CONO 2 Acupuncture

Question 1

CV3

Answer 1

Western Anatomy – midline of the abdomen between the umbilicus & pubic symphysis
Chinese Anatomy – 1 cun superior to the pubic symphysis
Western Action – urinary concerns such as frequent urination
Chinese Action – resolves damp-heat
Contraindications – Full Bladder, pregnancy (relative)
Depth & Angle – perpendicular 0.5-1 inches

Question 2

CV4

Answer 2

Western Anatomy – midline of the abdomen between the umbilicus & pubic symphysis
Chinese Anatomy – 2 cun superior to the pubic symphysis
Western Action – regulate menses
Chinese Action – Nourishes Yin
Contraindications – Full Bladder, pregnancy (relative)
Depth & Angle - perpendicular 0.5-1 inches

Question 3

CV6

Answer 3

Western Anatomy – midline of the abdomen between the umbilicus & pubic symphysis
Chinese Anatomy – 3.5 cun superior to the pubic symphysis
Western Action – Abdominal pain
Chinese Action – tonifies Yang
Contraindications – peritoneal cavity in thinner patients, pregnancy (relative)
Depth & Angle - perpendicular 0.5-1 inches

Question 4

CV8

Answer 4

Western Anatomy – at the center of the umbilicus
Chinese Anatomy – center of the umbilicus
Western Action – Abdominal pain
Chinese Action – Tonifies Yang
Contraindications – Puncture is prohibited – use Moxibustion

Question 5

CV12

Answer 5

Western Anatomy – anterior midline between the umbilicus and the sternocostal angle
Chinese Anatomy – 4 cun above the umbilicus
Western Action – vomiting
Chinese Action – Subdues rebellious Qi
Contraindications – peritoneal cavity in thinner patients
Depth & Angle – perpendicular 0.5-1.5 inches

Question 6

CV13

Answer 6

Western Anatomy – on the anterior midline between the umbilicus and sternocostal angle
Chinese Anatomy – 5 cun above the umbilicus
Western Action – vomiting
Chinese Action – subdues rebellious qi
Contraindications – peritoneal cavity in thinner patients
Depth & Angle – 0.5-1.2 inches

Question 7

CV14

Answer 7

Western Anatomy – on the anterior midline between the umbilicus and sternocostal angle
Chinese Anatomy – 6 cun above the umbilicus
Western Action – vomiting
Chinese Action – subdues rebellious qi
Contraindications – cardio and/or hepatomegaly
Depth & Angle – 1-1.5 inches

Question 8

CV17

Answer 8

Western Anatomy – midline of the sternum at the level of the fourth intercostal space
Western Action – breast tenderness
Chinese Action – promotes lactation
Depth & Angle – Subcutaneously 0.5-1 inch inferiorly/superiorly, or 1-1.5 inches laterally

Question 9

CV22

Answer 9

Western Anatomy – in the center of the suprasternal fossa
Western Action – cough
Chinese Action – descends lung qi
Contraindications – Caution of the jugular arch, aortic arch and trachea
Depth & Angle – first puncture perpendicularly 0.2 inches and then inferiorly on he posterior aspect of the sternum 0.5-1 inch

Question 10

CV24

Answer 10

in the depression in the centre of the mentolabial groove
Western Action – toothache
Chinese Action – regulates the CV
Depth & Angle – obliquely 0.2-0.3 inches superiorly or laterally toward Jiachengjiang

Question 11

Shi Shen Cong

Answer 11

Western Anatomy – on the crown of the head in four locations
Chinese Anatomy – 1 cun away from GV 20
Western Action – headache
Chinese Action – subdues liver Yang
Contraindications – open fontanelle in infants
Depth & Angle – subcutaneously 0.5-1 inches toward GV20

Question 12

Yintang

Answer 12

Western Anatomy – anterior midline of the face, between the medial ends of the eyebrows
Western Action – headache
Chinese Action – calms the mind
Depth & Angle – subcutaneously 0.3-0.5 inches inferiorly or inferior laterally

Question 13

Tai Yang

Answer 13

Western Anatomy – in the depression found 1 cun posterior to the midpoint of the line drawn between the lateral end of the eyebrow and he outer canthus
Western Action – headache
Chinese Action – subdues Liver Yang
Contraindications – caution for the superficial temporal artery and vein
Depth & Angle – subcutaneously 1-1.5 inches toward GB8 (1.5 cun above the apex of the ear)

Question 14

Bi Tong/Shang Ying Xiang

Answer 14

Western Anatomy – most superior point of the nasolabial groove on the face
Western Action – Rhinitis
Chinese Action – benefits the sinuses
Depth & Angle – subcutaneously 0.3-0.5 inch superior-medially toward the bridge of the nose

Question 15

Anmien

Answer 15

Western Anatomy – behind the ear
Chinese Anatomy – midpoint between GB20(nape of neck between SCM & traps) and TW 17(behind the ear lobe)
Western Action – Insomnia
Chinese Action – nourishes Heart Yin
Contraindications – caution the posterior auricular artery and vein
Depth & Angle – perpendicular 0.5-1 inch

Question 16

Ding Chuan

Answer 16

Western Anatomy – 0.5 cun lateral to the posterior midline at the level of the lower border of C7 SP
Western Action – Asthma
Chinese Action – expels exterior wind
Depth & Angle – perpendicular 0.5-0.8 cun or obliquely 0.5-1 toward GV14 (midline)

Question 17

Jia Ji/Hua Tuo Jia Ji

Answer 17

Western Anatomy – 0.5 cun lateral to the lower border of the SP of the thoracic and lumber vertebrae – total of 34 points on either side
Western Action – regulates the internal organs
Chinese Action – herpes zoster
Depth & Angle – perpendicular 0.5-1 inches, 1-1.5 inches in the lumbar area

