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: At the ulnar end of the transverse crease on the dorsal aspect of the wrist in the depression the between styloid process of the ulna and triquetral bone.
🎯 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: 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: 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: 2 thumb widths proximal to the dorsal crease of the wrist on the line connecting TB04 and tip of the olecranon the between radius and ulna.
🎯 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: 1 thumb width directly above the midpoint of the posterior hairline directly below external occipital protuberance in the depression the between trapezius of the both sides.
⚠️ Cautions: Caution; proximity to foramen magnum.
🎯 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: On the medial side of the great the toe 0.1 thumb width posterior to the corner of the nail.
⚠️ 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: 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: When knee is flexed point is at the medial end of the transverse popliteal crease posterior to the medial epicondyle of the tibia in the depression of the anterior border of the insertions of the semimembranosus and semitendinosus.
🎯 Location: On the anterior midline 4 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. Empty the bladder before needling.