00chapter11

Chapter 3
Meridians and Their Acupoints
The twelve main and eight extra meridians have their own circulating pathways Ling Shu Jing
Mai thoroughly described the path w ays of the main meridians ho w ever the eight ex tra
meridians w ere barely mentioned in L ing S hu Su W en T he acupoints located along the
meridians path w ays are the key areas used during treat ments w hen giving acupuncture and
mo xibustion T he t w elve main meridians plus the conception and govenor meridians w hich
belong t o the eight ext ra meridians have their o w n acupoints In total there are acupoints
on these fourteen meridians w hich w ere described in the book Zhen J iu J ia Y i J ing T he
number increased or decreased in the dynasties that follo w ed until the Qing Dynasty at w hich
time Li Xuechuans book Zhen J iu Feng Yuan w as published w hich described a total of
acupoints
3 1 The Twelve Main Meridians and

Their Acupoints
T here is an intrinsic relationship bet w een the path w ays of the t w elve main meridians and
the functions of their related acupoints Bein g familiar w ith their path w ays on the bodys
surface and their relationship w ith the organs can make it easier to learn their indications and
special functions In this section w e w ill b riefly in t r oduce the m ain path w ay s and so m e
w idely u sed acup oin t s acco rdin g t o t he distribu tion rules o f the t w elve m ain m eridians A s
far as m anipulatio n m eth ods are concer ned w e w ill only in t r oduce the r o u tine dep th s and
an gles o f filifo r m needle inser tions O ther m anipulation s w ill be in t r oduced in differen t
chapter s
3 1 1 LungLUMeridian of Hand Taiyin
3 1 1 1 General Information about the Meridian
T his meridian goes from the chest to the hand and has a total of acupoints T he first
acupoint is Zhong f u L U the last is S haoshang L U According to the Zhen J iu Da

Cheng the indications of the acupoints are similar on the w hole and theyre different in few
cases Its primary indications include lung and laryngeal diseases along with problems of the
Chapter Meridians and Their Acupoints
323
heart eyes milk ducts and pain located on the radial aspect of the anterior ar mhand
3 1 1 2 The Course of the Meridian
T he lung meridian of hand tai y in originates at the middle energizer and descends to
connect with the large intestine Winding back it goes along the upper orifice of the stomach
w here it ascends through the diaphrag m and enters the lung its associated organ From the
respiratory system w hich refers to the portion of the lung com municating with the throat it
comes out t ransversely at Zhong f u L U Descending along the radial border of the upper
ar m it reaches the cubital fossa T hen it continues descending along the anterior aspect radial
side of the forear m and enters T ai y uan L U Passing the thenar eminence Yu J i and going
along its radial border it ends at the radial aspect of the tip of the thumb S haoshang L U
T he branch emerges fro m L ieque L U and runs along the dorsum of the hand onto the
radial aspect of the index finger S hang yang LIColor Fig

3 1 1 3 Frequently Used Acupoints
Zhong f uLU1
Alar m point of the lung
Location cun lateral to the midline of the chest in the first intercostal space near the
coracoid processColor Fig
Layers of Dissection Skin subcutaneous tissue pectoralis major pectoralis minor
thoracic cavity In the superficial layer are the inter mediate supraclavicular nerve the lateral
cutaneous branch of the first intercostal nerve and the cephalic vein T he thoracoacromial
artery and vein and the medial and lateral pectoral nerves are in the deep layer
Indications Cough asth ma chest pain and other cardiopulmoary diseases shoulder
pain backache
Needling T ransverseoblique insertion cun to w ards the lateral side Deep
perpendicular or oblique insertions may penetrate the lung resulting in a pneumothorax

ChizeLU5
H eSea and w ater point
Location On the cubital crease of the elbo w in the depression on the radial side of the
tendon of biceps brachiiColor Fig
Layers of Dissection Skin subcutaneous tissue brachioradialis radial nerve brachialis
muscle T he cephalic vein and lateral cutaneous nerve of the forear m are in the superficial layer
T he radial nerve anterior branches of the collateral radial arteries and veins and the recurrent
radial arteries and veins are in the deep layer
Indications Bronchitis asth ma hemoptysis sore throat and other heat syndromes of the
lung elbo w pain acute vomiting and diarrhea sunstroke infantile convulsions
Needling Perpendicular insertion cun or prick to bleed
LiequeLU7
L uoConnecting point confluent point of conception vessel
Location cun above the most distal t ransverse crease of the w rist above the styloid
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Part One General Introduction to
Meridians and Acupoints
process of the radius T he simple w ay to find this acupoint is to hold the t w o palms together
interlocking the w ebbings of the thumbs together the index finger can feel the depression in the
cleft bet w een the t w o tendons this is the acupointColor Fig
Layers of Dissection Skin subcutaneous tissue abductor pollicis longus the tendon of
brachioradialis quadratus pronator T he cephalic vein lateral cutaneous nerve of the forear m
and the superficial branch of the radial nerve are in the superficial layer In the deep layer are
the branches of the radial arteries and veins
Indications Bronchitis asthma sore throat and other lung diseases headache toothache stiff
neck facial paralysis
Needling Oblique insertion cun to w ards the elbo w

TaiyuanLU9
S huStream YuanSource and earth point influential point of the pulsevessels
Location T he most distal transverse crease of the w rist on the lateral border of the radial
arteryColor Fig
Layers of Dissection Skin subcutaneous tissue bet w een the tendons of flexor carpi
radialis and abductor pollicis longus T he lateral cutaneous nerve of the forear m and the
superficial branch of the radial nerve are in the superficial layer T he deep branch of the radial
nerve and the radial artery and vein are in the deep layer
Indications Bronchitis asth ma pulseless disease pain in the w rist and forear m
Needling Perpendicular insertion cun Care should be taken to avoid the radial
artery
ShaoshangLU11
J ingw ell and w ood point
Location On the radial border of the thumb about cun from the corner of the nail
Color Fig
Layers of Dissection Skin subcutaneous tissue root of the fingernail In this area are the
dorsal digital branch of the proper palmar digital nerves branches of the median nerve the
rete w hich is co mposed of the branches of the principal artery and vein of the thumb and the
first dorsal metacarpal artery and vein
Indications Sore throat epistaxis high fever co ma manicdepressive disorders
Needling Oblique insertion up w ards for cun or prick to bleed in acute and severe
cases
3 1 1 4 Other Acupoints on the Meridian

YunmenLU2
On the laterosuperior aspect of the chest superior to the coracoid process of scapula in
the depression of the infraclavicular fossa cun lateral to the anterior median line
Indications Bronchitis asth ma chest pain and other lung diseases shoulder pain
Tian f uLU3
On the radial border of biceps brachii cun belo w the end of the anterior axillary fold
325
Indications Bronchitis asthma epistaxis and other lung diseases goiter pain in the
upper ar m
XiabaiLU4
On the radial border of biceps brachii cun belo w the end of the anterior axillary fold or
cun above the transverse cubital crease
Indications Bronchitis asth ma retching and other lung diseases pain in the upper
ar m
KongzuiLU6
X icleft point
cun above the transverse crease of the w rist along the line connecting Yang x i L U with
T ai y uan L U
Indications Hemoptysis bronchitis asthma sore throat and other lung diseases cramy pain
in the elbow and arm

JingquLU8
J ingriver and metal point
cun above the t ransverse crease of the w rist on the medial border of the radial artery
Indications Bronchitis asth ma sore throat and other lung diseases w rist pain
Yuj iLU10
Y ingspring and fire point
On the thenar eminence the midpoint of the shaft of the first metacarpal bone at the
junction of the red and w hite skin
Indications Bronchitis hemoptysis dryness of throat sore throat aphonia and other
lung diseases infantile malnutrition
3 1 2 Large IntestineLIMeridian of Hand Yangming
T his meridian goes from the hand to the head and face and has a total of acupoints on
each side T he first acupoint is S hang yang LIand the last acupoint is Ying x iang LI T he
primary indications include diseases of the head face five sense organs and large intestines
along with other diseases in the regions along the course of this meridian such as headache
trigeminal neuralgia facial paralysis eye diseases toothache stuffy nose sore throat goiter
gastrointestinal diseases pain numbness and paralysis of the hand
It begins at the radial aspect of the index finger and passes through the interosseous space
of the st and nd metacarpal bones T hen it ascends along the lateral side of the w rist and
elbo w to the shoulder A fter that it passes through supraclavicular fossa and connects w ith the
lung and large intestine One branch ascends along the cheek and enters the lo w er gums T hen it
turns back to the upper lip From there the left meridian goes to the right and the right
meridian to the left Both end at the opposite sides of the nose and it connects with the sto mach
326
meridian of foot yang mingColor Fig
T he large intestine meridian of hand yang ming begins at the tip of the index finger
Shang yang LI It runs up w ards along the radial aspect of the index finger and passing
through the interosseous space of the st and nd metacarpal bones at H egu LI w here it
enters the depression bet w een the tendons of ex tensor pollicis longus and brevis T hen it runs
along the anterior aspect of the forear m until it reaches the lateral aspect of the elbo w From
there it ascends along the posteriolateral aspect of the upper ar m to the highest point of the
shoulder J iany u LI A t the anterior border of the acromion it ascends to the th cervical
vertebrathe confluence of the three yang meridians of the hand and foot Da z hui G V it
then descends to Que p enS Tin the supraclavicular fossato connect with its corresponding
z ang f u organ Finally it then passes through the diaphrag m and enters the large intestine its
associated organ
T he branch fro m Que p en S T runs up w ards to the neck passes through the cheek and
enters the lo w er gums then it turns back to the upper lip and crosses the opposite meridian at
the philtrum From there the left meridian goes to the right and the right meridian to the left
ending at the opposite sides of the nose Y ing x iang LI w here the large intestine meridian
links with the sto mach meridian of foot yang ming
ShangyangLI1
J ingWell and metal point
Location On the radial border of the index finger about cun fro m the corner of the nail
Color Fig
Layers of Dissection Skin subcutaneous tissue the root of the fingernail T here are the
dorsal digital branches of the proper palmar digital nerves branches of median nerve in this
area and the rete composed of the branches of the dorsal radial artery and vein of the index
finger and the first dorsal metacarpal artery and vein
Indications T oothache sore throat febrile diseases coma acute faucitis

Needling Shallo w insertion or prick to bleed with a threeedged needle
HeguLI4
H esea point and y uansource point
Location On the dorsum of the hand bet w een the first and second metacarpal bones near
the midpoint of the second metacarpal bone on the radial borderColor Fig
Layers of Dissection Skin subcutaneous tissue the first dorsal interosseous muscle
adductor muscle of thumb T he superficial branch of the radial nerve the radial portion of the
dorsal venous rete of the hand and branches of the first dorsal metacarpal ar tery and vein are in
the superficial layer In the deep layer is the deep branch of the ulnar nerve
Indications Headache redness w ith s w elling and pain in the eyes toothache epistaxis
deviation of the eye and mouth deafness chills and fever febrile diseases without sw eating or
with excessive s w eating amenorrhea dysmenorrhea dystociadifficult labor
Needling Perpendicular insertion cun
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ShousanliLI10
Location cun belo w Quchi LI on the line connecting LI with yang x i LI Color
Fig
Layers of Dissection Skin subcutaneous tissue ex tensor carpi radialis longus ex tensor
carpi radialis brevis supinator T he lateral and posterior cutaneous nerves of the forear m are in
the superficial layer Branches of the recurrent radial artery and vein and the deep branches of
the radial nerve are in the deep layer
Indications N umbness and pain of the hand motor impair ment of the upper extremities
and other diseases of the ar ms bellyache diarrhea toothache s w ollen cheek

QuchiLI11
H esea and earth point
Location On the elbo w at the midpoint bet w een Chi z e LIand the lateral epicondyle of
the humerus w hen the elbo w is flexedColor Fig
Layers of Dissection Skin subcutaneous tissue ex tensor carpi radialis longus ex tensor
carpi radialis brevis brachioradialis T he branch of the cephalic vein and the posterior
cutaneous nerve of the forear m are in the superficial layer T he radial nerve the anastomotic
branches bet w een the recurrent radial artery and vein and the collateral radial artery and vein
are in the deep layer
Indications Paralysis numbness and pain in the hand motor impair ment of the upper
extremities and other diseases of the ar ms febrile diseases hyper tension mental
disorders bellyache vo miting diarrhea and other diseases of stomach and intestines sore
throat toothache redness with s w elling and pain in the eyes and other febrile diseases of the
five sense organs urticaria eczema scrofula etc

JianyuLI15
Location A nterior and inferior to the acromion t w o depressions are for med w hen the ar m
is raised horizontally T he anterior depression is this acupointColor Fig
Layers of Dissection Skin subcutaneous tissue deltoid muscle subdeltoid bursa the
tendon of supraspinous T he lateral supraclavicular nerves and the superior lateral cutaneous
nerve of the ar m are in the superficial layer In the deep layer are branch of the posterior
circumflex humeral ar tery and vein and the axillary nerve
Indications Paralysis of the hand motor impair ment of the upper ex tremities and other
diseases of the ar ms and shoulder urticaria
Needling Perpendicular insertion cun w hen the upper ar m is abducted If the ar m
can not be raised use an oblique insertion to w ards the elbo w Perpendicular insertion to w ards
the joint is done for frozen shoulders
YingxiangLI20
328
Location Level with the midpoint of the lateral border of the ala nasi in the nasolabial
grooveColor Fig
L ayer s o f Dissection S kin subcu taneous tissue levato r labii superio ris T here are
b ranches o f the infrao rbital ner ve a b ranch o f the m axillar y ner ve in the superficial layer
T he buccal branches o f the facial ner ve and b ranch o f the facial ar ter y and vein are in the
deep layer
Indications Nasal congestion allergic rhinitis deviation of the mouth and other diseases
of the local area biliary ascariasis
Needling Oblique or horizontal insertion cun to w ards the root of the nose
3 1 2 4 Other Acupoints on the Meridian

Er j ianLI2
Y ingspring and w ater point
Hand dorsum on the radial border of the index finger in the depression distal to the
metacarpophalangeal joint w hen the hand is slightly flexed

Indications toothache epistaxis febrile diseases
San j ianLI3
S hustream and w ood point
Hand dorsum on the radial border of the index finger in the depression proximal to the
second metacarpophalangeal joint w hen the hand is slightly flexed
Indications toothache sore throat abdominal distension borborygmus and other diseases of
the intestines somnolence

YangxiLI5
J ingriver and fire point
Radial side of the w rist in the depression bet w een the tendons of ex tensor pollicis brevis
and longus
Indications Wrist pain headache redness with sw elling and pain in the eye deafness
PianliLI6
L uoconnecting point
cun above the transverse crease of the w rist on the line connecting Yang x i LI with
Quchi LI
Indications T innitus epistaxis aching pain in the hand and ar m abdominal
distension edem a
WenliuLI7
X icleft point
cun above the transverse crease of the w rist on the line connecting Yang x i LI with
Quchi LI
Indications Acute borboryg mus and abdominal pain furuncle headache sw ollen
face sore throat and other facial problems aching pain in the upper back and shoulder
XialianLI8
329
Radial side of the forear m cun belo w the elbo w crease on the line connecting Yang x i
LI w ith Quchi LI
Indications Pain in the elbo w and ar m headache vertigo eye pain borboryg mus and
abdominal pain
ShanglianLI9
Radial side of the forear m cun belo w the elbo w crease on the line connecting Yang x i
LI w ith Quchi LI
Indications Pain in the elbo w and ar m hemiparalysis numbness of the hand and ar m
headache borboryg mus and abdo minal pain

ZhouliaoLI12
When the elbo w is flexed the depression cun above and lateral to Quchi LI Directly
above the lateral epicondyle of the humerus
Indications Aching pain numbness and spasm of the elbo w and ar m and other diseases of
the local area
ShouwuliLI13
Lateral aspect of the upper ar m cun above Quchi LI On the line connecting Quchi
LI with J iany u LI
Indications Crampy pain in the elbo w and ar m scrofula

BinaoLI14
On the line connecting Q uchi LI w ith J iany u LI cun above Quchi LI at the
end of the deltoid
Indications Crampy pain and paralysis in the shoulder and ar m neck convulsions and
other diseases of ar m and shoulder scrofula eye diseases

JuguLI16
U pper aspect of the shoulder in the depression medial to the acromial process and bet w een
the lateral ex tremity of the clavicle and the upper par t of the spine of the scapula
Indications Crampy pain and paralysis in the shoulder and ar m and other diseases of the
local area scrofula and goiter

TiandingLI17
Lateral side of the neck the midpoint of Futu LI and the supraclavicular fossa at the
posterior margin of the sternocleidomastoid
Indications Sudden loss of voice sore throat and other diseases of the throat scrofula
and goiter
FutuLI18
Lateral side of the neck level with the tip of the laryngeal pro minence bet w een the t w o
headssternal and clavicularof the sternocleidomastoid
Indications S ore th roat sudden loss of voice and other diseases of the th roat
scrofula and goiter bronchitis asth ma the point of acupuncture anesthesia for cervical
operation
330
KouheliaoLI19
A bove the upper lip cun lateral to S hui gou G V belo w the lateral side of the
nares Indications Sniffles nosebleed rhinitis deviation of the mouth trismus and other
diseases of the local area
3 1 3 The StomachSTMeridian of Foot Yangming
3 1 3 1 General Information of the Meridian
T his m eridian g oes fr o m the head to the leg T he fir st acupoin t is C hen g qi S T and
the last acupoin t is L i d ui S T T here are acupoin ts on each side T he main indications
are gastrointestinal diseases diseases of the head face eye nose and m outh and other
diseases in the region along the course of this meridian such as sto mach diseases enteritis
dyspepsia headache facial paralysis too thache faucitis paralysis nu m bness pain of the
legs
T his meridian starts at the side of the nose It ascends to the medial canthus at the bridge
of the nose w here it meets the Bladder meridian Descending along the lateral aspect of the
nose it enters the upper gum Reemer ging it circles around the lips and descends to the angle
of the mandible then it ascends to the forehead Its descending branch runs through the
mandible and enters the supraclavicular fossa w here it continues to descend through the
diaphrag m enters the stomach its associated organ and connects with the spleen A nother
branch from the orifice of the stomach descends inside the abdo men and reaches the groin
T hen it connects with the branch that descends along the body surface it continues descending
along the anterior aspect of the thigh the lateral aspect of the tibia passes through the dorsum
of the foot and reaches the lateral side of the tip of the nd toe A nother branch connects with
the spleen meridianColor Fig
T he stomach meridian of foot y ang ming starts at the lateral side of the ala nasi Ying x iang
LI It ascends to the bridge of the nose J ing ming B L w here it meets the bladder
meridian of foot tai y ang It turns to descend along the lateral aspect of the nose Chengqi S T
and it enters the upper gum Reemerging it curves around the lips and descends to meet
conception vessel at the mentolabial groove Cheng j iangCV T hen it runs posterolaterally
across the lo w er portion of the cheek to Day ingS T Winding along the angle of the mandible
at J iache S T it ascends anteriorly to the ear and traverses S hang g uan GB of the
gallbladder meridian of foot shaoyang T hen it travels along the anterior hairline and reaches
the forehead
T he facial branch emerges anterior to Day ingS Tand descends to Reny ingS T From
there it travels along the throat and enters the supraclavicular fossa Continuing its descent it
passes through the diaphrag m enters the stomach its associated organ and connects with the
spleen
T he straight portion of the meridian arising fro m the supraclavicular fossa runs do w n w ard
331
passing through the nipple It descends past the umbilicus and enters Qichong S T in the
inguinal region
T he branch fro m the lo w er orifice of the sto mach descends inside the abdo men and joins
the previous portion at Qichong S T It con tinues runnin g inferiorly traversin g B i g uan
S T and further throu gh the fem ur at F utu S T until it reaches the k nee from there
in continues its descent along the anterior border of the lateral aspect of the tibia passes
th rough the dorsu m of the foot ter minatin g at the lateral side of the tip of the nd toe at
L i d ui S T
T he tibial branch emer ges from Zusanli S T cun belo w the knee and enters the
lateral side of the middle toe
T he branch fro m the dorsum of the foot arises from Chong yang S T and ter minates at
the medial side of the tip of the great toe Y inbaiSP w here it links with the spleen meridian
of foot tai y in

