INDICATION, LOCATION AND NEEDLING.

Acupuncture Point Tables Here are some point tables including info on indications, locations, use summaries, and functions. You will notice a number of stars next to each point varying from 1-4. This is how I learned the points, with the 4 stars being most important and the 1 stars being local or never used points. You can also find the contraindications of points in the point needling tables.

Triple Warmer Indications AcuPoint TW 1* Functions disperses fire; revives consciousness; fever local Indications local Special Notes local

TW 2*

one of the baxie points; pain and swelling of the Amy believes that the fingers TW channel is underutilized tinnitus; deafness shu stream; with TW 17 for ear problems

facilitates circulation of qi in channels; benefits TW 3*** the ear; main distal point for ear problems;

TW 4**

local

TW 5****

relieves exterior; facilitates circulation of stagnant qi in channels; very strong distal point on the channel (not including ear problems)

TW 6***

opens the intestines

source point; is used in pain and diseases of the JA for chronic KD soft tissues of wrist in deficiency because the TCM TW carries the pre-natal qi around common colds (disperse); high fever (shao yang - half in and half out); tinnitus; temporal migraines; master point of the yang lateral stiff neck; wei meridian; paired hemiplegia (because confluent point of dai master point of yang mai wei); pain in joints; controlling point for the hand and opens up qi circulation to the hand intercostal neuralgia; with GB 34 (with constipation; shingles dampness) for intercostal

(herpes zoster); skin disorders

local pain in the arm involving all three arm clears the yang channels meeting point of three TW 8** meridians; pain in of the arm - LI, SI, TW upper yang meridians forearm inhibiting movement TW 9* local local local lymphatic swelling in diseases of the soft TW 10** the neck with colds or local tissue of the elbow not; AcuPoint Functions Indications Special Notes TW 11* local local local TW 12* local local local TW 13* local local local TW main point for shoulder with LI 15 for shoulder local 14*** joint pain pain; usually what you grab at TW 15** local local the back when you find GB 21 window of sky; with TB 10 for lymph swelling; tinnitus; deafness; Kiiko uses it for immune TW 16** swelling around neck lymphatic swellings problems and calls it east around neck wind and wind can invade here tinnitus; parotitis; locked jaw; facial paralysis; TW benefits hearing and GB crosses here; with most important local 17*** vision TW 3 point for ear; dizziness involving ear problems TW 18* local local local TW 19* local local local parotitis; toothache; SI and GB cross here' TW 20** local tinnitus rarely used

TW 7*

local

neuralgia; GB 41 when a pathway problem; with KD 6 for dry constipation (float the boat) and SP6 to help moisten; with GB 34 for shingles as well as the mu points LV 14 and GB 24 local

tinnitus; otitis media; opens ear; disperses heat pus in ear; LI 11, TW 17 for heat in as relates to ear; ear temporomandibular joint the ears problems with heat problems tinnitus; locked jaw; TW 22* local local check for TMJ TW 23** local local local TW 21***

Triple Warmer Locations AcuPoint TW 1* Point Location Point Summary used as a jing well local point

On the lateral side of the ring finger, about .1 cun posterior to the corner of the nail. When the fist is clenched, the point is located TW 2* in the depression proximal to the margin of the web between the ring and small fingers. When the fist is clenched, the point is on the dorsum of the hand between the 4th and 5th TW 3*** metacarpal bones, in the depression proximal to the metacarpophalangeal joint. On the transverse crease of the dorsum of the TW 4** wrist, in the depression lateral to the tendon of muscle extensor digitorum communis. TW 5**** 2 cun above TW 4, between the radius and the ulna.

most important distal ear point

local point tonifies wei qi and opens hand; with GB 41 for shao yang problems; yang wei

3 cun above TW 4, between the radius and dry constipation; intercostal TW 6*** the ulna, on the radial side of muscle extensor neuralgia and herpes zoster digitorum. At the level of TW 6, about 1 finger breadth TW 7* local point lateral to TW 6, on the radial side of the ulna. 4 cun above TW 4, between the radius and meeting of 3 yang; problems TW 8** the ulna. with all three meridians On the lateral side of the forearm, 5 sun TW 9* below the olecranon, between the radius and local point the ulna. TW 10** When the elbow is flexed, the point is in the depression about 1 cun superior to the

olecranon. AcuPoint Point Location Point Summary TW 11* 1 cun above TW 10 when the elbow is flexed. On the line joining the olecranon and TW 14, TW 12* midway between TW 11 and TW 13. On the line joining TW 14 and the olecranon, TW 13* on the posterior border of muscle deltoidus. Posterior and inferior to the acromion, in the TW depression about 1 cun posterior to LI 15 shoulder, shoulder 14*** when the arm is abducted. Midway between GB 21 and SI 13, on the TW 15** local point superior angle of the scapula. Posterior and inferior to the mastoid process, local for neck and lymph TW 16** on the posterior border of muscle SCM, swelling of neck almost level with SI 17 and BL 10%. Posterior to the lobule of the ear, in the TW depression between the mandible and the ear, ear 17*** mastoid process. In the center of the mastoid process, at the junction of the middle and lower 1/3 of the TW 18* local curve formed by TW 17 and TW 20 posterior to the helix. Posterior to the ear, at the junction of the TW 19* upper and middle 1/3 of the curve formed by local TW 17 and TW 20 posterior to the helix. Directly above the ear apex, within the hair TW 20** line. In the depression anterior to the supratragic TW notch and slightly superior to the condyloid ear problems with heat 21*** process of the mandible. The point is located with the mouth open. Anterior and superior to TW 21, level with the root of the auricle, on the posterior border TW 22* of the hairline of the temple where the superficial temporal artery passes. In the depression at the lateral end of the local for lateral HA; facial TW 23** eyebrow. paralysis; eyes Triple Warmer Needling AcuPoint Needle Depth TW 1* TW 2* 0.1 cun 0.3 - 0.5 cun Needle Technique Puncture perpindicularly. Puncture perpindicularly. Contraindications

TW 3*** TW 4** TW 5**** TW 6*** TW 7* TW 8** TW 9* TW 10** TW 11* TW 12* TW 13* TW 14*** TW 15** TW 16** TW 17*** TW 18* TW 19* TW 20** TW 21*** TW 22* TW 23** AcuPoint

0.3 - 0.5 cun 0.3 - 0.5 cun 0.5 - 1 cun 0.8 - 1.2 cun 0.5 - 1 cun 0.5 - 1 cun 0.5 - 1 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.5 - 0.7 cun 0.5 - 0.8 cun 0.7 - 1 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.5 - 1 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.1 - 0.3 cun 0.3 - 0.5 cun

Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture subcutaneously. Puncture subcutaneously. Puncture subcutaneously. Puncture perpindicularly. Puncture subcutaneously. Puncture subcutaneously. Stomach Indications

Functions

Indications

Special Notes

expels local eye wind often used with BL 1 for and fire; one of the best ST 1* conjunctivitis; sties; eye problems; prone to points for sties; great for bruising local fire; ST 2*** eliminates local wind; facial paralysis; spasms; local clears vision; clears the trigeminal neuralgia;

sinusitis (especially maxillary or ethmoid sinusitis) rhinitis; facial paralysis; dispels wind; reduces trigeminal neuralgia in LI and yang qiao cross ST 3** swelling; stops pain this area; upper here toothache facial paralysis; trigeminal neuralgia; expels local wind; clears LI, CV, and yang qiao all ST 4** excessive salivation; channels; cross here difficulty closing eyes; herpes; gum ulcers local problems; parotitis; ST 5* local local lock jaw disperses wind; opens lower toothache; with LI 4, ST 36 for ST 6*** channels; benefits teeth mumps; TMJ; grinding dental pain; with TW 17 and jaw of teeth; facial paralysis; and LI 4 for mumps upper toothache; TMJ; dispels wind and clears TM arthritis; otitis ST 7** GB meridian crosses here collaterals media; tinnitus; earache; pus in ear; frontal and damp HA; psychosis if phlegm misting; facial paralysis; GB and yang wei cross dispels head wind; major HA point for here; with PC 5 for sedates fire in upper part frontal and vertex HA; ST 8*** psychosis with phlegm of face and front of other for dizziness missing problems; with head; especially with damp GV 20 for dizziness involvement; Meniere's disease (qi defic with damp) regulates blood and qi going to head; benefits ST 9** the throat; regulates high blood pressure local or low blood pressure; good for hypothyroid ST 10* local local local ST 11* local local local ST 12* local local local ST 13* local local local ST 14* local local local AcuPoint Functions Indications Special Notes ST 15* local local local nose

ST 16** ST 17

local

local local sometimes regulates LV qi as it affects the breast; more of a regulatory breast problems; ST 18** action on lactation than local mastitis; ST 16 (close to LV meridian and influences flow) regulates the middle; stomach ache; vomiting; harmonizes the ST; gastritis (stuck food); ST 19** local upper abdominal distension ST 20** local local local stomach ache; stomach ulcers; gastritis; nervous stomach; nausea; used with CV 12 for ST 21*** harmonizes ST vomiting; secondary stomach problems back up support point used with CV 12 abdominal distension; ST 22** local local lack of appetite ST 23* local local local ST 24* local local local regulates the function of all intestinal problems; the intestines; regulates constipation; gastritis; qi and eliminates abdominal distension ST stagnation in the and stagnation; diarrhea; front mu of the LI 25**** abdomen; regulates constipation; low back menses with stagnation; pain as related to very regulating and constipation; vomiting; moving point colitis; blood in stools; ST 26* local local local ST 27*** male sexual problems spermatorrhea; local premature ejaculation; inguinal hernia ST 28*** dispels damp; clears and UTIs; menstrual and with BL 27 for damp regulates fluid pathways; fertility problems related heat; with BL 52 for cool damp heat; benefit to dampness male sexual dysfunction bladder; any genital inflammation; pelvic inflammatory disease; damp heat in lower

mastitis; insufficient lactation local

local

warmer irregular menstruation; removes blood stasis in orchitis from blood or uterus; warms the with BL 27 and BL 52 as ST 29*** cold stagnation; womb; blood and cold above endometriosis; inguinal stagnation in the uterus hernia diseases of the reproductive organs; chong mai passes harmonizes the ying and ST 30** external genitalia pain through here; sea of blood; nourishes jing; female or male; retained nourishment point placenta AcuPoint Functions Indications Special Notes paralysis of the lower limb; atrophy and from knee down this invigorates qi and blood blockage of the muscles ST 31*** point does not do as in legs of the thigh and buttock much if at least the thigh is involved; ST 32* local local local ST 33* local local local gastritis (stomach); mastitis (meridian); diseases of the knee xi cleft of the ST pacifies the ST; clears ST 34*** (meridian); excess and meridian; with CV 12 for the ST channel hot ST problems; stuck ST pain; food (needle against the flow of the qi) moxa on head of the disease of the knee and ST 35*** local needle is good; can go surrounding soft tissue deep gastritis; ulcers; with BL 43 for serious main point benefits the enteritis; all digestive fatigue used with SP 6 ST and SP; main point problems; shock; mania; and CV 6 for building of tonifies Qi and blood; hypertension (defic qi and blood and regulates ying and wei; type); allergies; hay strengthening the regulates the intestines; fever; asthma; cough ST digestion; for digestion regulates the repro (defic type); 36**** can also add CV 12 as system; one of few neurasthenia (nervous well as BL 20; can use points that builds qi and exhaustion); nausea; ST 31 to help with blood; major point for vomiting; abscess hemiplegia; frequent building wei qi; major breasts (channel moxa here increases point for digestion; main problem); insufficient longevity; from hea lactation ST 37*** regulates intestines and colitis; and problem in lower he sea of the LI

the large intestine; abdominal pain or stomach; clears and distension; diarrhea; cools damp heat from appendicitis; dysentery the intestines like disorder (a damp heat disorder; hemiplegia perifocal inflammation of the shoulder; frozen ST 38** local local shoulder; limited ROM; good local point acute or chronic lower he sea of SI; sea of dispels damp and heat; enteritis; paralysis of blood points used when ST 39** regulates stomach and in lower limb; mastitis in "the person feels bigger intestines some books than they are" all phlegm situations; coughing; asthma (excess or deficient, but luo point; with ST 8 for transform phlegm and with phlegm); abundant damp HA; with PC 5 for ST dampness; calms the mucous; phlegm mental confusion; with 40**** spirit; clears phlegm in nodules; damp HA with LU 5 for phlegm in the the lungs tight band around head; chest vertigo; swelling of the limbs; any significant swelling; disease of foot and soft opens up foot and top of ST 41** tissues; good distal point local ankle; on the ST meridian; ST 42** local local source point; exit point clears heat form the face facial edema; shu stream; with LI 6 for ST 43** (ST 44 better) conjunctivitis with heat facial edema upper toothache; very cooling; cools and trigeminal neuralgia; drains heat from the gastric pain; stomach stomach; treats head and heat from overeating; face heat; clears heat acid reflux with heat ying spring; water point; from the yang ming involved; hot diarrhea ST 44*** with LI 4 for bleeding (stomach, large intestine, and constipation; sore gums face (where yang ming throat and tonsillitis meridians end up)); combined especially distal point for heat in when combined with the face digestive symptoms; gum disorders; pain in ST 45** clears heat; calms the tonsillitis; febrile disease can bleed the point; ST spirit with heat; toothache 44 is a better cooling

(bleed); facial inflammation; distal point for any yang ming face problems Stomach Locations AcuPoint Point Location With the eyes looking straight forward, the point is directly below the pupil, between the eyeball and the infraorbital ridge. Below ST 1, in the depression at the infraorbital foramen. Directly below ST 2, at the level of the lower border of the ala nasi, on the lateral side of the nasolabial groove. Lateral to the corner of the mouth, directly below ST 3.

point

Point Summary

ST 1*

ST 2***

local around infraorbital foramen; good for maxillary and ethmoid sinusitis

ST 3**

ST 4**

not able to close eyes; facial paralysis; trigeminal neuralgia; herpes; mouth ulcers; gum problems

ST 5*

ST 6***

ST 7**

ST 8***

ST 9** ST 10* ST 11*

Anterior to the angle of the mandible, on the anterior border of the attached portion of the masseter muscle, in the groove like depression appearing when the cheek is bulged. One finger breadth anterior and superior to the lower angle of the mandible where the lower jaw toothache; parotitis masseter attaches, at the prominence of the (mumps); TMJ muscle when the teeth are clenched. At the lower border of the zygomatic arch, in the depression anterior to the condyloid major TMJ point; upper jaw process of the mandible - located with mouth toothache closed. .5 cun within the anterior hairline at the head and face with damp; corner of the forehead, 4.5 cun lateral to GV damp HA in frontal area 24. Level with the tip of the Adam's apple, just on the course of the carotid artery, on the local neck and throat; BP anterior border of the SCM. At the midpoint of the line joining ST 9 and local ST 11, on the anterior border of the SCM. At the superior border of the sternal extremity local of the clavicle, between the sternal head and

the clavicular head of the SCM. In the midpoint of the supraclavicular fossa, 4 ST 12* local cun lateral to the ren meridian. At the lower border of the middle of the ST 13* local clavicle, 4 cun lateral to the ren meridian. In the 1st intercostal space, 4 cun lateral to ST 14* local the ren meridian. In the 2nd intercostal space, 4 cun lateral to ST 15* local ren meridian. AcuPoint Point Location Point Summary In the 3rd intercostal space, 4 cun lateral to local for breast problems; ST 16** the ren meridian. mastitis In the 4th intercostal space, 4 cun lateral to anatomical landmark - do not ST 17 the ren meridian. needle In the 5th intercostal space, directly below the ST 18** insufficient lactation nipple. 6 cun above the umbilicus, 2 cun lateral to the ST 19** CV 14. 5 cun above the umbilicus, 2 cun lateral to ST 20** local point for stomach pain CV 13. secondary point for ST 4 cun above the umbilicus, 2 cun lateral to ST 21*** disharmony of excess type; CV 12. more moving than tonifying 3 cun above the umbilicus, 2 cun lateral to ST 22** local CV 11. 2 cun above the umbilicus, 2 cun lateral to ST 23* local CV 10%. 1 cun above the umbilicus, 2 cun lateral to ST 24* local CV 9. ST all intestinal problems; front 2 cun lateral to the center of the umbilicus. 25**** mu of LI; always with BL 25 1 cun below the umbilicus, 2 cun lateral to ST 26* local CV 7. male sexual problems; KD qi 2 cun below the umbilicus, 2 cun lateral to ST 27*** and KD yang type usually; CV 5. with BL 52 and BL 23 damp heat in lower warmer; 3 cun below the umbilicus, 2 cun lateral to ST 28*** genital herpes; damp heat CV 4 leucorrhoea cold, blood stagnation in 4 cun below the umbilicus, 2 cun lateral to lower warmer; cold and ST 29*** CV 3 blood stagnation GYN problems

