Surface Anatomy and Acupoints: Chest and Abdomen Flashcards
DU 1 location
On the midline, midway between the tip of the coccyx and the anus
DU 1 angle
Perpendicular
DU 1 depth
0.5-1 cun
Ren 1 location
At the perineum, midway between the anus and scrotum in men, and the anus and the posterior labial commissure in women
Ren 1 angle
Perpendicular
Ren 1 depth
0.5-1 cun
Ren 1 caution
Pregnancy
Ren 2 location
On the midline of the lower abdomen, at the superior border of the public symphysis, 5 cun below the umbilicus
Ren 2 angle
Perpendicular
Ren 2 depth
0.5-1 cun
Ren 2 caution
Bladder
KD 11 location
On the lower abdomen, 5 cun below the umbilicus, at the superior border of the symphysis pubis, 0.5 cun lateral to the midline
KD 11 angle
Perpendicular
KD 11 depth
0.5-1 cun
KD 11 caution
Bladder
ST 30 location
On the lower abdomen, 2 cun lateral to the midline, level with the superior border of the pubic symphysis
ST 30 angle
Perpendicular
ST 30 depth
1-1.5 cun
ST 30 caution
Peritoneal cavity, bladder, spermatic cord
Ren 3 location
On the midline of the lower abdomen, 4 cun inferior to the umbilicus and 1 cun superior to the pubic symphysis
Ren 3 angle
Perpendicular
Ren 3 depth
0.5-1 cun
Ren 3 caution
Bladder
KD 12 location
On the lower abdomen, 4 cun below the umbilicus, 1 cun superior to the pubic symphysis, 0.5 cun lateral to the midline
KD 12 angle
Perpendicular
KD 12 depth
0.5-1 cun
KD 12 caution
Bladder
ST 29 location
On the lower abdomen, 2 cun lateral to the midline and 4 cun inferior to the umbilicus, level with Ren 3
ST 29 angle
Perpendicular
ST 29 depth
1-1.5 cun
ST 29 caution
Peritoneal cavity, bladder
Zi Gong Xue
On the lower abdomen, 3 cun lateral to the midline, level with Ren 3
Zi Gong Xue angle
Perpendicular
Zi Gong Xue depth
0.8-1.2 cun
Ren 4 location
Ont he midline of the lower abdomen, 3 cun inferior to the umbilicus and 2 cun superior to the pubic symphysis
Ren 4 angle
Perpendicular or Oblique inferiorly
Ren 4 depth
Perpendicular: 0.5-1 cun
Oblique inferiorly 1-1.5 cun
Ren 4 caution
Bladder
KD 13 location
On the lower abdomen, 3 cun below the umbilicus, 2 cun superior to the superior border of the pubic symphysis, 0.5 cun lateral to the midline
KD 13 angle
Perpendicular
KD 13 depth
0.5-1 cun
KD 13 caution
Bladder
ST 28 location
On the lower abdomen, 2 cun lateral to the midline and 3 cun inferior to the umbilicus, level with Ren 4
ST 28 angle
Perpendicular
ST 28 depth
1-1.5 cun
ST 28 caution
Peritoneal cavity, bladder
Ti Tuo location
On the lower abdomen, 4 cun lateral to the midline, level with Ren 4
Ti Tuo angle
Perpendicular
Ti Tuo depth
0.8-1.2 cun
GB 27 location
In the depression just anterior to the ASIS, approx. level with Ren 4 (3 cun below the umbilicus)
GB 27 angle
Perpendicular
GB 27 depth
1-1.5 cun
GB 28 location
0.5 cun anterior and inferior to GB 27 which lies int he depression just anterior to the ASIS approx. level wtih Ren 4 (3 cun below the umbilicus)
GB 28 angle
Perpendicular
GB 28 depth
1-1.5 cun
Ren 5 location
On the midline of the lower abdomen, 2 cun inferior to the umbilicus and 3 cun superior to the pubic symphysis
Ren 5 angle
Perpendicular
Ren 5 depth
0.8-1.5 cun
Ren 5 caution
Peritoneal cavity
KD 14 location
On the lower abdomen, 2 cun below the umbilicus, 3 cun superior to the superior border of the pubic symphysis, 0.5 cun lateral to the midline
KD 14 angle
Perpendicular
KD 14 depth
1-1.5 cun
KD 14 caution
Peritoneal cavity
ST 27 location
