acusafety

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Author:
alexyeh
ID:
268356
Filename:
acusafety
Updated:
2014-03-31 14:20:28
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safety
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Description:
acupuncture danger points
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  1. Lu1-Zhongfu
    • First ICS, 6c lat to mid
    • 1c below Lu2
    • CC: Deep perp, or oblq insertion --> pneumothorax
  2. Lu2-Yunmen
    • 6c lat to mid, depression below lateral clavicle
    • CC: Deep perp, oblq --> pneumothorax
  3. Lu8-Jingqu
    • med. to radial styloid process, 1c proximal to Lu9
    • CC: radial artery, no moxa
  4. Lu9-Taiyuan
    • radial end wrist crease
    • CC: radial artery
  5. Li4-Hegu
    • midpt 2nd metacarpal, high point
    • CC: pregnancy
  6. Li13- Shouwuli
    • Line Li11-Li15, lateral side of arm
    • 3c proximal Li11
    • CC: artery
  7. Li16-JuGu
    • depression medial acromion, lateral clavicle & scapular spine
    • CC: deep medial, risk of pneumothorax
  8. Li17-TianDing
    • -post SCM, 1 c below Li18
    • CC: carotid artery or jugular vein
  9. Li18- FuTu
    • level with adam's apple
    • b/w sternal & clavicular heads of SCM
    • CC: Carotid artery, jugular vein
  10. Li20-YinXiang
    • in nasolabial groove, midpt of alanasi
    • no moxa
  11. St1- Chengqi
    • b/w eyeball & infraorbital ridge
    • directly under pupil, eyes looking forward
    • CC: slow insertion, no lift & thrust, after withdrawal press firmly with cotton for 1 min
  12. St2-Sibai
    • infraorbital foramen, below pupil
    • CC: deep insertion along foramen may injure eyeball, No lift & thrust, may injure infraorbital nerve
  13. St5-Daying
    • ant border of Masseter
    • CC: facial artery & vein
  14. St8-Touwei
    • 0.5c above corner hairline
    • CC: no moxa
  15. St9-Renyin
    • 1.5c lat to adams apple, ant border of SCM
    • CC: carotid artery, palpate & held laterally during needling by using index finger & thumb of one hand, above & below pt
  16. St10-Shuitu
    • midpt of line St9-11
    • ant scm
    • CC: carotid artery, palpate & held laterally during needling by using index finger & thumb of one hand, above & below pt
  17. St11-QiShe
    • sup border of clavicle, b/w clavicular & sternal head of SCM
    • directly below St9
    • CC: carotid artery, palpate & held laterally during needling by using index finger & thumb of one hand, above & below pt
  18. St12-Quepen
    • centre of supraclavicular fossa, 4 c lat from midline
    • CC: deep puncture, Lu or injure Subclavian vessel
  19. St13-Qihu
    • inferior border clavicle, 4c lat
    • Deep or perpendicular, substantial risk of puncture Lu & subclavian vessel
  20. St14-Kufang
    • 1st ICS, 4c lat
    • CC: Deep, perp --> Lu
  21. St15-Wuyi
    • 2nd ICS, 4c lat
    • CC: deep/perp --> Lu
  22. St16-YingChuang
    • 3rd ICS, 4c lat
    • CC: deep/perp --> Lu
  23. St17-RuZhong
    • nipple, only reference
    • 4th ICS
  24. St18- RuGen
    • 5th ICS, 4c lat
    • CC: deep/perp --> Lu
  25. St19-BuRong
    • 2c lat mid, 6c superior to umbilicus
    • CC: Deep insertion injure Hr or Lv, if enlarged
  26. St20-Chengman
    • 2c lat, 5c sup to umbilicus
    • CC: Deep needle may penetrate peritoneal cavity, enlarged Lv
  27. St21-LiangMen
    • 2c lat, 4c sup to umbilicus
    • CC: deep needle may penetrate peritoneal cavity, right side may penetrate enlarged Lv
  28. St22-GuanMen
    • 2c lat, 3c sup to umbilicus
    • CC: peritoneal cavity
  29. St23-Taiyi
    • 2c lat, 2c sup to umbilicus
    • CC: peritoneal cavity
  30. St24-HuaRouMen
    • 2c lat, 1c sup to abdomen
    • CC: peritoneal cavity
  31. St25-TianShu
    • 2c lat to umbilicus, lvl with Rn 8
    • CC: peritoneal cavity
  32. St26-WaiLing
    • 2c lat, 1c inf umbilicus
    • CC: peritoneal cavity
  33. St27-DaJu
    • 2c lat, 2c inf umbilicus
    • CC: peritoneal cavity
  34. St28-ShuiDao
    • 2c lat, 3c inf. to umbilicus
    • CC: peritoneal cavity, may penetrate full bladder
  35. St29-GuiLai
    • 2c lat, 4c inf, to umbilicus
    • CC: peritoneal cavity, full bladder
  36. St30-QiChong
    • 2c lat, 5c inf to umbilicus
    • CC: peritoneal cavity, full bladder, deep inferior insertion --> spermatic cord
  37. St41-JieXi
    • level with lat. mall.
