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Point Locations II
Study Notes – Point Info - Final
Date:
3/26/08
Heart Channel of the Hand Shaoyin
Pt
HT 1
Category
HT 2
Loc
Depression at center of axilla.
Needling
Perpendicular 0.5 – 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. Pnthx 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 0.5 – 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.
Great point for blurry vision
due to the cnx between heart
and eyes.
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.
HT 3
He Sea point
Medial end of the transverse cubital
crease when the elbow is fully flexed.
To locate:
Elbow slightly flexed:
Page 1 of 21
Perpendicular 0.5 – 1 cun
Pt
HT 4
Category
Jing River point
Loc
 Midway between end of cubital
crease and the bump of the humeral
epicondyle.
Elbow fully flexed:
 Medial edge of the transverse
cubital crease.
Radial side of the flexor carpi ulnaris, 1.5
cun proximal to HT 7.
Needling
Perpendicular 0.3 – 0.5 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
cun proximal to HT 7.
Perpendicular 0.3 – 0.5 cun
To locate, find HT 7 first, measure
proximally by 1 cun.
Note: Ht 4-7 are all located inline. 1.5
cun total between Ht 4 and Ht 7.
HT 6
Xi Cleft point
Radial side of the flexor carpi ulnaris, 0.5
cun proximal to HT 7.
Perpendicular 0.3 – 0.5 cun
To locate, find HT 7 first, measure
proximally by 0.5 cun.
Note: Ht 4-7 are all located inline. 1.5
cun total between Ht 4 and Ht 7.
HT 7
HT 8
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.
Perpendicular 0.3 – 0.5 cun
Ying Spring point
Between the 4th and 5th metacarpal bones
where the tip of the pinkie rests when you
make a fist.
Perpendicular 0.3 – 0.5 cun
Usually located between the two
transverse palmar creases.
Page 2 of 21
Caution:
Ulnar nerve and artery lie
adjacent to this point.
Pt
HT 9
Category
Jing-Well point
Loc
Dorsal aspect of pinkie on the radial
corner of the fingernail.
Needling
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
Perpendicular 0.1 – 0.2 cun
SI 2
Ying-Spring point Ulnar border (where skin changes
Perpendicular 0.2 – 0.3 cun
color/txture) of little finger in a depression
just distal to the metacarpo-phalangeal
joint.
Make a loose fist and palpate for the
depression – it’s usually right at the end of
the crease.
(You locate LI 2 this same basic way.)
SI 3
SI 4
Perpendicular 0.3 – 0.8 cun
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 it’s easier to find.
Yuan-Source
point
Ulnar border of the hand where the skin
Perpendicular 0.3 – 0.5 cun.
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.
Just distal to triquetral bone.
SI 5
Jing-River point
On the transverse crease of the wrist in the Perpendicular 0.3 – 0.5 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:
1) lie hand flat on table.
2) Place point of finger on the styloid
high point of the ulna.
Page 3 of 21
Perpendicular 0.5 – 0.8 cun
KNOW:
Indicated for—
1) eye degeneration due
to aging.
2) Headaches
3) Acute lower back pain
4) Shoulder joint pain
Pt
SI 7
Category
Luo-connecting
point
Loc
3) Have patient rotate the wrist
toward their own body and the
finger will fall into a depression.
4) Be sure to locate the point on the
distal side of this depression, not
the proximal side.
Inline with SI-5 and SI-8, 5 cun proximal
to SI-5.
Needling
such as bursitis or
tendonitis.
Perpendicular 0.5 – 1 cun
(5 to 5…just 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.
Perpendicular 0.3 – 0.5 cun
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 1-1.5cun
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 1-1.5cun
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 .5-1.5
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 0.5-1cun
Page 4 of 21
Caution:
Ulnar nerve lies deep to the
point.
“Zap” isn’t Qi here! It’s the
ulnar nerve! Pull out a bit,
change direction and no
damage if you do this quickly.
Caution: pnthx
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 0.5-0.8 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 0.5-1 cun
2 cun lateral to Du 14 (lower border of C7
spin process
Oblique scapula 0.5-1 cun
Caution:
Risk of pneumothorax if point
is angled to medially.
Caution: pnthx
Caution: pnthx
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)
Perp 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
Perp 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.
