EXTRA POINTS - HEAD...On the veins on both sides of the frenulum of the tongue, Jinjin is on the...

EXTRA POINTS - HEAD

POINT NAME INDICATIONS N P

HEAD

TAI YANG 太陽 Supreme Yang In the depression about 1 cun posterior to the midpoint between the lateral end of the eyebrow and the outer canthus ● ■ Headache, eye diseases, deviation of the eyes and mouth

YIN TANG 印堂 Hall of Impression Midway between the medial ends of the two eyebrows ● ■ Headache, head heaviness, epistaxis, rhinorrhea, infantile convulsion, frontal headache, insomnia

ER JIAN 耳尖 Ear Apex Fold the auricle, the point is at the apex of the auricle ● ■ Redness, swelling and pain of the eyes, febrile disease, nebula

YU YAO 魚腰 Fish's Waist At the midpoint of the eyebrow

● ■ Pain in the supraorbital region, twitching of the eyelids, ptosis, cloudiness of the cornea, redness, swelling and pain of the eyes

SI SHEN CONG 四神總 Four Alert Spirit A group of 4 points, at the vertex, 1 cun respectively posterior, anterior and lateral to DU20 ● ■ Headache, vertigo, insomnia, poor memory, epilepsy

QIU HOU 球後 Behind the Ball At the junction of the lateral 1/4 and the medial 3/4 of the infraorbital margin ● ■ Eye diseases

JIA CHENG JIANG 夾承漿 Adjacent to RN24 1 cun lateral to RN24 ● ■ Pain in the face, deviation of the eyes and mouth, spasm of facial muscle

JIN JIN & YU YE 金津玉液 Golden Fluid Jade Humor On the veins on both sides of the frenulum of the tongue, Jinjin is on the left, Yuye, on the right. ● ■ Swelling of the tongue, vomiting, aphasia with stiffness of tongue

BI TONG = Shang Ying Xiang 鼻通 Nose Passage At the highest point of the nasolabial groove ● ■ Rhinitis, nasal obstruction, nasal boils

QIAN ZHENG 牽正 Pull Aright 0.5‐1.0 cun anterior to the auricular lobe ● ■ Deviation of the eyes and mouth, ulceration on tongue and mouth

YI MING 翳明 Shielding Brightness 1 cun posterior to SJ17 ● ■ Eye diseases, tinnitus, insomnia

AN MIAN 安眠 Peaceful Sleep Midpoint between SJ17 and GB20 ● ■ Insomnia, vertigo, headache, palpitation, mental disorders

HAI QUAN 海泉 Sea Spring In the center of the frenulum of the tongue between Jinjin and Yuye

● ■ Heaviness, swelling and pain of the tongue, lotus flower tongue in children, facial paralysis; Wasting and thirsting disorder, vomiting, abdominal pain, diarrhea, hiccup

SHANG LIAN QUAN 上廉泉 Upper Ridge Spring 1 cun below the midpoint of the lower jaw, in the depression between the hyoid bone and the lower border of the jaw ● Alalia, salivation with stiff tongue, sore throat, difficulty in swallowing, loss of voice

JU QUAN 聚泉 Gathering Spring In the depression about the centre of the median raphe of the dorsum linguae ● Stiff tongue, flaccid tongue, with aphasia, diabetes, asthma, cough, hypogeusia

DANG YANG 當陽 Must Yang With the patient looking straight ahead, vertically above the pupil, 1 cun above the anterior hairline ● Headache, dizziness, common cold, redness, swelling and pain of the eye, mental disorder

NEI YING XIANG 內迎香 Inner Welcome Fragrance

In the nasal cavity, at the junction of the nasal bone and the nasal cartilage. This point lies ‘opposite’ the external point, Bitong (or Shangyingxiang) ● Conjunctival congestion and swelling of the eyes, rhinopathy, inflammation of the throat, fever, heatstroke, dizziness.