5 cun below the umbilicus, 2 cun lateral to CV 2. AcuPoint Point Location Point Summary At the crossing point of the line drawn down from the ASIS and the line level with the qi defic in thigh and whole ST 31*** lower border of the pubic symphisis, in the leg; opens leg and thigh depression on the lateral side of sartorius, when the thigh is flexed. On the line connecting the anterior superior iliac spine and lateral border of the patella, 6 ST 32* local cun above the laterosuperior border of the patella, in muscle rectus femoris. When the knee is flexed, the point is 3 cun above the latero superior border of the patella, ST 33* local on the line joining the laterosuperior border of the patella and ASIS. When the knee is flexed, point is 2 cun above xi cleft; acute breast and ST ST 34*** the laterosuperior border of the patella. (organ); knee locally When the knee is flexed, the point is at the ST 35*** lower border of the patella, in the depression knee joint problems lateral to the patellar ligament. builds qi and blood; builds 3 cun below ST 35, one finger breadth from wei qi; digestive problems; ST the anterior crest of the tibia, in tibialis regulates the intestines; with 36**** anterior. BL 20 to build SP qi; BL 23 to build KD qi LI damp heat; lower he sea 3 cun below ST 36, one finger breadth from of LI; with LI 11 for damp ST 37*** the anterior crest of the tibia, in the muscle heat and round out with LI tibialis anterior. mu and shu frozen shoulder empirical 2 cun below ST 37, midway between ST 35 ST 38** point; with ST 38, TW 14, and ST 41. ST 15 3 cun below the ST 37, one finger breadth ST 39** from the anterior crest of the tibia, in muscle tibialis anterior. ST 8 cun superior to the external malleolus about phlegm anywhere for any 40**** one finger breadth lateral to ST 38. reason On the dorsum of the foot, at the midpoint of the transverse crease of the ankle, in the depression between the tendons of muscle ST 41** opens foot and top of ankle extensor digitorum longus and hallucis longus, approximately at the level of the tip of the external malleolus. ST 30**

Distal to ST 41, at the highest point of the dorsum of the foot, in the depression between local in TCM; source point in ST 42** the 2nd and 3rd metatarsal bones and JA cuneiform bone. In the depression distal to the junction of the ST 43** 2nd and 3rd metatarsal bones. Proximal to the web margin between the 2nd very cooling; rids heat in ST 44*** and 3rd those, in the depression distal and yang ming (ST, LI, face); lateral to the 2nd metatarsodigital joint. local On the lateral side of the 2nd toe, .1 cun ST 45** posterior to the corner of the nail. Stomach Needling AcuPoint Needle Depth Needle Technique Contraindications

ST 1*

0.5 - 1 cun

ST 2*** 0.2 - 0.3 cun ST 3** 0.3 - 0.5 cun ST 4** ST 5* 1.0 - 1.5 cun 0.3 - 0.5 cun

ST 6*** 0.3 - 0.5 cun ST 7** 0.3 - 0.5 cun ST 8*** 0.5 - 1 cun ST 9** ST 10* ST 11* ST 12* ST 13* ST 14* ST 15* ST 16** ST 17 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun None

ST 18** 0.3 - 0.5 cun

Push the eyeball upward & puncture perpindicularly and slowly. No No manipulation. manipulation. Puncture perpindicularly. No deep needling. Puncture perpindicularly. Puncture subcutaneously towards St 6. Puncture obliquely. Avoid artery. Puncture perpindicularly or obliquely towards St 4. Puncture perpindicularly. Puncture subcutaneously. Avoid common Puncture perpindicularly. carotid artery. Puncture perpindicularly. Puncture perpindicularly. No deep needling & Puncture perpindicularly. avoid artery. Puncture obliquely. Puncture obliquely. Puncture obliquely. Puncture obliquely. No needle, reference None only. Puncture obliquely.

ST 19** ST 20** ST 21*** ST 22** ST 23* ST 24* ST 25**** ST 26* ST 27*** ST 28*** ST 29*** ST 30** ST 31*** ST 32* ST 33* ST 34*** ST 35*** ST 36**** ST 37*** ST 38** ST 39** ST 40**** ST 41** ST 42** ST 43** ST 44*** ST 45**

0.5 - 0.8 cun 0.5 - 1 cun 0.8 - 1 cun 0.8 - 1 cun 0.8 - 1 cun 0.8 - 1 cun 0.7 - 1.2 cun 0.7 - 1.2 cun 0.7 - 1.2 cun 0.7 - 1.2 cun 0.7 - 1.2 cun 0.5 - 1 cun 1.0 - 1.5 cun 1.0 - 1.5 cun 0.7 - 1.0 cun 0.5 - 1 cun 0.7 - 1.0 cun 0.5 - 1.2 cun 0.5 - 1.2 cun 0.5 - 1 cun 0.5 - 1 cun 0.5 - 1 cun 0.5 - 0.7 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.1 cun

Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Spleen Indications Avoid artery.

AcuPoint

Functions

Indications

Special Notes

any kind of bleeding, especially uterine benefits the SP and (mostly from regulates the blood; deficiency); watery, thin, Kapchuk says it is good stops bleeding when the scanty menorrhaghea; for people who have no weak SP is not holding bleeding of GI tract boundaries; LV 1 is for SP 1*** the blood; contains the (most common places people who have very blood; sedates the mind for SP related bleeding); rigid boundaries; often for excessive chatter in mental diseases (SP over moxaed; sometimes bled the head (over thinking thinking); continuous insomnia) nose bleeds; blood in stool; dream dist used for fever because fire point; tonification the ying spring point; SP 2** local point, not used clinically used locally for gout, as such foot pain, and cold feet; HA from damp; stomach or gastric pain; abdominal distension, usually due to damp; benefits the SP; sluggishness damp source point; shu stream eliminates damp; not a SP 3*** feeling; mental point; more tonifying primary point for edema, obsessions (can't let it than SP 2 but used adjunctively go), cloying kind of thing, like emotional dampness; deficient type constipation or diarrhea regulates the SP and ST; fullness in chest and luo point; master point of regulates penetrating abdomen; great point for the chong mai; yellow vessel (chong); supports stomachache; acute and emperor discovered this (moves) the ST and SP; chronic enteritis; point; used with SP 4 for reduces qi stagnation; vomiting; endometriosis; stomach pain and also invigorates blood; stops ammenorrhea (stuck SP 4**** PC 6, CV 12, ST 21, ST bleeding from type); intestines like a 34; with PC 6 for ST, accumulation of blood drum; abdominal pain HT, and gyn problems (masses and lumps); and distension; LV like tenderness, emotion very moving point; invading the SP; - this is a chong mai regulate menstruation; borborygmous; couple pattern; pacify the ST; of yin wei; severe edema; diseases of ankle metal point; dispersion SP 5* local and surrounding soft point tissue; SP 6**** big yin point; big GYN diseases of reproductive 3 yin crossing;

point; strengthen SP; system; distension or spreads the LV qi; pain in abdomen; contraindicated in benefits the KD; helps diarrhea; hemiplegia; pregnancy; with ST 36, movement and neurasthenia; eczema; BL 17, BL 20 to tonify transformation of SP qi; urticaria; deficient and blood; with a yin qiao transforms qi stagnation weak conditions of SP use KD 6; with HT 7 for in lower jiao; regulates and ST; borborygmous; over thinking insomnia; blood; moves blood and poor digestion; irregular ST 27, BL 52, BL 23 for eliminates stasis; menstruation; almost male repro issues nourishes blood yin and any reproductive system qi; stops pain problem SP 7* local local local harmonizes blood and with LI 4 for regulates uterus; dysmennorhea from transforms blood irregular menstruation; stagnation also SP 4, ST stagnation; moves blood, dysmennorhea; irregular 29, CV 6, BL 32, LV 3 therefore stops pain and menstruation; edema of CV 4 if deficiency; with removes obstruction in SP 8** the legs or abdomen; CV 12, ST 34 for stuck channel; moving point nocturnal emissions; food; Peter believes that because a xi cleft; stuck food; emotional SP 8 is better for qi moving to lower stuckness stagnation than SP 10, abdomen, especially for which really moves stuck blood stagnation, blood stagnation not stuck qi stagnat distension and pain of the abdomen; ascites; retention of urine; transforms damp; incontinence of urine; water point; with GB 26 benefits the lower irregular menstruation for leucorrhoea; with SP burner; regulates the SP; due to damp; knee pain; SP 9**** 6 for damp heat; SP 3 is regulates waterways; edema; diarrhea with not a diuretic point, but tonifies SP yang as it undigested food; pain in SP 9 is regulates the waterways; the genitals; main diuretic point with CV 9; main point for leucorrhoea; d all skin diseases with LI 11 for clearing cools heat in the blood; (especially redness and heat in the blood; with invigorates the blood itchiness); irregular ST 36 and LI 11 for SP (moves blood stasis); menstruation; dermatitis; anemia - better for 10**** clears blood heat; blood menstrual and uterine moistening the blood cooling and clearing bleeding disorders (from rather than building qi to point; heat in blood); build blood AcuPoint Functions Indications Special Notes SP 11* local local local

SP 12* SP 13* SP 14* SP 15** SP 16* SP 17* SP 18* SP 19* SP 20* SP 21**

local local local local local local regulates SP qi; yin weir crosses here; secondary point for similar to ST 25 with CV 8 and St 25 for chronic deficient diarrhea diarrhea local local local local local local local local local local local local local local local local local local strengthen the sinews general body soreness; grand luo point and the bones excess in the luo vessels Spleen Locations

AcuPoint

Point Location On the medial side of the great toe, .1 cun posterior to the corner of the nail.

Point Summary any defic. SP bleeding; obsessing insomnia; dream disturbed sleep

SP 1***

On the medial side of the great toe, distal and SP 2** inferior to the first metatarso-digital joint, at the junction of the red and white skin. Proximal and inferior to the to the head of the SP 3*** first metatarsal bone, at the junction of the red and white skin.

SP dampness from defic; source point

moving; moves fullness; irregular menstruation; gastric In the depression distal and inferior to the base SP pain; vomiting; excess of the first metatarsal bone, at the junction of 4**** abdominal pain; bleeding with the red and nd white skin. blood stasis; masses with blood stasis In the depression distal and inferior to the medial malleolus, midway between the SP 5* tuberosity of the navicular bone and the tip of the medial malleolus. yin point; gyn point; 3 cun directly above the tip of the medial strengthen SP, KD, yin, SP malleolus, on the posterior border of the blood; moving in lower 6**** medial aspect of the tibia. abdomen; calms the mind; all reproductive issues

SP 7*

3 cun above SP 6, on the line joining the tip of the medial malleoulus and SP 9.

local

xi cleft; moving in lower 3 cun below Sp 9, on the line joining the tip of abdomen; stuck blood; SP 8** the medial malleolus and SP 9. channel obstruction; with SP 4 and ST 29 and SP 6 damp; diuretic point; On the lower border of the condyle of the SP tonifying damp and yang; all tibia, in the depression on the medial border of 9**** damp things; with CV 9 as the tibia. diuretic When the knee is flexed, the point is 2 cun skin; blood wind, heat; dry SP above the mediosuperior border of the patella, blood; with LI 11, BL 17, BL 10**** on the bulge of the medial portion of the 40 muscle quadriceps femoris. 6 cun above SP 10%, on the line drawn from SP 11* local SP 10% to SP 12. Superior to the lateral end of the groove, on the lateral side of the femoral artery, at the SP 12* local level of the upper border of the symphisis pubis, 3.5 cun lateral to CV 2. .7 cun laterosuperior to SP 12, 4 cun lateral to SP 13* local the Ren meridian. 1.3 cun below SP 15, 4 cun lateral to the Ren SP 14* meridian, on the lateral side of the muscle local rectus abdominis. 4 cun lateral to the center of the umbilicus, secondary chronic deficient SP 15** lateral to the muscle rectus abdominus. diarrhea point; SP 16* 3 cun above SP 15, 4 cun lateral to CV 11. local In the 5th intercostal space, 6 cun lateral to the SP 17* local Ren meridian. In the 4th intercostal space, 6 cun lateral to the SP 18* local Ren meridian. IN the 3rd intercostal space, 6 cun lateral to SP 19* local the Ren meridian. In the 2nd intercostal space, 6 cun lateral to SP 20* local the Ren meridian. On the mid-axillary line, 6 cun below the SP 21** axilla, midway between the axilla and the free whole body achy and weak end of the 11th rib. Spleen Needling AcuPoint Needle Depth Needle Technique Contraindications

SP 1*** SP 2** SP 3*** SP 4**** SP 5* SP 6**** SP 7* SP 8** SP 9**** SP 10**** SP 11* SP 12* SP 13* SP 14* SP 15** SP 16* SP 17* SP 18* SP 19* SP 20* SP 21**

0.1 cun 0.1 - 0.3 cun 0.3 - 0.5 cun 0.5 - 0.8 cun 0.2 - 0.3 cun 0.5 - 1 cun

Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. No needling or moxa during pregnancy.

0.5 - 1 cun 0.5 - 1 cun 0.5 - 1 cun 0.5 - 1.2 cun 0.5 - 1 cun 0.5 - 1 cun 0.5 - 1 cun 0.5 - 1 cun 0.7 - 1.2 cun 0.5 - 1 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun

Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture obliquely. Puncture obliquely. Puncture obliquely. Puncture obliquely. Puncture obliquely. Small Intestine Indications Avoid artery.

AcuPoint

Functions

Indications

Special Notes

mastitis; insufficient lactations; sometimes for PMS breast tenderness; disperses wind and heat; swollen breasts facilitates the flow of SI 1*** including benign breast milk; opens orifices; lumps and fibrocystic clears heart heat lumps; as jing well point can be used for loss of consciousness

local

local local seizures; psychosis; opens the GV mania; all kinds of master point of the GV; (eliminating interior sweating; stiff neck; low with BL 62 for low back wind); clears the spirit back pain (acute and pain; with GV 8, GV 26 SI 3**** and mind; relieves chronic); tinnitus; for pain along the spine exterior; stimulate deafness (meridian with difficult flexion and sweat; dispels wind heat; related); the strongest extension related to wei qi; distal point on the SI meridian SI 4** local local source point used a little as a distal SI 5** cooling point for neck local horary point swelling xi cleft point; controversy about pain in shoulder and whether this should be relaxes the sinews and back; arthritis; main used for low back pain muscles and clears the SI 6*** point for acute low back many people say SI 3 is channels for the SI sprains; used a lot for better; everything you channel whiplash use this for musculoskeletally you could use SI 3 instead not used in TCM for anything but a luo point; wakes the spirit; calms SI 7** local luo point heart and mind; strong point for mental emotional SI 8** local local earth point often needled higher than the classic CAM SI 9** local local location; can be found by palpating around lateral edge of scapula yang weir and yang qiao SI 10** local local cross here AcuPoint Functions Indications Special Notes facilitates lactation; important local point to pain in the shoulder; with SI 1 for insufficient SI 11*** clear channels and insufficient lactations lactation decrease swelling and pain; SI 12** local local GB, TW, BL, and LI all

SI 2*

local

SI 13** SI 14*

local local

local local

SI 15* SI 16**

local local

local

cross here local Amy believes it is a very good point for local stagnation Amy believes it is a very good point for local stagnation

SI 17**

local

SI 18*

local

SI 19***

benefits hearing

tinnitus; stiff neck; loss window of sky point of voice difficulty hearing; difficulty swallowing; window of sky point sometimes goiter; tonsillitis trigeminal neuralgia; LI 4 can also be a good facial paralysis; point for toothaches toothache in upper jaw tinnitus; difficulty hearing; jaw problems local like TMJ; otitis media

Small Intestine Locations AcuPoint Point Location On the ulnar side of the little finger, about .1 cun posterior to the corner of the nail. Point Summary mastitis; insufficient lactation; loss of consciousness; heat (jing well) local point

SI 1*** SI 2*

When a loose fist is made, the point is on the ulnar side, distal to the 5th MP joint, at the junction of the red and white skin. When a loose fist is made, the point is on the stiff neck; GV master point; ulnar side, proximal to the 5th MP joint, at the external wind; low back; SI 3**** end of the transverse crease at the junction of mind; spirit; all kind of the red and white and skin. stroke problems SI 4** On the ulnar side of the palm, in the local point depression between the base of the fifth metacarpal bone and the triquetral bone. At the ulnar end of the transverse crease on the dorsal aspect of the wrist, in the SI 5** local point depression between the styloid process of the ulna and the triquetral bone.

