# Acupoints for Paralysis Spastic Post-stroke

7 sourced protocols for Paralysis Spastic Post-stroke. Canonical page: https://acuiq.com/symptoms/paralysis-spastic-post-stroke

## Protocols

| # | Points | Dosage | Frequency | Source | Kind | Caveat |
|---|---|---|---|---|---|---|
| 1 | GB20 (Wind Pool), GV20 (100 Convergences), XH03 (Hall Of Impression Or Seal Hall), MS06 (Anterior Oblique Line of Vertex-Temporal) | – | – | doi:10.13703/j.0255-2930.20240925-0001 | trial | Point selection reported in a published study. |
| 2 | LU05 (Cubit Marsh), HT01 (Highest Spring), GB20 (Wind Pool), GV20 (100 Convergences), GV26 (Philtrum), XH03 (Hall Of Impression Or Seal Hall), MS06 (Anterior Oblique Line of Vertex-Temporal) | – | – | doi:10.13703/j.0255-2930.20240925-0001 | trial | Point selection reported in a published study. |
| 3 | LI15 (Shoulder And Clavicle), SI09 (True Shoulder), SI11 (Heavenly Gathering), SI13 (Crooked Wall), GV14 (Great Vertebra), GV20 (100 Convergences), XB02T1 (Hua Tuo's Para-Vertebral Point - T1), XB02T2 (Hua Tuo's Para-Vertebral Point - T2), XB02T3 (Hua Tuo's Para-Vertebral Point - T3), XB02T4 (Hua Tuo's Para-Vertebral Point - T4), XB02T5 (Hua Tuo's Para-Vertebral Point - T5), XB02T6 (Hua Tuo's Para-Vertebral Point - T6), XB02T7 (Hua Tuo's Para-Vertebral Point - T7), XB02T8 (Hua Tuo's Para-Vertebral Point - T8) | – | – | doi:10.13703/j.0255-2930.20190505-0006 | trial | Point selection reported in a published study. |
| 4 | LI04 (Junction Valley), LI11 (Pond At The Bend), LI15 (Shoulder And Clavicle), SP06 (Three Yin Intersection), SP09 (Yin Mound Spring), HT01 (Highest Spring), HT03 (Lesser Sea), BL60 (Kunlun (Mountains)), KD01 (Bubbling Spring), KD03 (Great Stream), PC06 (Inner Gate), PC07 (Great Mound), PC08 (Palace Of Toil), TB04 (Yang Pool), TB05 (Outer Gate), GB30 (Jumping Circle), GB31 (Wind Market), GB33 (Yang Knee Gate), GB34 (Yang Mound Spring), GB39 (Suspended Bell), LV03 (Great Surge), LV08 (Spring At The Bend) | – | – | Liu Xiafei, Bao Chunling, Dong Guirong. Using acupoint-to-acupoint penetrative needling to treat poststroke spastic paralysis: a clinical progress review. Journal of Traditional Chinese Medicine 2014 October 15; 34(5): 609-615. | text | Point selection recorded in a clinical text or case report. |
| 5 | LI04 (Junction Valley), LI11 (Pond At The Bend), LI14 (Upper Arm Prominence), LI15 (Shoulder And Clavicle), ST31 (Thigh Gate), ST32 (Crouching Rabbit), ST34 (Ridge Mound), SP06 (Three Yin Intersection), SP09 (Yin Mound Spring), SP10 (Sea Of Blood), HT03 (Lesser Sea), SI03 (Back Stream), BL54 (Lowermost In Order), KD01 (Bubbling Spring), PC06 (Inner Gate), TB05 (Outer Gate), GB30 (Jumping Circle), GB34 (Yang Mound Spring), GB39 (Suspended Bell), LV03 (Great Surge) | – | – | Liu Xiafei, Bao Chunling, Dong Guirong. Using acupoint-to-acupoint penetrative needling to treat poststroke spastic paralysis: a clinical progress review. Journal of Traditional Chinese Medicine 2014 October 15; 34(5): 609-615. | text | Point selection recorded in a clinical text or case report. |
| 6 | LU05 (Cubit Marsh), LI15 (Shoulder And Clavicle), ST31 (Thigh Gate), SP10 (Sea Of Blood), HT01 (Highest Spring), BL36 (Support), BL62 (Extending Vessel), KD06 (Shining Sea), PC07 (Great Mound), TB04 (Yang Pool), TB10 (Heavenly Well), LV08 (Spring At The Bend) | – | – | Liu Xiafei, Bao Chunling, Dong Guirong. Using acupoint-to-acupoint penetrative needling to treat poststroke spastic paralysis: a clinical progress review. Journal of Traditional Chinese Medicine 2014 October 15; 34(5): 609-615. | text | Point selection recorded in a clinical text or case report. |
| 7 | GB06 (Suspended Tuft), GB07 (Temporal Hairline Curve), GV20 (100 Convergences), XH01A (Four Spirit Brightness), XH01B (Four Spirit Brightness), XH01C (Four Spirit Brightness), XH01D (Four Spirit Brightness) | – | – | Liu Xiafei, Bao Chunling, Dong Guirong. Using acupoint-to-acupoint penetrative needling to treat poststroke spastic paralysis: a clinical progress review. Journal of Traditional Chinese Medicine 2014 October 15; 34(5): 609-615. | text | Point selection recorded in a clinical text or case report. |

