Abstract

Vascular injuries associated with acupuncture are rare. White reported 12 cases of trauma to blood vessels in his review in 2004,1 and Witt et al 2 reported five events in the category ‘lesion of blood vessel’ in a prospective study of 2.2 million treatment sessions on 229 230 patients. This paper reports an arterial injury sustained by a health professional on the first day of a foundation course in Western medical acupuncture, resulting from the first needle insertion at a very common acupuncture point site—LI4. This is the first case of its kind that the author (MC) has seen in 20 years of teaching for the British Medical Acupuncture Society (BMAS). It is reported here, and the relevant anatomy and technique discussed, with the intention of reducing the risk of future occurrences. Arterial injury from needling LI4 has been reported,3 and in the same paper the distance to the nearest artery at LI4 was measured to …

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