3.6 Lower Extremity
3.6.1 Knee Region
For locating and needling points in the knee region, the patient
should be in a relaxed supine position, with the knees slightly
flexed and supported by pillows. This opens up the knee joint
and allows for better palpation of the eyes of the knees. A prone
position with a support below the feet and ankles is recom-
mended for treating points in the popliteal crease.
Patella (Figs 3.100, 3.101)
The upper patellar border marks the location of SP-10as well
as of ST-32to ST-34.
Eyes of the knee (Figs 3.100, 3.101)
The eyes of the knee are formed by the depressions on either side
of the patellar tendon at the level of the lower patellar border. The
lateral eye corresponds to the location of ST-35, the medial eye
is the location of the extra point Ex-LE-4(neixiyan).
Head of the fibula (Figs 3.100, 3.101)
The head of the fibula forms a further important reference point
inferior to the lateral aspect of the knee joint. For locating
G.B.-34, find the head of the fibula (approximately where the
seam of a pair of trousers would be) and hold it with two fingers.
By sliding downward, the anterior finger will ‘drop’ into the
depression anterior and inferior to the head of the fibula, which
marks the location of G.B.-34.
Vastus
lateralis
Head of the
fibula
Vastus
medialis
Medial condyle
of the femur
Patellar
ligament
Patella
‘Eye of
the knee’
‘Eye of
the knee’
ST-34
SP-9
G.B.-34
ST-35
Ex-LE-4
(neixiyan)
Patellar tendon
'Eyes of
the knee'
Head of the
fibula Medial condyle
of the tibia
Fig. 3.101
Fig. 3.100
ST- 32
ST-33
Upper patellar
border
3 cun
3 cun
6 cun
ST-33
Upper patellar
border
3 cun
6 cun
Fig. 3.102
2 cun
2 cun
SP-10