🎯 Location: Laterosuperior to the sternum 1 thumb width below LU02 at the level of the 1st intercostal space 6 thumb widths lateral to the anterior midline.
⚠️ Cautions: Needle obliquely or laterally, never deeply or medially – risk of pneumothorax.
🎯 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 dorsum of the hand between 1st & 2nd metacarpal bones approximately in the middle of the 2nd metacarpal bone on the radial side.
⚠️ 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.
