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ssical Point Combinations and

Clusters of Points in

Acupuncture Therapy

This work will present the thesis that, both clinically and theoretically, point-combinationsin acupuncture therapy and especially classical point combinations, constitute the mostreliable form of treatment in Chinese acupuncture.

We shall try to demonstrate as many such combinations as possible, dealing with theirlogic, i.e. theoretical foundations within the framework of Chinese medical philosophy and

other aspects such as:

• Analysis of each point in regard to its place in the prescription.• Comparison of certain point-combinations to herbal formulae used to treat the samepatterns of disharmony.• When possible, comparison of each point in the formula with a specific herb used for thesame energetic action.• ele!ant and real case histories demonstrating the efficacy of a specific pointcombination.• Technical data of importance in utili"ing #$%&T C$'(%&AT%$&s like:

). &eedle manipulation of !arious points in the combination *i.e.strengthening, reducing,dispersing, heating, etc.+.. euence of needling procedure.

/. $ther techniues of stimulation like: mo0ibustion, pressure, cupping, lectro-acupunctureand more.

%n addition, we shall e0amine a few ma1or methods of formula composition e0istent inChinese medicine for ages. These methods are !ery important to our thesis as they form thetheoretical basis from which many of the point-combinations ha!e e!ol!ed.

Another important facet of this sub1ect is the tendency of students and practitioners alike, toregard point-combinations as formulae for treatment. %n this work, we shall show thatpoint-combinations are not formulae and that they ser!e only as solid 2brick constructions2so to speak for a good formula. A comprehensi!e formula has to be formulated entirely ondiagnosis.

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CONSTRUCTION

This work consists of the following chapters:

A. #oint-combinations general rules.

(. The !arious laws for combining points. C. 3ormula building in acupuncture therapy utili"ing #$%&T C$'(%&AT%$&s. 4. ur!ey of popular and effecti!e point combinations .

DETAIIN!

C5A#T6 A - This chapter discusses the nature of point combinations ingeneral terms and will demonstrate the general principles of theire0istence.

C5A#T6 ( - Chapter ( discusses in detail the !arious laws and

principles from which the art of combining points has e!ol!ed.

C5A#T6 C - %n this chapter, we discuss the difference betweentreatment formulae and point combinations . There are a few e0amples ofthe way in which a treatment formula is constructed, utili"ing one or morepoint combinations.

C5A#T67 4 - This is the last and the lengthiest chapter in

which we have surveyed 18 effective point combinations,

each of which includes the parameters that we have

mentioned above.

RE"AR#S

The assumption of this work is that the reader is completely familiar with the concepts, philosophy andterminology of Traditional Chinese 'edicine *T.C.'.+.

Therefore, basic concepts such as: 8i, (lood, 9in, Wind, 5eat and the like, ha!e not been discussed ore0plained.

http://www.acumedico.com/combinations.htm#CHAPTER%20A

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http://www.acumedico.com/combinations.htm#CHAPTER%20B

http://www.acumedico.com/combinations.htm#CHAPTER%20C

http://www.acumedico.com/combinations.htm#CHAPTER%20D

http://www.acumedico.com/combinations.htm#CHAPTER%20A

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ome of the ideas presented in this work, particularly those dealing with the practical aspects of T.C.'., ha!eno roots other than the clinical e0perience accumulated by me during my years of practice and my personalobser!ation. &e!ertheless, in most cases, there is a numbered reference throughout the paper, pointing to abibliography at the end of the work.C$APTER APOINT CO"%INATION !ENERA RUES

A point combination in Chinese medicine is a term used to describe a well known collection of acupuncturepoints from two up to, usually, no more than fi!e or si0 points. enerally, this collection of points has a longhistory of clinical use based both on theoretical foundations and e0perience.

ince most of T.C.'. *Traditional Chinese 'edicine from now onward+ clinical means, herbs and acupuncturealike, ha!e e!ol!ed from solid theoretical ground, it is not surprising that almost all classical point-combinations are the result of logical reasoning of the same !alid principles. 'oreo!er, the fact that so manyclassical combinations ha!e sur!i!ed throughout the ages *and we are speaking of some thousands of years+*)+, and ha!e pro!en themsel!es clinically successful, only emphasi"es and reaffirms the stability andtruthfulness of these theoretical principles.

(asically a point combination, or point cluster *which is a different thing+ *+, is supposed to ha!e a !eryspecific energetic impact on the body, thus enhancing the effecti!eness of the whole treatment of which it is apart.

%n order to illustrate this idea more clearly, here are a few e0amples:

A. A nasal congestion and;or sinus infection is supposed to clog the 9ang 'ing meridian system in the regionof the nasal ca!ities and forehead. There is an age old point combination dealing with this phenomenon, basedon the points: 5eu *7% <+, $uchi *7% ))+ and 9%ng0)ang *7% =+. These three points together, which belong tothe hou 9ang 'ing system, if punctured in the abo!e mentioned seuence, ha!e a pushing, obstructionclearing action on the meridian thus, resol!ing the stagnation in the affected region.

(. Another e0ample, which is based on the principle hu 'u combinations, will show an effect directedtoward a specific internal organ in the body. 3or instance the points: 3eishu *( )/+ and >hongfu *7 )+, whichser!e as the (ack hu *associated+ point of the 7ung organ and the 3ront 'u *alarm+ point of the 7ung organ,deal successfully with problems such as asthma, painful breathing, pulmonary bleeding etc. These problemsneed a soothing, calming and harmoni"ing action which this combination can pro!ide.

9et, other combinations are capable of e!en more fantastic effects. There are combinations based on morecomple0 principles, which are capable of multi system o!erall effects. uch a combination is 7iehchueh *7 ?+and >haohai *@ +.

These two form the 'aster and Coupled points of an e0tra meridian the Ben 'ai. As such, they ha!e a !astinfluence o!er the organs and functions in the domain of this !essel. This may include the breathing, digesti!eand se0ual-urinary systems it may also include fluid metabolism in general, as well as hormonal imbalancesaffecting the uterus */+.

(esides 2opening2 the Ben 'ai by acti!ating its 'aster and Coupled points, these two points bind the mutualassistance function of the 7ung and @idney systems *<+.

7iehchueh acti!ates the downward flow of the lung energy, thus setting in motion the lungDs acti!ities such as

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breathing properly, dispersing e0tra fluid from the body *perspiration, urine, etc.+, sending e0tra fluid to thekidney and eliminating phlegm *E+. >haohai, in response, causes an upward mo!ement by acti!ating kidneyfunctions associated with 9in *water, phlegm metabolism+ *+, thus harmoni"ing the acti!ities in the @idneyDsdomain, such as se0ual urinary functions. %n addition, as mentioned abo!e, these two points form the linkbetween the 7ung and the kidney, by aiding the kidney to 2grasp2 lung 8i *which descends+, and pre!enting itfrom 2rebelling2 upward *i.e. dyspnoea, asthma+ *?+.

%n these three e0amples we can see that point-combinations may ha!e a local effect on a meridian, on aninternal organ, on a specific disease focus in the body as well as on general functions or acti!ities of !arioussystems in the body.

%t is, therefore, of primary importance to make a proper diagnosis which will enable the practitioner to choosethe proper point combination in order to assist the treatment formula in the desired way. till, it will bedifficult to choose the proper point combination 1ust by memori"ing them all. A profound comprehension ofthe logic which lies behind each combination is needed.

This brings us back to the 2laws2 of acupuncture and to its !ery core the theories of 9in 9ang, 3i!e elements,Tsang 3u etc.

$nly by a thorough understanding of these principles can one understand or e!en memori"e the manifoldpoint-combinations

&' The a( of the Opposites

The use of the 2law of opposites2 suggests that a disease located in one part of the body should be treatedon the opposite part. 3or %nstance, a disease located in the right part of the body should be treated on theleft side. A disease located in the back should be treated in the front and !ice !ersa. A disease located inthe upper part should be treated in the lower part of the body and so on.

#ractical e0amples of this law is treating Wei"hong *( E<+ for back pain *lower upper+, or treating 5egu*7% <+ left for a toothache in the right mandible, etc.

An e0tension of this law ga!e birth to many sets of point combination, using two effecti!e points fromeach of the opposites. Thus, in the case of lower back pain, the use of the point below Wei"hong *( E<+,is happily 2married2 with the most effecti!e point in the upper part, i.e. henshu *( /+. These twopoints together form the !ery basis for any lumbago treatment, taking ad!antage of the law of opposites.

)' Combinin* +in Channel Points (ith +an* Channel Points

This law is another e0ample of how Chinese thinking makes use of the philosophy of duality or rather,contrasting and complementary phenomena such as 9in 9ang etc.

The Comprehensi!e Te0t of hanghai College states:

2As we know, the primary 9ang channels are connected to the primary 9in channels in a 9in;9angrelationship. (y combining a point on a 9ang channel with another on its paired 9in channel, the

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cumulati!e effect is greater than needling either point separately. 60amples: combining / *>usanli+ onthe stomach channel *9ang+ with # < *ongsun+ on the spleen channel *9in+ for stomach disease. $r,combining 7 F *Taiyuan+ on the lung channel *9in+ with 7% < *5eu+ on the large intestine channel*9ang+ for coughing. The most well known combinations of this kind are between the ource points onthe channel primarily affected by a disease, and the Connecting point on the channel paired with the first,in the 9in 9ang relationship. %n this combination the ource point is called the 2host2 and the Connecting

point the 2guest2.2*p.EG+.This principle of combining points has created renowned combinations such as 5egu *7% <+ with7iehchueh *7 ?+ for upper respiratory tract ailments. Taichong *7%H /+ with uangming */?+ for eyedisorders, Taiyuan *7 F+ with #ianli *7% + for cough from phlegm aetiology, etc.

