🎯 Location: When elbow is flexed point is in the depression the at the lateral end of the transverse cubital crease midway between LU05 and lateral epicondyle of the humerus.
⚠️ Cautions: Monitor blood pressure and avoid strong stimulation where hypertension is uncontrolled or unstable; hypertensive crisis is a medical emergency. Avoid excessive stimulation in weak patients.
🎯 Location: On the lateral side of the upper arm on the line connecting LI11 and LI15, 7 thumb widths above the LI11 at the insertion of the deltoid muscle.
⚠️ Cautions: Caution with depth to avoid nerve damage.
🎯 Location: Anteroinferior to the acromion on the upper portion of the deltoid muscle; when arm is in the full abduction the point is in the depression the appearing at the anterior border of the acromioclavicular joint.
⚠️ Cautions: Avoid deep perpendicular needling due to risk of pneumothorax; caution in shoulder injuries.
🎯 Location: On the anterior side of the thigh on the line connecting asis and laterosuperior corner of the patella on the level of the inferior pubis symphasis when thigh is fixed in the depression the lateral to the sartorius.
⚠️ Cautions: Caution with depth near femoral vessels.
🎯 Location: On the dorsum of the foot at the midpoint of the transverse crease of the ankle joint in the depression the between tendons of the extensor digitorum longus and hallucis longus approximately at the level of the tip of the external malleolus.
⚠️ Cautions: Rule out fracture, dislocation and joint instability before needling, and do not needle into an acutely swollen joint or a haemarthrosis.
🎯 Location: 3 thumb widths directly above the tip of the medial malleolus posterior to the medial border of the tibia.
⚠️ Cautions: Traditionally forbidden in pregnancy – these are the points used to bring on labour at term. Controlled data show no excess of preterm birth or stillbirth (Carr 2015), but in pregnancy needle only on a clear obstetric indication.
🎯 Location: When knee is flexed point is 2 thumb widths above the mediosuperior border of the patella on the bulge of the medial portion of the quadriceps femoris.
⚠️ Cautions: Anticoagulant therapy or a coagulopathy raises the risk of haematoma at the needling site – apply prolonged pressure on withdrawal. The precaution governs technique; bleeding disorders remain a treatable indication.
🎯 Location: On the posterior midline of the leg between BL40 and BL60 in the pointed depression the formed below gastrocnemius belly when leg is stretched or heel is lifted.
🎯 Location: At the junction of the lateral ⅓ and medial ⅔ of the distance between prominence of the greater trochanter and hiatus of the sacrum, GV02; when locating point put patient in the lateral recumbent position the with thigh flexed.
🎯 Location: On the midline of the lateral aspect of the thigh, 7 thumb widths above the transverse popliteal crease; when patient is standing erect with hands close to the sides, point is where tip of the middle finger touches.
🎯 Location: On the midline of the head 5 thumb widths directly above the midpoint of the anterior hairline approximately on the midpoint of the line connecting apex of the ears.
🎯 Location: When the knee is flexed, in the depression medial to the patellar ligament. The medial member of the Xiyan (EX-LE 5) pair; EX-LE 4 (Neixiyan) denotes this point alone.
