AACP Acupuncture Point Reference Manual PDF
AACP Acupuncture Point Reference Manual PDF
AACP Acupuncture Point Reference Manual PDF
Training
Acupuncture in Physiotherapy
Acupuncture points commonly used in the treatment of musculoskeletal conditions are emboldened
throughout the point location manual.
The Lung Channel is a yin channel that consists of 11 points. It originates on the lateral chest, inferior
to the acromial end of the clavicle and runs down the medial aspect of the upper arm where it
crosses the cubital crease. It continues until it passes above the radial artery at the wrist, and
emerges at the tip of the thumb. It also has a connection with the Large Intestine Meridian on the
2nd digit. Due to the location of this channel it is considered to be useful in the treatment of
localised upper limb conditions. In the treatment of musculoskeletal conditions the most commonly
utilised points are generally LU5 at the elbow and LU7 and LU9 at the wrist.
LU1 • Zhong Fu • Lung 1 Central Treasury. Front Mu Point of the Lung that connects with Back Shu
BL13. Meeting Point on the Lung Channel with the Spleen Channel.
Location: On the lateral chest, inferior to the acromial end of the clavicle, 6 cun lateral to the
Conception Vessel. Needle obliquely 0.5 – 0.8 cun.
Location: On the lateral chest, in the depression formed by the deltoid muscle, pectoralis major
muscle and the clavicle. Needle obliquely 0.5 – 0.8 cun.
LU3 • Tian Fu • Lung 3 Celestial Storehouse. Major Window of the Sky Point.
Location: On the upper arm, on the lateral border of muscle biceps brachii, 3 cun inferior to the
anterior axillary fold. Needle perpendicularly 0.5 – 1 cun.
Location: On the upper arm, on the lateral border of muscle biceps brachii, 4 cun inferior to the
anterior axillary fold. Needle perpendicularly 0.5 – 1 cun.
Location: At the elbow, in the cubital crease, in the depression lateral to biceps brachii tendon.
Needle perpendicularly 0.5 – 1 cun.
Arm pain, elbow problems, shoulder pain, thoracic discomfort and respiratory disorders.
LU6 • Kong Zui • Lung 6 Collection Hole. Xi Cleft Point on the Lung Channel
Location: On the radial side of the forearm, 5 cun inferior to LU 5, on a line from LU 5 at the cubital
crease and LU 9 at the lateral side of the wrist crease. Needle perpendicularly 0.5 – 1 cun.
LU7 • Lie Que • Lung 7 Broken Sequence. Luo Connecting Point on the Lung Channel to LI4
Location: On the radial side of the forearm, 1.5 cun superior to the tip of the radial styloid process.
Needle obliquely 0.3 – 0.5 cun.
Asthma, facial muscle paralysis, jaw disorders and wrist joints soft tissue disorders.
LU8 • Jing Qu • Lung 8 Channel Ditch. Jing River Point on the Lung Channel. Metal Point on Metal
Meridian
Location: On the radial side of the forearm, 1 cun superior to the transverse wrist crease and in the
depression between the radial artery and styloid process. Needle perpendicularly 0.1 – 0.3 cun.
LU9 • Tai Yuan • Lung 9 Great Abyss. Shu Stream Point on the Lung Channel. Yaun Source Point on
the Lung Channel. Earth Point on Metal Meridian
Location: On the lateral side of the anterior wrist crease, in the depression on the radial side of the
radial artery. Needle perpendicularly 0.2 – 0.3 cun.
Asthma, chest pain, medial forearm pain and wrist pain and associated local soft tissue disorders.
Location: Midpoint on the thenar eminence, on the dorsal-palmar surface. Needle perpendicularly
0.5 – 0.8 cun.
LU11 • Shao Shang • Lung 11 Lesser Merchant. Jing Well Point on the Lung Channel. Wood Point on
Metal Meridian
Location: On the radial side of the thenar eminence, 0.1 cun posterior to the nail bed. Needle
subcutaneously 0.1 cun.
The Large Intestine Channel is a yang channel that consists of 20 points. It starts from the tip of the
2nd digit and runs between the 1st and 2nd digit and along the radial aspect of the forearm. It then
proceeds along the lateral side of the forearm adjacent to the lateral epicondyle and along the
anterolateral side of the upper arm, until it reaches the anterior eye of the shoulder. It then travels
medially across the shoulder and neck and across the face and cheek where it then curves around
the upper lip and crosses the midline to the opposite side of the face. Due to the Large Intestine
channel’s location it is also considered to be beneficial in the treatment of localised upper limb
conditions concerning the hand, elbow and shoulder. In the treatment of musculoskeletal conditions
the most commonly utilised points are generally LI 4 in the hand, LI 11 at the elbow and LI 15 at the
shoulder.
LI1 • Shang Yang • Large Intestine 1 Metal Yang. Jing Well Point on the Large Intestine Channel.
Metal Point on Metal Meridian.
Location: On the radial side of the second digit, 0.1 cun from the corner of the nail bed. Needle
subcutaneously 0.1 cun.
LI2 • Er Jian • Large Intestine 2 Second Space. Ying Spring Point on the Large Intestine Channel.
Water Point on Metal Meridian.
Location: On the radial side of the second digit in slight flexion, in the depression anterior to the
metacarpophalangeal joint. Needle perpendicularly 0.2 - 0.3 cun.
LI3 • San Jian • Large Intestine 3 Third Space. Shu Stream Point on the Large Intestine Channel.
Wood Point on Metal Meridian.
Location: On the dorsum of the hand, on the radial side of the second metacarpal bone, proximal to
the metacarpophalangeal joint, at the dorsal-palmar skin junction. Needle perpendicularly 0.5 - 0.8
cun.
Location: On the dorsum of the hand, approximately at the midpoint of the second metacarpal
bone, in the belly of the first interosseus dorsalis muscle. Needle perpendicularly 0.8 - 1 cun.
Abdominal pain, arm pain, facial muscle paralysis, headache, digestive disorders, dental
pain, difficult labour and respiratory and skin disorders.
LI5 • Yang Xi • Large Intestine 5 Yang Ravine. Jing River Point on the Large Intestine Channel. Fire
Point on Metal Meridian
Location: On the radial side of the wrist, distal to the tip of the radial styloid process, in the
depression between the tendons of extensor pollicis longus and brevis, in the "anatomical snuff box.
Needle perpendicularly 0.3 - 0.5 cun.
LI6 • Pian Li • Large Intestine 6 Veering Passageway. Luo Connecting Point on the Large Intestine
Channel to LU9
Location: On the radial side of the posterior antebrachial region, 3 cun proximal to the dorsal wrist
crease, on the line connecting LI 5 at the wrist and LI 11 at the lateral cubital crease. Needle
perpendicularly or obliquely 0.5 - 0.8 cun.
LI7 • Wen Liu • Large Intestine 7 Warm Flow. Xi Cleft Point on the Large Intestine Channel
Location: On the radial side of the posterior antebrachial region, 5 cun proximal to the dorsal wrist
crease, on the line connecting LI 5 at the wrist and LI 11 at the lateral cubital crease. Needle
perpendicularly 0.5 - 1 cun.
Location: On the radial side of the posterior antebrachial region, 4 cun distal cubital crease, on the
line connecting LI 5 at the wrist and LI 11 at the lateral cubital crease.
Location: On the radial side of the posterior antebrachial region, 3 cun distal cubital crease, on the
line connecting LI 5 at the wrist and LI 11 at the lateral cubital crease. Needle perpendicularly 0.5 - 1
cun.
Abdominal pain, hand and arm numbness and arm and shoulder pain.
Location: On the radial side of the posterior antebrachial region, 2 cun distal cubital crease, on the
line connecting LI 5 at the wrist and LI 11 at the lateral cubital crease. Needle perpendicularly 0.8 –
1.2 cun.
LI11 • Qu Chi • Large Intestine 11 Pool at the Bend. He Sea Point on the Large Intestine Channel.
Earth Point on Metal Meridian.
Location: On the lateral side of the cubital crease when the elbow is close to full flexion. Needle
perpendicularly 1 – 1.5 cun.
Abdominal pain, arm pain and paralysis, shoulder pain and arthritis, elbow disorders,
Location: On the lateral side of the cubital crease, 1 cun superior to LI 11, at the junction of the
lateral supracondylar ridge of the humerus with the epicondyle. Locate LI 12 with the elbow flexed.
Needle perpendicularly 0.5 - 1 cun.
Location: On the lateral brachial region, 3 cun superior to LI 11, on the line connecting LI 11 at the
cubital crease and LI15 inferior to the acromion. Needle perpendicularly 0.5 - 1 cun.
LI14 • Bi Nao • Large Intestine 14 Upper Arm. Meeting Point on the Large Intestine Channel with
the Small Intestine and Bladder Channels
Location: On the lateral brachial region, on the anterior margin of the insertion of the deltoid
muscle, on the line connecting LI 11 at the cubital crease and LI15 inferior to the acromion. Needle
perpendicularly or obliquely 0.8 – 1.5 cun.
LI15 • Jian Yu • Large Intestine 15 Shoulder Bone. Meeting Point on the Large Intestine Channel
with the Small Intestine and Triple Energizer Channels.
Location: On the shoulder in the depression on the anterior border of the acromial part of the
deltoid muscle when the arm is abducted. Needle perpendicularly or obliquely 0.8 – 1.5 cun.
Upper limb motor impairment, arm pain and paralysis and shoulder pain and soft tissue
disorders.
LI16 • Ju Gu • Large Intestine 16 Great Bone. Meeting Point on the Large Intestine Channel with the
Yang Heel Vessel.
Location: On the superior aspect of the scapular region, in the depression posterior to the acromial
extremity of the clavicle and anterior to the scapular spine. Needle obliquely 0.5 – 0.7 cun.
Upper limb motor impairment, arm and shoulder pain with limited movement and soft tissue
disorders.
Location: At the anterior margin of the posterior triangle of the neck, on the posterior border of the
sternocleidomastoid muscle, 1 cun inferior to LI 18 at the level of the laryngeal prominence. Needle
perpendicularly 0.3 – 0.5 cun.
Skin disorders.
Location: On the neck, on the sternocleidomastoid muscle, 3 cun lateral to the laryngeal
prominence. Needle perpendicularly 0.3 – 0.5 cun.
Location: In the oral region, directly inferior to the lateral margin of the nostril, level with GV 26.
Needle obliquely 0.2 – 0.3 cun.
LI20 • Ying Xiang • Large Intestine 20 Welcome Frangrance. Meeting Point on the Large Intestine
Channel with the Stomach Channel
Location: In the nasolabial groove, 0.5 cun lateral to the nostril. Needle obliquely or subcutaneously
0.3 – 0.5 cun.
The Stomach Channel is a yang channel that consists of 45 points. It starts in the region of the end of
the Large Intestine Meridian at the side of the nose below the eye and runs downwards to the lower
jaw. There it then turns upwards, passing in front of the ear, until it reaches the corner of the forehead.
It then runs back on itself to the lower jaw again and down the anterior aspect of the neck to the
clavicle and subsequently the chest. It runs down the chest in line with the nipple then moves medially
towards the midline where in runs parallel with the Conception Vessel to the groin. From there it
moves laterally again to run down the anterior aspect on the thigh and lower leg and across the
dorsum of the foot until it terminates at the lateral side of the tip of 2nd toe. Although the Stomach
channel is an extensive one which runs the entire length of the body its main usage in a
musculoskeletal setting tends to employs the points of the lower limb, mainly ST 35, ST 36 and ST 44.
ST1 • Cheng Qi • Stomach 1 Tear Container. Meeting Point on the Stomach Channel with the Yang
Heel and Conception Vessels
Location: One the face, on the inferior border of the orbit, in the orbicularis oculi muscle, directly
below the pupil when eyes are focused forward. Needle perpendicularly 0.5 - 1 cun.
Location: On the face, on the infraorbital foramen, 0.5 cun inferior to ST 1 when eyes are focused
forward. Needle perpendicularly 0.3 - 0.5 cun.
Eye disorders, facial oedema, facial muscle paralysis, facial pain and trigeminal neuralgia.
ST3 • Ju Liao • Stomach 3 Great Bone Hole. Meeting Point on the Stomach Channel with the Yang
Heel Vessel
Location: On the face, level with the border of the ala nasi, in line with the pupil when the eyes are
focused forward. Needle perpendicularly 0.3 - 0.5 cun.
Location: On the face, in the oral region, 0.5 cun lateral to the corner of the mouth, in line with the
pupil when the eyes are focused forward. Needle subcutaneously 1 - 1.5 cun.
Location: On the cheek, anterior to the angle of the mandible, on the anterior border of masseter
muscle. Needle obliquely 0.3 - 0.5 cun.
Location: On the cheek, 1 cun anterior and superior to the angle of the mandible, in the belly of
masseter muscle. Needle perpendicularly 0.3 - 0.5 cun.
