Acupuntura Tung
Acupuntura Tung
Acupuntura Tung
Tong Style
Acupuncture
Series:
Volume3
To my wife Mo Chiaen- Yun, whose love, support, and encouragement
enabled this entire series to come to fruition.
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Advanced
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Tong Style
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Acupuncture: ~
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NEPHROLOGY )M
UROLOGY & *~
ANDROLOGY f4
The Acupuncture of Master Tong Ching-Chang and its
Application in Kidney, Urinary, and Male Genital Disorders. ~t
Compiled, Collated, and Translated by:
Dr. James H. Maher *U
Foreword by:
Susan Johnson, L.Ac.
~
Co-creator of "Master Tong's Magic Points," book and website, coming early 2008.
Visit www.tungspoints.com for a preview. 5*
Copyright: No portion of this publication, except for brief review, may be reproduced,
stored in a retrieval system, or transmitted, in any form or by any means, electronic,
mechanical, photocopying, recording, or otherwise, without the prior written permission
of the copyright holder.
ISBN 0-9759096-4-9
V
Contents
Acknowledgernents ..................................................................................................... vi
Foreword ................................................................................................................ vii
Introduction .............................................................................................................. viii
ugend ..................................................................................................................... x
Table of Contents .......................................................................................................... xi
Prof. Dr. Ching-Chang Tung ............................................................................................. xv
Section 1: Nephrology and Urology ....................................................................................... 1
Section 2: Male Genital Disorders i.e., 'Andrology' ................................................................ 273
Appendix 1: Point Index ............................................................................................... 355
Bibliography ........................................................................................................... 365
VI
Acknowledgements
This book, as with all worthwhile endeavors, would not have been possible without the inspiration,
input, and assistance of many individuals.
Yeshua, my redeemer and the 'boss of me'.
Prof. Dr. Ching-Chang Tung for being the genius that he was.
Drs. So Tin-Yao, Ted Kaptchuk, Andrew Gamble, and all the 'old' professors of the New England
School of Acupuncture for helping me get my acupuncture 'feet wet' way back in the early 1980's.
Drs. Hsiao Hung-Hsun, Hwang Wei-San, Chang Yung-Hsien, and He Ch'ao-Hsi my Taiwanese
professors at the Tainan Provincial and China Medical Teaching Hospitals who taught me to demand more
of myself for my patients than I ever thought possible.
Drs. Lai Chin-Hsiung, Hu Ping-Ch'uan, Li Kuo-Cheng, Young Wei-Chieh, and Meng Chieh for
being so selfless and sharing their expertise with 'old hundred names'.
Drs. Wangden Carson, Palden Carson, and Miriam Lee for first introducing the Tung Style of
Acupuncture into the English speaking acupuncture community.
Drs. C.K. Lo, Chairman, S.K. Tsui, Vice-Chairman and Z.R. Sun, Clinical Director of the
International Acupuncture Society, Hong Kong/Shen Zhen, PRC for instilling in me the desire to translate
Chinese works into English for the benefit of all.
Drs. Paul Jaskoviak, John Chambers, and the Hon. Judge Charles J. Rogers for going to bat for me
in the 'bottom of the ninth' when I was behind one to nothing.
Drs. Edward R. Maher, Sr., James E. Bailey, and Laurence Altshuler for being physicians cut from
a superior mold.
My mother Mary Prances Maher, my sister Michaela F. Maher, and my brothers Dr. Edward R.
Maher, Jr. and Maj. Joseph M. Maher for all their support these many long years.
Dr. Ted Zombolas for his eagle eyes and painstaking editorial efforts.
My patients over the last 20+ years for teaching me the things only a patient can teach a physician.
My daughter Meng Kai-Ru (Carolyn) for her painstaking efforts in producing the artwork and
diagrams.
Finally, Mo Chiaen-Yun (Jennifer) my wife, Meng Kai-Ru (Carolyn) my daughter, and Meng Kai-
Jie (J.J.) my son for all their love, caring, and support without which my life means naught.
vii
Foreword
Advanced Tung Style Acupuncture: Nephrology, Urology, & Andrology, is the third volume of material
compiled by Dr. James Maher. Many acupuncture texts, both theoretical and clinical, have been written in
Chinese; however, comparatively few are available in English. Dr. Maher' s contributions to the texts available
in English provide valuable guides to the clinical use of Tung' s Points. In his series, Advanced Tung Style
Acupuncture, Dr. Maher provides a comprehensive table of contents and point index, clear diagrams, and a
multitude of treatment protocols for an extensive list of ailments.
The table of contents enables readers to identify and contrast the point selections used by particular
practitioners of Master Tung' s acupuncture. One of the unique features of Tung' s acupuncture is the utilization
of the fewest possible needles, in order to avoid energetic conflicts. A common problem for early practitioners
and textbook practitioners is that of applying too many needles in order to affect multiple symptoms. Dr.
Maher's books list varying treatment protocols separately, thus making point combining more clear; the
practitioner is then less likely to become confused and overcomplicate his or her point selection.
Dr. Maher's point index highlights each time a point is referenced in the material, and makes easily
visible the multiple ways that a point or point pattern might be used. The use of Chinese characters in the point
index clarifies which points are being discussed, as there are many different translations of the same point name.
This index also cites the practitioners referenced, making it easy to follow a particular practitioner's treatment
protocols.
Point locations are precisely described, and the diagrams clearly drawn with appropriate adjacent rulers
for exact measuring.
The first section of Advanced Tung 's Style Acupuncture: Nephrology, Urology, and Andrology is useful
for both sexes, while the last section highlights male reproductive and genital issues. It is refreshing to have a
Tung's acupuncture resource focusing especially on andrology.
Dr. James Maher's work is groundbreaking. He brings Master Tung's Points to acupuncturists and their
patients via his new addition to what has quickly become his very own encyclopedia of resource texts. Dr.
Maher's devotion to making Master Tung's points and protocols easily and quickly available is especially
valuable to all who maintain a busy acupuncture practice. I wish to congratulate Dr. Maher for another volume
of outstanding work!
It is with great pleasure that I introduce to you the work of Dr. James Maher, and most highly
recommend the series Advanced Tung Style Acupuncture.
Sincerely,
Susan Johnson, L.Ac.
March2007
Susan Johnson has been teaching classes on Tung's Points since 1985. With D Jamal Kord and Peter Cole, she
is co-author of the forthcoming book The Best of Master Tung's Magic Points. Tungspoints.com, a
comprehensive website for the study of Tung's points, including video lectures, demonstrations, photographs,
theory, indications, needling techniques and search engines, will be available in early 2008.
viii
Introduction
This volume, the third in the Advanced Tung Style Acupuncture Series, arose as a direct
consequence of Volume 2: Obstetrics and Gynecology. Vol. 2 addressed disorders exclusive to females,
and many of those who purchased that volume enquired if there would be a complementary volume
specific for male disorders; ergo, the genesis of Volume 3- Nephrology, Urology, and 'Andrology' (~
H).
Originally, the notion of a volume specific to male disorders (~f-+ 'Andrology') seemed rather
straight forward but, as I began my research into the topic, the lines of distinction became somewhat
nebulous. It became evident during the compilation period that many of the disorders, which normally
fall under the purview of the urologist, afflicted males as well as females, namely: cystitis, frequent
micturition, urolithiasis, overactive bladder, hematuria, urethritis, polyuria, yadda, yadda, yadda. Thus, I
expanded the scope of this volume to include not only those disorders exclusive to males (e.g., prostatic
hypertrophy, cryptorchidism, erectile dysfunction, orchitis, impotence, phallalgia, premature ejaculation,
etc.), but also those renal and urinary disorders common to both sexes. Consequently, in addition to its
utility in dealing with male specific ailments, this volume will be expedient to any who do battle against
maladies of the entire urinary tract, regardless of the sex of the patient.
LEGEND
The following legend helps to identify the appropriate point locations with the author(s) suggesting the
point prescription. The transliteration is not the Pinyin used in the PRC, rather it is a system commonly
employed on Taiwan, ROC by the Far Eastern Dictionary Company.
*LKC =~ Li Kuo-Cheng.
Nephrology
&
Urology
2
Albuminuria (CCC)
1. DMG 44-09 'Three Spirits Three Needles' and DMG 77-12 'Lower Three Emperors' (CCC):
• DMG 44-09 'Three Spirits Three Needles':
i. San 1 Shen2 Yi : This point is located 1.5 cun proximal to the apex of the olecranon
process of the ulna bone and medial to the humerus. Place the patient's palm on
his/her chest when locating this point. Needle oblique insertion from inferior to
superior 1 cun to treat disorders stemming from 'Kidney Depletion'. {Kidney
Auxiliary, Liver Auxiliary, and Lung Branch Reaction Areas}
ii. San 1 Shen2 Er4 : This point is located 1 cun proximal to San 1 Shen2 Yi 1, i.e. 2.5 cun
proximal to the apex of the olecranon process of the ulna bone and medial to the
humerus. Place the patient's palm on his/her chest when locating this point. Needle
oblique insertion from inferior to superior 1 cun to treat disorders stemming from
'Kidney Depletion'. {Kidney Auxiliary, Liver Auxiliary, and Lung Branch Reaction
Areas}
iii. San 1 Shen2 San 1: This is located 1 cun proximal to San 1 Shen2 Er4 , i.e. 3.5 cun
proximal to the apex of the olecranon process of the ulna bone and medial to the
humerus. Place the patient's palm on his/her chest when locating this point. Needle
oblique insertion from inferior to superior 1 cun to treat disorders stemming from
'Kidney Depletion'. {Kidney Auxiliary, Liver Auxiliary, and Lung Branch Reaction
Areas}
• DMG 77-12 'Lower Three Emperors':
i. Tian 1 Huani: This point is located 1 cun distal to Sp-9WH0 , on the medial aspect
of the leg, between the medial border of the tibia and the medial head of the
gastrocnemius muscle. Needle 0.5 to 1.5 cun. {Kidney, Six Bowels, and Heart
Branch Reaction Areas}
ii. Ren2 Huani: This point is located 3.5 cun proximal to the apex of (as viewed from
posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel.
Needle 0.6 to 1.5 cun. {Kidney Branch and Lung Branch Reaction Areas} (Ren2
Huang2 is located 0.5 cun proximal to Sp-6 WHo.)
iii. Di4 Huani: This point is located 4 cun proximal to Ren2 Huang2 • Needle 1.0 to 2.0
cun. {Kidney Reaction Area} (Di4 Huang 2 lies 7.5 cun proximal to the apex of (as
viewed from posterior to anterior) the medial malleolus on the Foot Tai 4 Yin 1
Spleen Channel.)
3
Albuminuria (CCC)
\0. } \ ,,
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Albuminuria (LKC)
1. 'Let' Wu3 Xin~ then needle DMG 77-12 'Lower Three Emperors', DMG 44-09 'Three
Spirits Three Needles', and DMG 1111-02 'Three Branches Three Needles' (LKC):
• Wu3 Xin~: These 5 sets of bilaterally paired points are found 1 finger breadth lateral to
either side of the Governing Vessel at the levels of the interspinous spaces at L1/ ~. ~I L3,
L3/ L4, LJ Ls, and Ls/S1 for a total of 10 points.
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huang2 : This point is located 1.0 cun distal to Sp-9WH0 , on the medial aspect
of the proximal leg, between the medial border of the tibia and the medial head of
the gastrocnemius muscle. Needle 0.5 to 1.5 cun. NEEDLING
CONTRAINDICATED IN PREGNANCY; MOXA ALSO CONTRAINDICATED.
{Kidney, Six Bowels, and Heart Branch Reaction Areas}
n. Ren2 Huan~: This point is located 3.5 cun proximal to the apex of (as viewed from
posterior to anterior) the medial malleolus on the Foot Tai 4 Yin 1 Spleen Channel; i.e.
Ren 2 Huang2 is located 0.5 cun proximal to Sp-6WH0 • Needle 0.6 to 1.5 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Branch and Lung Branch
Reaction Areas}
iii. Di4 Huang2 : This point is located 4.0 cun immediately proximal to Ren 2 Huang2 .
Needle 1.0 to 2.0 cun. {Kidney Reaction Area} (Di4 Huang2 is located 7.5 cun
proximal to the apex of (as viewed from posterior to anterior) the medial malleolus.)
• DMG 44-09 'Three Spirits Three Needles':
i. San1 Shen2 Yi : This point is located 1.5 cun proximal to the apex of the olecranon
process of the ulna bone and medial to the humerus - place the patient's palm on
his/her chest when locating this point. Needle from distal to proximal 1.0 cun.
{Kidney Auxiliary, Liver Auxiliary, Liver Branch Reaction Areas}
ii. San1 Shen2 Er4 : This point is located 1 cun proximal to San 1 Shen2 Yi\ i.e. 2.5 cun
proximal to the apex of the olecranon process of the ulna bone and medial to the
humerus- place the patient's palm on his/her chest when locating this point. Needle
from distal to proximal 1.0 cun. {Kidney Auxiliary, Liver Auxiliary, Liver Branch
Reaction Areas}
iii. San1 Shen2 San1: This is located 1 cun proximal to San 1 Shen2 Er4, i.e. 3.5 cun
proximal to the apex of the olecranon process of the ulna bone and medial to the
humerus - place the patient's palm on his/her chest when locating this point. Needle
from distal to proximal 1.0 cun. {Kidney Auxiliary, Liver Auxiliary, Liver Branch
Reaction Areas}
• DMG 1111-02 'Three Branches Three Needles':
i. Fen1 Zhi1 Shang4: This point is located inferior to the 'fork' formed between the
axillary border of the scapula and the humerus. It lies in proximity to the posterior
axillary fold, directly inferior to the posterior aspect of the acromion process, 1 cun
inferior to the most caudal aspect of the glenohumeral articulation. Needle 1.0 to 1.5
cun. {Endocrine and Liver Reaction Areas}
ii. Fen1 Zhi1 Xia4 : This point is located 1.5 cun immediately inferior to Fen 1 Zhi 1
Shang4. Needle 1.0 to 1.5 cun. {Endocrine, Lung Branch, and Breast Reaction Areas}
iii. Fen1 Zhi1 Zhong1: This point is located 0.6 cun immediately medial to Fen 1 Zhi 1
Xia4. Needle 1.0 to 1.5 cun. {Endocrine, Lung Branch, and Breast Reaction Areas}
5
Albuminuria (LKC)
I
T.>o<~.-..... Sh~4
t *
w~en.:~l Zho~l
DMG 1111-02 '3 Branches 3 Needles'
Albuminuria (LCH)
1. Shui 3 Yu\ DMG 77-12 'Lower Three Emperors', and DMG 88-01 'Passing Through the
Kidney Three Needles' (LCH):
• Shui3 Yu4 : This point is located on the proximal aspect of the brachium 2.0 cun
immediately posterior, and sli?htly inferior, to Bei 1 Mian4 • Needle 0.3 to 0.5 cun. {Kidney
Branch Reaction Area} (Bei Mian4 is located in the center of the depression found
immediately lateral to the acromion process when the arm is abducted to 90°)
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huanl(: This point is found in the depression immediately distal to the
medial tibial condyle, and lies 2.5 cun distal to the articular surface of the medial
tibial condyle. Needle 0.5 to 1.0 cun. {Kidney, Six Bowels, and Heart Branch
Reaction Areas}
n. Di4 Huang2 : This point is located 7.0 cun proximal to the medial malleolus along
the medial border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8
cun. CONTRAINDICATED IN PREGNANCY. {Kidney Branch Reaction Area}
iii. Ren2 Huanl(: This point is located 3.0 cun proximal to the medial malleolus along
the medial border of the tibia. Needle 0.6 to 1.2 cun. CONTRAINDICATED IN
PREGNANCY. {Kidney Branch Reaction Area}
• DMG 88-01 'Passin_r Through the Kidney Three Needles':
i. Tong1 Shen : This point is located in the depression found at the superomedial
angle of the}'atella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
ii. Tong1 Wei : This point is located 2.0 cun immediately proximal to Tong 1 Shen4 .
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
iii. Tong1 Bei4 : This point is located 4.0 cun immediately proximal to Tong 1 Shen4 •
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
/
11
I
I
DMG 77-12 'Lower 3 Emperors' DMG 88-01 'Passing Through
the Kidney 3 Needles'
7
Anuria (HPC)
1. DMG 77-12 'Lower Three Emperors', Tong1 Shen4, and Shen4 Guan1 - treat daily until
symptoms resolve (HPC):
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huan~: This point is found in the depression immediately distal to the
medial tibial condyle, and lies 2.5 cun distal to the articular surface of the medial
tibial condyle. Needle 0.5 to 1.0 cun. MOXABUSTION CONTRAINDICATED.
NEEDLING ALSO CONTRAINDICATED IN PREGNANCY. {Kidney, Six Bowels,
and Heart Branch Reaction Areas}
n. Dt Huan~: This point is located 7 cun proximal to the medial malleolus along the
medial border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Branch Reaction Area}
iii. Ren2 Huan~: This point is located 3 cun proximal to the medial malleolus along
the medial border of the tibia. Needle 0.6 to 1.2 cun. CONTRAINDICATED IN
PREGNANCY. {Kidney Branch Reaction Area}
• Tong1 Shen4: This point is located in the depression found at the superomedial angle of the
patella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
• Shen4 Guan1: This point lies 1.5 cun immediately distal to Tian 1 Huang2 • Needle 0.5 to 1.0
cun. (Tian 1 Huang2 is located in the depression found immediately distal to the medial tibial
condyle, and lies 2.5 cun distal to the articular surface of the medial tibial condyle.) {Six
Bowels Reaction Area}
Anuria (LCH-1)
1. DMG 77-12 'Lower Three Emperors', Mu 4 Er3, and Shui3 Fu3 (LCH):
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huanl(: This point is found in the depression immediately distal to the medial
tibial condyle, and lies 2.5 cun distal to the articular surface of the medial tibial
condyle. Needle 0.5 to 1.0 cun. {Kidney, Six Bowels, and Heart Branch Reaction
Areas}
ii. Di4 Huanl(: This point is located 7.0 cun proximal to the medial malleolus along the
medial border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Branch Reaction Area}
iii. Ren2 Huanlf: This point is located 3.0 cun proximal to the medial malleolus along
the medial border of the tibia. Needle 0.6 to 1.2 cun. CONTRAINDICATED IN
PREGNANCY. {Kidney Branch Reaction Area}
• Mu Er3 : This point is located on the superior half of the posterior (medial) surface of the
4
ear, 0.3 cun inferior to the posterior auricular artery. Needle 0.1 to 0.2 cun. {Liver Reaction
Area}
• Shui3 Fu3 : This set of points is located 1.5 cun lateral to either side of the interspinous
space between the ~ and L3 spinous processes. Needle 0.8 to 1.0 cun. {General Kidney
Reaction Area}
Anuria (LCH-2)
1. Fen1 Zhi1 Shang\ Fen1 Zhi1 Xia4, and 'let' the venule at Huo3 Ying4 (LCH):
• Fen1 Zhi1 Shang4: This point is located inferior to the 'fork' formed between the axillary
border of the scapula and the humerus. It lies in proximity to the posterior axillary fold
directly inferior to the posterior aspect of the acromion process, 1.0 cun inferior to the most
caudal aspect of the glenohumeral articulation. Needle 1.0 to 1.5 cun. {Endocrine Reaction
Area}
• Fen1 Zhi 1 Xia4: This point is located by proceeding 1.5 cun inferior, then 0.5 cun medial, to
Fen 1 Zhi 1 Shang4 • Needle 0.5 to 1.0 cun. {Endocrine, Lung Branch, and Breast Reaction
Areas}
• Huo3 Ying4: This point is located on the dorsum of the foot between the first and second
metatarsal bones, 0.5 cun proximal to the level of the metatarsophalangeal joints. 'Let' any
venules visible around this point. CONTRAINDICATED IN PREGNANCY; MOXA ALSO
PROHIBITED. {Liver Auxiliary and Heart Organ Branch Reaction Areas}
(
Sha~4 •
'1 Xia~'\.
11
Anuria (LKC-1)
1. DMG 77-12 'Lower Three Emperors', Le Bai, and Yun2 Bai2 (LKC):
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huang2: This point is located 1.0 cun distal to Sp-9WH0 , on the medial aspect
of the proximal leg, between the medial border of the tibia and the medial head of
the gastrocnemius muscle. Needle 0.5 to 1.5 cun. NEEDLING
CONTRAINDICATED IN PREGNANCY; MOXA ALSO CONTRAINDICATED.
{Kidney, Six Bowels, and Heart Branch Reaction Areas}
ii. Ren2 Huan~: This point is located 3.5 cun proximal to the apex of (as viewed from
posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel; i.e.
Ren2 Huang2 is located 0.5 cun proximal to Sp-6WH0 . Needle 0.6 to 1.5 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Branch and Lung Branch
Reaction Areas}
iii. Di4 Huan~: This point is located 4.0 cun immediately proximal to Ren2 Huang 2 .
Needle 1.0 to 2.0 cun. {Kidney Reaction Area} (Di4 Huang2 is located 7.5 cun
proximal to the apex of (as viewed from posterior to anterior) the medial malleolus.)
3
• Li Bai2: This point is located by coursing 4.5 cun distal to the space between the acromion
process and the greater tubercle of the humerus (LI-15WH0 ), then 2.0 cun anteriorly. Needle
0.5 to 1.5 cun. {Kidney Auxiliary and Lung Branch Reaction Areas} (This point lies 2.0
cun anterior to Jian4 Zhong 1 ~ qt)
• Yun2 Bai2: This point is found on the anterolateral aspect of the proximal brachium. It is
located by coursing 2.5 cun distal to the space between the acromion process and the
greater tubercle of the humerus (LI-15WH0 ), then 2.0 cun anteriorly. Needle 1.0 to 2.0 cun.
{Six Bowels and Lung Auxiliary Reaction Areas} (This point lies 2.0 cun anterior to Jian 1
Zhong 1 ~ qt)
Anuria (LKC-2)
1. Shui3 Qu\ Liu4 Wan2, Huan2 Chao2, Zhong1 Bai, and Xia4 Bai (LKC):
• Shue Qu1: This point is located on the dorsum of the foot, immediately distal to the
articulation of the bases of the 4th and 5th metatarsal bones. Needle 0.3 to 0.5 cun. {Lung
Branch and Kidney Branch Reaction Areas}
• Liu4 Wan2 : This point is located on the dorsum of the foot between the 4th and 5th
metatarsal bones, 0.5 cun proximal to GB-43 WHo. Needle with a 36 Gauge needle 0.3 to 0.5
cun - CONTRAINDICATED IN PATIENTS WITH ASTHMA, PULMONARY DISEASES,
EXCESSIVE PHLEGM, OR WHO ARE WEAK/FRAIL. {Lung Branch and Kidney Branch}
(GB-43WH0 is located 0.5 unit posterior to (proximal to) the web between the 4th and 5th
toes, ergo, Liu4 Wan2 is located 1.0 cun proximal to the interdigital web between said digits.)
• Huan2 Chao2 : This point is located at the center of Digit Line A on the second phalanx of
the 4th digit (ring finger). To determine the exact center of the middle phalanx along Digit
Line A, bisect the distance from the anterior proximal interphalangeal skin crease to the
anterior distal interphalangeal skin crease along said line. Needle 0.2 to 0.3 cun. {Liver and
Kidney Auxiliary Reaction Areas}
• Zhong1 Bai: This point is located on the dorsum of the hand, between the 4th and 5th
metacarpal bones, 0.5 cun proximal to the metacarpophalangeal articulations. Needle 0.5
cun. {Kidney Branch Reaction Area}
• Xia4 Bai2 : This point is located on the dorsum of the hand between the 4th and 5th
metacarpal bones, 1.5 cun proximal to the metacarpophalangeal joints. Needle 0.3 to 0.8
cun. {Liver and Kidney Confluent Reaction Area} (Xia4 Bai2 lies 1.0 cun proximal to
Zhong 1 Bai2 , and is located in the depression immediately distal to the articulation of the
bases of the 4th and 5th metacarpal bones on the dorsum of the hand- have the patient make
a loose fist to facilitate locating this point.)
Anuria (LKC-3)
Anuria (MC-1)
1. Jian 1 Zhong\ Li3 Bai1, Yun1 Bai1, and Xia4 Qu1 (MC):
• Jian 1 Zhong1: This point is located 2.5 cun immediately distal to the space between the
acromion process and the head of the humerus (locate with arm hanging naturally down by
the side). Needle 0.5 to 1.0 cun. {Heart Branch Reaction Area}
• Le Bai1 : This point is located 2 cun distal and slightly dorsal to Yun 2 Bae. Needle 0.3 to
0.5 cun. {Kidney Auxiliary and Lung Branch Reaction Areas}
• Yun1 Bai1 : This point is located with the arm hanging naturally down by the side, and lies
2.0 cun obliquely anterodistal (towards the chest) from the point Bei 1 Mian4 • (Bei 1 Mian4
lies in the center of a depression found immediately lateral to the acromion process with the
arm abducted to 90°.) Needle 0.3 to 0.5 cun. {Six Bowels and Lung Auxiliary Reaction
Areas} Alternately, one may locate this point by proceeding 1 cun anterior and 1 cun
proximal to Jian 1 Zhong 1•
• Xia4 Qu1: This point is located on the posteromedial aspect of the proximal brachium, 8.0
cun proximal to the level of the transverse cubital crease and 1.0 cun medial to Hou4 Zhi 1•
Needle 0.6 to 1.0 cun. {Lung Branch and Liver Branch Reaction Areas} (Hou4 Zhi 1 is
located on the Hand Shao4 Yang2 San Jiao Channel, 8.0 cun proximal to the level of the
transverse cubital crease.)
15
Anuria (MC-2)
1. DMG 77-12 'Lower Three Emperors' and DMG 88-01 'Passing Through the Kidney Three
Needles' (MC):
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huanl(: This point is found in the depression immediately distal to the
medial tibial condyle; it lies 2.5 cun distal to the articular surface of the medial tibial
condyle. Needle 0.5 to 1.0 cun - MOXA CONTRAINDICATED; ALSO
CONTRAINDICATED IN PREGNANCY. {Kidney, Six Bowels, and Heart Branch
Reaction Areas}
n. Di4 Huanl(: This point is located 7 cun proximal to the medial malleolus along the
medial border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Reaction Area}
iii. Ren2 Huanl(: This point is located 3 cun proximal to the medial malleolus along
the medial border of the tibia. Needle 0.6 to 1.2 cun. CONTRAINDICATED IN
PREGNANCY. {Kidney Branch Reaction Area}
• DMG 88-01 'Passinp Through the Kidney Three Needles':
i. Tong1 Shen : This point is located in the depression found at the superomedial
angle of the patella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
ii. Tong 1 Wei 4 : This point is located 2.0 cun immediately proximal to Tong 1 Shen4 •
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
iii. Tong1 Bei4: This point is located 4.0 cun immediately proximal to Tong 1 Shen4•
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
~(/
M
i'·;·' .
" I
1. Zhonr1 Bai2, Xia4 Bai2, DMG 88-01 'Passing Through the Kidney Three Needles', Shui3
Tong , and Shui3 Jin 1 (LCH):
• Zhong1 Bai2: This point is located on the dorsum of the hand between the 4th and 5th
metacarpal bones, 0.5 cun proximal to the metacarpophalangeal joints - make a loose fist to
facilitate locating the point. Needle 0.3 to 0.5 cun. {Heart, Spleen, and Kidney Branch
Reaction Area} (Zhong 1 Bai2 is found in the depression located at the junctions of the shafts
and heads of the 4th and 5th metacarpal bones on the dorsum of the hand.)
• Xia4 Bai2 : This point is located on the dorsum of the hand between the 4th and 5th
metacarpal bones, 1.5 cun proximal to the metacarpophalan~eal joints. Needle 0.3 to 0.5
cun. {Heart, Spleen, and Kidney Branch Reaction Area} (Xia Bai lies 1.0 cun proximal to
Zhong 1 Bai2, in the depression immediately distal to the articulation of the bases of the 4th
and 5th metacarpal bones on the dorsum of the hand - have the patient make a loose fist to
facilitate locating this point.)
• DMG 88-01 'Passin,r Through the Kidney Three Needles':
i. Tong1 Shen : This point is located in the depression found at the superomedial
angle of the patella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
ii. Tong1 Wei 4 : This point is located 2.0 cun immediately proximal to Tong 1 Shen4 .
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
iii. Tong1 Bei4 : This point is located 4.0 cun immediately proximal to Tong 1 Shen4•
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
• Shui3 Tong1: This point is located 0.4 cun directly inferior to the labial commissure at the
corner of the mouth. Needle obliquely from medial to lateral 0.1 to 0.5 cun. {Kidney
Reaction Area}
• Shui3 Jin 1: This point is located 0.5 cun medial to Shui 3 Tong 1• Needle obliquely from
medial to lateral 0.1 to 0.5 cun. {Kidney Reaction Area}
1. Wan4 Shun4 Yi\ Wan4 Shun4 Er4, Huo3 San4, Shui3 Xiang4, Shui3 Xian\ and Shen4 Guan1
(LCH):
• Wan4 Shun4 Yi 1: This joint is located 2.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5 metacarpal bone. Needle 0.5 to 1.5 cun. {Kidney Branch Reaction
Area}
• Wan 4 Shun4 Er4: This point is located 1.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5th metacarpal bone. Needle 0.2 to 0.4 cun. {Kidney Branch Reaction
Area}
• Huo3 San4 : This point is located 1.0 cun proximal to Huo3 Ju2 • Huo3 Ju2 is located 1.0 cun
proximal to Huo Lian2 . Huo3 Lian2 is located on the medial side of the foot, 1.5 cun
proximal to the metatarsophalanfeal joint of the great toe, immediately inferior to the first
metatarsal bone. Ergo, Huo3 San is located on the medial side of the foot, 3.5 cun proximal
to the metatarsophalangeal joint of the great toe, immediately inferior to the first metatarsal
bone. Needle at a 90° angle and immediately inferior to the bone. 0.5 to 0.8 cun.
BILATERAL NEEDliNG CONTRAINDICATED. {Heart Branch, Kidney Branch, and Six
Bowels Auxiliary Reaction Areas}
• Shui3 Xiang4: This point is located in the depression immediately anterior to the Achilles
tendon, 2.0 cun posterior to the apex (as viewed from posterior to anterior) of the medial
malleolus, on the medial side of the ankle. Needle 0.3 to 0.5 cun - one may even needle to
penetrate through to the lateral side along the anterior border of the Achilles tendon.
{Kidney Branch and Brain Reaction Areas}
• Shui3 Xian 1: This point is located 2.0 cun distal to Shui 3 Xiang4 . It may be found by
coursing 2.0 cun posterior to the apex (as viewed from posterior to anterior) of the medial
malleolus, and then 2.0 cun immediately distal. Needle 0.5 cun. {Kidney Branch and Brain
Reaction Areas}
• Shen4 Guan 1: This point is located 1.5 cun distal to Tian 1 Huang 2 on the medial side of the
proximal leg. Needle 0.5 to 1.0 cun. {Six Bowel Reaction Area} [Tian 1 Huang2 is located in
the depression immediately distal to the medial tibial condyle, and lies 2.5 cun distal to the
articular surface of the medial tibial condyle.]
19
3·~
•... ...
.••. •.·.•.•.••. ·•. •··.····::\···
/•\ . •:·.··.
.
.
"~"~-
-- J~
-·· . '\__::)
20
1. Si4 Ma3 Zhong\ Shen4 Guan\ Tong1 Shen\ and Wan4 Shun4 Yi 1 and 'Let' the Occipital
Region of the lower extremity - treat daily; a long period of recuperation/convalescence is
required.
• Si4 Ma3 Zhong1 : This point is located by placing the palms of the hands (elbows fully
extended) on the lateral thighs while standing erect. From where the tips of the middle
fingers touch the thighs, proceed 3.0 cun anteriorly to arrive at Si4 Ma3 Zhong 1• Needle 0.8
to 2.5 cun. {General Lung and Liver Branch Reaction Areas}
• Shen4 Guan1: This point lies 1.5 cun immediately distal to Tian 1 Huang2 . Needle 0.5 to 1.0
cun. (Tian1 Huang2 is located in the depression found immediately distal to the medial tibial
condyle, and lies 2.5 cun distal to the articular surface of the medial tibial condyle.) {Six
Bowels Reaction Area}
• Tong1 Shen4 : This point is located in the depression found at the superomedial angle of the
patella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
• Wan4 Shun4 Yi1: This point is located 2.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5th metacarpal bone, at the junction of the 'red and white skin'.
Needle 0.2 to 0.4 cun. {Kidney Branch Reaction Area}
~(/
~~)
\ {
\
21
Occipital Region
i
'·:./
22
1. DMG 88-07 'Upper Three Yellow' Note: simply needling DMG 88-07 'Upper Three Yellow'
may require 3 or more months; add 'letting' to improve the clinical outcome (CCC):
• DMG 88-07 'Upper Three Yellow':
i. Ming2 Huan~: This point is located at the exact center (proximal to distal) of the
midline (coronal plane) on the medial aspect of the thigh. Needle perpendicular 3.0
cun. {Superficially the Heart, mid-level the Liver, and deep the Kidney General
Reaction Areas}
n. Qe Huan~: This point is located 3.0 cun distal to Ming 2 Huang2 on the midline
(coronal plane) of the medial aspect of the thigh. Needle perpendicular 3.0 cun.
{Gall Bladder General and Liver Branch Reaction Areas}
iii. Tian1 Huan~: This point is located 3.0 cun proximal to Ming2 Huang2 on the
midline (coronal plane) of the medial aspect of the thigh. Needle perpendicular 3.0
cun. {Superficially the Heart, mid-level the Liver, and deep the Kidney General
Reaction Areas}
1. 'Let' the affected region then needle DMG 88-07 'Upper Three Yellow' and DMG 77-09 'Leg
Spine Three Needles' (LKC):
• DMG 88-07 'Upper Three Yellow':
i. Min~ Huang2: This point is located at the exact center (proximal to distal) of the
midline (coronal plane) on the medial aspect of the thigh. Needle 1 to 3.0 cun.
{Superficially the Heart, mid-level the Liver, and deep the Kidney General Reaction
Areas}
ii. Qi2 Huan~: This point is located 3.0 cun distal to Ming2 Huang2 on the midline
(coronal plane) of the medial aspect of the thigh. Needle 1.5 to 3.0 cun. {Gall
Bladder General and Liver Branch Reaction Areas}
iii. Tian1 Huan~: This point is located 3.0 cun proximal to Ming2 Huang2 on the
midline (coronal plane) of the medial aspect of the thigh. Needle 1.5 to 3.0 cun.
{Superficially the Heart, mid-level the Liver, and deep the Kidney General Reaction
Areas}
• DMG 77-09 'Leg Spine Three Needles':
i. Zheng4 Jin 1: This point is located 3.5 cun proximal to the plantar surface of the heel,
on the tendo calcaneus (Achilles tendon) of the posterior aspect of the distalleg; it
lies midway between Bl-60WH0 and Kl-3WH 0 . Needle 0.5 cun to 1 cun; insert to the
tibia for best results. {General Vertebral and General Brain Reaction Areas}
ii. Zheng4 Zong1: This point is located 2 cun proximal to Zheng4 Jin 1 on the tendo
calcaneus (Achilles tendon) of the posterior aspect of the distalleg. Needle 0.5 cun
to 1 cun; insert to the tibia for best results. {General Vertebral and General Brain
Reaction Areas}
iii. Zheng4 Shi4 : This point is located 2 cun proximal to Zheng4 Zong 1, i.e. 4 cun
proximal to Zheng4 Jin 1 on the tendo calcaneus (Achilles tendon) of the posterior
aspect of the distal leg. Needle 0.5 cun to 1 cun; insert to the tibia for best results.
{~unfo. JB.r.anch. and Vertebral Reaction Areas}
l. ( L~ :· /' I -=
·. , -~---r -
'
Zheng4 Zon
Zheng4 Ji
Calcaneodynia (LCH)
[2° to 'Kidney Depletion']
1. Di4 Huang2, Ren2 Huang2, Wan 4 Shun4 Yi 1, and Zhong1 Bai2 - treat thusly until symptoms
fully resolve: daily for 2 weeks, 1 week off, daily for 2 weeks, 1 week off, etc. (HPC):
• Di 4 Huani: This point is located 7 cun proximal to the medial malleolus along the medial
border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Branch Reaction Area}
• Ren2 Huani: This point is located 3 cun proximal to the medial malleolus along the
medial border of the tibia. Needle 0.6 to 1.2 cun. CONTRAINDICATED IN PREGNANCY.
{Kidney Branch Reaction Area}
• Wan 4 Shun4 Yi 1 : This point is located 2.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5th metacarpal bone, at the junction of the 'red and white skin'.
Needle 0.2 to 0.4 cun. {Kidney Branch Reaction Area}
• Zhong1 Bai2 : .This point is located on the dorsum of the hand between the 4th and 5th
metacarpal bones, 0.5 cun proximal to the metacarpophalangeal joints - make a loose fist to
facilitate locating the point. Needle 0.3 to 0.5 cun. {Kidney Branch Reaction Area} (Zhong 1
Bai2 is found in the depression located at the junctions of the shafts and heads of the 4th and
5th metacarpal bones on the dorsum of the hand.)
26
Cystitis (CCC)
1. DMG 33-10 'Hold Three This', DMG 77-12 'Lower Three Emperors', and DMG 88-01
'Passing Through the Kidney Three Needles' (CCC):
• DMG 33-10 'Hold Three This':
i. Qi2 Men2 : This point is located on the dorsum of the distal antebrachium, 1.0 cun
lateral (i.e. radial) to TB-5WH0 . Needle obliquely 15° from lateral to medial (i.e.
radial to ulnar) 1.5 cun. {Lung Branch and Six Bowels Reaction Areas}
ii. Qi2 Jiao3 : This point is located on the dorsum of the distal antebrachium, 2.0 cun
proximal to Qi 2 Men2 • Needle obliquely 15° from lateral to medial (i.e. radial to
ulnar) 1.5 cun. {Lung Branch and Six Bowels Reaction Areas}
111. Qi2 Zheng4 : This point is located on the dorsum of the distal antebrachium, 2.0 cun
proximal to Qe Jiao3 • Needle obliquely l5°from lateral to medial (i.e. radial to ulnar)
1.5 cun. {Lung Branch and Six Bowels Reaction Areas}
• DMG 77-12 'Lower Three Emperors':
i. Tian 1 Huan~: This point is located 1 cun distal to Sp-9WH0 , on the medial aspect
of the leg, between the medial border of the tibia and the medial head of the
gastrocnemius muscle. Needle 0.5 to 1.5 cun. {Kidney, Six Bowels, and Heart
Branch Reaction Areas}
ii. Ren 2 Huan~: This point is located 3.5 cun proximal to the apex of (as viewed from
posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel.
Needle 0.6 to 1.5 cun. {Kidney Branch and Lung Branch Reaction Areas} (Ren2
Huang2 is located 0.5 cun proximal to Sp-6 WHo.)
iii. Di4 Huan~: This point is located 4 cun proximal to Ren2 Huang2• Needle 1.0 to 2.0
cun. {Kidney Reaction Area} (Di4 Huang2 lies 7.5 cun proximal to the apex of (as
viewed from posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1
Spleen Channel.)
• DMG 88-01 'Passin} Through the Kidney Three Needles':
i. Tong1 Shen : This point is found in the depression located at the superomedial
angle of the patella. To locate this point, draw a transverse line tangent to the
superior margin of the patella and a vertical line tangent to the medial margin of the
patella; the point lies in the depression at intersection of these two lines. Needle 0.5
to 1.0 cun. {Kidney Reaction Area}
ii. Tong1 Wei4: This point is located 2 cun immediately proximal to Tong 1 Shen4•
Needle 0.5 to 1.5 cun. {Kidney Reaction Area}
111. Tong1 Bei 4: This point is located 2 cun immediately proximal to Tong 1 Wei4 •
Needle 1.0 to 2.0 cun. {Kidney Reaction Area} (Tong 1 Bei4 is located 4 cun
proximal to Tong 1 Shen4 .)
27
Cystitis (CCC)
Cystitis (HPC)
1. Yun1 Bai1, Li3 Bai1, Tong1 Shen\ and Shen4 Guan 1 - treat every other day and symptoms
should be completely resolved within 10 days (HPC):
• Yun1 Bai1 : This point is found 2 cun obliquely anterior and distal to Bei 1 Mian4. Needle 0.3
to 0.5 cun. {Six Bowels and Lung Auxiliary Branch Reaction Areas} (Bei 1 Mian4 is found
in the large depression immediately lateral (distal) to the acromion process of the scapula
when the arm is abducted to 90°.)
• Le Bai1 : This point is located 2 cun distal and slightly dorsal to Yun 2 Bai 2• Needle 0.3 to
0.5 cun. {Kidney Auxiliary and Lung Branch Reaction Areas}
• Tong1 Shen4: This point is located in the depression found at the superomedial angle of the
patella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
• Shen4 Guan1 : This point lies 1.5 cun immediately distal to Tian 1 Huang2 • Needle 0.5 to 1.0
cun. (Tian1 Huang2 is located in the depression found immediately distal to the medial tibial
condyle, and lies 2.5 cun distal to the articular surface of the medial tibial condyle.) {Six
Bowels Reaction Area}
/
A
:~/ ~-,'""~
0/t ~~} ',\
"'~· .': '
'
\
r,
j:
/
I
29
Cystitis (LCH)
Cystitis (LKC-1)
Cystitis (LKC-2)
Cystitis (LKC-3)
1
i. Tong 1 Bei4: This point is located 4.0 cun immediately
proximal to Tong 1 Shen4• Needle 1.0 to 2.0 cun. {Kidney <'.•
Reaction Area}
ii. Tong1 Wei 4 : This point is located 2.0 cun immediately I
Cystitis (LKC-4)
1. 'Let' along the horizontal row of Shui3 Fu3 and the constituent points of San1 Jiang 1 at the
LVL3 interspinous level (LKC):
• Shui3 Fu3 : These two points are located 1.5 cun lateral to the interspinous space between Lz
and L3. 'Let' {General Kidney Reaction Area}
• San 1 Jiang 1: This group of points includes: the interspinous spaces between LtfLz, Lz/L3,
LYL4, LJL5, Ls/St. and St/S 2, as well as the bilateral points found 3.0 cun lateral to the
aforementioned segmental levels. 'Let' those at the Lz/L3 interspinous segmental level.
{Kidney and Six Bowels Reaction Areas}
1. Si4 Ma3 Zhong\ Si4 Ma3 Shang4, Shen4 Guan\ Ren2 Huan~, and ST-36WH0 - treat daily.
• Si4 Ma3 Zhong1: This point is located by placing the palms of the hands (elbows fully
extended) on the lateral thighs while standing erect. From where the tips of the middle
fingers touch the thighs, proceed 3.0 cun anteriorly to arrive at Si4 Ma3 Zhong1. Needle 0.8
to 2.5 cun. {General Lung and Liver Branch Reaction Areas}
• Si4 Ma3 Shang4 : This point is located 2 cun immediately proximal to Si4 Ma3 Zhong 1•
Needle 0.8 to 2.5 cun. {General Lung and Liver Branch Reaction Areas} (Si4 Ma3 Zhong 1
is located by placing the palms of the hands (elbows fully extended) on the lateral thighs
while standing erect. From where the tips of the middle fingers touch the thighs, proceed
3.0 cun anteriorly to arrive at Si4 Ma3 Zhong 1)
• Shen4 Guan1: This point lies 1.5 cun immediately distal to Tian1 Huang2. Needle 0.5 to 1.0
cun. (Tian1 Huang2 is located in the depression found immediately distal to the medial tibial
condyle, and lies 2.5 cun distal to the articular surface of the medial tibial condyle.) {Six
Bowels Reaction Area}
• Ren2 Huan~: This point is located 3 cun proximal to the medial malleolus along the
medial border of the tibia. Needle 0.6 to 1.2 cun. CONTRAINDICATED IN PREGNANCY.
{Kidney Branch Reaction Area}
• ST-36WH0 : On the lower leg, 3 units below (distal to) the lateral 'eye ' of the knee,
approximately 1 finger width lateral to the tibia. Needle 1 to 2 units.
34
1. DMG 77-05 'Three Weights Three Needles', Shui3 Jin1, Shui3 Tong\ Mu4 Huan~, and Lin~
Gu3 (LKC):
• DMG 77-05 'Three Weights Three Needles':
i. Yi 1 Zhong4 : This point is located by coursing 3 cun proximal, then 1 cun anterior,
to the apex of (as viewed from posterior to anterior) the lateral malleolus. Needle
1.0 to 2.0 cun or 'let' with a prismatic needle. {Heart Branch, Lung Branch, and
Spleen Reaction Areas}
ii. Er4 Zhong4 : This point is located by coursing 2 cun proximal to Yi 1 Zhong4 • Needle
1.0 to 2.0 cun or 'let' with a prismatic needle. {Heart Branch, Lung Branch, and
Spleen Reaction Areas}
iii. San 1 Zhong4 : This point is located by coursing 2 cun proximal to Er4 Zhong4 •
Needle 1.0 to 2.0 cun or 'let' with a prismatic needle. {Heart Branch, Lung Branch,
and Spleen Reaction Areas}
• Shui3 Jin 1: This point is located 0.5 cun obliquely medial to Shui 3 Tong1• Needle
perpendicularly 0.2 to 0.3 cun or obliquely from medial to lateral up to 0.5 cun. {Kidney
Reaction Area} (To locate this point, proceed to a point 0.5 cun medial to Shue Tong 1 and
0.5 cun directly inferior to the extraorallabial-cutaneous junction of the inferior lip.)
• Shui3 Tong1: This point is located 0.5 cun directly inferior to the extraorallabial-cutaneous
junction at the corner of the mouth. Needle perpendicularly 0.2 to 0.3 cun or obliquely from
medial to lateral up to 0.5 cun. {Kidney Reaction Area}
• Mu 4 Huan~: This point is located on the midline (coronal plane) on the medial aspect of
the thigh, 6 cun distal to Ming2 Huang2• Needle 1.0 to 2.0 cun. {General Gallbladder, Liver,
and Spleen Reaction Areas} (Ming2 Huang2 is located at the exact center (proximal to distal)
of the midline (coronal plane) on the medial aspect of the thigh.)
• Lin~ Gu3 : This point is located on the dorsum of the hand, immediately distal to the
articulation of the bases of the 1st and 2nd metacarpal bones - have the patient make a loose
fist to facilitate locating the point. Needle 1.0 to 2.0 cun; i.e. one may needle through to
connect with Zhong4 Xian 1• CONTRAINDICATED IN PREGNANCY. {Lung Branch, Heart,
and Kidney Reaction Areas}
I
\
Ming Huang' /
40
Edema (LCH-1)
1. Shue Qu\ Shui3 Xian\ Shui3 Xiang\ and Si4 Hua3 Xia4 (LCH):
• Shui3 Qu1: This point is located by coursing 1 cun proximal to Liu4 Wan2 and is, therefore,
found on the dorsum of the foot between the 4th and 5th metatarsal bones, 1.5 cun
proximal to the metatarsophalangeal joints. Needle 0.3 to 1.0 cun. {Lung Branch and
Kidney Branch Reaction Areas} [Liu4 Wan2 is located 0.5 cun proximal to the
metatarsophalangeal joints, between the 4th and 5th metatarsal bones.]
• Shue Xian 1 : This point is located 2.0 cun distal to Shui 3 Xiang 4 • It may be found by
coursing 2.0 cun posterior to the apex (as viewed from posterior to anterior) of the medial
malleolus, and then 2.0 cun immediately distal. Needle 0.5 cun. {Kidney Branch and Brain
Reaction Areas}
• Shui3 Xiang4 : This point is located in the depression immediately anterior to the Achilles
tendon, 2.0 cun posterior to the apex (as viewed from posterior to anterior) of the medial
malleolus, on the medial side of the ankle. Needle 0.3 to 0.5 cun - one may even needle to
penetrate through to the lateral side along the anterior border of the Achilles tendon.
{Kidney Branch and Brain Reaction Areas}
• Si4 Hua3 Xia4: This point is located 2.5 cun distal to Si4 Hua 1 Fu4, i.e. 12.5 cun distal to the
lateral 'eye of the knee', immediately lateral and adherent to the anterior tibial crest.
Needle 0.5 to 1.0 cun- use a very fine needle. {Six Bowels, Lung Auxiliary, and Kidney
Auxiliary Reaction Areas}
Shui3 Qu1
Liu4 Wan2
41
Edema (LCH-2)
1. DMG 77-12 'Lower Three Emperors' and DMG 88-01 'Passing Through the Kidney Three
Needles' (LCH):
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huang2: This point is found in the depression immediately distal to the
medial tibial condyle, and lies 2.5 cun distal to the articular surface of the medial
tibial condyle. Needle 0.5 to 1.0 cun. {Kidney, Six Bowels, and Heart Branch
Reaction Areas}
ii. Di4 Huang2 : This point is located 7.0 cun proximal to the medial malleolus along
the medial border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8
cun. CONTRAINDICATED IN PREGNANCY. {Kidney Branch Reaction Area}
m. Ren2 Huang2: This point is located 3.0 cun proximal to the medial malleolus
along the medial border of the tibia. Needle 0.6 to 1.2 cun. CONTRAINDICATED IN
PREGNANCY. {Kidney Branch Reaction Area}
• DMG 88-01 'Passing Through the Kidney Three Needles':
i. Tong1 Shen4 : This point is located in the depression found at the superomedial
angle ofthe}'atella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
n. Tong1 Wei :This point is located 2.0 cun immediately proximal to Tong 1 Shen4 •
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
iii. Tong1 Bei4 : This point is located 4.0 cun immediately proximal to Tong 1 Shen4 •
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
1. DMG 88-01 'Passing Through the Kidney Three Needles' and DMG 77-12 'Lower Three
Emperors' (MC):
• DMG 88-01 'Passin_r Through the Kidney Three Needles':
i. Tong1 Shen : This point is located in the depression found at the superomedial
angle of the patella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
n. Tong1 Wei 4: This point is located 2.0 cun immediately proximal to Tong 1 Shen4•
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
iii. Tong1 Bei4: This point is located 4.0 cun immediately proximal to Tong 1 Shen4 •
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huang2: This point is found in the depression immediately distal to the
medial tibial condyle; it lies 2.5 cun distal to the articular surface of the medial tibial
condyle. Needle 0.5 to 1.0 cun - MOXA CONTRAINDICATED; ALSO
CONTRAINDICATED IN PREGNANCY. {Kidney, Six Bowels, and Heart Branch
Reaction Areas}
ii. Di4 Huan~: This point is located 7 cun proximal to the medial malleolus along the
medial border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Reaction Area}
iii. Ren2 Huan~: This point is located 3 cun proximal to the medial malleolus along
the medial border of the tibia. Needle 0.6 to 1.2 cun. CONTRAINDICATED IN
PREGNANCY. {Kidney Branch Reaction Area}
Fatigue (LCH)
[2° to 'Kidney Depletion']
1. Zhong 1 Bai2, Xia4 Bai2, Wan4 Shun4 Yi\ Wan4 Shun4 Er\ Shui3 Tong\ and Shui3 Jin1 (LCH):
• Zhong 1 Bai2 : This point is located on the dorsum of the hand between the 4th and 5th
metacarpal bones, 0.5 cun proximal to the metacarpophalangeal joints - make a loose fist to
facilitate locating the point. Needle 0.3 to 0.5 cun. {Heart, Spleen, and Kidney Branch
Reaction Area} (Zhong 1 Bai2 is found in the depression located at the junctions of the shafts
and heads of the 4th and 5th metacarpal bones on the dorsum of the hand.)
• Xia4 Bai2 : This point is located on the dorsum of the hand between the 4th and 5th
metacarpal bones, 1.5 cun proximal to the metacarpophalan~eal joints. Needle 0.3 to 0.5
cun. {Heart, Spleen, and Kidney Branch Reaction Area} (Xia Bai lies 1.0 cun proximal to
Zhong 1 Bai 2, in the depression immediately distal to the articulation of the bases of the 4th
and 5th metacarpal bones on the dorsum of the hand - have the patient make a loose fist to
facilitate locating this point.)
