Points Flashcards
LU-1
at the lateral aspect of the chest in the 1st intercostal space 6 cun lateral to midline 1 cun inferior to Lu 2
CAUTION: deep perpendicular or oblique insertion carries risk of pneumothorax
TO 0.5-1 cun medially
Lu-2
on the antero lateral aspect of the chest, below the lateral extremity of the clavicle 6 cun lateral to midline in the centre of the hollow of the delto pectoral triangle
CAUTION: deep perpendicular or medial needling may cause pneumothorax
T-O insert 0.5-1 cun
Lu-3
on the antero lateral aspect of the upper arm 3 cun inferior to the axillary fold and 6 cun superior to LU5 in the depression between the lateral boarder of the biceps brachii muscle and the shaft of the humorous
CAUTION: according to classic texts conta indicated to moxa
P- 0.5-1 cun
Lu-4
on the antero lateral aspect of the upper arm 4 cun inferior to the axillary fold and 5 cun superior to Lu-5 in the depression between the lateral boarder of the bicep brachii muscle abd teh shaft of teh humerus
P- 0.5-1
Lu-5
on the cubital crease of the elbow in the elbow in the depression at the radial side of the tendon biceps brachii
P-0.5-1 cun
LU-6
on the flexor aspect of the forearm 7 cun proximal to Lu-9 on the line connecting Lu-9 w Lu-5
P- 0.5-1.5
Lu-7
on the radial aspect of the forearm approximately 1.5 cun proximal to LI-5 in teh cleft between the tendons of brachioradialis and abductor pollicis longus
CAUTION: cephalic vein
T- 0.5-1 cun
Lu-8
above the wrist 1 cun proximal to Lu-9 on the line connecting Lu-9 with Lu-6 in the depression at the base of the styloid process of the radius and on the radial side of teh radial artery
CAUTION: radial artery
O prox or P - 0.3-0.5
Lu-9
at the wrist joint in the depression between the radial artery and the tendon of abductor pollicis longus level with HT-7
CAUTION: avoid radial artery
P- 0.3-0.5
Lu-10
on the thenar eminence of the hand in a depression between the midpoint of the shaft of the 1st metacarpal bone and the thenar muscles
P-0.5-1
Lu-11
on the extensor aspect of the thumb at the junction of the lines drawn along the radial boarder of the nail and the base of the nail approximately 0.1 cun from the corner of the nail
P-0.1-0.2
Li-1
on the dorsal aspect of the index finger at the junction of the lines drawn along the radial boarder of the nail and the base of the nail approximately 0.1 cun from the corner of the nail
P-0.1-0.2
Li-2
on the radial boarder of the index finger in a depression just distal to the metacarpal-phalengeal joint
O prox or dis 0.2-0.3 cun or P O - toward palm 0.5
Li-3
on the radial side of the index finger in the substantial depression proximal to the head of the second metacarpal bone
ESSENTIAL POSITION: needle with loose fist
P- 0.5-2 cun
Li-4
on the dorsum of the hand between the first and second metacarpal bones at the midpoint of the second metacarpal bone and close to its radial boarder
CAUTION: contra indicated pregnancy
P- 0.5-1 cun
Li-5
on the radial side of the wrist in the centre of the hollow formed by the tendons of extensor pollisis longus and brevis
CAUTION: cephalic vein
P-0.5-1 cun
Li-6
3 cun proximal to Li-5 on the line connecting Li-5 with Li-11
T O- 0.5-1 cun
Li-7
5 cun proximal to Li-5 (or 7 cun inferior from 11) on the line connecting LI5 with Li11
T O - 0.5-1
Li-8
on the radial side of the forearm 4 cun distal to LI11 ( or 8 cun superior to li5) on the line connecting Li5 to Li11
P O - 0.5-1.5 cun
Li-9
on the radial side of the forearm 3 cun distal to Li11 (or 9 cun superior to li5) on the line connecting Li5 with LI11
P or O 0.5-1.5
Li-10
on the radial side of the forearm 2 cun distal to Li11 ( or 10 cun superior to Li5) on teh line connecting Li5 with Li11
P or O - 0.5-1.5
Li-11
at the elbow midway between Lu5 and the lateral epicondyle of the humerus at the lateral end of the transverse cubital crease
P- 1-1.5 cun
Li-12
