Show Summary Details
Page of

The Extra Acupuncture Points 

The Extra Acupuncture Points
Chapter:
The Extra Acupuncture Points
Author(s):

Jingduan Yang

and Daniel A. Monti

DOI:
10.1093/med/9780190210052.003.0013
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2016. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

Subscriber: null; date: 19 October 2018

Introduction

The extra acupuncture points are those that do not belong to any major or extra energy channels. They are identified because of their clinical efficacy for specific conditions or symptoms. Since theses points are close to or on the energy channels, and the body is a complete, intertwined energy circuit, it is the author’s belief that they work through their interaction with the principal or extra energy channels.

Extra Points on the Head and Neck (EX-HN)

1. Si Shen Cong (EX-HN1)

  • Location: A group of four points, at the vertex, 1 cun respectively posterior, anterior, and lateral to Du20 (Figure 13.1).

  • Function: Clears wind and calms the mind.

  • Indications: Vertigo, insomnia, forgetfulness, mania, depression, seizures, post-stroke hemiplegia, developmental brain disease, all eye conditions, hearing loss, pain in the head and eyes.

  • Needling: Subcutaneous insertion 0.5 to 1 cun.

2. Dang Yang (EX-HN2)

  • Location: With the patient looking straight ahead, vertically above the pupil, 1 cun above the anterior hairline (Figure 13.2).

  • Function: Clears wind and heat, calms the mind.

  • Indications: Headache, vertigo, eye diseases, common cold, mental disorders, neurosis.

  • Needling: Subcutaneous insertion to 0.3 to 0.5 cun.

3. Yin Tang (EX-HN3)

  • Location: Midway between the medial ends of the two eyebrows (Figure 13.3).

  • Function: Clears heat and wind, calms the mind.

  • Indications: Infantile convulsions, dementia, anxiety, insomnia, vertigo, nasal congestion, epistaxis, sinusitis, postpartum bleeding, vomiting, blurred vision, postpartum syncope, pain in the head, face, and eyes.

  • Needling: Subcutaneous insertion 0.3 to 0.5 cun.

4. Yu Yao (EX-HN4)

  • Location: At the midpoint of the eyebrow, directly above the pupil (Figure 13.4).

  • Function: Clears heat and improves vision.

  • Indications: Pain in the supraorbital region; twitching of the eyelids; ptosis; cloudiness of the cornea; redness, swelling, and pain of the eyes.

  • Needling: Subcutaneous insertion 0.3 to 0.5 cun.

  • Caution: Contraindicated for moxibustion.

5. Tai Yang (EX-HN5)

  • Location: In the depression about one finger width posterior to the midpoint between the lateral end of the eyebrow and the outer canthus (Figure 13.5).

  • Function: Clears the heat, reduces pain.

  • Indications: Vertigo; migraine; facial paralysis; eye inflammation; pain in the head, face, teeth, and eyes.

  • Needling: Perpendicular insertion 0.3 to 0.5 cun.

6. Er Jian (EX-HN6)

  • Location: At the fold of the auricle; the point is at the apex of the auricle (Figure 13.6).

  • Function: Clears heat and helps throat and eyes.

  • Indications: Redness, swelling and pain of the eyes and throat, febrile diseases, nebula.

  • Needling: Perpendicular insertion 0.1 to 0.2 cun or prick to cause bleeding.

7. Qiu Hou (EX-HN7)

  • Location: At the junction of the lateral one-quarter and medial three-quarters of the infraorbital margin.

  • Function: Improves vision (Figure 13.7).

  • Indications: All types of eye diseases including glaucoma, optical neuritis, and early-stage cataracts.

  • Needling: Push the eyeball upward gently, then perpendicular insertion 0.5 to 1.2 cun along the orbital margin, slowly without movements of lifting, twisting, or rotating.

  • Caution: Contraindicated for moxibustion.

8. Shang Ying Xiang (EX-HN8)

  • Location: At the upper end of the nasolabial groove, at the junction of the maxilla and the nasal cavity (Figure 13.8).

  • Function: Clears wind and opens the channel.

  • Indications: Rhinitis, sinusitis, facial paralysis, blepharitis ciliaris, frontal headache, inflamed eyes, common cold.