• Wan4 Shun4 Yi1: This ~int is located 2.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5 metacarpal bone. Needle 0.5 to 1.5 cun. {Kidney Branch Reaction
Area}
• Wan4 Shun4 Er4 : This point is located 1.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5tli metacarpal bone. Needle 0.2 to 0.4 cun. {Kidney Branch Reaction
Area}
• Shui3 Tong 1: This point is located 0.4 cun directly inferior to the labial commissure at the
corner of the mouth. Needle obliquely from medial to lateral 0.1 to 0.5 cun. {Kidney
Reaction Area}
• Shui3 Jin1: This point is located 0.5 cun medial to Shui3 Tong 1• Needle obliquely from
medial to lateral 0.1 to 0.5 cun. {Kidney Reaction Area}
45
1. Ma3 Kuai 4 Shui3, Ce4 San 1 Li\ DMG 77-12 'Lower Three Emperors', Tong1 Shen\ and
Tong1 Wei4 (HPC):
• Ma3 Kuai 4 Shui3 : This point is 0.4 cun immediately inferior to Ma3 Jin 1 Shui 3• Needle 0.1
to 0.3 cun. {Kidney and Bladder Reaction Areas} (Ma3 Jin 1 Shui3 is found on the face in
the depression located along the inferior border of the zygomatic bone at the medial-to-
lateral level of the lateral canthus)
• Ce4 San 1 Li3 : This point is located 1.5 cun lateral to Si4 Hua 1 Shang4 • Needle 0.5 to 1.0 cun.
{Lung Branch Reaction Area} (Si4 Hua 1 Shang4 is located in the depression between the
origins of the tibialis anterior and extensor digitorum longus muscles, 3 cun distal to the
lateral 'eye' of the knee, on the anterior aspect of the proximal leg.)
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huanlf: This point is found in the depression immediately distal to the
medial tibial condyle, and lies 2.5 cun distal to the articular surface of the medial
tibial condyle. Needle 0.5 to 1.0 cun. MOXABUSTION CONTRAINDICATED.
NEEDLING ALSO CONTRAINDICATED IN PREGNANCY. {Kidney, Six Bowels,
and Heart Branch Reaction Areas}
ii. Di4 Huanlf: This point is located 7 cun proximal to the medial malleolus along the
medial border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Branch Reaction Area}
iii. Ren2 Huanlf: This point is located 3 cun proximal to the medial malleolus along
the medial border of the tibia. Needle 0.6 to 1.2 cun. CONTRAINDICATED IN
PREGNANCY. {Kidney Branch Reaction Area}
• Tong1 Shen4 : This point is located in the depression found at the superomedial angle of the
patella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
• Tong1 Wei 4 : This point is located 2.0 cun immediately proximal to Tong 1 Shen4• Needle
0.5 to 1.0 cun. {Kidney Reaction Area} (Tong 1 Shen4 is located in the depression found at
the superomedial angle of the patella)
47
1. Fu3 Kuai 4, Liu4 Kuai 4, and Qi1 Kuai 4 then moxa along San1 Jiang 1 (LKC):
• Fu3 Kuai 4 : This point is located by coursing 0.5 cun lateral to the inferolateral border of the
nares, then 0.5 cun superior. Needle 0.1 to 0.3 cun. {Kidney and Six Bowels Reaction
Areas} [This point is 0.5 cun directly superior to LI-20WH0 .]
• Liu4 Kuai4 : This point is located on the face, 1.4 cun lateral to the center of the philtrum.
Needle 0.1 to 0.3 cun. {Endocrine Reaction Area} To locate the center of the philtrum,
bisect the distance from the extraoral labial-cutaneous junction to the base of the nose
between the nostrils.
• Qi 1 Kuai4: This point is located on the face, 1.0 cun lateral to the commissure of the lips at
the angle of the mouth. Needle perpendicularly 0.2 to 0.3 cun or obliquely, from medial to
lateral, 0.5 to 1.5 cun. {Endocrine Reaction Area}
• San 1 Jiang 1: This group of points includes: the interspinous spaces between L 1 ~, Lz/L3 ,
LJIL4, LJL5, Ls/S" and S 1/S 2, as well as the bilateral points found 3.0 cun lateral to the
aforementioned segmental levels. 'Let'. {Kidney and Six Bowels Reaction Areas}
51
1. Hai3 Bao4, Mu4 Fu\ Ma3 Kuai4 Shui3, and Ma3 Jin 1 Shui3 (MC):
• Hai3 Bao4: This point is found on the medial side of the great toe in the center (i.e. plantar-
to-dorsum center) of the interphalangeal joint of the hallux (great toe). Needle 0.1 to 0.3
cun. {Heart Branch Reaction Area}
• Mu4 Fu4: This point is located 0.3 cun lateral to the center of the median plane on the
dorsum of the middle phalanx on the 2nd digit of the foot. Needle 0.2 to 0.4 cun close to the
bone (use a very fine needle to minimize patient discomfort). {Heart Auxiliary Reaction
Area}
• Ma3 Jin 1 Shui3 : This point is found on the face in the depression located along the inferior
border of the zygomatic bone at the medial-to-laterallevel ofthe lateral canthus. Needle 0.1
to 0.3 cun. {Kidney and Lung Auxiliary Reaction Areas}
• Ma3 Kuai4 Shui3 : This point is 0.4 cun immediately inferior to Ma3 Jin 1 Shui3
approximately at the most caudal level of the nose. Needle 0.1 to 0.3 cun. {Kidney and
Bladder Reaction Areas}
52
1. Shen4 Guan1, Tong1 Shen4, Shui3 Jin1, and Shui3 Tong1 (MC):
• Shen4 Guan1: This point lies 1.5 cun immediately distal to Tian 1 Huang2 • Needle 0.5 to 1.0
cun. (Tian1 Huang2 is located in the depression found immediately distal to the medial tibial
condyle, 2.5 cun distal to the articular surface of the medial tibial condyle.) {Six Bowels
Reaction Area}
• Tong 1 Shen4: This point is located in the depression found at the superomedial angle of the
patella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
• Shui3 Jin1: This point is located 0.5 cun medial to Shui3 Tong 1• Needle obliquely from
medial to lateral 0.1 to 0.5 cun. {Kidney Reaction Area} (To locate this point, proceed to a
point 0.5 cun medial to Shue Tong 1 and 0.4 cun directly inferior to the extraoral labial-
cutaneous junction of the inferior lip.)
• Shui3 Tong1: This point is located 0.4 cun directly inferior to the extraorallabial-cutaneous
junction at the corner of the mouth. Needle obliquely from medial to lateral 0.1 to 0.5 cun.
{Kidney Reaction Area}
53
Glomerulonephritis (HPC)
1. Tong1 Shen4, Tong 1 Wei4, Wan4 Shun4 Yi\ Wan4 Shun4 Er4, and Subcutaneous needling on
the back Kidney Region (HPC):
• Tong1 Shen4 : This point is located in the depression found at the superomedial angle of the
patella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
• Tong1 Wei4 : This point is located 2.0 cun immediately proximal to Tong 1 Shen4 • Needle
0.5 to 1.0 cun. {Kidney Reaction Area} (Tong1 Shen4 is located in the depression found at
the superomedial angle of the patella)
• Wan4 Shun4 Er4 : This point is located 1.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5th metacarpal bone, at the junction of the 'red and white skin'.
Needle 0.2 to 0.4 cun. {Kidney Branch Reaction Area}
• Wan4 Shun4 Yi 1: This point is located 2.5 cun distal to the anterior distal transverse wrist
ase, terior to the 5th metacarpal bone, at the jun tio - the 'red and white skin'.
to .9.4 cun. {Kidney Branch Reaction Area}
::------- ~
.t-Lung
:~- -------- ----
+. iver
:: Sciat c
54
Glomerulonephritis (CCC)
1. DMG 22-05 'Control the Spine Three Needles', DMG 77-12 'Lower Three Emperors', and
DMG 88-01 'Passing Through the Kidney Three Needles' (CCC):
• DMG 22-05 'Control the Spine Three Needles':
i. Wan 4 Shun4 Yi 1: This point is located 1.5 cun distal to the anterior distal transverse
wrist crease, anterior to the 5th metacarpal bone at the junction of theJ.almar and
dorsal ('red and white') skin; the point lies 1.5 cun proximal to Sl-3 °. Needle
perpendicularly 0.5 cun to 1.0 cun keeping the shaft of the needles in proximity to
the anterior surface of the 5th metacarpal bone. {Kidney Branch Reaction Area}
n. Wan4 Shun4 Er4 : This point is located 2.5 cun distal to the anterior distal transverse
wrist crease, anterior to the 5th metacarpal bone at the junction of theJ.almar and
dorsal ('red and white') skin; the point lies 0.5 cun proximal to SI-3 °. Needle
perpendicularly 0.5 cun to 1.0 cun keeping the shaft of the needles in proximity to
the anterior surface of the 5th metacarpal bone. {Kidney Branch Reaction Area}
iii. Wan 4 Shun4 San1 : This point is located 3.5 cun distal to the anterior distal
transverse wrist crease, anterior to the 5th metacarpal bone at the junction of the
palmar and dorsal ('red and white') skin; the point lies 0.5 cun distal to SI-3 WHO.
Needle perpendicularly 0.5 cun to 1.0 cun keeping the shaft of the needles in
proximity to the anterior surface of the 5th metacarpal bone. {Kidney Branch
Reaction Area}
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huan~: This point is located 1 cun distal to Sp-9WH0 , on the medial aspect
of the leg, between the medial border of the tibia and the medial head of the
gastrocnemius muscle. Needle 0.5 to 1.5 cun. {Kidney, Six Bowels, and Heart
Branch Reaction Areas}
ii. Ren2 Huan~: This point is located 3.5 cun proximal to the apex of (as viewed from
posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel.
Needle 0.6 to 1.5 cun. {Kidney Branch and Lung Branch Reaction Areas} (Ren2
Huang2 is located 0.5 cun proximal to Sp-6 WHo.)
iii. Di4 Huan~: This point is located 4 cun proximal to Ren2 Huang2 • Needle 1.0 to 2.0
cun. {Kidney Reaction Area} (Di4 Huang2 lies 7.5 cun proximal to the apex of (as
viewed from posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1
Spleen Channel.)
• DMG 88-01 'Passin} Through the Kidney Three Needles':
i. Tong1 Shen : This point is found in the depression located at the superomedial
angle of the patella. To locate this point, draw a transverse line tangent to the
superior margin of the patella and a vertical line tangent to the medial margin of the
patella; the point lies in the depression at intersection of these two lines. Needle 0.5
to 1.0 cun. {Kidney Reaction Area}
ii. Tong1 Wei4 : This point is located 2 cun immediately proximal to Tong 1 Shen4 •
Needle 0.5 to 1.5 cun. {Kidney Reaction Area}
m. Tong1 Bei4 : This point is located 2 cun immediately proximal to Tong 1 Wei4 .
Needle 1.0 to 2.0 cun. {Kidney Reaction Area} (Tong 1 Bei4 is located 4 cun
proximal to Tong 1 Shen4 .)
55
Glomerulonephritis (CCC)
1. DMG 33-13 'Bowel Division 3 Needles', Tong1 Shen\ Tong1 Wei4, Wan4 Shun4 Yi\ Wan4
Shun4 Er\ Subcutaneous threading of the Back Kidney Region, and 'Let' the Occipital
Region of the lower extremity. In serious cases, during treatment period the patient should
refrain from sexual activity, tobacco, and alcohol. Treat every other day and within one week
there should be a positive change in the clinical picture (HPC):
• DMG 33-13 'Bowel Division Three Needles':
i. Fu3 Ge2 Er4 : This point is located on the posterior surface of the proximal
antebrachium, 0.8 cun distal to LI-11 WHo, on the Hand Yang2 Ming2 Large Intestine
Channel. Needle 0.5 to 0.8 cun. {Heart and Lung Branch Reaction Areas}
ii. Fu3 Ge2 Yi 1: This point is located 8 fen radial to Fu3 Ge2 Er4 • Needle 0.5 to 0.8 cun.
{Heart and Lung Branch Reaction Areas}
iii. Fu3 Ge2 San1: This point is located 8 fen medial (ulnar) to Fu3 Ge2 Er4. Needle 0.5
to 0.8 cun. {Heart and Lung Branch Reaction Areas}
• Tong Shen4 : This point is located in the depression found at the superomedial angle of the
1
•• iver
:: Sciat c
58
1. Shen4 Guan\ Di4 Huanl(, Ren2 Huanl(, Huo3 Ying\ Tong1 Shen\ and 'Let' the Kidney
Region of the back (HPC):
• Shen4 Guan1: This point lies 1.5 cun immediately distal to Tian1 Huang2 • Needle 0.5 to 1.0
cun. (Tian 1 Huang2 is located in the depression found immediately distal to the medial tibial
condyle, and lies 2.5 cun distal to the articular surface of the medial tibial condyle.) {Six
Bowels Reaction Area}
• Di4 Huanl(: This point is located 7 cun proximal to the medial malleolus along the medial
border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Branch Reaction Area}
• Ren2 Huanl(: This point is located 3 cun proximal to the medial malleolus along the
medial border of the tibia. Needle 0.6 to 1.2 cun. CONTRAINDICATED IN PREGNANCY.
{Kidney Branch Reaction Area}
• Huo3 Ying4 : This point is located on the dorsum of the foot between the 1st and 2nd
metatarsal bones, 0.5 cun proximal to the metatarsophalangeal joints. Needle 0.3 to 0.5 cun.
NEEDLE & MOXA CONTRAINDICATED DURING PREGNANCY. {Heart Organ Branch
and Liver Auxiliary Reaction Areas}
• Tong 1 Shen4 : This point is located in the depression found at the superomedial angle of the
patella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
59
Glomerulonephritis (LCH-1)
1. Wan4 Shun4 Yi\ Wan4 Shun4 Er4, Shui3 Xiang\ and Shui3 Xian1 (LCH):
• Wan4 Shun4 Yi 1 : This joint is located 2.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5 metacarpal bone. Needle 0.5 to 1.5 cun. {Kidney Branch Reaction
Area}
• Wan4 Shun4 Er4: This point is located 1.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5th metacarpal bone. Needle 0.2 to 0.4 cun. {Kidney Branch Reaction
Area}
• Shui3 Xiang4: This point is located in the depression immediately anterior to the Achilles
tendon, 2.0 cun posterior to the apex (as viewed from posterior to anterior) of the medial
malleolus, on the medial side of the ankle. Needle 0.3 to 0.5 cun - one may even needle to
penetrate through to the lateral side along the anterior border of the Achilles tendon.
{Kidney Branch and Brain Reaction Areas}
• Shui3 Xian 1: This point is located 2.0 cun distal to Shui3 Xiang4 • It may be found by
coursing 2.0 cun posterior to the apex (as viewed from posterior to anterior) of the medial
malleolus, and then 2.0 cun immediately distal. Needle 0.5 cun. {Kidney Branch and Brain
Reaction Areas}
Wan1W.4 Er4
. \;,;~' ::
61
1. DMG 88-01 'Passing Through the Kidney Three Needles' and Ma3 Jin 1 Shui3 (LCH):
• DMG 88-01 'Passin,r Through the Kidney Three Needles':
i. Tong1 Shen : This point is located in the depression found at the superomedial
angle of the patella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
ii. Tong1 Wei 4: This point is located 2.0 cun immediately proximal to Tong 1 Shen4 .
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
iii. Tong1 Bei4: This point is located 4.0 cun immediately proximal to Tong 1 Shen4•
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
• Ma3 Jin1 Shue: This point is found on the face in the depression located along the inferior
border of the zygomatic bone at the medial-to-lateral level of the lateral canthus. Needle 0.1
to 0.3 cun. {Kidney and Lung Auxiliary Reaction Areas}
Glomerulonephritis (LCH-3)
1. Hou4 Zhui\ Shou3 Ying 1, DMG 77-12 'Lower Three Emperors', and 'let' the yellow fluid
from Shui3 Yu4 (LCH):
• Hou4 Zhui 1: This point is located on the posterior aspect of the brachium, 2.5 cun proximal
to the level of the transverse cubital crease (the point is on the Hand Shao4 Yang2 San 1 Jiao 1
Channel). Needle 0.3 to 0.5 cun. {Liver Auxiliary, Heart Auxiliary Confluent, and
Vertebral Reaction Areas}
• Shou3 Ying1: This point is located on the posterior aspect of the brachium, 4.5 cun
proximal to the level of the transverse cubital crease (the point is on the Hand Shao4 Yang2
San 1 Jiao 1 Channel, 2.0 cun proximal to Hou4 Zhui 1). Needle 0.3 to 0.5 cun. {Liver
Auxiliary, Heart Auxiliary Confluent, and Vertebral Reaction Areas}
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huani: This point is found in the depression immediately distal to the
medial tibial condyle, and lies 2.5 cun distal to the articular surface of the medial
tibial condyle. Needle 0.5 to 1.0 cun. {Kidney, Six Bowels, and Heart Branch
Reaction Areas}
n. Di4 Huang2 : This point is located 7.0 cun proximal to the medial malleolus along
the medial border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8
cun. CONTRAINDICATED IN PREGNANCY. {Kidney Branch Reaction Area}
iii. Ren2 Huani: This point is located 3.0 cun proximal to the medial malleolus along
the medial border of the tibia. Needle 0.6 to 1.2 cun. CONTRAINDICATED IN
PREGNANCY. {Kidney Branch Reaction Area}
• Shui3 Yu4 : This point is located on the proximal aspect of the brachium 2.0 cun
immediately posterior, and slightly inferior, to Bei 1 Mian4• 'Let' the yellow fluid from this
point. {Kidney Branch Reaction Area} (Bei 1 Mian4 is located in the center of the
depression found immediately lateral to the acromion process when the arm is abducted to
90°)
63
Glomerulonephritis (LCH-3)
Glomerulonephritis (LCH-4)
1. Shui3 Zhong\ Shui3 Fu3, and Fu3 Chao2 Er4 Shi2 San1 (LCH):
• Shui3 Zhong1: This set of points is located 1.5 cun lateral to either side of the interspinous
space between the L 1 and ~ spinous processes. Needle 0.8 to 1.0 cun. {General Kidney
Reaction Area}
• Shui3 Fu3 : This set of points is located 1.5 cun lateral to either side of the interspinous
space between the ~ and L3 spinous processes. Needle 0.8 to 1.0 cun. {General Kidney
Reaction Area}
• Fu3 Chao2 Er4 Shi2 San1: This is a collective of 23 points located as follows: ['Let'. {Six
Bowels Reaction Area}]
i. Midline Points (Conception Vessel): Superior to the umbilicus 1.0 and 2.0 cun.
Inferior to the umbilicus 1.0, 2.0, 3.0, 4.0, and 5.0 cun respectively, for a total of 7
midline points.
ii. Lateral Line 1 Points: These bilaterally paired points are located on two lines, each
located 1.0 cun lateral to either side of the Conception Vessel. The frrst pair of
points is located 1.0 cun superior to the umbilicus, the second pair is at the level of
the umbilicus, the third pair is located 1.0 cun inferior to the umbilicus, and the
fourth pair is located 2.0 cun inferior to the umbilicus for a total of 8 points.
iii. Lateral Line 2 Points: These bilaterally paired points are located on two lines, each
located 2.0 cun lateral to either side of the Conception Vessel. The first pair of
points is located 1.0 cun superior to the umbilicus, the second pair is at the level of
the umbilicus, the third pair is located 1.0 cun inferior to the umbilicus, and the
fourth pair is located 2.0 cun inferior to the umbilicus for a total of 8 points.
65
Glomerulonephritis (LKC-1)
1. Wan4 Shun4 Yi\ Wan4 Shun4 Er\ and Zhong1 Bai2 (LKC):
• Wan4 Shun4 Yi 1: This point is located 1.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5th metacarpal bone, at the junction of the 'red and white skin'.
Needle 0.5 to 1.0 cun. {Kidney Branch Reaction Area}
• Wan4 Shun4 Er4: This point is located 2.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5th metacarpal bone, at the junction of the 'red and white skin'.
Needle 0.5 to 1.0 cun. {Kidney Branch Reaction Area}
• Zhong1 Bai2 : This point is located on the dorsum of the hand, between the 4th and 5th
bones, 0.5 cun proximal to the metacarpophalangeal articulations. Needle 0.5
eh Reaction Area}
==========================================================================================
Glomerulonephritis (LKC-2)
Glomerulonephritis (LKC-3)
1. Tong1 Shen4, Tong1 Wei\ and DMG 77-12 'Lower Three Emperors' (LKC):
• Tong1 Shen4: This point is located in the depression found immediately proximal and
medial to the superomedial angle of the patella. To locate the point, draw a transverse line
tangent to the superior margin of the patella and a vertical line tangent to the medial margin
of the patella - where the two lines intersect is the location of the point. Needle 0.5 to 1.0
cun. {Kidney Reaction Area}
• Tong1 Wei4 : This point is located 2.0 cun immediately proximal to Tong 1 Shen4• Needle
0.5 to 1.5 cun. {Kidney Reaction Area}
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huanl(: This point is located 1.0 cun distal to Sp-9WH0 , on the medial aspect
of the proximal leg, between the medial border of the tibia and the medial head of
the gastrocnemius muscle. Needle 0.5 to 1.5 cun. NEEDLING
CONTRAINDICATED IN PREGNANCY; MOXA ALSO CONTRAINDICATED.
{Kidney, Six Bowels, and Heart Branch Reaction Areas}
ii. Ren 2 Huanl(: This point is located 3.5 cun proximal to the apex of (as viewed from
posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel; i.e.
Ren2 Huang2 is located 0.5 cun proximal to Sp-6WH0 • Needle 0.6 to 1.5 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Branch and Lung Branch
Reaction Areas}
iii. Di4 Huang2 : This point is located 4.0 cun immediately proximal to Ren2 Huang2 .
Needle 1.0 to 2.0 cun. {Kidney Reaction Area} (Di4 Huang2 is located 7.5 cun
proximal to the apex of (as viewed from posterior to anterior) the medial malleolus.)
Glomerulonephritis (LKC-4)
1. 'Let' Wu3 Xin~ then needle Shui3 Xiang4, Shui3 Xian1, and DMG 77-12 'Lower Three
Emperors' (LKC):
• Wu3 Xin~: These 5 sets of bilaterally paired points are found 1 finger breadth lateral to
either side of the Governing Vessel at the levels of the interspinous spaces at Ltl I..,z, Lz/ L3,
L:v' ~. ~ Ls, and Ls/S1 for a total of 10 points.
• Shui3 Xiang4 : This point is located by coursing 0.5 cun distal to Kl-3WH0 then 0.5 cun
posteriorly. Needle 0.3 to 0.5 cun. {Kidney Branch and Brain Reaction Areas}
• Shui3 Xian1: This point lies on the medial side of the foot, 2.0 cun immediately distal to
KI-3WH0 . Needle 0.3 to 0.5 cun. {Kidney Branch and Brain Reaction Areas}
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huan~: This point is located 1.0 cun distal to Sp-9WH0 , on the medial aspect
of the proximal leg, between the medial border of the tibia and the medial head of
the gastrocnemius muscle. Needle 0.5 to 1.5 cun. NEEDliNG
CONTRAINDICATED IN PREGNANCY; MOXA ALSO CONTRAINDICATED.
{Kidney, Six Bowels, and Heart Branch Reaction Areas}
ii. Ren2 Huan~: This point is located 3.5 cun proximal to the apex of (as viewed from
posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel; i.e.
Ren2 Huang2 is located 0.5 cun proximal to Sp-6WH0 • Needle 0.6 to 1.5 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Branch and Lung Branch
Reaction Areas}
iii. Di4 Huang2 : This point is located 4.0 cun immediately proximal to Ren2 Huang2•
Needle 1.0 to 2.0 cun. {Kidney Reaction Area} (Di4 Huang2 is located 7.5 cun
proximal to the apex of (as viewed from posterior to anterior) the medial malleolus.)
1. 'Let' the affected area (Kidney Area) then needle Ce4 Xia4 San1 Li3 , Shui3 Yu4 , Wan4 Shun4
Yi\ and DMG 44-09 'Three Spirits Three Needles' (LKC):
• Ce4 Xia4 San1 Li3 : This point is located 2.0 cun immediately distal to Ce4 San 1 Le, on the
lateral aspect of the proximal leg. Needle 1.0 to 1.5 cun. {Lung Branch and Tooth Reaction
Areas} (Ce4 San 1 Li is located 1.5 cun immediately lateral to ST-36WH0 .)
• Shui3 Yu4 :Locate this point by coursing 2.0 cun posterior to Bei 1 Mian4 - depending on
the size of the patient, the point may be somewhat inferior to the level of Bei 1 Mian4 .
Needle 0.3 to 0.5 cun. 'Let' yellow serous fluid to treat kidney disorders. {Kidney Branch
Reaction Area} (Bei 1 Mian4 is 0.2 cun superior (proximal) to the large depression found
immediately lateral (distal) to the acromion process of the scapula when the arm is abducted
to 90°.)
• Wan4 Shun4 Yi 1 : This point is located 1.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5th metacarpal bone, at the junction of the 'red and white skin'.
Needle 0.5 to 1.0 cun. {Kidney Branch Reaction Area}
• DMG 44-09 'Three Spirits Three Needles':
i. San1 Shen2 Yi : This point is located 1.5 cun proximal to the apex of the olecranon
process of the ulna bone and medial to the humerus- place the patient's palm on
his/her chest when locating this point. Needle from distal to proximal 1.0 cun.
{Kidney Auxiliary, Liver Auxiliary, Liver Branch Reaction Areas}
ii. San1 Shen2 Er4 : This point is located 1 cun proximal to San 1 Shen2 Yi 1, i.e. 2.5 cun
proximal to the apex of the olecranon process of the ulna bone and medial to the
humerus- place the patient's palm on his/her chest when locating this point. Needle
from distal to proximal 1.0 cun. {Kidney Auxiliary, Liver Auxiliary, Liver Branch
Reaction Areas}
m. San1 Shen2 San1: This is located 1 cun proximal to San 1 Shen2 Er4, i.e. 3.5 cun
proximal to the apex of the olecranon process of the ulna bone and medial to the
humerus - place the patient's palm on his/her chest when locating this point. Needle
from distal to proximal 1.0 cun. {Kidney Auxiliary, Liver Auxiliary, Liver Branch
Reaction Areas}
69
Glomerulonephritis (LKC-5)
/,~;
/ . '. ';
wJ~u"Yi1
Glomerulonephritis (MC)
1. DMG 88-01 'Passing Through the Kidne1 Three Needles', Wan4 Shun4 Yi 1, and
(contralateral) Wan4 Shun4 Er4• 'Let' Shui3 Yu -'let' the yellow fluid (MC):
• DMG 88-01 'Passinr Through the Kidney Three Needles':
i. Tong1 Shen : This point is located in the depression found at the superomedial
angle of the}'atella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
ii. Tong1 Wei : This point is located 2.0 cun immediately proximal to Tong 1 Shen4.
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
iii. Tong1 Bei4 : This point is located 4.0 cun immediately proximal to Tong 1 Shen4 .
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
• Wan Shun4 Yi 1 : This point is located 2.5 cun distal to the anterior distal transverse wrist
4
crease and anterior to the 5th metacarpal bone. Needle 0.5 to 1.5 cun - BILATERAL
NEEDUNG CONTRAINDICATED. {Kidney Branch Reaction Area}
• Wan4 Shun4 Er4 : This point is located 1.5 cun distal to the anterior distal transverse wrist
crease and anterior to the 5th metacarpal bone. Needle 0.2 to 0.4 cun. {Kidney Branch
Reaction Area}
• Shui3 Yu 4: Thi~oint is located 2.0 cun posterodistal to Bei 1 Mian4 ; Shue Yu4 is
essentially SI-10 . Needle 0.3 to 0.5 cun or 'let' as indicated. {Kidney Branch Reaction
1 4
Area} (Bei Mian lies in the center of a depression found immediately lateral to the
acromion process with the arm abducted to 90°. )
Glomerulonephritis (MC)
72
Gonorrhea (HPC)
1. DMG 77-12 'Lower Three Emperors', Tong1 Shen\ and Tong1 Wei4 (HPC):
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huan~: This point is found in the depression immediately distal to the
medial tibial condyle, and lies 2.5 cun distal to the articular surface of the medial
tibial condyle. Needle 0.5 to 1.0 cun. MOXABUSTION CONTRAINDICATED.
NEEDLING ALSO CONTRAINDICATED IN PREGNANCY. {Kidney, Six Bowels,
and Heart Branch Reaction Areas}
ii. Di4 Huan~: This point is located 7 cun proximal to the medial malleolus along the
medial border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Branch Reaction Area}
iii. Ren2 Huan~: This point is located 3 cun proximal to the medial malleolus along
the medial border of the tibia. Needle 0.6 to 1.2 cun. CONTRAINDICATED IN
PREGNANCY. {Kidney Branch Reaction Area}
• Tong Shen4: This point is located in the depression found at the superomedial angle of the
1
patella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
• Tong1 Wei4 : This point is located 2.0 cun immediately proximal to Tong 1 Shen4 • Needle
0.5 to 1.0 cun. {Kidney Reaction Area} (Tong1 Shen4 is located in the depression found at
the superomedial angle of the patella)
Gonorrhea (LCH)
1. DMG 77-12 'Lower Three Emperors', Mu4 Er3, Fen1 Zhi1 Shang\ and Fen1 Zhi1 Xia4 (LCH):
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huani: This point is found in the depression immediately distal to the
medial tibial condyle, and lies 2.5 cun distal to the articular surface of the medial
tibial condyle. Needle 0.5 to 1.0 cun. {Kidney, Six Bowels, and Heart Branch
Reaction Areas}
n. Di4 Huan~: This point is located 7.0 cun proximal to the medial malleolus along
the medial border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8
cun. CONTRAINDICATED IN PREGNANCY. {Kidney Branch Reaction Area}
iii. Ren2 Huan~: This point is located 3.0 cun proximal to the medial malleolus along
the medial border of the tibia. Needle 0.6 to 1.2 cun. CONTRAINDICATED IN
PREGNANCY. {Kidney Branch Reaction Area}
• Mu4 Er3: This point is located on the superior half of the posterior (medial) surface of the
ear, 0.3 cun inferior to the posterior auricular artery. Needle 0.1 to 0.2 cun. {Liver Reaction
Area}
• Fen1 Zhi 1 Shang4: This point is located inferior to the 'fork' formed between the axillary
border of the scapula and the humerus. It lies in proximity to the posterior axillary fold
directly inferior to the posterior aspect of the acromion process, 1.0 cun inferior to the most
caudal aspect of the glenohumeral articulation. Needle 1.0 to 1.5 cun. {Endocrine Reaction
Area}
• Fen1 Zhi 1 Xia4: This point is located by proceeding 1.5 cun inferior, then 0.5 cun medial, to
Fen 1 Zhi 1 Shang4• Needle 0.5 to 1.0 cun. {Endocrine, Lung Branch, and Breast Reaction
Areas}
Gonorrhea (LKC-1)
1. Fen1 Zhi1 Shang4, Fen1 Zhi1 Zhongt, Ren2 Huang2, Shui3 Qui, and Liu4 Wan2 (LKC):
• Fen1 Zhi1 Shang4 : This point is located inferior to the 'fork' formed between the axillary
border of the scapula and the humerus. It lies in proximity to the posterior axillary fold,
directly inferior to the posterior aspect of the acromion process, 1 cun inferior to the most
caudal aspect of the glenohumeral articulation. Needle 1.0 to 1.5 cun. {Endocrine and Liver
Reaction Areas}
• Fen1 Zhi1 Zhong1: This point is located by coursing 1.5 cun immediately inferior, then 0.6
cun medial to Fen1 Zhi 1 Shang4• Needle 1.0 to 1.5 cun. {Endocrine, Lung Branch, and
Breast Reaction Areas}
• Ren2 Huan~: This point is located 3.5 cun proximal to the apex of (as viewed from
posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel; i.e. Ren2
Huang2 is located 0.5 cun proximal to Sp-6WH0 . Needle 0.6 to 1.5 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Branch and Lung Branch Reaction
Areas}
• Shui3 Qu1: This point is located on the dorsum of the foot, immediately distal to the
articulation of the bases of the 4th and 5th metatarsal bones. Needle 0.3 to 0.5 cun. {Lung
Branch and Kidney Branch Reaction Areas}
• Liu4 Wan2 : This point is located on the dorsum of the foot between the 4th and 5th
metatarsal bones, 0.5 cun proximal to GB-43WH0 • Needle with a 36 Gauge needle 0.3 to 0.5
cun- CONTRAINDICATED IN PATIENTS WITH ASTHMA, PULMONARY DISEASES,
EXCESSIVE PHLEGM, OR WHO ARE WEAK/FRAIL. {Lung Branch and Kidney Branch}
(GB-43WH0 is located 0.5 unit posterior to (proximal to) the web between the 4th and 5th
toes, ergo, Liu4 Wan2 is located 1.0 cun proximal to the interdigital web between said
digits.)
75
Gonorrhea (LKC-2)
1. Tong1 Shen\ Tong1 Wei\ and DMG 77-12 'Lower Three Emperors' (LKC):
• Tong1 Shen4: This point is located in the depression found immediately proximal and
medial to the superomedial angle of the patella. To locate the point, draw a transverse line
tangent to the superior margin of the patella and a vertical line tangent to the medial margin
of the patella- where the two lines intersect is the location of the point. Needle 0.5 to 1.0
cun. {Kidney Reaction Area}
• Tong1 Wei4 : This point is located 2.0 cun immediately proximal to Tong 1 Shen4 • Needle
0.5 to 1.5 cun. {Kidney Reaction Area}
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huan~: This point is located 1.0 cun distal to Sp-9WH0 , on the medial aspect
of the proximal leg, between the medial border of the tibia and the medial head of
the gastrocnemius muscle. Needle 0.5 to 1.5 cun. NEEDLING
CONTRAINDICATED IN PREGNANCY; MOXA ALSO CONTRAINDICATED.
{Kidney, Six Bowels, and Heart Branch Reaction Areas}
u. Ren2 Huan~: This point is located 3.5 cun proximal to the apex of (as viewed from
posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel; i.e.
Ren2 Huang2 is located 0.5 cun proximal to Sp-6WH0 • Needle 0.6 to 1.5 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Branch and Lung Branch
Reaction Areas}
iii. Di4 Huang2 : This point is located 4.0 cun immediately proximal to Ren2 Huang2 •
Needle 1.0 to 2.0 cun. {Kidney Reaction Area} (Di4 Huang2 is located 7.5 cun
proximal to the apex of (as viewed from posterior to anterior) the medial malleolus.)
Gonorrhea (LKC-3)
1. Zhong1 Bai2, Xia4 Bai2, Shui3 Qu\ Liu4 Wan2, Shue Jinl, and Shui3 Tong1 (LKC):
• Zhong1 Bai2 : This point is located on the dorsum of the hand, between the 4th and 5th
metacarpal bones, 0.5 cun proximal to the metacarpophalangeal articulations. Needle 0.5
cun. {Kidney Branch Reaction Area}
• Xia 4 Bai2 : This point is located on the dorsum of the hand between the 4th and 5th
metacarpal bones, 1.5 cun proximal to the metacarpophalangeal joints. Needle 0.3 to 0.8
cun. {Liver and Kidney Confluent Reaction Area} (Xia4 Bai 2 lies 1.0 cun proximal to
Zhong 1 Bai 2 , and is located in the depression immediately distal to the articulation of the
bases of the 4th and 5th metacarpal bones on the dorsum of the hand - have the patient make a
loose fist to facilitate locating this point.)
• Shui3 Qu1 : This point is located on the dorsum of the foot, immediately distal to the
articulation of the bases of the 4th and 5th metatarsal bones. Needle 0.3 to 0.5 cun. {Lung Branch
and Kidney Branch Reaction Areas}
• Liu4 Wan2: This point is located on the dorsum of the foot between the 4th and 5th
metatarsal bones, 0.5 cun proximal to GB-43WH0 . Needle with a 36 Gauge needle 0.3 to 0.5
cun - CONTRAINDICATED IN PATIENTS WITH ASTHMA, PULMONARY DISEASES,
EXCESSIVE PHLEGM, OR WHO ARE WEAK/FRAIL. {Lung Branch and Kidney Branch}
(GB-43WH0 is located 0.5 unit posterior to (proximal to) the web between the 4th and 5th
toes, ergo, Liu4 Wan2 is located 1.0 cun proximal to the interdigital web between said digits.)
• Shui3 Jin 1 : This point is located 0.5 cun obliquely medial to Shue Tong 1• Needle
perpendicularly 0.2 to 0.3 cun or obliquely from medial to lateral up to 0.5 cun. {Kidney
Reaction Area} (To locate this point, proceed to a point 0.5 cun medial to Shui 3 Tong 1 and
0.5 cun directly inferior to the extraorallabial-cutaneous junction of the inferior lip.)
• Shui3 Tong1: This point is located 0.5 cun directly inferior to the extraoral labial-cutaneous
junction at the corner of the mouth. Needle perpendicularly 0.2 to 0.3 cun or obliquely from
medial to lateral up to 0.5 cun. {Kidney Reaction Area}
77
Gonorrhea (LKC-4)
i~
** *
78
Gonorrhea (MC-1)
1. DMG 88-01 'Passing Through the Kidney Three Needles', Liu4 Kuai 4, and Qi1 Kuai 4 (MC):
• DMG 88-01 'Passin,r Through the Kidney Three Needles':
i. Tong1 Shen : This point is located in the depression found at the superomedial
angle of thefatella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
ii. Tong1 Wei : This point is located 2.0 cun immediately proximal to Tong 1 Shen4.
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
iii. Tong1 Bei4 : This point is located 4.0 cun immediately proximal to Tong 1 Shen4•
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
• Liu4 Kuai 4 : This point is located on the face, 1.4 cun lateral to the center of the philtrum
(GV-26WH0 ). Needle 0.1 to 0.3 cun. {Endocrine Reaction Area} To locate the center of the
philtrum, bisect the distance from the extraorallabial-cutaneous junction to the base of the
nose between the nostrils.
• Qi 1 Kuai4: This point is located on the face, 0.5 cun lateral to the commissure of the lips at
the angle of the mouth. Needle obliquely from medial to lateral 0.5 to 1.5 cun. {Lung
Reaction Area}
Gonorrbea (MC-2)
1. Yun2 Bai2, Li3 Bai2, Ma3 Jin1 Shui3, and Ma3 Kuai4 Shue, (MC):
• Yun 2 Bai2 : This point is located with the arm hanging naturally down by the side, and
lies 2.0 cun obliquely anterodistal (towards the chest) from the point Bei 1 Mian4 • (Bei 1
Mian4 lies in the center of a depression found immediately lateral to the acromion process
with the arm abducted to 90°.) Needle 0.3 to 0.5 cun. {Six Bowels and Lung Auxiliary
Reaction Areas} Alternately, one may locate this point by proceeding 1 cun anterior
and 1 cun proximal to Jian 1 Zhong 1• (Jian 1 Zhong 1 is found with the arm hanging loosely
down by the side and is located in the center of the deltoid muscle, 3 cun distal to the space
between the acromion process and the humerus.)
• Le Bai2 : This point is located 2 cun distal and slightly dorsal to Yun2 Bai 2 • Needle 0.3
to 0.5 cun. {Kidney Auxiliary and Lung Branch Reaction Areas}
• Ma3 Jin1 Shui3: This point is found on the face in the depression located along the inferior
border of the zygomatic bone at the medial-to-laterallevel of the lateral canthus. Needle 0.1
to 0.3 cun. {Kidney and Lung Auxiliary Reaction Areas}
• Ma3 Kuai4 Shui3 : This point is 0.4 cun immediately inferior to Ma3 Jin 1 Shue
approximately at the most caudal level of the nose. Needle 0.1 to 0.3 cun. {Kidney and
Bladder Reaction Areas}
Gonorrhea (MC-3)
Gonorrhea (MC-4)
1. DMG 77-12 'Lower Three Emperors', Fen1 Zhi1 Shang4, Fen1 Zhi1 Xia\ and Mu4 E~ (MC):
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huanl(: This point is found in the depression immediately distal to the
medial tibial condyle; it lies 2.5 cun distal to the articular surface of the medial tibial
condyle. Needle 0.5 to 1.0 cun - MOXA CONTRAINDICATED; ALSO
CONTRAINDICATED IN PREGNANCY. {Kidney, Six Bowels, and Heart Branch
Reaction Areas}
ii. Di4 Huang2 : This point is located 7 cun proximal to the medial malleolus along the
medial border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Reaction Area}
iii. Ren2 Huanl(: This point is located 3 cun proximal to the medial malleolus along
the medial border of the tibia. Needle 0.6 to 1.2 cun. CONTRAINDICATED IN
PREGNANCY. {Kidney Branch Reaction Area}
• Fen1 Zhi1 Shang4: This point is located inferior to the 'fork' formed between the axillary
border of the scapula and the humerus. It lies in proximity to the posterior axillary fold
directly inferior to the posterior aspect of the acromion process, 1.0 cun inferior to the most
caudal aspect of the glenohumeral articulation. Needle 1.0 to 1.5 cun. {Endocrine Reaction
Area}
• Fen1 Zhi1 Xia4: This point lies 1.5 cun inferior and 0.5 cun medial to Fen 1 Zhi 1 Shang4.
Needle 0.5 to 1.0 cun. {Endocrine, Lung Branch, and Breast Reaction Areas}
• Mu 4 Er3 : This point is located on the superior half of the posterior (medial) surface of the
ear, 0.3 cun inferior to the posterior auricular artery. Needle 0.1 to 0.2 cun. {Liver Reaction
Area}
Headache (LCH)
[2° to 'Kidney Depletion']
1. Wan4 Shun4 Yi\ Wan4 Shun4 Er\ Liu4 Wan2, and Shen4 Guan1 (LCH):
• Wan 4 Shun4 Yi 1: This joint is located 2.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5 metacarpal bone. Needle 0.5 to 1.5 cun. {Kidney Branch Reaction
Area}
• Wan4 Shun4 Er4 : This point is located 1.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5ili metacarpal bone. Needle 0.2 to 0.4 cun. {Kidney Branch Reaction
Area}
• Liu4 Wan2: This point is located on the dorsum of the foot between the 4th and 5th
metatarsal bones, 0.5 cun proximal to the metatarsophalangeal joints. Needle 0.3 to 0.5 cun.
UNILATERAL NEEDLING ONLY; CONTRAINDICATED IN PREGNANCY. {Lung Branch
and Kidney Branch Reaction Areas}
• Shen4 Guan1: This point is located 1.5 cun distal to Tian 1 Huang2 on the medial side of the
proximal leg. Needle 0.5 to 1.0 cun. {Six Bowel Reaction Area} [Tian 1 Huang2 is located in
the depression immediately distal to the medial tibial condyle, and lies 2.5 cun distal to the
articular surface of the medial tibial condyle.]
83
Hematuria (CCC)
Hematuria (HPC)
Hematuria (LCH)
1. Liu4 Wan2, Hua1 Gu3 Si\ and DMG 77-12 'Lower Three Emperors' (LCH):
• Liu4 Wan2 : This point is located on the dorsum of the foot between the 4th and 5th
metatarsal bones, 0.5 cun proximal to the metatarsophalangeal joints. Needle 0.3 to 0.5 cun.
UNilATERAL NEEDliNG ONLY; CONTRAINDICATED IN PREGNANCY.
CONTRAINDICATED IN CASES MARKED BY ASTHMA, PULMONARY DISEASES,
EXCESSIVE PHLEGM/SPUTUM OR DEBiliTATION. {Lung Branch and Kidney Branch
Reaction Areas}
• Hua1 Gu3 Si4: This Eoint is located on the plantar surface of the foot, in the interosseous
space between the 4 and 5th metatarsal bones, 1.0 cun proximal to the interdigital web
between the 4th and 5th toes. Needle 0.5 to 1.0 cun. {Lung Reaction Area}
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huani: This point is found in the depression immediately distal to the
medial tibial condyle, and lies 2.5 cun distal to the articular surface of the medial
tibial condyle. Needle 0.5 to 1.0 cun. {Kidney, Six Bowels, and Heart Branch
Reaction Areas}
ii. Di4 Huani: This point is located 7.0 cun proximal to the medial malleolus along
the medial border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8
cun. CONTRAINDICATED IN PREGNANCY. {Kidney Branch Reaction Area}
iii. Ren2 Huani: This point is located 3.0 cun proximal to the medial malleolus along
the medial border of the tibia. Needle 0.6 to 1.2 cun. CONTRAINDICATED IN
PREGNANCY. {Kidney Branch Reaction Area}
Hematuria (LKC)
1. Fen1 Zhi1 Shang\ Fen1 Zhi1 Zhongl, Ren2 Huang2, Shui3 Qui, and Liu4 Wan2 (LKC):
• Fen1 Zhi1 Shang4 : This point is located inferior to the 'fork' formed between the axillary
border of the scapula and the humerus. It lies in proximity to the posterior axillary fold,
directly inferior to the posterior aspect of the acromion process, 1 cun inferior to the most
caudal aspect of the glenohumeral articulation. Needle 1.0 to 1.5 cun. {Endocrine and Liver
Reaction Areas}
• Fen1 Zhi1 Zhong1: This point is located by coursing 1.5 cun immediately inferior, then 0.6
cun medial to Fen1 Zhi 1 Shang4 • Needle 1.0 to 1.5 cun. {Endocrine, Lung Branch, and
Breast Reaction Areas}
• Ren2 Huan~: This point is located 3.5 cun proximal to the apex of (as viewed from
posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel; i.e. Ren2
Huang2 is located 0.5 cun proximal to Sp-6WH0 • Needle 0.6 to 1.5 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Branch and Lung Branch Reaction
Areas}
• Shui3 Qu1: This point is located on the dorsum of the foot, immediately distal to the
articulation of the bases of the 4th and 5th metatarsal bones. Needle 0.3 to 0.5 cun. {Lung
Branch and Kidney Branch Reaction Areas}
• Liu4 Wan2 : This point is located on the dorsum of the foot between the 4th and 5th
metatarsal bones, 0.5 cun proximal to GB-43WH0 . Needle with a 36 Gauge needle 0.3 to 0.5
cun - CONTRAINDICATED IN PATIENTS WITH ASTHMA, PULMONARY DISEASES,
EXCESSIVE PHLEGM, OR WHO ARE WEAK/FRAIL. {Lung Branch and Kidney Branch}
(GB-43 WHO is located 0.5 unit posterior to (proximal to) the web between the 4th and 5th
toes, ergo, Liu4 Wan2 is located 1.0 cun proximal to the interdigital web between said
digits.)
87
Hematuria (MC)
Hypernephroma (IIPC)
1. DMG 77-12 'Lower Three Emperors', Tong1 Shen\ and Wan4 Shun4 Yi1; 'Let' Occipital
Region of the lower extremity- treat daily. DO NOT 'LET' OVER THE AFFECTED
KIDNEYS (HPC):
• DMG 77-12 'Lower Three Emperors':
i. Tian 1 Huang2 : This point is found in the depression immediately distal to the
medial tibial condyle, and lies 2.5 cun distal to the articular surface of the medial
tibial condyle. Needle 0.5 to 1.0 cun. MOXABUSTION CONTRAINDICATED.
NEEDLING ALSO CONTRAINDICATED IN PREGNANCY. {Kidney, Six Bowels,
and Heart Branch Reaction Areas}
ii. Di4 Huang2: This point is located 7 cun proximal to the medial malleolus along the
medial border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Branch Reaction Area}
iii. Ren 2 Huang2 : This point is located 3 cun proximal to the medial malleolus
along the medial border of the tibia. Needle 0.6 to 1.2 cun. CONTRAINDICATED IN
PREGNANCY. {Kidney Branch Reaction Area}
• Tong1 Shen4 : This point is located in the depression found at the superomedial angle of the
patella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
• Wan4 Shun4 Yi1: This point is located 2.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5th metacarpal bone, at the junction of the 'red and white skin'.
Needle 0.2 to 0.4 cun. {Kidney Branch Reaction Area}
Hypernephroma (HPC)
Occipital Region
90
1. DMG 11-20 'Finger Kidney Three Needles', Di4 Shi4, Shui3 Er3, and Shen4 Guan1 (LCH):
• DMG 11-20 'Finger Kidney Three Needles':
i. Zhi3 Shen4 Er4: This point is located at the midpoint of the ulnar digit line on the
dorsal surface of the proximal phalanx of the ring finger. To determine the midpoint
of the ulnar digit line on the proximal phalanx, bisect the distance from the base of
the web between the 4th and 5th digits to the dorsal proximal interphalangeal skin
crease along the course of the said line (make a loose fist to accentuate the base of
the web between the 4th and 5th digits). Needle 0.05 cun (i.e. 0.5 fen). {Liver
Auxiliary and Kidney Auxiliary Reaction Areas}
n. Zhi3 Shen4 Yi 1: To locate this point, simply bisect the distance from zhe Shen4 Er4
to the base of the web between the 4th and 5th digits along the course of the ulnar
digit line (make a loose fist to accentuate the base of the web between the 4th and 5th
digits). Needle 0.05 cun (i.e. 0.5 fen). {Liver Auxiliary and Kidney Auxiliary
Reaction Areas}
iii. Zhi3 Shen4 San1: To locate this point, simply bisect the distance from Zhe Shen4
Er4 to the dorsal proximal interphalangeal skin crease along the course of the ulnar
digit line. Needle 0.05 cun (i.e. 0.5 fen). {Liver Auxiliary and Kidney Auxiliary
Reaction Areas}
• 4 4
Di Shi : This point is located on the anterior surface of the antebrachium, 7.0 cun proximal
to the anterior distal transverse wrist crease along the medial border of the radius bone.
Needle 1.0 cun. {Lung Branch and Heart Branch Reaction Areas}
• Shui3 Er3: This point is located at the caudal-most extremity of the posterior margin of the
antihelix. Needle perpendicularly 0.1 to 0.2 cun with a fine needle. {Kidney Reaction Area}
• Shen4 Guan1: This point is located 1.5 cun distal to Tian1 Huang2 on the medial side of the
proximal leg. Needle 0.5 to 1.0 cun. {Six Bowel Reaction Area} [Tian 1 Huang2 is located in
the depression immediately distal to the medial tibial condyle, and lies 2.5 cun distal to the
articular surface of the medial tibial condyle.]
DMG 11-20
92
1. DMG 88-01 'Passing Through the Kidney Three Needles', Shui3 Zhongt, and Huo3 San4
(LCH):
• DMG 88-01 'Passin,r Through the Kidney Three Needles':
i. Tong1 Shen : This point is located in the depression found at the superomedial
angle ofthefatella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
ii. Tong1 Wei : This point is located 2.0 cun immediately proximal to Tong 1 Shen4 .
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
iii. Tong1 Bei4 : This point is located 4.0 cun immediately proximal to Tong 1 Shen4•
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
• Shue Zhong1: This set of points is located 1.5 cun lateral to either side of the interspinous
space between the L 1 and ~ spinous processes. Needle 0.8 to 1.0 cun. {General Kidney
Reaction Area}
• Huo3 San4: This point is located 1.0 cun proximal to Huo3 Ju2• Huo3 Ju2 is located 1.0 cun
proximal to Huo Lian2 • Huo3 Lian2 is located on the medial side of the foot, 1.5 cun
proximal to the metatarsophalan§eal joint of the great toe, immediately inferior to the first
metatarsal bone. Ergo, Huo3 San is located on the medial side of the foot, 3.5 cun proximal
to the metatarsophalangeal joint of the great toe, immediately inferior to the first metatarsal
bone. Needle at a 90° angle and immediately inferior to the bone. 0.5 to 0.8 cun.
BilATERAL NEEDliNG CONTRAINDICATED. {Heart Branch, Kidney Branch, and Six
Bowels Auxiliary Reaction Areas}
1. Shui3 Xiang\ Shui3 Xian\ Shui3 Tong1, and Shue Jin1 (LCH):
• Shui3 Xiang4 : This point is located in the depression immediately anterior to the Achilles
tendon, 2.0 cun posterior to the apex (as viewed from posterior to anterior) of the medial
malleolus, on the medial side of the ankle. Needle 0.3 to 0.5 cun - one may even needle to
penetrate through to the lateral side along the anterior border of the Achilles tendon.
