Classical Acupuncture points in Dogs & Cats Top 77 points

Huisheng Xie, DVM PhD

• What?

Classical Point

Acupuncture: History

Sun Yang

Alias Bole Veterinarian Qinmugong period 659 B.C. to 621 B.C.

Bole Zhen-jing

Bole’s Canon of Veterinary Acupuncture

•

Sun Yang

•

659 to 621 B.C.

•

Bole Zhenjing

Acupuncture: History

Yuan Heng’s Therapeutic Treatise of Horses Yuan Heng Liao Ma Ji

• • •

– – –

1608 Benyuan Yu Benheng Yu Veterinarian Ming Dynasty 1368 to 1644

Canine Classical Point

• No meridian lines. Only location of points.

– Its own points

• Liu-feng

– From horses

• Bai-hui

– From cattle

• Shan Gen (mountain base)

– From pigs

• An-shen

• From lab animal studies (rats, mice)

– Transpositional from people to rats/mice – From rats/mice to dogs/cats: ST-36, GB-34

Canine Classical Point: Why

• Simply it works.

Head regions: 23 points Trunks: 26 points Limbs: 28 points

Head and Neck (HN) region

• 23 points (#1 to #23)

Head and Neck (HN) region

(#01 to #23)

01

Tian-men

Gate of Heaven

Tian-men

GV-17 Xie-01 LO: on the dorsal midline b/t the caudal rim of the 2 ear base ME: Perpendicular insertion 0.3 cun IN: epilepsy, seizure, loss of voice, dizzy Ref: Crossing (Jiao-hui) pt b/w GV & BL

02

Da-feng-men

Great Wind Gate, GV-21, Xie-02

LO: on the dorsal midline b/t the cranial rim of the 2 ear base ME: Horizontal insertion toward GV-17 (sedation) or GV-24 (tonification) for 0.5-1 cun IN: Internal wind: epilepsy, seizure, tremor headache, vertigo, nasal congestion/discharge calming down point

Long-hui Tai-yang

03

Long-hui

Meeting of dragons

Xie-04 LO: on the midpoint b/t the two temporal fossae.

ME: Perpendicular insertion 0.3 cun IN: epilepsy, seizure, nasal congestion Ref: Yin-tang in people

04

Tai-yang

Great Yang

LO: In the depression about 1 cun posterior to the lateral canthus.

ME: Perpendicular insertion 0.5 to 1 cun IN: Facial paralysis, headache, conjunctivitis or other acute eye problems

05

Shan-gen

Mountain base

Xie-05

Shan-gen GV-26

LO: on the dorsal midline of boundary b/t hairy & non-hairy areas ME: Perpendicular insertion 0.3 cun IN: Loss of appetite, sinusitis, coma, shock, wind-cold, wind-heat Ref: Transposition from bovine points

06

Ren-zhong/Shui-gou

the center of man/water passage, Xie-07, GV-26

LO: At the intersection b/t dorsal and middle 1/3 of the philtrum ME: Perpendicular insertion for 0.3 cun IN: Coma, shock, fever, bronchitis, Lung Heat, facial paralysis Ref: Crossing pt b/t GV, LI, ST.

BL-1 ST-1

San-jiang

07

Jing-ming

Brighten eye Xie-10

BL-1

LO: At the medial canthus b/t the upper and lower eyelid ME: Push the eyeball laterally and perpendicular insertion 0.1 cun Not twisting the needle Contraindication of moxa IN: Conjunctivitis, keratitis, liver heat or other acute eye problems Ref: Crossing pt among 5 channels (SI, BL, ST, yin-qiao, Yang-qiao) 08

Cheng-qi

, Receiving Tears Yu-04, ST-1 LO: In the midpoint of lower eyelid ME: Perpendicular insertion for 0.3 cun; Do not twist the needle after needling; Contraindication of moxa IN: Ocular discharge, abnormal tears, Uveitis, KCS, facial paralysis Ref: Crossing pt b/t BL-, Yang-qiao and CV.

09

San-jiang

, Three rivers Yu-05 from equine

BL-1 ST-1

San-jiang

LO: On angular vein. 1 cun below medial canthus ME: Dry needling or hemo acupuncture IN: Uveitis, KCS, constipation, abdominal pain.