    • b/w extensor hallucis longus & e. digitorum longus
  38. St42-ChongYang
    • b/w 2nd & 3rd metatarsal
    • CC: pulsation of dorsalis pedis artery
  39. Sp6-SanYinJiao
    • 3c sup med. mall.
    • depression, close to medial crest of tibia
    • CC: pregnancy
  40. Sp11-JiMen
    • 6c sup to Sp10, line b/w Sp10-12
    • CC: Deep needling may puncture femoral artery
  41. Sp12-Chongmen
    • 3.5c lat to Ren2; lat to femoral artery
    • CC: femoral artery (medial puncture); femoral nerve (lateral puncture)
  42. Sp13-FuShe
    • 0.5c lat sup to Sp12
    • 4c lat to mid
    • CC: peritoneal cavity
  43. Sp14-FuJie
    • 1.3c inf. Sp15, 4c lat 
    • CC: peritoneal cavity
  44. Sp15-DaHeng
    • 4c lat to umb.
    • CC: peritoneal cavity, enlarged Sp or Lv
  45. Sp16-FuAi
    • 3c sup to Sp15, 4c lat
    • CC: peritoneal cavity, enlarged Sp
  46. Sp17-ShiDou
    • 5th ICS, 6c lat
    • CC: perp insertion, pneumothorax
  47. Sp18-TianXi
    • 4th ICS, 6c lat
    • CC: pneumothorax
  48. Sp19-XiongXiang
    • 3rd ICS, 6c lat
    • CC: pneumothorax
  49. Sp20-ZhouRong
    • 2nd ICS, 6c lat
    • CC: pneumothorax
  50. Sp21-DaBao
    • mid-axilla, 6/7 ICS
    • CC: pneumothorax
  51. Hr1-JiQuan
    • Centre of axilla
    • CC: medial insertion may puncture Lu, axillary artery
  52. Hr7-ShenMen
    • ulnar end of transverse wrist crease
    • radial side of flexor carpi ulnaris
    • CC: ulnar artery/nerve
  53. Si8-XiaoHai
    • b/w olecranon & medial epicondyle
    • CC: ulnar nerve
  54. Si12-BingFeng
    • Centre of Supraclavicular fossa, directly above Si11
    • CC: deep insertion, pneumothorax
  55. Si13-Quyuan
    • depression sup. to med. end of scapular spine
    • midpt b/w Si10 & T2
    • CC: too medial/deep medial oblique may puncture Lu
  56. Si14-JianWaiShu
    • 3c lat. to T1; directly medial to scapula
    • CC: perp insertion --> pneumothorax
  57. Si15-JianZhongZhu
    • 2c lateral to C7
    • CC: Deep inferior, risk of pneumothorax
  58. Si-16-TianChuang
    • post. border SCM, level with adam's apple
    • CC: carotid artery
  59. Si17- TianRong
    • b/w angle of mandible & ant. SCM
    • CC: carotid artery
  60. Si18-QuanLiao
    • below outer canthus, lower border of zygomatic bone
    • CC: no moxa
  61. Si19- TingGong
    b/w middle tragus & condyloid process
  62. Bl1-JingMing
    • inner canthus, 0.1c
    • CC: no lift & thrust, cover with cotton 1 minute, no moxa
  63. Bl10-TianZhu
    • 0.5c sup. to midpt of hairline
    • lateral to trapezius m. 