  • Needling: Perpendicular insertion 0.2 to 0.5 cm.

9. Nei Ying Xiang (EX-HN9)

  • Location: In the nasal cavity, at the junction of the nasal bone and the nasal cartilage (Figure 13.9).

  • Function: Clears heat and wind.

  • Indication: Red and swollen eyes, nasal blockage and sinusitis, inability to smell.

  • Needling: Prick to bleed.

10. Er Hou San Tiao Jing Mai (EX-HN10)

  • Location: The three thin veins on the back of the ear (Figure 13.10).

  • Function: Clears heat.

  • Indication: Eye and skin infection, high fever.

  • Needling: Bleeding with a three-edged needle.


Figure 13.10 Er Hou San Tiao Jing Mai (EX-HN10)

Figure 13.10 Er Hou San Tiao Jing Mai (EX-HN10)

11. Ju Quan (EX-HN11)

  • Location: With maximal extension of the tongue, in the center of the tongue body (Figure 13.11).

  • Function: Clears wind and opens channels.

  • Indication: Post-stroke tongue paralysis and atrophy, loss of sense of taste.

  • Needling: Perpendicular insertion 0.2 cun.

12. Hai Quan (EX-HN12)

  • Location: Below the tongue, in the center of the frenulum, between the points of EX-HN12 and EX-HN13 (Figure 13.12).

  • Function: Clears heat and opens the channel.

  • Indication: Tongue paralysis, ulcers, diabetes, vomiting.

  • Needling: Perpendicular insertion 0.2 cun with short stimulation.

13 and 14. Jin Jing (EX-HN13) and Yu Ye (EX-HN14)

  • Location: On the veins on both sides of the frenulum of the tongue: EX-HN12 is on the left, EX-HN13 is on the right (Figures 13.13, 13.14).

  • Function: Clears heat and dryness.

  • Indications: Jaundice, swelling of the tongue, ulceration and infection in the mouth and tongue, sore throat, vomiting, aphasia with stiffness of tongue.

  • Needling: Prick to cause bleeding.

  • Caution: Contraindicated for moxibustion.

15. Jia Li (EX-HN15)

  • Location: 1 cun lateral to the inside of the corner of the mouth (Figure 13.15).

  • Function: Clears heat and dampness.

  • Indication: Jaundice, mouth sores and ulceration, facial paralysis.

  • Needling: Insert toward the back, obliquely 0.3 to 0.8 cm.

16. Qian Zheng (EX-HN16)

  • Location: 0.5 to 1 cun anterior to the auricular lobe (Figure 13.16).

  • Function: Clears heat and opens the channel.

  • Indications: Bell’s palsy, muscle spasm in the jaw, ulceration on the tongue and in the mouth, toothaches.

  • Needling: Oblique insertion 0.5 to 1 cun.

17. Yi Ming (EX-HN17)

  • Location: 1 cun posterior to SJ17 (Figure 13.17).

  • Function: Calms the mind and improves vision.

  • Indications: Headaches, insomnia, all types of eye diseases, vertigo, tinnitus.

  • Needling: Perpendicular insertion 0.5 to 1 cun.

18. An Mian (EX-HN18)

  • Location: Midpoint between SJ17 and GB20 (Figure 13.18).

  • Function: Clears wind and calms the mind.

  • Indications: Insomnia, seizures, vertigo, headache, heart palpitations, tinnitus, agitation, anxiety.

  • Needling: Perpendicular insertion 0.5 to 1 cun.

19. Jia Cheng Jiang (EX-HN19)

  • Location: 1 cun lateral to Ren24 (Figure 13.19).

  • Function: Clears heat and dampness, opens the channel.

  • Indications: Jaundice, toothaches, gum disease, Bell’s palsy, facial paralysis, trigeminal pain.

  • Needling: Oblique insertion 0.5 to 1 cun.

  • Caution: Contraindicated for moxibustion.


Figure 13.19 Jia Cheng Jiang (EX-HN19)

Figure 13.19 Jia Cheng Jiang (EX-HN19)

20. Shang Lian Quan (EX-HN20)

  • Location: 1 cun below the midpoint of the lower jaw, in the depression between the hyoid bone and the lower border of the jaw (Figure 13.20).

