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: 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 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: 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 chest directly below nipple, on the lower border of the breast, in the 5th intercostal space 4 thumb widths lateral to the anterior midline.
⚠️ Cautions: Caution in lactating women; avoid direct needling in breast tissue.
🎯 Location: 3 thumb widths lateral to the GV09 at the level of the lower border of the spinous process of the 7th thoracic vertebra approximately at the level of the inferior angle of the scapula.
⚠️ Cautions: Avoid deep perpendicular needling due to risk of pneumothorax.
🎯 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 anterior midline 6 thumb widths above the umbilicus.
⚠️ Cautions: Needle obliquely downwards and shallowly – deep or upward needling risks the heart and liver. New, worsening or unstable cardiac symptoms need medical assessment before treatment.
🎯 Location: 3 thumb widths proximal to the medial superior border of the patella, in the a tender depression on the bulge of the vastus medialis muscle, 1 thumb width proximal to the xuehai sp-10.
