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: When palm faces upward point is on the radial side of the tendon of the flexor carpi ulnaris, 1 thumb width above the transverse crease of the wrist.
🎯 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 lateral to the du mai at the level of the lower border of the spinous process of the 4th thoracic vertebra on the spinal border of the scapula.
⚠️ Cautions: Avoid deep perpendicular needling due to risk of pneumothorax.
🎯 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: 1 thumb width directly above the midpoint of the posterior hairline directly below external occipital protuberance in the depression the between trapezius of the both sides.
⚠️ Cautions: Caution; proximity to foramen magnum.
🎯 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.
🎯 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.
