Points - Comprehensive

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Point Locations III

Comprehensive Point Location
Date:
Lung Channel of the Hand Taiyin

Pt
Category
Loc
LU 1 Front Mu of Lung Level with 1st intercostal space 6 cun
Mtg pt of LU/SP
lateral to midline, 1 cun inferior to LU 2
Methods to locate:
1. Find 1st intercostal space.
Find midline, measure 6 cun
lateral.
2. Have pt raise arm straight out and
parallel to ground.
Find hollow of delta/pec triangle.
Measure down 1 cun.
LU 2
1 cun superior and slightly medial to LU 1

in hollow of delta-pectoral triangle.
Can palpate when pt raises arm straight
out and parallel to the ground.
LU 3
Window of Sky
3 cun below tip of axillary fold, 6 cun

superior to cubital crease on upper arm,
groove between lateral border of biceps
brachii and shaft of humerus.
4/18/08
Needling
Transverse oblique, pointing
laterally.
0.8 cun.
Caution: possible
pneumothorax w/deep
perpendicular needle
Transverse oblique, pointing

laterally.
0.5 0.8 cun.
Caution: possible
pneumothorax w/deep
perpendicular needle
Perpendicular.
0.5 1 cun
Divide distance between axillary tip and

cubital crease into 1/3s for most accurate
location.
LU 4
4 cun inferior to tip of axillary fold, 5 cun

superior to LU 5 at cubital crease. In
groove between lateral border of biceps
brachii and shaft of humerus.
Perpendicular
0.5 1 cun
Divide distance between axillary tip and

cubital crease into 1/3s for most accurate
measure.
LU 5
He Sea
(water)
On cubital crease of elbow in the

depression to the radial side of the tendon
of the biceps brachii.
Slightly flex elbow to locate.
Cats Notes
Point Location III Comprehensive from Class I - III
Page 1
Perpendicular
0.8 1.2 cun
Pt
LU 6
Category
Xi Cleft
Loc
On the flexor aspect of the forearm 5 cun
distal to LU 5, 7 cun prox to LU 9.
Inline between LU 5 LU 9.
Needling
Perpendicular
0.5 1 cun
Divide distance between LU 5 and LU 9

in half and go 1 cun proximal from here
for best measure. Should be a palpable
depression here.
LU 7
Luo Cnx
Confluent of Ren
Cmd head/nape
Radial aspect of forearm ~ 1.5 cun prox to

LI 5 between tendons of brachioradialis
and abductor pollicus longus.
Pinch to insert either with or

against the channel.
Transverse - 1 cun
Slide fingertip from LI 5 proximal over

radius bump here and into the cleft
between the tendons.
Convenient, but not so accurate: hook your
opposite hand thumb into your patients with your
thumb in their palm. Your fingertip should fall
onto the point.
LU 8
Jing River
(metal)
1 cun proximal to LU 9 in a line

connecting LU 5 and LU 9
Find the depression at the base of the
styloid process radius and the radial
artery. Point is between these 2.
LU 9
Shu Stream
Yuan Source
Hui of Vessels
(earth)
At wrist joint in depression between radial

artery and tendon of abductor pollicus
longus (thumb tendon) on border of
pisiform bone.
LU
10
Ying Spring
(fire)
Level with Heart (HE) 7 point.

On thenar emminence, midway down the
shaft of the 1st metacarpal (thumb).
LU
11
Jing Well
Ghost
(wood)
Locate the point on the border of the red

and white skin (or where skin changes
textures)
0.1 cun from radial corner of thumbnail
Note: there are several like this. To find, draw an
imaginary line along the bottom border of the nail
and another along the vertical border of the nail.
Intersection = 0.1 cun
Cats Notes
Page 2
Oblique (proximally)
Perpendicular
0.3 0.5 cun.
Caution: radial artery (take
about 5 min to stop bleeding
here.
Perpendicular
0.3 0.5 cun per Deadman
0.2 0.3 per CAMS
Perpendicular
0.5 1 cun
Best to use acupressure or for

bleeding techniques.
Perpendicular or
Oblique (proximal)
0.1 0.2 cun
Pt
Category
Loc
Cats Notes
Page 3
Needling
Or prick to bleed
Large Intestine of the Hand Yangming

Pt
LI 1
LI 2
LI 3
Category
Jing Well
(metal)
Ying Spring
(water)
Shu Stream
(wood)
Loc
0.1 cun from radial corner of index
fingernail.
Radial edge of 1st phalanx of index finger

just distal to the knuckle of the MCP joint
in a depression on the line where the skin
changes color/texture.
Needling
Perpendicular or obl
0.1 0.2 cun
Alternatively,
Prick to bleed.
Obl (prox or dist), 0.2 0.3
cun
-or-
Find/needle with hand in a loose fist.
Perp-obl toward palm, cun.
Radial edge of MC 2, just proximal to the

MCP joint in a depression on the line
where the skin changes color/texture.
Perpendicular - 0.8 cun
Find/needle with hand in a loose fist.

LI 4
Yuan Source pt of
LI
Command pt
face/mouth
Mid point of the 2nd MC bone, inbetween

the 1st and 2nd MC, but slightly closer to
the 2nd MC.
Perpendicular - 1 cun
Contra: preggers. Induces
labor.
LI 4 + LV 3 = 4
gates
LI 5
Jing River
(fire)
In the anatomical snuffbox. Stretch the

palm flat and stretch the thumb as far
toward the back of the hand as possible.
Feel the depression between the base of
the thumb and the wrist.
Perpendicular - 0.8 cun

Dont needle too proximally!
Feel for the hollow.
Caution: avoid cephalic vein.
LI 6
Luo Connecting
One quarter of the distance from LI 5-11

(3 cun proximal to LI 5) and inline
between them.
LI 7
Xi Cleft
5 cun proximal to LI 5, inline between

LI 5-11.
For most accurate location, use a measure

to find distance between LI 5-11.
Locate point 1 cun distal to here.
Cats Notes
Page 4
Pt
LI 8
Category
Note: LI 8-10 are

all 1 cun apart!!!
LI 9
LI 10
He Sea
Ghost
(earth)
Use a measure to find the mark between

the two points.
2 cun distal to LI 11, inline between LI 5
and LI 11.
Note: LI 8-10 are

all 1 cun apart!!!
Needling
Use a measure to find the mark between

the two points, go 1 cun distal to this.
and LI 11.
Note: LI 8-10 are

all 1 cun apart!!!
LI 11
Loc
and LI 11.
Either find LI 11 and LI 8 and divide

distance in or find LI 9 and go proximal
by 1 cun.
At the lateral end of the cubital crease.
Perpendicular 1 1 cun
With elbow fully flexed:

Find the lateral tip of the crease.
With the elbow only partially flexed:
Locate LU 5 and prominence of lateral
epicondyle of the humerus. Point is
distance between these 2 points.
LI 12
Flex the elbow to 90 . Palpate the lateral

epicondyle of the humerus and the
humeral shaft. Run finger down the
humeral shaft until you feel the curve
begin. Locate LI 12 here.
LI 13
3 cun proximal to LI 11 (6 cun distal to tip Perpendicular - 1 cun

of axillary crease), inline between LI 11
and LI 15.
Measure proportionally or use hand cun.
LI 14
Lateral side of the upper arm in a

depression formed by the distal insertion
of the deltoid muscle. Tense muscle to see
more easily. Inline between LI 11 and 15.
Cats Notes
Page 5
Obl 1 1 cun
Pt
LI 15
Category
Loc
Depression anterior/inferior to the
acromion at the origin of the deltoid.
Needling
Trans-obl, 0.8 1 cun
Hold the arm out in airplane to see the

depression more easily. Change your
angle of vision to see it if necessary
LI 16
Upper aspect of the shoulder in a

depression medial to the acromion
process. Between the lateral extremity of
the clavicle and the scapular spine.
LI 17
LI 18
1 cun inferior to LI 18 on the posterior

border of SCM.
Window of Sky
Between sternal and clavicular heads of

SCM, level with the laryngeal
prominence.
Turn pts head, hold your hand on their
chin and have them resist slightly to make
the muscle more visible.
LI 19
On the face, cun lateral to the midline

of the philtrum, level with the border
between the upper 1/3 and lower 2/3 of
the philtrum.
Perp, - 1 cun.
Caution: risk of pnths with
deep perpendicular or medial
insert.
Perpendicular
0.3 0.5 cun
Perp, 0.3 cun
Caution: carotid a. and jugular
v. are both deep to here.
Carotid artery is under very
high pressure here. Hard to
stop bleeding, will bruise.
Perpendicular or obl-trans up
to 1 cun.
Contra: moxa per ancient txts.
NOTE: LI channel crosses the midline of

the body, so for the left side points 1-18,
LI 19 would be on the right side!
LI 20
In naso-labial groove level with the

midpoint of the lateral edge of the ala nasi
(wing of the nostril).
Trans, directed mediosuperiorly, 0.3 cun

Contra: moxa.
Cats Notes
Page 6
Stomach Channel of the Foot Yangming

Pt
ST 1
Category
Loc
Locd mid between inner and outer
canthus between pupil of eyeball and
infraorbital ridge.
Method 1:
Have patient look straight ahead, go
down between infraorbital ridge and
eyeball
Method 2:
Find the midline between the inner and
outer canthus. Find infraorbital
ridge/eyeball space.
ST 2
Directly below midline of eye (below

pupils when looking straight ahead) in
the depression of the infraorbital foramen
on the infraorbital ridge.
Inline with ST 1 and ST 3
ST 3
Level with the lower wing of the ala nasi

on the lateral side of the naso-labial
groove.
Below ST 1-2 and often (though not
always) inline with them. Have patient
smile to find the groove if needed.
Cats Notes
Page 7
Needling
Have pt look upward w/eyes
closed. Use a dry cotton ball
to push eyeball upwards and
away from insertion point.
0.2 cun
Contra/Cautions about
needling near the eyeball:
Moxa contraindicd
(smoke and burns)
Use strict CNT practices
Communicate w/pt
Risk of hematoma use
short/thin needles
Dont manip/retain.
Press 1 min when w/draw,
have pt press addit 2-3
minutes.
Perpendicular (very
superficial), 0.2 0.4 cun
Contra/Cautions
Moxa is contraindicated
No lift/thrust
manipulation due to
possible damage to the
infraorbital nerve
Deep insertion could
injure eyeball (though
possibility is slim)
Perpendicular , 0.8 cun
Pt
ST 4
Category
ST 5
Dont get this too
high!
ST 6
Ghost point
(Sun Simiao)
Dont get this one
too high either.
Loc
0.4 cun lateral to the corner of the mouth.
Needling
Perpendicular, 0.2 0.3 cun
Generally in line with ST 1-3, but not

always. Should be in the naso-labial
groove.
Transverse/oblique toward
another feature (usually ST
6), 0.8 cun
cun above the lower border of the

mandible bone just anterior to the
masseter muscle attachment here.
Oblique, 0.3 cun

Caution: artery located here.
Clench teeth to find, relax to needle.

On the highest point (prominence) of the
masseter muscle, 1 fingers breadth
anterior/superior to the angle of the jaw
about 45 angle from the corner of the
jaw.

Transverse toward another
point.
Clench teeth to find, relax to needle.