  • Function: Clears heat and opens the channel.

  • Indication: Inability to speak, excessive salivation with stiff tongue, sore throat, difficulty swallowing, loss of voice, tongue paralysis and atrophy.

  • Needling: Oblique insertion 0.8 to 1.2 cun.


Figure 13.20 Shang Lian Quan (EX-HN20)

Figure 13.20 Shang Lian Quan (EX-HN20)

21. Xin She (EX-HN21)

  • Location: On the napex, at the midpoint of the connection between SJ17 and GB20 (Figure 13.21).

  • Function: Clears heat and calms the mind.

  • Indication: Headache, neck and shoulder pain, dizziness, insomnia, hysteria, mental disease, heart palpitations, hypertension, hearing loss, tinnitus.

  • Needling: Perpendicular insertion 0.5 to 1 cun.

22. Jing Bi (EX-HN22)

  • Location: One-third of distance from sternal to acromial end of clavicle, 1 cun above clavicle, at posterior edge of the sternocleidomastoid muscle (Figure 13.22).

  • Function: Opens channel blockage.

  • Indication: Pain and numbness of the shoulder, arms, and hands.

  • Needling: Perpendicular insertion 0.3 to 0.5 cun.

23. Jing Ba Lao (EX-HN23)

  • Location: 2 cun superior to the lower border of the spinous process of the seventh cervical vertebra and 1 cun lateral to the midline (Figure 13.23).

  • Function: Clears heat, opens channel blockage.

  • Indication: Cough; asthma; tuberculosis; stiff neck and back; pain and numbness in the hand, arms, and shoulder.

  • Needling: Oblique or perpendicular insertion 0.5 to 1 cm.

24. Chong Gu (EX-HN24)

  • Location: At the depression under the lower border of the spinous process of the sixth cervical vertebra (Figure 13.24).

  • Function: Regulates Lung Qi, opens channel blockage, and calms the mind.

  • Indications: Cough, asthma, shortness of breath, tuberculosis, hiccups, nausea, stiff neck, cranial nerve paralysis, pain and muscle spasm in the neck.

  • Needling: Oblique insertion upward 0.5 to 1 cun.

The Extra Points on the Back (EX-B)

1. Xue Ya Dian (EX-B1)

  • Location: On the neck, 2 cun lateral to the depression between the sixth and seventh vertebra of the cervical spine (Figure 13.25).

  • Function: Sedates Yang and opens channel blockage.

  • Indication: High blood pressure, hypotension, pain and stiffness in the neck.

  • Needling: Perpendicular insertion 0.5 to 1 cun.

2. Ding Chuan (EX-B2)

  • Location: 0.5 cu lateral to Du14 (Figure 13.26).

  • Function: Regulates Lung Qi and opens the channel.

  • Indications: Asthma, cough, stiffness and pain in the neck, pain in the shoulder and upper back, hives.

  • Needling: Perpendicular insertion 0.5 to 1 cun.

3. Jie He Xue (EX-B3)

  • Location: 3.5 cun lateral to the lower border of the spinous process of the seventh cervical vertebra (Figure 13.27).

  • Function: Clears dampness and heat, strengthens Lung Qi.

  • Indication: Tuberculosis.

  • Needling: Perpendicular insertion 0.5 to 1 cun.

4. Ju Que Shu (EX-B4)

  • Location: On the back, in the depression between the fourth and fifth spinous

  • processes of the thoracic vertebra (Figure 13.28).

  • Function: Regulates Lung Qi.

  • Indication: Bronchitis, bronchial asthma, intercostal neuralgia, insomnia, angina pectoris.

  • Needling: Perpendicularly 0.5 to 1 cun.

5. Hua Tuo Jia Ji (EX-B5)

  • Location: A group of thirty-four points on both sides of the spinal column, 0.5 cun lateral to the lower border of each spinous process from the first thoracic vertebra to the fifth lumbar vertebra (Figure 13.29).

  • Function: Regulates Qi of the internal organs and supports the joints.