The idea behind this form of combination is to di!ert e0cess energy from the diseased organ to itsparallel 9in;9ang related channel. Thus, by puncturing the 2host2 point which is a ource point, onedirectly drains an o!eracti!e organ *ource points are in close relation with their organ *F++. Thestimulation of the 7uo point of the parallel meridian ensures that the e0cess 8i would thus lea!e by theclosest possible gate. *7uo points form a passage between two 9in;9ang meridians+. *)=+

,' "aster and Coupled Points of E-tra "eridians

The master and coupled points of the eight e0tra meridians form eight pairs of points each attributed toone e0tra meridian. 6ach pair is said to 2open2 its e0tra meridian, thus enabling it to absorb e0tra energylike a 2sea2 or 2reser!oir2 of energy. *))+

Two techniues e0ist by which these combinations are used. one way stimulates the two master pointsand then the two coupled points. The second ad!ocates puncturing right master point and left coupledpoint in women and !ice !ersa in men. *)+

'any of the eight pairs ha!e been found so successful in clinical practice that they are often used withno regard to their original assignment as master and coupled points of an e0tra meridian. A goode0ample would be the pair &eiguan *# + and ongsun *# <+. This couple with the addition of >usanli*T /+ form the best point combination to treat morning sickness or any nausea, of different etiologies.

Another couple: 7iehchueh *7 ?+ and haohai *@ + which is also used uite freuently, has already beendiscussed in the pre!ious chapter.

'ore of these couples will be discussed later in our last chapter..' Combinin* ocal (ith Distant Points

This is a general law for combining points in acupuncture. The law takes ad!antage of the e0periencegained from the use of !arious points and binds together effecti!e points in the !icinity of the disease,with other effecti!e points from distant parts of the body.

%t has been found, for instance, that 7igou *7%H E+ is an effecti!e point in treating maladies of thee0ternal se0 organs *by !irtue of its task as a 7uo point of the meridian that encircles these organs+.>hongi *CH /+ is also an effecti!e point for treating such problems *)/+. Thus, binding the two together,one close to the disease focus, and one from afar, makes a good combination in any formula for thispurpose.

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This law also has a deep root in the concept of 2oot and (ranch2 and 2$rigin and 6nd2.

This concept is an ancient obser!ation that all primary meridians ha!e reciprocal relationships betweenpoints situated on the upper and lower reaches of the body, respecti!ely.

Thus, the bladder meridian has its root area in the !icinity of 3uyang *( EF+ and branch area around

Bingming *( )+.$r, the spleen channel makes its root around anyiniiao *# + and its branch in #ishu *( =+ as well as7ianchuan *CH-/+. *Acupuncture A Comprehensi!e Te0t, p. )+./' One Point Abo0e' T(o Points %elo(

An e0tension of the pre!ious law this e0traordinary law achie!es wonders in acute processes, if appliedcorrectly.

This law makes use of the pre!ious law: 2combining local with distant points2, with two additions. $neis that all the points should be on the same meridian segment *i.e. haoyang, 9angming, Taiyin etc.+. Thesecond, emphasi"es that only one needle should be planted near the disease, while far from it twoneedles. This may, at first, sound bi"arre, but the logic is clear.

Taking, once more, the e0ample of sinusitis, the point-combination which is the outcome of this lawwould be: 5egu *7% <+, 9ing0iang *7% =+, >usanly *T /+, &elting *T <<+.

5egu, as the strongest point in the hand 9angming, will set the whole 9ang 'ing energy in motion.9ing0iang ser!es as the local point to cause a dispersion effect in the area and >usanli, together with&eiting, are 2the two points below2. These two points below pro!ide a strong stimulation to the otherend of the meridian accelerating its energy and flow while eliminating the stagnation in its upper part.

This same law formulates another !ery important point-combination, used to effect 4ampnesselimination from the intestines *purgation of the intestines+.

The combination is: Tianshu *T E+, >usanli *T /+, hang1u0u *T /?+and Iia1u0u *T /F+.

Tianshu is the local strong point for the intestines *the 'u point of the colon+, the other three pointsbeing situated on the same stomach meridian and creating the weight to cause a strong downward flowof the stomach meridian energy *)E+.

1' Empirical Point combinations

There are do"ens of point-combinations in acupuncture which ha!e emerged through sheer clinicale0perience. 6!ery practitioner, who has spent a considerable length of time in clinical work, hasprobably noticed that some points yield better results when combined with certain other points.

%t is only logical that after so many generations of accumulated e0perience in the field of acupuncture,such empirical combinations ha!e become the inheritance of the ma1ority of practitioners.

%n comparison with the other forms of point-combinations that ha!e so far been detailed, this form lackstheir theoretical background in most cases.

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&e!ertheless, clinical success is after all the ultimate 1udge and thus, these combinations ha!e earnedtheir position in clinical work.

5ere are a few e0amples of point-combinations whose source is entirely empirical:

• The addition of ibai *T + to the combination of 4annang0ue *e0tra+, Tianshsu *T E+ and

uanyuan *CH <+, ha!e a great soothing effect on biliary ascariasis. 'anipulating ibai in a sedati!efashion, usually eliminates the !ery sharp pain which this illness causes *)+. There is no theoreticale0planation for this phenomenon.

• 5egu *7% <+ on the opposite side, combined with 7iangiu*T /<+ on the affected side, is a uick relieffor strained muscles or tendons of the knee 1oint *usually due to a sport in1ury+. %n order to obtain the fulleffect of this combination, one should first puncture 5egu, at an obliue angle towards the metacarpalbones, two Cun deep, and then manipulate 7iangiu to cause numbness or distension around the knee*)?+.

• hao"e *% )+ has an undeniable influence on the breasts. 5ence, all breast diseases, including agalactia*lack of milk+, are treated with the aid of this point. When combining Taiyang *e0tra+ to hao"e *% )+,we make an effecti!e point combination for swollen breasts. This formulaDs source is also classical *ongof the Bade 4ragon Ca. )E==+ *)G+.

%t is worthwhile mentioning, in this connection, that many empirical combinations include e0tra points,and there are a few that are composed entirely of e0tra points.

The reason for this is clear. ince e0tra points themsel!es ha!e originated from clinical e0perience, andin many cases as Ahshi points, they lack the theoretical basis that most of the meridiansD points ha!e.

%t is no wonder then, that many empirical combinations include e0tra points, for they too ha!e originatedfrom clinical obser!ation.

60ample &o. / *abo!e+ may illustrate this phenomenon, or this !ery popular combination:

9intang *e0tra+, henmen *5 ?+, anyin1iao *# +.

This formula is often used to calm the mind, especially in cases of insomnia *)F+, or mental an0iety.

henmen and anyinBiao harmoni"e 3ire and Water elements, or heart and kidney functions, while9intang places an emphasis on calming the mind. Thus, an e0tra point *9intang+ contributes to theprincipal effect of the two meridian points, with its empirically found soothing properties.2' Point Clusters

A point cluster is a grouping of a few points in the same area of the body, whose mutual effect on thisarea is beneficial.

%n many cases, these clusters are formed from e0tra points like ishencong on the !erte0 or from Ahshipoints *tender points+ in the !icinity of the disease focus.

An e0ample of a point cluster would be 2Three needles at the ankle2. %.e. @unlun *( =+, Bie0i *T <)+,Tai0i *@ /+. This cluster ser!es as a local treatment to disperse any blood stagnation caused by trauma in

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the ankle 1oint, or paraplegia *=+.

Another 2Three needles at the ankle2 ser!es the same purpose, and is a combination of three differentpoints: 8iu0u * <=+, Bie0i *T <)+, and hangiu *# E+. This is indeed a !ery effecti!e trio for asprained ankle, etc.

The ma1ority of the point clusters, though not all of them, are concerned with locali"ed influence.'aking use of the T.C.'. principle that any pain, swelling etc. is caused by stagnant energy or blood, orboth, *)+ the use of powerful local points in con1unction, is supposed to resol!e this stagnation, anddislodge the barrier.

&eedless to mention, the utili"ation of such a combination would need a special dispersing techniue,one that would enhance the flow of energy in the region, and disperse blood or fluid from the 1oint.

$ther point clusters ser!e the same purpose as regular point combinations, i.e. to cause any pre-calculated therapeutic effect, with the difference, as we mentioned abo!e, that they are located in close!icinity.

The articulations of the body, such as: shoulder 1oint, ankle, knee or elbow 1oint, are considered the most!ulnerable parts of the body, in relation to the smooth flow of 8i *+. heumatic pain which is causedby weather %nfluences, according to T.C.'. thinking, is usually lodged in the 1oints, thus hindering thesmooth flow of 8i.