Question 18

Zi gong

Answer 18

Western Anatomy – at the level of CV3 and 3 cun lateral to the anterior midline
Western Action – infertility
Chinese Action – lifts sinking Qi
Contraindications – Peritoneal cavity in thinner patients and the ovaries, pregnancy (relative)
Depth & Angle - 0.5- 1

Question 19

Shi xuan

Answer 19

Western Anatomy – on the tips of the 10 fingers about 0.1 cun distal to the tip of the nail
Chinese Anatomy – includes PC9
Western Action – Coma
Chinese Action – clears heat
Depth & Angle - perpendicularly 0.1-0.2 inches, or prick to bleed

Question 20

Baxie

Answer 20

Western Anatomy – on the dorsum on the hand, a loose fist just prox. O the webs of the fingers at the junction of the red and white skin
Chinese Anatomy – includes TW2
Western Action – numbness In the hands
Chinese Action – clears heat
Depth & Angle – perpendicular 0.5-1 inch, oblique 0.3-0.5 inches, prick to bleed

Question 21

Jiagian/Jianneling

Answer 21

Western Anatomy – anterior glenohumeral joint
Chinese Anatomy – midpoint between the anterior axillary fold and LI 15
Western Action – Shoulder pain
Chinese Action – moves Qi and Blood locally
Depth & Angle – perpendicular 1-1.5 inches or obliquely 2-3 inches inferiorly toward the elbow

Question 22

Yaotongxue

Answer 22

Western Anatomy – 2 points on the dorsum of the hand – midway between the wrist crease and MCP joint between the second and third and the fourth and fifth metacarpal bones
Western Action – lumbar sprain
Chinese Action – benefits the lower back
Depth & Angle – oblique 0.5-1 inch toward the center of the pain – recommended that the patient move the lower back while the points are in

Question 23

GB1

Answer 23

Western Anatomy – 0.5 cun lateral to the outer canthus, in the depression on the lateral side of the orbital margin
Western Action – Headache
Chinese Action – subdues Liver Yang
Depth & Angle – subcutaneously 0.3-0.5 inches posteriorly or toward TaiYang

Question 24

GB2 (lower part of GST)

Answer 24

Western Anatomy – Anterior to the intertragic notch at the posterior border of the condyloid process of the mandible
Western Action – tinnitus
Chinese Action – expels exterior wind
Contraindications – caution superficial temporal artery and vein
Depth & Angle – perpendicular 0.5-1 inch with mouth open during insertion

Question 25

GB12

Answer 25

Western Anatomy – in the depression posterior and inferior to the mastoid process Western Action – headache Chinese Action – subdues liver yang Contraindications –caution the posterior auricular artery and vein Depth & Angle – oblique 0.5-1 inch inferiorly

Question 26

GB20

Answer 26

Western Anatomy – in the depression between the upper portion of the SCN and traps, level with GV16 at the base of the skull Western Action – occipital headache Chinese Action – expels wind Contraindications – caution of brain stem & spinal cord Depth & Angle – perpendicular-oblique 0.5-1 inch toward the tip of the nose, contralateral eye or yintang

Question 27

GB21

Answer 27

Western Anatomy – midway between the lower border of C7 and the acromion – at the highest point of the trapezius muscle Western Action – shoulder pain Chinese Action – expels wind Contraindications – caution lung (pneumothorax), CI pregnancy (relative) Depth & Angle – perpendicular 0.3-0.5 inches or oblique posteriorly 0.5-1 inch

Question 28

GB24

Answer 28

Western Anatomy – 4 cun lateral to the anterior midline in the 7th intercostal space Western Action – epigastric pain Chinese Action – resolves damp-heat Contraindications – caution liver on the right and lung on the left Depth & Angle – oblique 0.5-1 inch along the intercostal space

Question 29

GB25

Answer 29

Western Anatomy – on the lateral side of the abdomen, anterior and inferior to the free end of the twelfth rib Western Action – abdominal distention Chinese Action – resolves dampness Contraindications – caution peritoneal cavity and kidney in thinner patients Depth & Angle – perpendicular 0.5-1 inch

Question 30

GB29

Answer 30

Western Anatomy – In the depression midway between the ASIS and the greater trochanter Western Action – hip pain Chinese Action – resolves dampness Depth & Angle – perpendicular 1-2 inches, obliquely 2-3 inches

Question 31

GB30

Answer 31

Western Anatomy – at the junction of the lateral 1/3 and medial 2/3 of the distance between the great trochanter and the sacral hiatus GV2, best located with patient laying on side Western Action – sciatica Chinese Action – moves stagnation Depth & Angle – perpendicular 2-4 inches

Question 32

GB34

Answer 32

Western Anatomy – in the depression anterior and inferior to the head of the fibula Western Action – numbness and pain of the lower extremities Chinese Action – resolves damp heat Depth & Angle – perpendicular 1- 15. inches

Question 33

GB39

Answer 33

Western Anatomy – 3 cun proximal to the tip of the external malleolus in the depression between the posterior border of the fibula and the peroneus longus and brevis tendons Western Action – sciatica Chinese Action – benefits essence Depth & Angle – perpendicular 0.3-0.5 inch

Question 34

GB40

Answer 34

Western Anatomy – anterior and inferior to the external malleolus in the depression on the lateral side of the extensor digitorum longus tendon Western Action – sciatica Chinese Action – tonifies thee gallbladder Depth & Angle – perpendicularly 0.5-1 inches

