Distal acupuncture points are located away from the painful area but remain effective for treating regional conditions. Key distal points include: LI4 for head and throat problems, PC6 for chest cavity issues, ST36 (the 'longevity point') for abdominal region problems, SP6 for pelvic and genital areas, LU7 for posterior head and neck, UB40 for lower back pain, TB5 for temporal headache and ear problems, SI3 for neck pain and occipital headache, ST38 for frozen shoulder, GB34 for side problems and tendon issues, UB62 for sciatica, ST44 for toothache, and SP4 for all abdominal problems. These points are particularly valuable for acute pain conditions as they are less painful while remaining highly effective.
Deep Dive
Prerequisite Knowledge
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Deep Dive
Post Graduate Diploma in Acupuncture - Distal Points - 11 May 2026Added:
Good evening everyone.
Dear friends, we are continuing the session of distal points.
As per our previous class, we already have discussed six dist.
We have divided the body like in the head and throat. The distal point is large intestine four.
So if you put the log into the stand for you can work on the problem of head and throat to head and throat problem The distal point of the chest cavity will be the paricardium 6.
If you put the paricardium 6, it is very good point for chest cavity.
Paricardium 6 point.
Then AB use the stomach 36. Very good point for stomach problem. and the area below the diaphragm.
So area below the diaphragm having liver, gallbladder, stomach, spleen, lots of other structures they can be treated by stomach 36.
Stomach 36, diaphragm and the point for pelvis or the genital part is spleen six.
So the fourth crystal point we have seen alli4 paricardium 6 stomach 36 and is spleen six in the front part. Then we have seen on the back part lung seven which is the distal point for head area on the back side neck area on the back side and the upper back area till the diaphragm label. So entire this part the dist point is lung seven diaphragm.
that is urinary bladder of 40 UV 4 distal point this is the urinary blood of 40 is the distal point of this area so we have discussed li4 paricardium 6 stomach 36 spleen 6 lung 7 and urinary 40 these distal point we already understood.
Now we will go through once again quickly and during our discussion if you have any question you kindly put in the chat box so I will reply. Okay. So let's proceed.
So we already have discussed this is the location of LI4.
We already know what is dist point.
Digital point means they are away from the painful area but still they can treat the problem.
painful area.
Very good advantage of the digital point that they're very less painful and they are very effective for acute pain.
We have discussed about this and distal points are very good for all the painful condition. Not only painful condition but many other condition but they are very very good for painful condition.
So Li4 Li4 the location of Li4 is this here we are having one muscle that is entracious muscle.
The tip of intro muscle is ali4 between first and second metacarpal. First metacarpal and second metacarpal metacarpal class.
Then paricardium 6. This also we have discussed already.
We can see the two tendon here. One tendon here, one tendon here. In between we are having paricardium 6.
Paricardium 6 is a two ch away from wrist.
We can needle it. We can presser it.
This is very good point for chest disorder, chest cavity.
Then stomach 36.
Stomach 36 is the point below the knee.
Stomach 36 location. class.
So I'm just telling this is a very very good point for stomach 36 is very good point for any problem happening in the abdominal region. Repeat.
Stomach 36 is called the point of longevity.
Longevity point stomach 36.
The Chinese people are doing very regular moxivation on this point.
point 36.
Got it.
Quickly I will tell you the location once again of the 26.
If you look at the knee area, we can see this knee eye.
From this knee eye, we can see the one outer knee eye, one inner knee eye. If we go three chin down or the four finger down, this is the location of stomach 36. As per TCM it is one and one and a half tube away from this the border of TV.
So this is the location of stomach 36.
It is very very effective point for improving longevity. You see I have inserted the needle. You can see very effective three chun down from this depression.
This is the point we can do the moxivation here. How we can do the stimulation of this point with a heat and it become very effective.
So this was the system of 36.
Then splen 6 is very effective point for pelvis.