Facial oedema, facial muscle paralysis and neck pain and stiffness.
ST7 • Xia Guan • Stomach 7 Below the Joint. Meeting Point on the Stomach Channel with the Gall
Bladder Channel
Location: On the lateral face, in the depression at the lower border of the zygomatic arch, anterior to
the condyloid process of the mandible. ST 7 is located with the mouth closed. Needle
perpendicularly 0.3 - 0.5 cun.
ST8 • Tou Wei • Stomach 8 Head Corner. Meeting Point on the Stomach Channel with the Gall
Bladder Channel and Yang Linking Vessel
Location: At the corner of the forehead, 0.5 cun posterior to the anterior hairline, 4.5 cun lateral to
the anterior midline. Needle subcutaneously 0.5 - 1 cun.
Location: On the neck, on the anterior border of sternocleidomastoid muscle, at the level of the
laryngeal prominence. Needle perpendicularly 0.3 - 0.5 cun.
Location: On the neck, on the anterior border of sternocleidomastoid muscle, midway between ST 9
at the level of the laryngeal prominence and ST 11 at the upper clavicle border. Needle
perpendicularly 0.3 - 0.5 cun.
Location: At the root of the neck, at the superior border of the sternal end of the clavicle, between
the sternal and clavicular heads of sternocleidomastoid muscle. Needle perpendicularly 0.3 - 0.5 cun.
ST12 • Que Pen • Stomach 12 Empty Basin. Meeting Point on the Stomach Channel with the Large
Intestine, Small Intestine, Triple Energiser, Lung and Gall Bladder Channels
Location: At the midpoint of the supraclavicular fossa, posterior to the clavicle, on the midclavicular
line, 4 cun lateral to the anterior midline. Needle perpendicularly 0.3 - 0.5 cun.
Limited shoulder movement and pain, supraclavicular fossa pain and throat pain and swelling.
ST13 • Qi Hu • Stomach 13 Qi Door. Meeting Point on the Stomach Channel with the Kidney, Gall
Bladder, Large Intestine, Triple Energiser, Pericardium and Lung Channels
Location: In the infraclavicular fossa, on the midclavicular line, 4 cun lateral to the anterior midline.
Needle obliquely 0.3 - 0.5 cun.
Location: On the chest, on the midclavicular line, in the first intercostal space, 4 cun lateral to the
anterior midline. Needle obliquely 0.3 - 0.5 cun.
Location: On the chest, on the midclavicular line, in the second intercostal space, 4 cun lateral to the
anterior midline. Needle obliquely 0.3 - 0.5 cun.
Location: On the chest, on the midclavicular line, in the third intercostal space, 4 cun lateral to the
anterior midline. Needle obliquely 0.3 - 0.5 cun.
Location: On the chest, on the midclavicular line, in the fifth intercostal space, 4 cun lateral to the
anterior midline. Needle obliquely 0.3 - 0.5 cun.
Location: On the upper abdomen, 2 cun lateral to the anterior midline and 6 cun superior to the
umbilicus, at the level of CV 14. Needle perpendicularly or obliquely 0.3 - 0.5 cun.
Location: On the abdomen, 2 cun lateral to the anterior midline and 5 cun superior to the umbilicus,
at the level of CV 13. Needle perpendicularly or obliquely 0.5 - 1 cun.
Location: On the abdomen, 2 cun lateral to the anterior midline, 4 cun superior to the umbilicus, at
the level of CV 12. Caution: Right side is directly over the gall bladder. Needle perpendicularly 0.8 - 1
cun.
Location: On the abdomen, 2 cun lateral to the anterior midline, 3 cun superior to the umbilicus, at
the level of CV 11. Needle perpendicularly 0.8 - 1 cun.
Location: On the abdomen, 2 cun lateral to the anterior midline, 2 cun superior to the umbilicus, at
the level of CV 10. Needle perpendicularly 0.7 - 1 cun.
Location: On the abdomen, 2 cun lateral to the anterior midline, 1 cun superior to the umbilicus, at
the level of CV 9. Needle perpendicularly 0.7 - 1 cun.
Location: On the abdomen, 2 cun lateral to the umbilicus. Needle perpendicularly 0.7 – 1.2 cun.
Location: On the lower abdomen, 1 cun inferior to the umbilicus and 2 cun lateral to the anterior
midline, at the level of CV 7. Needle perpendicularly 0.7 – 1.2 cun.
Location: On the lower abdomen, 2 cun inferior to the umbilicus and 2 cun lateral to the anterior
midline, at the level of CV 5. Needle perpendicularly 0.7 – 1.2 cun.
Retention of urine.
Location: On the lower abdomen, 3 cun inferior to the umbilicus and 2 cun lateral to the anterior
midline, at the level of CV 4. Needle perpendicularly 0.7 – 1.2 cun.
Location: On the lower abdomen, 1 cun above the pubic symphysis and 2 cun lateral to the anterior
midline, at the level of CV 3. Needle perpendicularly 0.7 – 1.2 cun.
Location: At the superior border of the pubic symphysis, 2 cun lateral to the anterior midline, at the
level of CV 2. Needle perpendicularly 0.5 – 1 cun.
Caution Avoid the femoral vein, spermatic cord in men and round ligament in women.
Location: On the anterior thigh, directly inferior to the anterior superior iliac spine, in the depression
lateral to the sartorius muscle. Needle perpendicularly 1 – 1.5 cun.
Location: On the anterior thigh, on a line between the anterior superior iliac spine and the
superolatero patella, 6 cun superior to lateral patella. Needle perpendicularly 1 – 1.5 cun.
Location: On the anterior thigh, on a line between the anterior superior iliac spine and the
superolatero patella, 3 cun superior to lateral patella. Needle perpendicularly 0.7 – 1 cun.
ST34 • Liang Qiu • Stomach 34 Beam Hill. Xi Cleft Point on the Stomach Channel.
Location: On the anterior thigh, on a line between the anterior superior iliac spine and the
superolatero patella, 2 cun superior to lateral patella. Needle perpendicularly 0.5 – 1 cun.
Contraindication: Do Not Needle If Pregnancy is known/suspect
Location: At the knee region, in the depression below the lateral side of the patella when the knee
is flexed slightly. Needle perpendicularly 0.7 – 1 cun.
ST36 • Zu San Li • Stomach 36 Leg Three Li. He Sea Point on the Stomach Channel. Special
Command Point for the Abdomen. Earth Point on the Earth Meridian.
Location: On the leg, one finger breadth lateral to the tibia's anterior crest, 3 cun inferior to ST 35
in the depression to the lateral side of the patella. Needle perpendicularly 0.5 – 1.2 cun.
Leg pain, digestive disorders, gastrointestinal disorders, chest pain, lower body oedema and
general weakness.
ST37 • Shang Ju Xu • Stomach 37 Upper Great Hollow. Lower He Sea Point of the Large Intestine.
Lower Body Sea of Blood Point with ST39
Location: On the leg, one finger breadth lateral to the tibia's anterior crest, 6 cun inferior to ST 35 in
the depression to the lateral side of the patella. Needle perpendicularly 0.7 – 1.2 cun.
Location: On the leg, one cun lateral to the tibia's anterior crest, at the midpoint of a line between ST
35 at the lateral patella and the lateral malleolus. Needle perpendicularly 0.5 – 1 cun.
Lower leg pain and paralysis, thigh and knee swelling and shoulder pain with stiffness.
ST39 • Xia Ju Xu • Stomach 39 Lower Great Hollow. Lower He Sea Point of the Small Intestine. Lower
Body Sea of Blood Point with ST37
Location: On the leg, one cun inferior to ST 38 at the midpoint of a line between ST 35 at the lateral
patella and the lateral malleolus. Needle perpendicularly 0.5 – 1 cun.
Location: On the leg, one cun lateral to ST 38 at the midpoint of a line between ST 35 at the lateral
patella and the lateral malleolus. Needle perpendicularly 0.5 – 1 cun.
ST41 • Jie Xi • Stomach 41 Ravine Divide. Jing River Point on the Stomach Channel. Fire Point on
Earth Meridian
Location: On the dorsum of the foot, between tendons of muscles extensor digitorum longus and
extensor hallucis longus, level with the tip of the lateral malleolus. Needle perpendicularly 0.5 – 0.7
cun.
Ankle pain and swelling, dorsal foot pain and swelling and lower limb pain or paralysis.
ST42 • Chong Yang • Stomach 42 Surging Yang. Yuan Source Point on the Stomach Channel
Location: On the dorsum of the foot, 1.5 cun inferior to ST 41, in the depression between the second
and third metatarsals and cuneiform bones. Needle perpendicularly 0.3 – 0.5 cun.
ST43 • Xian Gu • Stomach 43 Sunken Valley. Shu Stream Point on the Stomach Channel. Wood Point
on Earth Meridian.
Location: On the dorsum of the foot, between the second and third metatarsal bones, 1.5 cun
superior to the web margin, in line with the lateral side of the second digit. Needle perpendicularly
0.3 – 0.5 cun.
ST44 • Nei Ting • Stomach 44 Inner Court. Ying Spring Point on the Stomach Channel. Water Point
on Earth Meridian.
Location: On the dorsum of the foot, at the proximal end of the web between the second and third
toes. Needle perpendicularly 0.3 – 0.5 cun.
Location: On the lateral side of the second toe, 0.1 cun from the corner of the nail bed. Needle
subcutaneously 0.1 cun.
The Spleen Channel is a yin channel that consists of 21 points. It begins at the 1st toe and runs along
the medial aspect of the foot and travels upwards along the lower leg and thigh medially. Once
reaching the abdomen it continues upwards toward the chest. As with the Stomach channel the
Spleen is an extensive meridian which runs for most of the entire length of the body from the 1st toe
to the upper chest but its main usage in a musculoskeletal setting is of the points of the lower limb,
namely SP 6, SP 9 and SP 10.
SP1 • Yin Bai • Spleen 1 Hidden White. Jing Well Point on the Spleen Channel. Wood Point on Earth
Meridian
Location: On the medial great toe, .01 cun from the corner of the nail bed. Needle subcutaneously
0.1 cun.
SP2 • Da Du • Spleen 2 Great Metropolis. Ying Spring Point on the Spleen Channel. Fire Point on
Earth Meridian.
Location: On the great toe, in the depression distal to the metatarsophalangeal joint, at dorsal -
plantar junction. Needle perpendicularly 0.1 - 0.3 cun.
Abdominal distension or pain, constipation, diarrhoea and oedema of the lower body.
SP3 • Tai Bai • Spleen 3 Supreme White. Shu Stream Point on the Spleen Channel. Yuan Source Point
on the Spleen Channel. Earth Point on Earth Meridian
Location: On the medial foot, in the depression proximal to the first metatarsophalangeal joint, at
the dorsal - plantar junction. Needle perpendicularly 0.3 - 0.5 cun.
Abdominal distension or pain, constipation, diarrhoea and oedema of the lower body.
SP4 • Gong Sun • Spleen 4 Yellow Emperor. Luo Connecting Point on the Spleen Channel ST42.
Confluent point of the Penetrating Vessel
Location: On the medial foot, in the depression distal to the base of the first metatarsal bone.
Needle perpendicularly 0.5 - 0.8 cun.
Abdominal distension or pain, vomiting, diarrhoea and oedema of the lower body.
Location: On the medial foot, in the depression midway between the navicular bone and the vertex
of the medial malleolus. Needle perpendicularly 0.2 - 0.3 cun.
Abdominal distension or pain, constipation, diarrhoea and ankle and foot pain.
SP6 • San Yin Jiao • Spleen 6 Three Yin Intersection. Meeting Point on the Spleen Channel with the
Liver and Kidney Channels
Location: On the medial leg, 3 cun superior to the medial malleolus, on the posterior border of the
tibia. Needle perpendicularly 0.5 - 1 cun.
Leg pain and paralysis, abdominal distension or pain, constipation, diarrhoea, reproductive system
disorders and urinary dysfunction.
Location: On the medial leg, 6 cun superior to the medial malleolus, and posterior to the medial
margin of the tibia. Needle perpendicularly 0.5 - 1 cun.
Knee and leg pain, abdominal distension or pain and urinary dysfunction.
Location: On the medial leg, 3 cun inferior to the medial condyle of the tibia on the line connecting
the medial malleolus at the ankle and SP 9 at the lower border of the medial condyle of the tibia.
Needle perpendicularly 0.5 - 1 cun.
SP9 • Yin Ling Quan • Spleen 9 Yin Mound Spring. He Sea Point on the Spleen Channel. Water
Point on Earth Meridian
Location: On the medial leg, on the inferior border of the medial condyle of the tibia, in the
depression between the posterior border of the tibia and gastrocnemius muscle. Needle
perpendicularly 0.5 - 1 cun.
Abdominal distension or pain, oedema, knee and leg pain and low back pain.