Question 35

GB41

Answer 35

Western Anatomy – in the depression distal to the junction of the fourth and fifth metatarsal bones, on the lateral side of the extensor digiti minimi tendon of the foot Western Action – recurrent miscarriage Chinese Action – resolves damp heat Contraindications – caution the dorsal arterial and venous network of the foot Depth & Angle – perpendicular or oblique 0.5 – 1 inch

Question 36

GB44

Answer 36

Western Anatomy – on the lateral side of the fourth toe, about 0.1 cun proximal to the corner of the nail bed Western Action – migraine Chinese Action – subdues liver yang Depth & Angle – subcutaneously 0.1 inch, prick to bleed

Question 37

GV3

Answer 37

Western Anatomy – inferior to the SP of L4 Western Action – lumbar pain Chinese Action – tonifies Yang Contraindications – cauda equina, pregnancy (relative) Depth & Angle – perpendicular 0.5-1 inches

Question 38

GV4

Answer 38

Western Anatomy – inferior to the SP of L2 Western Action – lumbar pain Chinese Action – tonifies kidney yang Contraindications – caution spinal cord, pregnancy (relative) Depth & Angle – perpendicular 0.5 – 1 inch

Question 39

GV9

Answer 39

Western Anatomy – inferior to the SP of T7 Western Action – chest pain Chinese Action – regulates liver and gallbladder Contraindications – caution spinal cord Depth & Angle – oblique 0.5 -1 inch superiorly