ChengqiST1
Location Directly belo w the pupil bet w een the infraorbital ridge and the eyeball w hen the
eyes are looking straight aheadColor Fig
Layers of Dissection Skin subcutaneous tissue orbicular muscle of the eye inferior
rectus muscle inferior oblique muscle T here are branch of the infraorbital nerve and
zygomatic branches of the facial nerve in the superficial layer In the deep layer are branch of
the oculomotor nerve and the ophthalmic artery and vein
Indications T w itching of the eyelids tearing due to w ind irritation nyctalopia night
blindness myopia deviation of the eye and mouth facial paralysis facial spasms
Needling Push the eyeball up slightly with the left thumb and do a perpendicular insertion
cun along the infraorbital ridge It is not advisable to manipulate the needle with
lifting and thrusting to avoid injuring the blood vessel w hich w ill result in a hematoma Press
the point w hen the needle is withdraw n to avoid bleeding
SibaiST2
Location Directly belo w the pupil in the depression over the infraorbital foramen w hen
the eyes are looking straight aheadColor Fig
Layers of Dissection Skin subcutaneous tissue orbicular muscle of eye levat or labia
superioris infraorbital foramen T here are branches of the infraorbital nerve and zygo matic
branches of the facial nerve in the superficial layer T he infraorbital artery and vein with the
infraorbital nerve emerging fro m the infraorbital foramen are in the deep layer
Indications redness with s w elling and pain in the eyes t witching of the eyelids
glaucoma deviation of the eye and mouth facial spasms trigeminal neuralgia and other facial
diseases headache dizziness
Needling Perpendicular insertion cun Deep insertion are inadvisable to avoid
injuring eyeball and it is also in advisable to manipulate the needle with large amplitudes
332
Contraindicated for moxibustion
DicangST4
Location Directly belo w the pupil about cun lateral to the corner of the mouthColor
Fig
Layers of Dissection Skin subcutaneous tissue orbicularis oris buccinator T here are
branches of the buccal nerve and infraorbital nerve emerging from the trigeminal nerve and
branches of the facial artery and vein in the area
Indications Facial paralysis trigeminal neuralgia salivation and other diseases of the local
area
Needling Oblique or transverse insertion cun to w ards J iache S T or Ying x iang
LI
JiacheST6
Location On the prominence of the masseter cun anterior and superior to the angle of
the mandibleColor Fig
Layers of Dissection Skin subcutaneous tissue masseter muscle T here are branch of
the auricularis magnus nerve and the mar ginal mandibular branch of the facial nerve in the
area
Indications T oothache temporomandibular joint T M J syndrome sw ollen cheek
deviation of the eye and mouth and other diseases of the local area
Needling Perpendicular insertion for cun or transverse insertion to w ards D icang
S Tor QuanliaoSI
XiaguanST7
Location Lo w er border of the zygomatic arch in the depression cun anterior to the
condyloid process of the mandible anterior to the tragusColor Fig
Layers of Dissection Skin subcutaneous tissue parotid gland between the masseter and the
zygomatic process of temporal bone lateral pterygoid muscle There are branch of the auriculo
temporal nerve zygomatic branches of the facial nerve and the transverse artery and vein of the face in
the superficial layer The maxillary artery and vein the lingual nerve the inferior alveolar nerve the
middle meningeal artery and the pterygoid plexus are in the deep layer
Indications T emporomandibular joint T M J syndrome trigeminal neuralgia toothache
deviation of the eye and mouth and other diseases of the face and mouth deafness tinnitus
otorrhea otitis media
Needling Perpendicular insertion cun or oblique insertion to w ard T ing gong
SI It is not advisable to open mouth w hile the needle is being retained to avoid breaking
the needle
TouweiST8
Location A t the corner of the head cun directly above the hairline cun lateral to
the midline of the head S hentingG VColor Fig
Layers of Dissection Skin subcutaneous tissue epicranial aponeurosis on the superior
333
margin of the temporalis muscle loose connective tissue under the aponeurosis pericranium
T here are branches of the auriculotemporal nerve temporal branches of the facial nerve and the
frontal branch of the superficial temporal artery and vein in the area
Indications Headache vertigo aching of the eyes and other diseases of the head and eyes
Needling T ransverse insertion to w ards the back for cun subcutaneously
TianshuST25
Frontmu point of the large intestine
Location cun lateral to the umbilicusColor Fig
Layers of Dissection Skin subcutaneous tissue anterior sheath of rectus abdominus
rectus abdominus muscle posterior sheath of rectus abdo minus T here are lateral and anterior
cutaneous branch of the anterior branch of lumbar nerves and and venous rete around
the navel in the superficial layer In the deep layer is the anastomotic branch of the superior and
inferior epigastric veins and the muscular branches of the anterior branches of the lumbar
nerves and are in the deep layer
Indications Acute or chronic enteritis or gastritis bacillary dysentery paralytic ileus
abdominal pain andor distension diarrhea constipation dysmenorrhea irregular andor

painful menstruation

BiguanST31
Location U pper thigh at the junction of the lines level with the lateral border of the
patella and the transverse gluteal fold In the depression lateral to the sartorius muscle at the
junction of a vertical line draw n do w n from the anterior superior iliac spine and a horizontal
line dra w n level with the lo w er border of the pubic sy mphysisColor Fig
Layers of Dissection Skin subcutaneous tissue bet w een the tensor fascia lata and
sartorius rectus femoris vastus lateralis T he lateral cutaneous nerve of the thigh is in the
superficial layer T he ascending branches of the lateral circumflex artery and vein and the
muscular branch of the femoral nerve are in the deep layer
Indications Paralysis of the legs lumbago cold invasion of the knee and other diseases of
the lo w er extremities

FutuST32
Location On the thigh on a line connecting the anterior superior iliac spine and lateral
border of the patella cun above the superior border of the patellaColor Fig
Layers of Dissection Skin subcutaneous tissue vastus lateralis vastus inter medialis
T he lateral veins of the thigh anterior cutaneous branches of the femoral nerve and the lateral
cutaneous nerve of the thigh are in the superficial layer T he descending branches of the lateral
circumflex femoral artery and vein and the muscular branch of the femoral nerve are in the deep
layer
Indications Paralysis of the legs lumbago cold invasion of the knee and other diseases
334
of the lo w er extremities herniation beriberi

LiangqiuST34
X icleft point
Location On the thigh in the depression cun above the superior border of the patella
along its lateral marginColor Fig
Layers of Dissection Skin subcutaneous tissue rectus femoris and vastus lateralis the
lateral part of the tendon of vastus inter medialis T he anterior cutaneous branches of the
femoral nerve and the lateral cutaneous nerve of the thigh are in the superficial layer T he
descending branch of the lateral circumflex femoral artery and vein and the muscular branch of
the femoral nerve are in the deep layer
Indications Acute gastric pain diseases of the knee paralysis of the legs and other
diseases of the lo w er extremities mam mary abscess mastodyniabreast pain

ZusanliST36
H esea and Earth points abdominal com mand point
Location Belo w the knee cun belo w D ubi S T the depression in the lateral patella
ligament one fingerbreadth lateral to the anterior crest of the tibiaColor Fig
Layers of Dissection Skin subcutaneous tissue tibialis anterior interosseous membrane
of the leg tibialis posterior T he lateral sural cutaneous nerve is in the superficial layer In the
deep layer are branches of the anterior tibial artery and vein
Indications Acute or chronic gastritis or enteritis stomachache vomiting dysphagia abdominal
distension diarrhea dysentery constipation pain or paralysis of the lo w er ex tremities insanity

mam mary abscess acute appendicitis paralysis of the legs consumptive disease T he point
has the function to tonify as w ell as maintain health
Needling Perpendicular insertion cun M oxibustion is com men used for healthy care
Shang j uxuST37
Lo w er H esea point of the large intestine
Location Lo w er leg cun belo w D ubi S T the depression in the lateral patella
ligament cun belo w Zusanli S T one fingerbreadth lateral to the anterior crest of the
tibiaColor Fig
of the leg tibialis posterior T he lateral sural cutaneous nerve is in the superficial layer T he
anterior tibial artery and vein and the deep peroneal nerve are in the deep layer Caution Deep
insertions might puncture the posterior tibial artery and vein and the tibial nerve
Indications Borboryg mus abdominal pain acute or chronic diarrhea constipation acute
appendicitis and other diseases of the stomach and intestines pain or paralysis of the lo w er
extremities
TiaokouST38
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Location Lo w er leg cun belo w the depression in the lateral patella ligament the
midpoint bet w een the popliteal crease and the tip of the medial malleolus one fingerbreadth
lateral to the anterior crest of the tibia Color Fig
of the leg tibialis posterior T he lateral sural cutaneous nerve is in the superficial layer T he
anterior tibial artery and vein and the deep peroneal nerve are in the deep layer Caution Deep
insertions might puncture the fibular artery andor vein
Indications Pain or paralysis of the lo w er extremities spasms aching of the shoulder and
ar m abdomen pain

FenglongST40
Location Lo w er leg cun belo w the depression in the lateral patella ligament the
midpoint bet w een the popliteal crease and the tip of the medial malleolus t w o fingerbreadths
lateral to the anterior crest of the tibiaColor Fig
Layers of Dissection Skin subcutaneous tissue ex tensor digitorum longus ex tensor
hallucis longus interosseous membrane of the leg tibialis posterior T he lateral sural
cutaneous nerve is in the superficial layer Branches of the anterior tibial artery and vein and the
deep peroneal nerve are in the deep layer
Indications Headache dizziness mental disorders productive cough and other diseases
associated with phlegm paraesthesia or paralysis of the lower extremities abdominal distension
constipation

JiexiST41
Location On the dorsum of the foot in the middle of the transverse ankle creasebet w een
the tendons of extensor hallucis longus and ex tensor digitorum longusColor Fig
Layers of Dissection Skin subcutaneous tissue bet w een the tendon of ex tensor hallucis
longus and extensor digitorum longus talus T he medial dorsal cutaneous nerve and the dorsal
cutaneous vein of the foot are in the superficial layer T he deep peroneal nerve and the anterior
fibial artery and vein are in the deep layer
Indications Paralysis of the lower extremities diseases of the ankle foot drop headache
dizziness mental disorders abdominal distension constipation

NeitingST44
Location Foot dorsum on the junction of the red and w hite skin bet w een the nd and rd
toesColor Fig
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Layers of Dissection Skin subcutaneous tissue bet w een the tendons of ex tensor
digitorum longus and brevis of the second and third toes bet w een the heads of metatarsals of
the second and third toes T he dorsal digital nerves of the foot branches of the medial dorsal
cutaneous nerveand the dorsal venous rete of the foot are in the superficial layer T he dorsal
digital arteries and veins are in the deep layer
Indications T oothache sore throat epistaxis and the heat syndromes of the five sense
organs febrile diseases acid regur gitation diarrhea dysentery acute or chronic enteritis
and other sto mach or intestine diseases pain in the dorsum of the foot pain in the metatarso
phalangeal joints M PJ
3 1 3 4 Other Acupoints of the Meridian

JuliaoST3
Directly belo w the pupil of the eye w hen looking straight ahead level w ith the lo w er
border of the ala nasi lateral to the nasolabial groove
Indications Deviation of the mouth and eye epistaxis toothache and sw elling of the lips
and cheek and other five sense organsdiseases

DayingST5
A nterior to the angle of the mandible in the depression on the anterior border of the
masseter near the facial artery pulse
Indications Deviation of the mouth and eye sw elling of the cheek toothache and the local
area diseases
RenyingST9
Level with and cun lateral to the tip of the laryngeal pro minence Adams Apple in the
depression bet w een the anterior border of the sternocleidomastoidSC Mand the lateral border
of the thyroid cartilage
Indications Scrofula and goiter sore throat hypertension asthma

ShuituST10
On the neck at the anterior border of the sternocleido mastoideus at the midpoint of the
line joining Reny ingS Tand QisheS T
Indications Sore throat and the diseases of the local area bronchitis asthma
QisheST11
On the neck at the superior border of the medial extremity of the clavicle bet w een the
sternal head and clavicular heads of the sternocleidomastoideus
Indications Sore throat scrofula and goiter asthma and hiccups pain and rigidity
in the neck
QuepenST12
Supraclavicular area posterior to the midpoint of the superior border of the clavicle cun
lateral to the midline on the maxillary line
Indications Bronchitis asth ma sore throat pain in the supraclavicular fossa and the
diseases in the local area scrofula
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QihuST13
On the lo w er border of the midpoint of the clavicle cun lateral to the anterior midline
Indications Bronchitis asthma hiccup and other diseases due to the dishar mony of
ascending and descending of qi chest pain and fullness

Ku f angST14
In the st intercostals space cun lateral to the anterior midline
Indications Bronchitis asthma w hooshing pus and blood and other diseases of the lung
pain and fullness sensation in the chest

WuyiST15
In the nd intercostals space cun lateral to the anterior midline
Indications Bronchitis asthma w hooshing pus and blood pain and fullness sensation
in the chest hypochondrium and mam mary abscess

YingchuangST16
In the rd intercostals space cun lateral to the anterior midline
Indications Bronchitis asthma w hooshing pus and blood pain and fullness sensation
in the chest mam mary abscess

RuzhongST17
In the th intercostals space at the very centre of the nipple
N ote T he point is not used for acupuncture and moxibustion it serves only as a landmark
for locating acupoints on the chest and abdo men

RugenST18
In the th intercostals space belo w the nipple cun lateral to the anterior midline
Indications H ypochondrium and mam mary abscess hypogalactia bronchitis asth ma
hiccup chest pain

BurongST19
On the epigastrium cun above the centre of the umbilicus cun lateral to the anterior
midline
Indications V omiting stomachache anorexia abdominal distension

ChengmanST20
On the epigastrium cun above the centre of the umbilicus cun lateral to the anterior
midline
Indications Sto moahache hematemesis anorexia

LiangmenST21
On the epigastrium cun above the umbilicus cun lateral to the midline
Indications A norexia stomachache vomiting

GuanmenST22
Indications Distending pain in the abdomen borboryg mus diarrhea and other diseases of
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the stomach and intestines
TaiyiST23
On the abdo men cun above the umbilicus cun lateral to the midline
Indications Stomachache vexation epilepsy and mania

HuaroumenST24
Indications Stomachache vomiting epilepsy and mania
WailingST26
Lo w er abdo men cun belo w the umbilicus and cun lateral to the midline
Indications A bdominal pain hernia dysmenorrhea

Da j uST27
Lo w er abdo men cun belo w the umbilicus and cun lateral to the midline
Indications Lo w er abdominal distension dysuria hernia emission

ShuidaoST28
Lo w er abdo men cun belo w the umbilicus cun lateral to the midline
Indications Lo w er abdominal distension dysuria hernia dysmenorrhea ascites

GuilaiST29
Lo w er abdo men cun belo w the umbilicus cun lateral to the midline
Indications Lo w er abdo minal distension hernia irregular menstruation leucorrheal
prolapse of uterus
QichongST30
Slightly superior to the groin cun belo w the centre of the umbilicus cun lateral to the
anterior midline
Indications Lo w er abdominal pain borboryg mus hernia irregular menstruation
leucorrhea impotence s w elling of the vulva

YinshiST33
On the thigh on a line dra w n bet w een the lateral margin of patella and the anterior
superior iliac spine in a depression cun above the superiolateral margin of the patella
Indications Flaccidity and arthralgia in the leg and knee dyskinesia of the knee joint hernia
DubiST35
On the knee in the depression directly belo w the patella and lateral to the patellar
ligament T his point is also kno w n as W ai x i yan
Indications Flaccidity and ar thralgia in the leg and knee dyscinesia of the knee joint
Xia j uxuST39
Lo w er confluent point of small intestine
Lo w er leg cun belo w D ubiS T one fingerbreadth lateral to the anterior crest of the
tibia
Indications Diarrhea dysentery lo w er abdominal pain flaccidity and arthralgia in the
leg and knee mammary abscess
ChongyangST42
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Yuansource point
Highpoint of the dorsum of the foot in the depression near the donsal pedal pulse pedis
artery
Indicatio ns S t o m achache deviatio n of the m o ut h and eye epilepsy and m ania
flaccidity o f the foo t

XianguST43
Dorsum of the foot bet w een the second and third metatarsals
Indications Facial and general edema swelling pain in the dorsum of the foot abdominal
pain borborygmus
LiduiST45
J ingw ell and metal point
On the lateral side of the phalanget te of the nd toe cun posterior to the corner of the
nail
Indications Epistaxis toothache sore throat and the heat syndromes of the five sense
organs febrile disease epilepsy and mania dreaminess
3 1 4 SpleenSPMeridian of Foot Taiyin
T his meridian goes from the foot to the stomach and has a total of acupoints on each
side T he first acupoint is Y inbaiSPand the last is DabaoSP Primary indications include
digestive and urinary t ract diseases Diseases related to bleeding problems and diseases located
near the meridians path w ay such as dyspepsia dysentery enteritis retention of urine bed
w etting metrorrhagia bloody stools and knee pain
T his meridian star ts from the medial side of the big toe runs along the medial aspect of the
foot and ascends to the front of the medial malleolus and fur ther up to the posterior aspect of
the tibia It passes through the front of the liver meridian of foot j uey in at a point cun above
the medial malleolus A s it continues along the anterior medial aspect of the knee and thigh it
enters the abdomen and the spleen its associated organ and connects with the stomach One
branch connects with the heart meridianColor Fig
T he spleen meridian of foot tai y in starts from the tip of the big toe y inbai SP It runs
along the medial aspect of the big toe at the junction of the red and w hite skin and ascends to
the front of the medial malleolus and further up the medial aspect of the leg It follo w s the
posterior aspect of the tibia and passes through the front of the liver meridian of foot j uey in
Continuing along the anterior medial aspect of the knee and thigh it enters the abdomen
reaches the spleen its associated or gan and connects with the stomach from there it ascends
passing through the diaphrag m and running alongside the esophagus When it reaches the root
340
of the tongue it spreads over its under surface
T he branch from the sto mach goes up w ards through the diaphrag m and flo w s into the
heart to link with the heart meridian of hand shaoy in

YinbaiSP1
Location A bout cun from the medial border of the corner of the base of the big toenail
Color Fig
Layers of Dissection Skin subcutaneous tissue nail root T he branch of the medial
dorsal cutaneous nerve dorsal digital nerves and the dorsal digital arteries and veins are in this
area
Indications Metrorrhagia hematachesia upper intestinal bleeding melanalower intestinal
bleeding blood in the stool hemafecia hematuria mental disorders excessive dreaming infantile
convulsions abdominal distension sudden diarrhea

Needling Shallo w insertions
GongsunSP4
L uoconnecting point confluent point of the thoroughfare vessel
Location On the medial aspect of the foot in the depression distal and inferior to the base
of the first metatarsalColor Fig
Layers of Dissection Skin subcutaneous tissue ex tensor hallucis longus flexor hallucis
brevis the tendon of flexor hallucis longus T he medial margin has branch of the footbranch
of the saphenous nerveand branch of the dorsal venous arch of the foot in the superficial layer
T here is a branch of the medial plantar artery and vein and branch of the medial plantar nerve in
the deep layer
Indications Stomachache vomiting abdominal pain diarrhea dysentery acute or chronic
gastroenteritis vexation insomnia mania and other mental disorders BenT unsyndrome
running piglet qi

Sanyin j iaoSP6
Location cun above the prominence of the medial malleolus posterior to the medial crest
of the tibiaColor Fig
Layers of Dissection Skin subcutaneous tissue flexor digitorum longus tibialis
posterior flexor hallucis longus T he medial crural cutaneous branch of the saphenous nerve
and branch of the greater saphenous vein are in the superficial layer T he tibial nerve and the
posterior tibial artery and vein are in the deep layer
Indications Borborygmus abdominal pain diarrhea irregular menstruation leukorrhea
uterine prolapse sterility prolonged labour nocturnal emissions impotence enuresis retention
of urine palpitations insomnia high blood pressure paralysis of the leg yin deficiency
Needling Perpendicular insertion cun It shold be forbidden for pregnant w oman
YinlingquanSP9
341
H esea and w ater point
Location On the medial aspect of the knee belo w the medial condyle of the tibia in a
depression in the posterior groove of the medial border of the tibia level with Yang lingquan
GBColor Fig
Layers of Dissection Skin subcutaneous tissue the tendon of Semitendinosus the
medial head of the gastrocnemius T he medial crural cutaneous branch of the saphenous nerve
the greater saphenous vein and a branch of the descending genicular artery lie in the superficial
layer T he medial inferior genicular artery and vein are in the deep layer
Indications A bdominal distension diarrhea edema icterusjaundice dysuria and other
diseases of the phleg m due to the poor transfor ming and transmitting of the spleen knee
pain

XuehaiSP10
Location On the thigh cun above the medial border of the patella in the depression in
the bulge of vastus medialis directly above YinlingquanSPColor Fig
Layers of Dissection Skin subcutaneous tissue vastus medialis T he anterior cutaneous
branch of the femoral nerve and branch of the greater saphenous vein are in the superficial
layer T he muscular branch of the femoral artery and vein and the muscular branch of the
femoral nerve are in the deep layer
Indications Irregular menstruation dysmenorrhea amenorrhea urticaria eczema
erysipelas

DaduSP2
On the medial side of the big toe in the depression distal and inferior to the first
metatarsophalangeal joint at the junction of the red and w hite skin
Indications Abdominal distension stomachache vomiting diarrhea constipation febrile
diseases without sweating

TaibaiSP3
S hustream y uansource and ear th point
On the medial side of the foot in the depression pro ximal and inferior to the head of the
first metatarsal at the junction of the red and w hite skin
Indications Borboryg mus abdo minal distension stomachache diarrhea constipation and
other spleen and stomach diseases fatigue in the limbs and heaviness in the body
ShangqiuSP5
On the medial aspect of the ankle in the depression at the junction of lines draw n fro m the
342
anterior and inferior borders of the medial malleolus
Indications A bdominal distension diarrhea constipation jaundice pain in the foot
and ankle
LouguSP7
On the medial aspect of the lo w er leg cun above S any in j iao SP in the depression
posterior to the medial crest of the tibia or cun above the apex of the medial malleolus behind
the tibia
Indications Abdominal distension borborygmus dysuria emission numbness paralysis
of the lower extremity

Di j iSP8
X icleft point
On the medial aspect of the lo w er leg cun belo w Yinlingquan SP in the depression
posterior to the medial crest of the tibia behind the tibia
Indications Dysmenorrhea dysentery irregular menstruation abdominal distension
diarrhea dysuria edema

JimenSP11
On the line connecting X uehaiSPand ChongmenSP cun above X uehaiSP
Indications Dysuria enuresis pain in the medial aspect of the thigh

ChongmenSP12
Lateral to the groin cun lateral to the midpoint of the upper border of the sy mphysis
pubis on the lateral side of the pulsatile side of the ex ternal iliac artery
Indications Hernia disorders metrorrhagia and metrostaxis leucorrhea vaginal discharge

