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: 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: Superior to the styloid process of the radius 1.5 thumb widths above the transverse crease of the wrist between brachioradialis and tendon of the abductor policis longus.
⚠️ Cautions: Use with caution in patients with radial nerve sensitivity.
🎯 Location: In the depression the below tip of the medial malleolus.
⚠️ 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: 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: Superior to the styloid process of the radius 1.5 thumb widths above the transverse crease of the wrist between brachioradialis and tendon of the abductor policis longus.
⚠️ Cautions: Use with caution in patients with radial nerve sensitivity.
🎯 Location: In the depression the below tip of the medial malleolus.
⚠️ 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: 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.
