Which point is not contraindicated in pregnancy?

Question

BlackTom AI · Accepted Answer

Sp-4 Gongsun is located on the medial side of the foot and is not an absolute contraindication in pregnancy, so d is the correct choice.

1) Relevant knowledge points and concepts
- Some acupuncture points are contraindicated during pregnancy because they strongly move qi and blood or directly influence the uterus and can induce labor (e.g., LI-4, SP-6, certain lower abdominal points).
- Locations and typical actions: LI-4 (Hegu) on the hand is a powerful regulator and descending point; SP-6 (Sanyinjiao) on the medial lower leg is the meeting point of three yin channels and strongly affects the uterus; ST-29 (Guilai) on the lower abdomen directly influences uterine blood and is avoided in pregnancy. SP-4 (Gongsun) is the Spleen Luo-connecting point located on the medial foot and is the confluent point of the Chong when paired with PC-6.

2) Step-by-step reasoning
- Evaluate each option against the pregnancy contraindication rule: avoid points that provoke uterine contractions or strongly move blood in the lower abdomen.
- Option a: LI-4 Hegu — known classic contraindication in pregnancy because it can stimulate uterine contractions.
- Option b: ST-29 Guilai — located on the lower abdomen; directly affects the uterus and is contraindicated.
- Option c: SP-6 Sanyinjiao — very commonly listed as contraindicated in pregnancy due to potent gynecological and labor-inducing effects.
- Option d: SP-4 Gongsun — although it influences the Chong and is used in gynecological disorders, it is not universally listed as a forbidden point in pregnancy and is not an absolute contraindication in standard point lists.

3) Intermediate steps shown
- Identify point locations and primary clinical actions → apply pregnancy safety rule (avoid strong uterine stimulators) → classify each point as contraindicated or not.

4) Why the correct answer is correct
- SP-4 is not one of the standard absolute contraindications (unlike LI-4, SP-6, ST-29) and therefore is the correct choice as “not contraindicated.”

5) Why other options are incorrect
- LI-4, SP-6, and ST-29 are classically contraindicated in pregnancy because of their strong effects on qi, blood, and the uterus that can precipitate labor.

6) Conclusion
- Therefore the point not contraindicated in pregnancy among the choices is d. SP-4 Gongsun, confirming the provided answer.

Which point is not contraindicated in pregnancy?单项选择题

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