Location: On the medial thigh, with the knee in flexion, 2 cun superior to the superomedial angle
of the patella, on vastus medialis muscle. Needle perpendicularly 0.5 – 1.2 cun.
Location: On the medial thigh, 6 cun superior to SP 10, on the line connecting SP 10 above the
superomedial angle of the patella and SP 12, 3.5 cun lateral to the upper border of pubic symphysis.
Needle perpendicularly 0.5 - 1 cun.
Location: In the inguinal region, on the lateral side of the femoral artery, 3.5 cun lateral to the
anterior midline. Needle perpendicularly 0.5 - 1 cun.
SP13 • Fu She • Spleen 13 Bowel Abode. Meeting Point on the Spleen Channel with the Liver
Channel and Yin Linking Vessel
Location: On the lower abdomen, 4 cun lateral to the anterior midline, at the level of CV 3, 1 cun
above the superior border of the pubic symphysis. Needle perpendicularly 0.5 - 1 cun.
Location: On the lower abdomen, 4 cun lateral to the anterior midline and 1 cun below the umbilicus
at the level of CV 7. Needle perpendicularly 0.5 - 1 cun.
Location: On the abdomen, at the level of the umbilicus, 4 cun lateral to the anterior midline. Needle
perpendicularly 0.7 – 1.2 cun.
SP16 • Fu Ai • Spleen 16 Abdominal Lament. Meeting Point on the Spleen Channel with the Yin
Linking Vessel
Location: On the upper abdomen, 4 cun lateral to the anterior midline, 3 cun above the umbilicus at
the level of CV 11. Needle perpendicularly 0.5 - 1 cun.
Location: On the lateral chest, in the fifth intercostal space, 6 cun lateral to anterior midline. Needle
obliquely 0.3 - 0.5 cun.
Diaphragm pain.
Location: On the lateral chest, in the fourth intercostal space, 6 cun lateral to the anterior midline, at
the level of CV 17. Needle obliquely 0.3 - 0.5 cun.
Location: On the lateral chest, in the third intercostal space, 6 cun lateral to the anterior midline.
Needle obliquely 0.3 - 0.5 cun.
Location: On the lateral chest, in the second intercostal space, 6 cun lateral to the anterior midline.
Needle obliquely 0.3 - 0.5 cun.
Location: On the lateral chest wall, on the mid axillary line, 6 cun inferior to the anterior axillary
crease. Needle obliquely 0.3 - 0.5 cun.
The Heart Channel is a yin channel that consists of 9 points. It starts under the arm in the axilla and
runs along the inner side of the upper arm, past the elbow and down the forearm where it then
crosses the inner side of the wrist and palm and ends at the inside tip of the little finger. From here it
then connects with the yang Small Intestine Meridian. The Heart meridian is relatively short, only
running the length of the upper limb and in the treatment of musculoskeletal conditions the main
points utilised are HT 3 at the elbow and HT 7 at the wrist.
Location: In the axillary fossa when the arm is abducted, medial to the axillary artery. Needle
perpendicularly 0.5 – 1 cun.
Caution. Considered a forbidden point for needling due to the proximity of the axillary artery.
Location: On the medial arm when the elbow is flexed, 3 cun proximal to the transverse cubital
crease. Needle perpendicularly 0.3 – 0.5 cun.
HT3 • Shao Hai • Heart 3 Lesser Sea. He Sea Point on the Heart Channel. Water Point on Fire
Meridian
Location: With the elbow flexed, at the medial end of the transverse cubital crease. Needle
perpendicularly 0.5 – 1 cun.
Arm numbness and pain, axillary pain, elbow problems, forearm numbness, hand numbness,
tremor and pain, intercostal neuralgia and neck stiffness.
HT4 • Ling Dao • Heart 4 Spirit Pathway. Jing River Point on the Heart Channel. Metal Point on Fire
Meridian
Location: On the palmar surface of the forearm, 1.5 cun proximal to the transverse wrist crease, on
the radial side of flexor carpi ulnaris tendon. Needle perpendicularly 0.3 – 0.5 cun.
Elbow problems.
Location: On the palmar surface of the forearm, 1 cun proximal to the transverse wrist crease, on
the radial side of flexor carpi ulnaris tendon. Needle perpendicularly 0.3 – 0.5 cun.
HT6 • Yin Xi • Heart 6 Yin Cleft. Xi Cleft Point on the Heart Channel.
Location: On the palmar surface of the forearm, 0.5 cun proximal to the transverse wrist crease, on
the radial side of flexor carpi ulnaris tendon. Needle perpendicularly 0.3 – 0.5 cun.
HT7 • Shen Men • Heart 7 Spirit Gate. Shu Stream Point on the Heart Channel. Yuan Source Point
on the Heart Channel. Earth Point on Fire Meridian
Location: On the transverse wrist crease, in the small depression between the pisiform and ulna
bones. Needle perpendicularly 0.3 – 0.5 cun.
HT8 • Shao Fu • Heart 8 Lesser Mansion. Ying Spring Point on the Heart Channel. Fire Point on Fire
Meridian.
Location: On the palmar surface of the hand, between the fourth and fifth metacarpal bones. When
a tight fist is made, HE 8 is where the fifth digit rests. Needle perpendicularly 0.3 – 0.5 cun.
HT9 • Shao Chong • Heart 9 Lesser Surge. Jing Well Point on the Heart Channel. Wood Point on Fire
Meridian
Location: On the radial side of the fifth digit, 0.1 cun from the corner of the nail bed. Needle
subcutaneously 0.1 cun.
Caution In TCM practice HE 9 is reserved for use with clients who suffer unconsciousness or Shock.
The Small Intestine Channel is a yang channel that consists of 19 points. It starts from the tip of the
5th digit and runs proximally along the ulnar border passing adjacent to the medial epicondyle and
upward until it reaches the back of shoulder. Here it zig zags across the scapula and across the neck
and cheek until it reaches the anterior aspect of the ear. Due to the passage of the Small Intestine
channel over the upper limb from the tip of the 5th digit to the ear there are a variety of points along
its length that can be employed in the treatment of musculoskeletal conditions. These include SI 3
on the hand, SI 8 at the elbow to SI 11 across the dorsal shoulder region and SI 19.
SI1 • Shao Ze • Small Intestine 1 Lesser Marsh. Jing Well Point on the Small Intestine Channel. Metal
Point on Fire Meridian.
Location: On the ulnar side of the fifth digit, 0.1 cun from the corner of the nail bed. Needle
subcutaneously 0.1 cun.
SI2 • Qian Gu • Small Intestine 2 Front Valley. Ying Spring Point on the Small Intestine channel.
Water Point on Fire Meridian.
Location: On the ulnar side of the fifth digit, in the depression distal to the metacarpophalangeal
joint, at the junction of the dorsal and palmar surfaces. Needle perpendicularly 0.3 - 0.5 cun.
SI3 • Hou Xi • Small Intestine 3 Back Ravine. Shu Stream Point on the Small Intestine Channel.
Wood Point on Fire Meridian.
Location: In the depression proximal to the head of the fifth metacarpal bone, at the junction of
the dorsal and palmar surfaces. Needle perpendicularly 0.5 - 0.7 cun.
Arm pain, headache, lumbar pain, neck pain and stiffness and shoulder pain.
SI4 • Wan Gu • Small Intestine 4 Wrist Bone. Yuan Source Point on the Small Intestine Channel
Location: On the ulna side of the wrist, in the depression between the fifth metacarpal bone and the
hamate and pisiform bones, at the junction of the dorsal and palmar surfaces. Needle
perpendicularly 0.3 - 0.5 cun.
Location: On the ulna side of the wrist, in a depression between the styloid process of the ulna and
the triquetral and pisiform bones. Needle perpendicularly 0.3 - 0.5 cun.
SI6 • Yang Lao • Small Intestine 6 Nursing the Aged. Xi Cleft Point on the Small Intestine Channel.
Location: On the ulnar side of the wrist, in the depression between the ulnar styloid process and the
triquetrum and pisiform bones. SI 6 can be located when patient's wrist is in flexion with the index
finger pointing to the sternum. Needle perpendicularly 0.3 - 0.5 cun.
SI7 • Zhi Zheng • Small Intestine 7 Branch to the Correct. Luo Connecting Point on the Small Intestine
Channel to HE7.
Location: On the ulnar side of the forearm, between the anterior border of the ulna and flexor carpi
ulnaris muscle, 5 cun superior to the wrist crease, on the line connecting SI 5 at the wrist and SI 8 at
the medial epicondyle of the humerus at the elbow. Needle perpendicularly 0.5 - 0.8 cun.
Aching fingers, hand and forearm pain and neck pain and stiffness.
SI8 • Xiao Hai • Small Intestine 8 Small Sea. He Sea Point on the Small Intestine Channel. Earth
Point on Fire Meridian
Location: With the elbow in flexion, in the depression between the olecranon and the medial
epicondyle of the humerus. Needle perpendicularly 0.3 - 0.5 cun.
Arm, elbow, shoulder, scapular pain and neck pain and stiffness.
Location: On the upper back, with the arm in abduction, 1 cun superior to the posterior end of the
axillary fold. Needle perpendicularly 0.5 - 1 cun.
Impairment of arm motor function, arm pain, shoulder and scapular pain and disorders.
Location: On the posterior shoulder, with the arm in abduction, in the depression inferior and
lateral to the scapular spine, 1 cun superior to SI 9 . Needle perpendicularly 0.5 - 1 cun.
Impairment of arm motor function, arm pain and weakness, shoulder and scapular pain and
disorders.
Location: On the scapula, in the depression of the infrascapular fossa, one-third the distance
between the lower border of the scapular spine and the inferior angle of the scapula. Needle
perpendicularly 0.5 - 1 cun.
SI12 • Bing Feng • Small Intestine 12 Grasping the Wind. Meeting Point on the Small Intestine
Channel with the Large Intestine, Triple Energizer and Gall Bladder Channels.
Location: On the upper back, with the arm in slight abduction, in the middle of the supraspinous
fossa. Needle perpendicularly 0.5 – 0.7 cun.
Location: On the upper back, in the depression on the medial end of the supraspinous fossa. Needle
perpendicularly 0.3 - 0.5 cun.
Location: On the upper back, 3 cun lateral to the lower border of the spinous process of the first
thoracic vertebra (T1). Needle obliquely 0.3 - 0.7 cun.
Location: On the upper back, 2 cun lateral to the lower border of the spinous process of the seventh
cervical vertebra (C7). Needle obliquely 0.3 - 0.6 cun.
Location: On the neck, on the posterior margin of the sternocleidomastoid muscle, at the level of the
laryngeal prominence and the transverse process of the fourth cervical transverse process (C4).
Needle perpendicularly 0.3 - 0.7 cun.
SI17 • Tian Rong • Small Intestine 17 Celestial Counternance. Minor Window of the Sky Point
Location: On the neck, In the depression between the angle of the mandible and the anterior margin
of the sternocleidomastoid muscle. Needle perpendicularly 0.5 - 0.7 cun.
SI18 • Quan Liao • Small Intestine 18 Cheek Bone Hole. Meeting Point on the Small Intestine Channel
with the Triple Energizer Channel
Location: On the face, on the lower border of the zygomatic bone, inferior to the outer canthus of
the eye. Needle perpendicularly 0.5 - 0.8 cun.
SI19 • Ting Gong • Small Intestine 19 Auditory Palace. Meeting Point on the Small Intestine Channel
with the Triple Energizer and Gall Bladder Channels
Location: Anterior to the tragus of the ear, in the depression between the tragus and the mandibular
joint when the mouth is open slightly. Needle perpendicularly 0.5 - 1 cun.
The Bladder channel is a yang channel that consists of 67 points. It originates at the medial aspect of
the eye and runs over the forehead across the top of the head then goes across the back of the head
to the neck where it divides into two branches. One branch extends caudad down the back at a
distance of 1.5 cun parallel to the midline of the spine until it reaches the level of the 4 th sacral
foramen. The other branch crosses the back of the shoulder and runs downward 3 cun from the
midline parallel to the inner branch. It continues down until it reaches the buttocks where two
branches run across the back of thigh along different pathways that join at the back of the knee. The
joint meridian then continues along the back of the lower leg, circles behind the outer ankle, runs
along the outside of the foot and terminates on the lateral side of the tip of the 5 th toe, where it
connects with the Kidney Meridian. The Bladder channel is another extensive meridian which runs the
entire length of the body but it however utilises various points along its length to aid in the treatment
of musculoskeletal conditions. The Bladder points commonly used in the management of
musculoskeletal pain and dysfunction are BL 10, BL 11 in the cervical region, BL 23, BL 25 in the lumbar
region, BL 40 at the knee and BL 60 and BL 62 at the ankle.