%t is not surprising, therefore, that many clusters of points ha!e originated in the !icinity of the 1oints forthe purpose of remo!ing the stagnant pernicious influence that has lodged there.

uch clusters are the 2three ankle points2 that we ha!e already mentioned or 2the three shoulder points2and the 2three knee points2, some of which will be discussed later.3' %alancin* and "utual Assistance

This !ery traditional principle of Chinese medicine is responsible for do"ens of point combinations,which ha!e been formulated o!er the millennia.

The idea of balancing is, after all, the core of Chinese thought, originating from the basic conception of9in and 9ang */+.

All phenomena in our body can actually be attributed to 9in and 9ang, and its balanced or imbalancedstate.

Without pondering too deeply upon this sub1ectDs philosophy, which is beyond the scope of this work, itis sufficient to say that the balancing of 9in and 9ang, 5ot and Cold, hi and Iu, is the ultimate goal ofChinese medicine *<+.

Therefore, besides the !arious rules of point-combinations that we ha!e summari"ed abo!e, there is theprinciple of balancing 9in and 9ang acti!ities, which dictates what points to use in each case ofimbalance.

$ne of the most freuently encountered imbalances in clinical practice is that of the elements of 3ire andWater. 'ost often symptoms such as heart palpitations, insomnia, dream disturbed sleep, an0iety etc., are

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the outcome of this imbalance. According to the poetic and imaginati!e Chinese physiology, kidneyWater is insufficient and unable to control heart 3ire, which bla"es upward.

This may cause palpitations and a restless heart, as well as a disturbed hen *spirit+, since hen resides inthe heart organ.

To rectify this, the Chinese ha!e originated many combinations, formulated from points ha!ing theability to restrain or dredge the heart acti!ity on the one hand, and to strengthen or supplement kidneyWater, on the other.

uch combinations are:). henmen *5 ?+ and anyin1iao *# +. Tongli *5 E+ and 4a"hong *@ <+/. Tongli *5 E+ and >haohai *@ +. *+

Another freuently encountered balancing method is to harmoni"e acti!ities, either of organs or offunctions. This is also based on the concept of deficiency or e0cess of specific acti!ities. A goodillustration for this would be the combination of 5eu *7% <+ and 3uliu *@ ?+.

This combination is used primarily to treat cases of either e0cessi!e or lack of perspiration.

%n case of e0cessi!e perspiration, Wei 8i is deficient, so 5egu has to be tonified in order to fortify theprotecti!e abilities of Wei 8i. *#lease note that Wei 8i is responsible for the tonus of the sweat pores,thus controlling perspiration+. At the same time 3uliu has to be reduced, since its acti!ities are closelylinked to 2water2 mo!ements in the body.

%n the case of the absence of perspiration, one should use these !ery points, only with re!ersedmanipulation. 3or e0ample: 5egu sedated, in order to release tightness of the sweat pores which arecontrolled by Wei 8i. 3uliu tonified, in order to increase 2Water2 mo!ement %n the body *?+.

Another principle of point combination, which was included under this heading, is the principle ofmutual assistance.

%n the same way that herbs are freuently chosen to assist and strengthen each otherJs action, so arepoints, by this principle of combination.

This method is often rele!ant in cases where the elimination of a pathogenic factor is needed, much likeherbal treatment.

3or instance, where the elimination of a Wind 5eat factor in the head region is needed *i.e. tonsillitis+,5egu *7% <+ is of ma1or importance. To strengthen its action we shall most probably choose 8uchi *7%))+, a point uite powerful by itself, for eliminating Wind 5eat. Clinical obser!aton has !erified, that thiscouple of points has a much better impact on the head region than each of them alone *G+.

(y the same logic, anyin1iao *# + and 9inlinguan *#-F+ are often combined together, for thepurpose of eliminating 4amp 5eat pathogen from the 7ower (urner.

anyinB%ao is indicated, among many other ualities, to resol!e 4amp and 4amp 5eat from the 7ower(urner, mostly by facilitating urination *F+. 9inlinguan is also indicated to resol!e 4amp and 4amp

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5eat from the 7ower Biao, and it treats: edema, ascites, retention of urine, urinary tract infection,diarrhea, etc. */=+.

Again, clinical e0perience has shown that putting together these two points, enhances the therapeuticeffect of each of them, and this combination has become a !aluable asset of Traditional Chinesemedicine */)+.

C$APTER C

4OR"UA %UIDIN! IN ACUPUNCTURE T$ERAP+5 UTII6IN!POINT CO"%INATIONS7' Dia*nosis

4iagnosis is of prime importance in T.C.'. Actually, it is impossible to construct a treatment formula,unless one has reached a sound diagnosis.

@nowing that, in ancient times the Chinese de!eloped a uniue diagnostic skill, based on procedures thatmatched their medical doctrine.emaining faithful to their basic concept that !ia the meridiansD system, the inside of the body can bepercei!ed by the outside of the body, most diagnostic procedure was based on techniues of how to bestdecipher these outside signs.

Thus, the famous four methods of diagnosis emerged. These four methods are:

• %. 7ooking• %%. 7istening and smelling *which is the same word in Chinese+• %%%. Asking• %H. Touching */+

Without gi!ing a fully detailed description of each of these steps of diagnosis, suffice it to say that theyconsist of:

• 7ooking especially at the tongue shape, colors and fur.• 7istening - to the pitch of !oice, or cough *moaning or groaning and other sounds+ whether loud or low,labored breathing such as whee"ing etc.• Asking which is an interrogation of specifities of the patientDs complaints, and especially some pointeduestions, uniue to T.C.'.• Touching especially the art of taking the pulse, but also the palpation of the abdomen or of some specialacupuncture points.

After these procedures ha!e been performed, the practitioner has to form a diagnosis, based on the eightprinciples of T.C.'. These principles are:

9in or 9ang *)K+5ot or Cold */K<+hi or Iu *EK+%nternal or 60ternal *?KG+

%n addition, the information gathered so far must include the site of disease *whether the spleen, colon, or

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any of the meridians+ and, of no less importance, the cause of the disease.

All these details and knowledge ha!e a strong impact on the planned treatment, as well as on theprognosis.

When all of this information has been collected and processed into a logical and workable diagnosis,

then we must determine our treatment approach. This approach is based entirely on diagnosis. Thus if weha!e diagnosed a simple case of a Wind 5eat condition, the approach would be: the elimination of Wind5eat and restoring normal balance. $r, in a more complicated case, where our diagnosis leads us to aconclusion of disharmony of stomach and spleen and a kidney 9in deficiency, our approach should be totonify spleen 8i and sedate stomach 3ire, while placing an emphasis on strengthening kidney 9in.

At this stage, the practitioner must assess whether tomach 3ire is more se!ere than the deficiencycondition of the kidneys, and this conclusion must lead him either to put an emphasis on sedating thestomach, or on tonifying @idney 9in and pleen 8i.

%t is no less important to educate the patient as to how to beha!e in the future, enabling him to keep hisreharmoni"ed state of health intact. This education cannot be of !alue unless the real cause of disease hasbeen grasped by the practitioner.

When a specific approach has been determined, as we ha!e illustrated abo!e, our ne0t step is to choose aspecific techniue for the treatment.

A specific techniue may actually be comprised of se!eral techniues, with one goal: to induce a generaleffect on the patient, in order to achie!e the aims of the approach.

A techniue may be a tonifying techniue, based on choosing points that usually tonify. %t may usemo0a, in order to enhance the tonifying effect, and it should apply certain needle manipulations thatcause an effecti!e tonification.

A techniue may need to disperse stagnant blood that causes pain, swelling and immobility. Thereforedispersion techniues should be adopted such as: drawing blood with a cup, or, again, certain needlemanipulations like: 2needling one point in four different directions2 *//+, etc.

While discussing the techniue, we must also bear in mind that at this stage, we ha!e to set the course ofthe whole treatment. We ha!e to decide whether we treat the (en first, or the (iao *i.e. the symptoms, orthe cause+, or we ha!e to decide whether we treat an e0ternally inflicted disease, before we treat aninternal imbalance or, sometimes, !ice !ersa. %n the same manner, we shall ha!e to decide whether totreat the hi condition or the Iu condition first and make many other difficult decisions.

As a rule, all these decisions, and others, will be the outcome of a careful assessment of our patientDscondition, which will dictate the treatment techniue, its impetus, its rhythm, and abo!e all the treatmentformula.

(uilding the treatment formula is really the clima0 of the practitionerDs intellectual ability. (y composingthe formula, the practitionerDs diagnostic skills, as well as his thorough memori"ation of points,combinations and actions, will come to full reali"ation.

There are many methods and approaches as to how to construct a formula. ome of these approaches

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e!en contradict each other. ome approaches state that any formula should ha!e close points, mediumpoints and distant points */<+, in order to ha!e a full effect.

ome approaches ad!ocate the use of the 3i!e 6lements school, as the basis for any treatment. $therapproaches recommend prescriptions by the new China T.C.'. approach.

There are e!en practitioners who are trained to build a treatment formula that will match their patientDsastrological map, and some that use the famous % Ching trigrams he0agrams and to construct a formula.

The methods are numerous, and differ entirely. 5owe!er, the China T.C.'. stream is the main, and thisis the method that yields the best results, according to Chinese researchers */E+.

