Body Position Points Flashcards
LI.2
flex index finger (slightly and relaxed)
LU5
flex elbow (slightly)
LU1
Delto-pectoral triangle (externally rotating with elbow flexed)
flex the arm and extend hand against
LU2
Delto-pectoral triangle (externally rotating with elbow flexed)
flex the arm and extend hand against
SI.6
Depression of styloid process formed when the hand is turned from pronated to a supinated postion
LI.3
flex index finger (slightly and relaxed)
LI.5
Extend the thumb to show the snuffbox. Avoid vein.
LI.6
elbow flexed w/radial side upwards on a line btw LI.5 to LI.11
LI.12
elbow flexed, this pt directly above the LE
LI.14
easy to locate if the upper arm ms are tensed (elbow flexed and abducted)
LI.15
same as LI.14. Elbow flexed and abducted, the two hollows are often visible. Note: TW14 is behind LI.15
LI.18
rotate the head away from the needle side (w/resistance) to the SCM heads.
It is in btw the two heads or 3c lateral to the laryngeal prominence.
ST3
eye looking straight forward. this point is located directly below the pupil, level with the lower border of the ala nasi, on the lateral side of the naso-labial Groove. No cautions.. Generally no moxa on face.
ST4
eyes looking directly forward. Smile if groove is not visible..
No cautions. Generally no moxa on the face
ST5
Ask the patient to clench the jaw before locating.
Directly anterior to the angle of the jaw, in a depression at the anterior border of the masseter muscle.
Caution: vigorous manipulation is contraindicated to
avoid the risk of damaging the facial artery and vein.
ST6
Ask the patient to clench the jaw before locating.
Approximately 1 fingerbreadth anterior and superior to the angle of the jaw at the prominence of the masseter muscle. No cautions.
ST1: no liftinglifting or thrusting
ST2: no deep, avoid eyeball, no lifting or thrusting.
ST3, ST4: no cautions
ST5: no manipulation avoid damaging facial artery, and vein.
ST6: no cautions
ST7
Although this point is needled with the mouth closed, it is helpful to ask the patient to open the mouth to better
locate the condyloid process. If the finger rests on the
condyloid process when the mouth is open, it will fall into Xiaguan ST-7 when the mouth is closed.
At the lower border of the zygomatic arch, in the depression anterior to the condyloid process of the mandible.
ST9
Ask the patient to lie flat and remove any pillow.
in the depression between the anterior border of the sternocleidomastoid muscle and the lateral border of the thyroid cartilage.
Note: avoid carotid artery, no moxa, experienced doctor only
ST10
ask the patient to turn their head away from the side to be needled, whilst you apply resistance at the chin.
At the anterior border of the sternocleidomastoid muscle, midway between ST9 and ST11. Remember ST11 is in btw the two SCM ms
Note: same caution as ST9. avoid carotid artery, experienced doctor only
ST11
Palpation of the sternal and clavicular heads is made
easier if the patient turns their head away from the side tobe needled, whilst you apply resistance at the chin.
At the root of the neck, superior to the medial end of the clavicle, directly below ST9 in the depression between the sternal and clavicular heads of the sternocleidomastoid muscle.
Now caution is no deep needling to avoid puncturing the Lungs
ST35
With the knee flexed and supported by a rolled pillow. Three needling directions:
- toward UB40
- medial and superior behind patella
- behind patella to join Xiyan
ST41
Ask the patient to extend the big toe against resistance in order to define the tendon of extensor hallucis longus, and locate ST41 lateral to this tendon and level with the prominence of the lateral malleolus.
If in doubt, ask the patient to extend the remaining toes against resistance to define the tendon of extensor digitorum longus; ST41 is located between the two tendons.
ST42
Run the finger proximally from ST43 towards ST41; the point is located in a depression approximately halfway between these two points;
On the dorsum of the foot, in the depression formed by the junction of the second and third metatarsal bones and the cuneiform bones (second and third), 1.5 cun distal to ST41, on the line drawn between ST41 and ST43, at the point where the pulsation of the dorsalis
pedis artery may be palpated.
Caution: avoid dorsalis pedis artery
HT1
This point is located with the arm abducted.
In the depression at the centre of the axilla.
Caution: medial insertion towards the chest may puncture the lung.
