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Acupuncture Points and Meridians 1

III.

A.

Weekend 3 Introduction

Powerpoint: Clinical Acupuncture Theory - Online Class # 215 Intro to Points & Meridians
B.

Points Overview
1.

Locations
a)

2.

3.

4.

Needle Depths
a)

Generally 0.25-1.0 inch (cun)

b)

Exceptions will be noted

Needle Directions
a)

Usually perpendicular to the skin

b)

Exceptions will be noted

Indications
a)

5.

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Individual uses for the points: i.e. headaches

Actions
a)

C.

Often Located in Hollows/Natural depressions in the body

Energetic uses for the points: i.e. clears heat

Body Measurements and General Point Location


1.

Measurement Illustrations taken from: The Manual of Acupuncture by Peter


Deadman and Mazin Al-Khafaji with Kevin Baker

2.

The Cun / Personal Inch

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1994 - 2013 James Ventresca AcuPractice Seminars - www.AcuPracticeSeminars.com


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D.

Basic Material for Point Usage

Powerpoint: Clinical Acupuncture Theory - Online Class #215 Intro Points & Meridians
1.

Clinical Applications

2.

Actions & Indications

3.

Point Categories
a)

b)

c)

Front Mu /Alarm
(1)

Treat the Organ

(2)

Yin Aspect

Back Shu /Associated


(1)

Treat the Organ

(2)

Yang Aspect

Yuan Source
(1)

d)

e)

Horary
(1)

Element Point that matches the Organ i.e. Fire Point of the Heart

(2)

Treat the Organ

(3)

Especially associated with the Horary Cycle

Luo /Connecting
(1)

f)

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Connects Husband/Wife Meridians

Xi Cleft /Accumulation
(1)

g)

Treat the Yuan/Jing Level of the Organ

Pain along the Meridian

5 Element/Command
(1)

Wood/Mu

(2)

Fire/Huo

(3)

Earth/Tu

(4)

Metal/Jin

(5)

Water/Shui

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h)

Tonification / Mother (previous 5-element Sheng cycle point)


(1)

i)

Sedation / Son (subsequent 5-element Sheng cycle point)


(1)

j)

i.e. Wood Point of the Heart

i.e. Earth Point of the Heart

Transport (Shu Points)


(1)

In order from distal end to the elbow/knee

(2)

The flow of Qi from the extremities to the elbows/knees is


flourishing (Nei Jing)

(3)

Jing-Well aka Ting or Tsing

(a)
(4)

Ying-Spring

(5)

Shu-Stream

(a)

Used with Jing-well for TM tx.

(6)

Jing-River

(7)

He-Sea

(a)

k)

TM Meridian Clearing

Lower He-Sea

(i)

LI St37

(ii)

SI St39

(iii)

SJ UB39

Ah Shi Points
(1)

Locally Tender Points

(2)

Use established points whenever possible

(3)

Locate carefullyMeridian Pathway Overview

Powerpoint: Clinical Acupuncture Theory - Online Class #215 Intro Points & Meridians
Powerpoint: Clinical Acupuncture Theory - Online Class # 216 Meridian Pathways
Importance or Meridian Pathways in Diagnosis and Treatment

1994 - 2013 James Ventresca AcuPractice Seminars - www.AcuPracticeSeminars.com


72

E.

Du Meridian Governing Vessel


1.

73

The pathway of the Du Meridian runs from the perineum, up through the middle
of the spine over the head and ending at the upper lip. All its points are on the
posterior midline of the body. It is also the most Yang meridian on the body.
Since Yang Meridians are often used to treat disorders along the pathway of
the meridian, the Du is important, for treating any and all disorders of the back
and specifically the spine.

1994-2013 James Ventresca AcuPractice Seminars - www.AcuPracticeSeminars.com

2.
Point
Name

Location

Du 1:

Midway between the tip of the


coccyx and the anus, locating
the point in prone position.
On the hiatus of the sacrum.