The T.C.'. method of formula building relies most of all on empiricism. %t relies also on strongfoundations of sound traditional medical theories. %ts main theoretical source is syndrome differentiationaccording to the T"ang 3u system, but, ne!ertheless, it adopts any treatment procedure that has pro!enitself !aluable throughout the ages.

%t is no wonder that a method that relies most of all on clinical e0perience, will use as many point-combinations as does this method.

We ha!e already shown that point-combinations ha!e both theoretical and empirical background as theirbackbone.

Thus, we can rarely find a treatment formula that does not include, at least, one practical pointscombination. %n order to illustrate this assumption, the following is a casually chosen list of treatmentformulae, for !arious complaints in which % ha!e marked the point combinations:

%. anshu *( )G+, 8imen *7%H )<+, 4anshu * <+, Changman *7%H )/+. This is a formula for infectioushepatitis, combined by two pairs of point-combinations according to the hu 'u principle.%%. 3or acute enteritis: Tianshsu *T E+ with hang1u0u *T-/?+. This combination is one point abo!eand one point below, on the same meridian.%%%. 3or bronchitis: Chit"e *7 E+, 5egu *7% <+ and 7iehchueh *7 ?+. %n this formula, 5egu and 7iehchuehform the 25ost uest2 relationship combination.%H. 6rmen *T )+, Tinggong *% )F+, Tinghui *( +, 9ifeng *T)?+, Waiguan *T E+ and Chung"hu *T /+,is a recommended formula to treat deafness. 6rmen, Tinggong, Tinghui and 9ifeng, make a cluster ofpoints for ear problems.

H. 3or rectal prolapse we may choose #aihui *H =+, Changiang *H )+, >usauli *T /+, anyin1iao*# +, 8ihai *CH + and henchueh *CH G+ the last two points, and probably #aihul too, with mo0a.#aihu, 8ihai and henchueh together make a !ery strong point combination that powerfully raises 9ang8i thereby ele!ating prolapsed organs, like the rectum. This combination is based on the mutualassistance principle *see pre!ious chapter, paragraph &o. F+.Changiang and #aihui is another combination in this formula, built on the principle of 2one point abo!e,one point below,2 on the same meridian. While puncturing both ends of the meridian, we balance itsacti!ities, and if it is on an e0tra meridian, like the 4u 'o meridian, by doing so we drain its e0cessenergy */, /?+.

H%. 3or the treatment of palpitations caused by !entricular septal defect with symptoms such as: generalweakness and shortness of breath, the following formula may be utili"ed */G+:

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&eiguan *# +, henmen *5 ?+, Tan"hong *CH )?+, >usanli *T /+, 8ihai *CH +, anyin1iao *# +,haohal *@ +, Bueyinshu *( )<+, Iinshu *( )E+, @eshu *( )?+.

%n this formula, se!eral classical point-combinations were used, in order to bring about the desired effect.This is ob!iously a case that needs a direct effect on the main symptom, palpitations, while not

neglecting the rest of the problem which is 8i and blood deficiency.The points &eiguan, henmen and Tan"hong ser!e as a well known combination to rela0 the heart, calmthe hen and 2open the chest2. *2$pen the chest2 is a Chinese metaphor used to describe functions suchas: to impro!e blood circulation between heart and lungs, or to rela0 symptoms such as sensations offullness or congestion and tightness in the chest+.

Bueyinshu and again, Tan"hong, is another combination which uses the principle of hu 'u. %n this case,adding mutual assistance to the pre!ious combination to enhance heart circulation.

>usanli, anyinBiao and 8ihai constitute an e!en more freuently used combination whose goal is totonify the 8i and eliminate lassitude. %n this case, it also has another task of helping in creation of blood,since 28i is the mother of blood2 */F. Tonifying the 8i will help produce new blood.

(ut, this e0cellent formula creator has made another important link and added haohai and anyin1iao tothe formula. This pair ha!e a mutual assistance effect on the general 9in 8i. ince blood is 9in, it isimportant to tonify both 8i and 9in, in order to supplement blood.

The last combination in this formula is anyin1iao, Iinshu and @eshu. This is also a blood strengtheningcombination *based on @eshu which is the associated point of blood+, only it puts an impetus on theheartDs blood. We ha!e to bear in mind that according to Chinese physiology, blood is also formed in theTan"hong area with the aid of the heart.

3rom the few e0amples abo!e, we can see that treatment formulae may !ary considerably from oneanother. A formula may contain, or e!en be composed of one point combination and it may ha!e as manyas four or e!en more point combinations.

%n any case, the purpose of including these combinations so deliberately in the formula, is to ensure thatcertain influences shall be e0erted as decisi!ely and promptly as possible. ince many of the point-combinations ha!e pro!ed themsel!es most !aluable in clinical work, it is ob!ious that one should usethese combinations while composing a treatment scheme.

Thus, besides taking ad!antage of the use of already clinically pro!en combinations and gi!ing ourformula a solid basis, there is also a benefit in utili"ing pre-made segments for the formula, liberating usfrom the necessity to build them by oursel!es.

C$APTER D

SUR8E+ O4 POPUAR AND E44ECTI8E POINT CO"%INATIONS

4ore(ord to this chapter

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'ost of the combinations in this chapter ha!e been taken from the book: ACL#L&CTL6 AC$'#656&%H6 T6IT, by the 5A&5A% C$7766 $3 TA4%T%$&A7 C5%&66'64%C%&6.

The ma1ority of the combinations form the backbone of the clinical knowledge of e!erypracticing acupuncturist and as such, they should certainly not be e0pected to be inno!ations or

rare information. 'oreo!er, the eighteen point-combinations analy"ed here, are only a drop in theocean when compared with the myriad combinations which ha!e e!ol!ed throughout the historyof T.C.'.

5owe!er, the aim of this analysis is to understand the principles by which a point combinationhas been formed, as well as its clinical !alue and application.

The functions of the !arious points in the following combinations as well as their classicalindications and ualities, were taken from two main sources:

). The same C$'#656&%H6 T6IT *see abo!e+.. T56 ACT%$& $3 ACL#L&CTL6 #$%&T by #eter 4eadman which was published inse!eralparts in the B$L&A7 $3 C5%&66 '64%C%&6.

The rest of the material, including the analysis of each point, the theoretical background of thecombination, the practical application and the comparison with a herbal prescription, were alltaken from my own clinical e0perience and personal obser!ation, unless otherwise stated.

&eedless to say, all the case histories in this chapter are of persons treated by me in my practice.

The source for all information presented here regarding herbs, including herbal prescriptions, isthe book: C5%&66 56(A7 '64%C%&6 'AT6%A '64%CA of 6astland #ress, by 4an(ensky et al. 5owe!er, comparison of the point-combinations with the herbal prescriptions inthis chapter, is mine alone.

---------------------- ---------------------

bac9 to top of pa*e

7' SAN+IN:IAO ;SP /<5 !UAN+UAN ;C8 ,<5 =I$AI ;C8 /<'

"ain effect and clinical purpose

This point combination is commonly used as a general tonic for 8i and (lood. %t istherefore freuently used in cases of se!ere lassitude, anemia, impotence, spermatorrheaand the like.

http://www.acumedico.com/combinations.htm#TOP

http://www.acumedico.com/combinations.htm#TOP

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(ecause of this point combinationDs main effect, it is used with a tonifying manipulationand;or mo0a.

Point discussion

anyin1iao *# + is the point of intersection of the li!er, spleen and kidney meridians and

functions to regulate and tonify the $i in these channels. %t also has a strong effect on thereproducti!e, as well as on the urinary systems and is therefore used to regulate 9in 8ieither to tonify, or drain. anyin1iao belongs to the spleen meridian and has a greatinfluence on all the functions of the spleen organ. That includes: regulating the digesti!esystem, impro!ing appetite, creation of blood and elimination of 4ampness *<=+.

uanyuan *CH <+ The meaning of uanyuan is 2the passage for the ource 8i2. This is thepoint of intersection of the three 9in channels of the leg on the Conception Hessel *<)+.

&eedling this point tonifies the 9uan 8i which is the prenatal 8i. %t therefore strengthensthe kidneys and actually the whole body. 4ue to its location, it is primarily used to tonify9in 8i but it can be used to tonify 9ang 8i as well. %t is hardly e!er used to sedate. 8ihai*CH + is also located on the Conception Hessel, en 'ai. %ts name implies that it controlsthe sea of 8i which lies e0actly on this spot, known as the 27ower 4an tien2. 8ihai istherefore used to regulate 8i, especially post natal 8i *<+ and strengthen kidney 8i, 9inand 9ang in general.

Combining uanyuan and 8ihai has a strong strengthening effect on the 8i of the wholebody. These points together stimulate pre and post natal 8i and the kidneys. Addinganyin1iao to these two, gi!es a further impetus to creation of 9in and blood, impro!edli!er and spleen functioning, thus making the best tonifying point-combination.

There is another similar point combination that uses >usanli *T /+ instead of anyin1iao*# +. The difference between these two is that the latter is used mainly for generalstrengthening purposes, with an emphasis on digesti!e irregularities, blood and generalstamina. The pre!ious combination has a more uro genital bias.