{Kidney Branch and Brain Reaction Areas}
• Shui3 Xian 1: This point is located 2.0 cun distal to Shui3 Xiang4 • It may be found by
coursing 2.0 cun posterior to the apex (as viewed from posterior to anterior) of the medial
malleolus, and then 2.0 cun immediately distal. Needle 0.5 cun. {Kidney Branch and Brain
Reaction Areas}
• Shui3 Tong 1: This point is located 0.4 cun directly inferior to the labial commissure at the
corner of the mouth. Needle obliquely from medial to lateral 0.1 to 0.5 cun. {Kidney
Reaction Area}
• Shui3 Jin1: This point is located 0.5 cun medial to Shui3 Tong 1• Needle obliquely from
medial to lateral 0.1 to 0.5 cun. {Kidney Reaction Area}
94
1. Shui3 Zhong\ Shui3 Fu\ Shui3 Tong\ and Shui3 Jin 1 (LCH):
• Shui3 Zhong 1: This set of points is located 1.5 cun lateral to either side of the interspinous
space between the L 1 and ~ spinous processes. Needle 0.8 to 1.0 cun. {General Kidney
Reaction Area}
• Shui3 Fu3 : This set of points is located 1.5 cun lateral to either side of the interspinous
space between the ~ and L3 spinous processes. Needle 0.8 to 1.0 cun. {General Kidney
Reaction Area}
• Shui3 Tong 1: This point is located 0.4 cun directly inferior to the labial commissure at the
corner of the mouth. Needle obliquely from medial to lateral 0.1 to 0.5 cun. {Kidney
Reaction Area}
• Shui3 Jin1: This point is located 0.5 cun medial to Shui 3 Tong 1• Needle obliquely from
medial to lateral 0.1 to 0.5 cun. {Kidney Reaction Area}
/;/;;
Sh(jiiZ
97
Lightheadedness* (LCH-1)
[2° to 'Kidney Depletion']
*Includes 'dizziness', 'vertigo', 'giddiness', etc.
1. Wan 4 Shun4 Yi\ Wan4 Shun4 Er\ Liu4 Wan2, and Huo3 San4 (LCH):
• Wan4 Shun4 Yi 1: This joint is located 2.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5 metacarpal bone. Needle 0.5 to 1.5 cun. {Kidney Branch Reaction
Area}
• Wan4 Shun4 Er4 : This point is located 1.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5tli metacarpal bone. Needle 0.2 to 0.4 cun. {Kidney Branch Reaction
Area}
• Liu4 Wan2: This point is located on the dorsum of the foot between the 4th and 5th
metatarsal bones, 0.5 cun proximal to the metatarsophalangeal joints. Needle 0.3 to 0.5 cun.
UNILATERAL NEEDliNG ONLY; CONTRAINDICATED IN PREGNANCY.
CONTRAINDICATED IN CASES MARKED BY ASTHMA, PULMONARY DISEASES,
EXCESSIVE PHLEGM/SPUTUM OR DEBILITATION. {Lung Branch and Kidney Branch
Reaction Areas}
• Huo3 San4: This point is located 1.0 cun proximal to Huo3 Ju2. Huo3 Ju2 is located 1.0 cun
proximal to Huo Lian2 • Huo3 Lian2 is located on the medial side of the foot, 1.5 cun
proximal to the metatarsophalan§eal joint of the great toe, immediately inferior to the first
metatarsal bone. Ergo, Huo3 San is located on the medial side of the foot, 3.5 cun proximal
to the metatarsophalangeal joint of the great toe, immediately inferior to the first metatarsal
bone. Needle at a 90° angle and immediately inferior to the bone. 0.5 to 0.8 cun.
BILATERAL NEEDLING CONTRAINDICATED. {Heart Branch, Kidney Branch, and Six
Bowels Auxiliary Reaction Areas}
99
Lightheadedness* (LCH-2)
[2° to 'Kidney Depletion']
*Includes 'dizziness', 'vertigo', 'giddiness', etc.
1. Zhong1 Bai2, Xia4 Bai2, Shen4 Guan\ Shui3 Tong\ and Shui3 Jin1 (LCH):
• Zhong 1 Bai2: This point is located on the dorsum of the hand between the 4th and 5th
metacarpal bones, 0.5 cun proximal to the metacarpophalangeal joints - make a loose fist to
facilitate locating the point. Needle 0.3 to 0.5 cun. {Heart, Spleen, and Kidney Branch
Reaction Area} (Zhong 1 Bai2 is found in the depression located at the junctions of the shafts
and heads of the 4th and 5th metacarpal bones on the dorsum of the hand.)
• Xia4 Bai2 : This point is located on the dorsum of the hand between the 4th and 5th
metacarpal bones, 1.5 cun proximal to the metacarpophalan~eal joints. Needle 0.3 to 0.5
cun. {Heart, Spleen, and Kidney Branch Reaction Area} (Xia Bai lies 1.0 cun proximal to
Zhong1 Bai2, in the depression immediately distal to the articulation of the bases of the 4th
and 5th metacarpal bones on the dorsum of the hand- have the patient make a loose fist to
facilitate locating this point.)
• Shen4 Guan 1: This point is located 1.5 cun distal to Tian 1 Huang2 on the medial side of the
proximal leg. Needle 0.5 to 1.0 cun. {Six Bowel Reaction Area} [Tian 1 Huang2 is located in
the depression immediately distal to the medial tibial condyle, and lies 2.5 cun distal to the
articular surface of the medial tibial condyle.]
• Shui3 Tong1: This point is located 0.4 cun directly inferior to the labial commissure at the
corner of the mouth. Needle obliquely from medial to lateral 0.1 to 0.5 cun. {Kidney
Reaction Area}
• Shui3 Jin1: This point is located 0.5 cun medial to Shui3 Tong 1• Needle obliquely from
medial to lateral 0.1 to 0.5 cun. {Kidney Reaction Area}
100
1. DMG 22-06 'Control Three Needles' and DMG 33-05 'Hold Liver Spirit Three Needles'
(CCC):
• DMG 22-06 'Control Three Needles':
1. Zhong4 Kui2 : This point is located in the depression at the junction of the shaft and
the head of the second metacarpal bone. Commencing at the base of the second
metacarpal bone in the first dorsal interosseous space, slide distally along its radial
shaft until you encounter the junction of the shaft and the head of this metacarpal.
Needle, closely adherent to the 2nd metacarpal bone, 0.2 to 0.5 cun. {Heart Branch
and Lung Branch Reaction Areas}
ii. Linf Gu3 : This point is located on the dorsum of the hand in an area known as the
'Hu Kou3 '; i.e., the region between the first and second metacarpal bones. The
point is found at the articulation of the bases of the first and second metacarpal
bones, proximal to LI-4WH0 . Needle 1.0 to 2.0 cun. {Lung Branch, Heart, and
Kidney Reaction Areas}
iii. Da4 Bai2: This point may be found by first locating Ling2 Gu3 and Zhong4 Kue;
bisect the distance between these two points to locate Da4 Bai2, the point lies 1.0 cun
distal to Ling2 Gu3• Needle 0.5 to 1.5 cun. {Lung Branch Reaction Area}
• DMG 33-05 'Hold Liver Spirit Three Needles':
i. Gao 1 Lin~ Yi 1: This point is located 3 cun proximal to the anterior distal
transverse wrist crease on the line drawn proximally from the base of the proximal
phalanx of the 4th digit (ring finger) to a point midway between HT-3WH0 and PC-
3WHO (fingers adducted). Needle perpendicular insertion 0.5 to 1.5 cun. Oblique
insertion from distal to proximal (inferior to superior) 2.0 cun. {Liver and Kidney
Reaction Areas}
ii. Gao 1 Lin~ Er4: This point is located 3 cun proximal to Gan 1 Ling2 Yi 1 on the line
drawn proximally from the base of the groximal phalanx of the 4th digit (ring finger)
to a point midway between HT-3WH and PC-3WH0 (fingers adducted). Needle
perpendicular insertion 0.5 to 1.5 cun. Oblique insertion from distal to proximal
(inferior to superior) 2.0 cun. {Liver and Kidney Reaction Areas}
iii. Gan 1 Lin~ Sao 1: This point is located 6 cun proximal to Gan 1 Ling2 Yi 1, i.e. 3 cun
proximal to Gan 1 Ling Er4, on the line drawn proximally from the base of the
proximal ~alanx of the 4th digit (ring finger) to a point midway between HT-3WH0
and PC-3 ° (fingers adducted). Needle perpendicular insertion 0.5 to 1.5 cun.
Oblique insertion from distal to proximal (inferior to superior) 2.0 cun. {Liver and
Kidney Reaction Areas}
101
1. DMG 33-06 'Hold Lumbar Spirit Three Needles' and DMG 44-09 'Three Spirits Three
Needles' (CCC):
• DMG 33-06 'Hold Lumbar Spirit Three Needles':
i. Yao1 Linl( Er4: This point is located 4.5 cun proximal to the anterior distal
transverse crease of the wrist, in the interosseous space between the ulna and radius
bones, on the Hand Jue2 Yin 1 Pericardium Channel, i.e. 4.5 cun proximal to PC-
7WH0 on a line connecting PC-7WH0 with PC-3WHO. Needle perpendicular insertion
0.2-0.3 cun. {Kidney Reaction Area}
ii. Yao1 Ling2 San1: This point is located 0.5 cun radial to Yao 1 Ling2 Er4 • Needle
perpendicular insertion 0.2-0.3 cun. {Kidney Reaction Area}
iii. Yao1 Linlf Yi1 : This point is located 0.5 cun ulnar to Yao 1 Ling2 Er4 . Needle
perpendicular insertion 0.2-0.3 cun. {Kidney Reaction Area}
• DMG 44-09 'Three Spirits Three Needles':
i. San1 Shen2 Yi : This point is located 1.5 cun proximal to the apex of the olecranon
process of the ulna bone and medial to the humerus. Place the patient's palm on
his/her chest when locating this point. Needle oblique insertion from inferior to
superior 1 cun to treat disorders stemming from 'Kidney Depletion'. {Kidney
Auxiliary, Liver Auxiliary, and Lung Branch Reaction Areas}
ii. San1 Shen2 Er4 : This point is located 1 cun proximal to San 1 Shen2 Yi 1, i.e. 2.5 cun
proximal to the apex of the olecranon process of the ulna bone and medial to the
humerus. Place the patient's palm on his/her chest when locating this point. Needle
oblique insertion from inferior to superior 1 cun to treat disorders stemming from
'Kidney Depletion'. {Kidney Auxiliary, Liver Auxiliary, and Lung Branch Reaction
Areas}
iii. San1 Shen2 San1: This is located 1 cun proximal to San1 Shen2 Er4 , i.e. 3.5 cun
proximal to the apex of the olecranon process of the ulna bone and medial to the
humerus. Place the patient's palm on his/her chest when locating this point. Needle
oblique insertion from inferior to superior 1 cun to treat disorders stemming from
'Kidney Depletion'. {Kidney Auxiliary, Liver Auxiliary, and Lung Branch Reaction
Areas}
103
1. Shue Jin1 and Shui3 Tong1 with Zhong1 Bai2 and Xia4 Bai2 (CCC):
• Shue Jin1 : This point is located 0.5 cun obliquely medial to Shui 3 Tong 1• Needle
perpendicularly 0.2 to 0.3 cun or obliquely from medial to lateral up to 0.5 cun. {Kidney
Reaction Area} (To locate this point, proceed to a point 0.5 cun medial to Shue Tong 1
and 0.5 cun directly inferior to the extraorallabial-cutaneous junction of the inferior lip.)
• Shui3 Tong1: This point is located 0.5 cun directly inferior to the extraorallabial-cutaneous
junction at the corner of the mouth. Needle perpendicularly 0.2 to 0.3 cun or obliquely from
medial to lateral up to 0.5 cun. {Kidney Reaction Area}
• Zhong1 Bae: This point is located on the dorsum of the hand, between the 4th and 5th
metacarpal bones, 0.5 cun proximal to the metacarpophalangeal articulations. Needle 0.5
cun. {Kidney Branch Reaction Area}
• Xia4 Bai2 : This point is located on the dorsum of the hand between the 4th and 5th
metacarpal bones, 1.5 cun proximal to the metacarpophalangeal joints. Needle 0.3 to 0.8
cun. {Liver and Kidney Confluent Reaction Area} (Xia4 Bai 2 lies 1.0 cun proximal to
Zhong 1 Bai2, and is located in the depression immediately distal to the articulation of the
bases of the 4th and 5th metacarpal bones on the dorsum of the hand- have the patient make
a loose fist to facilitate locating this point.)
106
1. DMG 77-12 'Lower Three Emperors' and DMG 88-01 'Passing Through the Kidney Three
Needles' (CCC):
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huan~: This point is located 1 cun distal to Sp-9WH0 , on the medial aspect
of the leg, between the medial border of the tibia and the medial head of the
gastrocnemius muscle. Needle 0.5 to 1.5 cun. {Kidney, Six Bowels, and Heart
Branch Reaction Areas}
ii. Ren2 Huan~: This point is located 3.5 cun proximal to the apex of (as viewed from
posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel.
Needle 0.6 to 1.5 cun. {Kidney Branch and Lung Branch Reaction Areas} (Ren2
Huang2 is located 0.5 cun proximal to Sp-6 WHo.)
iii. Di4 Huan~: This point is located 4 cun proximal to Ren2 Huang2• Needle 1.0 to 2.0
cun. {Kidney Reaction Area} (Di4 Huang2 lies 7.5 cun proximal to the apex of (as
viewed from posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1
Spleen Channel.)
• DMG 88-01 'Passin_r Through the Kidney Three Needles':
i. Tong1 Shen : This point is found in the depression located at the superomedial
angle of the patella. To locate this point, draw a transverse line tangent to the
superior margin of the patella and a vertical line tangent to the medial margin of the
patella; the point lies in the depression at intersection of these two lines. Needle 0.5
to 1.0 cun. {Kidney Reaction Area}
ii. Tong1 Wei4 : This point is located 2 cun immediately proximal to Tong 1 Shen4 •
Needle 0.5 to 1.5 cun. {Kidney Reaction Area}
111. Tong1 Bei4 : This point is located 2 cun immediately proximal to Tong 1 Wei 4 .
Needle 1.0 to 2.0 cun. {Kidney Reaction Area} (Tong 1 Bei4 is located 4 cun
proximal to Tong 1 Shen4 .)
107
Di4 H
1. Shui3 Jin\ Shue Tong1, Wan4 Shun4 Yi\ Wan4 Shun4 Er\ Tong1 Shen4, Tong 1 Wei\ Si4 Ma3
Zhong\ and 'Let' the Kidney Region on the back (HPC):
• Shui3 Jin1: This point is located 0.5 cun obliquely medial to Shui3 Tong 1. Needle obliquely
from medial to lateral 0.1 up to 0.5 cun. {Kidney Reaction Area} (To locate this point,
proceed to a point 0.5 cun medial to Shui3 Tong 1 and 0.4 cun directly inferior to the
extraorallabial-cutaneous junction ofthe inferior lip.)
• Shui3 Tong1: This point is located 0.4 cun directly inferior to the extraorallabial-cutaneous
junction at the corner of the mouth. Needle obliquely from medial to lateral 0.1 up to 0.5
cun. {Kidney Reaction Area}
• Wan 4 Shun4 Er4 : This point is located 1.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5th metacarpal bone, at the junction of the 'red and white skin'.
Needle 0.2 to 0.4 cun. {Kidney Branch Reaction Area}
• Wan4 Shun4 Yi 1: This point is located 2.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5th metacarpal bone, at the junction of the 'red and white skin'.
Needle 0.2 to 0.4 cun. {Kidney Branch Reaction Area}
• Tong1 Shen4 : This point is located in the depression found at the superomedial angle of the
patella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
• Tong1 Wei4 : This point is located 2.0 cun immediately proximal to Tong 1 Shen4 • Needle
0.5 to 1.0 cun. {Kidney Reaction Area} (Tong 1 Shen4 is located in the depression found at
the superomedial angle of the patella)
• Si4 Ma3 Zhong1: This point is located by placing the palms of the hands (elbows fully
extended) on the lateral thighs while standing erect. From where the tips of the middle
fingers touch the thighs, proceed 3.0 cun anteriorly to arrive at Si4 Ma3 Zhong 1• Needle 0.8
to 2.5 cun. {General Lung and Liver Branch Reaction Areas}
109
1. Zhong 1 Bai1, Xia4 Bai1, and Wan4 Shun4 Yi1• 'Let' the affected area of the low back (LKC):
• Zhong1 Bai1 : This point is located on the dorsum of the hand, between the 4th and 5th
metacarpal bones, 0.5 cun proximal to the metacarpophalangeal articulations. Needle 0.5
cun. {Kidney Branch Reaction Area}
• Xia4 Bai1: This point is located on the dorsum of the hand between the 4th and 5th
metacarpal bones, 1.5 cun proximal to the metacarpophalangeal joints. Needle 0.3 to 0.8
cun. {Liver and Kidney Confluent Reaction Area} (Xia4 Bai2 lies 1.0 cun proximal to
Zhong 1 Bai2 , and is located in the depression immediately distal to the articulation of the
bases of the 4th and 5th metacarpal bones on the dorsum of the hand- have the patient make
a loose fist to facilitate locating this point.)
• Wan4 Shun4 Yi 1: This point is located 1.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5th metacarpal bone, at the junction of the 'red and white skin'.
Needle 0.5 to 1.0 cun. {Kidney Branch Reaction Area}
111
1. Wan4 Shun4 Yi1 and Lin~ Gu3 with Ma3 Jin1 Shui3 and Ma3 Kuai 4 Shui3 (LKC):
• Wan4 Shun4 Yi 1: This point is located 1.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5th metacarpal bone, at the junction of the 'red and white skin'.
Needle 0.5 to 1.0 cun. {Kidney Branch Reaction Area}
• Lin~ Gu3 : This point is located on the dorsum of the hand, immediately distal to the
articulation of the bases of the 1st and 2nd metacarpal bones - have the patient make a loose
fist to facilitate locating the point. Needle 1.0 to 2.0 cun; i.e. one may needle through to
connect with Zhong4 Xian 1• CONTRAINDICATED IN PREGNANCY. {Lung Branch, Heart,
and Kidney Reaction Areas}
• Ma3 Jin 1 Shui3 : This point is located by palpating for a depression along the inferior
margin of the zygomatic bone at the medial to lateral level of the lateral angle/margin of the
orbit; from this depression, course 0.4 cun lateral to arrive at Ma3 Jin 1 Shui3 . Needle 0.2 to
0.3 cun. {Kidn~ and Lung Auxiliary Reaction Areas} (This point is essentially 0.4 cun
lateral to SI-18 °.)
• Ma3 Kuai4 Shui3 : This point lies 0.4 cun inferior to Ma3 Jin 1 Shue. Needle 0.1 to 0.3 cun.
{Kid~ and Bladder Reaction Areas} (Ma3 Jin 1 Shue is located 0.4 cun lateral to SI-18WH0 .
SI-18 ° is found at the medial-to-lateral level of the outer canthus and at the superior-to-
inferior level of the inferior border of the Zygomatic bone.)
Jin1 Shui3
Kuai4 Shui3
112
1. 'Let' Wu3 Lin~ and along the Shoe Zhong1, Shoe Fu3, and same segmental level constituent
points from San1 Jiang1 (LKC):
• Wu3 Ling3 : These points are found on five rostral-caudallines located on the back and they
should be 'let' rather than needled with filiform needles. The first row of ten points is
located on the Du Mai (Governing Vessel) in the interspinous spaces between: T2!f3, T3ff4,
T4!f5, Ts/T6, T6/T7, T7/Ts, Ts!f9, T9/Tlo, Tlo/Tu, and Tu/T12. The second row of 8
points (per row) is located 3 cun lateral on either side of the Du Mai (Governing Vessel),
commences from the level of the T2ff3, and includes points at the levels of T3!f4, T4!f5,
Tsff6, T6!f7, T7/Ts, Tsff9, and T9ff 10 . The third row of 7 points (per row) is located 6
cun lateral on either side of the Du Mai (Governing Vessel), commences from the level of
the T2!f3, and includes points at the levels of T3ff4, T4ff5, Ts/T6, T6!f7, T7ffs, and Tsff9.
(In this case, use those points on the first and second rows.)
• Shoe Zhong1 : These two points are located 1.5 cun lateral to the interspinous space
between Lt and L2. Needle 0.8 to 1.0 cun or 'Let' {General Kidney Reaction Area}
• Shui3 Fu3 : These two points are located 1.5 cun lateral to the interspinous space between L2
and L3. Needle 0.8 to 1.0 cun or 'Let' {General Kidney Reaction Area}
113
1. Zhong1 Bai1, Wan4 Shun4 Yi\ Shui3 Jin\ Shui3 Tong1, Di4 Huan~, and Ren1 Huan~ (MC):
• Zhong1 Bai1: This point is located on the dorsum of the hand in the interosseous space
between the fourth and fifth metacarpal bones, 0.5 cun proximal to the
metacarpophalangeal articulations; have the patient make a fist to facilitate locating the
point. Needle 0.3 to 0.5 cun. {Heart, Spleen, and Kidney Branch Reaction Areas}
• Wan4 Shun4 Yi 1: This point is located 2.5 cun distal to the anterior distal transverse wrist
crease and anterior to the 5th metacarpal bone. Needle 0.5 to 1.5 cun - BILATERAL
NEEDLING CONTRAINDICATED. {Kidney Branch Reaction Area}
• Shui3 Jin1: This point is located 0.5 cun medial to Shui3 Tong 1• Needle obliquely from
medial to lateral 0.1 to 0.5 cun. {Kidney Reaction Area} (To locate this point, proceed to a
point 0.5 cun medial to Shue Tong 1 and 0.4 cun directly inferior to the extraoral labial-
cutaneous junction of the inferior lip.)
• Shui3 Tong1: This point is located 0.4 cun directly inferior to the extraorallabial-cutaneous
junction at the corner of the mouth. Needle obliquely from medial to lateral 0.1 to 0.5 cun.
{Kidney Reaction Area}
• Di4 Huan~: This point is located 7 cun proximal to the medial malleolus along the medial
border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Reaction Area}
• Ren1 Huan~: This point is located 3 cun proximal to the medial malleolus along the
medial border of the tibia. Needle 0.6 to 1.2 cun. CONTRAINDICATED IN PREGNANCY.
{Kidney Branch Reaction Area}
114
1. Shen4 Guan\ Guang1 Ming2, DMG 11-20 'Finger Kidney Three Needles', and Wan4 Shun4
Yi 1 (MC):
• Shen4 Guan1: This point lies 1.5 cun immediately distal to Tian 1 Huang2• Needle 0.5 to 1.0
cun. (Tian 1 Huang2 is located in the depression found immediately distal to the medial tibial
condyle, 2.5 cun distal to the articular surface of the medial tibial condyle.) {Six Bowels
Reaction Area}
• Guang1 Min~: This point is located by proceeding 1.0 cun posterior, then 2.0 cun
proximal, to the apex (as viewed from posterior to anterior) of the medial malleolus. Needle
0.5 to 1.0 cun. {Kidney Reaction Area}
• DMG 11-20 'Finger Kidney Three Needles':
i. Zhi3 Shen4 Er4: This point is located at the midpoint of the ulnar digit line on the
dorsal surface of the proximal phalanx of the ring finger. To determine the midpoint
of the ulnar digit line on the proximal phalanx, bisect the distance from the base of
the web between the 4th and 5th digits to the dorsal proximal interphalangeal skin
crease along the course of the said line (make a loose fist to accentuate the base of
the web between the 4th and 5th digits). Needle perpendicular 0.1 to 0.2 cun, closely
adjacent to the bone. {Liver Auxiliary and Kidney Auxiliary Reaction Areas}
ii. Zhi3 Shen4 Yi1: To locate this point, bisect the distance from Zhi3 Shen4 Er4 to the
base of the web between the 4th and 5th digits along the course of the ulnar digit line
(make a loose fist to accentuate the base of the web between the 4th and 5th digits).
Needle perpendicular 0.1 to 0.2 cun, closely adjacent to the bone. {Liver Auxiliary
and Kidney Auxiliary Reaction Areas}
m. Zhi3 Shen4 San1: To locate this point bisect the distance from Zhi3 Shen4 Er4 to the
dorsal proximal interphalangeal skin crease along the course of the ulnar digit line.
Needle perpendicular 0.1 to 0.2 cun, closely adjacent to the bone. {Liver Auxiliary
and Kidney Auxiliary Reaction Areas}
• Wan Shun4 Yi 1: This point is located 2.5 cun distal to the anterior distal transverse wrist
4
crease and anterior to the 5th metacarpal bone. Needle 0.5 to 1.5 cun - BILATERAL
NEEDLING CONTRAINDICATED. {Kidney Branch Reaction Area}
115
I
116
Lumbago (CCC)
1. DMG 22-06 'Control Three Needles', DMG 33-11 'Hold Three Fires', and DMG 33-09
'Posterior Antebrachial Scholar Three Needles' (CCC):
• DMG 22-06 'Control Three Needles':
t. Zhong4 Kui2 : This point is located in the depression at the junction of the shaft and
the head of the second metacarpal bone. Commencing at the base of the second
metacarpal bone in the first dorsal interosseous space, slide distally along its radial
shaft until you encounter the junction of the shaft and the head of this metacarpal.
Needle, closely adherent to the 2nd metacarpal bone, 0.2 to 0.5 cun. {Heart Branch
and Lung Branch Reaction Areas}
ii. Lin( Gu3 : This point is located on the dorsum of the hand in an area known as the
'Hu Kou3 '; i.e., the region between the first and second metacarpal bones. The
point is found at the articulation of the bases of the first and second metacarpal
bones, proximal to LI-4WH0 . Needle 1.0 to 2.0 cun. {Lung Branch, Heart, and
Kidney Reaction Areas}
iii. Da4 Bai2 : This point may be found by ftrst locating Ling2 Gu3 and Zhong4 Kui 2 ;
bisect the distance between these two points to locate Da4 Bai2, the point lies 1.0 cun
distal to Ling2 Gu3 • Needle 0.5 to 1.5 cun. {Lung Branch Reaction Area}
• DMG 33-11 'Hold Three Fires':
i. Huo3 Chuan4 : This point is located 2.5 cun proximal to TB-4WH0 on the Hand
Shao4 Yang2 Triple Burner Channel, in the interosseous space between the ulna and
radius bones, on the posterior surface of the antebrachium. Needle perpendicularly
1.0 to 1.5 cun. {Lung Branch and Heart Auxiliary Reaction Areas}
ii. Huo3 Lini: This point is located 4.5 cun proximal to TB-4WH0 on the Hand Shao4
Yang2 Triple Burner Channel, in the interosseous space between the ulna and radius
bones, on the posterior surface of the antebrachium. Needle perpendicularly 1.0 to
1.5 cun. {Lung Branch and Heart Auxiliary Reaction Areas}
iii. Huo3 Shan1: This point is located 6.0 cun proximal to TB-4WH0 on the Hand Shao4
Yang2 Triple Burner Channel, in the interosseous space between the ulna and radius
bones, on the posterior surface of the antebrachium. Needle perpendicularly 1.0 to
1.5 cun. {Lung Branch and Heart Auxiliary Reaction Areas}
• DMG 33-09 'Posterior Antebrachial Scholar Three Needles':
i. Shang4 Shi4 : This point is located on the dorsum of the antebrachium 1 cun
proximal to the level of SI-6WH0 . It lies immediately radial to the ulna bone,
between the tendons of the extensor carpi ulnaris muscle (ulnar) and the extensor
digiti minimi muscle (radial). One can readily locate the extensor digiti minimi
muscle by extending and flexing the 5th digit; needle immediately ulnar to this
muscle. Needle oblique insertion from ulnar to radial 1.5 cun to treat lumbalgia.
{Heart and Kidney Reaction Areas}
ii. Zhong1 Shi4: This point is located on the dorsum of the antebrachium 2 cun
proximal to Shang4 Shi4 • It lies immediately radial to the ulna bone, between the
tendons of the extensor carpi ulnaris muscle (ulnar) and the extensor digiti minimi
muscle (radial). One can readily locate the extensor digiti minimi muscle by
extending and flexing the 5th digit; needle immediately ulnar to this muscle. Needle
oblique insertion from ulnar to radial 1.5 cun to treat lumbalgia. {Heart and Kidney
Reaction Areas}
117
m. Xia4 Shi4 : This point is located on the dorsum of the antebrachium 2 cun proximal
to Zhong 1 Shi4 , i.e. 4 cun proximal to Shang4 Shi4 • It lies immediately radial to the
ulna bone, between the tendons of the extensor carpi ulnaris muscle (ulnar) and the
extensor digiti minimi muscle (radial). One can readily locate the extensor digiti
minimi muscle by extending and flexing the 5th digit; needle immediately ulnar to
this muscle. Needle oblique insertion from ulnar to radial 1.5 cun to treat lumbalgia.
{Heart and Kidney Reaction Areas}
.._
Lumbalgia (LCH-1)
[2° to 'Kidney Depletion']
1. DMG 88-01 'Passing Through the Kidney Three Needles', Shui3 Er3, Shue Tong1, and Shui3
Jin 1 (LCH):
• DMG 88-01 'Passinr Through the Kidney Three Needles':
i. Tong1 Shen : This point is located in the depression found at the superomedial
angle ofthegatella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
ii. Tong1 Wei : This point is located 2.0 cun immediately proximal to Tong 1 Shen4 .
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
iii. Tong1 Bei4 : This point is located 4.0 cun immediately proximal to Tong 1 Shen4 •
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
• Shui Er3 : This point is located at the caudal-most extremity of the posterior margin of the
3
antihelix. Needle perpendicularly 0.1 to 0.2 cun with a fine needle. {Kidney Reaction Area}
• Shui3 Tong1: This point is located 0.4 cun directly inferior to the labial commissure at the
corner of the mouth. Needle obliquely from medial to lateral 0.1 to 0.5 cun. {Kidney
Reaction Area}
• Shui3 Jin1: This point is located 0.5 cun medial to Shui 3 Tong 1. Needle obliquely from
medial to lateral 0.1 to 0.5 cun. {Kidney Reaction Area}
Lumbalgia (LCH-2)
[2° to 'Kidney Depletion']
1. DMG 77-12 'Lower Three Emperors', Huo3 San4, Shue Xiang4, and
Shui3 Xian1 (LCH):
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huan~: This point is found in the depression
immediately distal to the medial tibial condyle, and lies 2.5
cun distal to the articular surface of the medial tibial
condyle. Needle 0.5 to 1.0 cun. {Kidney, Six Bowels, and
Heart Branch Reaction Areas}
ii. Di4 Huan~: This point is located 7.0 cun proximal to the
medial malleolus along the medial border of the tibia.
Needle inferior to superior at a 45° angle 1.0 to 1.8 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Branch
Reaction Area}
iii. Ren2 Huan~: This point is located 3.0 cun proximal to the
medial malleolus along the medial border of the tibia.
Needle 0.6 to 1.2 cun. CONTRAINDICATED IN
PREGNANCY. {Kidney Branch Reaction Area} .
3 4
• Huo San : This point is located 1.0 cun proximal to Huo Ju • 3 2 ·
Huo3 Ju2 is located 1.0 cun proximal to Huo3 Lian2 • Huo3 Lian2 is located on the medial
side of the foot, 1.5 cun proximal to the metatarsophalangeal joint of the great toe,
immediately inferior to the first metatarsal bone. Ergo, Huo3 San4 is located on the medial
side of the foot, 3.5 cun proximal to the metatarsophalangeal joint of the great toe,
immediately inferior to the first metatarsal bone. Needle at a 90° angle and immediately
inferior to the bone. 0.5 to 0.8 cun. BILATERAL NEEDLING CONTRAINDICATED. {Heart
Branch, Kidney Branch, and Six Bowels Auxiliary Reaction Areas}
• Shui3 Xiang4 : This point is located in the depression immediately anterior to the Achilles
tendon, 2.0 cun posterior to the apex (as viewed from posterior to anterior) of the medial
malleolus, on the medial side of the ankle. Needle 0.3 to 0.5 cun - one may even needle to
penetrate through to the lateral side along the anterior border of the Achilles tendon.
{Kidney Branch and Brain Reaction Areas}
• Shui3 Xian1 : This point is located 2.0 cun distal to Shui3 Xiang4 . It may be found by
coursing 2.0 cun posterior to the apex (as viewed from posterior to anterior) of the medial
malleolus, and then 2.0 cun immediately distal. Needle 0.5 cun. {Kidney Branch and Brain
Reaction Areas}
120
Lumbalgia (LCH-1)
[2° to Nephropathy]
Lumbalgia (LCH-2)
[2° to Nephropathy]
Lumbalgia (LCH-3)
[2° to Nephropathy]
1. Zhong1 Bai1, Xia4 Bai1, Shen4 Guan1, and 'let' the affected area (LKC):
• Zhong 1 Bai2: This point is located on the dorsum of the hand, between the 4th and 5th
metacarpal bones, 0.5 cun proximal to the metacarpophalangeal articulations. Needle 0.5
cun. {Kidney Branch Reaction Area}
• Xia4 Bai2: This point is located on the dorsum of the hand between the 4th and 5th
metacarpal bones, 1.5 cun proximal to the metacarpophalangeal joints. Needle 0.3 to 0.8
cun. {Liver and Kidney Confluent Reaction Area} (Xia4 Bai2 lies 1.0 cun proximal to
Zhong 1 Bai2 , and is located in the depression immediately distal to the articulation of the
bases of the 4th and 5th metacarpal bones on the dorsum of the hand - have the patient make
a loose fist to facilitate locating this point.)
• Shen4 Guan1: This point is located 1.5 cun distal to Tian 1 Huang2 on the medial side of the
proximal leg. Needle 0.5 to 2.0 cun. {Six Bowel Reaction Area} (Tian1 Huang2 is located
1.0 cun distal to Sp-9WH0 , on the medial aspect of the proximal leg, between the medial
border of the tibia and the medial head of the gastrocnemius muscle, ergo, Shen4 Guan 1 is
located 2.5 cun distal to Sp-9WHo)
125
-:::::::::::-..
Er4 Jiao 3 Ming2
126
1. Wan4 Shun4 Yi 1, Wan4 Shun4 Er\ Hou4 Zhui1, Shou3 Ying\ Shui3 Fu3, and Ma3 Jin 1 Shui3
(LCH):
• Wan4 Shun4 Yi 1 : This joint is located 2.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5 metacarpal bone. Needle 0.5 to 1.5 cun. {Kidney Branch Reaction
Area}
• Wan4 Shun4 Er4 : This point is located 1.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5th metacarpal bone. Needle 0.2 to 0.4 cun. {Kidney Branch Reaction
Area}
• Hou 4 Zhui 1: This point is located on the posterior aspect of the brachium, 2.5 cun proximal
to the level of the transverse cubital crease (the point is on the Hand Shao4 Yang 2 San 1 Jiao 1
Channel). Needle 0.3 to 0.5 cun. {Liver Auxiliary, Heart Auxiliary Confluent, and
Vertebral Reaction Areas}
• Shou3 Ying1: This point is located on the posterior aspect of the brachium, 4.5 cun
proximal to the level of the transverse cubital crease (the point is on the Hand Shao4 Yang2
San 1 Jiao 1 Channel, 2.0 cun proximal to Hou4 Zhui 1). Needle 0.3 to 0.5 cun. {Liver
Auxiliary, Heart Auxiliary Confluent, and Vertebral Reaction Areas}
• Shui3 Fu3 : This set of points is located 1.5 cun lateral to either side of the interspinous
space between the Lz and L3 spinous processes. Needle 0.8 to 1.0 cun. {General Kidney
Reaction Area}
• Ma3 Jin1 Shui3 : This point is found on the face in the depression located along the inferior
border of the zygomatic bone at the medial-to-laterallevel of the lateral canthus. Needle 0.1
to 0.3 cun. {Kidney and Lung Auxiliary Reaction Areas}
127
I l
I ,
t
q
f'~\
128
1. Zhong1 Bai1, Xia4 Bai1, Shen4 Guanl, and 'let' the affected area (LKC):
• Zhong1 Bai1: This point is located on the dorsum of the hand, between the 4th and 5th
metacarpal bones, 0.5 cun proximal to the metacarpophalangeal articulations. Needle 0.5
cun. {Kidney Branch Reaction Area}
• Xia4 Bai1 : This point is located on the dorsum of the hand between the 4th and 5th
metacarpal bones, 1.5 cun proximal to the metacarpophalangeal joints. Needle 0.3 to 0.8
cun. {Liver and Kidney Confluent Reaction Area} (Xia4 Bai2 lies 1.0 cun proximal to
Zhong 1 Bai2 , and is located in the depression immediately distal to the articulation of the
bases of the 4th and 5th metacarpal bones on the dorsum of the hand- have the patient make
a loose fist to facilitate locating this point.)
• Shen4 Guan 1: This point is located 1.5 cun distal to Tian 1 Huang2 on the medial side of the
proximal leg. Needle 0.5 to 2.0 cun. {Six Bowel Reaction Area} (Tian 1 Huang2 is located
1.0 cun distal to Sp-9WH0 , on the medial aspect of the proximal leg, between the medial
border of the tibia and the medial head of the gastrocnemius muscle, ergo, Shen4 Guan 1 is
located 2.5 cun distal to Sp-9WHO)
130
1. Wan 4 Shun4 Yil, Wan4 Shun4 Er\ and Liu4 Wan2 (LCH):
• Wan4 Shun4 Yi1: This joint is located 2.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5 metacarpal bone. Needle 0.5 to 1.5 cun. {Kidney Branch Reaction
Area}
• Wan4 Shun4 Er4: This point is located 1.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5th metacarpal bone. Needle 0.2 to 0.4 cun. {Kidney Branch Reaction
Area}
• Liu4 Wan 2 : This point is located on the dorsum of the foot between the 4th and 5th
metatarsal bones, 0.5 cun proximal to the metatarsophalangeal joints. Needle 0.3 to 0.5 cun.
UNILATERAL NEEDLING ONLY; CONTRAINDICATED IN PREGNANCY. {Lung Branch
and Kidney Branch Reaction Areas}
131
Nephralgia (LCH)
1. Er4 Jiao3 Min~ and Fu3 Chao2 Er4 Shi2 San1 (LCH):
• Er4 Jiao3 Ming2 : These two points are located along the midline (Posterior Midsagittal
Plane) of the proximal phalanx on the dorsum of the 3r d digit (middle finger). The proximal
point is located one third the distance from the dorsal metacarpophalangeal skin crease to
the dorsal proximal interphalangeal skin crease, and the distal point is located two thirds the
distance from the dorsal metacarpophalangeal skin crease to the dorsal proximal
interphalangeal skin crease. Needle subcutaneously horizontal 0.05 cun (i.e. 0.5 fen).
{Kidney Reaction Area}
• Fu3 Chao2 Er4 Shi2 San1: This is a collective of 23 points located as follows: ['Let'. {Six
Bowels Reaction Area}]
i. Midline Points (Conception Vessel): Superior to the umbilicus 1.0 and 2.0 cun.
Inferior to the umbilicus 1.0, 2.0, 3.0, 4.0, and 5.0 cun respectively, for a total of 7
midline points.
ii. Lateral Line 1 Points: These bilaterally paired points are located on two lines, each
located 1.0 cun lateral to either side of the Conception Vessel. The first pair of
points is located 1.0 cun superior to the umbilicus, the second pair is at the level of
the umbilicus, the third pair is located 1.0 cun inferior to the umbilicus, and the
fourth pair is located 2.0 cun inferior to the umbilicus for a total of 8 points.
111. Lateral Line 2 Points: These bilaterally paired points are located on two lines, each
located 2.0 cun lateral to either side of the Conception Vessel. The first pair of
points is located 1.0 cun superior to the umbilicus, the second pair is at the level of
the umbilicus, the third pair is located 1.0 cun inferior to the umbilicus, and the
fourth pair is located 2.0 cun inferior to the umbilicus for a total of 8 points .
..•••••
: ..
eeoee
••••••
••
• •
132
Nephritis (CCC)
1. DMG 22-05 'Control the Spine Three Needles', DMG 77-12 'Lower Three Emperors', and
DMG 88-01 'Passing Through the Kidney Three Needles' (CCC):
• DMG 22-05 'Control the Spine Three Needles':
i. Wan4 Shun4 Yi 1 : This point is located 1.5 cun distal to the anterior distal transverse
wrist crease, anterior to the 5th metacarpal bone at the junction of the~almar and
dorsal ('red and white') skin; the point lies 1.5 cun proximal to SI-3 °. Needle
perpendicularly 0.5 cun to 1.0 cun keeping the shaft of the needles in proximity to
the anterior surface of the 5th metacarpal bone. {Kidney Branch Reaction Area}
ii. Wan4 Shun4 Er4 : This point is located 2.5 cun distal to the anterior distal transverse
wrist crease, anterior to the 5th metacarpal bone at the junction of the~almar and
dorsal ('red and white') skin; the point lies 0.5 cun proximal to Sl-3 °. Needle
perpendicularly 0.5 cun to 1.0 cun keeping the shaft of the needles in proximity to
the anterior surface of the 5th metacarpal bone. {Kidney Branch Reaction Area}
iii. Wan4 Shun4 San1 : This point is located 3.5 cun distal to the anterior distal
transverse wrist crease, anterior to the 5th metacarpal bone at the junction of the
palmar and dorsal ('red and white') skin; the point lies 0.5 cun distal to SI-3 WHo.
Needle perpendicularly 0.5 cun to 1.0 cun keeping the shaft of the needles in
proximity to the anterior surface of the 5th metacarpal bone. {Kidney Branch
Reaction Area}
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huanlf: This point is located 1 cun distal to Sp-9WH0 , on the medial aspect
of the leg, between the medial border of the tibia and the medial head of the
gastrocnemius muscle. Needle 0.5 to 1.5 cun. {Kidney, Six Bowels, and Heart
Branch Reaction Areas}
ii. Ren2 Huanlf: This point is located 3.5 cun proximal to the apex of (as viewed from
posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel.
Needle 0.6 to 1.5 cun. {Kidney Branch and Lung Branch Reaction Areas} (Ren2
Huang2 is located 0.5 cun proximal to Sp-6 WHo.)
m. Di4 Huanlf: This point is located 4 cun proximal to Ren2 Huang2• Needle 1.0 to 2.0
cun. {Kidney Reaction Area} (Di4 Huang2 lies 7.5 cun proximal to the apex of (as
viewed from posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1
Spleen Channel.)
• DMG 88-01 'Passin_r Through the Kidney Three Needles':
i. Tong1 Shen : This point is found in the depression located at the superomedial
angle of the patella. To locate this point, draw a transverse line tangent to the
superior margin of the patella and a vertical line tangent to the medial margin of the
patella; the point lies in the depression at intersection of these two lines. Needle 0.5
to 1.0 cun. {Kidney Reaction Area}
ii. Tong1 Wei 4: This point is located 2 cun immediately proximal to Tong 1 Shen4 •
Needle 0.5 to 1.5 cun. {Kidney Reaction Area}
iii. Tong1 Bei4 : This point is located 2 cun immediately proximal to Tong 1 Wei 4 .
Needle 1.0 to 2.0 cun. {Kidney Reaction Area} (Tong 1 Bei4 is located 4 cun
proximal to Tong 1 Shen4 .)
133
Nephritis (CCC)
::·-~---
:.:;. tAeart-~
+
-------- ----
•• iver
:: Sciat c
136
1. Shen4 Guan1, Di4 Huang2, Ren2 Huan~, Huo3 Ying4, Tong1 Shen4, and 'Let' the Kidney
Region of the back (HPC):
• Shen4 Guan 1: This point lies 1.5 cun immediately distal to Tian1 Huang2 • Needle 0.5 to 1.0
cun. (Tian1 Huang2 is located in the depression found immediately distal to the medial tibial
condyle, and lies 2.5 cun distal to the articular surface of the medial tibial condyle.) {Six
Bowels Reaction Area}
• Di4 Huan~: This point is located 7 cun proximal to the medial malleolus along the medial
border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Branch Reaction Area}
• Ren2 Huan~: This point is located 3 cun proximal to the medial malleolus along the
medial border of the tibia. Needle 0.6 to 1.2 cun. CONTRAINDICATED IN PREGNANCY.
{Kidney Branch Reaction Area}
• Huo3 Ying4 : This point is located on the dorsum of the foot between the 1st and 2nd
metatarsal bones, 0.5 cun proximal to the metatarsophalangeal joints. Needle 0.3 to 0.5 cun.
NEEDLE & MOXA CONTRAINDICATED DURING PREGNANCY. {Heart Organ Branch
and Liver Auxiliary Reaction Areas}
• Tong1 Shen4 : This point is located in the depression found at the superomedial angle of the
patella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
137
Nephritis (LCH-1)
1. Wan4 Shun4 Yi\ Wan4 Shun4 Er4, DMG 77-12 'Lower Three Emperors', and 'let' the
yellow fluid at Shue Yu4 (LCH)
• Wan4 Shun4 Yi1: This joint is located 2.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5 metacarpal bone. Needle 0.5 to 1.5 cun. {Kidney Branch Reaction
Area}
• Wan4 Shun4 Er4: This point is located 1.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5th metacarpal bone. Needle 0.2 to 0.4 cun. {Kidney Branch Reaction
Area}
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huang 2 : This point is found in the depression immediately distal to the
medial tibial condyle, and lies 2.5 cun distal to the articular surface of the medial
tibial condyle. Needle 0.5 to 1.0 cun. {Kidney, Six Bowels, and Heart Branch
Reaction Areas}
ii. Di4 Huang2 : This point is located 7.0 cun proximal to the medial malleolus along
the medial border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Branch Reaction Area}
iii. Ren 2 Huang2 : This point is located 3.0 cun proximal to the medial malleolus along
the medial border of the tibia. Needle 0.6 to 1.2 cun. CONTRAINDICATED IN
PREGNANCY. {Kidney Branch Reaction Area}
• Shue Yu4 : This point is located on the proximal aspect of the brachium 2.0 cun
immediately posterior, and sliylltly inferior, to Bei 1 Mian4 • Needle 0.3 to 0.5 cun. {Kidney
Branch Reaction Area} (Bei Mian4 is located in the center of the depression found
immediately lateral to the acromion process when the arm is abducted to 90°)
139
Nephritis (LCH-1)
Nephritis (LCH-2)
1. Hou 4 Zhuil, Shou3 Yingl, DMG 88-01 'Passing Through the Kidney Three Needles', and Ma3
Jin1 Shui3 (LCH):
• Hou4 Zhui1: This point is located on the posterior aspect of the brachium, 2.5 cun proximal
to the level of the transverse cubital crease (the point is on the Hand Shao4 Yang2 San 1 Jiao 1
Channel). Needle 0.3 to 0.5 cun. {Liver Auxiliary, Heart Auxiliary Confluent, and
Vertebral Reaction Areas}
• Shou3 Ying1: This point is located on the posterior aspect of the brachium, 4.5 cun
proximal to the level of the transverse cubital crease (the point is on the Hand Shao4 Yang2
San 1 Jiao 1 Channel, 2.0 cun proximal to Hou4 Zhui 1). Needle 0.3 to 0.5 cun. {Liver
Auxiliary, Heart Auxiliary Confluent, and Vertebral Reaction Areas}
• DMG 88-01 'Passin,r Through the Kidney Three Needles':
i. Tong1 Shen : This point is located in the depression found at the superomedial
angle of the patella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
ii. Tong1 Wei 4 : This point is located 2.0 cun immediately proximal to Tong 1 Shen4 .
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
iii. Tong1 Bei4 : This point is located 4.0 cun immediately proximal to Tong 1 Shen4 •
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
• Ma Jin 1 Shui3 : This point is found on the face in the depression located along the inferior
3
border of the zygomatic bone at the medial-to-laterallevel of the lateral canthus. Needle 0.1
to 0.3 cun. {Kidney and Lung Auxiliary Reaction Areas}
Nephritis (LCH-3)
1. Shui3 Fu3, Shui3 Zhongl, and Fu3 Chao2 Er4 Shi2 San1 (LCH):
• Shui3 Fu3: This set of points is located 1.5 cun lateral to either side of the interspinous
space between the ~ and L3 spinous processes. Needle 0.8 to 1.0 cun. {General Kidney
Reaction Area}
• Shui3 Zhong1: This set of points is located 1.5 cun lateral to either side of the interspinous
space between the Lt and ~ spinous processes. Needle 0.8 to 1.0 cun. {General Kidney
Reaction Area}
• Fu3 Chao2 Er4 Shi2 San1: This is a collective of 23 points located as follows: ['Let'. {Six
Bowels Reaction Area}]
i. Midline Points (Conception Vessel): Superior to the umbilicus 1.0 and 2.0 cun.
Inferior to the umbilicus 1.0, 2.0, 3.0, 4.0, and 5.0 cun respectively, for a total of 7
midline points.
ii. Lateral Line 1 Points: These bilaterally paired points are located on two lines, each
located 1.0 cun lateral to either side of the Conception Vessel. The first pair of
points is located 1.0 cun superior to the umbilicus, the second pair is at the level of
the umbilicus, the third pair is located 1.0 cun inferior to the umbilicus, and the
fourth pair is located 2.0 cun inferior to the umbilicus for a total of 8 points.
iii. Lateral Line 2 Points: These bilaterally paired points are located on two lines, each
located 2.0 cun lateral to either side of the Conception Vessel. The first pair of
points is located 1.0 cun superior to the umbilicus, the second pair is at the level of
the umbilicus, the third pair is located 1.0 cun inferior to the umbilicus, and the
fourth pair is located 2.0 cun inferior to the umbilicus for a total of 8 points .
•
··~···
ee:cee
ee\eee
•••••
•
••
'
142
Nephritis (LKC-1)
1. Wan4 Shun4 Yil, Wan4 Shun4 Er4, and Zhong1 Bai2 (LKC):
• Wan4 Shun4 Yi1: This point is located 1.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5th metacarpal bone, at the junction of the 'red and white skin'.
Needle 0.5 to 1.0 cun. {Kidney Branch Reaction Area}
• Wan4 Shun4 Er4: This point is located 2.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5th metacarpal bone, at the junction of the 'red and white skin'.
Needle 0.5 to 1.0 cun. {Kidney Branch Reaction Area}
• Zhong1 Bai2 : This point is located on the dorsum of the hand, between the 4th and 5th
metacarpal bones, 0.5 cun proximal to the metacarpophalangeal articulations. Needle 0.5
cun. {Kidney Branch Reaction Area}
143
Nephritis (LKC-2)
Nephritis (LKC-3)
1. Tong1 Shen\ Tong1 Wei4, and DMG 77-12 'Lower Three Emperors' (LKC):
• Tong1 Shen4: This point is located in the depression found immediately proximal and
medial to the superomedial angle of the patella. To locate the point, draw a transverse line
tangent to the superior margin of the patella and a vertical line tangent to the medial margin
of the patella - where the two lines intersect is the location of the point. Needle 0.5 to 1.0
cun. {Kidney Reaction Area}
• Tong1 Wei4: This point is located 2.0 cun immediately proximal to Tong 1 Shen4• Needle
0.5 to 1.5 cun. {Kidney Reaction Area}
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huani: This point is located 1.0 cun distal to Sp-9WH0 , on the medial aspect
of the proximal leg, between the medial border of the tibia and the medial head of
the gastrocnemius muscle. Needle 0.5 to 1.5 cun. NEEDLING
CONTRAINDICATED IN PREGNANCY; MOXA ALSO CONTRAINDICATED.
{Kidney, Six Bowels, and Heart Branch Reaction Areas}
ii. Ren2 Huani: This point is located 3.5 cun proximal to the apex of (as viewed from
posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel; i.e.
Ren2 Huang2 is located 0.5 cun proximal to Sp-6WH0 • Needle 0.6 to 1.5 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Branch and Lung Branch
Reaction Areas}
iii. Di4 Huani: This point is located 4.0 cun immediately proximal to Ren2 Huang2 •
Needle 1.0 to 2.0 cun. {Kidney Reaction Area} (Di4 Huang2 is located 7.5 cun
proximal to the apex of (as viewed from posterior to anterior) the medial malleolus.)