  • Indications: Points at the level of the T1–T4 for diseases of the Lungs and upper extremities, T4–T7 for disease of the Heart, T7–T10 for diseases of the Liver and Gallbladder, T10–12 for diseases of the Spleen and Stomach, L1–L2 for diseases of the Kidney, and L3–L5 for diseases of the Bladder, intestines, uterus, and lower extremities.

  • Needling: Oblique insertion 0.5 to 1 cun toward the middle line of the spine.

6. Wei Wan Xia Shu (EX-B6)

  • Location: 1.5 cun lateral to the lower border of the spinous process of the eighth thoracic vertebra (Figure 13.30).

  • Function: Strengthens Qi of the Spleen and Stomach.

  • Indications: Dry throat; diabetes; vomiting; pain in the chest, abdomen, and costal region.

  • Needling: Oblique insertion 0.8 to 1.2 cun.

7. Jie Ji (EX-B7)

  • Location: In the space in the middle line of the spine under T12 (Figure 13.31).

  • Function: Supports the Spleen and uplifts organs.

  • Indications: Abdominal pain, diarrhea, indigestion, intestinal infections in children, prolapsed rectum, hernia, spinal spasm and pain, seizures.

  • Needling: Perpendicular insertion 0.5 to 1.2 cun.

8. Pi Gen (EX-B8)

  • Location: 3.5 cun lateral to the lower border of the spinous process of the first lumbar vertebra (Figure 13.32).

  • Function: Dissolves stagnations and masses.

  • Indications: All types of abdominal tumors, masses, and fibroids.

  • Needling: Perpendicular insertion 0.5 to 1.0 cun.

9. Zhou Zhui (EX-B9)

  • Location: 1 cun lateral to the lower border of the third lumbar spinal process (Figure 13.33).

  • Function: Regulates Qi of the stomach and intestines.

  • Indication: Abdominal pain, spasm, bleeding, and paralysis; intestinal bleeding, infection, and pain; diarrhea; gastrocnemius muscle spasm.

  • Needling: Perpendicular or oblique insertion toward the spine 0.5 to 1 cun.

10. Xia Ji Shu (EX-B10)

  • Location: In the space of the middle line of the spine under L3 (Figure 13.34).

  • Function: Strengthens Qi of the Spleen and Kidney.

  • Indications: Lower back pain, urinary incontinence, dysuria, abdominal pain, diarrhea, pain in the lower extremities.

  • Needling: Perpendicular insertion 0.5 to 1.0 cun.

11. Yao Yi (EX-B11)

  • Locations: On the lower back, below the spinous process of the fourth lumbar vertebra, 3 cun lateral to the posterior midline (Figure 13.35).

  • Function: Strengthens Kidney Qi.

  • Indications: Lumbago, frequency of urination, irregular menstruation.

  • Needling: Perpendicular insertion 0.5 to 1 cun.

12. Yao Yan (EX-B12)

  • Location: About 3.5 to 4 cun lateral to the lower border of the spinous process of the fourth lumbar vertebra. The point is in the depression appearing in the prone position (Figure 13.36).

  • Function: Strengthens Kidney Qi.

  • Indications: Lower back pain, frequent urination, irregular menstruation, emaciation due to chronic tuberculosis.

  • Needling: Perpendicular insertion 0.8 to 1.2 cun.

13. Shi Qi Zhui (EX-B13)

  • Location: In the space below the spinous process of the fifth lumbar vertebra (Figure 13.37).

  • Function: Strengthens Kidney Qi.

  • Indications: Difficulty urinating, pain in the lower back and legs, paralysis of the lower extremities, irregular menstruation, dysmenorrhea.

  • Needling: Perpendicular insertion 0.8 to 1.2 cun.

14. Yao Qi (EX-B14)

  • Location: 2 cun directly above the tip hip of coccyx (Figure 13.38).

  • Function: Calms the mind and opens channels.

  • Indications: Epilepsy, headache, insomnia, constipation.

  • Needling: Subcutaneous insertion 1.5 to 2.0 cun.