Needlin* se>uence5 manipulation and stimulation

3or purposes of general strengthening of 8i, one generally punctures in this order:uanyuan, 8ihai and then anyin1iao. (ut, if our aim is to strengthen 9in 8i, or treat theuro-genital system, anyin1iao precedes the other two points.

As we ha!e stated before, the goal of this combination is primarily to tonify. %n order to doso, we must use a tonifying manipulation, i.e. penetrate the point gently in three stages.While manipulating, we need to push into the point more strongly than when withdrawingthe needle.

$ften we may utili"e the 2(urning the 'ountain2 techniue. %n this techniue the needle isfirst inserted to a superficial le!el and is then ad!anced to a middle and finally to a deeple!el. At each le!el the needle is forcefully thrust, and gently raised, nine times. Then, theneedle is left in the superficial le!el. This manipulation is repeated until the patient

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e0periences a warm or burning sensation.

%t is also !ery common to use mo0a on these points, either direct mo0a, or 2warmneedling2. 'o0a is used mainly in cold;deficient diseases.

$erbal e*ui0alent

%t is adeuate to compare the use of uanyuan and 8ihai to radi0 #ana0 inseng. This herbis mainly used in se!ere 8i deficiencies or e!en collapse. %t is also known to tonify the9uan 8i and both 9in and 9ang 8i.

We can also find similarities between Angelica inensis, 4an ui and the actions ofanyin1iao. This herb, too, is used to tonify the blood and treat uro-genital disorders. Alongwith this, 4ang ui is also used for abdominal pain, constipation, 4amp (i etc., for all ofwhich anyin1iao is also useful.

Case history

'r. A.'. of Arab origin, age ?, occupation: building worker, married for two years.

Complaint infertility, spermatorrhea especially at night and premature e1aculation.

4iagnostic features

). ed face, cold feet.. 3eels generally fine, e0cept sometimes dribbling urine./. #ulse slippery, big.<. Tongue pale, softE. Abdominal tenderness under umbilicus and right hypochondriac region.

4iagnosis

). Weakness and looseness of the 2gate of sperm2 *2'ing 'en2+, due to e0cessi!e se0ualintercourse and hard physical labor.. 60citement of 5eart 3ire.

Treatment

). anyin1iao *# +, yanyuan *CH <+, 8ihai *CH + and Taling *# ?+.. efrain from se0ual intercourse until spermatorrhea subsides.

60planation

anyin1iao, uanyuan and 8ihai together tonify the 9uan 8i thus enli!ening the sperm andstrengthening the 'ing 'en. Taling is used to decrease 5eart 3ire and thereby helps thepatient control his se0ual enthusiasm. Taling was punctured against the flow of 8i, i.e.needle pointed pro0imally, in order to cause sedation.

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esults

After two sessions the spermatorrhea ceased. After three months the patientJs wife becamepregnant.

&' $E!U ;I ,<5 +IN!?IAN! ;I &@<5 6USANI ;ST )/<5 NEITIN! ;ST ,,<5

?IAN!U ;ST ,)< ,)B'"ain effect and clinical purpose

This is a point combination based on the law 2one point abo!e two points below2 *seepre!ious chapter+. %ts purpose is to clear obstruction from the 9ang 'ing system, mainlysinusitis.

%t has a clear sedating effect and is therefore used for e0cess patterns characteri"ed by 5eatand 4ampness.

Point discussion

5egu is one of the most freuently used acupuncture points. %t is the strongest point on thehand 9angming channel and is often used for all complaints of the head.

%t is used to eliminate Wind heat or Wind cold. 5egu is an analgesic point and it relie!espain. %t is anti-phlogistic, anti-pyretic and used for all inflammatory processes in the headregion.

9ing0iang is the last point of the hand 9angming channel. %ts indications are for all diseasesof the nose and to dispel Wind heat from the nasal ca!ities. %t is also an intersection pointbetween the large intestine and stomach meridians.

>usanli is also one of the most freuently used points in acupuncture. %t is the mostpowerful point on the stomach meridian and is used for all digesti!e complaints. %n thisconte0t it is used to eliminate 4ampness and 5eat from the 9angming channel. >usanli maybe either tonified or sedated, depending on the nature of the disharmony.

Thus, among its manifold acti!ities, it may be used to eliminate Wind and 4ampness, toregulate circulation of 8i and blood, to tonify weakness and promote anti pathogenic 8i.&eiting is a point of choice in the treatment of e0cess patterns in the stomach or stomachmeridian. %t is mainly used to reduce 5eat in the channel or in organs under control of thischannel. This includes the nasal ca!ities, the upper teeth and gums, the stomach andintestines. %ts indications are also to regulate 8i and relie!e pain.

Iiangu is indicated mainly for facial edema, for pain and elimination of Wind. inusitis ischaracteri"ed as a Wind 5eat disease and it causes accumulation of fluid *4ampness+ in theface due to a 5eat stagnation.

As we ha!e e0plained in the pre!ious chapter, this type of combination places an emphasison regulating the 8i in the channel, making it flow more !igorously in the proper direction,

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by utili"ing more points situated on the desired direction.

Therefore, points >usanli, &eiting and Iiangu pro!ide a hea!ier weight than 5egu and9ing0iang, in order to promote the flow of 8i in their direction. This in!igoration of 8i issaid to clear the obstruction *sinusitis+ where the hand 9angming and leg 9angming meet*the nasal area+.

%t is worthwhile mentioning that all of these points ha!e a clear 4ampness and 5eatclearing functioning among their other ualities.

Needlin* se>uence' manipulation and stimulation

The needling seuence is of ma1or importance in this combination. ince the whole idea isto propel the energy along the meridian in the desired direction, we ha!e to stimulate thepoints in the appropriate order. (y needling these points in succession, we propagate boththe needle sensation and the effect towards the oriented direction.

The fact that &eiting is needled before Iiangu is because &eiting is a stronger point thanIiangu and therefore plays a more important role in the 2see saw2 balance of thecombination.

The points are naturally manipulated in a reducing, or sedating techniue. This may beeither the anti clockwise rotation of the needles, or pull thrust maneu!ering.

When an e0cessi!e hot condition is obser!ed, it is possible to perform the 2Cooling theky2 techniue. (y this techniue the needle is inserted rapidly to the desired depth andthen forcefully raised up a fraction, then gently inserted again. This manipulation isrepeated si0 times. The procedure is repeated at three different le!els, from the deepest tothe most superficial position, until the patient senses coolness. This is e0actly the oppositeprocedure to 2burning the mountain2 which was described under the pre!ious combination*<<+.

As a rule, for sedation purposes the needle manipulation reuires stronger mo!ements bythe practitioner, with larger amplitude and angles than the tonifying manipulations. $nshallow surfaces it is often sufficient to point the needle tip along or against the energystream, in order to tonify or sedate, respecti!ely.

Case history

'rs. .A., age <=, has suffered from chronic sinusitis for ) years. he had some < E acuteincidents each year, for which !arious antibiotics had been prescribed. Twice she hadundergone nasal operations and sinus pumping without long term satisfactory results.

he came to see me three years ago, suffering an acute attack which did not respond toantibiotic remedies. he had a low fe!er, felt !ery weak and sick and had unbearable painaround the supra-orbital area, especially of her left eye. 'rs. .A. had a purulent yellow,foul smelling nasal discharge, dry mouth and constipation.

(oth her pulse and tongue indicated an e0cessi!e 4amp-5eat condition. 5er pulse was also

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weak and indicated her general weakness.

'rs. . recei!ed si0 treatments. The prescription was built from the abo!e combination,with the addition of >anshu *( +. >anshu was manipulated by a dispersion techniue, i.e.was punctured in three directions one after the other, and then was left intact.

>anshu was chosen due to its local effect, in order to disperse the purulent liuid around theeyesD orbit.

After two treatments 'rs. . e0perienced significant relief and after the fifth appointmentshe proclaimed that she was free of all symptoms. 5ence, she was gi!en another treatmentto consolidate the effect and the treatment was terminated.

4uring the last three years 'rs. . suffered one more attack which responded to treatmentin the same fashion.)' :IAN+U ;I 7.<5 :IANEIIN! ;E?TRA<5 :IANIAO ;T 7,<


The combination abo!e is a point cluster of the shoulder. %t is freuently used to dispersestagnation in the shoulder 1oint and to facilitate the flow of 8i there.

The cluster is usually effecti!e in cold stagnation of the shoulder or 4amp (i *cases offro"en shoulder, perifocal inflammation of the shoulder 1oint etc.+. %t may also be of !aluefor traumatic pain from sports or accidents.Point discussion

Bianyu in Chinese 2shoulder bone2, is the main point for all shoulder diseases. %tsindications are:

• to eliminate Wind• to remo!e obstruction from the Bingluo, and promotecirculation of 8i and blood.• to soothe the Boints, relie!e pain and scatter (i.

Bianyu is either punctured deeply, with the arm abducted, towards Biuan *5 )+, forinflammation of the 1oint bones, or along the deltoid muscle, for 4amp or cold (i, affectingthe muscles and tendons.

