Point Location Final Practicum

Front 1

LI-1

Back 1

On radial side of index finger, about .1 cun posterior to corner of the nail.

Front 2

LI - 2

Back 2

On radial side of index finger, distal to the metacarpalphalangeal joint, located w/finger slightly flexed.

Front 3

LI 3

Back 3

On radial side of index finger, when a loose fist is made, the point is in depression proximal to the head of the second metacarpal bone.

Front 4

LI-4

Back 4

On dorsum of hand, btwn 1st and 2nd metacarpal bones, approx. in middle of 2nd metacarpal bone on radial side.

Front 5

LI -5

Back 5

On radial side of wrist, in center of hollow formed btwn tendons of extensor pollicis longus and extensor pollicis brevis when thumb is extended (the anatomical snuffbox)

Front 6

LI - 6

Back 6

With elbow flexed, point is on radial side of forearm, 3 cun above LI-5 on line connecting LI-5 and LI-11. (Rmbr distance from transverse wrist crease (LI-5) to transverse cubital crease (LI-11) is 12 cun, move 3 cun proximally from LI-5 to locate level of LI-6)

Front 7

LI 7

Back 7

With elbow flexed, point is on radial side of forearm, 5 cun above LI-5 on line connecting LI-5 and LI-11. (Rmbr distance from transverse wrist crease to transverse cubital crease is 12 cun, move 5 cun proximally from LI-5 to locate level of LI-7.

Front 8

LI-8

Back 8

With elbow flexed, point if found on radial side of forearm, 4 cun below LI-11. Rmbr that distance from transverse wrist crease (LI-5) to transverse cubital crease (LI-11) is 12 cun, move 4 cun distally from LI-11 to locate level of LI-8.

Front 9

LI-9

Back 9

With elbow flexed, point is found on radial side of forearm, 3 cun below LI-11 on line connecting LI-5 and LI-11. Rmbr that distance from transverse wrist crease (LI-5) to transverse cubital crease (LI-11) is 12 cun, move 3 cun distally from LI-11 to locate level of LI-9.

Front 10

LI-10

Back 10

With elbow flexed, point if found on radial side of forearm, 2 cun below LI-11 on line connecting LI-5 and LI-11. Rmbr distance from transverse wrist crease (LI-5) to transverse cubital crease (LI-11) is 12 cun, move 2 cun distally from LI-11 to locate level of LI-10.

Front 11

Location hints from LI 5-LI 11

Back 11

Rmbr 12 cun from transverse wrist crease to tranverse cubital crease.
Moving proximally from LI-5 it's 3 cun to LI-6, 5 cun to LI-7, 8 cun to LI-8, 9 cun to LI-9, 10 cun to LI-10, 12 cun to LI 11. So, LI-5 then 3, 2, 3, 1, 1, 2

OR Distally from LI-11
It's 2 cun to LI-10, 1 cun to LI-9, 1 cun to LI-8, 3 cun to LI-7, 2 cun to LI-6, 3 cun to LI-5. So, LI-11 then 2, 1, 1, 3, 2, 3 to LI-5

Front 12

LI-11

Back 12

With elbow bent, point lies in depression at lateral end of transverse cubital crease, midway between Lu-5 located on transverse cubital crease at radial side of biceps tendon and lat. epicondyle of humerus.

Front 13

LI-12

Back 13

With elbow flexed, point is located approx. 1 cun above and lat to LI-11 at lateral/posterior border of the humerus.

Front 14

LI -13

Back 14

3 cun above LI-11 on line connecting LI-11 and LI-15, superior to lateral epicondyle of humerus. Rmbr distance from tranverse cubital crease to anterior axillary fold is 9 cun move 1/3 of distance superiorly from LI-11 to locate level of LI-13

Front 15

LI-14

Back 15

At inferior border of deltoid, on line connecting LI-11 and LI-15

Front 16

LI-15

Back 16

Inferior to acromion, on upper portion of deltoid muscle, and in depression at anterior border of acromioclavicular joint when arm is abducted.

Front 17

LI-16

Back 17

In depression btwn acromial extremity of clavicle and scapular spine on upper shoulder.

