Point Location, Technique, etc. Flashcards
LU-7 Lie que
a. Location:
On the radial aspect of the forearm, 1.5 cun superior to LI 5; or cross the index
fingers and thumbs of both hands, and place the index finger of one hand on the styloid
process of the radius of the other, the point is located where the tip of the index finger rests.
b. Method: Puncture obliquely 0.2-0.5 cun, or horizontal 0.5-1 cun.
Sensation: First layer pain & local distention, then the soreness and pressure feeling, the sensation radiate to elbow or wrist.
c. Caution: Avoid the vein, not puncture too deep.
d. Classification: Connecting point of the Lung channel, Confluent point of the Conception Vessel
LU-9, Taiyuan
a. Location:
At the radial end of the crease of the wrist, where the pulse of the radial artery is palpable.
b. Method:
Puncture perpendicular insertion 0.3-0.5 cun, avoiding the radial artery.
Sensation: soreness and numbness sensation
c. Caution: Avoid the radial artery.
d. Classification: Shu-stream, Yuan point of LU and the Influential point of the pulse and vessels.
ST-42, Chongyang
a. Location: On the high point of the dorsum of the foot, between the tendons of the long extensor muscle of the big toe and the long extensor muscle of the toes, midway between ST41 and ST43, where the pulsation of the artery may be palpated.
b. Method:
Puncture perpendicular insertion 0.3-0.5 cun just away from artery.
Sensation: soreness and numbness sensation
c. Caution: Avoid the artery.
d. Classification: Yuan-source point of ST
SP-4, Gongsun
a. Location:
On the medial side of the foot, anterior and inferior to the base of the first metatarsal bone
b. Method:
Puncture perpendicularly 0.5-0.8 cun. Joined needle SP4—KI 1
Sensation: soreness and distending sensation.
c. Classification: Luo-connecting point, one of the Eight Confluent points, link to the Chong Meridian.
HT7, Shenmen
a. Location:
At the wrist, on the ulnar end of the crease of the wrist, in the depression at the radial side of the tendon of the ulnar flexor muscle of the wrist
b. Method:
Puncture perpendicularly 0.3-0.5 cun.
Sensation: Local soreness and distending sensation, some electricity or numbness sensation radiated to the finger.
c. Caution: the ulnar artery and ulnar nerve lie adjacent to this point.
d. Classification: Shu-stream point and Yuan-source point of HT.
SI-6, Yanglao
a. Location:
The point is located at the depression at the radial side of the little head of ulna.
b. Method:
Puncture perpendicularly 0.3-0.5 cun; oblique or transverse insertion 0.5-0.8 cun.
Sensation: Local soreness and numbness sensation, some sore or numbness sensation radiated to the elbow.
c. Caution: keep the special position.
d. Classification: Xi-cleft point of SI
BL-62, Shengmai
a. Location:
On the lateral side of the foot, approximately 0.5 cun inferior to the inferior border of the lateral malleolus, in a depression posterior to the peroneal tendons.
b. Method:
Puncture perpendicularly 0.2-0.3 cun, or oblique insertion directed inferiorly 0.3 to 0.5 cun.
Sensation: Local soreness and distending sensation
c. Caution:
d. Classification: One of the eight confluent points, related to Yangqiao meridian.
KI-2, Rangu
a. Location:
On the medial side of the foot, distal and inferior to the medial malleolus, in the depression distal and inferior to the navicular tuberosity
b. Method:
Puncture perpendicularly 0.5-1 cun.
Sensation: Local soreness and pain sensation, sometimes the sensation radiated to the bottom of foot
c. Caution:
d. Classification: Ying-spring point of KI.
GB-39, Xuanzhong
a. Location:
On the lateral side of the leg, 3 cun superior to the prominence of the lateral malleolus, between the posterior border of the fibula and the tendons of peroneus longus and brevis
b. Method:
Puncture perpendicularly 1-1.5 cun,or joined needling to SP6. First slightly posteriorly for 0.5 cun and then perpendicularly insert needle to avoid hitting the fibula
Sensation: Local soreness and distending sensation which can be radiated to the foot.
c. Caution: Movement can result in a bent needle.
d. Classification: Influential Point of the marrow.
HT-3, Shaohai
a. Location:
With the elbow flexed, at the depression between the medial end of the transverse cubital crease and the medial epicondyle of the humerus.
b. Method: Puncture perpendicularly 0.5-0.8 cun.
Sensation: First layer pain & local distention,then the soreness and pressure feeling.
c. Caution: Avoid the vein.
d. Classification: He-sea point of HT
HT-1, Jiquan
a. Location:
At the apex of the axillary hollow, where the pulse of the axillary artery is palpable.
b. Method:
Puncture perpendicular insertion 0.5 -1cun, avoiding the radial artery.
Sensation: soreness and numbness sensation
c. Caution: medial insertion towards the chest may puncture the lung, avoid the axillary artery.
d. Classification:
SI-8, Xiaohai
a. Location:
On the medial side of the elbow, in the depression between the olecranon of the ulna and the medial epicondyle of the humerus.
b. Method:
Puncture perpendicular insertion 0.3-0.5 cun, or oblique distal or proximal insertion 0.3-0.5 cun.