Du 2:
Du 4:

Du 8

Du 14:
Du 20:

Du 25:
Du 26

Main Uses

Hemorrhoids; Rectal or Other Prolapse; Rectal


Bleeding
Sacral and Coccyx Pain

In the deepest hollow in the low Controlling Point for Lower Back and KD:
back. Below the spinous
process of the 2nd lumbar
All Lower Back Problems, Especially
vertebrae.
Weakness; Any Kidney Deficiency
In the depression below the
Tightness in tendons, muscle spasms. All Liver
th
spinous process of the 9
Disorders
thoracic vertebrae. Level with
UB 18
Below the spinous process of Controlling Point for Neck & Upper Back: Pain,
the 7th cervical vertebrae.
Heat & Fevers in the Upper Body; Releases
Exterior; Tonfies Wei Qi;
On the midline of the head,
Any Excess Disorders of the Head; Any
approximately on the midpoint Prolapse In The Body; Connects with Brain;
of the line connecting the
Clears the Mind; Headache
apexes of the two auricles
At the tip of the nose
Nose/Sinus Congestion
Above the upper lip on the
Revival Point: Fainting etc.
midline, at the junction of the Coccyx / Low Back Pain
upper third and lower two thirds
of the philtrum.

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F.

Ren Meridian Conception Vessel.


1.

75

The pathway of the Ren Meridian runs from the perineum, up the midline of the
front of the body ending just under the lower lip. All its points are on the
anterior midline of the body. It is also the most Yin meridian on the body. Since
Yin Meridians are often used to treat internal disorders, the Ren is important,
for treating many internal disorders and especially those associated with
reproductive functions.

1994-2013 James Ventresca AcuPractice Seminars - www.AcuPracticeSeminars.com

Point
Location
Main Uses
Name
Ren 2
On the midpoint of the upper border Controlling Point for All GYN and
of the symphisis pubis.
Urogenital Disorders
Ren 4
Ren 6
Ren 8

Ren 9
Ren 12
Ren 17
Ren 22

On the midline of the abdomen, 3


Cun below the umbilicus
On the midline of the abdomen, 1.5
Cun below the umbilicus
In the center of the umbilicus

Tonify the Kidneys; All GYN & Urinary


Disorders; Tonifies Jing, Yang, Yin, & Qi
Tonify the Spleen; Relieves Stagnation in
Abdomen
Strengthens All Digestion & Assimilation;

Diarrhea; Yang Collapse


(No Needle-Moxa Only)
1 cun superior to the umbilicus
Strengthen Spleen Dry Dampness
On the midline of the abdomen, 4 Harmonize the Stomach; All Abdominal
Cun above the umbilicus
Problems
On the anterior midline, at level with Descend the Qi of the Chest
the 4th intercostal space
In the center of the suprasternal fossa Throat and Swallowing Problems

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G.

Lung/Fei
1.

77

The pathway of the Lung Meridian runs from the second intercostal space 2/3
the distance from the middle of the sternum to the acromion process, down the
anterior surface of the arm and ending at the proximal radial corner of the nail
of the thumb. Since Yin Meridians are often used to treat internal disorders, the
Lung Meridian is important, for treating many internal disorders associated with
the Lungs. These include all respiratory disorders and symptoms associated
with colds and flus.

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Point
Location
Main Uses
Name
LU 1
Lateral and superior to the sternum at Mu / Alarm Point of The Lungs: All Lung
the lateral side of the 1st intercostal
Disorders
space, 6 Cun lateral to the Ren Mai
channel.
LU 3
On the antero-lateral aspect of the
Somnolence, insomnia, sadness, weeping,
upper arm, 3 cun inferior to the axillary disorientation and forgetfulness, associated with
fold
grief & loss
LU 5
On the cubital crease, on the radial Strong, Productive Cough; Any Heat and/or
side of tendon of m. biceps brachii, Fullness in Lungs;
located with the elbow slightly
flexed.
LU 7
Superior to the styloid process of Master Point of the Ren Mai:
the radius, 1.5 Cun above the
transverse crease of the wrist
Controlling Point For Neck & Throat:
Circulates the Qi of The Lungs. Luo Point;
Use with LI 4 for Headaches and OPIs
LU 9
At the radial end of the transverse Source Point; Tonifies the Lungs; All
crease of the wrist, in the
Deficient Lung Problems
depression on the lateral side of the
radial artery.
LU 10
On the thenar eminence of the
Fire Point: Clears Lung Heat, Sore /Strep
hand, in a depression between the Throat, Loss of Voice
midpoint of the shaft of the first
metacarpal bone and the thenar
muscles
LU 11
On the thumb, 0.1 Cun proximal to Jing Well Point: Clears Heat From The Lungs
the radial corner of the nail.
(Sore Throat, Tonsillitis, Etc); *Moxa Opposite
Side For Nosebleeds *

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H.

