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 cun
Actions/Indications
● Opens the channel and the luovessels locally
Arm Centre BIZHONG Ex-UE
Cubital crease
Ex-UE
(bizhong)
Wrist joint
space
Pisiform
6 cun
(1/2)
6 cun
(1/2)
Radius
Ulna
P-4
5 cun
Tendon of the
flexor
Biceps tendon
P-3
Cubital crease
P-7
HE-3
P-4
P-5
P-6
HE-4
HE-5
HE-6
HE-7
P-7
LU-6
1 2 3 4 5 6 7 8 9
10
11
cun^12
LU-5
LU-7
LU-8
LU-9
P-3
LU-10
LU-11 P-8
P-9
HE-8
HE-9
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