ST 7
Located below the zygomatic arch,

usually just anterior to the auditory
opening of the ear.
Perpendicular and slightly

inferior, 1 cun
1. Find the depression just in front of

the ear in the zygomatic arch (ridge
of cheekbone as it approaches the ear.
2. Have pt open mouth, should feel a
bone pop into this depression.
ST 8
Corner of the forehead, 4.5 cun lateral to

Du 24, 0.5 cun within anterior hairline.
Small depression here.
Method 1:
1. Find the corner of the hairline
2. Go back 0.5 cun within anterior hairline.
Method 2:
1. Double the distance from GB 15 to Du 24
2. Go lateral by this distance from Du 24.
Method 3:
1. 4.5 cun (5 fingers) from midline of hairline
(remember its 3 cun from Yintang up to
hairline)
2. 0.5 cun posterior into hairline.
Cats Notes
Page 8
Oblique or transverse
1 cun, into the 4th layer
of the scalp in loose cnx
tissue
Contraindication: Moxa.
Pt
ST 9
Category
Window of sky
Loc
On the neck level with the laryngeal
prominence (tip of Adams Apple) on the
anterior border of the SCM
(sternocleidomastoid muscle)
Have patient turn head to see this more
easily. If you still cant see it, put your
fingers against their chin and have them
resist against you.
ST 10
Find ST 11 first!!
ST 11
Contraindication: Moxa
contrad. Burns infect, carotid
artery moves it thru the body.
Caution: Carotid artery
located here. Palpate for it
then use the pressing method
to hold it aside when you
needle.
On neck, anterior border of the sternal

Perpendicular, 0.3 cun
head of the SCM, midway between ST 9
and ST 11but not inline with them. The Contraindication: Moxa
3 of them make a shallow triangle.
contrad. Burns infect, carotid
artery moves it thru the body.
Have patient turn their head to the side
while you apply resistance to the chin to
Caution: Carotid artery
make this area more prominent.
located here. Palpate for it
then use the pressing method
to hold it aside when you
needle.
At the root of neck in the depression
located just above the collar bone in the
triangle formed by the sternal and
clavicular heads of the SCM muscle.
Have pt turn their head to the side to see
this triangular depression.
ST 12
Needling
Perpendicular, 1 cun
Meeting pt of ST,
LI, SI, SJ, GB!!
Midpoint of the clavicle on the upper

border in the supraclavicular fossa.
Know this! Can

stim many areas
w/o adding more
points.
(Note: this is how you find the mamillary

line which you will need for stomach
points on the upper trunk)

Cautions:
Small artery here
Deep insertion = risk
of pneumothorax
Safest: Transverse
posterior toward trapezius
muscle, 1 cun
Not so safe: Perpendicular,
0.3 cun
Contraindicated = preggers!
Cats Notes
Page 9
Pt
ST 13
Category
Loc
On mamillary line. Directly below ST 12
just below the inferior border of the
clavicle.
Needling
Transverse, aiming toward
manifestation, 0.3 cun
Caution: Deep perpendicular
insert = risk of pneumothorax
and/or injury to subclavian
vessel.
ST 14
ST 15
Middle of the 1st intercostal space on the

mamillary line

Note that the intercostal spaces curve

upward as they go lateral

insert = risk of pneumothx.
Middle of the 2nd intercostal space on

mamillary line.

Middle of the 3rd intercostal space on the

mamillary line
ST 16

ST 17
Unique
Landmark point
only!
ST 18
Technically in the middle of the 4th

intercostal space, but always located in
the center of the nipple regardless of
where that falls.
Dont!!
Contraindicated for
everything this is a
landmark only.
Middle of the 5th intercostal space, on

mamillary line. Might need to push breast manifestation, 0.3 cun
up on women to find this intercostal.
Some books say is in 5th intercostal just
below nippleaint necessarily so.
Cats Notes
Page 10
Pt
NOTE
Category
Stomach 19-25
Loc
Stomach 19-25 are all upper abdominal
points. Lie on a different line than 13-18
located 2 cun from the midline.
To find 2 cun you can do any of these:
1. Measure with finger cun least
reliable.
2. Measure way between
mamillary line and the midline.
Probably the best.
3. On a muscular patient with 6pack abs look for the ridge.
ST 19
ST 20
Needling
Location for these points
works like this:
1. Find the center of the
umbilicus and the sternal
costal angle. Distance
between these = 8 cun.
2. Divide the distance in
half. 4 cun. This is ST 21.
3. Divide the upper half
again 2 cun. This is ST
19
4. Divide the lower half into
halves this is ST 23.
5. ST 25 is on either side of
the umbilicus.
Other points (even points) lie
exactly inbetween.
2 cun lateral to midline. Locate as

described above, locate ST 21 first, then
ST 19
See location notes above and locate

accordingly
Caution: Deep insertion may

injure heart (left), liver (right)
if either organ enlarged.
Caution: In thin subjects deep

needle can puncture
peritoneal cavity. Can
penetrate liver on right side if
enlarged.
ST 21

accordingly
needle can puncture
peritoneal cavity. Can
penetrate liver on right side if
enlarged.
ST 22

accordingly
needling can puncture
peritoneal cavity.
Cats Notes
Page 11
Pt
ST 23
Category
Loc
accordingly
Needling
peritoneal cavity.
ST 24

accordingly
peritoneal cavity.
ST 25
Front Mu point of 2 cun lateral to center of umbilicus

LI
Perpendicular, 1 1 cun
peritoneal cavity.
NOTE: ST 26 30
ST 26 30 are lower abdomen points.

Cun measures here are larger than the
thumb width, so use proportional
measures.
3. Find the location by

dividing the distance
a. Divide the
distance between
the umbilicus
1. Palpate for top margin of the pubic
mark and the top
bone. Be sure you communicate well
margin of the
with your patient, telling them what
pubic bone in half.
youre palpating for, what these
This is a reference
points will do for them, etc.
point
2. Find the center of the umbilicus
b. ST 27: Go cun
ST 26 through ST 30 are located 2
above the middle
cun lateral to this line on both sides of
mark in 3a.
the body.
c. ST 26: Go way
a. ST 29: Go way between ST
between ST 27
30 and ST 28.
and ST 25.
d. ST 28: Go cun
below the middle
mark in 3a.
e. ST 30: Top margin
of the pubic bone,
2 cun lateral from
the midline.
ST 26
See location notes above

Cats Notes
Page 12
Pt
Category
Loc
Needling
peritoneal cavity.
ST 27
peritoneal cavity.
ST 28
ST 29
ST 30
KNOW: Indicated for abdominal edema

peritoneal cavity.
KNOW: Indicated for irregular

menstruation

peritoneal cavity.
Level with superior border of pubic

symphysis, 2 cun off of midline
Perpendicular, - 1 cun
Contraindication: Moxa!
Caution: Deep insert superior
direction can = penetration
peritoneal cav or full bladder.
On men, can penetrate
spermatic cord.
ST 31
Located on upper thigh.To find:

1. Find ASIS and lower border of pubic
symphysis
2. Draw a line down from ASIS and
over from pubic symphysis.
Intersection is ST 31.
Perpendicular, 1-2 cun
ST 32
Locate 32-34 with knee flexed
Perpendicular, 1-2 cun
Cats Notes
Page 13
Pt
Category
1. Draw a line from ST 31 or from ASIS

lateral superior corner of patella.
2. Locate point 6 cun above superior
border of patella on this line.
ST 33
Easy to locate,
but often
mistaken on
exams
ST 34
Loc
Xi Cleft point of
ST
Needling
On same line as ST 31 and 32, 3 cun

above superior border of patella or 1 cun
above ST 34.
Three methods to locate this:

1. Three fingers to 2 cun measure
2. Best: Measure length of knee cap (2
cun) with fingers. Go up above
superior border this distance then
rotate fingers 45 degrees laterally.
3. Locate point in bulge of vastus
lateralis
ST 35
Locate with knee flexed

Level with lower border of patella and
lateral to the ligament, yet lower than
where the patella is.
Oblique towards middle/back

of popliteal crease (UB 40),
1 1 cun
Caution:
Insertion into joint capsule
This ligament looks like an oxs nose
carries risk of infection to
where youd put the ring through. Use the capsule.
top depression here, not the lower one.
Note: Extrapoint called Xiyan is in the
same place, but both lateral and medial,
so ST 35 overlaps.
ST 36
He Sea of ST
3 cun inferior to ST 35 and lateral to the

Cats Notes
Page 14
Perpendicular
Pt
Category
Lower HeSea of ST
Command pt
(abdomen)
(earth point)
Loc
crest of the tibia by 1 fingers breadth.
Use index or middle finger.
Needling
1 1 cun
3 ways to locate this:

1. Most reliable:
Three cun below ST 35. Use
proportional method or hand cun to
find.
2. Run finger up the lateral side of the
crest of the tibia until you hit the flare
level with the lower border of the
tuberosity of the tibia. Measure 1
finger width lateral to the crest of the
tibia.
Highlights to know
1. Makes sure ST 35 is
correct.
2. One fingerwidth lateral to
crest of tibia.
3. Know locating methods
3. Measure from ST 38 to the popliteal

crease and divide distance in half to
get 4 cun. Measure 1 cun proximal. 1
finger width lateral to the crest of the
tibia.
ST 37
Lower He Sea pt
of LI
Lower leg, 3 cun inferior to ST 36, 2 cun

above ST 38.
1. Find ST 38. (see below)

2. Divide the distance between ST
38 and the popliteal crease level
into and into again to get 2
cun above ST 38.
3. Use middle or index finger to
measure 1 finger breadth lateral to
anterior crest of tibia. This is ST
37.
ST 38
Half of the distance between the popliteal

crease and the prominence of the lateral
malleolus. 1 fingers width lateral to the
crest of the tibia.
Use a measuring tape or string to get this
distance.
ST 39
Lower He Sea pt
Located 1 cun below ST 38. See measure

Cats Notes
Page 15
You can also thread from here
to UB 57 (at the back of the
calf near the base of the calf
muscles)
Pt
Category
of SI
Loc
techniques for ST 38 above.
Needling
Be sure to go one fingers breadth lateral

to anterior crest of the tibia.
ST 40
Luo connecting
pt of ST
Level with ST 38. See location notes

above.
2 fingers breadth lateral to the anterior

crest of the tibia.
ST 41
Jing River point

of ST
Fire point of ST
On the ankle, level with the prominence

of the lateral malleolus.
1. Slightly dorsa-flex the foot to see
the depression here. There are 3
major tendons here: tibialis
anterior (most medial), extensor
hallicus longus (going to the big
toe), and extensor digitorum
longus (most lateral - goes to
remaining 4 toes).
2. Find the depression between
extensor hallicus longus and
digitorum longus at the bend of
the ankle. This is ST 41
ST 42
Yuan Source for

ST
Hard to find
ST 43
Shu Stream
(Wood pt)
Located on dorsum of foot in a

depression formed where the 2nd and 3rd
metatarsals meet the cuneiform bones.
1. Find the depression between the
2nd and 3rd metatarsals.
2. Slide your finger proximally and
find the end of the depression.
3. Keep going proximal and feel for
a depression on the other side of
the flare of the metatarsals.
Perpendicular , 1 cun
Caution: anterior tibial
vessels/nerve lie deep to this
point

Caution: dorsalis pedis artery
here. Feel for it, use pressing
technique to needle.
Located between 2nd and 3rd metatarsal

bones in a depression just proximal to the
knuckles of the toes below the flare of the
boens of the metatarsals.
Curl the toes to see the knuckles easily.
ST 44
Ying Spring
Located between 2nd and 3rd metatarsal

Cats Notes
Page 16
Pt
Category
(water point)
Loc
bones in the depression just distal to the
knuckles of the toes.
Needling
Curl the toes to see the knuckles easily.

ST 45
Jing Well
(metal point)
Located on the lateral bottom corner of

the 2nd toenail.

Alternatively, prick to bleed.
Cats Notes
Page 17
Spleen Channel of the Foot Taiyin

Pt
SP 1
Category
Jing Well
Ghost point
Loc
Medial/dorsal aspect of big toe 0.1 cun
from the corner of the nail.
Needling
Perp or oblique 0.1 cun
Moxa is appropriate as well.
Draw a line down the medial aspect of

the nail and another across the lower
border of the nail. The intersection is the
point.
SP 2
Ying Spring
Medial side of the big toe in a depression

distal/inferior to the first metatarsophalangeal joint, almost on the bottom of
the bone.
1. Curl the toes to see the knuckle,
uncurl to locate.
2. Slide fingertip distally over the side
of the ball of the foot to find the
depression.
3. On the border where skin changes
color/texture.
Perp 0.3 - cun
SP 3
Shu Stream
Yuan Source
Medial inferior side of the foot in the

depression proximal to the head of the
first metatarsal bone (almost under the
foot).
1. Find the ball of the foot by curling
the toes.
2. Slide your fingertip proximally over
the side of the ball of the foot to find
the depression.
3. Locate the point on the border where
skin changes color/texture.
Perp 1 cun
SP 4
Luo
Connecting
Confluent Pt
of the
Penetrating
Vessel
Medial side of foot in depression

distal/inferior to the base of the first
metatarsal.
Perp 1 cun
1. Palpate along the shaft under the foot

to feel. Beware of the deeper
depression and see if it goes all the
way up to the top of the footif so,
youre too proximal and youre on
the MT joint.
2. Locate the point on the border where
the skin changes texture/color
Cats Notes
Page 18
Pt
SP 5
Category
Jing River
Loc
Anterior and inferior to the medial
malleolus.
Needling
Perp 0.3 cun
1. Observe first look for the bulge and

the depression here.
2. Draw a line along the anterior border
of the prominence of the medial
malleolus and the inferior border of
the medial malleolus.
3. Locate the point on the intersection of
these lines in the depression that you
will find here.
SP 6
Meeting point of
the SP, LIV, and
KI channels
On medial aspect of lower leg just

posterior to the medial crest of the tibia,
3 cun superior to the prominence of the
medial malleolus.
Perp 1-1 cun

Contraindicated for preggers!
While proportional measure is more

accurate, its 15cun from medial mal to
the popliteal creaseif you can do 20%
of this, bully for you, if not, use hand cun
measure.
SP 7
On medial aspect of the lower leg, 6 cun

proximal to the tip of the medial
malleolus. Locate the point just posterior
to the medial crest of the tibia.
Perp 1-1 cun
Locate this point in relation to SP 6 1 hand-breadth superior to it.