Perp 0.3-0.5 cun
SI 19
Contra: moxa
Meeting of SI, SJ, Just anterior to the tragus of the ear (or the Perp 0.5-1cun
GB
lower tragus if the pt has 2 of them) and
posterior to the condyloid process of the
mandible/jaw.
Note: with the mouth open there’s a
depression. Locate and needle with the
mouth open, then pt can close jaw.
Page 5 of 21
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, ½
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 ½ - 1 cun into 4th
layer.
Contra to moxa
Bl 4
½ cun into anterior hairline and level with
BL 3, following hairline. 1½ cum lateral
to Du 24/midline.
Transverse (15-30°), 0.3 – ½
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 – ½
BL 4 and BL 8. 1½ cun lateral to midline. cun
Contra to moxa
Bl 6
2.5 cun into anterior hairline, inline
between BL 4 and BL 8. 1½ cun lateral to
midline.
Transverse (15-30°), 0.3 – ½
cun
Contra to moxa
Bl 7
4 cun into anterior hairline, inline with BL
4 and BL 8. 1 ½ cun lateral to midline.
Transverse (15-30°), 0.3 – ½
cun
Use Du 20 as a reference at 5 cun into
hairline and on the midline.
Contra to moxa
Page 6 of 21
Pt
Bl 8
Category
Loc
5.5 cun into anterior hairline on same line
as BL 4 – BL 47
Needling
Transverse (15-30°), 0.3 – ½
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.
Transverse (15-30°), 0.3 – ½
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 ½ cun superior to the
back hairline. It’s about 2 cun down from
BL 9 and at the same lateral level, about
1.3 cun from midline.
Perp, ½ - 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, 1½ cun lateral to midline.
Trans/obl  spine, ½ - 1 cun.
Caution: pnthx
Bl 12/41
(wind gate,
but not really
a category)
BL 12: Level with T2, 1½ cun lateral to
midline.
Bl 12: Trans/obl  spine, ½ 1 cun.
BL 41: Level with T2, 3 cun lateral to
midline
Bl 41: Trans/obl  scapula,
0.3 – ½ cun
Caution: pnthx
Page 7 of 21
Pt
Bl 13/42
Category
Back Shu of
Lung
Loc
BL 13: Level with T3, 1½ cun lateral to
midline.
Needling
BL 13: Trans/obl  spine,
½ to 1 ½ cun
BL 42: Level with T3, 3 cun lateral to
midline
BL 42: Trans obl  scapula,
0.3 – ½ cun
Caution: pnthx
Bl 14/43
Back Shu of
Pericardium
BL 14: Level with T4, 1½ cun lateral to
midline.
BL 14: Trans/obl  spine, ½
to 1½ cun
BL 43: Level with T4, 3 cun lateral to
midline.
BL 43: Trans/obl  scapula,
0.3 – ½ cun
Caution : pnthx
Bl 15/44
Back Shu of
Heart
BL 15: Level with T5, 1½ cun lateral to
midline.
BL 15: Trans/obl  spine,
½ - 1½ cun
BL 44: Level with T5, 3 cun lateral to
midline
BL 44: Trans/obl  scapula,
0.3 – ½ cun
Caution: pnthx
Bl 16/45
BL 16: Level with T6, 1½ cun lateral to
midline.
BL 16: Trans/obl  spine,
½ - 1½ cun
BL 45: Level with T6, 3 cun lateral to
midline.
BL 45: Trans/obl  scapula,
0.3 – ½ cun
Caution : pnthx
Bl 17/46
Hui Meeting
of Blood
BL 17: Level with T7, 1½ cun lateral to
midline
BL 17: Trans/obl  spine,
½ - 1½ cun
Back Shu of
Diaphragm
BL 46: Level with T7, 3 cun lateral to
midline
BL 46: Trans/obl  scapula,
0.3 – ½ cun
Caution: pnthx
Bl 18/47
Back Shu of
Liver
BL18: Level with T9, 1½ cun lateral to
midline
BL 18: Trans/obl  spine,
½ - 1½ cun
BL 47: Level with T9, 3 cun lateral to
midline
BL 47: Trans/obl  lateral,
0.3 – ½ cun
Caution: pnthx
Page 8 of 21
Pt
Bl 19/48
Category
Back Shu of
Gallbladder
Loc
BL 19: Level with T10, 1½ cun lateral to
midline
Needling
BL 19: Trans/obl  spine,
½ - 1½ cun
BL 48: Level with T10, 3 cun lateral to
midline.