FusheSP13
cun belo w daheng SP cun superior to Chong men SP cun lateral to the
anterior median line
Indications A bdominal pain and masses hernia disorders

Fu j ieSP14
cun belo w DahengSP cun lateral to the midline
Indications A bdominal pain diarrhea hernia disorders

DahengSP15
On the abdo men cun lateral to the center of the umbilicus
Indications A bdominal pain diarrhea constipation

FuaiSP16
cun above daheng cun lateral to the midline
Indications A norexia abdominal pain constipation dysentery

ShidouSP17
In the th intercostal space cun lateral to the anterior median line
Indications the sensation of fullness in the chest and hypochondriac region regurgitation
abdominal distension edema
TianxiSP18
343
In the th intercostal space cun lateral to the anterior midline
Indications Chest pain bronchitis acute mastitis hypogalactia

XiongxiangSP19
In the rd intercostal space cun lateral to the anterior midline
Indications Fullness sensation in the chest and hypochondriac region

ZhourongSP20
In the nd intercostal space cun lateral to the anterior midline
Indications Bronchitis fullness sensation in the chest and hypochondriac region

DabaoSP21
Great luoConnecting point of the spleen
On the midaxillary line in the th intercostal space
Indications Asthma fullness and pain in the chest and hypochondriac region general pain
chest pain tiredness of limbs
3 1 5 HeartHT Meridian of Hand Shaoyin
T his meridian goes from the chest to the hand and has a total of acupoints on each side
T he first acupoint is J iquan H T and the last one is S haochong H T T he primary
indications include cardiovascular and nervous system diseases mental disorders and local
diseases such as tachycardia bradycardia angina pectoris inso mnia mental disorders epilepsy
hysteria and pain located on the medial side of the hand
It originates in the hear t then passes do w n w ards to connect with the small intestines T he
straight portion of the meridian goes up w ards to the lung w here it then descends and emerges
from the axilla Fro m there it runs along the ulnar side of the medial aspect of the upper ar m
and passes bet w een the th and th metacarpals it finally ter minates at the radial side of the
little fingerColor Fig
T he heart meridian of hand shaoy in originates at the heart E merging it spreads over the
cardiovascular systemi e the tissues connecting the heart with the other z ang f u organs
It then passes through the diaphrag m to connect with the small intestine
T he ascending por tion of the meridian from the cardiovascular system runs alongside the
esophagus to connect with theopthalmic systemi e the tissues connecting the eyes w ith the
brain
T he straight portion of the meridian from thecardiovascular systemascends to the lung
then it runs do w n w ards and emer ges at the axilla J iquan H T fro m there it runs along the
posterior border of the medial aspect of the upper ar m behind the lung meridian of hand tai y in
and the pericardium meridian of hand j uey in and do w n to the cubital fossa fro m there it
descends along the posterior border of the medial aspect of the forear m to the pisifor m region
344
proximal to the palm w here it enters the palm Finally it follo w s the medial aspect of the little
finger to its tip S haochong H T and links w ith the small intestine meridian of hand tai y ang
JiquanHT1
Location T he depression in the center of the axilla on the medial aspect of the axillary
arteryColor Fig
Layers of Dissection Skin subcutaneous tissue brachial plexus axillary artery and vein
the tendon of latissimus dorsi teres major T he intercostobrachial nerve is in the superficial
layer T he medial radial ulnar and medial cutaneous nerves of the forearm the medial cutaneous
nerve of the arm and the axillary artery and vein are in the deep layer
Indications Precordial pain palpitations intercostal neuralgia hand paralysis scrofula
axillary odor upper extremity acupuncture anesthesia point
Needling Perpendicular insertion cun A void the axillary artery

ShaohaiHT3
Location When the elbo w is fully flexed this acupoint is the depression at the medial end
of the transverse cubital crease the midpoint bet w een Qu z e PCand the medial epicondyle of
the humerusColor Fig
Layers of Dissection Skin subcutaneous tissue pronator teres brachialis muscle T he
medial cutaneous nerve of the forear m and the basilic vein are in the superficial layer T he
median nerve anasto motic branch of the recurrent ulnar artery and vein and the inferior
collateral ulnar artery and vein are in the deep layer
Indications Precordial pain hysteria mental disorders spasm odic pain in the elbo w
and ar m hand trem ors hand num bness elbo w pain head and neck pain axilla and rib pain
scrofula

TongliHT5
Location On the radial side of the tendon of flexor carpi ulnaris cun above the most
distal transverse crease of the w rist S henmen H TColor Fig
Layers of Dissection Skin subcutaneous tissue bet w een flexor carpi ulnaris and flexor
digitorum superficialis flexor digitorum profundus quadratus pronator T he medial cutaneous

nerve of the forear m and branch of the basilic vein are in the superficial layer T he ulnar
arteries veins and nerve are in the deep layer
Indications Palpitations z heng z hong fearful throbbing severe palpitations stiff
tongue aphasia sudden hoarseness of the voice pain in the w rist
Needling Perpendicular insertion for cun Deep needling is contraindicted to
avoid damage underlying blood vessels and nerves Bending the w rist should be avoided w hile
retaining the needle
YinxiHT6
345
X iCleft point
Location On the radial side of the tendon of flexor carpi ulnaris cun above the most
distal transverse crease of the w rist S henmen H TColor Fig
Layers of Dissection Skin subcutaneous tissue the radial margin of flexor carpi ulnaris the
ulnar nerve The medial cutaneous nerve of the forearm and branch of the basilic vein are in the
superficial layer The ulnar artery and veins are in the deep layer
Indications Precordial angina pectoris arrhythmias tidal fever due to y in deficiency
night sw eats hematemesis epistaxis
Needling Perpendicular insertion cun Deep insertion are contraindicated to
avoid damage underlying blood vessels and nerves It is not allo w ed to bending the w rist w hen
retaining the needle
ShenmenHT7
Location A t the w rist joint on the radial side of the tendon of flexor carpi ulnaris in the
depression at the most distal transverse crease of the w ristColor Fig
Layers of Dissection Skin subcutaneous tissue the radial margin of flexor carpi ulnaris The
medial cutaneous nerve of the forearm branch of the basilic vein and the palmar branch of the ulnar
nerve are in the superficial layer The ulnar artery vein and nerve are in the deep layer
Indications Precordial pain vexation j ing j i palpitations due to fright zheng zhong
fearful throbbing severe palpitations poor memory insomnia dementia insanity epilepsy and other
mental disorders high blood pressure pain in the chest and hypochondriac regions
ShaochongHT9
Location A bout cun from the corner of the radial side of the base of little fingernail
Color Fig
Layers of Dissection Skin subcutaneous tissue nail root T he dorsal digital branch of
the proper palmar digital nerves and rete composed of the dorsal digital branch of the proper
palmar digital arteries and veins are in the area
Indications Palpitations precordial pain mental disorders coma and other heart or mind
diseases fever pain in the chest and hypochondriac regions

Needling Shallo w insertions or prick to bleed

QinglingHT2
cun above the transverse cubital crease of the elbo w on the line connecting J iquan
H Tand Shaohai H T
Indications Headache shivering pain in the hypochondrium pain in the shoulder and
upper ar m
346
LingdaoHT4
cun above the transverse crease of the w rist S henmen H T on the radial side of the
tendon of flexor carpi ulnaris
Indications Precordial pain schizophrenia sudden loss of voice cramping pain in the
elbo w and ar m
Shao f uHT8
On the palm in the depression bet w een the th and th metacarpals w here the tip of the
little finger touches w hen the fist is clenched
Indications Palpitation chest pain pruritus and pain in the vulvae carbuncles pyogenic
infections and ulcerations of the skin cramping pain in the little finger
3 1 6 Small IntestineSIMeridian of Hand Taiyang
T his meridian goes fro m the hand to head and has a total of acupoints on each side T he
first acupoint is S hao z eSI and the last is T ing gong SI T he primary indications include
pain of the head neck and back and other diseases in the regions along the meridian path w ay
T he meridian begins at the ulnar side of the tip of the little finger Follo wing the ulnar side
of the dorsum of the hand it reaches the shoulder then circling around the scapular region it
meets Da z hui G V Finally descending to the supraclavicular fossa it connects with the
heart and enters the small intestine its associated organ One branch runs from the
supraclavicular fossa ascending the neck to the cheek via the outer canthus it enters the ear
A nother branch links with the bladder meridianColor Fig
The small intestine meridian of hand taiyang starts from the ulnar side of the tip of the little
finger Shaoze SI goes along the ulnar side of the dorsum of the hand until it reaches the wrist
where it emerges from the styloid process of the ulna from there it ascends along the posterior border
of the lateral aspect of the forearm passes between the olecranon of the ulna and the medial epicondyle
of the humerus and it runs along the posterior border of the lateral aspect of the upper arm to the
shoulder joint Circling around the scapular region it meets DazhuiGV on the superior aspect of
the shoulder Then turning downwards to the supraclavicular fossa it connects with the heart from
there it descends along the esophagus passes through the diaphragm reaches the stomach and finally
enters the small intestine its associated organ
T he branch fro m the supraclavicular fossa ascends along the neck to the cheek via the
outer canthus it enters the ear T ing gong SI
T he branch from the cheek runs up w ards to the infraorbital region Quanliao SI and
further to the lateral side of the nose Finally it reaches the inner canthus J ing ming B L to
link with the bladder meridian of foot tai yang
347
ShaozeSI1
Location On the ulnar border of the lit tle finger about cun proximal to the base of the
corner of the nailColor Fig
the proper palmar digital nervecoming from the ulnar nerveand rete composed of the palmar
ulnar ar tery and veins of the little finger are in the area
Indications M ammary abscess puerperal lactation insufficiency coma sunstroke febrile
diseases headache corneal cloudiness sore throat and other diseases of the face and five sense
organs
Needling Shallo w insertion or prick to induce bleeding It should be forbidden for pregnant
w oman
HouxiSI3
S hustream and w ood point confluent point of governor vessel
Location On the ulnar border of the hand in the depression pro ximal to the head of the th
metacarpal T he point is located at the end of the transverse crease of the palm lying bet w een
the red and w hite skin w hen a loose fist is madeColor Fig
Layers of Dissection Skin subcutaneous tissue A bductor digiti minimi flexor digiti
minimi brevis T he dorsal branch of the ulnar nerve the palmar branch of the ulnar nerve and
the cutaneous vein are in the superficial layer T he proper palmar arteries and veins of the little
finger and the proper palmar digital nerves are in the deep layer
Indications Pain and stiffness in the neck and head pain of the back and loins
spasm odic pains of the elbo w ar m and fin gers and so on deafness redness w ith s w ellin g
of the eyes epilepsy insanity malaria
Needling Perpendicular insertion cun U sing H egu LI w ith penet ration method
to treat contracture and pain of fingers is applicable

YanglaoSI6
X icleft point
Location When the palm faces to the chest this point is located on the dorsal aspect of the
head of the ulnar in a cleft level with the radial aspect of the high point of the styloid process of
the ulnaColor Fig
Layers of Dissection Skin subcutaneous tissue the tendons of extensor carpi ulnaris and
extensor digiti minimi T he medial and posterior cutaneous nerves of the forear m the dorsal
branch of the ulnar nerve and the branch of the basilic vein are in the superficial layer In the
deep layer is the dorsal venous rete of the hand
Indications Poor vision pain in the shoulder back elbo w and ar m
Needling Oblique insertion cun to w ards the elbo w w hen the palm faces to the
chest M oxibuston can be used to reinforce vital qi and maintaining health
348
XiaohaiSI8
Location T his acupoint is located in the depression bet w een the tip of the olecranon
process of the ulna and the tip of the medial epicondyle of the humerusColor Fig
Layers of Dissection Skin subcutaneous tissue in the groove of the ulnar nerve T he
ulnar branch of the medial cutaneous nerve of the forear m the medial cutaneous nerve of the
ar m and the branch of the basilic vein are in the superficial layer T he ulnar nerve and rete
composed of the superior collateral ulnar artery and vein and the posterior branch of the
recurrent ulnar artery and vein are in the deep layer
Indications Spasmodic pain of the elbo w and ar m epilepsy

TianzongSI11
Location In the center of the infraspinous fossa of the scapularColor Fig
Layers of Dissection Skin subcutaneous tissue trapezius infraspinatus T he cutaneous
branch of the dorsal branches of thoracic nerves and and the arteries and veins that
follo w are in the superficial layer T he branch of the suprascapular nerve and circumflex artery
and vein of the scapula are in the deep layer
Indications Pain in the scapular region supraspinatus tendinitis fasciitis of the muscles
in the shoulder and back and other diseases of the local area dyspnea
Needling Perpendicular or oblique insertion cun T he needle should not be inserted
further inserted w hile facing the resistance

TinggongSI19
Location When the mouth is open this point is the depression for med bet w een the middle
of the tragus and the condyloid process of the mandibularColor Fig
Layers of Dissection Skin subcutaneous tissue cartilage of the acoustic meatus T he
auriculotemporal nerve and branch of the anterior auricular branch of the superficial temporal
artery are in this area
Indications Deafness tinnitus otorrhea toothache
Needling Perpendicular insertion cun T he patient should keep the mouth open
w hile retaining the needle

QianguSI2
On the ulnar border of the lit tle finger in a depression distal to the metacarpophalangeal
joint
Indications Febrile disease acute mastitis hypogalactia headache eye pain tinnitus sore
throat and other diseases of the face and sense organs

WanguSI4
Yuansource point
349
On the ulnar border of the hand in a depression bet w een the base of th metacarpal and
the triquetral bone the point is located at the junction of red and w hite skin
Indications Contracture of the fingers and pain in the w rist rigidity of nape with
headache cloudiness of the cornea jaundice febrile disease malaria

YangguSI5
On the ulnar border of the w rist in the depression bet w een the head of the ulnar and the
triquetral bone
Indications Swelling of nape and chin pain in the ulna side of the arm pain in the wrist and
other pain syndromes headache vertigo tinnitus deafness febrile disease epilepsy
ZhiZhengSI7
On the line of Yang guSI to X iaohai SI cun above the dorsal t ransverse crease of
the w rist
Indications H eadache rigidity of nape aching pain in the elbo w and ar m febrile
disease epilepsy and mania verrucosis

JianzhenSI9
On the posterior aspect of the shoulder cun above the end of posterior axillary fold
Indications Pain in the shoulder and ar m m otor im pair men t of the upper ex tremity
scrofula
NaoshuSI10
On the posterior aspect of the shoulder directly above J ian z hen SI in the depression
belo w the spine of the scapular
Indications Pain in the shoulder and ar m scrofula

Bing f engSI12
Middle of the supraspinatous fossa directly above T ian z hongSI
Indications Pain in the scapular region numbness and aching of the upper extremity and
other diseases of the upper extremities

QuyuanSI13
On the scapular region at the medial ex tremity of the supraspinous fossa at the midpoint
of the line joining N aoshuSIand the spinous process of the nd thoracic vertebrae
Indications Pain in the scapular region
JianwaishuSI14
cun lateral to the lo w er border of the spinous process of the first thoracic vertebra
T aodaoG V
Indications Pain in the shoulder and back stiffness of the neck and nape
JianZhongshuSI15
cun lateral to the lo w er border of the spinous process of the seventh thoracic vertebra
Da z huiG V
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Indications Bronchitis asth ma pain in the shoulder and back

TianchuangSI16
On the lateral aspect of the neck at the posterior border of sternocleidomastoideus
posterior to Futu LI level with the Adams apple
Indications Tinnitus deafness sore throat sudden loss of voice and other sense organs
disorder pain and rigidity in the neck and nape

TianrongSI17
On the lateral aspect of the neck posterior to the angle of mandible in the depression on
the anterior border of sternocleidomastoideus
Indications Tinnitus deafness sore throat sudden loss of voice pain and rigidity in
the neck and nape
QuanliaoSI18
Directly belo w the outer canthus in the depression at the lo w er border of the zygo matic
bone
Indications Deviation of the mouth eye flickering eyelids and other facial problems
3 1 7 BladderBLMeridian of Foot Taiyang

T he bladder meridian goes from the head to the foot and has a total of accupoint on each
side T he first acupoint is J ing mingBLand the last is Zhi y inB L Its primary indications
include diseases of the head nape eye lumbosacral area legs hemorrhoids rectal prolapse
mental problems and epilepsy T he Back S hu acupoints are used to treat diseases of their
associated organs and tissues respectively

T his meridian begins at the inner canthus ascends to the vertex of the head w here it
descends to the nape and breaks into t w o branches One branch parallel to the vertebral
column descends to the lumbar region w here it enters the body cavity to connect with the
kidney and join its associated organ the urinary bladder T he other branch runs straight
do w n w ard along the medial border of the scapula it passes through the gluteal region and runs
do w n w ard along the lateral aspect of the thigh w here it meets the preceding branch descending
from the lumbar region in the popliteal fossa it then descends through the calf muscle to the
lateral side of the dorsum of the foot finally reaching the lateral side of the little toe It connects
with the kidney meridian of foot shaoy inColor Fig
T he bladder meridian of foot tai yang begins at the inner canthus J ing ming B L it then
ascends to the forehead w here it joins the Baihui G V at the vertex From the vertex a
branch emerges and runs to the temple
T he straight portion of the meridian enters and com municates with the brain from the
vertex It then emerges and bifurcates to descend along the posterior aspect of the neck
Running do w n w ard along the medial aspect of the scapula and parallel to the vertebral column
351
it reaches the lumbar area w here it enters the body cavity via the paravertebral muscles to
connect with the kidney and join its associated organ the urinary bladder
T he branch in the lumbar region descends through the gluteal area and ends in the
popliteal fossa T he branch from the posterior aspect of the neck runs straight do w n along the
medial border of the scapula Passing through the gluteal region H uantiao GB and
descending along the lateral aspect of the thigh it meets the preceding branch descending from
the lumbar region in the popliteal fossa from there it descends through the gastrocnemius to
the posterior aspect of the external malleolus Finally it runs along the tuberosity of the th
metatarsal bone w here it reaches the lateral side of the tip of the lit tle toe Zhi y in BL there
it links with the kidney meridian of foot shaoy in

JingmingBL1
Location A bout cun superior to the inner canthus near the medial border of the orbit
Color Fig
Layers of Dissection Skin subcutaneous tissue orbicularis oculi corrugator supercilii
procerusbet w een the medial straight muscle and the orbital plate of the eth moid bone T he
supratrochlear branch of the ophthalmic nervea branch of the trigeminal nerveand branch of
the angular artery and vein are in the superficial layer In the deep layer are branches of the
ophthalmic artery and vein and branches of the ophthalmic and oculomotor nerves
Indications Redness w ith sw elling and pain of the eye lacrimation myopia s wivel eye
glaucoma blurred vision night blindness retinitis colour blindness acute lumbar strain
sciatica tachycardia
Needling T he patient should close the eyes w hile inserting the needle T he practitioner
should use the right hand to push and hold the eyeball laterally and insert the needle
cun slo w ly along the medial side of the orbit with the left hand the needle should not be
inserted past the point of resistance While the doctor can change the direction of the needle or
withdra w it It is inadvisable to lift or thrust the needle with large amplitudes T o avoid
bleeding either the practitioner or the patient should maintain pressure on this point for
minutes after withdraw al of the needle Tiny needles can be applied and sterilization should be
focused on M oxibustion is contraindicated on this acupoint

CuanzhuBL2
Location Near the medial end of the eyebro w in a depression directly above the inner
canthusColor Fig
Layers of Dissection Skin subcutaneous tissue orbicularis oculi corrugator supercilii
T he supratrochlear nerve of the frontal nerve and branches of the supraorbital artery and vein
are in the superficial layer T he temporal and zygomatic branches of the facial nerve are in the
deep layer
Indications Headache trigeminal neuralgia t witching of the eyelids pytosis deviation
of the eye and mouth optic atrophy lacrimation redness with s w elling and pain of the eye and
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other eyes problems hiccups
Needling Oblique insertion do w n w ards for cun to treat eye diseases transverse
insertion to w ards Yuy ao EXH N to treat headache and facial paralysis M oxibustion is
contraindicated on this acupoint

TianzhuBL10
Location Level with the posterior hairline on the lateral aspect of the trapezius muscle
cun lateral to the posterior midline YamenG VColor Fig
Layers of Dissection Skin subcutaneous tissue trapezius medial head of the splenius
semispinalis capitis T here are medial branches of the posterior branch of cervical nerve and
subcutaneous veins in the superficial layer T he greater occipital nerve is in the deep layer
Indications Headache stiffness of the nape pain in the shoulder back and loin nasal
obstruction insanity epilepsy febrile diseases
Needling Perpendicular insertion cun It should not be deep insertion up w ard in
order to avoid hurt the myelencephalon

DazhuBL11
Influential point of bones
Location cun lateral to the lo w er border of the spinous process of the st thoracic
vertebra TColor Fig
Layers of Dissection Skin subcutaneous tissue trapezius rho mboid superioposterior
serratus splenius erector spinae muscles T he medial cutaneous branches of the posterior
branches of thoracic nerves and and the medial cutaneous branch of the dorsal branches
of the posterior intercostal arteries and veins are in the superficial layer In the deep layer are
muscular branch of the posterior branches of thoracic nerves and and dorsal branches of
the posterior intercostal arteries and veins
Indications Cough stiffness of the nape pain in the shoulder and back
Needling Perpendicular insertion cun T he points on the back of BL should not
be deeply inserted in order to keep the organs safe

