of the lower margin of the spine of the scapula and the inferior angle of the scapula.
Insertion
Oblique, medial to lateral and inferior to superior (towards the glenohumeral joint).
Nb. Deep needling on an osteoporotic scapula could produce pneumothorax.
Depth
0.5 - 1 cun
SI12 location and needling technique
- Location
- Insertion
- Depth
SI12 location and needling technique
Location
In the supraspinous fossa, directly above the midpoint of the spine of the scapula
Insertion
Aim towards the floor of the suprapinous fossa, down into the supraspinatus muscle.
Caution: Perpendicular insertion, posterior to anterior may cause Pneumothorax
Depth
0.5-1 cun
CV4 location and needling technique
- Location
- Insertion
- Depth
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
CV6 location and needling technique
- Location
- Insertion
- Depth
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.
CV12 location and needling technique
- Location
- Insertion
- Depth
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
GV3 location and needling technique
- Location
- Insertion
- Depth
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
GV4 location and needling technique
- Location
- Insertion
- Depth
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
BL23 location and needling technique
- Location
- Insertion
- Depth
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
BL25 location and needling technique
- Location
- Insertion
- Depth
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
GV14 location and needling technique
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
GB20 location and needling technique
- Location
- Insertion
- Depth
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.
SI15 location and needling technique
- Location
- Insertion
- Depth
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
GV24.5 location and needling technique
- Location
- Insertion
- Depth
GV24.5 location and needling technique
Location:
On the midline of the face, between the medial ends of the eyebrows (glabella)
Insertion
Obliquely downward, pinch the skin to insert. Use 15 mm or 30 mm needle
Depth
0.3 – 0.5 cun
GV26 location and needling technique
- Location
- Insertion
- Depth
GV26 location and needling technique
Location
On the midline of the philtrum on the upper lip at the junction between the upper one third and the lower two thirds.
Insertion
slightly oblique in a cranial direction
Depth
0.3 – 0.5 cun
CV24 location and needling technique
- Location
- Insertion
- Depth
CV24 location and needling technique
Location
On the anterior midline at the midpoint of the mentolabial groove (fossa).
Insertion
perpendicular or obliquely upward towards the inferior lip
Depth
0.3-0.5 cun
LI20 location and needling technique
- Location
- Insertion
- Depth
LI20 location and needling technique
Location
In the nasolabial groove at the level of the midpoint of the nasal ala. This is the last point of the LI meridian and is on the opposite side of the body from the rest of the meridian.
Insertion
obliquely, subcutaneously, superiorly and medially towards the bridge of the nose, following the nasolabial groove. Use 15mm or 30mm needle.
Depth
0.25-0.5 cun
ST7 location and needling technique
- Location
- Insertion
- Depth
ST7 location and needling technique
Location
In the depression below the middle of the zygomatic arch, posterior to the masseter and between the coronoid process and the condyloid process of the mandible. The point is located with the mouth closed. If a finger is placed on the point and the mouth is opened, the condyloid process will be felt as it moves forward.
Insertion
lateral to medial, perpendicular to the skin.
Depth
0.5-1 cun
Taiyang location and needling technique
- Location
- Insertion
- Depth
Taiyang location and needling technique
Location
In the temporal fossa, 1 cun posterior to the midpoint of the line joining the lateral end of the eyebrow (superior lateral corner of the orbit) and the lateral canthus of the eye
Insertion
Oblique anterior to posterior or perpendicular to the skin. Avoid hitting the temporal artery.
Depth
0.3 - 0.4 cun
GB30 location and needling technique
- Location
- Insertion
- Depth
GB30 location and needling technique
Location
At the junction of the lateral 1/3 and medial 2/3 of the distance on the line between the sacral hiatus (~ top of the anal crease) and the most prominent posterior point of the greater trochanter.
Insertion
posterior to anterior, perpendicular to the skin
Depth
2 – 3.5 cun as required to reach the depth of the sciatic nerve
GB31 location and needling technique
- Location
- Insertion
- Depth
GB31 location and needling technique
Location
On the lateral aspect of the thigh, 7 cun above the popliteal crease (lateral knee joint line). Alternatively, found in the standing position, where the tip of the third finger reaches the thigh.
