AA1 Point Locations Flashcards by Jonathan Malo

LI4 location and needling technique

Location
Insertion
Depth

LI4 Needling technique

Location: At the level of the midpoint of the second metacarpal, between the first and second metacarpal on the dorsum of the hand. Feel for a depression and a tender spot

Insertion: perpendicular

Depth: 0.5 cun

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HT7 needling technique

Location
Insertion
Depth

HT7 needling technique

Location

On the wrist crease (palmar aspect) located between the ulnar styloid process and the pisiform bone, lateral to (on the radial side) of the flexor carpi ulnaris tendon.

Insertion

Perpindicular

Depth

0.25-0.5 cun

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TE5 location and needling technique

Location
Insertion
Depth

TE5

Location

On the dorsal aspect of the forearm, 2 cun proximal to the wrist crease corresponding to the radiocarpal joint between the radius and the ulna in the interosseus space

Insertion:

perpendicular

Depth:

0.5 - 1 cun

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PC6 location and needling technique

Location
Insertion
Depth

PC6

Location:

On the flexor surface of the forearm, 2 cun proximal to the wrist crease between palmaris longus and flexor carpi radialis longus.

Insertion:

perpendicular

Depth: 0.5 - 1 cun

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LI10 location and needling technique

Location
Insertion
Depth

LI10

Location

2 cun distal to LI 11 on the line connecting LI 11 and LI 5 in the depression between brachioradialis and extensor carpi radialis longus

Insertion:

Perpendicular.

Depth:

1-1.2 cun

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L11 location and needling technique

Location
Insertion
Depth

L11 location and needling technique

Location

On the transverse cubital crease, midpoint between the lateral edge of the biceps aponeurosis and the most prominent point of the lateral epicondyle, in the depression between extensor carpi radialis longus and brachioradialis

Insertion

Aim towards the midpoint of the elbow joint (bicipital aponeurosis).

Depth

1-1.5 cun

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PC3 location and needling technique

Location
Insertion
Depth

PC3 location and needling technique

Location

On the transverse cubital crease on the medial side of the bicipital aponeurosis

Insertion

Intra-articular, perpendicular, into the cubital fossa

Depth

0.5 - 1 cun

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LI15 location and needling technique

Location
Insertion
Depth

LI15 location and needling technique

Location

With the arm abducted, identify the anterior tip of the acromion. To locate the point, slide down into the depression/dimple between the anterior and middle fibers of the deltoid. If patient is unable to abduct to 90 ° the point may be located with the arm by the side.

Insertion

intra-articular, toward the midpoint of the axilla (HT1)

Depth

1-1.5 cun

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TE14 location and needling technique

Location
Insertion
Depth

TE14 location and needling technique

Location

With the arm abducted, identify the posterior tip of the acromion. To locate the point, slide down into the depression/dimple between the posterior and middle fibers of the deltoid.

Insertion

Intra-articular, toward the midpoint of the axilla (HT 1)

Depth

1-1.5 cun

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SI11 location and needling technique

Location
Insertion
Depth

SI11

Location

Midway on the line connecting the midpoint of the upper margin of the spine of the scapula (SI 12) and the inferior angle of the scapula. Alternatively, locate the point at the junction of the upper one third and lower two thirds on the line connecting the midpoint of the lower margin of the spine of the scapula and the inferior angle of the scapula.

Insertion

Oblique, medial to lateral and inferior to superior (towards the glenohumeral joint).

Nb. Deep needling on an osteoporotic scapula could produce pneumothorax.

Depth

0.5 - 1 cun

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SI12 location and needling technique

Location
Insertion
Depth

SI12 location and needling technique

Location

In the supraspinous fossa, directly above the midpoint of the spine of the scapula

Insertion

Aim towards the floor of the suprapinous fossa, down into the supraspinatus muscle.

Caution: Perpendicular insertion, posterior to anterior may cause Pneumothorax

Depth

0.5-1 cun

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CV4 location and needling technique

Location
Insertion
Depth

CV4 location and needling technique

Location

On the anterior midline, 3 cun below the centre of the umbilicus, 2 cun above the symphysis pubis

Insertion

oblique insertion, usually aiming superiorly (with the direction of the meridian)

Depth

0.5-1 cun, do not go past the resistance felt at the linea alba

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CV6 location and needling technique

Location
Insertion
Depth

CV6 location and needling technique

Location:

On the anterior midline, 1.5 cun below the centre of the umbilicus, 3.5 cun above the symphysis pubis (internally ~ at the level of the bifurcation of the abdominal aorta)

Insertion:

oblique, generally in the direction of the flow of the meridian, inferior to superior

Depth:

0.8 – 1 cun

Do not go past the resistance felt at the linea alba.