HT2
i. Locate with the elbow flexed;
ii. This point is located in the groove medial to the biceps brachii muscle, one handbreadth proximal to HT3.
3 cun proximal to the medial end of the transverse cubital crease, on the line connecting HT1 and HT3.
SI.3
This point is easier to locate when the hand is made into a loose fist.
On the ulnar border of the hand, in the substantial depression proximal to the head of the fifth metacarpal bone.
SI.6
When the palm of the hand is placed on the chest, this
point is located on the dorsal aspect of the head of the ulna, in a cleft level with and to the radial side of the high point of the styloid process of the ulna.
SI.7
This point should be located and needled with the patient lying on their back and with their arm either in the supine position or resting on the chest.
On a line connecting SI.5 and SI.8, 5 cun proximal to SI.5, in the groove between the anterior border of the ulna and the muscle belly of flexor carpi ulnaris.
SI.10
the arm hangs in the adducted position
Slide a finger directly upwards from SI.9 until it
falls into the depression just below the scapular spine.
On the posterior aspect of the shoulder, in the depression inferior to the scapular spine, directly superior to the posterior axillary crease when the arm hangs in the adducted position
SI.11
ensuring that the patient’s shoulder is relaxed.
In practice it may be difficult to palpate the inferior angle of the scapula. An alternative method of location is to draw an equilateral triangle with SI.9 and SI.10,
after first ensuring that the patient’s shoulder is relaxed.
On the scapula, in a tender depression one third of the distance from the midpoint of the inferior border of the scapular spine to the inferior angle of the scapula.
SI.14
When the shoulder is relaxed, the 3 cun line corresponds to the medial border of the scapula.
Note: first point of the second UB line.
Caution: No perpendicular insertion (especially in thin patients) to avoid the lung.
3 cun lateral to the lower border of the spinous process of T1 (DU13).
SI.12
When the arm is raised.
In the centre of the suprascapular fossa, directly above
SI.11, in a depression formed when the arm is raised.
Caution: No deep perpendicular insertion (especially in thin patients) to avoid the lung
SI.16
i. Palpation of the posterior border of the sternocleidomastoid muscle is made easier if the patient turns their head away from the side to be needled, whilst you apply resistance at the chin;
Remember this point is behind the SCM ms and there is NO cautions or CIs.
SI.17
Palpation of the anterior border of the sternocleidomastoid muscle is made easier if the patient turns their head away from the side to be needled, whilst you apply resistance at the chin,
This point is in front of the SCM ms at the chin level, therefore there is NO cautions or CIs.
Remember at the same level behind the SCM ms is TW16.
SI.19
In order to locate this point, ask the patient to open the mouth so that the condyloid process of the mandible
slides forwards to reveal the depression.
NEEDLING
i. Perpendicular insertion 0.5 to 1 cun;
ii. Needle with the mouth open; following insertion of the needle the patient may close their mouth.
UB38
Locate with the knee slightly flexed.
On the back of the knee, 1 cun superior to UB39, on the medial side of the tendon of biceps femoris.
Remember: UB38, UB39 and UB40 forms a Right Triangle (UB40 and UB39 are at the same level)
UB39
Locate with the knee slightly flexed.
At the back of the knee, on the popliteal crease and towards its lateral end, in the depression medial to the
tendon of biceps femoris.
UB40
Locate with the knee slightly flexed.
At the back of the knee, on the popliteal crease, in a depression mid way between the tendons of biceps femoris and semitendinosus.
Caution: the tibial nerve and the popliteal artery and vein lie deep to this point.
UB57
Locating technique: Run your finger upwards from the Achilles tendon along the midline until it falls into the depression formed between the two origins of the gastrocnemius muscle bellies
KI.6
flexing and inverting the foot
KI.10
tighten the hamstrings to locate tendon of semitendinosus which lies
PC1
4th isc
PC3
Bend elbow slightly
TW2
hold a loose fist
TW3
hold a loose fist
TW10
With the elbow flexed, this point is located in the depression 1 cun proximal to the olecranon.
TW11
With the elbow flexed, this point is located 1 cun proximal to TW10.
TW14
i. Locate with the arm abducted in order to enhance the
depression;
ii. Note that Ll.15 is located in the depression which lies anterior and inferior to the lateral
extremity of the acromion.
