Acupuncture Points for Total Knee Replacement

5 sourced protocols, each with its citation.

Each card names its evidence kind. What these labels mean

Protocol (6 points)

100%

LI04 · ST36 · SP09 · KD03 · GB34 · LV03

LI04Junction Valley

LI04 acupoint
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🗺️ Meridian: Large Intestine Meridian

🇨🇳 Chinese: 合谷 (hé gǔ)

🎯 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.

🛡️ Treats: Fever, Tinnitus, Release Exterior, Absent Periods, Wind

ST36Leg Three Miles

ST36 acupoint
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🗺️ Meridian: Stomach Meridian

🇨🇳 Chinese: 足三里 (zú sān lǐ)

🎯 Location: 3 thumb widths below ST35, 1 finger breadth (middle finger) from anterior border of the tibia.

⚠️ Cautions: Caution in cases of severe varicose veins.

🛡️ Treats: Cough, Fever, Poor Appetite, Diarrhea, Shortness of Breath

SP09Yin Mound Spring

SP09 acupoint
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🗺️ Meridian: Spleen Meridian

🇨🇳 Chinese: 陰陵泉 (yīn líng quán)

🎯 Location: 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.

⚠️ Cautions: Avoid in cases of knee inflammation.

🛡️ Treats: Heat Chest, Fever, Diarrhea, Shortness of Breath, Jaundice

KD03Great Stream

KD03 acupoint
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🗺️ Meridian: Kidney Meridian

🇨🇳 Chinese: 太谿 (tài xī)

🎯 Location: In the depression the between tip of the medial malleolus and achilles tendon.

⚠️ Cautions: No specific contraindications.

🛡️ Treats: Cough, Chest Pain, Shortness of Breath, Heat Deficiency, Asthma

GB34Yang Mound Spring

GB34 acupoint
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🗺️ Meridian: Gallbladder Meridian

🇨🇳 Chinese: 陽陵泉 (yáng líng quán)

🎯 Location: In the depression the anterior and inferior to the head of the fibula.

⚠️ Cautions: No specific contraindications.

🛡️ Treats: Fever, Knee Pain, Jaundice, Constipation, Vomiting

LV03Great Surge

LV03 acupoint
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🗺️ Meridian: Liver Meridian

🇨🇳 Chinese: 太衝 (tài chōng)

🎯 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.

🛡️ Treats: Cough, Diarrhea, Anxiety, Shortness of Breath, Sweating

Study-reported

Electroacupuncture · 7 sessions over 7 days

Did better than usual care

Point selection reported in a published study.

doi:10.13703/j.0255-2930.20230418-0003 ↗
Corroborated by a second study. KD03, LV03 also appear in another study-reported protocol for the same search. A second publication is not necessarily a second research group. doi:10.13702/j.1000-0607.20250678 ↗

Protocol (9 points)

71%

LU05 · LI10 · LI11 · SP06 · SI03 · BL60 · BL62 · KD03 · LV03

LU05Cubit Marsh

LU05 acupoint
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🗺️ Meridian: Lung Meridian

🇨🇳 Chinese: 尺澤 (chǐ zé)

🎯 Location: On the cubital crease in the depression of the radial side of the biceps brachii tendon; point is located with elbow slightly flexed.

⚠️ Cautions: Avoid in cases of severe vascular disease; caution with depth at cubital fossa.

🛡️ Treats: Cough, Diarrhea, Shortness of Breath, Asthma, Knee Pain

LI10Arm Three Miles

LI10 acupoint
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🗺️ Meridian: Large Intestine Meridian

🇨🇳 Chinese: 手三里 (shǒu sān lǐ)

🎯 Location: On the line joining LI05 and LI11, 2 thumb widths below cubital crease.

⚠️ Cautions: Avoid in cases of local inflammation or injury.

🛡️ Treats: Diarrhea, Vomiting, Abdominal Pain, Pain, Facial Droop

LI11Pond At The Bend

LI11 acupoint
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🗺️ Meridian: Large Intestine Meridian

🇨🇳 Chinese: 曲池 (qū chí)

🎯 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.

🛡️ Treats: Diarrhea, Dizziness, Heat, Vomiting, Abdominal Bloating

SP06Three Yin Intersection

SP06 acupoint
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🗺️ Meridian: Spleen Meridian

🇨🇳 Chinese: 三陰交 (sān yīn jiāo)

🎯 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.

🛡️ Treats: Diarrhea, Dizziness, Tinnitus, Palpitations, Abdominal Bloating

SI03Back Stream

SI03 acupoint
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🗺️ Meridian: Small Intestine Meridian

🇨🇳 Chinese: 後谿 (hòu xī)

🎯 Location: 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.

⚠️ Cautions: No specific contraindications.

🛡️ Treats: Fever, Knee Pain, Tinnitus, Jaundice, Common Cold

BL60Kunlun (Mountains)

BL60 acupoint
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🗺️ Meridian: Bladder Meridian

🇨🇳 Chinese: 崑崙 (kūn lún)

🎯 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.