Nephritis (LKC-4)
1. 'Let' Wu3 Xinl( then needle Shui3 Xiang4, Shui3 Xian1, and DMG 77-12 'Lower Three
Emperors' (LKC):
• Wu3 Xinl(: These 5 sets of bilaterally paired points are found 1 finger breadth lateral to
either side of the Governing Vessel at the levels of the interspinous spaces at Ltl ~. Lz/ L3,
L3/ L4, LJ Ls. and Ls/S 1 for a total of 10 points.
• Shui3 Xiang4: This point is located by coursing 0.5 cun distal to Kl-3 WHO then 0.5 cun
posteriorly. Needle 0.3 to 0.5 cun. {Kidney Branch and Brain Reaction Areas}
• Shui3 Xian 1 : This point lies on the medial side of the foot, 2.0 cun immediately distal to
Kl-3WH0 . Needle 0.3 to 0.5 cun. {Kidney Branch and Brain Reaction Areas}
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huanl(: This point is located 1.0 cun distal to Sp-9WH0 , on the medial aspect
of the proximal leg, between the medial border of the tibia and the medial head of
the gastrocnemius muscle. Needle 0.5 to 1.5 cun. NEEDliNG
CONTRAINDICATED IN PREGNANCY; MOXA ALSO CONTRAINDICATED.
{Kidney, Six Bowels, and Heart Branch Reaction Areas}
ii. Ren2 Huanl(: This point is located 3.5 cun proximal to the apex of (as viewed from
posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel; i.e.
Ren2 Huang2 is located 0.5 cun proximal to Sp-6WH0 • Needle 0.6 to 1.5 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Branch and Lung Branch
Reaction Areas}
m. Di4 Huanl(: This point is located 4.0 cun immediately proximal to Ren2 Huang2 •
Needle 1.0 to 2.0 cun. {Kidney Reaction Area} (Di4 Huang2 is located 7.5 cun
proximal to the apex of (as viewed from posterior to anterior) the medial malleolus.)
Nephritis (LKC-5)
1. 'Let' the affected area (Kidney Area) then needle Ce4 Xia4 San1 Li3, Shui3 Yu4 , Wan4 Shun4
Yi 1, and DMG 44-09 'Three Spirits Three Needles' (LKC):
• Ce4 Xia4 San1 Li3 : This point is located 2.0 cun immediately distal to Ce4 San 1 Li3, on the
lateral aspect of the proximal leg. Needle 1.0 to 1.5 cun. {Lung Branch and Tooth Reaction
Areas} (Ce4 San 1 Li is located 1.5 cun immediately lateral to ST-36WH0 .)
• Shui3 Yu4 :Locate this point by coursing 2.0 cun posterior to Bei 1 Mian4 - depending on
the size of the patient, the point may be somewhat inferior to the level of Bei 1 Mian4.
Needle 0.3 to 0.5 cun. 'Let' yellow serous fluid to treat kidney disorders. {Kidney Branch
Reaction Area} (Bei 1 Mian4 is 0.2 cun superior (proximal) to the large depression found
immediately lateral (distal) to the acromion process of the scapula when the arm is abducted
to 90°.)
• Wan4 Shun4 Yi1: This point is located 1.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5th metacarpal bone, at the junction of the 'red and white skin'.
Needle 0.5 to 1.0 cun. {Kidney Branch Reaction Area}
• DMG 44-09 'Three Spirits Three Needles':
i. San1 Shen2 Yi : This point is located 1.5 cun proximal to the apex of the olecranon
process of the ulna bone and medial to the humerus- place the patient's palm on
his/her chest when locating this point. Needle from distal to proximal 1.0 cun.
{Kidney Auxiliary, Liver Auxiliary, Liver Branch Reaction Areas}
ii. San1 Shen2 Er4: This point is located 1 cun proximal to San 1 Shen2 Yi 1, i.e. 2.5 cun
proximal to the apex of the olecranon process of the ulna bone and medial to the
humerus - place the patient's palm on his/her chest when locating this point. Needle
from distal to proximal 1.0 cun. {Kidney Auxiliary, Liver Auxiliary, Liver Branch
Reaction Areas}
iii. San1 Shen2 San1: This is located 1 cun proximal to San1 Shen2 Er4, i.e. 3.5 cun
proximal to the apex of the olecranon process of the ulna bone and medial to the
humerus - place the patient's palm on his/her chest when locating this point. Needle
from distal to proximal 1.0 cun. {Kidney Auxiliary, Liver Auxiliary, Liver Branch
Reaction Areas}
:: Sciat c
147
Nephritis (LKC-5)
Nephritis (MC-1)
1. DMG 88-01 'Passing Through the Kidnel Three Needles', Wan4 Shun4 Yi\ and
(contralateral) Wan4 Shun4 Er4• 'Let' Shui3 Yu -'let' the yellow fluid (MC):
• DMG 88-01 'Passin,r Through the Kidney Three Needles':
i. Tong1 Shen : This point is located in the depression found at the superomedial
angle of the patella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
ii. Tong1 Wei 4 : This point is located 2.0 cun immediately proximal to Tong 1 Shen4 .
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
iii. Tong1 Bei4 : This point is located 4.0 cun immediately proximal to Tong 1 Shen4 •
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
• Wan Shun4 Yi 1 : This point is located 2.5 cun distal to the anterior distal transverse wrist
4
crease and anterior to the 5th metacarpal bone. Needle 0.5 to 1.5 cun - BILATERAL
NEEDUNG CONTRAINDICATED. {Kidney Branch Reaction Area}
• Wan4 Shun4 Er4 : This point is located 1.5 cun distal to the anterior distal transverse wrist
crease and anterior to the 5th metacarpal bone. Needle 0.2 to 0.4 cun. {Kidney Branch
Reaction Area}
• Shui3 Yu4: Thi~oint is located 2.0 cun posterodistal to Bei 1 Mian4; Shui3 Yu4 is
essentially SI-10 . Needle 0.3 to 0.5 cun or 'let' as indicated. {Kidney Branch Reaction
1 4
Area} (Bei Mian lies in the center of a depression found immediately lateral to the
acromion process with the arm abducted to 90°.)
Nephritis (MC-1)
I
\ f
~j
150
Nephritis (MC-2)
1. Tong1 Shen4, Tong1 Wei4, Wan4 Shun4 Yi\ Wan4 Shun4 Er4, and Subcutaneous needling on
the back Kidney Region (MC):
• Tong1 Shen4: This point is located in the depression found at the superomedial angle of the
patella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
• Tong1 Wei4 : This point is located 2.0 cun immediately proximal to Tong 1 Shen4 • Needle
0.5 to 1.0 cun. {Kidney Reaction Area} (Tong1 Shen4 is located in the depression found at
the superomedial angle of the patella)
• Wan4 Shun4 Er4 : This point is located 1.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5th metacarpal bone, at the junction of the 'red and white skin'.
Needle 0.2 to 0.4 cun. {Kidney Branch Reaction Area}
• Wan4 Shun4 Yi 1 : This point is located 2.5 cun distal to the anterior distal transverse wrist
ase, terior to the 5th metacarpal bone, at the jun tio ' the 'red and white skin'.
to .9.4 cun. {Kidney Branch Reaction Area}·
Sciat c
151
Nephrolithiasis (HPC-1)
Nephrolithiasis (HPC-2)
1. DMG 33-13 'Bowel Division 3 Needles', Linlf Gu3, Di4 Huang1, Ren1 Huan,f, Wan4 Shun4
Vi 1, and 'Let' the Occipital Region of the lower extremity- treat daily and within 2 weeks
there should be a clear improvement in the clinical picture (HPC):
• DMG 33-13 'Bowel Division Three Needles':
i. Fu3 Ge1 Er4: This point is located on the posterior surface of the proximal
antebrachium, 0.8 cun distal to LI-11WH0 , on the Hand Yang2 Ming2 Large Intestine
Channel. Needle 0.5 to 0.8 cun. {Heart and Lung Branch Reaction Areas}
ii. FtC Ge1 Vi 1: This point is located 8 fen radial to Fu3 Ge2 Er4 • Needle 0.5 to 0.8 cun.
{Heart and Lung Branch Reaction Areas}
m. Fu3 Ge1 San1: This point is located 8 fen medial (ulnar) to Fu3 Ge2 Er4• Needle 0.5
to 0.8 cun. {Heart and Lung Branch Reaction Areas}
• Linlf Gu3 : This point is found on the dorsum of the hand, immediately distal to the
articulation of the bases of the 1st and 2nd metacarpals; have the patient make a loose fist to
facilitate point location - this point communicates with the palmar point Zhong4 Xian 1 Cm
{W a.k.a. Chong2 Xian 1). Needle with a 1.5 - 2.0 cun needle; puncture through to connect
with Zhong4 Xian 1 C~!fW a.k.a. Chong2 Xian 1). CONTRAINDICATED IN PREGNANCY.
{Lung Branch Reaction Area}
• Di4 Huan,f: This point is located 7 cun proximal to the medial malleolus along the medial
border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Branch Reaction Area}
• Ren1 Huan,f: This point is located 3 cun proximal to the medial malleolus along the
medial border of the tibia. Needle 0.6 to 1.2 cun. CONTRAINDICATED IN PREGNANCY.
{Kidney Branch Reaction Area}
• Wan4 Shun4 Vi1: This point is located 2.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5th metacarpal bone, at the junction of the 'red and white skin'.
Needle 0.2 to 0.4 cun. {Kidney Branch Reaction Area}
LI-11WHO
Nephrolithiasis (HPC-2)
154
Nephrolithiasis (LCH)
1. Shoe Yu\ Ma3 Jin 1 Shui3, Liu4 Kuai4, and Qi 1 Kuai 4 (LCH):
• Shui3 Yu4 : This point is located on the proximal aspect of the brachium 2.0 cun
immediately posterior, and sliyhtly inferior, to Bei 1 Mian4 . Needle 0.3 to 0.5 cun. {Kidney
Branch Reaction Area} (Bei Mian4 is located in the center of the depression found
immediately lateral to the acromion process when the arm is abducted to 90°)
• Ma3 Jin1 Shui3 : This point is found on the face in the depression located along the inferior
border of the zygomatic bone at the medial-to-lateral level of the lateral canthus. Needle 0.1
to 0.3 cun. {Kidney and Lung Auxiliary Reaction Areas}
• Liu4 Kuai 4: This point lies 1.4 cun lateral to the center of the philtrum (i.e. 1.4 cun lateral
to Ren2 Zhong 1 or Du-24). Needle 0.1 to 0.3 cun. {Secretion/Excretion Reaction Area}
• Qi 1 Kuai4 : This point is located 0.5 cun lateral to the commissure of the lips at the angle of
the mouth. Needle obliquely from medial to lateral 0.5 to 1.5 cun. {Lung Reaction Area}
155
Nephrolithiasis (LKC-1)
1. Ma3 Jin1 Shui3, Ma3 Kuai 4 Shoe, Shui3 Jin 1, and Shui3 Tong1• 'Let' along the row of Shui3
Zhon'1 and the corresponding constituent points at the L 1/k interspinous level from San 1
Jiang (LKC):
• Ma3 Jin1 Shui3 : This point is located by palpating for a depression along the inferior
margin of the zygomatic bone at the medial to lateral level of the lateral angle/margin of the
orbit; from this depression, course 0.4 cun lateral to arrive at Ma3 Jin 1 Shui3. Needle 0.2 to
0.3 cun. {Kidn~ and Lung Auxiliary Reaction Areas} (This point is essentially 0.4 cun
lateral to SI-18 °.)
• Ma3 Kuai4 Shui3 : This point lies 0.4 cun inferior to Ma3 Jin 1 Shui3. Needle 0.1 to 0.3 cun.
{Kid~ and Bladder Reaction Areas} (Ma3 Jin 1 Shui3 is located 0.4 cun lateral to SI-18WH0 .
SI-18 ° is found at the medial-to-lateral level of the outer canthus and at the superior-to-
inferior level of the inferior border of the Zygomatic bone.)
• Shui3 Jin1: This point is located 0.5 cun obliquely medial to Shui 3 Tong 1• Needle
perpendicularly 0.2 to 0.3 cun or obliquely from medial to lateral up to 0.5 cun. {Kidney
Reaction Area} (To locate this point, proceed to a point 0.5 cun medial to Shui 3 Tong 1 and
0.5 cun directly inferior to the extraorallabial-cutaneous junction of the inferior lip.)
• Shui3 Tong1: This point is located 0.5 cun directly inferior to the extraorallabial-cutaneous
junction at the corner of the mouth. Needle perpendicularly 0.2 to 0.3 cun or obliquely from
medial to lateral up to 0.5 cun. {Kidney Reaction Area}
• Shoe Zhong1: These two points are located 1.5 cun lateral to the interspinous space
between L 1 and~- Needle 0.8 to 1.0 cun or 'Let' {General Kidney Reaction Area}
• San1 Jiang1: This group of points includes: the interspinous spaces between L 1 ~, ~3 ,
L3~. L.JLs, Ls/St, and St!S2, as well as the bilateral points found 3.0 cun lateral to the
aforementioned segmental levels. 'Let'. {Kidney and Six Bowels Reaction Areas}
156
Nephrolithiasis (LKC-2)
1. Ma3 Jin1 Shue, Ma3 Kuai4 Shue, DMG 77-12 'Lower Three Emperors', DMG 44-09
'Three Spirits Three Needles', and Shui3 Yu4 (LKC):
• Ma3 Jin1 Shue: This point is located by palpating for a depression along the inferior
margin of the zygomatic bone at the medial to lateral level of the lateral angle/margin of the
orbit; from this depression, course 0.4 cun lateral to arrive at Ma3 Jin 1 Shui3 . Needle 0.2
to 0.3 cun. {Kidney and Lung Auxiliary Reaction Areas} (This point is essentially 0.4 cun
lateral to SI-18WH 0 .)
• Ma3 Kuai4 Shui3 : This point lies 0.4 cun inferior to Ma3 Jin 1 Shui3• Needle 0.1 to 0.3 cun.
{Kidney and Bladder Reaction Areas}
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huang2 : This point is located 1.0 cun distal to Sp-9wHo, on the medial
aspect of the proximal leg, between the medial border of the tibia and the medial
head of the gastrocnemius muscle. Needle 0.5 to 1.5 cun. NEEDLING
CONTRAINDICATED IN PREGNANCY; MOXA ALSO CONTRAINDICATED.
{Kidney, Six Bowels, and Heart Branch Reaction Areas}
ii. Ren2 HWU~Jf: This point is located 3.5 cun proximal to the apex of (as viewed from
posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel; i.e.
Ren2 Huang2 is located 0.5 cun proximal to Sp-6WH0 . Needle 0.6 to 1.5 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Branch and Lung Branch
Reaction Areas}
m. Di4 Huang2 : This point is located 4.0 cun immediately proximal to Ren2 Huang 2.
Needle 1.0 to 2.0 cun. {Kidney Reaction Area} (Di4 Huang2 is located 7.5 cun
proximal to the apex of (as viewed from posterior to anterior) the medial malleolus.)
• DMG 44-09 'Three Spirits Three Needles':
i. San1 Shen2 Yi1 : This point is located 1.5 cun proximal to the apex of the olecranon
process of the ulna bone and medial to the humerus- place the patient's palm on
his/her chest when locating this point. Needle from distal to proximal 1.0 cun.
{Kidney Auxiliary, Liver Auxiliary, Liver Branch Reaction Areas}
ii. San1 Shen2 Er4 : This point is located 1 cun proximal to San1 Shen2 Yi\ i.e. 2.5 cun
proximal to the apex of the olecranon process of the ulna bone and medial to the
humerus - place the patient's palm on his/her chest when locating this point. Needle
from distal to proximal 1.0 cun. {Kidney Auxiliary, Liver Auxiliary, Liver Branch
Reaction Areas}
iii. San1 Shen2 San1 : This is located 1 cun proximal to San 1 Shen2 Er4 , i.e. 3.5 cun
proximal to the apex of the olecranon process of the ulna bone and medial to the
humerus - place the patient's palm on his/her chest when locating this point. Needle
from distal to proximal 1.0 cun. {Kidney Auxiliary, Liver Auxiliary, Liver Branch
Reaction Areas}
• Shui3 Yu 4 : Locate this point by coursing 2.0 cun posterior to Bei 1 Mian4 - depending on
the size of the patient, the point may be somewhat inferior to the level of Bei 1 Mian 4•
Needle 0.3 to 0.5 cun. 'Let' yellow serous fluid to treat kidney disorders. {Kidney Branch
Reaction Area} (Bei 1 Mian4 is 0.2 cun superior (proximal) to the large depression found
immediately lateral (distal) to the acromion process of the scapula when the arm is abducted
to 90°.)
157
Nephrolithiasis (LKC-2)
I
I
'
'
Nephrolithiasis (MC)
1. Ma3 Jin1 Shui3, Ma3 Kuai4 Shui3, and DMG 77-12 'Lower Three Emperors' (MC):
• Ma3 Jin 1 Shui3 : This point is found on the face in the depression located along the inferior
border of the zygomatic bone at the medial-to-laterallevel of the lateral canthus. Needle 0.1
to 0.3 cun. {Kidney and Lung Auxiliary Reaction Areas}
• Ma3 Kuai 4 Shui3 : This point is 0.4 cun immediately inferior to Ma3 Jin 1 Shui3
approximately at the most caudal level of the nose. Needle 0.1 to 0.3 cun. {Kidney and
Bladder Reaction Areas}
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huan~: This point is found in the depression immediately distal to the
medial tibial condyle; it lies 2.5 cun distal to the articular surface of the medial tibial
condyle. Needle 0.5 to 1.0 cun - MOXA CONTRAINDICATED; ALSO
CONTRAINDICATED IN PREGNANCY. {Kidney, Six Bowels, and Heart Branch
Reaction Areas}
ii. Di4 Huan~: This point is located 7 cun proximal to the medial malleolus along the
medial border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Reaction Area}
iii. Ren2 Huan~: This point is located 3 cun proximal to the medial malleolus along
the medial border of the tibia. Needle 0.6 to 1.2 cun. CONTRAINDICATED IN
PREGNANCY. {Kidney Branch Reaction Area}
Nephropathy (CCC)
Nephropathy (HPC)
1. Tong 1 Shen4, Huo3 Ying4, Wan 4 Shun4 Yi\ Wan4 Shun4 Er4, Subcutaneous needling of the
Kidney Region on the Back, and 'Let' the Occipital Region of the lower extremity- treat
daily (HPC):
• Tong1 Shen4 : This point is located in the depression found at the superomedial angle of the
patella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
• Huo 3 Ying 4 : This point is located on the dorsum of the foot between the 1st and 2nd
metatarsal bones, 0.5 cun proximal to the metatarsophalangeal joints. Needle 0.3 to 0.5 cun.
NEEDLE & MOXA CONTRAINDICATED DURING PREGNANCY. {Heart Organ Branch
and Liver Auxiliary Reaction Areas}
• Wan4 Shun4 Yi1: This point is located 2.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5th metacarpal bone, at the junction of the 'red and white skin'.
Needle 0.2 to 0.4 cun. {Kidney Branch Reaction
• Wan4 Shun4 Er4: This point is located 1.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5th metacarpal bone, at the junction of the 'red and white skin'.
Needle 0.2 to 0.4 cun. {Kidney Branch Reaction Area}
H uo3y.mg4
161
Nephropathy (HPC)
162
Nephrosclerosis (HPC)
1. Shen4 Guan\ Tong1 Shen4, Ren2 Huani, Subcutaneous needling of the Kidney Region on the
Back, and 'Let' the Occipital Region of the lower extremity - treat daily (HPC):
• Shen4 Guan1: This point lies 1.5 cun immediately distal to Tian1 Huang2• Needle 0.5 to 1.0
cun. (Tian1 Huang2 is located in the depression found immediately distal to the medial tibial
condyle, and lies 2.5 cun distal to the articular surface of the medial tibial condyle.) {Six
Bowels Reaction Area}
• Tong1 Shen4 : This point is located in the depression found at the superomedial angle of the
patella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
• Ren2 Huani: This point is located 3 cun proximal to the medial malleolus along the
medial border of the tibia. Needle 0.6 to 1.2 cun. CONTRAINDICATED IN PREGNANCY.
{Kidney Branch Reaction Area}
::--~
: _:~-t------- ----
+. iver
+
·: Sciat c
163
Nephrosis (CCC)
Nephrosis (HPC)
1. Tong 1 Shen4, Huo3 Ying4 , Wan4 Shun4 Yi\ Wan4 Shun4 Er4 , Subcutaneous needling of the
Kidney Region on the Back, and 'Let' the Occipital Region of the lower extremity - treat
daily (HPC):
• Tong1 Shen4 : This point is located in the depression found at the superomedial angle of the
patella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
• Huo 3 Ying 4 : This point is located on the dorsum of the foot between the 1st and 2nd
metatarsal bones, 0.5 cun proximal to the metatarsophalangeal joints. Needle 0.3 to 0.5 cun.
NEEDLE & MOXA CONTRAINDICATED DURING PREGNANCY. {Heart Organ Branch
and Liver Auxiliary Reaction Areas}
• Wan4 Shun4 Yi1: This point is located 2.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5th metacarpal bone, at the junction of the 'red and white skin'.
Needle 0.2 to 0.4 cun. {Kidney Branch Reaction
• Wan4 Shun4 Er4: This point is located 1.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5th metacarpal bone, at the junction of the 'red and white skin'.
Needle 0.2 to 0.4 cun. {Kidney Branch Reaction Area}
H uo 3y.mg4
165
Nephrosis (HPC)
166
Nephrosis (LKC)
1. Shuangt Lonlf Yi\ Shuangt Lonlf Er\ DMG 11-22 'Divide the Water Three Needles', DMG
11-21 'Water Clarified Three Needles', Sant Chat San\ and DMG 77-12 'Lower Three
Emperors' (LKC):
• Shuangt Lonlf Yit: This point is located on the anterior aspect of the proximal leg, 1.5 cun
immediately distal to the lateral 'eye of the knee'. Needle 0.5 to 0.8 cun. {Lung Branch and
Liver Branch Reaction Areas}
• Shuangt Loo~( Er4 : This point is located on the anterior aspect of the proximal leg, 0.6
cun immediately distal to Shuang 1 Long2 Yi 1• Needle 0.5 to 0.8 cun. {Lung Branch and
Liver Branch Reaction Areas} (Shuang 1 Long2 Er4 is, therefore, located 2.1 cun
immediately distal to the lateral eye of the knee.)
• DMG 11-22 'Divide the Water Three Needles':
i. Fent Shui3 Er4 : This point is located in the center of anterior digit line B (@ 0.3 cun
radial/lateral to the median plane) on the anterior surface of the proximal phalanx of
the 5th digit (pinky). To determine the exact center of anterior digit line B on the
proximal phalanx, bisect the distance from the anterior metacarpophalangeal skin
crease to the anterior proximal interphalangeal skin crease, along the course of said
line. Needle 0.1 to 0.2 cun. {Kidney Reaction Area}
u. Fent Shui3 Yit: To locate this point, simply bisect the distance from Fen 1 Shui 3 Er4
to the anterior metacarpophalangeal skin crease along the course of anterior digit
line B. Needle 0.1 to 0.2 cun. {Kidney Reaction Area}
m. Fent Shui3 Sant: To locate this point, simply bisect the distance from Fen 1 Shui3
Er4 to the anterior proximal interphalangeal skin crease along the course of anterior
digit line B. Needle 0.1 to 0.2 cun. {Kidney Reaction Area}
• DMG 11-21 'Water Clarified Three Needles':
i. Shui3 Qingt Er4 : This point is located in the center of anterior digit line B (@ 0.3
cun radial/lateral to the median plane) on the anterior surface of the middle phalanx
of the 5th digit (pinky). To determine the exact center of anterior digit line B on the
middle phalanx, bisect the distance from the anterior proximal interphalangeal skin
crease to the anterior distal interphalangeal skin crease, along the course of said line.
Needle 0.1 to 0.2 cun. {Kidney Reaction Area}
ii. Shue Qingt Yit: To locate this point, simply bisect the distance from Shue Qing 1
Er4 to the anterior proximal interphalangeal skin crease along the course of anterior
digit line B. Needle 0.1 to 0.2 cun. {Kidney Reaction Area}
iii. Shui3 Qingt Sant: To locate this point, simply bisect the distance from Shue Qing 1
Er4 to the anterior distal interphalangeal skin crease along the course of anterior digit
line B. Needle 0.1 to 0.2 cun. {Kidney Reaction Area}
• Sant Chat Sant: This point is located in the center of the web between the 4th and 5th digits
of the hand with the fingers abducted. RA: Lung branch and Kidney auxiliary. Needle:
Perpendicularly 2 cun; have the patient make a loose fist and insert the needle. {Kidney
Reaction Area}
• DMG 77-12 'Lower Three Emperors':
i. Tiant Huang2: This point is located 1.0 cun distal to Sp-9WH0 , on the medial aspect
of the proximal leg, between the medial border of the tibia and the medial head of
the gastrocnemius muscle. Needle 0.5 to 1.5 cun. NEEDLING
167
1. Tong1 Shen4, Huo3 Ying\ Wan 4 Shun4 Yi\ Wan4 Shun4 Er4, Subcutaneous needling of the
Kidney Region on the Back, and 'Let' the Occipital Region of the lower extremity - treat
daily (HPC):
• Tong1 Shen4: This point is located in the depression found at the superomedial angle of the
patella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
• Huo3 Ying4 : This point is located on the dorsum of the foot between the 1st and 2nd
metatarsal bones, 0.5 cun proximal to the metatarsophalangeal joints. Needle 0.3 to 0.5 cun.
NEEDLE & MOXA CONTRAINDICATED DURING PREGNANCY. {Heart Organ Branch
and Liver Auxiliary Reaction Areas}
• Wan4 Shun4 Yi1: This point is located 2.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5th metacarpal bone, at the junction of the 'red and white skin'.
Needle 0.2 to 0.4 cun. {Kidney Branch Reaction
• Wan4 Shun4 Er4: This point is located 1.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5th metacarpal bone, at the junction of the 'red and white skin'.
Needle 0.2 to 0.4 cun. {Kidney Branch Reaction Area}
H uo3y·mg4
169
1. Shuang1 Loni Yi1, Shuang1 Loni Er4, DMG 11-22 'Divide the Water Three Needles', DMG
11-21 'Water Clarified Three Needles', San1 Cha1 San1, and DMG 77-12 'Lower Three
Emperors' (LKC):
• Shuang1 Loni Yi 1: This point is located on the anterior aspect of the proximal leg, 1.5 cun
immediately distal to the lateral 'eye of the knee'. Needle 0.5 to 0.8 cun. {Lung Branch and
Liver Branch Reaction Areas}
• Shuang1 Long2 Er4: This point is located on the anterior aspect of the proximal leg, 0.6
cun immediately distal to Shuang 1 Long2 Yi 1• Needle 0.5 to 0.8 cun. {Lung Branch and
Liver Branch Reaction Areas} (Shuang 1 Long2 Er4 is, therefore, located 2.1 cun
immediately distal to the lateral eye of the knee.)
• DMG 11-22 'Divide the Water Three Needles':
i. Fen1 Shui3 Er4: This point is located in the center of anterior digit line B (@ 0.3 cun
radial/lateral to the median plane) on the anterior surface of the proximal phalanx of
the 5th digit (pinky). To determine the exact center of anterior digit line B on the
proximal phalanx, bisect the distance from the anterior metacarpophalangeal skin
crease to the anterior proximal interphalangeal skin crease, along the course of said
line. Needle 0.1 to 0.2 cun. {Kidney Reaction Area}
ii. Fen1 Shui3 Yi 1: To locate this point, simply bisect the distance from Fen 1 Shue Er4
to the anterior metacarpophalangeal skin crease along the course of anterior digit
line B. Needle 0.1 to 0.2 cun. {Kidney Reaction Area}
iii. Fen1 Shui3 San1: To locate this point, simply bisect the distance from Fen 1 Shui3
Er4 to the anterior proximal interphalangeal skin crease along the course of anterior
digit line B. Needle 0.1 to 0.2 cun. {Kidney Reaction Area}
• DMG 11-21 'Water Clarified Three Needles':
i. Shui3 Qing1 Er4 : This point is located in the center of anterior digit line B (@ 0.3
cun radial/lateral to the median plane) on the anterior surface of the middle phalanx
of the 5th digit (pinky). To determine the exact center of anterior digit line B on the
middle phalanx, bisect the distance from the anterior proximal interphalangeal skin
crease to the anterior distal interphalangeal skin crease, along the course of said line.
Needle 0.1 to 0.2 cun. {Kidney Reaction Area}
ii. Shui3 Qing1 Yi1: To locate this point, simply bisect the distance from Shui 3 Qing 1
El to the anterior proximal interphalangeal skin crease along the course of anterior
digit line B. Needle 0.1 to 0.2 cun. {Kidney Reaction Area}
iii. Shui3 Qing1 San1: To locate this point, simply bisect the distance from Shui3 Qing 1
Er4 to the anterior distal interphalangeal skin crease along the course of anterior digit
line B. Needle 0.1 to 0.2 cun. {Kidney Reaction Area}
• San1 Cha1 San1: This point is located in the center of the web between the 4th and 5th digits
of the hand with the fingers abducted. RA: Lung branch and Kidney auxiliary. Needle:
Perpendicularly 2 cun; have the patient make a loose fist and insert the needle. {Kidney
Reaction Area}
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huani: This point is located 1.0 cun distal to Sp-9WH0 , on the medial aspect
of the proximal leg, between the medial border of the tibia and the medial head of
the gastrocnemius muscle. Needle 0.5 to 1.5 cun. NEEDLING
171
Neuralgias (LCH)
[2° to 'Kidney Depletion']
1. Be Yi4 (LCH):
• Bi2 Yi4: This point is located in the depression found at the superior extremity of the nasal
ala. Needle 0.1 to 0.2 cun. {Lung, Kidney, and Spleen Reaction Areas}
174
Ophthalmalgia (LCH)
[2° to 'Kidney Depletion']
Osteophytes (CCC)
1. DMG 88-07 'Upper Three Yellow' Note: simply needling DMG 88-07 'Upper Three Yellow'
may require 3 or more months; add 'letting' to improve the clinical outcome (CCC):
• DMG 88-07 'Upper Three Yellow':
i. Mini Huang2 : This point is located at the exact center (proximal to distal) of the
midline (coronal plane) on the medial aspect of the thigh. Needle perpendicular 3.0
cun. {Superficially the Heart, mid-level the Liver, and deep the Kidney General
Reaction Areas}
ii. Qi2 Huani: This point is located 3.0 cun distal to Ming2 Huang2 on the midline
(coronal plane) of the medial aspect of the thigh. Needle perpendicular 3.0 cun.
{Gall Bladder General and Liver Branch Reaction Areas}
iii. Tian1 Huani: This point is located 3.0 cun proximal to Ming2 Huang2 on the
midline (coronal plane) of the medial aspect of the thigh. Needle perpendicular 3.0
cun. {Superficially the Heart, mid-level the Liver, and deep the Kidney General
Reaction Areas}
Tian Huang2
Osteophytes (LKC)
1. 'Let' the affected region then needle DMG 88-07 'Upper Three Yellow' and DMG 77-09 'Leg
Spine Three Needles' (LKC):
• DMG 88-07 'Upper Three Yellow':
i. Ming2 Huan~: This point is located at the exact center (proximal to distal) of the
midline (coronal plane) on the medial aspect of the thigh. Needle 1 to 3.0 cun.
{Superficially the Heart, mid-level the Liver, and deep the Kidney General Reaction
Areas}
ii. Qi2 Huan~: This point is located 3.0 cun distal to Ming2 Huang2 on the midline
(coronal plane) of the medial aspect of the thigh. Needle 1.5 to 3.0 cun. {Gall
Bladder General and Liver Branch Reaction Areas}
iii. Tian1 Huan~: This point is located 3.0 cun proximal to Ming2 Huang2 on the
midline (coronal plane) of the medial aspect of the thigh. Needle 1.5 to 3.0 cun.
{Superficially the Heart, mid-level the Liver, and deep the Kidney General Reaction
Areas}
• DMG 77-09 'Leg Spine Three Needles':
i. Zheng4 Jin1: This point is located 3.5 cun proximal to the plantar surface of the heel,
on the tendo calcaneus (Achilles tendon) of the posterior aspect of the distalleg; it
lies midway between Bl-60WH0 and KI-3WH0 . Needle 0.5 cun to 1 cun; insert to the
tibia for best results. {General Vertebral and General Brain Reaction Areas}
ii. Zheng4 Zong1: This point is located 2 cun proximal to Zheng4 Jin 1 on the tendo
calcaneus (Achilles tendon) of the posterior aspect of the distal leg. Needle 0.5 cun
to 1 cun; insert to the tibia for best results. {General Vertebral and General Brain
Reaction Areas}
iii. Zheng4 Shi4 : This point is located 2 cun proximal to Zheng4 Zong1, i.e. 4 cun
proximal to Zheng4 Jin 1 on the tendo calcaneus (Achilles tendon) of the posterior
aspect of the distal leg. Needle 0.5 cun to 1 cun; insert to the tibia for best results.
"!. ~~~~h~and V~bral Reaction Areas]
~ " /"!
,". ~
"P }
··~
;
1. Ma3 Kuai4 Shue, Ce4 San1 Li3, DMG 77-12 'Lower Three Emperors', Tong1 Shen4, and
Tong1 Wei4 (HPC):
• Ma3 Kuai4 Shui3: This point is 0.4 cun immediately inferior to Ma3 Jin 1 Shui3• Needle 0.1
to 0.3 cun. {Kidney and Bladder Reaction Areas} (Ma3 Jin 1 Shue is found on the face in
the depression located along the inferior border of the zygomatic bone at the medial-to-
lateral level of the lateral canthus)
• Ce4 San1 Li3: This point is located 1.5 cun lateral to Si4 Hua1 Shang4• Needle 0.5 to 1.0 cun.
{Lung Branch Reaction Area} (Si4 Hua 1 Shang4 is located in the depression between the
origins of the tibialis anterior and extensor digitorum longus muscles, 3 cun distal to the
lateral 'eye' of the knee, on the anterior aspect of the proximal leg.)
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huan~: This point is found in the depression immediately distal to the
medial tibial condyle, and lies 2.5 cun distal to the articular surface of the medial
tibial condyle. Needle 0.5 to 1.0 cun. MOXABUSTION CONTRAINDICATED.
NEEDliNG ALSO CONTRAINDICATED IN PREGNANCY. {Kidney, Six Bowels,
and Heart Branch Reaction Areas}
ii. Di4 Huan~: This point is located 7 cun proximal to the medial malleolus along the
medial border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Branch Reaction Area}
iii. Ren2 Huan~: This point is located 3 cun proximal to the medial malleolus along
the medial border of the tibia. Needle 0.6 to 1.2 cun. CONTRAINDICATED IN
PREGNANCY. {Kidney Branch Reaction Area}
• Tong Shen4: This point is located in the depression found at the superomedial angle of the
1
patella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
• Tong1 Wei4: This point is located 2.0 cun immediately proximal to Tong 1 Shen4• Needle
0.5 to 1.0 cun. {Kidney Reaction Area} (Tong 1 Shen4 is located in the depression found at
the superomedial angle of the patella)
Jin 1 Shui3
179
1. Fu3 Kuai 4, Liu4 Kuai4 , and Qi 1 Kuai 4 then moxa along San1 Jiang1 (LKC):
• Fu3 Kuai 4 : This point is located by coursing 0.5 cun lateral to the inferolateral border of the
nares, then 0.5 cun superior. Needle 0.1 to 0.3 cun. {Kidney and Six Bowels Reaction
Areas} [This point is 0.5 cun directly superior to LI-20WH0 .]
• Liu4 Kuai 4 : This point is located on the face, 1.4 cun lateral to the center of the philtrum.
Needle 0.1 to 0.3 cun. {Endocrine Reaction Area} To locate the center of the philtrum,
bisect the distance from the extraoral labial-cutaneous junction to the base of the nose
between the nostrils.
• Qi 1 Kuai4 : This point is located on the face, 1.0 cun lateral to the commissure of the lips at
the angle of the mouth. Needle perpendicularly 0.2 to 0.3 cun or obliquely, from medial to
lateral, 0.5 to 1.5 cun. {Endocrine Reaction Area}
• San1 Jiang1: This group of points includes: the interspinous spaces between L1/k, ~/L3 ,
LJIL4, ~5 , L.s/St. and StfS2, as well as the bilateral points found 3.0 cun lateral to the
aforementioned segmental levels. 'Let'. {Kidney and Six Bowels Reaction Areas}
183
1. Hai 3 Bao\ Mu4 Fu4, Ma3 Kuai4 Shui3, and Ma3 Jin 1 Shui3 (MC):
• Hai3 Bao4: This point is found on the medial side of the great toe in the center (i.e. plantar-
to-dorsum center) of the interphalangeal joint of the hallux (great toe). Needle 0.1 to 0.3
cun. {Heart Branch Reaction Area}
• Mu4 Fu4 : This point is located 0.3 cun lateral to the center of the median plane on the
dorsum of the middle phalanx on the znd digit of the foot. Needle 0.2 to 0.4 cun close to the
bone (use a very fine needle to minimize patient discomfort). {Heart Auxiliary Reaction
Area}
• Ma3 Jin1 Shui3 : This point is found on the face in the depression located along the inferior
border of the zygomatic bone at the medial-to-lateral level of the lateral canthus. Needle 0.1
to 0.3 cun. {Kidney and Lung Auxiliary Reaction Areas}
• Ma3 Kuai4 Shui3 : This point is 0.4 cun immediately inferior to Ma3 Jin 1 Shue
approximately at the most caudal level of the nose. Needle 0.1 to 0.3 cun. {Kidney and
Bladder Reaction Areas}
184
1. Sben4 Guan\ Tong 1 Shen4, Shui3 Jin\ and Shui3 Tong1 (MC):
• Shen4 Guan 1: This point lies 1.5 cun immediately distal to Tian 1 Huang2• Needle 0.5 to 1.0
cun. (Tian 1 Huang2 is located in the depression found immediately distal to the medial tibial
condyle, 2.5 cun distal to the articular surface of the medial tibial condyle.) {Six Bowels
Reaction Area}
• Tong1 Shen4 : This point is located in the depression found at the superomedial angle of the
patella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
• Shui3 Jin1: This point is located 0.5 cun medial to Shui 3 Tong 1. Needle obliquely from
medial to lateral 0.1 to 0.5 cun. {Kidney Reaction Area} (To locate this point, proceed to a
point 0.5 cun medial to Shui3 Tong 1 and 0.4 cun directly inferior to the extraoral labial-
cutaneous junction of the inferior lip.)
• Shui3 Tong1: This point is located 0.4 cun directly inferior to the extraorallabial-cutaneous
junction at the corner of the mouth. Needle obliquely from medial to lateral 0.1 to 0.5 cun.
{Kidney Reaction Area}
185
1. Di4 Huan~, Ren2 Huang2, Wan 4 Shun4 Yi\ and Zhong1 Bai2 - treat thusly until symptoms
fully resolve: daily for 2 weeks, 1 week ofT, daily for 2 weeks, 1 week ofT, etc. (HPC):
• Di4 Huan~: This point is located 7 cun proximal to the medial malleolus along the medial
border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Branch Reaction Area}
• Ren2 Huan~: This point is located 3 cun proximal to the medial malleolus along the
medial border of the tibia. Needle 0.6 to 1.2 cun. CONTRAINDICATED IN PREGNANCY.
{Kidney Branch Reaction Area}
• Wan4 Shun4 Yi 1 : This point is located 2.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5th metacarpal bone, at the junction of the 'red and white skin'.
Needle 0.2 to 0.4 cun. {Kidney Branch Reaction Area}
• Zhong1 Bai2: This point is located on the dorsum of the hand between the 4th and 5th
metacarpal bones, 0.5 cun proximal to the metacarpophalangeal joints - make a loose fist to
facilitate locating the point. Needle 0.3 to 0.5 cun. {Kidney Branch Reaction Area} (Zhong 1
Bae is found in the depression located at the junctions of the shafts and heads of the 4th and
5th metacarpal bones on the dorsum of the hand.)
186
Polyuria (HPC)
1. Si4 Ma3 Zhongl, Si4 Ma3 Shang4, Shen4 Guanl, Ren2 Huan~, and ST -36WH0 - treat daily.
• Si4 Ma3 Zhong1: This point is located by placing the palms of the hands (elbows fully
extended) on the lateral thighs while standing erect. From where the tips of the middle
fingers touch the thighs, proceed 3.0 cun anteriorly to arrive at Si4 Ma3 Zhong 1• Needle 0.8
to 2.5 cun. {General Lung and Liver Branch Reaction Areas}
• Si4 Ma3 Shang4 : This point is located 2 cun immediately proximal to Si4 Ma3 Zhong 1•
Needle 0.8 to 2.5 cun. {General Lung and Liver Branch Reaction Areas} (Si4 Ma3 Zhong 1
is located by placing the palms of the hands (elbows fully extended) on the lateral thighs
while standing erect. From where the tips of the middle fingers touch the thighs, proceed
3.0 cun anteriorly to arrive at Si4 Ma3 Zhong 1)
• Shen4 Guan1: This point lies 1.5 cun immediately distal to Tian1 Huang2 • Needle 0.5 to 1.0
cun. (Tian1 Huang2 is located in the depression found immediately distal to the medial tibial
condyle, and lies 2.5 cun distal to the articular surface of the medial tibial condyle.) {Six
Bowels Reaction Area}
• Ren2 Huan~: This point is located 3 cun proximal to the medial malleolus along the
medial border of the tibia. Needle 0.6 to 1.2 cun. CONTRAINDICATED IN PREGNANCY.
{Kidney Branch Reaction Area}
• ST-36WH0 : On the lower leg, 3 units below (distal to) the lateral 'eye ' of the knee,
approximately 1 finger width lateral to the tibia. Needle 1 to 2 units
187
Polyuria (LCH)
Innar to radial view of RIGHT 4th digit. Radial to ulnar view of RIGHT 4th digit.
Polyuria (LKC-1)
1. Fu3 Kuai4 and Liu4 Kuai4 (LKC):
• Fu3 Kuai4: This point is located by coursing 0.5 cun lateral to the inferolateral border of the
nares, then 0.5 cun superior. Needle 0.1 to 0.3 cun. {Kidney and Six Bowels Reaction
Areas} [This point is 0.5 cun directly superior to LI-20WH0 .]
• Liu4 Kuai4: This point is located on the face, 1.4 cun lateral to the center of the philtrum.
Needle 0.1 to 0.3 cun. {Endocrine Reaction Area} To locate the center of the philtrum,
bisect the distance from the extraoral labial-cutaneous junction to the base of the nose
between the nostrils.
Polyuria (LKC-2)
1. Shui 3 Qu1 and Huo3 Zbu3 (LKC):
• Shue Qu1: This point is located on the dorsum of the foot, immediately distal to the
articulation of the bases of the 4th and 5th metatarsal bones. Needle 0.3 to 0.5 cun. {Lung
Branch and Kidney Branch Reaction Areas}
• Huo3 Zbu3 : This point is located on the dorsum of the foot, immediately distal to the
articulation of the bases of the 1st and 2nd metatarsal bones. Needle 0.3 to 0.8 cun
CONTRAINDICATED IN PREGNANCY; MOXABUSTION CONTRAINDICATED. {Heart
Organ Branch Reaction Area}
189
Polyuria (LKC-3)
Polyuria (LKC-5)
1. Fu3 Kuai4, Liu4 Kuai 4, and Qi1 Kuai 4 then moxa along San1 Jiang1 (LKC):
• Fu3 Kuai 4: This point is located by coursing 0.5 cun lateral to the inferolateral border of the
nares, then 0.5 cun superior. Needle 0.1 to 0.3 cun. {Kidney and Six Bowels Reaction
Areas} [This point is 0.5 cun directly superior to LI-20WH0 .]
• Liu4 Kuai4 : This point is located on the face, 1.4 cun lateral to the center of the philtrum.
Needle 0.1 to 0.3 cun. {Endocrine Reaction Area} To locate the center of the philtrum,
bisect the distance from the extraoral labial-cutaneous junction to the base of the nose
between the nostrils.
• Qi 1 Kuai4 : This point is located on the face, 1.0 cun lateral to the commissure of the lips at
the angle of the mouth. Needle perpendicularly 0.2 to 0.3 cun or obliquely, from medial to
lateral, 0.5 to 1.5 cun. {Endocrine Reaction Area}
• San 1 Jiang1: This group of points includes: the interspinous spaces between L1~. Lz/L3,
L]!L4, ~s. Ls/S1, and SI~Sz, as well as the bilateral points found 3.0 cun lateral to the
aforementioned segmental levels. 'Let'. {Kidney and Six Bowels Reaction Areas}
191
Polyuria (MC)
Proteinuria (CCC)
1. DMG 44-09 'Three Spirits Three Needles' and DMG 77-12 'Lower Three Emperors' (CCC):
• DMG 44-09 'Three Spirits Three Needles':
i. San1 Shen2 Yi : This point is located 1.5 cun proximal to the apex of the olecranon
process of the ulna bone and medial to the humerus. Place the patient's palm on
his/her chest when locating this point. Needle oblique insertion from inferior to
superior 1 cun to treat disorders stemming from 'Kidney Depletion'. {Kidney
Auxiliary, Liver Auxiliary, and Lung Branch Reaction Areas}
ii. San 1 Shen2 Er4 : This point is located 1 cun proximal to San 1 Shen2 Yi 1, i.e. 2.5 cun
proximal to the apex of the olecranon process of the ulna bone and medial to the
humerus. Place the patient's palm on his/her chest when locating this point. Needle
oblique insertion from inferior to superior 1 cun to treat disorders stemming from
'Kidney Depletion'. {Kidney Auxiliary, Liver Auxiliary, and Lung Branch Reaction
Areas}
iii. San 1 Shen2 San1: This is located 1 cun proximal to San1 Shen2 Er4 , i.e. 3.5 cun
proximal to the apex of the olecranon process of the ulna bone and medial to the
humerus. Place the patient's palm on his/her chest when locating this point. Needle
oblique insertion from inferior to superior 1 cun to treat disorders stemming from
'Kidney Depletion'. {Kidney Auxiliary, Liver Auxiliary, and Lung Branch Reaction
Areas}
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huani: This point is located 1 cun distal to Sp-9WH0 , on the medial aspect
of the leg, between the medial border of the tibia and the medial head of the
gastrocnemius muscle. Needle 0.5 to 1.5 cun. {Kidney, Six Bowels, and Heart
Branch Reaction Areas}
ii. Ren2 Huani: This point is located 3.5 cun proximal to the apex of (as viewed from
posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel.
Needle 0.6 to 1.5 cun. {Kidney Branch and Lung Branch Reaction Areas} (Ren2
Huang2 is located 0.5 cun proximal to Sp-6 WHo.)
iii. Di4 Huani: This point is located 4 cun proximal to Ren2 Huang2• Needle 1.0 to 2.0
cun. {Kidney Reaction Area} (Di4 Huang2 lies 7.5 cun proximal to the apex of (as
viewed from posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1
Spleen Channel.)
193
Proteinuria (CCC)
Proteinuria (LKC)
1. 'Let' Wu3 XinJf then needle DMG 77-12 'Lower Three Emperors', DMG 44-09 'Three
Spirits Three Needles', and DMG 1111-02 'Three Branches Three Needles' (LKC):
• Wu3 XinJ(: These 5 sets of bilaterally paired points are found 1 finger breadth lateral to
either side of the Governing Vessel at the levels of the interspinous spaces at Ltf ~. ~/ L3,
L3/ L4, LJ Ls, and Ls/St for a total of 10 points.
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huang2: This point is located 1.0 cun distal to Sp-9WH0 , on the medial aspect
of the proximal leg, between the medial border of the tibia and the medial head of
the gastrocnemius muscle. Needle 0.5 to 1.5 cun. NEEDLING
CONTRAINDICATED IN PREGNANCY; MOXA ALSO CONTRAINDICATED.
{Kidney, Six Bowels, and Heart Branch Reaction Areas}
ii. Ren2 HuanJ(: This point is located 3.5 cun proximal to the apex of (as viewed from
posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel; i.e.
Ren2 Huang2 is located 0.5 cun proximal to Sp-6WH0 • Needle 0.6 to 1.5 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Branch and Lung Branch
Reaction Areas}
iii. Di4 Huang2 : This point is located 4.0 cun immediately proximal to Ren2 Huang2.
Needle 1.0 to 2.0 cun. {Kidney Reaction Area} (Di4 Huang2 is located 7.5 cun
proximal to the apex of (as viewed from posterior to anterior) the medial malleolus.)
• DMG 44-09 'Three Spirits Three Needles':
i. San1 Shen2 Yi : This point is located 1.5 cun proximal to the apex of the olecranon
process of the ulna bone and medial to the humerus - place the patient's palm on
his/her chest when locating this point. Needle from distal to proximal 1.0 cun.
{Kidney Auxiliary, Liver Auxiliary, Liver Branch Reaction Areas}
ii. San1 Shen2 Er4: This point is located 1 cun proximal to San 1 Shen2 Yi 1, i.e. 2.5 cun
proximal to the apex of the olecranon process of the ulna bone and medial to the
humerus - place the patient's palm on his/her chest when locating this point. Needle
from distal to proximal 1.0 cun. {Kidney Auxiliary, Liver Auxiliary, Liver Branch
Reaction Areas}
iii. San1 Shen2 San1: This is located 1 cun proximal to San 1 Shen2 Er4, i.e. 3.5 cun
proximal to the apex of the olecranon process of the ulna bone and medial to the
humerus - place the patient's palm on his/her chest when locating this point. Needle
from distal to proximal 1.0 cun. {Kidney Auxiliary, Liver Auxiliary, Liver Branch
Reaction Areas}
• DMG 1111-02 'Three Branches Three Needles':
i. Fen1 Zhi1 Shang4: This point is located inferior to the 'fork' formed between the
axillary border of the scapula and the humerus. It lies in proximity to the posterior
axillary fold, directly inferior to the posterior aspect of the acromion process, 1 cun
inferior to the most caudal aspect of the glenohumeral articulation. Needle 1.0 to 1.5
cun. {Endocrine and Liver Reaction Areas}
ii. Fen1 Zhi1 Xia4: This point is located 1.5 cun immediately inferior to Fen 1 Zhi 1
Shang4 • Needle 1.0 to 1.5 cun. {Endocrine, Lung Branch, and Breast Reaction Areas}
iii. Fen1 Zhi1 Zhong1: This point is located 0.6 cun immediately medial to Fen1 Zhi 1
Xia4. Needle 1.0 to 1.5 cun. {Endocrine, Lung Branch, and Breast Reaction Areas}
195
Proteinuria (LKC)
Proteinuria (LCH)
1. Shui 3 Yu4, DMG 77-12 'Lower Three Emperors', and DMG 88-01 'Passing Through the
Kidney Three Needles' (LCH):
• Shui3 Yu4: This point is located on the proximal aspect of the brachium 2.0 cun
immediately posterior, and slifhtly inferior, to Bei 1 Mian4 • Needle 0.3 to 0.5 cun. {Kidney
Branch Reaction Area} (Bei Mian4 is located in the center of the depression found
immediately lateral to the acromion process when the arm is abducted to 90°)
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huani: This point is found in the depression immediately distal to the
medial tibial condyle, and lies 2.5 cun distal to the articular surface of the medial
tibial condyle. Needle 0.5 to 1.0 cun. {Kidney, Six Bowels, and Heart Branch
Reaction Areas}
ii. Di4 Huani: This point is located 7.0 cun proximal to the medial malleolus along
the medial border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8
cun. CONTRAINDICATED IN PREGNANCY. {Kidney Branch Reaction Area}
iii. Ren 2 Huani: This point is located 3.0 cun proximal to the medial malleolus along
the medial border of the tibia. Needle 0.6 to 1.2 cun. CONTRAINDICATED IN
PREGNANCY. {Kidney Branch Reaction Area}
• DMG 88-01 'Passin,r Through the Kidney Three Needles':
i. Tong1 Shen : This point is located in the depression found at the superomedial
angle of the patella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
ii. Tong1 Wei 4 : This point is located 2.0 cun immediately proximal to Tong 1 Shen4 •
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
m. Tong1 Bei4: This point is located 4.0 cun immediately proximal to Tong 1 Shen4 •
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
l
11
i ~\
~ ,I ~
''
Pyelitis (HPC)
1. Shoe Jin\ Shoe Tong\ Wan4 Shon4 Yi\ Wan4 Shon4 Er\ Tong 1 Shen\ and Tong 1 Goan1
(HPC):
• Shui3 Jin1: This point is located 0.5 cun obliquely medial to Shui3 Tong1• Needle obliquely
from medial to lateral 0.1 up to 0.5 cun. {Kidney Reaction Area} (To locate this point,
proceed to a point 0.5 cun medial to Shui3 Tong 1 and 0.4 cun directly inferior to the
extraorallabial-cutaneous junction of the inferior lip.)
