Atlas of Acupuncture

6 Extra Points

Location

17 point pairs, 0.5 cun lateral to the lower borders of the spinous

processes, close to the spinal facet joints:

● 12 thoracic point pairs (xiongjiaji): between T1 and T12

● 5 lumbar point pairs (yaojiaji): between L1 and L5, Depend-

ing on the school of thought, corresponding points lateral to

the cervical spine are described as ‘additional huatuojiaji’.

How to find

Select points of Ex-B-2depending on the disorder. Determine

the relevant spinous process and locate the point pairs 0.5 cun

lateral to its lower border.

Needling

0.5–1 cun vertically or better obliquely in a medial direction

towards the spine, up to 1.5 cun in the lumbar region. The purpose

of needling these points is to stimulate the local nerve roots. This

means that the insertion angle has to be adapted to the patient’s

anatomy. Never needle in a lateral direction. Once deqiis

obtained, do not further stimulate the needle; it is possible to

apply electrostimulation.

Actions/Indications

● Regulate and harmonise the five zangand six fuOrgans,

depending on the points selected

Special features

With disorders of the facet joints of the cervical spine, there are

often tender points 0.5 cun lateral to the lower borders of the

spinous processes. In China, these are needled for chronic disor-

ders of the cervical spine. If oblique insertions (approximately

45°) in a medial direction are used for points on the inner branch

of the Bladder channel, the tip of the needle will reach the area

of the huatuojiajipoints. This enhances the therapeutic effect.

Ex-B-2 Hua Tuo’s Paravertebral Points HUATUOJIAJI

0.5

cun

Level of the

iliac crests

Spinous

process L4

(depending on

patient’s position)

Spinous process L4

Spinous process L5

Spinous process L3

Spinous process L2

Spinous process L1

Ex-B-2

(parts)

0.5 cun

Disorders of

the upper

extremities

Disorders

of the thorax

Disorders of

the abdominal

region

Disorders of

the lower

extremities

Ex-B-2

point pairs

Spinous process C1

Spinous process T3

Spinous process T7

Spinous process L4 Level of the

iliac crests


 spinous

process L4

(depending

on patient’s

position)

C7

Ex-B-2

Lower border

of scapula

0,5 cun

Ex-B-1

(depending on

patient‘s position)

Spinous process T4

Spinous process T5

Spinous process T6

Spinous process T7

Spinous process T3

Spinous process T2

Spinous process T1

(parts)

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