🛡️ Treats: Cough, Shortness of Breath, Heat, Chest Fullness, Abdominal Pain

BL62Extending Vessel

BL62 acupoint
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🗺️ Meridian: Bladder Meridian

🇨🇳 Chinese: 申脈 (shēn mài)

🎯 Location: In the depression the directly below external malleolus.

⚠️ Cautions: No specific contraindications.

🛡️ Treats: Fever, Sweating, Dizziness, Tinnitus, Palpitations

KD03Great Stream

KD03 acupoint
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🗺️ Meridian: Kidney Meridian

🇨🇳 Chinese: 太谿 (tài xī)

🎯 Location: In the depression the between tip of the medial malleolus and achilles tendon.

⚠️ Cautions: No specific contraindications.

🛡️ Treats: Cough, Chest Pain, Shortness of Breath, Heat Deficiency, Asthma

LV03Great Surge

LV03 acupoint
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🗺️ Meridian: Liver Meridian

🇨🇳 Chinese: 太衝 (tài chōng)

🎯 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.

🛡️ Treats: Cough, Diarrhea, Anxiety, Shortness of Breath, Sweating

Study-reported

Needling · 7 sessions over 7 days

Point selection reported in a published study.

doi:10.13702/j.1000-0607.20250678 ↗
Corroborated by a second study. LU05, LI10, LI11, SP06, SI03, BL60, BL62, KD03, LV03 also appear in another study-reported protocol for the same search. A second publication is not necessarily a second research group. doi:10.13703/j.0255-2930.2018.03.006 ↗
Press Needles
63 needles for this course · 1 box, $19.99

Protocol (4 points)

71%

LI04 · ST36 · SP06 · PC06

LI04Junction Valley

LI04 acupoint
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🗺️ Meridian: Large Intestine Meridian

🇨🇳 Chinese: 合谷 (hé gǔ)

🎯 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.

🛡️ Treats: Fever, Tinnitus, Release Exterior, Absent Periods, Wind

ST36Leg Three Miles

ST36 acupoint
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🗺️ Meridian: Stomach Meridian

🇨🇳 Chinese: 足三里 (zú sān lǐ)

🎯 Location: 3 thumb widths below ST35, 1 finger breadth (middle finger) from anterior border of the tibia.

⚠️ Cautions: Caution in cases of severe varicose veins.

🛡️ Treats: Cough, Fever, Poor Appetite, Diarrhea, Shortness of Breath

SP06Three Yin Intersection

SP06 acupoint
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🗺️ Meridian: Spleen Meridian

🇨🇳 Chinese: 三陰交 (sān yīn jiāo)

🎯 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.

🛡️ Treats: Diarrhea, Dizziness, Tinnitus, Palpitations, Abdominal Bloating

PC06Inner Gate

PC06 acupoint
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🗺️ Meridian: Pericardium Meridian

🇨🇳 Chinese: 內關 (nèi guān)

🎯 Location: 2 thumb widths above the transverse crease of the wrist between tendons of the palmaris longus and flexor carpi radialis.

⚠️ Cautions: Caution in severe deficiency conditions.

🛡️ Treats: Fever, Diarrhea, Anxiety, Dizziness, Spleen Qi Deficiency

Study-reported

Electrical stimulation on the skin · 1 session

Point selection reported in a published study.

doi:10.12200/j.issn.1003-0034.20221026 ↗
Corroborated by a second study. LI04, ST36 also appear in another study-reported protocol for the same search. A second publication is not necessarily a second research group. doi:10.13703/j.0255-2930.20230418-0003 ↗

Protocol (9 points)

71%

LU05 · LI10 · LI11 · SP06 · SI03 · BL60 · BL62 · KD03 · LV03

LU05Cubit Marsh

LU05 acupoint
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🗺️ Meridian: Lung Meridian

🇨🇳 Chinese: 尺澤 (chǐ zé)

🎯 Location: On the cubital crease in the depression of the radial side of the biceps brachii tendon; point is located with elbow slightly flexed.

⚠️ Cautions: Avoid in cases of severe vascular disease; caution with depth at cubital fossa.

🛡️ Treats: Cough, Diarrhea, Shortness of Breath, Asthma, Knee Pain

LI10Arm Three Miles

LI10 acupoint
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🗺️ Meridian: Large Intestine Meridian

🇨🇳 Chinese: 手三里 (shǒu sān lǐ)

🎯 Location: On the line joining LI05 and LI11, 2 thumb widths below cubital crease.

⚠️ Cautions: Avoid in cases of local inflammation or injury.

🛡️ Treats: Diarrhea, Vomiting, Abdominal Pain, Pain, Facial Droop

LI11Pond At The Bend

LI11 acupoint
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🗺️ Meridian: Large Intestine Meridian

🇨🇳 Chinese: 曲池 (qū chí)

🎯 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.

🛡️ Treats: Diarrhea, Dizziness, Heat, Vomiting, Abdominal Bloating

SP06Three Yin Intersection

SP06 acupoint
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🗺️ Meridian: Spleen Meridian

🇨🇳 Chinese: 三陰交 (sān yīn jiāo)

🎯 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.

