🎯 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: 3 thumb widths lateral to the du mai at the level of the lower border of the spinous process of the 4th thoracic vertebra on the spinal border of the scapula.
⚠️ Cautions: Avoid deep perpendicular needling due to risk of pneumothorax.
🎯 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.
🎯 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.
Point selection recorded in a clinical text or case report.
Acupuncture Point Prescriptions, entry ACC1
Substantiated by a study. KD03 also appears in a study-reported protocol for the same search. That study did not test this prescription. doi:10.1186/s13063-015-0660-y ↗
🎯 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: 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 sole in the depression the when foot is in the plantar flexion the approximately at the junction of the anterior 1/3 and posterior 2/3 of the line connecting base of the 2nd and 3rd toes and heel.
⚠️ Cautions: Avoid in patients with severe deficiency conditions.
🎯 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: 0.5 - 1 thumb width lateral to the depressions below the spinous processes of the twelve thoracic vertebrae & five lumbar vertebrae in the clinical practice the points located 0.5 - 1 thumb width lateral to the depressions below the spinous processes of the seven cervical vertebra are also used as additional huatuojiaji points.
⚠️ Cautions: Avoid deep perpendicular needling; risk of pneumothorax.
Point selection recorded in a clinical text or case report.
Yang Yong-Xuan, clinical point-selection notes
Substantiated by a study. KD03, KD06 also appear in a study-reported protocol for the same search. That study did not test this prescription. doi:10.1186/s13063-015-0660-y ↗
🎯 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.
Substantiated by a study. KD03, GB20 also appear in a study-reported protocol for the same search. That study did not test this prescription. doi:10.1186/s13063-015-0660-y ↗
🎯 Location: One finger breadth (middle finger) anterior & superior to the lower angle of the mandible where masseter is prominent when teeth are clenched & depressive when it is pressed.
⚠️ Cautions: Needle shallowly and obliquely; avoid the facial artery and deep needling into the joint capsule.
Substantiated by a study. KD03 also appears in a study-reported protocol for the same search. That study did not test this prescription. doi:10.1186/s13063-015-0660-y ↗
🎯 Location: On the anterior side of the thigh on the line connecting asis and laterosuperior corner of the patella on the level of the inferior pubis symphasis when thigh is fixed in the depression the lateral to the sartorius.
⚠️ Cautions: Caution with depth near femoral vessels.
🎯 Location: On the dorsum of the foot at the midpoint of the transverse crease of the ankle joint in the depression the between tendons of the extensor digitorum longus and hallucis longus approximately at the level of the tip of the external malleolus.
⚠️ Cautions: Rule out fracture, dislocation and joint instability before needling, and do not needle into an acutely swollen joint or a haemarthrosis.
🎯 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: 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.
