🎯 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: 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: 1.5 thumb widths lateral to the GV11 at the level of the lower border of the spinous process of the 5th thoracic vertebra.
⚠️ Cautions: Avoid deep perpendicular needling – risk of pneumothorax. New, worsening or unstable cardiac symptoms need medical assessment before treatment.
🎯 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.
🎯 Location: On the anterior midline 1.5 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.
🎯 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 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.
Corroborated by a second study. ST36, BL18, BL20, BL23, KD03, PC06, GB20, LV03, CV12, GV20 also appear in another study-reported protocol for the same search. A second publication is not necessarily a second research group. doi:10.1016/s0254-6272(10)60025-8 ↗
🎯 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 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.
Corroborated by a second study. ST36, SP06, HT07, KD03, PC06, GV20, GV24 also appear in another study-reported protocol for the same search. A second publication is not necessarily a second research group. pubmed.ncbi.nlm.nih.gov ↗
🎯 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: 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.
🎯 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: 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: 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: 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.
🎯 Location: On the anterior midline 1.5 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.
🎯 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.
Corroborated by a second study. LI04, ST25, SP06, KD03, CV04, CV06 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.0000000000009309 ↗
🎯 Location: When fist is clenched point is located in the depression the proximal to the margin of the web between ringer and small fingers at the junction of the red and white skin.
🎯 Location: When fist is clenched point is on the dorsum of the hand between 4th and 5th metacarpal bones in the depression the proximal to the 4th metacarpophalangeal joint.
Corroborated by a second study. SI11, GB34 also appear in another study-reported protocol for the same search. A second publication is not necessarily a second research group. doi:10.1016/s0254-6272(10)60025-8 ↗
🎯 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: 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: 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: 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.
🎯 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 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.
Corroborated by a second study. ST36, BL18, BL20, BL23, KD03, PC06, GB20, LV03, CV12, GV20 also appear in another study-reported protocol for the same search. A second publication is not necessarily a second research group. pubmed.ncbi.nlm.nih.gov ↗
🎯 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.
Corroborated by a second study. ST36, ST40 also appear in another study-reported protocol for the same search. A second publication is not necessarily a second research group. doi:10.1016/s0254-6272(10)60025-8 ↗
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Registered, results not reported
These trials registered a protocol for Pain and have not reported results. They are not counted above.
