Extra Points and Needling directions Flashcards
UB10
RN14, RN15
DU15, DU16 strickly
No upward needling
SP17 to SP21
SI.14
No perpendicular needling
ST2
UB1 to UB3
PC6, PC7
No manipulation
LU3
No moxa. Note: according to several classical texts, this point is contraindicated to moxibustion.
LI.4
CI in pregnancy
LI.20
according to some classical and modern texts, this point is contraindicated to moxibustion.
In the naso-labial groove, at the level of the midpoint of
the lateral border of the ala nasi.
Bitong: At the highest point of the naso-labial groove.
Bitong or shangyingxiang
At the highest point of the naso-labial groove.
ERJIAN
When the ear is folded forwards, this point lies
at the apex of the ear.
TAIYANG
At the temple, in the tender depression approximately 1 cun posterior to the midpoint between the lateral extremity of the eyebrow and the outer canthus of the eye.
QIUHOU
Along the inferior border of the orbit, at the junction of the lateral one quarter and medial three quarters of the infra-orbital margin.
YUYAO
In the centre of the eyebrow, in the depression directly above the pupil when the eyes are looking straight forwards.
YINTANG
At the glabella, at the midpoint between the medial extremities of the eyebrows.
SISHENCONG
Four points at the vertex of the scalp, grouped around Baihui DU-20 and located 1 cun anterior, posterior and lateral to it.
BAILAO or JINGBAILAO
At the back of the neck, 2 cun superior to Dazhui DU-14, 1 cun lateral to the midline.
ANMIAN (not on the list)
Behind the ear, midway between GB20 and TW17.
SHANGMING
below yuyao
Directly superior to the pupil, below the margin of the orbit.
ERJIAN
On the apex of the ear, on the helix.
DANGYANG
With the patient looking straight ahead, vertically above the pupil, 1 cun above the anterior hairline.
Note: GB14 is 1c above centre of eyebrow
NEIYINGXIANG
In the nasal cavity, at the junction of the nasal bone and the nasal cartilage.
This point lies ‘opposite’ the external point Ex-HN-8 (shangyingxiang or bitong), which is located at the upper end of the nasolabial groove.
JUQUAN
Gathering Spring
With maximal extension of the tongue, in the centre of the tongue body.
HAIQUAN
Sea Spring
Below the tongue, in the centre of the frenulum, between the points Ex-HN-12 (jinjin) and Ex-HN-13 (yuye).
JINJIN
On the underside of the tongue, on the lingual vein to the left of the frenulum.
YUYE
On the underside of the tongue, on the great lingual vein to the right of the frenulum.
YIMING
Eye Brightening
At the junction of the head and the occiput, posterior to the mastoid bone.
Ex-HN-14 (yiming) is located on a line connecting TW17
(below the earlobe, between the maxilla and the mastoid) and GB20 (at the junction of the occiput and the neck, in the centre of the dorsolateral depression). From TW17, measure 1 cun towards the posterior and there locate yiming posterior to the mastoid. Located slightly superior and posterior to yiming is Ex-HN (anmian), in the corner between the mastoid and the occiput
ZIGONG
3 cun lateral to the anterior midline and 1 cun superior to the upper border of the pubic symphysis.
DINGCHUAN
0.5 cun lateral to the lower border of the spinous process of the 7th cervical vertebra (C7).
HUATUOJIAJI or JiaJi
17 point pairs, 0.5 cun lateral to the lower borders of the spinous processes, close to the spinal facet joints:
● 12 thoracic point pairs (xiongjiaji): between T1 and T12
● 5 lumbar point pairs (yaojiaji): between L1 and L5, Depending on the school of thought, corresponding points lateral to the cervical spine are described as ‘additional huatuojiaji’.
WEIWANXIASHU
Stomach Controller Lower Shu
1.5 cun lateral to the lower border of the spinous process of the 8th thoracic vertebra (T8).
PIGEN
3.5 cun lateral to the posterior midline, on the level of the lower border of the spinous process of the 1st lumbar vertebra (L1).