when the elbow is flexed this point is located in the depression 1 cun proximal to and 1 cun lateral to Li11
P 0.5-1
Li-13
on the lateral side of the upper arm 3 cun proximal to Li-11on teh line connecting Li11 with Li15
P- 1-1.5
LI-14
on the lateral side of the upper arm in the visible and tender depression formed between the distal insertion of the deltoid muscle and the brachiallis muscle approximatley 3/5 of the distance along the line drawn between Li11 and Li15
O -1 -1.5
Li-15
in the depression which lies anterior and inferior to the acromion at the origin of the deltoid muscle
abducted arm: P 1-1.5 cun
or T O to elbow 1.5- 2 cun
Li-16
on the upper aspect of the shoulder in the depression medial to the acromion process and between the lateral extremity of the clavicle and the scapular spine
CAUTION: deep medial insertion carries risk of causing a pneumothorax esp. in thin patients
P or O - 0.5-1 cun
Li-17
on the lateral side of teh neck 1 cun inferior to Li-18 on teh posterior boarder of the SCM
CAUTION: deep needle carotid artery or jugular vein
P- 0.3-0.5
Li-18
on the lateral side of the neck level with the tip of the laryngeal prominence between the sternal and clavicular heads of the SCM
CAUTION: deeper needling may puncture the corotid artery or jugular vein
P 0.3 -0.5
ST-5
directly anterior to the angle of the jaw in a depression at the anterior boarder of the masseter muscle
CAUTION: vigorous manipulation due to facial artery and vein
O- 0.3-0.5
st-6
approximately 1 finger breadth anterior and superior to the angle of teh jaw at the prominence of the masseter muscle
P- 0.5 cun
st-7
at the lower boarder of the zygomatic arch in the depression anterior to the condyloid process of the mandible
P slight inf - 0.5-1 cun
st 8
at the corner of the forehead 4.5 cun lateral to du-24 and 0.5 cun in the anterior hair line
CAUTION: classic contraindicated to moxa
T - 0.5 to 1 cun
St-9
level with the tip of and 1.5 cun lateral to the laryngeal prominence in the depression between the anterior boarder of the SCM muscle and the lateral boarder of the thyroid cartilage
CAUTION: carotid artery
P- 0.5-1 cun
st-10
on the neck at the anterior boarder of the SCM midway between St9 and st11
CAUTION: carotid artery
P O medially 0.5-1
st-11
at the root of the neck superior to the medial end of the clavicle directly below st9 in teh depression between the sternal and clavicular heads of the SCM
CAUTION: subclavian vessel or lung
P- 0.2-0.3
st-12
in teh supraclavicular fossa posterior to the superior boarder of the clavicle and at its midpoint 4 cun lateral to teh midline on the mamillary line
CAUTION: deep or posterior may injure subclavian vessels or lungs
P- 0.3-0.5
St-13
at the top of the chest directly below st12 on the inferior boarder of the clavicle 4 cun lateral to the midline on the mammory line
CAUTION: deep or perpendicular may injure subclavian vessel or lung
st-14
on the chest in the 1st intercostal space 4 cun lateral to the midline on the mamillary line
CAUTION: deep or perpendicular may puncture lung
T O lat or med 0.5-0.8 cun
st-15
on the chest in the second intercostal space 4 cun lateral to the midline on the mamillary line
CAUTION: deep or perpendicular needling may puncture lung
T O lat or med 0.5-0.8
st-16
on the chest in the third intercostal space 4 cun lateral to the midline on the mamilalry line
CAUTION: deep or perpendicular may puncture lung
T O lat or med 0.5-0.8
St-17
in the centre of the nipple in teh 4th intercostal space 4 cun lateral to the midline
CAUTION: contraindicated to needling and moxa
st-18
directly below the nipple in the 5th intercostal space
CAUTION: deep or perpendicular may puncture lung
T O lat or med 0.5-1 cun
St-19
on the abdomen 2 cun lateral to midline and 6 cun superior to umbilicus
CAUTION: deep insertion may injure the heart on the left or liver on the right if enlarged
