Acupuncture points (locations) Flashcards
CV-1
In the depression on the midline halfway between the anus and scrotum or vulva (dorsal to pelvic rim)
Shen-peng
1cun cranial to SS
“PBJ” = peng –> Bai-hui –> Jiao
BL-2
In the supraorbital ridge ventral to the medial end of the eyebrow
TH-14
Caudal and distal to the acromion on the caudal margin of the acromial head of the deltoideus muscle
*Bottom “fish lip”
ST-2
In the depression at the center of the infraorbital foramen (above 3rd premolar)
LU-7
Just proximal to the styloid process of the radius, 1.5cun above the radiocarpal joint; cranial/proximal needling
GB-20
On the dorsum of the neck, in the large depression just caudal and lateral to the occipital protuberance medial to the cranial edge of the wings of the atlas
Angle needle obique then redirect downwards
BL-25
1.5cun lateral to the caudal border of the dorsal spinous process of the 5th lumbar vertebra
ST-6
In the depression in the middle of the masseter muscle just rostral to the angle of the mandible
ST-42
On the dorsal aspect of the metatarsus at the junction of the 3rd and 4th metatarsal bones of the pelvic limb (proximal)
Medial to head of metatarsal V
(Ying-xiang)
LI-20
In the nasal labial groove, at the level of the widest part of the nostril approximately 0.1cun outside the haired/non-haired border
BL-39
On the lateral end of the popliteal crease on the medial border of the biceps femoris tendon. Just lateral to BL-40
GV-4
On the midline, between the dorsal spinous processes of the 2nd and 3rd lumbar vertebra
An-shen
Midway between the dorsal and ventral borders of the ear base in a large depression that is halfway between GB-20 and TH-17
GB-37
2cun proximal to GB-39 between the lateral digital extensor m and the deep digital flexor m (above saph. V)
SP-4
On the plantomedial side of the pelvic limb in the depression distal to the base (proximal end) of the 2nd metatarsal bone; needle perpendicular
*proximal end of “ski slope”
GB-24
In the 9th intercostal space at the level of the costochondral junction (3 spaces caudal and slightly dorsal to LIV-14)
SI-3
Just proximal to the metacarpophalangeal joint on the caudolateral side of the 5th metacarpal bone
*Ski slope: distal base
ST-1
Directly below the center of the pupil, just inside the infraorbital ridge. Penetrate the point by retropulsing the eyeball dorsally and directing the needle over the infraorbital ridge, through the skin and under the eye
(Tian-tu)
CV-22
Tip of manubrium, in the ventral midline
*Thick tissue
HT-1
In the center of the axillary space (between the trunk and forelimb) over the superficial pectoral muscle.
Needle along the chest wall
TH-10
In a depression on the triceps tendon, just proximal to the olecranon
Needle from lateral side and point back
BL-22
1.5cun lateral to the caudal border of the dorsal spinous process of the 1st lumbar vertebra
ST-45
On the lateral side of the 3rd digit nail base
Needle down from above point
BL-35
In the crease just lateral to the tail base, 1.5cun lateral to the dorsal midline
Needle straight toward head
LIV-3
Between the 2nd and 3rd metatarsal bones, proximal to the metatarsophalangeal joint
(Yi-feng)
TH-17
Ventral to the ear in the depression between the mandible and the mastoid process
BL-54
In a depression just dorsal to the greater trochanter of the femur. One of the “3 bowling ball points” around the hip joint
GV-3
Variable location; it is the largest depression located between the dorsal processes of L4-L5, L5-L6, or L6-L7 (In front of ilium)
*90% of the time: L6-L7
SP-8
On the medial side of the pelvic limb, 3cun distal to SP-9, on the caudal border of the tibia, cranial to the deep digital flexor muscle
*Find semiten/semimem. tendons
CV-12
On the ventral midline, halfway between the umbilicus and the xiphoid process (base).
Tai-yang
1cun caudal to the lateral canthus dorsal to the zygomatic arch
1/2 distance from eye to edge of lateral eyebrow
SP-10
When the stifle is flexed, the point is 2cun proximal and medial to the patella (on a diagonal from the patella) in a depression just cranial to the second belly of the sartorius muscle. (The point is approximately 1 patellar length proximal to the top of the patella and then 1 patellar length caudal)
SI-9
Caudal to the humerus, in a large depression along the caudal border of the deltoid muscle at its juncture with the triceps muscle. (Between the long and lateral heads of the triceps muscle, at the level of the shoulder joint)
*2 muscles behind pt. of shoulder–only triceps muscle (long head) should be behind the point
(Lian-guan)
CV-23
Just cranial to the larynx, on the ventral midline
BL-11
1.5cun lateral to the caudal border of the dorsal spinous process of the 1st thoracic vertebra. (The point may be punctured by a needle inserted midway between the spinous process and the medial border of the scapula directing the needle slightly laterally).
