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Important acu anatomy, needling depths, and needling contraindications for CALE

7th intercostal nerve

Ren 12, Ren 13, Ren 14, Ren 15

5th intercostal artery

DU 11

The branch of the frontal nerve.

DU 22, DU 23

Cephalic vein, radial artery and vein

LU 6

Cephalic vein, branches of the radial artery and vein

LU 7

Laterally, the radial artery and vein

LU 8

The radial artery and vein

LU 9

The posterior cicumflex artery and vein

LI 15

The external jugular vein

LI 17

External carotid artery

ST 9

Superiorly, the transverse cervical artery

ST 12

Deeper, the supraclavicular portioni of brachial plexus.

ST 12

The femoral artery

SP 12

The ulnar artery

HT 4, HT 5, HT 6, HT 7

The auricular branches of the superficial temporal artery and vein.

SI 19

The median artery and vein

PC 4

The median artery, vein and nerve

PC 5, PC 6

The superficial temporal artery and vein

SJ 21, SJ 22

The great saphenous vein, branch of the saphenous nerve

LV 5

The femoral vein

LV 12

Ren 8

Moxa only

Ren 15

Oblique .4-.6 needling downward (xyphoid process)

Ren 22

Transverse .5-1

Du 15-16

Perp .5-.8 (caution of the brain stem, medulla oblongata)

Du 26

Oblique .3-.5

LU 1-2

Oblique .5-.8

ST 1

Perp .5-1

ST 4

Transverse 1-1.5

ST 17

No needling

ST 34

Perp .5-1

SP 3

Perp .3-.5

SP 4

Perp .5-.8
(Deep, Chong channel)

SP 5

Perp .2-.3
(Shallow needling, navicular bone)

HT 4-8

Perp .3-.5

SI 19

Perp .5-1
(Remember SJ 21 is Perp .3-.5)

UB 11-18 (inner shu)

Oblique .5-.7

UB 41-51 (outer shu)

Oblique .3-.5

KD 21

Perp .3-.7
(careful of apex of LV here)

PC 6

Perp .5-.8

SJ 21

Perp .3-.5
(Remember SI 19 is Perp, .5-1)

GB 2

Perp .5-.7

LV 5

Transverse .3-.5
(Be careful of Great saphenous nerve, vein)

LV 12

Moxa only
No needling!-->Femoral vein

LV 13

Perp .5-.8

Caution when needling LU 7:

Cephalic vein

CI when needling LI 4:


Caution when needling ST 12:

Puncturing LU, pregnancy, subclavian vessels

Caution when needling ST 19:

HT on the left, LV on the right

Caution when needling ST 42:

Dorsalis pedis artery

CI when needling SP 6:


Caution when needling SP 11:

Femoral artery

Caution when needling SP 12:

Femoral artery, femoral nerve

Caution when needling HT 1:

Axillary artery, puncturing LU

Caution when needling HT 2:

Brachial artery (some say this point is CI for needling)

Caution when needling HT 7:

Ulnar artery, ulnar nerve

CI when needling UB 60:


Caution when needling KD 21:

LV on the right, Peritoneum on the left

Caution when needling PC 3:

Brachial artery and vein

Caution when needling PC 7:

Median nerve

CI to needling/NO NEEDLING:

SJ 8
(Although, other sources say it's fine)

CI to needling and moxa:

ST 17

CI when needling LV 12:

Femoral vein

Caution when needling GB 21:

Pneumothorax, Pregnancy

Caution with pregnancy and CI in needling:

Ren 1

Caution when needling Ren 5:

Pregnancy, peritoneal cavity

Caution when needling Ren 10:

Peritoneal cavity, Pregnancy

Caution when needling DU 15&16:


Yin Tang

Transverse .3-.5

Yi Ming

Perp .5-.8

Bai Lao

Perp .3-.5

Wei Guan Xia Shu

Oblique .5-.7

Yao Qi

Transverse upward 1-2

Yao Yan

Perp .8-1.2

Zi Gong Xue

Perp .8-1.2

Si Feng

Bleed, no needling

Ba Xie

Oblique .3-.5

Yao Tong Xue

Oblique .5-1

Er Bai

Perp .5-1

Bai Chong Wo

Perp 1-1.2

Lan Wei Xue

Perp 1-1.2

He Ding

Perp .3-.5

Dan Nang Xue

Perp .8-1.2

Tai Yang

Perp .3-.5

An Mian

Perp .5-.8

Bi Tong

Transverse upward .3-.5

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