P 0.5-0.8
st-20
on the abdomen 2 cun lateral to the midline and 5 cun superior to the umbilicus
CAUTION: peritoneal cavity, or on right enlarged liver
P- 0.5-1 cun
st-21
on the abdomen 2 cun lateral to midline and 4 cun superior to the umbilicus
CAUTION: peritoneal cavity, or on right enlarged liver
P- 1-1.5
st-22
on the abdomen 2 cun lateral to midline and 3 cun superior to the umbilicus
CAUTION: peritoneal cavity
P - 1-1.5 cun
st-23
on the abdomen 2 cun lateral to midline and 2 cun superior to umbilicus
CAUTION: peritoneal cavity
P- 1-1.5 cun
st-24
on the abdomen 2 cun lateral to the midline and 1 cun superior to the umbilicus
CAUTION: peritoneal cavity
P- 1-1.5 cun
st-25
on the abdomen 2 cun lateral to umbilicus
CAUTION: peritoneal cavity
P- 1-1.5 cun
st-26
on the lower abdomen 2 cun lateral to teh midline and 1 cun inferior to the umbilicus
CAUTION: peritoneal cavity
P- 1-1.5 cun
st-27
on the lower abdomen 2 cun lateral to the midline and 2 cun inferior to the umbilicus
CAUTION: peritoneal cavity
P-1-1.5 cun
St-28
on the lower abdomen 2 cun lateral to the midline and 3 cun inferior to umbilicus
CAUTION: peritoneal cavity or full bladder
P-1-1.5 cun
St-29
on the low abdomen 2 cun lateral to the midline and 4 cun inferior to umbilicus
CAUTION: peritoneal cavity or full bladder
P-1-1.5 cun
st-30
on the low abdomen 2 cun lateral to midline level with the superior boarder of the pubic symphysis
CAUTION: peritoneal cavity or full bladder
P 1-1.5 cun
st-31
on the upper thigh in a depression just lateral to the sartorious muscle at the junction of the vertical line drawn from the ASIS and a horizontal line drawn level with the lower boarder of pubic symphasis
P or O 1-2 cun
st-32
on the thigh on a line drawn between the lateral boarder of the patella and the ASIS in a depression 6 cun proximal to the superior boarder of the patella
P or O 1-2 cun
st-33
on the thigh on a line drawn between the lateral boarder of the patella and the ASIS in a depression 3 cun proximal to the superior boarder of the patella
P or O 1-1.5 cun
st-34
on the thigh on a line drawn between the lateral boarder of the patella and the ASIS in a depression 2 cun proximal to the superior boaeder of the patella
P or O 1-1.5 cun
st-35
on ten knee in the hollow formed when the knee is flexed immediately below the patella and lateral to the patellar ligament
ESSENTIAL POSITION: flexed knee with rolled pillow
P 2 cun to bl 40
st-36
below the knee 3 cun inferior to st 35 one finger breadth lateral to the anterior crest of the tibia
P- 1-1.5
st-37
on the lower leg 3 cun inferior to st-36 one finger breadth lateral to the anterior crest of the tibia
P or O 1-1.5
st-38
on the lower leg midway between the tibiofemoral joint line and the prominence of the lateral melleolus one finger breadth lateral to the anterior crest of the tibia
P or O - 1 -1.5
St-39
on the lower leg 3 cun inferior to st37 one finger breadth lateral to the anterior crest of the tibia
P or O - 1-1.5 cun
st-40
on the lower leg midway between the tibiofemoral joint line and the lateral malleolus 2 finger breadths lateral to the anterior crest of the tibia
P or O- 1-1.5
St-41
on the ankle level with the prominence of the lateral melleolus in a depression between the tendons of extensor digitorum longus and extensor hallusis longus
CAUTION: tibial vessels and nerve
P 0.5
st-42
on the dorsum of the foot in the depression formed by the junction of the second and third metatarsal bones and the cuneiform bones 1.5 cun distal to st41 on the line drawn between st41 and st43
CAUTION: dorsalis pedis artery
O or P 0.3-0.5
st-43
on the dorsum of the foot between the second and third metatarsal bones in a depression 1 cun proximal to st 44
P or O 0.5-1 cun
st-44
on the dorsum of the foot between the second and third toes 0.5 cun proximal to the margin of the web
P- 0.5
st-45