BL1 • Jing Ming • Bladder 1 Bright Eyes. Meeting Point on Bladder Channel with Small Intestine,
Stomach, Gall Bladder, Triple Energizer Channels Governing, Conception, and Yin and Yang Heel
Vessels
Location: On the face, 0.1 cun superior to the inner canthus when the eye is closed. Needle
perpendicularly 0.3 - 0.7 cun.
Contraindication: Moxa
Location: On the face, at the medial end of the eyebrow, on the supraorbital notch. Needle
subcutaneously 0.3 - 0.5 cun.
Location: In the frontal region of the head, 0.5 cun within the anterior hairline and 0.5 cun lateral to
GV 24 at the midline. Needle subcutaneously 0.3 - 0.5 cun.
Headaches.
Location: In the frontal region of the head, 0.5 cun within the anterior hairline, and 1.5 cun lateral to
GV 24 at the midline. Needle subcutaneously 0.3 - 0.5 cun.
Location: On the head, 1 cun posterior to anterior hairline, 1.5 cun lateral to GV 23 at the midline.
Needle subcutaneously 0.3 - 0.5 cun.
Headaches.
Location: On the head, 2.5 cun posterior to anterior hairline, and 1.5 cun lateral to the midline.
Needle subcutaneously 0.3 - 0.5 cun.
Headaches.
Location: On the head, 4 cun posterior to anterior hairline, and 1.5 cun lateral to the midline. Needle
subcutaneously 0.3 - 0.5 cun.
Headaches.
Location: On the head, 5.5 cun posterior to anterior hairline, and 1.5 cun lateral to the midline.
Needle subcutaneously 0.3 - 0.5 cun.
Location: In the occipital region, in a depression 1.5 cun lateral to the superior aspect of the external
occipital protuberance. Needle subcutaneously 0.3 - 0.5 cun.
Location: In the nuchal region, on the lateral border of the trapezius muscle, 1.3 cun lateral to GV
15 at the level between cervical vertebrae C1 and C2. Needle perpendicularly 0.5 - 0.8 cun.
Caution do not needle upward toward medulla oblongata
Neck muscle stiffness and tension, headache, occipital headache, shoulder and back pain.
BL11 • Da Zhu • Bladder 11 Great Shuttle. Meeting Point on Bladder Channel with Small Intestine,
Triple Energizer, Gall Bladder, Spleen and Lung Channels. Meeting Point of Bones
Location: On the upper back, 1.5 cun lateral to the lower border of the spinous process of the first
thoracic vertebra (T1). Needle obliquely 0.5 - 0.7 cun.
Arthritis, neck, back and scapular pain, headache and bone disorders.
BL12 • Feng Men • Bladder 12 Wind Gate. Meeting Point on the Bladder Channel with the Governing
Vessel
Location: On the upper back, 1.5 cun lateral to the lower border of the spinous process of the
second thoracic vertebra (T2). Needle subcutaneously 0.3 - 0.5 cun.
BL13 • Fei Shu • Bladder 13 Lung Shu. Back Shu of the Lung that connects with Front Mu LU1
Location: On the upper back, 1.5 cun lateral to the lower border of the spinous process of the third
thoracic vertebra (T3). Needle subcutaneously 0.5 - 0.7 cun.
BL14 • Jue Yin Shu • Bladder 14 Pericardium Shu. Back Shu of the Pericardium that connects with
Front Mu CV17
Location: On the upper back, 1.5 cun lateral to the lower border of the spinous process of the fourth
thoracic vertebra (T4). Needle obliquely 0.5 - 0.7 cun.
Location: On the upper back, 1.5 cun lateral to the lower border of the spinous process of the fifth
thoracic vertebra (T5). Needle obliquely 0.5 - 0.7 cun.
Location: On the upper back, 1.5 cun lateral to the lower border of the spinous process of the sixth
thoracic vertebra (T6). Needle obliquely 0.5 - 0.7 cun.
Location: On the middle back, 1.5 cun lateral to the lower border of the spinous process of the
seventh thoracic vertebra (T7). Needle obliquely 0.5 - 0.7 cun.
BL18 • Gan Shu • Bladder 18 Liver Shu. Back Shu of the Liver that connects with Front Mu LR14
Location: On the middle back, 1.5 cun lateral to the lower border of the spinous process of the ninth
thoracic vertebra (T9). Needle obliquely 0.5 - 0.7 cun.
BL19 • Dan Shu • Bladder 19 Gall Bladder Shu. Back Shu of the Gall Bladder that connects with Front
Mu GB24.
Location: On the middle back, 1.5 cun lateral to the lower border of the spinous process of the tenth
thoracic vertebra (T10). Needle obliquely 0.5 - 0.7 cun.
BL20 • Pi Shu • Bladder 20 Spleen Shu. Back Shu of the Spleen that connects with Front Mu LR13
Location: On the middle back, 1.5 cun lateral to the lower border of the spinous process of the
eleventh thoracic vertebra (T11). Needle obliquely 0.5 - 0.7 cun.
Location: On the middle back, 1.5 cun lateral to the lower border of the spinous process of the
twelfth thoracic vertebra (T12). Needle obliquely 0.5 - 0.7 cun.
BL22 • San Jiao Shu • Bladder 22 Triple Burner Shu. Back Shu of the Triple Energizer that connects
with Front Mu CV5.
Location: On the lower back, 1.5 cun lateral to the lower border of the spinous process of the first
lumbar vertebra (L1). Needle obliquely 0.5 - 1 cun.
Caution avoid the Kidneys
BL23 • Shen Shu • Bladder 23 Kidney Shu. Back Shu of the Kidney that connects with Front Mu
GB25
Location: On the lower back, 1.5 cun lateral to the lower border of the spinous process of the
second lumbar vertebra (L2). Needle perpendicularly 1 – 1.2 cun.
Caution avoid the Kidneys
BL24 • Qi Hai Shu • Bladder 24 Sea of Qi Shu. Back Shu for Sea of Qi that connects with Front Mu
CV6
Location: On the lower back, 1.5 cun lateral to the lower border of the spinous process of the third
lumbar vertebra (L3). Needle perpendicularly 0.8 – 1.2 cun.
BL25 • Da Chang Shu • Bladder 25 Large Intestine Shu. Back Shu of the Large Intestine that
connects with Front Mu ST25.
Location: On the lower back, 1.5 cun lateral to the lower border of the spinous process of the
fourth lumbar vertebra (L4). Needle perpendicularly 0.8 – 1.2 cun.
Lumbar pain, soft tissue injuries of the lumbar spine, sacral pain, leg pain and numbness and
digestive disorders.
Location: On the lower back, 1.5 cun lateral to the lower border of the spinous process of the fifth
lumbar vertebra (L5). Needle perpendicularly 0.8 – 1.2 cun.
BL27 • Xiao Chang Shu • Bladder 27 Small Intestine Shu. Back Shu of the Small Intestine that
connects with Front Mu CV4
Location: In the sacral region, 1.5 cun lateral to the posterior midline, at the level of the first
posterior sacral foramen. Needle perpendicularly 0.8 – 1.2 cun.
BL28 • Pang Guang Shu • Bladder 28 Bladder Shu. Back Shu of the Bladder that connects with Front
Mu CV3
Location: In the sacral region, 1.5 cun lateral to the posterior midline, at the level of the second
posterior sacral foramen. Needle perpendicularly 0.8 – 1.2 cun.
Location: In the sacral region, 1.5 cun lateral to the posterior midline, at the level of the third
posterior sacral foramen. Needle perpendicularly 0.8 – 1.2 cun.
Location: In the sacral region, 1.5 cun lateral to the posterior midline, at the level of the fourth
posterior sacral foramen. Needle perpendicularly 0.8 – 1.2 cun.
Location: In the sacral region, in the first posterior sacral foramen. Needle perpendicularly 0.8 – 1.2
cun.
Location: In the sacral region, in the second posterior sacral foramen. Needle perpendicularly 0.8 –
1.2 cun.
Location: In the sacral region, in the third posterior sacral foramen. Needle perpendicularly 0.8 – 1.2
cun.
Lumbar and sacral pain and joint disease and leg pain.
Location: In the sacral region, in the fourth posterior sacral foramen. Needle perpendicularly 0.8 –
1.2 cun.
Location: On either side of the tip of the coccyx, 0.5 cun lateral to the posterior midline. Needle
perpendicularly 0.5 – 1 cun.
Location: In the glutei region, In the middle of the transverse glutei fold. Needle perpendicularly 0.5
– 1 cun.
Location: On the posterior thigh, 6 cun inferior to BL 36 at the transverse glutei fold, on a line joining
BL 36 and BL 40 at the popliteal fossa. Needle perpendicularly 0.5 – 1 cun.
Location: In the popliteal fossa, with the knee in slight flexion, 1 cun superior to BL 39, on the medial
side of biceps femoris tendon. Needle perpendicularly 0.5 – 1 cun.
Thigh pain.
BL39 • Wei Yang • Bladder 39 Bend Yang. Lower He Sea Point on the Triple Energizer Channel
Location: In the popliteal fossa, at the lateral crease, medial to the biceps femoris tendon. Needle
perpendicularly 0.5 – 1 cun.
BL40 • Wei Zhong • Bladder 40 Bend Middle. He Sea Point on the Bladder Channel. Command
Point for the Upper and Lower Back. Earth Point on Water Meridian
Location: At the midpoint of the popliteal fossa. Needle perpendicularly 0.5 – 1 cun.
BL41 • Fu Fen • Bladder 41 Attached Branch. Meeting Point on the Bladder Channel with the Small
Intestine Channel
Location: On the upper back, 3 cun lateral to the lower border of the spinous process of the second
thoracic vertebra (T2), at the level of BL 12. Needle perpendicularly 0.3 – 0.5 cun.
Upper arm and elbow numbness, neck and shoulder pain and stiffness.
Location: On the upper back, 3 cun lateral to the lower border of the spinous process of the third
thoracic vertebra (T3), at the level of BL 13. Needle obliquely 0.3 - 0.5 cun.
Location: On the upper back, 3 cun lateral to the lower border of the spinous process of the fourth
thoracic vertebra (T4), at the level of BL 14. Needle perpendicularly 0.3 – 0.5 cun.
Respiratory disorders.
Location: On the upper back, 3 cun lateral to the lower border of the spinous process of the fifth
thoracic vertebra (T5), at the level of BL 15. Needle obliquely 0.3 - 0.5 cun.
Location: On the upper back, 3 cun lateral to the lower border of the spinous process of the sixth
thoracic vertebra (T6), at the level of BL 16. Needle obliquely 0.3 - 0.5 cun.
Location: On the middle back, 3 cun lateral to the lower border of the spinous process of the seventh
thoracic vertebra (T7), at the level of BL 17. Needle obliquely 0.3 - 0.5 cun.
Location: On the middle back, 3 cun lateral to the lower border of the spinous process of the ninth
thoracic vertebra (T9), at the level of BL 18. Needle obliquely 0.3 - 0.5 cun.
Location: On the middle back, 3 cun lateral to the lower border of the spinous process of the tenth
thoracic vertebra (T10), at the level of BL 19. Needle obliquely 0.3 - 0.5 cun.
Abdominal pain.
Location: On the middle back, 3 cun lateral to the lower border of the spinous process of the
eleventh thoracic vertebra (T11), at the level of BL 20. Needle obliquely 0.3 - 0.5 cun.
Location: On the middle back, 3 cun lateral to the lower border of the spinous process of the twelfth
thoracic vertebra (T12), at the level of BL 21. Needle obliquely 0.3 - 0.5 cun.
Location: On the lower back, 3 cun lateral to the lower border of the spinous process of the first
lumbar vertebra (L1), at the level of BL 22. Needle obliquely 0.3 - 0.5 cun.
Location: On the lower back, 3 cun lateral to the lower border of the spinous process of the second
lumbar vertebra (L2), at the level of BL 23. Needle perpendicularly 0.5 – 1 cun.
Dysuria, genital pain, impotence, irregular menses, urinary dysfunction, nocturnal emissions and low
back pain.
Location: In the sacral region, 3 cun lateral to the posterior midline, at the level of the second
sacral foramen. Needle perpendicularly 0.8 – 1.2 cun.
Location: In the sacral region, 3 cun lateral to the posterior midline, at the level of the fourth sacral
foramen. Needle perpendicularly 1.5 – 2 cun.
Location: On the posterior leg, 2 cun inferior to BL 40 at the popliteal crease, between the medial
and lateral heads of the gastrocnemius muscle. Needle perpendicularly 0.7 – 1 cun.
Location: On the posterior leg, 5 cun inferior to BL 40, in the centre of the gastrocnemius muscle.
Needle perpendicularly 0.8 – 1.2 cun.
Location: On the posterior leg, 8 cun inferior to BL 40, along the line connecting BL 40 at the
popliteal crease and BL 60 posterior to the lateral malleolus. Needle perpendicularly 0.8 – 1.2 cun.
