AA2 Week 2 Neck/Lumbosacral/Abdomen Points Flashcards
GV15
- Location
- Direction
- Depth
- Position
GV15
Location
On the midline of the neck, directly above the spinous process of C2, approximately 1 cun below the lower margin of the external occipital protuberance.
Direction
Aim towards the tip of the nose so that the needle remains on a horizontal plane
Depth
0.5 – 1 cun
Position
Sitting or prone
BL10
- Location
- Direction
- Depth
- Position
BL10
Location
On the level above the C2 spinous process (same as GV 15) 1.3 cun lateral to the midline, in the depression on the lateral aspect of the trapezius.
Direction
perpendicular posterior to anterior
Depth
0.5 – 1 cun
Position
Sitting or prone
GV16
- Location
- Direction
- Depth
- Position
GV16
Location
On the midline of the neck between the occiput and C1. Identify the lower margin of the occiput and insert just below. The point is also approximately 1 cun above the upper margin of C2 spinous process.
Direction
Aim towards the tip of the nose so that the needle remains on a horizontal plane
Depth
0.5 – 1 cun
Position
Sitting
C4 & C5
- Location
- Direction
- Depth
- Position
C4 & C5
Location
The landmarks used to identify these points are the mastoid process and the posterior margin of the sternocleidomastoid muscle. All the points are located along the posterior margin of the sternocleidomastoid muscle at the following levels:
C4 Upper margin of the thyroid cartilage
C5 Lower margin of the thyroid cartilage
Direction
Lateral to medial
Depth
1 cun
Position
supine with neck rotated to contralateral side is ideal; side lying or sitting are other options
GB21
- Location
- Direction
- Depth
- Position
GB21
Location
On the midpoint of the line connecting the lower margin of C7 spinous process and the lateral aspect of the acromion.
Direction
Tap the needle through the skin, then pick up the skin and underlying muscle and insert the needle posterior to anterior and inferior to superior into the muscle.
Depth
0.5 - 0.8 cun
Position
Sitting
BL31
- Location
- Direction
- Depth
- Position
BL31
Location
Approximately 1 cun lateral to the midline in the first sacral foramen.
Direction
perpendicular to the skin, into the first sacral foramen
Depth
1 - 1.5 cun
Position
Prone
BL32
- Location
- Direction
- Depth
- Position
BL32
Location
Approximately 1 cun lateral to the midline in the second sacral foramen at the level of the lower border of the SI joint.
Direction
perpendicular to the skin, into the second sacral foramen
Depth
1 - 1.5 cun
Position
Prone
BL53
- Location
- Direction
- Depth
- Position
BL53
Location
3 cun lateral to the midline at the level of the S2 foramen or the lower edge of the SI joint, just lateral to the sacrum.
Direction
perpendicular to the skin
Depth
1 - 1.5 cun
Position
Prone
BL54
- Location
- Direction
- Depth
- Position
BL54
Location
3 cun lateral to the midline at the level of the S4 foramen, about 1 cun above the sacral hiatus
Direction
perpendicular to the skin
Depth
1.5 – 2 cun
Position
Prone
CV3
- Location
- Direction
- Depth
- Position
CV3
Location
On the anterior midline, 4 cun below the centre of the umbilicus, or 1 cun above the superior borderof the symphysis pubis.
Direction
obliquely, generally in the direction of the flow of the meridian, inferior to superior
Depth
0.5 - 0.8 cun. Do not go past the resistance felt at the linea alba.
Position
Supine
ST21
- Location
- Direction
- Depth
- Position
ST21
Location
2 cun lateral to the midline, at the level of CV 12 (4 cun above the centre of the umbilicus)
Direction
oblique, 45° angle to the skin or less, towards the midline
Depth
0.7 – 1 cun
Position
Supine
ST25
- Location
- Direction
- Depth
- Position
ST25
Location
2 cun lateral to the midline, level with the centre of the umbilicus
Direction
oblique, 45° angle to the skin or less, towards the midline
Depth
0.7 - 1.2 cun
Position
Supine