on the dorsal aspecct of the second toe at the junction of the lines drawn along the lateral boarder of the nail and the base of the nail approximately 0.1 cun from the corner of the nail
Sp- 1
on the dorsal aspect of the big toe at the junction of lines drawn along the media boarder of the nail and the base of the nail approximately 0.1 cun from the corner of the nail
sp-2
on the medial side of the big toe in the depression distal and inferior to the first metatarso-phalengeal joint
O inf 0.3-0.5
Sp-3
on the medial side of the foot in the depression proximal and inferior to the head of the first metatarsal bone
P 0.5-1
Sp-4
on the medial side of the foot in the depression distal and inferior to the base of the first metatarsal bone
P 0.5-1 cun
Sp-5
on the medial side of the ankle in the depression which lies at the junction of the straight lines drawn along the anterior and inferior boarders of the medial malleolus
P 0.2-0.3
Sp-6
on the medial side of the lower leg 3 cun superior to the prominence of the medial malleolus in a depression close to the medial crest of the tibia
CAUTION: contraindicated pregnancy
P or O 1-1.5
Sp-7
on the medial side of the lower leg 3 cun superior to sp6 in a depression just posterior to the medial crest of the tibia
P 1-1.5 cun
sp-8
on the medial side of the lower leg 3 cun inferior to sp 9 in a depression just posterior to the medial crest of the tibia
P or O 1-1.5
Sp-9
on the medial side of the lower leg in a depression in the angle formed by the medial condyle of the tibia and the posterior boarder of the tibia
P 1-1.5
Sp-10
2 cun proximal to the superior boarder of the patella in the tender depression on the bulge of the vastus medialis muscle directly above sp9
P or O 1-1.5
SP-11
on the medial side of the upper leg 6 cun proximal to sp-10 on a line connecting sp10 with sp12
CAUTION: deep needle puncture femoral artery
P or O 0.5-1 cun
sp-12
3.5 cun lateral to cv2 on the lateral side of the femoral artery
CAUTION: deep needle medial femoral artery and lateral femoral nerve
P 0.5-1 cun
sp-13
on the lower abdomen 0.7 cun superior and 0.5 cun lateral to sp-12, 4 cun lateral to the midline or can locate as 4.3 cun inferior to sp15
CAUTION: deep needle peritoneal cavity
P 1-1.5
sp-14
on the lower abdomen 1.3 cun inferior to sp15 4 cun lateral to the midline
CAUTION: peritoneal cavity
P 1-1.5 cun
SP-15
on the abdomen in the depression at the lateral boarder of the rectus abdominus muscle level with the umbilicus
CAUTION: peritoneal cavity, spleen or liver if enlarged
P 0.5-1
SP-16
on the abdomen in the depression at the lateral boarder of the rectus abdominus muscle 3 cun superior to sp15
CAUTION: peritoneal cavity, enlarged spleen
Sp-17
on the lateral side of the chest in the 5th intercostal space 6 cun lateral to the midline
CAUTION: perp insertion cause pneumothorax
T O 0.5-1
Sp-18
on the lateral side of the chest in the 4th intercostal space 6 cun lateral to the midline
CAUTION: perp insertion cause pneumothorax
T O 0.5-1
SP-19
on the lateral aspect of the chest in the 3rd intercostal space 6 cun lateral to midline
CAUTION: perp insertion cause pneumothroax
T O - 0.5-1 cun
Sp-20
on the lateral side of the chest in the second intercostal space 6 cun lateral to midline
CAUTION: perp insertion cause pneumothorax
T O - 0.5-1 cun
Sp-21
on the mid axillary line in the 7th intercostal space
CAUTION: perp insertion cause pneumothorax
T O 0.5-1
Ht-1
in a depression in the centre of the axilla
CAUTION: medial insertion may puncture lung, avoid axillary artery
ESSENTIAL POSITION: hand behind head
P - 0.5-1 cun
Ht-2
3 cun proximal to the medial end of the transverse cubital crease on the line connecting Ht1 to ht3
CAUTION: classics contra indicated needle, brachial artery
ESSENTIAL POSITION: hand behind head (flexed)
O dist or Prox o.5-1 cun
Ht-3
