🎯 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 on the medial side of the popliteal fossa between tendons of the semitendinosus and semimembranosus at the level with BL40.
Corroborated by a second study. ST34, ST35, ST36, SP09, SP10, GB34 also appear in another study-reported protocol for the same search. A second publication is not necessarily a second research group. doi:10.2147/JPR.S445770 ↗
🎯 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.
Corroborated by a second study. ST34, ST35, ST36, SP09, SP10, GB34 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.0000000000030385 ↗
🎯 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: 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.
Corroborated by a second study. ST34, ST35, ST36, SP09, SP10, GB34 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.0000000000030385 ↗
🎯 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.
Corroborated by a second study. ST36, GB34 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.0000000000030385 ↗
🎯 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: On the midline of the lateral aspect of the thigh, 7 thumb widths above the transverse popliteal crease; when patient is standing erect with hands close to the sides, point is where tip of the middle finger touches.
🎯 Location: When the knee is flexed, in the depression medial to the patellar ligament. The medial member of the Xiyan (EX-LE 5) pair; EX-LE 4 (Neixiyan) denotes this point alone.
Corroborated by a second study. ST35, ST36, SP09, SP10 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.0000000000030385 ↗
🎯 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.
Point selection recorded in a clinical text or case report.
Ding Yu, Wang Yuexiang, Shi Xian, Luo Yun, Gao Yuhong, Pan Jingkun. Effect of ultrasound-guided acupotomy vs electro-acupuncture on knee osteoarthritis: a randomized controlled study. J Tradit Chin Med 2016; 36(4): 444-449
Substantiated by a study. ST34, SP09, SP10, GB34 also appear in a study-reported protocol for the same search. That study did not test this prescription. doi:10.1097/MD.0000000000030385 ↗
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How the studies delivered it
What the 8 studies behind the entries above ran, counted once per study. A record of the trials, not a recommendation.
Needling4 of 8
Laser2 of 8
Moxibustion2 of 8
Electroacupuncture1 of 8
Acupressure1 of 8
Sessions: the 6 studies that gave a count ran a median of 19 (middle half 13 to 24).
Course: the 6 studies that gave a length ran a median of 5 weeks (middle half 4 weeks to 6 weeks).
After a treatment: what large safety surveys recorded, and which reactions need a doctor.
Disclaimer: The acupoint information provided is for educational purposes only.