SP 8
Xi Cleft of SP
channel
Medial leg 3 cun inferior to SP 9 in a

depression just posterior to the medial
crest of the tibia. Might be slightly more
anterior than SP 9 due to the curvature of
the bone.
To locate:
1. Locate SP 9 first, then distal by 1
handbreadth.
2. Alternately, divide 15cun between
pop crease and the medial mal into
1/3s and locate this point at the
border between the top 1/3 and
bottom 2/3s.
Cats Notes
Page 19
Perp 1-1 cun
Pt
SP 9
Category
He Sea Point of
SP
Loc
Medial side of lower leg in a depression
at the angle formed by the medial
condyle of the tibia and the posterior
border of the tibia.
Needling
Perp 1 1 cun
Run finger in the groove posterior to

tibias medial border until you find the
point where the bone curves back. Point
is located in the depression here. (FYI,
located at same level as GB 34)
SP 10
Two cun proximal to the superior border

of the patella on the medial side on the
bulge of the vastus medialis.
#1 point for
Bloodtonify
and move blood,
skin problems.
To treat wind,
treat the blood.
SP 11
Locate this point like ST 34 flex the

knee, then use the kneecap as a measure,
go above the superior border of the
patella this much, rotate medially by 45
degrees.
Medial side of thigh, 6 cun proximal to
SP 10 inline with SP 10 - SP 12.
To locate, find SP 10, go 6 cun proximal.
Alternately, find the way distance
between SP 12 and the popliteal crease.
SP 12
Perp 1 1 cun
Meeting point of 3.5 cun lateral to Ren 2 (top margin of

SP & LV with Yin the pubic symphysis level with ST 30,
Linking
but on the anterior midpoint) or 1.5 cun
lateral to ST 30 on the lateral side of the
femoral artery.
Not commonly
used
1. Locate upper border of pubic
Not strong
symphysis at the level of the anterior
function
midline of the body. Go lateral 3.5
cun from here.
2. Locate the pulse of the femoral artery
on this line.
3. Locate SP 12 immediately lateral in
the depression
Cats Notes
Page 20
Perp 1 cun
Caution: deep needling can
puncture the femoral artery
Perp 1 cun
Caution: deep needle
medially may puncture the
femoral artery while deep
needling laterally can
puncture the femoral nerve!
Pt
SP 13
Category
Meeting pt of SP
& LIV with Yin
Linking
Loc
Lower ab, .7 cun superior, cun lateral
to SP 12, 4 cun lateral to the midline of
the body.
To locate, find SP 12. Measure 1 cun
diagonally (lateral and superior). This
should be about right. Verify that you are
4 cun lateral to the midline (on the same
vertical level as the mamillary line)
SP 14
SP 15
SP 16
NOTE:
Needling
Perp 1-1 cun
Caution:
Possible peritoneal puncture
with deep needling in thin
patients.
(NOT part of
SP/LIV meeting
with Yin
Linkingwill be
on test!)
Lower ab, 1.3 cun inferior to SP 15,

4 cun from midline (on mamillary line).
Meeting pt of SP
& LIV with Yin
Linking
4 cun lateral to the center of the

umbilicus. (In the depression at the
lateral border of the rectus abdominis
muscle on the mamillary line)
Perp 1 cun
Meeting pt of SP
with Yin Linking
On ab 3 cun superior to SP 15 and 4 cun

lateral to the midline on lateral border of
rectus abdominis muscle, aka on the
mamillary line
Perp 1 cun
Shen says measure to 1.25 cun and that

should be fine.
SP 17 20 are 6 cun lateral to anterior

midline, inline with LU 1 and 2. Needle
all of them transverse with intercostal
spaces 0.8 cun deep. Guide needle
towards manifestations that need help.
To find the 6 cun mark from the midline
either
1. Find LU 1 - 2 and use this line
2. 8 fingers from anterior midline
3. Find mamillary line and go 2 cun
lateral.
Cats Notes
Page 21
Perp 1-1 cun

Caution:
Can punc peritoneal cav in
thin patients if deep needle.
Cautions:
1. Possible peritoneal cav
punc in thins.
2. Enlarged liver or spleen at
this level
Cautions:
1. Possible peritoneal cav
punc in thins.
2. Enlarged liver or spleen at
this level
Pt
SP 17
Category
Loc
Lateral side of chest, 5th intercostal space,
6 cun to midline. (5th intercostal is often
about the bra-line on women4th
intercostal is usually the nipple line on
dudes)
Needling
Trans-obl, 0.8 cun either
lateral or medial
Caution: perp insert = risk of
pneumothorax.
Lateral side of chest, 4th intercostal space, Trans-obl, 0.8 cun either
6 cun to midline.
lateral or medial
SP 18

pneumothorax.
Lateral side of chest, 3rd intercostal space, Trans-obl, 0.8 cun either
6 cun to midline.
lateral or medial
SP 19

pneumothorax.
Lateral side of chest, 2nd intercostal
space, 6 cun to midline.
SP 20
Trans-obl, 0.8 cun either

lateral or medial
pneumothorax.
SP 21
Great Luo
Connecting of the
Spleen
Located on the mid-axillary line (from

Trans-obl along intercostal
front edge of armpit crease to back edge), space 1 cun
level with the 6th or 7th intercostal space
pneumothorax.
Cats Notes
Page 22
Heart Channel of the Hand Shaoyin

Pt
HT 1
HT 2
Category
Loc
Depression at center of axilla.
Needling
Perpendicular 1 cun
To locate:
Method 1
Find deepest point of armpit
(hollow of axilla)
Method 2 (more accurate)
Find anterior and posterior ends of
the axillary fold.
Use a measure to get the distance
between the 2 and divide it in half.
Caution:
1. Avoid the axillary artery.
2. Pneumothorax with deep
medial insert.
3 cun proximal to the medial end of the

transverse cubital crease, in the groove
between the medial side of the biceps
brachii and the humeral shaft.
Perpendicular 1 cun
To locate:
Locate with elbow flexed
Find the medial end of the
transverse cubital crease.
Measure proximally 3 cun using
hand measure (or measuring tool,
dividing axillary crease end to med
cub crease end into 3rds).
Locate the point at this line in the
groove between the humeral shaft
and the medial border of the biceps
brachii.
Note: LU 3-4 and LI 13 are on the lateral
border of the biceps brachii. Also, this is
generally in line between HT 3 and HT 1,
but more important to locate the point in
the groove between humerus and biceps.
Cats Notes
Page 23
Great point for blurry vision

due to the cnx between heart
and eyes.
Pt
HT 3
Category
He Sea point
Loc
Medial end of the transverse cubital
crease when the elbow is fully flexed.
Needling
Perpendicular 1 cun
To locate:
Elbow slightly flexed:
Midway between end of cubital
crease and the bump of the humeral
epicondyle.
Elbow fully flexed:
Medial edge of the transverse
cubital crease.
HT 4
Jing River point
Radial side of the flexor carpi ulnaris, 1.5

cun proximal to HT 7.
Perpendicular 0.3 cun
To locate, first find HT 7, measure

proximally 1.5 cun.
Note: Ht 4-7 are all located inline. 1.5
cun total between Ht 4 and Ht 7.
HT 5
Luo Connecting
point
Radial side of the flexor carpi ulnaris, 1

To locate, find HT 7 first, measure

proximally by 1 cun.
HT 6
Xi Cleft point
Radial side of the flexor carpi ulnaris, 0.5

To locate, find HT 7 first, measure

proximally by 0.5 cun.
HT 7
Shu-Stream and
Yuan-Source
point
At the wrist joint on the transverse crease

that runs through the pisiform bone. On
the radial side of the flexor carpi ulnaris in
the depression at the proximal border of
the pisiform bone.
Cats Notes
Page 24

Caution:
Ulnar nerve and artery lie
adjacent to this point.
Pt
Category
Loc
HT 8
Ying Spring point
Between the 4th and 5th metacarpal bones

where the tip of the pinkie rests when you
make a fist.
Needling
Usually located between the two

transverse palmar creases.
HT 9
Jing-Well point
Dorsal aspect of pinkie on the radial

corner of the fingernail.
Cats Notes
Page 25
Perpendicular 0.1 0.2 cun
Small Intestine Channel of the Hand Taiyang

Pt
SI 1
Category
Jing-Well point
Loc
Ulnar corner of pinkie fingernail, opposite
side from HT 9.
Needling
SI 2
Ying-Spring point
Ulnar border (where skin changes

color/txture) of little finger in a depression
just distal to the metacarpo-phalangeal
joint.
Make a loose fist and palpate for the
depression its usually right at the end of
the crease.
(You locate LI 2 this same basic way.)
SI 3
SI 4
Shu-Stream point
Confluent pt of
Du vessel
Ulnar border of hand where skin changes

color in a big depression proximal to the
head of the 5th metacarpal bone.
Du = Governing
Make a loose fist and its easier to find.
Yuan-Source
point
Ulnar border of the hand where the skin

changes colors in a depression between
the base of the 5th metacarpal bone and the
triquetral bone.

Needle it with hand in a loose
fist also.
Perpendicular 0.3 cun.
Just distal to triquetral bone.

SI 5
Jing-River point
On the transverse crease of the wrist in the Perpendicular 0.3 cun

depression between the head of the ulna
and the triquetral bone.
SI 6
Xi Cleft point
Dorsal aspect of the head of the ulna in a

cleft level with and to the radial side of
the high point of the styloid process of the
ulna.
To locate:
Have patient lie hand flat on a table or on
their leg. Place the point of your finger on
the styloid high point of the ulna just
below the dorsal crease of their wrist.
Have patient rotate wrist so the flat of
their palm lies on their chest. Your finger
should fall into a depression that is SI 6.
Cats Notes
Page 26

KNOW:
Indicated for
1) eye degeneration due
to aging.
2) Headaches
3) Acute lower back pain
4) Shoulder joint pain
such as bursitis or
tendonitis.
Pt
SI 7
Category
Luo-connecting
point
Loc
Inline with SI-5 and SI-8, 5 cun proximal
to SI-5.
Needling
Perpendicular 1 cun
(5 to 5just like LI 7 is 5 to 7. Both are 5

cun proximal to transverse crease of
wrist.)
SI 8
He-Sea point
SI 9
SI 10
Meeting of SI and
BL with Yin
Linking and Yang
Motility
SI 11
SI 12
Meeting of SI, LI,

SJ, GB
Funny bone point

In depression between the tip of the
olecranon process of the ulna and the tip
of the medial epicondyle of the humerus.
1 cun superior to the posterior tip of the

axillary crease when the shoulders are
dropped and the arms are at the sides
normally.
Perpendicular 1-1 cun
Depression directly below the acromion

on the lateral side of the scapular spine.
This point should be directly above the
posterior tip of the axillary crease.
Perpendicular 1-1 cun
In a depression on the infrascapular angle

line. To find this point:
1. Locate the mid point of the lower
border of the scapular spine
2. Locate the posterior border of the
scapula.
3. Draw a line between these two
points and divide into thirds. SI 11
is located at the meeting point of
the upper 1/3 and the lower 1/3.
Perpendicular or oblique
toward manifestation -1
cun
In the suprascapular fossa at the mid point

of the upper border of the scapular spine.
Locate the point just above the bone.
Perpendicular - 1cun
Cats Notes
Page 27
Caution:
Ulnar nerve lies deep to the
point.
Zap isnt Qi here! Its the
ulnar nerve! Pull out a bit,
change direction and no
damage if you do this quickly.
Caution: pneumothorax
Pt
SI 13
Category
SI 14
SI 15
Loc
Depression at the medial end of and
superior to the scapular spine. To locate,
find the medial border of the scapula.
Should be about midway between SI 10
and the spinous process of T2.
Needling
Perpendicular or oblique
toward the scapula - 0.8
cun
3 cun lateral to the lower border of the

spinous process of T1 (Du 13) on or near
the medial border of the scapula.
Oblique scapula - 1 cun
2 cun lateral to Du 14 (lower border of C7

spin process
Oblique scapula - 1 cun
Caution:
Risk of pneumothorax if point
is angled to medially.
SI 16
Window of Sky
On lateral aspect of neck level with

laryngeal prominence. Locate the point on
this level on posterior border of SCM.
(in horizontal line with ST 9 on anterior
border and LI 18 between the two heads
of the SCM)
Perpendicular 0.3-0.8 cun
SI 17
Window of Sky
In a depression between the angle of the

jaw and the anterior border of the SCM.
Point is level with the angle of the
jaw/mandible
Perpendicular 0.3-0.8
SI 18
Meeting of SI and
SJ
Directly below the outer canthus of the

eye and on the inferior border of the
zygomatic bone.
Perpendicular 0.3 - cun
SI 19
Meeting of SI, SJ,