midway between pc3 and the medial epicondyle of the humerus at the medial end of the transverse cubital crease when the elbow is fully flexed
CAUTION: classic no moxa
ESSENTIAL POSITION: hand behind head ( flexed)
O dist or prox or toward li11 0.5-1cun
ht-4
on the radial side of the tendon of flexor carpi ulnaris 1.5 cun proximal to Ht7
P 0.3-1 cun
ht-5
on the radial aspect of the tendon flexor carpi ulnaris 1 cun proximal to ht7
P 0.5-1 cun
ht-6
on the radial side of the tendon flexor carpi ulnaris 0.5 cun proximal to ht7
P 0.3-0.5
Ht-7
at the wrist joint on the radial side of the tendon flexor carpi ulnaris in the depression at the proximal boarder of the pisiform bone
CAUTION: ulnar artery and ulnar nerve
P 0.3-0.5 cun
Ht-8
on the palm in the depression between the 4th and 5th metacarpal bones where the tip of the little finger rests with a fist made
P 0.5 cun
Ht-9
on the dorsal aspect of the little finger at the junction of lines drawn along the radial boarder of the nail and the base of the nail approximately 0.1 cun form the corner of the nail
P or O 0.1 - 0.2
Si-1
on the dorsal aspect of the little finger at the junction of lines drawn along the ulnar boarder of the nail and the base of the nail approx 0.1 from the corner of the nail
P or O 0.1-0.2 cun
si-2
on the ulnar boarder of the little finger in a depression just distal to the metocarpal phalangeal joint
O dis 0.2-0.3
si-3
on the ulnar boarder of the hand in the substantial depression proximal to the head of the 5th metacarpal bone
ESSENTIAL POSITION: loose fist for locate and needle
P - 0.5-2 cun
si-4
on the ulnar boarder of the hand in the depression between the base of the 5th metacarpal bone and the triquetral bone
P 0.3-0.5
si-5
at the ulnar boarder of the wrist in the depression between the head of the ulna and the triquetral bone
P 0.3-0.5
si-6
when the palm of the hand is placed on the chest this point is located on the dorsal aspect of the ulna in a cleft level with and to the radial side of the high point of the styloid process of the ulna
ESSENTIAL POSITION: palm of hand on chest
O or TO dis or prox 0.5-1 cun
si-7
on the line connecting si5 and si8 5 cun proximal to si 5 in the groove between the anterior boarder of the ulna and the muscle belly of flexor carpi ulnaris
P 0.5-1 cun
si-8
in the depression between the tip of the olecranon process of the ulna and the tip of the medial epicondyle of the humerous
CAUTION: ulnar nerve
O dist or prox 0.5-1 cun
si-9
On the posterior aspect of the shoulder 1 cun superior to the posterior auxiliary crease when the arm hangs adducted
P 1-1.5 cun
si-10
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
P 1-1.5 cun
si-11
on the scapula in a tender depression 1/3 of the distance from the midpoint of the inferior boarder of the scapular spine to the inferior angle of the scapula
P or O 0.5-1 cun
Si-12
in the centre of the scapular fossa directly above si 11 in a depression formed when the arm is raised
CAUTION: deep perp risk of pneumothorax
O med toward spine 0.5-1 cun
si-13
in the tender depression superior to the medial end of the scapular spine midway between si10 and spinous process T2
CAUTION: too medial or deep medial O may puncture lung
P 0.3 -0.5 or O lat 0.5-1 cun
si-14
3 cun lateral to the lower boarder of T1
CAUTION: Perp insertion risk of pneumothorax
O med 0.5-1 cun toward spine
si-15
2 cun lateral to the lower boarder of the spinous process of c7
CAUTION: deep inferior may cause pneumothorax
O med 0.5-1 toward spine
si-16
on the posterior boarder of the SCM level with the laryngeal prominence
P 0.5-0.8 cun
si-17
in the depression between the angle of the mandible and the anterior boarder of the SCM
CAUTION: Carotid vessel
toward root of tongue 0.5-1 cun
si18
directly below the outer canthus of the eye in a depression at the lower boarder of the zygomatic process
CAUTION: classic no moxa
P 0.5-0.7 or join with others
si-19
