Every protocol below comes from a clinical text or a website. Nothing here has a published trial behind it, so no two independent sources have been shown to agree. How often that happens
🎯 Location: On the shoulder directly above the nipple at the midpoint of the line connecting GV14 and acromion the at the highest point of the shoulder.
⚠️ Cautions: Avoid deep needling – risk of pneumothorax. 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: On the anterior midline at the level with 4th intercostal space, midway between nipples.
⚠️ Cautions: Avoid deep needling – needle transversely along the sternum. New, worsening or unstable cardiac symptoms need medical assessment before treatment.
🎯 Location: On the chest directly below nipple, on the lower border of the breast, in the 5th intercostal space 4 thumb widths lateral to the anterior midline.
⚠️ Cautions: Caution in lactating women; avoid direct needling in breast tissue.
🎯 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 anterior midline at the level with 4th intercostal space, midway between nipples.
⚠️ Cautions: Avoid deep needling – needle transversely along the sternum. New, worsening or unstable cardiac symptoms need medical assessment before treatment.