%t is often cauteri"ed with mo0a, by all the !ariations: direct *scarring+ mo0ibustion, thewarm needle techniue and mo0a on ginger. These techniues are applied for Cold, or4amp-Cold induced problems. 3or the 2fro"en shoulder2 syndrome, Cold penetrating to thebone le!el, one may use the 23ire needle2 techniue. (y this techniue a long needle isheated by fire, and immediately introduced into the deep le!el of Bianyu, then withdrawn.This techniue was already mentioned in the 27ing huM and the 'ing dynasty physician,Wu 5egao, recommended it for Cold (i of the shoulder.

%n any case, utili"ation of mo0a or heat at this point, accelerates the flow of 8i, dispersesthe cold and damp stagnations and returns the 1oint and muscles to normal functioning.

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5owe!er, it is imperati!e to stress that any shoulder inflammation e0hibiting heatcondition, *i.e. febrile (i+ should not be treated with mo0a which can undoubtedlyaggra!ate the condition.

Bianneiling is an e0tra point situated e0actly between Bianyu and the top of the anteriora0illary crease.

%ts indications are the same as BianyuJs.Bianliao 2houlder eam2 in Chinese, also has e0actly the same indications as Bianyu. %t ismore often used for pain located on the posterior aspect of the shoulder, on the route of thean1iao channel.

&eedling these three points together affects the shoulder from three different angles andcauses an acceleration of the 8i that passes through this 1oint. The !arious methods ofstimulation, when properly applied, deal with the cause and nature of the stagnationaccordingly.Needlin* se>uence5 manipulation and stimulation

The needling seuence in this combination is usually related to the site of the pain. %f thepain is in the anterior part of the shoulder, Bianneiling is usually needled first, and then theother two. %f the whole shoulder is painful, Bianyu is needled first, as the strongest point ofthe trio.

(esides mo0a stimulation, of which we ha!e already spoken, the 2cupping2 treatment o!erthese points is also freuently used.

Cupping is generally applied on spots where we need to enhance circulation of 8i and(lood and is widely used in China and in T.C.'. clinics.

Also electrical stimulation of these points is often applied, as shoulder problems usuallyin!ol!e pain. 6lectrical stimulation is usually applied with a dense disperse wa!e, forperiods of )= = minutes. Cupping is usually applied after needling the points, or o!er theneedles, also for )E = minutes.

When the 2warm needle2 techniue is utili"ed, only one needle of the trio is generallycauteri"ed with mo0a. %t is usually the needle that is situated in the most painful site of theshoulder. This is a small !ariation of a techniue called 8ici which was already mentionedin the &ei Bing *<E+.

Another techniue which is often used to disperse stagnation of 8i and (lood and toresol!e pain uickly, is called 25uici2, and has also been mentioned in the &ei Bing.

(y this method a ).E inch needle is inserted and manipulated until 24ei2 is obtained. Theneedle is then raised and redirected to the left or right, and manipulated again for / minutes.The needle is then raised and redirected toward another direction and manipulated onceagain. %t is then raised to a superficial le!el and left intact.

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Case history

'rs. 4.(., a teacher by profession, was born in )FE). $n April )G, )FF= she consulted me,complaining of se!ere pain in her right shoulder which hindered her sleep and disabled herright hand pre!enting almost any mo!ement.

I ray e0amination at 2ambam2 5ospital in 5aifa re!ealed e0cessi!e calcium deposits inthe shoulder 1oint, hence she had been ad!ised to undergo the calcium pumping operation,as well as steroid in1ections to the affected 1oint.

'rs. 4. was reluctant for such 2ad!entures2 as she e0pressed it, and since she had had apre!ious successful e0perience in my clinic for another problem, she made an appointment.

An e0amination by means of Chinese medicine brought me to the diagnosis of a Cold (icondition in the shoulder, and kidney hypo-functioning *@idney 9ang Iu+.

The main signs were:

). 3ear of cold in general and especially a need for warmth around both shoulders.. #allid face and lips./. #ale, wet tongue, with a thin white fur.<. Thin, soft and deep pulse, weak on third position.

The only sign which did not match the diagnosis entirely, was the pulse, which should ha!ebeen tighter. &e!ertheless, % interpreted the thin pulse as a sign of a (lood Iu to somee0tent due to her kidney 9ang Iu condition which pre!ented her from a proper creation ofblood. The relati!e weakness and depth of the pulse was due to her kidney weakness.

The prescription for treatment was:

ight side: Tiaokou *T /G+, Bianyu *7% )E+, Bianliao *T )<+, Bianneiling.(oth: Tai0i *@ /+, henshu *( /+.

Tiaokou is an e0cellent empirical point for acute shoulder pain. %t was inserted towardChengshan *( E?+ and manipulated for E minutes *<+.on Bianyu % burnt four mo0a balls on top of the needle, in e!ery treatment session.

The three cluster points of the shoulder were manipulated by the dispersal 25uiciM pattern*see abo!e+. This was done prior to the application of mo0a, and in order to disperse thestagnant Cold which lodged in the area.

Tai0i and henshu were chosen to stimulate and reinforce kidney 9ang. %n order to ensure afull impact on kidney 9ang, three mo0a balls were burnt o!er the left henshu needle.

ince all the 9ang go to the left and all the 9in to the right, henshu left is also consideredto belong to 9ang, and was gi!en an e0tra stimulation there.

'rs. 4. e0perienced significant pain relief following the first session and could sleep thewhole night through. After the second and third treatments her condition impro!ed e!en

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more and on the fourth, the treatment was performed without mo0a.

After the fourth treatment her condition worsened, probably due to a cold change in theweather.

3i!e more treatments were reuired to establish a full reco!ery, all of them with mo0a.

,' 4EN!C$I ;! &@<5 TAI+AN! ;E?TRA<5 ?IN:IAN ;I8 &<5 +AN!IN!C$UAN;! ),<


This point combination works primarily on the li!er and gallbladder channels and has astrong 9ang, or 3ire reducing action, as well as Wind clearing, especially li!er Wind fromthe head.

As a result of these properties, the combination is widely used to treat hypertension of li!er9ang, or li!er 3ire origin. %t may also treat headaches, migraine, or pressure behind the eye*glaucoma+ stemming from the same etiology.

Point discussion

3engchi is an important point, situated on the gallbladder meridian, below the occipitalbone. %t is in!ol!ed in almost e!ery formula that treats headaches, especially of a hinature. The point is indicated to eliminate Wind *e0ternal, or an internal li!er Wind+, topacify the li!er and reduce 9ang 8i, to clear the mind, brighten the eyes, to benefit the earsand to reduce heat.

3engchi is usually punctured toward the eyeball of the opposite site, with care not to pointthe tip upward, the direction of the medulla oblongata.ince its use is most often indicated to calm hyperacti!e 9ang or sedate Wind, it ismanipulated to sedate by a leftward twirling, or forcefully withdrawing and gently thrustingback.

3engchi is often combined with 5egu *7% <+ for !arious headaches and this is a basiccombination for headaches. 5egu has a strong effect on the face, forehead and the anteriorhalf of the head, whereas 3engchl has the same effect on the posterior half. (oth pointstherefore, circulate the 8i and (lood of the whole head and disperse Wind and stagnation.

Taiyang is an e0tra point situated on both temples. %ts indications are also to disperse Windand 5eat from the head and eyes. %t is often used for migraine headaches, red and painfuleyes, fe!er or high blood pressure.

Taiyang has a close relationship to the allbladder meridian, firstly because of its location,as well as its functioning.

%t is punctured up to a depth of one cun perpendicularly and it is often pricked with atriangular needle to release a few drops of blood. This is usually done in acute conditions,

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in!ol!ing pain, heat, se!ere inflammation, etc.

Iin1ian also has similar properties. %t is widely used to reduce li!er 3ire, but it is located onthe other end of the body, i.e. the foot.

(esides draining the e0cessi!e li!er 3ire, Iin1ian is also said to spread the stagnant 8i of

the li!er. This is usually a heat stagnation, which is one of se!en stagnations that e0ist inclassical Chinese medicine: stagnations of 8i, (lood, 4ampness, Cold, 5eat, #hlegm and3ood *<?+.

This stagnation of heat often in!ol!es the blood too, as it causes the blood to coagulate.ince blood and heat both ha!e a close physiologic link with the concept of li!er in T.C.'.,it is not surprising that hypertension in its most common etiology, is treated !ia the li!er orall meridians. Iin1ian therefore, is an important point for this disorder, as it treats bothheat and stagnation.

9anglinchuan also has the ability to cool li!er heat, as well as to clear dampness. %tregulates and benefits the li!er and gallbladder and strengthens the tendons, sinews andbones.

After analy"ing each point in the combination, it is clear that this point combination is builton the concept of mutual assistance. Actually, all the mentioned abo!e points ha!e theuality of lowering 9ang, and subduing li!er 3ire.

The most freuently encountered etiology for high blood pressure in T.C.'. is hyperacti!eli!er 9ang. This pattern usually in!ol!es symptoms such as: headache, glaucoma, red eyesand face, di""iness, tinnitus, etc., all of which are !ery common in the modern concept ofhypertension.

According to Chinese medical philosophy, when the li!er lacks 9in 8i *due to a kidneydeficiency, most often+, or blood *due to spleen deficiency+, or its 8i stagnates due to othercauses, it creates heat. 5eat tends to climb up, or float to the head region, !ia thegallbladder meridian, which is the li!er coupled meridian, or !ia the internal branch of theli!er meridian itself. The heat rushes up the blood, thus creating the hypertension as well asthe accompanying symptoms.