Pelvis point six. It is a distal point of pelvis.
genital part. So from the midp point of medial malulus from the midp point of medial malulus if we are going three above or the four finger the location of spleen six is spleen six is a very good point for pelvic cavity manual problem genital problem right then we have discussed lung Seven lung seven point in the hand we can see the location of lung seven it is 1.5 tune away from wrist we can see from here it is exactly on the yinyang border lung seven lung seven is the distal point for posterior Head, neck, the area till the diaphragm, neck stiffness, occipital headache.
Okay, very good point for this area.
We have discussed this is the area on the back side till the death. So lung 7 is for this entire area.
Now below the diaphragm there will be UB40 diaphragm problem like lower back pain.
This is the point exactly in between the knee joint. Exactly in between the oblial crease.
So this is a wonderful point for lower back pain.
Yeah, lower back pain point. We can put the needle here or we can stimulate this point the suj or we can do the blood relating on this point.
If we do the blood letting on this point pain disappear magically immediately from the lower back.
blood.
So this is one of the very good point as a digital point. Usually we prefer bloodating but many people are not comfortable in the blood leading. No problem.
You can put the seeds magnets in the sujuk.
Sujok also very very effective.
So you can put the regarding the moxivation on the UV4. If the person is having knee pain because of the old days because of the degeneration because of the osteoarthritis we can do moxivation all around the knee all the point around the knee it's not only UB 40 degenerative changes blood lead.
So this is the one of the great point for sitica pain, lower back pain, radiculopathy even the person is suffering with the knee pain.
Blood lead need to do from the original point urinary blood or 48. Okay.
Till now we have discussed in the previous class.
Now we will be starting the discussion of more points.
I'm pointy.
Give me one minute. I will bring one pen.
So now the most very very important point the seventh number point we are going to discuss that is triple warmer five from the wrist from the dorsal wrist crease ABR are going to chin proximal to triple warmer five triple warmer five the very good distal point for the problem happening in the root of triple warmer.
So from the dorsal wrist crease we have to go to chin proximal.
From the dorsal wrist crease we have to go to chin proximal. This is the point triple warmer 6 in between the gaps of two.
So let's see the root of the triple B.
The triple bor meridian crossing the ears the person is suffering with the problem of the ear titus deafness ringings of the ear or the temporal headache or the pain of the neck on the side.
So most of the time the triple watermelting working very nicely if there's a problem happening in this area which include temporal headache temporal side headache ear problem deafness tenetus ringing sound in the ear we can use this point. This is one of the very very good point for these all issues all problems that is triple B five.
So this is one of the very good point for migraine headache, ear pain, right?
But this is the distal point for mainly temporal head and the ear. Triple war 5 is the distal point for temporal part of the head.
and ear is part distal point triple warmer five. Suppose someone is having headache.
If the headache in the front side you can use LI4.
Li4 for head and throat. If the headache on the back side that is called occipital headache you can use lung 7 but headache on the temporal area which include ear then use triple warmer five. So triple warmer five is a very good point for this purpose even the problem of the ear.
So how to locate this point?
From the dorsal wrist crease we will keep two fingers and where the three fingers ending that will be the location of triple warmer eye.
We can see the depression here.
Okay, we can put the needle like this you can see.
Okay, because triple war meridian is going like this.
If I'm putting the needle like this, it will do the tonification.
If I put the needle in the opposite direction like this, it will do sedation.
But if I put the needle perpendicular, it will do even method.
Yeah. Nonification, no sedation.
So when we are using it as a distal point just put the needle and if uh you are not able to maintain the direction there is no issue still this point will work.
Let's see once again this point.
chun apart.
So from the dorsal r crease you have to go two chun apart in between two bones means three finger angle.
I think it is clear.
Is it clear? Let's move to the point number next.
when we will make the protocol. So sometime we will be using alli4 sometime we will be using lung 7 sometime we will use triple bomber five that time you have to use this logic.
So now we are moving to the point number next that is small intestine three.
A small intestine 3 is the point very very important point.
A small intestine 3 mainly small intestine three as soon as you put the needle on the small indestine 3 it work on urinary blood channel on the back side.
So that's why SI3 also the distal point of the this back part only head and neck lung seven was for head for neck for upper part of the thor this thoraxic area but a small intestine is a special distal point for head and neck especially we can tell this is the magical point for stiff neck SI3 SI3 is a very very effective point if someone is not able to move the neck right and left as put the SI I3 SI3 is the very good point who release unwanted stiffness from the neck.
