Atlas of Acupuncture

6 Extra Points

Location

4.5 cun superior to the centre of the upper patellar border.

How to find

Find the centre of the upper patellar border. From there, measure

4.5 cun (1 handbreadth and 2 fingerbreadths) in a superior direc-

tion. Or:The distance between the upper border of the pubic sym-

physis and the upper border of the patella is 18 cun (➞2.2). Divide

this distance into quarters (spreading hands technique, elastic tape

➞Chapter 2) and Ex-LE(siqiang) is located on the centre of the

thigh, one quarter of the distance from the upper patellar border.

Needling

Vertically 1–2 cun

Actions/Indications

● Paralysis and atrophy of the muscles of the lower extremities,

especially of the quadriceps femoris muscle

Special features

‘Four muscles’ refers to the four portions of the quadriceps

femoris muscle. This point is not part of the WHO classification

of extra points.

Ex-LE Four Muscles Strengthening Point SIQIANG

Upper patellar

border

Lateral patellar

border

4.5 cun

Ex-LEsiqiang

1/2 1/2

Sartorius

Medial patellar

border

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