10

Ying-Xiang

receive fragrance, Xie-08, LI-20 LO: In the nasal labial groove, at the level of the midpoint of the lateral border of the ala nasi ME: Oblique insertion for 0.3 cun; Contraindication of moxa IN: Nasal congestion, facial paralysis Ref: Crossing pt b/t ST and LI.

Nao-shu Bi-tong 11

Bi-tong

, nose passing LO: In the midpoint between LI-20 and BL-1.

ME: Perpendicular insertion for 0.3 cun IN: Nasal congestion, sinusitis, facial paralysis 12

Nao-shu

, brain association point LO: In the upper 1/3 between the cranial medial aspect of ear base and GB-1.

ME: Perpendicular insertion for 0.3 cun IN: Seizure, shen disturbance

TH17 GB-20

13

Feng-chi

Wind Pond, Xie-23, GB-20 LO: In the depression rostral and medial to the cranial edge of the wings of the atlas in a depression below the occipital bones and medial to the jugular process. 14

Yi-feng

Wind Screen, Xie-22, TH-17 LO: Ventral to the ear in the depression between the mandible and the mastoid process 15

An-shen

Pacify Shen Transpositionally from swine acupoints LO: Halfway b/t GB-20 and TH-17 caudal to the ear base IN: External Wind, Internal Wind, seizure, Calming down shen cervical stiffness, headache, nose-bleeding, nasal discharge/congestion, facial paralysis, swelling in the face, otitis, deafness,

16

Shang-guan

, upper joint, YU-7, GB-3 LO: In the depression caudal end of temporomandibular joint. Ref: Crossing point between GB and ST.

17

Xia-guan

, lower joint, YU-8, ST-7 LO: In the depression caudal to masserter, cranial to temporomandibular joint. Ref: Crossing point between ST and GB.

18 Bao-sai

Embrace mandible from equine LO: Intersection of line from medial canthus to mandible angle and extension of anguli oris IN: Dental pain, mandible pain, facial paralysis Headache, head-shaking

19

Er-jian

Ear Tip Xie-24 LO: On the convex surface of the ear at the auricular vein on the tip of ear ME: Dry needling or hemo-acupuncture IN: abdominal pain, fever, wind-heat, heat 20

Cheng-jiang

Receiving saliva CV-24

LO: Midline 1 cun to rim of lower lip ME: Perpendicular insertion 0.3 to 0.5 cun IN: excessive salivation, cold-damp, facial paralysis Ref: Crossing point between CV and ST; Transpositional from equine.

21

Hua-tuo-jia-ji

at cervical region LO: 0.5 dorsal to cervical vertebrae IN: cervical stiffness, wobbler’s disease 22.

Jian-wei

, strengthen stomach LO: Upper 1/3 of the jugular group, Between vein and cervical vertebra IN: Anoraxia, vomit, stomach disorders 23

Lian-quan

LO: At the ventral midline just cranial to throat.

CV-23

IN: excessive salivation, laryngeal hemiplegia Ref: Crossing point between CV and Yin Wei

Trunk and Tail (TT) region • 26 points (#24To #49)

Trunk and Tail (TT) region

24

Da-zhui

Great vertebrae Xie-26, GV-14 LO: In the dorsal midline b/t C7 & T1 IN: Fever, cervical neuralgia, asthma, cough, seizure, skin itching immune deficiency, IVDD Ref: Recent studies indicated the stimulation at GV-14, LI-4 & ST-36 increased WBC in cancer patient with chemo/radio-therapy 26

Tian-tu

Celestial Chimney 25

Ding-chuan

stop cough/asthma LO: In the depression 0.5 cun lateral to GV-14 LO: On the ventral midline at the tip of the manubrium IN: Cough, asthma, dyspnea, sore throat, thyroid problem, diaphragm spasm, chest pain.

27.

Shen-zhu

, Body Post, GV-12, Xie-28 LO: In the dorsal midline b/t T3 and T4 ME: Perpendicular insertion 0.5-1.5 cun IN: Lung disorder, Heart disorders, cough, asthma, IVDD, Shen disturbance 28

Ling-tai

GV-10, Xie-30 LO: In the dorsal midline b/t T6 and T7 ME: Perpendicular insertion 0.3 to 0.5 cun IN: Liver problems, lung problems, stomach problem

29

Ji-zhong

spine center, GV-6, Xie-34 LO: In the dorsal midline b/t T11 &T12 ME: Perpendicular insertion 0.3 to 0.5 cun IN: IVDD, Spleen and Stomach disorders 30

Tian-ping

,

scale

Xie-35 Transpositionally from swine acupoints.