    • CC: perp. 0.5-0.8c, no medial or upward puncture. May injure spine or medulla
  64. Bl11-DaZhu
    • 1.5c lateral T1
    • CC: perp = big risk of pneumothorax; oblique medial 0.5-1c
  65. Bl12-FengMen
    • T2, 1.5c lat.
    • CC: pneumothorax, oblique needle 0.5-1c
  66. Bl13-FeiShu
    • T3, 1.5c lat
    • CC: pneumo, oblique needle 0.5-1c
  67. Bl14-JueyinShu
    • T4, 1.5c lat
    • CC: pneumo, oblique needle 0.5-1c
  68. Bl15-Xinshu
    • T5,1.5c lat
    • CC: pneumo, oblique needle 0.5-1
  69. Bl16-DuShu
    • T6, 1.5c lat
    • CC: pneumo, oblique medial
  70. Bl17-GeShu
    • T7, 1.5c lat
    • CC: pneumo, oblique medial
  71. Bl18-GanShu
    • T9, 1.5c lat
    • CC: pneumo, oblique medial
  72. Bl19-DanShu
    • T10, 1.5c lat.
    • CC: pneumo, oblique medial
  73. Bl20-PiShu
    • T11, 1.5c lat
    • CC: pneumo, oblique medial
  74. Bl21-WeiShu
    • T12, 1.5c lat
    • CC: pneumo, oblique medial
  75. Bl22-SanjiaoShu
    • L1, 1.5c lat
    • CC: deep perp, risk of penetrate Ki
  76. Bl23-ShenShu
    • T2, 1.5c lat
    • CC: Deep perp, risk of injure Ki
  77. Bl36-ChengFu
    • middle of gluteal fold
    • CC: sciatic nerve
  78. Bl37-YinMen
    • b/w hamstring muscle, 6c below Bl36
    • CC: Sciatic nerve
  79. Bl40-WeiZhong
    • b/w popliteal crease
    • CC: tibial nerve, popliteal artery
  80. Bl41-FuFen
    • T2, 3c lat
    • CC: deep perp, or oblique medial --> risk of pneumo
  81. Bl42-PoHu
    • T3, 3c lat
    • CC: deep perp, obliq med. --> pneumo
  82. Bl43-GaoHuangShu
    • T4, 3c lat.
    • CC: Deep perp, obliq medial --> pneumo
  83. Bl44-ShenTang
    • T5, 3c lat.
    • CC: Deep perp, obliq med. --> pneumo
  84. Bl45-Yixi
    • T6, 3c lat.
    • CC: Deep perp, obliq med --> pneumo
  85. Bl46-GeGuan
    • T7,3c lat
    • CC:Deep perp, obliq med, --> pneumo
  86. Bl47-HunMen
    • T9, 3c lat.
    • CC: Deep perp, oblq med. --> pneumo
  87. Bl48-YangGang
    • T10, 3c lat.
    • CC: Deep perp, oblq med. --> pneumo
  88. Bl49-YiShe
    • T11, 3c lat.
    • CC: deep perp, oblq med. --> pneumo
  89. Bl50-WeiCang
    • T12, 3c lat
    • CC: deep perp, oblq med. --> pneumo
  90. Bl51-HuangMen
    • L1, 3c lat.
    • CC: Deep perp --> Ki
  91. Bl52-ZhiShi
    • L2, 3c lat.
    • CC: Deep perp --> Ki
  92. Bl60-KunLun
    • b/w lat. mall & achilles
    • CC: no preg.
  93. Ki11-HengGu
    • 5c below umb, 0.5c lat.
    • CC: deep --> full bladder
  94. Ki12-DaHe
    • 4c below umb, 0.5c lat.
    • CC: Deep --> full bladder
  95. Ki13-QiXue
    • 3c below umb, 0.5c lat.
