Wrist and Ankle Acupuncture

WRIST AL AK ILE
ACLJUICU
II ZONES
Wrist-ankle acupuncture zones and needling points. E
side of the body is divided into 6 vertical zones num
1 to 6, and a circular horizontal line is drawn at
of the diaphragm to divide the body into upper
One acupuncture point is defined at
vertical zone.
vwe.4war 4w..«««4««.
.---.
ANKLE
POINTS
lThe needling points on the wrist

Distributed along the cycle ecun
above the transverse crease of the
I-
wrist (level with PcG and SJ5),
which are marked as UJpper I-G.
Upper on the palm side€Yin of

the wrist:
Upper 4-G on the dorsun sidecang

of the vwrist.
Needling Points on the Ankle
Ihey are distributed on

the cycle transverse
finger (or 3 eun) above
the top of external ankle.
<Refer to PG/c1339
Points Location and Indications
-- Wrist and Ankle

,-.
2 cun above creases
- zzze
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lame
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Upper "'I., Upper 2. Upper 3.
I
I er°er5+°r°
Lower 1, Lower 2, Lower 33,
Upper 4, LJpper 5, Upper 6
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POINT LOCATION AND INDICATIONS
WRIST
A
SIX POINTS
AROUND THE
WRIST
cn above
the crease
figure 4.$ Six poitsoes or te wrist and the sane rurnber on the ankle coeresod with the rest oMtle body
UJper d Upper 4 7Lower t o Lower d
2 Upper 2 Loper 8 Lower 2 t.Lower
Upper 3 6 Upper 6» g Lower 3 1 Lower 6
I
\ t
I \
\
3
i 5
\• t
6---
_)
--- _-
Llpper j; between the ulnar bone border and
Tendon of M. flexor carpi ulnaris, 2 cun above the
transverse crease of wrist
indications:
Mental and emotional disorders, insomnia, depression,
Sinusitis and allergies (nose)
Eyes affected,
Fore headache, facial neuritis, front toothache,
swollen throat, cough, asthma,
stomachache, palpitation,
General disease (no exact location): dizziness, night
sweats, shingles, skin itching.
- Practice: locate the point and insert a needle
• Upper 2 : Between the Tendons of M.

palmaris longus and M. flexor carpi radialis, 2
cun above the transverse crease
• (Refer to PC6)
Indications:
Head & face: parotitis, posterior toothache,
swollen mandible lymph,
chest stuffiness or pain. asthma. breast
disorders
Carpal tunnel syndrome. palm pain
- Practice: locate the point and insert a

needle
Upper 3: 1 centimeter inner to Upp 3
radius border, or lateral to the

radial artery; 2 cun above the
transverse crease
Indications:
• hypertension, chest pain below the axilla
areas.
Elbow tendinitis, carpal tunnel syndrome
0
Practice: locate the point and insert a

needle
. .l
y '
Upper 4d ; on the thumb side of the radius border.
( on the top flat point of radio bone)
Indications:
vertex headache,
Ear disorders: ear inflammation, tinnitus, deafness,
TMJ,
chest pain accordingly;
stiff shoulder (along LI14), elbow and thumb joint pain
practice: locate the point and insert a needle
- Upper 5: 2 cun above the dorsal crease

of the wrist, between the radius and ulna.
(refer to SJS)
- Indications:
posterior temporal headache, dizziness
stiff neck, cormon cold
Sensory and motor dysfunction of the upper
limbs
shoulder pain, elbow pain, wrist sprain,
finger joint pain
- Practice: locate the point and Insert a

needle
Upper G ; on the dorsum of the wrist, 1

cm to the ulna bone border, 2 cun above the
dorsal crease of the wrist
Indications:
posterior headache,
pain in cervical, thorax vertebrae,
Scapulur pain, and pains in areas
according the distribution.
practice: locate the point and insert a

needle
Lower 1" three fingers upwards
from the top of inner ankle,close to the
inner border of Achilles's tendon
- Indications
Intestinal disorders: abdominal
distension, enteritis, constipation
Menstrual problems: dysmnenorrhea,
leucorrhea, irregular menstruation;
pubic pruritus,
Urinary disorders, enuresis, frequent
urination
Inner sural (calf) pain, heel pain
actice: needle
locate the point and insert a needle
t)
- Lower 2: 2 cun proximal to the

medial malleolus; close to the medial
border of tibia
Indications:
• Liver & gallbladder disorders, pain in
liver area, pain in Gallbladder,
Swollen lymph in the groin,
Abdominal pain, intestinal distention
• Inner knee pain and pain in related
areas.
needle
Practice:
locate the point and insert a needle
Lover 3 : 1 cm interior to
the front crest of tibia
Indications:interior knee
pain
Practice: locate the point au