Dorsal to the head of the ulna. When the palm xi cleft; pain in the meridian; faces the chest, the point is in the bony cleft SI 6*** stiff neck' secondarily low on the radial side of the styloid process of the back ulna. On the line joining SI 5 and SI 8, 5 cun above SI 7** local and used as a luo point SI 5. When the elbow is flexed, the point is located in the depression between the olecranon of SI 8** local point the ulna and the medial epicondyle of the humerus. SI 9** Posterior and inferior to the shoulder joint. local point for shoulder pain When the arm is adducted, the point is 1 cun and ROM problems above the posterior end of the axillary fold. SI 10** When the arm is adducted, the point is local point for shoulder pain directly above SI 9, in the depression inferior and ROM problems to the scapular spine. AcuPoint Point Location Point Summary In the infrascapular fossa, at the junction of important local point to clear the upper and middle third of the distance channels and decrease SI 11*** between the lower border of the scapular swelling and pain; secondary spine and the inferior angle of the scapula. breast point SI 12** In the center of the suprascapular fossa, local point directly above the SI 11. When the arm is lifted, the point is at the site of the depression. SI 13** On the medial extremity of the suprascapular local point fossa, about midway between SI 10% and the spinous process of the 2nd thoracic vertebra. SI 14* 3 cun lateral to the lower border of the local point spinous process of the 1st thoracic vertebra where GV 13 is located. 2 cun lateral to the lower border of the SI 15* local point spinous process of the 7th thoracic vertebra. SI 16** In the lateral aspect of the neck, in the local point posterior border of the SCM, posterior and superior to LI 18. Posterior to the angle of the mandible, in the SI 17** local point depression on the anterior border of the SCM. SI 18* Directly below the outer canthus, in the local point depression on the lower border of the zygoma. SI 19*** Anterior to the tragus and posterior to the benefits the hearing; jaw condyloid process of the mandible, in the problems depression formed when the mouth is open.

Small Intestine Needling AcuPoint Needle Depth SI 1*** SI 2* SI 3**** SI 4** SI 5** SI 6*** SI 7** SI 8** SI 9** SI 10** SI 11*** SI 12** SI 13** SI 14* SI 15* SI 16** SI 17** SI 18* SI 19*** 0.1 cun 0.3 - 0.5 cun 0.5 - 0.7 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.5 - 0.8 cun 0.3 - 0.5 cun 0.5 - 1 cun 0.5 - 1 cun 0.5 - 1 cun 0.5 - 0.7 cun 0.3 - 0.5 cun 0.3 - 0.7 cun 0.3 - 0.6 cun 0.3 - 0.7 cun 0.5 - 0.7 cun 0.5 - 0.8 cun 0.5 - 1 cun Needle Technique Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture obliquely. Puncture obliquely. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly when the mouth is open. Pericardium Indications AcuPoint Functions Indications Special Notes Contraindications

intercostal neuralgia; pain and swelling under PC 1* local local the axilla; mastitis; insufficient lactation pain along the upper PC 2* local aspect of the arm; local local for chest PC 3** opens up heart qi; drains acute gastritis and he sea point; the internal heat from the blood; gastroenteritis; easily meridian has much effect

frightened and startled; pain along the arm; on the upper and middle mostly for gastric warmers problems; myocarditis; angina pectoris; palpitations from obstruction, not deficiency (most are regulates the qi to stop from deficiency); pain; regulates heart qi irritability and acute pain PC 4** and blood; moves xi cleft point in the chest of emotional obstruction in either the origins; most significant meridian or the chest pain from angina; important for chest pain; clears the channel and thus calms the spirit; meeting point of three seizures with drooling; harmonizes stomach upper yin meridians; ST 8 PC hysteria; psychosis; when phlegm is and ST 40 (all purpose 5*** clears insubstantial involved; chest pain, can also be used for phlegm; stomach ache, vomiting phlegm if phlegm is involved; angina pectoris; chest luo point; inner gate; pain; stuffiness in chest; master point; has a pain in hypochondrium; calming effect on the ST, opens the chest; asthma; nausea or diaphragm, chest - is the harmonizes the ST; vomiting; opens the perfect point to treat these PC calms the spirit; regulates chest; stomachache; any things; calming effect; 6**** the liver and middle jiao; kind of upper abdominal with CV 12 for nausea; good point to treat LV pain; spasms of the nausea from LV invading invading the ST diaphragm; cough; ST LV 3 or LV 14; with seizures; hysteria; CV 17 for asthma; paired irritability, insomnia, with SP 4 to nervousness, a clears and calms the heart; clears HT heat; ghost point; shu stream; palpitations; gastritis sedates fire and cools; strong point but not used PC with heat and anxiety; soothe, calm and quiet by much in TCM; earth point 7*** intercostal neuralgia; cooling when heat is and thus the dispersion mental illness; involved; main point for point CTS PC 8** cools heart; drains heat heat exhaustion; cardiac fire point pain; yin exhaustion; stomatitis; foul breath; ulcerated oral cavity;

regulates the stomach; clears heat from the blood as a secondary indication

hysteria and mental illness due to heat; excessive sweating of palms clears HT heat; revives shock; apoplectic coma; PC 9** yang from collapse; main jing well point for revives consciousness returning consciousness Pericardium Locations AcuPoint PC 1* Point Location Point Summary

In the 4th intercostal space, 1 cun lateral to the local point nipple. 2 cun below the level of the anterior axillary PC 2* fold, between the two heads of the muscle local point biceps brachii. On the transverse cubital crease, at the ulnar PC 3** side of the tendon of muscle biceps brachii. 5 cun above the transverse crease of the wrist, on the line connecting PC 3 and PC 7, between xi cleft point; pain in the PC 4** the tendons of palmaris longus and flexor carpi meridian; chest pain radialis 3 cun above the transverse crease of the wrist PC calms the spirit; eliminates between the tendons of palmaris longus and 5*** phlegm flexor carpi radialis 2 cun above the transverse crease of the wrist PC opens chest; harmonizes ST; between the tendons of palmaris longus and 6**** calms spirit flexor carpi radialis In the middle of the transverse crease of the PC wrist, between the tendons of muscle palmaris 7*** longus and flexor carpi radialis. On the transverse crease of the palm, between the 2nd and 3rd metacarpal bones. When the PC 8** fist is clenched, the point is just below the tip of the middle finger. PC 9** In the center of the tip of the middle finger. Pericardium Needling AcuPoint Needle Depth PC 1* 0.2 - 0.4 cun Needle Technique Puncture obliquely. Contraindications No deep needle.

PC 2* PC 3** PC 4** PC 5*** PC 6**** PC 7*** PC 8** PC 9**

0.5 - 0.7 cun 0.5 - 0.7 cun 0.5 - 1 cun 0.5 - 1 cun 0.5 - 0.8 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.1 cun

Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Liver Indications

AcuPoint

Functions

Indications

Special Notes

stops bleeding when moxaed; treats genitourinary aspects of use a pecking technique abnormal uterine LV 1*** the LV; swollen inguinal with a moxa pole that bleeding from hot blood lymph nodes; irregular disperse the heat menstruation; any genital inflammation; vertex HA; vertigo; dizziness from upsurge drains fire from the LV; of wind (not anything cools the blood else); intercostal (especially menstrual neuralgia from heat; blood); dispels LV wind; fire point; more cooling abnormal menstrual LV 2*** useful in excess than moving; more for bleeding due to heat; situations involving excess, sedating and heat cloudy urine or urethra heat; main point for discharge; eyes red and hypertensive HA; swollen; seizures and sedation point convulsions of any type; distension of LV 3**** benefits all aspects of improves vision; rising source point; with LV 2 the LV; regulates and/or LV yang; LV wind; for excess situations that tonifies yin, yang of LV; vertex and ocular HA; involve heat and wind; drains heat (but LV 2); dizziness of LV yang with PC 6 for calming regulates menses rising and LV wind type; the mind; with LV 14 for (controls the movement hypertension (excess or PMS like breast of cycle); sedates deficient); insomnia; tenderness; with LI 4 as rebellious qi and LV hepatitis; mastitis; major four gates for whole yang; extinguishes LV point for irregular body pain and opens all

wind (more heat use LV menstruation due to 2); helps with problems stagnation (could be the channels in the body involvi cold or blo classically used like LV only used in TCM for LV 4** 3, but not effective ankle problems clinically genital itching like herpes; leucorrhoea; genital damp heat in LV 5** irregular menstruation luo point lower warmer and endometriosis if damp heat nature LV 6* LV 7* nourishes LV blood and LV yin; relaxes muscle channels and sinews genital herpes; vaginitis; because it nourishes the local for medial knee with LV 5 for uro-genital LV 8** above; moistens the pain; nocturnal damp heat sinews; clears and cools emissions damp heat from the lower warmer LV 9* LV 10* AcuPoint Functions Indications Special Notes LV 11* moxa only; no needle; cold indications, GV 4 and CV 4 warm the LV 12* especially genital area yang; this helps to scatter the cold LV invading SP is the classic presentation for this point; enlargement of LV and SP; hepatitis; front mu of spleen; GB enteritis; abdominal crosses here; not used benefits the SP; distension from LV clinically as the smoothes LV qi; reduces LV 13*** invading SP; influential point for yin GI stagnation; disperses constipation from organs; with pigen for cold in middle warmer; stagnant LV qi; pain in benign masses in hypochondrium; abdomen diarrhea due to cold or LV invading the qi; borbo LV facilitates the moving of main point for with LV 3 for pain and 14**** LV qi; removes intercostal neuralgia; stuck blood; front mu of

hepatitis; tight chest from anger and frustration; nervous dysfunction of ST (LV congealed blood; more invading the ST); LV; check GB 24 as well about ribs chest, vomiting; hiccups; stuck for intercostal neuralgia abdomen; food; hypochondrium pain and distension; shingles; insufficient lactation Liver Locations AcuPoint Point Location Point Summary

restores consciousness; moves On the lateral side of the dorsum of the LV lower warmer; genitourinary terminal phalanx of the great toes, between the 1*** issues; stops bleeding due to lateral corner of the nail and the IP joint. heat LV fire; heat in head; reproductive hot bleeding; red LV On the dorsum of the foot, between the 1st and eyes; LV yang rising HA; 2*** 2nd toes, proximal to the margin of the web. infections in face; LV wind; vertigo; convulsions benefits all aspects of LV; On the dorsum of the foot, in the depression internal wind; spasms; major LV distal to the junction of the 1st and 2nd smoothing LV point; with PC 3**** metatarsal bones. 6 to calm; rising LV yang; LV wind 1 cun anterior to the medial malleolus, midway between SP 5 and ST 41, in the LV 4** depression on the medial side of m. tibialis anterior. 5 cun above the tip of medial malleolus, on the luo point; major genital damp LV 5** medial aspect and along the medial border of heat point; not for shingles the tibia. 7 cun above the tip of the medial malleolus, on LV 6* the medial aspect and along the medial border of the tibia. Posterior and inferior to the medial condyle of the tibia, in the upper portion of the medial LV 7* local for knee pain head of m. gastrocnemius, 1 cun posterior to SP 9. LV 8** When the knee is flexed, the point is located in nourish LV blood and wind;

the depression above the medial and transverse end of the transverse popliteal crease, posterior second to LV 5 for genital to the medial epicondyle of the femur, on the damp heat anterior part of the in insertion of m. semimembranosus and m. 4 cun above the medial epicondyle of the LV 9* femur, between m. vastus medialis and opens the channel sartorius. 3 cun directly below ST 30, on the lateral LV 10* local border of m. abductor longus. 2 cun directly below ST 30, on the lateral LV 11* local border of m. abductor longus. Inferior and lateral to the pubic bone, 2.5 cun LV 12* lateral to the CV line, at the inguinal groove, dissipates cold; lateral and inferior to ST 30. smooth LV + benefits SP = LV On the lateral side of the abdomen, below the LV invading SP; for lumps 13*** free end of the 11th floating rib. like pigen LV Directly below the nipple, in the 6th LV , ST, chest, ribs, breast 14**** intercostal space. Liver Needling AcuPoint Needle Depth LV 1 *** LV 2 *** LV 3 **** LV 4 ** LV 5 ** LV 6 * LV 7 * LV 8 ** LV 9 * LV 10 * LV 11 * LV 12 * LV 13 *** 0.1 - 0.2 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.5 - 0.8 cun 0.5 - 1 cun 0.5 - 0.8 cun 0.5 - 0.7 cun 0.5 - 1 cun 0.5 - 1 cun None 0.5 - 0.8 cun Needle Technique Puncture subcutaneously. Puncture obliquely. Puncture perpindicularly. Puncture perpindicularly. Puncture subcutaneously. Puncture subcutaneously. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Moxa only Puncture perpindicularly. Contraindications

LV 14 ****

0.3 - 0.5 cun

Puncture obliquely.

Lung Indications AcuPoint Functions Indications Special Notes

dry cough; cough with disperses heat in the fullness in chest; lung chest with heat and LU and SP cross here; LU heat; pulmonary TB phlegm; more dispersing with CV 17 and PC 6 to 1*** (severe yin deficiency); point rather than open up the chest coughing and wheezing tonifying with blood LU 2* local local local LU 3** local local window of the sky point LU 4* local local local he sea point; water point; yellow phlegm maybe sedation point; not in white and viscous; OPI early stages of an OPI drains heat in the lungs; gone deeper; productive LU because pathogen is not any kind of phlegm, cough; asthma; 5**** in LU yet; much stronger especially phlegm heat; bronchitis; pleurisy; pain than LU 1; with ST 40 for in throat with cough; clearing phlegm in upper good for excess LU heat; warmer; for full heat cools heat; stops bleeding due to deficient dry cough; dryness in LU xi ccenter point; for heat; moisten lungs; lungs; good elbow and 6*** empty heat regulate rebellious qi in biceps point LU; opens the lungs; enhance wind cold; wind heat; luo point; often used with the descending function HA; coughing; asthma LI 4; master point of CV; of the LU; disperses with little phlegm with LI4 and LI 20 for wind and relieves the (allergic asthma); facial nasal congestion; paired exterior; stimulates the LU paralysis; stiff neck; tai confluent point with KD wei qi; opens up the 7**** yang s/sx; diseases of the 6; with KD 6 for chronic nose, especially with wrist joint; sore throat; sore throat; always use OPI; controls the head disease of the pharynx; with KD 6 for deficient and neck (command wind rash; empirical conditions involving the point of the head and point for blood in urine; yin qiao/ren mai; neck); LU 8* local local local LU regulates the LU and any LU problem due to shu stream; tonification 9**** stops coughing, usually deficiency; cold, weak point; earth point; yuan with weak coughs; deficient LU; source point; influential

tonifies the yin and qi; transforms damp or dry phlegm, scanty phlegm due to deficiency (excess of LU 1 or 5); big LU tonifier clears heat in the lungs; LU benefits the throat; for 10** really bad stabbing sore throat cools the lungs; benefits LU the pharynx; revives 11** from fainting

point of the vessels or pulse; can be used to bolster a weak pulse; with BL 13, CV 6, BL 23 as a LU tonifier ying spring point; with GB 8 for hangovers with moxa to stop a nose bleed; moxa opposite side;

local fainting; loss of consciousness; nose bleeds Lung Locations

AcuPoint

Point Location

Point Summary

The point is lateral and superior to the sternum mu point; fullness for chest; LU at the lateral side of the 1st intercostal space, 6 more dispersive; cough with 1*** cun lateral to the ren mai channel. phlegm In the depression below the acromial extremity LU 2* of the clavicle, 6 cun lateral to the ren mai local point channel. The point is on the medial aspect of the upper LU 3** arm, 3 cun below the end of the axillary fold, local point on the radial side of the muscle biceps brachii. The point is on the medial aspect of the upper LU 4* arm, 1 cun below LU 3, on the radial side of local point the muscle biceps brachii. he se point; water point; On the cubital crease, on the radial side of LU dispersive for any heat in tendon of m. biceps brachii. This point is 5**** lungs; fullness in lungs; with located with the elbow slightly flexed. ST 40 often The point is on the palmar aspect of the xi cleft; dryness in lungs; LU forearm, on the line joining LU 10 and LU 5, 7 cough; yin defic lungs; 6*** cun above the transverse crease of the wrist. coughing up blood Luo point; OPI early stage affecting wei qi; master point Superior to the styloid process of the radius, of yin qiao; lesser for HA or LU 1.5 cun above the transverse crease of the blood in urine; with LI 4 for 7**** wrist. OPIs; GV 14 and BL 12 for OPIs; with KD 6 for Ren patterns

LU 8*

1 cun above the transverse crease of the wrist in the depression on the lateral side of the radial artery.

horary point

source point; influential point for pulse; most useful for deficient lung problems; At the radial end of the transverse crease of the LU nourishes all aspects of the wrist, in the depression on the lateral side of 9**** lung; for chronic and defic the radial artery. problems; with BL 13, BL 23 and BL 43 for whole body boosting On the radial aspect of the midpoint of the 1st LU severe raw, knifelike sore metacarpal bone, on the junction of the red and 10** throat white skin. jing well; for very hot LU On the radial side of the thumb, .1 cun conditions; moxa for 11** posterior to the corner of the nail. nosebleeds; main point for tonsillitis Lung Needling AcuPoint Needle Depth LU 1*** LU 2* LU 3** LU 4* LU 5**** LU 6*** LU 7**** LU 8* LU 9**** LU 10** LU 11** 0.5 - 0.8 cun 0.5 - 0.8 cun 0.5 - 1 cun 0.5 - 1 cun 0.5 - 1 cun 0.5 - 1 cun 0.3 - 0.5 cun 0.1 - 0.3 cun 0.2 - 0.3 cun 0.5 - 0.8 cun 0.1 cun Needle Technique Contraindications

Puncture obliquely towards the lateral No deep needling. aspect of the chest. Puncture obliquely towards the lateral No deep needling. aspect of the chest. Puncture perpindicularly. No moxa. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture obliquely either towards the elbow or the wrist. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. No moxa. No moxa.