## Point locations

| Point | Name | Meridian | Location |
|---|---|---|---|
| GB20 | Wind Pool | Gallbladder Meridian | In the depression the between upper portion of the scm and trapezius on the same level with GV16. |
| GV20 | 100 Convergences | Governing Vessel | 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. |
| XH03 | Hall Of Impression Or Seal Hall | Extra Points: Head | At the glabella, at the midpoint between the medial extremities of the eyebrows. |
| MS06 | Anterior Oblique Line of Vertex-Temporal | Scalp Lines | From Qianshencong (1 cun anterior to GV20) obliquely to GB06 Xuanli, crossing the bladder and gallbladder meridians. |
| LU05 | Cubit Marsh | Lung Meridian | On the cubital crease in the depression of the radial side of the biceps brachii tendon; point is located with elbow slightly flexed. |
| HT01 | Highest Spring | Heart Meridian | When upper arm is abducted point is in the center of the axilla on the medial side of the axillary artery. |
| GV26 | Philtrum | Governing Vessel | At the junction of the upper ⅓ and middle ⅓ of the philtrum. |
| LI15 | Shoulder And Clavicle | Large Intestine Meridian | 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. |
| SI09 | True Shoulder | Small Intestine Meridian | Posterior and inferior to the shoulder joint; when arm is adducted point is 1 thumb width above the posterior end of the axillary fold. |
| SI11 | Heavenly Gathering | Small Intestine Meridian | On the scapula in the depression of the center of the subscapular fossa and at the level of the 4th thoracic vertebra. |
| SI13 | Crooked Wall | Small Intestine Meridian | On the medial extremity of the suprascapular fossa about midway between SI10 and spinous process of the 2nd thoracic vertebra. |
| GV14 | Great Vertebra | Governing Vessel | Below spinous process of the 7th cervical vertebra approximately at the level of the shoulders. |
| XB02T1 | Hua Tuo's Para-Vertebral Point - T1 | Extra Points: Back | 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. |
| XB02T2 | Hua Tuo's Para-Vertebral Point - T2 | Extra Points: Back | 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. |
| XB02T3 | Hua Tuo's Para-Vertebral Point - T3 | Extra Points: Back | 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. |
| XB02T4 | Hua Tuo's Para-Vertebral Point - T4 | Extra Points: Back | 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. |
| XB02T5 | Hua Tuo's Para-Vertebral Point - T5 | Extra Points: Back | 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. |
| XB02T6 | Hua Tuo's Para-Vertebral Point - T6 | Extra Points: Back | 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. |
| XB02T7 | Hua Tuo's Para-Vertebral Point - T7 | Extra Points: Back | 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. |
| XB02T8 | Hua Tuo's Para-Vertebral Point - T8 | Extra Points: Back | 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. |
| LI04 | Junction Valley | Large Intestine Meridian | On the dorsum of the hand between 1st & 2nd metacarpal bones approximately in the middle of the 2nd metacarpal bone on the radial side. |
| LI11 | Pond At The Bend | Large Intestine Meridian | 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. |
| SP06 | Three Yin Intersection | Spleen Meridian | 3 thumb widths directly above the tip of the medial malleolus posterior to the medial border of the tibia. |
| SP09 | Yin Mound Spring | Spleen Meridian | On the lower border of the medial condyle of the tibia in the depression the posterior and inferior to the medial condyle of the tibia. |
| HT03 | Lesser Sea | Heart Meridian | With elbow flexed, at the midpoint of the line connecting medial end of the cubital crease and medial epicondyle of the humerus. |
| BL60 | Kunlun (Mountains) | Bladder Meridian | In the depression the between tip of the external malleolus and achilles tendon. |
| KD01 | Bubbling Spring | Kidney Meridian | 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. |
| KD03 | Great Stream | Kidney Meridian | In the depression the between tip of the medial malleolus and achilles tendon. |
| PC06 | Inner Gate | Pericardium Meridian | 2 thumb widths above the transverse crease of the wrist between tendons of the palmaris longus and flexor carpi radialis. |
| PC07 | Great Mound | Pericardium Meridian | In the middle of the transverse crease of the wrist between tendons of the palmaris longus and flexor carpi radialis. |
| PC08 | Palace Of Toil | Pericardium Meridian | At the center of the palm between 2nd and 3rd metacarpal bones but closer to the latter and in the part touching tip of the middle finger when fist is made. |
