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CAUTIONS & CONTRAINDICATIONS Source: A Manual of Acupuncture VESSELS LU LI ST SP HT SI UB KD PC SJ GB LV RN DU Axillary artery 1 Brachial a/v 3 Brachial artery 2 Carotid a/v 17 Carotid artery 17,18 9,10 Cephalic vein 7 Facial a/v 5 Femoral artery 11,12 Femoral vein 11,12 12 Jugular vein 17,18 Radial artery 8,9 Subclavian a/v 12 Ulnar artery 7 NERVES LU LI ST SP HT SI UB KD PC SJ GB LV RN DU Brain 15,16 Femoral nerve 12 Infraorbital n. 2 Median nerve 7 Spinal canal 3,4,5,6,7, 8,9,10,11,12, 13,14,15,16 Spinal cord 20 Ulnar nerve 7 8 POINT CAUTIONS Page 1 © HB Kim, AcupunctureMedia.com
NEEDLING & MOXA LU LI ST SP HT SI UB KD PC SJ GB LV RN DU Bleeding 19* Deep needling 3 Mouth open when needling 19 2 Movement when needling 5,6 Moxa 3 19,20 1,2,8,9,10,17 7 3 18 1,2,3,5,6,7 21,23 1,22,33 9(pregnancy), 15,23 4,6,7,15,16, 17,25 Needling 17 2* 8 1*,8,17*, 9(water illness) 10,11,17,24 Perpendicular only 17 *Asterisks indicate information from the classical texts. ORGANS & TISSUES LU LI ST SP HT SI UB KD PC SJ GB LV RN DU LV Enlarged 20,21 15 13 14 Left lobe 14 Puncturing ᮶19 22,᮶21 HT Puncturing ᮰19 14 SP Enlarged 15,16 13 LU Puncturing 22,23,24, 25,26,27 11,12,13,14, 15,16,18 1 13 22,23,24,25, 26,27 PneumoͲ throax 1,2 16 17,18,19, 20,21 12,14,15 11,12,13,14, 15,16,17,18, 19,20,21, 41,42,43,44, 45,46,47,48, 49,50 1 15 21,22,23,24 14 KD Puncturing 22,23, 51,52 UB Full UB 28,29,30 11,12,13 2,3,4 Eyeball 2 Peritoneal cavity 11,12,13, 14,15,16 20,21,22,23, 24,25,26,27, 28,29,30 13,14,15,16 14,15,16,17, 18,19,20, ᮰21 25,26 5,6,7,9, 10,11,12,13 Spermatic cord 30 Fibula 39 Pregnancy 4 12 6 60 21 1,5,10 POINT CAUTIONS Page 2 © HB Kim, AcupunctureMedia.com
EARTH CIRCUIT LU MERIDIAN 1 Pneumothorax 2 Pneumothorax 3 Moxa will counterflow Qi 7 Cephalic vein 8 Radial artery 9 Radial artery LI MERIDIAN 4 Pregnancy 16 Pneumothorax 17 Carotid artery or jugular vein 18 Carotid artery or jugular vein 19 Moxa 20 Moxa ST MERIDIAN 1 Moxa 2 Moxa, eyeball, Infraorbital nerve 5 Facial artery and vein 8 Moxa 9 Moxa, carotid artery 10 Moxa, carotid artery 11 Puncturing LU 12 Puncturing LU, pregnancy, subclavian vessels 13 Puncturing LU 14 Puncturing LU 15 Puncturing LU 16 Puncturing LU 17 Both needling and moxa (reference point) 18 Puncturing LU 19 HT on left, LV on right 20 Peritoneal cavity, enlarged LV 21 Peritoneal cavity, enlarged LV 22 Peritoneal cavity 23 Peritoneal cavity 24 Peritoneal cavity 25 Peritoneal cavity 26 Peritoneal cavity 27 Peritoneal cavity 28 Peritoneal cavity, full UB 29 Peritoneal cavity, full UB 30 Peritoneal cavity, full UB, spermatic cord 42 Dorsalis pedis artery SP MERIDIAN 6 Pregnancy 7 Moxa 11 Femoral artery 12 Femoral artery (medial), femoral nerve (lateral) 13 Peritoneal cavity 14 Peritoneal cavity 15 Peritoneal cavity, enlarged SP or LV 16 Peritoneal cavity, enlarged SP 17 Pneumothorax 18 Pneumothorax 19 Pneumothorax 20 Pneumothorax 21 Pneumothorax HEAVEN CIRCUIT HT