LO: In the dorsal midline b/t T13 and L1 ME: Perpendicular insertion 0.3 to 0.5 cun IN: internal hemorrhage (hematuria, hemafecia) prevention for castration/spayed bleeding

GV-4 GV-3

31

Ming-meng

Life Gate Xie-37 GV-4 LO: In the dorsal midline b/t L2 & L3 ME: Perpendicular insertion 0.5 cun IN: renal failure, diarrhea due to Yang Deficiency Lumbar pain, IVDD 32 Yao-yang-guan, Lumbar yang gate, Xie-38 GV-3 LO: In the dorsal midline b/t L4 and L5 ME: Perpendicular insertion 0.3 to 0.5 cun IN: Lumbar-sacral IVDD, hindlimb weakness/paresis/paralysis

33 Bai-hui hundred meeting Xie-40 LO: In the dorsal midline b/t L7 & S1 34 Shen-shu-E Kidney association point, BL-26, xie-62 LO: 1.5 cun lateral to Bai-hui 35 Shen-peng Kidney shelf LO: 1.5 cun cranial to Shen-shu IN: yang deficiency, lumbar-sacral pain IVDD, renal failure diarrhea, constipation hindlimb weakness/paresis/paralysis ischiadic neuralgia

Bai-hui Wei-jie

36

Yan-chi

Wing of ilium LO: Midpoint between Shen-peng and tuber coxae ME: Perpendicular insertion 1 to 1.5 cun IN: Infertility, Kidney Qi/yang deficiency 37 Wei-jie Tail-vertebrae Xie-42 LO: In the dorsal midline b/t Cd1 and Cd2 ME: Perpendicular insertion 0.1 to 0.3 cun IN: Paralysis of tail, hindlimb weakness/paresis/paralysis

38

Hou-hai

back sea Xie-47 GV-1 LO: In the depression b/t the anus and ventral tail base ME: Perpendicular insertion 0.5-1.0 cun IN: Diarrhea, constipation, anus problem, paralysis of rectum prolapse of rectum, seizure, infertility Ref: Crossing pt among GV, GB and KID GV Luo-connecting to CV 39.

Wei-jian

Tail tip,, GV-1b Xie-44 LO: At the tip of tail ME: Perpendicular insertion 0.1 to 0.3 cun IN: Paralysis of tail, hindlimb weakness paresis/paralysis

40

Hua-tuo-jia-ji

LO: 0.5 cun lateral to each vertebrae fom T-1 to L-7 IN: IVDD, back pain 41 Si-liao Four points Xie-45 LO: A group of 4 acupoints. 0.5 cun lateral to the sacrum. The cranial pt is at the first dorsal sacral foramina The Caudal pt is at the second dorsal sacral foramina The remaining 2 points are equidistantly located b/t the cranial and caudal points.

IN: Lumbar-sacral pain, neuralgia, hindlimb weakness/paresis infertility, metritis, ovaritis Ref: It’s called Er-yan (Two holes) in some reference if only cranial and caudal points are used. It’s called Ba-jiao (Eight points) because there are 8 points (4 points each side).

Precious, 9 YR Castrated cat Shaking the rear leg Stiff and limping At the rear limbs UTI Urinary incontinence Shen:good Stinking smell from body Herbal: solitary hermit

42

Guan-yuan-shu

Gate of primary Qi, Xie-57, BL-21

BL-21

LO: In the longissimus muscle groove, caudal to the last rib and cranial to to the tip of transverse process of L1

GV-4

ME: Perpendicular insertion 0.5 cun IN: Diarrhea, loss of appetite, indigestion nausea and vomiting, abdominal pain general weakness 43

Shen-shu

Kid asso

Xie-59 BL-23

BL-23

LO: Caudal to the tip of the L2 transverse process, in the longissimus muscle groove ME: Perpendicular insertion 0.5 cun IN: Kidney qi or yin deficiency, renal failure, deafness, urinary incontinence, edema, back pain

Trixie, 18 yr s/f cat Flake and dry skin R rear leg amputated after Car accident/surgery/mass Owned since kitty when The owner was 14 yrs All rest 5 cats and 3 dogs Respect Trixie Aloof but the leader Personality: metal Geriatric health check Longevity purpose

CV-8 6th rib

44

Ju-que

CV-14 Xie-80

CV-16 Xiphoid CV-14 CV-12

LO: On the ventral midline, at the midpoint b/t CV-12 and xiphoid process.