We can see this is the line.
This is the in the astrology we are telling you the heart line where this ends SI3 exactly located here.
SI3.
So SI3 is very very good point. We can see here if we put the I'm putting the one mark here we can put the needle also here in the China what they do if the person is suffering with the neck pain they hold this point like this on other side they hold li3 like this on one side they hold li3 on one side hold SI3 hold very tightly then asking the patient okay open a finger close your finger open finger close your finger you can do yourself and you will feel a very wonderful pressure coming on the border bone pressure this is the very very effective point for neck pain in the China it is very common practice if the person is having neck pain quickly. They will release the neck pain using this method.
Sorry.
A little painful.
So look at here. This is the needle. We can take one chew needle and this is the SI3 you know.
So you have to put the needle like this very horizontally.
You can see.
Can you see the needle?
How the needle is going?
So be able to put the needle in this way on the SI3.
This is the very very effective point for neck pain.
The distal point of occipital headache and the neck pain.
This open the D channel D channel open this point.
So we have to we can see here is a very good point for occipital headache very good point for the neck of neck stiffness. This point will open the D channel. This is the special dist point for back part of the head and neck.
We check dist3 is working in entire spine because it is opening the du channel.
D channel. So D channel is opened up.
Due channels means the channel who is in the back side. The entire D channel opened while the SI3 but still the SI3 the special dist point for head and neck on the back side.
Protocol T means tranquilizer.
We have seen indent hard 7 like this. Okay.
Then analesic point L4 and other also.
Then dist point. So from the distal point we have to choose one point minimum one point when we make the protocol.
If the person is having neck pain and the oxidic we can choose SI3. We can also choose lung 7.
So this is very very important point.
Okay.
Understood the location or not?
Oh >> Let's see once again.
So we can see here this the crease.
So when this uh knuckle is ending we can see the heart crease and we put the point just below the bone below the fifth meta carpal bone liter SI Three.
Now let's move to the next point.
Next point is magical point for frozen soldier that is stomach 38.
The stomach 38 is one of the great point for frozen solder. Remember we put the estim 38 on same side of the solder problem.
Right?
So now it is very easy to measure just you measure the entire leg from knee to ankle and do the half stomach 30 is located exactly in the So this is the point exactly located in between lower leg that is The location of stomach 38.
Stomach 30 is very good point for shoulder pain. It is a distal point of the shoulder pain. It is a dist point of the frozen shoulder. Stiffness of the shoulder or the painful movement of the shoulder.
It be put always on the same side. Say same side.
Right side, right side.
Left side.
Okay, let's see the location of this point here.
Look at my leg.
So you can see I will measure my leg and I will do the half from knee to ankle.
You can see my leg here. You can see my knee. This is the polital crease and this is the ankle joint.
Let me measure actually theoretically the distance from knee to ankle is 16 chun that's why 30 it is located 8 chun down.
So let's measure. We can measure this is the app from the knee.
We are measuring four four and four means three chun three ch three three chun three chun and three ch how many ch from the name 3 6 9 12 10 how many 12 and three June 15 right now you can see one more June because there still little gap is remain so this is total length is 16 June but it also might vary for some person some person it might be little Got it.
So now what we'll do we do exactly half of the that whatever the distance is we will do the half of that.
So from here I'm going suppose 1 2 3 4 5 from here 1 So now from your knee 1 2 3 4 5.
So 16 finger five 20 finger is already there.
20 finger measurements. Let's do the per the measurement of From the lower border of the patella patella lower border say from the exactly lower border of the patella.
Got it?
If we are going 8 down then we will reach on stomach 38.
So from the lower part of the patella I'm going three chun three chun then two ch I reached on 8 ch.
So this is the location of stomach 38 from this bone it is one finger awaying.
So this is the bone it is one finger away from the lower part of the patella air ch down from the tibia bone one finger away that is the location of this point which is called stomach 38 the magical point for shoulder A.
This is the pome.
If the person is suffering with a pain of the shoulder, we can put the needle on the same side.