MERIDIAN 1 Axillary artery, Puncturing LU 2 Brachial artery (some classic, Contra for needle) 3 Moxa 7 Ulnar artery, ulnar nerve SI MERIDIAN 8 Ulnar nerve 12 Pneumothorax 13 Puncturing LU 14 Pneumothorax 15 Pneumothorax 17 Carotid vessels 18 Moxa 19 Mouth open when needling UB MERIDIAN 1 Moxa 2 Moxa 3 Moxa 5 Moxa 6 Moxa 7 Moxa 11 Pneumothorax 12 Pneumothorax 13 Pneumothorax 14 Pneumothorax 15 Pneumothorax 16 Pneumothorax 17 Pneumothorax 18 Pneumothorax 19 Pneumothorax 20 Pneumothorax 21 Pneumothorax 22 Puncturing KD 23 Puncturing KD 41 Pneumothroax 42 Pneumothroax 43 Pneumothroax 44 Pneumothroax 45 Pneumothroax 46 Pneumothroax 47 Pneumothroax 48 Pneumothroax 49 Pneumothroax 50 Pneumothroax 51 Puncturing KD 52 Puncturing KD 60 Pregnancy KD MERIDIAN 11 Full UB 12 Full UB 13 Full UB 14 Peritoneal cavity 15 Peritoneal cavity 16 Peritoneal cavity 17 Peritoneal cavity 18 Peritoneal cavity 19 Peritoneal cavity 20 Peritoneal cavity 21 LV on right, Peritoneum on Left 22 Puncturing LU or LV 23 Puncturing LU 24 Puncturing LU 25 Puncturing LU 26 Puncturing LU 27 Puncturing LU POINT CAUTIONS Page 3 © HB Kim, AcupunctureMedia.com
HUMAN CIRCUIT PC MERIDIAN 1 Pneumothorax 3 Brachial artery and vein 7 Median nerve SJ MERIDIAN 5 Movement may result in bent needle 6 Movement may result in bent needle 8 Contra to needling 15 Pneumothorax 17 May affect opening/closing mouth 19 Bleeding (classic text) 21 Pus discharge from ear (no moxa) 23 Moxa GB MERIDIAN 1 Moxa 2 Mouth open when needling 3 Avoid deep needling 20 Spinal cord 21 Pneumothorax, Pregnancy 22 Pneumothorax, Moxa 23 Penumothorax 24 Penumothorax 25 Peritoneal cavity 26 Peritoneal cavity 33 Moxa 39 Avoid hitting the fibula LV MERIDIAN 12 Femoral vein 13 Enlarged LV or SP 14 Pneumothorax REN & DU CONCEPTION VESSEL 1 Pregnancy, Needling (classic text) 2 Full UB 3 Full UB 4 Full UB 5 Pregnancy, Peritoneal cavity 6 Peritoneal cavity 7 Peritoneal cavity 8 Needling, (massage or indirect moxa) 9 Water illness (No needle), Pregnancy (no moxa), Peritoneal cavity 10 Peritoneal cavity, pregnancy 11 Peritoneal cavity 12 Peritoneal cavity 13 Peritoneal cavity 14 Left lobe of LV, enlarged LV, Do not insert toward HT 15 Moxa 17 Needling (classic text) 22 Needle with enough clinical experience 23 Moxa GOVERNING VESSEL 3 Spinal canal (1.25Ͳ1.75cun deep) 4 Spinal canal (1.25Ͳ1.75cun deep), Moxa (under 20 yr. old) 5 Spinal canal (1.25Ͳ1.75cun deep) 6 Spinal canal (1.25Ͳ1.75cun deep), Moxa 7 Spinal canal (1.25Ͳ1.75cun deep), Moxa 8 Spinal canal (1.25Ͳ1.75cun deep) 9 Spinal canal (1.25Ͳ1.75cun deep) 10 Spinal canal (1.25Ͳ1.75cun deep), Needling 11 Spinal canal (1.25Ͳ1.75cun deep), Needling 12 Spinal canal (1.25Ͳ1.75cun deep) 13 Spinal canal (1.25Ͳ1.75cun deep) 14 Spinal canal (1.25Ͳ1.75cun deep) 15 Spinal canal (1.25Ͳ1.75cun deep), Moxa, Brain 16 Spinal canal (1.25Ͳ1.75cun deep), Moxa, Brain 17 Needling and Moxa 24 Needling 25 Moxa NEEDLING DIRECTIONS POINT CAUTIONS Page 4 © HB Kim, AcupunctureMedia.com