FengmenBL12
Location cun lateral to the lo w er border of the spinous process of the nd thoracic
vertebra TColor Fig
serratus splenius erector spinae muscles T here are medial cutaneous branches of the
posterior branches of thoracic nerves and and medial cutaneous branches of the dorsal
branches of the posterior intercostal arteries and veins in the superficial layer In the deep layer
are muscular branches of the posterior branches of thoracic nerves and and dorsal
branches of the posterior intercostal arteries and veins
Indications Com mon cold cough fever headache stiffness of the nape pain in the
chest and back
FeishuBL13
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Back transport point of the lung
Location cun lateral to the lo w er border of the spinous process of the rd thoracic
vertebra TColor Fig
serratus splenius erector spinae muscles T here are medial cutaneous branches of the
posterior branches of thoracic nerves and and medial cutaneous branches of the dorsal
branches of the posterior intercostal arteries and veins in the superficial layer In the deep layer
are muscular branches of the posterior branches of thoracic nerves and and dorsal branches
of the posterior intercostal arteries and veins
Indications Cough dyspnea hemoptysis tidal fever due to yin deficiency night sweats
Needling Oblique insertion to w ards the spine for cun
N O T E B L are all located above the th thoracic ver tebra and in the area of the
lung Perpendicular needling or oblique insertions aw ay from the spine pose a significant risk for
a pneumothorax
XinshuBL15
Back transport point of the heart
Location cun lateral to the lo w er border of the spinous process of the th thoracic
vertebra TColor Fig
Layers of Dissection Skin subcutaneous tissue trapezius inferior mar gin of the
rho mboid erector spinae muscles T here are medial cutaneous branches of the posterior
branches of thoracic nerves and and arteries and veins in the superficial layer In the deep
layer are muscular branches of the posterior branches of thoracic nerves and and dorsal
Indications Precordial pain insomnia amnesia epilepsy cardiovascular diseases mental
diseases cough hematemesis night s w eats seminal emissions

GeshuBL17
Influencial point of blood
vertebra TColor Fig
Layers of Dissection Skin subcutaneous tissue trapezius latissimus dorsi erector
spinae muscles T here are medial cutaneous branches of the posterior branches of thoracic
nerves and and arteries and veins in the superficial layer In the deep layer are muscular
branches of the posterior branches of thoracic nerves and and dorsal branches of the
posterior intercostal arteries and veins
Indications Vomiting hiccups dyspnea hematemesis anaemia urticaria skin pruritus tidal
fever night sweats
354
GanshuBL18
Back transport point of liver
vertebra TColor Fig
Layers of Dissection Skin subcutaneous tissue t rapezius latissimus dorsi inferio
posterior serratus erector spinae muscles T here are medial cutaneous branches of the
posterior branches of thoracic nerves and and arteries and veins in the superficial layer
M uscular branches of the posterior branches of thoracic nerves and and dorsal branches of
the posterior intercostal arteries and veins are in the deep layer
Indications Rib pain icterusjaundice liver and gallbladder diseases redness with swelling
of the eye s night blindness epiphora tearing due to wind irritation eye diseases insanity
epilepsy pain of the back and vertebra

DanshuBL19
Back transport point of gallbladder
vertebra TColor Fig
Layers of Dissection Skin subcutaneous tissue trapezius muscle latissimus dorsi
inferior posterior serratus muscle erector spinae muscles T here are medial cutaneous branches
of the posterior branches of thoracic nerves and and arteries and veins in the superficial
layer In the deep layer are muscular branches of the posterior branches of thoracic nerves
and and dorsal branches of the posterior intercostal arteries and veins
Indications Rib pain icterus jaundice bitter mouth taste liver and gallbladder
diseases pulmonary tuberculosis tidal fever

PishuBL20
Back transport point of the spleen
vertebra TColor Fig
Layers of Dissection Skin subcutaneous tissue latissimus dorsi inferior posterior
serratus muscle erector spinae muscles T here are medial cutaneous branches of the posterior
branches of thoracic nerves and and arteries and veins in the superficial layer In the deep
layer are muscular branches of the posterior branches of thoracic nerves and and dorsal
Indications A bdominal distension loss of appetite vo miting diarrhea dysentery blood
in the stoolhemafecia edema spleen sto mach and intestinal diseases back pain
WeishuBL21
Back transport point of the stomach
355
vertebra TColor Fig
Layers of Dissection Skin subcutaneous tissue superficial layer of the thoracolumbar
fascia and aponeurosis of latissimus dorsi erector spinae muscles T here are cutaneous
branches of the posterior branches of thoracic nerve and lumbar nerve and arteries and
veins in the superficial layer M uscular branches of the posterior branches of thoracic nerve
and lumbar nerve and branches of the arteries and veins are in the deep layer
Indications Epigastric pain vo miting abdo minal distension borboryg mus sto mach
diseases
Needling Oblique insertion cun

ShenshuBL23
Back transport point of the kindey
Location cun lateral to the lo w er border of the spinous process of the nd lumbar
vertebra LColor Fig
Layers of Dissection Skin subcutaneous tissue aponeurosis of latissimus dorsi and the
superficial layer of the thoracolumbar fascia erector spinal muscle T here are cutaneous
branches of the posterior branches of lumbar nerve and and arteries and veins in the
superficial layer In the deep layer are muscular branches of the posterior branches of lumbar
nerves and and dorsal branches of the lumbar arteries and veins
Indications Dizziness tinnitus deafness lumbago kidney deficiency syndromes enuresis
nocturnal emissions impotence premature ejaculation infertility sterility urogenital system
diseases irregular menstruation leucorrhea ascites

DachangshuBL25
Back transport point of large intestine
Location cun lateral to the lo w er border of the spinous process of the th lumbar
vertebra LColor Fig
Layers of Dissection Skin subcutaneous tissue superficial layer of the thoracolumbar fascia
erector spinal muscle There are cutaneous branches of the posterior branches of lumbar nerves and
and arteries and veins in the superficial layer Muscular branches of the posterior branches of lumbar
nerve and and branches of the arteries and veins are in the deep layer
Indications Pain in the lumbar area and lo w er extremities abdominal distension
diarrhea constipation stomach and intestinal diseases

CiliaoBL32
C rossing p oint o f the B L and G B mer i dians
Location On the second posterior sacral foramenColor Fig
Layers of Dissection Skin subcutaneous tissue erector spinal muscle posterior sacral
foramina T here are middle cluneal nerves in the superficial layer In the deep layer are sacral
356
nerve and posterior branches of the lateral sacral arteries and veins
Indications Irregular menstruation leukorrhea dysmenorrhea dysuria nocturnal
emissions hernia pain in the lu m bosacral area lo w er back and leg

Cheng f uBL36
Location Right in the middle of the inferior cluneal t ransverse creaseColor Fig
Layers of Dissection Skin subcutaneous tissue gluteus maximus long head of biceps
femoris and semitendinosus Branch of the posterior cutaneous nerve of the thigh and the
inferior cluneal nerves are in the superficial layer In the deep layer are the trunk of the
posterior cutaneous nerve of the thigh the ischiadic nerve and arteries and veins
Indications Pain in the w aist sacrum buttock and thigh hemorrhoids
WeizhongBL40
H esea and earth point lo w er H esea point
Location On the back of the knee midpoint of the popliteal fossa in the depression
bet w een biceps femoris and semitendinosusColor Fig
Layers of Dissection Skin subcutaneous tissue bet w een the medial and lateral heads of
the gastrocnemius Branches of the posterior cutaneous nerve of the thigh and the small
saphenous vein are in the superficial layer T he tibial nerve the popliteal artery and vein and the
sural arteries are in the deep layer
Indications Lumbar pain paralysis of the lower extremities and other leg diseases abdominal
pain acute diarrhea dysuria enuresis erysipelas
Needling Perpendicular insertion cun or prick to bleed During the acupuncture
process practitioner should not insert the needle too much quickly strongly and deep in order
to avoid injury of vessel and nerve
ZhibianBL54
Location cun lateral to the lo w er border of the spinous process of the th sacral vertebra
SColor Fig
Layers of Dissection Skin subcutaneous tissue gluteus maximus gluteus medius
gluteus minimus T he middle and inferior cluneal nerves are in the superficial layer T he
superior and inferior gluteal artery and vein and the superior and inferior gluteal nerve are in
the deep layer
Indications Pain in the lumbosacral area paralysis of the lo w er extremities and other
diseases of the legs and lumbus dysuria constipation hemorrhoids vulvitis

ChengshanBL57
Location On the lo w er leg in a depression belo w the bellies of the gastrocnemius muscle
mid w ay bet w een W ei z hongBLand K unlunBLColor Fig
Layers of Dissection Skin subcutaneous tissue gastrocnemius soleus muscle T he
357
small saphenous vein and medial cutaneous nerve of the calf are in the superficial layer T he
tibial nerve and posterior tibial arteries and veins are in the deep layer
Indications Pain and stiffness in the lumbar area and lo w er extremities hemorrhoids
constipation

KunlunBL60
Location Behind the ankle joint in the depression bet w een the tendo calcaneus Achilles
and the apex of the lateral malleolus level with the apex of the lateral malleolus Color Fig
Layers of Dissection Skin subcutaneous tissue peroneus brevis loose connective tissue
in front of calcaneal tendon T he sural nerve and small saphenous vein are in the superficial
layer In the deep layer are branches of the fibular artery and veins
Indications Headache stiff neck pain in the lumbosacral area leg and ankle diseases
epilepsy prolonged labour
Needling Perpendicular insertion cun It is forbidden for pregnant w oman and
should pay more attention during menstruation

ZhiyinBL67
Location On the dorsal aspect of the little toe about cun from the lateral corner of the
base of the lit tle toenailColor Fig
Layers of Dissection Skin subcutaneous tissue nail root T he dorsal digital nerves of the
foot lateral dorsal cutaneous nerve and rete of the dorsal digital arteries and veins are in this
area
Indications M alpositioning of the fetus prolonged labour headache eye pain nasal
obstruction epistaxis
Needling Shallo w inser tion and use mo xibustion w hen dealing with malpositioning of the
fetus

MeichongBL3
Directly above Zan z hu aka Cuan z huBL cun w ithin the anterior hairline level with
ShentingG V
Indications Headache dizziness nasal obstruction epistaxis

QuchaBL4
On the head cun directly above and cun lateral to the midpoint of the anterior
hairline just at the junction of the internal and medial of the distance from S henting
G Vto T ou w eiS T
Indications Headache dizziness nasal obstruction epistaxis
WuchuBL5
358
hairline
Indications Headache dizziness epilepsy

ChengguangBL6
hairline
Indications Headache dizziness nasal obstruction febrile disease

TongtianBL7
cun above the anterior hairline cun lateral to the midline
Indications Headache dizziness nasal obstruction epistaxis rhinorrhea and other nasal
problems
LuoqueBL8
hairline
Indications Dizziness blurred vision tinnitus
YuzhenBL9
cun lateral to the depression superior to the external occipital protuberance cun
superior to Feng f u G V
Indications Pain in the neck and nape eye pain nasal obstruction
JueyinshuBL14
Back transport point of the pericardium
cun lateral to the lo w er border of the spinous process of the th thoracic vertebra
Indications Cardiac pain palpitations bronchitis chest distress vomiting

DushuBL16
Indications Cardiac pain chest distress chills and fever asthma abdominal distension
abdominal pain borborygmus hiccups

San j iaoshuBL22
Back transport point of triple energizer
cun lateral to the lo w er border of the spinous process of the st lumber vertebra L
Indications Borborygmus abdominal distension vomiting dysentery retention of urine
edema pain and stiffness in the lower back

QihaishuBL24
cun lateral to the lo w er border of the spinous process of the rd lumber vertebra L
Indications Borboryg mus abdominal distension dysmenorrhea lo w er back pain
GuanyuanshuBL26
cun lateral to the lo w er border of the spinous process of the th lumber vertebra L
359
Indications A bdominal distension diarrhea lo w er back pain frequent micturition or
retention of urine
XiaochangshuBL27
Back transport point of small intestine
cun lateral to the midline level with the st posterior sacral foramen
Indications Enuresis seminal emissions urodynia hematuria leukorrhagia diarrhea
dysentery hernia lo w er back pain

PangguangshuBL28
cun lateral to the midline just level with the nd posterior sacral foramen
Indications Retention of urine enuresis lo w er back pain diarrhea constipation

ZhonglushuBL29
cun lateral to the midline just level with the rd posterior sacral foramen
Indications Diarrhea hernia lo w er back pain
BaihuanshuBL30
cun lateral to the midline just level with the th posterior sacral foramen
Indications Enuresis seminal emission irregular menstruation leukorrhagia hernia
lo w er back pain
ShangliaoBL31
On the st posterior sacral foramen midw ay bet w een the lo w er border of the posterior
superior iliac spine and the midline
Indications Retention of urine constipation irregular menstruation leukorrhagia
prolapse of the uterus seminal emission impotence lo w er back pain

ZhongliaoBL33
On the rd posterior sacral foramen
Indications Constipation diarrhea retention of urine irregular menstruation leukorrhagia
lower back pain
XialiaoBL34
On the th posterior sacral foramen
Indications A bdominal pain constipation retention of urine leukorrhagia lo w er
back pain
HuiyangBL35
cun lateral to governor vessel level with the tip of the coccyx
Indications Hemorrhoids diarrhea impotence leukorrhagia
YinmenBL37
On the posterior thigh in the depression bet w een the hamstrings cun belo w Cheng f u
BL on the line connecting Cheng f uB Land W ei z hongBL
Indications Lo w er back pain motor impair ment of the lo w er extremity

FuxiBL38
A t the lateral end of the popliteal transverse crease cun above W ei y angBL on the
360
medial side of the tendon of biceps femoris
Indications Pain and numbness in the femoral and popliteal regions constipation
WeiyangBL39
Lo w er hesea point of t riple energizer
On the back of the knee to w ards the lateral end of the popliteal fossa in the depression
medial to the biceps femoris tendon
Indications A bdominal fullness retention of urine stiffness and pain in the lo w er
back cramping of the leg and foot

Fu f enBL41
cun lateral to the lo w er border of the spinous process of the nd th oracic vertebra
Indications Stiffness and pain in the shoulder back and nape numbness of the elbo w and
ar m
PohuBL42
cun lateral to the lo w er border of the spinous process of the rd thoracic ver tebra T
Indications Bronchitis asthma pulmonary tuberculosis neck rigidity pain in the
shoulder and back
GaohuangBL43
cun lateral to the lo w er border of the spinous process of the th thoracic vertebra T
Indications Bronchitis asth ma pulm onary tuberculosis pain in the scapula region
poor mem ory seminal emissions nigh t s w eat

ShentangBL44
Indications Bronchitis asth ma chest oppression and other diseases of the lung and
chest pain and stiffness in the back

YixiBL45
Indications Bronchitis asth ma pain in the back and shoulder malaria febrile
disease
GeguanBL46
Indications chest oppression eructation vomiting stiffness and pain in the back
HunmenBL47
Indications Pain in the chest and hypochondrium back pain vomiting diarrhea
YanggangBL48
Indications Borboryg mus abdo minal pain diarrhea jaundice diabetes
YisheBL49
361
Indications A bdo minal distension borboryg mus vomiting diarrhea and other stomach and
intestinal disorders
WeicangBL50
Indications Pain in the epigastric region abdominal distension infantile dyspepsia edema
backache
HuangmenBL51
cun lateral to the lo w er border of the spinous process of the st thoracic vertebra L
Indications Pain in the epigastric region abdo minal masses constipation mam mary
diseases
ZhishiBL52
cun lateral to the lo w er border of the spinous process of the nd lumbar vertebra L
Indications seminal emissions impotence retention of urine edema pain and
stiffness in the lo w er back

BaohuangBL53
cun lateral to the median sacral crest level w ith the nd posterior sacral foramen
Indications Borboryg mus abdominal distension constipation and other stomach and
intestine disorders dysuria pain and stiffness in the lo w er back

HeyangBL55
cun directly belo w WeizhongBL
Indications Pain and stiffness in the lo w er back pain numbness and flaccidity in the
lo w er extremities hernia metrorrhagia and metrostaxis

Cheng j inBL56
A t the midpoint of a line draw n from H ey angBL to ChengshanB L in the middle
of the venter musculi of gastrocnemius
Indications Contracture and pain in the lo w er back and legs hemorrhoids

FeiyangBL58
On the lo w er leg cun above K unlun B L cun inferior and lateral to Chengshan
BL
Indications Headache dizziness pain in the waist and lower extremities hemorrhoids
FuyangBL59
X icleft point
On the lo w er leg cun above K unlunBL
Indications Pain in the lumbosacral region flaccidity and numbness of the lo w er
362
extremities pain and sw elling in the lateral malleolus headache

PucanBL61
On the lateral side of the foot directly belo w K unlun BL at the junction of the red
w hite skin
Indications Flaccidity and numbness of the lower extremities pain in the heels epilepsy
ShenmaiBL62
Confluent point of yang heel vessel
On the lateral side of the foot in the depression belo w the lateral malleolus and posterior
to the peroneal tendons
Indications Headache vertigo manic depressive disorders epilepsy insomnia aching pain
in the lower back and legs

JinmenBL63
X icleft point
On the lateral side of the foot anterior and inferior to the lateral malleolus in the
depression posterior to the base of the th metatarsal protuberance on the lo w er border of the
cuboid bone
Indications Headache flaccidity and numbness in the lo w er extremities pain and
s w elling in the lateral malleolus Bi syndrome epilepsy infantile convulsions

JingguBL64
Yuansource point
On the lateral side of the foot in the depression anterior and inferior to the base of the th
metatarsal protuberance at the junction of the red and w hite skin
Indications Headache neck rigidity pain in the lo w er back and leg epilepsy
ShuguBL65
On the lateral side of the foot in the depression posterior and inferior to the head of the
th metatarsal at the junction of the red and w hite skin
Indications Headache neck rigidity dizziness pain in the lower back and legs epilepsy
ZutongguBL66
On the lateral side of the foot in the depression on the anterior and inferior to the th
metatarsophalangeal joint at the junction of the red and w hite skin

Indications Headache neck rigidity epistaxis epilepsy
3 1 8 The KidneyKI Meridian of Foot Shaoyin

T his meridian goes from the foot to the abdomen and has a total of acupoints T he first
point is Yongquan KI and the last one is Shu f u KI Primary indications include diseases
of the urogenital respiratory and nervous systems Seminal emissions impotence premature
363
ejaculation edema urine retention bedw et ting asth ma cough faucitis insomnia tinnitus
deafness vertigo backache due to kidney dysfunctia andor deficiency
T his meridian begins at the inferior aspect of the small toe and runs obliquely to w ards the
sole Running behind the medial malleolus it enters the heel and goes further up w ard along the
posteromedial aspect of the leg to w ards the vertebral column w here it enters the kidney its
associated organ and connects with the bladder T he straight portion of the meridian ascends to
the liver and enters the lung then running along the throat it ter minates at the root of the
tongue One branch links with the pericardium meridianColor Fig
T he kidney meridian of foot shaoy in begins at the inferior aspect of the little toe and runs
obliquely to w ards the sole Yongquan KI It emerges from the lo w er aspect of the navicular
tuberosity and runs behind the medial malleolus w here it enters the heel from there it ascends
along the medial aspect of the leg to the medial border of the popliteal fossa w here it goes
further up w ard along the posteromedial aspect of the thigh to w ards the vertebral column
ChangqiangG V It is there that it enters the kidney its associated or gan and connects
with the bladder
T he straight portion of the meridian reemerges from the kidney ascends and passes
through the liver and diaphragm it enters the lung runs along the throat and ter minates at the
root of the tongue
A branch springs from the lung joins the heart and runs into the chest to link with the
pericardium meridian of hand jueyin
YongquanKI1
Location On the sole of the foot in the depression bet w een the nd and rd metatarsals
w hen the toes are plantar flexed at the junction bet w een anterior onethird and posterior t w o
third of the solethe length of the toe is not includedColor Fig
Layers of Dissection Skin subcutaneous tissue plantar aponeurosis co m mon plantar
digital nerve of toe second lumbrical muscle T here are branch of the medial plantar nerve
in the superficial layer T he com mon plantar digital nerve of toe and the com mon plantar
arteries and veins are in the deep layer
Indications Coma sunstroke vomiting in children induced by fright insanity epilepsy
headache dizziness blurred vision insomnia hemoptysis sore throat paralysis of the
larynxlaryngoplegia and other lung diseases constipation dysuria BenT un running
piglet qi heat sensations in the five centersfivepalm heat
Needling Perpendicular insertion cun M oxibustion or drug pasting is applicable to
keep evil influence do w n w ards

TaixiKI3
364
Location In the depression bet w een the tip of medial malleolus and tendo calcaneus
Achilles level with the apex of the malleolusColor Fig
Layers of Dissection Skin subcutaneous tissue among the tendon of tibialis posterior
the tendon of flexor hallucis longus calcaneal Achilles tendon and the tendon of the plantar
muscle T he medial crural cutaneous branch of the saphenous nerve and branch of the great
saphenous vein are in the superficial layer T he tibial nerve and posterior tibial arteries and
veins are in the deep layer
Indications Headache blurred vision insomnia amnesia nocturnal emissions impotence
asthenia of kidney diseases sore throat tinnitus deafness toothache and other sense organs diseases
due to the yin deficiency cough dyspnea chest pain lung diseases diabetes frequent micturition
irregular menstruation pain along the spinal column and cold of lower extremities
FuliuKI7
Location On the medial side of the lo w er leg cun directly above T ai x i KI on the
anterior border of the Achilles tendonColor Fig
Layers of Dissection Skin subcutaneous tissue anterior to the tendon of the plantar
muscle and calcaneal Achilles tendon flexor hallucis longus T he medial crural cutaneous
branch of the saphenous nerve and branches of the great saphenous vein are in the superficial
layer T he tibial nerve and the posterior tibial arteries and veins are in the deep layer
Indications Edema sw eating disorders abdo minal distension diarrhea stomach and
intestinal diseases lumbar stiffnessrigidity paralysis of the lo w er ex tremities