Front 18

LI-17

Back 18

1 cun below LI-18 (located level w/Adam's apple btwn sternal and clavicular heads of sternocleidomastoid muscle) on lat. side of neck, on posterior border of sternocleidomastoid muscle.

Front 19

LI-18

Back 19

On lateral side of neck, level w/tip of and 3 cun lateral to Adam's apple, btwn sternal head and clavicular heads of sternocleidomastoid muscle.

Front 20

LI-19

Back 20

.5 cun lateral to DU-26 (located on midline at junction of upper third and lower two thirds of philtrum) right below lateral margin of nostril

Front 21

LI-20

Back 21

In nasolabial sulcus, level w/midpoint of lateral border of ala nasi.

Front 22

Lung 1

Back 22

Approx 1 cun below LU-2. Locate Lu2 on lat. side of ant. chest, in clear depression inferior to the clavicle, medial to coracoid process, and lat to thorax, btwn pectoralis major and deltoid muscles. Move 1 cun inferior and slightly lateral to slight depression of Lu-1

Front 23

Lu 2

Back 23

On lat side of ant. chest, in clear depression inferior to clavicle, medial to coracoid process, lateral to thorax, btwn pectoralis major and deltiod muscles

Front 24

Lu 3

Back 24

On lat. upper arm, 3 cun below anter. end of axilla on radial side of biceps brachii. (Rember distance btwn axillary & cubital creases is 9 cun, divide into thirds, Lu3 is at junction of upper third & lower two thirds in depression formed by radial side of biceps brachii and humerus

Front 25

Lu 4

Back 25

One cun below Lu3, 4 cun below axilla. (Rmbr the distance from axillary and cubital creases is 9 cun, find midpoint, move superiorly .5 cun to depression formed by radial side of biceps brachii and humerus.

Front 26

LU-5

Back 26

With elbow slightly bent, point is on the cubital crease on radial side of tendon of biceps brachii.

Front 27

Location Hint for Lu 3-5

Back 27

Lu3 is 3 down from axilla, plus 1 cun more to Lu 4...4 cun from axilla to 4, then 5 is down 5 cun more. (total of nine cun from axilla to cubital elbow crease) 3 cun, 4 cun, + 5 more to Lu5

Front 28

LU -6

Back 28

On palmar side of forearm, on line connecting Lu-9 (at radial end of transverse crease of wrist) and Lu-5 (on radial side of biceps tendon at transverse cubital crease), 7 cun above transverse crease of wrist. (Rmbr distance from transverse wrist crease and transverse cubital crease is 12 cun, find midpoint and move proximally 1 cun to Lu-6.

Front 29

Lu 7

Back 29

Superior to styloid process of radius, 1.5 cun above transverse crease of wrist. (Place thumb and middle finger on each styloid process, place index finger on styloid process and slide index finger superiorly until a depression is felt. Point is here)

Front 30

Lu-8

Back 30

1 cun above transverse crease of wrist in hollow on the lat. side of radial artery.

Front 31

Lu-9

Back 31

At radial end of transverse crease of wrist, in depression btwn tendons of flexor carpi radialis and abductor pollicis longus, on lateral side of radial artery

Front 32

Lu 10

Back 32

On palmar side of hand, at midpoint of first metacarpal bone. (In depression btwn first metacarpus and thenar eminence)

Front 33

Lu 11

Back 33

On radial side of thumb, about .1 cun posterior to corner of the nail.

Front 34

ST 1

Back 34

With eyes looking straight forward, point is found directly below pupil, btwn eyeball and infraorbital ridge.

Front 35

ST 2

Back 35

In depression below ST-1, at the infraorbital foramen.

Front 36

ST-3

Back 36

With eyes looking straight forward, point is found directly below pupil, level w/lower border of ala nasi, on lateral side of nasolabial groove.

Front 37

ST 4

Back 37

W/eyes looking straight forward, point is found directly below pupil, level w/ corner of the mouth

Front 38

ST 5

Back 38

Anterior to the angle of the mandible, on the anterior border of the attached portion of the masseter muscle, in the groove-like depression appearing when the check is bulged.

Front 39

ST 6

Back 39

One finger width anterior and superior to the lower angle of the mandible, at the prominence of the masseter muscle when teeth are clenched.