Large Intestine/ Da Chang


1.

79

The pathway of the Large Intestine Meridian runs from the proximal radial
corner of the index finger along the arm on the lateral border of the radial bone
to the top of the shoulder, crossing the SCM on the neck to the lower border of
the ala nsai, on the opposite side. Since Yang Meridians are often used to treat
disorders along the pathway of the meridian, the Large Intestine is important,
for treating any and all disorders of arm, neck and head.

1994-2013 James Ventresca AcuPractice Seminars - www.AcuPracticeSeminars.com

Point
Location
Name
LI 1
On the radial side of the index finger, about
0.1 Cun proximal to the corner of the nail

LI 4

LI 5

LI 11

LI 12

LI 14
LI 15LI 16

Main Uses

Jing Well Point: acute pain on the


meridian; Clears Heat from the Head
and throat; (sore throat, tonsillitis,
red burning eyes, etc)
On the dorsum of the hand, between the 1st CONTRAINDICATED IN PREGNANCY
and 2nd metacarpal bones, approximately in Controlling Point for Head and Face:
the middle of the 2nd metacarpal bone on the Main point for pain and other
radial side.
excesses in the head neck and arm.
OPIs;
On the radial side of the wrist. When the
Good local point for pain in the
thumb is tilted upward, it is in the depression thumb and area
between the tendons of muscle extensor
pollicis longus and brevis.
Fever; Hot Skin Disorders, Any
When the elbow is flexed, this point is at the Heat in the Upper Warmer
lateral end of the transverse cubital crease.
When the elbow is flexed, this point is located in
the depression 1 cun proximal to and 1 cun
lateral to L.I.-11.

Good Local Point for Pain

Just superior to the lower end of the deltoid Deltoid and shoulder joint pain
muscle.
Anterior and inferior to the acromion, on the
upper portion of the deltoid muscle.
Major points for shoulder joint pain
When the arm is in full abduction In the
upper aspect of the shoulder, in the
depression between the acromial extremity
of the clavicle and scapular spine.

LI 17-18 Two points best palpated for. On the lateral side


of the neck, about level with the Adam's Apple,
on both sides of the SCM.
LI 20
In the nasolabial groove, at the level of the
midpoint of the lateral border of the ala nasi.

Good local points for throat and neck


problems
Runny Stuffy Nose, any nose
problem; often used w/ LI 4 and LU 7

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I.

Stomach / Wei
1.

81

The pathway of the Stomach meridian runs from the middle of the lower border
of the eye socket down to the outer corner of the mouth, to the mandible and up
to the corner of the hairline. It proceeds down the front of the body along the
mid-clavicular line over the ribcage, where it moves closer to the midline and
down to the upper border of the pubic bone. It travels out to the leg and along a
trajectory just lateral to the crest of the tibia, and on to the foot, ending at the
proximal medial corner of the nail of second toe. Since Yang Meridians are
often used to treat disorders along the pathway of the meridian, the Stomach
meridian is important, for treating any and all disorders of and eye, head, teeth,
and leg.

1994-2013 James Ventresca AcuPractice Seminars - www.AcuPracticeSeminars.com

Point
Name
ST 2

ST 3
ST 4
ST 5
ST 6

ST 7

ST 8

Location

Main Uses

Directly below the center of the eye, at


the level of the lower border of the
Sinus conditions; eye disorders
zygomatic arch
Directly below the center of the eye, at the
level of the lower border of the ala nasi, on Sinus conditions; knee pain
the lateral side of the nasolabial groove.
Facial paralysis; trigeminal neuralgia;
Lateral to the corner of the mouth, directly
herpes; mouth ulcers; gum problems; tooth
below ST 3.
pain
Anterior to the angle of the mandible, on
lower jaw toothache
the anterior border of the masseter muscle.
One finger breadth anterior and
superior to the lower angle of the
mandible where the masseter attaches, lower jaw toothache, Bruxism
at the prominence of the muscle when
the teeth are clenched.
At the lower border of the zygomatic
arch, in the depression anterior to the
TMJ; upper jaw toothache
condyloid process of the mandible located with mouth slightly slack.
.5 Cun within the anterior at the corner
Frontal and band-like headaches
of the forehead, 4.5 Cun lateral to GV