TW16
Look away from the needling side.
On the posterior border of the sternocleidomastoid muscle, approximately 1 cun inferior to GB12, on a line drawn between UBL10 and SI.17.
TW17
Fold the earlobe forwards to reveal this point.
Behind the earlobe, between the ramus of the mandible and the mastoid process.
TW20
Fold the ear so that the posterior part of the upper helix
directly covers the anterior part of the upper helix. Take
care not to push the whole of the ear forwards.
On the side of the head, directly level with the apex of the ear when the ear is folded forwards.
TW21
ask the patient to open the mouth so that the condyloid process of the mandible slides forwards to reveal the depression. This point is needled with the mouth open. Following needling the mouth can be closed.
LV4
i. It is important to extend (dorsiflex) the ankle (by drawing the toes upwards towards the shin) before locating this point;
ii. This point is also described as midway between SP5 and ST41; (LV4, SP5, KI.6 form a line on the medial side)
iii. The distance of this point from the prominence of the medial malleolus is given variously in classical sources as either 1 or 1.5 cun.
LV7
Locate SP9 in the depression in the angle formed by the medial condyle of the tibia and the posterior border of the tibia, and then locate LV7 one cun posterior to it.
To locate SP9:
i. Run the finger in the groove posterior to the medial border of the tibia until it falls into the depression below the tibial condyle;
ii. This point lies at the same level as GB34.
LV8
i. It is helpful to flex the knee to locate the popliteal crease and identify the tendons of m. semitendinosus and m. semimembranosus, although the point may subsequently be needled with a pillow under the leg to semi-flex it;
ii.
The tendon of semitendinosus, which lies posteriorly to semimembranosus, is the most prominent of the two tendons.
1 cun anterior to KI.10.
LV13
i. To locate the free end of the eleventh rib, first place the entire hand on the upper abdomen and with gentle finger pressure palpate downwards along the costal margin, until the end of the eleventh rib is located just above the level of the umbilicus;
ii. This point usually lies on or near the mid -axillary line which is drawn vertically down from the apex of the axilla (HT1).
GB2
ask the patient to open the mouth so that the condyloid process of the mandible slides forwards to reveal the depression.
Needling: Slightly posterior insertion 0.5 to 1 cun. This point should be needled with the mouth wide open. The patient may close the mouth after insertion.
GB7
TW20 is located directly level with the apex of the ear, when the ear is folded forwards. Fold the ear so that the posterior part of the upper helix directly covers the anterior part of the upper helix. Take care not to push the whole of the ear forwards.
GB8
Fold the ear forward to define the apex. Fold the ear so that the posterior part of the upper helix directly covers the anterior part of the upper helix. Take care not to push the whole of the ear forwards.
In the temporal region, in the slight depression 1 cun directly above the apex of the ear.
GB25
Place the hand on the upper abdomen and, with gentle pressure, glide along the lower border of the ribcage until you can feel the free end of the 11th rib (LV13) slightly superior to the umbilicus. By continuing to palpate along the lower border of the ribcage, you will feel the free end of the 12th rib on the lateral aspect of the waist.
When pressing the flexed elbow onto the thorax, the tip of the olecranon will rest on the area around the free end of the 11th rib ( LV13).
GB26
First, palpate the lower border of the ribcage to locate the free end of the 11th rib (LV13). Next, locate GB26 inferior to the free end of the 11th rib, level with the umbilicus.
Quick method for locating LV13: When pressing the flexed elbow onto the thorax, the tip of the olecranon will rest on the area around the free end of the 11th rib (LV13).
GB41
Ask the patient to abduct their little toe in order to make
the branch of m. extensor digitorum longus more prominent. Run a finger from GB43 towards the ankle,
along the interspace between the fourth and fifth meta tarsals until it passes over this branch into the significant depression immediately beyond the tendon.
GB42
Ask the patient to abduct their little toe in order to make the branch of m. extensor digitorum longus more prominent. Run a finger from GB43 towards the ankle, along the interspace between the fourth and fifth metatarsals, until it encounters the significant depression immediately before the tendon.
RN17
i. First locate the costal cartilage of the second rib which is level with the sternal angle, then locate the second intercostal space below it and count down to the fourth space;
ii. This point can be located directly between the nipples in men.