GB
Contra: moxa
Just anterior to the tragus of the ear (or the Perpendicular - 1cun
lower tragus if the pt has 2 of them) and
posterior to the condyloid process of the
mandible/jaw.
Note: with the mouth open theres a
depression. Locate and needle with the
mouth open, then pt can close jaw.
Cats Notes
Page 28
Bladder Channel of the Foot Taiyang

Pt
Bl 1
Bl 2
Category
Mtg of all
Yang but LI
with Du, Yin
Qiao, Yang
Qiao
Loc
Depression just above inner canthus
Needling
All eyeball acupuncture
precautions.
Directly above inner canthus at

Pinch, transverse insertion
supraorbital notch. Usually at medial end
either 1) laterally or 2) toward
of eyebrow (watch out for unibrow types!) Yuyao extrapoint.
0.3 1 cun
-or Prick to bleed
Bl 3
Directly superior to BL 2/inner canthus,

cun into the anterior hairline and level
with Du-24
Upward toward vertex or

downward toward eye,
depending on whether the
patient is prone or supine.
Transverse - 1 cun into 4th
layer.
Contra to moxa
Bl 4
cun into anterior hairline and level with

BL 3, following hairline. 1 cum lateral
to Du 24/midline.
Transverse (15-30), 0.3

cun
Can also be measured laterally as 1/3 of

the distance between ST 8 and DU 24.
Bl 5
1 cun into anterior hairline, inline between Transverse (15-30), 0.3

BL 4 and BL 8. 1 cun lateral to midline. cun
Contra to moxa
Bl 6
2.5 cun into anterior hairline, inline

between BL 4 and BL 8. 1 cun lateral to
midline.

cun
Contra to moxa
Bl 7
4 cun into anterior hairline, inline with BL

4 and BL 8. 1 cun lateral to midline.

cun
Use Du 20 as a reference at 5 cun into

hairline and on the midline.
Contra to moxa
Cats Notes
Page 29
Pt
Bl 8
Category
Loc
5 cun into anterior hairline on same line
as BL 4 BL 47
Needling
cun
Use Du 20 at 5 cun into hairline and on

midline as a reference.
Bl 9
1.3 cun lateral to DU 17 (which is located

in the dperession just superior to the
occipital protuberance on the midline) in a
depression.

cun
To locate:
1. Slide finger up back of neck at
midline.
2. Feel base of skull and go up to shelf
3. Just over the shelf is a depression and
Du 17
4. Go lateral to Du 17 by 1.3 cun and
feel for the depression for BL 9
In vertical line with BL 10 also.
Bl 10
Window of
Sky
At insertioin of trapezius muscle on the

back of the neck cun superior to the
back hairline. Its about 2 cun down from
BL 9 and at the same lateral level, about
1.3 cun from midline.
Perp, - 0.8 cun.
1st (1.5 cun lat) and 2nd (3 cun lat to mid)

Bladder lines begin here.
All are level with the tip of the lower border of the
spinous processes, also level with the Du points.
Bl 11
Hui Meeting
point of Bone
Level with T1, 1 cun lateral to midline.
Trans/obl spine, - 1 cun.

Bl 12/41
(wind gate,
but not really
a category)
BL 12: Level with T2, 1 cun lateral to

midline.
Bl 12: Trans/obl spine, 1 cun.

midline
Bl 41: Trans/obl scapula,

0.3 cun
Cats Notes
Page 30
Pt
Bl 13/42
Category
Back Shu of
Lung
Loc
midline.
Needling
BL 13: Trans/obl spine,
to 1 cun

midline
BL 42: Trans obl scapula,

0.3 cun
Bl 14/43
Back Shu of
Pericardium

midline.

to 1 cun

midline.
BL 43: Trans/obl scapula,

0.3 cun
Caution : pneumothorax
Bl 15/44
Back Shu of
Heart

midline.

- 1 cun

midline

0.3 cun
Bl 16/45

midline.

- 1 cun

midline.

0.3 cun
Bl 17/46
Hui Meeting
of Blood

midline

- 1 cun
Back Shu of
Diaphragm

midline

0.3 cun
Bl 18/47
Back Shu of
Liver
BL18: Level with T9, 1 cun lateral to

midline

- 1 cun

midline
BL 47: Trans/obl lateral,

0.3 cun
Cats Notes
Page 31
Pt
Bl 19/48
Category
Back Shu of
Gallbladder
Loc
midline
Needling
- 1 cun

midline.

0.3 cun
Bl 20/49
Back Shu of
Spleen

midline

- 1 cun

midline

0.3 cun
Bl 21/50
Back Shu of
Stomach

midline

- 1 cun

midline

0.3 cun
Bl 22/51
Back Shu of
San Jiao
BL 22: Level with L1, 1 cun lateral to

midline
BL 22: Obl or perp/obl

spine, 1 - 1 cun

midline
BL 51: Obl lateral,

- 1 cun
Caution: kidney puncture
Bl 23/52
Back Shu of
Kidney

midline
BL 23: Obl or perp/obl

spine, 1 - 1 cun

midline
BL 52: Obl lateral,

- 1 cun
Caution: kidney puncture
Bl 24
Bl 25
Back Shu of
Lg Intestine
Level with L3 and 1 cun lateral to

midline
Perp, 1 - 1 cun
Level with L4, 1 cun lateral to midline
Perp, 1 - 1 cun
Cats Notes
Page 32
Pt
Bl 26
Category
Loc
Level with L5, 1 cun lateral to midline
Needling
Perp, 1 - 1 cun
Bl 27
Back Shu of
Sm Intestine
Back Shu of
Bladder
Level with S1, 1 cun lateral to midline
Perp, - 1 cun
BL 28: Level with S2, 1 cun lateral to

midline
BL 28: Perp, - 1 cun

midline
BL 53: Perp, 1 - 1 cun
Bl 29
Level with S3, 1 cun lateral to midline
Perp, - 1 cun
Bl 30/54

midline
BL 30: Perp, - 1 cun

midline
BL 54: Perpendicular 2 3
cun
Bl 28/53
Points over Sacral Foramen

and (BL 35) cun lateral to of coccyx
Bl 31
Meeting of
BL and GB
S1, Over 1st sacral foramen
Slightly oblique, medial and

inferior, then perp, 1 - 1 cun
Caution: nerves!
Contra: moxa
Bl 32
Meeting of
BL and GB
S2, over 2nd sacral foramen
Slightly oblique, medial and

inferior, then perp, 1 - 1 cun
Caution: nerves!
Bl 33
Meeting of
BL and GB
S3, over 3rd sacral foramen
Perp, - 1 cun
Bl 34
Meeting of
BL and GB
S4, over 4th sacral foramen
Perp, - 1 cun
cun lateral to the tip of the coccyx
Perp, 1 - 1 cun
Bl 35
Upper leg points
Bl 36
Mid point of gluteal crease in depression

between the hamstrings
Inline with 36, 37, 40
Cats Notes
Page 33
Perp, 1 - 1 cun - or 1-2

cun
Pt
Category
Bl 37
Loc
Back of thigh in a depression between the
hamstrings, inline between BL 36 and BL
40.
(6 cun inferior to BL 36, 8 cun superior to
BL 40)
Needling
Perp, 1 - 1 cun
To locate:
1. Find the midpoint between BL 36
and BL 40.
2. Measure proximally by 1 cun
Bl 38
Bl 39
Located in reference to BL 39.

1 cun proximal to BL 39 along the medial
edge of the tendon of the biceps femoris.
Lower He-Sea Back of knee on popliteal crease toward
of San Jiao
the lateral end on the medial side of the
tendon of the biceps femoris.
Perp, 1 - 1 cun
Perp, 1 - 1 cun
To locate:
1. Flex the knee
2. Feel for the large tendon toward
the lateral side of the popliteal
crease.
3. Point is located in this depression
on the popliteal crease.
Bl 40
He Sea of
BL
Lower
He-Sea of
BL
Command
point
(Back and
Lower
Back)
Mid-popliteal crease between the tendon

of the biceps femoris on the lateral side
and the semitendinosus on the medial
side.
Flex the knee to locate and feel for a
depression here.
Perp, 1 - 1 cun
- or
Prick to bleed
Caution:
Tibial nerve, popliteal artery
and popliteal vein
Lower leg/foot points
Bl 55
Back of calf, 2 cun inferior from BL 40 in

a depression between the 2 heads of the
gastrocnemius on the upper border
between them.
Cats Notes
Page 34
Perp, 1 - 1 cun
Pt
Category
Bl 56
Loc
Back of calf, 5 cun inferior to BL 40 on
the belly of the gastrocnemius muscle.
Needling
Perp, 1 - 1 cun
To locate:
1. Find the midpoint between BL 55
and 57 and inline between BL 40
and BL 57.
Bl 57
Half way between popliteal crease (BL

40) and the level of the prominence of the
lateral malleolus (16 cun total) and
between the 2 gastrocnemius muscle ends
in a depression here.
Perp, 1 - 1 cun
To find:
1. Have patient press ball of foot
against resistance to emphasize
muscles.
2. Run finger up from Achilles
tendon insert until it falls into a
depression between the
gastrocnemius tails.
Bl 58
Bl 59
Bl 60
Bl 61
Luo
Connecting
point of
Bladder
Located in relation to BL 57.

Inferior and about 45 lateral to BL 57.
Xi Cleft of
Yang Qiao
Located in relation to BL 60.

3 cun directly superior to BL 60 between
the Achilles and peroneal tendons.
Perp, 1 - 1 cun
Level with the prominence of the lateral

malleolus between the malleolus and the
Achilles tendon.
Perp, - 0.8 cun
Lateral side of foot on calcaneus in a

tender depression where the skin changes
color/texture.
Perp, 0.3 cun
Jing River of
the Bladder
Meeting of
BL w/Yang
Qiao
Perp, 1 - 1 cun
Can often find this point by drawing a line

between BL 40 and the prominence of the
lateral malleolus and comparing that to
the location of BL 57.
Cats Notes
Page 35
Note: this is on the final

practicum!!!
Contra: Preggers.
Promotes labor.
Pt
Category
Bl 62
Confluent of
Yang Qiao
Ghost Point
Loc
This point is usually directly below BL
60.
In a depression directly below the
prominence of the lateral malleolus ~
cun inferior and posterior to the 2 tendons
here.
Needling
Obl-inferior, 0.3 cun
Do not locate this in the depression below

the calcaneus!
Bl 63
Xi Cleft of
Bladder
Lateral side of foot in a depression:

1. Posterior to the tuberosity of MT 5
2. Anterior to the anterior border of the
lateral malleolus
3. On lower border of cuboid bone
4. On line where skin changes
color/texture.
Perp, 0.3 cun
Bl 64
Yuan Source
Lateral side of foot in a depression on MT

5 on curvy part and on the border where
the skin changes color/texture.
Perp, 0.3 cun
This is the most palpable landmark on the

side of the foot
Bl 65
Shu Stream
On the lateral side of the foot proximal to

the knuckle of MT 5. On the line where
Perp, 0.3 cun
Curl toes to see more easily.

Bl 66
Ying Spring
On lateral side of the foot distal to the

knuckle of MT 5. On the border where the
Perp/obl sole 0.2 0.3
Curl toes to see more easily.

Bl 67
Jing Well
On the lateral corner of the nail of the

little toe.
Perpendicular 0.1 0.2

-orPrick to bleed
Caution: Can turn the fetus
from breach. Expedites
delivery.
Cats Notes
Page 36
Kidney Channel of the Foot Shaoyin

Pt
K1
Category
Jing Well
Loc
Sole of foot, 1/3 of the way between the
base of the 2nd toe and the heel. Between
MT 2 and 3.
Needling
Perp, - 1 cun
For people that dont have flat feet,

plantar flex the foot to see a depression
here.
K2
Ying Spring
Medial side of foot in a depression distal

and inferior to the navicular tuberosity,
just proximal to SP 4, on the line where
Perp, - 1 cun
Locate from the bottom of the foot and

verify that the depression goes up to the
top of the foot.
K3
Shu Stream
Yuan Source
K4
Luo Connecting
Point
Depression between the medial malleolus

and the Achilles tendon level with the
prominence of the medial malleolus.
Perp, - 1 cun
Locate in relation to K3 and K5.

