Needle Cautions, Vasculature, and Innervations

LU5

Radial reccurent artery and cephalic vein

Ren1

Contraindicated in classical texts (no needling)

Ren8 (naval)

Moxa Only

Ren9

Contraindicated d/t water illnesses

HT2

No needling (seen in classical texts) and also due to brachial artery

ST17 (nipple)

No needling or moxa

LV12

femoral artery (no needling, moxa only)

Du21-22

No needling in children or infants who's fontanels have not closed

SJ8

Contraindicated in classical texts (no needling)

Du10-11, 17 and 24

Contraindicated in classical texts (no needling)

UB1

Insert slowly with no manipulation due to location

ST1

Insert slowly with no manipulation due to location (be sure to move eyeball out of the way)

ST2

infraorbital nerve and vein

SJ22

Temporal artery

SJ19

Auricular artery and vein

Watch out for bleeding

ST5

Facial artery and vein

SI17

Carotid artery and vein

LI17-18

Carotid artery & jugular vein

ST9-10

Carotid artery

HT1

axillary artery

PC3

Brachial artery and vein

LU7

cephalic vein

LU7-LU9

radial artery and vein

PC7

Median nerve

Ht7

Ulnar nerve and ulnar artery

SI8

Ulnar nerve

ST12

transverse cervical artery

ST12-13

subclavian vessels

SP12 (if aiming laterally)

Femoral nerve

SP11-SP12 (if aiming medially)

Femoral artery

UB40

popliteal artery and vein

ST41

Anterior tibial vessels

ST42

dorsal pedis artery

GB3

No deep needling

SI19, GB2

Needle with mouth open

SJ17

perpendicular needling only

Du15-16

Brain

Du3-16

Spinal canal (lies 1.25-1.75 cun deep)

GB20 (if directed deep and medial towards spine)

Spinal cord

ST19, Ren14, Ren15 (if directed upwards)

Enlarged Heart

UB22, 23, 51-52

Kidneys

Ren2-4, KD11-13, ST28-30

Full bladder

SP15-16, LV13 (for SP15 this organ would have to be very enlarged)

Enlarged spleen

ST19-21, KD21-22 (right side)

Liver

SP15, LV13, Ren14

Enlarged Liver

ST30 (if angled inferiorly)

Spermatic cord

ST20-30, SP13-16, KD14-21

Peritoneal Cavity

GB39

Fibula

LU1-2

Pneumothorax

LI16

Pneumothorax

ST11-16, ST18

Pneumothorax

HT1

Pneumothorax

LV14

Pneumothorax

KD22-27

Pneumothorax

PC1

Pneumothorax

SP17-21

Pneumothorax

GB21-24

Pneumothorax

UB11-21

Pneumothorax

UB41-50

Pneumothorax

SI12-15

Pneumothorax

SJ15

Pneumothorax

GB21

Pneumothorax

Which of these points has a caution for pneumothorax- ST 12 or SJ15?

SJ15

Which point is cautioned due to the location of the transverse cervical artery, ST12 of SI17 ?

ST12

Which point does Deadman contraindicate during pregnancy that CAM does not?

Ren1

What is a needling caution for ST2?

Deep insertion along the foramen may injure the eyeball

Deep insertion at ST11 may puncture the

subclavian vein

Caution for needling LU5

Cubital Vein

Deep needling of ST20 may

puncture an enlarged liver

When needling Lu7, avoid the

cephalic vein

Deep insertion at ST19 may injure

an enlarged heart or liver

LI5

Cephalic Vein

Which group of points has the caution that deep needling may injure the peritoneal cavity in thin patients?

ST20-ST30

Deep insertion in a superior direction at ST30 may

penetrate a full bladder

Deep needling of ST21 may penetrate

an enlarged liver