| TB04 | Yang Pool | Triple Burner Meridian | On the transverse crease of the dorsum of the wrist in the depression the lateral to the tendon of the extensor digitorum communis. |
| TB05 | Outer Gate | Triple Burner Meridian | 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. |
| GB30 | Jumping Circle | Gallbladder Meridian | 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. |
| GB31 | Wind Market | Gallbladder Meridian | 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. |
| GB33 | Yang Knee Gate | Gallbladder Meridian | 3 thumb widths above the GB34 lateral to the knee joint in the depression above the external epicondyle of the femur. |
| GB34 | Yang Mound Spring | Gallbladder Meridian | In the depression the anterior and inferior to the head of the fibula. |
| GB39 | Suspended Bell | Gallbladder Meridian | 3 thumb widths above the tip of the external malleolus on the anterior border of the fibula. |
| LV03 | Great Surge | Liver Meridian | On the dorsum of the foot in the depression the distal to the junction of the 1st and 2nd metatarsal bones. |
| LV08 | Spring At The Bend | Liver Meridian | When knee is flexed point is at the medial end of the transverse popliteal crease posterior to the medial epicondyle of the tibia in the depression of the anterior border of the insertions of the semimembranosus and semitendinosus. |
| LI14 | Upper Arm Prominence | Large Intestine Meridian | On the lateral side of the upper arm on the line connecting LI11 and LI15, 7 thumb widths above the LI11 at the insertion of the deltoid muscle. |
| ST31 | Thigh Gate | Stomach Meridian | 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. |
| ST32 | Crouching Rabbit | Stomach Meridian | On the line connecting asis and lateral border of the patella 6 thumb widths above the laterosuperior border of the patella. |
| ST34 | Ridge Mound | Stomach Meridian | When knee is flexed point is 2 thumb widths above the laterosuperior border of the patella. |
| SP10 | Sea Of Blood | Spleen Meridian | 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. |
| SI03 | Back Stream | Small Intestine Meridian | When loose fist is made point is on the ulnar end of the distal palmar crease proximal to the 5th metacarpophalangeal joint at the end of the transverse crease and junction of the red and white skin. |
| BL54 | Lowermost In Order | Bladder Meridian | On the level of the 4th posterior sacral foramen 3 thumb widths lateral to the median sacral crest. |
| BL36 | Support | Bladder Meridian | On the posterior side of the thigh at the midpoint of the inferior gluteal crease. |
| BL62 | Extending Vessel | Bladder Meridian | In the depression the directly below external malleolus. |
| KD06 | Shining Sea | Kidney Meridian | In the depression the below tip of the medial malleolus. |
| TB10 | Heavenly Well | Triple Burner Meridian | When elbow is flexed point is in the depression the about 1 thumb width superior to the olecranon. |
| GB06 | Suspended Tuft | Gallbladder Meridian | Within the hairline at the junction of the lower ¼ and upper ¾ of the distance between ST08 and GB07. |
| GB07 | Temporal Hairline Curve | Gallbladder Meridian | On the head at the crossing point of the vertical posterior border of the temple and horizontal line through ear apex. |
| XH01A | Four Spirit Brightness | Extra Points: Head | Four points at the vertex of the scalp, grouped around baihui du-20 & located 1 thumb width anterior, posterior & lateral to the it. |
| XH01B | Four Spirit Brightness | Extra Points: Head | Four points at the vertex of the scalp, grouped around baihui du-20 & located 1 thumb width anterior, posterior & lateral to the it. |
| XH01C | Four Spirit Brightness | Extra Points: Head | Four points at the vertex of the scalp, grouped around baihui du-20 & located 1 thumb width anterior, posterior & lateral to the it. |
| XH01D | Four Spirit Brightness | Extra Points: Head | Four points at the vertex of the scalp, grouped around baihui du-20 & located 1 thumb width anterior, posterior & lateral to the it. |

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AcuiQ-authored prose (symptom and meridian descriptions, the wiki, the auricular crosswalk) is licensed CC-BY-4.0: https://creativecommons.org/licenses/by/4.0/. The assembled protocol compilation is not: build on it with attribution, but do not redistribute it whole as a dataset – https://acuiq.com/terms. The underlying findings are the cited sources' claims – each entry carries its citation; verify against the source before relying on it. Not medical advice: https://acuiq.com/terms