SHANG MING 上明 Upper Brightness

Directly below the midpoint of the arch of the eyebrow, just under the superior border of the orbit. Below Yuyao. ■

Disorders of the eyelids, pterygium, vision issues, optic nerve atrophy, glaucoma

EXTRA POINTS Page 1

HB Kim, www.AcupunctureMedia.com

Location Indications

Anmian Midway between TB17 and GB20 insomnia, vertigo, headache, palpitations, mental illness, hysteria

Anmian #1 Midway between TB17 (Yifeng) and Yiming insomnia, psychosis, migraine, vertigo, tinnitus

Anmian #2 Midway between GB20 (Fengchi) and Yiming insomnia, psychosis, palpitations, hypertension, hysteria

TB17Posterior to the lobule of the ear, in the depression between the mandible and mastoid process

Anmian #1 Midway between TB17 (Yifeng) and YimingYiming 1 cun posterior to TB17Anmian #2 Midway between GB20 (Fengchi) and Yiming

GB20In the depression between the upper portion of m. SCM and m. trapezius, on the same level with DU16

Anmian Midway between TB17 and GB20

GB12In the depression posterior and inferior to the mastoid process

EXTRA POINTS Page 2


Match the Extra point to the correct Location.

Anmian ■ □ Midway between TB17 and Yiming

Anmian #1 ■ □ Midway between GB20 and Yiming

Anmian #2 ■ □ Midway between TB17 and GB20

What is the location of Si Shen Cong (Four Alert Spirit)?

A. A group of 4 points, at the vertex, 0.5 cun respectively posterior, anterior and lateral to DU20

B. A group of 4 points, at the vertex, 1 cun respectively posterior, anterior and lateral to DU20

C. A group of 4 points, at the vertex, 1.5 cun respectively posterior, anterior and lateral to DU20

D. A group of 4 points, at the vertex, 2 cun respectively posterior, anterior and lateral to DU20

EXTRA POINTS Page 3



Shang Ming ■ □ 1 cun posterior to SJ17

Yu Yao ■ □ Directly below the midpoint of the arch of the eyebrow, just under the superior border of the orbit

Qiu Hou ■ □ At the midpoint of the eyebrow

Yi Ming ■ □ At the junction of the lateral 1/4 and the medial 3/4 of the infraorbital margin

EXTRA POINTS Page 4



LI20 ■ □ In the nasolabial groove, at the level of the midpoint of the lateral border of the ala nasi

Nei Ying Xiang ■ □ At the highest point of the nasolabial groove

Shang Ying Xiang ■ □ In the nasal cavity, at the junction of the nasal bone and the nasal cartilage. This point lies ‘opposite’ the external point, Bitong

EXTRA POINTS Page 5



Ju Quan ■ □ In the center of the frenulum of the tongue between Jinjin and Yuye

Jin Jin, Yu Ye ■ □ On the veins on both sides of the frenulum of the tongue

Hai Quan ■ □ In the depression about the centre of the median raphe of the dorsum linguae

What is Dysarthria?

Dysarthria is a condition in which the muscles you use for speech are weak or you have difficulty

controlling them. Dysarthria often is characterized by slurred or slow speech that can be difficult to

understand.

Common causes of dysarthria include nervous system (neurological) disorders such as stroke, brain

injury, brain tumors, and conditions that cause facial paralysis or tongue or throat muscle weakness.

Certain medications also can cause dysarthria.

EXTRA POINTS Page 6


EXTRA POINTS - TRUNK


TRUNK

DING CHUAN 定喘 Calm Dyspnea 0.5 cun lateral to DU14 ● ■ Asthma, cough, neck rigidity, pain in the shoulder and back, rubella

HUA TUO JIA JI 華佗夾脊 Huatuo's Paravertebral Points

A group of 34 points on both sides of the spinal column, 0.5 cun lateral to the lower border of each spinous process from the first thoracic vertebrae to the fifth lumbar vertebra ● ■ T1‐3 (Diseases in the upper limbs),T1‐8 (chest region), T6‐L5 (abdominal region), L1‐5 (lower limbs)

BAI LAO (頸)百勞 Hundred Taxations 2 cun above DU14, 1 cun lateral to the midline ● ■ Scrofula, cough, asthma, whooping cough, neck rigidity

WEI GUAN XIA SHU 胃管下兪 Pancreas Hollow 1.5 cun lateral to the lower border of the spinous process of the eighth thoracic vertebra ● ■ Diabetes, vomiting, abdominal pain, pain in the chest and hypochondriac region