    • CC: Deep --> full bladder
  96. Ki14-SiMan
    • 2c below umb, 0.5c lat.
    • CC: deep --> peritoneal cavity
  97. Ki15-ZhongGu
    • 1c below umb, 0.5c lat.
    • CC: Deep --> peritoneal cavity
  98. Ki16-HuangShu
    • 0.5c lat to umb, 
    • CC: deep --> peritoneal cavity
  99. Ki17-ShangQu
    • 2c sup to umb, 0.5c lat
    • CC: Deep --> peritoneal cavity
  100. Ki18-ShiGuan
    • 3c sup. to umb, 0.5c lat
    • CC: Deep --> peritoneal cavity
  101. Ki19-YinDu
    • 4c sup. to umb, 0.5c lat
    • CC: Deep --> peritoneal cavity
  102. Ki20-FuTongGu
    • 5c sup. to umb, 0.5c lat
    • CC: Deep --> peritoneal cavity
  103. Ki21-Youmen
    • 6c sup to umb, 0.5c lat
    • CC: deep --> R: Lv, L: peritoneum
  104. Ki22-BuLang
    • 5th ICS, 2c lat
    • CC: Lu,Lv
  105. Ki23-ShenFeng
    • 4th ICS, 2c lat
    • CC: Lu
  106. Ki24-LingXu
    • 3rd ICS, 2c lat.
    • CC: Lu
  107. Ki25-ShenCang
    • 2nd ICS, 2c lat.
    • CC: Lu
  108. Ki26-YuZhong
    • 1st ICS, 2c lat.
    • CC: Lu
  109. Ki27-ShuFu
    • below clavicle, 2c lat
    • CC: Lu
  110. Pc1-TianChi
    • 4th ICS, slight laterosup to nipple
    • CC: pneumo
  111. Pc3-QuZe
    • cubital crease, ulnar side of tendon biceps brachii
    • CC: brachial artery & veins
  112. Pc4-XiMen
    • b/w tendons palmaris longus & flexor carpi radialis, 5c prox to wrist crease
    • CC: Median nerve
  113. Pc5-JianShi
    • b/w tendon p. longus & flexor carpi radialis, 3c prox. to wrist
    • CC: Median nerve
  114. Pc6-NeiGuan
    • b/w tendon p. longus & flexor carpi radialis, 2c prox. to wirst
    • CC: Median nerve
  115. Pc7-Daling
    • b/w tendon p. longus & flexor carpi radialis, at wrist crease
    • CC: Median nerve
  116. Sj5-WaiGuan
    • 2c prox. to wrist crease, b/w radius & ulna
    • CC: movement of arm can result in bent needle
  117. Sj6-ZhiGou
    • 3c prox. wrist crease, b/w radius & ulna
    • CC: movement of arm can cause bent needle
  118. Sj15-TianLiao
    • midway b/w Gb21 & Si13
    • CC: perp --> pneumo
  119. Sj22-ErHeLiao
    • post. border of hairline, 0.5c ant. to upper border of root of ear
    • CC: temporal artery
  120. Gb3-ShangGuan
    • above St7, upper border zygomatic arch
    • CC: deep needling
  121. Gb20-FengChi
    • b/w traps & scm, level w/ Du16
    • CC: deep needle dmg spinal cord; slight oblique inferior puncture
  122. Gb21-JianJing
    • Midway b/w Du14 & tip of acromion
    • CC: perp --> pneumo, preg.
