6.4 Extra Points: Upper Extremities (EX-UE)Location
On the palmar aspect of the forearm, midway between the cubital
crease and the wrist joint space (‘most distal wrist crease’).How to find
Place the patient’s forearm in a relaxed supinated position. As the
location of the wrist crease may vary, the wrist joint space presents
a more reliable reference point (➞3.3.3). The spreading hands
technique is the best method for locating this point (➞2.3.3):
Place the little fingers on the centre of the wrist joint (➞P-7) and
the cubital crease (➞P-3) respectively and determine the mid-
point of this distance by joining the thumbs. Locate Ex-UE
(bizhong) on this level between the radius and the ulna.
➞P-4is located 1 cun distal to the midpoint of the distance
between ➞P-3and ➞P-7or 5 cun proximal to ➞P-7.Needling
Vertically 1–1.5 cunActions/Indications
● Opens the channel and the luovessels locallyArm Centre BIZHONG Ex-UE
Cubital creaseEx-UE
(bizhong)Wrist joint
spacePisiform6 cun
(1/2)6 cun
(1/2)RadiusUlnaP-45 cunTendon of the
flexorBiceps tendon
P-3Cubital creaseP-7HE-3P-4P-5
P-6
HE-4
HE-5
HE-6
HE-7P-7LU-61 2 3 4 5 6 7 8 910
11
cun^12LU-5LU-7
LU-8
LU-9P-3LU-10LU-11 P-8P-9HE-8HE-9Ch06b-F10028.qxd 2/22/08 10:04 PM Page 599