On the lower abdomen, 2 cun lateral to the midline and 2 cun inferior to the umbilicus, level with Ren 5
ST 27 angle
Perpendicular
ST 27 depth
1-1.5 cun
ST 27 caution
Peritoneal cavity
Ren 6 location
On the midline of the lower abdomen, 1.5 cun inferior to the umbilicus and 3.5 cun superior to the pubic symphysis
Ren 6 angle
Perpendicular
Ren 6 depth
0.8-1.2 cun
Ren 6 caution
Peritoneal cavity
SP 14 location
On the lower abdomen, 1.3 cun inferior to SP 15, 4 cun lateral to the midline
SP 14 angle
Perpendicular
SP 14 depth
1-1-.5 cun
SP 14 caution
Peritoneal cavity
Ren 7 location
On the midline of the lower abdomen, 1 cun inferior to the umbilicus and 4 cun superior to the pubic symphysis
Ren 7 angle
Perpendicular
Ren 7 depth
0.8-1.5 cun
Ren 7 caution
Peritoneal cavity
KD 15 location
On the lower abdomen, 1 cun below the umbilicus, 4 cun superior to the superior border of the symphysis pubis, 0.5 cun lateral to the midline
KD 15 angle
Perpendicular
KD 15 depth
1-1.5 cun
KD 15 caution
Peritoneal cavity
ST 26 location
On the lower abdomen, 2 cun lateral to the midline and 1 cun inferior to the umbilicus, level with Ren 7
ST 26 angle
Perpendicular
ST 26 depth
1-1.5 cun
ST 26 caution
Peritoneal cavity
San Jiao Jiu location
On the lower abdomen. Construct an equilateral triangle of which the apex is the umbilicus (Ren 8) and the sides are equal to the length of the patient’s smile. These points are located at the 3 points of the triangle.
San Jiao Jiu techniques
Moxa only
Ren 8 location
In the center of the umbilicus, needling is contraindicated at this point
KD 16 location
On the abdomen, 0.5 cun lateral to the center of the umbilicus
KD 16 angle
Perpendicular
KD 16 depth
1-1.5 cun
KD 16 caution
Peritoneal cavity
ST 25 location
On the abdomen, 2 cun lateral to the umbilicus
ST 25 angle
Perpendicular or Oblique inferiorly
ST 25 depth
Perpendicular/Oblique inferiorly: 1-1.5 cun
ST 25 caution
Peritoneal cavity
SP 15 location
On the abdomen, in the depression at the lateral border of the rectus abdominis muscle level with the umbilicus
SP 15 angle
Perpendicular
SP 15 depth
0.5-1 cun
SP 15 caution
Peritoneal cavity, enlarged spleen on the left side
GB 26 location
Directly inferior to LV 13 (anterior and inferior to the free end of the 11th rib), level with the umbiliucs
GB 26 angle
Perpendicular
GB 26 depth
0.5-1 cun
GB 26 caution
Peritoneal cavity
LV 13 location
Directly anterior and inferior to the free end of the 11th rib
LV 13 angle
Transverse-Oblique medially or laterally
LV 13 depth
0.5-1 cun
LV 13 caution
Enlarged liver or spleen
GB 25 location
Below the lateral aspect of the ribcage, anterior and inferior to the free end of the 12th rib
GB 25 angle
Perpendicular
GB 25 depth
0.5-1 cun
GB 25 caution
Peritoneal cavity
Ren 9 location
On the midline of the abdomen, 1 cun above the umbilicus and 7 cun below the sternocostal angle
Ren 9 angle
Perpendicular
Ren 9 depth
0.8-1.5 cun
Ren 9 caution
Peritoneal cavity
ST 24 location
On the abdomen, 2 cun lateral to the midline and 1 cun superior to the umbilicus, level with Ren 9
ST 24 angle
Perpendicular
ST 24 depth
1-1.5 cun
ST 24 caution
Peritoneal cavity
Ren 10 location
On the midline of the abdomen, 2 cun above the umbilicus and 6 cun below the sternocostal angle
Ren 10 angle
Perpendicular
Ren 10 depth
0.8-1.5 cun
Ren 10 caution
Peritoneal cavity
KD 17 location
On the upper abdomen, 2 cun above the umbilicus, 0.5 cun lateral to the midline
KD 17 angle