SHI QI ZHUI (XIA) 十七椎下 Below the 17th Vertebra Below the spinous process of the fifth lumbar vertebra ● ■ Lumbar pain, thigh pain, paralysis of the lower extremities, irregular menstruation, dysmenorhea

PI GEN 痞根 Root of Glomus 3.5 cun lateral to the lower border of the spinous process of the first lumbar vertebra ● ■ Hepatosplenomegaly, lumbar pain

YAO YAN 要眼 Lumbar eye About 3.5 cun lateral to the lower border of the spinous process of the fourth lumbar vertebra. The point is in the depression appearing in prone position. ● ■ Lumbar pain, frequency of urine, irregular menstruation

ZI GONG (XUE) 子宮 Uterus 3 cun lateral to RN3 ● ■ Prolapse of the uterus, irregular menstruation

JIAN QIAN = Jian Nei Ling 肩前 Shoulder Inner Mound Midway between the end of the anterior axillary fold and LI15 ● ■ Pain in the shoulder and arm, paralysis of the upper extremities

TI TUO 提托 Lift and Support On the lower abdomen, 4cun lateral to the midline, level with RN4 ● ■ Prolapse of uterus, painful periods, abdominal pain, abdominal masses, myoma

SAN JIAO JIU = Qi Pang 三角灸 (臍旁)Triangle Moxibustion(Umbilicus Neighbor)

Three points of the triangle. Construct an equi‐lateral triangle of which the apex is the umbilicus (RN8), and the sides are equal to the length of the patient's smile. ● ■ Chronic diarrhea, abdominal pain, pain around the umbilicus, shan disorder, running piglet qi arising from the umbilicus

HUAN MEN 患門 Gate of Suffering 1.5 cun lateral to the prominence of the spinous process of the fifth thoracic vertebra (T5)

■ The five taxations and the seven injuries, steaming bone disorder, tidal fever, night sweating, agitation and heat, poor appetite, heaviness of the limbs, fatigue, lack of strength, cough, dyspnea

JING BI 頸臂 Neck Arm 1 cun superior to the junction of the proximal and middle third of the clavicle

■ Paraesthesia and paralysis of the upper extremity

JIE HE XUE 結核穴 Tuberculosis Point 3.5 cun lateral to the lower border of the spinous process of the 7th cervical vertebra (C7)

■ Pulmonary tuberculosis

YAO QI 腰奇 Lumbar Extra 2 cun directly above the tip of the coccyx Epilepsy, headache, insomnia, constipation

JING ZHONG 經中 Middle of Periods On the lower abdomen, 3cun from the midline, level with RN6 Irregular periods, midcycle bleeding

JING GONG 精宮 Palace of Essence On the back, 0.5 cun lateral to the point UB52 Infertility

QI MEN 氣門 Door of Qi On the lower abdomen, 3cun from the midline, level with RN4 Infertility, heavy periods

EXTRA POINTS Page 7


Zi Gong Xue is located _______ lateral to _______.

A. 3 cun, RN3

B. 3 cun, RN4

C. 4 cun, RN3

D. 4 cun, RN4

Ti Tuo is located _______ lateral to _______.

A. 3 cun, RN3

B. 3 cun, RN4

C. 4 cun, RN3

D. 4 cun, RN4

Which of the following points is located at upper apex of San Jiao Jiu?

A. RN14

B. RN12

C. RN8

D. RN4

E. DU4

EXTRA POINTS Page 8



UB15 ■ □ 3 cun lateral to the DU channel, at the level of the lower border of the spinous process of the 4th thoracic vertebrae

UB43 ■ □ 1.5 cun lateral to the DU channel, at the level of the lower border of the spinous process of thess 5th thoracic vertebra

Huan Men ■ □ 1.5 cun lateral to the prominence of the spinous process of the fifth thoracic vertebra (T5)

Jing Bai Lao is located _______ above DU14, _______ lateral to the midline.

A. 1 cun, 1 cun

B. 2 cun, 2 cun

C. 1 cun, 2 cun

D. 2 cun, 1 cun

EXTRA POINTS Page 9


Which of the following point is located 3.5 cun lateral to the lower border of the spinous process of the

7th cervical vertebra?