BL 48: Trans/obl  lateral,
0.3 – ½ cun
Caution: pnthx
Bl 20/49
Back Shu of
Spleen
BL 20: Level with T11, 1½ cun lateral to
midline
BL 20: Trans/obl  spine,
½ - 1½ cun
BL 49: Level with T11, 3 cun lateral to
midline
BL 49: Trans/obl  lateral,
0.3 – ½ cun
Caution: pnthx
Bl 21/50
Back Shu of
Stomach
BL 21: Level with T12, 1½ cun lateral to
midline
BL 21: Trans/obl  spine,
½ - 1½ cun
BL 50: Level with T12, 3 cun lateral to
midline
BL 50: Trans/obl  lateral,
0.3 – ½ cun
Caution : pnthx
Bl 22/51
Back Shu of
San Jiao
BL 22: Level with L1, 1½ cun lateral to
midline
BL 22: Obl or perp/obl 
spine, 1 - 1½ cun
BL 51: Level with L1, 3 cun lateral to
midline
BL 51: Obl  lateral,
½ - 1 cun
Caution: kidney puncture
Bl 23/52
Back Shu of
Kidney
BL 23: Level with L2, 1½ cun lateral to
midline
BL 23: Obl or perp/obl 
spine, 1 - 1½ cun
BL 52: Level with L2, 3 cun lateral to
midline
BL 52: Obl  lateral,
½ - 1 cun
Caution: kidney puncture
Bl 24
Bl 25
Bl 26
Back Shu of
Lg Intestine
Level with L3 and 1½ cun lateral to
midline
Perp, 1 - 1½ cun
Level with L4, 1½ cun lateral to midline
Perp, 1 - 1½ cun
Level with L5, 1½ cun lateral to midline
Perp, 1 - 1½ cun
Page 9 of 21
Pt
Bl 27
Loc
Level with S1, 1½ cun lateral to midline
Needling
Perp, ½ - 1 cun
BL 28: Level with S2, 1½ cun lateral to
midline
BL 28: Perp, ½ - 1 cun
BL 53: Level with S2, 3 cun lateral to
midline
BL 53: Perp, 1 - 1½ cun
Bl 29
Level with S3, 1½ cun lateral to midline
Perp, ½ - 1 cun
Bl 30/54
BL 30: Level with S4, 1½ cun lateral to
midline
BL 30: Perp, ½ - 1 cun
BL 54: Level with S4, 3 cun lateral to
midline
BL 54: Perp 2 – 3 cun
Bl 28/53
Category
Back Shu of
Sm Intestine
Back Shu of
Bladder
Points over Sacral Foramen
and (BL 35) ½ 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 - 1½ 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 - 1½ cun
Caution: nerves!
Bl 33
Bl 34
Bl 35
Meeting of
BL and GB
Meeting of
BL and GB
S3, over 3rd sacral foramen
Perp, ½ - 1½ cun
S4, over 4th sacral foramen
Perp, ½ - 1½ cun
½ cun lateral to the tip of the coccyx
Perp, 1 - 1½ cun
Upper leg points
Bl 36
Mid point of gluteal crease in depression
between the hamstrings
Inline with 36, 37, 40
Page 10 of 21
Perp, 1 - 1½ cun - or – 1-2
cun
Pt
Bl 37
Category
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 - 1½ 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 - 1½ cun
Perp, 1 - 1½ 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/Lower
He-Sea of
Bladder
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 - 1½ 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.
Page 11 of 21
Perp, 1 - 1½ cun
Pt
Bl 56
Category
Loc
Back of calf, 5 cun inferior to BL 40 on
the belly of the gastrocnemius muscle.
Needling
Perp, 1 - 1½ 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 - 1½ 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 - 1½ cun
Level with the prominence of the lateral
malleolus between the malleolus and the
Achilles tendon.
Perp, ½ - 0.8 cun
Lateral side of foot on calcaneus in a
tender depression where the skin changes
color/texture.
Perp, 0.3 – ½ cun
Jing River of
the Bladder
Meeting of
BL w/Yang
Qiao
Perp, 1 - 1½ 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.
This point is usually directly below BL
60.
Page 12 of 21
Note: this is on the final
practicum!!!
Contra: Preggers.
Promotes labor.
Pt
Bl 62
Category
Confluent of
Yang Qiao
Ghost Point
Loc
In a depression directly below the
prominence of the lateral malleolus ~ ½
cun inferior and posterior to the 2 tendons
here.
