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Class 4 - Precautions and Contraindications
Points with Contraindication and Cautions
Pregnancy
A. Forbidden (unless to induce or remove pain in labour):
LI 4, SP 6 (strongest point to cause miscarriage), UB 60, UB 67
B. Careful: GB 21
C. Lower abdomen and back (including sacral area)
Menstruation
A. Careful during second day of cycle on:
lower abdomen points (as they can cause uterine bleeding)
Infants (up to 6 months)
E. Head points (Du-22 to Du 24) up to age 6 months (Moxa allowed)
General
A. St 17 - nipple, no moxa or acupuncture
B. Ren 8 - umbilicus, indirect moxa only
Points that require care
A. Large artery relate points such as:
Lu 9, St 30, St 42, St 9, Li 18
B. Ren 22 - only quickly needle as it causes caughing
C. Upper back (above T10) and chest (concern for pneumothorax)
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D. St 1 and other eye points
E. Ren 15, Sp 11 - near sternalcostal angle do to possible enlargement of heart
Patient Constitution Issues
Avoid needling when:
Just having over eaten, over tired, over emotional, over hungry
intoxicated
Delay or limit needles:
Large amount of sweating or sever diarrhea (do to possible fainting)
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