The needling seuence in this combination is from abo!e downward, in order to lower orbring down li!er 9ang.

%t is therefore necessary to use the head points first, in order to sedate li!er 3ire or Wind inthe head region, then Iin1ian which is more important for this purpose and finally9anglingchuan.

'anipulation of the needles is effected to sedate li!er 9ang and therefore, the amplitude

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and strength should be as high as the patient can tolerate. &e!ertheless, care must be takenin cases ha!ing a fragile constitution, or a pattern which includes a Iu condition, at thesame time. %n this case the practitioner must assess which is predominant, the hi or the Iucondition and stimulate accordingly. %t is also ad!ised, in any case, not to be too !igorouswith the manipulation at the first session.

As we ha!e stated before, in cases which in!ol!e an acute head or eye pain, withinflammation or 3ire signs, it is possible to bleed Taiyang and release a few drops of bloodwith the prysmatic needle.

$erbal e>ui0alent

The effect of this point combination may be compared to the use of pica #runella Hulgaris*Iia @u Cao+, together with 3los. Chrysanthemi 'orifoli *Bu 5ua+.

The first herb is cold in nature and acrid and is used to clear the li!er and brighten the eyes.Hery much like Taiyang and Iin1ian. The latter herb is slightly cold and bitter and is used todisperse Wind and clear heat. %t therefore clears Wind-5eat in the li!er channel and pacifiesthe li!er and relie!es headache, di""iness, red and painful eyes, etc. %ts action resemblesthat of 3engchi.

The two herbs together are therefore classically used for headache, di""iness, !ertigo,painful and red eyes and high blood pressure.

Case history

'r. ., age < a businessman, has suffered for the past eight years from hypertension andoccipital headaches. 4uring this period he has regularly taken hypotensi!e drugs *E= mgCon!ertin+, which ha!e ad!ersely affected his se0ual abilities. With the drugs, his bloodpressure was )<=;))= 5g.

'r. . had a shiny red face, red eyes and darkish lips. 5e spoke loudly and was !erytalkati!e.

60amination of the tongue re!ealed red rims, and a slippery yellow coating.

5is pulse was moderate and first and second positions of his right hand were hi.

%t was apparent that 'r. . had an e0cess heat condition. The problem was whether it wasof li!er 9ang origin, or stomach 3ire. As neither of these possibilities in!ol!ed othersymptoms, it was decided to clear the heat from the 9angming system through acombination renowned for this purpose. The combination is: 8uchi *7% ))+, >usauli *T /+&eiting *T <<+.Actually, the 9angming channel was chosen to operate upon because of the pulse, whichshowed predominance on the right uan position.

A few treatments were carried out by this method, but the patient showed no impro!ement.

The diagnosis was then reconsidered, and changed to hyperacti!e li!er 9ang. The pulse

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abnormality was thence interpreted as an o!eracti!ity of the right li!er channel, rather thanboth channels, a fact which has shown itself on the right hand pulse.

The formula for treatment was thus changed to the following: 3engchi * =+, Taiyang,Iin1ian *7%H +, 9anglingchuan * /<+, 8imen *7%H )<+ on the right side only, and 3uliu*@ ?+.

All points, e0cept 8imen and 3uliu, were sedated in a broad angle twirling and raise thrustmanipulation. 8imen was manipulated in an e!en manner, in order to regulate li!er 8i and3uliu was tonified so as to tonify kidney 9in.

After the first treatment, 'r. Js blood-pressure decreased to )<=;)== 5g. and after fi!emore treatments to )<=;F= 5g. 5e was ad!ised not to take any more hypotensi!e drugs,ad!ice which he accepted readily, and his blood pressure remains stable.

ince 'r. . was not prone to anger, he was only ad!ised to regulate his diet, to e0clude9ang nourishing foods *coffee, sea food, fried food, pepper, alcohol, etc.+ and to tend hisbusiness in a more rela0ed manner.

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The abo!e point combination is widely used to treat skin disorders, mainly characteri"ed byheat and Wind of either internal or e0ternal origin.These disorders include allergic skin reactions, !arious types of ec"ema, rash, hi!es, andother conditions.With added points like 9inlingchuan *# F+, or anyin1iao *# +, it may also treat skinconditions in which 4ampness e0ists, i.e. weeping ec"ema, furunculosis, etc.

Point discussion

8uchi is the most effecti!e point for skin diseases, especially those characteri"ed by windand heat. %ts traditional functions are:

). 6liminates Wind and e0terior conditions.. Cools heat and alle!iates 4ampness./. egulates the (lood.

8uchi is situated on the large intestine meridian, a meridian most of whose functions dealwith e0terior conditions or with the outer layers of the body, such as: skin, muscles, etc.

As its most pronounced function is to eliminate heat and therefore it is used in cases offe!er, and since it is !ery influential at the skin le!el, 8uchi also remo!es heat from theskin. (y remo!ing heat from the skin, it impro!es Ching % *fluid+ circulation at the cellularle!el, thus facilitating skin nutrition.

8uchi is also an important point to clear heat from the blood. We know that the largeintestine meridian carries the largest amount of blood in comparison with other meridians,

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as it belongs to the 9angming system. As a result of this fact, 8uchi is able to act directlyon the blood, regulate it and drain e0cess heat therefrom.

%n this regard, we should bear in mind that many skin diseases are the result of 2heatentering the blood le!el2, according to T.C.'. theory. The heat in the blood concept may beparalleled to the western concept of to0ins in the blood. This phenomenon of to0ins is of a

hot energetic nature, often manifesting itself as red skin eruptions of !arious kinds. %n itsmost e0treme !ariation it is defined e!en in T.C.' as N3ire-to0inM. This definition is oftenattributed to the western medical diseases such as furunculosis, purulent abscesses and thelike.

Iuehai 2ea of blood2 in Chinese, is situated on the spleen meridian. The pleen go!ernsthe circulation of blood *i.e. keeps the blood in the blood !essels+ and go!erns the !olumeof blood, as it stimulates its creation. Iuehai therefore, is the point which ser!es to regulateand in!igorate blood circulation, on behalf of the spleen. %n its indications Iuehai is said toharmoni"e blood and 9ing 8i *the nourishing 8i+ and to cool heat. %n accordance with theseualities Iuehai is used to tonify blood, impro!e its circulation and drain e0cessi!e heatfrom it.

Waiguan is used in this prescription for its uality to relie!e e0terior and hot conditions. %tis called the 2$uter ate2 in Chinese and thus ser!es as a gate keeper against e0ogenouspernicious influences.

Traditional Chinese 'edicine teaches that in order to control wind, the blood must be firstregulated. Wind subsides by itself when normal blood flow is restored, i.e., it is e0pellednaturally when it has nothing to cling to.

NThe use of Iuehai and Waiguan for in!igorating the blood and dispersing the wind,combined with 8uchi for clearing the heat, is an important combination of points fortreating the itching due to stagnation of Wind and 5eat in the skin.2 *<G+.


The needling seuence in this combination is from the upper limb to the lower limb. Thisfollows the general acupuncture rules accordingly:

). enerally apply needles first to the upper parts of the body and then to the lower parts.. 3irst apply to points situated on the back and then on the abdomen./. Apply needles first to the left side and then to the right side.

'anipulations of the needles are, in most cases, in order to disperse wind and heat, whichare hi conditions. %n any case, Iuehai may sometimes be tonified, when the blood is 0u, ordry, or more often, be manipulated e!enly so as to tonify the blood and at the same timedrain the pathogenic heat.

%n !ery acute conditions it is possible to bleed these points with the triangular needle, but itshould not be done too often, as it might damage both 8i and (lood.

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$erbal e>ui0alent

The functions of Iuehai are !ery similar, in many aspects, to those of adi0 ehmainialutinosa *heng 4i 5uang+.

This herb has these properties:). Clears heat and cools the blood.. %ndicated for cases of hemorrhage, where heat has penetrated the blood le!el *in caseslike e0cessi!e menstruation and premature menstruation, for which Iuehai is alsoindicated+./. &ourishes the 9in and the blood.

The whole point combination may be compared to a classical herbal prescription that hasabout the same properties. it includes:

). #eriostracum Cicade *Chan Tui+. 5erba 'entha *(o 5e+/. adi0 ehmania lutinose *heng 4i 5uang+

Chan Tui and (o 5e belong to the cooling herbs that relie!e e0terior conditions. Thereforetheir main acti!ity is to disperse wind and clear heat.

(oth of them are also used to speed reco!ery in measles, as they are said to encouragerashes to rise to the surface.

heng 4i 5uang, as mentioned abo!e, acts on the blood le!el. (y tonifying the blood itassists in dispersing Wind conditions and by cooling the blood it remo!es the basis for anyskin hot conditions.

Case history

'iss $.., age F, has suffered for one month from a pruritic rash on her right costal surface,anteriorly and posteriorly.

Harious allergic e0aminations did not re!eal any special sensiti!ity and local application ofointments had not impro!ed her condition.

8uestioning re!ealed that the rash had appeared suddenly and that it was !ery itchy.