Needling
Obl-inferior, 0.3 – ½ 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 – ½ 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 – ½ 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
the skin changes color/texture.
Perp, 0.3 – ½ 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
skin changes color/texture.
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.
Perp 0.1 – 0.2
-orPrick to bleed
Caution: Can turn the fetus
from breach. Expedites
delivery.
Page 13 of 21
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, ½ - 1 cun
For people that don’t 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
the skin changes color/texture.
Perp, ½ - 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, ½ - 1 cun
Locate in relation to K3 and K5.
Midway between K3 and K5 along the
anterior border of the Achilles tendon.
Obl-perp  anterior,
½ - 1 cun
As a rule of thumb, is usually ½ 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.
Obl-perp away from the bone,
½ - 1 cun.
K6
Confluent of Yin
Qiao
Just below the center of the prominence of Obl-superior, 0.3 – ½ 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.
K7
Jing River
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.
Page 14 of 21
Perp, ½ - 1 cun
Pt
K8
Category
Xi Cleft of
Yin Qiao
Loc
Same horizontal level as K7, 2 cun
proximal to K3, on posterior edge of tibia
on the medial side of the leg.
Needling
Perp, ½ - 1 cun
K9
Xi Cleft of
Yin Wei
In-line with K3 and K10, 1/3 of the way
Perp, 1 – ½ 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 – 1½ cun
Needle with knee slightly
flexed.
Locate and needle with knee slightly
flexed.
Lower ab points begin here – ½ 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 ½ cun above ref and ½ cun
below ref.
4. Place a dot between the ½ cun’s in #3.
K 11
K 12
Mtg of Kidney
and Chong
Mtg of Kidney
and Chong
Upper border of pubic symphysis, ½ cun
lateral to the midline. 5 cun inferior to the
center of the umbilicus.
Perp, 1 – 1½ cun
1 cun superior to K11, 4 cun inferior to
umbilicus and ½ cun lateral to midline
Perp, ½ - 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
2 cun superior to K11, 3 cun inferior to
umbilicus and ½ cun lateral to midline
Perp 1 – 1½ cun
Caution: bladder punc
K 14
Mtg of Kidney
and Chong
3 cun superior to K11, 2 cun inferior to
umbilicus and ½ cun lateral to midline
Perp 1 – 1½ cun
Caution: peritoneal punc
K 15
Mtg of Kidney
and Chong
1 cun inferior to umbilicus, ½ cun lateral
to midline
Perp 1 – 1½ cun
Caution: peritoneal punc
Page 15 of 21
Pt
K 16
Category
Mtg of Kidney
and Chong
Loc
Level with the center of the umbilicus, ½
cun lateral to midline
Needling
Perp 1 – 1½ cun
Caution: peritoneal punc
Upper ab points begin here – ½ 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, ½ cun lateral to midline
Perp 1 – 1½ cun
Caution: peritoneal punc
K 18
Mtg of Kidney
and Chong
3 cun superior to the center of the
umbilicus, ½ cun lateral to midline
Perp 1 – 1½ cun
Caution: peritoneal punc
K 19
K 20
Mtg of Kidney
and Chong
Mtg of Kidney
and Chong
Located ½ way between umbilicus and
sternal costal angle, 4 cun superior to
umbilicus. ½ cun lateral to midline
Perp ½ - 1 cun
5 cun superior to umbilical center, ½ cun
lateral to midline
Perp ½ - 1 cun
Caution: peritoneal punc
Caution: peritoneal punc
K 21
Mtg of Kidney
and Chong
6 cun superior to center of umbilicus, ½
cun lateral to midline.
Perp ½ - 1 cun
Caution:
Right side = LV punc
Left side = peritoneal punc
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,
½ - 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
Trans along IC space,
½ - 0.8 cun
Caution: LU punc
Page 16 of 21
Pt
K 24
Category
Loc
3rd IC space, 2 cun lateral to midline
Needling
Trans along IC space,
½ - 0.8 cun
Caution: LU punc
2nd IC space, 2 cun lateral to midline
K 25
Trans along IC space,
½ - 0.8 cun
Caution: LU punc
1st IC space, 2 cun lateral to midline
K 26
Trans along IC space,
½ - 0.8 cun
Caution: LU punc
Top of 1st IC space, depression on lower
border of clavicle, 2 cun lateral to midline
K 27
Trans along IC space,
½ - 0.8 cun
Caution: LU punc
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 – ½ cun
Caution: pnthx.