ST 9

Anterior to the SCM, level with the tip of


the adams apple

Caution: Artery

ST 25

2 Cun lateral to the center of the


umbilicus.

any intestinal problems; front Mu of LI;

ST 28

3 Cun below the umbilicus, 2 Cun lateral to All GYN problems; damp heat in lower
CV 4
warmer; genital herpes; leucorrhoea.
Cold and/or blood stagnation in lower
warmer;
4 Cun below the umbilicus, 2 Cun lateral to All GYN problems; damp heat in lower
CV 3
warmer; genital herpes; leucorrhoea.
Cold and/or blood stagnation in lower
warmer;
5 Cun below the umbilicus, 2 Cun
Main Coalescent Point for Chong Mai
lateral to CV 2.
All GYN problems; damp heat in lower
warmer; genital herpes; leucorrhoea.
Cold and/or blood stagnation in lower
warmer;

ST 29

ST 30

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Point
Location
Name
ST 31 At the crossing point of the line drawn
down from the ASIS and the line level with
the lower border of the pubic symphisis, in
the depression on the lateral side of
sartorius, when the thigh is flexed.
When the knee is flexed, point is 2 Cun
ST 34 above the laterosuperior border of the
patella.
When the knee is flexed, the point is at
the lower border of the patella, in the
ST 35
depression lateral to the patellar
ligament.
ST 36 3 Cun below ST 35, one finger breadth
lateral to the anterior crest of the tibia

Main Uses

Strengthens and moves the thigh and


entire leg
xi cleft; acute breast discomfort; knee pain/
weakness
knee joint problems
Controlling Point for Digestion:
All digestive problems; builds Qi and
blood; regulates digestion

8 Cun superior to the external malleolus


Helps resolve phlegm anywhere in the
ST 40 two fingers breadth lateral to the
body
anterior crest of the tibia.
On the dorsum of the foot, at the midpoint
of the transverse crease of the ankle, in
the depression between the tendons of
Pain/ weakness and stiffness in the foot
ST 41
muscle extensor digitorum longus and
and ankle.
hallucis longus, approximately at the level
of the tip of the external malleolus.
ST 44
Clear heat from head, face, mouth and
Proximal to the web margin between the
gums
2nd and 3rd toes.
ST 45

Jing Well Point: acute pain on the


On the lateral side of the 2nd toe, .1 Cun meridian; Clear heat from head, face,
proximal to the corner of the nail.
mouth and gums

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J.

Spleen / Pi

The pathway of the Spleen Meridian runs from the proximal medial corner of the nail of the great toe
along the medial edge of the foot, up the leg following the posterior border of the tibia. At he waist it
runs parallel to the midline along the mid-clavicular line until it departs to end at the mid-axillary line
midway between the axilla and the free end of the 11th rib. Since Yin Meridians are often used to
treat internal disorders, the Spleen Meridian is important, for treating many internal disorders
associated with the Spleen. These include all digestive disorders and symptoms associated with
fatigue, and dampness.

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1994-2013 James Ventresca AcuPractice Seminars - www.AcuPracticeSeminars.com

Point
Name
SP 1
SP 3

SP 4

Location
On the medial side of the great
toe, 0.1 Cun proximal to the
corner of the nail.
Proximal and inferior to the
head of the first metatarsal
bone, at the junction of the red
and white skin.
In the depression distal and
inferior to the base of the first
metatarsal bone, at the
junction of the red and white
skin.

Main Uses
Jing Well Point: Moxa for bleeding from
deficiencies
Source Point: Tonifies SP
Master point of the Chong Mai
All menstrual disorders; All gastric
disorders; masses in the abdomen

SP 6

SP 9

SP 15
SP 21

3 Cun above the tip of the


CONTRAINDICATED IN PREGNANCY
medial malleolus, on the
posterior border of the medial Strengthens SP, KD, yin, Qi and blood; All
aspect of the tibia.
GYN; moves the lower abdomen; calms the
mind; all reproductive issues
On the lower border of the
condyle of the tibia, in the
All damp disorders; A mild diuretic point
depression on the medial
border of the tibia.
4 Cun lateral to the center of the
umbilicus, lateral to the muscle secondary point for treating intestinal disorders;
rectus abdominus.
On the mid-axillary line, 6 Cun
below the axilla, midway
whole body pain and/or weakness
between the axilla and the free
end of the 11th rib.

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