Midway between K3 and K5 along the
anterior border of the Achilles tendon.
Obl-perpendicular anterior,
- 1 cun
As a rule of thumb, is usually cun

below K3/above K5
K5
Xi Cleft of
Kidney
Depression between the calcaneal

tuberosity and the Achilles tendon, just
above the insertion point of the Achilles
tendon.
K6
Confluent of Yin
Qiao
Just below the center of the prominence of Obl-superior, 0.3 cun

the medial malleolus in the groove
shallow insert.
between the 2 tendons. Vertically level
with a line drawn thru the prominence.
If you only feel one tendon, needle
posterior to it.
Cats Notes
Page 37
Obl-perpendicular away from

the bone, - 1 cun.
Pt
K7
Category
Jing River
Loc
On the medial aspect of the lower leg in a
depression 2 cun proximal to K3, on the
anterior border of the Achilles tendon.
Same horz lvl as K8, but more posterior.
Same horizontal level as K7, 2 cun
proximal to K3, on posterior edge of tibia
on the medial side of the leg.
Needling
Perp, - 1 cun
K8
Xi Cleft of
Yin Qiao
Perp, - 1 cun
K9
Xi Cleft of
Yin Wei
In-line with K3 and K10, 1/3 of the way

Perp, 1 cun
between them. (5 cun prox from K3).
About 1 cun posterior to the medial border
of the tibia.
K 10
He Sea of Kidney
Medial end of the popliteal crease in a

depression between the semitendinosus
and the semimembranosus.
Perp, 1 1 cun
Needle with knee slightly
flexed.
Locate and needle with knee slightly

flexed.
Lower ab points begin here cun lat to mid
Locate:
1. Find upper margin of pubic sym and
center of umbilicus.
2. Place ref dot between the two
3. Place a dot cun above ref and cun
below ref.
4. Place a dot between the cuns in #3.
K 11
K 12
Mtg of Kidney
and Chong
Mtg of Kidney
and Chong
Upper border of pubic symphysis, cun

lateral to the midline. 5 cun inferior to the
center of the umbilicus.
Perp, 1 1 cun
1 cun superior to K11, 4 cun inferior to

umbilicus and cun lateral to midline
Perp, - 1 cun
Caution:
1. Can turn fetus, promote
labor
2. BL punc make sure BL
is empty
Caution: bladder punc

K 13
Mtg of Kidney
and Chong

Caution: bladder punc
Cats Notes
Page 38
Pt
K 14
Category
Mtg of Kidney
and Chong
Loc
Needling
Caution: peritoneal punc
K 15
K 16
Mtg of Kidney
and Chong
Mtg of Kidney
and Chong
1 cun inferior to umbilicus, cun lateral

to midline
Level with the center of the umbilicus,
cun lateral to midline
Upper ab points begin here cun lat to mid

To locate:
1. Find the center of the umbilicus and the
sternal costal angle.
2. Find mid point between the 2 = K19
3. Find quarter points between K19,
umbilicus and sternal costal angle = K21
and K17
4. Mark inbetweens
K 17
Mtg of Kidney
and Chong
2 cun superior to the center of the

umbilicus, cun lateral to midline
K 18
Mtg of Kidney
and Chong
3 cun superior to the center of the

umbilicus, cun lateral to midline
K 19
K 20
Mtg of Kidney
and Chong
Mtg of Kidney
and Chong
Located way between umbilicus and

sternal costal angle, 4 cun superior to
umbilicus. cun lateral to midline
5 cun superior to umbilical center, cun

lateral to midline

K 21
Mtg of Kidney
and Chong
6 cun superior to center of umbilicus,

cun lateral to midline.
Caution:
Right side = LV punc
Left side = peritoneal punc
Cats Notes
Page 39
Pt
Category
Loc
Needling
Chest points begin here 2 cun lat to mid

In intercostal spaces (IC)
K 22
5th IC space, 2 cun lateral to midline
Trans along IC space,

- 0.8 cun
ST 18 is in this space at the 4 cun level.

Caution: LU of LV punc
K 23
4th IC space, 2 cun lateral to midline
K 24
3rd IC space, 2 cun lateral to midline

- 0.8 cun
Caution: LU punc
- 0.8 cun
Caution: LU punc
K 25
2nd IC space, 2 cun lateral to midline

- 0.8 cun
Caution: LU punc
K 26
1st IC space, 2 cun lateral to midline

- 0.8 cun
Caution: LU punc
K 27
Top of 1st IC space, depression on lower

border of clavicle, 2 cun lateral to midline

- 0.8 cun
Caution: LU punc
Cats Notes
Page 40
Pericardium Channel of the Hand Jueyin

Pt
P1
Category
Window of Sky
Loc
In 4 IC space, 5 cun lateral to midline.
th
To locate:
1. Locate mamillary line and deltopectoral triangle
2. Find the middle of these two on the 4th
IC space.
P2
P3
He Sea of PC
Needling
Trans (either lateral or medial)
along I.C.,
0.3 cun
Caution: pneumothorax.
On the anterior surface of the biceps

brachii muscle, 2 cun inferior from the tip
of the axillary fold between the 2 heads of
the muscle.
Perp, - 1 cun
On the transverse cubital crease in a

depression on the ulnar side of the tendon
of the biceps brachii (opposite from LU 5)
1. Perp, - 1 cun
-or2. Prick to bleed
Caution:
brachial artery/vein are just
medial to here.
P4
Xi Cleft of PC
5 cun prox to P7 between the tendons of

the palmaris longus and the flexor carpi
radialis, in line between P3-P7.
If you cannot find 2 tendons, you

probably found the flexor carpi radialis.
Needle on the ulnar side of this.
P5
Jing River

P6
Luo
Connecting
Confluent of
Yin Wei

Shu Stream
Yuan Source
Ghost
At wrist joint, transverse wrist crease,

between the tendons of the palmaris
longus and flexor carpi radialis. Level
Caution: median nerve
with HT 7 and LU 9. Use the crease which
crosses the pisiform bone.
P7
Cats Notes
Page 41
Pt
P8
Category
Ying Spring
Ghost
Loc
Needling
nd
rd
On the palm between the 2 and 3 MC in Perp, 0.3 cun
a depression on the radial side of the 3rd
MC.
To locate, make a loose fist. Point is
located about where the tip of the middle
finger falls on the palm
P9
Jing Well
Tip of the middle finger
Cats Notes
Page 42
Perpendicular 0.1 0.2

-orPrick to bleed
San Jiao Channel of the Hand Shaoyang

Pt
SJ 1
Category
Jing Well
Loc
Dorsal aspect of the ring finger 0.1 cun
from the ulnar corner of the nail.
Needling
Perp, 0.1 0.2 cun
-orPrick to bleed
SJ 2
Ying Spring
Between the ring and little fingers cun

proximal to the margin of the web on the
line where the skin changes color.
SJ 3
Shu Stream
Have the pt make a loose fist and the point

is probably located at the proximal end of
the crease between the 2 fingers.
Dorsum of the hand in a depression just
Perp, - 1 cun
proximal to the metacarpo-phalangeal
knuckle.
Have the pt make a loose fist to find it
more easily.
SJ 4
Yuan Source
On the dorsal crease of the wrist joint

between the tendons of the extensor
digitorum communis (a bundle of tendons
rather like the palmaris longus on the
other side) and the extensor digiti minimi
(which goes to the little finger).
Note: follow the space between MC 4 and

5 to the wrist joint.
SJ 5
SJ 6
1. Luo
Connecting
2. Confluent of
Yang Linking
2 cun proximal to SJ 4 in the depression

between the radius and the ulna. Between
radius and extensor digitorum communis
tendon, closer to the border of the radius.
Perpendicular - 1 cun (or

angle up or down channel)
Jing River
3 cun proximal to SJ 4 in the depression

between the radius and the ulna on the
radial side of the extensor digitorum
communis muscle. Closer to radius.
Measure proportionally! of the way

between the cubital crease and the
transverse wrist crease.
Or you can angle it up or

down the channel
Cats Notes
Page 43
Caution: ulnar nerve can cause

a shock sensation.
Also, movement of arm or
hand can result in bent needle.
Caution: movement of arm or

hand can result in bent needle.
Pt
SJ 7
Category
Xi Cleft of SJ
SJ 8
SJ 9
Loc
Needling
Level with SJ 6 (3 cun prox to SJ4) on the Perpendicular - 1 cun
ulnar side in a depression between ulna
and extensor digitorum communis muscle. Or you can angle it up or
down the channel
Locate it about 1 fingerbreadth to the
ulnar side of SJ 6 close to the border of
the ulna.
4 cun proximal to dorsal transverse wrist
crease in depression between radius and
ulna. Locate on radial side of extensor
digitorum communis muscle.
Measure proportionally use of the
way and add 1 cun or divide into 3rds.
Depression between radius and ulna 5 cun

distal to the level of the olecranon, 7 cun
proximal to SJ4
Perpendicular 1 2 cun.
Or you can angle it up or

down the channel
You can also angle prox or

dist.
Use a measure to find the distance

between SJ 4 and epicondyle of humerus,
divide in , go proximal by 1 cun.
SJ 10
He Sea of SJ
On the yang aspect of the upper arm ~ 1

cun proximal to the olecranon process.
Flex the elbow and slide your finger
upwards to find the depression above the
process.
Perp, - 1 cun.
Caution: located at the
beginning of the ulnar nerve.
Dont manipulate if there is
pain!
SJ 11
1 cun proximal to SJ 10. Locate with

elbow flexed.
Perp, - 1 cun
SJ 12
Lateral upper arm (yang side) inline with

SJ 10 and SJ 14.
Perp, 1 2 cun
Measure SJ 14 SJ 10, divide in and go

distal by 1 cun.
SJ 13
Mtg of SJ and
Yang Wei
Locate in reference to SJ 14.

Use a measure to find the line between SJ
10 and SJ 14. At the point where this line
crosses the posterior border of the deltoid
muscle is SJ 13.
Cats Notes
Page 44
Perp, 0.8 1 cun
Pt
SJ 14
Category
Loc
At the origin of the deltoid muscle in a
depression posterior and inferior to the
lateral extremety of the acromion.
Needling
Perpendicular 0.8 1.2 cun or
manifestation.
Hold the arm out from the side with the

palm down. Look for the depression from
the top down.
SJ 15
Mtg of SJ, GB,

Yang Wei
In the suprascapular fossa on the posterior

side.
To locate, find the superior angle of the
scapula (the curve on the medial side that
goes to the tip above SI 13). Follow this
curve to just above the tip of the scapula
and thats the point.
Perp, - 1 cun
Caution: deep insert
perpendicular =
pneumothorax.
Alt: mid point of GB 21 and SI 13.

SJ 16
Window of Sky
Posterior border of SCM level with the

angle of the jaw.
Perp, - 1 cun
SJ 17
Mtg of SJ, GB
Level with and anterior to the lower

Perp, - 1 cun
border of the mastoid process, just behind
earlobe in the depression between the two.
SJ 18
Locate in relation to SJ 20 and 17.

Posterior to ear, in small depression on
mastoid bone, 2/3 distance from SJ 20
along a curved line from SJ 17 to SJ 20
following the rim of the ear.
Trans, 0.3 cun into

subaponeurotic space (scalp
acupuncture)
SJ 19
Locate in relation to SJ 20 and 17.

