🎯 Location: At the area where Helix Crus disappears.
⚠️ Cautions: Adjunctive only – haematemesis, melaena or unremitting epigastric pain needs urgent medical assessment. Strict asepsis: perichondritis of the auricular cartilage is the significant risk with ear needling.
🎯 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: 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.
🎯 Location: Proximal to the web margin the between 2nd and 3rd toes in the depression the distal and lateral to the 2nd metatarsodigital joint.
⚠️ 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: In the depression the between tip of the external malleolus and achilles tendon.
⚠️ 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: In the depression the anterior to the supratragic notch and behind posterior border of the condyloid process of the mandible; point is located with mouth open.
🎯 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 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.