No moxa.

Large Intestine Indications AcuPoint Functions Indications Special Notes

LI 1**

local

apoplectic or any coma; high fever (yang ming meridian) and often used for high fevers instead of others; toothache if jing well; metal point infected only; bleed with LI 11 needled for tonsillitis (fire toxin situation)

dispels heat; distal point; toothache; trigeminal ying spring (cooling); not LI 2** cooling point; local neuralgia used much point LI 3** sedates heat; local point local shu stream disperses wind common cold; febrile source point; entry point; (stimulates dispersing disease with or without BL 60 more for back and action of the lungs); sweat; headache (used lower body; LI 4 is more relieves exterior for non-OP frontal and for upper body and face; conditions; suppresses vertex, and only other pain points are BL pain; clears channels; otherwise if OPI LI 4**** 60 and LV 3; LV 3 and promotes or restrains related); disease of the LI 4 are the "four gates" sweat; reduces fever; sensory organs; facial and for whole body pain regulates and moistens paralysis; any face and moving the qi in the the LI; aids in labor; problem think of this entire body; clears the nose; clears point; hemiplegia; major contraindicated in obstruction in up pain point; conj diseases of the soft tissue of the wrist point; LI 5** expels wind and fire local good for smoking withdrawal clears the lungs; facial edema; hand luo point; can be used LI 6** regulates the waterways edema with LU 7 like facial edema special for mouth and LI 7* local local tongue inflammation; oral herpes; canker sores LI 8* local local local LI 9* local local local LI 10*** expels internal wind; pain in the arm; neck associated with the pain; good for overuse stomach and often used injuries of the arm and with ST 36; but not used

clinically for ST organ pathology; has some qi boosting properties like forearm (often quite sore ST 36, but not as strong; and is the bulky area of seems like it would a the muscle) good point for weak, deficient conditions, but not used much these AcuPoint Functions Indications Special Notes paralysis; hemiplegia; eliminates wind and arthritic pain in the he sea; tonification point, exterior conditions; upper limb; hypertension but used clinically as a cools heat; eliminates from excess yang (with dispersive point; earth dampness with heat in ST 36); high fever; any point; with BL 40, SP 10, the skin and intestines LI febrile disease; measles BL 17, GB 31 (with (skin diseases, damp 11**** (heat toxin in TCM and dryness and lots of heat in LI); regulates the showing up in the skin); itching) for hot skin blood in relation to the main point for skin diseases; with damp heat skin; clears the channels; diseases involving in LI use BL 25, ST 25, reduces fever; clears redness; eyes red and ST 37 fire; clears blood heat pain LI 12* local local local LI 13* local local local clears channels locally; SI, BL, and yang wei LI 14** increases psychic local cross here energies and abilities hemiplegia; pain in shoulder; inflammation SI and yang qiao cross LI 15*** benefits the shoulder in shoulder; any here shoulder problem clears the channels; disease of the shoulder yang qiao crosses here; LI 16** disperses congealed and soft tissue of the good point to check for blood (secondary) shoulder; spitting blood shoulder problems LI 17** local local local LI 18** local local local LI 19* local local local can be needled upward opens the nasal and up to .5 toward rhinitis; nasosinusitis; passages; disperses bitong; eyes usually LI 20*** can cause immediate external wind heat as it water; often used with LI clearing of the sinuses affects the nose 4 and LU 7 to clear the sinuses

Large Intestine Locations AcuPoint Point Location Point Summary

jing well indications; bleed On the radial side of the index finger, about .1 for tonsillitis and bad throat cun posterior to the corner of the nail in infections On the radial side of the index finger, distal to the MP joint, at the junction of the red and LI 2** white skin. The point is located with the finger slightly flexed. When a loose fist is made, the point is on the radial side of the index finger, in the LI 3** depression proximal to the head of the second metacarpal bone main point for wind and dispersing external conditions; powerful qi point; On the dorsum of the hand, between the 1st main point for pain; main and 2nd metacarpal bones, approximately in point for headache; main LI 4**** the middle of the 2nd metacarpal bone on the point for head, face, throat, radial side. and sensory organs; main point for dental anesthesia; with or without sweat; febrile disease; from On the radial side of the wrist. When the thumb is tilted upward, it is in the depression LI 5** between the tendons of muscle extensor pollicis longus and brevis. When the elbow is flexed with the radial side waterways point and facial LI 6** of the arm upward, the point is on the line edema joining LI 5 and LI 11, 3 cun above LI 5. When the elbow is flexed with radial side of mouth and tongue in LI 7* the arm upward, the point is on the line inflammation joining LI 5 and LI 11, 5 cun above LI 5. On the line joining LI 5 and LI 11, 4 cun LI 8* local point below LI 11. On the line joining LI 5 and LI 11, 3 cun LI 9* local point below LI 11. invigorates arms for motor impairment after stroke; On the line joining LI 5 and LI 11, 2 cun LI 10*** internal wind; arms; three below LI 11. measures and associated with ST 36 LI 1**

AcuPoint

Point Summary heat in terms of fever, skin, When the elbow is flexed, the point is in the LI; strong for arm; LI depression at the lateral end of the transverse hypertension; hot LI 11**** cubital crease, midway between LU 5 and the problems with ST 37, ST 25, lateral epicondyle of the humerus. BL 25; for skin with SP 10, BL 40, BL 17 When the elbow is flexed, the point is superior to the lateral epicondyle of the LI 12* local point humerus, about 1 cun superolateral to LI 11, on the medial border of the humerus. Superior to the lateral epicondyle of the LI 13* humerus, on a line joining LI 11 and LI 15, 3 local point cun above LI 11. On the line joining LI 11 and LI 15, 7 cun above LI 11, on the radial side of the LI 14** humerus, superior to the lower end of the deltoid muscle. Anterior and inferior to the acromion, on the major shoulder joint point; LI 15*** upper portion of the deltoid muscle. When the anterior eye; arm is in full abduction In the upper aspect of the shoulder, in the LI 16** depression between the acromial extremity of the clavicle and scapular spine. On the lateral side of the neck, 1 cun below local point for throat LI 17** LI 18, on the posterior border of the SCM. problems On the lateral side of the neck, level with the tip of the Adam's Apple, between the sterna local point for throat LI 18** head and the clavicular head of the SCM problems muscle. Just below the lateral margin of the nostril, .5 local for nasal distribution; LI 19* cun lateral to DU 26. nosebleed In the nasolabial groove, at the level of the any nose problem; opens the LI 20*** midpoint of the lateral border of the ala nasi. nose; with LI 4 and LU 7 Large Intestine Needling

Point Location

AcuPoint Needle Depth LI 1** LI 2** LI 3** LI 0.1 cun 0.2 - 0.3 cun 0.5 - 0.8 cun 0.5 - 1 cun

Needle Technique Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly.

Contraindications No moxa.

No needle or moxa

4**** LI 5** LI 6** LI 7* LI 8* LI 9* LI 10*** LI 11**** LI 12* LI 13* LI 14** LI 15*** LI 16** LI 17** LI 18** LI 19* LI 20***

in pregnancy. 0.3 - 0.5 cun 0.5 - 0.8 cun 0.5 - 1 cun 0.5 - 1 cun 0.5 - 1 cun 0.8 - 1.2 cun 1.0 - 1.5 cun 0.5 - 1 cun 0.5 - 1 cun 0.8 - 1.5 cun 0.8 - 1.5 cun 0.5 - 0.7 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.2 - 0.3 cun Puncture perpindicularly. Puncture perpindicularly or obliquely. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly or obliquely upwards. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture obliquely.

0.3 - 0.5 cun Puncture obliquely or subcutaneously.

Kidney Indications AcuPoint Functions Indications shock; heat exhaustion; stroke and can open the orifices and help with loss of voice; hypertension from excess; seizures; infantile convulsions; HA at the vertex (LV yang rising HA); soles of feet hot; for whole body muscle cramping Special Notes

opens the sensory orifices; calms the spirit; good for adjusting the spirit after stroke or other psychotic conditions; sends qi KI 1** down; sedates fever and spasm; sedates deficient fire as it affects cognition to bring fire down; mostly an emergency point KI 2** 5 cools and regulates KD yang; tonifies KD yang and jing; clears heat and

dispersion point; for peripheral neuropathy thread LV 3 to KD 1

chronic excess and fire point and ying recurring pharyngitis; spring; KD 6 for chronic irregular menstruation low grade pharyngitis

due to heat or damp heat; thirst from fire from the heart; cools diabetes; diarrhea with the blood as pertains to damp heat and noises; uterus; itching in genital region; plantar fasciitis nephritis; cystitis; irregular menstruation; source point; most used tonfies qi, yin, yang, and spermatorrhea; enuresis; KD point; LU and KD stabilizes KD qi; calms tinnitus; alopecia; yin defic use LU 6; yin the fetus; restores impotence; constipation deficient insomnia use KI 3**** collapsed yang; and diarrhea if KD SP 6, KD 6; male sexual strengthens lower back involved; yin deficient dysfunction ST 27, BL and knees; nourishes LV type insomnia; low back 52, BL 23, GV 4 if yang especially pain; knee pain; asthma defic, SP 6 if yin defic if KD deficient benefits the jing aspect plantar fasciitis; bone luo point; with BL 61 for KI 4** of spirit (meaning little spurs heel problems movement and lethargy) KI 5* local local xi cleft but not used chronic pharyngitis; tonsillitis; epileptic seizures that occur more at night; deficient yin calms spirit or mind; asthma, constipation, moistens throat; tonifies master point of yin qiao; KI 6 insomnia; dry throat; eye KD yin; moistens eyes; with LU 7 to moisten ***1/2 pain from dryness; promotes uterine throat; vaginal discharge like function chronic leucorrhoea; vaginal dryness (menopause or other); major for bui leucorrhoea; any urinary tonification point; with tonifies KD yang; problems; night sweats; LI 4 to promote or stop regulates body fluids OPI sweat or lack of sweat; metal point on KI 7*** and sweat; clear and sweat; low back pain; water meridian and thus cool damp heat; helps to edema with SP 9; good may help with metabolize fluids for ankle edema; spontaneous sweating KI 8* local local local never see in TCM prescription; people who KI 9** local local do OB/GYN acupuncture swear by this point KI 10** promotes urination; diseases of urogential he sea point; water point clears lower jiao system; dysuria; arthritis

(bladder) heat; strengthens knees AcuPoint KI 11* KI 12* KI 13* KI 14* KI 15* Functions local local local local local

KI 16**

harmonizes ST; regulates LI qi

KI 17* KI 18* KI 19* KI 20* AcuPoint KI 21* KI 22* KI 23* KI 24* KI 25* KI 26* KI 27**

local local local local Functions local local local local local local opens the lungs

of knee in medial area; important for water balance Indications local local local local local habitual constipation with hard and difficult to pass stool (need to nourish yin); hiccups; vomiting; back up dry constipation point local local local local Indications local local local local local local

Special Notes local local local local local

local local local local Special Notes local exit point of KD meridian (on NCCA exam) local local local local shu of shus; meeting point of all back shus

Kidney Locations AcuPoint Point Location Point Summary

emergency point; loss of On the sole, in the depression when the foot is consciousness; brings heat in plantar flexion, approximately at the KI 1** down; psychosis and junction of the anterior third and posterior 2/3 hysteria; convulsions; body of the sole. cramping; brings down qi KI 2** Anterior and inferior to the medial malleolus, excess throat fire; sexual in the depression of the lower border of the dysfunction;

tuberosity of the navicular bone. In the depression between he medial source point; general KD KI 3**** malleolus and tendo calcaneus, at the level of s/sx; KD asthma; knees; low the tip of the medial malleolus. back; sexual dysfunction Posterior and inferior to the medial malleolus, KI 4** in the depression medial to the attachment of tendo calcaneus. 1 cun directly below KD 3 in the depression KI 5* anterior and superior to the medial side of the tuberosity of the calcaneum. In the depression of the lower border of the master point of yin qiao; KI 6 **** medial malleolus, or 1 cun below the medial think dryness; moistens yin; malleolus. deficiency chronic sore throat think body fluids; dampness; 2 cun directly above KD 3, on the anterior edema; urinary problems; KI 7*** border of tendo calcaneus. sweating; HT yin defic night sweats (HT 6) .5 cun anterior to KD 7, 2 cun above KD 3 similar to KD 6, but not as KI 8* posterior to the medial border of the tibia. strong 5 cun directly above KD 3 at the lower end of KI 9** the belly of muscle gastrocnemius, on the line drawn from KD 3 to KD 10%. When the knee is flexed, the point is on the medial side of the popliteal fossa, between the back up to KD 7 for water KI 10** tendons of muscle semitendinosis and problems; semimembranosus, at level with BL 40. AcuPoint Point Location Point Summary 5 cun below the umbilicus, on the superior 11-21 reinforce the CV KI 11* border of the symphysis pubis, .5 cun lateral points they are lateral to to CV 2. 4 cun below the umbilicus, .5 cun lateral to KI 12* CV 3. 3 cun below the umbilicus, .5 cun lateral to KI 13* CV 4. 2 cun below the umbilicus, .5 cun lateral to KI 14* CV 5. 1 cun below the umbilicus, .5 cun lateral to KI 15* CV 5. .5 cun lateral to the umbilicus, level with CV KI 16** yin defic constipation 8. 2 cun above the umbilicus, .5 cun lateral to KI 17* CV 10%. KI 18* 3 cun above the umbilicus, .5 cun lateral to

CV 11. 4 cun above the umbilicus, .5 cun lateral to KI 19* CV 12. 5 cun above the umbilicus, .5 cun lateral to KI 20* CV 13. 6 cun above the umbilicus, .5 cun lateral to KI 21* CV 14. In the 5th intercostal space, 2 cun lateral to KI 22* the Ren meridian. In the 4th intercostal space, 2 cun lateral to KI 23* the Ren meridian. In the 3rd intercostal space, 2 cun lateral to KI 24* the Ren meridian. In the 2nd intercostal space, 2 cun lateral to KI 25* the Ren meridian. In the 1st intercostal space, 2 cun lateral to KI 26* the Ren meridian. In the depression on the lower border of the shu of shus; opens back shus; KI 27** clavicle, 2 cun lateral to the Ren meridian. adjunctively to open LU Kidney Needling AcuPoint Needle Depth KI 1** KI 2**1/2 KI 3**** KI 4** KI 5* KI 6 ***1/2 KI 7*** KI 8* KI 9** KI 10** KI 11* KI 12* KI 13* KI 14* 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.5 - 0.7 cun 0.5 - 0.7 cun 0.5 - 0.7 cun 0.8 - 1 cun 0.5 - 1 cun 0.5 - 1 cun 0.5 - 1 cun 0.5 - 1 cun Needle Technique Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Contraindications

KI 15* KI 16** KI 17* KI 18* KI 19* KI 20* KI 21* KI 22* KI 23* KI 24* KI 25* KI 26* KI 27**

0.5 - 1 cun 0.5 - 1 cun 0.5 - 1 cun 0.5 - 1 cun 0.5 - 1 cun 0.5 - 1 cun 0.3 - 0.7 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun

Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture obliquely. Puncture obliquely. Puncture obliquely. Puncture obliquely. Puncture obliquely. Puncture obliquely. Heart Indications No deep needle to avoid liver.

