Point | Description | Depth of insertion/needle |
---|---|---|
Local points | ||
 BL23 | 1.5 cun lateral to the spinous process of L2 | 30–40 mm/50 mm |
 BL24 | 1.5 cun lateral to the spinous process of L3 | 30–40 mm/50 mm |
 BL25 | 1.5 cun lateral to the spinous process of L4 | 30–40 mm/50 mm |
 BL26 | 1.5 cun lateral to the spinous process of L5 | 30–40 mm/50 mm |
 BL27 | 1.5 cun lateral to the spinous process of S1 | 30–40 mm/50 mm |
 BL28 | 1.5 cun lateral to the spinous process of S2 | 20–30 mm/40 mm |
 BL54 | 3 cun lateral to the spinous process of S4 | 50–70 mm/75 mm |
 BL31 | Over the first sacral foramen | 20–30 mm/40 mm |
 BL32 | Over the second sacral foramen | 20–30 mm/40 mm |
 BL33 | Over the third sacral foramen | 20–30 mm/40 mm |
 GB30 | Over the piriformis muscle, at junction of lateral 1/3 and medial 2/3 of line joining sacral hiatus and greater trochanter of the femur | 50–70 mm/75 mm |
 HJJ L4 | One fingerbreadth lateral to the spinous process of L4 | 30–40 mm/50 mm |
 HJJL5 | One fingerbreadth lateral to the spinous process of L5 | 30–40 mm/50 mm |
All of the above points can be needled bilaterally. Tender points over the gluteus minimus and the pelvic rim can also be included. | ||
Distal points | ||
 GB34 | One fingerbreadth anterior and one inferior to the fibular head | 25–30 mm/40 mm |
 ST36 | 3 cun below the joint line of the knee and a fingerbreadth lateral to the tibial crest | 25–30 mm/40 mm |
 LR3 | Just distal to the junction of the bases of the first and second metatarsal bones | 25–30 mm/40 mm |
 LI4 | On the highest point of the first dorsal interosseous muscle of the hand | 20–30 mm/40 mm–30 mm |
 BL60 | Midway between the lateral malleolus and the Achilles tendon | 15–25 mm/30 mm |
 BL62 | 1 cun below the tip of the lateral malleolus | 10–20 mm/30 mm |
One or two of the above points are to be included in the treatment. Not necessary to needle bilaterally, unless the clinician judges it to be needed. |