RanguKI2
On the medial side of the foot in the depression distal and inferior to the navicular
tuberosity at the junction of the red and w hite skin
Indications irregular menstruation prolapse of uterus pruritus vulvae gonorrhea
seminal emissions impotence retention of urine hemoptysis sore throat diabetes
diarrhea infantile omphalitis and tetanus lockjaw

DazhongKI4
On the posterioinferior part of the medial malleolus approximately cun posterior to
the midpoint of a line draw n from T ai x i KIt o S huiquan KI on the anterior border of the
Achilles tendon
Indications dementia retention of urine enuresis constipation irregular mens
truation hemoptysis asth ma pain in the lo w er back pain in the heel

ShuiquanKI5
X icleft point of the kidney meridian
365
cun belo w T ai x iKI on the medial border of the calcaneus
Indications Irregular menstruation dysmenorrhea amenorrhea prolapse of the uterus dysuria

ZhaohaiKI6
Confluent point of y in heel vessel
In the depression directly belo w the medial malleolus in the groove for med by the t w o
ligament bundles
Indications Insomnia epilepsy sore throat redness with swelling of the eye irregular
menstruation leukorrhagia prolapse of the uterus and other gynaecological problems frequent
micturition retention of urine

JiaoxinKI8
X icleft point of y in heel vessel
cun above T ai x i KI cun anterior to FuliuKI posterior to the medial border of
the tibia
Indications Irregular menst ruation metrorrhagia and metrostaxis prolapse of the
uterus pruritus vulvae hernia stranguriasyndrome diarrhea constipation dysentery

ZhubinKI9
X icleft point of y in link vessel
On the medial side of the lo w er leg cun above T ai x i KI on the line bet w een T ai x i
KIand Yingu KI belo w the belly of the gastrocnemius

leg
Indications Epilepsy and mania hernia vomiting pain in the medial aspect of the
YinguKI10
At the medial end of the popliteal crease between the semitendinosus and semimembranosus
tendons when the knee is flexed
Indications Epilepsy and mania impotence dysuria irregular menstruation metrorrhagia and
metrostaxis pain in the medial aspect of the leg and knee

HengguKI11
cun belo w the umbilicus cun lateral to the anterior median line
Indications Fullness and pain in the lower abdomen dysuria enuresis seminal emissions
impotence hernia
DaheKI12
cun belo w the umbilicus cun lateral to the anterior midline
Indications seminal emissions impotence leukorrhagia prolapse of uterus

QixueKI13
Indications BenTun run vital energy running piglet qi irregular menstruation
leukorrhagia dysuria diarrhea
366
SimanKI14
Indications Irregular menstruation metrorrhagia and metrostaxis leukorrhagia seminal
emissions enuresis pain in lower abdomen hernia abdominal masses constipation edema
ZhongzhuKI15
cun belo w the umbilicus anterior midline
Indications Irregular menstruation abdominal pain constipation diarrhea

HuangshuKI16
A t the middle part of the abdomen cun lateral to the cent re of the umbilicus
Indications A bdo minal pain abdominal distension constipation diarrhea irregular
menstruation hernia
ShangquKI17
cun above the umbilicus cun lateral to the anterior midline
Indications Stomachache abdominal pain abdominal distension constipation diarrhea
and other stomach and intestine disorders abdominal mass

ShiguanKI18
Indications Stomachache vomiting abdominal pain abdominal distension constipation
and other stomach and intestine disorders sterility

YinduKI19
Indications Stomachache abdo minal distension constipation and other stomach and
intestine disorders
TongguKI20
Indications Stomachache vomiting abdominal pain abdominal distension vomiting and
other stomach and intestine disorders cardiac pain palpitation chest pain
YoumenKI21
Indications A bdominal pain abdominal distension vomiting diarrhea and other sto mach
and intestine disorders

BulangKI22
In the th intercostals space cun lateral to the anterior midline
Indications Chest pain bronchitis asthma mam mary abscess

Shen f engKI23
In the th intercostals space cun lateral to the anterior midline
Indications Fullness sensation in the chest and hypochondrium bronchitis asthma mammary
abscesses vomiting
LingxuKI24
367
In the rd intercostals space cun lateral to the anterior midline
Indications Fullness sensation in the chest and hypochondrium bronchitis asthma mammary
abscesses vomiting
ShencangKI25
In the nd intercostals space cun lateral to the anterior midline
Indications Fullness sensation in the chest and hypochondrium bronchitis asthma vomiting
YuzhongKI26
In the st intercostals space cun lateral to the anterior midline
Indications Fullness sensation in the chest and hypochondrium bronchitis asthma and
other lung problems

Shu f uKI27
On the lo w er border of the clavicle cun lateral to the anterior midline
Indications Bronchitis asthma chest pain
3 1 9 PericardiumPC Meridian of Hand Jueyin

T his meridian goes from the chest to the hand and has a total of acupoints T he first
point is T ianchi PC the last one is Zhongchong PC T he primary indications include
cardiovascular and mental diseases such as angina pectoris arrhyth mia coma acrotismabsent
andor imperceptible pulse sto mach problems vomiting and spasms of the diaphrag m
T his meridian originates in the chest It pertains to the pericardium and descends to
connect with the triple energizer meridian One branch arising from the chest ascends to the
axilla then passes through the middle of the medial aspect of the upper ar m Entering the palm
it ter minates at the end of the middle finger A nother branch links with the t riple meridian
Color Fig
T he pericardiu m meridian of hand j uey in originates at the chest W hen it emerges it
enters its associated organ the pericardiu m then it descends th rough the diaph rag m to
connect successively w ith the upper middle and lo w er energizer fro m the chest to the
abdo men
A branch arises from and runs inside the chest it emerges from the costal region at a point
cun belo w the axilla T ianchiPCand ascends to the axilla Follo wing the medial aspect of
the upper ar m it runs bet w een the lung meridian of hand tai y in and the heart meridian of hand
shaoy in to the cubital fossa there it runs further do w n w ard to the forear m bet w een the tendons
of palmaris longus and flexor carpi radialis w here it enters the palm Finally it passes along the
middle finger ter minating at its tip Zhongchong PC
A nother branch arises from the palm at L aogongPC runs along the ring finger to its tip
Guanchong T Eand links w ith the t riple energizer meridian of hand shaoy ang
368

QuzePC3
Location On the transverse cubitalelbo w crease in the depression on the ulnar side of
the tendon of the biceps brachii muscleColor Fig
Layers of Dissection Skin subcutaneous tissue median nerve brachialis muscle T he
median cubital vein and medial cutaneous nerve of the forearm are in the superficial layer In the
deep layer are the brachial arteries and veins rete composed of the anterior branch of the
recurrent ulnar arteries and veins anterior branch of the inferior collateral ulnar arteries and
veins and the trunk of the median nerve
Indications Precordial pain palpitations susceptibility to fright and other heart diseases
stomachache vomiting hematemesis stomach febrile diseases pain located on the medial
side of the elbo w
Needling Perpendicular insertion cun Prick to bleed to treat acute vomiting and
diarrhea
NeiguanPC6
L uoconnecting point confluent point of the y in link vessel
Location On the flexor co mpart ment of the forear m cun above the most distal transverse
crease of the w rist D alingPC in bet w een the t w o tendons of the palmaris longus muscle and
flexor carpi radialis muscleColor Fig
Layers of Dissection Skin subcutaneous tissue bet w een the tendon of flexor carpi
radialis radial and the tendon of palmaris longus flexor digitorum superficialis flexor
digitorum profundus pronator quadratus T he medial and lateral cutaneous nerves of the
forear m and median antebrachial vein are in the superficial layer T he median nerve artery and
veins lain among flexor digitorum superficialis flexor pollicis longus and flexor digitorum
profundus are in the deep layer T he anterior interosseous artery and veins and anterior
interosseous nerve are in front of the interosseous membrane of the forear m
Indications T achycardia or bradycardia angina pectoris precordialin front of the hear t
pain chest oppression stomachache vomiting hiccups apoplexy inso mnia depressive
syndrome insanity epilepsy dizziness syndro me pain located on the medial side of elbo w
Needling Perpendicular or oblique insertion cun up w ards
DalingPC7
Location In the middle of the most distal transverse crease of the w rist bet w een the
tendons of palmaris longus and flexor carpi radialis level with S henmen H TColor Fig
Layers of Dissection Skin subcutaneous tissue bet w een the tendon of palmaris longus
and the tendon of flexor carpi radialis among the tendon of flexor pollicis longus the tendons
of flexor digitorum superficialis and flexor digitorum profundus T he medial and lateral
cutaneous nerve of the forear m palmar branch of the median nerve and palmar carpometacarpal
369
venous rete are in the superficial layer T he median nerve palmaris longus and flexor carpi
radialis are in the deep layer
Indications Precordial pain palpitations pain and fullness in the chest and hypochondria
region stomachache vomiting foul breath and other stomach disorders insanity epilepsy
mental disorders contracture and pain of the ar m

TianchiPC1
In the th intercostal space cun lateral to the nipple
Indications Bronchitis asth ma obstruction of the chest chest pain and other diseases of
the lung and heart mam mary abscesses scrofula and acute mastitis
TianquanPC2
cun directly belo w the anterior end of the axillary fold just bet w een the long and short
heads of biceps brachii
Indications Precordial pain bronchitis distension and pain in the chest and hypochondrium and
other diseases of the lung and heart pain in the back and chest pain in the medial aspect of the arm
XimenPC4
X icleft point
On the flexor compart ment of the forear m cun above the transverse crease of the w rist
Daling PC on the line connecting Qu z e PC to Daling PC bet w een the tendons of
palmaris longus and flexor carpi radialis
Indications Precardial pain palpitations chest pain hematemesis hemoptysis furuncles
epilepsy
JianshiPC5
On the flexor compart ment of the forear m cun above the transverse crease of the w rist
DalingPC bet w een the tendons of palmaris longus and flexor carpi radialis
Indications Precardial pain palpitations sto machache vomiting febrile disease
malaria epilepsy and mania

LaogongPC8
Bet w een the nd and rd metacarpal bones in the depression on the radial side of the rd
metacarpal w here the tip of the middle finger touches w hen the fist is clenched
Indications Stroke and coma sunstroke precordial pain epilepsy and mania canker
sore and halitosis tinea of the hands

ZhongchongPC9
A t the center of the tip of the middle finger
Indications Stroke and coma sunstroke stiffness pain and s w elling of the tongue
370
unconsciousness infantile convulsions
3 1 10 Triple EnergizerTE Meridian of Hand Shaoyang
T his meridian goes from the hand to the head and has a total of acupoints T he first is
Guanchong T Eand the last is S i z hukong T E Primary indications include diseases of the
ear the lateral side of the head and the hypochondria others are the eye and throat E xamples
are tinnitus deafness otitis media conjunctivitis myopia sore throat fever and pain located on
the lateral side of the hand and shoulder
T his meridian starts at the tip of the ring finger and runs up w ards in the middle of the
dorsal aspect of the upper ex tremity to the shoulder T hen it winds over to the supraclavicular
fossa and connects with the pericardium One branch originates at the chest w here it runs up
ascending the neck along the posterior border of the ear until it reaches the upper corner of the
ear T hen it runs do w n w ards to the cheek ter minating in the infraorbital region A nother
branch connects with the gallbladder meridianColor Fig
T he triple energizer meridian of hand shaoyang originates at the tip of the ring finger
Guanchong T E it run up w ards bet w een the th and th metacarpals along the dorsal aspect
of the w rist to the lateral aspect of the forear m bet w een the radius and ulna A scending through
the olecranon and going along the lateral aspect of the upper ar m it reaches the shoulder region
w here it crosses behind the gallbladder meridian of foot shaoy ang Winding over to the
supraclavicular fossa it spreads in the chest to connect w ith the pericardium It then descends
through the diaphrag m to the abdo men and joins its associated organ the upper middle and
lo w er Energizeri e san j iao
A branch originating from the chest runs up w ards w here it emerges from the
supraclavicular fossa from there it ascends the neck running along the posterior border of the
ear and further to the corner of the anterior hairline T hen it runs do w n w ards to the cheek and
ter minates in the infraorbital region
T he auricular branch arises from the retroauricular region and enters the ear w here it
emerges in front of the ear crosses the previous branch at the cheek and reaches the outer
canthus S i z hukong T Eto link with the gallbladder meridian of foot shaoyang
GuanchongTE1
Location On the dorsal aspect of the lit tle finger about cun from the corner of the base
of the nail on the ulnar side of the ring fingerColor Fig
the proper palmar digital nerve of the ulnar nerve and rete of the dorsal digital branch of the
proper palmar digital arteries and veins are in the subcutaneous tissue
371
Indications Headache redness with swelling of the eye deafness tinnitus laryngoplegia stiff
tongue and other facial problems or disorders of the five sense organs febrile diseases sunstroke
Needling Shallo w insertion cun or prick to bleed with a threeedged needle
ZhongzhuTE3
Location On the dorsum of the hand in the depression proximal to the th and th
metacarpophalangeal jointsColor Fig
Layers of Dissection Skin subcutaneous tissue interosseous dorsalis T he dorsal
digital nerves of the ulnar nerve and the ulnar part of the dorsal venous rete of the hand are in
the superficial layer In the deep layer is the dorsal metacarpal artery
Indications Headache redness with swelling of the eye deafness tinnitus laryngoplegia and
other facial problems or disorders of the five sense organs febrile diseases aching of the shoulder
and arm numbness of the little finger
Needling Perpendicular or oblique insertion cun
WaiguanTE5
L uoconnecting point confluent point of yang link vessel
Location cun above the transverse crease on the back of the w rist YangchiS T in the
depression bet w een the ulnar and radius closer to the radial borderColor Fig
Layers of Dissection Skin subcutaneous tissue ex tensor digiti minimi and ex tensor
digitorum extensor pollicis longus and ex tensor indicis T he posterior cutaneous nerve of the
forear m and branch of the cephalic and basilic vein are in the superficial layer T he posterior
interosseous arteries and veins and the posterior interosseous nerve are in the deep layer
Indications Febrile diseases headache redness with sw elling and pain of the eye
deafness tinnitus and other facial problems or disorders of the five sense organs scrofula
hypochondriac pain motor impair ment of the upper extremities
ZhigouTE6
Location cun above the transverse crease on the back of the w rist Yangchi T E
bet w een the ulnar and radius close to the radial borderColor Fig
Layers of Dissection Skin subcutaneous tissue ex tensor digiti minimi ex tensor pollicis
longus interosseous membrane of the forear m T he posterior cutaneous nerve of the forear m
and branches of the cephalic and basilic vein are in the superficial layer T he posterior
interosseous arteries and veins and the posterior interosseous nerve are in the deep layer
Indications Constipation deafness tinnitus acute aphonia scrofula hypochondriac
pain febrile diseases

JianliaoTE14
Location T he depression for med w hen the ar m is abducted posterior and inferior to the
372
lateral ex tremity of the acromion posterior to J iany u LIColor Fig
Layers of Dissection Skin subcutaneous tissue deltoid teres minor teres major
tendon of latissimus dorsi T he lateral supraclavicular nerve is in the superficial layer T he
axillary nerve and posterior circumflex humeral arteries and veins are in the deep layer
Indications Diseases of the shoulder and lateral side of the hand
Needling Perpendicular or oblique insertion cun
Yi f engTE17
Crossing point of the T E and GB meridians
Location Behind the ear lobe in the depression bet w een the mastoid process and the
mandibleColor Fig
Layers of Dissection Skin subcutaneous tissue parotid gland T he great auricular nerve
and branch of the external jugular vein are in the superficial layer T he posterior auricular
artery and facial nerve are in the deep layer
Indications Deafness tinnitus deviation of the eye and mouth seborrheic der matitis
trismus s w ollen cheeks and other facial or oral diseases scrofula

ErmenTE21
Location In a depression for med w hen the mouth is opened anterior to and slightly
superior to the condyloid process of the mandibleColor Fig
Layers of Dissection Skin subcutaneous tissue parotid gland T he auriculotemporal
nerve anterior auricular branches of the superficial temporal arteries and veins and temporal
branches of the facial nerve are in this area
Indications Deafness tinnitus otorrhea toothache temporomandibular joint T M J
syndrome
Needling Perpendicular insertion cun with the mouth open

SizhukongTE23
Location A t the lateral end of the eyebro w in the depression on the supraorbital margin
Color Fig
Layers of Dissection Skin subcutaneous tissue orbicularis oculi T he supraorbital
nerve zygomatic and temporal branch of the facial nerve and the frontal branch of the
superficial temporal artery and vein are in this area
Indications Epilepsy headache blurred vision redness w ith s w elling and pain of the
eye t witching of the eyelids toothache
Needling H orizontal insertion cun

YemenTE2
In the w eb at the junction of the red and w hite skin bet w een the ring finger and little
finger
373
Indications Headache redness of the eye tinnitus deafness sw elling and pain in the
throat malaria pain in the hand and ar m

YangchiTE4
Yuansource point
On the dorsum of the w rist joint in the depression bet w een the tendons of ex tensor
digitorum com munis and ex tensor digiti minimi
Indications Redness with pain and s w elling of the eye deafness sw elling and pain in the
throat and other diseases of the five sense organs diabetes w rist pain pain in the shoulder
and ar m
HuizongTE7
X icleft point
cun above the t ransverse crease on the back of the w rist Yangchi T E level with the
ulnar side of Zhi gou T E in the depression bet w een the ulnar and the ex tensor digitorum
com munis muscle
Indications Deafness epilepsy contracture and pain in the upper limb

SanyangluoTE8
cun above the t ransverse crease on the back of the w rist in the depression bet w een the
radius and ulna on the radial side of the extensor digitorum com munis muscle
Indications Deafness sudden loss of voice toothache and other diseases of the five sense
organs pain in the hand and ar m

SiduTE9
A t the line joining Yangchi T Eand the tip of the elbo w cun belo w the tip of the elbo w
and bet w een the ulna and radius
Indications Deafness sudden loss of voice toothache sore throat and other diseases of
the five sense organs pain in the hand and ar m

Tian j ingTE10
In the depression cun proximal to the olecranon w hen the elbo w is flexed
Indications Deafness epilepsy scrofula goiter migraine pain in the hypochondrium and
costa neck nape shoulder and back pain

QinglengyuanTE11
With the elbo w flexed this point is located cun above T ian j ing T E
Indications Headache eye pain pain in the hypochondrium pain in the shoulder and ar m
XiaoluoTE12
A t the line draw n from J ianliao T E to T ian j ing T E cun above Qing leng y uan
T E
Indications Headache toothache pain in the neck and back

NaohuiTE13
Approximately t w o thirds the distance bet w een the line draw n bet w een T ian j ing T J
374
and J ianliao T E cun belo w J ianliao T E at the posterior border of the deltoid
muscle
Indications Scrofula goiter contracture and pain in the upper limb

TianliaoTE15
A t the midpoint of the line draw n from J ian j ingGBto Qu y uan SI at the superior
angle of the scapula
Indications Pain in the shoulder and ar m stiffness and pain in the neck
TianyouTE16
Directly under the posterior aspect of the mastoid process level with the angle of
mandible at the posterior border of sternocleido mast oideus
Indications Headache dizziness blurred vision stiffness of the neck sudden deafness
pain and sw elling of the throat epistaxis and other diseases of the head neck or the five sense
organs scrofula pain in the shoulder and back
ChimaiTE18
Just bet w een J iaosun T Eand Yi f eng T E at the junction of the middle and the
lo w er of the curve line alongthe helix
Indications Headache tinnitus deafness infantile convulsion

LuxiTE19
Just bet w een J iaosun T Eand Y i f eng T E at the junction of the upper and the
middle of the curve line alongthe helix
Indications Headache tinnitus deafness infantile convulsion

JiaosunTE20
A nterior to the auricle within the hairline of the temple directly above the tip of the ear
w hen the ear is folded for w ard
Indications Headache stiffness of the neck redness w ith pain and s w elling of the eye
cataract toothache s w elling of the cheek

ErheliaoTE22
Posterior to the temporal hairline level with the root of the auricle and at the posterior
border of the superior temporal artery
Indications Headache tinnitus trismus and w ry mouth
3 1 11 GallbladderGB Meridian of Foot Shaoyang

T his meridian goes from the head to the foot and it has a total of points T he first point
is T ong z iliaoGBand the last is Zuqiaoy in GB T he primary indications include diseases
of the head lateral side of the body liver and gallbladder E xamples migraine tinnitus
deafness eye diseases hepatitis cholecystitis