Question 40

GV14

Answer 40

``` Western Anatomy – inferior to SP of C7 Western Action – neck pain Chinese Action- disperses Lung Qi Contraindications – caution spinal cord Depth & Angle - oblique 0.5 -1 inch superiorly ```

Question 41

GV20

Answer 41

Western Anatomy – midline of the head, 7 cun superior to the posterior hairline and 5 cun posterior to the anterior hairline Western Action – headache Chinese Action – either raises yang or subdues lover yang Depth & Angle – subcutaneously 0.5-1 inch anteriorly or posteriorly

Question 42

GV28

Answer 42

Western Anatomy – at the junction of the gingiva and the frenulum of the upper lip Western Action – pain and swelling of the gums Chinese Action – disperses Lung Qi Contraindications – prohibited to puncture in Ontario Depth & Angle – puncture obliquely 0.1-0.2 inch

Question 43

HT1

Answer 43

Western Anatomy – in the centre of the axilla on the medial side of the axillary artery Western Action – pain in the costal and cardiac region Chinese Action – nourishes heart yin Contraindications – caution axillary artery and the lung Depth & Angle – perpendicular 0.5 -1 inch

Question 44

HT3

Answer 44

Western Anatomy – with the elbow flexed, medial end of the transverse cubital crease in the depression anterior to the medial epicondyle of the humerus Western Action – numbness of the arm Chinese Action – clears heat Contraindications – caution basilic vein Depth & Angle – perpendicular 0.3-0.5 inches

Question 45

HT5

Answer 45

Western Anatomy – on the radial side of the flexor carpis ulnaris tendon, 1 cun prox. To the transverse crease of the wrist Western Action – pain in the wrist and arm Chinese Action – tonifies Qi Contraindications – perpendicular 0.3-0.5 inches, obliquely 0.5-1 icnh Depth & Angle – caution ulnar artery

Question 46

HT7

Answer 46

Western Anatomy – on the transverse wrist crease, between the pisiform and the ulna, radial to the flexor carpi ulnaris tendon Western Action – insomnia Chinese Action – nourishes Heart Blood Contraindications – caution ulnar artery Depth & Angle – perpendicular 0.3 – 0.5 inches or oblique 0.5-0.7 inches

Question 47

HT9

Answer 47

Western Anatomy – on the radial side of the little finger, about 0.1 cun posterior to the corner of the nail bed Western Action – loss of conciousness Chinese Action – clears heat Depth & Angle – puncture 0.1 inch of obliquely 0.1-0.2 inch prox. Or prick to bleed

Question 48

KD1

Answer 48

Western Anatomy – at the junction of the distal 1/3 and proximal 2/3 of the sole, from the base of the second toe to the heel – found in the depression during plantar flexion Western Action – headache, plantar fasciitis Chinese Action – clears heat Depth & Angle – 0.5-1 inch perpendicular

Question 49

KD2

Answer 49

Western Anatomy – anterior and inferior to the medial malleolus in the depression in the lower border of the navicular tuberosity Western Action – hot flashes Chinese Action – clears empty heat Depth & Angle – perpendicular 0.5-1 inches

Question 50

KD3

Answer 50

Western Anatomy – in the depression between the medial malleoulus and calcaneal tendon, level with the prominence of the medial malleoulus Western Action – insomnia Chinese Action – tonifies kidney yin Contraindications – caution posterior tibial artery and vein Depth & Angle – perpendicular 0.5-1 inch

Question 51

KD6

Answer 51

Western Anatomy – in the depression of the lower border of the medial malleolus or 1 cun inferior to the prominence of the medial malleoulus , between the tendon sheaths Western Action – infertility Chinese Action – nourishes Yin Contraindications – posterior tibial artery and vein Depth & Angle – perpendicular 0.3-0.5 inch or obliquely superiorly

Question 52

KD7

Answer 52

Western Anatomy – 2 cun proximal to KI3 on the anterior border of the calcaneal tendon Western Action – edema Chinese Action – tonified Kidney Yang Contraindications – posterior tibial artery and vein Depth & Angle – perpendicular 0.5-1 inch

Question 53

KD10

Answer 53

Western Anatomy – with the kneed flexed, on the medial side of the popliteal fossa, between the semitendinosus and semimembranosus tendons, level with UB40 Western Action – knee pain Chinese Action – resolves dampness Depth & Angle – perpendicular 0.8-1.5 inches

Question 54

KD16

Answer 54

Western Anatomy – 0.5 cun lateral to the center if the umbilicus level with CV8 Western Action – abdominal pain Chinese Action – harmonizes the stomach Contraindications – caution peritoneal cavity in thinner patients, pregnancy (relative) Depth & Angle – 1-1.5 inches perpendicular

Question 55

KD27

Answer 55

Western Anatomy – in the depression on the lower border of the clavicle, 2 cun lateral to the anterior midline Western Action – asthma Chinese Action s- resolves phelgm Contraindications – caution lung Depth & Angle – obliquely 0.5-1 inch along the inferior border of the clavicle

Question 56

LI1

Answer 56

Western Anatomy – on the radial side of the index finger, about 0.1 cun posterior to the corner of the nail ed Western Action – loss of consciousness Chinese Action – clears heat Depth & Angle – prick to bleed or 0.1 inches

Question 57

LI4

Answer 57

Western Anatomy – on the dorsum of the hand between the first and second metacarpal bones, approx. in the middles of the 2nd metacarpal bone on the radial side Western Action – pain Chinese Action – Tonifies Qi Contraindications – pregnancy (absoulte)– stimulates labor Depth & Angle – 0.5-1 inches

Question 58

LI10

Answer 58

Western Anatomy – on the line joining LI5 and LI11, 2 cun distal to LI11 Western Action – arm pain Chinese Action -expels wind Contraindications – caution cephalic vein Depth & Angle – 0.5-1.5 inches deep perpendicular

Question 59

LI11

Answer 59

Western Anatomy – when the elbow is flexed, the point is on the depression at the lateral end of the transverse cubital crease, midway between LU5 and the lateral epicondyle of the humerus Western Action – arm pain Chinese Action – clears heat Depth & Angle – 1-1.5 inches

Question 60

LI15

Answer 60

Western Anatomy – anterior and inferior to the acromion on the upper portion of the deltoid muscle, when the arm is abducted to 90 degrees, the point is in the depression appearing at the anterior border of the acromioclavicular joint Western Action – shoulder pain Chinese Action – benefits the sinews Depth & Angle – perpendicular 0.5-1 inch or obliquely inferior toward the elbow 1-1.5 inches

Question 61

LI20

Answer 61

Western Anatomy – in the nasolabial groove, at the level of the midpoint of the lateral border of ala nasi Western Action – rhinitis Chinese Action -expels exterior wind Contraindications – caution facial artery and vein Depth & Angle – obliquely or subcutaneously 0.3-0.8 inches superiorly toward bitong

Question 62

LV1

Answer 62

Western Anatomy – on the lateral side of the dorsum of the big toe, between the lateral corner of the nailbed and the interphalangeal joint Western Action – headache Chinese Action – clears heat Depth & Angle – perpendicular 0.1-inch, prick to bleed

Question 63

LV2

Answer 63

Western Anatomy – on the dorsum of the foot between the first and second toe, proximal to the margin of the web Western Action – headache Chinese Action -clears liver fire Contraindications – caution dorsal venous network of the foot Depth & Angle – 0.5 – 1 inch obliquely toward the heel

Question 64

LV3

Answer 64

Western Anatomy – on the dorsum of the foot, in the depression distal to the junction of the first and second metatarsal bones Western Action – headache Chinese Action – Subdues Liver Yang Contraindications – caution dorsal venous network of the foot Depth & Angle - perpendicular -0.5 – 1 inch