You can see this is a needle.
I think it is clear.
So now we will be moving to the next dist point that is very important Dist point.
The next dist point is one of the great distant point that is gallbladder 34.
It is very very well-known and very important digital point which we are using in our daily clinical practice.
G 34.
The galler 34 we also discuss when we will be discussing influ influential point is discussion correct but right now I want to discuss with you the go 34 when the person is having any problem in the side side top to bottom Then we use gold 34.
Whether the person is having temporal headache or the side headache or the pain of the side of the breast or the pain of the sitica or the knee pain of the lateral side. Any problem from top to bottom if it is happening on the side we are using gallbladder 34.
gallbladder 34.
Even if the person is suffering with any problem in the gallbladder like the person is having problem of the gallbladder, there is stone problem pain in the gallbladder organ because of the gall stone.
So we are using this point.
So for understanding this point it's a it's a very easy if you know two bones of the leg one is the tvia bone and one is the fibula bone abdon bone in the lower leg we have these two bones TVR and this thin bone that is fibula two bones.
So now let's go to the fibula on the side fib anterior border.
We have to go to the anterior border of the fib or the uppermost point on the anterior border of fi. This is the location of galler 3.
You gallb butter 34 key location.
Got it.
location 34 location when we are reaching on the uppermost part of the fibula bone or the head of the fibula just anterior point that is the gulp 34 four.
Let's see the location of this point so that we get clear idea and we'll understand this point.
Let's see now.
below the lateral aspect of the knee in the tender.
>> Yes.
So now we can see here once again.
So when we are feeling this the border of fibula bone this is the fibula bone we are feeling anterior border of the fibula bone.
So this is the fibula bone and uh we will reach on the head of the fibula and just go anterior point.
This is the location of this point. We put the needle in this way.
Any confusion in this point? Is it okay? Got the idea?
Yeah, definitely. We put the needle there.
not clear. Okay, I will explain again.
Let's see.
So what we have to do?
We have to feel this bone side bone because we are having two bones here.
One is the tibia on the side we are having fibula bone.
So we have to feel the anterior border of fibula.
Then keep going upward.
Keep moving upward and feeling the anterior border of this fi.
Still I keep moving upward.
Keep moving upward. Now this is the end.
After that if I move further upward then I cannot feel the border of fibula bone then I will feel this bone full bone. No border I'm just feeling the bone all around bone.
But here I can feel the anterior border.
You can see the depression. If I'm pressing here now, you can see the depression here.
So when I press it and after pressing it, I feel this bone just interior border of this bone. I put the needle like this.
This is the location of gold 34.
If I put the needle here, it will not go because I here the bone bone.
And this is very good point because in the future we will be understanding that this point is working for all the problem of tendons.
work.
So with the help of this bone we can work on all the tendons.
So now let's move to the next point.
Very very important point that is uri nari bladder 62. One of the great point urinary 62 the great distal point we can see here.
So this is the lateral malulus malulus.
We can divide the lateral. This is the central point of the lateral malulus.
You lateral malulus central point here.
If we do draw the vertical line, if we draw the horizontal line just we can see this is the lateral meas.
You can just imagine the clock imager.
This is the 12:00. This is the 3:00.
This is the 6:00. This is the 9:00 in the clock. So, this is the 12:00.
3:00, 6:00, and the 9:00. Can you tell me this point located at which:00 time?
Located this point.
Can you tell me?
near about 7:00.
This is a very very effective point located near 7:00.
Okay.
7:00 means this point is located in the outer part just away from 6:00 in the outer part.
Okay, this is one of the great point for sight.
In kajukitis I have treated some patient which were having severe sciatica pain just by the single point what I did mad dana the seed of peace just you praise this point find out the aasi point of the painful point put the mkadana this is one of A very good point for siticopy.
This is a very good dist point for siticopy.
Okay. Another point here.
You can apply this point for multiple patient.
Now D will be moving for the next point.
The next point is stomach 44 stomach 44. It is very simple. We know stomach channel and this is the location of stomach 44 because stomach channel is going like this and this is stomach 45.
Our target is this point stomach 44 near the babe margin.