T his meridian starts at the outer canthus ascends to the corner of the forehead then curves
375
do w n w ards to the retroauricular region w ere it runs along the side of the neck in front of the
triple energizer meridian to the shoulder T urning back it traverses and passes behind the triple
energizer meridian do w n to the supraclavicular fossa T he straight portion of the meridian
descends from the supraclavicular fossa and passes along the lateral aspect of the chest to the
hip region T he interior branch of the meridian connects w ith the liver and enters its associated
organ the gallbladder It runs along the pubic area and goes transversely into the hip region
w here it joins with the superficial branch of the meridian Finally it descends along the lateral
aspect of the leg ter minating at the tip of the th toe One branch connects with the liver
meridianColor Fig
T he gallbladder meridian of foot shaoyang originates at the outer canthus T ong z iliao
GB w here it ascends to the corner of the forehead H any an GB then it curves
do w n w ards to the retroauricular region near Fengchi GB and runs along the side of the
neck in front of the triple energizer meridian of hand shaoyang to the shoulder T urning back
it traverses and passes behind the triple energizer meridian of hand shaoy ang do w n to the
supraclavicular fossa
T he retroauricular branch arises from the retroauricular region and enters the ear It then
comes out and passes the preauricular region to the posterior aspect of the outer canthus
T he branch arising from the outer canthus descends to D ay ing S Tand meets the triple
energizer meridian of hand shaoy ang in the infraorbital region Passing through J iacheS T it
descends to the neck and enters the supraclavicular fossa w here it meets another branch From
there it further descends into the chest passes through the diaphrag m to connect with the
liver and enter its associated or gan the gallbladder T hen it runs inside the hypochondriac
region w here it emerges fro m the lateral side of the lo w er abdomen near the femoral artery at
the inguinal area from there it runs superficially along the margin of the pubic hair and goes
transversely into the hip region at H uantiaoGB
T he straight branch of the meridian runs do w n from the supraclavicular fossa passes in
front of the axilla along the lateral aspect of the chest and through the floating ribs to the hip
region w here it meets the previous branch T hen it descends along the lateral aspect of the thigh
to the lateral side of the knee It continues do w n along the anterior aspect of the fibula all the
w ay to its lo w er end there it reaches the anterior aspect of the external malleolus X uan z hong
GB Finally it follo w s the dorsum of the foot to the lateral side of the tip of the th toe
Zuqiaoy in GB
T he branch on the dorsum of the foot springs from ZulinqiGB runs bet w een the first
and second metatarsals to the distal portion of the great toe and passes through the nail
ter minating at the hairy region Dadun LR w here it links with the liver meridian of foot
j uey in

TinghuiGB2
Location In a depression for med w hen the mouth is open bet w een the intertragic notch
376
anteriorly and the posterior margin of the mandibular condyloid processColor Fig
Layers of Dissection Skin subcutaneous tissue tendon of the masseter parotid capsule
parotid gland The auriculotemporal nerve and great auricular nerve are in the superficial layer The
superficial temporal arteries and veins and the plexus of the facial nerve are in the deep layer
Indications Deafness tinnitus otorrhea toothache deviation of the eye and mouth
Needling Perpendicular insertion cun the mouth should be kept slightly open
ShuaiguGB8
Location On the temple in a small depression cun directly above the apex of the ear
Color Fig
Layers of Dissection Skin subcutaneous tissue superior auricular muscle temporal
fascia temporalis T he auriculotemporal nerve greater occipital nerve and the parietal branch
of the superficial temporal arteries and veins are in this area
Indications Headache dizziness acute or chronic wind in children caused by fright

Needling Subcutaneous insertion cun
YangbaiGB14
Location On the forehead cun above the middle of the eyebro w directly above the pupil
w hen the eyes looking straight aheadColor Fig
Layers of Dissection Skin subcutaneous tissue venter frontalis T he lateral branch of
the supraorbital nerve and lateral branch of the supraorbital artery and vein are in this area
Indications Headache eye pain blurred vision t witching of the eyelids
Needling Subcutaneous insertion cun
FengchiGB20
Location Belo w the occiput in the depression mid w ay bet w een Feng f uG Vand W angu
GB at the upper part of the trapezius muscle and the sternocleidomastoidColor Fig
Layers of
Dissection Skin subcutaneous tissue bet w een
the
trapezius and
sternocleidomastoid head of the splenius head of semispinalis semispinalis capitis and the
superior oblique muscle of the head T he lesser occipital nerve and branches of the occipital
arteries and veins are in the superficial layer In the deep layer is the suboccipital nerve
Indications Apoplexy epilepsy headache dizziness tinnitus deafness and other diseases
caused by internal wind co mmon cold nasal obst ruction epistaxis allergic rhinitis redness
with s w elling and pain of the eye s deviation of the eye and mouth and other diseases
caused by ex ternal wind pain and rigidity of the nape
Needling Oblique and inferior insertion cun to w ards nose or horizontal needling
to w ards Feng f uG V
Caution T he medulla oblongata is deep to this acupoint pay attention to the angle and
depth w hen puncturing to avoid damaging the myelencephalon

Jian j ingGB21
Location Midw ay bet w een Da z huiG Vand the tip of the acromionColor Fig
Layers of Dissection Skin subcutaneous tissue trapezius levator scapulae T he
377
supraclavicular nerves and branches of the superficial cervical artery and vein are in the
superficial layer In the deep layer are branches of the t ransverse cervical artery and vein and
branches of the dorsal nerve of the scapula
Indications Pain and rigidity of the nape pain in the back and shoulder motor impairment of
the upper extremities dystociaslo w andor difficult labor or delivery mam mary abscesses
agalactia breast nodules scrofula
Caution Deep perpendicular insertions may penetrate the lung w hich is under the
acupoint resulting in a pneumothorax
Com mentary T his point is useful w hen combined with T ian z ong SI and Shao z e SI
for mastitis T o facilitate the discharge of lochiaafterbirth it is combined w ith moxibustion on

Zhong j iC V
RiyueGB24
Location On the anterior chest w all belo w the nipple in the th intercostal space cun
lateral to the midlineColor Fig
Layers of Dissection Skin subcutaneous tissue external obliques external intercostal
muscles T he lateral cutaneous branch of intercostals nerve and and arteries and veins
are in the superficial layer Intercostal nerve and the posterior intercostal arteries and veins
are in the deep layer
Indications Icterus jaundice distending pain in the hypochondria vomiting acid
regurgitation hiccups
Needling Oblique insertion cun Cannot deep needling lest damage the viscera
JuliaoGB29
Location On the lateral aspect of the hip the midpoint of the line bet w een the anterior
superior iliac spine and the apex of the greater trochanterColor Fig
Layers of Dissection Skin subcutaneous tissue fascia lata gluteus medius gluteus
minimus T he superior cluneal nerves and the lateral cutaneous branch of the iliohypogastric
nerve are in the superficial layer In the deep layer are branches of the superior gluteal arteries
and veins and the superior gluteal nerve
Indications Pain in the lumbar area and leg paralysis hernia pain in the lower abdomen
HuantiaoGB30
Location On the posterolateral aspect of the hip at the junction of the lateral and
medial of the distance bet w een the greater trochanter and the sacrococcy geal hiatusColor
Fig
Layers of Dissection Skin subcutaneous tissue gluteus maximus ischiadic sciatic
nerve quadratus femoris T he superior cluneal nerves are in the superficial layer T he
ischiadic nerve inferior gluteal nerve posterior cutaneous nerve of the thigh and the inferior
gluteal arteries and veins are in the deep layer
378
Indications Lumbosacral pain numbness and pain in the lateral aspects of the lo w er
extremities hemiplegia needle rash

FengshiGB31
Location On the lateral aspect of the thigh directly belo w the greater trochanter cun
above the popliteal creaseColor Fig
Layers of Dissection Skin subcutaneous tissue iliotibial band vastus lateralis vastus
inter medialis T he lateral cutaneous nerve of the thigh is in the superficial layer M uscular
branches of the descending branch of the lateral circumflex femoral artery and muscular
branches of the femoral nerve are in the deep layer
Indications N umbness and pain in the lateral aspects of the lo w er ex tremities paralysis
hemiplegia general pruritus

XiyangguanGB33
Location On the lateral side of the knee cun above Yang lingquan GB in the
depression superior to the lateral epicondyle of the femurColor Fig
Layers of Dissection Skin subcutaneous tissue posterior mar gin of the iliotibial band
anterior to the lateral head of the gast rocnemius T he lateral cutaneous nerve of the thigh is in
the superficial layer T he lateral superior genicular arteries and veins are in the deep layer
Indications Pain and stiffness in the popliteal fossa and knee paralysis of the leg knee
pain
YanglingquanGB34
H esea and earth point influencial point for tendonssinew s
Location Belo w the lateral aspect of the knee in the depression cun anterior and inferior
to the capitulumheadof the fibulaColor Fig
Layers of Dissection Skin subcutaneous tissue peroneus longus ex tensor longus T he
lateral cutaneous nerve of the calf is in the superficial layer T he anterior recurrent tibial artery
and vein branches of the lateral inferior genicular arteries and veins and branches of the
com mon fibular nerve are in the deep layer
Indications Icterus jaundice hypochondriac pain bitter mouth taste vomiting acid
regurgitation knee pain numbness and pain of the lateral aspects of the lo w er extremities
paralysis wind in children induced by fright
Needling Perpendicular or oblique insertion cun do w n w ards

GuangmingGB37
Location On the lateral aspect of the lo w er leg cun above the tip of the external
malleolus on the anterior border of the fibulaColor Fig
Layers of Dissection Skin subcutaneous tissue peroneus brevis anterior inter muscular
379
septum ex tensor digitorum longus interosseous membrane of leg tibialis posterior T he

superficial fibular nerve and lateral cutaneous nerve of the calf are in the superficial layer T he
deep fibular nerve and anterior tibial arteries and veins are in the deep layer
Indications Eye pain night blindness nyctalopia myopia presbyopia pain of the
chest and breast numbness pain of the lateral aspects of the lo w er ex tremities
XuanzhongGB39
Influencial point of marro w
Location A bove the ankle joint cun above the tip of the external malleolus on the
anterior border of the fibulaColor Fig
Layers of Dissection Skin subcutaneous tissue extensor longus interosseous
membrane of the leg T he lateral cutaneous nerve of the calf is in the superficial layer In the
deep layer are branch of deep fibular nerve N ote If the interosseous membrane of the leg is
punctured you may prick the fibular ar teries and veins
Indications Dementia apoplexy rigidity of the nape chest and hypochondriac pain and
fullness numbness and pain of the lateral aspects of the lo w er ex tremities

QiuxuGB40
Yuansource point
Location A t the ankle joint in the depression anterior and inferior to the external
malleolusColor Fig
Layers of Dissection Skin subcutaneous tissue extensor digitorum brevis lateral talo
calcaneal ligament tarsal sinus T he superficial dorsal veins of the foot lateral dorsal
cutaneous nerve inter mediate dorsal cutaneous nerve and lateral anterior malleolar arteries and
veins are in this area
Indications Redness with sw elling and pain of the eye corneal cloudiness pain of the
nape subaxillary s w elling chest and hypochondriac pain pain in the external malleolus foot
drop foot inversion

TongziliaoGB1
In the hollo w on the lateral side of the eye approximately cun lateral to the outer
canthus
Indications Headache redness w ith pain and s w elling of the eye and cataract
ShangguanGB3
A nterior to the ear in a small depression above the upper margin of the zygomatic arch
right above X iaguanS T
Indications Tinnitus deafness cerumen toothache facial pain deviation of mouth and
eye trismus
380
HanyanGB4
Within the temple at the junction of the upper and lo w er of the distance bet w een
T ou w eiS T and QubinGB
Indications Migraine vertigo epilepsy tinnitus pain in the outer canthus toothache
XuanluGB5
Within the temple midpoint bet w een T ou w ei S Tand QubinGB
Indications Migraine redness with pain and s w elling of the eye toothache
XuanliGB6
Within the temple at the junction of upper and lo w er of the distant bet w een
T ou w eiS Tand QubinGB
Indications Migraine redness with pain and s w elling of the eye tinnitus
QubinGB7
On the temple on a level with and anterior to the apex of the ear J iaosun T E
Indications H eadache toothache trism us s w elling of the cheek and other facial
problem s
TianchongGB9
cun within the hairline directly above the posterior border of the auricular root and cun
posterior to ShuaiguGB
Indications Headache epilepsy gingivitis

FubaiGB10
Posterior and superior to the mastoid process at the junction of the middle and upper
of the curved line joining T ianchongGBand W anguGB
Indications Headache tinnitus deafness toothache and other diseases of the head and
face goiter
TouqiaoyinGB11
Posterior to the ear in a depression on the lo w er one third of a curved line draw n from
W ang u GB and T ianchong GB parallel to the rim of the ear the triple energizer
meridian
Indications Headache ver tigo pain and stiffness of the neck and nape and other diseases
of the head and neck tinnitus deafness

WanguGB12
In the depression posterior and inferior to the mastoid process
Indications Epilepsy headache pain and stiffness of the neck and nape pain and
s w elling of the throat s w elling of the cheek toothache w ry mouth and other five sense organs
disorders
BenshenGB13
On the lateral part of the forehead cun within the anterior hairline cun lateral to
ShentingG V t w o thirds the distance bet w een S hentingG Vand T ou w eiS T

Indications Epilepsy infantile convulsion stroke headache dizziness
ToulinqiGB15
381
On the forehead cun w ithin the anterior hairline directly above Yangbai GB
mid w ay bet w een S hentingG Vand T ou w eiS T
Indications Headache pain in the eye dizziness dacryorrhea dim vision nasal
congestion infantile convulsion

MuchuangGB16
cun superior to the anterior hairline and cun lateral to the midline of the head
Indications Headache pain in the eye dizziness far sight myopia infantile convulsion
ZhengyingGB17
Indications Headache vertigo dizziness and other diseases of the head and eyes
ChenglingGB18
Indications Headache vertigo pain in the eye stuffy nose epistaxis
NaokongGB19
A bove the occipital ridge directly above Fengchi G V lateral to the ex ternal occipital
protuberance cun beside the posterior midline level with N aohuG V
Indications Febrile disease headache pain and stiffness of the neck and nape dizziness
redness with pain and swelling of the eye pain in the nose deafness and other five sense organs
disorders palpitations epilepsy

YuanyeGB22
A t the middle axillary line and cun belo w the axilla in the th intercostal space w hen the
ar m is lifted
Indications Fullness sensation in the chest pain and paraesthesia in the hypochondriac
region pain in the upper limb sw elling of the axilla pain in the back and shoulder
Zhe j inGB23
cun anterior to Yuany eGBand level w ith the nipple in the th intercostals space
Indications Fullness sensation in the chest asth ma vomiting and acid regur gitation
pain in the hypochondriac region sw elling of the axilla pain in the back and shoulder
JingmenGB25
Frontmu point of the kidneys
Belo w the lateral aspect of the ribcage anterior and inferior to the ex tremity of the th
rib cun posterior to Zhangmen LR
Indications Dysuria edema and other diseases due to the metabolic disorders abdominal
distension borborygmus diarrhea lumbago pain in the hypochondriac region

DaimaiGB26
A nterior and inferior to the free end of the th rib directly belo w Zhangmen LR and
level with the umbilicus
Indications Irregular menstruation amenorrhea leucorrhea hernia lumbago pain in
382
the hypochondriac region
WushuGB27
A nterior to the anterior superior iliac spine and cun belo w the level with the umbilicus
Indications Irregular menstruation prolapse of the uterus leucorrhea hernia lumbago
abdominal pain
WeidaoGB28
cun anterior and inferior to W ushuGB
Indications Irregular menstruation prolapse of the uterus leucorrhea hernia lumbago
abdominal pain
ZhongduGB32
A t the lateral portion of the thigh and cun directly belo w Fengshi GB or cun
superior to the transverse popliteal crease
Indications A trophic debility of the lo w er limb paralysis
Yang j iaoGB35
Xicleft point
cun directly above the top of the lateral malleolus and on the posterior border of the
fibula
Indications Epilepsy and mania clonic convulsions fullness in the chest and hypochondriac
region atrophical debility of the lower limb

WaiqiuGB36
X icleft point
On the lateral aspect of the lo w er leg cun above the lateral malleolus at the anterior
border of the fibula
Indications Epilepsy and mania fullness in the chest and hypochondriac region atrophic
debility of the lower limb

Yang f uGB38
On the lateral aspect of the lo w er leg cun above the lateral malleolus at the anterior
border of the fibula
Indications Migraine pain in the outer canthus pain and s w elling in the throat sw elling
in the axilla fullness and pain in the chest and hypochondriac region scrofula atrophic
debility of the lo w er limb
ZulinqiGB41
S hustream and w ood point confluent point of belt vessel
On the dorsum of the foot in the depression distal to the junction of the bases of the th
and th metatarsals on the lateral side of the tendon of extensor digitorum longus
Indications Migraine pain in the outer canthus pain in the hypochondriac region pain in
the dorsum of the foot irregular menstruation acute mastitis scrofula

DiwuhuiGB42
383
Posterior to the th metatarsophalangeal joint bet w een the th and th metatarsal bones
on the medial side of the tendon of ex tensor digiti minimi of the foot
Indications headache pain in the outer canthus pain in the hypochondriac region pain in
the dorsum of the foot deafness tinnitus acute mastitis

XiaxiGB43
Pro ximal to the margin of the w eb bet w een the th toe and th toes at the junction of the
red and w hite skin
Indications Palpitation headache vertigo s w ellin g of cheek tinnitus deafness
redness w ith pain of eye and other diseases of the face and five sense organs pain in the
h ypoch ondriac region pain in the knee and thigh pain in the dorsu m of the foot acute
mastitis febrile disease
ZuqiaoyinGB44
On the dorsum of the th toe about cun lateral to the corner of the base of the nail of
the th toe
Indications Headache swollen eyes tinnitus deafness redness with pain of the eye sore throat
and other heat syndromes of the five sense organs pain in the chest and hypochondriac region pain
in the dorsum of the foot
3 1 12 LiverLR Meridian of Foot Jueyin
T his meridian goes from the foot to the abdo men and it has a totally of acupoints T he
first point is Dadun LR and the last is Qimen LR T he primary indications include
diseases in the areas such as the top of the head lips lo w er belly ex ternal genitalia eyes liver
and gallbladder E xamples dysmenorrhea testitis headache facial paralysis biliary tract
infection chronic hepatitis
T his meridian starts at the big toe runs up w ard along the dorsum of the foot passes
through the anterior side of the medial malleolus ascending to an area cun above the medial
malleolus w here it runs across and behind the spleen meridian T hen it runs through the middle
of the medial side of the thigh curves around the ex ternal genitalia and rises into the lo w er
abdomen It then runs up w ard and curves around the stomach to enter the liver its associated
organ connects with the gallbladder and branches out in the costal and hypochondriac region
T hen it ascends along the posterior aspect of the throat and connects w ith the eye Running
further up w ard it emerges from the forehead One branch links with the lung meridian Color
Fig
T he liver meridian of foot j uey in starts at the dorsal hairs of the great toe Running
up w ard along the dorsum of the foot passing through a point cun in front of the medial
384
malleolus it ascends to an area cun above the medial malleolus w here it runs across and
behind the spleen meridian of foot tai y in T hen it runs further up w ard to the medial side of the
knee and along the medial side of the thigh to the pubic hair region w here it curves around the
external genitalia and goes up to the lo w er abdomen It then runs up w ard and curves around the
stomach to enter the liver its associated organ and connects with the gallbladder It continues
to ascend passing through the diaphrag m and branching out in the costal and hypochondriac
region T hen it ascends along the posterior aspect of the throat to the nasopharynx and connects
with theopthalmic systemthe area w here the eyeball links w ith the brain Running fur ther
up w ard it emerges from the forehead and meets the G V at the vertex A nother branch arises
from the liver it passes through the diaphrag m and flo w s into the lung and links with the lung
meridian of hand tai y in

DadunLR1
Location On the lateral side of the dorsum of the big toe cun posterior to the corner of
the base of the nailColor Fig
Layers of Dissection Skin subcutaneous tissue nail root T he lateral dorsal nerve of the
deep peroneal nerve and dorsal digital arteries and veins are in this area
Indications Hernia pain in the lo w er abdo men bedw etting urine retention five types
of strangury hematuria irregular menstruation metrorrhagia flaccid constriction of the
penis prolapse of the uterus epilepsy coma

TaichongLR3
Location On the dorsum of the foot in the depression distal to junction of the first and
second metatarsal bonesColor Fig
Layers of Dissection Skin subcutaneous tissue bet w een the tendon of ex tensor
digitorum longus and ex tensor hallucis longus lateral part of extensor hallucis brevis dorsal
interosseous T he dorsal venous rete of the foot and medial dorsal cutaneous nerve are in the
superficial layer T he deep fibular nerve and dorsal metatarsal arteries and veins are in the deep
layer
Indications Apoplexy epilepsy insanity wind in children induced by fright headache
dizziness tinnitus redness with pain and sw elling of the eye deviation of the mouth pharyngeal
pain irregular menstruation dysmenorrhea amenorrhea metrorrhagia leukorrhea icterus
jaundice hypochondriac pain abdominal distension vomiting retention of urine bed

w etting capsulitis of the big toe numbness and pain of the lateral aspects of the lo w er
extremities

XiguanLR7
385
Location cun posterior to YinlingquanSP in the depression inferior and posterior to
the medial condyle of the tibiaColor Fig
Layers of Dissection Skin subcutaneous tissue gastrocnemius T he medial crural
cutaneous branches of the saphenous nerve and branches of the great saphenous vein are in the
superficial layer In the deep layer are the popliteal arteries and veins and the tibial nerve
Indications Pain of the patella and knee pain and numbness of the lateral aspects of the
lo w er extremities

QimenLR14
Front M u point of the liver crossing point of the LR SP meridian and y in link vessel
Location In the th intercostal space belo w the nipple on the mamillary line Color Fig
Layers of Dissection Skin subcutaneous tissue inferior margin of pectoralis major
external obliques external intercostals internal intercostals T he lateral cutaneous branch of
intercostal nerve and branch of the thoracoepigastric veins are in the superficial layer In the
deep layer are intercostal nerve and branches of posterior intercostal arteries and veins
Indications Chest and hypochondriac pain and fullness vo miting acid regur gitation
hiccups abdominal distension diarrhea and other liver and stomach problems Bentun
syndromerunning piglet qi mam mary abscess
Needling Oblique insertion cun Deep insertions are cont rained to avoid internal
injury