Extra Points on the Abdomen (EX-CA)

1. Wei Shang (EX-CA1)

  • Location: On the upper abdomen or epigastrium, 2 cun above the navel, 4 cun lateral to Ren10 (Figure 13.39).

  • Function: Regulates Stomach Qi.

  • Indication: Prolapsed stomach, gastric pain, bloating, gastrospasm, gastroptosis, indigestion.

  • Needling: Subcutaneous insertion toward Ren8 or ST25, 2 to 3 cun.

2. Qi Zhong Si Bian (EX-CA2)

  • Location: Four points 1 cun away from the navel at 3, 6, 9, and 10 o’clock (Figure 13.40).

  • Function: Supports the spleen and stomach and stops seizures.

  • Indication: Abdominal pain, diarrhea, water retention, bloating, indigestion, infantile convulsions, grand mal seizures.

  • Needling: Perpendicular insertion 0.8 to 1.2 cun.


Figure 13.40 Qi Zhong Si Bian (EX-CA2)

Figure 13.40 Qi Zhong Si Bian (EX-CA2)

3. San Jiao Jiu (EX-CA3)

  • Location: Use the distance between the patient’s mouth corner make a triangle, put naval as the top of the triangle, the two points at the bottom angles below the navel are the points (Figure 13.41).

  • Function: Regulates Qi.

  • Indication: Abdominal pain, hernia, sensation of Qi moving toward the throat from the lower abdomen.

  • Needling: Moxibustion is preferred.

4. Zhi Xie (EX-CA4)

  • Location: Below the abdomen, in the midpoint of the line connecting with Ren 8 and superiorborder of the pubis (Figure 13.42).

  • Indication: Abdominal pain, prolapsed stomach, chronic gastroenteritis, bloating, diarrhea, retention of urine, urinary infection, and enuresis.

  • Needling: Perpendicular insertion 0.5 to 1 cun.

5. Qi Men (EX-CA5)

  • Location: 3 cun below the navel, 3 cun lateral to the front midline (Figure 13.43).

  • Indication: Infertility, heavy menstruation, low abdominal pain, retention of urine, postpartum lochiorrhea, urinary tract infection.

  • Needling: Perpendicular insertion 0.5 to 1 cun.

6. Ti Tou (EX-CA6)

  • Location: 4 cun on the lateral sides of Ren4 (Figure 13.44).

  • Function: Uplifts Yang Qi and prolapsed organs.

  • Indication: Prolapsed uterus, bladder, kidney, or rectum; dysmenorrhea; abdominal pain and distention.

  • Needling: Perpendicular insertion 0.5 to 1.0 cun.

7. Zi Gong (EX-CA7)

  • Location: 3 cun on the lateral sides of Ren3 (Figure 13.45).

  • Function: Regulates Qi of the uterus.

  • Indication: Infertility, prolapsed uterus, irregular menstruation, abnormal uterine bleeding, hernia.

  • Needling: Perpendicular insertion 0.5 to 1.2 cun.

8. Wei Bao (EX-CA8)

  • Location: 3 cun below the navel and 6 cun lateral to the midline of the abdomen, in the depression medial to the anterior superior iliac spine just medial to GB27 (Figure 13.46).

  • Function: Uplifts Qi.

  • Indication: Prolapsed uterus, digestive dysfunction, pain caused by hernia.

  • Needling: Oblique insertion toward the inguinal ligament, 0.5 to 1 cun.

Extra Points in the Upper Extremities (EX-UE)

1. Jian San Zhen (EX-UE1)

  • Location: These are three points that are around the joint of the shoulder. The first is called Jian Qian, midway between LI15 and the anterior axillary crease. The second is LI15 (Jian Yu), anterior and inferior to the acromion in a depression found with the arm abducted. The third is called Jian Hou, 1.5 cun above the posterior axillary crease (Figure 13.47).

  • Function: Opens channel blockage.

  • Indication: Frozen shoulder, paralysis of the arm, paraplegia due to stroke.

  • Needling: Perpendicular insertion 0.5 to 1 cun.

2. Nao Shang (EX-UE2)

  • Location: On the side of the upper arm, at the center of the deltoid muscle (Figure 13.48).

  • Function: Opens channel blockage.