BL58 • Fei Yang • Bladder 58 Taking Flight. Luo Connecting Point on the Bladder Channel to KI3
Location: On the posterior leg, 7 cun superior to BL 60 posterior to the lateral malleolus, and 1 cun
inferior to BL 57, 8 cun inferior to BL 40 at the popliteal crease. Needle perpendicularly 0.7 – 1 cun.
BL59 • Fu Yang • Bladder 59 Instep Yang. Xi Cleft Point on Yang Motility Vessel
Location: On the posterior surface of the leg, 3 cun superior to BL 60 posterior to the lateral
malleolus. Needle perpendicularly 0.5 – 1 cun.
Location: On the lateral ankle, in the depression midway between the external malleolus and the
tendon calcaneus. Needle perpendicularly 0.5 – 1 cun.
Lumbar, thoracic and cervical pain and stiffness and headaches and ankle, foot and heel pain.
BL61 • Pu Can • Bladder 61 Subservient Visitor. Meeting Point on the Bladder Channel with the Yang
Motility Vessel
Location: On the lateral foot, in a depression on the lateral calcaneus, 1.5 cun inferior and posterior
to the lateral malleolus, directly below BL60 which is posterior to the lateral malleolus. Needle
perpendicularly 0.3 – 0.5 cun.
Location: On the lateral foot, in the depression directly inferior to the lateral malleolus, at the
dorsal-plantar skin junction. Needle perpendicularly 0.5 – 1 cun.
BL63 • Jin Men • Bladder 63 Metal Gate. Xi Cleft Point on the Bladder Channel. Meeting Point of the
Bladder Channel with the Yang Linking Vessel
Location: On the lateral foot, in the depression posterior to the fifth metatarsal bone and lateral to
the cuboid bone. Needle perpendicularly 0.5 – 1 cun.
BL64 • Jing Gu • Bladder 64 Capital Bone. Yuan Source Point on the Bladder Channel
Location: On the lateral foot, in the depression anterior and inferior to the tuberosity of the fifth
metatarsal bone. Needle perpendicularly 0.5 – 1 cun.
Lumbar, leg and thigh pain and neck pain and stiffness.
Location: On the lateral foot, in the depression posterior and inferior to the fifth
metatarsophalangeal joint. Needle perpendicularly 0.3 – 0.5 cun.
BL66 • Tong Gu • Bladder 66 Valley Passage. Ying Spring Point on the Bladder Channel. Water Point
on Water Meridian
Location: On the lateral foot, in the depression anterior and inferior to the fifth metatarsophalangeal
joint. Needle perpendicularly 0.2 – 0.3 cun.
BL67 • Zhi Yin • Bladder 67 Reaching Yin. Jing Well Point on the Bladder Channel. Metal Point on
Water Meridian
Location: On the lateral foot, at the lateral fifth digit, 0.1 cun from the corner of the nail bed. Needle
perpendicularly 0.1 cun.
Contraindication: Do Not Needle If Pregnancy is known or suspected
Headaches.
The Kidney Channel is a yin channel that consists of 27 points. It starts on the sole of the foot and runs
medially towards the arch of the foot, where it travels medially and proximally along the lower leg. It
circles behind the medial malleolus and then travels along the medial aspect of the lower leg and along
the thigh. From the groin it then moves over the abdomen and upwards until it reaches the upper part
of the chest. The Kidney Meridian is another relatively long channel but has a limited application in a
musculoskeletal setting. The main points employed in the management of musculoskeletal pain are
KI 3 and KI 6 at the ankle and KI 10 at the knee.
KI1 • Yong Quan • Kidney 1 Gushing Spring. Jing Well Point on the Kidney Channel. Wood Point on
Water Meridian
Location: On the sole of the foot, between the second and third metatarsal bones, one-third the
distance from the webs of the toes to the heel. Needle perpendicularly 0.3 - 0.5 cun.
KI2 • Ran Gu • Kidney 2 Blazing Valley. Ying Spring Point on the Kidney Channel. Fire Point on Water
Meridian
Location: On the medial surface of the foot, in the depression inferior to the lower border of the
tuberosity of the navicular bone. Needle perpendicularly 0.3 - 0.5 cun.
KI3 • Tai Xi • Kidney 3 Great Ravine. Shu Stream Point on the Kidney Channel. Yuan Source on the
Kidney Channel. Earth Point on Water Meridian
Location: On the medial ankle, at the midpoint between the prominence of the medial malleolus
and Achilles’ Tendon. Needle perpendicularly 0.3 - 0.5 cun.
KI4 • Da Zhong • Kidney 4 Large Goblet. Luo Connecting point on the Kidney Channel to BL64
Location: On the medial ankle, posterior and inferior to the medial malleolus, in the depression
anterior to the medial side of the attachment of Achilles’ tendon. Needle perpendicularly 0.3 - 0.5
cun.
Location: On the medial ankle, 1 cun below KI 3, in the depression anterior and superior to the
medial side of the tuberosity of the calcaneus. Needle perpendicularly 0.3 - 0.5 cun.
Menstrual issues.
KI6 • Zhao Hai • Kidney 6 Shining Sea. Intersecting Point on Kidney Channel with the Yin Heel
Vessel
Location: On the medial ankle, in the depression 1 cun inferior to the medial malleolus. Needle
perpendicularly 0.3 - 0.5 cun.
KI7 • Fu Liu • Kidney 7 Recover Flow. Jing River Point on the Kidney Channel. Metal Point on Water
Meridian
Location: On the medial leg, 2 cun superior to KI 3 on the anterior border of the Achilles’ tendon.
Needle perpendicularly 0.5 - 0.7 cun.
Oedema, leg muscle atrophy, lumbar spinal pain and swelling of the thigh.
KI8 • Jiao Xin • Kidney 8 Intersecting Reach. Xi Cleft Point on the Yin Heel Vessel
Location: On the medial leg, 2 cun superior to KI 3 and 0.5 cun anterior to KI 7. Needle
perpendicularly 0.5 - 0.7 cun.
KI9 • Zhu Bin • Kidney 9 Guest House. Xi Cleft Point on the Yin Linking Vessel
Location: On the medial leg, 5 cun superior to KI 3, at the lower end of the gastrocnemius muscle.
Needle perpendicularly 0.5 - 0.7 cun.
Location: On the medial side of the popliteal fossa, in the depression between tendons of
semitendinosus and semimembranosus muscles when the knee is flexed. Needle perpendicularly
0.8 - 1 cun.
KI11 • Heng Gu • Kidney 11 Pubic Bone. Meeting Point on the Kidney Channel with the Penetrating
Vessel
Location: In the pubic region, immediately superior to the symphysis pubis, 0.5 cun lateral to the
anterior midline, at the level of CV 2. Needle perpendicularly 0.5 - 1 cun.
KI12 • Da He • Kidney 12 Great Manifestation. Meeting Point on the Kidney Channel with the
Penetrating Vessel
Location: In the pubic region, 1 cun superior to the symphysis pubis, 0.5 cun lateral to the anterior
midline, at the level of CV 3. Needle perpendicularly 0.5 - 1 cun.
KI13 • Qi Xue • Kidney 13 Qi Hole. Meeting Point on the Kidney Channel with the Penetrating Vessel
Location: In the pubic region, 2 cun superior to the symphysis pubis, 0.5 cun lateral to the anterior
midline, at the level of CV 4. Needle perpendicularly 0.5 - 1 cun.
KI14 • Si Man • Kidney 14 Fourfold Fullness. Meeting Point on the Kidney Channel with the
Penetrating Vessel
Location: In the pubic region, 3 cun superior to the symphysis pubis, 0.5 cun lateral to the anterior
midline, at the level of CV 5. Needle perpendicularly 0.5 - 1 cun.
Location: In the umbilical region, 1 cun inferior to the level of the umbilicus, 0.5 cun lateral to the
midline, at the level of CV 7. Needle perpendicularly 0.5 - 1 cun.
KI16 • Huan Shu • Kidney 16 Shu of Abdominal Fu. Meeting Point on the Kidney Channel with the
Penetrating Vessel
Location: At the umbilicus, 0.5 cun lateral to the midline, at the level of CV 8. Needle perpendicularly
0.5 - 1 cun.
Abdominal pain.
KI17 • Shang Qu • Kidney 17 Shang Bend. Meeting Point on the Kidney Channel with the Penetrating
Vessel
Location: In the umbilical region, 2 cun superior to the umbilicus and 0.5 cun lateral to the midline at
the level of CV 10. Needle perpendicularly 0.5 - 1 cun.
Abdominal pain.
KI18 • Shi Guan • Kidney 18 Stone Pass. Meeting Point on the Kidney Channel with the Penetrating
Vessel
Location: In the umbilical region, 3 cun superior to the umbilicus and 0.5 cun lateral to the midline at
the level of CV 11. Needle perpendicularly 0.5 - 1 cun.
KI19 • Yin Du • Kidney 19 Yin Metropolis. Meeting Point on the Kidney Channel with the Penetrating
Vessel
Location: In the epigastric region, 4 cun superior to the umbilicus and 0.5 cun lateral to the midline
at the level of CV 12. Needle perpendicularly 0.5 - 1 cun.
Location: In the epigastric region, 5 cun superior to the umbilicus and 0.5 cun lateral to the midline
at the level of CV 13. Needle perpendicularly 0.5 - 1 cun.
KI21 • You Men • Kidney 21 Dark Gate. Meeting Point on the Kidney Channel with the Penetrating
Vessel
Location: In the epigastric region, 6 cun superior to the umbilicus and 0.5 cun lateral to the midline
at the level of CV 14. Needle perpendicularly 0.3 – 0.7 cun.
Caution Avoid the Liver
Location: In the pectoral region, in the fifth intercostal space, 2 cun lateral to the anterior midline at
the level of CV 16. Needle obliquely 0.3 - 0.5 cun.
Location: In the pectoral region, in the fourth intercostal space, 2 cun lateral to the anterior midline
at the level of CV 17. Needle obliquely 0.3 - 0.5 cun.
Location: In the pectoral region, in the third intercostal space, 2 cun lateral to the anterior midline at
the level of CV 18. Needle obliquely 0.3 - 0.5 cun.
Location: In the pectoral region, in the second intercostal space, 2 cun lateral to the anterior midline
at the level of CV 19. Needle obliquely 0.3 - 0.5 cun.
Location: In the pectoral region, in the first intercostal space, 2 cun lateral to the anterior midline at
the level of CV 20. Needle obliquely 0.3 - 0.5 cun.
Location: On the lower border of the clavicle, 2 cun lateral to the anterior midline. Needle obliquely
0.3 - 0.5 cun.
Chest pain.
The Pericardium Meridian is a yang channel that consists of 9 points. It starts from the chest, and
travels upwards to the axilla then down the arm. It runs along the medial aspect of the upper arm
and continues on between the lung and heart channels until it reaches the cubital crease. It then
runs down the forearm and enters the palm ending at the tip of the 3rd digit. A connecting branch
also extends to join with the Triple Burner Meridian at the end of the ring finger. The notable
acupuncture point on the Pericardium channel is PC6 located proximal to the wrist on the anterior
aspect of each forearm. This point is considered to be an antiemetic point that has a marked effect
on nausea, vomiting and post-operative pain.
PC1 • Tian Chi • Pericardium 1 Celestial Pool. Meeting Point on the Pericardium Channel with the
Gall Bladder, Liver and Triple Energizer Channels. Minor Window of the Sky Point
Location: On the lateral chest, in the fourth intercostal space, 5 cun lateral to the anterior midline,
approximately 1 cun lateral to the nipple. Needle obliquely 0.2 - 0.4 cun.
Location: On the upper arm, 2 cun inferior to the axillary fold, between the two heads of muscle
biceps brachii. Needle perpendicularly 0.5 - 0.7 cun.
Arm, posterior shoulder and chest pain, lateral costal region pain and limited shoulder movement.
PC3 • Qu Ze • Pericardium 3 Marsh at the Bend. He Sea Point on the Pericardium Channel. Water
Point on Fire Meridian
Location: At the elbow, on the ulnar side of the biceps brachii tendon, medial to the brachial
artery. Needle perpendicularly 0.5 - 0.7 cun.
Location: On the anterior forearm, 5 cun superior to the transverse wrist crease, between the
tendons of palmaris longus and flexor carpi radialis muscles. Needle perpendicularly 0.5 - 1 cun.
Location: On the anterior forearm, 3 cun superior to the transverse wrist crease, between the
tendons of palmaris longus and flexor carpi radialis muscles. Needle perpendicularly 0.5 - 1 cun.
PC6 • Nei Guan • Pericardium 6 Inner Pass. Luo Connecting Point on the Pericardium Channel to
TE4. Special Command Point for the Thorax
Location: On the anterior forearm, 2 cun superior to the transverse wrist crease, between the
tendons of palmaris longus and flexor carpi radialis muscles. Needle perpendicularly 0.5 - 0.8 cun.