Needles only 1cun out but aim lateral
LI-15
Cranial and distal to the acromion on the cranial margin of the acromial head of the deltoideus muscle
* “Fish lips”, cranio-distal
(bottom “fish lip” = TH-14)
(Bao-sai)
ST-6
In the depression in the middle of the masseter muscle just rostral to the angle of the mandible
Shen-jiao
1cun caudal to Shen-shu
“PBJ” = peng –> Bai-hui –> Jiao
KID-1
On the plantar surface of the pelvic limb paw, between the 3rd and 4th metatarsal bones underneath the central pad of the rear foot
GB-33
Between the insertion of the biceps femoris tendon and the femur in a depression proximal to the lateral condyle of the femur
*Cranial drawer point
BL-15
1.5cun lateral to the caudal border of the dorsal spinous process of the 5th thoracic vertebra
*behind scapula
ST-40
1/2 distance betrween the lateral malleolus and the tibial plateau (proximal aspect of the tibia), 2cun lateral to the cranial aspect of the limb in the groove between the cranial tibialis and long digital extensor muscles. This point is proximal to ST-39
(Outside/lateral edge of muscle)
LIV-8
On the medial side of the knee at the medial aspect of the popliteal crease caudal to the medial femoral condyle (cranial to KID-10)
*cranial drawer pt
TH-21
Rostral to the pretragic incisure directly dorsal to SI-19 at the caudal border of the mandible and dorsal to the condyloid process with the mouth open
BL-1
0.1cun dorsal to the medial canthus of the eye
BL-64
On the lateral aspect of the pelvic limb distal to the base (proximal end) of the 5th metatarsal bone
*Top of the ‘ski slope’
BL-19
1.5cun lateral to the caudal border of the dorsal spinous process of the 11th thoracic vertebra
Bi-tong
Midpoint between LI-20 and BL-1
*Cats: sits where coat direction shifts
Wei-jie
Between Cd-1 and Cd-2 on dorsal midline
HT-3
On the medial side of the elbow just cranial to the medial epicondyle. The point is between the end of the cubital crease and the medial epicondyle of the humerus.
Bend elbow along crease; “mountain”; needle oblique
Liu-feng
Between the digits in skin folds–3pts on each foot (6pts rear limb), (6pts thoracic limb); insert needle through webbing and dorsal to the metacarpophalangeal or metatarsophalangeal joints
*Needle proximally, directly toward foot)
*Painful!
GB-14
In a depression on the frontal bone, 1cun dorsal to the extended midpoint of the eyebrow (at the end of the visible eyebrow)
*Flat triangle above the pupil; “clown”
HT-7
On the transverse crease of the carpal joint in the large depression lateral to the tendon of the flexor carpi ulnaris muscle and caudal to the tendon of the ulnaris lateralis muscle.
Start above point and feed needle distally into large hole
SI-8
On medial side of the elbow between the medial humeral epicondyle and the olecranon (at the ulnar nerve–funny bone)
“8” around medial condyle and olecranon–pt. right in middle (in front of tendon)
GB-29
In a depression just cranial to the greater trochanter (1 of the 3 bowling ball points around the head of the femur)
BL-14
1.5cun lateral to the caudal border of the dorsal spinous process of the 4th thoracic vertebra
Tian-ping
Between T13-L1 on dorsal midline (in line with BL-21)
BL-40
In the center of the popliteal crease. The point is found by directing the needle cranially towards the patella
GB-25
On the lateral side of the abdomen on the lower border of the free end of the 13th rib
PC-8
Underneath the large central pad between the 3rd and 4th metacarpal bones
Ding-chuan
0.5cun lateral to GV-14
Inside of BL channel, 1cun deep (~1 in)
LI-10
2cun distal to LI-11 between the extensor carpi radialis and the common digital extensor muscles
Bai-hui
Between L7-S1 on dorsal midline; BEHIND ilium
PC-3
On the medial side of cubital crease, just caudal to the biceps tendon
BL-52
3cun lateral to the caudal border of the dorsal spinous process of the 2nd lumbar vertebra at the lateral border of the longissimus muscle, 1.5cun lateral to BL-23
GB-41
On the dorsum of the pelvic limb paw just distal to the junction of the 4th and 5th metatarsals (on a line with LIV-3 located between the 2nd and 3rd metatarsals)
(Ji-zhong)
GV-6
T11-T12 dorsal midline
Btn BL-19
CV-17
On the ventral midline in a depression at the level of the 4th intercostal space. (flattest intercostal)
HT-9
On the medial aspect of the nail bed of the 5th digit on the front foot; start above and needle down
CV-22
On the ventral midline at the tip of the manubrium.
