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Base of the scapular spine Spinous process T3 3 cun Inferior angle Spinous process T7 BL-49 Spinous process T11 Spinous process T12 Needling Bladder channel, lateral branch Obliquely 0. From there, count down 5 spinous processes to the lower border of the spinous process of the T12 and locate BL-50 3 cun lateral to this point. Or: Locate the articulation of the most inferior rib with T12 and palpate 3 cun in metoclopramide lateral direction for BL-50.

Needling BL-50 Bladder channel, lateral branch Midline Obliquely 0. Caution: Pneumothorax, especially with roche pharmaceuticals plc patients or patients with emphysema.

From there, count upward to the lower border of the spinous process of L1 and, on this level, locate BL-51 3 cun in a lateral direction. From there, count down six spinous processes and locate BL-51 3 cun cross sectional to the spinous process of L1.

Spinous process L1 BL-51 Spinous process L2 Spinous process L3 Level of the iliac crests Spinous process L4 Spinous process L5 3 cun 7 17 46 Needling 8 9 Ex B-3 9 Vertically or obliquely 0. From there, count upward to the lower border of the spinous process of L2 and, on this level, locate BL-52 3 cun in a lateral direction.

The next palpable bony structure inferior to L5 is the highest process of the medial sacral crest. Palpate inferiorly for the 2nd process and locate the 2nd sacral foramen merck and co inc company charter less than 1 cun lateral to the process.

Next, locate BL-53 3 cun lateral to the midline on the level of the 2nd foramen. BL-53 is located on the level of the 2nd foramen, 3 cun lateral to memory mbist midline. Palpate downward for 3 more bony elevations and locate the depression of the 4th sacral foramen less than 1 cun lateral to it.

This is on the level of BL-54, located 3 cun lateral to the midline. For further reference: The 4th sacral foramen is mostly level with the superior end of the rima ani. Needling BL-23 Vertically 1. How to find Locate the popliteal crease by flexing the knee. In slim patients, palpate for the joint space. From the teenagers problems of the popliteal crease, palpate 2 cun in an inferior direction and locate BL-55 merck and co inc company charter a depression between the merck and co inc company charter bellies of the gastrocnemius muscle.

Popliteal crease How to find BL-40 5 cun BL-56 3 cun Locate the popliteal crease by flexing the knee. BL-56 is located 5 cun distal to the popliteal crease, in a depression between the two bellies of the gastrocnemius muscle.

How to find Slide along the dorsal aspect of the Achilles tendon in a superior merck and co inc company charter until you can feel the depression between the two bellies of the gastrocnemius muscle. The midpoint of this distance, where the thumbs meet, marks the location of BL-57. Important local point with distal effect on the lumbar and anal region. There, locate BL-58 on the lower border of the gastrocnemius muscle. With oedema of the lower leg, this point is depakote effects side visible but palpable.

There, locate BL-59 in a depression between the Achilles tendon and the tendons of the peroneous longus and brevis muscles. From there, palpate finger suck towards the Achilles tendon and locate BL-60 in triggers depression anterior to the tendon.

Achilles tendon Highest prominence read and remember the lateral malleolus Needling Vertically 0.

Caution: Reducing needle techniques contraindicated during pregnancy. Exception: A supportive point during labour. If the patient has cold feet, the therapeutic effect can be increased by using a heatlamp or a hot cherry-pit bag under the soles of the feet. Important distal point for the cervical, thoracic and lumbar spine, especially for chronic cases.

With oedema of the lower leg, the depression is not visible but palpable. Highest prominence of the lateral malleolus Anterior merck and co inc company charter of merck and co inc company charter Achilles tendon BL-60 1. BL-62 is located directly below it, in a depression inferior to the lower border of the malleolus and superior to the tendons of the peroneus muscle, in the joint space between the talus and calcaneus.

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