🛡️ Treats: Diarrhea, Dizziness, Tinnitus, Palpitations, Abdominal Bloating

SI03Back Stream

SI03 acupoint
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🗺️ Meridian: Small Intestine Meridian

🇨🇳 Chinese: 後谿 (hòu xī)

🎯 Location: 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.

⚠️ Cautions: No specific contraindications.

🛡️ Treats: Fever, Knee Pain, Tinnitus, Jaundice, Common Cold

BL60Kunlun (Mountains)

BL60 acupoint
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🗺️ Meridian: Bladder Meridian

🇨🇳 Chinese: 崑崙 (kūn lún)

🎯 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.

🛡️ Treats: Cough, Shortness of Breath, Heat, Chest Fullness, Abdominal Pain

BL62Extending Vessel

BL62 acupoint
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🗺️ Meridian: Bladder Meridian

🇨🇳 Chinese: 申脈 (shēn mài)

🎯 Location: In the depression the directly below external malleolus.

⚠️ Cautions: No specific contraindications.

🛡️ Treats: Fever, Sweating, Dizziness, Tinnitus, Palpitations

KD03Great Stream

KD03 acupoint
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🗺️ Meridian: Kidney Meridian

🇨🇳 Chinese: 太谿 (tài xī)

🎯 Location: In the depression the between tip of the medial malleolus and achilles tendon.

⚠️ Cautions: No specific contraindications.

🛡️ Treats: Cough, Chest Pain, Shortness of Breath, Heat Deficiency, Asthma

LV03Great Surge

LV03 acupoint
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🗺️ Meridian: Liver Meridian

🇨🇳 Chinese: 太衝 (tài chōng)

🎯 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.

🛡️ Treats: Cough, Diarrhea, Anxiety, Shortness of Breath, Sweating

Study-reported

Needling · 14 sessions over 2 weeks

Did better than usual care

Point selection reported in a published study.

doi:10.13703/j.0255-2930.2018.03.006 ↗
Corroborated by a second study. LU05, LI10, LI11, SP06, SI03, BL60, BL62, KD03, LV03 also appear in another study-reported protocol for the same search. A second publication is not necessarily a second research group. doi:10.13702/j.1000-0607.20250678 ↗
Press Needles
126 needles for this course · 2 boxes, $39.98

Protocol (2 points)

71%

ST34 · ST36

ST34Ridge Mound

ST34 acupoint
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🗺️ Meridian: Stomach Meridian

🇨🇳 Chinese: 梁丘 (liáng qiū)

🎯 Location: When knee is flexed point is 2 thumb widths above the laterosuperior border of the patella.

⚠️ Cautions: Caution with depth.

🛡️ Treats: Knee Pain, Wind, Numbness, Leg Pain, Pain

ST36Leg Three Miles

ST36 acupoint
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🗺️ Meridian: Stomach Meridian

🇨🇳 Chinese: 足三里 (zú sān lǐ)

🎯 Location: 3 thumb widths below ST35, 1 finger breadth (middle finger) from anterior border of the tibia.

⚠️ Cautions: Caution in cases of severe varicose veins.

🛡️ Treats: Cough, Fever, Poor Appetite, Diarrhea, Shortness of Breath

Study-reported

Moxibustion · 28 sessions over 2 weeks

Did better than usual care

Point selection reported in a published study.

doi:10.13703/j.0255-2930.2019.03.014 ↗
Corroborated by a second study. ST36 also appears in another study-reported protocol for the same search. A second publication is not necessarily a second research group. doi:10.13703/j.0255-2930.20230418-0003 ↗
AcuiQ Self-Treatment Guide
Acupressure you can do at home, every protocol traced to a trial. – $12.99, free updates for life

Points cited for Total Knee Replacement

How often each point appears across the 5 entries ranked highest for Total Knee Replacement. Citation frequency, not a recommendation.

  • KD03Great StreamKidney Meridian3 of 5
  • LV03Great SurgeLiver Meridian3 of 5
  • SP06Three Yin IntersectionSpleen Meridian3 of 5
  • ST36Leg Three MilesStomach Meridian3 of 5
  • BL60Kunlun (Mountains)Bladder Meridian2 of 5
  • BL62Extending VesselBladder Meridian2 of 5
  • LI04Junction ValleyLarge Intestine Meridian2 of 5
  • LI10Arm Three MilesLarge Intestine Meridian2 of 5
  • LI11Pond At The BendLarge Intestine Meridian2 of 5
  • LU05Cubit MarshLung Meridian2 of 5
  • SI03Back StreamSmall Intestine Meridian2 of 5
  • GB34Yang Mound SpringGallbladder Meridian1 of 5

How the studies delivered it

What the 5 studies behind the entries above ran, counted once per study. A record of the trials, not a recommendation.

  • Needling2 of 5
  • Electroacupuncture1 of 5
  • Electrical stimulation on the skin1 of 5
  • Moxibustion1 of 5

Sessions: the 5 studies that gave a count ran a median of 7 (middle half 7 to 14).

Course: the 5 studies that gave a length ran a median of 7 days (middle half 7 days to 2 weeks).

After a treatment: what large safety surveys recorded, and which reactions need a doctor.

Disclaimer: The acupoint information provided is for educational purposes only.