Posterior to ear, in small depression 1/3
from SJ 20 along a curved line from SJ 17
to SJ 20 following the rim of the ear.
Trans, 0.3 cun into

acupuncture)
On the side of the scalp, directly level

with the apex of the ear when the ear is
folded forward.
Trans, 0.3 cun into

acupuncture)
SJ 20
Mtg SJ, SI, GB
Cats Notes
Page 45
Pt
SJ 21
Category
Loc
In a depression anterior to the supratragic
notch, slightly superior to the condyloid
process of the mandible.
Needling
Inferior/obl and slightly
posterior, 0.3 cun
If there are 2 apexes/traguses, find the

highest one.
Note: SJ 21, SI 19, GB 2 are all stacked
from top to bottom here.
SJ 22
Mtg SJ, GB, SI
On posterior margin of hairline at the

temple. Find the hairless space between
the temporal hairline and the ear. Draw a
line from the outercanthus to the ear. The
intersection is usually SJ 22.
Trans or obl 0.3 cun

Caution: temporal artery is
here.
Approx cun anterior to the upper border

of the root of the ear.
SJ 23
In a depressionon the supraorbital margin

at the lateral end of the eyebrow.
Trans medially along eyebrow

or posteriorly, - 1 cun.
Contra: moxa.
Cats Notes
Page 46
Gallbladder Channel of the Foot Shaoyang

Pt
GB 1
Category
Loc
Depression on lateral border of the orbital
margin, ~ cun lateral to the outer
canthus.
Needling
Trans, 0.3 cun.
Contra: Moxibustion
(SJ 23 is very close to here)

Gb + si + sj
GB 2
Depression just in front of intertragic

notch. Point is posterior to condyloid
process of mandible.
Grouping just posterior to anterior border

of the ear: SJ 21 on top, SI 19 middle,
GB2 bottom.
Locate with mouth open.
GB 3
On the upper border of the zygomatic

arch. Anterior to the ear and directly
superior to ST 7.
Find this point in relation to

ST 8 and GB 7.
All scalp acupuncture

techniques apply here.
of the distance between ST 8 and GB 7

(just below ST 8) on a curved line.
Transverse insert - 0.8 cun,

15 angle
Gb + sj + st
GB 4
Gb + sj + st
Easiest way to find:

1. Locate ST 8 and GB 7
2. Find the middle distance between
these 2 on a gently curved line.
This is GB 5.
3. Locate GB 4 way between GB 5
and ST 8
GB 5

ST 8 and GB 7.


on a curved line.

15 angle
Cats Notes
Page 47
Pt
GB 6
Category
Loc
ST 8 and GB 7.
Needling

(just above GB 7) on a curved line.

15 angle
Easiest way to find:

4. Locate ST 8 and GB 7
5. Find the middle distance between
these 2 on a gently curved line.
This is GB 5.
6. Locate GB 6 way between GB 7
and GB 5
GB 7
In temporal region in the hairline. Level

with apex if the ear (SJ 20) and one finger
breadth anterior to this point.

Trans - 1 cun, 15 angle
Can also be located at the intersection of a

line level with the apex of the ear and the
line demarking the anterior edge of the
ear.
GB 8
In a slight depression 1 cun above the

apex of the ear (SJ 20).

Trans - 0.8 cun, 15 angle
GB 9
Slight depression cun posterior to GB 8. All scalp acupuncture

GB 10
Located in relation to GB 9 and GB 12.

1/3 of the distance between GB 9 and 12
on a line following the curve of the ear,
closer to GB 9.
(Similar to SJ 17-20 which does the same,
but is closer to the ear.)
Cats Notes
Page 48

Pt
GB 11
Category
Loc
Located in relation to GB 9 and GB 12.
1/3 of the distance between GB 9 and 12
on a line following the curve of the ear,
closer to GB 12.
(Similar to SJ 17-20 which does the same,
but is closer to the ear.)
Needling
GB 12
Depression just posterior to the lower

border of the mastoid process.
(SJ 17 is just anterior to this process)
Obl-inferior - 1 cun
GB 13
On the forehead, cun into the anterior

hairline. 2/3 of the distance between Du
24 and ST 8.
(3 cun lateral to Du 24)

Midway between the inner and outer

canthus of the eye and 1 cun superior to
the eyebrow/supraorbital ridge.
GB 14-20 are inline.
Pinch and insert trans-inferior.

- 1 cun.
GB 14
(can also use mid eyebrow or just above

the pupil when pt is looking straight fwd)
GB 15
cun into the anterior hairline, midway

between Du 24 and ST 8 (directly superior techniques apply here.
to GB 14).
Inline between GB 14 20.
GB 16
1 cun into the anterior hairline, 1 cun

posterior to GB 15.

2 cun into the anterior hairline, 1 cun

posterior to GB 16.

4 cun into the anterior hairline

GB 17
GB 18
Inline between GB 14 20
Cats Notes
Page 49
Pt
GB 19
Category
Loc
In a depression in the occipital region,
level with Du 17 and BL 9. About 1 cun
lateral to BL 9.
GB 20
In a depression between the origins of the

SCM and the trapezius muscles on the
lower margin of the skull.
(Midway between Du 16 and GB 12)
Needling
Trans-inferior - 1 cun, 15
angle
Either one of these:
1. Insert so is pointing
toward the tip of the nose,
- 1.2 cun, slightly perpoblique.
2. Trans toward the middle.
GB 21
On the crest of the trapezius muscle on the Either one of these three:
shoulder.
1. Perp, cun
2. Transverse along trapezius
From the front:
- 1 cun.
Find the midpoint of the clavicle and take 3. Obl-posterior, - 1 cun
this level up to the apex of the shoulder.
Contra: preggers
From the back:
Find the midpoint between the lower
border of the spinous process of C7 and
= pneumothorax
the apex of the acromion. Take this level
up to the apex of the shoulder.
GB 22
On mid-axillary line in the 4th IC space

(some texts say 5th IC space)
Trans with IC space, - 1

cun.
Caution: deep perpendicular =
pneumothorax.
1 cun anterior to GB 22 and along the 4th

IC space.
GB 23
Trans with IC space, - 1

cun.
pneumothorax.
GB 24
Mtg GB and SP
Front Mu GB
On the level of the mamillary line in the

7th IC space.
Trans, - 1 cun along IC

space.
If 7th IC space does not extend as far as

the mamillary line, place point on medial
end of the IC space.

pneumothorax.
For men, count down. For women, count

up from free end of 11th rib.
Cats Notes
Page 50
Pt
GB 25
Category
Front Mu of
Kidney
Loc
Edge of the tip of the 12th rib.
Locate the 11th rib first, palpate back from
here. Can be hard, as may float under
another rib.
Needling
Perpendicular or oblique,
- 0.8 cun.
Caution: deep perpendicular
needling may penetrate the
peritoneal cavity.
Note: May be located more on the back

than the front of patients body.
GB 26
Meeting point
of the GB and
Dai vessel
At the intersection of a vertical line drawn

through the free end of the 11th rib and a
horizontal line drawn through the center
of the umbilicus.
Perpendicular, - 0.8 cun
GB 27
Meeting point
of the GB and
Dai vessel
In a depression just anterior to the ASIS

(anterior superior iliac spine). Off of the
bony point by about cun.
GB 28
Meeting point
of the GB and
Dai vessel
cun anterior and inferior to GB 27
GB 29
Meeting point
of the GB and
Yang Qiao
vessel
On the lateral aspect of the hip joing at the Perpendicular 1 2 cun.

midpoint of a line drawn between the
ASIS and the prominence of the greater
Can also moxa, especially if
trochanter of the hip.
the hip hurts when the patient
is in a cold environment.
Move the leg to feel the hip movement.
Also, is the high point of the hip when the
patient is lying on their side.
GB 30
On the posterior/lateral side of the hip.

Draw a line from the greater trochanter of
the hip and the sacral hiatus. This point
lies on the border between the lateral 1/3
and the medial 2/3.
To find the sacral hiatus, start at the
tailbone and palpate upwards. This is
where the sacrum gets more vertical.
There are also 2 thorns on either side of
the hiatus.
Cats Notes
Page 51
Perpendicular 2 3.5 cun.
Pt
GB 31
Category
Loc
On the midline of the lateral aspect of the
thigh 7 cun superior to the popliteal
crease.
Needling
Perpendicular 1 - 2 cun
Have the patient stand up straight and

drop the arms to the sides. Be sure the
chest is straight. GB 31 is located on the
level of where the tip of the middle finger
hits the thigh.
GB 32
On the midline of the lateral side of the

thigh about 2 cun inferior to GB 31 and in
between the vastus lateralis and biceps
femoris muscles.
GB 33
On the lateral side of the knee in a

depression above the lateral epicondyle of
the femur, between the femur and the
tendon of the biceps femoris.
Bend the leg to see the tendon. Follow the

tendon above the lateral epicondyle.
GB 34
GB 35
He Sea of GB
Lower He Sea
of GB
Hui of Sinews
1 cun anterior and inferior to the head of

the fibula.
Xi Cleft of the
Yang
Wei/Linking
vessel
On the lateral aspect of the lower leg 7

cun superior to the prominence of the
lateral malleolus and 9 cun inferior to the
popliteal crease. On the posterior aspect
of the fibula.
Locate the high point of the head of the

fibula and the high point of the head of the
tibula. GB 34 is located in a spot that
would make an equilateral triangle of
these 3 points.
Find the midpoint between the popliteal

crease and the high point of the lateral
malleolus. Go inferior by 1 cun.
Cats Notes
Page 52
Pt
GB 36
Category
Xi Cleft of GB
Loc
On the lateral aspect of the lower leg 7
cun superior to the prominence of the
lateral malleolus and 9 cun inferior to the
popliteal crease. On the anterior aspect of
the fibula.
Needling
Find the midpoint between the popliteal

crease and the high point of the lateral
malleolus. Go inferior by 1 cun.
GB 37
Luo Connecting
of GB

lateral malleolus on the anterior border of
the fibula.
GB 38
Jing River

lateral malleolus on the anterior border of
the fibula. Might be slightly anterior to
this border.
GB 39
Hui Meeting
point of
Marrow

lateral malleolus and on the posterior
border of the fibula.
GB 40
Yuan Source
At the intersection of a line drawn vertical - 0.8 cun

to the anterior border of the lateral
malleolus and a line drawn horizontally to
the bottom margin of the lateral malleolus.
GB 41
Shu Stream
Confluent point
of Dai vessel
In a depression
1) lateral to the tendon of the extensor
digitorum longus and
2) distal to the junction of the 4th and 5th
metatarsal bones.
1) medial to the tendon of the extensor

digitorum longus
2) proximal to the heads of the 4th and 5th
metatarsal bones.
Perpendicular - 0.8 cun.
GB 42
Curl the toes to see this knuckle more

easily.
Cats Notes
Page 53
Pt
GB 43
Category
Ying Spring
Loc
Between the fourth and little toe at the
point where the skin changes color/texture
and distal to the knuckles of the toes.
Needling
Perpendicular 0.3 cun.
Can also locate this at the tip of the crease

between the 2 lateral toes. Curl the toes to
see this.
Spread the toes to see the line where the
GB 44
Jing Well
On the lateral corner of the nail of the 4th

toe.
Cats Notes
Page 54
Perpendicular 0.1 or 0.2 cun.

Or prick to bleed.
Liver Channel of the Foot Jueyin

Pt
LV 1
Category
Jing Well
Loc
Lateral corner of the big toenail, 0.1 cun
off the corner.
Needling
Perp 0.1 0.3 cun, moxa, or
prick to bleed.
LV 2
Ying Spring
Between the 1st and 2nd toes at the tip of

the crease between the 2.
Oblique or perp - 1 cun
Also, where the red/white skin meet in the

webbing, about cun from the web
margin
LV 3
Shu Stream
Yuan Source
In the hollow just distal to the junction of

the bases of the 1st and 2nd MT bones
Perp - 1 cun
Do not locate this too distally!