This point is very good for tooth pain.
The distal point of toothache and stomach pain.
If the person is having toothache or the stomach pain, this is a very good distance for that purpose.
Yes.
Stomach 44. We can see in this image in the upper image. So here we are having bone number one that is called first metatarsal bone.
This is the second metatarsal bone. This is the third metatarsal bone.
So in between second and third this stomach meridin is going like this and going in the second toe.
This point is located on the wave margin. We can see here baby margin.
Okay. So very good point for tooth pain and stomach problem.
Let's move to the next district ugly district that is spleen for Supplin very special dist point for all the abdominal problem and abdominal pain better in the upper abdomen or in the lower abdomen whether because of the gastric problem or because of the genital problem or because of the problem in the intestine. All the problem of the abdomen can be treated by spleen 4. Spleen 4 will harmonize your stomach.
spleen for point. But if the person is suffering with any type of the abdominal conditions, you can always think for this point because when I will make the protocol, I will keep the list of all the dist point in front of my eyes. I will keep all the point in front of eyes and I will pick one point, two point as per need.
Okay.
So now let's move to the how to locate the spleen for I'm spleen for locate let's see my dad here actually in the TCM location of the spleen 4 and the doctor bowl location of the spleen 4 little vary with the TCM and the drone Dr. B point is giving better results okay Dr. B location is giving better. So I will tell you how to locate as per Dr. Bulk Anush how to locate this point.
So we have to on the first two metatarsal bone first metal bone and we have to go to first.
We will find this point below the first metatarsal bone.
Okay.
So we can feel this bone.
So we can see the depression here.
We can feel the depression here. Praise this point. We will feel the depression here.
Depression feel as per some author. This is the location of screen 4.
But as for some author like the Dr. B, this is the location of a screen 4. We can see exactly when this bone is ending. Let's see one how to locate this point. I will keep another another example another video then you will able to understand is playing four is one of the very very great point. So please look at this point very properly.
So here we are feeling the first metatarsal bone. We are going on the lower border of the metatarsal bone. We are feeling the lower depression here. Lower depression f.
So we are going on the end of this metatarsal on the proximal end of this metatarsal bone and we are locating this point proximal point loc.
Okay.
So let's see once again I will show you one another image. Let's see now.
Now look at this image. We can see this is the bone and we can see this is the first metadatarsal bone. On the one end we can see spleen three.
On the other end we can see spleen four.
We're talking about this part. This is for all the abdominal problem.
Okay. Sorry. Abdomen problems work whether the person is having gastric problem, abdominal pain, constipation, diarrhea, the problem of the stomach, spleen, small intestine, large intestine for all the pro part of the gastric area. This point is very effective. Not only this even you go down on the pelvic area if the person is suffering with if the person is suffering with a painful full menstruation any problem of the genital part we can use this point Spleen 4. You can see in this image let's see here spleen for okay right now we have discussed a very good point for harmonizing the stomach.
So what is the exact location of spleen 4?
For knowing the exact location you have to feel the first metacarpal metatarsal bone right on the junction of the black and white skin.
This is the point.
First metaril. There's the first metatarsal.
Okay. Just on the back side of the big toe.
Then we are reaching on the base. Lower bottom. We are reaching reaching on the base.
Okay.
H is base.
On the one side we have spleen three. On the other side we have spleen four.
Here we have little depression type.
Here we have depression time. We can see it is a bigger bump.
Here also we are having bigger bump and we here we have depression. Let's see in my leg.
Look at here.
So we can see here this the grape toe we are feeling the yinyang junction black and white skin junction.
And we will feel this metatarsal bone.
Metatarsal bone feel.
We can feel the base of this metatarsal.
So we can feel one border this side.
This will be spleen three.
And we will feel one border on other side.
Now border is open. This is spleen 4.
Got it?
Yeah. Spleen three on one border of the metatarsal bone. Spleen four on the other border of the metatarsal bone. We can feel little depression here. We can feel little depression here.
So this is the a very good point for all the abdominal problem.
So now we will continue the discussion tomorrow discussion right.
So thank you so much. Now see you tomorrow.
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