ME: Horizontal insertion 0.3 cun IN: chest pain, vomiting, seizure Ref: Heart alarming pt 45

Zhong-wan

Center abdomen

CV-12, Xie-81 LO: Midpoint b/t CV-8 and the xiphoid process ME: Perpendicular insertion 0.3 cun IN: stomachache, vomiting, food stasis, abdominal distension, diarrhea Ref: Stomach alarm point, Influential point for fu organs. Crossing point b/t CV, SI, TH, ST.

CV-8 6th rib

46

Shen-que

CV-8, xie-82 LO: At the center of umbilicus ME: Moxibustion or acupressure IN: IBD, fatigue Ref: Contraindicated with needling 47 Tian-shu Celestial Center ST-25 , xie-86 LO: 2 cun lateral to umbilicus ME: Aquapuncture IN: Front-Mu (Alarm) point for LI.

Constipation, diarrhea, abdominal pain, vomiting

CV-8 CV-7 CV-5 CV-3 CV-2 6th rib CV-6 CV-4

48 Qi-hai, the Sea of Qi , Xie-83 CV-6 LO: At the midpoint b/t CV-8 and CV-4 IN: General weakness, diarrhea, constipation urinary incontinence Qi deficiency patterns in geriatric patients Ref: General Qi tonification similar to ST-36 49

Guan-yuan,

control source, Xie-84 CV-4 LO: on the ventral midline at the the lower 2/5 b/t CV-8 and pubic tubercle IN: Urinary incontinence, renal failure, general weakness, kid yang or qi deficiency Ref: SI alarm point, crossing pt b/t CV & 6 yin channels, general tonification

Four Limbs (FL) region

• Front limb: 17 points (#50 to 66) • Hindlimb: 11 points (#67 to #77)

50.

Bo-jian

, Scapula tip from equine LO: Just cranial to the cranial angle of the scapula 51.

Bo-lan

, Scapula Post xie-87 Just caudal to the caudal angle of the scapula 52.

Fei-men

, Lung Gate from equine LO: 1/3 cranial border of scapula 53.

Fei-pan

, Lung Hugging from equine LO: 1/3 caudal border of scapula 54.

Bo Zhong

, Scapula Center, GB-21 LO: ½ cranial border of the scapula

In:

shoulder problems front limb lameness lung diseases cough or asthma nasal congestion bone steaming (disc infections) paralysis of suprascapular N.

55. Jian-jing

shoulder well, Xie-88, LI-15

LO:

At the shoulder point, ventrocranial to the acromion process.

56. Jian-yu

shoulder clavicle, Xie-89, LI-14

LO:

In the depression cranial and ventral to the greater tubercle of humerus

57. Jian-wu-yu

shoulder lateral clavicle, Xie-90, TH-14

LO:

In the depression caudal to the greater tubercle of the humerus.

In:

Shoulder pain cervical stiffness front limb lameness

58.

Qiang-feng

Robbing wind, Xie-91, SI-9 Caudal to humerus, in a large depression along the caudal border of the Deltoid muscle at its juncture with the lateral and the long heads of the triceps brachii 59.

Jian-zhen

Steadfast shoulder from equine 1.5 cun cranial and dorsal to SI-9 (Qiang-feng). 60.

Tian-zong

, Heaven ancestor from equine 1.5 cun dorsal to SI-9 (Qiang-feng). 61.

Chong-Tian

, penetrating heaven from equine 1.5 cun dorsocaudal to SI-9 (Qiang-feng).

