Every protocol below comes from a clinical text or a website. Nothing here has a published trial behind it, so no two independent sources have been shown to agree. How often that happens
🎯 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: 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: In the superior lateral part of the anterior thoracic wall superior to the coracoid process of the scapula in the depression of the infraclavicular fossa 6 thumb widths lateral to the anterior midline.
⚠️ Cautions: Avoid deep needling due to proximity to lungs and blood vessels; contraindicated in hemoptysis.
🎯 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: 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 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.