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CV12 location and needling technique

Location
Insertion
Depth

CV12 location and needling technique

Location

On the anterior midline, midway between the sternocostal angle and the centre of the umbilicus, 4 cun below the sternocostal angle and 4 cun above the umbilicus

Insertion

Oblique insertion, usually aiming superiorly (with the direction of the meridian).

Depth

0.5-1 cun

Do not go past the resistance felt at the linea alba

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GV3 location and needling technique

Location
Insertion
Depth

GV3 location and needling technique

Location

On the midline of the back below the lower border of L4 spinous process.

Insertion

posterior to anterior, perpendicular to the skin.

Depth

1 cun

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GV4 location and needling technique

Location
Insertion
Depth

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GV4 location and needling technique

Location

On the midline of the back below the inferior margin of the L2 spinous process.

Insertion

posterior to anterior, perpendicular to the skin, slightly upwards

Depth

0.7-1 cun

BL23 location and needling technique

Location
Insertion
Depth

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BL23 location and needling technique

Location

1.5 cun lateral to the midline at the level of the lower border of the spinous process of L2.

Insertion

oblique, 30- 45 degree angle to the skin, lateral to medial towards the midline

Depth

1-1.2 cun

BL25 location and needling technique

Location
Insertion
Depth

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BL25 location and needling technique

Location

1.5 cun lateral to the midline at the level of the lower border of L4 spinous process

Insertion

perpendicular to the skin, posterior to anterior

Depth

1 - 1.5 cun

GV14 location and needling technique

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GV14 location and needling technique

Location

On the midline of the neck, between C7 and T1 spinous processes

Insertion

slightly superiorly, generally the needle will follow the space between the spinous processes.

Depth

1 cun

GB20 location and needling technique

Location
Insertion
Depth

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GB20 location and needling technique

Location:

In the depression below the occipital bone at the level of GV 16, between the origin of trapezius and sternocleidomastoid muscles, midway between the midline and the mastoid process

Insertion:

Towards the tip of the nose or opposite eye on a horizontal plane

Depth:

0.5-1 cun, no deeper to avoid puncturing the vertebral artery

Caution: avoid deep needling (vertebral artery at ~ 40mm from skin), and avoid directing the needle towards the foramen magnum.

SI15 location and needling technique

Location
Insertion
Depth

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SI15 location and needling technique

Location

2 cun lateral to the midline at the level of the lower border of spinous process of C7 (GV 14).

Insertion

Oblique, inferior to superior, towards the midline

Deep perpendicular insertion may cause pneumothorax. Pick up muscle while inserting.

Depth

0.5 – 1.0 cun

GV24.5 location and needling technique

Location
Insertion
Depth

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GV24.5 location and needling technique

Location:

On the midline of the face, between the medial ends of the eyebrows (glabella)

Insertion

Obliquely downward, pinch the skin to insert. Use 15 mm or 30 mm needle

Depth

0.3 – 0.5 cun

GV26 location and needling technique

Location
Insertion
Depth

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GV26 location and needling technique

Location

On the midline of the philtrum on the upper lip at the junction between the upper one third and the lower two thirds.

Insertion

slightly oblique in a cranial direction

Depth

0.3 – 0.5 cun

CV24 location and needling technique

Location
Insertion
Depth

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CV24 location and needling technique

Location

On the anterior midline at the midpoint of the mentolabial groove (fossa).

Insertion

perpendicular or obliquely upward towards the inferior lip

Depth

0.3-0.5 cun

LI20 location and needling technique * Location * Insertion * Depth

LI20 location and needling technique **Location** In the nasolabial groove at the level of the midpoint of the nasal ala. This is the last point of the LI meridian and is on the opposite side of the body from the rest of the meridian. **Insertion** obliquely, subcutaneously, superiorly and medially towards the bridge of the nose, following the nasolabial groove. Use 15mm or 30mm needle. **Depth** 0.25-0.5 cun

ST7 location and needling technique * Location * Insertion * Depth

ST7 location and needling technique **Location** In the depression below the middle of the zygomatic arch, posterior to the masseter and between the coronoid process and the condyloid process of the mandible. The point is located with the mouth closed. If a finger is placed on the point and the mouth is opened, the condyloid process will be felt as it moves forward. **Insertion** lateral to medial, perpendicular to the skin. **Depth** 0.5-1 cun

Taiyang location and needling technique * Location * Insertion * Depth

Taiyang location and needling technique **Location** In the temporal fossa, 1 cun posterior to the midpoint of the line joining the lateral end of the eyebrow (superior lateral corner of the orbit) and the lateral canthus of the eye **Insertion** Oblique anterior to posterior or perpendicular to the skin. Avoid hitting the temporal artery. **Depth** 0.3 - 0.4 cun