Ref: In:

shoulder problems Ear problems arthritis, nerve paralysis front limb lameness Major pts for the front limb lameness and soft tissue injuries

62. Zhou-shu,

Elbow asso point, Xie-93

LO: In:

B/t the lateral tuberosity of the humerus & the anconal process of the ulna elbow problems arthritis nerve paralysis front limb lameness

63. Qian-san-li,

Front three miles Xie-95, LI-10

LO: In: Ref:

At the upper 1/6 of the forearm, in the muscle groove b/t extensor carpi radialis & extensor digi communis Abdominal pain, diarrhea Gingivitis/stomatitis arthritis, nerve paralysis front limb lameness substitute for ST-36

64. Nei-guan,

Medial Pass, Xie-109, PC-6 3 cun above the transverse crease of the carpus located on the opposite side of the arm from TH-5. The point is located more medially in animals than it is in human beings, although both are located in the center of the palmar side of the arm.

In:

cardiovascular disorders, chest pain, vomiting/nausea epilepsy/seizure/internal wind, insomnia/Shen disturbance Vestibular disease/head tilt, migraine, vertigo/dizziness

Ref:

wei Luo-connecting pt with TH, crossing pt with Yin Clinical study: EA at PC-6/LI-4/ST-36 significantly decreased the serum amylase in the patients of acute pancreatitis.

65. Wai-guan

#99 Lateral Pass, Xie-99, H-5

LO:

3 cun above the carpus on the craniolateral aspect of the foreleg in the interosseous space between the radius and ulna. This point is directly opposite PC-6 on the ventromedial aspect of the foreleg (which is the best way to find PC-6).

In:

fever, headache, red/swollen eyes, deafness, soreness at the flank, arthritis, nerve paralysis, front limb lameness

Ref:

Luo-connecting pt with PC, crossing pt with Yang-wei

66. He-gu,

Union Valley, Xie-113, LI-4 Between the 2nd and 3rd metacarpal bones approximately in the middle of the 3rd metacarpal bone on the radial side

67. Jian-jiao,

Coxa Angle Xie-124 Bai-hui

LO:

At the depression ventral to the horizontal top of the sacral tuber of the ilium

IN:

Hip problems, hip dysplasia Back pain, hindlimb lameness Paresis/paralysis Major points for the hip and hindlimbs

68. Ba-Shan

Attachment to Mountain, Xie-125

LO:

At the midpoint b/t Bai-hui & the sciatic tuber

69. Huan-tiao,

Ring Craniad, Xie-127

LO:

At the depression proximal to the cranial border of the greater trochanter of femur

70. Huan-zhong,

Ring middle, Xie-128

LO:

At the depression proximal to the dorsal border of the greater trochanter of femur

IN:

Hip problems, hip dysplasia

71. Huan-hou,

Ring caudad, Xie-129

LO:

At the depression proximal to the caudal border of the greater trochanter of femur Major point for the hip joints

72. Xi-ao,

Knee Curve Xie-136, ST-35b

LO

: In the depression below the patella and medial to the patellar ligament is a point also referred to as “the medial eye of the knee” or

Nei Xi Yan

. Together with ST-35, the two points are referred to as

Xi Yan

.

IN:

Stifle arthritis, bi syndrome ligament problems Rear weakness

73. Du-bi,

Calf’s Nose, ST-35a

LO:

In the depression below the patella and lateral to the patellar ligament. Also referred to as “lateral eye of the knee” or

Wei Xi Yan

.

74. Hou-san-li, Rear 3 miles

, Xie-140, ST-36

LO:

3 cun below ST-35a, one finger-width from the cranial crest of the tibia in the belly of the cranial tibial muscle. This is a long linear point.

IN:

Arthritis, bi syndrome ligament problems Rear weakness/lameness paresis/paralysis General pain relief

75. Yang-ling-quan,

Yang Tomb Spring , Xie-139, GB-34

LO:

In the depression anterior and distal to the head of the fibula on the lateral side of the rear leg.

76. LIV-3,

Tai Chong,

Supreme Surge, Xie-155, LIV-3

LO:

On the medial aspect of the second toe proximal to the metatarsophalangeal joint.

IN:

Shu-stream point (earth), Yuan-primary (Source) point. Liver Qi Stagnation, abnormal cycle, paralysis of hindlimb. Liu Feng

77. Liu-feng,

Six Raphes

LO:

At the skin fold on the dorsal of the metatarsal joints. 3 points at each foot (total: 6 points at the rear limb)

In:

Ref: Paralysis/paresis Can be applied for the front limbs