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Table 1 Acupuncture point selection rationale

From: Manual acupuncture plus usual care versus usual care alone in the treatment of endometriosis-related chronic pelvic pain: study protocol for a randomised controlled feasibility study

Acupuncture point

Relevant indication(s) for endometriosis [37]

Location

Sanyinjiao (SP6)

Irregular menstruation, uterine bleeding, dysmenorrhea, abdominal masses in women

3 cun a directly above the tip of the medial malleolus

Diji (SP8)

Irregular menstruation, dysmenorrhea, abdominal masses in women

On the medial aspect of the lower leg, 3 cun below SP9, on the line connecting the tip of the medial malleolus and SP9

Xuehai (SP10)

Irregular menstruation, dysmenorrhea, abdominal masses in women

When the knee is flexed, on the medial aspect of the thigh, the point is 2 cun above the mediosuperior border of the patella, on the bulge of the medial portion of m. quadriceps femoris.

Zhongji (CV3)

Masses below the umbilicus, severe pain below the umbilicus, abdominal masses, irregular menstruation, painful urination, infertility

On the anterior median line of the lower abdomen, 4 cun below the umbilicus

Guanyuan (CV4)

Fullness of the lower abdomen, back pain and twisting pain below the umbilicus that radiates to the genitals, painful urination, infertility

On the anterior midline, 3 cun below the umbilicus

Guilai (ST29)

Irregular menstruation, uterine masses, pain in the vagina, infertility

2 cun lateral to the anterior midline, level with CV 3

Zusanli (ST36)

Distension and pain of the abdomen

On the anterior aspect of the lower leg, 3 cun below ST 35, one finger breadth (middle finger) from the anterior crest of the tibia

Taichong (LR3)

Epigastric or abdominal pain, periumbilical pain, pain of the genitals, irregular menstruation, painful urinary dysfunction, difficult defecation

On the dorsum of the foot, in the depression distal to the junction of the first and second metatarsal bones

  1. Acupuncture point nomenclature as per World Health Organisation guidelines for meridian alphabetic codes
  2. aA cun is a measurement used in locating acupoints, and corresponds to the distance between the two medial ends of the creases of the interphalangeal joints, when the patient’s middle finger is flexed