• Shui3 Tong1: This point is located 0.4 cun directly inferior to the extraorallabial-cutaneous
junction at the corner of the mouth. Needle obliquely from medial to lateral 0.1 up to 0.5
cun. {Kidney Reaction Area}
• Wan4 Shun4 Yi1: This point is located 2.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5th metacarpal bone, at the junction of the 'red and white skin'.
Needle 0.2 to 0.4 cun. {Kidney Branch Reaction Area}
• Wan4 Shun4 Er4: This point is located 1.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5th metacarpal bone, at the junction of the 'red and white skin'.
Needle 0.2 to 0.4 cun. {Kidney Branch Reaction Area}
• Tong1 Shen4 : This point is located in the depression found at the superomedial angle of the
patella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
• Tong1 Goan 1: This point is found on the median plane (midsagittal plane) of the anterior
thigh, 5 cun proximal to the center of the superior edge of the patella. Needle 0.3 to 0.5 cun.
{General Heart Reaction Area} ,/ff/ ,.~"'
~
198
Pyelitis (CCC-1)
1. DMG 22-05 'Control the Spine Three Needles' and DMG 33-11 'Hold Three Fires'(CCC)-
alternate with Pyelitis CCC-2 (follows):
• DMG 22-05 'Control the Spine Three Needles':
i. Wan4 Shun4 Yi 1: This point is located 1.5 cun distal to the anterior distal transverse
wrist crease, anterior to the 5th metacarpal bone at the junction of the~almar and
dorsal ('red and white') skin; the point lies 1.5 cun proximal to SI-3 °. Needle
perpendicularly 0.5 cun to 1.0 cun keeping the shaft of the needles in proximity to
the anterior surface of the 5th metacarpal bone. {Kidney Branch Reaction Area}
ii. Wan4 Shun4 Er4 : This point is located 2.5 cun distal to the anterior distal transverse
wrist crease, anterior to the 5th metacarpal bone at the junction of the~almar and
dorsal ('red and white') skin; the point lies 0.5 cun proximal to SI-3 °. Needle
perpendicularly 0.5 cun to 1.0 cun keeping the shaft of the needles in proximity to
the anterior surface of the 5th metacarpal bone. {Kidney Branch Reaction Area}
iii. Wan4 Shun4 San1: This point is located 3.5 cun distal to the anterior distal
transverse wrist crease, anterior to the 5th metacarpal bone at the junction of the
palmar and dorsal ('red and white') skin; the point lies 0.5 cun distal to SI-3WH0
Needle perpendicularly 0.5 cun to 1.0 cun keeping the shaft of the needles in
proximity to the anterior surface of the 5th metacarpal bone. {Kidney Branch
Reaction Area}
• DMG 33-11 'Hold Three Fires':
i. Huo3 Chuan4 : This point is located 2.5 cun proximal to TB-4WH0 on the Hand
Shao4 Yang2 Triple Burner Channel, in the interosseous space between the ulna and
radius bones, on the posterior surface of the antebrachium. Needle perpendicularly
1.0 to 1.5 cun. {Lung Branch and Heart Auxiliary Reaction Areas}
ii. Huo3 Ling2 : This point is located 4.5 cun proximal to TB-4WH0 on the Hand Shao4
Yang2 Triple Burner Channel, in the interosseous space between the ulna and radius
bones, on the posterior surface of the antebrachium. Needle perpendicularly 1.0 to
1.5 cun. {Lung Branch and Heart Auxiliary Reaction Areas}
iii. Huo3 Shan1: This point is located 6.0 cun proximal to TB-4WH0 on the Hand Shao4
Yang2 Triple Burner Channel, in the interosseous space between the ulna and radius
bones, on the posterior surface of the antebrachium. Needle perpendicularly 1.0 to
1.5 cun. {Lung Branch and Heart Auxiliary Reaction Areas}
199
Pyelitis (CCC-1)
Pyelitis (CCC-2)
1. DMG 33-05 'Hold Liver Spirit Three Needles', and DMG 88-01 'Passing Through the Kidney
Three Needles' (CCC)- alternate with Pyelitis CCC-1 (above):
• DMG 33-05 'Hold Liver Spirit Three Needles':
i. Gan 1 Lin~ Yi 1: This point is located 3 cun proximal to the anterior distal
transverse wrist crease on the line drawn proximally from the base of the proximal
phalanx of the 4th digit (ring finger) to a point midway between HT-3WH0 and PC-
3WHO (fingers adducted). Needle perpendicular insertion 0.5 to 1.5 cun. Oblique
insertion from distal to proximal (inferior to superior) 2.0 cun. {Liver and Kidney
Reaction Areas}
ii. Gan 1 Lin~ Er4 : This point is located 3 cun proximal to Gan 1 Ling2 Yi 1 on the line
drawn proximally from the base of the groximal phalanx of the 4th digit (ring finger)
to a point midway between HT-3WH and PC-3WH0 (fingers adducted). Needle
perpendicular insertion 0.5 to 1.5 cun. Oblique insertion from distal to proximal
(inferior to superior) 2.0 cun. {Liver and Kidney Reaction Areas}
iii. Gan1 Lin~ San 1: This point is located 6 cun proximal to Gan 1 Ling2 Yi 1• i.e. 3 cun
proximal to Gan 1 Ling Er4 • on the line drawn proximally from the base of the
proximal ~alanx of the 4th digit (ring finger) to a point midway between HT-3WH0
and PC-3 °(fingers adducted). Needle perpendicular insertion 0.5 to 1.5 cun.
Oblique insertion from distal to proximal (inferior to superior) 2.0 cun. {Liver and
Kidney Reaction Areas}
• DMG 88-01 'Passinp Through the Kidney Three Needles':
i. Tong1 Shen : This point is found in the depression located at the superomedial
angle of the patella. To locate this point. draw a transverse line tangent to the
superior margin of the patella and a vertical line tangent to the medial margin of the
patella; the point lies in the depression at intersection of these two lines. Needle 0.5
to 1.0 cun. {Kidney Reaction Area}
ii. Tong1 Wei4 : This point is located 2 cun immediately proximal to Tong 1 Shen4 •
Needle 0.5 to 1.5 cun. {Kidney Reaction Area}
iii. Tong1 Bei4: This point is located 2 cun immediately proximal to Tong 1 Wei4•
Needle 1.0 to 2.0 cun. {Kidney Reaction Area} (Tong 1 Bei4 is located 4 cun
proximal to Tong 1 Shen4.)
201
Pyelitis (CCC-2)
Pyelitis (LKC)
1. Sant Chat San\ Zhongt Bai1, Sant Hai3, Zheng4 Shui3, Lin~ Gu3, and DMG 77-12 'Lower
Three Emperors' (LKC):
• Sant Chat Sant: This point is located in the center of the web between the 4th and 5th digits
of the hand with the fingers abducted. RA: Lung branch and Kidney auxiliary. Needle:
Perpendicularly 2 cun; have the patient make a loose fist and insert the needle. {Kidney
Reaction Area}
• Zhongt Bai1: This point is located on the dorsum of the hand, between the 4th and 5th
metacarpal bones, 0.5 cun proximal to the metacarpophalangeal articulations. Needle 0.5
cun. {Kidney Branch Reaction Area}
• Sant Hai3 : These three point are located on the palm of the hand, along the course of the
shaft of the 5th metacarpal bone. The central point is located at the midpoint of the shaft and
the other two points are located 0.5 cun proximal, and 0.5 cun distal, to the central point
along the shaft of the 5th metacarpal bone. Needle perpendicularly 0.2 to 0.5 cun or
obliquely 0.3 to 0.8 cun. { Kidney, Uterus, and Bladder Reaction Areas }
• Zheng4 Shui3 : This three point set is located on the dorsum of the proximal phalanx of the
5th digit of the hand. The central point is located at the midpoint of the posterior midsagittal
line and the other two points are located at the midpoints of the radial and ulnar lines,
respectively. Needle perpendicularly 0.1 to 0.2 cun or obliquely 0.2 cun. {Kidney Reaction
Area}
• Lin~ Gu3 : This point is located on the dorsum of the hand, immediately distal to the
articulation of the bases of the 1st and 2nd metacarpal bones - have the patient make a loose
fist to facilitate locating the point. Needle 1.0 to 2.0 cun; i.e. one may needle through to
connect with Zhong4 Xian 1• CONTRAINDICATED IN PREGNANCY. {Lung Branch, Heart,
and Kidney Reaction Areas}
• DMG 77-12 'Lower Three Emperors':
i. Tiant Huan~: This point is located 1.0 cun distal to Sp-9WH0 , on the medial aspect
of the proximal leg, between the medial border of the tibia and the .medial head of
the gastrocnemius muscle. Needle 0.5 to 1.5 cun. NEEDLING
CONTRAINDICATED IN PREGNANCY; MOXA ALSO CONTRAINDICATED.
{Kidney, Six Bowels, and Heart Branch Reaction Areas}
ii. Ren1 Huan~: This point is located 3.5 cun proximal to the apex of (as viewed from
posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel; i.e.
Ren2 Huang2 is located 0.5 cun proximal to Sp-6WH0 . Needle 0.6 to 1.5 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Branch and Lung Branch
Reaction Areas}
iii. Di4 Huan~: This point is located 4.0 cun immediately proximal to Ren2 Huang2•
Needle 1.0 to 2.0 cun. {Kidney Reaction Area} (Di4 Huang2 is located 7.5 cun
proximal to the apex of (as viewed from posterior to anterior) the medial malleolus.)
203
Pyelitis (LKC)
Pyelonephritis (CCC-1)
1. DMG 22-05 'Control the Spine Three Needles' and DMG 33-11 'Hold Three Fires'(CCC)-
alternate with Pyelonephritis CCC-2 (follows):
• DMG 22-05 'Control the Spine Three Needles':
i. Wan4 Shun4 Yi1 : This point is located 1.5 cun distal to the anterior distal transverse
wrist crease, anterior to the 5th metacarpal bone at the junction of the~almar and
dorsal ('red and white') skin; the point lies 1.5 cun proximal to SI-3 °. Needle
perpendicularly 0.5 cun to 1.0 cun keeping the shaft of the needles in proximity to
the anterior surface of the 5th metacarpal bone. {Kidney Branch Reaction Area}
ii. Wan4 Shun4 Er4 : This point is located 2.5 cun distal to the anterior distal transverse
wrist crease, anterior to the 5th metacarpal bone at the junction of the~almar and
dorsal ('red and white') skin; the point lies 0.5 cun proximal to SI-3 °. Needle
perpendicularly 0.5 cun to 1.0 cun keeping the shaft of the needles in proximity to
the anterior surface of the 5th metacarpal bone. {Kidney Branch Reaction Area}
iii. Wan4 Shun4 San1 : This point is located 3.5 cun distal to the anterior distal
transverse wrist crease, anterior to the 5th metacarpal bone at the junction of the
palmar and dorsal ('red and white') skin; the point lies 0.5 cun distal to SI-3 WHo.
Needle perpendicularly 0.5 cun to 1.0 cun keeping the shaft of the needles in
proximity to the anterior surface of the 5th metacarpal bone. {Kidney Branch
Reaction Area}
• DMG 33-11 'Hold Three Fires':
i. Huo3 Chuan4: This point is located 2.5 cun proximal to TB-4WH0 on the Hand
Shao4 Yang2 Triple Burner Channel, in the interosseous space between the ulna and
radius bones, on the posterior surface of the antebrachium. Needle perpendicularly
1.0 to 1.5 cun. {Lung Branch and Heart Auxiliary Reaction Areas}
ii. Huo3 Ling2 : This point is located 4.5 cun proximal to TB-4WH0 on the Hand Shao4
Yang2 Triple Burner Channel, in the interosseous space between the ulna and radius
bones, on the posterior surface of the antebrachium. Needle perpendicularly 1.0 to
1.5 cun. {Lung Branch and Heart Auxiliary Reaction Areas}
iii. Huo3 Shan1: This point is located 6.0 cun proximal to TB-4WH0 on the Hand Shao4
Yang2 Triple Burner Channel, in the interosseous space between the ulna and radius
bones, on the posterior surface of the antebrachium. Needle perpendicularly 1.0 to
1.5 cun. {Lung Branch and Heart Auxiliary Reaction Areas}
205
Pyelonephritis (CCC-1)
--
Pyelonephritis (CCC-2)
1. DMG 33-05 'Hold Liver Spirit Three Needles', and DMG 88-01 'Passing Through the Kidney
Three Needles' (CCC)- alternate with Pyelonephritis CCC-1 (above):
• DMG 33-05 'Hold Liver Spirit Three Needles':
i. Gan1 Linl( Yi 1: This point is located 3 cun proximal to the anterior distal
transverse wrist crease on the line drawn proximally from the base of the proximal
phalanx of the 4th digit (ring finger) to a point midway between HT-3WH0 and PC-
3WHO (fingers adducted). Needle perpendicular insertion 0.5 to 1.5 cun. Oblique
insertion from distal to proximal (inferior to superior) 2.0 cun. {Liver and Kidney
Reaction Areas}
ii. Gan 1 Linl( Er4 : This point is located 3 cun proximal to Gan 1 Ling2 Yi 1 on the line
drawn proximally from the base of the groximal phalanx of the 4th digit (ring finger)
to a point midway between HT-3WH and PC-3WH0 (fingers adducted). Needle
perpendicular insertion 0.5 to 1.5 cun. Oblique insertion from distal to proximal
(inferior to superior) 2.0 cun. {Liver and Kidney Reaction Areas}
iii. Gan1 Linl( San1: This J'oint is located 6 cun proximal to Gan 1 Ling2 Yi 1, i.e. 3 cun
proximal to Gan 1 Ling Er4 , on the line drawn proximally from the base of the
proximal ~alanx of the 4th digit (ring finger) to a point midway between HT-3WH0
and PC-3 °(fingers adducted). Needle perpendicular insertion 0.5 to 1.5 cun.
Oblique insertion from distal to proximal (inferior to superior) 2.0 cun. {Liver and
Kidney Reaction Areas}
• DMG 88-01 'Passin_r Through the Kidney Three Needles':
i. Tong1 Shen : This point is found in the depression located at the superomedial
angle of the patella. To locate this point, draw a transverse line tangent to the
superior margin of the patella and a vertical line tangent to the medial margin of the
patella; the point lies in the depression at intersection of these two lines. Needle 0.5
to 1.0 cun. {Kidney Reaction Area}
ii. Tong1 Wei 4 : This point is located 2 cun immediately proximal to Tong 1 Shen4 •
Needle 0.5 to 1.5 cun. {Kidney Reaction Area}
iii. Tong1 Bei4 : This point is located 2 cun immediately proximal to Tong 1 Wei4 •
Needle 1.0 to 2.0 cun. {Kidney Reaction Area} (Tong 1 Bei4 is located 4 cun
proximal to Tong 1 Shen4.)
207
Pyelonephritis (CCC-2)
Pyelonephritis (LKC)
1. San1 Cha1 San\ Zhong1 Bai2, San1 Hai3, Zheng4 Shoe, Lin~ Gu3, and DMG 77-12 'Lower
Three Emperors' (LKC):
• San 1 Cha1 San1: This point is located in the center of the web between the 4th and 5th digits
of the hand with the fingers abducted. RA: Lung branch and Kidney auxiliary. Needle:
Perpendicularly 2 cun; have the patient make a loose fist and insert the needle. {Kidney
Reaction Area}
• Zhong1 Bai2 : This point is located on the dorsum of the hand, between the 4th and 5th
metacarpal bones, 0.5 cun proximal to the metacarpophalangeal articulations. Needle 0.5
cun. {Kidney Branch Reaction Area}
• San 1 Hai3 : These three point are located on the palm of the hand, along the course of the
shaft of the 5th metacarpal bone. The central point is located at the midpoint of the shaft and
the other two points are located 0.5 cun proximal, and 0.5 cun distal, to the central point
along the shaft of the 5th metacarpal bone. Needle perpendicularly 0.2 to 0.5 cun or
obliquely 0.3 to 0.8 cun. { Kidney, Uterus, and Bladder Reaction Areas }
• Zheng4 Shui3: This three point set is located on the dorsum of the proximal phalanx of the
5th digit of the hand. The central point is located at the midpoint of the posterior midsagittal
line and the other two points are located at the midpoints of the radial and ulnar lines,
respectively. Needle perpendicularly 0.1 to 0.2 cun or obliquely 0.2 cun. {Kidney Reaction
Area}
• Lin~ Gu3 : This point is located on the dorsum of the hand, immediately distal to the
articulation of the bases of the 1st and 2nd metacarpal bones - have the patient make a loose
fist to facilitate locating the point. Needle 1.0 to 2.0 cun; i.e. one may needle through to
connect with Zhong4 Xian 1• CONTRAINDICATED IN PREGNANCY. {Lung Branch, Heart,
and Kidney Reaction Areas}
• DMG 77-12 'Lower Three Emperors':
i. Tian 1 Huan~: This point is located 1.0 cun distal to Sp-9WH0 , on the medial aspect
of the proximal leg, between the medial border of the tibia and the .medial head of
the gastrocnemius muscle. Needle 0.5 to 1.5 cun. NEEDLING
CONTRAINDICATED IN PREGNANCY; MOXA ALSO CONTRAINDICATED.
{Kidney, Six Bowels, and Heart Branch Reaction Areas}
ii. Ren2 Huan~: This point is located 3.5 cun proximal to the apex of (as viewed from
posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel; i.e.
Ren2 Huang2 is located 0.5 cun proximal to Sp-6WH0 • Needle 0.6 to 1.5 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Branch and Lung Branch
Reaction Areas}
iii. Di4 Huang2 : This point is located 4.0 cun immediately proximal to Ren 2 Huang2 •
Needle 1.0 to 2.0 cun. {Kidney Reaction Area} (Di4 Huang2 is located 7.5 cun
proximal to the apex of (as viewed from posterior to anterior) the medial malleolus.)
209
Pyelonephritis (LKC)
Zheng4 Sh "3
1. DMG 77-12 'Lower Three Emperors', Tong1 Shen4, and Wan4 Shun4 Yi 1; 'Let' the Occipital
Region of the lower extremity - treat daily. DO NOT 'LET' OVER THE AFFECTED
KIDNEYS (HPC):
• DMG 77-12 'Lower Three Emperors':
i. Tian 1 Huang2 : This point is found in the depression immediately distal to the
medial tibial condyle, and lies 2.5 cun distal to the articular surface of the medial
tibial condyle. Needle 0.5 to 1.0 cun. MOXABUSTION CONTRAINDICATED.
NEEDLING ALSO CONTRAINDICATED IN PREGNANCY. {Kidney, Six Bowels,
and Heart Branch Reaction Areas}
u. Di4 Huan~: This point is located 7 cun proximal to the medial malleolus along the
medial border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Branch Reaction Area}
iii. Ren 2 Huang2 : This point is located 3 cun proximal to the medial malleolus along
the medial border of the tibia. Needle 0.6 to 1.2 cun. CONTRAINDICATED IN
PREGNANCY. {Kidney Branch Reaction Area}
• Tong1 Shen4: This point is located in the depression found at the superomedial angle of the
patella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
• Wan4 Shun4 Yi1: This point is located 2.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5th metacarpal bone, at the junction of the 'red and white skin'.
Needle 0.2 to 0.4 cun. {Kidney Branch Reaction Area}
Occipital Region
212
Occipital Region
214
1. DMG 11-17 'Finger Spine Three Needles', DMG 11-01 'Five Tigers Three Needles', and
DMG 11-14 'Finger Bone Three Needles' (CCC):
• DMG 11-17 'Finger Spine Three Needles':
i. Fei4 Xin 1 Er2 : This point is located at the midpoint of the posterior midsagittal digit
line on the dorsal surface of the middle phalanx of the middle finger. To determine
the midpoint of the posterior midsagittal digit line on the middle phalanx, bisect the
distance from the dorsal proximal interphalangeal skin crease to the dorsal distal
interphalangeal skin crease along the course of said line. Needle oblique insertion
angled from distal to proximal 0.1 - 0.2 cun. {Heart and Lung Branch Reaction
Areas}
ii. Fei4 Xin1 San1 : To locate this point, simply bisect the distance Fei4 Xin 1 Er2 to the
dorsal distal interphalangeal skin crease along the course of the posterior midsagittal
digit line. Needle oblique insertion angled from distal to proximal 0.1 - 0.2 cun.
{Heart and Lung Branch Reaction Areas}
iii. Fei4 Xin 1 Yi 1: To locate this point, simply bisect the distance from Fei4 Xin 1 Er2 to
the dorsal proximal interphalangeal skin crease along the course of the posterior
midsagittal digit line. Needle oblique insertion angled from distal to proximal 0.1 -
0.2 cun. {Heart and Lung Branch Reaction Areas}
• DMG 11-01 'Five Tigers Three Needles':
i. Wu3 Hu3 San1: This point is located in the center of anterior digit line A of the
proximal phalanx of the thumb. To determine the exact center of anterior digit line
A on the proximal phalanx, bisect the distance from the anterior
metacarpophalangeal skin crease to the anterior interphalangeal skin crease along
the course of said line. Needle perpendicular 0.2 - 0.3 cun - select 3 of the 5 points.
{Spleen and Kidney reaction areas}
ii. Wu3 Hu3 Yi1: This point is located on anterior digit line A, 0.4 cun distal to Wu3
Hu3 San 1. Needle perpendicular 0.2 - 0.3 cun - select 3 of the 5 points. {Spleen and
Kidney reaction areas} ·
iii. Wu3 Hu3 Er4 : This point is located on anterior digit line A, 0.2 cun distal to Wu3
Hu3 San 1. Needle perpendicular 0.2 - 0.3 cun- select 3 of the 5 points. {Spleen and
Kidney reaction areas}
iv. Wu3 Hu3 Si4: This point is located on anterior digit line A, 0.2 cun proximal to Wu3
Hu3 San 1. Needle perpendicular 0.2-0.3 cun- select 3 of the 5 points. {Spleen and
Kidney reaction areas}
v. Wu3 Hu3 Wu3 : This point is located on anterior digit line A, 0.4 cun proximal to
Wu3 Hu3 San 1• Needle perpendicular 0.2 - 0.3 cun - select 3 of the 5 points.
{Spleen and Kidney reaction areas}
• DMG 11-14 'Fin~er Bone Three Needles':
i. Fu4 Yuan Er4 : This point is located in the center of anterior digit line D on the
anterior surface of the proximal phalanx of the ring finger. To determine the exact
center of anterior digit line D on the proximal phalanx, bisect the distance from the
anterior metacarpophalangeal skin crease to the anterior proximal interphalangeal
skin crease along the course of said line. Needle perpendicular 0.2 to 0.3 cun. {Liver
and Kidney Reaction Areas}
215
ii. Fu4 Yuan2 San1: To locate this point, simply bisect the distance from Fu4 Yuan2 Er4
to the anterior proximal interphalangeal skin crease along the course of anterior digit
line D. Needle ferpendicular 0.2 to 0.3 cun. {Liver and Kidney Reaction Areas}
iii. Fu4 Yuan2 Yi : To locate this point, simply bisect the distance from Fu4 Yuan2 Er4
to the anterior metacarpophalangeal skin crease along the course of anterior digit
line D. Needle perpendicular 0.2 to 0.3 cun. {Liver and Kidney Reaction Areas}
1. DMG 88-01 'Passing Through the Kidney Three Needles' and Wan4 Shun4 Yi 1 (LKC):
• DMG 88-01 'Passing Through the Kidney Three Needles':
i. Tong1 Shen4 : This point is located in the depression found immediately proximal
and medial to the superomedial angle of the patella. To locate the point, draw a
transverse line tangent to the superior margin of the patella and a vertical line
tangent to the medial margin of the patella- where the two lines intersect is the
location of the point. Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
ii. Tong1 Wei 4: This point is located 2.0 cun immediately proximal to Tong 1 Shen4.
Needle 0.5 to 1.5 cun. {Kidney Reaction Area}
iii. Tong1 Bei4 : This point is located 4.0 cun immediately proximal to Tong 1 Shen4•
Needle 1.0 to 2.0 cun. {Kidney Reaction Area}
• Wan4 Shun4 Yi 1 : This point is located 1.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5th metacarpal bone, at the junction of the 'red and white skin'.
Needle 0.5 to 1.0 cun. {Kidney Branch Reaction Area}
Spondylophytes (CCC)
1. DMG 88-07 'Upper Three Yellow' Note: simply needling DMG 88-07 'Upper Three Yellow'
may require 3 or more months; add 'letting' to improve the clinical outcome (CCC):
• DMG 88-07 'Upper Three Yellow':
i. Minlf Huanlf: This point is located at the exact center (proximal to distal) of the
midline (coronal plane) on the medial aspect of the thigh. Needle perpendicular 3.0
cun. {Superficially the Heart, mid-level the Liver, and deep the Kidney General
Reaction Areas}
ii. Qi2 Huani: This point is located 3.0 cun distal to Ming2 Huang2 on the midline
(coronal plane) of the medial aspect of the thigh. Needle perpendicular 3.0 cun.
{Gall Bladder General and Liver Branch Reaction Areas}
m. Tian1 Huanlf: This point is located 3.0 cun proximal to Ming2 Huang2 on the
midline (coronal plane) of the medial aspect of the thigh. Needle perpendicular 3.0
cun. {Superficially the Heart, mid-level the Liver, and deep the Kidney General
Reaction Areas}
Tian Huangz
Spondylophytes (LKC)
1. 'Let' the affected region then needle DMG 88-07 'Upper Three Yellow' and DMG 77-09 'Leg
Spine Three Needles' (LKC):
• DMG 88-07 'Upper Three Yellow':
i. Mini Huang2 : This point is located at the exact center (proximal to distal) of the
midline (coronal plane) on the medial aspect of the thigh. Needle 1 to 3.0 cun.
{Superficially the Heart, mid-level the Liver, and deep the Kidney General Reaction
Areas}
ii. Qi2 Huani: This point is located 3.0 cun distal to Ming2 Huang2 on the midline
(coronal plane) of the medial aspect of the thigh. Needle 1.5 to 3.0 cun. {Gall
Bladder General and Liver Branch Reaction Areas}
iii. Tian1 Huani: This point is located 3.0 cun proximal to Ming2 Huang2 on the
midline (coronal plane) of the medial aspect of the thigh. Needle 1.5 to 3.0 cun.
{Superficially the Heart, mid-level the Liver, and deep the Kidney General Reaction
Areas}
• DMG 77-09 'Leg Spine Three Needles':
i. Zheng4 Jin 1: This point is located 3.5 cun proximal to the plantar surface of the heel,
on the tendo calcaneus (Achilles tendon) of the posterior aspect of the distalleg; it
lies midway between Bl-60WH0 and KI-3WH0 . Needle 0.5 cun to 1 cun; insert to the
tibia for best results. {General Vertebral and General Brain Reaction Areas}
n. Zheng4 Zong1: This point is located 2 cun proximal to Zheng4 Jin 1 on the tendo
calcaneus (Achilles tendon) of the posterior aspect of the distalleg. Needle 0.5 cun
to 1 cun; insert to the tibia for best results. {General Vertebral and General Brain
Reaction Areas}
iii. Zheng4 Shi4 : This point is located 2 cun proximal to Zheng4 Zong 1, i.e. 4 cun
proximal to Zheng4 Jin 1 on the tendo calcaneus (Achilles tendon) of the posterior
aspect of the distalleg. Needle 0.5 cun to 1 cun; insert to the tibia for best results.
l. /'·;;* I-
{Lun Branch and Vertebral Reaction Areas}
I
/
Zheng4 Ji
Strangury (LCH-1)
1. DMG 77-12 'Lower Three Emperors', Mu4 Er3, and Shui3 Fu3 (LCH):
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huanlf: This point is found in the depression immediately distal to the
medial tibial condyle, and lies 2.5 cun distal to the articular surface of the medial
tibial condyle. Needle 0.5 to 1.0 cun. {Kidney, Six Bowels, and Heart Branch
Reaction Areas}
ii. Di4 Huanl(: This point is located 7.0 cun proximal to the medial malleolus along
the medial border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8
cun. CONTRAINDICATED IN PREGNANCY. {Kidney Branch Reaction Area}
iii. Ren2 Huanlf: This point is located 3.0 cun proximal to the medial malleolus along
the medial border of the tibia. Needle 0.6 to 1.2 cun. CONTRAINDICATED IN
PREGNANCY. {Kidney Branch Reaction Area}
• Mu4 Er3 : This point is located on the superior half of the posterior (medial) surface of the
ear, 0.3 cun inferior to the posterior auricular artery. Needle 0.1 to 0.2 cun. {Liver Reaction
Area}
• Shui3 Fu3: This set of points is located 1.5 cun lateral to either side of the interspinous
space between the Lz and L3 spinous processes. Needle 0.8 to 1.0 cun. {General Kidney
Reaction Area}
Strangury (LCH-2)
1. Fen 1 Zhi 1 Shang\ Fen1 Zhi 1 Xia4, and 'let' the venule at Huo3 Ying4 (LCH):
• Fen1 Zhi 1 Shang4: This point is located inferior to the 'fork' formed between the axillary
border of the scapula and the humerus. It lies in proximity to the posterior axillary fold
directly inferior to the posterior aspect of the acromion process, 1.0 cun inferior to the most
caudal aspect of the glenohumeral articulation. Needle 1.0 to 1.5 cun. {Endocrine Reaction
Area}
• Fen 1 Zhi 1 Xia4 : This point is located by proceeding 1.5 cun inferior, then 0.5 cun medial, to
Fen 1 Zhi 1 Shang4 • Needle 0.5 to 1.0 cun. {Endocrine, Lung Branch, and Breast Reaction
Areas}
• Huo3 Ying4 : This point is located on the dorsum of the foot between the first and second
metatarsal bones, 0.5 cun proximal to the level of the metatarsophalangeal joints. 'Let' any
venules visible around this point. CONTRAINDICATED IN PREGNANCY; MOXA ALSO
PROHIBITED. {Liver Auxiliary and Heart Organ Branch Reaction Areas}
221
Strangury (LKC-1)
1. DMG 77-12 'Lower Three Emperors', Li3 Bai1, and Yun1 Bai1 (LKC):
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huanl(: This point is located 1.0 cun distal to Sp-9WH0 , on the medial aspect
of the proximal leg, between the medial border of the tibia and the medial head of
the gastrocnemius muscle. Needle 0.5 to 1.5 cun. NEEDUNG
CONTRAINDICATED IN PREGNANCY; MOXA ALSO CONTRAINDICATED.
{Kidney, Six Bowels, and Heart Branch Reaction Areas}
ii. Ren1 Huanl(: This point is located 3.5 cun proximal to the apex of (as viewed from
posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel; i.e.
Ren2 Huang2 is located 0.5 cun proximal to Sp-6WH0 • Needle 0.6 to 1.5 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Branch and Lung Branch
Reaction Areas}
iii. Di4 Huang1 : This point is located 4.0 cun immediately proximal to Ren2 Huang2 •
Needle 1.0 to 2.0 cun. {Kidney Reaction Area} (Di4 Huang2 is located 7.5 cun
proximal to the apex of (as viewed from posterior to anterior) the medial malleolus.)
• 3 1
Li Bai : This point is located by coursing 4.5 cun distal to the space between the acromion
process and the greater tubercle of the humerus (LI-15WH0 ), then 2.0 cun anteriorly. Needle
0.5 to 1.5 cun. {Kidney Auxiliary and Lung Branch Reaction Areas} (This point lies 2.0
cun anterior to Jian4 Zhong1 ~ t:f:l)
• Yun1 Bai1: This point is found on the anterolateral aspect of the proximal brachium. It is
located by coursing 2.5 cun distal to the space between the acromion process and the
greater tubercle of the humerus (LI-15WH0 ), then 2.0 cun anteriorly. Needle 1.0 to 2.0 cun.
{Six Bowels and Lung Auxiliary Reaction Areas} (This point lies 2.0 cun anterior to Jian 1
Zhong 1 ~ t:f:l)
J\
\'
1. Shoe Qu1, Liu4 Wan1, Huan1 Chao1, Zhong1 Bai1, and Xia4 Bai1 (LKC):
• Shui3 Qu1: This point is located on the dorsum of the foot, immediately distal to the
articulation of the bases of the 4th and 5th metatarsal bones. Needle 0.3 to 0.5 cun. {Lung
Branch and Kidney Branch Reaction Areas}
• Liu4 Wan1 : This point is located on the dorsum of the foot between the 4th and 5th
metatarsal bones, 0.5 cun proximal to GB-43 WHo. Needle with a 36 Gauge needle 0.3 to 0.5
cun - CONTRAINDICATED IN PATIENTS WITH ASTHMA, PULMONARY DISEASES,
EXCESSIVE PHLEGM, OR WHO ARE WEAK/FRAIL. {Lung Branch and Kidney Branch}
(GB-43WH0 is located 0.5 unit posterior to (proximal to) the web between the 4th and 5th
toes, ergo, Liu4 Wan2 is located 1.0 cun proximal to the interdigital web between said digits.)
• Huan2 Chao1 : This point is located at the center of Digit Line A on the second phalanx of
the 4th digit (ring finger). To determine the exact center of the middle phalanx along Digit
Line A, bisect the distance from the anterior proximal interphalangeal skin crease to the
anterior distal interphalangeal skin crease along said line. Needle 0.2 to 0.3 cun. {Liver and
Kidney Auxiliary Reaction Areas}
• Zhong1 Bai1: This point is located on the dorsum of the hand, between the 4th and 5th
metacarpal bones, 0.5 cun proximal to the metacarpophalangeal articulations. Needle 0.5
cun. {Kidney Branch Reaction Area}
• Xia4 Bai1 : This point is located on the dorsum of the hand between the 4th and 5th
metacarpal bones, 1.5 cun proximal to the metacarpophalangeal joints. Needle 0.3 to 0.8
cun. {Liver and Kidney Confluent Reaction Area} (Xia4 Bai 2 lies 1.0 cun proximal to
Zhong 1 Bai 2 , and is located in the depression immediately distal to the articulation of the
bases of the 4th and 5th metacarpal bones on the dorsum of the hand- have the patient make
a loose fist to facilitate locating this point.)
Strangury (LKC-3)
(!*
* *
224
1. DMG 77-12 'Lower Three Emperors', Tong1 Shen4, and Tong1 Wei4 (HPC):
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huan~: This point is found in the depression immediately distal to the
medial tibial condyle, and lies 2.5 cun distal to the articular surface of the medial
tibial condyle. Needle 0.5 to 1.0 cun. MOXABUSTION CONTRAINDICATED.
NEEDLING ALSO CONTRAINDICATED IN PREGNANCY. {Kidney, Six Bowels,
and Heart Branch Reaction Areas}
ii. Di4 Huan~: This point is located 7 cun proximal to the medial malleolus along the
medial border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Branch Reaction Area}
iii. Ren2 Huan~: This point is located 3 cun proximal to the medial malleolus along
the medial border of the tibia. Needle 0.6 to 1.2 cun. CONTRAINDICATED IN
PREGNANCY. {Kidney Branch Reaction Area}
• Tong Shen4: This point is located in the depression found at the superomedial angle of the
1
patella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
• Tong1 Wei4 : This point is located 2.0 cun immediately proximal to Tong 1 Shen4. Needle
0.5 to 1.0 cun. {Kidney Reaction Area} (Tong 1 Shen4 is located in the depression found at
the superomedial angle of the patella)
1. Fen1 Zhi1 Shang4, Fen1 Zhi1 Zhong1, Ren2 Huang2, Shui3 Qui, and Liu4 Wan2 (LKC):
• Fen1 Zhi1 Shang4: This point is located inferior to the 'fork' formed between the axillary
border of the scapula and the humerus. It lies in proximity to the posterior axillary fold,
directly inferior to the posterior aspect of the acromion process, 1 cun inferior to the most
caudal aspect of the glenohumeral articulation. Needle 1.0 to 1.5 cun. {Endocrine and Liver
Reaction Areas}
• Fen1 Zhi1 Zhong1: This point is located by coursing 1.5 cun immediately inferior, then 0.6
cun medial to Fen1 Zhi 1 Shang4 • Needle 1.0 to 1.5 cun. {Endocrine, Lung Branch, and
Breast Reaction Areas}
• Ren2 Huang2 : This point is located 3.5 cun proximal to the apex of (as viewed from
posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel; i.e. Ren2
Huang2 is located 0.5 cun proximal to Sp-6WH0 • Needle 0.6 to 1.5 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Branch and Lung Branch Reaction
Areas}
• Shue Qu1: This point is located on the dorsum of the foot, immediately distal to the
articulation of the bases of the 4th and 5th metatarsal bones. Needle 0.3 to 0.5 cun. {Lung
Branch and Kidney Branch Reaction Areas}
• Liu4 Wan2 : This point is located on the dorsum of the foot between the 4th and 5th
metatarsal bones, 0.5 cun proximal to GB-43WH0 . Needle with a 36 Gauge needle 0.3 to 0.5
cun - CONTRAINDICATED IN PATIENTS WITH ASTHMA, PULMONARY DISEASES,
EXCESSIVE PHLEGM, OR WHO ARE WEAK/FRAIL. {Lung Branch and Kidney Branch}
(GB-43 WHO is located 0.5 unit posterior to (proximal to) the web between the 4th and 5th
toes, ergo, Liu4 Wan2 is located 1.0 cun proximal to the interdigital web between said
digits.)
226
1. Tong1 Shen\ Tong1 Wei4, and DMG 77-12 'Lower Three Emperors' (LKC):
• Tong1 Shen4: This point is located in the depression found immediately proximal and
medial to the superomedial angle of the patella. To locate the point, draw a transverse line
tangent to the superior margin of the patella and a vertical line tangent to the medial margin
of the patella - where the two lines intersect is the location of the point. Needle 0.5 to 1.0
cun. {Kidney Reaction Area}
• Tong1 Wei4: This point is located 2.0 cun immediately proximal to Tong 1 Shen4 . Needle
0.5 to 1.5 cun. {Kidney Reaction Area}
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huang2 : This point is located 1.0 cun distal to Sp-9WH0 , on the medial aspect
of the proximal leg, between the medial border of the tibia and the medial head of
the gastrocnemius muscle. Needle 0.5 to 1.5 cun. NEEDLING
CONTRAINDICATED IN PREGNANCY; MOXA ALSO CONTRAINDICATED.
{Kidney, Six Bowels, and Heart Branch Reaction Areas}
ii. Ren2 Huan~: This point is located 3.5 cun proximal to the apex of (as viewed from
posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel; i.e.
Ren2 Huang2 is located 0.5 cun proximal to Sp-6WH0 • Needle 0.6 to 1.5 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Branch and Lung Branch
Reaction Areas}
iii. Di4 Huan~: This point is located 4.0 cun immediately proximal to Ren 2 Huang2 .
Needle 1.0 to 2.0 cun. {Kidney Reaction Area} (Di4 Huang2 is located 7.5 cun
proximal to the apex of (as viewed from posterior to anterior) the medial malleolus.)
1. Zhong 1 Bai1, Xia4 Bai1, Shue Qu\ Liu4 Wan1, Shue Jin\ and Shui3 Tong1 (LKC):
• Zhong 1 Bai1 : This point is located on the dorsum of the hand, between the 4th and 5th
metacarpal bones, 0.5 cun proximal to the metacarpophalangeal articulations. Needle 0.5
cun. {Kidney Branch Reaction Area}
• Xia 4 Bai1 : This point is located on the dorsum of the hand between the 4th and 5th
metacarpal bones, 1.5 cun proximal to the metacarpophalangeal joints. Needle 0.3 to 0.8
cun. {Liver and Kidney Confluent Reaction Area} (Xia4 Bai 2 lies 1.0 cun proximal to
Zhong 1 Bai 2 , and is located in the depression immediately distal to the articulation of the
bases of the 4th and 5th metacarpal bones on the dorsum of the hand- have the patient make a
loose fist to facilitate locating this point.)
• Shui3 Qu1: This point is located on the dorsum of the foot, immediately distal to the
articulation of the bases of the 4th and 5th metatarsal bones. Needle 0.3 to 0.5 cun. {Lung Branch
and Kidney Branch Reaction Areas}
• Liu4 Wan1 : This point is located on the dorsum of the foot between the 4th and 5th
metatarsal bones, 0.5 cun proximal to GB-43WH0 • Needle with a 36 Gauge needle 0.3 to 0.5
cun - CONTRAINDICATED IN PATIENTS WITH ASTHMA, PULMONARY DISEASES,
EXCESSIVE PHLEGM, OR WHO ARE WEAK/FRAIL. {Lung Branch and Kidney Branch}
(GB-43WH0 is located 0.5 unit posterior to (proximal to) the web between the 4th and 5th
toes, ergo, Liu4 Wan2 is located 1.0 cun proximal to the interdigital web between said digits.)
• Shui3 Jin 1: This point is located 0.5 cun obliquely medial to Shui 3 Tong 1• Needle
perpendicularly 0.2 to 0.3 cun or obliquely from medial to lateral up to 0.5 cun. {Kidney
Reaction Area} (To locate this point, proceed to a point 0.5 cun medial to Shue Tong 1 and
0.5 cun directly inferior to the extraorallabial-cutaneous junction of the inferior lip.)
• Shui3 Tong1: This point is located 0.5 cun directly inferior to the extraoral labial-cutaneous
junction at the corner of the mouth. Needle perpendicularly 0.2 to 0.3 cun or obliquely from
medial to lateral up to 0.5 cun. {Kidney Reaction Area}
228
i~* *
*
229
1. DMG 88-01 'Passing Through the Kidney Three Needles', Liu 4 Kuai4, and Qi1 Kuai4 (MC):
• DMG 88-01 'Passin,r Through the Kidney Three Needles':
i. Tong1 Shen : This point is located in the depression found at the superomedial
angle of the patella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
ii. Tong1 Wei 4: This point is located 2.0 cun immediately proximal to Tong 1 Shen4•
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
iii. Tong1 Bei4: This point is located 4.0 cun immediately proximal to Tong 1 Shen4 .
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
• Liu 4 Kuai4 : This point is located on the face, 1.4 cun lateral to the center of the philtrum
(GV-26WH0 ). Needle 0.1 to 0.3 cun. {Endocrine Reaction Area} To locate the center of the
philtrum, bisect the distance from the extraorallabial-cutaneous junction to the base of the
nose between the nostrils.
• Qi1 Kuai4: This point is located on the face, 0.5 cun lateral to the commissure of the lips at
the angle of the mouth. Needle obliquely from medial to lateral 0.5 to 1.5 cun. {Lung
Reaction Area}
1. DMG 77-12 'Lower Three Emperors', Fen1 Zhi1 Shang4, Fen1 Zhi 1 Xia4, and Mu4 E.-3 (MC):
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huan~: This point is found in the depression immediately distal to the
medial tibial condyle; it lies 2.5 cun distal to the articular surface of the medial tibial
condyle. Needle 0.5 to 1.0 cun - MOXA CONTRAINDICATED; ALSO
CONTRAINDICATED IN PREGNANCY. {Kidney, Six Bowels, and Heart Branch
Reaction Areas}
ii. Di4 Huan~: This point is located 7 cun proximal to the medial malleolus along the
medial border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Reaction Area}
iii. Ren2 Huan~: This point is located 3 cun proximal to the medial malleolus along
the medial border of the tibia. Needle 0.6 to 1.2 cun. CONTRAINDICATED IN
PREGNANCY. {Kidney Branch Reaction Area}
• Fen Zhi 1 Shang4: This point is located inferior to the 'fork' formed between the axillary
1
border of the scapula and the humerus. It lies in proximity to the posterior axillary fold
directly inferior to the posterior aspect of the acromion process, 1.0 cun inferior to the most
caudal aspect of the glenohumeral articulation. Needle 1.0 to 1.5 cun. {Endocrine Reaction
Area}
• Fen1 Zhi1 Xia4: This point lies 1.5 cun inferior and 0.5 cun medial to Fen 1 Zhi 1 Shang4.
Needle 0.5 to 1.0 cun. {Endocrine, Lung Branch, and Breast Reaction Areas}
• Mu4 Er3 : This point is located on the superior half of the posterior (medial) surface of the
ear, 0.3 cun inferior to the posterior auricular artery. Needle 0.1 to 0.2 cun. {Liver Reaction
Area}
Mu4
Di'
•sL•
' 1 Xi~ *
f
1. Wan4 Shun4 Yi\ Wan4 Shun4 Er4, and Liu4 Wan2 (LCH):
• Wan4 Shun4 Yi1 : This ~int is located 2.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5 metacarpal bone. Needle 0.5 to 1.5 cun. {Kidney Branch Reaction
Area}
• Wan4 Shun4 Er4: This point is located 1.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5tli metacarpal bone. Needle 0.2 to 0.4 cun. {Kidney Branch Reaction
Area}
• Liu4 Wan2 : This point is located on the dorsum of the foot between the 4th and 5th
metatarsal bones, 0.5 cun proximal to the metatarsophalangeal joints. Needle 0.3 to 0.5 cun.
UNILATERAL NEEDLING ONLY; CONTRAINDICATED IN PREGNANCY. {Lung Branch
and Kidney Branch Reaction Areas}
. 4wan2
L IU
234
Toothache (LCH)
[2° to 'Kidney Depletion']
Uremia (HPC-1)
[Not a radical cure]
1. DMG 77-12 'Lower Three Emperors' and Ma3 Jin 1 Shui3 (HPC):
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huanlf: This point is found in the depression immediately distal to the
medial tibial condyle, and lies 2.5 cun distal to the articular surface of the medial
tibial condyle. Needle 0.5 to 1.0 cun. MOXABUSTION CONTRAINDICATED.
NEEDliNG ALSO CONTRAINDICATED IN PREGNANCY. {Kidney, Six Bowels,
and Heart Branch Reaction Areas}
n. Di4 Huang2 : This point is located 7 cun proximal to the medial malleolus along the
medial border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Branch Reaction Area}
iii. Ren2 Huanlf: This point is located 3 cun proximal to the medial malleolus along
the medial border of the tibia. Needle 0.6 to 1.2 cun. CONTRAINDICATED IN
PREGNANCY. {Kidney Branch Reaction Area}
• Ma3 Jin1 Shui3 : This point is found on the face in the depression located along the inferior
border of the zygomatic bone at the medial-to-laterallevel of the lateral canthus. Needle 0.1
to 0.3 cun. {Kidney and Lung Auxiliary Reaction Areas}
Uremia (HPC-2)
[Not a radical cure]
1. DMG 77-12 'Lower Three Emperors', ST-36w80, Tong1 Shen4, and Si4 Ma3 Zhong1 (HPC):
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huan~: This point is found in the depression immediately distal to the
medial tibial condyle, and lies 2.5 cun distal to the articular surface of the medial
tibial condyle. Needle 0.5 to 1.0 cun. MOXABUSTION CONTRAINDICATED.
NEEDLING ALSO CONTRAINDICATED IN PREGNANCY. {Kidney, Six Bowels,
and Heart Branch Reaction Areas}
ii. Di4 Huan~: This point is located 7 cun proximal to the medial malleolus along the
medial border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Branch Reaction Area}
iii. Ren2 Huan~: This point is located 3 cun proximal to the medial malleolus along
the medial border of the tibia. Needle 0.6 to 1.2 cun. CONTRAINDICATED IN
PREGNANCY. {Kidney Branch Reaction Area}
• ST-36WH0 : On the lower leg, 3 units below (distal to) the lateral 'eye ' of the knee,
approximately 1 finger width lateral to the tibia. Needle 1 to 2 units.
• Tong1 Shen4 : This point is located in the depression found at the superomedial angle of the
patella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
• Si4 Ma3 Zhong1: This point is located by placing the palms of the hands (elbows fully
extended) on the lateral thighs while standing erect. From where the tips of the middle
fingers touch the thighs, proceed 3.0 cun anteriorly to arrive at Si 4 Ma3 Zhong 1• Needle 0.8
to 2.5 cun. {General Lung and Liver Branch Reaction Areas}
Urethralgia (LCH)
[Aseptic]
Huo3 Zhu3
Huo 3 Ying4
238
Urethralgia (MC-1)
Fu2 Jian4
Wai4 Jian4
Urethralgia (MC-2)
1. Ma 3 Kuai4 Shui3, Liu4 Kuai4, Ling2 Gu3, and Huo3 Zhu3 (MC):
• Ma3 Kuai4 Shui3 : This point is 0.4 cun immediately inferior to Ma3 Jin 1 Shui 3
approximately at the most caudal level of the nose. Needle 0.1 to 0.3 cun. {Kidney and
Bladder Reaction Areas} [Ma3 Jin 1 Shui 3 is found on the face in the depression located
along the inferior border of the zygomatic bone, at the medial-to-lateral level of the lateral
canthus.]
• Liu4 Kuai4 : This point is located on the face, 1.4 cun lateral to the center of the philtrum
(GV-26WH0 ). Needle 0.1 to 0.3 cun. {Endocrine Reaction Area} To locate the center of the
philtrum, bisect the distance from the extraoral labial-cutaneous junction to the base of the
nose between the nostrils.
• Ling2 Gu3 : This point is located on the dorsum of the hand, immediately distal to the
articulation of the bases of the 1st and 2nd metacarpal bones - the point communicates with
the palmar point Chong2 Xian 1• Needle 1.5 to 2.0 cun i.e. one may needle through to
connect with Chong2 Xian 1• CONTRAINDICATED IN PREGNANCY. {Lung Branch
Reaction Area}
• Huo3 Zhu3: This point is located on the dorsum of the foot, immediately distal to the
articulation of the bases of the 1st and 2nd metatarsal bones. Needle 0.3 to 0.8 cun
CONTRAINDICATED IN PREGNANCY; MOXABUSTION CONTRAINDICATED. {Heart
Branch Reaction Area} (Huo3 Zhu3 is described as being 1.0 cun proximal to Huo3 Ying4
which is located on the dorsum of the foot between the first and second metatarsal bones,
0.5 cun proximal to the level of the metatarsophalangeal joints.)
240
Urethritis (CCC)
......
Urethritis (HPC-1)
[Non-specific, Non-gonococcal]
1. Yun2 Bai, Li3 Bai2, Ma3 Jin 1 Shui3, and Ma3 Kuai4 Shui3 (HPC):
• Yun2 Bai2: This point is found 2 cun obliquely anterior and distal to Bei 1 Mian4• Needle 0.3
to 0.5 cun. {Six Bowels and Lung Auxiliary Branch Reaction Areas} (Bei 1 Mian4 is found
in the large depression immediately lateral (distal) to the acromion process of the scapula
when the arm is abducted to 90°.)
• Li3 Bai2 : This point is located 2 cun distal and slightly dorsal to Yun2 Bae. Needle 0.3 to
0.5 cun. {Kidney Auxiliary and Lung Branch Reaction Areas}
• Ma3 Jin 1 Shui3 : This point is found on the face in the depression located along the inferior
border of the zygomatic bone at the medial-to-laterallevel of the lateral canthus. Needle 0.1
to 0.3 cun. {Kidney and Lung Auxiliary Reaction Areas}
• Ma3 Kuai 4 Shui3 : This point is 0.4 cun immediately inferior to Ma3 Jin 1 Shue. Needle 0.1
to 0.3 cun. {Kidney and Bladder Reaction Areas} (Ma3 Jin 1 Shue is found on the face in
the depression located along the inferior border of the zygomatic bone at the medial-to-
lateral level of the lateral canthus)
242
Urethritis (HPC-2)
[Non-specific, Non-gonococcal]
1. Yunl Bail, Li3 Bail, Shen4 Guanl, and Renl Huani- initiate treatment immediately upon
presentation of signs and symptoms and the patient should fully recover within 2 or 3
treatments (HPC):
• Yunl Bail: This point is found 2 cun obliquely anterior and distal to Bei 1 Mian4• Needle 0.3
to 0.5 cun. {Six Bowels and Lung Auxiliary Branch Reaction Areas} (Bei 1 Mian4 is found
in the large depression immediately lateral (distal) to the acromion process of the scapula
when the arm is abducted to 90°.)