Question 65

LV5

Answer 65

Western Anatomy – 5 cun proximal to the tip of the medial malleolus, on the medial aspect of the tibia, palpable depression on the bone Western Action – dysuria Chinese Action – resolves damp heat in the lower burner Contraindications – caution great saphenous vein Depth & Angle – subcutaneously 0.5-0.8 inches

Question 66

LV8

Answer 66

Western Anatomy – With the knee flexed, the point is in the depression superior to the medial end of the popliteal crease, posterior the medial epicondyle on the femur, anterior to the semimembranosus and semitendinosus muscles Western Action – infertility Chinese Action – nourishes Liver Yin Contraindications – caution great saphenous vein Depth & Angle – perpendicular 1-1.5 inches

Question 67

LV13

Answer 67

Western Anatomy – on the lateral side of the abdomen, anterior and inferior to the free end of the eleventh rib Western Action – abdominal distention Chinese Action – harmonizes the middle burner Contraindications – splenomegaly Depth & Angle – 0.3-0.5 inch perpendicular or oblique

Question 68

LV14

Answer 68

Western Anatomy – 4 cun lateral to the anterior midoline, in the sixth intercostal space Western Action – breast tenderness Chinese Action – promotes the smooth flow of liver qi Contraindications – caution liver on right, lung on left Depth & Angle -obliquely 0.5-1 inch along intercostal space

Question 69

LU1

Answer 69

Western Anatomy – 6 cun lateral to the anterior midline in the first intercostal space, 1 cun below LU2 in the delto-pectoal groove Western Action – cough Chinese Action – tonifies Lung Qi Contraindications – caution lung Depth & Angle – obliquely 0.5 inches toward the lateral aspect of the chest

Question 70

LU5

Answer 70

Western Anatomy – On the cubital crease to the radial side of the biceps brachii tendon – located with the elbow slightly flexed Western Action – cough Chinese Action – tonifies Lung Yin Contraindications – caution the cephalic vein Depth & Angle – perpendicular 0.5 – 1 inch

Question 71

LU7

Answer 71

Western Anatomy – Proximal to the styloid process of the radius 1.5 cun proximal to LI5 at the transverse crease of the wrist Western Action – cough Chinese Action -tonifies wei Qi Contraindications – caution cephalic vein, radial artery and vein Depth & Angle – obliquely 0.5 inch superiorly

Question 72

LU9

Answer 72

Western Anatomy – on the transverse crease of the wrist in the depression on the radial side of the radial artery Western Action – cough Chinese Action – tonifies Lung Qi Contraindications – caution the radial artery and vein Depth & Angle – perpendicular 0.2-0.3 inches

Question 73

LU10

Answer 73

Western Anatomy – on the radial aspect of the hand at the midpoint of the first metacarpal bone, located at the junction of the red and white skin Western Action – cough Chinese Action – clears lung heat Depth & Angle – perpendicular -0.5 inches

Question 74

LU11

Answer 74

Western Anatomy – on the radial side of the thumb about 0,1 cun posterior to the corner of the nail bed Western Action – cough Chinese Action – clears Lung heat Depth & Angle – perpendicular 0.1 – prick to bleed

Question 75

PC1

Answer 75

Western Anatomy – 1 cun lateral to the nipple, in the fourth intercoastal space, 5 cun lateral to the anterior midline Western Action – mastitis Chinese Action – clears heat Contraindications – caution lung Depth & Angle – obliquely 0.5 inches laterally along the intercostal space

Question 76

PC3

Answer 76

Western Anatomy – on the transverse cubital crease on the ulnar side of the biceps brachii tendon Western Action – pain in the elbow/arm Chinese Action – clears heat Contraindications – caution brachial artery and vein Depth & Angle – perpendicular 0.5 inches or prick to bleed

Question 77

PC6

Answer 77

Western Anatomy – 2 cun proximal to the transverse crease of the wrist, between the palmaris longus and flexor carpi radialis tendons Western Action – vomiting Chinese Action – moves liver qi Contraindications – caution anterior interosseous artery and vein Depth & Angle – perpendicular 0.5 inches or obliquely superiorly 1-1.5 inches

Question 78

PC7

Answer 78

Western Anatomy – in the depression in the middle of the transverse crease of the wrist, between the palmaris longus and flexor carpi radialis tendons Western Action – anxiety Chinese Action – clears heat Depth & Angle – perpendicular 0.5 inches

Question 79

PC9

Answer 79

Western Anatomy – in the center of the tip of the middle finger Western Action – anxiety Chinese Action – clears heat Depth & Angle – 0.1-0.1 inches or prick to bleed

Question 80

SI1

Answer 80

Western Anatomy – On the ulnar side of the little finger about 0.1 cun posterior to the corner of the nail bed Western Action – loss of consciousness Chinese Action – clears heat Depth & Angle -0.1 inch or prick to bleed

Question 81

SI3

Answer 81

Western Anatomy – when a loose fist is mad, the point is proximal to the head of the fifth metacarpal bone at the junction of the red and white skin Western Action – headache Chinese Action – resolves dampness Depth & Angle – 0.5-1.5 perpendicular toward LI3

Question 82

SI8

Answer 82

Western Anatomy – between the olecranon of the ulna and the medial epicondyle of the humerus, best located with the elbow flexed Western Action – lymphadenopathy Chinese Action – expels damp heat Depth & Angle – perpendicular 0.5 or oblique 0.5-1 inch

Question 83

SI9

Answer 83

Western Anatomy – when the arm is adducted the point is 1 cun superior to the tip of the posterior axillary fold Western Action – shoulder pain Chinese Action – expels wind Depth & Angle – perpendicular 0.8-1.5 cun

Question 84

SI10

Answer 84

Western Anatomy – when the arm is adducted the point is in the depression inferior and lateral to the scapular spince directly superior to SI9 Western Action – shoulder pain Chinese Action – removes obstructions Depth & Angle – perpendicular 0.8 – 1.5 inches

Question 85

SI11

Answer 85

Western Anatomy – on the midline of the infrascapular fossa, at the junction of the upper 1/3 and middle 1/3 of the distance between the lower border of the scapular spine and the inferior angle of the scapula Western Action – pain in the scapular region Chinese Action – removes obstructions Depth & Angle – 0.5-1 inch perpendicular

Question 86

SI12

Answer 86

Western Anatomy – in the center of the suprascapular fossa, directly superior to SI11, when the arm is abducted the point is in the depression Western Action – pain in scapular region Chinese Action – removes obstructions Contraindications – caution lung Depth & Angle – perpendicular 0.5-0.7 inches or oblique 1 inch toward the spine

Question 87

SI13

Answer 87

Western Anatomy – on the medial extremeity of the suprascapular fossa, approx.. midway between SI10 and T2 Western Action – pain and stiffness in the scapular region Chinese Action – removes obstructions Contraindications – caution Lung Depth & Angle – perpendicular 0.5 or obliquely 0.5-1 inch

Question 88

SI19

Answer 88

Western Anatomy – between the tragus and the condyloid process of the mandible, where the depression is formed when the mouth is slightly open (part of GST) Western Action – tinnitis Chinese Action – relieves pain Contraindications – caution superificial temporal artery and vein Depth & Angle - perpendicular 0.5-1 inch – mouth slightly open

Question 89

SP1

Answer 89

Western Anatomy – on the medial side of the big toe, about 0.1 cun posterior to the corner of the nail bed Western Action – abdominal distention Chinese Action – clears heat Depth & Angle – prick to bleed, perpendicular 0.1-0.2 inch

Question 90

SP3

Answer 90