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, ½ - 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, ½ - 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
Page 17 of 21
Perp ½ - 1 cun
Pt
Category
Loc
radialis, in line between P3-P7.
Needling
If you cannot find 2 tendons, you
probably found the flexor carpi radialis.
Needle on the ulnar side of this.
P5
Jing River
3 cun prox to P7 between the tendons of
the palmaris longus and the flexor carpi
radialis, in line between P3-P7.
Perp ½ - 1 cun
P6
1. Luo
Connecting
2. Confluent of
Yin Wei
2 cun prox to P7 between the tendons of
the palmaris longus and the flexor carpi
radialis, in line between P3-P7.
Perp ½ - 1 cun
P7
1. Shu Stream
2. Yuan Source
3. Ghost
At wrist joint, transverse wrist crease,
between the tendons of the palmaris
longus and flexor carpi radialis. Level
with HT 7 and LU 9. Use the crease
which crosses the pisiform bone.
Perp 0.3 – ½ cun
1. Ying Spring
2. Ghost
On the palm between the 2nd and 3rd MC
in a depression on the radial side of the 3rd
MC.
Perp, 0.3 – ½ cun
P8
Caution: median nerve
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
Perp 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 ½ cun
proximal to the margin of the web on the
line where the skin changes color.
Perp 0.3 – ½ cun
Have the pt make a loose fist and the point
is probably located at the proximal end of
the crease between the 2 fingers.
Page 18 of 21
Pt
SJ 3
Category
Shu Stream
Loc
Dorsum of the hand in a depression just
proximal to the metacarpo-phalangeal
knuckle.
Needling
Perp, ½ - 1 cun
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).
Perp 0.3 – ½ cun
Note: follow the space between MC 4 and
5 to the wrist joint.
SJ 5
SJ 6
SJ 7
SJ 8
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.
Perp ½ - 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.
Perp ½ - 1 cun
Measure proportionally! ¼ of the way
between the cubital crease and the
transverse wrist crease.
Or you can angle it up or
down the channel
Xi Cleft of SJ
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.
Level with SJ 6 (3 cun prox to SJ4) on the Perp ½ - 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 ¼ of the
way and add 1 cun or divide into 3rds.
Page 19 of 21
Perp ½ - 1 cun
Or you can angle it up or
down the channel
Pt
SJ 9
Category
Loc
Depression between radius and ulna 5 cun
distal to the level of the olecranon, 7 cun
proximal to SJ4
Needling
Perp 1 – 2 cun.
You can also angle prox or
dist.
Use a measure to find the distance
between SJ 4 and epicondyle of humerus,
divide in ½, 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, ½ - 1 cun.
Caution: located at the
beginning of the ulnar nerve.
Don’t manipulate if there is
pain!
SJ 11
1 cun proximal to SJ 10. Locate with
elbow flexed.
Perp, ½ - 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 ½ and go
distal by 1 cun.
SJ 13
Mtg of SJ and
Yang Wei
SJ 14
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.
Perp, 0.8 – 1½ cun
At the origin of the deltoid muscle in a
depression posterior and inferior to the
lateral extremety of the acromion.
Perp 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 that’s the point.
Alt: mid point of GB 21 and SI 13.
Page 20 of 21
Perp, ½ - 1 cun
Caution: deep insert perp =
pnthx.
Pt
SJ 16
Category
Window of Sky
Loc
Posterior border of SCM level with the
angle of the jaw.
Needling
Perp, ½ - 1 cun
SJ 17
Mtg of SJ, GB
Level with and anterior to the lower
Perp, ½ - 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 – ½ 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 – ½ cun into
subaponeurotic space (scalp
acupuncture)
On the side of the scalp, directly level
with the apex of the ear when the ear is
folded forward.
Trans, 0.3 – ½ cun into
subaponeurotic space (scalp
acupuncture)
In a depression anterior to the supratragic
notch, slightly superior to the condyloid
process of the mandible.
Inferior/obl and slightly
posterior, 0.3 – ½ cun
SJ 20
Mtg SJ, SI, GB
SJ 21
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 – ½ cun
Caution: temporal artery is
here.
Approx ½ 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, ½ - 1 cun.
Contra: moxa.
Page 21 of 21