• Li3 Bai2 : This point is located 2 cun distal and slightly dorsal to Yun2 Bai2• Needle 0.3 to
0.5 cun. {Kidney Auxiliary and Lung Branch Reaction Areas}
• Shen4 Guan1: This point lies 1.5 cun immediately distal to Tian 1 Huang2 • Needle 0.5 to 1.0
cun. (Tian1 Huang2 is located in the depression found immediately distal to the medial tibial
condyle, and lies 2.5 cun distal to the articular surface of the medial tibial condyle.) {Six
Bowels Reaction Area}
• Renl Huani: This point is located 3 cun proximal to the medial malleolus along the
medial border of the tibia. Needle 0.6 to 1.2 cun. CONTRAINDICATED IN PREGNANCY.
{Kidney Branch Reaction Area}
243
Urethritis (HPC-3)
[Non-specific, Non-gonococcal]
1. DMG 77-12 'Lower Three Emperors', Tong1 Shen\ and Tong1 Wei4 (HPC):
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huan~: This point is found in the depression immediately distal to the
medial tibial condyle, and lies 2.5 cun distal to the articular surface of the medial
tibial condyle. Needle 0.5 to 1.0 cun. MOXABUSTION CONTRAINDICATED.
NEEDliNG ALSO CONTRAINDICATED IN PREGNANCY. {Kidney, Six Bowels,
and Heart Branch Reaction Areas}
ii. Di4 Huan~: This point is located 7 cun proximal to the medial malleolus along the
medial border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Branch Reaction Area}
iii. Ren2 Huan~: This point is located 3 cun proximal to the medial malleolus along
the medial border of the tibia. Needle 0.6 to 1.2 cun. CONTRAINDICATED IN
PREGNANCY. {Kidney Branch Reaction Area}
• Tong1 Shen4: This point is located in the depression found at the superomedial angle of the
patella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
• Tong1 Wei4 : This point is located 2.0 cun immediately proximal to Tong 1 Shen4• Needle
0.5 to 1.0 cun. {Kidney Reaction Area} (Tong 1 Shen4 is located in the depression found at
the superomedial angle of the patella)
Urethritis (LCH-1)
[Non-specific, Non-gonococcal]
1. Fu2 Jian\ Wai4 Jian 4, and DMG 77-12 'Lower Three Emperors' (LCH):
• Fu2 Jian4 : This point is located on the anterior surface of the middle phalanx of the index
finger, 0.2 cun radial (lateral) to the median plane of said phalanx, and one third the
distance from the distal interphalangeal skin crease to the proximal interphalangeal skin
crease. Needle 0.2 cun. BILATERAL NEEDliNG CONTRAINDICATED. {Heart Organ and
Six Bowels Branch Reaction Areas} (This point is located two thirds the distance from the
proximal interphalangeal skin crease to the distal interphalangeal skin crease, along the
course of digit line B.)
• Wai4 Jian4: This point is located on the anterior surface of the middle phalanx of the index
finger, 0.2 cun radial (lateral) to the median plane of said phalanx, and two thirds the
distance from the distal interphalangeal skin crease to the proximal interphalangeal skin
crease. Needle 0.2 cun. BILATERAL NEEDliNG CONTRAINDICATED. {Heart Organ and
Six Bowels Branch Reaction Areas} (This point is located one third the distance from the
proximal interphalangeal skin crease to the distal interphalangeal skin crease, along the
course of digit line B.)
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huan~: This point is found in the depression immediately distal to the
medial tibial condyle, and lies 2.5 cun distal to the articular surface of the medial
tibial condyle. Needle 0.5 to 1.0 cun. {Kidney, Six Bowels, and Heart Branch
Reaction Areas}
ii. Di4 Huang2: This point is located 7.0 cun proximal to the medial malleolus along
the medial border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8
cun. CONTRAINDICATED IN PREGNANCY. {Kidney Branch Reaction Area}
iii. Ren2 Huan~: This point is located 3.0 cun proximal to the medial malleolus along
the medial border of the tibia. Needle 0.6 to 1.2 cun. CONTRAINDICATED IN
PREGNANCY. {Kidney Branch Reaction Area}
A-P view of the LEFT index finger. A-P view of the RIGHT index finger.
Urethritis (LCH-2)
[Non-specific, Non-gonococcal]
1. Liu4 Kuai 4, Mu4 Er3, Fen1 Zhi1 Shang\ and Fen1 Zhi1 Xia4 (LCH):
• Liu4 Kuai 4: This point lies 1.4 cun lateral to the center of the philtrum (i.e. 1.4 cun lateral
to Ren2 Zhong 1 or Du-24). Needle 0.1 to 0.3 cun. {Secretion/Excretion Reaction Area}
• Mu 4 Er3 : This point is located on the superior half of the posterior (medial) surface of the
ear, 0.3 cun inferior to the posterior auricular artery. Needle 0.1 to 0.2 cun. {Liver Reaction
Area}
• Fen1 Zhi1 Sbang4: This point is located inferior to the 'fork' formed between the axillary
border of the scapula and the humerus. It lies in proximity to the posterior axillary fold
directly inferior to the posterior aspect of the acromion process, 1.0 cun inferior to the most
caudal aspect ofthe glenohumeral articulation. Needle 1.0 to 1.5 cun. {Endocrine Reaction
Area}
• Fen1 Zhi1 Xia4: This point is located by proceeding 1.5 cun inferior, then 0.5 cun medial, to
Fen 1 Zhi 1 Shang4 • Needle 0.5 to 1.0 cun. {Endocrine, Lung Branch, and Breast Reaction
Areas}
·si·
xi\(
•1
•
246
Urethritis (LKC-1)
[Non-specific, Non-gonococcal]
1. Fen1 Zhi 1 Shang4, Fen 1 Zhi 1 Zhong\ Ren2 Huang2, Shui3 Qu\ and Liu4 Wan2 (LKC):
• Fen1 Zhi1 Shang4 : This point is located inferior to the 'fork' formed between the axillary
border of the scapula and the humerus. It lies in proximity to the posterior axillary fold,
directly inferior to the posterior aspect of the acromion process, 1 cun inferior to the most
caudal aspect of the glenohumeral articulation. Needle 1.0 to 1.5 cun. {Endocrine and Liver
Reaction Areas}
• Fen1 Zhi1 Zhong1: This point is located by coursing 1.5 cun immediately inferior, then 0.6
cun medial to Fen1 Zhi1 Shang4 . Needle 1.0 to 1.5 cun. {Endocrine, Lung Branch, and
Breast Reaction Areas}
• Ren2 Huan~: This point is located 3.5 cun proximal to the apex of (as viewed from
posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel; i.e. Ren2
Huang2 is located 0.5 cun proximal to Sp-6WH0 • Needle 0.6 to 1.5 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Branch and Lung Branch Reaction
Areas}
• Shoe Qu1: This point is located on the dorsum of the foot, immediately distal to the
articulation of the bases of the 4th and 5th metatarsal bones. Needle 0.3 to 0.5 cun. {Lung
Branch and Kidney Branch Reaction Areas}
• Liu4 Wan2 : This point is located on the dorsum of the foot between the 4th and 5th
metatarsal bones, 0.5 cun proximal to GB-43WH0 . Needle with a 36 Gauge needle 0.3 to 0.5
cun- CONTRAINDICATED IN PATIENTS WITH ASTHMA, PULMONARY DISEASES,
EXCESSIVE PHLEGM, OR WHO ARE WEAK/FRAIL. {Lung Branch and Kidney Branch}
(GB-43WH0 is located 0.5 unit posterior to (proximal to) the web between the 4th and 5th
toes, ergo, Liu4 Wan2 is located 1.0 cun proximal to the interdigital web between said
digits.)
247
Urethritis (LKC-2)
[Non-specific, Non-gonococcal]
1. Tong1 Shen4, Tong1 Wei 4, and DMG 77-12 'Lower Three Emperors' (LKC):
• Tong1 Shen4 : This point is located in the depression found immediately proximal and
medial to the superomedial angle of the patella. To locate the point, draw a transverse line
tangent to the superior margin of the patella and a vertical line tangent to the medial margin
of the patella - where the two lines intersect is the location of the point. Needle 0.5 to 1.0
cun. {Kidney Reaction Area}
• Tong1 Wei4 : This point is located 2.0 cun immediately proximal to Tong 1 Shen4 • Needle
0.5 to 1.5 cun. {Kidney Reaction Area}
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huang2: This point is located 1.0 cun distal to Sp-9WH0 , on the medial aspect
of the proximal leg, between the medial border of the tibia and the medial head of
the gastrocnemius muscle. Needle 0.5 to 1.5 cun. NEEDLING
CONTRAINDICATED IN PREGNANCY; MOXA ALSO CONTRAINDICATED.
{Kidney, Six Bowels, and Heart Branch Reaction Areas}
ii. Ren2 Huan~: This point is located 3.5 cun proximal to the apex of (as viewed from
posterior to anterior) the medial malleolus on the Foot Tai 4 Yin 1 Spleen Channel; i.e.
Ren2 Huang2 is located 0.5 cun proximal to Sp-6WH0 • Needle 0.6 to 1.5 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Branch and Lung Branch
Reaction Areas}
iii. Di4 Huan~: This point is located 4.0 cun immediately proximal to Ren2 Huang2•
Needle 1.0 to 2.0 cun. {Kidney Reaction Area} (Di4 Huang2 is located 7.5 cun
proximal to the apex of (as viewed from posterior to anterior) the medial malleolus.)
Urethritis (LKC-3)
[Non-specific, Non-gonococcal]
1. Zhong1 Bail, Xia4 Bail, Shue Qu\ Liu4 Wanl, Shue Jin\ and Shue Tong1 (LKC):
• Zhong1 Bail: This point is located on the dorsum of the hand, between the 4th and 5th
metacarpal bones, 0.5 cun proximal to the metacarpophalangeal articulations. Needle 0.5
cun. {Kidney Branch Reaction Area}
• Xia 4 Bail: This point is located on the dorsum of the hand between the 4th and 5th
metacarpal bones, 1.5 cun proximal to the metacarpophalangeal joints. Needle 0.3 to 0.8
cun. {Liver and Kidney Confluent Reaction Area} (Xia4 Bai 2 lies 1.0 cun proximal to
Zhong 1 Bai 2 , and is located in the depression immediately distal to the articulation of the
bases of the 4th and 5th metacarpal bones on the dorsum of the hand - have the patient make a
loose fist to facilitate locating this point.)
• Shue Qu1 : This point is located on the dorsum of the foot, immediately distal to the
articulation of the bases of the 4th and 5th metatarsal bones. Needle 0.3 to 0.5 cun. {Lung Branch
and Kidney Branch Reaction Areas}
• Liu4 Wan2 : This point is located on the dorsum of the foot between the 4th and 5th
metatarsal bones, 0.5 cun proximal to GB-43WH0 . Needle with a 36 Gauge needle 0.3 to 0.5
cun - CONTRAINDICATED IN PATIENTS WITH ASTHMA, PULMONARY DISEASES,
EXCESSIVE PHLEGM, OR WHO ARE WEAK/FRAIL. {Lung Branch and Kidney Branch}
(GB-43wHo is located 0.5 unit posterior to (proximal to) the web between the 4th and 5th
toes, ergo, Liu4 Wan2 is located 1.0 cun proximal to the interdigital web between said digits.)
• Shue Jin 1: This point is located 0.5 cun obliquely medial to Shue Tong 1. Needle
perpendicularly 0.2 to 0.3 cun or obliquely from medial to lateral up to 0.5 cun. {Kidney
Reaction Area} (To locate this point, proceed to a point 0.5 cun medial to Shue Tong 1 and
0.5 cun directly inferior to the extraorallabial-cutaneous junction of the inferior lip.)
• Shui3 Tong1: This point is located 0.5 cun directly inferior to the extraoral labial-cutaneous
junction at the corner of the mouth. Needle perpendicularly 0.2 to 0.3 cun or obliquely from
medial to lateral up to 0.5 cun. {Kidney Reaction Area}
249
Urethritis (LKC-4)
[Non-specific, Non-gonococcal]
ti
** *
250
Urethritis (MC-1)
[Non-specific, Non-gonococcal]
1. DMG 88-01 'Passing Through the Kidney Three Needles', Liu4 Kuai 4, and Qi1 Kuai 4 (MC):
• DMG 88-01 'Passin.r Through the Kidney Three Needles':
i. Tong1 Shen : This point is located in the depression found at the superomedial
angle of thelatella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
n. Tong1 Wei : This point is located 2.0 cun immediately proximal to Tong 1 Shen4 .
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
iii. Tong1 Bei4 : This point is located 4.0 cun immediately proximal to Tong 1 Shen4•
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
• Liu Kuai4: This point is located on the face, 1.4 cun lateral to the center of the philtrum
4
(GV-26WH0 ). Needle 0.1 to 0.3 cun. {Endocrine Reaction Area} To locate the center of the
philtrum, bisect the distance from the extraorallabial-cutaneous junction to the base of the
nose between the nostrils.
• Qi1 Kuai4: This point is located on the face, 0.5 cun lateral to the commissure of the lips at
the angle of the mouth. Needle obliquely from medial to lateral 0.5 to 1.5 cun. {Lung
Reaction Area}
Urethritis (MC-2)
[Non-specific, Non-gonococcal]
1. Yun1 Bai1, Le Bai1, Ma3 Jin1 Shue, and Ma3 Kuai4 Shue, (MC):
• Yun1 Bai2: This point is located with the arm hanging naturally down by the side, and
lies 2.0 cun obliquely anterodistal (towards the chest) from the point Bei 1 Mian4 • (Bei 1
Mian4 lies in the center of a depression found immediately lateral to the acromion process
with the arm abducted to 90°.) Needle 0.3 to 0.5 cun. {Six Bowels and Lung Auxiliary
Reaction Areas} Alternately, one may locate this point by proceeding 1 cun anterior
and 1 cun proximal to Jian 1 Zhong 1• (Jian 1 Zhong 1 is found with the arm hanging loosely
down by the side and is located in the center of the deltoid muscle, 3 cun distal to the space
between the acromion process and the humerus.)
• Li3 Bai1 : This point is located 2 cun distal and slightly dorsal to Yun2 Bai2 • Needle 0.3
to 0.5 cun. {Kidney Auxiliary and Lung Branch Reaction Areas}
• Ma3 Jin1 Shui3: This point is found on the face in the depression located along the inferior
border of the zygomatic bone at the medial-to-lateral level of the lateral canthus. Needle 0.1
to 0.3 cun. {Kidney and Lung Auxiliary Reaction Areas}
• Ma3 Kuai 4 Shui3 : This point is 0.4 cun immediately inferior to Ma3 Jin 1 Shui 3
approximately at the most caudal level of the nose. Needle 0.1 to 0.3 cun. {Kidney and
Bladder Reaction Areas}
252
Urethritis (MC-3)
[Non-specific, Non-gonococcal]
Urethritis (MC-4)
[Non-specific, Non-gonococcal]
1. DMG 77-12 'Lower Three Emperors', Fen1 Zhi 1 Shang4, Fen1 Zhi1 Xia\ and Mu4 Er3 (MC):
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huan~: This point is found in the depression immediately distal to the
medial tibial condyle; it lies 2.5 cun distal to the articular surface of the medial tibial
condyle. Needle 0.5 to 1.0 cun - MOXA CONTRAINDICATED; ALSO
CONTRAINDICATED IN PREGNANCY. {Kidney, Six Bowels, and Heart Branch
Reaction Areas}
ii. Di4 Huan~: This point is located 7 cun proximal to the medial malleolus along the
medial border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Reaction Area}
m. Ren2 Huan~: This point is located 3 cun proximal to the medial malleolus along
the medial border of the tibia. Needle 0.6 to 1.2 cun. CONTRAINDICATED IN
PREGNANCY. {Kidney Branch Reaction Area}
• Fen1 Zhi1 Shang4: This point is located inferior to the 'fork' formed between the axillary
border of the scapula and the humerus. It lies in proximity to the posterior axillary fold
directly inferior to the posterior aspect of the acromion process, 1.0 cun inferior to the most
caudal aspect of the glenohumeral articulation. Needle 1.0 to 1.5 cun. {Endocrine Reaction
Area}
• Fen1 Zhi1 Xia4: This point lies 1.5 cun inferior and 0.5 cun medial to Fen 1 Zhi 1 Shang4 •
Needle 0.5 to 1.0 cun. {Endocrine, Lung Branch, and Breast Reaction Areas}
• Mu4 Er3 : This point is located on the superior half of the posterior (medial) surface of the
ear, 0.3 cun inferior to the posterior auricular artery. Needle 0.1 to 0.2 cun. {Liver Reaction
Area}
Urethritis (MC-5)
[Non-specific, Non-gonococcal]
1. Fu1 Jian\ Wai4 Jian4, Liu4 Kuai\ Ma3 Kuai4 Shoe, and Li3 Bae, Yun1 Bai1 (MC):
• Fu1 Jian4: This point is on the anterior surface of the middle phalanx of the 2nd digit (index
finger) on anterior digit line B. The proximal to distal location of this point is found by
dividing the distance from the anterior proximal interphalangeal skin crease to the anterior
distal interphalangeal skin crease along anterior digit line B into thirds. The point is found
at the demarcation between the middle and distal thirds on anterior digit line B. Needle 0.1
to 0.2 cun- BilATERAL NEEDUNG CONTRAINDICATED. {Heart and Six Bowels
Reaction Areas}
• Wai 4 Jian 1: This point is on the anterior surface of the middle phalanx of the 2nd digit
(index finger) on anterior digit line B. The proximal to distallocation of this point is found
by dividing the distance from the anterior proximal interphalangeal skin crease to the
anterior distal interphalangeal skin crease along anterior digit line B into thirds. The point is
found at the demarcation between the proximal and middle thirds on digit line B. Needle
0.1 to 0.2 cun - BilATERAL NEEDLING CONTRAINDICATED. {Heart and Six Bowels
Reaction Areas}
• Liu4 Kuai 4 : This point is located on the face, 1.4 cun lateral to the center of the philtrum
(GV-26WH0 ). Needle 0.1 to 0.3 cun. {Endocrine Reaction Area} To locate the center of the
philtrum, bisect the distance from the extraorallabial-cutaneous junction to the base of the
nose between the nostrils.
• Ma3 Kuai 4 Shui3: This point is 0.4 cun immediately inferior to Ma3 Jin 1 Shue
approximately at the most caudal level of the nose. Needle 0.1 to 0.3 cun. {Kidney and
Bladder Reaction Areas} Ma3 Jin 1 Shue: This point is found on the face in the depression
located along the inferior border of the zygomatic bone at the medial-to-lateral level of the
lateral canthus.
• Li3 Bai1 : This point is located 2 cun distal and slightly dorsal to Yun2 Bai2• Needle 0.3 to
0.5 cun. {Kidney Auxiliary and Lung Branch Reaction Areas}
• Yun1 Bai1: This point is located with the arm hanging naturally down by the side, and lies
2.0 cun obliquely anterodistal (towards the chest) from the point Bei 1 Mian4 . (Bei 1 Mian4
lies in the center of a depression found immediately lateral to the acromion process with the
arm abducted to 90°.) Needle 0.3 to 0.5 cun. {Six Bowels and Lung Auxiliary Reaction
Areas} Alternately, one may locate this point by proceeding 1 cun anterior and 1 cun
proximal to Jian 1 Zhong 1• (Jian 1 Zhong 1 is found with the arm hanging loosely down by the
side and is located in the center of the deltoid muscle, 3 cun distal to the space between the
acromion process and the humerus.)
255
Urethritis (MC-5)
Ma-' Jin'
Ma"'Kuai4
256
Urethrolithiasis (LKC)
Urodynia (LCH)
Urodynia (LKC)
1. Fen1 Zhi 1 Shang4, Fen1 Zhi 1 Zhong\ Ren2 Huang2, Shui3 Qu\ and Liu4 Wan2 (LKC):
• Fen1 Zhi1 Shang4: This point is located inferior to the 'fork' formed between the axillary
border of the scapula and the humerus. It lies in proximity to the posterior axillary fold,
directly inferior to the posterior aspect of the acromion process, 1 cun inferior to the most
caudal aspect of the glenohumeral articulation. Needle 1.0 to 1.5 cun. {Endocrine and Liver
Reaction Areas}
• Fen1 Zhi1 Zhong1: This point is located by coursing 1.5 cun immediately inferior, then 0.6
cun medial to Fen1 Zhi 1 Shang4• Needle 1.0 to 1.5 cun. {Endocrine, Lung Branch, and
Breast Reaction Areas}
• Ren2 Huang2 : This point is located 3.5 cun proximal to the apex of (as viewed from
posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel; i.e. Ren2
Huang2 is located 0.5 cun proximal to Sp-6WH0 • Needle 0.6 to 1.5 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Branch and Lung Branch Reaction
Areas}
• Shue Qu 1: This point is located on the dorsum of the foot, immediately distal to the
articulation of the bases of the 4th and 5th metatarsal bones. Needle 0.3 to 0.5 cun. {Lung
Branch and Kidney Branch Reaction Areas}
• Liu4 Wan2 : This point is located on the dorsum of the foot between the 4th and 5th
metatarsal bones, 0.5 cun proximal to GB-43WH0 • Needle with a 36 Gauge needle 0.3 to 0.5
cun - CONTRAINDICATED IN PATIENTS WITH ASTHMA, PULMONARY DISEASES,
EXCESSIVE PHLEGM, OR WHO ARE WEAK/FRAIL. {Lung Branch and Kidney Branch}
(GB-43WH0 is located 0.5 unit posterior to (proximal to) the web between the 4th and 5th
toes, ergo, Liu4 Wan2 is located 1.0 cun proximal to the interdigital web between said
digits.)
259
Urolithiasis (HPC-1)
Urolithiasis (HPC-2)
1. DMG 33-13 'Bowel Division 3 Needles', Linl( Gu3, Di4 Huang2, Ren2 Huanl(, Wan4 Shun4
Yi 1, and 'Let' the Occipital Region of the lower extremity - treat daily and within 2 weeks
there should be a clear improvement in the clinical picture (HPC):
• DMG 33-13 'Bowel Division Three Needles':
i. Fu3 Ge2 Er4 : This point is located on the posterior surface of the proximal
antebrachium, 0.8 cun distal to LI-11 WHO' on the Hand Yang2 Ming2 Large Intestine
Channel. Needle 0.5 to 0.8 cun. {Heart and Lung Branch Reaction Areas}
ii. Fu3 Ge2 Yi1: This point is located 8 fen radial to Fu3 Ge2 Er4 . Needle 0.5 to 0.8 cun.
{Heart and Lung Branch Reaction Areas}
iii. Fu3 Ge2 San1 : This point is located 8 fen medial (ulnar) to Fu3 Ge 2 Er4 • Needle 0.5
to 0.8 cun. {Heart and Lung Branch Reaction Areas}
• Linlf Gu3 : This point is found on the dorsum of the hand, immediately distal to the
articulation of the bases of the 1st and 2nd metacarpals; have the patient make a loose fist to
facilitate point location- this point communicates with the palmar point Zhong4 Xian 1 Cfl
{UJ a.k.a. Chong2 Xian 1). Needle with a 1.5 - 2.0 cun needle; puncture through to connect
with Zhong4 Xian 1 CmfliJ a.k.a. Chong2 Xian 1). CONTRAINDICATED IN PREGNANCY.
{Lung Branch Reaction Area}
• Di4 Huanl(: This point is located 7 cun proximal to the medial malleolus along the medial
border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Branch Reaction Area}
• Ren2 Huanl(: This point is located 3 cun proximal to the medial malleolus along the
medial border of the tibia. Needle 0.6 to 1.2 cun. CONTRAINDICATED IN PREGNANCY.
{Kidney Branch Reaction Area}
• Wan4 Shun4 Yi 1: This point is located 2.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5th metacarpal bone, at the junction of the 'red and white skin'.
Needle 0.2 to 0.4 cun. {Kidney Branch Reaction Area}
LI-llWHO
r-e
Urolithiasis (HPC-2)
262
Urolithiasis (LCH)
1. Shui3 Fu3, Ma3 Kuai 4 Shui3, Liu4 Kuai\ and Qi1 Kuai4 (LCH):
• Shui3 Fu3: This set of points is located 1.5 cun lateral to either side of the interspinous
space between the ~ and L3 spinous processes. Needle 0.8 to 1.0 cun. {General Kidney
Reaction Area}
• Ma3 Kuai 4 Shui3 : This point is 0.4 cun immediately inferior to Ma3 Jin 1 Shui3 • Needle 0.1
to 0.3 cun. {Kidney and Bladder Reaction Areas} [Ma3 Jin 1 Shue is found on the face in
the depression located along the inferior border of the zygomatic bone at the medial-to-
lateral level of the lateral canthus.]
• Liu4 Kuai 4: This point lies 1.4 cun lateral to the center of the philtrum (i.e. 1.4 cun lateral
to Ren 2 Zhong 1 or Du-24). Needle 0.1 to 0.3 cun. {Secretion/Excretion Reaction Area}
• Qi1 Kuai 4: This point is located 0.5 cun lateral to the commissure of the lips at the angle of
the mouth. Needle obliquely from medial to lateral 0.5 to 1.5 cun. {Lung Reaction Area}
Urolithiasis (LKC)
1. Mu4 Zhi\ Ma3 Jin 1 Shui3, Ma3 Kuai4 Shui3, Liu4 Kuai4, and Qi1 Kuai 4 (LKC):
• Mu 4 Zhi1 : This point is located 1.5 cun distal to Ming2 Huan~2 • Needle 1.5 to 2.5 cun.
{Gallbladder, Liver, and Heart Branch Reaction Areas} (Ming Huang2 is located at the
exact center (proximal to distal) of the midline (coronal plane) on the medial aspect of the
thigh.)
• Ma3 Jin 1 Shui3 : This point is located by palpating for a depression along the inferior
margin of the zygomatic bone at the medial to lateral level of the lateral angle/margin of the
orbit; from this depression, course 0.4 cun lateral to arrive at Ma3 Jin 1 Shui 3 • Needle 0.2 to
0.3 cun. {Kidn:X and Lung Auxiliary Reaction Areas} (This point is essentially 0.4 cun
lateral to SI-18 °.)
• Ma3 Kuai4 Shui3 : This point lies 0.4 cun inferior to Ma3 Jin 1 Shui3 • Needle 0.1 to 0.3 cun.
{Kidney and Bladder Reaction Areas}
• Liu4 Kuai 4 : This point is located on the face, 1.4 cun lateral to the center of the philtrum.
Needle 0.1 to 0.3 cun. {Endocrine Reaction Area} To locate the center of the philtrum,
bisect the distance from the extraoral labial-cutaneous junction to the base of the nose
between the nostrils.
• Qi1 Kuai 4: This point is located on the face, 1.0 cun lateral to the commissure of the lips at
the angle of the mouth. Needle perpendicularly 0.2 to 0.3 cun or obliquely, from medial to
lateral, 0.5 to 1.5 cun. {Endocrine Reaction Area}
Jin1 Shui3
Kuai4 Shui3
I
\ t
/
264
Urolithiasis (MC)
1. Ma3 Jin1 Shui3, Ma3 Kuai 4 Shui3, Liu4 Kuai4, and Qi 1 Kuai4 (MC):
• Ma3 Jin 1 Shui3 : This point is found on the face in the depression located along the inferior
border of the zygomatic bone at the medial-to-laterallevel of the lateral canthus. Needle 0.1
to 0.3 cun. {Kidney and Lung Auxiliary Reaction Areas}
• Ma3 Kuai 4 Shui3 : This point is 0.4 cun immediately inferior to Ma3 Jin 1 Shui3
approximately at the most caudal level of the nose. Needle 0.1 to 0.3 cun. {Kidney and
Bladder Reaction Areas}
• Liu4 Kuai4 : This point is located on the face, 1.4 cun lateral to the center of the philtrum
(GV-26WH0 ). Needle 0.1 to 0.3 cun. {Endocrine Reaction Area} To locate the center of the
philtrum, bisect the distance from the extraorallabial-cutaneous junction to the base of the
nose between the nostrils.
• Qi 1 Kuai4 : This point is located on the face, 0.5 cun lateral to the commissure of the lips at
the angle of the mouth. Needle obliquely from medial to lateral 0.5 to 1.5 cun. {Lung
Reaction Area}
265
Uroschesis (LKC-1)
1. DMG 77-12 'Lower Three Emperors', Li3 Bail, and Yunl Bail (LKC):
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huangl: This point is located 1.0 cun distal to Sp-9WH0 , on the medial aspect
of the proximal leg, between the medial border of the tibia and the medial head of
the gastrocnemius muscle. Needle 0.5 to 1.5 cun. NEEDLING
CONTRAINDICATED IN PREGNANCY; MOXA ALSO CONTRAINDICATED.
{Kidney, Six Bowels, and Heart Branch Reaction Areas}
ii. Renl Huani: This point is located 3.5 cun proximal to the apex of (as viewed from
posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel; i.e.
Ren2 Huang2 is located 0.5 cun proximal to Sp-6WH0 . Needle 0.6 to 1.5 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Branch and Lung Branch
Reaction Areas}
iii. Di4 Huangl: This point is located 4.0 cun immediately proximal to Ren2 Huang2 •
Needle 1.0 to 2.0 cun. {Kidney Reaction Area} (Di4 Huang2 is located 7.5 cun
proximal to the apex of (as viewed from posterior to anterior) the medial malleolus.)
3
• Li Bail: This point is located by coursing 4.5 cun distal to the space between the acromion
process and the greater tubercle of the humerus (LI-15WH0 ), then 2.0 cun anteriorly. Needle
0.5 to 1.5 cun. {Kidney Auxiliary and Lung Branch Reaction Areas} (This point lies 2.0
cun anterior to Jian4 Zhong1 it r:f:t)
• Yunl Bail: This point is found on the anterolateral aspect of the proximal brachium. It is
located by coursing 2.5 cun distal to the space between the acromion process and the
greater tubercle of the humerus (LI-15WH0 ), then 2.0 cun anteriorly. Needle 1.0 to 2.0 cun.
{Six Bowels and Lung Auxiliary Reaction Areas} (This point lies 2.0 cun anterior to Jian 1
Zhong 1 ~ tp)
Uroschesis (LKC-2)
1. Shui3 Qu\ Liu4 Wan2, Huan2 Chao2, Zhong1 Bai2, and Xia4 Bai2 (LKC):
• Shui3 Qu1: This point is located on the dorsum of the foot, immediately distal to the
articulation of the bases of the 4th and 5th metatarsal bones. Needle 0.3 to 0.5 cun. {Lung
Branch and Kidney Branch Reaction Areas}
• Liu4 Wan2 : This point is located on the dorsum of the foot between the 4th and 5th
metatarsal bones, 0.5 cun proximal to GB-43 WHo. Needle with a 36 Gauge needle 0.3 to 0.5
cun - CONTRAINDICATED IN PATIENTS WITH ASTHMA, PULMONARY DISEASES,
EXCESSIVE PHLEGM, OR WHO ARE WEAK/FRAIL. {Lung Branch and Kidney Branch}
(GB-43WH0 is located 0.5 unit posterior to (proximal to) the web between the 4th and 5th
toes, ergo, Liu4 Wan2 is located 1.0 cun proximal to the interdigital web between said digits.)
• Huan2 Cbao2: This point is located at the center of Digit Line A on the second phalanx of
the 4th digit (ring finger). To determine the exact center of the middle phalanx along Digit
Line A, bisect the distance from the anterior proximal interphalangeal skin crease to the
anterior distal interphalangeal skin crease along said line. Needle 0.2 to 0.3 cun. {Liver and
Kidney Auxiliary Reaction Areas}
• Zhong1 Bai2: This point is located on the dorsum of the hand, between the 4th and 5th
metacarpal bones, 0.5 cun proximal to the metacarpophalangeal articulations. Needle 0.5
cun. {Kidney Branch Reaction Area}
• Xia4 Bai2: This point is located on the dorsum of the hand between the 4th and 5th
metacarpal bones, 1.5 cun proximal to the metacarpophalangeal joints. Needle 0.3 to 0.8
cun. {Liver and Kidney Confluent Reaction Area} (Xia4 Bai2 lies 1.0 cun proximal to
Zhong1 Bai2, and is located in the depression immediately distal to the articulation of the
bases of the 4th and 5th metacarpal bones on the dorsum of the hand- have the patient make
a loose fist to facilitate locating this point.)
Uroschesis (LKC-3)
i~
* *
*
268
Uroschesis (MC-1)
1. Jian1 Zhong1, Li3 Bai1, Yun1 Bai1, and Xia4 Qu1 (MC):
• Jian 1 Zhong1: This point is located 2.5 cun immediately distal to the space between the
acromion process and the head of the humerus (locate with arm hanging naturally down by
the side). Needle 0.5 to 1.0 cun. {Heart Branch Reaction Area}
• Li3 Bai1 : This point is located 2 cun distal and slightly dorsal to Yun2 Bai2. Needle 0.3 to
0.5 cun. {Kidney Auxiliary and Lung Branch Reaction Areas}
• Yun1 Bai1: This point is located with the arm hanging naturally down by the side, and lies
2.0 cun obliquely anterodistal (towards the chest) from the point Bei 1 Mian4 . (Bei 1 Mian4
lies in the center of a depression found immediately lateral to the acromion process with the
arm abducted to 90°.) Needle 0.3 to 0.5 cun. {Six Bowels and Lung Auxiliary Reaction
Areas} Alternately, one may locate this point by proceeding 1 cun anterior and 1 cun
proximal to Jian 1 Zhong 1•
• Xia4 Qu 1: This point is located on the posteromedial aspect of the proximal brachium, 8.0
cun proximal to the level of the transverse cubital crease and 1.0 cun medial to Hou4 Zhi 1•
Needle 0.6 to 1.0 cun. {Lung Branch and Liver Branch Reaction Areas} (Hou4 Zhi 1 is
located on the Hand Shao4 Yang2 San Jiao Channel, 8.0 cun proximal to the level of the
transverse cubital crease.)
269
Uroschesis (MC-2)
1. DMG 77-12 'Lower Three Emperors' and DMG 88-01 'Passing Through the Kidney Three
Needles' (MC):
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huan~: This point is found in the depression immediately distal to the
medial tibial condyle; it lies 2.5 cun distal to the articular surface of the medial tibial
condyle. Needle 0.5 to 1.0 cun - MOXA CONTRAINDICATED; ALSO
CONTRAINDICATED IN PREGNANCY. {Kidney, Six Bowels, and Heart Branch
Reaction Areas}
ii. Di4 Huang2 : This point is located 7 cun proximal to the medial malleolus along the
medial border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8 cun.
CONTRAINDICATED IN PREGNANCY. {Kidney Reaction Area}
111. Ren2 Huan~: This point is located 3 cun proximal to the medial malleolus along
the medial border of the tibia. Needle 0.6 to 1.2 cun. CONTRAINDICATED IN
PREGNANCY. {Kidney Branch Reaction Area}
• DMG 88-01 'Passin_r Through the Kidney Three Needles':
i. Tong1 Shen : This point is located in the depression found at the superomedial
angle ofthelatella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
ii. Tong1 Wei : This point is located 2.0 cun immediately proximal to Tong 1 Shen4•
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
iii. Tong1 Bei4 : This point is located 4.0 cun immediately proximal to Tong 1 Shen4•
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
1. DMG 88-10 'Three Sisters Three Needles', Fen1 Zhi1 Shang4, and Fen1 Zhi 1 Xia4 ; in severe
cases, add DMG 88-03 'Thigh Team of Four Horses' and DMG 88-07 'Upper Three Yellow'
(LKC):
• DMG 88-10 'Three Sisters Three Needles':
i. Jie3 Mei 4 Yi 1 : This point lies 1 cun medial and 1 cun proximal to Tong 1 Shan 1•
Needle 1.5 to 3.0 cun. {Six Bowel and Kidney Branch Reaction Areas} (Tong 1
Shan 1 is found on the median plane (midsagittal plane) of the anterior thigh, 7 cun
proximal to the center of the superior edge of the patella.)
ii. Jie3 Mei4 Er4 : This point lies 2.5 cun immediately proximal to Jie 3 Mei 4 Yi 1•
Needle 1.5 to 3.0 cun. {Six Bowel and Kidney Branch Reaction Areas} (Ergo, Jie3
Mei4 Er4 is found 1 cun medial to the median plane (midsagittal plane) at a point
10.5 cun froximal to the center of the superior edge of the patella.)
iii. Jie3 Mei San1: This point lies 2.5 cun immediately proximal to Jie3 Mei 4 Er4.
Needle 1.5 to 3.0 cun. {Six Bowel and Kidney Branch Reaction Areas} (Ergo, Jie3
Mei 4 San 1 is found 1 cun medial to the median plane (midsagittal plane) at a point
13 cun proximal to the center of the superior edge of the patella.)
• Fen Zhi 1 Shang4: This point is located inferior to the 'fork' formed between the axillary
1
border of the scapula and the humerus. It lies in proximity to the posterior axillary fold,
directly inferior to the posterior aspect of the acromion process, 1 cun inferior to the most
caudal aspect of the glenohumeral articulation. Needle 1.0 to 1.5 cun. {Endocrine and Liver
Reaction Areas}
• Fen1 Zhi1 Xia4 : This point is located 1.5 cun immediately inferior to Fen 1 Zhi 1 Shang4 .
Needle 1.0 to 1.5 cun. {Endocrine, Lung Branch, and Breast Reaction Areas}
• DMG 88-03 'Thigh Team of Four Horses':
i. Si4 Ma3 Xia4 : This point is located 5.5 cun proximal to the superolateral angle of
the patella. Needle 1.0 to 3.0 cun. {General Lung and Liver Branch Reaction Areas}
{To locate this point, commence at the center of the superior edge of the patella,
course laterally 1.0 cun to arrive at the superolateral angle of the patella, and then
proceed proximally 5.5 cun to arrive at Si4 Ma3 Xia4.)
ii. Si4 Ma3 Zhong1: This point is located 2.0 cun proximal to Si4 Ma3 Xia4 . Needle 1.0
to 3.0 cun. {General Lung and Liver Branch Reaction Areas}
iii. Si4 Ma3 Shang4: This point is located 2.0 cun proximal to Si4 Ma3 Zhong 1• Needle
1.0 to 3.0 cun. {General Lung and Liver Branch Reaction Areas}
• DMG 88-07 'Upper Three Yellow':
i. Min~ Huan~: This point is located at the exact center (proximal to distal) of the
midline (coronal plane) on the medial aspect of the thigh. Needle 1 to 3.0 cun.
{Superficially the Heart, mid-level the Liver, and deep the Kidney General Reaction
Areas}
ii. Qi2 Huan~: This point is located 3.0 cun distal to Ming2 Huang2 on the midline
(coronal plane) of the medial aspect of the thigh. Needle 1.5 to 3.0 cun. {Gall
Bladder General and Liver Branch Reaction Areas}
iii. Tian1 Huan~: This point is located 3.0 cun proximal to Ming2 Huang2 on the
midline (coronal plane) of the medial aspect of the thigh. Needle 1.5 to 3.0 cun.
{Superficially the Heart, mid-level the Liver, and deep the Kidney General Reaction
Areas}
271
srM~
.Male
Genital
Disorders
'Andrology'
275
Balanitis (MC)
•
CV-3WHO
Cryptorchidism (CCC)
Cryptorchidism (LKC)
1. DMG 11-03 'Finger Three Yang', Nei4 Yin\ and Chen2 Yin 1 (LKC):
• DMG 11-03 'Finger Three Yang':
i. Ren2 Yang2: The point is located at the center of anterior digit line A, along the
demarcation of the anterior and posterior surfaces of the middle phalanx of the index
finger. To determine the exact center of anterior digit line A on the middle phalanx,
bisect the distance from the anterior proximal interphalangeal skin crease to the
anterior distal interphalangeal skin crease along the course of said line. Needle 0.2
to 0.3 cun. {Six Bowels and Liver Organ Reaction Areas}
n. Tian1 Yan~: To locate this point, simply bisect the distance from Ren2 Y ang2 to
the anterior distal interphalangeal skin crease along the course of anterior digit line
A. Needle 0.2 to 0.3 cun. {Six Bowels and Liver Organ Reaction Areas}
iii. Di4 Y an~: To locate this point, simply bisect the distance from Ren2 Yang2 to the
anterior proximal interphalangeal skin crease along the course of anterior digit line
A. Needle 0.2 to 0.3 cun. {Six Bowels and Liver Organ Reaction Areas}
• Nei 4 Yin1: This point lies on the palmar surface of the distal phalanx of the 2nd digit, 0.25
cun distal and 0.4 cun lateral (radial) to the center of the distal interphalangeal skin crease.
Needle 0.2 to 0.3 cun. {Liver and Six Bowels Reaction Areas}
• Chen2 Yin1: This point lies on the proximal phalanx of the 2nd digit along anterior digit line
A, % of the distance from the metacarpophalangeal skin crease to the anterior proximal
interphalangeal skin crease. Needle 0.2 to 0.4 cun. {Heart Organ, Liver Branch, and Six
Bowels Reaction Areas}
Anterior view of
RIGHT index finger.
1. DMG 44-09 'Three Spirits Three Needles', DMG 77-12 'Lower Three Emperors', and DMG
88-01 'Passing Through the Kidney Three Needles' (CCC):
• DMG 44-09 'Three Spirits Three Needles':
i. San 1 Shen2 Yi : This point is located 1.5 cun proximal to the apex of the olecranon
process of the ulna bone and medial to the humerus. Place the patient's palm on
his chest when locating this point. Needle oblique insertion from inferior to
superior 1 cun to treat disorders stemming from 'Kidney Depletion'. {Kidney
Auxiliary, Liver Auxiliary, and Lung Branch Reaction Areas}
ii. San1 Shen2 Er4 : This point is located 1 cun proximal to San 1 Shen2 Yi 1, i.e. 2.5 cun
proximal to the apex of the olecranon process of the ulna bone and medial to the
humerus. Place the patient's palm on his chest when locating this point. Needle
oblique insertion from inferior to superior 1 cun to treat disorders stemming from
'Kidney Depletion'. {Kidney Auxiliary, Liver Auxiliary, and Lung Branch Reaction
Areas}
iii. San1 Shen2 San 1: This is located 1 cun proximal to San1 Shen2 Er4, i.e. 3.5 cun
proximal to the apex of the olecranon process of the ulna bone and medial to the
humerus. Place the patient's palm on his chest when locating this point. Needle
oblique insertion from inferior to superior 1 cun to treat disorders stemming from
'Kidney Depletion'. {Kidney Auxiliary, Liver Auxiliary, and Lung Branch Reaction
Areas}
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huan~: This point is located 1 cun distal to Sp-9WH0 , on the medial aspect
of the leg, between the medial border of the tibia and the medial head of the
gastrocnemius muscle. Needle 0.5 to 1.5 cun. {Kidney, Six Bowels, and Heart
Branch Reaction Areas}
ii. Ren2 Huan~: This point is located 3.5 cun proximal to the apex of (as viewed from
posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel.
Needle 0.6 to 1.5 cun. {Kidney Branch and Lung Branch Reaction Areas} (Ren2
Huang2 is located 0.5 cun proximal to Sp-6 WHo.)
m. Di4 Huan~: This point is located 4 cun proximal to Ren2 Huang2 • Needle 1.0 to 2.0
cun. {Kidney Reaction Area} (Di4 Huang2 lies 7.5 cun proximal to the apex of (as
viewed from posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1
Spleen Channel.)
• DMG 88-01 'Passin_r Through the Kidney Three Needles':
i. Tong1 Shen : This point is found in the depression located at the superomedial
angle of the patella. To locate this point, draw a transverse line tangent to the
superior margin of the patella and a vertical line tangent to the medial margin of the
patella; the point lies in the depression at intersection of these two lines. Needle 0.5
to 1.0 cun. {Kidney Reaction Area}
ii. Tong1 Wei4 : This point is located 2 cun immediately proximal to Tong 1 Shen4 •
Needle 0.5 to 1.5 cun. {Kidney Reaction Area}
iii. Tong1 Bei4 : This point is located 2 cun immediately proximal to Tong 1 Wei4 •
Needle 1.0 to 2.0 cun. {Kidney Reaction Area} (Tong 1 Bei4 is located 4 cun
proximal to Tong 1 Shen4 .)
279
1. Shen4 Guan\ Di4 Huang2, Ren2 Huan~, Tong1 Shen4, and Tong1 Wei4 (HPC):
• Shen4 Guan1: This point lies 1.5 cun immediately distal to Tian 1 Huang2• Needle 0.5 to 1.0
cun. (Tian 1 Huang2 is located in the depression found immediately distal to the medial tibial
condyle, and lies 2.5 cun distal to the articular surface of the medial tibial condyle.) {Six
Bowels Reaction Area}
• Di4 Huang2: This point is located 7 cun proximal to the medial malleolus along the medial
border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8 cun. {Kidney Branch
Reaction Area}
• Ren2 Huan~: This point is located 3 cun proximal to the medial malleolus along the
medial border of the tibia. Needle 0.6 to 1.2 cun. {Kidney Branch Reaction Area}
• Tong1 Shen4 : This point is located in the depression found at the superomedial angle of the
patella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
• Tong1 Wei4 : This point is located 2.0 cun immediately proximal to Tong 1 Shen4• Needle
0.5 to 1.0 cun. {Kidney Reaction Area} (Tong 1 Shen4 is located in the depression found at
the superomedial angle of the patella)
281
1. DMG 77-12 'Lower Three Emperors', DMG 88-01 'Passing Through the Kidney Three
Needles', and Shui3 Fu3 (LCH):
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huang2 : This point is found in the depression immediately distal to the
medial tibial condyle, and lies 2.5 cun distal to the articular surface of the medial tibial
condyle. Needle 0.5 to 1.0 cun. {Kidney, Six Bowels, and Heart Branch Reaction Areas}
ii. Di4 Huang2 : This point is located 7.0 cun proximal to the medial malleolus along
the medial border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8
cun. {Kidney Branch Reaction Area}
iii. Ren 2 Huang2 : This point is located 3.0 cun proximal to the medial malleolus along
the medial border of the tibia. Needle 0.6 to 1.2 cun. {Kidney Branch Reaction Area}
• DMG 88-01 'Passing Through the Kidney Three Needles':
i. Tong 1 Shen4 : This point is located in the depression found at the superomedial
angle of the ,patella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
ii. Tong1 Wei : This point is located 2.0 cun immediately proximal to Tong 1 Shen4 .
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
iii. Tong1 Bei4 : This point is located 4.0 cun immediately proximal to Tong 1 Shen4 •
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
3
• Shui Fu3: This set of points is located 1.5 cun lateral to either side of the interspinous
space between the L2 and L3 spinous processes. Needle 0.8 to 1.0 cun. {General Kidney
Reaction Area}
1. DMG 88-10 'Three Sisters Three Needles', Gan3 Mao4 Yi\ Gan3 Mao4 Er\ Ren 2 Huang2,
then moxa CV-4wuo and CV-3wuo (LKC):
• DMG 88-10 'Three Sisters Three Needles':
1. Jie3 Mei4 Yi 1 : This point lies 1 cun medial and 1 cun proximal to Tong 1 Shan 1.
Needle 1.5 to 3.0 cun. {Six Bowel and Kidney Branch Reaction Areas} (Tong 1 Shan1
is found on the median plane (midsagittal plane) of the anterior thigh, 7 cun proximal to
the center of the superior edge of the patella.)
u. Jie3 Mei 4 Er4 : This point lies 2.5 cun immediately proximal to Jie3 Mei4 Yi 1•
Needle 1.5 to 3.0 cun. {Six Bowel and Kidney Branch Reaction Areas} (Ergo, Jie3
Mei 4 Er4 is found 1 cun medial to the median plane (midsagittal plane) at a point
10.5 cun proximal to the center of the superior edge of the patella.)
iii. Jie3 Mei4 San1 : This point lies 2.5 cun immediately proximal to Jie3 Mei 4 El.
Needle 1.5 to 3.0 cun. {Six Bowel and Kidney Branch Reaction Areas} (Ergo, Jie3
Mei 4 San 1 is found 1 cun medial to the median plane (midsagittal plane) at a point 13
cun proximal to the center of the superior edge of the patella.)
• Gan Mao4 Yi1: This point lies 1.0 cun immediately medial to Jie3 Mei4 Er4 . Needle 1.0 to
3
2.0 cun. {Six Bowels and Lung Branch Reaction Areas} (Jie3 Mei 4 Er4 is found 1 cun
medial to the median plane (midsagittal plane) at a point 10.5 cun proximal to the center of
the superior edge of the patella.)
• Gan3 Mao4 Er4 : This point lies 1.0 cun immediately medial to Jie3 Mei4 San 1 • Needle
1.0 to 2.0 cun. {Six Bowels and Lung Branch Reaction Areas} (Jie3 Mei4 San 1 is found 1 cun
medial to the median plane (midsagittal plane) at a point 13 cun proximal to the center of
the superior edge of the patella.)
• Ren2 Huani: This point is located 3.5 cun proximal to the apex of (as viewed from posterior
to anterior) the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel; i.e. Ren 2 Huang 2 is
located 0.5 cun proximal to Sp-6wHo. Needle 0.6 to 1.5 cun. {Kidney Branch and
Lung Branch Reaction Areas}
• CV-4WH0 (RN 4): On the lower abdomen and on the anterior midline, 3 cun below (inferior
to) the centre of the umbilicus.
• CV-3WHO (RN 3): On the lower abdomen and on the anterior midline, 4 cun below (inferior
to) the centre of the umbilicus.
283
'o
\
CV-4WHO
~ i
•
CV-3WHO
284
1. DMG 77-12 'Lower Three Emperors', Tong1 Shen4, Shue Jin 1, and Shui3 Tong1 (LKC):
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huanl(: This point is located 1.0 cun distal to Sp-9WH0 , on the medial aspect
of the proximal leg, between the medial border of the tibia and the medial head of
the gastrocnemius muscle. Needle 0.5 to 1.5 cun. {Kidney, Six Bowels, and Heart
Branch Reaction Areas}
ii. Ren2 Huanl(: This point is located 3.5 cun proximal to the apex of (as viewed from
posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel; i.e.
Ren2 Huang2 is located 0.5 cun proximal to Sp-6WH0 • Needle 0.6 to 1.5 cun.
{Kidney Branch and Lung Branch Reaction Areas}
m. Di4 Huanl(: This point is located 4.0 cun immediately proximal to Ren2 Huang2 •
Needle 1.0 to 2.0 cun. {Kidney Reaction Area} (Di4 Huang2 is located 7.5 cun
proximal to the apex of (as viewed from posterior to anterior) the medial malleolus.)
• Tong Shen4 : This point is located in the depression found immediately proximal and
1
medial to the superomedial angle of the patella. To locate the point, draw a transverse line
tangent to the superior margin of the patella and a vertical line tangent to the medial margin
of the patella - where the two lines intersect is the location of the point. Needle 0.5 to 1.0
cun. {Kidney Reaction Area}
• Shui3 Jin1: This point is located 0.5 cun obliquely medial to Shui3 Tong 1. Needle
perpendicularly 0.2 to 0.3 cun or obliquely from medial to lateral up to 0.5 cun. {Kidney
Reaction Area} (To locate this point, proceed to a point 0.5 cun medial to Shue Tong 1 and
0.5 cun directly inferior to the extraorallabial-cutaneous junction of the inferior lip.)