Western Anatomy – Proximal and inferior to the head of the first metatarsal bone, at the junction of the red and white skin Western Action – abdominal distention Chinese Action – tonifies the spleen Depth & Angle – perpendicular 0.3-1 inch

Question 91

SP4

Answer 91

Western Anatomy – in the depression distal and inferior to the base of the first metatarsal bone, at the junction of the red and white skin Western Action – abdominal distention Chinese Action – tonifies the spleen and stomach Depth & Angle – perpendicular 0.5-1 inches

Question 92

SP6

Answer 92

Western Anatomy – 3 cun proximal to the tip of the medial malleolus on the posterior border of the tibia Western Action – PMS Chinese Action – nourishes Yin Contraindications – pregnancy (absolute), caution the great saphenous vein and the posterior tibial artery and vein Depth & Angle – perpendicular 0.5-1 icnh, obliquely 1-1.5 inches proximally

Question 93

SP9

Answer 93

Western Anatomy – just distal to the lower border of the medial condyle of the tibia, in the depression on the medial border of the tibia Western Action – abdominal distention Chinese Action – resolve dampness Contraindications – caution great saphenous vein and the posterior tibial artery and vein Depth & Angle – 0.5-1.5 inches

Question 94

SP10

Answer 94

Western Anatomy – 2 cun proximal to the mediosuperior border of the patella on the belly of the vastus medialis muscle. This point is best located with the knee flexed Western Action – amenorrhea Chinese Action – Moves Blood Depth & Angle – 0.5-1.5 inches

Question 95

SP15

Answer 95

Western Anatomy – 4 cun lateral to the center of the umbilicus Western Action – abdominal distention Chinese Action -tonifies the spleen Contraindications – caution peritoneal cavity in thinner patients, pregnancy (relative) Depth & Angle – perpendicular 0.5-1 inch

Question 96

SP21

Answer 96

Western Anatomy – on the midaxiallary line, 6 cun inferior to the axilla, midway between the axilla and the free end of the eleventh rib Western Action – chest pain Chinese Action – regulates Qi Contraindications – caution lung and costodiaphragmatic recess Depth & Angle – obliquely 0.5 inches

Question 97

ST1

Answer 97

Western Anatomy – with the eyes looking straight forward, directly inferior to the center of the pupil, between the eyeball and the infraorbital ridge Western Action – glaucoma Chinese Action – expels wind Contraindications – caution eyeball Depth & Angle – ask the patient to look down and close the eye, then push the eyeball upward with the thumb and puncture perpendicularly 0.5 inches along the infraorbital ridge

Question 98

ST7

Answer 98

Western Anatomy – at the lower border of the zygomatic arch, in the depression anterior to the condyloid process of the mandible Western Action – lockjaw Chinese Action – expels wind Contraindications – caution the transverse facial artery and vein Depth & Angle – perpendicular 0.5 inch

Question 99

ST25

Answer 99

Western Anatomy – 2 cun lateral to the center of the umbilicus Western Action – abdominal distention Chinese Action – Promotes function of Large intestine Contraindications – caution peritoneal cavity in thinner patients, pregnancy (relative) Depth & Angle – perpendicular 1-1.5 inches

Question 100

ST29

Answer 100

Western Anatomy – 4 cun inferior to the umbilicus and 2 cun lateral to the anterior midline – level with CV3 Western Action – amenorrhea Chinese Action – benefits essence Contraindications – peritoneal cavity in thinner patients, bladder when full, pregnancy (relative) Depth & Angle – 1-1.5 inches perpendicular

Question 101

ST30

Answer 101

Western Anatomy – 5 cun inferior to the umbilicus nd 2 cun lateral to the upper brder of the pubic bone – level with CV 2 Western Action – amenorrhea Chinese Action – benefits essence Contraindications – peritoneal cavity in thinner patients. Bladder when full, pregnancy (relative) Depth & Angle – 0.5-1 inch perpendicular

Question 102

ST34

Answer 102

Western Anatomy – on the line connecting the anterior superior iliac spine and lateral border of the patella, 2 cun proximal to the superior border of the patella Western Action – pain and numbness in the knee Chinese Action – removes obstructions Depth & Angle – perpendicular 0.5-1 inch

Question 103

ST36

Answer 103

Western Anatomy – with the knee flexed, 3 cun distal to ST35, and 1 finger breadth lateral to the anterior crest of the tibia, in the tibialis anterior muscle Western Action – abdominal distention Chinese Action – tonifies the spleen Contraindications – caution anterior tibial artery and vein Depth & Angle – perpendicular 1-1.5 inches

Question 104

ST38

Answer 104

Western Anatomy – knee flexed, 8 cun distal to ST35, and 1 finger breadth lateral to the anterior crest of the tibia, in the tibialis anterior muscle, midway between ST35 – ST41 Western Action – shoulder pain Chinese Action -removes obstructions Contraindications – caution anterior tibial artery and vein Depth & Angle – perpendicularly 1-1.5 inches

Question 105

ST40

Answer 105

Western Anatomy – knee flexed, 8 cun distal to ST35, and 2 finger breadth lateral to the anterior crest of the tibia, in the tibialis anterior muscle, midway between ST35 – ST41 Western Action – sinusitis Chinese Action – resolves phlegm Depth & Angle – perpendicularly 0.5-1 inch or obliquely 1-1.5 inches

Question 106

ST44

Answer 106

Western Anatomy – between the second and third toes, just proximal to the margin of the web. In the depression distal and lateral to the second metatarsophalangeal joint Western Action – bleeding gums Chinese Action – clears heat Contraindications – caution dorsal venous network of the foot Depth & Angle – perpendicular 0.5 inches or oblique 0.5-1 inch

Question 107

ST45

Answer 107

Western Anatomy – on the lateral side of the second toe, about 0.1 cun posterior to the corner of the nail bed Western Action – abdominal distention Chinese Action – clears stomach heat Depth & Angle – 0.1-0.2 inch – prick to bleed

Question 108

TW1

Answer 108

Western Anatomy – ulnar side of the ring finger, 0.1 cun posterior to the corner of the nail bed Western Action – headache Chinese Action – clears heat Depth & Angle – perpendicular 0.1-0.2 – prick to bleed

Question 109

TW4

Answer 109

Western Anatomy – at the wrist joint, in the depression on the radial side of the extensor digiti minimi tendon, best found with the wrist and fingers in extension Western Action – wrist pain Chinese Action – relaxes the sinews Depth & Angle – perpendicularly or obliquely 0.3-0.5 inch, or subcutaneously 0.5-1 inch radially beneath the tendons

Question 110

TW5

Answer 110

Western Anatomy – 2 cun proximal to TW4 between the radius and ulna, on the radial side of the extensor digitorum communis muscle Western Action – migraine Chinese Action – releases the exterior Depth & Angle – perpendicular 1 inch toward PC6 or oblique up to 1,5 inches

Question 111

TW10

Answer 111

Western Anatomy – when the elbow is flexed, the point is in the depression 1 cun superior to the tip of the olecranon Western Action – shoulder and arm pain Chinese Action – relaxes tendons Depth & Angle – 0.5-1 inch

Question 112

TW14

Answer 112

Western Anatomy – posterior and lateral to the acromion in the depression about 1 cun posterior to LI15 – when the arm is abducted to 90 degrees is the depression that appears Western Action – shoulder pain Chinese Action -removes obstruction Depth & Angle – perpendicular 0.5-1 inch or obliquely inferiorly toward the elbow 1-2 inches

Question 113

TW17

Answer 113

Western Anatomy – behind the lobule of the ear, in the depression between the mandible and mastoid process Western Action – tinnitis Chinese Action – expels wind Contraindications – caution external jugular vein, internal and external carotid artery Depth & Angle – perpendicular 0.5-1 inch toward the opposite ear