Perpendicular
KD 17 depth
1-1.5 cun
KD 17 caution
Peritoneal caivty
ST 23 location
On the abdomen, 2 cun lateral to the midline and 2 cun superior to the umbilicus, level with Ren 10
ST 23 angle
Perpendicular
ST 23 depth
1-1.5 cun
ST 23 caution
Peritoneal cavity
Ren 11 location
On the midline of the abdomen, 3 cun above the umbilicus and 5 cun below the sternocostal angle
Ren 11 angle
Perpendicular
Ren 11 depth
0.8-1.5 cun
Ren 11 caution
Peritoneal cavity
KD 18 location
On the upper abdomen, 3 cun above the umbilicus, 0.5 cun lateral to the midline
KD 18 angle
Perpendicular
KD 18 depth
1-1.5 cun
KD 18 caution
Peritoneal cavity
ST 22 location
On the abdomen, 2 cun lateral to the midline and 3 cun superior to the umbilicus, level with Ren 11
ST 22 angle
Perpendicular
ST 22 depth
1-1.5 cun
ST 22 caution
Peritoneal caivty
SP 16 location
On the abdomen, in the depression at the lateral border of the rectus abdominis muscle, 3 cun superior to SP 15
SP 16 angle
Perpendicular
SP 16 depth
0.5-1 cun
SP 16 caution
Peritoneal cavity, enlarged spleen on the left side
Ren 12 location
On the midline of the abdomen, 4 cun above the umbilicus and midway between the umbilicus and the sternocostal angle
Ren 12 angle
Perpendicular
Ren 12 depth
0.8-1.5 cun
Ren 12 caution
Peritoneal cavity
KD 19 location
On the upper abdomen, 4 cun above the umbilicus, 0.5 cun lateral to the midline
KD 19 angle
Perpendicular
KD 19 depth
0.5-1 cun
KD 19 caution
Peritoneal cavity
ST 21 location
On the abdomen, 2 cun lateral to the midline and 4 cun superior to the umbilicus, level with Ren 12
ST 21 angle
Perpendicular
ST 21 depth
1-1.5 cun
ST 21 caution
Peritoneal cavity, enlarged spleen on the right side
Ren 13 location
On the midline of the abdomen, 5 cun above the umbilicus and 3 below the sternocsotal angle
Ren 13 angle
Perpendicular
Ren 13 depth
0.8-1.5 cun
Ren 13 caution
Peritoneal cavity
KD 20 location
On the upper abdomen, 5 cun above the umbilicus, 0.5 cun lateral to the midline
KD 20 angle
Perpendicular
KD 20 depth
1-1.5 cun
KD 20 caution
Peritoneal cavity
ST 20 location
On the abdomen, 2 cun lateral to the midline and 5 cun superior to the umbilicus, level with Ren 13
ST 20 angle
Perpendicular
ST 20 depth
0.5-1 cun
ST 20 caution
Peritoneal cavity, enlarged liver on the right side
Ren 14 location
On the midline of the abdomen, 6 cun above the umbilicus and 2 cun below the sternocostal angle
Ren 14 angle
Perpendicular or Oblique inferiorly
Ren 14 depth
Perpendicular: 0.5-1 cun
Oblique inferiorly: 1-1.5 cun
Ren 14 caution
Liver or the heart if either are enlarged
KD 21 location
On the upper abdomen, 6 cun above the umbilicus, 0.5 cun lateral to the midline
KD 21 angle
Perpendicular
KD 21 depth
0.5-1 cun
KD 21 caution
Liver on the right side, peritoneum on the left
Ren 15 location
On the midline of the abdomen, 7 cun above the umbilicus and 1 cun below the sternocostal angle
Ren 15 angle
Oblique inferiorly
Ren 15 depth
0.5-1cun
Ren 15 caution
Liver or the heart if either are enlarged
ST 19 location
On the abdomen, 2 cun lateral to the midline and 6 cun superior to the umbilicus, level with Ren 14
ST 19 angle
Perpendicular
ST 19 depth
0.5-0.8 cun
ST 19 caution
Heart on the left side, liver on the right side if either are enlarged
Ren 16 location
On the midline of the sternum at the sternocostal angle
Ren 16 angle
Transverse
Ren 16 depth
0.5 cun
GB 24 location