Antiemetic point, nausea and vomiting. Arm, elbow and chest pain.
PC7 • Da Ling • Pericardium 7 Great Mound. Shu Stream Point on the Pericardium Channel. Yuan
Source Point on the Pericardium Channel. Earth Point on Fire Meridian
Location: At the transverse wrist crease, between the tendons of palmaris longus and flexor carpi
radialis muscles. Needle perpendicularly 0.3 - 0.5 cun.
PC8 • Lao Gong • Pericardium 8 Palace of Toil. Ying Spring Point on the Pericardium Channel. Fire
Point on Fire Meridian.
Location: On the palmar surface, between the second and third metacarpal bones, proximal to the
metacarpophalangeal joint. Needle perpendicularly 0.3 - 0.5 cun.
Cardiac Pain.
PC9 • Zhong Chong • Pericardium 9 Central Hub. Jing Well Point on the Pericardium Channel. Wood
Point on Fire Meridian
Location: On the centre of the tip of the third digit. Needle subcutaneously 0.1 cun.
The Triple Energiser (also referred to as San Jiao, Triple Burner, Triple Heater and Triple Warmer in
some texts) Channel is a yang channel that consists of 23 points. It begins at the outer tip of the ring
finger and goes along the back of the hand, wrist, forearm and upper arm, until it reaches the shoulder
region. There it runs up the side of the neck, circles the ear and face, and finally ends at the outer end
of the eyebrow where it connects with the Gall Bladder Meridian. The Triple Energiser channel has
two main points most commonly used in the management of musculoskeletal pain, these are TE 5
proximal to the wrist on the poster aspect of the forearm and TE 14 which is located in the posterior
“eye of the shoulder.”
TE1 • Guan Chong • Triple Energiser 1 Passage Hub. Jing Well Point on the Triple Energiser Channel.
Metal Point on Fire Meridian
Location: On the ulnar side of the fourth digit, 0.1 cun from the corner of the nail bed. Needle
subcutaneously 0.1 cun.
TE2 • Ye Men • Triple Energiser 2 Humour Gate. Ying Spring Point on the Triple Energiser Channel.
Water Point on Fire Meridian
Location: On the dorsum of the hand, 0.5 cun from the web margin between the fourth and fifth
digits. Needle obliquely 0.3 – 0.5 cun.
TE3 • Zhong Zhu • Triple Energiser 3 Central Islet. Shu Stream Point on the Triple Energiser Channel.
Wood Point on Fire Meridian
Location: On the dorsum of the hand, in the depression proximal to the fourth and fifth
metacarpophalangeal joints. Needle perpendicularly 0.3 – 0.5 cun.
TE4 • Yang Chi • Triple Energiser 4 Yang Pool. Yuan Source Point on the Triple Energiser Channel
Location: On the dorsal transverse wrist crease, between the tendons of muscles extensor digitorum
and extensor digiti minimi. Needle perpendicularly 0.3 – 0.5 cun.
Location: On the dorsal forearm, between the radius and ulna, 2 cun superior to TE 4 at the dorsal
transverse wrist crease. Needle perpendicularly 0.5 – 1 cun.
Arm and elbow pain, arthritis of the shoulder, neck stiffness and facial pain.
TE6 • Zhi Gou • Triple Energiser 6 Branch Ditch. Jing River Point on Triple Energiser Channel. Fire
Point on Fire Meridian
Location: On the dorsal forearm, between the radius and ulna, 3 cun superior to TE 4 at the dorsal
transverse wrist crease. Needle perpendicularly 0.8 – 1.2 cun.
Arm, axillary and shoulder pain, intercostal neuralgia and lateral costal region pain.
TE7 • Hui Zong • Triple Energiser 7 Convergence and Gathering. Xi Cleft Point on Triple Energiser
Channel
Location: On the dorsal forearm, 3 cun superior to the dorsal transverse wrist crease, on the radial
border of the ulna, at the level of TE 6. Needle perpendicularly 0.5 – 1 cun.
TE8 • San Yang Luo • Triple Energiser 8 Three Yang Connection. Intersection Point for the three Yang
Channels of the arm
Location: On the dorsal forearm, between the radius and ulna, 4 cun superior to TE 4 at the dorsal
transverse wrist crease. Needle perpendicularly 0.5 – 1 cun.
Location: On the dorsal forearm, between the radius and ulna, 7 cun superior to TE 4 at the dorsal
transverse wrist crease. Needle perpendicularly 0.5 – 1 cun.
Forearm pain.
Location: In the posterior cubital region, in the depression 1 cun superior to the olecranon when the
elbow is flexed. Needle perpendicularly 0.3 – 0.5 cun.
Location: In the posterior cubital region, 2 cun superior to the olecranon when the elbow is flexed.
Needle perpendicularly 0.3 – 0.5 cun.
Location: On the posterior upper arm, 5 cun superior to the olecranon, on a line joining TE 10 at the
posterior elbow and TE 14 posterior and inferior to the acromion. Needle perpendicularly 0.5 – 0.7
cun.
TE13 • Nao Hui • Triple Energiser 13 Upper Arm Convergence. Meeting Point on the Triple Energiser
Channel with the Yang Linking Vessel
Location: On the posterior border of the deltoid muscle, 2 cun inferior to TE 14 at the posterior and
inferior to the acromion. Needle perpendicularly 0.5 – 0.8 cun.
TE14 • Jian Liao • Triple Energiser 14 Shoulder Bone Hole. Meeting Point on the Triple Energiser
Channel with the Yang Linking Vessel
Location: On the posterior deltoid region, in the posterior depression on the lateral border of the
acromion when the arm is abducted 90 degrees (posterior “eye of the shoulder”).
Arm and shoulder pain, limited movement and soft tissue disorders.
Location: In the scapular region, on the superior angle of the scapula, at the insertion of levator
scapulae muscle. Needle perpendicularly 0.3 – 0.5 cun.
TE16 • Tian You • Triple Energiser 16 Celestial Oriole. Major Window of the Sky Point
Location: On the lateral neck, posterior and inferior to the mastoid process on the posterior border
of sternocleidomastoid muscle. Needle perpendicularly 0.3 – 0.5 cun.
TE17 • Yi Feng • Triple Energiser 17 Wind Screen. Meeting Point on the Triple Energiser Channel with
the Gall Bladder Channel
Location: At the ear, in the depression between the mastoid process and the mandible, behind the
earlobe. Needle perpendicularly 0.5 – 1 cun.
Location: On the mastoid bone, posterior to the ear, at the junction of the lower and middle third of
the curve that connects TE 17 at the earlobe and TE 20 at the apex of the ear. Needle
subcutaneously 0.3 – 0.5 cun.
Location: On the mastoid bone, posterior to the ear, at the junction of the middle and upper third of
the curve that connects TE 17 at the earlobe and TE 20 at the apex of the ear. Needle obliquely 0.3 –
0.5 cun.
Location: In the temporal region, within the hairline, superior to the apex of the ear. Needle
subcutaneously 0.3 – 0.5 cun.
Location: Anterior to the ear, in the depression anterior to the supratragic notch and posterior to the
mandibular condyloid process when the mouth is open. Needle perpendicularly 0.3 – 0.5 cun.
TE22 • He Liao • Triple Energiser 22 Harmony Bone Hole. Meeting Point on the Triple Energiser
Channel with the Small Intestine and Gall Bladder Channels
Location: Anterior to the ear, on the hairline, level with the lateral canthus of the eye. Needle
obliquely 0.1 – 0.3 cun.
Location: In the depression at the lateral end of the eyebrow. Needle subcutaneously 0.3 – 0.5 cun.
The Gall Bladder Channel is a yang channel that consists of 44 points. It starts from the outer corner
of the eye, runs laterally and backwards towards the ear where it then runs back and forth at the
lateral side of the head before running forward above the eye then returning backwards and curving
behind the ear. It then reaches the top of the shoulder and crosses the lateral side of rib cage and
abdomen, until it ends up at the side of the hip. It then runs toward the lateral side of the thigh and
lower leg. After crossing the ankle, it goes over the foot to reach to the tip of the 4 th toe. A small
connecting branch leaves the meridian and connects the Gall Bladder and Liver Meridians. The Gall
Bladder Meridian is another long channel that runs the length of the entire body. It has an extensive
distribution of points on the lateral aspects of the head that are often employed in the management
of headaches. In a purely musculoskeletal setting however the most common Gall Bladder points
needled are GB 20 and GB 21 at the neck and shoulder, GB 30 in the gluteal region and GB 34 distal to
the lateral aspect of the knee.
GB1 • Tong Zi Liao • Gall Bladder 1 Pupil Bone Hole. Meeting Point on the Gall Bladder Channel with
the Small Intestine and Triple Energiser Channels.
Location: On the lateral face, 0.5 cun lateral to the outer canthus of the eye. Needle subcutaneously
0.3 - 0.5 cun.
Location: With the mouth open, in the depression anterior to the auricular intertragic notch. Needle
perpendicularly 0.5 - 0.7 cun.
GB3 • Shang Guan • Gall Bladder 3 Upper Gate. Meeting Point on the Gall Bladder Channel with the
Triple Energiser and Stomach Channels
Location: On the lateral face, anterior to the ear, on the upper border of the zygomatic arch. Needle
perpendicularly 0.3 - 0.5 cun.
Location: In the temporal region, posterior to the hairline, at the junction of the upper quarter and
lower three-quarters of the distance between ST 8 and GB 7. Needle subcutaneously 0.3 - 0.5 cun.
Facial muscle paralysis, temporal and unilateral headache and wrist pain.
GB5 • Xuan Lu • Gall Bladder 5 Suspended Skull. Meeting Point on the Gall Bladder Channel with the
Triple Energiser, Large Intestine and Stomach Channels
Location: In the temporal region, posterior to the hairline, midway between ST 8 and GB 7. Needle
subcutaneously 0.3 - 0.5 cun.
GB6 • Xuan Li • Gall Bladder 6 Suspended Tuft. Meeting Point on the Gall Bladder Channel with the
Triple Energiser, Large Intestine and Stomach Channels
Location: In the temporal region, posterior to the hairline, 2 cun inferior to GB4 on the curved line
connecting ST 8 and GB 7. Needle subcutaneously 0.3 - 0.5 cun.
Unilateral headache.
GB7 • Qu Bin • Gall Bladder 7 Temporal Hairline Curve. Meeting Point on the Gall Bladder Channel
with the Bladder Channel.
Location: Within the hairline, anterior and superior to the auricle, about 1 cun anterior to TE 20.
Needle subcutaneously 0.3 - 0.5 cun.
GB8 • Shuai Gu • Gall Bladder 8 Valley Lead. Meeting Point on the Gall Bladder Channel with the
Bladder Channel
Location: 1.5 cun superior to the auricular apex and directly above TE 20. Needle subcutaneously 0.3
- 0.5 cun.
Location: Posterior and superior to the auricular border and 0.5 cun posterior to GB 8. Needle
subcutaneously 0.3 - 0.5 cun.
GB10 • Fu Bai • Gall Bladder 10 Floating White. Meeting Point on the Gall Bladder Channel with the
Bladder Channel
Location: In the temporal region, posterior to the auricle and superior to the mastoid process, at the
junction of the upper and middle thirds of a curved line connecting GB 9 and GB 12. Needle
subcutaneously 0.3 - 0.5 cun.
GB11 • Tou Qiao Yin • Gall Bladder 11 Head Portal Yin. Meeting Point on the Gall Bladder Channel
with the Bladder Channel
Location: In the temporal region, posterior to the auricle and superior to the mastoid process, at the
junction of the middle and lower thirds of a curved line connecting GB 9 and GB 12. Needle
subcutaneously 0.3 - 0.5 cun.
GB12 • Wan Gu • Gall Bladder 12 Completion Bone. Meeting Point on the Gall Bladder Channel with
the Bladder Channel
Location: In the temporal region, in the depression posterior and inferior to the mastoid process, at
the level of the inferior ridge of the auricle. Needle obliquely 0.3 - 0.5 cun.
GB13 • Ben Shen • Gall Bladder 13 Root Spirit. Meeting point on the Gall Bladder Channel with the
Yang Linking Vessel
Location: In the frontal region, 0.5 cun within the anterior hairline, on a sagittal line ascending from
the lateral canthus of the eye. Needle subcutaneously 0.3 - 0.5 cun.
Location: In the frontal region, 1 cun superior to the eyebrow, aligned with the pupil when the eyes
are focused forward. Needle subcutaneously 0.3 - 0.5 cun.
GB15 • Tou Lin Qi • Gall Bladder 15 Head Overlooking Tears. Meeting point on the Gall Bladder
Channel with the Bladder Channel and Yang Linking Vessel
Location: In the frontal region, 0.5 cun within the hairline, aligned with the pupil when the eyes are
focused forward. Needle subcutaneously 0.3 - 0.5 cun.