Xing j ianLR2
toe
On the dorsum of the foot proximal to the margin of the w eb bet w een the first and second
Indications Stroke epilepsy headache dizziness redness with pain of eye glaucosis w ry
mouth and other diseases due to the w ind heat of the liver irregular menstruation
dysmenorrheal metrorrhagia and metrostaxis leukorrhea hernia pain of vulva enuresis

retention of urine strangury syndrome pain in the chest and hypochondriac region
Zhong f engLR4
On the ankle anterior to the apex of the medial malleolus in the depression medial to the
tendon of tibialis anterior bet w een SP and S T
Indications Hernia seminal emissions dysuria lumbago abdominal pain pain and
s w elling at the medial malleolus

LigouLR5
cun above the apex of the medial malleolus in the depression bet w een the medial border
386
of the tibia and the gastrocnemius
Indications Irregular menstruation leukorrhea prolapse of the uterus pruritus vulvae
dysuria hernia pain and s w elling of the testicle

ZhongduLR6
X icleft point
cun above the medial malleolus behind the tibia
Indications Hernia abdominal pain metrorrhagia and metrostaxis lochiorrhea diarrhea

QuquanLR8
Superior to the medial end of the popliteal crease in the depression anterior to the tendons
of semitendinosus and semimembranosus posterior to the medial condyle of the tibia about
cun anterior to Y ingu KI
Indications Irregular menstruation dysmenorrhea leukorrhea prolapse of the uterus
pruritus vulvae afterpains seminal emissions impotence hernia dysuria pain and
s w elling of the knee atrophic debility of the lo w er limb
YinbaoLR9
cun superior to the medial condyle of the femur bet w een vastus medialis and sartorius
Indications Irregular menstruation dysuria enuresis pain in the lower back abdominal
pain
ZuwuliLR10
cun directly belo w QichongS T at the root of the thigh inferior to the pubic tubercle
and on the lateral border of adductor longus
Indications Pain in the lo w er abdo men dysuria prolapse of the uterus pain and
s w elling of the testicles scrofula

YinlianLR11
cun directly belo w QichongS T at the root of the thigh inferior to the pubic tubercle
and on the lateral border of adductor longus
Indications Irregular menstruation leucorrhea pain in the lo w er abdomen

JimaiLR12
Groin crease in the area w here the femoral antery is pulsing and cun lateral to the
anterior median line
Indications Pain in the lo w er abdominal hernia prolapse of uterus

ZhangmenLR13
Front M u point of the Spleen influencial point of the z ang crossing point of the LR and
GB meridian
Just anterior and inferior to the free end of the th rib
Indications A bdominal pain abdo minal distension borboryg mus diarrhea vomiting and
other stomach and intestine disorders pain in the hypochondriac region jaundice mass in the
abdominal
387
3 2 The Eight Extra Meridians and Their Acupoints

3 2 1 Conception Vessel
T his meridian has acupoints the first acupoint is H ui y in C V and the last is
Cheng j iang C V T he primary indications include diseases of their relevant organs and
tissues in abdo minothoracic area
T his meridian starts from the inside of the lo w er abdo men and emerges from the
perineum It goes anteriorly to the pubic region and ascends along the anterior midline to the
throat A scending further it passes through the neck face and enters the orbital region Color
Fig
T he Conception vessel starts at the inside of the lo w er abdomen and emerges from the
perineum It goes anteriorly to the pubic region and ascends along the interior of the abdomen
passing through Guany uan C V and other points t o the throat A scending further it curves
around the lips passes through the cheek and reaches the infraorbital region
GuanyuanCV4
Front M u point of the small intestines crossing point of conception vessel with the SP LR
and KI meridians
Location On the anterior midline of the lo w er abdomen cun belo w the umbilicus Color
Fig
Layers of Dissection Skin subcutaneous tissue Linea alba of the abdo men transverse
fascia extraperitoneal adiposity parietal peritoneum T he anterior cutaneous branch of the
anterior branch of thoracic nerve and branch of the superficial epigastric artery and vein are
in the superficial layer In the deep layer are branches of the anterior branch of thoracic nerve

Indications WindStroke prostration syndrome diseases caused by visceral deficiencies
thinness and w eakness pain in the lo w er abdomen hernia diarrhea dysentery rectal
prolapse blood in the stoolhemafeciaand other intestine diseases five types of strangury
hematuria urine retention frequent micturition and other diseases of the urinary system
nocturnal emissions impotence premature ejaculation cloudy and turbid urine irregular
menstruation dysmenorrhea amenorrhea metrorrhagia leukorrhea uterine
lochiorrheaexcessive dischar ge of afterbirth
prolapse
Needling Perpendicular inser tion cun T he patient should urinate first M oxibustion
is alw ays used Contraindicated during pregnancy
388
QihaiCV6
Yuansource point of H uang
Location On the anterior midline of the lo w er abdomen cun belo w the umbilicus
Color Fig
anterior branch of thoracic nerve and the rete of the umbilicus are in the superficial layer In
the deep layer are branches of the anterior branch of thoracic nerve
Indications Collapse thin w eak physique and constitution z angqi exhaustion peri
umbilical pain diarrhea dysentery constipation and other diseases of intestine dysuria
enuresis nocturnal emissions impotence hernia irregular menstruation dysmenorrhea
amenorrhea metrorrhagia leukorrhea prolapse of uterus postpar tum puerperal lochiorrhea

retention of afterbirthlochiometra
Needling Perpendicular insertion cun Moxibustion is always applied Contraindicated
during pregnancy
ShenqueCV8
Location T he center of the umbilicusColor Fig
Layers of Dissection Skin subcutaneous tissue parietal peritoneum T he anterior
cutaneous branch of the anterior branch of thoracic nerve and the rete of the umbilicus are in
the superficial layer Branches of the anterior branch of thoracic nerve are in the deep layer
Indications Collapse apoplexy abdo minal pain andor distension diarrhea dysentery
rectal prolapse and other intestinal diseases edema dysuria
Needling Indirect moxibustion with salt is frequently used on this point It is a forbidden
point dne to its susceptibility to infection in ancient times

ZhongwanCV12
Frontmu point of the stomach influencial point of the Fu crossing point of C V with the
SI T E and S T meridians
Location On the anterior midline of the abdo men cun above the umbilicus Color Fig
anterior branch of thoracic nerve and branches of the superficial epigast ric vein are in the
superficial layer In the deep layer are branches of the anterior branch of thoracic nerve
Indications Stomachache abdominal distension loss of appetite vomiting acid regurgitation
hiccups malnutrition and indigestion syndrome in children icterusjaundice insanity hysteria

DanzhongCV17
Alar m point of the pericardium qi influential point of eight influential points
Location On the midline of the sternum mid w ay bet w een the nipples in the depression
level with the th intercostal spaceColor Fig
389
Layers of Dissection Skin subcutaneous tissue Body of the sternum T he anterior
cutaneous branch of intercostal nerve and perforating branch of the internal thoracic artery
and veins are in this area
Indications Cough dyspnea chest oppression precordial in front of the heart pain
dysphagia hiccups insufficient lactation mammary abscesses breast nodules

Needling Perpendicular or transverse insertion cun
TiantuCV22
Crossing point of C V and y in link vessel
Location In the center of the suprasternal fossaColor Fig
Layers of Dissection Skin subcutaneous tissue bet w een the left and right tendon of the
sternocleidomastoid up the jugular notch of the sternal manubrium leftright sternothyriod

muscle Pretracheal space T he medial supraclavicular nerves platysma and jugular venous
arch are in the superficial layer T he branchiocephalic trunk left co m mon carotid artery arch of
the aorta and the branchiocephalic vein are in the deep layer
Indications Cough asthma chest pain sore throat acute aphonia and other lung diseases
goiter globus hystericus dysphagia
Needling First do a perpendicular insertion cun then redirect the needle tip
inferiorly along the posterior aspect of the sternum for cun T he depth and angle should
be focused on in order to avoid injuring the lung and related arteries and veins
LianquanCV23
Location On the anterior midline of the neck in the depression on the upper border of the
hyoid boneColor Fig
Layers of Dissection Skin subcutaneous tissue between right and left digastric muscle
mylohyoid muscle geniohyoid muscle genioglossus In the superficial layer are branches of the
cervical branches of the facial nerve and superior branches of the transverse nerve of the neck Branches
of the lingual artery and vein and branches of the hypoglossal and mylohyoid nerve are in the deep layer
Indications Postapoplexy aphasia acute aphonia dysphagiadifficulty s w allo wing flaccid
tongue with aphasic salivation pain in the tongue erosion of the mucous membrane of the oral
cavity laryngitis and other diseases of throat mouth or tongue
Needling Perpendicular insertion cun to the root of the tongue

Cheng j iangCV24
Location A bove the chin in the center of the mentolabial grooveColor Fig
Layers of Dissection Skin subcutaneous tissue orbicularis oris depressor muscle of the
lo w er lip mentalis muscle T he mental nervethe last branch of the inferior alveolar nerveand
the mental ar tery and vein are in this area
Indications Deviation of the mouth gingivitis salivation and other oral problems acute
aphonia insanity
Needling Oblique insertion cun
390

HuiyinCV1
In the perineum at the midpoint of the line joining the anus and scrotum in the male or the
anus and posterior labial com missure in the female
Indications A sphyxia caused by dro w n coma epilepsy and mania dysuria enuresis
pain in the vulva prolapse of uterus pruritus vulvae proctoptosis hemorrhoid seminal
emissions irregular menstruation

QuguCV2
On the midline of the lo w er abdomen at the midpoint of the upper margin of the pubic
bone
Indications Dysuria enuresis seminal emissions impotence scrotal prurigo and other
andrology diseases irregular menstruation dysmenorrheal leucorrhea

Zhong j iCV3
Alar m point of the Bladder
On the midline of the lo w er abdomen cun belo w the umbilicus
Indications Dysuria enuresis retention of urine seminal emissions impotence infertility and
other male diseases irregular menstruation dysmenorrhea leucorrhea

ShimenCV5
Alar m point of T E
Indications A bdomial distension diarrhea dysentery pain around the umbilicus and
other intestine diseases BenT unsyndromerunning piglet qi hernia edema dysuria
seminal emissions impotence amenorrhea leucorrhea metrorrhagia and metrostaxis
lochiorrhea
Yin j iao CV7
Indications Abdomial pain hernia edema dysuria irregular menstruation metrorrhagia
and metrostaxis leucorrhea

Shui f enCV9
On the midline of the abdomen cun above the umbilicus
Indications Edema dysuria abdomial pain diarrhea regurgitation and other diseases
of the stomach and intestine

XiawanCV10
Indications Abdominal pain abdominal distension diarrhea vomiting infantile malnutrition
stiffness
JianliCV11
Indications Stomachache vomiting anorexia abdo minal distension abdominal pain and
other diseases of the spleen and sto mach edema
391
ShangwanCV13
Indications Stomachache vomiting hiccups abdominal distension epilepsy

JuqueCV14
Indications Epilepsy and mania chest pain palpitations vomiting acid regurgitation
JiuweiCV15
On the midline of the abdomen cun belo w the xyphoid process
Indications Epilepsy and mania chest pain abdo minal distension hiccups
ZhongtingCV16
On the anterior midline just at the xiphosternal synchondrosis level w ith the th
intercostal space
Indications Fullness sensation in the chest and abdomen dysphagia vomiting precordial
pain globus hystericus

YutangCV18
A t the anterior midline level with the rd intercostal space
Indications Bronchitis asth ma chest distension chest pain pain and distension of the
breast vo mit ting
ZigongCV19
A t the anterior midline level with the nd intercostal space

HuagaiCV20
A t the anterior midline level with the st intercostal space

Xuan j iCV21
On the midline of the manubrium of the sternum cun belo w T iantu C V bet w een
H uagaiC Vand T iantuC V
Indications Bronchitis asth ma chest pain sore throat indigestion
3 2 2 Governor Vessel
T his meridian has acupoints the first is Changqiang G V and the last is Y in j iao
G V T he primary indications include febrile diseases coma mental disorders and

corresponding splanchnopathiesdiseases of the abdominal viscera
T he governor vessel arises from the lo w er abdomen and emerges from the perineum T hen
it runs posteriorly along the interior of the spinal column to Feng f uG Vat the nape w here
it enters the brain It further ascends to the vertex and w inds along the forehead to the nasal
392
column finally reaching the frenulumColor Fig

3 2 2 3 Commonly used Acupoints
YaoyangguanGV3
Location On the midline of the lo w er back in the depression belo w the spinous process of
the th lumbar vertebra LColor Fig
Layers of Dissection Skin subcutaneous tissue supraspinal ligaments inter spinal
ligament ligamentum flava T he medial branch of the posterior branches of lumbar nerve
and arteries and veins are in the superficial layer T he posterior external vertebral venous
plexus branches of the posterior branch of lumbar nerve and branches of the dorsal branch
of the lumbar arteries and veins among the spinous processes are in the deep layer
Indications Pain in the lumbosacral and coccygeal area paraplegia irregular menstruation
leukorrhea with a red white discharge nocturnal emissions impotence and other male diseases
Needling Perpendicular insertion cun up w ard M oxibustion is alw ays applied
MingmenGV4
Location On the midline of the lo w er back in the depression belo w the spinous process of
the nd lumbar vertebra LColor Fig
Layers of Dissection Skin subcutaneous tissue supraspinal ligaments inter spinal
ligament ligamentum flava T he medial branch of the posterior branch of lumbar and
arteries and veins are in the superficial layer T he posterior ex ternal vertebral venous plexus
branches of the posterior branch of lumbar nerve I and branches of the dorsal branch of lumbar
arteries and veins I among the spinous processes are in the deep layer
Indications Pain an stiffness in the lumbar area paraplegia irregular menstruation leucorrhea
with a reddish discharge dysmenorrhea amenorrhea sterility nocturnal emissions impotence j ing
leng or hanfrigid semensterility bu yudue to the decline of the lifegate fire frequent micturition
cold pain in the lower abdomen diarrhea
Needling Perpendicular insertion cun M oxibustion is alw ays applied

ShenzhuGV12
Location On the midline of the upper back in the depression belo w the spinous process of
the rd thoracic vertebra TColor Fig
L ayer s o f Dissection S kin subcu taneo us tissue sup raspinal ligam en ts In terspinal
liga m en t s T he m edial cu taneous branch o f the po sterio r branch o f th o racic ner ve and
ar teries and vein s are in the super ficial layer T he po sterio r ex ternal ver tebral veno us
plex us branches o f the po sterio r b ranch of th o racic ner ve and b ranches o f t he do rsal
b ranch of the p osterio r in terco stal ar teries and veins am o n g the spino us p r ocesses are in
the deep layer
Indications Fever headache cough dyspnea convulsions and syncope epilepsy
insanity pain and stiffness in the lu m bar area fasciitis of the m uscles in the neck and
back
Needling Perpendicular insertion cun up w ard
DazhuiGV14
393
Crossing point of G V with the six yang meridians of the hand and foot
Location On the midline of the base of the neck in the depression belo w the spinous
process of the th cervical vertebraCColor Fig
Layers of Dissection Skin subcutaneous tissue supraspinal ligaments interspinal
ligaments T he medial branches of the posterior branch of cervical nerve and the cutaneous
venous plexus among the spinous processes are in the superficial layer T he posterior external
vertebral venous plexus and branch of the posterior branch of cervical nerve among the
spinous processes are in the deep layer
Indications Fever malaria cough dyspnea tidal fever due to yindeficiency insanity
epilepsy stiffness of the nape pain andor rigidity in the spinal column rubella acne
Needling Oblique insertion cun up w ards
YamenGV15
Location On the midline at the nape of the neck in the depression cun inferior to
Feng f uG V at the base of the ex ternal occipital protuberanceColor Fig
Layers of Dissection Skin subcutaneous tissue bet w een the left and right tendons of the
trapezius nuchal ligament bet w een the left and right splenius muscle bet w een the left and
right semispinal muscle T he occipital nerve and cutaneous veins are in the superficial layer
In the deep layer are branches of the posterior branch of cervical nerve and the posterior
external ver tebral venous plexus and branches of the occipital artery and veins
Indications Acute aphonia postapoplectic aphasia insanity epilepsy hysteria mental
diseases headache neck rigidity
Needling T he patient should sit and keep the neck relaxed and the head a bit for w ard
Insert cun inferiorly to w ards the mandible T his acupoint is near the medulla oblongata
so avoid deep insertions or lifting and thrusting the needle in lar ge amplitudes
Feng f uGV16
Location On the midline at the nape of the neck in the depression cun above the
midpoint of the posterior hairline im mediately belo w the base of the external occipital
protuberanceColor Fig
Layers of Dissection Skin subcutaneous tissue bet w een the left and right tendons of the
trapezius nuchal ligament bet w een the heads of the left and right semispinalis capitis
bet w een the left and right major minor posterior rectus capitis T here are branches of the
greater occipital nerve occipital nerve and branches of the occipital artery and veins in the
superficial layer In the deep layer are branch of the suboccipital nerve
Indications Apoplexy insanity epilepsy hysteria mental diseases headache vertigo
neck rigidity sore throat motor aphasia eye pain epistaxis
Needling Insert cun inferiorly to w ards the mandible T he patient should sit and
keep the neck relaxed and the head a bit for w ard
Caution Insertions going superiorly carry the danger of going through the foramen
394
magnum and puncturing the medulla oblongata

BaihuiGV20
Crossing point of G V with the BL GB T E and LR meridians
Location A t the vertex of the head cun posterior to the midpoint of the anterior hairline
and cun directly above the midpoint of the posterior hairline or directly above the apex of the
auricles on the midline of the headColor Fig
Layers of Dissection Skin subcutaneous tissue galea aponeurotica porous tissue under
aponeurosis T here are branches of the greater occipital nerve frontal nerve and rete composed
of the leftright superficial temporal arteries and veins in the area
Indications Dementia apoplexy aphasia clonic convulsions insomnia amnesia insanity
epilepsy hysteria mental diseases headw ind headache dizziness tinnitus and other diseases
of the head and face rectal and uterine prolapse gastritis nephroptosis and other diseases
associated with keidney prolapse
Needling T ransverse insertion cun for w ards or back w ards M oxibustion is
applicable to raise yang and lift prolapsed z ang f u organs

ShentingGV24
Location A t the top of the head cun posterior to the midpoint the anterior hairline
Color Fig
Layers of Dissection Skin subcutaneous tissue bet w een the right and left front bellies
of occipitofrontalis loose connective tissue under the aponeurosis T here are branches of the
supratrochlear nerve the frontal nerve and branches of the frontal artery and veins in the area
Indications Insanity epilepsy inso mnia palpitations headache dizziness redness with
s w elling of the eye corneal cloudiness rhinorrhea epistaxis and other diseases of the head or
five sense organ insomnia palpitation and other mental disorders

Needling T ransverse insertion cun
YintangEXHN3
Location A t the midpoint of the medial extremities of the eyebro w sColor Fig
Layers of Dissection Skin subcutaneous tissue procerus T here are branches of the
supratrochlear nerve the frontal nerve and branches of the frontal arteries and veins in the
area
Indications Dementia epilepsy insomnia amnesia and other mental diseases headache
dizziness epistaxis rhinorrhea w ind in children induced by fright puerperal syncope
eclampsia gravidarumpuerperal coma and convulsions
Needling T ransverse insertion cun do w n w ards

SuliaoGV25
Location On the midline at the tip of the noseColor Fig
Layers of Dissection Skin subcutaneous tissue cartilage of the nasal septum and the
lateral nasal cartilage Lateral nasal branches of the anterior eth moidal nerve lateral dorsal
branches of the nose and the facial artery and vein are in this area
395
Indications Coma convulsion and syncope neonatal asphy xia shock respiratory failure
rhinorrhea epistaxis
Needling Oblique insertion cun up w ards or prick to bleed

Shuigou RenzhongGV26
Crossing point of G V and the LI and S T meridians
Location On the midline above the upper lip at the junction of lo w er t w o thirds and the
upper of the philtrumColor Fig
Layers of Dissection Skin subcutaneous tissue orbicularis oris T here are branches of
the infraorbital nerve and superior labial artery and vein in this area
Indications Coma syncope apoplexy sunstroke shock respiratory failure hysteria insanity
epilepsy mental diseases nasal obstruction epistaxis facial edema deviation of the mouth
toothache trismus and other diseases of the nose and mouth acute lumbar muscle sprain
Needling Oblique insertion cun superiorly or use acupressure to stimulate this
point with the fingernail

ChangqiangGV1
L uoConnecting crossing point of G V C V GB and KI
On the posterior midline belo w the tip of the coccyx in the kneeling or kneechest
position the middle point bet w een coccy x and anus
Indications Diarrhea dysentery hematochezia constipation hemorrhoid proctoptosis epilepsy
and mania pain in the lower back

YaoshuGV2
On the posterior midline in the middle of the sacrococcygeal hiatus
Indications Diarrhea dysentery hematochezia constipation hemorrhoid proctoptosis
and other intestine diseases irregular menstruation amenorrhea pain and stiffness in the
w aist and spinal column numbness of the lo w er limb epilepsy
XuanshuGV5
On the midline of the lo w er back in the depression belo w the spinous process of the st
lumbar vertebra L
Indications Pain and stiffness in the waist and spinal column abdominal pain abdominal
distension indigestion diarrhea dysentery