Insertion
lateral to medial, perpendicular to the skin
Depth
1.5 – 2 cun
LR3 location and needling technique
- Location
- Insertion
- Depth
LR3 location and needling technique
Location
Midway between the first and second metatarsals at the level of the midpoint of the second metatarsal. (Analogous to the location of LI 4 in the hand)
Insertion
aim slightly superiorly from the perpendicular, towards the junction of the first and second metatarsal
Depth
0.5 cun
BL60 location and needling technique
- Location
- Insertion
- Depth
BL60 location and needling technique
Location
In the center of the depression located approximately midway between the most prominent aspect of the lateral malleolus and the posterior border of the Achilles tendon, superior to the calcaneus.
Insertion
lateral to medial
Depth
0.5-1 cun
KI3 location and needling technique
- Location
- Insertion
- Depth
KI3 location and needling technique
Location
On the same horizontal line as the most prominent aspect of the medial malleolus in the depression between the medial malleolus and the Achilles tendon.
Insertion
medial to lateral
Depth
0.3 - 0.5 cun. Deeper insertion towards BL 60 is possible
GB40 location and needling technique
- Location
- Insertion
- Depth
GB40 location and needling technique
Location
Anterior and inferior to the lateral malleolus, in the sinus tarsi, lateral to the extensor digitorum longus tendon.
Insertion
intra-articular, perpendicular to the skin. Use Betadine® or Stanhexidine® to avoid joint infection
Depth
1 - 1.5 cun
BL57 location and needling technique
- Location
- Insertion
- Depth
BL57 location and needling technique
Location
On the posterior midline of the leg, at the apex of the inverted “V” of the musculotendinous junction of the gastrocnemius muscle and Achilles tendon, approximately 8 cun below the popliteal crease. Contract and relax the gastrocnemius to locate.
Insertion
perpendicular to the skin, posterior to anterior
Depth
0.5-1.5 cun
SP6 location and needling technique
- Location
- Insertion
- Depth
SP6 location and needling technique
Location
3 cun superior to the most prominent point of the medial malleolus, posterior to the tibia and anterior to the Achilles tendon and soleus muscle.
Insertion
medial to lateral (perpendicular to the skin), posterior to the tibia. Avoid needling the tendons of flexor digitorum and tibialis posterior by having patient plantar & dorsiflex the foot to locate the tendons
Depth
1-1.5 cun
ST36 location and needling technique
- Location
- Insertion
- Depth
ST36 location and needling technique
Location
On the leg, 3 cun below the knee joint line with the knee in extension or 3 cun below the lower margin of the patella when the knee is flexed, 1cun lateral to the crest of the tibia.
Insertion
anterior to posterior, aiming between the tibia and the fibula towards the interosseus space, on a horizontal plane
Depth
1-1.5 cun
GB34 location and needling technique
- Location
- Insertion
- Depth
GB34 location and needling technique
Location
On the lateral aspect of the leg, inferior to the head of the fibula and anterior to the neck 2 cun below the lateral knee joint line.
Insertion
lateral to medial, towards the interosseous space
Depth
1-1.5 cun
SP9 location and needling technique
- Location
- Insertion
- Depth
SP9 location and needling technique
Location
On the medial aspect of the leg, 2 cun below the medial knee joint line, posterior to the tibia and anterior to the soleus and gastrocnemius, at the apex of the curve between the shaft and the tibial condyle.
Insertion
perpendicular, medial to lateral
Depth
1-1.5 cun
BL40 location and needling technique
- Location
- Insertion
- Depth
BL40 location and needling technique
Location
At the midpoint of the Popliteal crease between the tendons of biceps femoris and semitendinosus.
Insertion
posterior to anterior, perpendicular to the skin, (possible to insert intra- articularly if using a long enough insertion). Flex the knee slightly to take tension off the posterior neural and vascular structures.
Depth
1 - 1.5 cun