A. Jing Bi

B. Jie He Xue

C. Pi Gen

D. Jing Gong

E. Yao Yan

Handbook p.157 / Minibook p.177

EXTRA POINTS Page 10


EXTRA POINTS - ARM


ARM

SHI XUAN 十宣 Ten Diffusions On the tips of the ten fingers, about 0.1 cun distal to the nails ● ■ Apoplexy, coma, epilepsy, high fever, acute tonsillitis, infantile convulsion, numbness of the finger tips

SI FENG 四縫 Four Seams On the palmar surface, in the midpoint of the transverse crease of the proximal interphalangeal joints of the index, middle, ring and little fingers ● ■ Malnutrition and indigestion syndrome in children, whooping cough

ZHONG KUI 中魁 Central Boss On the midpoint of the proximal interphalangeal joint of the middle finger at dorsum aspect ● ■ Nausea, vomiting, hiccup

BA XIE 八邪 Eight Pathogens On the dorsum of the hand, at the junction of the white and red skin of the hand webs, eight in all, making a loose fist to locate the points ● ■ Excessive heat, finger numbness, spasm and swelling of the dorsum of the hand

LUO ZHEN = WAI LAO GONG 落枕外勞宮

Stiff Neck Outer Labor Palace

On the dorsum of the hand, between the second and third metacarpal bones, about 0.5 cun posterior to metacarpophalangeal joint / On the dorsum and opposite to PC8 (Laogong) ● ■ Sore neck, pain in the shoulder and arm

YAO TONG XUE 腰痛穴 Lumbar Pain

On the dorsum of the hand, midway between the transverse wrist crease and metacarpophalangeal joint, between the second and third metacarpal bones, and between the fourth and fifth metacarpal bones, four points in all on both hands. ● ■ Acute lumbar sprain

ER BAI 二白 Two Whites On the metacarpal aspect of the forearm, 4 cun above the transverse wrist crease, on the both sides of the tendon of m. flexor carpi radialis, two points on one hand ● ■ Hemorrhoids, prolapse of the rectum

BI ZHONG 臂中 Central Arm On the lateral aspect of the forearm, midway between the transverse wrist crease and elbow crease, between the radius and the ulna ● ■ Paralysis, spasm and contracture of the upper extremities, pain of the forearm

ZHOU JIAN 肘尖 Tip of the elbow On the tip of the ulnar olecranon when the elbow is flexed ● ■ Scrofula

DA GU KONG 大骨空 Large Bone Hole On the dorsal crease of the thumb, at the center of the interphalangeal joint ● Ophthalmalgia, nebula, optic atrophy, vomiting with diarrhea, epistaxis

XIAO GU KONG 小骨空 Small Bone Hole On the dorsal crease of the little finger, at the center of the proximal interphalangeal joint ● Redness, swelling and pain of the eyes, nebula, and sore throat

ZHONG QUAN 中泉 Central Spring In the depression between LI5 and SJ4

■ Stuffy chest, gastric pain, spitting of blood



Da Gu Kong is located on the dorsal crease of the _________, center of the interphalangeal joint.

A. Thumb

B. Index finger

C. Ring finger

D. Pinky finger

Si Feng

Da Gu Kong

Xiao Gu Kong

Xiao Gu Kong is located on the dorsal crease of the _________, center of the proximal interphalangeal

joint.

A. Thumb

B. Pointer finger

C. Middle finger

D. Little finger




Ba Xie ■ □ On the dorsum of the hand, at the junction of the white and red skin of the hand webs, eight in all, making a loose fist to locate the points

Ba Feng ■ □ On the dorsum of foot, in the depressions on the webs between toes, proximal to the margins of the webs, eight points in all


Shi Xuan ■ □ On the tips of the 10 toes

Qi Duan ■ □ On the tips of the ten fingers, about 0.1 cun distal to the nails



EXTRA POINTS - LEG


LEG

HUAN ZHONG 環中 Central round Midway between GB30 and DU2 ● ■ Lumbar pain, thigh pain

BAI CHONG WO 百蟲窩 Shelter of Hundred insects 1 cun above SP10 ● ■ Rubella, eczema, gastrointestinal parasitic diseases