  • Indication: Cervical radiculopathy, paralysis of upper extremity, frozen shoulder.

  • Needling: Perpendicular insertion 1 to 1.5 cun.

3. Tai Jian (EX-UE3)

  • Location: 1.5 cun below the shoulder acromion (Figure 13.49).

  • Function: Opens channel blockage.

  • Indication: Frozen shoulder, cervical radiculopathy, paraplegia due to stroke.

  • Needling: Perpendicular insertion 1 to 1.2 cun.

4. Zhou Jian (EX-UE4)

  • Location: On the tip of the ulnar olecranon when the elbow is flexed (Figure 13.50).

  • Function: Clears heat and phlegm.

  • Indications: Scrofula, abscesses in the body and intestines.

  • Needling: Moxibustion is preferred.

5. Niu Shang Xue (EX-UE5)

  • Location: The meeting point of one-quarter and three-quarters of the linked line between LI5 and LI11 (Figure 13.51).

  • Function: Opens channel blockage.

  • Indication: Acute or chronic sprain injury of the lower back.

  • Needling: Perpendicular insertion 1.2 cun with strong stimulation and simultaneous movement of the back.

6. Bi Zhong (EX-UE6)

  • Location: On the palmar aspect of the forearm, 6 cun above the transverse crease of the wrist, between the tendons of the palmaris longus and flexor carpi radialis muscles on the Pericardium channel (Figure 13.52).

  • Function: Calms the mind, opens channel blockage.

  • Indication: Mania, depression, neurosis, psychosis, epilepsy, forearm pain, numbness, spasm, pain in the costal region of the chest.

  • Needling: Perpendicular insertion 0.5 to 0.8 cun.

7. Chi Rao (EX-UE7)

  • Location: On the back of the forearm, 6 cun above the transverse crease of the wrist between the radius and ulna on the radial side of the extensor digitorum muscle on the SJ channel (Figure 13.53).

  • Function: Calms the mind and opens channel blockage.

  • Indication: Mental illness, arm pain and paralysis.

  • Needling: Perpendicular insertion 1.2 cu.

8. Er Bai (EX-UE8)

  • Location: On the metacarpal aspect of the forearm, 4 cun above the transverse wrist crease, on the both sides of the tendon of the carpi radialis muscle, two points on one hand (Figure 13.54).

  • Function: Regulates Qi of the Large Intestine.

  • Indications: Hemorrhoids, prolapsed rectum, rectal bleeding, pain in the forearm.

  • Needling: Perpendicular insertion 0.5 to 1 cun.

9. Zhong Quan (EX-UE9)

  • Location: On the dorsal crease of the wrist, in the depression on the radial side of the tendon of the common extensor muscle of the fingers between LI5 and SJ4 (Figure 13.55).

  • Function: Regulates Qi of the upper and middle Jiao.

  • Indications: Chest congestion, gastric pain, spitting of blood.

  • Needling: Perpendicular insertion 0.3 to 0.5 cun.

10. Quan Jian (EX-UE10)

  • Location: On the back of the hand at the tip of the third metacarpophalangeal joint (Figure 13.56).

  • Function: Clears heat and brightens vision.

  • Indication: Inflammation and infection in the eyes, corneal disease, cataract, pain in the teeth and throat.

  • Needling: Oblique or subcutaneous insertion toward the wrist 0.2 to 0.3 cun.

11. Wu Hu (EX-UE11)

  • Location: At the tip of second and fourth capitulum ossis metacarpalis on the back of the hands (Figure 13.57).

  • Function: Opens channel blockage.

  • Indication: Pain and spasm of the fingers.

  • Needling: Moxibustion is preferred.

12. Hu Kou (EX-UE12)

  • Location: The midpoint between the thumb and index finger, close to LI4 (Figure 13.58).

  • Function: Clears heat, opens channel blockage, and calms the mind.

  • Indication: Fever; night sweats; restlessness; infection in the teeth and throat; headache; insomnia; vertigo; pain in the chest, scapula, and back of the hands.

  • Needling: Oblique or perpendicular insertion 0.5 to 0.8 cun.