insert a needle
Lower 4 z midpoint
between the front crest of
tibia and the front border of
fibular.
indications:
pain in the related areas such as hip,
knee; neuritis,
sensory anad mnotor dysfunction of the
lower limnbs.
Foot dorsumn pain
w actice: locate the point and insert a

needle
• Lower 5 : shallow Iossa

between fibula and long fibula Lower
tendon. 5
• Indications:
lo pain, pain in posterior-
lateral leg, sciatica;
Calf cramps, lateral ankle pain
• Practice: locate the point and

insert a needle
needle
{
Lower 6 : Lateral Lower
side of leg, just 6
anterior to Achilles's
tendon
indications: l
• lumbar sprain, sciatica,
sacrum-ilium joint pain,
calf cramps needle
• Practice: locate the point and

insert a needle
The principle for selecting the
needling point
Choice of points based on the location of the diseases
I. Diseases on the right side requires points on the right . vice versa.
2. Wrist points indicate illness manifesting superior to the diaphragm:
ankle points to those inferior to the diaphragm
3. The bilateral points can be needled if the diseases or syndromes
re just located on the midline.
• The chief and second syndromes should be analyzed if a few syndromes
exist at the same time. the painful syndrome could be taken as the chief one if
there is any pain; and the related section to sensitive point should be taken as
the inserting needle point.
• The bilateral Upper I could be selected for the diseases that can not be
located the position. such as whole body itching. urticaria. night sweats.
insomnia and some mental diseases.
Above Treat at
Wrist
see _orovnram
s ]
Upper 6 Below Treat at
Ankle
Lower 6
Needling Techniques of VV&A

1. Tools: Filiform Needle. I -1.5 eun, Gauge: 30 or 36
2. Posture of the patients: seating posture for needling the
wrist points; sleeping posture for needling ankle points
3. Needling direction: generally Needle tip towards
to the affected area; mostly should towards to the heart,
but to treat the wrist or ankle joints pain, or any other diseases on
the hand or foot, it should against the heart directions.
4. The needling position : generally there is no changing
except the following conditions:
A-will penetrate the visible vessels ; where the stabbing pain obviously
Cc--- there is scar, injury; D--- needling against the heart, the needling point
could be moved to the heart direction along the perpendicular line not to the
side.
5. The needling schedule
Inserting the needle

I. Hand posture of holding the needle
2. To insert needle transversely the needle tip
penetrate the skin with 30 degree angle
3. Enter into the subcutaneous.
4. The depth of insertion could be 1.5 cun
5. No needle sensation such as soreness, numbness,

distending, heaviness needed.
6. No twisting or thrusting, only pushing.
Practice
Regulating the needle

According to the symptoms or syndromes were
relieved removed) or not, and the recovering degree of the
functions.
A: the depth of needling is shallow enough or not
: the deviation of the needling direction
c: the length of needling is suitable or not
short: unsatisfied effect,
long . palpitation, hard breathing, dizziness
Retention of the needle

I. generally for 20-30 minutes.
2. I hr or more for for severe situation or long course diseases
3. Visible or touchable scar could occurs beneath skin if re-stimulating
time
Taking off the needle

Routine acupuncture incorporates wrist-ankle
acupuncture (WAA) for its analgesic effect.
Treatment course and frequency

diseases, it could be once a day or once every two days. 1o
subcutaneous
Needling
-----

Wrist and Ankle Acupuncture

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WRIST AL AK ILE

lThe needling points on the wrist

Upper on the palm side€Yin of

Upper 4-G on the dorsun sidecang

Needling Points on the Ankle

Ihey are distributed on

Points Location and Indications

-- Wrist and Ankle

2 cun above creases

- Practice: locate the point and insert a needle

• Upper 2 : Between the Tendons of M.

- Practice: locate the point and insert a

Upper 3: 1 centimeter inner to Upp 3

radius border, or lateral to the

Practice: locate the point and insert a

practice: locate the point and insert a needle

- Upper 5: 2 cun above the dorsal crease

- Practice: locate the point and Insert a

Upper G ; on the dorsum of the wrist, 1

practice: locate the point and insert a

- Lower 2: 2 cun proximal to the

Practice: locate the point au

w actice: locate the point and insert a

• Lower 5 : shallow Iossa

• Practice: locate the point and

• Practice: locate the point and

Needling Techniques of VV&A

Inserting the needle

4. The depth of insertion could be 1.5 cun

5. No needle sensation such as soreness, numbness,

6. No twisting or thrusting, only pushing.

Regulating the needle

Retention of the needle

Taking off the needle

Treatment course and frequency

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