XI YAN = Nei Xi Yan (內)膝眼 Knee eye A pair of points in the two depressions, medial and lateral to the patellar ligament, locating the point with the knee flexed. These two points are also termed medial and lateral Xiyan respectively. Lateral Xiyan overlaps with ST35. ● ■ Knee pain, weakness of the lower extremities

LAN WEI XUE 闌尾穴 Appendix point The tender spot about 2 cun below ST36 ● ■ Acute and chronic appendicitis, indigestion, paralysis of the lower extremities

HE DING 鶴頂 Crane's summit In the depression of the midpoint of the superior patellar border ● ■ Knee pain, weakness of the foot and leg, paralysis

DAN NANG XUE 膽囊穴 Gallbladder point The tender spot 1‐2 cun below GB34

● ■ Acute and chronic cholecystitis, cholelithiasis, biliary ascariasis, muscular atrophy and numbness of the lower extremities

BA FENG 八風 Eight Pathogens On the dorsum of foot, in the depressions on the webs between toes, proximal to the margins of the webs, eight points in all ● ■ Beriberi, toe pain, redness and swelling of the dorsum of the foot

KUAN GU 髖骨 Leg Bone A pair of points, 1.5 cun lateral and medial to ST34 (liangqiu) ● Pain in the lower extremities, rheumatic arthritis, rheumatoid arthritis, and paraparesis

NEI HUAI JIAN 內踝尖 Medial Malleolus Tip At the highest point of medial malleolus ● Beriberi, toothache, and sore throat

WAI HUAI JIAN 外踝尖 Lateral Malleolus Tip At the highest point of lateral malleolus ● Beriberi, toothache, and tonsillitis

QI DUAN 氣端 Qi Ends On the tips of the 10 toes ● Syncope, oedema of the feet, acute abdominal pain

LI NEI TING 里內庭 Plantar Inner Courtyard On the plantar aspect of the foot, between the 2nd and 3rd metatarsal bones; opposite to ST44 (neiting)

■ Acute epigastric pain, local pain, epilepsy, restlessness

DU YIN 獨陰 Lonely Yin On the plantar side of the 2nd toe, at the midpoint of the stria of distal toe knuckle

■ Dystocia, irregular menstruation, abdominal pain, vomiting, and pain in the chest and hypochondriac regions

*Reference: Handbook pp.186‐190, Minibook pp.149‐154




Lan Wei Xue ■ □ The tender spot about 2 cun below ST36

Dan Nang Xue ■ □ The tender spot 1‐2 cun below GB34


ST44 ■ □ On the plantar aspect of the foot, between the 2nd and 3rd

metatarsal bones

Li Nei Ting ■ □ Proximal to the web margin between 2nd and 3rd toes, in the

depression distal and lateral to the 2nd metatarsodigital joint




Wai Huai Jian ■ □ At the highest point of medial malleolus

Nei Huai Jian ■ □ At the highest point of lateral malleolus



Which of the following point is used for difficulty labor (dystocia) or placental retention?

A. Kuan Gu

B. Qi Duan

C. Du Yin

D. Li Nei Ting

Match the Extra point to the correct indications.

Bai Chong Wo ■ □ Acute and chronic appendicitis

Kuan Gu ■ □ Acute and chronic cholecystitis, cholelithiasis, biliary ascariasis

Dan Nang Xue ■ □ Pain in the lower extremities, rheumatoid arthritis, and paraparesis

Lan Wei Xue ■ □ Rubella, eczema, gastrointestinal parasitic diseases



Match the Extra point to the Alternative names.

Bi Tong ■ □ Shang Ying Xiang

Bai Lao ■ □ Jing Bai Lao

Shi Qi Zhui ■ □ Shi Qi Zhu Xia / Shi Qi Zhu Xue

Zi Gong ■ □ Zi Gong Xue

Jian Qian ■ □ Jian Nei Ling

San Jiao Jiu ■ □ Qi Pang

Luo Zhen ■ □ Wai Lao Gong

Xi Yan ■ □ Nei Xi Yan



EXTRA POINTS - HEAD...On the veins on both sides of the frenulum of the tongue, Jinjin is on the...

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