  123. Gb22-YuanYe
    • mid-axilla, 4th ICS
    • CC: deep/perp --> pneumo
  124. Gb23-ZheJin
    • 1c ant. Gb22, 4th ICS
    • CC: pneumo
  125. Gb24-RiYue
    • below nipple, 7th ICS
    • CC: pneumo
  126. Gb25-JingMen
    • Free end of 12th rib
    • CC: peritoneal cavity
  127. Gb26-DaiMai
    • inferior to 11th rib, level w/ umbilicus
    • CC: peritoneal cavity
  128. Gb30-Huantiao
    • 1/3 lat. 2/3 medial, line joining, line joining greater trochanter & sacral hiatus
    • CC: Sciatic nerve
  129. Gb34-YangLingQuan
    • anterior & inferior to small head of fibula
    • CC: tibialis nerve
  130. Lv1-DaDun
    • lateral side, big toe
    • CC: preg. when treated w/ moxa
  131. Lv12-JiMai
    • 2.5c lat. to Rn2, in inguinal groove
    • CC: avoid femoral vein
  132. Lv13-ZhangMen
    • free end of 11th floating rib
    • CC: deep perp --> dmg enlarged Sp or Lv
  133. Lv14-QiMen
    • 6th ICS, below nipple
    • CC: pneumo
  134. Rn1-HuiYin
    • midpt b/w anus & genitals
    • CC: pregn
  135. Rn2-QuGu
    • superior to pubic 
    • CC: full bladder
  136. Rn3-ZhongJi
    • 4c inf. to umbilicus
    • CC: Full bladder
  137. Rn4-GuanYuan
    • 3c inf. to umbilicus
    • CC: full bladder
  138. Rn5-ShiMen
    • 2c inf. to umbilicus
    • CC: peritoneal cavity
  139. Rn6-QiHai
    • 1.5c inf to umbilicus
    • CC: peritoneal cavity
  140. Rn7-YinJiao
    • 1c inf. to umbilicus
    • CC: peritoneal cavity
  141. Rn8-ShenQue
    • umbilicus
    • CC: no needling
  142. Rn9-ShuiFen
    • 1c sup. to umb.
    • CC: peritoneal cavity
  143. Rn10-XiaWan
    • 2c sup. to umbilicus
    • CC: peritoneal cavity
  144. Rn11-JianLi
    • 3c sup. to umbilicus
    • CC: peritoneal cavity
  145. Rn12-ZhongWan
    • 4c sup to umb.
    • CC: peritoneal cavity
  146. Rn13-ShangWan
    • 5c sup. to umb.
    • CC: peritoneal cavity
  147. Rn14-JuQue
    • 6c sup to umb.
    • CC: left lobe of Lv or Hr if either is enlarged, no oblique superior insertion toward Hr
  148. Rn15-JiuWei
    • 7c sup to umb.
    • CC: left lobe Lv or Hr if enlarged; no oblique superior insertion toward Hr
  149. Rn22-TianTu
    • centre of suprasternal fossa
    • CC: supervision, perp needle 0.3, then inferior along sternum 0.5-1c
  150. Du1-ChangQiang
    • b/w tip of coccyx & anus
    • CC: pregnancy
  151. Du3-YaoYangGuan
    • L4
    • CC: spinal canal 1.25-1.75c deep
  152. Du4- MingMen
    • L2
    • CC: spinal canal 1.25-1.75c deep
  153. Du5-XuanShu
    • L1
    • CC: spinal canal lies b/w 1.25-1.75c deep
  154. Du6-JiZhong
    • T11
    • CC: spinal canal
  155. Du7-ZhongShu
    • T10
    • CC: spinal canal
  156. Du8-JinSuo
    • T9
    • CC: spinal canal
  157. Du9-ZhiYang
    • T7
    • CC: spinal canal
  158. Du10-LingTai
    • T6
    • CC: spinal canal
  159. Du11-ShenDao
    • T5
    • CC: spinal canal
  160. Du12-ShenZhu
    • T3
    • CC: spinal canal
  161. Du13-TaoDao
    • T1
    • CC: spinal canal
  162. Du14-DaZhui
    • C7
    • CC: spinal canal
  163. Du15-YaMen
    • 0.5c inf. Du16, C2
    • CC: No sup. oblique insertion to brain, puncture downward no deep (spinal cord)
  164. Du16-FengFu
    • below ext. occipital protuberance
    • CC: No sup. oblique insertion, no deep; only oblique downward
  165. Du21-QianDing
    • 1.5c ant. to Du20; 3.5 post. to ant. hairline
    • CC: infants, fontanelle
  166. Du22-XinHui
    • 2c post. to ant. hairline
    • CC: infants, fontanelle
  167. Du23-ShangXing
    • 1c post to ant. hairline
    • CC: infants, fontanelle

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