GB16 • Mu Chuang • Gall Bladder 16 Eye Window. Meeting Point on the Gall Bladder Channel with
the Yang Linking Vessel
Location: In the frontal region, 1.5 cun posterior to GB 15 and 3 cun lateral to the mid-sagittal line.
Needle subcutaneously 0.3 - 0.5 cun.
GB17 • Zheng Ying • Gall Bladder 17 Upright Construction. Meeting Point on the Gall Bladder
Channel with the Yang Linking Vessel
Location: In the frontal region, 1.5 cun posterior to GB 16, on the line connecting GB15 and GB20.
Needle subcutaneously 0.3 - 0.5 cun.
GB18 • Cheng Ling • Gall Bladder 18 Spirit Container. Meeting Point on the Gall Bladder Channel
with the Yang Linking Vessel.
Location: In the parietal region, 1.5 cun posterior to GB 17 and 3 cun lateral to GV 20. Needle
subcutaneously 0.3 - 0.5 cun.
Headache.
Location: In the occipital region, 2.25 cun lateral to the posterior midline, at the level of the upper
border of the external occipital protuberance. Needle subcutaneously 0.3 - 0.5 cun.
GB20 • Feng Chi • Gall Bladder 20 Wind Pool. Meeting Point on Gall Bladder Channel with the
Triple Energiser Channel, Yang Linking and Yang Heel Vessels
Location: At the posterior head, at the junction of the occipital and nunchal regions, in the
depression between the origins of Sternocleidomastoid and Trapezius muscles. Needle obliquely
0.5 - 0.8 cun.
GB21 • Jian Jing • Gall Bladder 21 Shoulder Well. Meeting Point on the Gall Bladder Channel with
the Triple Energiser and Stomach Channels
Location: In the suprascapular region, midway between the tip of the acromion process and below
the spinous process of the seventh cervical vertebra (C7). Needle obliquely 0.3 - 0.5 cun.
Contraindication: Do Not Needle if pregnancy or heart disease is known or suspected.
Location: On the lateral chest wall, on the mid-axillary line, 3 cun inferior to the axillary fold. Needle
obliquely 0.3 - 0.5 cun.
GB23 • Zhe Jin • Gall Bladder 23 Sinew Seat. Meeting Point on the Gall Bladder Channel with the
Bladder Channel. Secondary Front Mu Point for the Gall Bladder
Location: On the lateral chest wall, on the 4th intercostal space, 1 cun anterior to GB22. Needle
obliquely 0.3 - 0.5 cun.
Location: On the anterior chest midclavicular line at the level of the seventh intercostal space.
Needle obliquely 0.3 - 0.5 cun.
GB25 • Jing Men • Gall Bladder 25 Capital Gate. Front Mu Point of the Kidneys that connects with
Back Shu BL23
Location: On the lateral abdomen at the lower border of the free end of the twelfth rib. Needle
perpendicularly or obliquely 0.3 - 0.5 cun.
GB26 • Dai Mai • Gall Bladder 26 Girdling Vessel. Meeting Point on the Gall Bladder Channel with
the Girdling Vessel
Location: On the midaxillary line, superior to the iliac crest, at the level of the umbilicus. Needle
perpendicularly or obliquely 0.5 - 0.8 cun.
GB27 • Wu Shu • Gall Bladder 27 Fifth Pivot. Meeting Point on the Gall Bladder Channel with the
Girdling Vessel
Location: In the inguinal region, medial to the anterior superior iliac spine, 3 cun inferior to the level
of the umbilicus. Needle perpendicularly 0.5 - 1 cun.
GB28 • Wei Dao • Gall Bladder 28 Linking Path. Meeting Point on the Gall Bladder Channel with the
Girdling Vessel
Location: In the inguinal region, 0.5 cun inferior to the anterior superior iliac spine, at the anterior
margin of the ilium. Needle perpendicularly 0.5 - 1 cun.
Location: At the hip, midway between the anterior superior iliac spine and the greater trochanter.
GB29 is located with patient in the lateral recumbent position with the thigh flexed slightly. Needle
perpendicularly 0.5 - 1 cun.
GB30 • Huan Tiao • Gall Bladder 30 Jumping Round. Meeting Point on the Gall Bladder Channel
with the Bladder Channel
Location: In the gluteal region, one third the distance from the greater trochanter to the sacral
hiatus. Locate GB30 with the patient in the lateral recumbent position with the thigh flexed
slightly. Needle perpendicularly 1.5 – 2.5 cun.
Groin, hip, thigh and leg pain, lumbar pain and sciatica.
Location: On the midline of the lateral thigh, 7 cun superior to the popliteal crease. GB 31 can also
be located directly inferior to the tip of the middle finger when patient is standing and the arm is
extended along the thigh. Needle perpendicularly 0.7 – 1.2 cun.
Location: On the midline of the lateral thigh, 5 cun superior to the popliteal crease. Needle
perpendicularly 0.7 - 1 cun.
Location: On the lateral side of the knee, superior to the joint line, in a depression between biceps
femoris tendon and the lateral condyle of the femur. Needle perpendicularly 0.5 - 1 cun.
Location: On the lateral side of the leg, in the depression anterior and inferior to the head of the
fibula. Needle perpendicularly 0.8 – 1.2 cun.
Master point for tendons and muscles. Knee Disorders, leg pain, leg muscle atrophy and numbness
and sciatica.
GB35 • Yang Jiao • Gall Bladder 35 Yang Intersection. Xi Cleft Point of the Yang Linking Vessel
Location: On the lateral side of the leg, on the posterior border of the fibula, 7 cun superior to the
prominence of the lateral malleolus. Needle perpendicularly 0.5 – 0.8 cun.
GB36 • Wai Qui • Gall Bladder 36 Outer Hill. Xi Cleft Point on the Gall Bladder Channel.
Location: On the lateral side of the leg, 7 cun superior to the prominence of the lateral malleolus.
Needle perpendicularly 0.5 – 0.8 cun.
GB37 • Guang Ming • Gall Bladder 37 Bright Light. Luo Connecting Point on the Gall Bladder Channel
to LR3
Location: On the lateral side of the leg, 5 cun superior to the prominence of the lateral malleolus.
Needle perpendicularly 0.7 – 1 cun.
GB38 • Yang Fu • Gall Bladder 38 Yang Assistance. Jing River on the Gall Bladder Channel. Fire Point
on Wood Meridian
Location: On the lateral side of the leg, 4 cun superior to the prominence of the lateral malleolus.
Needle perpendicularly 0.5 – 0.7 cun.
Location: On the lateral side of the leg, 3 cun superior to the prominence of the lateral malleolus.
Needle perpendicularly 0.3 – 0.5 cun.
GB40 • Qiu Xu • Gall Bladder 40 Hill Ruins. Yuan Source point on the Gall Bladder Channel
Location: At the lateral ankle, In the depression anterior and inferior to the lateral malleolus. Needle
perpendicularly 0.53 – 0.8 cun.
GB41 • Zu Lin Qi • Gall Bladder 41 Foot Overlooking Tears. Shu Stream Point on the Gall Bladder
Channel. Wood Point on Wood Meridian
Location: On the dorsum of the foot, in the depression between the fourth and fifth metatarsals.
Needle perpendicularly 0.3 – 0.5 cun.
Location: On the dorsum of the foot, in a depression proximal to the heads of the fourth and fifth
metatarsal bones. Needle perpendicularly 0.3 – 0.5 cun.
GB43 • Jia Xi • Gall Bladder 43 Pinched Ravine. Ying Spring Point on the Gall Bladder Channel. Water
Point on Wood Meridian.
Location: On the dorsum of the foot, distal to the fourth and fifth metatarsophalangeal joints, 0.5
cun proximal to the web margin. Needle perpendicularly 0.3 – 0.5 cun.
Location: On the lateral side of the fourth toe, 0.1 cun from the nail bed. Needle subcutaneously 0.1
cun.
Headaches.
The Liver Channel is a yin channel that consists of 14 points. It starts from the 1st toe and goes across
the top of the foot. After crossing the medial aspect of the ankle, it continues to go upwards along the
lower leg and the thigh medially. It then extends upwards across the abdomen and reaches the lower
chest laterally where it terminates. The Liver Meridian’s main musculoskeletal points are LR 3 on the
dorsum of the foot and LR 8 at the knee.
LR1 • Da Dun • Liver 1 Large Pile. Jing Well Point on the Liver Channel. Wood Point on Wood
Meridian
Location: On the lateral side of the first digit, the great toe, 0.1 cun from the corner of the nail bed.
Needle subcutaneously 0.1 - 0.2 cun.
LR2 • Xing Jian • Liver 2 Moving Between. Ying Spring Point on the Liver Channel. Fire Point on Wood
Meridian
Location: On the dorsum of the foot, between the first and second metatarsophalangeal joints, 0.5
cun proximal to the web margin. Needle obliquely 0.3 - 0.5 cun.
Headaches.
LR3 • Tai Chong • Liver 3 Great Surge. Shu Stream Point on the Liver Channel. Yuan Source Point
on the Liver Channel. Earth Point on Wood Meridian
Location: On the dorsum of the foot, between the first and second metatarsal bones,
approximately 2 cun superior to the web margin. Needle perpendicularly 0.3 - 0.5 cun.
LR4 • Zhong Feng • Liver 4 Mound Centre. Jing River Point on the Liver Channel. Metal Point on
Wood Meridian
Location: On the dorsum of the foot, 1 cun anterior to the medial malleolus, in the depression
medial to the tibialis anterior tendon. Needle perpendicularly 0.3 - 0.5 cun.
Location: On the medial side of the leg, posterior to the tibial medial margin, 5 cun superior to the
medial malleolus. Needle subcutaneously 0.3 - 0.5 cun.
LR6 • Zhong Du • Liver 6 Central Metropolis. Xi Cleft Point on the Liver Channel
Location: On the medial side of the leg, posterior to the tibial medial margin, 7 cun superior to the
medial malleolus. Needle subcutaneously 0.5 - 0.8 cun.
Location: On the medial side of the leg, inferior to the medial condyle of the tibia, in the upper
portion of the medial head of the gastrocnemius muscle, 1 cun posterior to SP 9. Needle
perpendicularly 0.5 - 1 cun.
LR8 • Qu Quan • Liver 8 Spring at the Bend. He Sea Point on the Liver Channel. Water Point on
Wood Meridian.
Location: One the medial side of the knee, in the depression of the transverse popliteal crease
between the upper border of the medial epicondyle of the femur and semitendinosus and
semimembranosus tendons. Needle perpendicularly 0.5 - 0.8 cun.
Location: On the medial thigh, 4 cun superior to the medial epicondyle of the femur, between
sartorius muscle anteriorly and vastus medialis posteriorly. Needle perpendicularly 0.5 – 0.7 cun.
Location: On the medial thigh, on the lateral border of abductor longus muscle, 2 cun along the
tendon/muscle from its attachment near the pubic symphysis and 3 cun inferior to ST 30. Needle
perpendicularly 0.5 - 1 cun.
Location: On the superior, medial thigh, on the lateral border of abductor longus muscle, 1 cun along
the tendon/muscle from its attachment near the pubic symphysis and 2 cun inferior to ST 30. Needle
perpendicularly 0.5 - 1 cun.
Location: At the base of the femoral triangle, medial to the femoral artery, 2.5 cun lateral to the
anterior midline.
Beware the Femoral Vein!
LR13 • Zhang Men • Liver 13 Camphorwood Gate. Front Mu Point of the Spleen that connects with
Back Shu BL20. Meeting Point on the Liver Channel with the Gall Bladder, Kidney, Heart, Spleen and
Lung Channels
Location: On the lateral abdomen, slightly inferior and anterior to the tip of the free end of the
eleventh rib. Needle perpendicularly or obliquely 0.5 – 0.8 cun.
LR14 • Qi Men • Liver 14 Cycle Gate. Front Mu Point of the Liver that connects with Back Shu BL18.
Meeting Point on the Liver Channel with the Spleen Channel
Location: On the chest, on the midclavicular line, in the sixth intercostal space, at the level of CV 14.
Needle obliquely 0.3 – 0.5 cun.
The Conception Vessel is considered to be one of the eight extra meridians. It is a yin meridian that
consists of 24 points. It originates at the centre of the perineum and runs cephalad along the anterior
midline of the torso until it reaches the head where it continues it continues over the face terminating
at the centre of the mentolabial groove directly below the lip. The Conception Vessel represents the
convergence of all the yin meridians.
CV1 • Hui Yin • Conception Vessel 1 Meeting of Yin. Meeting Point on the Conception Vessel with
the Governing and Penetrating Vessels
Location: In the perineal region, at the midpoint between the anus and the posterior border of the
scrotum in males and the posterior labial commissure in females. Needle perpendicularly 0.5 - 1 cun.
Contraindication: Do Not Needle if pregnancy is known or suspected.
