🎯 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.
Corroborated by a second study. ST36 also appears in another study-reported protocol for the same search. A second publication is not necessarily a second research group. doi:10.1097/MD.0000000000015659 ↗
🎯 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.
Corroborated by a second study. ST36, GV20 also appear in another study-reported protocol for the same search. A second publication is not necessarily a second research group. doi:10.2147/IJGM.S405977 ↗
🎯 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.
🎯 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 dorsum of the foot in the depression the distal to the junction of the 1st and 2nd metatarsal bones.
⚠️ Cautions: Monitor blood pressure and avoid strong stimulation where hypertension is uncontrolled or unstable; hypertensive crisis is a medical emergency.
🎯 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.
Corroborated by a second study. ST36, GV20 also appear in another study-reported protocol for the same search. A second publication is not necessarily a second research group. doi:10.1097/MD.0000000000015659 ↗
🎯 Location: 1.5 thumb widths lateral to the GV11 at the level of the lower border of the spinous process of the 5th thoracic vertebra.
⚠️ Cautions: Avoid deep perpendicular needling – risk of pneumothorax. New, worsening or unstable cardiac symptoms need medical assessment before treatment.
Point selection recorded in a clinical text or case report.
Unnamed CNKI record, 2018
Substantiated by a study. BL23 also appears in a study-reported protocol for the same search. That study did not test this prescription. doi:10.1155/2015/508302 ↗
🎯 Location: 1.5 thumb widths lateral to the GV11 at the level of the lower border of the spinous process of the 5th thoracic vertebra.
⚠️ Cautions: Avoid deep perpendicular needling – risk of pneumothorax. New, worsening or unstable cardiac symptoms need medical assessment before treatment.
Point selection recorded in a clinical text or case report.
陈三三刘然吴彬陈晟郭昉薛晓琳王军. 针刺五脏背俞穴治疗慢性疲劳综合征:随机对照试验（英文） OA. World Journal of Acupuncture-Moxibustion ., 2018 [CNKI]
Substantiated by a study. BL23 also appears in a study-reported protocol for the same search. That study did not test this prescription. doi:10.1155/2015/508302 ↗
Corroborated by a second study. ST36 also appears in another study-reported protocol for the same search. A second publication is not necessarily a second research group. doi:10.1155/2015/508302 ↗
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How the studies delivered it
What the 4 studies behind the entries above ran, counted once per study. A record of the trials, not a recommendation.
Needling4 of 4
Sessions: the 3 studies that gave a count ran a median of 1 (middle half 1 to 11).
Course: the 3 studies that gave a length ran a median of 1 day (middle half 1 day to 15 days).
After a treatment: what large safety surveys recorded, and which reactions need a doctor.
Disclaimer: The acupoint information provided is for educational purposes only.