XIAJISHU
Lower Shu Point
Some authors consider Ex-B-5 (xiajishu) to comprise three points: one point on the midline below the spinous process of the 3rd lumbar vertebra (L3) (this is the more common and single location of this extra point), complemented by two lateral points 3 cun lateral to the centre point on the midline.
Caution: In pregnant women about to go into labour, this point might have a labour-promoting effect.
YAOYI
3 cun lateral to the midline, on the level of the lower border of the spinous process of the 4th lumbar vertebra (L4).
YAOYAN
3.5 cun lateral to the midline, on the level of the lower border of the spinous process of the 4th lumbar vertebra (L4).
SHIQIZHUI/SHIQIZHUIXIA
Below the 17th Vertebra
On the midline, below the spinous process of the 5th lumbar vertebra (L5).
YAOQI
2 cun superior to the tip (inferior end) of the coccyx.
ZHOUJIAN
Elbow Tip
On the tip of the olecranon.
ERBAI
A pair of points on the palmar aspect of the forearm, 4 cun proximal to the wrist joint space (most distal wrist crease), on either side of the tendon of the flexor carpi radialis muscle.
ZHONGQUAN
On the dorsal aspect of the wrist joint space (dorsal wrist crease), radial to the tendon of the extensor digitorum communis muscle.
ZHONGKUI
Back of the Middle Finger
As the name implies, on the dorsal aspect of the middle finger, in the centre of the transverse creases of the proximal interphalangeal joint (PIP).
DAGUKONG
Thumb Joint
As the name implies, on the dorsal aspect of the thumb, in the centre of the transverse creases of the interphalangeal joint.
XIAOGUKONG
Little Finger Joint
As the name implies, on the dorsal aspect of the little finger, in the centre of the transverse creases of the proximal interphalangeal joint (PIP).
YAOTONGDIAN
Lumbar Pair Point
Two points on the dorsal aspect of the hand, between the 2nd/3rd and 4th/5th metacarpal bones, on the level of the junctions of the shaft and the base of the respective metacarpal bones.
WAILAOGONG/LUOZHEN/XIANQIANG
Stiff Neck
On the dorsal aspect of the hand, between the 2nd and 3rd metacarpal bones, proximal to the metacarpophalangeal joints, at the junction of the heads and the shafts of the metacarpal bones.
BAXIE
Eight Pathogens
Slightly proximal to the margins of the webs between the fingers, on the border of the red and white skin.
SIFENG
On the palmar aspect of the 2nd to 5th fingers, at the midpoint of the transverse creases of the proximal interphalangeal joints (PIP).
SHIXUAN
On the tips of the 10 fingers.
KUANGU
Hip Bone
A pair of points 2 cun superior to the patella and 1.5 cun lateral and medial to ST-34 (liangqiu).
HEDING/XIDING
In the centre of the upper border of the patella.
BAICHONGWO
3 cun superior and 1 cun medial to the upper medial border of the patella, in a small depression on the vastus medialis muscle or 1 cun superior to SP-10.
NEIXIYAN
Inner Eye of the Knee
With the knee flexed, inferior to the patella, in a depression medial to the patellar ligament
XIYAN
Eyes of the Knee
With the knee flexed, this pair of points is located inferior to the patella, medial and lateral to the patellar ligament. Ex-LE-5 (xiyan) includes two points: the medial eye of the knee corresponds to Ex-LE-4 (neixiyan), the lateral eye of the knee to ST-35 (dubi).
DANNANG/DANNANGXUE/DANNANGDIAN
Gall Bladder Point
On the G.B. channel of the right leg, approximately 1–2 cun distal to GB34, palpate for the most tender point.
LANWEI/LANWEIXUE
Appendix Point
On the ST channel of the right leg, the most tender point approximately 2 cun distal to ST36.
NEIHUAIJIAN
Medial Malleolus Tip
On the highest point of the medial malleolus.
WAIHUAIJIAN
Outer Malleolus Tip
On the highest prominence of the lateral malleolus
BAFENG
Eight Winds
Eight points located on the dorsum of the foot, slightly proximal to the margins of the interdigital webs
DUYIN
On the plantar aspect of the 2nd toe, at the midpoint of the transverse crease of the distal interphalangeal joint.
QIDUAN
End of Qi
On the tips of the 10 toes.
