C/CI: Lower Extremities

Question 1

S-42 (CAM)

Answer 1

• Avoid puncturing the artery. (Dorsal artery of the Foot aka Dorsalis pedais a.)

Question 2

SP-6 (CAM)

Answer 2

• Contraindacated in pregnancy

Question 3

SP-12

Answer 3

• CAM - Avoid puncturing the femoral a.
• Deadman - Deep needling in a medial direction may puncture the femoral artery, and in a lateral direction, the femoral nerve

Question 4

LIV-12

Answer 4

• CAM - Moxibustion is applicable
• Deadman - Care should be taken to avoid penetrating the femoral vein. The Essential Questions advises that this point should be treated by moxibustion rather than needling. Modern texts, however, say that moxibustion is contraindicated due to the proximity of this point both to the femoral vessels and to the pubic hair, and that the point should rather be treated by needling

Question 5

SP-11 (Deadman)

Answer 5

• Deep needling may puncture the femoral artery

Question 6

B-40 (Deadman)

Answer 6

• The tibial nerve and popliteal artery and vein lie deep to this point

Question 7

B-56 (Deadman)

Answer 7

• According to several classical texts, this point is contraindicated to needling

Question 8

B-60 (Deadman)

Answer 8

• Contraindicated in pregnancy

Question 9

B-67 (Deadman)

Answer 9

• Actions: Turns the fetus and facilitates labor.

Question 10

K-11(Deadman)

Answer 10

• Deep insertion will penetrate a full bladder which should therefore be emptied before treatment

Question 11

G-30 (Deadman)

Answer 11

• Note: A radiating or electric sensation may travel to the foot. Since this manifestation of deqi (arrival of qi) is particularly indicated in cases of sciatica it may be more readily induced by locating Huántiào G-30 one cun inferior to its normal position.

Question 12

G-33 (Deadman)

Answer 12

• According to several classical texts, this point is contraindicated to moxibustion

Question 13

G-39 (Deadman)

Answer 13

• Movement of the patient’s ankle after needling can result in a bent needle. For this
  reason, this point should be needled last and the patient instructed not to move the
  leg after needling

Question 14

G-41 (Deadman)

Answer 14

• Perpendicular insertion 0.5 to 1 cun. Incorrect angle of insertion will not enable the needle to pass between the shafts of the fourth and fifth metatarsal bones

Question 15

REN-1 (Deadman)

Answer 15

• Contraindicated in pregnancy