with the mouth open this point is located in the depression between the middle of the tragus and the condoloyid process of the mandible
ESSENTIAL POSITION: mouth open
P 0.5-1
Ki-1
on the sole of the foot between the second and third metacarpal bones approx 1/3 of the distance between the base of the second toe and the heel in a depression formed when the foot is plantar flexed
P 0.5-1
Ki-2
on the medial side of the foot distal and inferior to the medial malleolus in the depression distal and inferior to the navicular tuberosity
P 0.5-1
Ki-3
in the depression between the medial malleolus and the achillies tendon level with the prominence of the medial malleolus
P 0.5-1 cun
Ki-4
approximately 0.5 cun posterior to the midpoint of the line drawn between ki3 and ki5 on the anterior boarder of the achillies tendon
O P anterior 0.5 cun
ki-5
1 cun inferior to ki3 in the depression anterior and superior to the calcaneal tuberosity
O P away from bone 0.3-0.5
ki-6
1 cun below the prominence of the medial malleolus in the groove formed by 2 ligamentous bundles
O sup 0.3-0.5
Ki-7
on the medial aspect of the lower leg in the depression 2 cun superior to ki-3 on the anterior boarder of the achillies tendon
P 0.5-1
ki-8
on the medial aspect of the lower leg 2 cun superior to ki3 and 0.5 cun anterior to ki7 posterior to the medial boarder of the tibia
P 0.5-1
ki-9
on the medial aspect of the lower leg 5 cun superior to ki3 on the line drawn between ki3 and ki10 about 1 cun posterior to the medial boarder of the tibia
P 1-1.5 cun
ki-10
at the medial end of the popliteal crease between the semitendinousus and semimembranosis tendons locate and needle w knee flexed
ESSENTIAL POSITION: flexed knee
P-1-1.5 cun
ki-11
on the lower abdomen 5 cun below umbilicus at the superior boarder of the pubic symphasis 0.5 cun lateral to midline
CAUTION: deep will puncture full bladder
P- 0.5-1
Ki-12
on the lower abdomen 4 cun below the umbilicus or 1 cun superior to superior boarder of pubic symphasis 0.5 cun lateral to midline
CAUTION:deep full bladder
P 0.5-1
ki-13
on the lower abdomen 3 cun below umbilicus 2 cun superior to the superior boarder of pubic symphasis 0.5 cun lateral to midline
CAUTION: deep full bladder
P 0.5-1
ki-14
on the lower abdomen 2 cun below the umbilicus 3 cun superior to the superior boarder of pubic symphasis 0.5 cun lateral to midline
CAUTION: deep peritoneal cavity
P 1-1.5 cun
ki-15
on the lower abdomen 1 cun below the umbilicus 4 cun superior to the superior boarder of the pubic symphasis 0.5 cun lateral to midline
CAUTION: deep peritoneal cavity
P 1-1.5 cun
ki-16
on the abdomen 0.5 cun lateral to the centre of umbilicus
CAUTION: deep peritoneal cavity
P 1-1.5
ki-17
on the upper abdomen 2 cun above the umbilicus 0.5 cun lateral to the midline
CAUTION: deep needle peritoneal cavity
P: 1-1.5
ki-18
on the upper abdomen 3 cun above the umbilicus 0.5 cun lateral to midline
CAUTION: deep peritoneal cavity
p 1-1.5 cun
ki-19
on the upper abdomen 4 cun above the umbilicus 0.5 cun lateral to midline
CAUTION: deep peritoneal cavity
P 0.5-1 cun
ki-20
on the upper abdomen 5 cun above umbilicus 0.5 cun lateral to midline
CAUTION: deep peritoneal cavity
P 1-1.5
ki-21
on the upper abdomen 6 cun above the umbilicus 0.5 cun lateral to midline
CAUTION: deep peritoneal cavity or liver on R
P 0.5-1
ki-22
in the 5th intercostal space 2 cun lateral to the midline
CAUTION: deep perpendicular or oblique puncture lung and liver
T O laterally 0.5-1 cun
ki-23
in the 4th intercostal space 2 cun lateral to the midline
CAUTION: deep perpendicular or oblique puncture lung
T O laterally 0.5-1 cun
ki-24
in the 3rd intercostal space 2 cun lateral to midline
CAUTION: deep perpendicular or oblique puncture lung
T O laterally 0.5-1
Ki-25
in the second intercostal space 2 cun lateral to midline
CAUTION: deep perpendicular or oblique puncture lung
T O laterally 0.5-1