AcuPoint

Functions

Indications

Special Notes

arthritis; local shoulder connects with brain and joint problems; generally HT 1* local thus HT meridian affects for armpit problems; not the mind very common HT 2* local local local neurasthenia; psychosis; intercostal neuralgia; ulnar nerve neuralgia; clears the spirit; clears numbness of forearm and the vessels; clears diseases of elbow; HT he sea point and thus goes phlegm (like excessive important for hand 3*** internally salivation, swollen tremors; good for lymph glands); trembling and shaking from Parkinson's; cardiac/chest pain; pain in axilla aphasia; man point for luo point and thus the speaking difficulties; internal connection to the bradycardia; hysterical calms spirit; regulates tongue; with CV 23 and HT 4* aphasia; stuttering due to HT qi; GV 15 for aphasia; for emotional issues; bradycardia would use nervous anxiety; uptight with BL 15 nervousness

HT 5*** HT 6***

local

local

local

HT 7****

HT 8**

HT 9**

xi cleft point, but not tonifies HT yin; reduces effective for channel pain; night sweats; sinks a night sweats; nosebleed with KD 7 for night floating yang sweats and HT 6 is used if HT yin defic is present palpitations; absent source point; shu stream; mindedness; insomnia; also the dispersion point; excessive dreaming due and thus the point adjusts to HT or LV fire; angina for different spirit calms spirit; cools HT and cardiac pain; mental problems; for anxiety fire; tonifies HT qi, yin, illness of any kind; with HT7, PC 6, GV 20, and yang; dementia; mania; BL 14, BL 15, BL 43; for irritability and insomnia; forgetfulness with GV 20; main point for insomnia, for insomnia and yin hysteria; for five hearts defic use SP 6, KD 3, KD heat; 6; SP qi an ying sprig and fire point; clears HT fire and SI tachycardia; dysuria; a cooling point; can be heat; clears lower burner enuresis; itching of the used for chronic UTIs to fire and heart groin; sweaty palms cool damp heat wood point on fire meridian and is coma; apoplectic tonification point, but not hysteria; used as such; a jing well point and used more for that Heart Locations

AcuPoint

Point Location

Point Summary

When the upper arm is abducted, the point is HT 1* in the center of the axilla, on the medial side of the axillary artery. When the elbow is flexed, the point is 3 cun above the medial end of the transverse cubital HT 2* local point crease (HT 3), in the groove medial to muscle biceps brachii. When the elbow is flexed, the point is in the HT depression between the medial end of the hand tremors; spirit problems; 3*** transverse cubital crease of the elbow and the neck lumps medial epicondyle of the humerus.

HT 4*

HT 5***

HT 6*** HT 7****

HT 8**

HT 9**

When the palm faces upward, the point is on the radial side of the tendon of muscle flexor local point carpi ulnaris, 1.5 cun above the transverse crease of the wrist. When the palm faces upward, the point is on the radial side of the tendon of m. flexor carpi palpitations; brady; aphasia ulnaris, 1 cun above the transverse crease of the wrist. When the palm faces upward, the point is on the radial side of the tendon of m. flexor carpi tonifies HT yin; for upper ulnaris, .5 cun above the transverse crease of warmer yin deficient bleeding the wrist. At the ulnar end of the transverse crease of the all purpose HT point for wrist, in the depression on the radial side of excess or deficient; HT; shen; the tendon of muscle flexor carpi ulnaris. insomnia; very nourishing When the palm faces upward, the point is between the 4th and 5th metacarpal bones. tachy; fire/heat conditions; When a fist is made, the point is where the tip of the little finger rests. On the radial side of the little finger, .1 cun extreme heat; loss of posterior to the corner of the nail. consciousness Heart Needling

AcuPoint Needle Depth HT 1* HT 2* HT 3*** HT 4* HT 5*** HT 6*** HT 7**** HT 8** HT 9** 0.5 - 1 cun 0.3 - 0.5 cun 0.5 - 1 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.1 cun

Needle Technique Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly.

Contraindications Avoid artery.

Governing Vessel Indications

AcuPoint

Functions

Indications

Special Notes

Luo point - KD, GB, and prevents rectal prolapse; diarrhea; constipation; CV meridians cross with stops diarrhea; opens coccyx pain; GV 1** GV - helps with prolapse CV and GV - (all of hemorrhoids; rectal and spleen meridian can these are weak) prolapse; rectal bleeding as well hemorrhoids (after has a weak function of GV1), low back pain warming the lower GV 2** (local pain, stiffness, and burner (in theory, but not from cold) used clinically) similar to GV4, but not tonifies and warms as strong - good yang kidney yang, benefits low back pain, paralysis tonifier, but rarely used lower back and knees, GV 3*** of lower limbs, muscular because GV4 is stronger, eliminates cold and atrophy of the legs, sometimes used as an damp from low back and adjunct to an impotence knees point prescription low back pain or sprain, very important and very 5am diarrhea, enuresis, strong, no point spermattorhea, nourishes kidney fire like nourishes source qi, impotence, leukorrhea, GV4, burning moxa will strengthens irregular menstruation, warm the abdomen, GV kidneys/yang, benefits endometriosis, similar to CV 4 in many 4**** lumbar vertebrae and peritonitis, spinal ways, need a kidney spine, increases kidney myelitis, sciatica, deficiency to use this fire nephritis, sequelae of point (except for a infantile paralysis, kidney yin deficiency) asthma due to deficient Combos: for male sexual kidney not grasping l problems one star local point - not GV 5* important GV 6* GV 7* spasms of tendons and GV 8** treats muscle spasms muscles - especially in LV shu level back transforms damp heat, level with diaphragm shu GV 9** but weak and blood shu one level below HT shu and can be used for spirit GV 10* one star local point problems related to restlessness, can use moxa to calm

AcuPoint

Functions

Indications

GV 11** calms heart and mind

GV 12**

tonifies lungs

Special Notes reinforces HT shu, can use moxa here for calming level with LU shu and back up point for LU shu, can be used for lung melancholy BL meridian crosses here, similar to GV 14 but less powerful

can use for releasing the exterior if you cannot GV 13** needle GV 14 for some reason

OPI, cold , seizures, meeting point of all yang asthma used with Ding meridians, can be used relieves exterior chuan, pain in shoulder, with GV 4 to propel yang conditions, opens yang neck pain and rigidity energy further around and spreads yang to (flexion and extension), body, disperse with OPI GV extremities, tonifies wei any febrile disease, tai wind heat, tonify with 14*** qi, reduces fever, clears yang stage (OPI wind cold hands; to release heat, fire, and summer cold) use GV 14 to exterior use GV 14, LU heat, can moxa for OPI disperse and cause a 7, LI 4; build wei qi with prevention sweat, yang ming stage GV 14, ST 36, and BL (lung heat) use GV 14 to 13 (only when path toni yang wei meridian benefits the tongue and crosses at GV 15; deep mouth; clears the senses apoplexy after stroke; needling and upward GV 15** and consciousness; may not help voice box oblique is clears the voice; aphasia injury but worth a try contraindicated; needle related mouth problems shallow (.5 cun) can be used for any of rarely used because other GV dispels wind cold heat; the common wind points that are easier to 16*** dispels interior wind symptoms: stiff neck, use are more common numbness, stroke GV 17* disperses wind GV 18* local for headaches GV 19* local point for headaches GV clears the senses; calms vertex headache; frontal all yang meridians cross 20**** the spirit; extinguishes headache from sinus here; often called the liver wind (as relates to congestion; dizziness; "elevator point" because vertex headache); hypertension; insomnia; it can bring qi up and stabilizes ascending seizures (wind); prolapse bring qi down; often yang (lifts yang up, lifts (lifts energy up); combined with SP points the spirit); clears strong hemorrhoids; diarrhea; because the spleen holds

vaginal bleeding; heat in yang channels tinnitus; nasal (point can resuscitate obstruction and things up as well; end of from loss of congestion; stroke; the liver channel consciousness) locked jaw; hemiplegia; f AcuPoint Functions Indications Special Notes GV 21* local point don't needle before 18 GV 22* local point months of age because fontanels are not closed can burn moxa of 3-5 cones for sinus problems; headache; rhinitis; any GV ghost point and can be clears the nasal cavity; nose problems involving 23*** used for mental obstruction; disorders, but not seen often these days BL and ST cross here; all benefits the nose; local headache (frontal points from GV 20 to GV 24** sedates the heart and and sinus); seizures; hairline can be used for spirit; sinus problems if tender clears senses and drains GV 25* rarely used heat loss of consciousness; Diane - good point for clears the senses; GV acute low back sprain; first trimester nausea; a benefits the lumbar 26*** sick; drowning; coma; famous emergency point; spine heat exhaustion; seizures LI and ST dross here GV 27* local GV 28* local CV and GV cross here Governing Vessel Locations AcuPoint GV 1** Point Location Point Summary

Midway between the tip of the coccyx and the hemorrhoids; rectal prolapse; anus, locating the point in prone position. rectal bleeding GV 2** On the hiatus of the sacrum. Below the spinous process of the 4th lumbar GV 3*** vertebrae, at level with the iliac crest. GV Below the spinous process of the 2nd lumbar increases KD fire; problems 4**** vertebrae. with deficient KD yang; bring yang back to source; cold; developmental

problems; hotter than BL 23 Below the spinous process of the 1st lumbar vertebrae. Below the spinous process of the 11th GV 6* thoracic vertebrae. Below the spinous process of the 10th GV 7* thoracic vertebrae. Below the spinous process of the 9th thoracic spasms of tendons and GV 8** vertebrae. muscles (especially in back) Below the spinous process of the 7th thoracic GV 9** vertebrae, approximately at level with the inferior angle of the scapula. Below the spinous process of the 6th thoracic GV 10* vertebrae. Below the spinous process of the 5th thoracic GV 11** vertebrae. Below the spinous process of the 3rd thoracic GV 12** vertebrae. Below the spinous process of the 1st thoracic GV 13** vertebrae. meeting of yang; opens up Below the spinous process of the 7th cervical GV and spreads yang; releases vertebrae, approximately at level with the 14*** exterior; tonfies wei qi; good shoulders. for heat and fevers .5 cun directly above the midpoint of the GV 15** posterior hairline, in the depression below the opens up voice; aphasia spinous process of the 1st cervical vertebrae. AcuPoint Point Location Point Summary 1 cun directly above the midpoint of the GV posterior hairline, directly below the external 16*** occipital protuberance, in the depression between m. trapezius. On the midline of the head, 1.5 cun directly GV 17* above GV 16, superior to the EOP. On the midline of the head, 1.5 cun directly GV 18* above GV 17, midway between GV 15 and GV 20. On the midline of the head, 1.5 cun directly GV 19* above GV 18. GV On the midline of the head, 7 cun directly connects with brain; pulls 20**** above the posterior hairline, approximately on things up; reunion of all the midpoint of the line connecting the apexes yang; clears the mind; for LV of the two auricles. wind; headache; high BP; GV 5*

forgetfulness On the midline of the head, 1.5 cun anterior to GV 20. 2 cun posterior to the midpoint of the anterior GV 22* hairline, 3 cun anterior to GV 20. GV 1 cun directly above the midpoint of the opens nose 23*** anterior hairline. .5 cun directly above the midpoint of the GV 24** anterior hairline. GV 25* On the tip of the nose. GV A little above the midpoint of the philtrum, emergency point; acute low 26*** near the nostrils. back sprain On the median tubercle of the upper lip, at the GV 27* junction of the skin and upper lip. At the junction of the gum and frenulum of GV 28* the upper lip. GV 21* Governing Vessel Needling AcuPoint Needle Depth GV 1 ** GV 2 ** GV 3 *** GV 4 **** GV 5 * GV 6 * GV 7 * GV 8 ** GV 9 ** GV 10 * GV 11 ** GV 12 ** 0.5 - 1 cun 0.5 - 1 cun 0.5 - 1 cun 0.5 - 1 cun 0.5 - 1 cun 0.5 - 1 cun 0.5 - 1 cun 0.5 - 1 cun 0.5 - 1 cun 0.5 - 1 cun 0.5 - 1 cun 0.5 - 1 cun Needle Technique Puncture perpindicularly. Puncture obliquely. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture obliquely upwards Puncture obliquely upwards Puncture obliquely upwards Puncture obliquely upwards Contraindications

GV 13 ** GV 14 *** GV 15 ** GV 16 *** GV 17 * GV 18 * GV 19 * GV 20 **** GV 21 * GV 22 * GV 23 *** GV 24 ** GV 25 * GV 26 *** GV 27 * GV 28 *

0.5 - 1 cun 0.5 - 1 cun 0.5 - 0.8 cun

Puncture obliquely upwards Puncture obliquely upwards Puncture perpindicularly. Neither upward obliquely or deep puncture is advisable. Neither upward obliquely or deep puncture is advisable.

0.5 - 0.8 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.2 - 0.3 cun 0.3 - 0.5 cun 0.2 - 0.3 cun 0.2 - 0.3 cun

Puncture perpindicularly. Puncture subcutaneously Puncture subcutaneously Puncture subcutaneously Puncture subcutaneously Puncture subcutaneously Puncture subcutaneously Puncture subcutaneously Puncture subcutaneously or prick to bleed. Puncture subcutaneously or pric Puncture obliquely upwards Puncture obliquely upwards Puncture obliquely upwards

Prohibited in infants with metopism. Prohibited in infants with metopism.

No moxa. No moxa. No moxa. No moxa.

Gallbladder Indications AcuPoint GB 1** Functions Indications Special Notes

eye problems of hot local HA; anything with SI and TW cross here; nature heat used with BL 1 GB 2*** opens and benefits the OM; ear pain; tinnitus; thread TW 21, SI 17, GB

ears GB 3* GB 4* GB 5* GB 6* GB 7* GB 8** GB 9* GB 10* AcuPoint GB 11* GB 12** local local local local local local local local Functions local local

facial paralysis; mumps; dislocation or motor impairment of the jaw (TMJ); local local local local local nausea and vomiting with HA; good for migraines; local local Indications local local HA; insomnia; neck pain

2 local TW, ST, and LI cross at B 4, 5, 6 local local BL crosses here BL crosses here; palpate and if sore needle; with LI 10 for hangovers BL crosses here BL crosses here Special Notes BL crosses here BL crosses here; palpate with any head problem; one of the anmian points (peaceful sleep)

GB 13**

GB 14*** GB 15* GB 16* GB 17* GB 18* GB 19* GB 20****

mental disorders; vertigo; seizures; calms the mid; hemiplegia; psychosis; extinguishes internal schizophrenia; irrational yang wei crosses here head wind suspicion and jealousy; rigid thinking; obsessive thought; supraorbital neuralgia; eliminates wind and TW, LI, ST, and yang HA including sinus HA; clears the vision wei cross here; eye problems BL and yang wei cross local local here local local yang wei crosses here local local yang wei crosses here local local yang wei crosses here yang wei crosses here; local local palpate disperses interior or common colds in yang wei and TW crosses exterior wind; benefits including wind heat or here; "wind pool"; with hearing and vision; wind cold; anything with GB 21 for stiff neck; relieves exterior; sedates nasal obstruction; commonly used for LV yang and clears LV vertigo; occipital HA; stress; LV qi stagnation

stiff neck; hypertension often manifests as GB (sedates LV yang); stiffness in this area; with seizures; hemiplegia; heat and wind; GB 20 OPI use LI 4, LU 7, GV very nice insomnia opens up the whole head 14, BL 12; for high BP point; opened up whole ST 9, LI 11, ST 36; with head; too much studying LV yang rising LV 3, because qi gets s AcuPoint Functions Indications Special Notes clears and invigorates TW, ST, and yang wei hemiplegia due to channels; revives cross here; with GB 39 stroke; any motor GB consciousness; sends qi and GB 20 for stiffness impairment of the arm; 21*** down; spreads LV qi; in the neck; avoid with mastitis; breast abscess; extinguish LV wind; organic HT problems difficult labor benefits shoulder (local) because so moving GB 22* local local local GB 23* local local BL crosses here intercostal neuralgia; colecystitis; jaundice; peptic ulcer; hepatitis; heartburn; pain in the regulates function of LV hypochrondrium; check GB and ST; regulates GB for herpes zoster; one of front mu point of; with 24*** and transforms damp main points for GB 34 for GB damp heat heat gallstones, jaundice, hepatitis; for wood attacking earth; good for nausea and vomiting of the e nephritis; serious and/or chronic UTI; intercostal builds KD qi; regulates neuralgia; lumbago; KD GB 25** front mu of the KD fluid pathways stones; back pain from standing a lot because it wears on KD stops leucorrhoea; main dai mai crosses here; point for vaginal with SP 9 for damp heat discharges, especially GYN problems; with GB heat or excess type; 41, TW 5 to hold things regulates the girdle endometriosis (blood in and up; GB 20, GV GB channel (hold things in); stagnation and maybe 20, GB 41, TW 5 to stop 26*** alleviates damp heat with damp heat); bleeding/ with defic add from lower warmer cystitis; irregular SP 1/ with excess add LV menstruation from damp 1; inguinal hernia use heat; profuse uterine with some LV points as bleeding; inguinal hernia well

local dai mai crosses here; some scholars believe that the dai mai may begin here, perhaps because of the strong prolapsed uterus; pain of GB 28** local effect of this point on intestinal hernia; prolapsed uterus and intestinal hernias; deep needling is OK as you want to stimulate the broad uterine ligament hip, lumbar, and thigh; diseases of the hip joint and surrounding tissue; relaxes muscles and GB look there for tendons and stimulates yang qiao crosses 29*** endometriosis as the channels; constricted qi may exacerbate these problems benefits lower back and sciatica, especially BL meridian crosses knees; clears the lateral leg; numbness here; with lateral sciatica GB channels (GB); benefits and paralysis of lower go right down GB 30**** the hip; the main point leg; diseases of hip joint meridian with 30, 31, 34, for sciatica; hip arthritis; and surrounding soft 39 very invigorating point tissue AcuPoint Functions Indications Special Notes numbness; paralysis; skin itching; paralysis of dispels wind; lower limb; pain in low can be used with LI 11 GB 31* strengthens tendons and back and leg; numbness and SP 10 bones and stiffness of lower leg; hemiplegia of lower limb; GB 32* local local local can be a place of great diseases of knee and GB 33* local stagnation and can help a surrounding soft tissue great deal with knee pain GB benefits LV and GB; major point for he sea; earth point; 34**** promotes the smooth musculoskeletal meeting point of muscles flow of LV qi; clears problems; controversial and tendons; with ST 38 and cools LV/GB damp main point for frozen needled toward GB 34 heat; relaxes and shoulder; important for frozen shoulder; with strengthens the sinews; sciatica point; hepatitis; LV frequently and for sedates LV yang; very cholecystitis; causes GB hypertension especially;