On the anterior chest wall, in the 7th intercostal space, directly below the nipple, 4 cun lateral to the midline
GB 24 angle
Transverse-Oblique
GB 24 depth
0.5-1 cun
GB 24 caution
Lung
SP 21 location
On the mid-axillary line, in the 7th intercostal space
SP 21 angle
Transverse-Oblique along the intercostal space
SP 21 depth
0.5-1 cun
SP 21 caution
Lung
LV 14 location
On the mammillary line, in the 6th intercostal space, 4 cun lateral to the midline
LV 14 angle
Oblique medially or laterally
LV 14 depth
0.5-1 cun
LV 14 caution
Lung
KD 22 location
In the 5th intercostal space, 2 cun lateral to the midline
KD 22 angle
Transverse-oblique laterally along the intercostal space
KD 22 depth
0.5-1 cun
KD 22 caution
Lung, liver
ST 18 location
Direclty below the nipple, in the 5th intercostal space
ST 18 angle
Transverse-oblique laterally or medially along the intercostal space
Transverse superiorly or inferiorly along the channel
ST 18 depth
0.5-1 cun
ST 18 caution
Lung
SP 17 location
On the lateral side of the chest, in the 5th intercostal space, 6 cun lateral to the midline
SP 17 angle
Transverse-oblique along the intercostal space
SP 17 depth
0.5-1 cun
SP 17 caution
Lung
GB 23 location
Below the axilla, in the 5th intercostal space, 1 cun anterior to GB 22 approx. at the level of the nipple
GB 23 angle
Transverse-Oblique along the intercostal space
GB 23 depth
0.5-1 cun
GB 23 caution
Lung
GB 22 location
On the mid-axillary line, in the 5th intercostal space, approx. 3 cun inferior to the apex of the axilla, at the level of the nipple
GB 22 angle
Transverse-oblique along the intercostal space
GB 22 depth
0.5-1 cun
GB 22 caution
Lung
Ren 17 location
On the midline of the sternum, in a depression level with the junction of the 4th intercostal space and the sternum
Ren 17 angle
Transverse or Transverse laterally towards the breasts
Ren 17 depth
Transverse: 0.5 cun
Transverse laterally towards the breasts: 1-1.5 cun
KD 23 location
In the 4th intercostal space, 2 cun lateral to the midline
KD 23 angle
Transverse-oblique laterally along the intercostal space
KD 23 depth
0.5-1 cun
KD 23 caution
Lung
ST 17 location
At the center of the nipple, in the 4th intercostal space, 4 cun lateral to the midline. Contraindicated in both needling and moxa
PC 1 location
1 cun lateral to the nipple, in the 4th intercostal space
PC 1 angle
Transverse-oblique
PC 1 depth
0.5-1 cun
PC 1 caution
Lung
SP 18 location
On the lateral side of the chest, in teh 4th intercostal space, 6 cun lateral to the midline
SP 18 angle
Transverse-oblique along the intercostal space
SP 18 depth
0.5-1 cun
SP 18 caution
Lung
Ren 18 location
On the midline of the sternum, in a depression level with the junction of the 3rd intercostal space and the sternum
Ren 18 angle
Transverse
Ren 18 depth
0.5-1 cun
KD 24 location
In the 3rd intercostal space, 2 cun lateral to the midline
KD 24 angle
Transverse-oblique laterally along the intercostal space
KD 24 depth
0.5-1 cun
KD 24 caution
Lung
ST 16 location
On the chest, in the 3rd intercostal space, 4 cun lateral to the midline, on the mammillary line
ST 16 angle
Transverse-oblique laterally or medially along the intercostal space
Transverse superiorly or inferiorly along the channel
ST 16 depth
0.5-0.8 cun
ST 16 caution
Lung
SP 19 location
On the lateral side of the chest, in the 3rd intercostal space, 6 cun lateral to the midline
SP 19 angle
Transverse-oblique along the intercostal space
SP 19 depth
0.5-1 cun
SP 19 caution
Lung
Ren 19 location