13. Zhong Kui (EX-UE13)

  • Location: On the midpoint of the proximal interphalangeal joint of the middle finger at the dorsum aspect (Figure 13.59).

  • Function: Regulates Stomach Qi.

  • Indications: Nausea, vomiting, hiccups, and nosebleed.

  • Needling: Moxibustion is preferred.

14. Da Gu Kong (EX-UE14)

  • Location: On the midpoint of the proximal interphalangeal joint of the thumb at the dorsal aspect (Figure 13.60).

  • Function: Regulates Stomach Qi and clears dampness and heat in the eyes.

  • Indications: Nausea, vomiting, diarrhea, blurred vision, pain in the eyes, corneal disease, eye inflammation or infection.

  • Needling: Moxibustion is preferred.

15. Xiao Gu Kong (EX-UE15)

  • Location: On the midpoint of the proximal interphalangeal joint of the fifth finger at the dorsum aspect (Figure 13.61).

  • Function: Clears heat and dampness; improves vision and hearing.

  • Indications: Tinnitus, deafness, cataracts, eye inflammation or infection, malaria.

  • Needling: Moxibustion is preferred.

16. Yao Tong Dian (EX-UE16)

  • Location: 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. There are four points in both hands (Figure 13.62).

  • Function: Regulates Qi and relieves pain.

  • Indications: Acute pain in the lower back, headaches, tinnitus, inflammation of the back of the hands.

  • Needling: Perpendicular insertion 0.5 to 0.8 cun.

17. Ba Xie (EX-UE17)

  • Location: On the dorsum of the hand, at the hand webs, eight in total; making a loose fist locates the points (Figure 13.63).

  • Function: Clears heat and dampness.

  • Indications: Headaches, toothaches, inflammation or infections in the eyes and throat, febrile diseases, numbness, spasm and contracture of the fingers, redness and swelling of the dorsum of the hand.

  • Needling: Oblique insertion 0.3 to 0.5 cun, or prick to cause bleeding.

18. Wai Lao Gong (EX-UE18)

  • Location: In the dorsum of the hand, 0.5 cun behind the second and third metacarpals, between the metatarsophalangeal joints (Figure 13.64).

  • Function: Clears heat and dampness; improves digestion.

  • Indications: Neck stiffness and pain, indigestion in children, inflammation of the back of the hand, tingling and numbness in the fingers.

  • Needling: Perpendicular insertion 0.5 to 1 cun.

19. Si Feng (EX-UE19)

  • Location: On the palmar surface, in the midpoint of the transverse crease of the proximal interphalangeal of the index, middle, and little fingers (Figure 13.65).

  • Function: Strengthens Spleen Qi and improves digestion.

  • Indications: Indigestion and diarrhea in children, intestinal parasites, whooping cough.

  • Needling: Prick 0.1 to 0.2 cun and push out yellowish fluid or bleed.

20. Shi Xuan (EX-UE20)

  • Location: On the tips of the ten fingers, about 0.1 cun distal to the nails (Figure 13.66).

  • Function: Clears heat and revives consciousness.

  • Indications: Epilepsy, stroke, coma, high fever, acute tonsillitis, mania, infantile convulsions, numbness of the fingertips.

  • Needling: Prick to cause bleeding or superficial insertion 01 to 0.2 cun.

Extra Points on the Lower Extremities (EX-LE)

1. Kuan Gu (EX-LE1)

  • Location: 2 cun superior to the patella and 1.5 cun lateral and medial to ST34 (Figure 13.67).

  • Function: Clears heat and dampness in the joints.

  • Indications: Inflammation and pain in the knees, post-stroke hemiplegia.

  • Needling: Perpendicular insertion 0.5 to 1 cun.

2. He Ding (EX-LE2)

  • Location: In the depression of the midpoint of the superior patellar border (Figure 13.68).

  • Function: Clears heat and dampness in the joints.

  • Indications: Inflammation and pain in the knee, weakness of the foot and leg.

  • Needling: Perpendicular insertion 0.3 to 0.5 cun.

3. Bai Cong Wo (EX-LE3)

  • Location: 1 cun above SP 10 (Figure 13.69).

  • Function: Clears heat, wind, and dampness.