JizhongGV6
On the midline of the lo w er back in the depression belo w the spinous process of the th
thoracic vertebra T
Indications Epilepsy and mania jaundice diarrhea dysentery hematochezia
constipation hemorrhoids proctoptosis and other intestinal disorders pain and stiffness in
the w aist and spinal column infantile malnutrition
ZhongshuGV7
396
thoracic vertebra T
Indications Jaundice vomiting fullness in the abdomen stomachache anorexia and
other spleen and stomach diseases pain in the w aist and back
JingsuoGV8
thoracic vertebra T
Indications Epilepsy and mania convulsions back rigidity stomachache jaundice

ZhiyangGV9
thoracic vertebra T
Indicatio ns Jaundice distension and fullness in the chest and h yp och ondriac region
bronchitis asth ma pain in the w aist and back back rigidity

LingtaiGV10
thoracic vertebra T
Indications Bronchitis asth ma pain and rigidity of neck furuncles

ShendaoGV11
thoracic vertebra T
Indications chest pain palpitation insomnia poor memory aphasia epilepsy bronchitis
asthma rigidity along the spinal column pain in the shoulder and back
TaodaoGV13
On the midline of the lo w er back in the depression belo w the spinous process of the st
thoracic vertebra T
Indications Febrile disease malaria chills and fever bronchitis asthma tidal fever due
to y indeficiency epilepsy and mania back rigidity

NaohuGV17
On the back of the head cun above the middle of the posterior hairline cun above
Feng f uG V
Indications Vertigo neck rigidity loss of voice epilepsy

Qiang j ianGV18
On the back of the head cun superior the middle of the posterior hairline cun above
N aohuG V
Indications headache vertigo neck rigidity dizziness epilepsy

HoudingGV19
cun directly above Qiang j ianG V or cun posterior to BaihuiG V

Indications Vertigo headache epilepsy
QiandingGV21
A t the top of the head cun posterior to the midline of the anterior hairline cun
anterior to BaihuiG V
397
Indications Vertigo headache rhinorrhea with turbid discharge epilepsy

XinhuiGV22
cun posterior to the midline of the anterior hairline cun posterior to BaihuiG V
Indications vertigo headache rhinorrhea with turbid discharge epilepsy
ShangxingGV23
A t the top of the head cun posterior to the midline of the anterior hairline
Indications Headache pain in the eye rhinorrhea with turbid discharge epistaxis and
other facial disorders febrile disease malaria epilepsy and mania

DuiduanGV27
On the anterior midline at the tip of the upper lip at the junction bet w een the skin belo w
the philtrum and the upper lip
Indications Coma syncope epilepsy and mania hysteria wry mouth trismus toothache
bleeding from the gums and other mouth problems

Yin j iaoGV28
Inside the mouth in the superior frenulum at the junction of the upper lip and gum
Indications W ry mouth trismus toothache bleeding from the gums epistaxis redness
and s w elling of face and cheek or facial or mouth problems epilepsy
3 2 3 The Thoroughfare Vessel
3 2 3 1 The course of the meridian
It originates from the interior of the lo w er abdomen descends and emerges at the
perineum ascends and runs inside the vertebral column w hile its superficial portion passes
through the region of Qichong S T w here it splits into t w o and coincides with the kidney
meridian of foot shaoy in running along both sides of the abdo men throat curving around the
lips
3 2 3 2 Main disorders of the meridian
Adverse movements of qi and rigidity in the abdominal area
3 2 3 3 The coalescent points
H ui y inC V Yin j iaoC V Qichong S T H eg u LI D ahe KI Qi x ue KI
Siman KI Zhong z hu KI H uangshu KI S hangqu KI Shi guan KI Y indu
KI Futong guKIand Youmen KI
3 2 4 The Belt Vessel
It originates belo w the hypochondriac region runs obliquely do w n w ard through D aimai
GB W ushuGB and W ei daoGBruns transversely around the w aist like a belt

Irregular menstruation leucorrhea and other gynecological diseases or atrophy
398
D aimaiGB W ushuGB and W ei daoGB
3 2 5 The Yin Link Vessel

It starts at the medial aspect of the leg ascends along the medial aspect of the thigh to the
abdomen co m municates w ith the spleen meridian of foot tai y in runs along the chest and
com municates with the CV at the neck

Cardiac pain and melancholia
Zhubin KI FusheSP DahengSP Fuai SP Qimen LR T iantu CV
and L ianquanC V
3 2 6 The Yang Link Vessel

It originates from the lateral side of the heel emerges from the ex ternal malleolus ascends
along the gallbladder meridian of foot shaoyang to the hip region It continues along the
posterior aspect of the hypochondriac and costal regions posterior aspect of the axilla
shoulder and forehead then if turns back w ards to the back of the neck w here it com municates
with the G V
A version to cold w ith fever and lumbago
J inmen B L Yang j iao GB N aoshu SI T ianliao T E J ian j ing GB
T ou w ei S T B enshen GB Yangbai GB T oulinqi GB M uchuang GB
Zheng y ingGB Cheng ling GB N aokong GB Fengchi GB Feng f u G V and
YamenG V
3 2 7 The Yin Heel Vessel

It starts at the posterior aspect of the navicular bone ascends to the upper portion of the
medial malleolus runs straight up w ard along the posterior border of the medial aspect of the
thigh and ex ternal genitalia then if ascends along the chest supraclavicular fossa runing
further up w ard lateral to the Adams apple in front of Reny ingS T along the zygoma until if
reaches the inner canthus and com municates with the yang heel vessel
Somnolence dysuria
399
Zhaohai KI J iao x inKI and J ing mingBL
3 2 8 The Yang Heel Vessel
It starts at the lateral side of the heel ascends along the external malleolus passesing the
posterior border of the fibula goes up w ard along the lateral aspect of the thigh posterior aspect
of the hypochondrium posterior axilla winds over to the shoulder ascends along the neck corner
of the mouth enters the inner canthus to com municate with the y in heel vessel then runs
further up w ard along the bladder meridian of foot tai yang to the forehead meets the
gallbladder meridian of foot shaoyang at FengchiGB
Eye pain starting from the inner canthus insomnia
S henmaiB L P ucan B L Fu yang BL J uliao GB N aoshu SI J iany u
LI J ugu LI T ianliao T E J ing mingB L
3 3 The Frequently Used Extraordinary Acupoints

3 3 1 Acupoints of the Head and NeckEXHN
E x tra points refer to the empirical points w hich do not belong to the fourteen meridians
T here are so many records of the extra points in the past times For instance there are more
than ex tra points in Qian J in FangPrescriptions w or th a T housand Goldalone w hich w as
w ritten in the T ang Dynasty A mong these kinds of points so me are not located on the courses
of fourteen meridians some are difficult to be categorized into one of the fourteen meridians due
to their special sites or the characters of for med by several points under a ter m some are really
difficult to be distinguished fro m the fourteen meridians points because of their locations on the
courses of the fourteen meridians exactly

SishencongEXHN1
Location points in all grouped around Baihui G V cun anterior posterior and
lateral to itColor Fig
Layers of Dissection Skin subcutaneous tissue galea aponeurotica loose connective
tissue under aponeurosis T here are rete co mposed of the occipital artery and veins superficial
temporal artery and veins and supraorbital ar tery and veins greater occipital nerve
auriculotemporal nerve and branch of supraorbital nerve
Indications Headache dizziness insomnia amnesia epilepsy and other mental disorders
eye diseases
400
Needling T ransverse insertion cun
YuyaoEXHN4
Location A t the midpoint of the eyebro wColor Fig
Layers of Dissection Skin subcutaneous tissue orbicularis oculi frontal belly of
occipitofrontalis T here are lateral branches of supraorbital nerve branch of facial nerve and
lateral branches of supraorbital artery and veins
Indications Eyelid t witching redness with s w elling and pain of the eye pytosis of the
eyelid corneal cloudiness deviation of the eye and mouth and other eye diseases
Needling T ransverse insertion cun to w ards the medial or lateral extremity

TaiyangEXHN5
Location A t the temple in the depression about cun posterior to the midpoint bet w een
the lateral end of the eyebro w and the outer canthusColor Fig
Layers of Dissection Skin subcutaneous tissue orbicularis oculi temporal fascia
temporalis
T here are the branches of zygomatic nerve temporal branch and zygo matic branches of
facial nerve temporal nerve of the mandibular nerve and branches or nerves of temporal
supraorbital artery and veins
Indications Headache eye diseases facial paralysis
Needling Oblique insertion cun inferiorly or prick to bleed

Er j ianEXHN6
Location When you fold the auricle for w ard this point lies at the apex of the ear Color
Fig
Layers of Dissection Skin subcutaneous tissue auricular cartilage T here are anterior
auricular branches of temporal supraorbital artery and veins posterior auricular branches of
posterior auricular artery and veins anterior auricular branches of auriculotemporal nerve
posterior branches of lesser occipital nerve and auricular branches of facial nerve
Indication Eye diseases headache sore throat
Needling Perpendicular insertion cun or prick to bleed with a threeedged
needle
QiuhouEXHN7
Location Along the inferior border of the orbit at the junction of the lateral and
medial of the infraorbital marginColor Fig
Layers of Dissection Skin subcutaneous tissue orbicularis oculi adipose body of orbit
between inferior oblique muscle and inferior wall of orbit In the superficial layer there are infraorbital
nerve branches of facial nerve and branches and nerves of infraorbital artery and veins In the deep
layer there are inferior branches of oculomotor nerve branches or nerves of ophthalmic artery and
veins and infraorbital artery and veins
Indications Eye diseases
Needling Push and hold the eyeball to the medial side of the orbit with your left thumb
401
slo w ly insert the needle cun along the inferior side of the orbit without lifting and
thrusting
N ote T o avoid bleeding after withdrawing the needle pressure should be applied to the
acupoint for minutes
Shangyingxiang or BitongEXHN8
Location In the depression at the highest point of the nasolabial grooveColor Fig
Layers of Dissection Skin subcutaneous tissue levator labii superioris alaeque nasi
T here are infraorbital nerve branches of infratrochlear nerve buccal branch of facial nerve and
arteria and vena angularis
Indications Rhinorrhea nosal furuncles
Needling Oblique insertion cun to w ards the upper and medial side
3 3 2 Acupoints of the BackEXB

DingchuanEXB1
Location cun lateral to D a z huiG VColor Fig
Layers of Dissection Skin subcutaneous tissue trapezius muscle musculus rhomboids
serratus posterior superior splenius cervicis erector spinae In the superficial layer there are
medial cutaneous branches of the posterior branch of cervical nerve In the deep layer there
are branch of transverse cervical artery and veins cervical nerve muscular branches of the
posterior branch of thoracic nerve
Indications A sth ma cough pain in shoulder and back stiff neck

Huatuo j ia j iEXB2
Location cun lateral to the lo w er border the spinous process from the st thoracic
vertebra T Tto the th lumbar vertebra L One point on each side of the vertebra
T here are points in allColor Fig
Layers of Dissection Because the location of each point is different the muscles vessels
and nerves are completely identical T he com mon hiberarchy is Skin subcutaneous tissue
muscles of superficial layer trapezius muscle latissimus dorsi rhomboid serratus posterior
superior and inferior muscles of deep layererector spinae transversospinalis muscle In the
superficial layer there are medial cutaneous branch of posterior branch of thoracic nerves to
lumbar and concomitant artery and veins In the deep layer there are muscular branches of
posterior branch of thoracic nerves to lumbar posterior intercostal artery and veins or
branches of dorsal branch of Lumbar
Indications T he points on the upper portion of the chest can be used to treat diseases of
the lung and upper limbs T heart diseases T the points on the lo w er portion of the
chest gastrointestinal diseases T LRGB diseases T SP S T disorders points on

the lumbar region diseases in the lumbar and abdominal regions L & kidneys L
bladder large and small intestines uterusand diseases of the lo w er limbs All points can treat
402
diseases in their local area
Needling Perpendicular insertion cun or tap kouci to bleed with a plum
blossom needle
YaoyanEXB7
Location In the depression cun lateral to the lo w er border of the spinous process of
the th lumbar vertebra LColor Fig
Layers of Dissection Skin subcutaneous tissue superficial layer of thoracolumbar fascia
and aponeurosis of musculus latissimus dorsi iliocostalis muscle deep layer of thoracolumbar
fascia quadratus lumborum In the superficial layer there are superior clunial nerves and
cutaneous branches of the posterior branch of lumbar In the deep leyer there are muscular
branches of the posterior branches of lumbar and branches of lumbar arterior and veins
Indication Lumbago irregular menstruation leukorrhea diseases due to visceral
deficiencies

ShiqizhuiEXB8
Location Depression belo w the spinous process of the th lumbar vertebra LColor Fig
Layers of Dissection Skin subcutaneous tissue supraspinal ligament interspinal
ligament In the superficial layer there are cutaneous branches of the poeterior branches of
lumbar and concomitant artery and veins In the deep leyer there are posterior branches of
lumbar and interspinal vertebral lateralposteriorvein
Indications Pain in the w aist and lo w er ex tremities paralysis of the lo w er ex tremity
metrorrhagia irregular menstruation dysuria

3 3 3 Acupoints of the Upper ExtremitiesEXUE

W ailaogong or L ao z hen and L uo z henEXU E
Location On the dorsum of the hand in the depression bet w een the second and third
metacarpophalangeal joint cun posterior to the jointColor Fig
Layers of Dissection Skin subcutaneous tissue M s Interossei dorsales palmalis of index
finger M m interossei palmare of thumb T here are N n Digitales dorsales of R superficial n

radialis rete venosum dorsale manus and Aa metacarpeae dorsales
Indications Stiff neck aching of the hand and ar m neonatal tetanus

BaxieEXUE9
Location In the depressions bet w een the metacarpal heads at the junction of the red and
w hite skin proximal to the w ebs T here are points on each handColor Fig
Layers of Dissection Skin subcutaneous tissue M s Interossei dorsales palmalis M m
interossei palmare M m lumbricales In the superficial layer there are A and V digitale dorsal
403
and Nn digitale dorsal In the deep layer there are A znd V digitale palmares co mmunes or A
and V Digitales palmares propriae and N n Digitales palmares proprii
Indications N umbness of the fingers sw elling and numbness of the dorsum of the hand
fever accompanied with restlessness eye pain snakebite
Needling Oblique insertion cun to w ards the area bet w een the metacarpals or
prick to bleed
Si f engEXUE10
Location On the palmar surface at the midpoints of the transverse creases of the proximal
interphalangeal joints of the index middle ring and little fingers Each hand has pointsColor
Fig
Layers of Dissection Skin subcutaneous tissue M flexor digitorum profundus Vessel of
each point the branches of A and V Digitales palmares propriae and subcutaneous V of
finger Nerves of each point N n Digitales palmares proprii of N medianus locate on the S i f eng
EXU Ebet w een the index finger and middle finger For the point on the ring finger there
are N n Digitales palmares proprii of N medianus on the radius side and N n Digitales palmares
proprii of N n U lnaris on the ulna side T he N n Digitales palmares proprii of N n U lnaris is
around the point around the small finger
Indications M alnutrition and indigestion syndrome in children w hooping cough

Needling A fter needling superficially express some yello w ish viscous fluid
ShixuanEXUE11
Location On the tips of each finger about cun fro m the nail T here are five points on
each handColor Fig
Layers of Dissection Skin subcutaneous tissue T he nerves for each point T here are N
medianus from thumb to the middle finger T he point of the ring finger is made by the radius
side of N medianus and the ulna side of Nn U lnaris For the small finger there is the N n
U lnaris
Indications Coma epilepsy fever sore throat numbness of the fingers

3 3 4 Acupoints of the Lower ExtremitiesEXLE

XiyanEXLE5
Location On the knee in the depressions belo w the patella and bilateral to the patella
ligament w hen knee is bent Each knee has points the lateral one is called W ai x i y an D ubi
S Tand medial one N ei x i yanColor Fig
Layers of Dissection Skin subcutaneous tissue the part bet w een Lig Patellae and
Retinaculun patellae mediale capsula articularis and Pliae alares In the superficial layer there
are R infrapatellaris of N saphenus and Rr Cutanei anteriores of N femoraus In the deep

layer there are Rete patellare
Indications Knee pain leg pain beriberi
404
Needling Oblique insertion cun to w ard the center of the knee or to w ards the
opposite X i y an
DannangEXLE6
Location T he lateral part of the crus and the hollo w under the caput fibulae cun
distal to Yang lingquanGBColor Fig
Layers of Dissection Skin subcutaneous tissue M peroneus longus In the superficial
layer there are N cutaneus surae lateralis In the deep layer there are N peroneus superficialis
N peroneus profundus and A and V tibialis anterior
Indications Acute or chronic cholecystitis cholelithiasis biliary ascariasis and other
diseases of gallbladder anterior compart ment syndrome paraplegia

LanweiEXLE7
Location On the front part of the crus A bout cun belo w Dubi S T and cun belo w
ZusanliS T It locates one finger beside the front part of tibia and it is painful thereColor
Fig
Layers of Dissection Skin subcutaneous tissue M tibialis anterior Membrana
interossea cruris M tibialis posterior In the superficial layer there are N cutaneus surae
lateralis and vein In the deep layer there are N peroneus profundus and A and V tibialis
anterior
Indications Acute or chronic appendicitis dyspepsia paraplegia

Neihuai j ianEXLE8
Location On the tip of the medial malleolusColor Fig
Layers of Dissection Skin subcutaneous tissue M alleolus medialis T here are inner
branch of N saphenus rete malleolare mediale of A tibialis anterior the branches of A

malleolaris anterior medialis and the M alleolus medialis branch of the A tibialis posterior
Indications T oothache tonsillitis children aphasia diseases characterized by acute
diarrhea and vomiting spasm
Needling M oxibustion Acupuncture is contraindicated

Ba f engEXLE10
Location On the dorsum of the foot at the junction of the red and w hite skin proximal to
the margins bet w een the five toes T here are points on each footColor Fig
Layers of Dissection T he point bet w een the first and the second toe is similar to X ing j ian
LR and the point bet w een the second and the third toe is similar to N eiting S T T he
point bet w een tehforth and the fifth toe is similar to X ia x iGB and the layers of dissection
bet w een the third and theh forth toe is Skin subcutaneous tissue the part bet w een
thetendines m ex tensoris digitorum longi and thetendines m extensoris digitorum brevis of the
third and the forth toe the par bet w een the third and forth caput ossis metatarsalis In the
superficial layer there are N n Digitales dorsales pedis of N cutaneus dorsalis inter medius and
405
rete venosum dorsal pedis In the deeplayer there are A and V Digitales dorsales of A and V
M etatarseae dorsales
Indications Swelling and pain of the dorsum of the foot toe pain snakebite beriberi
Needling Oblique insertion cun up w ards or prick to blood

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Chapter 3

Meridians and Their Acupoints

meridians w ere barely mentioned in L ing S hu Su W en T he acupoints located along the

3 1 The Twelve Main Meridians and

3 1 1 LungLUMeridian of Hand Taiyin

3 1 1 1 General Information about the Meridian

acupoint is Zhong f u L U the last is S haoshang L U According to the Zhen J iu Da

Chapter Meridians and Their Acupoints

radial aspect of the index finger S hang yang LIColor Fig

Alar m point of the lung

coracoid processColor Fig

Layers of Dissection Skin subcutaneous tissue pectoralis major pectoralis minor

Needling T ransverseoblique insertion cun to w ards the lateral side Deep

perpendicular or oblique insertions may penetrate the lung resulting in a pneumothorax

H eSea and w ater point

tendon of biceps brachiiColor Fig

Layers of Dissection Skin subcutaneous tissue brachioradialis radial nerve brachialis

radial arteries and veins are in the deep layer

L uoConnecting point confluent point of conception vessel

Meridians and Acupoints

neck facial paralysis

Needling Oblique insertion cun to w ards the elbo w

S huStream YuanSource and earth point influential point of the pulsevessels

J ingw ell and w ood point

first dorsal metacarpal artery and vein

Indications Sore throat epistaxis high fever co ma manicdepressive disorders

3 1 1 4 Other Acupoints on the Meridian

Chapter Meridians and Their Acupoints

cun above the transverse cubital crease

in the elbow and arm

J ingriver and metal point

Y ingspring and fire point

junction of the red and w hite skin

lung diseases infantile malnutrition

3 1 2 Large IntestineLIMeridian of Hand Yangming

3 1 2 1 General Information about the Meridian

Meridians and Acupoints

meridian of foot yang mingColor Fig

J ingWell and metal point

Indications T oothache sore throat febrile diseases coma acute faucitis

H esea point and y uansource point

Needling Perpendicular insertion cun

Chapter Meridians and Their Acupoints

the radial nerve are in the deep layer

and other diseases of the ar ms bellyache diarrhea toothache s w ollen cheek

H esea and earth point

the humerus w hen the elbo w is flexedColor Fig

are in the deep layer

five sense organs urticaria eczema scrofula etc

is raised horizontally T he anterior depression is this acupointColor Fig

circumflex humeral ar tery and vein and the axillary nerve

diseases of the ar ms and shoulder urticaria

Needling Perpendicular insertion cun w hen the upper ar m is abducted If the ar m

Meridians and Acupoints

of the local area biliary ascariasis

3 1 2 4 Other Acupoints on the Meridian

Y ingspring and w ater point

metacarpophalangeal joint w hen the hand is slightly flexed

S hustream and w ood point

second metacarpophalangeal joint w hen the hand is slightly flexed

the intestines somnolence

J ingriver and fire point

Indications T innitus epistaxis aching pain in the hand and ar m abdominal