Shu Gu (束骨)【Location】Located on the lateral side of the little toe, in the depression behind the joint, at the junction of the red and white flesh, on the outer edge of the foot, behind the head of the 5th metatarsal, at the lower edge of the bone.【Needling Technique】Insert the needle straight for 1 inch, instruct the patient to move their waist and legs every few minutes to draw the needle qi. After needling, the pain in the waist and legs can be immediately alleviated. Retain the needle for 30 minutes, twisting the needle every 10 minutes while the patient moves their waist and legs.Zu Lin Qi (足临泣)【Location】Located in the depression between the little toe and the 4th toe, at the midpoint of the tarsal bones. When sitting with feet hanging, it is found in the depression before the ankle, behind the metatarsal bones of the little and next toes. (Note: This point is located behind a large horizontal tendon between the two bones of the little and next toes, with the tendon above and the point below.)【Needling Technique】Insert the needle straight for 1 inch, instruct the patient to move their waist and legs every few minutes to draw the needle qi. After needling, the pain in the waist and legs can be immediately alleviated. Retain the needle for 30 minutes, twisting the needle every 10 minutes while the patient moves their waist and legs. Slightly posterior insertion is more effective.
Wei Zhong (委中)【Location】Located in the center of the popliteal fossa.【Needling Technique】The patient stands facing a wall with the lower leg straight. After routine disinfection, use a three-edged needle to puncture the Wei Zhong point at the site of venous engorgement, immediately withdrawing the needle. At this time, purple-brown blood will flow out, allowing the blood to flow until it stops (generally 5-10ml of blood is drawn, with the color changing from dark purple to red). Focus on needling the affected side’s Wei Zhong point, but both sides can be needled simultaneously. The operation must be skilled, gentle, and precise. For weak patients, a prone position is recommended. Patients with weak constitution, chronic illness, pregnancy, anemia, any signs of collapse, habitual miscarriage, blood loss, or easy bleeding should not undergo bloodletting. Generally, bloodletting is performed once a week.Feng Shi (风市)【Location】Located at the midpoint of the central line of the outer thigh.【Needling Technique】Insert the needle straight for 1 inch, instruct the patient to move their waist and legs every few minutes to draw the needle qi. After needling, the pain in the waist and legs can be immediately alleviated. Retain the needle for 30 minutes, twisting the needle every 10 minutes while the patient moves their waist and legs.Huan Tiao (环跳)【Location】Located at the junction of the outer third and inner third of the line connecting the tip of the coccyx and the greater trochanter of the femur when lying on the side or prone.【Needling Technique】Use a 4-inch fine needle to insert 3 inches, lifting, thrusting, and twisting the needle. After obtaining qi, allow the sensation to transmit to the affected area, even spreading to the lower limbs and heels. Retain the needle for 30-45 minutes. Needle once daily or every other day until symptoms disappear.Zhi Bian (秩边)【Location】Located 3 inches lateral to the lower spinous process of the 4th sacral vertebra.【Needling Technique】The patient lies prone, using a 4-inch fine needle to insert, twisting the needle 3-4 inches after obtaining qi, allowing the sensation to transmit to the affected area. Retain the needle for 30-45 minutes. Needle once daily or every other day until symptoms disappear.Wan Gu (腕骨)【Location】Located on the ulnar side of the hand, in the depression between the 5th metacarpal and the triquetrum, at the junction of the red and white flesh.【Needling Technique】Use the opposite side’s Wan Gu point, inserting a 1.5-inch fine needle straight for 1 inch. Instruct the patient to move their waist and legs every few minutes to draw the needle qi. After needling, the pain in the waist and legs can be immediately alleviated. Retain the needle for 30 minutes, twisting the needle every 10 minutes while the patient moves their waist and legs.Ling Gu (灵骨)【Location】Located between the first and second metacarpal bones on the back of the hand, at the junction of the first and second metacarpal bones behind the He Gu (合谷) point.【Needling Technique】For left-sided conditions, needle the right side, and vice versa. Insert straight for 1.5 inches, instruct the patient to move their waist and legs every few minutes to draw the needle qi. After needling, the pain in the waist and legs can be immediately alleviated. Retain the needle for 30 minutes, twisting the needle every 10 minutes while the patient moves their waist and legs.Da Bai (大白)【Location】Located on the back of the hand, in the depression between the thumb and index finger, at the junction of the first and second metacarpal bones. The Da Bai point is the third interspace of the large intestine meridian, but the needle should be inserted just below the bone edge.【Needling Technique】Insert the needle close to the bone, straight for 1.5 inches, instruct the patient to move their waist and legs every few minutes to draw the needle qi. After needling, the pain in the waist and legs can be immediately alleviated. Retain the needle for 30 minutes, twisting the needle every 10 minutes while the patient moves their waist and legs.Shou Qian Jin (手千金)【Location】Located on the ulnar side, 1.5 inches behind the Shou Wu Jin (手五金) point (which is located on the ulnar side, 6.5 inches from the pisiform bone), approximately 5 fen lateral to the pathway of the San Jiao meridian.【Needling Technique】The hand is placed on the chest to locate the point, inserting straight for 1 inch. Instruct the patient to move their waist and legs every few minutes to draw the needle qi. After needling, the pain in the waist and legs can be immediately alleviated. Retain the needle for 30 minutes, twisting the needle every 10 minutes while the patient moves their waist and legs.Xin Men (心门)【Location】Located above the ulnar olecranon, 1.5 inches from the elbow joint.【Needling Technique】The hand is placed on the chest to locate the point, inserting the needle to a depth of 1 inch. Instruct the patient to move their waist and legs every few minutes to draw the needle qi. After needling, the pain in the waist and legs can be immediately alleviated. Retain the needle for 30 minutes, twisting the needle every 10 minutes while the patient moves their waist and legs.Zhong Ji (中极)【Location】Located 1 inch below the Guan Yuan point, 4 inches below the navel.
【Needling Technique】Insert straight from the abdominal side to the back side, needle depth of 5 fen to 1.5 inches.Shen Que (神阙)【Location】Located in the center of the umbilicus.【Needling Technique】Moxibustion with ginger, 5-10 cones each time.Bi Yi (鼻翼)【Location】Located in the depression at the upper edge of the nostril.【Needling Technique】Located in the central upper edge of the nostril. Needle depth of 1-2 fen, instruct the patient to move their waist and legs every few minutes to draw the needle qi. Retain the needle for 30 minutes, twisting the needle every 10 minutes while the patient moves their waist and legs.Xia Guan (下关)【Location】Located in the depression in front of the condylar process of the mandible, at the junction of the zygomatic bone and the mandible, with the mouth closed.【Needling Technique】Use a 1-inch fine needle to insert straight for 1 inch. Instruct the patient to move their waist and legs every few minutes to draw the needle qi. After needling, the pain in the waist and legs can be immediately alleviated. Retain the needle for 30 minutes, twisting the needle every 10 minutes while the patient moves their waist and legs.
