Acupressure

Acupressure Points for Sleep and Insomnia

The points

Where it is: On the anteromedial wrist crease, in the depression radial to the flexor carpi ulnaris tendon and proximal to the pisiform.

Traditionally referenced for: Insomnia; anxiety; palpitations; poor memory; restlessness.

Caution: The ulnar artery and ulnar nerve lie adjacent to HT-7. Palpate the vessel, avoid direct puncture, and apply pressure if bleeding or bruising occurs.

SP-6 · Sānyīnjiāo Three Yin Intersection Avoid in pregnancy

Where it is: On the medial leg, immediately posterior to the medial border of the tibia, 3 cun above the prominence of the medial malleolus.

Traditionally referenced for: Menstrual irregularity; pelvic discomfort; digestive weakness; urinary difficulty; insomnia.

Caution: Traditionally contraindicated during pregnancy because it is used to influence the uterus and labour. Pregnancy evidence is mixed, so this point should not be presented for self-treatment.

GV-20 · Bǎihuì Hundred Meetings

Where it is: At the vertex, 5 B-cun above the anterior hairline on the midline, at the midpoint of the line connecting the two auricular apices.

Traditionally referenced for: Reference uses include vertex headache, dizziness, poor concentration, insomnia, and prolapse patterns.

BL-62 · Shēnmài Extending Vessel

Where it is: Directly below the lateral malleolus, in the hollow between its lower border and the calcaneus.

Traditionally referenced for: Reference uses include insomnia, daytime sleepiness, seizure patterns, headache, and lateral ankle pain.

How to apply pressure

  1. Find the location described above. Most points sit in a small hollow, and the spot usually feels more tender than the tissue beside it.
  2. Press with the pad of the thumb or index finger, straight into the point, firmly enough to feel a dull ache — not sharp pain.
  3. Hold for 30 to 60 seconds, or use small circles at the same depth of pressure.
  4. Release slowly. Repeat on the other side of the body, since these points are bilateral unless they lie on the midline.
  5. Stop immediately if you feel sharp pain, numbness, tingling, or if the area is bruised, broken, swollen, or infected.

When to see a doctor instead

Acupressure is a self-care tradition, not a substitute for assessment. Seek medical care rather than pressing points if any of the following apply:

  • Loud snoring with pauses in breathing, or daytime sleepiness that affects driving
  • Insomnia alongside persistent low mood or thoughts of self-harm
  • Sleep loss that follows a new medication

Frequently asked questions

Which acupressure points are used for sleep and insomnia?

HT-7 (Shénmén), SP-6 (Sānyīnjiāo), GV-20 (Bǎihuì), BL-62 (Shēnmài). Each point below links to its full reference page with the anatomical location and cited sources.

How long should I hold each point?

A common approach is firm but comfortable thumb pressure for 30 to 60 seconds per point, repeated a few times. Stop if pressure causes sharp pain, numbness, or tingling.

Is acupressure the same as acupuncture?

No. Acupressure uses finger pressure on the same point locations; acupuncture inserts needles and requires qualified training. This page describes pressure only and is not needling instruction.

Can I use these points during pregnancy?

No — not without qualified supervision. This combination includes points traditionally avoided in pregnancy because they are associated with uterine activity. Ask a qualified practitioner or your midwife or doctor first.

Does acupressure replace medical care?

No. It is a self-care tradition, not a diagnosis or a treatment. Any symptom that is severe, persistent, or unusual for you needs medical assessment.

Sources

References displayed on this page were recorded with the point dataset.

  1. Acupuncture.com Acupuncture Point Reference Du 20: English name, classification, functions, indications and needling sections
  2. Acupuncture.com Point Locator - Urinary Bladder 62 English name, classification, indications, functions and needling
  3. American Dragon Acupuncture Point Reference HT-7: Command Functions, Actions, Indications, Needling, moxa and ulnar-structure caution
  4. American Dragon Acupuncture Point Reference SP-6: Command Functions, Actions, Indications and Needling
  5. American Dragon Acupuncture Point Reference DU-20: English name, command functions, actions, indications and needling and moxibustion sections
  6. Chinese Acupuncture and Moxibustion, 1st edition SP6, p. 150: moxibustion applicable; depth in this source is not used
  7. Clean Needle Technique Manual, 7th edition, February 2024 revision Bruising and Bleeding, p. 5: HT7 ulnar artery
  8. Safety in Clinical Practice p. 12: SP6 pregnancy caution
  9. TARA Acupuncture Knowledge Base BL 62: special-point role, indications, method, moxibustion, innervation and vasculature
  10. The safety of obstetric acupuncture: forbidden points revisited Discussion of SP6 among traditionally forbidden points
  11. WHO Standard Acupuncture Point Locations in the Western Pacific Region SP6, p. 72
  12. WHO Standard Acupuncture Point Locations in the Western Pacific Region (2008) BL62, p. 130