GB 27*

local

local

GB 35* GB 36**

GB 37***

GB 38**

GB 39***

GB 40***

GB 41***

contractions and can with ST 40 and LU 5 hot expel gallstones; and damp conditions; moving for the meridian hypertension (LV yang with TW 6 for shingles rising type); intercostal (shao yang connection), neuralgia; herpes local local local rage; channel excess s/sx like high fever, excess local local sweating (thought to refer to rabies) main distal point for luo point to LV; with LV vision; any eye regulates LV; clears the 3 for any vision problems; blurry vision, vision problems, also BL 1, BL itching eyes; pain in the 2, GB 1, GB 20 eyes jing river; fire point migraines; hemiplegia; (dispersion point); with sedation point (but GB drains excess in GB GB 34 for malaria (shao 34 used more); whole (damp or heat usually) yang disease - half in and body pain of excess half out); with SP 21, GB type; 34 for whole body pain stiff neck (with GB 20 and 21 locally); distal for migraines; meeting of three leg hemiplegia (flaccid yang; influential point of type); sciatica; distal bone marrow; with KD 6, dispels wind and damp point for knee; any pain SP 3, KD 3 for steaming in meridian; strengthens in lower leg GB area and bone disease (severe yin bones pain all three yang defic and consumptive meridians of the leg disease); with GB 34 for (such as resulting from ankle problems hemiplegia); leg qi syndrome from pain in chest and ribs; tidal fevers (shao yang pathology); important ankle point; cholecystitis; acid spreads LV qi and source point; with GB 34 reflux; vomiting; distal benefits the GB; clears for cholecystitis sciatica point; disease of the channels; ankle and surrounding tissues; timidity is often listed as well spreads and drains LV HA; migraines; master/confluent point of and GB; smoothes LV menstrual HA from dai dai mai; with TW 5 for qi; clears and regulates channel connection; temporal HA; with GB

vertigo; conjunctivitis (GB 37 better); mastitis; the girdle channel; irregular menstruation; brightens eyes and good for pregnancy pain sharpens vision; good when the tendons and distal point for the head ligaments stretch too early (quite painful); GB 42* local local clear GB excess; clears GB 43** local heat brings energy down migraines; HA; from head; disperses GB 44** intercostal neuralgia; wind and fire; clears violent nightmares sensory orifices Gallbladder Locations AcuPoint GB 1** Point Location

26 for GYN problems ; paired with TW 5 for yang wei for HA with GB 20, GV 20, LV 3; with GB 28 for uterine prolapse local ying spring; water point

Point Summary

.5 cun lateral to the outer canthus, in the eye problems of hot nature depression on the lateral side of the orbit. Anterior to the intertragic notch, at the posterior border of the condyloid process of GB 2*** local point; ear and jaw the mandible. The point is located with the mouth open. In the front of the ear, on the upper border of GB 3* the zygomatic arch, in the depression directly local above ST 7. Within the hairline of the temporal region, at GB 4* the junction of the upper 1/4 and lower 3/4 of local the distance between ST 8 and GB 7. Within the hairline of the temporal region, at GB 5* the midpoint of the line joining ST 8 and GB local 7. Within the hairline, at the junction of the GB 6* lower 1/4 and the upper 3/4 of the distance local between ST 8 and GB 7. Directly above the posterior border of the GB 7* auricle, 2 cun within the hairline, about .5 cun local posterior to GB 8. Superior to the apex of the auricle, 1.5 cun GB 8** within the hairline. GB 9* Directly above the posterior border of the local

auricle, 2 cun within the hairline, about .5 cun posterior to GB 8. Posterior and superior to the mastoid process, GB 10* midway of the curved line drawn from GB 9 local to GB 11. Posterior and superior to the mastoid process, GB 11* on the line drawn connecting GB 10 and GB local 12. In the depression posterior and inferior to the insomnia; local neck and GB 12** mastoid process. head pain; behind ear .5 cun within the hairline of the forehead, 3 GB 13** cun lateral to GV 24. GB On the forehead, 1 cun directly above the eye problems; frontal and 14*** midpoint of the eyebrow. temporal HA Directly above GB 14, .5 cun within the GB 15* local hairline, midway between GV 24 and ST 8. 1.5 cun posterior to GB 15, on the line GB 16* local connecting GB 15 and GB 20. 1.5 cun posterior to GB 16, on the line GB 17* local connecting GB 15 and GB 20. 1.5 cun posterior to GB 17, on the line GB 18* local connecting GB 15 and GB 20. Directly above GB 20, at the level with GB GB 19* 17, on the lateral side of the external occipital protuberance. wind (internal as in LV, In the depression between the upper portion external as in OPI); opens GB of the SCM and muscle trapezius, on the head (eyes, ears, nose, HA); 20**** same level with GB 16. insomnia; LV yang (heat, anger, eyes, high BP) AcuPoint Point Location Point Summary very moving; neck, arm, GB Midway between GV 14 and the acromion, at local pain; sends qi down; 21*** the highest point of the shoulder. spreads LV qi; also for breast problems On the mid axillary line when the arm is GB 22* local raised, 3 cun below the axilla. 1 cun anterior to GB 22, approximately at the GB 23* local level with the nipple. LV/GB damp heat; LV GB One rib below LV 14, directly below the invading the ST; front mu of 24*** nipple, in the 7th intercostal space. GB GB 25** On the lateral side of the abdomen, on the front mu of KD; pain from

lower border of the free end of the 12th rib. lumbar region Directly below the free end of the 11th rib, dai mai; leucorrhoea; holds GB where the LV 13 is located, at the level of the things in; GYN damp heat in 26*** umbilicus. lower warmer like cystitis On the lateral side of the abdomen, anterior to GB 27* the superior iliac spine, 3 cun below the local umbilicus. Anterior and inferior to the ASIS, .5 cun GB 28** local; prolapsed uterus anterior and inferior to GB 27. GB IN the depression of the midpoint between the hip; lumbar to thigh 29*** ASIS and the great trochanter. At the junction of the lateral 1/3 and medial 2/3 of the distance between the greater GB main hip point; sciatica; trochanter and the hiatus of the sacrum (GV 30**** lumbar to thigh 2). When locating this point, put patient in lateral recumbent position with thigh flexed. On the midline of the lateral aspect of the thigh, 7 cun above the transverse political local; wind; skin itching; GB 31* crease. When the patient is standing erect numbness; paralysis with hands at sides, the point is where the tip of the middle finger touches. On the lateral aspect of the thigh, 5 cun above GB 32* the transverse popliteal crease, between local vastus lateralis and biceps femoris. 3 cun above GB 34, lateral to the knee joint, GB 33* between the tendon of biceps femoris and the local femur. smoothes LV; damp heat; relaxes tendons; shoulder; GB In the depression anterior and in inferior to very moving and good for 34**** the head of the fibula. sciatica and leg pain; body pain point 7 cun above the tip of the lateral malleolus, GB 35* local on the posterior border of the fibula. 7 cun above the tip of the lateral malleolus, GB 36** xi c"center"; local mostly on the anterior border of the fibula. GB 5 cun directly above the tip of the lateral eyes; luo point; local 37*** malleolus, on the anterior border of the fibula. 4 cun above and slightly anterior to the tip of for point; distal for migraines the lateral malleolus, on the anterior border of GB 38** with LV fire; whole body the fibula, between m. extensor digitorum pain longus and m. peroneus brevis. GB 3 cun above the lateral malleolus, in the meeting point of marrow and

39*** GB 40*** GB 41***

GB 42*

GB 43** GB 44**

depression between the posterior border of three leg yang; marrow; the fibula and the tendons of m. peroneus meridians; bones (fractures); longus and brevis. tonifying for marrow Anterior and inferior to the lateral malleolus, in the depression on the lateral side of the ankle; shao yang tendon of m. extensor digitorum longus. In the depression distal to the junction of the dai mai master point; GYN 4th and 5th metatarsal bones, on the lateral LV problems; breast; distal side of the tendon of m. extensor digiti point for head minimi of the foot. Between the 4th and 5th metatarsal bones, on the medial side of the tendon of m. extensor local digiti minimi of the foot. On the dorsum of the foot, between the 4th and 5th toes, proximal to the margin of the web. On the lateral side of the 4th toe, about .1 cun posterior to the corner of the nail. Gallbladder Needling

AcuPoint Needle Depth GB 1 ** 0.3 - 0.5 cun GB 2 0.5 - 0.7 cun *** GB 3 * GB 4 * GB 5 * GB 6 * GB 7 * GB 8 ** GB 9 * GB 10 * GB 11 * GB 12 ** GB 13 ** GB 14 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun

Needle Technique Puncture subcutaneously Puncture perpindicularly. Puncture perpindicularly. Puncture subcutaneously Puncture subcutaneously Puncture subcutaneously Puncture subcutaneously Puncture subcutaneously Puncture subcutaneously Puncture subcutaneously Puncture subcutaneously Puncture obliquely Puncture subcutaneously Puncture subcutaneously

Contraindications

Deep puncture not advisable, avoid artery

*** GB 15 * GB 16 * GB 17 * GB 18 * GB 19 * GB 20 **** GB 21 *** GB 22 * GB 23 * GB 24 *** GB 25 ** GB 26 *** GB 27 * GB 28 ** GB 29 *** GB 30 **** GB 31 * GB 32 * GB 33 * GB 34 **** GB 35 * GB 36 ** GB 37 *** GB 38 ** GB 39 *** GB 40 ***

0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.5 - 0.8 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.5 - 0.8 cun 0.5 - 1 cun 0.5 - 1 cun 0.5 - 1 cun 1.5 - 2.5 cun 0.7 - 1.2 cun 0.7 - 1 cun 0.5 - 1 cun 0.8 - 1.2 cun 0.5 - 0.8 cun 0.5 - 0.8 cun 0.7 - 1 cun 0.5 - 0.7 cun 0.3 - 0.5 cun 0.5 - 0.8 cun

Puncture subcutaneously Puncture subcutaneously Puncture subcutaneously Puncture subcutaneously Puncture subcutaneously Puncture towards tip of nose Puncture perpindicularly. Puncture obliquely Puncture obliquely Puncture obliquely Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly.

GB 41 0.3 - 0.5 cun *** GB 42 * 0.3 - 0.5 cun GB 43 0.3 - 0.5 cun ** GB 44 0.1 cun **

Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly.

Extraordinary Point Indications AcuPoint Functions Indications Special Notes

Insomnia, vertigo, main point for insomnia; An Mian headache, palpitation, dream disturbed sleep mental di Beriberi, toe pain, reduce heat and swelling Ba Feng redness and swelling of of the foot the dorsum of the foot. Excessive heat, finger clear heat; reduce Ba Xie numbness, spasm and swelling cont Scrofula, cough, asthma, Bai Lao whooping cough, neck ri Rhinitis, nasal Bi Tong obstruction, nasal boils.

.3 to .5 depth

Dan Nang Xue

Ding Chuan Er Bai AcuPoint

circulates lung qi

Functions

needle strongly and against the flow of the meridian; can leave Acute and chronic needle in for up to 2 cholecystitis, hours and stimulate every cholelithiasis, biliary 15 minutes, and can be ascariasis, muscular done 2-3x/day; Amy atrophy and numbness thinks this should be of the lower extremities. needled bilaterally, unless there is no tenderness; 1 -1.5 cun depth Asthma, cough, neck rigidity, pain in the shoulder Hemorrhoids with treat daily for 10 wee bleeding; rectal prolapse Indications Special Notes

Knee pain, weakness of the foot and leg, paralysis regulate qi of the Diseases of the upper Hua Tou corresponding shu points limbs, chest region, Jia Ji and abdomi Pain in the shoulder and Jian Qian arm, paralysis of the upp Acute and chronic Lan Wei appendicitis, indigestion, Xue paraly Sore neck, pain in the Luo Zhen shoulder and arm improve memory; clears Nao Qing the brain dissolves lumps; softens Lumps, bumps, hernias, Pi Gen hard masses; invigor lipomas insomnia; stress with Shi Mian racing thoughts; Shi Qi Lumbar & thigh pain, Zhui paralysis of lower (Josen) extremities AcuPoint Functions Indications Apoplexy, coma, can work quickly to Shi Xuan epilepsy, high fever, restore consciousness; dr acute tonsili Malnutrition and Si Feng indigestion syndromes in children Headache, vertigo, Si Shen clear the brain; quiets insomnia, poor memory, Cong the heart (excessive dre epilep clears heat; reduces Headache, eye diseases, Tai Yang swelling; brightens the deviation of the eyes an ey Knee pain, weakness of Xi Yan the lower extremitites. Yao Tong Acute lumbar sprain. Xue Headache, head clears the nose; eyes; Yin Tang heaviness, epistaxis, calms spirit rhinorrea, in Yu Yao Pain in the supraorbital He Ding

good with massage,

can needle hua tuos .5 to 1 cun deep can be needled for 3 very little manipulatio

contraindicated in JA

Special Notes generally bled, not n

usually bled, not nee

no needle in children

in the classics may

little manipulation; wi can be a good calmi

Zi Gong Xue

region, twitching of the eye Prolapse of the uterus, irregular menstruation, mal

needle 1.5 to 2 cun

Extraordinary Points Locations AcuPoint An Mian Ba Feng English Name Sleep Point Location

Ba Xie Bai Lao Bi Tong Dan Nang Xue Ding Chuan Er Bai

Midpoint between Yifeng (SJ 17) and Fengchi (GB 20) On the dorsum of the foot, in the depressions on the webs 8 Winds between toes, proximal to the margins of the webs, eight points in all. On the dorsum of the hand, at the junction of the white and 8 Ghosts red skin of the hand webs, eight in all, making a loose fist to locate the points. 100 Labors 2 cun above Du 14, 1 cun lateral to the midline Nose At the highest point of the nasolabial groove. Opening GB Point Stop Asthma Two Whites The tender spot 1-2 cun below G 34. 0.5 cun lateral to Dazhui (Du 14).