CV2 • Qu Gu • Conception Vessel 2 Curved Bone. Meeting Point on the Conception Vessel with the
Liver Channel
Location: In the pubic region, on the anterior midline, at the superior border of the symphysis pubis.
Needle perpendicularly 0.5 - 1 cun.
CV3 • Zhong Ji • Conception Vessel 3 Central Pole. Front Mu Point of the Bladder that connects with
Back Shu BL28. Meeting Point on the Conception Vessel with the Spleen, Liver and Kidney Channels
Location: In the pubic region, on the anterior midline, 1 cun superior to the upper border of the
symphysis pubis. Needle perpendicularly 0.5 - 1 cun.
CV4 • Guan Yuan • Conception Vessel 4 Origin Pass. Front Mu Point of the Small Intestine that
connects with Back Shu BL27. Meeting Point on the Conception Vessel with the Spleen, Liver and
Kidney Channels
Location: In the pubic region, on the anterior midline, 2 cun superior to the upper border of the
symphysis pubis. Needle perpendicularly 0.8 – 1.2 cun.
Location: On the lower abdomen, on the anterior midline, 2 cun inferior to the umbilicus. Needle
perpendicularly 0.5 - 1 cun.
Abdominal Pain.
CV6 • Qi Hai • Conception Vessel 6 Sea of Qi. Front Mu Point for Sea of Qi that connects with Back
Shu BL24
Location: On the lower abdomen, on the anterior midline, 1.5 cun inferior to the umbilicus. Needle
perpendicularly 0.8 – 1.2 cun.
Abdominal pain.
CV7 • Yin Jiao • Conception Vessel 7 Yin Intersection. Meeting Point on the Conception Vessel with
the Penetrating Vessel. Command Point for the Lower Burner
Location: In the umbilical region, on the anterior midline, 1 cun inferior to the umbilicus. Needle
perpendicularly 0.8 – 1.2 cun.
Periumbilical pain.
Location: In the umbilical region, on the anterior midline, 1 cun superior to the umbilicus. Needle
perpendicularly 0.5 - 1 cun.
Location: In the umbilical region, on the anterior midline, 2 cun superior to the umbilicus. Needle
perpendicularly 0.5 – 1.2 cun.
Location: In the upper umbilical region, on the anterior midline, 3 cun superior to the umbilicus.
Needle perpendicularly 0.5 – 1.2 cun.
CV12 • Zhon Guan • Conception Vessel 12 Central Venter. Front Mu Point of the Stomach that
connects with Back Shu BL21. Meeting Point on the Conception Vessel with the Lung, Spleen,
Stomach, and Triple Energiser Channels
Location: In the upper umbilical region, on the anterior midline, 4 cun superior to the umbilicus.
Needle perpendicularly 0.5 – 1.2 cun.
CV13 • Shan Guan • Conception Vessel 13 Upper Venter. Meeting Point on the Conception Vessel
with the Stomach and Small Intestine Channels
Location: In the upper umbilical region, on the anterior midline, 5 cun superior to the umbilicus.
Needle perpendicularly 0.5 – 1.2 cun.
CV14 • Ju Que • Conception Vessel 14 Great Tower Gate. Front Mu of the Heart that connects with
Back Shu BL15
Location: In the epigastric region, on the anterior midline, 2 cun inferior to the xiphoid process and 6
cun superior to the umbilicus. Needle perpendicularly 0.3 – 0.8 cun.
Chest discomfort.
Location: In the epigastric region, on the anterior midline, 1 cun inferior to the xiphoid process and 7
cun superior to the umbilicus. Needle obliquely (downward) 0.4 – 0.6 cun.
Oesophageal disorders.
Location: In the epigastric region, on the anterior midline, on the xiphoid process. Needle
subcutaneously 0.3 - 0.5 cun.
CV17 • Shan Zhong • Conception Vessel 17 Chest Centre. Front Mu of the Pericardium that connects
with Back Shu BL14. Meeting Point on Conception Vessel with Pericardium, Spleen, Kidney, Small
Intestine and Triple Energizer Channels
Location: On the sternal midline, level with the fourth intercostal space, between the nipples.
Needle subcutaneously 0.3 - 0.5 cun.
Location: On the sternal midline, level with the third intercostal space. Needle subcutaneously 0.3 -
0.5 cun.
Location: On the sternal midline, level with the second intercostal space. Needle subcutaneously 0.3
- 0.5 cun.
Chest pain.
Location: On the sternal midline, level with the first intercostal space. Needle subcutaneously 0.3 -
0.5 cun.
Location: On the manubrium midline, midway between CV 20 and CV 22. Needle subcutaneously 0.3
- 0.5 cun.
Chest pain.
CV22 • Tian Tu • Conception Vessel 22 Celestial Chimney. Meeting Point on the Conception Vessel
with the Yin Linking Vessel. Minor Window of the Sky Point
Location: In the suprasternal fossa, on the anterior midline, just above the jugular notch. Needle
retrosternally 0.5 - 1 cun.
Chest discomfort.
CV23 • Lian Quan • Conception Vessel 23 Ridge Spring. Meeting Point on the Conception Vessel with
the Yin Linking Vessel
Location: On the neck, on the anterior midline, in the depression superior to the hyoid bone. Needle
obliquely (toward the tongue root) 0.5 – 1 cun.
Cough.
CV24 • Cheng Jiang • Conception Vessel 24 Sauce Receptacle. Meeting Point on the Conception
Vessel with the Governing Vessel, Large Intestine and Stomach Channels
Location: On the chin, in the depression in the centre of the mentolabial groove, below the middle of
the lower lip. Needle obliquely (upward) 0.2 – 0.3 cun.
The Governor Vessel is considered to be one of the eight extra meridians. It is a yang meridian that
consists of 28 points. It originates at the base of the spine below the coccyx and runs cephalad along
the spinal column until it reaches the apex of the skull where it continues it pathway downward over
the face terminating at the junction of the gum and the fraenulum of the upper lip. The Governor
Vessel represents the convergence of all the yang meridians. The most commonly used Governor
Vessel points for the management of musculoskeletal conditions are GV 4 in the lumbar region, GV 14
at the base of the neck and GV 20 at the vertex of the skull.
GV1 • Chang Qiang • Governing Vessel 1 Long Strong. Luo Connecting Point of the Governing Vessel
to CV1. Meeting Point on the Governing Vessel with the Conception Vessel
Location: Midway between the anus and the tip of the coccyx. Needle perpendicularly 0.5 – 1 cun.
Location: On the posterior midline at the sacral hiatus. Needle obliquely (upward) 0.5 – 1 cun.
Location: On the lower back, below the spinous process of the fourth lumbar vertebra (L4). Needle
perpendicularly 0.5 – 1 cun.
GV4 • Ming Men • Governing Vessel 4 Life Gate. Reunion point on Curious Meridian Dai Mo
Location: On the lower back, below the spinous process of the second lumbar vertebra (L2).
Needle perpendicularly 0.5 – 1 cun.
Location: On the lower back, below the spinous process of the first lumbar vertebra (L1). Needle
perpendicularly 0.5 – 1 cun.
Location: On the middle back, below the spinous process of the eleventh thoracic vertebra (T11).
Needle perpendicularly or obliquely 0.5 – 1 cun.
Location: On the middle back, below the spinous process of the tenth thoracic vertebra (T10).
Needle perpendicularly or obliquely 0.5 – 1 cun.
Location: On the middle back, below the spinous process of the ninth thoracic vertebra (T9). Needle
perpendicularly or obliquely 0.5 – 1 cun.
Location: On the middle back, below the spinous process of the seventh thoracic vertebra (T7),
approximately level with the inferior angle of the scapula. Needle obliquely (upward) 0.5 – 1 cun.
Location: Below the spinous process of the sixth thoracic vertebra (T6). Needle obliquely (upward)
0.5 – 1 cun.
Location: Below the spinous process of the fifth thoracic vertebra (T5). Needle obliquely (upward)
0.5 – 1 cun.
Back pain.
Location: Below the spinous process of the third thoracic vertebra (T3). Needle obliquely (upward)
0.5 – 1 cun.
GV13 • Tao Dao • Governing Vessel 13 Kiln Path. Meeting Point on the Governing Vessel with the
Bladder Channel
Location: Below the spinous process of the first thoracic vertebra (T1). Needle obliquely (upward)
0.5 – 1 cun.
GV14 • Daz Hui • Governing Vessel 14 Great Hammer. Meeting Point on the Governing Vessel with
the six yang channels. Sea of Qi Point
Location: Below the spinous process of the seventh cervical vertebra (C7). Needle obliquely
(upward) 0.5 – 1 cun.
Bone disorders, back and neck pain and neck stiffness and shoulder pain.
GV15 • Ya Men • Governing Vessel 15 Mute's Gate. Meeting Point on the Governing Vessel with the
Yang Linking Vessel.
Location: Below the spinous process of the first cervical vertebra (C1). Needle perpendicularly 0.5 –
0.8 cun. Dangerous Point
Location: On the posterior head, 0.5 cun directly below the external occipital protuberance. Needle
perpendicularly 0.5 – 0.8 cun. Dangerous Point
GV17 • Nao Hu • Governing Vessel 17 Brain's Door. Meeting Point on the Governing Vessel with the
Bladder Channel
Location: On the posterior head, 1.5 cun directly above the external occipital protuberance. Needle
subcutaneously 0.3 – 0.5 cun.
Location: On the posterior head, 2.5 cun directly above the external occipital protuberance. Needle
subcutaneously 0.3 – 0.5 cun.
Location: On the posterior head, 4 cun directly above the external occipital protuberance. Needle
subcutaneously 0.3 – 0.5 cun.
Headaches.
GV20 • Bai Hui • Governing Vessel 20 Hundred Meetings. Meeting Point on the Governing Vessel
with the six yang channels.
Location: On the midsagittal line, on the intersection of the line connecting the right and left ear
apices. Needle subcutaneously 0.3 – 0.5 cun.
Location: On the midsagittal line, 1.5 cun anterior to the intersection of the line connecting the right
and left ear apices. Needle subcutaneously 0.3 – 0.5 cun.
Vertex headache.
Location: On the midline, 2 cun posterior to the anterior hairline. Needle subcutaneously 0.3 – 0.5
cun.
Headaches.
Location: On the midline, 1 cun posterior to the anterior hairline. Needle subcutaneously 0.3 – 0.5
cun.
Headaches.
GV24 • Shen Ting • Governing Vessel 24 Spirit Court. Meeting point on the Governing Vessel with
the Bladder and Stomach Channels
Location: On the midline, 0.5 cun posterior to the anterior hairline. Needle subcutaneously 0.3 – 0.5
cun.
Frontal headaches.
Location: At the tip of the nose. Needle perpendicularly 0.2 – 0.3 cun.
Hypotension.
GV26 • Shui Gou • Governing Vessel 26 Water Trough. Meeting Point on the Governing Vessel with
the Large Intestine and Stomach Channels
Location: In the philtrum, 1/3 the distance from the nose and the top of the lip. Needle obliquely
(upward) 0.3 – 0.5 cun.
GV27 • Dui Duan • Governing Vessel 27 Extremity of the Mouth. Reunion Point on the Governing
with the Conception Vessels.
Location: At the junction of the philitrum with the upper lip. Needle obliquely (upward) 0.2 – 0.3
cun.
Location: In the mouth, at the junction of the fraenulum of the upper lip with the upper gum. Needle
obliquely (upward) 0.1 – 0.2 cun.
Location: At the midpoint of the eyebrow in a depression directly above the pupil. Needle
horizontally subcutaneously 0.5 cun.
Caution: No Moxa.
Frontal headaches.
Location: At temple, in a depression about 1 cun posterior to the midpoint between the lateral end
of the eyebrow and the outer canthus of the eye. Needle perpendicularly 0.5 cun.
Caution: No Moxa.
Temporal, unilateral migraine headaches. Local point for toothache, facial paralysis and pain.
Location: 0.5 cun lateral to GV 14 (C7). Needle slightly caudal to spinal column 0.5 – 1 cun.
L3-L5 Huatuo Points: UB, LI, SI, Uterine & Lower Limb issues.
Location: On the dorsum of the hand, midway between the transverse wrist crease and the
metacarpalphalangeal joint, between both the 2nd and 3rd and the 4th and 5th metacarpals (2
points on each hand).
Location: On the dorsum of the hand, at the webs between each finger, at the junction of the red &
white skin. Needle obliquely and proximally 1 cun.
Location: Above the knee, in the depression of the midpoint of the superior patellar border. Needle
perpendicularly 0.5 - 0.8 cun.
Location: Lateral (ST 35) and medial knee depressions. Needle perpendicularly 0.7 – 1 cun.
Location: On the dorsum of the foot between the web and metatarsophalangeal joint (4 points on
each foot). Needle obliquely and proximally 0.5 cun.