🎯 Location: In the depression the between tip of the external malleolus and achilles tendon.
⚠️ 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: Posterior and inferior to the medial condyle of the tibia in the upper portion of the medial head of the gastrocnemius 1 thumb width posterior to the SP09.
🎯 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: On the anterior midline 3 thumb widths below umbilicus.
⚠️ Cautions: Avoid needling over the gravid uterus after the first trimester; where used in pregnancy, needle shallowly and only on a clear obstetric indication. Bleeding in pregnancy requires obstetric assessment.
🎯 Location: On the anterior midline 1.5 thumb widths below umbilicus.
⚠️ Cautions: Avoid needling over the gravid uterus after the first trimester; where used in pregnancy, needle shallowly and only on a clear obstetric indication.
Point selection recorded in a clinical text or case report.
Deadman, Al-Khafaji & Baker, A Manual of Acupuncture – point group actions
Substantiated by a study. SP06, SP09 also appear in a study-reported protocol for the same search. That study did not test this prescription. doi:10.13703/j.0255-2930.20240425-k0001 ↗
🎯 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: 2 thumb widths lateral to the center of the umbilicus.
⚠️ Cautions: Acute appendicitis is a surgical emergency – treatment here is adjunctive at most and must never delay surgical assessment. Avoid needling over the gravid uterus after the first trimester; where used in pregnancy, needle shallowly and only on a clear obstetric indication.
🎯 Location: On the anterior midline 1.5 thumb widths below umbilicus.
⚠️ Cautions: Avoid needling over the gravid uterus after the first trimester; where used in pregnancy, needle shallowly and only on a clear obstetric indication.
🎯 Location: On the anterior midline 4 thumb widths above the umbilicus.
⚠️ Cautions: Avoid needling over the gravid uterus after the first trimester; where used in pregnancy, needle shallowly and only on a clear obstetric indication.
Substantiated by a study. ST36 also appears in a study-reported protocol for the same search. That study did not test this prescription. doi:10.13703/j.0255-2930.20240425-k0001 ↗
🎯 Location: 2 thumb widths lateral to the center of the umbilicus.
⚠️ Cautions: Acute appendicitis is a surgical emergency – treatment here is adjunctive at most and must never delay surgical assessment. Avoid needling over the gravid uterus after the first trimester; where used in pregnancy, needle shallowly and only on a clear obstetric indication.
🎯 Location: Proximal to the web margin the between 2nd and 3rd toes in the depression the distal and lateral to the 2nd metatarsodigital joint.
⚠️ 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.
Substantiated by a study. ST36, SP09 also appear in a study-reported protocol for the same search. That study did not test this prescription. doi:10.13703/j.0255-2930.20240425-k0001 ↗
🎯 Location: On the lateral side of the head, 0.5 thumb widths above the anterior hairline at the corner of the forehead & 4.5 thumb widths lateral to the midline of the head.
🎯 Location: 8 thumb widths superior to the tip of the external malleolus, lateral to the ST38 about 2 finger breadth (middle finger) lateral to the anterior border of the tibia.
🎯 Location: On the anterior midline 4 thumb widths above the umbilicus.
⚠️ Cautions: Avoid needling over the gravid uterus after the first trimester; where used in pregnancy, needle shallowly and only on a clear obstetric indication.