4 cun above transverse wrist crease on both sides of tendon flexor carpi radialis (two points on one hand) In the depression of the midpoint of the superior patellar He Ding Crane Top border. A group of 34 points along both sides of the spinal column, Hua Tou Jia Hair Clip 0.5 cun lateral to the lower border of each spinous process Ji from the first thoracic vertebra to the fifth lumbar vertebra. Shoulder Midway between the end of the anterior axillary fold and LI Jian Qian Front 15 Lan Wei Appendix The tender spot about 2 cun below S 36. Xue Point Falling On dorsum of hand, between 2nd & 3rd metacarpal bones, Luo Zhen From Pillow 0.5 cun posterior to metacarpophalangeal joint Clear the Nao Qing 2 cun proximal to St 41 on the St 36-41 line Brain Point 3.5 cun lateral to the lower border of the spinous process of Pi Gen Tumor Root the 4th lumbar vertebra

Shi Mian Lost Sleep Shi Qi Zhui 17th (Josen) Vertebrae Shi Xuan 10 Tips

In the center of the heel on the bottom of the foot Below the spinous process of the 5th lumbar vertebrae

On the tips of the ten fingers, about 0.1 cun distal to the nails. On the palmar surface, in the midpoint of the transverse Si Feng Four Cracks creases of the proximal interphalangeal joints of the index, middle, ring and little fingers. Si Shen Four Spirits A group of 4 points, at the vertex, 1 cun respectively Cong Cleverness posterior, anterior and lateral to Baihui (Du 20). Draw a line following path of lateral end of eyebrow down Tai Yang Great Sun to intersection of line from outer canthus of eye, at intersection, in depression. A pair of points in the two depressions, medial and lateral to Xi Yan Calf's Nose the patellar ligament, locating the point with the knee flexed. Lateral Xiyan overlaps with S 35. On the dorsum of the hand, midway between the transverse Yao Tong Back Pain wrist crease and metacarpophalangeal joint, between the Xue Point second and third metacarpal bones, and between the fourth and fifth metacarpal bones, 4 points in all on both hands. Yin Tang Seal Mark Midway between the medial ends of the two eyebrows. Yu Yao Fish Waist At the midpoint of the eyebrow. Zi Gong Uterus Point 3 cun lateral to Zhongji (Ren 3) Xue Bladder Indication AcuPoint Functions Indications Special Notes

SI, ST, Yin Qiao, and yang qiao all cross here; LV points are often used in combinations as well; ST points as well; often brightens the eyes any eye problems; S = BL 1*** used with GB 37 (luo (clears the vision) all eyes point) because as part of its job in shunting qi back and forth between the GB and LV channels it helps the eye BL 2*** opens and brightens the headache (local point); good second choice to eyes (LV related); clears acute conjunctivitis; BL 1; the nose; good for excessive tearing;

allergies and colds BL 3* BL 4** BL 5** BL 6* local point local point local point local point

local local local local known for its effects on the sinuses; find GV 20 rhinitis (nasal and then go diagonal and BL 7** clears the nostrils obstruction); any nose anterior at a 45 degree problem angle about 3/4 of an inch BL 8* local local local BL 9* local local local dispels wind, wind heat, occipital headache; wind phlegm (tai yang stiffness and soreness in BL 10 with BL 60 can BL stage wind); dispels cold back of neck; help invigorate the whole 10**** (hence, relaxes tendons pharyngitis; OPIs; BL channel and muscles); stiff neck; common cold; seizures brightens the eyes (wind) AcuPoint Functions Indications Special Notes meeting point of bones; with common cold; not used clinically as a bronchitis; with pleurisy regulates joints; expels sea of blood point in BL 11** can be needled if tender; wind (release exterior) modern point neck and back pain; prescriptions; GB, SI, other OPI indications TW channels cross here; common cold; bronchitis; pleurisy; can connects with GV 14 and use for tai yang stage can be used together to opens the lungs in a disease (some say it is expel wind and release BL 12*** clearing, not building best used before the the interior; also with LI4 sort of manner; pathogen gets into the and LU 7 for OPIs; can organ); OPIs like wind moxa for OPI prevention heat BL regulates lung qi; bronchitis; asthma; during OPI usually do 13**** benefits all aspects of pleurisy; night sweats; not tonify BL 13 because lung function; builds wei pulmonary TB; steaming you may tonify the qi bone syndrome (severe pathogen; can be used in kidney yin deficiency); the prevention of OPIs; spitting blood from however, if the pathogen lungs; any kind of is very, very strong you

excessive twitching; good point for sinus allergies, hay fever, sinus headaches local local local local

cough; fullness in chest; may sometimes need to throat blockage; tonify the wei qi by using anything that affects BL 13, in so doing you lungs may tonify the pat PC shu point; BL 15 tends to be stronger; similar to PC 6 but not as similar to PC 6, but not BL 14** local strong; similar to LV as strong; channel because both are Jue Yin channels; also related to HT and PC neurasthenia (nervous system exhaustion); seizures; psychosis; heart shu point and thus benefits all aspects of hysteria; absentvery building; often use BL the heart; calms the heart mindedness; any mental shu and source points 15**** and spirit; regulates and problems; very good together and thus can use tonifies heart qi, blood insomnia point; mania; HT 7 with BL 15 memory loss; palpitations BL 16* local back pain local local anemia, chronic hemorrhagic disorders, almost like a blood shu spasms of the point; benefits all aspects regulates the blood, diaphragm, nervous of the blood; with BL 19 BL expands the chest and vomiting, constriction of is the Four Flowers 17**** diaphragm, tonifies the esophagus, (good for qi and blood); blood abdominal distension or for uterine bleeding use lumps, good for skin BL 17, SP 8, LV 3, and indications (heat in the ST 29 blood) chronic and acute BL 17, 18, 20 are called hepatitis, cholecystitis the six magnificents and (LV/GB damp heat); benefits LV and GB; used to tonify qi and stomach disease (LV cools damp heat; moves blood more deeply than invading ST); eye stagnant qi; benefits the the four flowers - this BL diseases (ascendant LV eyes; regulates and point combo is more 18**** yang); intercostal tonifies LV qi, blood, recent (1200-1500 neuralgia (pathway); and yang; sedates LV years); adding BL 19 to irregular menstruation yang this combo makes the 8 (due to LV disharmony); magnificents and thus emotional aspects of the includes the four flowers LV; good for LV acti BL 19*** cools and drains heat hepatitis; cholecystitis; BL 17 and BL 19 are the from LV and GB gastritis; bitter taste in four flowers and build qi

mouth; dry or bilious vomiting; pain in the flanks; yellowish eyes/jaundice

and blood; general GB pathology is elevated LFTs, chalky stool, and bitter taste in mouth

regulates qi of the SP/ST and helps in gastritis from deficiency; can be used for appetite transportations and prolapsed stomach; problems, anorexia, BL transformation nervous vomiting; irregular eating, poor 20**** functions; eliminates indigestion; edema; muscle tone, weakness of damp; harmonizes the weakness or heaviness the flesh and resulting blood and nourishes the of the limbs due to damp injuries qi AcuPoint Functions Indications Special Notes regulates ST qi; stomach ache; gastric transforms damp; distension; regurgitant eliminates stagnation; BL 21*** vomiting; abdominal local tonifies SP and regulates pain from cold in ST; ST; pacifies rebellious diarrhea ST qi nephritis; ascites; regulates the urinary retention; BL 22** transforming function of enuresis; low back pain local qi (local point); edema from urinary retention regulates KD qi; tonifies KD qi, yin, and jing; can build KD yang, but BL strengthens brain and local GV 4 is better to really 23**** marrow; increases brain stoke the ming men fire function BL 24* local point local local low back pain or sprain; used a lot for low back pain in SI joint; regulates the intestines pain; main point for dysentery; constipation; BL 25*** and ST; benefits the constipation and can be a abdominal distension lower back and knees major cause of low back and intestinal noises; pain diarrhea strengthens the low back low back pain; frequent and knees; transforms BL 26** or painful urination; local damp stagnation in enuresis lower warmer and back BL 27** promotes the functions enuresis; urinary more for damp heat than of the SI and urine incontinence; blood in BL 28; SI pathology output; eliminates damp urine; dark or red urine; mostly relates to damp and cools heat; promotes dry mouth; vaginal heat

the separation of the pure and impure; regulates the bladder

discharge;

BL 28***

BL 29* BL 30* AcuPoint BL 31**

BL 32****

BL 33*** BL 34***

BL 35**

BL 36***

BL 37** BL 38* BL 39***

incontinence; dark and rough flowing urine; swelling and pain in the with BL 27 for blood in regulates the bladder genitals; sacral back the urine pain; sciatica; good for UTIs, atonic bladder; prostate problems; local point for sciatica local local local anal disease local Functions Indications Special Notes local local local diseases of the lumbosacral joint; leucorrhoea; peritonitis; frequently used for orchitis; paralysis; regulates the lower sciatica; for inducing paralysis of lower limb; burner; strengthens labor and thus squeal of infantile lower back and legs contraindicated in paralysis; urinary pregnancy problems; prolapsed uterus; ; constipation; infertility local local local regulates the lower urinary problems; burner; strengthens prolapsed uterus; local lower back and legs constipation pain in lower back local point for lower during menstruation; local warmer leucorrhoea; impotence; diarrhea; hemorrhoids sciatica; paralysis of local local lower extremity local point for sciatic and hamstring pull; local local dysfunction of lower limb local local local regulates the water low back pain; nephritis; local pathways in lower cystitis; chyluria (white warmer; benefits the milky urine); spasms of bladder gastroc; any obstruction of urine flow (especially

from dampness) heat exhaustion; low clears heat; removes back pain; arthritis of the BL obstruction in the knee and other knee empirical point for acute 40**** channels; cools blood; pain; paralysis of the low back sprain drains summer heat knee; skin problems due to heat AcuPoint Functions Indications Special Notes local point for shoulder, BL 41* neck, back, numbness in local local elbow and arm opens lungs, controls Po's house; outer BL line lung spirit (melancholy), is used to treat the BL 42** local for lung symptoms but emotional aspects of a there are better points particular shu point for late stage chronic deficiency disorders; bronchitis; asthma; TB; "happy point"; strengthens deficient neurasthenia (archaic - "prevention point"; "cure conditions; supports feeble, neurosis); of a 100 diseases"; said BL original qi (GV 4, BL general weakness caused to connect to ming men; 43**** 23, CV 4 also); increases by prolonged illness; can be used with ST 36 function of qi; supports consumptive diseases (and even CV 4, GV 4) ming men like HIV, pulmonary as a preventative point TB; poor memory prescription; indicating a weakened condition BL 44* supports BL 15 local local palpating the outer BL will sometimes elicit some kind of giddiness, BL 45* local point local which some people believe is a sign of deficiency local; can be used to BL 46* back up BL 17 for local local diaphragm indications regulates qi of the liver; diseases of LV and GB; BL 47** local houses Hun emotional aspects of LV imbalance can be used for GB BL 48* indications as a back up local local for GB 19, but very rare

BL 49* BL 50* AcuPoint BL 51*

local local Functions chronic qi, blood, or phlegm stagnation (mass)

local local Indications local

local local Special Notes lateral to Pigen

primary for sexual function; nephritis; low back pain; spermatorrhea; infertility lateral to BL 23; for used to build will; (both sexes, but more for sexual dysfunction is BL 52** tonifies KD yang and men); any sperm related often used with ST 27 jing problems; nocturnal and BL 23 emissions; prostatitis; secondary point for urinary dysfunction local for organ (lower BL 53* warmer) and structural local local problems good local point for back BL 54** sciatica local pain BL 55* local local local BL 56 local local local pain in lower back and relaxes muscles channels leg; sciatica with BL for hemorrhoids used BL 57*** of BL meridian; benefits meridian pain in leg; with GV 1, GV 20, erbai hemorrhoids hemorrhoids; spasms of gastroc; charley horses hemorrhoids; pain in for low back and leg pain lower back and leg with could tonify source point BL 58** local leg weakness; KD 3 and disperse luo rheumatoid arthritis point BL 58 and then use (controversial) BL 23 mostly local unless headache, low back using EV treatments pain, paralysis of lower BL 59** local because it is on the yang limb, inflammation of qiao mai ankle joint BL relaxes the sinews and low back pain; occipital "aspirin point"; very 60**** muscles; benefits the headache (acute or dispersive because it is low back (BL 40 is used chronic and any good for pain, all pain is more) etiology); neck qi stagnation and thus problems; sciatica; good pain points must be paralysis of lower limb; very dispersive; for this swelling and pain at reason such points should

be used carefully during pregnancy; depending on ankle; difficult delivery the source they may be contraind AcuPoint Functions Indications Special Notes pain in ankle and foot; plantar fasciitis (stretch, ice feet, needle other BL 61* local yang qiao crosses here local points all way up to calf); paralysis of lower limb; headache (lateral and clears the spirit, quiets midline); Meniere's the mind; opens the yang BL disease; seizures; master point of the yang qiao channel; dispels 62**** psychosis and mania; qiao channel, ghost point wind (especially the hemiplegia; arthritis; head) low back pain; epilepsy similar to BL 62 but not BL 63* local local nearly as strong rarely used - disperses sometimes used for BL 64** local wind; calms the spirit; bladder incontinence rarely used - dispels BL 65* local local wind, calms spirit minor point - dispels BL 66* local local wind regulates childbirth; headaches; malposition most people do not BL 67** brightens eyes; dispels of fetus and difficult needle and moxa during wind in the vertex labor (needle and moxa); pregnancy Bladder Location AcuPoint Point Location eyes eyes and nose together like with allergies Point Summary

BL 1 *** .1 cun superior to the inner canthus BL 2 *** BL 3 * on the medial extremity of the eyebrow, or on the supraorbital notch directly above the medial end of the eyebrow, .5 cun within the anterior hairline between GV 26 and BL 4 1.5 cun lateral to GV 24 at the junction of the medial 1/3 and lateral 2/3 of the of the distance from GV 24 to ST 8

BL 4 **

BL 5 ** BL 6 * BL 7 **

1.5 cun lateral to GV 23, or .5 cun directly above BL 4 1.5 cun posterior to BL 5, 1.5 cun lateral to the GV meridian 1.5 cun posterior to BL 6, 1.5 cun lateral to the GV meridian 1.5 cun posterior to BL 7, 1.5 cun lateral to the GV meridian 1.3 cun lateral to GV 17, on the lateral side of the superior border of the EOP 1.3 cun lateral to GV 15, in the depression on tai yang s/sx; eyes; neck; the lateral aspect of the trapezius muscle back; opens the back for back pain with BL 60 for whole back weakness Point Location 1.5 cun lateral to GV 13, at the level of the lower border of the spinous process of T1 1.5 cun lateral to the GV meridian, at the level of the lower border of the spinous process of T2 Point Summary meeting point of the bones; bone problems; arthritis all nose problems; with OPIs do moxa here; headache; cough; "wind gate"; tai yang stage; stimulates wei qi in a way that BL 10% does not all lung problems; builds wei qi; chronic or acute sinuses and nose problems; with LI 4, LI 20, GV 23 (frontal sinuses)

BL 8 * BL 9 * BL 10 ****

AcuPoint BL 11 **

BL 12 *** BL 13 ****

1.5 cun lateral to GV 12, at the level of the lower border of the spinous process of T3

BL 14 ** 1.5 cun lateral to the GV meridian, at level with the lower border of the spinous process of T4 BL 15 **** BL 16 * 1.5 cun lateral to the GV 11, at the level of all heart problems the lower border of the spinous process of T5 1.5 cun lateral to GV 10, at the level of the lower border of the spinous process of T6 1.5 cun lateral to GV 9, at the level of the lower border of the spinous process of T7 any blood problems; tonifies blood; skin problems from heat in blood; diaphragm shu point - removes stagnation benefits all aspects of the liver; smoothes and tonifies liver

BL 17 ****

BL 18 ****

1.5 cun lateral to GV 8, at the level of the lower border of the spinous process of T9

BL 19 *** BL 20 **** AcuPoint BL 21 *** BL 22 **

1.5 cun lateral to GV 7, at the level of the lower border of the spinous process of T10 1.5 cun lateral to GV 6, at the level of the lower border of the spinous process of T11 Point Location 1.5 cun lateral to the GV meridian , at the level of the lower border of the spinous process of T12

all GB problems; bitter taste all SP problems including not holding the blood; benefit all aspects of spleen Point Summary benefits all aspects of the ST; pacifies ST problems

TB shu point; regulates and 1.5 cun lateral to the GV 5, at the level of the transforms fluids; fluid lower border of the spinous process of L1. balance 1.5 cun lateral to GV 4, at the level of the lower border of the spinous process of the L2. 1.5 cun lateral to the GV meridian, at the level of the he lower border of the spinous process of L3. 1.5 cun lateral to GV 3, at the level of the lower border of the spinous process of L4. LI shu point; low back pain; colon problems; constipation; with ST 25 as ST mu point for all KD pathology; regulates all aspects of the KD

BL 23 **** BL 24 *

BL 25 ***

BL 26 ** 1.5 cun lateral to the GV meridian, at the level of the lower border of the spinous process of L5. BL 27 ** 1.5 cun lateral to the GV meridian, at the SI shu; damp heat in urine; level of the lower border of the 1st posterior sacroiliac joint problems; sacral foramen. with CV 3 for damp heat BL 28 *** 1.5 cun lateral to the GV meridian, at the level of the 2nd posterior sacral foramen. 1.5 cun lateral to the GV meridian, at the level of the 3rd posterior sacral foramen. 1.5 cun lateral to the GV meridian, at the level of the 4th posterior sacral foramen. Point Location In the 2nd posterior sacral foramen. Point Summary genito-urinary problems; leg BL shu; tonifies the BL; more for deficiency types of problems; a broader point than BL 27 because the BL shu point

BL 29 * BL 30 * AcuPoint BL 32

BL 31 ** In the 1st posterior sacral foramen.