On the midline of the sternum, in a depression level with the junction of the 2nd intercostal space and the sternum
Ren 19 angle
Transverse
Ren 19 depth
0.5-1 cun
KD 25 location
In the 2nd intercostal space, 2 cun lateral to the midline
KD 25 angle
Transverse-Oblique laterally along the intercostal space
KD 25 depth
0.5 1 cun
KD 25 caution
Lung
ST 15 location
On the chest, in the 2nd intercostal space, 4 cun lateral to the midline, on the mammillary line
ST 15 angle
Transverse-oblique laterally or medially along the intercostal space
Transverse superiorly or inferiorly along the channel
ST 15 depth
0.5-0.8 cun
ST 15 caution
Lung
SP 20 location
On the lateral side of the chest, in the 2nd intercostal space, 6 cun lateral to the midline
SP 20 angle
Transverse-oblique along the intercostal space
SP 20 depth
0.5-1 cun
SP 20 caution
Lung
Ren 20 location
On the midline of the sternum, in a depression level with the junction of the 1st intercostal space and the sternum
Ren 20 angle
Transverse
Ren 20 depth
0.5-1 cun
KD 26 location
In the 1st intercostal space, 2 cun lateral to th emidline
KD 26 angle
Transverse-oblique laterally along the intercostal space
KD 26 depth
0.5-1 cun
KD 26 caution
Lung
ST 14 location
On the chest, in the 1st intercostal space, 4 cun lateral to the midline, on the mammillary line
ST 14 angle
Transverse-oblique laterally or medially along the intercostal space
Transverse superiorly or inferiorly along the channel
ST 14 depth
0.5-0.8 cun
ST 14 caution
Lung
LU 1 location
On the lateral aspect of the chest, in the first intercostal space, 6 cun lateral to the midline, 1 cun inferior to LU 2
LU 1 angle
Transverse-oblique medially along the intercostal space
LU 1 depth
0.-1 cun
LU 1 caution
Deep perpendicular or oblique insertion may cause a pneumothorax
Ren 21 location
On the mimdline of the manubrium of the sternum, midway between Ren 20 and Ren 22
Ren 21 angle
Transverse inferiorly
Ren 21 depth
0.5-1 cun
KD 27 location
In the depression on the lower border of the clavicle, 2 cun lateral to the midline
KD 27 angle
Transverse-oblique laterally
KD 27 depth
0.5-1 cun
KD 27 caution
Lung
ST 13 location
At the top of the chest, directly below St 12, on the inferior border of the clavicle, 4 cun lateral to the midline, on the mammillary line
ST 13 angle
Transverse-oblique laterally or medially along the intercostal space
Transverse superiorly or inferiorly along the channel
ST 13 depth
0.5-0.8 cun
ST 13 caution
Lung, subclavian vessels
LU 2 location
On the antero-lateral aspect of the chest, below the lateral extremity of the clavicle, 6 cun lateral to the midline, in the center of the hollow of the delto-pectoral triangle
LU 2 angle
Transverse-oblique
LU 2 depth
0.5-1 cun
LU 2 caution
Deep perpendicular or oblique insertion may cause a pneumothorax
ST 12 location
In the supraclavicular area posterior to the superior border of the clavicle and its midpoint, 4 cun lateral to the midline, on the mammillary line
ST 12 angle
Perpendicular along the posterior border of the clavicle
ST 12 depth
0.2-0.3 cun
ST 12 caution
Lung, subclavian vessels
Ren 22 location
On the midline, in the center of the suprasternal fossa, 0.5 cun superior to the suprasternal notch
Ren 22 angle
Perpendicular or first perpendicular, then direct the needle inferiorly along the posterior border of the manubrium of the sternum
Ren 22 depth
Perpendicular: 0.3 cun
First perpendiclular and then under manubrium: 0.5- 1 cun