LV 4
LV 5
Jing River
Luo Connecting
Level with and anterior to the prominence

of the medial malleolus and just medial to
the tendon of the tibialis anterior.
Dorsiflex the ankle and the big toe to see
this clearly. Needle into the depression
here.
Perp - 1 cun
5 cun proximal to the prominence of the

medial malleolus. ON the bone, midway
between the anterior and medial crests of
the tibia.
Perp - 1 cun
Note: SP 5 is locd just below

this, level with the intersection
of the anterior and inferior
margins of the med mal.
(Reminder: pop crease prom med mal

= 15cun)
LV 6
LV 7
Xi Cleft
7 cun proximal to the prominence of the

medial malleolus. ON the bone, midway
between the anterior and medial crests of
the tibia.
Trans, - 0.8 cun
Posterior and inferior to the medial

epicondyle of the tibia. Also, about 1 cun
posterior and superior to SP 9 and on the
lower margin of the epicondyle.
Perp, 1 1 cun
Cats Notes
Page 55
Pt
LV 8
Category
He Sea
Loc
Located at the medial end of the popliteal
crease in a depression between the
tendons of the semitendinosus and
semimembranosus and medial epicondyle
of the femur.
Needling
Perp, 1 1 cun
Flex the knee to find this point when

possible, but needle relaxed.
LV 9
4 cun proximal to the medial epicondyle

of the femur on the medio-anterior aspect
of the thigh between the vastus medialis
and the sartorius muscles.
Perp or obl 1 1 cun
LV 10
3 cun inferior to ST 30
Perp, - 2 cun
LV 11
2 cun inferior to ST 30
Perp, - 2 cun
LV 12
1 cun inferior to ST 30 and about cun

lateral to it.
Medial, slightly oblique insert,

- 0.8 cun.
This is also on the lower border of the

pubic symphysis, but thats rather hard to
feel and somewhat personal!
Caution: femoral vein.
Front Mu of SP
Hui of Zang
Mt of LV/GB
Slightly anterior and inferior to the free

end of the 11th rib. Be sure you are off the
bone!
Trans, - 0.8 cun
From Mu of LV
Mt LV/SP + Yin
Wei
Mamillary line, in 6th IC
Trans or obl, - 1 cun
LV 13
LV 14
Cats Notes
Page 56
Caution: deep perp can =

enlgd liver or spleen
Du/Governing Channel
Pt
Du 1
Du 2
Category
Luo Connecting
Loc
Between rectum and tip of coccyx
Needling
Perp - 1 cun
Obl along coccyx upward
Posterior midline of body in the scarococcygeal haitus
Obl-superior - 1 cun
Palpate strating at coccyx, upward,

straight vertical part is the haitus area.
Feel for a big depression here, inferior to
the 4th sacral spinous process. This is the
hiatus.
Du 3
Level with lower border of the spinous

process of L4, right on the posterior
midline.
Perp - 1 cun
Du 4

midline.
Du 5

midline.
Perp - 1 cun
Moxa, warm needle
(Moxa contra for ppl under
20)
Perp - 1 cun
Du 6

process of T11, directly on the posterior
midline.
Perp, but slightly upwards

between the vertebrae,
- 1 cun.
Du 7

midline.

- 1 cun.
Du 8

midline.

- 1 cun.
Du 9

midline.

- 1 cun.
Du 10

midline.

- 1 cun.
Cats Notes
Page 57
Pt
Du 11
Loc
midline.
Needling
- 1 cun.
Du 12

midline.

- 1 cun.
Du 13

midline.

- 1 cun.
Du 14
Category
Mtg of Du
with 6 yang
channels of
hand/foot
Point of the
Sea of Qi
Level with the lower border of the spinous Perp, but slightly downwards,
process of C7, directly on the
- 1 cun.
posteriormidline.
Use w/reducing method!
Du 15
Mtg of Du with
Yang Linking
Level with GB 20, in a depression cun

inferior to Du 16.
Perp, but slightly downwards,

- 1 cun.
Du 16
Midline of neck, depression just below

external occipital protuberance.
Perp, but slightly downwards,

- 1 cun. Towards chin.
In a depression directly superior to the

external occipital protuberance on the
back of the head
Scalp needling techs apply.
Du 17
Window of
Sky
Du + Yang
Wei
Ghost
1.5 cun superior to Du 16

Du 18
Midline of the back of the head, 1.5 cun

directly superior to Du 17
Scalp needling techs apply
way between Du 16 and Du 20

Du 19
Midline of the back of the head, 1.5

cun superior to Du 18
1.5 cun posterior to Du 20
3 cun superior to Du 17
Cats Notes
Page 58
Pt
Du 20
Category
Du + Bl, GB,
SJ, Liver
Loc
Vertex in a depression 5 cun posterior to
the anterior hairline, 7 cun superior to the
posterior hairline
Needling
1. Draw a line starting at the low

point of the ear lobe, through the
ear apexes and up to the to pof the
head.
2. Where this line intersects with the
midsagittal line is Du 20.
Du 21
1.5 cun anterior to Du 20

3.5 cun posterior to the front hairline
Du 22
2 cun posterior to the anterior hairline

on the midline of the head.
3 cun anterior to Du 20
Caution: dont use if infants

fontanelle is not closed.
Du 23
Ghost
1 cun posterior to the front hairline.
Du 24
Sometimes
classd as a
ghost pt
Du 25
Du 26
Ghost
Du 27
Du 28
Du + Ren + ST
cun posterior to the front hairline

3 cun superior to the glabella
5 cun anterior to Du 20
Midline, tip of the nose
Perp, 0.2 0.3 cun

Trans superior - 1 cun
Prick to bleed.
Junction between the upper 1/3 and lower

2/3 of the philtrum
Obl-superior, 0.3 cun
Midline, junction of the margin of the

upper lip and philtrum
Obl-superior, 0.2 0.3 cun
Between the upper lip and gum in the

superior frenulum
Prick to bleed
Cats Notes
Page 59
Ren/Conception Channel
Pt
Ren 1
Category
Ghost
Ren 2
Loc
All points on the Ren channel are located
on the anterior midline of the body.
At the perineum, way between the
rectum and genitalia (scrotum or posterior
labial commissure)
Perp, less than 1 cun
Perp, - 1 cun
Front Mu BL
Use proportional measuring on all ab

points!
1 cun superior to upper border of the

pubic symphysis
4 cun inferior to the umbilicus
Perp, - 1 cun

pubic symphysis
3 cun inferior to the umbilicus
Perp, 1 1 cun
Moxa w/ginger for Kd yang
xu
Ren 4
Front Mu SI
Dantian!
Superior border of the pubic

symphysis
5 cun inferior to the umbilicus.
Caution: possible bladder

puncture with deep needling.
Have pt empty bladder 1st if
possible
Ren 3
Needling

possible

possible
Ren 5
Front Mu SJ
Ren 6
Ren 7
Ren + Chong

pubic symphysis
2 cun inferior to umbilicus
Perp, 1 1 cun
3.5 cun superior to upper border of

pubic symphysis
1.5 cun inferior to umbilicus
Perp, 0.8 1 cun
4 cun superior to upper border of

pubic symphysis
1 cun inferior to umbilicus
Perp, 1 2 cun
Cats Notes
Page 60
Contra: preggers
Caution: periotoneal punc
Pt
Ren 8
Category
Ren 9
Ren 10
Ren 11
Ren 12
-Front Mu ST
-Hui of Fu
Ren 13
Ren 14
Front Mu HT
Loc
Center of umbilicus
Needling
Contra to needling, but good
for massage or moxa with salt,
ginger, or garlic. Shen says
you can flash cup as well with
good results.
1 cun superior to umbilicus

7 cun inferior to sternal costal angle
Perp, 0.8 1 cun

Perp. 1 1 cun

Perp - 1 cun

Midway between umbilicus and
sternal costal angle
Perp, 0.8 1 cun

Perp, 0.8 1 cun

Perp, 0.3 0.8 cun

If xyphoid proc extends this
far, however, transverse or obl
Contra: no moxa in preggers

Contra: no moxa in preggers

Caution: palpate for enlarged

organs. Never insert
superiorly toward heart!
Ren 15
Luo Connecting

1 cun inferior to sternocostal angle
Perp, shallow
If on xyphoid process or
sternum, oblique - 1 cun.
Caution: palpate for enlarged
organs. Never insert
superiorly toward heart!
Ren 16
On sternum, level with 5th IC space

Cats Notes
Page 61
Trans, 0.3 cun
Pt
Category
Loc
Needling
On sternum, level with 4th IC space
Trans - 1 cun, with or

against the channel
Ren 18
On sternum, level with 3rd IC space
Trans - 1 cun, with or

against the channel
Ren 19
On sternum, level with 2nd IC space
Trans - 1 cun with or

against the channel
Ren 20
On sternum, level with 1st IC space
Trans - 1 cun with or

against the channel
Ren 21
On the manubrium, midway between Ren

20 and Ren 22
Trans inferiorly, - 1 cun
Perp for 0.3 cun, then

inferiorly behind muscle
and anterior to esophagus.
Dangerous but tradit!
Shallowly into muscle

layer, but deep enough to
stand on its own.
Safer!
Ren 17
Ren 22
-Front mu PC
-Hui of Qi
Window of Sky
Ren 23
Center of the suprasternal fossa

cun superior to suprasternal notch
Anterior midline of neck in the depression

above the hyoid bone
Oblique superior toward root

of tongue, - 1 cun
Slide finger down from chin until it hits

the border of the bone.
Ren 24
Ghost
Above the chin in the depression in the

center of the mentolabial groove
Cats Notes
Page 62
Perp oblique, 0.3 cun
Extra Points
Name
Qian Zhong
to pull straight
Location
- 1 cun (palpate for tenderest point)
anterior to lowest point of ear lobe.
Indication/Contras
Deviation of the mouth
Ulcers in mouth or on tongue
Needle Tech
Perp or obl, - 1 cun
Sishencong
4 intelligence points
4 points, 1 cun anterior, posterior, and

lateral to Du 20.
Physical:
Headache
Vertigo
Functional:
Poor memory and
concentration
Insomnia
Epilepsy/seizure attacks
Trans, - 1 cun
Yintang
Hall of Seals
At glabella, midpoint between medial

ends of eyebrows
Emotional imbalances of all

kinds including stress, anxiety,
bipolar, etc.
Headache, pain in forehead
Vertigo
Insomnia
Nasal congestion, discharge,
bleeding.
Cats Notes
Page 63
From Du 20, outward to

Sishencong (most
stimulation for Du 20)
From Sishencong inward to

Du 20 (less stimulation for
Du 20)
Tonifying:
Clockwise from one
Sishencong to the next
Reducing:
Counterclockwise from one
Sishencong to the next
Pinch and insert transversely

either inferior down (most
common), up, or lateral.
0.3 cun
Name
Location
Indication/Contras
Needle Tech
Yuyao
fish waist
Mid point of inner and outer canthus

on the eyebrow (or mid eyebrow)
Eye and orbital area:

Redness, swelling, pain,
cloudiness
Eyelids
Ptosis and twitching
Pinch, needle trans medial,

lateral, or twd manifestation.
- 1 cun
Qiuhou
Behind the ball
mark from the outer canthus to the

inner canthus along the inferior edge
of the orbit.
All kinds of eye diseases, including

those of vision and physical
malfunction.
All eye area needling

techniques apply (i.e., push
eyeball out of the way with a
clean cotton ball, no
manipulation, press to avoid
hematoma, communicate w/pt,
etc.)
Cautions: all eye area needling

techniques apply
In obvious depression abt 1 cun
posterior to midpt between lat extreme
of eyebrow and outer canthus
Erjian
Apex of the ear
Bitong
Bailao
Hundreds of taxations
Taiyang
Headache, migraine in
temporal region
Eye problems
Perp 0.3 cun

Prick to bleed
Clear toxic heat, fever,

conjunctivitis
Prick to bleed
Highest point of the nasolabial groove,

close to LI 20
Symptomatic nasal allergies,

rhinitis, congestion and
discharge, nasal bleeding,
polyps
Trans twd bridge of nose or

twd LI 20.
0.3 cun
Alt: from LI 20 to Bitong
2 cun superior to C7 and 1 cun lateral

to the midline
Lung tuberculosis
Also called consumption sob,
cough, night sweats,
spontaneous sweating, bone
steaming heat, tidal fevers,
scrofula.
Perp - 0.8 cun
Cats Notes
Page 64
Name
Location
Indication/Contras
Stiff neck
Needle Tech
Anmian
Peaceful sleep
Behind ear, midway between GB 20

and SJ 17 on base of skull. May
overlap with GB 12, but GB 12
usually posterior/slight superior to
Anmian
Insomnia
Vertigo
Headaches
Bipolar disorder
Perp - 1 cun
Jiachengjiang
1 cun lateral to Ren 24 (center of chin

groove) over mental foramen
Swelling and pain of gums

Deviation of mouth
Trans - 1 cun
Jinjin Yuyu
On the veins on the underside of the

tongue on either side of the frenulum.
Jinjin is on the pts left side, Yuye is
on the pts right side.
Thirst, esp wasting disease

type thirst like diabetes mellitus
Vomiting
Tongue swelling
Mouth ulcers
Prick on veins to bleed
Jaihexue
tuberculosis point(xue)
3 cun lateral to Du 14/C7
All kinds of tuberculosis

(compare to Bailao more
specific to Lung TB)
Perp - 1 cun
Pigen
masses root (gen)
2 cun lateral to spinous process of