**** BL 33 *** BL 34 *** BL 35 ** BL 36 *** BL 37 ** BL 38 * BL 39 *** BL 40 **** AcuPoint BL 41 * In the 3rd posterior sacral foramen. In the 4th posterior sacral foramen On either side of the tip of the coccyx, .5 cun lateral to the GV meridian. In the middle of the transverse gluteal fold. Locate the point in the prone position. 6 cun below BL 36 on the line joining BL 36 and BL 40, 1 cun above BL 39 on the medial side of the tendon of muscle biceps femoris. The point is located with the knee slightly flexed. Lateral to BL 40, on the medial border of the tendon of muscle biceps femoris. Midpoint of the transverse crease of the popliteal fossa, between the tendons of muscle biceps femoris and muscle semitendinosis. Point Location 3 cun lateral to the GV meridian, at the level of the lower border of the spinous process of T2, on the spinal border of the scapula.

problems; strongest liao

genito-urinary problems; leg problems

like a command point for the low back; clears heat; heat related skin diseases; with BL 23 or BL 25 for low back pain Point Summary

3 cun lateral to the GV meridian, at the level BL 42 ** of the lower border of the spinous process of T3, on the spinal border of the scapula. BL 43 **** BL 44 * 3 cun lateral to the GV meridian, at the level "happy point"; exhaustion; of the lower border of the spinous process of weakness; supports yuan qi T4, on the spinal border of the scapula. and jing 3 cun lateral to the GV 11, at the level of the lower border of the spinous process of T5, on the spinal border of the scapula. 3 cun lateral to the GV 10%, at the level of the lower border of the spinous process of T6, on the spinal border of the scapula. 3 cun lateral to the GV 9, at the level of the lower border of the spinous process of T7, approximately level with inferior angle of the

BL 45 * BL 46 *

scapula. BL 47 ** BL 48 * BL 49 * BL 50 * AcuPoint BL 51 * BL 52 ** BL 53 * BL 54 ** BL 55 * BL 56 BL 57 *** 3 cun lateral to the GV 8, at the level of the lower border of the spinous process of T9. 3 cun lateral to the GV 7, at the level of the lower border of the spinous process of T10%. 3 cun lateral to the GV 6, at the level of the lower border of the spinous process of T11. 3 cun lateral to the GV meridian, at the level of the lower border of the spinous process of T12. Point Location 3 cun lateral to the GV 5, at the level of the lower border of the spinous process of L1. 3 cun lateral to the GV 4, at the level of the lower border of the spinous process of L2. 3 cun lateral to the GV 5, at the level of the 2nd posterior sacral foramen. Lateral to the hiatus of the sacrum, 3 cun lateral to GV 2. 2 cun directly below BL 40, between the medial and lateral heads of the gastrocnemius muscle, on a line joining BL 40 and BL 57. Midway between BL 55 and BL 57, in the center of the belly of muscle gastrocnemius. Directly below the belly of muscle gastrocnemius, on a line joining BL 40 and tendo-calcaneus, about 8 cun below BL 40. hemorrhoids; spasms of the gastroc male sexual dysfunction; with ST 27 and BL 23 Point Summary

7 cun directly above BL 60, on the posterior second choice point for BL 58 ** border of the fibula, about 1 cun inferior and hemorrhoids; back pain with lateral to BL 57. leg weakness BL 59 ** 3 cun directly above BL 60. BL 60 **** AcuPoint BL 61 * In the depression between the external malleolus and tendo calcaneus. Point Location Posterior and inferior to the external malleolus, directly below BL 60, in the depression of the calcaneum at the junction occipital headache; neck pain; distal point for sciatica; for labor pain; "aspirin point" Point Summary

of the red and white skin. BL 62 **** BL 63 * head wind; clears the spirit; In the depression directly below the external helps with musculoskeletal malleolus. problems; confluent point of the yang qiao Anterior and in inferior to BL 62, in the depression lateral to the cuboid bone.

Below the tuberosity of the 5th metatarsal BL 64 ** bone, at the junction of the red and white skin. BL 65 * BL 66 * BL 67 ** Posterior to the head of the 5th metatarsal bone, at the junction of the red and white skin. In the depression anterior to the 5th metatarsophalangeal joint. On the lateral side of the small toe, .1 cun posterior to the corner of the nail Bladder Needling AcuPoint Needle Depth BL 1*** BL 2*** BL 3* BL 4** BL 5** BL 6* BL 7** BL 8* BL 9* BL 10**** BL 11** BL 12*** Needle Technique Contraindications turning a breech fetus

0.3 - 0.7 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.5 - 0.8 cun 0.5 - 0.7 cun 0.5 - 0.7 cun

Pushing the eye laterally and gently, Careful to hold cotton puncture perpindicularly slowly. No on spot to prevent manipultion at all. bruise or bleeding. Puncture subcutaneously. Puncture subcutaneously. Puncture subcutaneously. Puncture subcutaneously. Puncture subcutaneously. Puncture subcutaneously. Puncture subcutaneously. Puncture subcutaneously. Puncture perpindicularly. Puncture obliquely. Puncture obliquely.

BL 13**** BL 14** BL 15**** BL 16* BL 17**** BL 18**** BL 19*** BL 20**** BL 21*** BL 22** BL 23**** BL 24* BL 25*** BL 26** BL 27** BL 28*** BL 29* BL 30* BL 31** BL 32**** BL 33*** BL 34*** BL 35**

0.5 - 0.7 cun 0.5 - 0.7 cun 0.5 - 0.7 cun 0.5 - 0.7 cun 0.5 - 0.7 cun 0.5 - 0.7 cun 0.5 - 0.8 cun 0.5 - 0.8 cun 0.5 - 0.8 cun 0.5 - 1 cun 1 - 1.2 cun 0.8 - 1.2 cun 0.8 - 1.2 cun 0.8 - 1.2 cun 0.8 - 1.2 cun 0.8 - 1.2 cun 0.8 - 1.2 cun 0.8 - 1.2 cun 0.8 - 1.2 cun 0.8 - 1.2 cun 0.8 - 1.2 cun 0.8 - 1.2 cun 0.5 - 1 cun

Puncture obliquely. Puncture obliquely. Puncture obliquely. Puncture obliquely. Puncture obliquely. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. No needle or moxa in pregnancy. No needle or moxa in pregnancy.

BL 36*** BL 37** BL 38* BL 39*** BL 40**** BL 41* BL 42** BL 43**** BL 44* BL 45* BL 46* BL 47** BL 48* BL 49* BL 50* BL 51* BL 52** BL 53* BL 54** BL 55* BL 56 BL 57*** BL 58** BL 59** BL 60**** BL 61* BL 62****

1 - 1.5 cun 1 - 2 cun 0.5 - 1 cun 0.5 - 1 cun 0.5 - 1 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.5 - 1 cun 0.8 - 1.2 cun 1.5 - 2 cun 0.7 - 1 cun 0.8 - 1.2 cun 0.8 - 1.2 cun 0.7 - 1 cun 0.5 - 1 cun 0.5 - 1 cun 0.3 - 0.5 cun 0.3 - 0.5 cun

Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture obliquely. Puncture obliquely. Puncture obliquely. Puncture obliquely. Puncture obliquely. Puncture obliquely. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. No moxa to avoid tendon contraction.

BL 63* BL 64** BL 65* BL 66* BL 67**

0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.2 - 0.3 cun 0.1 cun

Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly or use moxa No needle or moxa pole. in pregnancy. Conception Vessel Indication

AcuPoint CV 1** CV 2*

Functions revive consciousness dribbling enuresis

Indications

Special Notes

spermatorrhea, enuresis, retention of urine; leukorrhea; all due to damp heat; any urinary LV, SP, and KD cross tract disorder (90% of here; front mu of the relieve urogenital damp CV 3*** the time they are damp bladder; not for heat heat related); excessive stagnation in lower uterine bleeding; warmer dysmenorrhea (but these are not usually related to damp heat) for all KD problems; abdominal pain; pain nourishes and stabilizes from deficiency; cold not used as SI front mu: the KD; holds in any diarrhea (KD related); LV, SP, KD, and chong kind of deficiencies; big UTI (CV 3 might be mai all cross here; with CV building point; restores better); urination from BL 32 if GYN problem 4**** yang; builds qi and cold (clear and copious); from stagnation; often blood; does a lot for deficient types of used with BL 23 and GV lower jiao stagnation "rrheas"; can use it to 4; very warming and and regulates menses regulate almost any often used with moxa GYN problems; can use it for moving not used as front mu of CV 5* TW CV regulates qi functions neurasthenia; abdominal sea of qi point; source qi; 6**** (more SP qi functions); pain and distension similar to CV 4; more strengthens deficient related to digestion; moving than CV 4; with KD; harmonizes the irregular menstruation; CV 12 for indigestion; blood (moves and intestinal paralysis; all with SP 6 and ST 36 to

urinary problems like tonifies); regulates incontinence, menses; raises middle qi spermatorrhea (CV 4 and restores collapsed better as it more deeply yang (SP related); for tonifies the KD; deficient blood (SP infertility (CV 4 better); related) colic; flaccid

build qi and blood

CV 7*

general rule of thumb is no lower abdominal points during pregnancy; after first trimester no upper abdominal points

diarrhea from SP yang deficiency; 5 am diarrhea; apoplexy warms and stabilizes the (flaccid stroke) from not needled or directly yang for yang collapse; yang collapse; any kind moxaed; not for damp strengthens and CV 8*** of prolapse due to SP heat diarrhea; with CV 4, stabilizes SP yang; for yang deficiency; in the GV 4, BL 23, and moxa middle burner yang spirit in holding things on CV 8 deficiency in it can also be used for prior miscarriages - 27x/week ascites (retention of fluid in abdomen); edema; retention of urine; regulates water diarrhea; general pathways from dampness sin the body deficiency; strengthens with SP 9 for dampness CV 9** (fluid retention in the SP in relation to water and edema body; actual fluid metabolism; diarrhetic retention in the body as point opposed to less material dampness like foggy head, heaviness strengthens SP and indigestion; food SP meridian crosses here; regulates the ST as CV 10** retention after eating; CV 10 used more than related to stuck food, prolapsed stomach CV 11 etc. AcuPoint Functions Indications Special Notes CV 11** CV main point for any ST or acute or chronic front mu of the ST; 12**** upper intestinal gastritis; gastric ulcers; influential point of all the problems; regulates the prolapsed ST; vomiting; yang organs, though GV ST qi; transforms and nausea; one of the main 14 is more often used suppresses rebellious qi nausea points and good that way; SI,TW, and ST

for any kind; can be all cross here; with PC 6 by adjusting the used for constipation if for nausea; for stuck food descending function of chronic or deficient; use ST 21 and ST 34 or the ST; regulates and indigestion; madness LV3 or LV 14 if the LV strengthens SP qi and from phlegm type of is invading the ST; CV 6, yang; blockage; builds middle ST 25, CV 12 energy; classically in indicated for more excess than CV regulates SP and ST; 12; clinically CV 12 is sedates rebellious ST qi; ST pain; nausea; CV 13** used for all; used to clear opens the door to keep vomiting; heat because it is the food moving through; meeting point of the yang ming channel mental diseases; seizures; angina front mu of heart; with calms spirit; pacifies the pectoris; vomiting; PC 6 for stress related ST and benefits the nausea (if more tender stomach discomfort; can CV diaphragm; transforms than CV 12); use with PC 4 and HT 6 14*** HT phlegm (prevents palpitations due to as the xi clefts with CV misting of the HT) anything; hiatal hernia; 14 to deal with chest strong spirit and mental pain; associations; similar to CV 14 but not as strong; expands and luo of the CV and the relaxes the chest; calms mental illness; good for channels fan out from CV 15** the spirit; benefits the fatigue; yang madness; this point; CV 14 used diaphragm; calms the more for yang madness spirit CV 16* regulates, suppresses front mu of the PC; upper and tonifies qi of the sea of qi energy point; chest; regulates and asthma; bronchitis; often called the meeting suppresses rebellious qi intercostal neuralgia; point of the qi of the of the chest (read: wheezing; panting; chest; SP, KD, SI, and CV lungs); expands chest; spitting blood; difficulty TW all cross here; needle 17*** benefits diaphragm; or in ability to swallow downward and usually opens the lungs; diffuses food; dilates tonified; moxa is often lung qi; regulates and bronchioles; good here; can be a good tonifies qi of the chest; OPI point with phlegm improves lactation with LU 7, LI 4, CV 18* all CV chest points are needle downward to descend the LU qi; CV 18, 19, 20 are located by

palpation CV 19* CV 20* AcuPoint CV 21**

Functions more effect on the esophagus than other CV points

Indications

Special Notes

CV 22***

pharyngitis; goiter; transforms phlegm; hiccups; spasms of the sedates rebellious; esophagus; diseases of sedates throat; benefits the vocal cords; heavy the throat with phlegm wheezing; nodules that are phlegm based loss of voice; paralysis of hypoglossus; excessive salvation; tongue problems facial paralysis; facial edema involving CV meridian

yin wei meridian crosses here; needled perp .2 cun and then needled downward; often used with LU 7 and KD 6 when wheezing is present; used with ST 40 or LU 5 or LU 1 for phlegm yin wei crosses here; used with GV 15 for aphasia

CV 23**

frees the throat

CV 24**

Conception Vessel Location Between the anus and the root of the scrotum CV 1 ** in males, and between the anus and the drowning; local posterior labial commissure in females. CV 2 * CV 3 *** CV 4 **** CV 5 * CV 6 **** CV 7 * On the midpoint of the upper border of the symphisis pubis. On the midline of the abdomen, 4 cun below urogenital; damp heat the umbilicus builds KD; weak, cold on the midline of the abdomen, 3 cun below GYN; urinary; gate of jing, the umbilicus yang, yin, qi On the midline of the abdomen, 2 cun below local point for dampness the umbilicus. on the midline of the abdomen, 1.5 cun below the umbilicus builds SP qi; removes stagnation in abdomen

On the midline of the abdomen, 1 cun below auxiliary point for GYN the umbilicus. problems

CV 8 *** in the center of the umbilicus CV 9 ** CV 10 ** AcuPoint CV 11 ** CV 12 **** CV 13 ** CV 14 ***

diarrhea; yang collapse; salt moxa

on the midline of the abdomen, 1 cun above diuretic the umbilicus On the midline of the abdomen, 2 cun above the umbilicus. Point Location Point Summary On the midline of the abdomen, 3 cun above local point to aid digestion the umbilicus. On the midline of the abdomen, 4 cun above all abdominal problems; the umbilicus regulates ST; builds SP On the midline of the abdomen, 5 cun above the umbilicus. on the midline of the abdomen, 6 cun above HT; diaphragm; upper the umbilicus aspect of middle warmer

Below the xiphoid process, 7 cun above the CV 15 ** umbilicus; locate the point in the supine position with the arms uplifted. CV 16 * CV 17 *** CV 18 * CV 19 * On the midline of the sternum, at the level of local point the 5th in intercostal space. on the anterior midline, at level with the 4th lungs; chest; secondary point intercostal space for breast On the anterior midline, at the level of the 3rd intercostal space. On the anterior midline, at the level of the 2nd intercostal space. local point local point local point Point Summary local point resolves throat problems; stimulates descending LU qi

On the anterior midline, at the midpoint of CV 20 * the sternal angle, at the level of the 1st intercostal space. AcuPoint CV 21 ** CV 22 *** CV 23 ** CV 24 ** Point Location On the anterior midline, in the center of the sternal manubrium, 1 cun below CV 22. in the center of the suprasternal fossa

Above the Adam's apple, in the depression of frees the throat the upper border of the hyoid bone. In the depression in the center of the mentolabial groove. local point

Conception Vessel Needling AcuPoint Needle Depth CV 1 ** CV 2 * CV 3 *** CV 4 **** CV 5 * CV 6 **** CV 7 * CV 8 *** CV 9 ** CV 10 ** CV 11 ** CV 12 **** CV 13 ** CV 14 *** CV 15 ** CV 16 * CV 17 *** CV 18 * CV 19 * CV 20 * CV 21 ** CV 22 0.5 - 1 cun 0.5 - 1 cun 0.5 - 1 cun 0.8 - 1.2 cun 0.5 - 1 cun 0.8 - 1.2 cun 0.8 - 1.2 cun none 0.5 - 1 cun 0.5 - 1.2 cun 0.5 - 1.2 cun 0.5 - 1.2 cun 0.5 - 1.2 cun 0.3 - 0.8 cun 0.4 - 0.6 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.3 - 0.5 cun 0.5 - 1 cun Needle Technique Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture prohibited, use moxa Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture perpindicularly. Puncture obliquely downward Puncture subcutaneously Puncture subcutaneously Puncture subcutaneously Puncture subcutaneously Puncture subcutaneously Puncture subcutaneously First puncture prepindicularly 0.2 Caution during pregnancy Caution during pregnancy Caution during pregnancy Caution during pregnancy Caution during pregnancy Caution during pregnancy No needle, only moxa. Caution during pregnancy Caution during pregnancy Caution during pregnancy Caution during pregnancy Caution during pregnancy Contraindications

*** CV 23 ** CV 24 **

0.5 - 1 cun 0.2 - 0.3 cun

Puncture obliquely towards the to Puncture obliquely upwards

I would like to give much appreciation and thanks to Seth Goodwin, Lic.Ac. who sat in class and took diligent notes and put the indication and location tables together. The information comes with permission from classes taught by Amy Hull, Lic Ac. & Diane Iuliano, Lic Ac. (two great teachers and practitioners). In addition the locations and the needling style and depths are straight from CAM (Chinese Acupuncture & Moxibustion, Edited by Cheng Xinnong- the NCCAOM standard).