1/2in needle, ~1/4in into band of tissue
GV-20
In the depression on the dorsal midline on a line drawn from the tips of the ears level with the center of the ear canals
Nao-shu
Over the temporalis muscles 1/3 of the way along the line between the cranial ear base to the lateral canthus of the eye
BL-17
1.5cun lateral to the caudal border of the dorsal spinous process of the 7th thoracic vertebra
PC-6
3cun proximal to the transverse crease of the carpus in the groove between the flexor carpi radialis and the superficial digital flexor muscles in the interosseous space. (Opposite TH-5 on the lateral side)
*Easier when lying down; between tendons (middle)
Shan-gen
Nose, dorsal midline at the junction of hair and non-haired region
(Guan-Yuan-shu)
BL-21
Between T-13 and L-1, 1.5cun lateral to the dorsal spinous process
HT-8
On the palmar surface of the paw between the 4th and 5th metacarpal bones, proximal to the metacarpophalangeal junction proximal to the pad base
SI-16
In the brachiocephalicus muscle, at the level of the C2-3 intervertebral space, 3cun ventrolateral to the dorsal midline (just dorsal to the C2-3 Jing-jia-ji acupoint)
*Wing of atlas–> over 1 muscle belly
BL-28
Between S1-S2, 1.5cun lateral to the dorsal midline. Between the sacrum and the medial border of the wings of the ilium
(Da-zhui)
GV-14
Dorsal midline between the C7-T1
Tian-men
Caudal rim of ear bases–dorsal midline (GV-17)
Long-hui
Midpoint between the 2 temporal fossas at the leve of eyebrows (above)
Needle from top/behind
ST-25
Lateral to the center of the umbilicus, in the center of the rectus abdominis muscle
Da-feng-men
Cranial rim of ear bases, midline (GV-21)
Jian-wei
On the lateral cervical region between the jugular vein and the transverse process of the cervical vertebra at the junction of the upper and middle 1/3 of the jugular groove
GV-26
In the philtrum (the vertical line on the upper lip and between the nostrils) at the level of the ventral limits of the nostrils in the non-haired skin
*Twist: serotonin release
*Hen peck: stimulate epinephrine (CPR)
PC-9
On the medial aspect of the 4th digit at the nail bed
*Wedding band
GB-39
3cun proximal to the tip of the lateral malleolus in a depression on the caudal border of the fibula near where the lateral saphenous ven crosses (distal); opposite SP-6
KID-6
With the hock flexed, the point is located in a depression immediately distal and plantar to the medial malleolus (opposite BL-62)
LI-11
At the lateral end of the cubital crease, 1/2 the distance between the biceps tendon and the lateral epicondyle of the humerus when the elbow is flexed
GB-1
0.2cun lateral to the lateral canthus in the depression over the rim of the orbit
Needle away from eye
CV-4
On the ventrlal midlie, 3cun caudal to the umbilicus
SP-3
On the medial side of the pelvic limb just proximal to the metatarsophalangeal joint on the plantomedial side of the 2nd metatarsal bone; needle perpendcular
*push tendon away
Distal end of “ski slope”
Shen-shu
1cun lateral to Bai-hui
Er-jian
Convex surface of the ear at angular vein at ear tip
Jian-jiao
In the depression just ventral to the dorsal border of the wing of the ilium
“cup” just off ilium (ventral), in muscle
BL-24
1.5cun lateral to the caudal border of the dorsal spinous process of the 4th lumbar vertebra
LU-1
In the space medial to the greater tubercle of the humerus (when standing) in the superficial pectoral muscle at the level of the 1st intercostal space
*Lateral to jugular groove
SP-21
On the lateral aspect of the thorax at the 7th intercostal space at the same level as the point of the shoulder; needle oblique/ventral
Xia-guan
Caudal to the masseter muscle and cranial to the temporomandibular joints
(ST-7)
*Bottom “fish lips” at zygomatic arch
LI-20
In the nasial labial groove, on the lateral aspect of the nose, at the level of the widest part of the nostril and approximately 0.1cun caudal to the haired/non-haired border
BL-10
1.5cun from the dorsal midline of the neck at the level of the junction of C1/C2 (on a line from the caudal edges of the wings of the atlas)
*Wings of atlas–> up ~1.5cun from midline
PC-7
On the medial side of the thoracic limb, just proximal to the radiocarpal bone and caudal to the tendon of the flexor carpi radialis muscle under the proximal and medial aspect of the accessory carpal pad
