Acupuncture Points for Multiple System Atrophy

🗺️ Meridian: Stomach Meridian

🇨🇳 Chinese: 天樞 (tiān shū)

🎯 Location: 2 thumb widths lateral to the center of the umbilicus.

⚠️ Cautions: Acute appendicitis is a surgical emergency – treatment here is adjunctive at most and must never delay surgical assessment. Avoid needling over the gravid uterus after the first trimester; where used in pregnancy, needle shallowly and only on a clear obstetric indication.

🛡️ Treats: Poor Appetite, Diarrhea, Constipation, Vomiting, Abdominal Bloating

🗺️ Meridian: Bladder Meridian

🇨🇳 Chinese: 腎俞 (shèn shū)

🎯 Location: 1.5 thumb widths lateral to the GV04 at the level of the lower border of the spinous process of the 2nd lumbar vertebra.

⚠️ Cautions: Avoid deep perpendicular needling.

🛡️ Treats: Cough, Diarrhea, Asthma, Tinnitus, Qi Deficiency

🗺️ Meridian: Bladder Meridian

🇨🇳 Chinese: 大腸俞 (dà cháng shū)

🎯 Location: 1.5 thumb widths lateral to the GV03 at the level of the lower border of the spinous process of the 4th lumbar vertebra.

⚠️ Cautions: Avoid deep perpendicular needling.

🛡️ Treats: Diarrhea, Common Cold, Constipation, Abdominal Bloating, Abdominal Pain

🗺️ Meridian: Bladder Meridian

🇨🇳 Chinese: 膀胱俞 (páng guāng shū)

🎯 Location: 1.5 thumb widths lateral to the du mai at the level of the 2nd posterior sacral foramen.

⚠️ Cautions: Avoid deep perpendicular needling.

🛡️ Treats: Diarrhea, Qi Deficiency, Constipation, Abdominal Pain, Swelling

🗺️ Meridian: Bladder Meridian

🇨🇳 Chinese: 次髎 (cì liáo)

🎯 Location: On the sacrum medial and inferior to the posterior superior iliac spine just at the 2nd posterior sacral foramen.

⚠️ Cautions: Caution in sacroiliac dysfunction.

🛡️ Treats: Constipation, Pain, Urinary Retention, Infertility, Sciatica

🗺️ Meridian: Kidney Meridian

🇨🇳 Chinese: 照海 (zhào hǎi)

🎯 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.

🛡️ Treats: Heat Deficiency, Dizziness, Constipation, Chest Fullness, Abdominal Bloating

🗺️ Meridian: Conception Vessel

🇨🇳 Chinese: 中極 (zhōng jí)

🎯 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.

🛡️ Treats: Absent Periods, Back Pain, Pain, Damp, Edema

🗺️ Meridian: Conception Vessel

🇨🇳 Chinese: 關元 (guān yuán)

🎯 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.

🛡️ Treats: Cough, Diarrhea, Anxiety, Shortness of Breath, Kidney Deficiency

🗺️ Meridian: Governing Vessel

🇨🇳 Chinese: 命門 (mìng mén)

🎯 Location: Below spinous process of the 2nd lumbar vertebra.

⚠️ Cautions: No specific contraindications.

🛡️ Treats: Fever, Anxiety, Kidney Deficiency, Dizziness, Tinnitus

🗺️ Meridian: Governing Vessel

🇨🇳 Chinese: 百會 (bǎi huì)

🎯 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.

⚠️ Cautions: No specific contraindications.

🛡️ Treats: Cough, Chest Pain, Palpitations, Jaundice, Qi Deficiency