Front 40

ST-7

Back 40

At lower border of the zygomatic arch, in depression anterior to the condyloid process of mandible, found with the mouth closed

Front 41

ST-8

Back 41

.5 cun within the anterior hairline at the corner of the forehead

Front 42

ST-9

Back 42

Level w/tip of the Adam's apple, on the anterior border of the sternocleidomastoid muscle

Front 43

ST-10

Back 43

At the midpoint of the line connecting St-9 and St-11, on the anterior border of the sternocleidomastoid muscle.

Front 44

St 15

Back 44

In the 2nd intercostal space, on the mammillary line (considered as 4 cun lateral to midline

Front 45

ST 16

Back 45

In the 3rd intercostal space, on the mammillary line (considered as 4 cun lateral to the midline)

Front 46

ST 17

Back 46

In the 4th intercostal space, in the center of the nipple on the mammillary line (considered as 4 cun lateral to the midline)

Front 47

ST 20

Back 47

5 cun above the umbilicus, 2 cun lateral to the midline level w/ Ren 13. Rmbr that the distance from the umbilicus to the sternocostal angle is 8 cun, move 5 cun superiorly from the umbilicus to locate level of St-20. Then distance from the midline to mammillary line is 4 cun, divide this in half to find 2 cun lateral to the midline.

Front 48

SP-1

Back 48

On the dorsal aspect of the big toe, at the junction of lines drawn along the medial border of the nail and base of the nail, approx. 0.1 cun from the corner of the nail

Front 49

SP-2

Back 49

On the medial side of the big tio, in the depressio distal and inferior to the first metatarso-phalangeal joint.

Front 50

SP-4

Back 50

On the medial side of the foot, in the depression distal and inferior to the base of the first metatarsal bond.

Front 51

SP-3

Back 51

On the medial side of the foot in the depression proximal and inferior to the head of the first metatarsal bone

Front 52

SP-5

Back 52

On the medial side of the ankle, in the depression which lies at the junction of straight lines drawn along the anterior and inferior borders of the medial malleolus.

Front 53

SP-6

Back 53

On the medial side of the lower leg, 3 cun superior to the prominence of the medial malleolus, in a depression close to the medial crest of the tibia.

Front 54

SP-8

Back 54

On the medial side of the lower leg, 3 cun inferior to SP-9, in a depression just posterior to the medial crest of the tibia

Front 55

SP-7

Back 55

On the medial side of the lower leg, 3 cun superior to SP-6, in a depression just posterior to the medial crest of the tibia.

Front 56

SP-9

Back 56

On the medial side of the lower leg, in a depression in the angle formed by the medial condyle of the tibia and the posterior border of the tibia

Front 57

SP-10

Back 57

2 cun proximal to the superior border of the patella, in the tender depression on the bulge of the vastus medialis uscle, directly above SP-9

Front 58

SP-11

Back 58

On the medial side of the upper leg, 6 cun proximal to SP-10, on a line conecting SP-10 with SP-12

Front 59

SP-12

Back 59

3.5 cun lateral to Ren-2, on the lateral side of the femoral artery.

Front 60

SP-13

Back 60

On the lower abdomen, 0.7 cun superior and 0.5 cun lateral to SP-12, 4 cun lateral to the midline. This point is also defined as lying 4.3 cun inferior to SP-15.

Front 61

SP-14

Back 61

On the lower abdomen, 1.3 cun interior to SP-15, 4 cun lateral to the midline.

Front 62

SP-15

Back 62

On the abdomen, in the depression at the lateral border of the rectus abdominis muscle level with umbilicus.

Front 63

SP-17

Back 63

On the lateral side of the chest, in the 4th intercostal space, 6 cun lateral to the midline

Front 64

SP-18

Back 64

On the lateral side of the chest, in the fourth intercosta space, 6 cun lateral to midline

Front 65

SP-19

Back 65

On lateral side of chest in 3rd intercostal space, 6 cun lat to midline

Front 66

SP-20

Back 66

On lateral side of chest, in 2nd intercostal space, 6 cun lateral to midline

Front 67

SP-21

Back 67

On the mid-axillary line, in the 7th intercostal space.