*Start medial to accessory pad and needle proximally
ST-41
On the dorsum of the rear foot at the level of the hock in the depression directly on the midline. The point lies between the tendons of the long digital extensor and the cranial tibial muscles
“shuffle point”
CV-14
On the ventral midline halfway between CV-12 and the xiphoid process (3/4 of the distance from the umbilicus towards the base of the xiphoid process)
GB-34
In the depression, just distal and cranial to the head of the fibula on the lateral side of the pelvic limb
*Cranial drawer point;
find tibial crest –> straight back to lat. middle limb = fibular head –> craniodistal (flat area)
ST-35b
In the depression distal to the patella and medial to the patellar ligament; aka “the medial eye of the knee” or Nei Xi Yan
*B = between legs
GB-21
In the muscle just cranial to the edge of the scapula midway between GV-14 (dorsal midline between the C7-T1) and the acromion
Upper cervical pain: aim striaght in
Lower cervical pain: aim under scapula
(Cheng-jiang)
CV-24
1cun to the rim of the lower lip
BL-62
With the hock flexed, the point is located in a depression directly plantodistal to the lateral malleolus (opposite KID-6)
CV-24
Lower lip on the midline, 1cun ventral to the rim of the lower lip
SI-19
Rostral to the tragus (ventral to TH-21), at the caudal border of the mandible and slightly dorsal to the condyloid process
ST-37
3cun distal to ST-36, 0.5cun lateral to cranial aspect of the limb, in the cranial tibialis muscle
TH-5
3cun above the carpus on the craniolateral aspect of the forelimb in the interosseous space between the radius and ulna. (Directly opposite PC-6 on the medial aspect; finding TH-5 1st is the best way to find PC-6)
*Outside of “meat” like chicken wing
BL-67
On the lateral aspect of the nail bed of the 5th digit of the rear foot
BL-36
Ventral to the lateral border of tuber ischii in the biceps groove (between biceps femoris and semitendinosus muscles)
Wei-jian
At the tip of the tail
GV-1 B
CV-3
On the ventral midline, 4cun caudal to the umbilicus.
ST-39
3cun distal to ST-37, 0.5cun lateral to the cranial aspect of the limb, in cranial tibialis muscle (1cun distal to midpoint of the tibia)
*just proximal to where tibialis tapers into tendon
GB-31
In the groove between the femur and the biceps femoris, 7cun proximal to the lateral femoral condyle
BL-20
1.5cun lateral to the caudal border of the dorsal spinous process of the 12th thoracic vertebra
CV-5
On the ventrlal midlie, 2cun caudal to the umbilicus
BL-18
1.5cun lateral to the caudal border of the dorsal spinous process of the 10th thoracic vertebra
ST-4
At the lateral commissure of the mouth 0.1cun caudal to the mucocutaneous border
“smile point”
Er-yan
In the pelvic sacral foramina 2 pairs of bilateral points
Jing-jia-ji
Just above and below the lateral vertebral processes at the level of the intervertebral spaces at C1-C2, C2-C3, C3-C4, C4-C5, C5-C6, C6-C7, C7-T1 (7 pairs of acupoints on each side of the neck)
BL-23
1.5cun lateral to the caudal border of the dorsal spinous process of the 2nd lumbar vertebra
LIV-14
In a depression at the costochondral junction of the 6th intercostal space (needle ventrally)
BL-13
1.5cun lateral to the caudal border of the dorsal spinous process of the 3rd thoracic vertebra
LU-9
On the medial aspect of the radiocarpal joint, just cranial to the radial artery, at the level of HT-7. Needled from the dorsal aspect of the limb (under tendon, needle from dorsal aspect)
GV-1
In the depression on the dorsal midline halfway between the anus and base of the tail
Fei-men
1/3 of the way along the cranial border of scapular from dorsal to ventral
(Jing-ming)
BL-1
0.1cun dorsal to the medial canthus of the eye
BL-26
1.5cun lateral to the caudal border of the dorsal spinous process of the 6th lumbar vertebra
BL-12
1.5cun lateral to the caudal border of the dorsal spinous process of the 2nd thoracic vertebra
SP-9
On the lower border of the medial condyle of the tibia, in the depression between the caudal border of the tibia and the gastrocnemius muscle. The point is found by following the back of the tibia proximally until it bends caudally just below the medial tibial condyle
*Check by feeling semiT/M tendons just caudal
KID-10