GB30 location and needling technique * Location * Insertion * Depth

GB30 location and needling technique **Location** At the junction of the lateral 1/3 and medial 2/3 of the distance on the line between the sacral hiatus (~ top of the anal crease) and the most prominent posterior point of the greater trochanter. **Insertion** posterior to anterior, perpendicular to the skin **Depth** 2 – 3.5 cun as required to reach the depth of the sciatic nerve

GB31 location and needling technique * Location * Insertion * Depth

GB31 location and needling technique **Location** On the lateral aspect of the thigh, 7 cun above the popliteal crease (lateral knee joint line). Alternatively, found in the standing position, where the tip of the third finger reaches the thigh. **Insertion** lateral to medial, perpendicular to the skin **Depth** 1.5 – 2 cun

LR3 location and needling technique * Location * Insertion * Depth

LR3 location and needling technique **Location** Midway between the first and second metatarsals at the level of the midpoint of the second metatarsal. (Analogous to the location of LI 4 in the hand) **Insertion** aim slightly superiorly from the perpendicular, towards the junction of the first and second metatarsal **Depth** 0.5 cun

BL60 location and needling technique * Location * Insertion * Depth

BL60 location and needling technique **Location** In the center of the depression located approximately midway between the most prominent aspect of the lateral malleolus and the posterior border of the Achilles tendon, superior to the calcaneus. **Insertion** lateral to medial **Depth** 0.5-1 cun

KI3 location and needling technique * Location * Insertion * Depth

KI3 location and needling technique **Location** On the same horizontal line as the most prominent aspect of the medial malleolus in the depression between the medial malleolus and the Achilles tendon. **Insertion** medial to lateral **Depth** 0.3 - 0.5 cun. Deeper insertion towards BL 60 is possible

GB40 location and needling technique * Location * Insertion * Depth

GB40 location and needling technique **Location** Anterior and inferior to the lateral malleolus, in the sinus tarsi, lateral to the extensor digitorum longus tendon. **Insertion** intra-articular, perpendicular to the skin. Use Betadine® or Stanhexidine® to avoid joint infection **Depth** 1 - 1.5 cun

BL57 location and needling technique * Location * Insertion * Depth

BL57 location and needling technique **Location** On the posterior midline of the leg, at the apex of the inverted “V” of the musculotendinous junction of the gastrocnemius muscle and Achilles tendon, approximately 8 cun below the popliteal crease. Contract and relax the gastrocnemius to locate. **Insertion** perpendicular to the skin, posterior to anterior **Depth** 0.5-1.5 cun

SP6 location and needling technique * Location * Insertion * Depth

SP6 location and needling technique **Location** 3 cun superior to the most prominent point of the medial malleolus, posterior to the tibia and anterior to the Achilles tendon and soleus muscle. **Insertion** medial to lateral (perpendicular to the skin), posterior to the tibia. Avoid needling the tendons of flexor digitorum and tibialis posterior by having patient plantar & dorsiflex the foot to locate the tendons **Depth** 1-1.5 cun

ST36 location and needling technique * Location * Insertion * Depth

ST36 location and needling technique **Location** On the leg, 3 cun below the knee joint line with the knee in extension or 3 cun below the lower margin of the patella when the knee is flexed, 1cun lateral to the crest of the tibia. **Insertion** anterior to posterior, aiming between the tibia and the fibula towards the interosseus space, on a horizontal plane **Depth** 1-1.5 cun

GB34 location and needling technique * Location * Insertion * Depth

GB34 location and needling technique **Location** On the lateral aspect of the leg, inferior to the head of the fibula and anterior to the neck 2 cun below the lateral knee joint line. **Insertion** lateral to medial, towards the interosseous space **Depth** 1-1.5 cun

SP9 location and needling technique * Location * Insertion * Depth

SP9 location and needling technique **Location** On the medial aspect of the leg, 2 cun below the medial knee joint line, posterior to the tibia and anterior to the soleus and gastrocnemius, at the apex of the curve between the shaft and the tibial condyle. **Insertion** perpendicular, medial to lateral **Depth** 1-1.5 cun

BL40 location and needling technique * Location * Insertion * Depth

BL40 location and needling technique **Location** At the midpoint of the Popliteal crease between the tendons of biceps femoris and semitendinosus. **Insertion** posterior to anterior, perpendicular to the skin, (possible to insert intra- articularly if using a long enough insertion). Flex the knee slightly to take tension off the posterior neural and vascular structures. **Depth** 1 - 1.5 cun

AA1 Point Locations Flashcards

(39 cards)