Chapmans Points:

Viscero-somatic reflex Anterior Point Posterior Point

Middle ear Superior medial third of clavicle C1 transverse processes

Nasal Sinuses Inferior medial third of the Ramus of mandible

clavicle

Pharynx Costochondral junction of 1st rib C2 articular pillars

Tonsils Medial 1st intercostal interspace C2 articular pillars

Tongue Medial 2nd costochondral C2 articular pillars

junction

Larynx 2-3cm lateral to 2nd C2 articular pillars

costochondral junction

Sinuses Superior medial aspect of 2nd C2 articular pillars

rib, just lateral to Larynx Point

Esophagus, bronchus, 2nd intercostal interspace T2 transverse processes

thyroid, myocardium
(BETH)

Upper Lung 3rd intercostal interspace T3 transverse processes

Lower Lung 4th intercostal interspace T4 transverse processes

Stomach acidity (L) 5th intercostal interspace (L) T5 transverse process (L)
Liver (R) 5th intercostal interspace (R) T5 transverse process (R)

Stomach peristalsis (L) 6th intercostal interspace (L) T6 transverse process (L)
Liver and gallbladder (R) 6th intercostal interspace (R) T6 transverse process (R)

Spleen (L) 7th intercostal interspace (L) T7 transverse process (L)

Pancreas (R) 7th intercostal interspace (R) T7 transverse process (R)

Small Intestines Medial intercostal interspaces 8- T8-10 transverse

10 processes

Pylorus Midline body of sternum T9 transverse processes

Adrenals 2 in. superior and lateral to T11 transverse processes

umbilicus
Kidneys 1 in. superior and lateral to L1 transverse processes
umbilicus

Bladder Periumbilicus L2 transverse processes

Intestinal peristalsis 1-2 in. inferior and lateral to Between T10 and T11
ASIS transverse processes

Appendix Tip of the 12th rib T11 transverse process (R)

Ovaries Pubic Tubercles T10 transverse processes

Urethra Pubic Tubercles L3 transverse processes

Uterus Inferior pubic rami L5 transverse processes

and Sacral Sulcus

Rectum Lesser trochanters ILA of sacrum (Lateral

aspect of middle sacrum)

Colon Anterior IT bands (from greater L2 L4 transverse

trochanter to superior aspect of
knee)
processes (Triangular
region formed by
connecting L2 to L4, L4 to
iliac crest, and iliac crest
to L2)

Prostate, Broad ligament Lateral IT bands PSIS

Clitoris, Vagina Inner thigh and Sacral

Sulcus for vagina
Cerebrum Transverse process of C2-
C5

Cerebellum Coracoid process Nuchal ridge

Retina, conjunctiva Greater tubercle of humerus Posterior mastoid process

Neck Medial surgical neck of humerus Lamina of C3-C7

Arms and pec minor Superior medial aspect of

scapula, and lamina of C2

Neurasthenia and pec Medial border of scapula

minor just below the scapular
spine

Sciatic nerve anterior Along the body of the

posterior femur and
superior to medial
epicondyle of femur

Sciatic nerve posterior Posterior superior iliac

spine,and posterior
inferior iliac spine.

Fallopian tubes, seminal Posterior superior iliac

tubes spine, and Femoral head

Hemorrhoidal plexus Posterior inferior iliac

spine, and Ischial
tuberosity