  • Indications: Rubella, eczema, itching skin, skin infection in the lower extremities.

  • Needling: Perpendicular insertion 1 to 1.2 cun.

4. Nei Xi Yan (EX-LE4)

  • Location: On the lower border of the patella in the depression on the medial side of the patellar ligament (Figure 13.70).

  • Function: Clears dampness, cold, or heat in the lower extremities.

  • Indication: Painful and swollen knees, fungal infections in the foot.

  • Needling: Oblique insertion toward the knee for 0.5 to 1 cun.

5. Wai Xi Yan (EX-LE5)

  • Location: On the lower border of patella, in the depression at the lateral side of the patellar ligament (Figure 13.71).

  • Function: Clears dampness, heat, or cold in the knees.

  • Indication: Painful and swollen knees, fungal infections in the foot.

  • Needling: Oblique insertion toward the knee for 0.5 to 1 cun.

6. Dan Nang (EX-LE6)

  • Location: The tender spot 1 to 2 cun directly below GB34 (Figure 13.72).

  • Function: Clears heat and dampness in the Gallbladder.

  • Indications: Acute and chronic cholecystitis, cholelithiasis, biliary ascariasis, jaundice, pain in the costal region, muscular atrophy, numbness of the lower extremities.

  • Needling: Perpendicular insertion 0.8 to 1 cun.

7. Lan Wei (EX-LE7)

  • Location: The tender spot about 2 cun below ST36 (Figure 13.73).

  • Function: Regulates stomach Qi.

  • Indications: Acute and chronic appendicitis, indigestion, abdominal pain, paralysis of the lower extremities.

  • Needling: Perpendicular insertion 1 to 1.2 cun.

8. Nei Huai Jian (EX-LE8)

  • Location: At the highest point of the medial malleolus (Figure 13.74).

  • Function: Clears heat and relieves pain.

  • Indication: Painful and swollen tongue, throat, and gums; toothache; fungal infection in the foot.

  • Needling: Prick to bleed or moxibustion.

9. Wai Huai Jian (EX-LE9)

  • Location: At the highest point of the lateral malleolus (Figure 13.75).

  • Function: Clears heat and dampness.

  • Indication: Urinary tract infection; painful and swollen tongue, throat, and gums; toothache; fungal infection in the foot.

  • Needling: Prick to bleed or moxibustion.

10. Ba Feng (EX-LE10)

  • Location: On the dorsum of the foot, in the depression on the webs between toes, proximal to the margins of the webs, a total of eight points (Figure 13.76).

  • Function: Clears heat and dampness, regulates menstruation.

  • Indications: Fungal infection in the foot, malaria, headache, irregular menstruation, redness and swelling of the dorsum of the foot and toe.

  • Needling: Perpendicular insertion 0.5 to 0.8 cun.

11. Du Yin (EX-LE11)

  • Location: In the midpoint of the second toe of the foot, inside the distal interphalangeal joint (Figure 13.77).

  • Function: Regulates Stomach Qi and menstruation.

  • Indications: Nausea, acid reflux, belching, irregular menstruation, chest pain, hernia, difficult and incomplete labor.

  • Needling: Perpendicular insertion 0.1 to 0.2 cun.

12. Qi Duan (EX-LE12)

  • Location: On the tip of every toe for a total of 10 points (Figure 13.78).

  • Function: Relaxes muscle spasms and relieves pain.

  • Indications: Pain or numbness in the foot, cramping of the hands and feet, sudden onset of abdominal pain, fungal infection in the foot.

  • Needling: Perpendicular insertion 0.1 to 0.2 cun.

13. Li Nei Ting (EX-LE13)

  • Location: On the point between the second and third metatarsophalangeal joints at the sole the foot (Figure 13.79).

  • Function: Regulates Stomach Qi and calms the mind.

  • Indications: Epilepsy, infantile convulsions, stomach pain, pain in the toes.

  • Needling: Perpendicular insertion 0.3 to 0.5 cun.

Conclusion

The extra points provide additional therapeutic options to enhance clinical outcomes. The points listed here do not include all the extra points but serve as examples. Clinically, these extra points tend to produce immediate effects on pain and acute conditions.