Arm c/ci

Question 1

avoid puncturing the radial artery

Answer 1

L-9 and L-8

Question 2

acupuncture and moxibustion are contraindicated in pregnant women

Answer 2

Li-4

Question 3

avoid injuring the artery (radial collateral a&v)

Answer 3

Li-13

Question 4

avoid puncturing the axillary artery

Answer 4

H-1

Question 5

locate and needle with the elbow sl flexed, avoiding the cubital vein

Answer 5

L-5

Question 6

avoid puncturing the cephalic vein

Answer 6

L-7

Question 7

c/i in pregnancy

Answer 7

Li-4

Question 8

this point is usually significantly tender to palpation

Answer 8

Li-10

Question 9

perpendicular insertion (towards gb 21), 0.5-1 cun, avoiding the axillary artery. caution: medial insertion towards chest may puncture the lung

Answer 9

H-1

Question 10

oblique distal or proximal insertion, 0.5-1 cun avoiding the brachial artery. note: many early classics only discuss moxa re this point. impying that needling was c/i perhaps because of danger to the brachial artery.

Answer 10

H-2

Question 11

caution: under the ulnar artery and ulnar nerve lie adjacent to this point

Answer 11

H-7

Question 12

perpendicular insertion 0.5-2 cun towards Li-3. needle with the hand in a loose fist with the metacarpal bones lying in the same plane; esp important when needling deepy towards opposite side of hand

Answer 12

Si-3

Question 13

caution: ulnar nerve lies deep to this point

Answer 13

Si-8

Question 14

caution: the brachial artery and veins lie deeply, just medial to this point

Answer 14

P-3

Question 15

the median nerve lies directly under this point and needling commonly induces a significant electric sensation, this is an acceptable manifestation of de qi (arrival of qi) but once elicited further manipulation is inappropriate and may damage the nerve

Answer 15

P-6 and P-7

Question 16

movement of patient’s arm or hand after needling this point can result in a bent needle

Answer 16

SJ-5 and SJ-6