Question 114

TW21

Answer 114

Western Anatomy – part of GST, in the depression anterior to the supretragic notch, just superior to the condyloid process of the mandible, best located with mouth open Western Action – tinnitus Chinese Action – expels wind Contraindications – caution superficial temporal artery and vein Depth & Angle – perpendicular 0.5-1 inch

Question 115

TW23

Answer 115

Western Anatomy – in the depression at the lateral end of the eyebrow Western Action – headache Chinese Action – expels wind Contraindications – caution superficial temporal artery and vein Depth & Angle – subcutaneously 03-1 inch along the eyebrow

Question 116

UB10

Answer 116

Western Anatomy – 1.3 cun lateral to GV15, in the depression on the lateral aspect of the trapezius muscle, 05 cun within the posterior hairline Western Action – headache Chinese Action – expels wind Contraindications – caution occipital artery and vein Depth & Angle – 0.5 inches

Question 117

UB11

Answer 117

Western Anatomy – 1.5 cun lateral to the posterior midline, lower border T1 Western Action – osteopenia Chinese Action – nourishes blood Contraindications – caution the lung Depth & Angle - oblique 0.5 -1 inch toward the spine or inferior 1-1.5 inches

Question 118

UB12

Answer 118

Western Anatomy – 1.5 cun lateral to the posterior midline, lower border T2 Western Action – cough Chinese Action -expels exterior wind Contraindications – caution the lung Depth & Angle - oblique 0.5 -1 inch toward the spine or inferior 1-1.5 inches

Question 119

UB13

Answer 119

Western Anatomy – 1.5 cun lateral to the posterior midline, lower border T3 Western Action – cough Chinese Action – tonifies Lung Qi Contraindications – caution the lung Depth & Angle - oblique 0.5 -1 inch toward the spine or inferior 1-1.5 inches

Question 120

UB14

Answer 120

Western Anatomy – 1.5 cun lateral to the posterior midline, lower border T4 Western Action – anxiety Chinese Action – regulates the Heart Contraindications – caution the lung Depth & Angle - oblique 0.5 -1 inch toward the spine or inferior 1-1.5 inches

Question 121

UB15

Answer 121

Western Anatomy – 1.5 cun lateral to the posterior midline, lower border T5 Western Action – insomnia Chinese Action – nourishes the Heart Contraindications – caution the lung Depth & Angle - oblique 0.5 -1 inch toward the spine or inferior 1-1.5 inches

Question 122

UB16

Answer 122

Western Anatomy – 1.5 cun lateral to the posterior midline, lower border T6 Western Action – chest pain Chinese Action – moves Qi Contraindications – caution the lung Depth & Angle - oblique 0.5 -1 inch toward the spine or inferior 1-1.5 inches

Question 123

UB17

Answer 123

Western Anatomy – 1.5 cun lateral to the posterior midline, lower border T7 Western Action - amenorrhea Chinese Action -Nourishes Blood Contraindications – caution the lung Depth & Angle - oblique 0.5 -1 inch toward the spine or inferior 1-1.5 inches

Question 124

UB18

Answer 124

Western Anatomy – 1.5 cun lateral to the posterior midline, lower border T9 Western Action – cholecystitis Chinese Action -benefits the liver and gallbladder Contraindications – caution the lung Depth & Angle - oblique 0.5 -1 inch toward the spine or inferior 1-1.5 inches

Question 125

UB19

Answer 125

Western Anatomy – 1.5 cun lateral to the posterior midline, lower border T10 Western Action – cholecystitis Chinese Action – resolves damp-heat in the liver and gallbladder Contraindications – caution the lung Depth & Angle - oblique 0.5 -1 inch toward the spine or inferior 1-1.5 inches

Question 126

UB20

Answer 126

Western Anatomy – 1.5 cun lateral to the posterior midline, lower border T11 Western Action – abdominal distention Chinese Action – tonifies the spleen Contraindications – caution the lung Depth & Angle - oblique 0.5 -1 inch toward the spine or inferior 1-1.5 inches

Question 127

UB21

Answer 127

Western Anatomy – 1.5 cun lateral to the posterior midline, lower border T12 Western Action – abdominal distention Chinese Action – tonifies stomach qi Contraindications – caution the lung Depth & Angle - oblique 0.5 -1 inch toward the spine or inferior 1-1.5 inches

Question 128

UB22

Answer 128

Western Anatomy – 1.5 cun lateral to the posterior midline, lower border L1 Western Action – dysuria Chinese Action – regulates the lower burner Contraindications – caution the kidneys Depth & Angle - oblique 0.5 -1 inch toward the spine or inferior 1-1.5 inches

Question 129

UB23

Answer 129

Western Anatomy – 1.5 cun lateral to the posterior midline, lower border L2 Western Action – lumbar pain Chinese Action – tonifies the Kidneys Contraindications – caution the kidneys Depth & Angle - oblique 0.5 -1 inch toward the spine or inferior 1-1.5 inches

Question 130

UB24

Answer 130

Western Anatomy – 1.5 cun lateral to the posterior midline, lower border L3 Western Action – irregular menses Chinese Action – moves blood Depth & Angle – perpendicular 1-1.5 inches

Question 131

UB25

Answer 131

Western Anatomy – 1.5 cun lateral to the posterior midline, lower border L4 Western Action – lumbar pain Chinese Action – promotes function of the large intestine Depth & Angle - perpendicular 1-1.5 inches

Question 132

UB26

Answer 132

Western Anatomy – 1.5 cun lateral to the posterior midline, lower border L5 Western Action – Lumbar pain Chinese Action – dissipates cold Depth & Angle - perpendicular 1-1.5 inches

Question 133

UB27

Answer 133

Western Anatomy – 1.5 cun lateral to the posterior midline, lower border S1 Western Action – constipation Chinese Action – promotes function of the small intestine Depth & Angle - perpendicular 0.5-1 inches

Question 134

UB28

Answer 134

Western Anatomy – 1.5 cun lateral to the posterior midline, lower border S2 Western Action – dysuria Chinese Action – regulates the urinary bladder Depth & Angle - perpendicular 0.5-1 inches

Question 135

UB29

Answer 135

Western Anatomy – 1.5 cun lateral to the posterior midline, lower border S3 Western Action – lumbar pain Chinese Action – tonifies Yang Depth & Angle - perpendicular 0.5-1 inches

Question 136

UB30

Answer 136

Western Anatomy – 1.5 cun lateral to the posterior midline, lower border S4 Western Action – lumbar pain Chinese Action – tonifies yang Depth & Angle - perpendicular 0.5-1 inches

Question 137

UB31

Answer 137

Western Anatomy – in the first posterior sacral foramen Western Action – Lumbar pain Chinese Action -Regulates the lower burner CI: pregnancy (relative) Depth & Angle - perpendicular 0.5-2 inches

Question 138

UB32

Answer 138

Western Anatomy – in the second posterior sacral foramen Western Action – Lumbar pain Chinese Action - Regulates the lower burner CI: pregnancy (relative) Depth & Angle - perpendicular 0.5-2 inches

Question 139

UB33

Answer 139

Western Anatomy – in the third posterior sacral foramen Western Action – Lumbar pain Chinese Action - Regulates the lower burner CI: pregnancy (relative) Depth & Angle - perpendicular 0.5-2 inches

Question 140

UB34

Answer 140

Western Anatomy – in the fourth posterior sacral foramen Western Action – Lumbar pain Chinese Action - Regulates the lower burner CI: pregnancy (relative) Depth & Angle - perpendicular 0.5-2 inches

Question 141

UB40

Answer 141

Western Anatomy – midpoint of the transverse crease of the popliteal fossa, between the biceps femoris and semitendinosus tendons Western Action – low back pain Chinese Action – clears heat Contraindications – caution popliteal artery and vein Depth & Angle – perpendicular 1-1.5 inch or prick to bleed

Question 142

UB44

Answer 142