• Shui3 Tong1: This point is located 0.5 cun directly inferior to the extraorallabial-cutaneous
junction at the corner of the mouth. Needle perpendicularly 0.2 to 0.3 cun or obliquely from
medial to lateral up to 0.5 cun. {Kidney Reaction Area}
1. DMG 77-12 'Lower Three Emperors' and Tong1 Shen4 then moxa CV-4WH0 and CV-3WH0
(LKC):
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huanl(: This point is located 1.0 cun distal to Sp-9WH0 , on the medial aspect
of the proximal leg, between the medial border of the tibia and the medial head of
the gastrocnemius muscle. Needle 0.5 to 1.5 cun. {Kidney, Six Bowels, and Heart
Branch Reaction Areas}
ii. Ren2 Huanl(: This point is located 3.5 cun proximal to the apex of (as viewed from
posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel; i.e.
Ren2 Huang2 is located 0.5 cun proximal to Sp-6WH0 • Needle 0.6 to 1.5 cun.
{Kidney Branch and Lung Branch Reaction Areas}
111. Di4 Huang2 : This point is located 4.0 cun immediately proximal to Ren2 Huang2 •
Needle 1.0 to 2.0 cun. {Kidney Reaction Area} (Di4 Huang2 is located 7.5 cun
proximal to the apex of (as viewed from posterior to anterior) the medial malleolus.)
1
• Tong Shen4: This point is located in the depression found immediately proximal and
medial to the superomedial angle of the patella. To locate the point, draw a transverse line
tangent to the superior margin of the patella and a vertical line tangent to the medial margin
of the patella - where the two lines intersect is the location of the point. Needle 0.5 to 1.0
cun. {Kidney Reaction Area}
• CV-4WH0 (RN 4): On the lower abdomen and on the anterior midline, 3 cun below (inferior
to) the centre of the umbilicus.
• CV-3WHO (RN 3): On the lower abdomen and on the anterior midline, 4 cun below (inferior
to) the centre of the umbilicus.
4/( I
·~
' .•
CV-4WHO
CV-3WHO
1. DMG 77-12 'Lower Three Emperors', DMG 88-01 'Passing Through the Kidney Three
Needles', Shue Jin1, and Shue Tong1 (MC):
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huani: This point is found in the depression immediately distal to the
medial tibial condyle; it lies 2.5 cun distal to the articular surface of the medial tibial
condyle. Needle 0.5 to 1.0 cun - MOXA CONTRAINDICATED. {Kidney, Six
Bowels, and Heart Branch Reaction Areas}
ii. Di4 Huani: This point is located 7 cun proximal to the medial malleolus along the
medial border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8 cun.
{Kidney Reaction Area}
iii. Ren2 Huani: This point is located 3 cun proximal to the medial malleolus along
the medial border of the tibia. Needle 0.6 to 1.2 cun. {Kidney Branch Reaction Area}
• DMG 88-01 'Passing Through the Kidney Three Needles':
i. Tong1 Shen4: This point is located in the depression found at the superomedial
angle of thepatella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
ii. Tong1 Wei : This point is located 2.0 cun immediately proximal to Tong 1 Shen4 •
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
iii. Tong1 Bei4 : This point is located 4.0 cun immediately proximal to Tong 1 Shen4 •
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
• Shue Jin1: This point is located 0.5 cun medial to Shui3 Tong 1• Needle obliquely from
medial to lateral 0.1 to 0.5 cun. {Kidney Reaction Area} (To locate this point, proceed to a
point 0.5 cun medial to Shui3 Tong 1 and 0.4 cun directly inferior to the extraoral labial-
cutaneous junction of the inferior lip.)
• Shui3 Tong1: This point is located 0.4 cun directly inferior to the extraorallabial-cutaneous
junction at the corner of the mouth. Needle obliquely from medial to lateral 0.1 to 0.5 cun.
{Kidney Reaction Area}
1. DMG 77-12 'Lower Three Emperors' and DMG 11-20 'Finger Kidney Three Needles' (MC):
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huanlf: This point is found in the depression immediately distal to the
medial tibial condyle; it lies 2.5 cun distal to the articular surface of the medial tibial
condyle. Needle 0.5 to 1.0 cun - MOXA CONTRAINDICATED. {Kidney, Six
Bowels, and Heart Branch Reaction Areas}
ii. Di4 HuanJf: This point is located 7 cun proximal to the medial malleolus along the
medial border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8 cun.
{Kidney Reaction Area}
iii. Ren2 Huanlf: This point is located 3 cun proximal to the medial malleolus along
the medial border of the tibia. Needle 0.6 to 1.2 cun. {Kidney Branch Reaction Area}
• DMG 11-20 'Finger Kidney Three Needles':
i. Zhi3 Shen4 Er4: This point is located at the midpoint of the ulnar digit line on the
dorsal surface of the proximal phalanx of the ring finger. To determine the midpoint
of the ulnar digit line on the proximal phalanx, bisect the distance from the base of
the web between the 4th and 5th digits to the dorsal proximal interphalangeal skin
crease along the course of the said line (make a loose fist to accentuate the base of
the web between the 4th and 5th digits). Needle perpendicular 0.1 to 0.2 cun, closely
adjacent to the bone. {Liver Auxiliary and Kidney Auxiliary Reaction Areas}
ii. Zhi3 Shen4 Yi 1: To locate this point, bisect the distance from Zhi3 Shen4 Er4 to the
base of the web between the 4th and 5th digits along the course of the ulnar digit line
(make a loose fist to accentuate the base of the web between the 4th and 5th digits).
Needle perpendicular 0.1 to 0.2 cun, closely adjacent to the bone. {Liver Auxiliary
and Kidney Auxiliary Reaction Areas}
iii. Zhi3 Shen4 San1: To locate this point bisect the distance from Zhi3 Shen4 Er4 to the
dorsal proximal interphalangeal skin crease along the course of the ulnar digit line.
Needle perpendicular 0.1 to 0.2 cun, closely adjacent to the bone. {Liver Auxiliary
and Kidney Auxiliary Reaction Areas} l'
RIGHT Ring Finger
Hernia (CCC)
1. DMG 11-04 'Finger Three Spaces' and DMG 11-03 'Finger Three Yang'
• DMG 11-04 'Finger Three Spaces':
i. Da4 Jian4 : This point is located in the center of anterior digit line B on the anterior
surface of the proximal phalanx of the index finger. To determine the exact center of
anterior digit line B on the proximal phalanx, bisect the distance from the anterior
metacarpophalangeal skin crease to the anterior proximal interphalangeal skin
crease along the course of said line. Needle 0.3 to 0.4 cun. {Lung and Heart Organ
Branch, Six Bowels, and Liver Reaction Areas}
ii. Xiao3 Jian4 : To locate this point, simply bisect the distance from Da4 Jian4 to the
anterior proximal interphalangeal skin crease along the course of anterior digit line
B. Needle 0.3 to 0.4 cun. {Lung and Heart Organ Branch, Six Bowels, and Liver
Reaction Areas}
iii. Ce4 Jian4: To locate this point, simply bisect the distance from Da4 Jian4 to the
anterior metacarpophalangeal skin crease along the course of anterior digit line B.
Needle 0.3 to 0.4 cun. {Lung and Heart Organ Branch, Six Bowels, and Liver
Reaction Areas}
• DMG 11-03 'Finger Three Yang':
i. Ren2 Y an~: The point is located at the center of anterior digit line A along the
demarcation of the anterior and posterior surfaces of the middle phalanx of the index
finger. To determine the exact center of anterior digit line A on the middle phalanx,
bisect the distance from the anterior proximal interphalangeal skin crease to the
anterior distal interphalangeal skin crease along the course of said line. Needle
perpendicular 0.2 - 0.3 cun. {Six Bowels and Liver Reaction Areas}
ii. Tian1 Yan~: To locate this point, simply bisect the distance from Ren2 Yang2 to
the anterior distal interphalangeal skin crease along the course of anterior digit line
A. Needle perpendicular 0.2 - 0.3 cun. {Six Bowels and Liver Reaction Areas}
iii. Di4 Yan~: To locate this point, simply bisect the distance from Ren2 Yang2 to the
anterior proximal interphalangeal skin crease along the course of anterior digit line
A. Needle perpendicular 0.2 - 0.3 cun. {Six Bowels and Liver Reaction Areas}
Xiao3 Jian4
Da4 Jian4
Ce4 Jian4
DMG 11-03 'Finger Three Yang'
Hernia (LCH)
1. Wai 4 Jian4, Da4 Jian\ Xiao3 Jian\ and Zhong1 Jian4 - needling these four points
simultaneously is very effective ONLY if reflexogenic (black or green) markings are noted
over the points.
• Wai4 Jian4: This point is located on the anterior surface of the middle phalanx of the index
finger, 0.2 cun radial (lateral) to the median plane of said phalanx, and two thirds the
distance from the distal interphalangeal skin crease to the proximal interphalangeal skin
crease. Needle 0.2 cun. BilATERAL NEEDLING CONTRAINDICATED. {Heart Organ and
Six Bowels Branch Reaction Areas} (This point is located one third the distance from the
proximal interphalangeal skin crease to the distal interphalangeal skin crease, along the
course of digit line B.)
• Da4 Jian4 : This point is located on the anterior surface ofthe proximal phalanx of the index
finger, 0.3 cun radial (lateral) to the exact center of said phalanx. Needle 0.2 to 0.3 cun.
BilATERAL NEEDLING CONTRAINDICATED. {Heart Organ and Six Bowels Branch
Reaction Areas} (This point is located at the proximal-to-distal center of digit line B; to
locate the center of digit line B, simply bisect the distance from the anterior
metacarpophalangeal skin crease to the anterior proximal interphalangeal skin crease along
the course of digit line B.)
• Xiao3 Jian 4: This point is located 0.2 cun distal to Da4 Jian4• Needle 0.2 to 0.3 cun.
BilATERAL NEEDLING CONTRAINDICATED. {Lung Branch, Heart Organ, and Six
Bowels Branch Reaction Areas}
• Zhong1 Jian4 : This point is located in the center of anterior digit line C, on the anterior
surface of the proximal phalanx of the index finger. To determine the exact center of
anterior digit line C on the proximal phalanx, bisect the distance from the anterior
metacarpophalangeal skin crease to the anterior proximal interphalangeal skin crease, along
the median plane. Needle 0.2 to 0.25 cun. BilATERAL NEEDLING CONTRAINDICATED.
{Lung Branch, Heart Organ, and Six Bowels Reaction Areas}
Hernia (LKC-1)
1. DMG 11-04 'Finger Three Spaces', Zhong1 Jian4, and Fu2 Jian4 (LKC):
• DMG 11-04 'Finger Three Spaces':
i. Da4 Jian4 : This point is located in the center of anterior digit line B (@ 0.3 cun
radial/lateral to the median plane) on the anterior surface of the proximal phalanx of
the index finger. To determine the exact center of anterior digit line B on the
proximal phalanx, bisect the distance from the anterior metacarpophalangeal skin
crease to the anterior proximal interphalangeal skin crease, along the course of said
line. Needle 0.1 to 0.4 cun or 'let'. {Heart Organ, Six Bowels Branch, and Liver
Branch Reaction Areas}
ii. Xiao3 Jian4 : To locate this point, simply bisect the distance from Da4 Jian4 to the
anterior proximal interphalangeal skin crease along the course of anterior digit line
B. Needle 0.2 to 0.4 cun or 'let'. {Lung, Heart Organ Branch, and Six Bowels
Reaction Areas}
iii. Ce4 Jian4: To locate this point, simply bisect the distance from Da4 Jian4 to the
anterior metacarpophalangeal skin crease along the course of anterior digit line B.
Needle 0.2 to 0.4 cun or 'let'. {Lung, Heart Organ Branch, and Six Bowels Reaction
Areas}
• Zhong Jian4: This point is located in the center of anterior digit line C, on the anterior
1
surface of the proximal phalanx of the index finger. To determine the exact center of
anterior digit line C on the proximal phalanx, bisect the distance from the anterior
metacarpophalangeal skin crease to the anterior proximal interphalangeal skin crease, along
the course of said line. Needle 0.2 to 0.3 cun. {Lung, Heart Organ Branch, and Six Bowels
Reaction Areas}
• Fu2 Jian4 : This point is located on the anterior surface of the middle phalanx of the index
finger, 0.3 cun radial (lateral) and 0.15 cun distal to the center of the phalanx. Needle 0.2 to
0.3 cun or 'let'. BILATERAL NEEDLING CONTRAINDICATED. {Heart Organ, Six
Bowels, and Liver Branch Reaction Areas}
Palmar surface LEFf index finger. Palmar surface RIGHT index finger.
Hernia (LKC-2)
1. DMG 11-03 'Finger Three Yang' with Nei4 Yin1 and Chen2 Yin1 (LKC):
• DMG 11-03 'Finger Three Yang':
i. Ren2 Yang2: The point is located at the center of anterior digit line A, along the
demarcation of the anterior and posterior surfaces of the middle phalanx of the index
finger. To determine the exact center of anterior digit line A on the middle phalanx,
bisect the distance from the anterior proximal interphalangeal skin crease to the
anterior distal interphalangeal skin crease along the course of said line. Needle 0.2
to 0.3 cun. {Six Bowels and Liver Organ Reaction Areas}
ii. Tian1 Yan~: To locate this point, simply bisect the distance from Ren2 Y ang2 to
the anterior distal interphalangeal skin crease along the course of anterior digit line
A. Needle 0.2 to 0.3 cun. {Six Bowels and Liver Organ Reaction Areas}
iii. Di4 Y an~: To locate this point, simply bisect the distance from Ren2 Y ang2 to the
anterior proximal interphalangeal skin crease along the course of anterior digit line
A. Needle 0.2 to 0.3 cun. {Six Bowels and Liver Organ Reaction Areas}
• Nei 4 Yin1: This point lies on the palmar surface of the distal phalanx of the 2nd digit, 0.25
cun distal and 0.4 cun lateral (radial) to the center of the distal interphalangeal skin crease.
Needle 0.2 to 0.3 cun. {Liver and Six Bowels Reaction Areas}
• Chen2 Yin1: This point lies on the proximal phalanx of the 2nd digit along anterior digit line
A, % of the distance from the metacarpophalangeal skin crease to the anterior proximal
interphalangeal skin crease. Needle 0.2 to 0.4 cun. {Heart Organ, Liver Branch, and Six
Bowels Reaction Areas}
Radial to ulnar view of RIGHT index finger. Radial to ulnar view of LEFT index finger.
Hernia (LKC-3)
Hydrocele (LKC)
Impotence (IIPC)
1. Shen4 Guan 1, Di4 Huan~, Ren2 Huan~, Tong1 Shen\ and Tong1 Wei4 (HPC):
• Shen4 Guan1: This point lies 1.5 cun immediately distal to Tian 1 Huang2• Needle 0.5 to 1.0
cun. (Tian 1 Huang2 is located in the depression found immediately distal to the medial tibial
condyle, and lies 2.5 cun distal to the articular surface of the medial tibial condyle.) {Six
Bowels Reaction Area}
• Di4 Huan~: This point is located 7 cun proximal to the medial malleolus along the medial
border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8 cun. {Kidney Branch
Reaction Area}
• Ren2 Huan~: This point is located 3 cun proximal to the medial malleolus along the
medial border of the tibia. Needle 0.6 to 1.2 cun. {Kidney Branch Reaction Area}
• Tong1 Shen4 : This point is located in the depression found at the superomedial angle of the
patella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
• Tong1 Wei4: This point is located 2.0 cun immediately proximal to Tong 1 Shen4• Needle
0.5 to 1.0 cun. {Kidney Reaction Area} (Tong 1 Shen4 is located in the depression found at
the superomedial angle of the patella)
294
Impotence (CCC)
1. DMG 44-09 'Three Spirits Three Needles', DMG 77-12 'Lower Three Emperors', and DMG
88-01 'Passing Through the Kidney Three Needles' (CCC):
• DMG 44-09 'Three Spirits Three Needles':
i. San1 Shen2 Yi : This point is located 1.5 cun proximal to the apex of the olecranon
process of the ulna bone and medial to the humerus. Place the patient's palm on
his chest when locating this point. Needle oblique insertion from inferior to
superior 1 cun to treat disorders stemming from 'Kidney Depletion'. {Kidney
Auxiliary, Liver Auxiliary, and Lung Branch Reaction Areas}
ii. San1 Shen2 Er4 : This point is located 1 cun proximal to San 1 Shen2 Yi\ i.e. 2.5 cun
proximal to the apex of the olecranon process of the ulna bone and medial to the
humerus. Place the patient's palm on his chest when locating this point. Needle
oblique insertion from inferior to superior 1 cun to treat disorders stemming from
'Kidney Depletion'. {Kidney Auxiliary, Liver Auxiliary, and Lung Branch Reaction
Areas}
iii. San1 Shen2 San1: This is located 1 cun proximal to San 1 Shen2 Er4, i.e. 3.5 cun
proximal to the apex of the olecranon process of the ulna bone and medial to the
humerus. Place the patient's palm on his chest when locating this point. Needle
oblique insertion from inferior to superior 1 cun to treat disorders stemming from
'Kidney Depletion'. {Kidney Auxiliary, Liver Auxiliary, and Lung Branch Reaction
Areas}
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huan~: This point is located 1 cun distal to Sp-9WHO, on the medial aspect
of the leg, between the medial border of the tibia and the medial head of the
gastrocnemius muscle. Needle 0.5 to 1.5 cun. {Kidney, Six Bowels, and Heart
Branch Reaction Areas}
ii. Ren2 Huan~: This point is located 3.5 cun proximal to the apex of (as viewed from
posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel.
Needle 0.6 to 1.5 cun. {Kidney Branch and Lung Branch Reaction Areas} (Ren2
Huang2 is located 0.5 cun proximal to Sp-6 WHo.)
iii. Di4 Huan~: This point is located 4 cun proximal to Ren2 Huang2 • Needle 1.0 to 2.0
cun. {Kidney Reaction Area} (Di4 Huang2 lies 7.5 cun proximal to the apex of (as
viewed from posterior to anterior) the medial malleolus on the Foot Tai4 Yin1
Spleen Channel.)
• DMG 88-01 'Passin,r Through the Kidney Three Needles':
i. Tong1 Shen : This point is found in the depression located at the superomedial
angle of the patella. To locate this point, draw a transverse line tangent to the
superior margin of the patella and a vertical line tangent to the medial margin of the
patella; the point lies in the depression at intersection of these two lines. Needle 0.5
to 1.0 cun. {Kidney Reaction Area}
ii. Tong1 Wei4: This point is located 2 cun immediately proximal to Tong 1 Shen4 •
Needle 0.5 to 1.5 cun. {Kidney Reaction Area}
iii. Tong1 Bei4 : This point is located 2 cun immediately proximal to Tong 1 Wei4 •
Needle 1.0 to 2.0 cun. {Kidney Reaction Area} (Tong 1 Bei4 is located 4 cun
proximal to Tong 1 Shen4 .)
295
Impotence (CCC)
Impotence (LCH)
1. DMG 77-12 'Lower Three Emperors', DMG 88-01 'Passing Through the Kidney Three
Needles', and Shui3 Fu3 (LCH):
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huani: This point is found in the depression immediately distal to the
medial tibial condyle, and lies 2.5 cun distal to the articular surface of the medial
tibial condyle. Needle 0.5 to 1.0 cun. {Kidney, Six Bowels, and Heart Branch
Reaction Areas}
ii. Di4 Huani: This point is located 7.0 cun proximal to the medial malleolus along
the medial border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8
cun. {Kidney Branch Reaction Area}
iii. Ren2 Huan~: This point is located 3.0 cun proximal to the medial malleolus along
the medial border of the tibia. Needle 0.6 to 1.2 cun. {Kidney Branch Reaction Area}
• DMG 88-01 'Passin_r Through the Kidney Three Needles':
i. Tong1 Shen : This point is located in the depression found at the superomedial
angle of thepatella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
ii. Tong1 Wei : This point is located 2.0 cun immediately proximal to Tong1 Shen4•
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
iii. Tong1 Bei4: This point is located 4.0 cun immediately proximal to Tong 1 Shen4 •
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
• Shui3 Fu3: This set of points is located 1.5 cun lateral to either side of the interspinous
space between the ~ and L3 spinous processes. Needle 0.8 to 1.0 cun. {General Kidney
Reaction Area}
Impotence (LKC-1)
1. DMG 77-12 'Lower Three Emperors', Tong1 Shen\ Shui3 Jin\ and Shui3 Tong1 (LKC):
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huang2 : This point is located 1.0 cun distal to Sp-9WH0 , on the medial aspect
of the proximal leg, between the medial border of the tibia and the medial head of
the gastrocnemius muscle. Needle 0.5 to 1.5 cun. {Kidney, Six Bowels, and Heart
Branch Reaction Areas}
ii. Ren2 Huan~: This point is located 3.5 cun proximal to the apex of (as viewed from
posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel; i.e.
Ren2 Huang2 is located 0.5 cun proximal to Sp-6WH0 . Needle 0.6 to 1.5 cun.
{Kidney Branch and Lung Branch Reaction Areas}
iii. Di4 Huang2 : This point is located 4.0 cun immediately proximal to Ren2 Huang2 •
Needle 1.0 to 2.0 cun. {Kidney Reaction Area} (Di4 Huang2 is located 7.5 cun
proximal to the apex of (as viewed from posterior to anterior) the medial malleolus.)
• Tong Shen4: This point is located in the depression found immediately proximal and
1
medial to the superomedial angle of the patella. To locate the point, draw a transverse line
tangent to the superior margin of the patella and a vertical line tangent to the medial margin
of the patella - where the two lines intersect is the location of the point. Needle 0.5 to 1.0
cun. {Kidney Reaction Area}
• Shue Jin 1: This point is located 0.5 cun obliquely medial to Shue Tong 1. Needle
perpendicularly 0.2 to 0.3 cun or obliquely from medial to lateral up to 0.5 cun. {Kidney
Reaction Area} (To locate this point, proceed to a point 0.5 cun medial to Shui3 Tong 1 and
0.5 cun directly inferior to the extraoral labial-cutaneous junction of the inferior lip.)
• Shui3 Tong1: This point is located 0.5 cun directly inferior to the extraorallabial-cutaneous
junction at the corner of the mouth. Needle perpendicularly 0.2 to 0.3 cun or obliquely from
medial to lateral up to 0.5 cun. {Kidney Reaction Area}
Impotence (LKC-2)
1. DMG 88-10 'Three Sisters Three Needles', Gan3 Mao4 Yi\ Gan3 Mao4 Er\ Ren 2 Huang2 ,
then moxa CV-4wuo and CV-3wuo (LKC):
• DMG 88-10 'Three Sisters Three Needles':
i. Jie3 Mei4 Yi 1 : This point lies 1 cun medial and 1 cun proximal to Tong 1 Shan1 •
Needle 1.5 to 3.0 cun. {Six Bowel and Kidney Branch Reaction Areas} (Tong 1 Shan1
is found on the median plane (midsagittal plane) of the anterior thigh, 7 cun proximal to
the center of the superior edge of the patella.)
ii. Jie3 Mei4 Er4 : This point lies 2.5 cun immediately proximal to Jie 3 Mei 4 Yi 1•
Needle 1.5 to 3.0 cun. {Six Bowel and Kidney Branch Reaction Areas} (Ergo, Jie3
Mei 4 Er4 is found 1 cun medial to the median plane (midsagittal plane) at a point
10.5 cun proximal to the center of the superior edge of the patella.)
iii. Jie3 Mei4 San1 : This point lies 2.5 cun immediately proximal to Jie3 Mei 4 Er4 •
Needle 1.5 to 3.0 cun. {Six Bowel and Kidney Branch Reaction Areas} (Ergo, Jie3
Mei 4 San 1 is found 1 cun medial to the median plane (midsagittal plane) at a point 13
cun proximal to the center of the superior edge of the patella.)
• Gan Mao4 Yi 1 : This point lies 1.0 cun immediately medial to Jie3 Mei 4 Er4 • Needle 1.0 to
3
2.0 cun. {Six Bowels and Lung Branch Reaction Areas} (Jie3 Mei 4 Er4 is found 1 cun
medial to the median plane (midsagittal plane) at a point 10.5 cun proximal to the center of
the superior edge of the patella.)
• Gan3 Mao4 Er4 : This point lies 1.0 cun immediately medial to Jie3 Mei 4 San 1• Needle
1.0 to 2.0 cun. {Six Bowels and Lung Branch Reaction Areas} (Jie3 Mei 4 San 1 is found 1 cun
medial to the median plane (midsagittal plane) at a point 13 cun proximal to the center of
the superior edge of the patella.)
• Ren2 Huan~: This point is located 3.5 cun proximal to the apex of (as viewed from posterior
to anterior) the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel; i.e. Ren 2 Huang 2 is
located 0.5 cun proximal to Sp-6wHo. Needle 0.6 to 1.5 cun. {Kidney Branch and
Lung Branch Reaction Areas}
• CV-4WH0 (RN 4): On the lower abdomen and on the anterior midline, 3 cun below (inferior
to) the centre of the umbilicus.
• CV-3WH0 (RN 3): On the lower abdomen and on the anterior midline, 4 cun below (inferior
to) the centre of the umbilicus.
299
Impotence (LKC-2)
·.o
\
CV-4WHO
••
\
CV-3WHO
300
Impotence (LKC-3)
1. DMG 77-12 'Lower Three Emperors' and Tong1 Shen4 then moxa CV-4WH0 and CV-3WH0
(LKC):
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huani: This point is located 1.0 cun distal to Sp-9WH0 , on the medial aspect
of the proximal leg, between the medial border of the tibia and the medial head of
the gastrocnemius muscle. Needle 0.5 to 1.5 cun. {Kidney, Six Bowels, and Heart
Branch Reaction Areas}
ii. Ren2 Huani: This point is located 3.5 cun proximal to the apex of (as viewed from
posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel; i.e.
Ren2 Huang2 is located 0.5 cun proximal to Sp-6WH0 • Needle 0.6 to 1.5 cun.
{Kidney Branch and Lung Branch Reaction Areas}
iii. Di4 Huani: This point is located 4.0 cun immediately proximal to Ren2 Huang2•
Needle 1.0 to 2.0 cun. {Kidney Reaction Area} (Di4 Huang2 is located 7.5 cun
proximal to the apex of (as viewed from posterior to anterior) the medial malleolus.)
• Tong1 Shen4: This point is located in the depression found immediately proximal and
medial to the superomedial angle of the patella. To locate the point, draw a transverse line
tangent to the superior margin of the patella and a vertical line tangent to the medial margin
of the patella - where the two lines intersect is the location of the point. Needle 0.5 to 1.0
cun. {Kidney Reaction Area}
• CV-4WH0 (RN 4): On the lower abdomen and on the anterior midline, 3 cun below (inferior
to) the centre of the umbilicus.
• CV-3WH0 (RN 3): On the lower abdomen and on the anterior midline, 4 cun below (inferior
. to) the centre of the umbilicus.
' .•
' CV-4WHO
CV-3WHO
Impotence (MC-1)
1. DMG 77-12 'Lower Three Emperors', DMG 88-01 'Passing Through the Kidney Three
Needles', Shoe Jin 1, and Shui3 Tong1 (MC):
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huan~: This point is found in the depression immediately distal to the
medial tibial condyle; it lies 2.5 cun distal to the articular surface of the medial tibial
condyle. Needle 0.5 to 1.0 cun - MOXA CONTRAINDICATED. {Kidney, Six
Bowels, and Heart Branch Reaction Areas}
ii. Di4 Huan~: This point is located 7 cun proximal to the medial malleolus along the
medial border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8 cun.
{Kidney Reaction Area}
iii. Ren2 Huan~: This point is located 3 cun proximal to the medial malleolus along
the medial border of the tibia. Needle 0.6 to 1.2 cun. {Kidney Branch Reaction Area}
• DMG 88-01 'Passin} Through the Kidney Three Needles':
i. Tong1 Shen : This point is located in the depression found at the superomedial
angle of the patella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
ii. Tong1 Wei4 : This point is located 2.0 cun immediately proximal to Tong 1 Shen4 •
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
iii. Tong1 Bei4: This point is located 4.0 cun immediately proximal to Tong 1 Shen4•
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
• Shui Jin 1: This point is located 0.5 cun medial to Shue Tong 1. Needle obliquely from
3
medial to lateral 0.1 to 0.5 cun. {Kidney Reaction Area} (To locate this point, proceed to a
point 0.5 cun medial to Shui3 Tong 1 and 0.4 cun directly inferior to the extraoral labial-
cutaneous junction of the inferior lip.)
• Shui3 Tong1: This point is located 0.4 cun directly inferior to the extraorallabial-cutaneous
junction at the corner of the mouth. Needle obliquely from medial to lateral 0.1 to 0.5 cun.
{Kidney Reaction Area}
Impotence (MC-2)
1. DMG 77-12 'Lower Three Emperors' and DMG 11-20 'Finger Kidney Three Needles' (MC):
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huan~: This point is found in the depression immediately distal to the
medial tibial condyle; it lies 2.5 cun distal to the articular surface of the medial tibial
condyle. Needle 0.5 to 1.0 cun - MOXA CONTRAINDICATED. {Kidney, Six
Bowels, and Heart Branch Reaction Areas}
ii. Di4 Huang2 : This point is located 7 cun proximal to the medial malleolus along the
medial border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8 cun.
{Kidney Reaction Area}
iii. Ren2 Huan~: This point is located 3 cun proximal to the medial malleolus along
the medial border of the tibia. Needle 0.6 to 1.2 cun. {Kidney Branch Reaction Area}
• DMG 11-20 'Finger Kidney Three Needles':
i. Zhe Shen4 Er4 : This point is located at the midpoint of the ulnar digit line on the
dorsal surface of the proximal phalanx of the ring finger. To determine the midpoint
of the ulnar digit line on the proximal phalanx, bisect the distance from the base of
the web between the 4th and 5th digits to the dorsal proximal interphalangeal skin
crease along the course of the said line (make a loose fist to accentuate the base of
the web between the 4th and 5th digits). Needle perpendicular 0.1 to 0.2 cun, closely
adjacent to the bone. {Liver Auxiliary and Kidney Auxiliary Reaction Areas}
ii. Zhi3 Shen4 Yi1: To locate this point, bisect the distance from Zhi3 Shen4 Er4 to the
base of the web between the 4th and 5th digits along the course of the ulnar digit line
(make a loose fist to accentuate the base of the web between the 4th and 5th digits).
Needle perpendicular 0.1 to 0.2 cun, closely adjacent to the bone. {Liver Auxiliary
and Kidney Auxiliary Reaction Areas}
iii. Zhi3 Shen4 San1: To locate this point bisect the distance from Zhi3 Shen4 Er4 to the
dorsal proximal interphalangeal skin crease along the course of the ulnar digit line.
Needle perpendicular 0.1 to 0.2 cun, closely adjacent to the bone. {Liver Auxiliary
and Kidney Auxiliary Reaction Areas}
1. DMG 11-20 'Finger Kidney Three Needles', Wan4 Shun4 Yi\ and Wan4 Shun4 Er4 (LKC):
• DMG 11-20 'Finger Kidney Three Needles':
i. Zhi3 Shen" Er4: This point is located at the midpoint of the ulnar digit line on the
dorsal surface of the proximal phalanx of the ring finger (the ulnar digit line lies 0.3
cun ulnar to the posterior midsagittal line). To determine the midpoint of the ulnar
digit line on the proximal phalanx, bisect the distance from the base of the web
between the 4th and 5th digits to the dorsal proximal interphalangeal skin crease,
along the course of the said line (make a loose fist to accentuate the base of the web
between the 4th and 5th digits). Needle 0.1 to 0.2 cun. {Liver Auxiliary, Kidney
Auxiliary, and Heart Reaction Areas}
ii. Zhi3 Shen4 Yi 1: To locate this point, simply bisect the distance from Zhi3 Shen4 Er4
to the base of the web between the 4th and 5th digits along the course of the ulnar
digit line (make a loose fist to accentuate the base of the web between the 4th and 5th
digits). Needle 0.1 to 0.2 cun. {Liver Auxiliary, Kidney Auxiliary, and Heart
Reaction Areas}
iii. Zhi3 Shen4 San1: To locate this point, simply bisect the distance from Zhi 3 Shen4
Er4 to the dorsal proximal interphalangeal skin crease along the course of the ulnar
digit line. Needle 0.1 to 0.2 cun. {Liver Auxiliary, Kidney Auxiliary, and Heart
Reaction Areas}
• Wan4 Shun4 Yi 1: This point is located 1.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5th metacarpal bone, at the junction of the 'red and white skin'.
Needle 0.5 to 1.0 cun. {Kidney Branch Reaction Area}
• Wan4 Shun4 Er4 : This point is located 2.5 cun distal to the anterior distal transverse wrist
crease, anterior to the 5th metacarpal bone, at the junction of the 'red and white skin'.
Needle 0.5 to 1.0 cun. {Kidney Branch Reaction Area}
j
I
WaJ~-.n4 Yi 1
'~4n'·
1. DMG 77-12 'Lower Three Emperors', Shui3 Jin 1, and Shui3 Tong1 (LKC):
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huanl(: This point is located 1.0 cun distal to Sp-9WH0 , on the medial aspect
of the proximal leg, between the medial border of the tibia and the medial head of
the gastrocnemius muscle. Needle 0.5 to 1.5 cun. {Kidney, Six Bowels, and Heart
Branch Reaction Areas}
ii. Ren2 Huanl(: This point is located 3.5 cun proximal to the apex of (as viewed from
posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel; i.e.
Ren 2 Huang2 is located 0.5 cun proximal to Sp-6WH0 . Needle 0.6 to 1.5 cun.
{Kidney Branch and Lung Branch Reaction Areas}
iii. Di4 Huang2 : This point is located 4.0 cun immediately proximal to Ren2 Huang2 •
Needle 1.0 to 2.0 cun. {Kidney Reaction Area} (Di 4 Huang2 is located 7.5 cun
proximal to the apex of (as viewed from posterior to anterior) the medial malleolus.)
• Shui Jin 1: This point is located 0.5 cun obliquely medial to Shue Tong 1• Needle
3
perpendicularly 0.2 to 0.3 cun or obliquely from medial to lateral up to 0.5 cun. {Kidney
Reaction Area} (To locate this point, proceed to a point 0.5 cun medial to Shui3 Tong 1 and
0.5 cun directly inferior to the extraorallabial-cutaneous junction of the inferior lip.)
• Shui3 Tong1: This point is located 0.5 cun directly inferior to the extraorallabial-cutaneous
junction at the corner of the mouth. Needle perpendicularly 0.2 to 0.3 cun or obliquely from
medial to lateral up to 0.5 cun. {Kidney Reaction Area}
J~L'
,, )
DMG 44-09 '3 Spirits 3 Needles'
306
Orchialgia (LCH)
Orchitis (CCC)
Orchitis (HPC-1)
1. Da4 Jian4, Xiao3 Jian\ Wai4 Jian4, Tian 1 Huang2, and Ren2 Huan~ - treat daily until
symptoms resolve (IIPC):
• Da4 Jian4: This point is located on the anterior surface of the proximal phalanx of the index
finger, 0.3 cun radial (lateral) to the exact center of said phalanx. Needle 0.2 to 0.3 cun.
BILATERAL NEEDLING CONTRAINDICATED. {Heart Organ and Six Bowels Branch
Reaction Areas} (This point is located at the proximal-to-distal center of digit line B; to
locate the center of digit line B, simply bisect the distance from the anterior
metacarpophalangeal skin crease to the anterior proximal interphalangeal skin crease along the
course of digit line B.)
• Xiao3 Jian 4: This point is located 0.2 cun distal to Da4 Jian4 • Needle 0.2 to 0.3 cun.
BILATERAL NEEDLING CONTRAINDICATED. {Lung Branch, Heart Organ, and Six
Bowels Branch Reaction Areas}
• Wai4 Jian4: This point is located on the anterior surface of the middle phalanx of the index
finger, 0.2 cun radial (lateral) to the median plane of said phalanx, and one third the
distance from the proximal interphalangeal skin crease to the distal interphalangeal skin
crease. Needle 0.2 cun. BILATERAL NEEDLING CONTRAINDICATED. {Heart Organ and Six
Bowels Branch Reaction Areas} (This point is located one third the distance from the proximal
interphalangeal skin crease to the distal interphalangeal skin crease, along the course of
digit line B.)
• Tian1 Huangl: This point is found in the depression immediately distal to the medial tibial
condyle, and lies 2.5 cun distal to the articular surface of the medial tibial condyle. Needle
0.5 to 1.0 cun. MOXABUSTION CONTRAINDICATED. {Kidney, Six Bowels, and Heart
Branch Reaction Areas}
• Ren 2 Huang2 : This point is located 3 cun proximal to the medial malleolus along the
medial border of the tibia. Needle 0.6 to 1.2 cun. {Kidney Branch Reaction Area}
Orchitis (HPC-2)
1. Da4 Jian4, Xiao3 Jian4, Wai4 Jian4, and DMG 77-12 'Lower Three Emperors' (HPC):
• Da4 Jian4 : This point is located on the anterior surface of the proximal phalanx of the index
finger, 0.3 cun radial (lateral) to the exact center of said phalanx. Needle 0.2 to 0.3 cun.
BilATERAL NEEDliNG CONTRAINDICATED. {Heart Organ and Six Bowels Branch
Reaction Areas} (This point is located at the proximal-to-distal center of digit line B; to
locate the center of digit line B, simply bisect the distance from the anterior
metacarpophalangeal skin crease to the anterior proximal interphalangeal skin crease along
the course of digit line B.)
• Xiao3 Jian4 : This point is located 0.2 cun distal to Da4 Jian4• Needle 0.2 to 0.3 cun.
BilATERAL NEEDLING CONTRAINDICATED. {Lung Branch, Heart Organ, and Six
Bowels Branch Reaction Areas}
• Wai4 Jian4 : This point is located on the anterior surface of the middle phalanx of the index
finger, 0.2 cun radial (lateral) to the median plane of said phalanx, and one third the
distance from the proximal interphalangeal skin crease to the distal interphalangeal skin
crease. Needle 0.2 cun. BilATERAL NEEDliNG CONTRAINDICATED. {Heart Organ and
Six Bowels Branch Reaction Areas} (This point is located one third the distance from the
proximal interphalangeal skin crease to the distal interphalangeal skin crease, along the
course of digit line B.)
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huan~: This point is found in the depression immediately distal to the
medial tibial condyle, and lies 2.5 cun distal to the articular surface of the medial
tibial condyle. Needle 0.5 to 1.0 cun. MOXABUSTION CONTRAINDICATED.
{Kidney, Six Bowels, and Heart Branch Reaction Areas}
ii. Di4 Huang2 : This point is located 7 cun proximal to the medial malleolus along the
medial border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8 cun.
{Kidney Branch Reaction Area}
iii. Ren2 Huan~: This point is located 3 cun proximal to the medial malleolus along
the medial border of the tibia. Needle 0.6 to 1.2 cun. {Kidney Branch Reaction Area}
Xiao3 Jian4
Da4 Jian4
Orchitis (LKC-1)
Orchitis (LKC-2)
Orchitis (LKC-3)
1. 'Let' any visible veinules in the 'Reproductive Organ' region of the second phalanx of the
index fmger, then needle DMG 11-03 'Finger Three Yang' and DMG 77-12 'Lower Three
Emperors' (LKC):
• DMG 11-03 'Finger Three Yang':
i. Ren 2 Yan~: The point is located at the center of anterior digit line A, along the
demarcation of the anterior and posterior surfaces of the middle phalanx of the index
finger. To determine the exact center of anterior digit line A on the middle phalanx,
bisect the distance from the anterior proximal interphalangeal skin crease to the
anterior distal interphalangeal skin crease along the course of said line. Needle 0.2
to 0.3 cun. {Six Bowels and Liver Organ Reaction Areas}
ii. Tian1 Yan~: To locate this point, simply bisect the distance from Ren2 Yang2 to
the anterior distal interphalangeal skin crease along the course of anterior digit line
A. Needle 0.2 to 0.3 cun. {Six Bowels and Liver Organ Reaction Areas}
iii. Di4 Y an~: To locate this point, simply bisect the distance from Ren2 Y ang2 to the
anterior proximal interphalangeal skin crease along the course of anterior digit line
A. Needle 0.2 to 0.3 cun. {Six Bowels and Liver Organ Reaction Areas}
313
'Reproductive Organ'
Orchitis (LKC-4)
1. 'Let' from the medial malleolus to Tian1 Huang2 then needle Nei4 Yinl, Chen2 Yinl, and Ren2
Yang2 (LKC):
• Tian1 Huani: This point is located 1.0 cun distal to Sp-9WH0 , on the medial aspect of the
proximal leg, between the medial border of the tibia and the medial head of the
gastrocnemius muscle. Needle 0.5 to 1.5 cun. MOXA CONTRAINDICATED. {Kidney, Six
Bowels, and Heart Branch Reaction Areas}
• Nei 4 Yin1: This point lies on the palmar surface of the distal phalanx of the 2nd digit, 0.25
cun distal and 0.4 cun lateral (radial) to the center of the distal interphalangeal skin crease.
Needle 0.2 to 0.3 cun. {Liver and Six Bowels Reaction Areas}
• Chen2 Yin1: This point lies on the proximal phalanx of the 2nd digit along anterior digit line
A, % of the distance from the metacarpophalangeal skin crease to the anterior proximal
interphalangeal skin crease. Needle 0.2 to 0.4 cun. {Heart Organ, Liver Branch, and Six
Bowels Reaction Areas}
• Ren2 Yang2: The point is located at the center of anterior digit line A, along the
demarcation of the anterior and posterior surfaces of the middle phalanx of the index finger.
To determine the exact center of anterior digit line A on the middle phalanx, bisect the
distance from the anterior proximal interphalangeal skin crease to the anterior distal
interphalangeal skin crease along the course of said line. Needle 0.2 to 0.3 cun. {Six
Bowels and Liver Organ Reaction Areas}
Anterior view of
RIGHT index finger.
Orchitis (MC)
1. DMG 11-04 'Finger Three Spaces' and DMG 77-12 'Lower Three Emperors'; follow with
'Letting' the medial Temporal Region of the leg (MC):
• DMG 11-04 'Finger Three Spaces':
i. Da4 Jian4 : This point is located in the center of anterior digit line B on the anterior
surface of the proximal phalanx of the index finger. To determine the exact center of
anterior digit line B on the proximal phalanx, bisect the distance from the anterior
metacarpophalangeal skin crease to the anterior proximal interphalangeal skin
crease along the course of said line. Needle 0.2 to 0.4 cun or 'let' any visible small
black macule or superficial venule. BILATERAL NEEDLING CONTRAINDICATED.
{Heart and Six Bowels Branch Reaction Areas}
ii. Xiao3 Jian4: To locate this point, simply bisect the distance from Da4 Jian4 to the
anterior proximal interphalangeal skin crease along the course of anterior digit line
B. Needle 0.2 to 0.4 cun or 'let' any visible small black macule or superficial venule.
BILATERAL NEEDLING CONTRAINDICATED. {Heart, Lung Branch, and Six
Bowels Branch Reaction Areas}
iii. Ce4 Jian4 : To locate this point, simply bisect the distance from Da4 Jian4 to the
anterior metacarpophalangeal skin crease along the course of anterior digit line B.
Needle 0.2 to 0.4 cun or 'let' any visible small black macule or superficial venule.
BILATERAL NEEDLING CONTRAINDICATED. {Lung, Heart Branch, and Six
Bowels Reaction Areas}
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huanl(: This point is found in the depression immediately distal to the
medial tibial condyle; it lies 2.5 cun distal to the articular surface of the medial tibial
condyle. Needle 0.5 to 1.0 cun -MOXA CONTRAINDICATED. {Kidney, Six
Bowels, and Heart Branch Reaction Areas}
ii. Di4 Huang2 : This point is located 7 cun proximal to the medial malleolus along the
medial border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8 cun.
{Kidney Reaction Area}
iii. Ren2 Huanl(: This point is located 3 cun proximal to the medial malleolus along
the medial border of the tibia. Needle 0.6 to 1.2 cu . {Kifne}:,". r eh Reaction Area}
' ~~
Phallalgia (CCC)
Phallalgia (LCH)
Phallalgia (LKC)
1. DMG 11-03 'Finger Three Yang', Nei4 Yin\ and Chen2 Yin1 (LKC):
• DMG 11-03 'Finger Three Yang':
i. Ren2 Y an~: The point is located at the center of anterior digit line A, along the
demarcation of the anterior and posterior surfaces of the middle phalanx of the index
finger. To determine the exact center of anterior digit line A on the middle phalanx,
bisect the distance from the anterior proximal interphalangeal skin crease to the
anterior distal interphalangeal skin crease along the course of said line. Needle 0.2
to 0.3 cun. {Six Bowels and Liver Organ Reaction Areas}
ii. Tian1 Yani: To locate this point, simply bisect the distance from Ren2 Yang2 to
the anterior distal interphalangeal skin crease along the course of anterior digit line
A. Needle 0.2 to 0.3 cun. {Six Bowels and Liver Organ Reaction Areas}
iii. Di4 Yani: To locate this point, simply bisect the distance from Ren2 Yang2 to the
anterior proximal interphalangeal skin crease along the course of anterior digit line
A. Needle 0.2 to 0.3 cun. {Six Bowels and Liver Organ Reaction Areas}
• Nei 4 Yin1: This point lies on the palmar surface of the distal phalanx of the 2nd digit, 0.25
cun distal and 0.4 cun lateral (radial) to the center of the distal interphalangeal skin crease.
Needle 0.2 to 0.3 cun. {Liver and Six Bowels Reaction Areas}
• Chen2 Yin1: This point lies on the proximal phalanx of the 2nd digit along anterior digit line
A, % of the distance from the metacarpophalangeal skin crease to the anterior proximal
interphalangeal skin crease. Needle 0.2 to 0.4 cun. {Heart Organ, Liver Branch, and Six
Bowels Reaction Areas}
Anterior view of
RIGHT index finger.
1. Shen4 Guan 1, Di4 Huang2, Ren2 Huan~, Tong1 Shen\ and Tong1 Wei 4 (HPC):
• Shen4 Guan1: This point lies 1.5 cun immediately distal to Tian 1 Huang2 • Needle 0.5 to 1.0
cun. (Tian 1 Huang2 is located in the depression found immediately distal to the medial tibial
condyle, and lies 2.5 cun distal to the articular surface of the medial tibial condyle.) {Six
Bowels Reaction Area}
• Di4 Huan~: This point is located 7 cun proximal to the medial malleolus along the medial
border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8 cun. {Kidney Branch
Reaction Area}
• Ren2 Huan~: This point is located 3 cun proximal to the medial malleolus along the
medial border of the tibia. Needle 0.6 to 1.2 cun. {Kidney Branch Reaction Area}
• Tong1 Shen4 : This point is located in the depression found at the superomedial angle of the
patella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
• Tong1 Wei4: This point is located 2.0 cun immediately proximal to Tong 1 Shen4 • Needle
0.5 to 1.0 cun. {Kidney Reaction Area} (Tong 1 Shen4 is located in the depression found at
the superomedial angle of the patella)
320
1. DMG 44-09 'Three Spirits Three Needles', DMG 77-12 'Lower Three Emperors', and DMG
88-01 'Passing Through the Kidney Three Needles' (CCC):
• DMG 44-09 'Three Spirits Three Needles':
i. San1 Shen2 Yi : This point is located 1.5 cun proximal to the apex of the olecranon
process of the ulna bone and medial to the humerus. Place the patient's palm on
his chest when locating this point. Needle oblique insertion from inferior to
superior 1 cun to treat disorders stemming from 'Kidney Depletion'. {Kidney
Auxiliary, Liver Auxiliary, and Lung Branch Reaction Areas}
ii. San1 Shen2 Er4 : This point is located 1 cun proximal to San 1 Shen2 Yi 1, i.e. 2.5 cun
proximal to the apex of the olecranon process of the ulna bone and medial to the
humerus. Place the patient's palm on his chest when locating this point. Needle
oblique insertion from inferior to superior 1 cun to treat disorders stemming from
'Kidney Depletion'. {Kidney Auxiliary, Liver Auxiliary, and Lung Branch Reaction
Areas}
iii. San1 Shen2 San1: This is located 1 cun proximal to San1 Shen2 Er4, i.e. 3.5 cun
proximal to the apex of the olecranon process of the ulna bone and medial to the
humerus. Place the patient's palm on his chest when locating this point. Needle
oblique insertion from inferior to superior 1 cun to treat disorders stemming from
'Kidney Depletion'. {Kidney Auxiliary, Liver Auxiliary, and Lung Branch Reaction
Areas}
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huan~: This point is located 1 cun distal to Sp-9WH0 , on the medial aspect
of the leg, between the medial border of the tibia and the medial head of the
gastrocnemius muscle. Needle 0.5 to 1.5 cun. {Kidney, Six Bowels, and Heart
Branch Reaction Areas}
ii. Ren2 Huan~: This point is located 3.5 cun proximal to the apex of (as viewed from
posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel.
Needle 0.6 to 1.5 cun. {Kidney Branch and Lung Branch Reaction Areas} (Ren2
Huang2 is located 0.5 cun proximal to Sp-6 WHo.)
iii. Di4 Huan~: This point is located 4 cun proximal to Ren2 Huang2• Needle 1.0 to 2.0
cun. {Kidney Reaction Area} (Di4 Huang2 lies 7.5 cun proximal to the apex of (as
viewed from posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1
Spleen Channel.)
• DMG 88-01 'Passin} Through the Kidney Three Needles':
i. Tong1 Shen : This point is found in the depression located at the superomedial
angle of the patella. To locate this point, draw a transverse line tangent to the
superior margin of the patella and a vertical line tangent to the medial margin of the
patella; the point lies in the depression at intersection of these two lines. Needle 0.5
to 1.0 cun. {Kidney Reaction Area}
ii. Tong1 Wei 4: This point is located 2 cun immediately proximal to Tong 1 Shen4 .
Needle 0.5 to 1.5 cun. {Kidney Reaction Area}
iii. Tong1 Bei4: This point is located 2 cun immediately proximal to Tong 1 Wei 4 •
Needle 1.0 to 2.0 cun. {Kidney Reaction Area} (Tong 1 Bei4 is located 4 cun
proximal to Tong 1 Shen4.)
321
1. DMG 77-12 'Lower Three Emperors', DMG 88-01 'Passing Through the Kidney Three
Needles', and Shui3 Fu3 (LCH):
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huani: This point is found in the depression immediately distal to the
medial tibial condyle, and lies 2.5 cun distal to the articular surface of the medial
tibial condyle. Needle 0.5 to 1.0 cun. {Kidney, Six Bowels, and Heart Branch
Reaction Areas}
ii. Di4 Huani: This point is located 7.0 cun proximal to the medial malleolus along
the medial border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8
cun. {Kidney Branch Reaction Area}
iii. Ren2 Huani: This point is located 3.0 cun proximal to the medial malleolus along
the medial border of the tibia. Needle 0.6 to 1.2 cun. {Kidney Branch Reaction Area}
• DMG 88-01 'Passing Through the Kidney Three Needles':
i. Tong1 Shen4: This point is located in the depression found at the superomedial
angle ofthe;atella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
ii. Tong1 Wei : This point is located 2.0 cun immediately proximal to Tong1 Shen4•
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
iii. Tong1 Bei4: This point is located 4.0 cun immediately proximal to Tong 1 Shen4 .
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
• Shui Fu3: This set of points is located 1.5 cun lateral to either side of the interspinous
3
space between the ~ and L3 spinous processes. Needle 0.8 to 1.0 cun. {General Kidney
Reaction Area}
1. DMG 77-12 'Lower Three Emperors', Tong1 Shen\ Shui3 Jin 1, and Shui3 Tong1 (LKC):
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huang2 : This point is located 1.0 cun distal to Sp-9WH0 , on the medial aspect
of the proximal leg, between the medial border of the tibia and the medial head of
the gastrocnemius muscle. Needle 0.5 to 1.5 cun. {Kidney, Six Bowels, and Heart
Branch Reaction Areas}
ii. Ren2 Huani: This point is located 3.5 cun proximal to the apex of (as viewed from
posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel; i.e.
Ren2 Huang2 is located 0.5 cun proximal to Sp-6WH0 • Needle 0.6 to 1.5 cun.