L1.
Masses in the abdomen

tumors, masses, fibroids, etc.
Local back pain
Perp - 1 cun
Asthma, wheezing, cough,

sob
Perp - 1 cun
Note: lower anmian is on

heel way between K6
and BL62
Jinjin (L) = golden liquid

Yuye (R) = jade fluid
Dingchuan
calm dyspnea
cun lateral to C7/Du 14.
Treats acute, active symptoms use

during attack. For quiescent asthma,
treat the root cause with acupuncture
Cats Notes
Page 65
Note: you must immobilize the

tongue either use clean gauze
to grab it or use a wooden
spatula to hold it back.
Name
Location
Indication/Contras
and herbs
Needle Tech
Weiguanxiashu
1 cun lateral to the T8
Diabetes: wasting and

thirsting disorder
Dry throat
Obl, - 1 cun. Needle toward

spine.
Lumbar pain: any etiology,

acute or chronic
Irregular or painful
menstruation
Perp, 1 1 cun
stomach controller lower

shu or insulin/diabetes
point or pancreas shu
In the 2 dimples on the lower back

about 3 - 4 cun lateral to L4 or L5
(Du 3)
Shiqizhuixia
Below (xia) the 17th
(shiqi) vertebra (zhu)
Depression below the spinous proc of

L5.
Slide finger up along midline sacrum
until it meets the depression inferior to
the lumbar spine.
Lower back pain

Uterus problems such as
heavy bleeding
Obl upwards, - 1 cun

between the 2 bones of the
sacrum and L5
HuatuoJiaji
cun lateral to the depressions below

the spinous processes (du channel) of
12 thoracic and 5 lumbar verts.
Combines the functions of Bl 1 and

2 lines as well as the Du points.
Safer than back shus or dus.
Oblique-medial, - 1 cun
Place thumb on midline, needle next

to thumb for correct spacing.
Jiajis treat disorders in diff

locations:
T1 T3 = upper limbs
T1 T8 = chest
T6 L5 = abdomen
L1 L5 = lower limbs
2 cun above tip of coccyx near Du 2
Yaoyan
eyes of lower back
Yaoqi
Seizure attacks
Insomnia
Cats Notes
Page 66
Subcutaneous needling
upwards toward the head, 1 2
Name
Location
Indication/Contras
Headaches
Needle Tech
cun
Huan Zhong
dist between GB 30 and Du 2.
Sciatic pain, often more effective

than GB 30.
Perp, 1 - 3 cun
(depending on size of patient
and depth of tissues here)
Might also be worded way between

great trochanter and sacral hiatus
Sanjiaojiu
triangle moxibustion
Lower ab in an equilateral triangle

with top point at the belly button. The
legs of the triangle should be the same
distance as the width of the mouth
Strong electrical stim w/ long

needles works best
Hernia
Abdominal pain, especially
menstrual and ab pain related to
coldness
Moxa only! Burn 5 7 cones

on each side. Can be direct or
indirect using ginger, garlic,
aconite, etc.
During menstruation or after child

delivery for women and after
sex/ejaculation for men, should not
swim in cold water, take cold
showers, or eat cold foods. The
pores and channels are open during
these times and the cold can invade
the body easily. Takes time to show,
but affects deep tissues/organs.
Zigong
palace of the child
3 cun lateral to Ren 3
Prolapse of the uterus

Infertility
Irregular menstruation
Perp, - 1 cun
Occasionally used for men to treat

hernia
Tituo
lift and support
4 cun lateral to Ren 4.

Medial to superior iliac spine
Prolapse of uterus, stomach,

rectum, other organs
Cats Notes
Page 67
Perp - 1.2 cun
Name
Location
Shixuan
0.1 0.2 cun dist to nail, some overlap

with other points like P 9
Palmar surface at mid pt transverse
crease of proximal interphalangeal
joint of index of fingers (not thumb)
Sifeng
Indication/Contras
Hernia
Coma
Loss of consc
Seizure
Heat with high fever
Treat malnutrition in children
Whooping cough
Needle Tech
Needle superficially
Retain 15-20 minutes,
manipulating every 5 mintues
Prick to bleed or prick on skin,
squeeze out small amount of
yellowish mucus.
Pretty painful. Usually needle
where there are dark veins or
bubbles visible under the skin.
Malnutrition causes this kind
of bubble filled with yellowish
mucus.
Sifeng Study 1: after needling kids with malnutrition, calcium serum and phosphates were up, alkaline phosphatase decreased. Increases
absorption of calcium from food.
Sifeng Study 2: needling Sifeng in kids w/roundworm increases digestive enzyme activity. Breakdown and absorb food better.
No study for adults, no material as to whether it increases digestive enzymes for adults with digestion problems.
Zhong Kui
middle emminence
(CAM p249)
Mid point of proximal interphalangeal

joint on the dorsal side.
Digestive problems, esp low

appetite. Add Ren 11 for
treatment.
Also to treat overweight due to
Cats Notes
Page 68
Needle superficially 0.1 0.3

cun or use direct moxa (5-7
cones)
Name
Location
Baxie
Dorsum of hand at jnx of red/white

skin. End of crease when the fingers
are closed. Between heads of the
metacarpal bones.
P579Deadman
Indication/Contras
damp retention/SP Qi xu.
Hiccups
Vomiting
Pain in the eyes
Pain in hands/fingers
Poisonous snakebite with
swelling.
Needle Tech
Perp or obl - 0.8 cun
Obl - 1 cun or let out blood.
Some overlap with other points, like

SJ 2
Luozhen
On the dorsum of the hand, in the

depression
just proximal to the second and third
metacarpophalangeal
joints.
Neck pain or stiffness

Works better for acute than for
chronic. Add LU 7 and local
points with cupping, needling,
elec stim.
Stomach aches (less common
than neck problems)
Cats Notes
Page 69
Name
Location
Indication/Contras
Needle Tech
Yaotongxue
P 580
Dorsum of hand on both sides of

extensor digitorum communis tendon
on the hand.
Acute lower back pain

(not so great for chronic pain)
Puncture obliquely from both

sides toward the center of the
palm. Can also puncture
perpendicularly, - 1 cun.
Perp - 1 cun
Also just distal to the junction of the

bones, right in front of jnx of 2nd and
3rd MC bones and 4th / 5th MC bones.
Slide fingers from proximal side over
the junction until falls into depression
Erbai
P 581
4 cun above the trans crease of the

wrist on both sides of flexor carpi
radialis (closest to the radial side).
Pericardium channel
Hemorrhoids
(Herbal or surgery is better for
more severe cases. Topical
creams for instance, or
suppositories for internal
hemorrhoids.)
Prolapse of rectum (less
common use than for
hemorrhoids)
Combine with Bladder 56-57
Cats Notes
Page 70
Surgical techniques, including

for hemorrhoids, exist in TCM
that are not allowed here in the
damn US. Example: medicated
threads to drain pus, stitching
techniques and more.
Remember Huatuo and his
surgical prowess.
Name
Location
Zhoujian
P581
At the tip of the elbow (tip of the ulnar

olecranon process)
Jianqian
P582
2 different locations, 2 methods. Both

acceptable.
Baichongwo
hundred bug burrow
Pg 583
Indication/Contras
1 cun above the upper end of the

anterior axillary fold. Mirrors SI 9.
Midpoint of the line connecting

the anterior end of the axillary fold
and LI 15
1 cun above SP 10.
For SP 10 or ST 34, make sure you

bend the knee and locate the point at
the bulge of the muscle.
Scrofula
(uncommon in urban areas, but
still seen in rural areas some
places still really hard to get to)
Local problems only pain and
limited range of motion of the
shoulder, pain in the arm.
All kinds of skin conditions

rashes, eczema, boils, ulcers, etc.
Parasites, esp in digestive
system. Doesnt kill them, but
reduce sxs.
(Shen says herbal is better by far
Cats Notes
Page 71
Needle Tech
Perp 1 1 cun needled

directly into the shoulder
Perp 1 1 cun
Name
Location
Indication/Contras
for parasites, even Western
medicine far faster)
Needle Tech
Heding
crane head
Pg 583
Midpoint of upper border of the

patella.
Weakness, stiffness, pain of the

knee
Perp - 1 cun.
Knee joint pain

Stiffness, heaviness in knee
joint.
Perp or obl - 1 cun
Cranes are considered good birds

longevity, purity, loyalty
Xiyan
knee eye
Depression medial and lateral to

patellar ligament on the lower border
of the patella. The lateral one overlaps
with ST 35.
There are depressions below this, so
get this one right.
Lanweixue
Appendix point
Located on both left and right legs, at

the level 2 cun distal to ST 36.
Traditional technique:
Needle towards BL 40
Some books recommend
threading between the 2Shen
says not such a great idea.
Acute and chronic appendicitis

(Discovered by a German doc in
the early part of the 20th century)
Perp, 1 1 cun
2 Studies on Lanwiexue:
One study opened the abdomens of patients scheduled for this surgery, needled the point and observed the reaction of the appendix.
Strong stim was applied on both legs - 3 minutes (lift/thrust type manipulation, continuous). Increased movement observed in all
cases, in some cases moved dramaticaly in a whirling motion!
Cats Notes
Page 72
Name
Location
Indication/Contras
Needle Tech
Another study: after 1 2 minutes after needling, increased evacuation of the appendix observed in a barium swallow test. Suggests that
the infection is expelled, decreasing the infection, enabling the body to fight it off. Herbal medicine works well for appendix problems.
Dannangxue
1 2 cun below GB 34. Palpate for

tenderness to pinpoint it
Pg 585
Gb 41 and 24 too.
Gallbladder problems,
inflammation of GB and biliary
tract, gb stones, etc.
Perp 1 2 cun.
Can cause the increase of peristalsis

of biliary tract and gallbladder,
helping to squeeze out the contents
(infection, stones)
Caution: if stones are bigger than the
tract, will cause a lot of pain,
jaundice, etc. Make sure stones can
pass. Patient needs MRI or
ultrasonic exam.
Must be familiar with the size of the
tracts to make sure they will pass.
Bafeng
Dorsum of foot on depression between

the webs of the toes on the margin
where the skin changes color/texture
Beriberi fungus of the foot

caused by vitamin deficiencies.
Cats Notes
Page 73
Obl or perp - 1 cun.

Alt: prick to bleed.
Name
Location
Indication/Contras
Poisonous snake and insect bites
Needle Tech
Homework: do 25 points to quiz the colleagues. Next week: whole 3 hours to practice. Come with questions!!!
Cats Notes
Page 74

Points - Comprehensive

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Point Locations III

Lung Channel of the Hand Taiyin

1 cun superior and slightly medial to LU 1

3 cun below tip of axillary fold, 6 cun

Transverse oblique, pointing

Divide distance between axillary tip and

4 cun inferior to tip of axillary fold, 5 cun

Divide distance between axillary tip and

On cubital crease of elbow in the

Divide distance between LU 5 and LU 9

Radial aspect of forearm ~ 1.5 cun prox to

Pinch to insert either with or

Slide fingertip from LI 5 proximal over

1 cun proximal to LU 9 in a line

At wrist joint in depression between radial

Level with Heart (HE) 7 point.

Locate the point on the border of the red

Best to use acupressure or for

Large Intestine of the Hand Yangming

Radial edge of 1st phalanx of index finger

Find/needle with hand in a loose fist.

Perp-obl toward palm, cun.

Radial edge of MC 2, just proximal to the

Perpendicular - 0.8 cun

Find/needle with hand in a loose fist.

Mid point of the 2nd MC bone, inbetween

In the anatomical snuffbox. Stretch the

Perpendicular - 0.8 cun

One quarter of the distance from LI 5-11

5 cun proximal to LI 5, inline between

For most accurate location, use a measure

Note: LI 8-10 are

Use a measure to find the mark between

Note: LI 8-10 are

Use a measure to find the mark between

Note: LI 8-10 are

Either find LI 11 and LI 8 and divide

With elbow fully flexed:

Flex the elbow to 90 . Palpate the lateral

3 cun proximal to LI 11 (6 cun distal to tip Perpendicular - 1 cun

Lateral side of the upper arm in a

Hold the arm out in airplane to see the

Upper aspect of the shoulder in a

1 cun inferior to LI 18 on the posterior

Between sternal and clavicular heads of

On the face, cun lateral to the midline

NOTE: LI channel crosses the midline of

In naso-labial groove level with the

Trans, directed mediosuperiorly, 0.3 cun

Stomach Channel of the Foot Yangming

Directly below midline of eye (below

Level with the lower wing of the ala nasi

Generally in line with ST 1-3, but not

cun above the lower border of the

Oblique, 0.3 cun

Clench teeth to find, relax to needle.

Perpendicular, 0.3 0.5 cun

Clench teeth to find, relax to needle.

Located below the zygomatic arch,

Perpendicular and slightly

1. Find the depression just in front of

Corner of the forehead, 4.5 cun lateral to