On the medial side of the popliteal fossa at the level of BL-40, in between semimembranous and semitendinous muscles
Hua-tuo-jiaji
Between the vertebral bodies from T1-L7, 0.5cun from the midline, 1cun medial to the inner bladder channel points
SP-6
3cun proximal to the tip of the medial malleolus in a small depression on the caudal border of the tibia (point is opposite GB-39, which is on the lateral side)
Pull tendon away; below lat. saphenous
TH-3
On the dorsum of the forefoot between the 4th and 5gh metacarpal bones, in the depression just proximal to the metacarpophalangeal joint
“tea cup point”
KID-3
In the thin fleshy tissue between the medial malleolus and calcaneous level with the tip of the medial malleolus. The point is opposite but slightly distal to BL-60
KID-7
2cun proximal to the tip of the medial malleolus, on the cranial border of the Achilles tendon
*small flat area
BL-21
1.5cun lateral to the caudal border of the dorsal spinous process of the 13th thoracic vertebra
GV-21
In the depression on the dorsal midline on a line drawn from the tips of the ears level with the cranial edge of the ear canals
BL-16
1.5cun lateral to the caudal border of the dorsal spinous process of the 6th thoracic vertebra
Fei-pan
1/3 of the way along the caudal border of the scapula from dorsal to ventral
LU-5
On the medial side of the cubital crease, just lateral to the tendon of the biceps brachii muscle with the elbow flexed
ST-36
3 cun distal to ST-35, 0.5cun lateral to cranial crest of the tibia; in the belly of the cranial tibialis muscle. Long linear point
ST-44
In the web margin between the 3rd and 4th digits in the depression just distal and lateral to the 3rd metatarsophalangeal joint; needle from dorsal aspect, straight down
“stapling feet to floor”
LIV-2
On the lateral aspect of the 2nd digit, distal to the metatarsophalangeal joint in the webbing
TH-17
Ventral to the ear in the depression between the mandible and the mastoid process; Pick ear up, straight down cartilage
*Base of ear: GB-20, An-shen, TH-17 all equi-distant
TH-4
In the large lateral depression on the dorsolateral aspect of the radiocarpal joint, just lateral to the common digital extensor tendon
*Most lateral point when carpus flexed–don’t drift distally
ST-35a
In the depression distal to the patella and lateral to the patellar ligament. aka “the lateral eye of the knee” or Wai Xi Yan
(Feng-chi)
GB-20
In the large depression just caudal and lateral to the occipital protruberance and medial to the cranial edge of the wings of the atlas
SI-4
On the lateral side of the thoracic limb, distal to the carpal joint, caudolateral to the base of the 5th metacarpal bone
*Proximal base of the ski slope
(Cheng-Qi)
ST-1
Directly below the center of the pupil just inside the orbital ridge
(ST-1)
Zhou-shu
Between the lateral humeral condyle and the anconeal process (Opposite SI-8 on medial side)
GV-17
In the depression on the dorsal midline, on a line drawn from the caudal (trailing) edge of the ears just proximal to the occipital protuberance
LI-4
Between the 2nd and 3rd metacarpal bones, at the midpoint of the 3rd metacarpal bone on the medial side. *Highest point in the space between bones
For cats: alternaitve location is midpoint of the 2nd metacarpal bone on the medial side
BL-60
In the thin fleshy tissue between the lateral malleolus and the calcaneous, level with the tip of the lateral malleolus. (the point is opposite but slightly proximal to KID-3)
*As far distal; cranial space against tibia
GB-30
In a depression midway between the greater trochanter and the tuber ischii (1 of the 3 bowling ball points around the head of the femur)
TH-23
In the depression on the rim of the orbit at the end of the eyebrow, if it were extended to the lateral canthus
CV-6
On the ventrlal midlie, 1.5cun caudal to the umbilicus
*Male dog: close to where prepuce attaches to ventral abdomen
GV-14
In the depression on the dorsal midline between the C7-T1 dorsal spinous processes
LIV-13
On the latearl side of the body, just below the free end of the 12th rib
(GB-25–13th rib)
Shang-guan
In the depression (more prominent with the mouth open) at the caudal end of the temporomandibular joint, caudal to the masseter muscle, dorsal to the zygomatic arch and ST-7
(GB-3)
*“fish lips” (upper) at zygomatic arch