{Kidney Branch and Lung Branch Reaction Areas}
iii. Di4 Huan~: This point is located 4.0 cun immediately proximal to Ren2 Huang2 •
Needle 1.0 to 2.0 cun. {Kidney Reaction Area} (Di4 Huang2 is located 7.5 cun
proximal to the apex of (as viewed from posterior to anterior) the medial malleolus.)
• 1
Tong Shen4: This point is located in the depression found immediately proximal and
medial to the superomedial angle of the patella. To locate the point, draw a transverse line
tangent to the superior margin of the patella and a vertical line tangent to the medial margin
of the patella - where the two lines intersect is the location of the point. Needle 0.5 to 1.0
cun. {Kidney Reaction Area}
• Shui3 Jin 1: This point is located 0.5 cun obliquely medial to Shui3 Tong 1• Needle
perpendicularly 0.2 to 0.3 cun or obliquely from medial to lateral up to 0.5 cun. {Kidney
Reaction Area} (To locate this point, proceed to a point 0.5 cun medial to Shui3 Tong 1 and
0.5 cun directly inferior to the extraorallabial-cutaneous junction of the inferior lip.)
• Shui3 Tong1: This point is located 0.5 cun directly inferior to the extraorallabial-cutaneous
junction at the corner of the mouth. Needle perpendicularly 0.2 to 0.3 cun or obliquely from
medial to lateral up to 0.5 cun. {Kidney Reaction Area}
1. DMG 88-10 'Three Sisters Three Needles', Gan3 Mao4 Yi\ Gan3 Mao4 Er\ Ren 2 Huang2,
then moxa CV-4wHo and CV-3wHo (LKC):
• DMG 88-10 'Three Sisters Three Needles':
1. Jie3 Mei4 Yi 1 : This point lies 1 cun medial and 1 cun proximal to Tong 1 Shan 1 .
Needle 1.5 to 3.0 cun. {Six Bowel and Kidney Branch Reaction Areas} (Tong 1
Shan 1 is found on the median plane (midsagittal plane) of the anterior thigh, 7 cun
proximal to the center of the superior edge of the patella.)
ii. Jie3 Mei4 Er4 : This point lies 2.5 cun immediately proximal to Jie 3 Mei 4 Yi 1•
Needle 1.5 to 3.0 cun. {Six Bowel and Kidney Branch Reaction Areas} (Ergo, Jie3
Mei 4 Er4 is found 1 cun medial to the median plane (midsagittal plane) at a point
10.5 cun proximal to the center of the superior edge of the patella.)
iii. Jie3 Mei4 San1 : This point lies 2.5 cun immediately proximal to Jie 3 Mei4 Er4 •
Needle 1.5 to 3.0 cun. {Six Bowel and Kidney Branch Reaction Areas} (Ergo, Jie3
Mei 4 San 1 is found 1 cun medial to the median plane (midsagittal plane) at a point
13 cun proximal to the center of the superior edge of the patella.)
• Gan Mao4 Yi1 : This point lies 1.0 cun immediately medial to Jie3 Mei4 Er4 • Needle 1.0
3
to 2.0 cun. {Six Bowels and Lung Branch Reaction Areas} (Jie3 Mei4 Er4 is found 1 cun
medial to the median plane (midsagittal plane) at a point 10.5 cun proximal to the center of
the superior edge of the patella.)
• Gan3 Mao4 Er4 : This point lies 1.0 cun immediately medial to Jie 3 Mei4 San 1• Needle
1.0 to 2.0 cun. {Six Bowels and Lung Branch Reaction Areas} (Jie3 Mei 4 San 1 is found 1
cun medial to the median plane (midsagittal plane) at a point 13 cun proximal to the center
of the superior edge of the patella.)
• Ren2 Huang2 : This point is located 3.5 cun proximal to the apex of (as viewed from
posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel; i.e. Ren 2
Huang 2 is located 0.5 cun proximal to Sp-6wHo. Needle 0.6 to 1.5 cun. {Kidney
Branch and Lung Branch Reaction Areas}
• CV-4WH0 (RN 4): On the lower abdomen and on the anterior midline, 3 cun below (inferior
to) the centre of the umbilicus.
• CV-3WH0 (RN 3): On the lower abdomen and on the anterior midline, 4 cun below (inferior
to) the centre of the umbilicus.
325
CV-4WHO
•• 1
CV-3WHO
326
1. DMG 77-12 'Lower Three Emperors' and Tong1 Shen4 then moxa CV-4WH0 and CV-3WH0
(LKC):
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huan~: This point is located 1.0 cun distal to Sp-9WH0 , on the medial aspect
of the proximal leg, between the medial border of the tibia and the medial head of
the gastrocnemius muscle. Needle 0.5 to 1.5 cun. {Kidney, Six Bowels, and Heart
Branch Reaction Areas}
ii. Ren2 Huan~: This point is located 3.5 cun proximal to the apex of (as viewed from
posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel; i.e.
Ren2 Huang2 is located 0.5 cun proximal to Sp-6WH0 • Needle 0.6 to 1.5 cun.
{Kidney Branch and Lung Branch Reaction Areas}
iii. Di4 Huang2 : This point is located 4.0 cun immediately proximal to Ren2 Huang2 •
Needle 1.0 to 2.0 cun. {Kidney Reaction Area} (Di4 Huang2 is located 7.5 cun
proximal to the apex of (as viewed from posterior to anterior) the medial malleolus.)
• Tong1 Shen4: This point is located in the depression found immediately proximal and
medial to the superomedial angle of the patella. To locate the point, draw a transverse line
tangent to the superior margin of the patella and a vertical line tangent to the medial margin
of the patella - where the two lines intersect is the location of the point. Needle 0.5 to 1.0
cun. {Kidney Reaction Area}
• CV-4WH0 (RN 4): On the lower abdomen and on the anterior midline, 3 cun below (inferior
to) the centre of the umbilicus.
• CV-3WH0 (RN 3): On the lower abdomen and on the anterior midline, 4 cun below (inferior
to) the centre of the umbilicus.
( CV-4WHO
••
CV-3WHO
1. DMG 77-12 'Lower Three Emperors', DMG 88-01 'Passing Through the Kidney Three
Needles', Shui3 Jin 1, and Shui3 Tong1 (MC):
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huani: This point is found in the depression immediately distal to the
medial tibial condyle; it lies 2.5 cun distal to the articular surface of the medial tibial
condyle. Needle 0.5 to 1.0 cun - MOXA CONTRAINDICATED. {Kidney, Six
Bowels, and Heart Branch Reaction Areas}
ii. Di4 Huanl(: This point is located 7 cun proximal to the medial malleolus along the
medial border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8 cun.
{Kidney Reaction Area}
iii. Ren2 Huanl(: This point is located 3 cun proximal to the medial malleolus along
the medial border of the tibia. Needle 0.6 to 1.2 cun. {Kidney Branch Reaction Area}
• DMG 88-01 'Passin_r Through the Kidney Three Needles':
i. Tong1 Shen : This point is located in the depression found at the superomedial
angle of thelatella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
n. Tong1 Wei : This point is located 2.0 cun immediately proximal to Tong 1 Shen4 •
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
iii. Tong1 Bei4: This point is located 4.0 cun immediately proximal to Tong 1 Shen4 .
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
• Shui Jin 1: This point is located 0.5 cun medial to Shui3 Tong 1. Needle obliquely from
3
medial to lateral 0.1 to 0.5 cun. {Kidney Reaction Area} (To locate this point, proceed to a
point 0.5 cun medial to Shui3 Tong 1 and 0.4 cun directly inferior to the extraoral labial-
.cutaneous junction of the inferior lip.)
• Shui3 Tong1: This point is located 0.4 cun directly inferior to the extraorallabial-cutaneous
junction at the corner of the mouth. Needle obliquely from medial to lateral 0.1 to 0.5 cun.
{Kidney Reaction Area}
1. DMG 77-12 'Lower Three Emperors' and DMG 11-20 'Finger Kidney Three Needles' (MC):
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huanl(: This point is found in the depression immediately distal to the
medial tibial condyle; it lies 2.5 cun distal to the articular surface of the medial tibial
condyle. Needle 0.5 to 1.0 cun - MOXA CONTRAINDICATED. {Kidney, Six
Bowels, and Heart Branch Reaction Areas}
ii. Di4 Huang2 : This point is located 7 cun proximal to the medial malleolus along the
medial border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8 cun.
{Kidney Reaction Area}
iii. Ren2 Huanl(: This point is located 3 cun proximal to the medial malleolus along
the medial border of the tibia. Needle 0.6 to 1.2 cun. {Kidney Branch Reaction Area}
• DMG 11-20 'Finger Kidney Three Needles':
i. Zhe Shen4 Er4 : This point is located at the midpoint of the ulnar digit line on the
dorsal surface of the proximal phalanx of the ring finger. To determine the midpoint
of the ulnar digit line on the proximal phalanx, bisect the distance from the base of
the web between the 4th and 5th digits to the dorsal proximal interphalangeal skin
crease along the course of the said line (make a loose fist to accentuate the base of
the web between the 4th and 5th digits). Needle perpendicular 0.1 to 0.2 cun, closely
adjacent to the bone. {Liver Auxiliary and Kidney Auxiliary Reaction Areas}
ii. Zhi3 Shen4 Yi 1: To locate this point, bisect the distance from Zhe Shen4 Er4 to the
base of the web between the 4th and 5th digits along the course of the ulnar digit line
(make a loose fist to accentuate the base of the web between the 4th and 5th digits).
Needle perpendicular 0.1 to 0.2 cun, closely adjacent to the bone. {Liver Auxiliary
and Kidney Auxiliary Reaction Areas}
iii. Zhi3 Shen4 San1: To locate this point bisect the distance from Zhi3 Shen4 Er4 to the
dorsal proximal interphalangeal skin crease along the course of the ulnar digit line.
Needle perpendicular 0.1 to 0.2 cun, closely adjacent to the bone. {Liver Auxiliary
and Kidney Auxiliary Reaction Areas}
1. DMG 11-03 'Finger Three Yang', DMG 77-12 'Lower Three Emperors', and DMG 77-05
'Three Weights Three Needles' (LKC):
• DMG 11-03 'Finger Three Yang':
i. Ren2 Yang2 : The point is located at the center of anterior digit line A, along the
demarcation of the anterior and posterior surfaces of the middle phalanx of the index
finger. To determine the exact center of anterior digit line A on the middle phalanx,
bisect the distance from the anterior proximal interphalangeal skin crease to the
anterior distal interphalangeal skin crease along the course of said line. Needle 0.2
to 0.3 cun. {Six Bowels and Liver Organ Reaction Areas}
ii. Tian1 Yang2 : To locate this point, simply bisect the distance from Ren2 Yang2 to
the anterior distal interphalangeal skin crease along the course of anterior digit line
A. Needle 0.2 to 0.3 cun. {Six Bowels and Liver Organ Reaction Areas}
iii. Di4 Y an~: To locate this point, simply bisect the distance from Ren2 Yang2 to the
anterior proximal interphalangeal skin crease along the course of anterior digit line
A. Needle 0.2 to 0.3 cun. {Six Bowels and Liver Organ Reaction Areas}
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huan~: This point is located 1.0 cun distal to Sp-9WH0 , on the medial aspect
of the proximal leg, between the medial border of the tibia and the medial head of
the gastrocnemius muscle. Needle 0.5 to 1.5 cun. {Kidney, Six Bowels, and Heart
Branch Reaction Areas}
ii. Ren2 Huan~: This point is located 3.5 cun proximal to the apex of (as viewed from
posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel; i.e.
Ren2 Huang2 is located 0.5 cun proximal to Sp-6WH0 . Needle 0.6 to 1.5 cun.
{Kidney Branch and Lung Branch Reaction Areas}
iii. Di4 Huang2: This point is located 4.0 cun immediately proximal to Ren2 Huang2•
Needle 1.0 to 2.0 cun. {Kidney Reaction Area} (Di4 Huang2 is located 7.5 cun
proximal to the apex of (as viewed from posterior to anterior) the medial malleolus.)
• DMG 77-05 'Three Weights Three Needles':
i. Yi 1 Zhong4: This point is located by coursing 3 cun proximal, then 1 cun anterior,
to the apex of (as viewed from posterior to anterior) the lateral malleolus. Needle
1.0 to 2.0 cun or 'let' with a prismatic needle. {Heart Branch, Lung Branch, and
Spleen Reaction Areas}
ii. Er4 Zhong4 : This point is located by coursing 2 cun proximal to Yi 1 Zhong4 • Needle
1.0 to 2.0 cun or 'let' with a prismatic needle. {Heart Branch, Lung Branch, and
Spleen Reaction Areas}
iii. San1 Zhong4: This point is located by coursing 2 cun proximal to Er4 Zhong4 •
Needle 1.0 to 2.0 cun or 'let' with a prismatic needle. {Heart Branch, Lung Branch,
and Spleen Reaction Areas}
331
San1 Zhong4
Er4 Zhong4
Yi1 Zhong4
Seminoma (CCC)
Seminoma (HPC)
1. Needle Da4 Jian\ Xiao3 Jian4, Wai4 Jian\ and Fu2 Jian4 ; additionally, one may also 'let' the
'Malign-Blood' from Da4 Jian4, Xiao3 Jian4, Wai4 Jian4, and Fu2 Jian4 - treat daily (HPC):
• Da4 Jian4: This point is located on the anterior surface of the proximal phalanx of the index
finger, 0.3 cun radial (lateral) to the exact center of said phalanx. Needle 0.2 to 0.3 cun.
BILATERAL NEEDLING CONTRAINDICATED. {Heart Organ and Six Bowels Branch
Reaction Areas} (This point is located at the proximal-to-distal center of digit line B; to
locate the center of digit line B, simply bisect the distance from the anterior
metacarpophalangeal skin crease to the anterior proximal interphalangeal skin crease along
the course of digit line B.)
• Xiao3 Jian4: This point is located 0.2 cun distal to Da4 Jian4 • Needle 0.2 to 0.3 cun.
BILATERAL NEEDLING CONTRAINDICATED. {Lung Branch, Heart Organ, and Six
Bowels Branch Reaction Areas}
• Wai 4 Jian4: This point is located on the anterior surface of the middle phalanx of the index
finger, 0.2 cun radial (lateral) to the median plane of said phalanx, and one third the
distance from the proximal interphalangeal skin crease to the distal interphalangeal skin
crease. Needle 0.2 cun. BILATERAL NEEDLING CONTRAINDICATED. {Heart Organ and
Six Bowels Branch Reaction Areas} (This point is located one third the distance from the
proximal interphalangeal skin crease to the distal interphalangeal skin crease, along the
course of digit line B.)
• Fu2 Jian4 : This point is located on the anterior surface of the middle phalanx of the index
finger, 0.2 cun radial (lateral) to the median plane of said phalanx, and two thirds the
distance from the proximal interphalangeal skin crease to the distal interphalangeal skin
crease. Needle 0.2 cun. BILATERAL NEEDLING CONTRAINDICATED. {Heart Organ and
Six Bowels Branch Reaction Areas} (This point is located two thirds the distance from the
proximal interphalangeal skin crease to the distal interphalangeal skin crease, along the
course of digit line B.)
Seminoma (LKC-1)
Seminoma (LKC-2)
1. 'Let' any visible veinules in the 'Reproductive Organ' region of the second phalanx of the
index finger, then needle DMG 11-03 'Finger Three Yang' and DMG 77-12 'Lower Three
Emperors' (LKC):
• DMG 11-03 'Finger Three Yang':
i. Ren 2 Yang2 : The point is located at the center of anterior digit line A, along the
demarcation of the anterior and posterior surfaces of the middle phalanx of the index
finger. To determine the exact center of anterior digit line A on the middle phalanx,
bisect the distance from the anterior proximal interphalangeal skin crease to the
anterior distal interphalangeal skin crease along the course of said line. Needle 0.2
to 0.3 cun. {Six Bowels and Liver Organ Reaction Areas}
ii. Tian1 Yan~: To locate this point, simply bisect the distance from Ren2 Yang2 to
the anterior distal interphalangeal skin crease along the course of anterior digit line
A. Needle 0.2 to 0.3 cun. {Six Bowels and Liver Organ Reaction Areas}
iii. Di4 Yang2: To locate this point, simply bisect the distance from Ren2 Yang2 to the
anterior proximal interphalangeal skin crease along the course of anterior digit line
A. Needle 0.2 to 0.3 cun. {Six Bowels and Liver Organ Reaction Areas}
335
'Reproductive Organ'
Seminoma (LKC-3)
1. 'Let' from the medial malleolus to Tian1 Huan~ then needle Nei4 Yin 1, Chen2 Yin 1, and Ren2
Y ang2 (LKC):
• Tian1 Huan~: This point is located 1.0 cun distal to Sp-9WH0 , on the medial aspect of the
proximal leg, between the medial border of the tibia and the medial head of the
gastrocnemius muscle. Needle 0.5 to 1.5 cun. MOXA CONTRAINDICATED. {Kidney, Six
Bowels, and Heart Branch Reaction Areas}
• Nei 4 Yin 1: This point lies on the palmar surface of the distal phalanx of the 2nd digit, 0.25
cun distal and 0.4 cun lateral (radial) to the center of the distal interphalangeal skin crease.
Needle 0.2 to 0.3 cun. {Liver and Six Bowels Reaction Areas}
• Chen2 Yin1: This point lies on the proximal phalanx of the 2nd digit along anterior digit line
A, % of the distance from the metacarpophalangeal skin crease to the anterior proximal
interphalangeal skin crease. Needle 0.2 to 0.4 cun. {Heart Organ, Liver Branch, and Six
Bowels Reaction Areas}
• Ren2 Yan~: The point is located at the center of anterior digit line A, along the
demarcation of the anterior and posterior surfaces of the middle phalanx of the index finger.
To determine the exact center of anterior digit line A on the middle phalanx, bisect the
distance from the anterior proximal interphalangeal skin crease to the anterior distal
interphalangeal skin crease along the course of said line. Needle 0.2 to 0.3 cun. {Six
Bowels and Liver Organ Reaction Areas}
Anterior view of
RIGHT index finger.
Spermatorrhea (HPC)
1. Shen4 Guan1, Di4 Huang2, Ren2 Huan~, Tong1 Shen\ and Tong1 Wei4 - treat daily, one may
expect resolution within one week. (HPC):
• Shen4 Guan1: This point lies 1.5 cun immediately distal to Tian1 Huang2• Needle 0.5 to 1.0
cun. (Tian1 Huang2 is located in the depression found immediately distal to the medial tibial
condyle, and lies 2.5 cun distal to the articular surface of the medial tibial condyle.) {Six
Bowels Reaction Area}
• Di4 Huan~: This point is located 7 cun proximal to the medial malleolus along the medial
border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8 cun. {Kidney Branch
Reaction Area}
• Ren2 Huan~: This point is located 3 cun proximal to the medial malleolus along the
medial border of the tibia. Needle 0.6 to 1.2 cun. {Kidney Branch Reaction Area}
• Tong1 Shen4: This point is located in the depression found at the superomedial angle of the
patella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
• Tong1 Wei4: This point is located 2.0 cun immediately proximal to Tong 1 Shen4 • Needle
0.5 to 1.0 cun. {Kidney Reaction Area} (Tong 1 Shen4 is located in the depression found at
the superomedial angle of the patella)
338
Spermatorrhea (CCC)
1. DMG 44-09 'Three Spirits Three Needles', DMG 77-12 'Lower Three Emperors', and DMG
88-01 'Passing Through the Kidney Three Needles' (CCC):
• DMG 44-09 'Three Spirits Three Needles':
i. San1 Shen2 Yi : This point is located 1.5 cun proximal to the apex of the olecranon
process of the ulna bone and medial to the humerus. Place the patient's palm on
his chest when locating this point. Needle oblique insertion from inferior to
superior 1 cun to treat disorders stemming from 'Kidney Depletion'. {Kidney
Auxiliary, Liver Auxiliary, and Lung Branch Reaction Areas}
ii. San1 Shen2 Er4 : This point is located 1 cun proximal to San 1 Shen2 Yi 1, i.e. 2.5 cun
proximal to the apex of the olecranon process of the ulna bone and medial to the
humerus. Place the patient's palm on his chest when locating this point. Needle
oblique insertion from inferior to superior 1 cun to treat disorders stemming from
'Kidney Depletion'. {Kidney Auxiliary, Liver Auxiliary, and Lung Branch Reaction
Areas}
iii. San1 Shen2 San1: This is located 1 cun proximal to San 1 Shen2 Er4, i.e. 3.5 cun
proximal to the apex of the olecranon process of the ulna bone and medial to the
humerus. Place the patient's palm on his chest when locating this point. Needle
oblique insertion from inferior to superior 1 cun to treat disorders stemming from
'Kidney Depletion'. {Kidney Auxiliary, Liver Auxiliary, and Lung Branch Reaction
Areas}
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huan~: This point is located 1 cun distal to Sp-9WH0 , on the medial aspect
of the leg, between the medial border of the tibia and the medial head of the
gastrocnemius muscle. Needle 0.5 to 1.5 cun. {Kidney, Six Bowels, and Heart
Branch Reaction Areas}
ii. Ren2 Huan~: This point is located 3.5 cun proximal to the apex of (as viewed from
posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel.
Needle 0.6 to 1.5 cun. {Kidney Branch and Lung Branch Reaction Areas} (Ren2
Huang2 is located 0.5 cun proximal to Sp-6 WHo.)
iii. Di4 Huan~: This point is located 4 cun proximal to Ren2 Huang2• Needle 1.0 to 2.0
cun. {Kidney Reaction Area} (Di4 Huang2 lies 7.5 cun proximal to the apex of (as
viewed from posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1
Spleen Channel.)
• DMG 88-01 'Passin_r Through the Kidney Three Needles':
i. Tong1 Shen : This point is found in the depression located at the superomedial
angle of the patella. To locate this point, draw a transverse line tangent to the
superior margin of the patella and a vertical line tangent to the medial margin of the
patella; the point lies in the depression at intersection of these two lines. Needle 0.5
to 1.0 cun. {Kidney Reaction Area}
ii. Tong1 Wei 4: This point is located 2 cun immediately proximal to Tong 1 Shen4 •
Needle 0.5 to 1.5 cun. {Kidney Reaction Area}
m. Tong1 Bei4: This point is located 2 cun immediately proximal to Tong 1 Wei 4 •
Needle 1.0 to 2.0 cun. {Kidney Reaction Area} (Tong 1 Bei 4 is located 4 cun
proximal to Tong 1 Shen4.)
339
Spermatorrhea (CCC)
{
'!y
-,, . i
"-.,j
Spermatorrhea (LCH)
1. DMG 77-12 'Lower Three Emperors', DMG 88-01 'Passing Through the Kidney Three
Needles', and Shui3 Fu3 (LCH):
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huan~: This point is found in the depression immediately distal to the
medial tibial condyle, and lies 2.5 cun distal to the articular surface of the medial
tibial condyle. Needle 0.5 to 1.0 cun. {Kidney, Six Bowels, and Heart Branch
Reaction Areas}
ii. Di4 Huang2: This point is located 7.0 cun proximal to the medial malleolus along
the medial border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8
cun. {Kidney Branch Reaction Area}
iii. Ren2 Huan~: This point is located 3.0 cun proximal to the medial malleolus along
the medial border of the tibia. Needle 0.6 to 1.2 cun. {Kidney Branch Reaction Area}
• DMG 88-01 'Passin,r Through the Kidney Three Needles':
i. Tong1 Shen : This point is located in the depression found at the superomedial
angle of thefatella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
ii. Tong1 Wei : This point is located 2.0 cun immediately proximal to Tong1 Shen4•
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
iii. Tong1 Bei4: This point is located 4.0 cun immediately proximal to Tong 1 Shen4 .
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
• Shui3 Fu3: This set of points is located 1.5 cun lateral to either side of the interspinous
space between the Lz and L3 spinous processes. Needle 0.8 to 1.0 cun. {General Kidney
Reaction Area}
Spermatorrhea (LKC-1)
1. DMG 77-12 'Lower Three Emperors', Tong1 Shen\ Shui3 Jin 1, and Shui3 Tong1 (LKC):
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huani: This point is located 1.0 cun distal to Sp-9WH0 , on the medial aspect
of the proximal leg, between the medial border of the tibia and the medial head of
the gastrocnemius muscle. Needle 0.5 to 1.5 cun. {Kidney, Six Bowels, and Heart
Branch Reaction Areas}
ii. Ren2 Huani: This point is located 3.5 cun proximal to the apex of (as viewed from
posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel; i.e.
Ren2 Huang2 is located 0.5 cun proximal to Sp-6WH0 . Needle 0.6 to 1.5 cun.
{Kidney Branch and Lung Branch Reaction Areas}
iii. Di4 Huang2: This point is located 4.0 cun immediately proximal to Ren2 Huang2•
Needle 1.0 to 2.0 cun. {Kidney Reaction Area} (Di4 Huang2 is located 7.5 cun
proximal to the apex of (as viewed from posterior to anterior) the medial malleolus.)
1
• Tong Shen4 : This point is located in the depression found immediately proximal and
medial to the superomedial angle of the patella. To locate the point, draw a transverse line
tangent to the superior margin of the patella and a vertical line tangent to the medial margin
of the patella - where the two lines intersect is the location of the point. Needle 0.5 to 1.0
cun. {Kidney Reaction Area}
• Shui3 Jin 1: This point is located 0.5 cun obliquely medial to Shui3 Tong 1• Needle
perpendicularly 0.2 to 0.3 cun or obliquely from medial to lateral up to 0.5 cun. {Kidney
Reaction Area} (To locate this point, proceed to a point 0.5 cun medial to Shui3 Tong 1 and
0.5 cun directly inferior to the extraorallabial-cutaneous junction of the inferior lip.)
• .Shui3 Tong1: This point is located 0.5 cun directly inferior to the extraorallabial-cutaneous
junction at the corner of the mouth. Needle perpendicularly 0.2 to 0.3 cun or obliquely from
ed~r up to 0.5 cun. {Kidney Reaction Area}
Tian1
D~
342
Spermatorrhea (LKC-2)
1. DMG 77-12 'Lower Three Emperors' and Tong1 Shen4 then moxa CV-4WH0 and CV-3WH0
(LKC):
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huan~: This point is located 1.0 cun distal to Sp-9WH0 , on the medial aspect
of the proximal leg, between the medial border of the tibia and the medial head of
the gastrocnemius muscle. Needle 0.5 to 1.5 cun. {Kidney, Six Bowels, and Heart
Branch Reaction Areas}
ii. Ren2 Huan~: This point is located 3.5 cun proximal to the apex of (as viewed from
posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel; i.e.
Ren2 Huang2 is located 0.5 cun proximal to Sp-6WH0 • Needle 0.6 to 1.5 cun.
{Kidney Branch and Lung Branch Reaction Areas}
111. Di4 Huan~: This point is located 4.0 cun immediately proximal to Ren2 Huang2•
Needle 1.0 to 2.0 cun. {Kidney Reaction Area} (Di4 Huang2 is located 7.5 cun
proximal to the apex of (as viewed from posterior to anterior) the medial malleolus.)
• Tong Shen4: This point is located in the depression found immediately proximal and
1
medial to the superomedial angle of the patella. To locate the point, draw a transverse line
tangent to the superior margin of the patella and a vertical line tangent to the medial margin
of the patella - where the two lines intersect is the location of the point. Needle 0.5 to 1.0
cun. {Kidney Reaction Area}
• CV-4WH0 (RN 4): On the lower abdomen and on the anterior midline, 3 cun below (inferior
to) the centre of the umbilicus.
• CV-3WH0 (RN 3): On the lower abdomen and on the anterior midline, 4 cun below (inferior
. to) the centre of the umbilicus.
CV-4WHO
•
••
CV-3WHO
Spermatorrhea (LKC-3)
1. Ren2 Huan~, Shen4 Guan\ and Tong1 Shen4 the moxa from CV-3WH0 to CV-4 WHO (LKC):
• Ren2 Huan~: This point is located 3.5 cun proximal to the apex of (as viewed from
posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel; i.e. Ren2
Huang2 is located 0.5 cun proximal to Sp-6WH0 . Needle 0.6 to 1.5 cun. {Kidney Branch and
Lung Branch Reaction Areas}
• Shen4 Guan 1: This point is located 1.5 cun distal to Tian 1 Huang2 on the medial side of the
proximal leg. Needle 0.5 to 2.0 cun. {Six Bowel Reaction Area} (Tian1 Huang2 is located
1.0 cun distal to Sp-9WHO, on the medial aspect of the proximal leg, between the medial
border of the tibia and the medial head of the gastrocnemius muscle, ergo, Shen4 Guan 1 is
located 2.5 cun distal to Sp-9WHO)
• Tong1 Shen4: This point is located in the depression found immediately proximal and
medial to the superomedial angle of the patella. To locate the point, draw a transverse line
tangent to the superior margin of the patella and a vertical line tangent to the medial margin
of the patella - where the two lines intersect is the location of the point. Needle 0.5 to 1.0
cun. {Kidney Reaction Area}
• CV-4WH0 (RN 4): On the lower abdomen and on the anterior midline, 3 cun below (inferior
to) the centre of the umbilicus.
• CV-3WH0 (RN 3): On the lower abdomen and on the anterior midline, 4 cun below (inferior
to) the centre of the umbilicus.
CV-4WH0
•
•
CV-3WHO
344
Spermatorrhea (LKC-4)
1. DMG 88-10 'Three Sisters Three Needles', Gan3 Mao4 Yi\ Gan3 Mao4 Er\ Ren 2 Huang2,
then moxa CV-4wuo and CV-3wuo (LKC):
• DMG 88-10 'Three Sisters Three Needles':
i. Jie3 Mei4 Yi1 : This point lies 1 cun medial and 1 cun proximal to Tong 1 Shan 1.
Needle 1.5 to 3.0 cun. {Six Bowel and Kidney Branch Reaction Areas} (Tong 1
Shan1 is found on the median plane (midsagittal plane) of the anterior thigh, 7 cun
proximal to the center of the superior edge of the patella.)
ii. Jie3 Mei4 Er4 : This point lies 2.5 cun immediately proximal to Jie 3 Mei4 Yi 1•
Needle 1.5 to 3.0 cun. {Six Bowel and Kidney Branch Reaction Areas} (Ergo, Jie3
Mei 4 Er4 is found 1 cun medial to the median plane (midsagittal plane) at a point
10.5 cun proximal to the center of the superior edge of the patella.)
iii. Jie3 Mei4 San1 : This point lies 2.5 cun immediately proximal to Jie3 Mei4 Er4 •
Needle 1.5 to 3.0 cun. {Six Bowel and Kidney Branch Reaction Areas} (Ergo, Jie3
Mei4 San 1 is found 1 cun medial to the median plane (midsagittal plane) at a point
13 cun proximal to the center of the superior edge of the patella.)
• Gan Mao4 Yi 1 : This point lies 1.0 cun immediately medial to Jie 3 Mei4 Er4 • Needle 1.0
3
to 2.0 cun. {Six Bowels and Lung Branch Reaction Areas} (Jie3 Mei4 Er4 is found 1 cun
medial to the median plane (midsagittal plane) at a point 10.5 cun proximal to the center of
the superior edge of the patella.)
• Gan3 Mao4 Er4 : This point lies 1.0 cun immediately medial to Jie 3 Mei4 San 1• Needle
1.0 to 2.0 cun. {Six Bowels and Lung Branch Reaction Areas} (Jie3 Mei4 San 1 is found 1
cun medial to the median plane (midsagittal plane) at a point 13 cun proximal to the center
of the superior edge of the patella.)
• Ren2 Huan~: This point is located 3.5 cun proximal to the apex of (as viewed from
posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel; i.e. Ren 2
Huang 2 is located 0.5 cun proximal to Sp-6wHo. Needle 0.6 to 1.5 cun. {Kidney
Branch and Lung Branch Reaction Areas}
• CV-4WH0 (RN 4): On the lower abdomen and on the anterior midline, 3 cun below (inferior
to) the centre of the umbilicus.
• CV-3WH0 (RN 3): On the lower abdomen and on the anterior midline, 4 cun below (inferior
to) the centre of the umbilicus.
345
Spermatorrhea (LKC-4)
CV-4WHO
•
•
CV-3WHO
346
Spermatorrhea (MC-1)
1. DMG 77-12 'Lower Three Emperors', DMG 88-01 'Passing Through the Kidney Three
Needles', Shui3 Jin\ and Shui3 Tong1 (MC):
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huani: This point is found in the depression immediately distal to the
medial tibial condyle; it lies 2.5 cun distal to the articular surface of the medial tibial
condyle. Needle 0.5 to 1.0 cun - MOXA CONTRAINDICATED. {Kidney, Six
Bowels, and Heart Branch Reaction Areas}
n. Di4 Huani: This point is located 7 cun proximal to the medial malleolus along the
medial border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8 cun.
{Kidney Reaction Area}
iii. Ren2 Huani: This point is located 3 cun proximal to the medial malleolus along
the medial border of the tibia. Needle 0.6 to 1.2 cun. {Kidney Branch Reaction Area}
• DMG 88-01 'Passin,r Through the Kidney Three Needles':
i. Tong1 Shen : This point is located in the depression found at the superomedial
angle of the patella. Needle 0.3 to 0.5 cun. {Kidney Reaction Area}
ii. Tong1 Wei4 : This point is located 2.0 cun immediately proximal to Tong 1 Shen4.
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
iii. Tong1 Bei4 : This point is located 4.0 cun immediately proximal to Tong 1 Shen4 •
Needle 0.5 to 1.0 cun. {Kidney Reaction Area}
• Shui Jin1: This point is located 0.5 cun medial to Shue Tong 1• Needle obliquely from
3
medial to lateral 0.1 to 0.5 cun. {Kidney Reaction Area} (To locate this point, proceed to a
point 0.5 cun medial to Shue Tong 1 and 0.4 cun directly inferior to the extraoral labial-
cutaneous junction of the inferior lip.)
• Shui3 Tong1: This point is located 0.4 cun directly inferior to the extraorallabial-cutaneous
junction at the corner of the mouth. Needle obliquely from medial to lateral 0.1 to 0.5 cun.
{Kidney Reaction Area}
Spermatorrhea (MC-2)
1. DMG 77-12 'Lower Three Emperors' and DMG 11-20 'Finger Kidney Three Needles' (MC):
• DMG 77-12 'Lower Three Emperors':
i. Tian1 Huani: This point is found in the depression immediately distal to the
medial tibial condyle; it lies 2.5 cun distal to the articular surface of the medial tibial
condyle. Needle 0.5 to 1.0 cun - MOXA CONTRAINDICATED. {Kidney, Six
Bowels, and Heart Branch Reaction Areas}
ii. Di4 Huani: This point is located 7 cun proximal to the medial malleolus along the
medial border of the tibia. Needle inferior to superior at a 45° angle 1.0 to 1.8 cun.
{Kidney Reaction Area}
iii. Ren2 Huani: This point is located 3 cun proximal to the medial malleolus along
the medial border of the tibia. Needle 0.6 to 1.2 cun. {Kidney Branch Reaction Area}
• DMG 11-20 'Finger Kidney Three Needles':
i. Zhe Shen4 Er4: This point is located at the midpoint of the ulnar digit line on the
dorsal surface of the proximal phalanx of the ring finger. To determine the midpoint
of the ulnar digit line on the proximal phalanx, bisect the distance from the base of
the web between the 4th and 5th digits to the dorsal proximal interphalangeal skin
crease along the course of the said line (make a loose fist to accentuate the base of
the web between the 4th and 5th digits). Needle perpendicular 0.1 to 0.2 cun, closely
adjacent to the bone. {Liver Auxiliary and Kidney Auxiliary Reaction Areas}
ii. Zhe Shen4 Yi 1: To locate this point, bisect the distance from Zhi3 Shen4 Er4 to the
base of the web between the 4th and 5th digits along the course of the ulnar digit line
(make a loose fist to accentuate the base of the web between the 4th and 5th digits).
Needle perpendicular 0.1 to 0.2 cun, closely adjacent to the bone. {Liver Auxiliary
and Kidney Auxiliary Reaction Areas}
iii. Zhi3 Shen4 San1: To locate this point bisect the distance from Zhi3 Shen4 Er4 to the
dorsal proximal interphalangeal skin crease along the course of the ulnar digit line.
Needle perpendicular 0.1 to 0.2 cun, closely adjacent to the bone. {Liver Auxiliary
and Kidney Auxiliary Reaction Areas}
1. 'Let' from the medial malleolus to Tian1 Huang2 then needle Nei4 Yin 1, Chen2 Yin 1, and Ren2
Yan~ (LKC):
• Tian1 Huan~: This point is located 1.0 cun distal to Sp-9WH0 , on the medial aspect of the
proximal leg, between the medial border of the tibia and the medial head of the
gastrocnemius muscle. Needle 0.5 to 1.5 cun. MOXA CONTRAINDICATED. {Kidney, Six
Bowels, and Heart Branch Reaction Areas}
• Nei4 Yin 1: This point lies on the palmar surface of the distal phalanx of the 2nd digit, 0.25
cun distal and 0.4 cun lateral (radial) to the center of the distal interphalangeal skin crease.
Needle 0.2 to 0.3 cun. {Liver and Six Bowels Reaction Areas}
• Chen2 Yin1: This point lies on the proximal phalanx of the 2nd digit along anterior digit line
A, % of the distance from the metacarpophalangeal skin crease to the anterior proximal
interphalangeal skin crease. Needle 0.2 to 0.4 cun. {Heart Organ, Liver Branch, and Six
Bowels Reaction Areas}
• Ren2 Y an~: The point is located at the center of anterior digit line A, along the
demarcation of the anterior and posterior surfaces of the middle phalanx of the index finger.
To determine the exact center of anterior digit line A on the middle phalanx, bisect the
distance from the anterior proximal interphalangeal skin crease to the anterior distal
interphalangeal skin crease along the course of said line. Needle 0.2 to 0.3 cun. {Six
Bowels and Liver Organ Reaction Areas}
Anterior view of
RIGHT index finger.
1. 'Let' any visible veinules in the 'Reproductive Organ' region of the second phalanx of the
index finger, then needle DMG 11-03 'Finger Three Yang' and DMG 77-12 'Lower Three
Emperors' (LKC):
• DMG 11-03 'Finger Three Yang':
i. Ren2 Y an~: The point is located at the center of anterior digit line A, along the
demarcation of the anterior and posterior surfaces of the middle phalanx of the index
finger. To determine the exact center of anterior digit line A on the middle phalanx,
bisect the distance from the anterior proximal interphalangeal skin crease to the
anterior distal interphalangeal skin crease along the course of said line. Needle 0.2
to 0.3 cun. {Six Bowels and Liver Organ Reaction Areas}
ii. Tian1 Yang2 : To locate this point, simply bisect the distance from Ren2 Yang2 to
the anterior distal interphalangeal skin crease along the course of anterior digit line
A. Needle 0.2 to 0.3 cun. {Six Bowels and Liver Organ Reaction Areas}
iii. Di4 Y an~: To locate this point, simply bisect the distance from Ren2 Yang2 to the
anterior proximal interphalangeal skin crease along the course of anterior digit line
A. Needle 0.2 to 0.3 cun. {Six Bowels and Liver Organ Reaction Areas}
• DMG 77-12 'Lower Three Emperors':
i. Tian 1 Huang2 : This point is located 1.0 cun distal to Sp-9WH0 , on the medial aspect
of the proximal leg, between the medial border of the tibia and the medial head of
the gastrocnemius muscle. Needle 0.5 to 1.5 cun. {Kidney, Six Bowels, and Heart
Branch Reaction Areas}
ii. Ren2 Huan~: This point is located 3.5 cun proximal to the apex of (as viewed from
posterior to anterior) the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel; i.e.
Ren2 Huang2 is located 0.5 cun proximal to Sp-6WH0 • Needle 0.6 to 1.5 cun.
{Kidney Branch and Lung Branch Reaction Areas}
iii. Di4 Huang2: This point is located 4.0 cun immediately proximal to Ren2 Huang2 •
Needle 1.0 to 2.0 cun. {Kidney Reaction Area} (Di4 Huang2 is located 7.5 cun
proximal to the apex of (as viewed from posterior to anterior) the medial malleolus.)
351
'Reproductive Organ'
1. Needle Da4 Jian4, Xiao3 Jian4, Wai4 Jian\ and Fu2 Jian4 ; additionally, one may also 'let' the
'Malign-Blood' from Da4 Jian4, Xiao3 Jian\ Wai 4 Jian\ and Fu2 Jian4 - treat daily (HPC):
• Da4 Jian4 : This point is located on the anterior surface of the proximal phalanx of the index
finger, 0.3 cun radial (lateral) to the exact center of said phalanx. Needle 0.2 to 0.3 cun.
BILATERAL NEEDLING CONTRAINDICATED. {Heart Organ and Six Bowels Branch
Reaction Areas} (This point is located at the proximal-to-distal center of digit line B; to
locate the center of digit line B, simply bisect the distance from the anterior
metacarpophalangeal skin crease to the anterior proximal interphalangeal skin crease along
the course of digit line B.)
• Xiao3 Jian4 : This point is located 0.2 cun distal to Da4 Jian4 • Needle 0.2 to 0.3 cun.
BILATERAL NEEDLING CONTRAINDICATED. {Lung Branch, Heart Organ, and Six
Bowels Branch Reaction Areas}
• Wai4 Jian4 : This point is located on the anterior surface of the middle phalanx of the index
finger, 0.2 cun radial (lateral) to the median plane of said phalanx, and one third the
distance from the proximal interphalangeal skin crease to the distal interphalangeal skin
crease. Needle 0.2 cun. BILATERAL NEEDLING CONTRAINDICATED. {Heart Organ and
Six Bowels Branch Reaction Areas} (This point is located one third the distance from the
proximal interphalangeal skin crease to the distal interphalangeal skin crease, along the
course of digit line B.)
• Fu2 Jian4 : This point is located on the anterior surface of the middle phalanx of the index
finger, 0.2 cun radial (lateral) to the median plane of said phalanx, and two thirds the
distance from the proximal interphalangeal skin crease to the distal interphalangeal skin
crease. Needle 0.2 cun. BILATERAL NEEDLING CONTRAINDICATED. {Heart Organ and
Six Bowels Branch Reaction Areas} (This point is located two thirds the distance from the
proximal interphalangeal skin crease to the distal interphalangeal skin crease, along the
course of digit line B.)
1. DMG 11-03 'Finger Three Yang', Nei4 Yin\ and Chen2 Yin1 - retain the needles for 45
minutes (LKC):
• DMG 11-03 'Finger Three Yang':
i. Ren2 Yang2 : The point is located at the center of anterior digit line A, along the
demarcation of the anterior and posterior surfaces of the middle phalanx of the index
finger. To determine the exact center of anterior digit line A on the middle phalanx,
bisect the distance from the anterior proximal interphalangeal skin crease to the
anterior distal interphalangeal skin crease along the course of said line. Needle 0.2
to 0.3 cun. {Six Bowels and Liver Organ Reaction Areas}
ii. Tian1 Yan~: To locate this point, simply bisect the distance from Ren2 Y ang 2 to
the anterior distal interphalangeal skin crease along the course of anterior digit line
A. Needle 0.2 to 0.3 cun. {Six Bowels and Liver Organ Reaction Areas}
iii. Di4 Yang2 : To locate this point, simply bisect the distance from Ren2 Yang2 to the
anterior proximal interphalangeal skin crease along the course of anterior digit line
A. Needle 0.2 to 0.3 cun. {Six Bowels and Liver Organ Reaction Areas}
• Nei4 Yin1: This point lies on the palmar surface of the distal phalanx of the 2nd digit, 0.25
cun distal and 0.4 cun lateral (radial) to the center of the distal interphalangeal skin crease.
Needle 0.2 to 0.3 cun. {Liver and Six Bowels Reaction Areas}
• Chen2 Yin1: This point lies on the proximal phalanx of the 2nd digit along anterior digit line
A, % of the distance from the metacarpophalangeal skin crease to the anterior proximal
interphalangeal skin crease. Needle 0.2 to 0.4 cun. {Heart Organ, Liver Branch, and Six
Bowels Reaction Areas}
Anterior view of
RIGHT index finger.
日
D MG LCLN
αcKK
p3nra ec3
叫
Chen2 Yin' [沈隐穴 :NA]
H沪 OOn6zi
1 · piw
223
LKC: 277 , 291 , 314, 318 , 336, 349 , 354.
CV_3 WHO
LKC: 282 , 285 , 298 , 300, 324, 326, 342, 343 ,
344. DMG 11-14 ‘ Finger Bone Three Needles'
MC: 275. CCC: 214.
Di4 Huang 2 [地皇穴: 77.19] DMG22 -05 ‘ Control the Spine Three Needles'
CCC: 54, 132, 198, 204.
CCC: 2, 26 , 54, 83 , 90, 106, 132, 159, 163 ,
172, 192 , 278 , 294, 320, 338.
DMG22-06 ‘ Control Three Needles'
lIPC: 8 , 25 , 45 , 46, 58 , 72, 84,邸, 136, 152,
CCC: 100, 116.
177 , 178, 185 , 210 , 212 , 224 , 235 ,
236 , 243 , 260 , 280, 293 , 310, 319, 337. DMG33 -05 ‘ Hold Li ver Spirit Three Needles'
LCH: 6, 9, 37 , 41 , 62 , 73 , 85 , 119, 138, 196, CCC: 100, 200, 206.
219 , 244, 281 , 296, 306, 322, 340.
LKC: 4, 11 , 49 , 66, 67 , 75 , 144, 145 , 156, DMG 33-06 ‘ Hold Lumbar Spirit Three Needles'
166, 170, 181 , 189, 194, 202 , 208 , 221 , CCC: 102.
226 , 247 , 265 , 284 , 285 , 297 , 300, 304,
311 , 313 , 323 , 326, 330, 335 , 341 , 342, DMG 33-09 ‘ Posterior Antβbrachial Scholar Three
350. Needles'
MC: 15 , 34,毡, 81 , 87 , 113 , 158, 191 , 232, CCC: 116.
253 , 269 , 275 , 286, 287 , 301 , 302, 315 ,
358
DMG33-10 ‘ Hold Three This' LKC: 270, 282 , 298 , 324, 344.
CCC: 26, 240.
DMG 1111 -02 'Three Branches Three Needl白'
DMG33-11 ‘ Hold 币rree Fires' LKC: 4, 194.
CCC: 116, 198 , 204.
Er 2 Jiao 3 Ming 2 [二角明穴: 11. 12]
DMG 33-13 ‘ Bowel Division Three Needles' LCH: 125 , 13 1.
lIPC: 56, 134, 152, 260.
Er4 Zhong4 [二重穴: 77.06]
DMG44-09 ‘白rree Spirits Three Needles' LKC: 38 , 330.
CCC: 2, 102, 192, 278 , 294 , 320, 338.
LKC: 4, 68 , 146, 156, 194, 305. Fei4 Xi n 1 Er2 [肺心二穴: ref. 11. 11]
CCC: 224.
DMG 77-05 'Three Weights Three Needles'
LKC: 38, 330. Fei 4 Xin 1 San 1 [肺心三穴: ref. 11. 11]
CCC: 224.
DMG77-08 ‘ Straight Brain Three Needles'
CCC: 16.
Fei 4 Xin 1 Yi 1 [肺心一穴: ref. 11. 11]
DMG 77-09 'Leg Spine Three Needles' CCC: 224.
CCC: 123, 128.
LKC: 23 , 176, 218. Fen 1 Shui3 Er4 [分水二穴 :NA]
LKC: 166, 170.
DMG 77-12 ‘ Lower Three Emperors'
CCC: 2, 26 , 54, 83 , 90, 106, 132, 159, 163 , Fen 1 Shui 3 San 1 [分水三穴: NA]
172, 192, 278 , 294, 320, 338. LKC: 166, 170.
lIPC: 8, 46 , 72, 84,邸, 178 , 210, 212 , 224,
235 , 236 , 243 , 310. Fen 1 Shui 3 Yi 1 [分水一穴 :NA]
LCH: 6, 9, 37 , 41 , 62 , 73 , 85 , 119, 138, 196, LKC: 166, 170.
219, 244, 281 , 296, 306, 322, 340.
LKC: 4 , 11 , 49 , 66 , 67 , 75 , 144, 145 , 156, 166, Fen 1 Zhi 1 Shang4 [分枝上穴: DT.Ol]
170, 181 , 189, 194, 202 , 208 , 221 , 226, LCH: 10, 36, 73 , 220, 245 , 257.
247 , 284, 265 , 285 , 297, 3∞, 304, 311 , LKC: 4 , 74, 86, 194, 225 , 246 , 258 , 270.
313 , 323 , 326, 330, 335 , 341 , 342, 350. MC: 80, 81 , 231 , 232 , 252.
MC: 15 , 42 , 81 , 87 , 158, 232, 253 , 269 , 275 ,
286, 287 , 301 , 302, 315, 327 , 328, 346, Fen 1 Zhi 1 Xia4 [分枝下穴: DT.02]
347. LCH: 10, 36, 73, 220, 245 , 257.
LKC: 4, 194, 270.
DMG88-01 ‘ Passing Through the Ki dney 3 Needles' MC: 80, 81 , 231 , 232, 252.
CCC: 26,饵, 106, 132, 2∞, 206, 278 , 294 ,
320, 338. Fen 1 Zhi 1 Zhong 1 [分枝中穴: NA]
LCH: 6, 17 , 37 , 41 , 61 , 92 , 95 , 118 , 140, 196, LKC: 4, 74, 86, 194, 225 , 246 , 258.
281 , 296, 322, 340.
LKC: 31 , 216. Feng4 Chao 2 [凰巢穴 :NA]
MC: 15 ,钮, 70, 78 , 148, 229 , 250, 269, 286, LCH: 187.
301 , 327 , 346.
Fu3 Chao2 Er4 Shi2 San 1 [腑巢二十三穴: VT.05]
DMG 88-03 'Thigh Team of Four Horses' LCH: 64 , 131 , 14 1.
CCC: 104.
LKC: 270. Fu 3 Ge 2 Er4 [腑格二穴: NA]
HPC: 56, 134, 152, 260.
DMG 88-07 ‘ Upper Three Yellow'
CCC: 22 , 175 , 217. Fu 3 Ge2 San 1 [腑格三穴: NA]
LKC: 23 , 176, 218 , 270. lIPC: 56, 134, 152, 260.
DMG 88-10 'Three Sisters 咀rree Needles'
359
Fu3 Ge2 Yi' [腑格一穴:NA] LKC: 49 , 181 , 189.
HPC: 56, 134, 152, 260.
Huan2 Chao2 [遣巢穴: 11.06]
Fu2 Jian4 [浮阔: 11.03] LCH: 187.
HPC: 333, 352. LKC: 12, 222 , 266.
LCH: 244.
LKC: 288, 290, 31 1. Huo 3 Chuan 4 [火串穴: 33.04]
MC: 238, 254. CCC: 116, 198, 204.
Fu4 Yuan 2 Er4 [徨原二穴: ref. 11.22] Huo3 San4 [火散穴: 66.10]
CCC: 214. LCH: 18, 92, 98, 119, 122.
Fu 4 Yuan2 San' [徨原三穴: ref. 11. 22] Huo 3 Shan 1 [火山穴: 33.06]
CCC: 214. CCC: 116 , 198 , 204.
Fu4 Yuan 2 Yi ' [徨原一穴: ref. 11.22] Huo3 Ying4 [火硬穴: 66.03]
CCC: 214. HPC: 坷, 136, 160, 164, 168.
LCH: 10, 220.
Gan' Ling 2 Er4 [肝重二穴 :NA]
CCC: 1 ∞, 2∞, 206. Huo 3 Zhu 3 [火主穴: 66.04]
LCH: 237.
Gan 1 Ling2 San 1 [肝重三穴:NA] LKC: 48 , 180, 188.
CCC: 1∞, 2∞, 206. MC: 239.
Mu 4 Fu 4 [术捕穴: 66.02] San 1 Cha 1 San 1 [三叉三穴: ref. A.04 Dr. Yang's book]
MC: 51 , 183. LKC: 166, 170, 202, 208.
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