``` Western Anatomy – 3 cun lateral to the lower border of T5 (level with UB15) Western Action – cardiac pain Chinese Action – opens the chest Contraindications – caution Lung Depth & Angle – oblique 0.5 inch ```

Question 143

UB52

Answer 143

``` Western Anatomy – 3 cun lateral to the lower border of L2 (level with UB23) Western Action – infertility Chinese Action – tonifies the kidneys Contraindications – caution kidneys Depth & Angle – obliquely .5-1 inch ```

Question 144

UB57

Answer 144

Western Anatomy – in the distal depression between the medial and lateral heads of the gastrocnemius muscle when flexed, on the line joining UB40 and the calcaneal tendon – midway between UB40 and UB60 Western Action – spasms of the gastrocnemius Chinese Action – resolves damp-heat in the lower burner Contraindications – caution posterior tibial artery and vein Depth & Angle – perpendicular 1-1.5 inches

Question 145

UB60

Answer 145

Western Anatomy – in the depression between the external malleolus and the calcaneal tendon, level with the prominence of the external malleolus Western Action – headache Chinese Action -expels wind Depth & Angle – perpendicular 1 inch toward KI3 CI: pregnancy (relative)**Stimulates labour

Question 146

UB62

Answer 146

Western Anatomy – in the depression directly distal to the external malleoulus Western Action – headache Chinese Action – expels wind Depth & Angle – obliquely 0.5 inch

Question 147

UB67

Answer 147

Western Anatomy – on the lateral side of the small toe, about 0.1 cun posterior to the corner of the nail bed Western Action – breeched position Chinese Action -stimulates labour Depth & Angle – perpendicular or obliquely 0.1 inch prox. Or prick to bleed, or moxa CI: pregnancy (relative)