Sensation: soreness and numbness sensation
c. Caution: the ulnar nerve lies deep to this point, avoid strongly stimulation
d. Classification: He-sea point
TB-10, Tianjing
a. Location:
With the elbow flexed, this point is located in the depression 1 cun proximal to the olecranon.
b. Method:
Puncture perpendicularly 0.5-1 cun.
Sensation: Local soreness and distending sensation.
c. Caution:
d. Classification: He-sea point of SJ
ST-35, Dubi
a. Location:
With knee flexed, the point is at the lower border of the patella, in the depression lateral to the patella ligament, between the patella and tibia.
b. Method:
Puncture obliquely 0.5-1 cun with the tip of the needle slightly inward.
c. Caution: In the deep layer, there is the cavity of the knee joint
d. Classification:
BL-40, Weizhong
a. Location:
The point is located at the midpoint of the popliteal crease, in a depression between the tendons of biceps femoris and semitendinosus
b. Method:
Puncture perpendicularly 0.5-1 cun; or prick and bleed the superficial veins.
c. Caution: the popliteal artery and vein lie deep to the point.
d. Classification: He-sea point of BL;
a. Location:
At one third of the distance between the prominence of the great trochanter and the sacral hiatus when the patient is in a side position
b. Method:
Puncture perpendicularly 2-3 cun
Sensation: Local soreness or radiating/electric sensation may travel to the foot
c. Caution:
d. Classification: meeting point of GB and BL
GB-30, Huantiao
a. Location:
At one third of the distance between the prominence of the great trochanter and the sacral hiatus when the patient is in a side position
b. Method:
Puncture perpendicularly 2-3 cun
Sensation: Local soreness or radiating/electric sensation may travel to the foot
c. Caution:
d. Classification: meeting point of GB and BL
LR-8, Ququan
a. Location:
At the medial end of the popliteal crease, in the depression anterior to the tendons of m. semitendinosus and m. semimembranosus.
b. Method:
Puncture perpendicularly 1-1.5 cun.
Sensation: Local soreness and pain sensation
c. Caution:
d. Classification: He-sea point of Liver
SP-12, Chongmen
a. Location:
3. 5 cun lateral to Qugu(Ren2), on the lateral side of the femoral artery
b. Method:
Puncture perpendicularly 0.5-0.7 cun.
c. Caution: avoid deep needling in a medial direction and in a lateral direction, which may puncture the femoral artery and femoral nerve.
d. Classification: The crossing point of meridians of foot Taiyin and foot Jueyin
GV-14, Dazhui
.
a. Location: Below the highest spinous process of cervical vertebrae (7th cervical vertebra).
b. Method: Puncture perpendicularly or obliquely upwards 0.5-1 cun.
Sensation: First local distention, then pressure feeling (interspinal lig.), the third layer looser feeling (yellow ligament) but distention sensation radiate along the spinal vertebra
c. Caution: If patient feels suddenly electricity or muscle contract withdraw the needle.
d. Classification: Crossing point of GV, BL, GB, ST, SI, TB, and LI.
GV-4, Mingmen
a. Location: Below the spinous process of 2nd Lumbar vertebrae
b. Techniques: Insert the needle perpendicularly 0.5-1 cun.
Sensation: First local distention,then pressure feeling (interspinal lig.), the third layer looser feeling (yellow ligament) but distention sensation radiate along the spinal vertebra
c. Caution: Avoid needling too deep.
BL-11, Dazhu
a. Location: 1.5 Cun lateral to GV-13 (Taodao), at the level of the lower border of the spinous process of the 1st thoracic vertebra.
b. Techniques: Insert the needle perpendicularly 0.5 cun or obliquely 0.5-0.8cun.
Sensation: First prick-distention, then strong distention
c. Caution: Avoid needling too deep.
d. Classification: Crossing point of BL and SI. Influential point of bones
BL-13, Feishu
a. Location: 1.5 Cun lateral to GV-12 (Shenzhu), at the level of the lower board of the spinous process of the 3rd thoracic vertebra.
b. Techniques: Insert the needle perpendicularly 0.5 cun or obliquely 0.5-0.8 cun.
Sensation: first: prick & light distention, then, distention over 5 cm, third layer: strong distention & heavy sensation, about 10 cm spreading up & down
c. Caution: Avoid needling too deep to damage the lung & cause a pneumothorax.
d. Classification: back-shu point of the lung.
BL-17, Geshu
Location:1.5 Cun lateral to GV-9
b. Techniques: Insert the needle perpendicularly 0.5 cun or obliquely 0.5-0.8 cun.
· Sensation: distention; Second: distention, or sore & numb, or local heavy, may radiate downwards.
c. Caution: carefully & not deeper than 1 Cun
d. Classification: Influential point of the blood.
BL-20, Pishu
a. Location:
1. 5 Cun lateral to depression below the spinous process of T-11
b. Techniques: Insert the needle perpendicularly 0.5 cun or obliquely 0.5-0.8 cun.
Sensation: prick, distention, then sore, distention and heavy, over 10 cm spreading, may radiate downwards to sacrum area.
c. Caution: carefully & not deeper than 1 Cun
d. Classification: Back shu point of SP
BL-23, Shenshu
a. Location: 1.5 Cun lateral to the lower border of the spinous process of the 2nd lumbar vertebra
b. Techniques: Insert the needle perpendicularly 0.8-1.0 cun or obliquely 1-1.5 cun. · Sensation: prick, distention, then heavy & distention c. Caution: Deep below the point is kidney d. Classification: Back shu point of KI