$bser!ation showed that the rash consisted of tiny red points, gi!ing the impression of sandon the skin. %t also showed a red rimmed tongue with a !ery thin white moss.

The diagnosis was an e0ternally contracted Wind-5eat, affecting the li!er;gallbladdermeridians. *Wind-ash, in Chinese+.

The fact that the rash appeared only on the surface of the right rib cage, along with the redrimmed tongue, pointed to the in!ol!ement of the li!er and gall meridians. The sudden

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appearance of the disease, together with its red color, plus the thin white coating of thetongue, indicated an e0ternally contracted Wind-5eat.

The formula chosen for treatment was: 8uchi *7% ))+, Iuehai *# )=+, Waignau *T E+,Talchong *7%H /+, anyin1iao *# +.

Taichong and anyin1iao were added to the prescription in order to resol!e stagnation of theli!er and hasten the reco!ery. This is another well known point combination, used topromote the function of the li!er and spread 7i!er 8i.

After two treatments which were carried out on two consecuti!e days, there was noitchiness at all and the rash had significantly diminished.

After the fifth treatment the problem was entirely resol!ed.

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This point cluster helps facilitate the flow of 8i and blood to the palm and fingers. %t is usedin cases of 'etacarpal Tunnel yndrome, where 8i and (lood are blocked in thematacorpal 1oint tunnel and the symptoms e0hibit numbness, pain and weakness of thefingers.

#oint discussion

&eiguan is the most important point on the pericardium channel. %t is mainly used to treatchest or abdominal problems and its functions spread from regulating the stomachacti!ities, to impro!ing blood circulation in the heart.

$ne of its manifold characteristics is to regulate the 8i. The fact that it belongs to thepericardium li!er system, the Chueh 9in energetic segment, suggests that it is also closelylinked with blood circulation problems. *%n fact some authors call the pericardium meridian2Circulation e0 meridian2+ *<F+.

As a tribute to its anatomical location near the metacarpal tunnel, it influences 8i and bloodcirculation in this area. 4ue to its ma1or role in impro!ing blood circulation in general,&eiguan has a double effect on this area: one merely as a local effect and the second as aninfluence on systemic circulation in the whole body.

Another uniue characteristic of &eiguan is that contributing to its anatomical locationabo!e the medial ner!e of the arm, it is !ery easy to propagate the needle sensation as far as

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the finger tips. As 'etacarpal Tunnel yndrome usually e0hibits numbness of the middlefinger, or e!en of the other fingers too, we can manipulate &eiguan to transmit a clearsensation to those fingers, thus facilitating the flow of 8i and blood up to the desiredforemost target.

Taling has much the same characteristics as &eiguan, with one ad!antage o!er the latter. %ts

location is e0actly abo!e the metacarpal bones and 1oint, a fact which makes Taling abarrier point for this area. %ts needle sensation is also most often felt through to the fingertips, and puncturing this point has a direct effect on the 1oint tunnel itself. Taling has a morecooling effect than &eiguan. %t is a point often used to clear 5eart 3ire and resol!e heat inthe meridian or the organ. %n many cases 'etacarpal Tunnel yndrome also e0hibits heatsymptoms due to the pressure of the stagnation there. The use of Taling is !ery beneficialfor such a condition.

7iehchueh is the 7uo point, or connecting point of the lung meridian. The connectingchannel of the lung, after lea!ing the main lung channel at point 7iehchueh, tra!els to thelarge intestine meridian and connects with it at point #ianli *7% +. Another branch followsthe lung meridian into the palm and spreads there through the thenar eminence.

4ue to its course, 7iehchueh is also used for wrist 1oint problems or abnormalities of thepalm, such as: pain, hot palms, ec"ematous or numb palms.

7iehchueh needs to be punctured with the tip of the needle pointed toward the thumb, formaladies of the palm. The needle sensation must follow the route of the lung meridian or tospread into the palm.

%n this point combination we can see that besides its uality as a point cluster, there is acombination of two points, Taling and &eiguan, whereby each enhances the action of theother. Thus, there is the principle of mutual assistance as well as the facilitation of thenormal flow of 8i and blood that any point cluster would achie!e.


The order of needling these points is from &eiguan to Taling, so as to follow the ordinaryflow of 8i in this meridian. These are also the more significant points of the trio and thepericardium meridian is more significant than the lung meridian for this prescriptionJspurpose. 7iehchueh is punctured last.

As was hinted abo!e, after 4ei has been obtained, needles must be pointed towards thepalm and manipulated in dispersion so as to cause needle sensation to tra!el downwardstoward the fingers.

%n 'etacarpal Tunnel yndrome, where specific heat signs are absent, it is recommended toapply mo0a stimulation on the points after needling.

%n se!ere cases, direct mo0ibustion is usually applied and scars are formed. %n less se!ereconditions it is possible to lay the mo0a cones, the si"e of beans, on a thin layer of freshginger *heng Biang+. The layer is punctured through, in order to allow the heat to penetrateeasily and the cones are placed one after the other, until the whole area becomes red.

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Another techniue ad!ocates the use of white pepper mi0ed with flour to make a paste andspread o!er the point. The thickness of the layer should be =.) inch, and a hole is made inthe center.

A mo0a cone is set upon it and ignited. This method is indicated usually for numbness and

stiffnss, and is most suitable for the 'etacarpal Tunnel yndrome *E=+.Case history

'rs. $.T., age /E, is the owner of a goat farm and she is also the mother of case historynumber E * see abo!e+.

A year and a half prior to her first !isit to my clinic, she began e0periencing numbnessalong the anterior medial aspect of her right arm, e0tending towards her fingers. %t wasmore pronounced at night, while sleeping. 7ater, she e0perienced pain when numbnessreached its clima0. %n the last few weeks she started ha!ing the same phenomena, though toa much milder e0tent, in her left hand too.

outine checks at &ahariya 5ospital re!ealed no signs on her cer!ical !ertebrae, wherethey had pro1ected their suspicion. The diagnosis gi!en was of a 'etacarpal Tunnelyndrome and she was ad!ised to undergo an operation.

$n uestioning, 'rs. $.T. re!ealed that sometimes when she awakens in the morning, shesenses a sharp prick in her heart region, e0periencing difficulty in breathing deeply, for awhile. The sensation then disappears.

8uestioning also re!ealed that she is in the habit of milking her goats for many hours andthat she rides a motorcycle in the fields. $bser!ation re!ealed a red tipped tongue with redpoints and red rims. he also had peeled areas. 5er right palm was dry and ec"ematous, shesaid that she had been told that it was a fungal infection, but it did not respond tomedications. % diagnosed her condition as follows:

). A pre e0isting state of slight heat stagnation of the pericardium which ga!e rise to theshape of the tongue, to the stabbing pain in the chest, and to disturbances along thepericardium meridian.

. 5ard labor of milking had strained the brachial muscles, especially the fle0or group. Thisstrain had impeded the flow of 8i and blood to the palm and had laid an e0tra burden on thepericardium channel.

/. 4ue to impeded flow of 8i and blood to the palm, the palm became dry, undernourishedand had de!eloped the ec"ema.

The reason for aggra!ated numbness at night, was that rest hindered the flow of 8i andblood e!en more due to lack of mo!ement or acti!ity, thus making the numb sensationmore pronounced.

The treatment was constructed from the three cluster points, plus Tan"hong *CH )?+.

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Tan"hong was utili"ed to build the formula due to its task as the 'u point for thepericardium. %t has a strong influence on blood circulation and is said to propel 8i in theLpper (urner, thus enhancing blood formation and 8i and blood circulation *E)+.

(y choosing Tan"hang, % dealt with the local carpal stagnation, as well as assisting fromafar by !iewing the local problem in its holistic background.

After needling &eiguan % applied se!en mo0a cones on the point, using a layer of a pastemade from flour and white pepper underneath.

After se!en treatments o!er a two weeks period, 'rs. $.T. impro!ed by F=O as sheproclaimed.

About one year later she came to me again, saying she was afraid that her pre!ioussymptoms were returning. he was then gi!en four more treatments, after which she feltbetter again.

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This freuently used point combination has been de!ised in accord with the principle ofchoosing points on the same meridian, for mutual assistance.

%t is used in many different problems of the arm, in!ol!ing the shoulder, arm, hand andfingers.

%ts main use, howe!er, is to in!igorate the flow of 8i and blood in the upper limb, forproblems such as painful (i syndrome of different etiologies, or paralysis.

The fact that all these points are situated only on the large intestine meridian and not on oneor more of the other fi!e meridians of the arm, is because this meridian is known to ha!ethe richest supply of 8i and blood *together with its 9angming counterpart, the stomachmeridian+.

The &ei Bing states: 2When treating flaccidity of the limbs *Wei syndrome+, use points onlyfrom 9angming2 *E+.

Point discussion

As stated abo!e, all the three points are situated on the large intestine meridian and areconsidered important points. The title of important points is usually gi!en to those pointswhich ha!e a broad spectrum of acti!ity and that play a ma1or role in many formulae.

All three ha!e in their indications ualities such as: in!igorating 8i and blood circulation,remo!ing obstruction from the Bing 7uo, relie!ing pain, scattering (i and the like.

(y choosing these three points, we combine their abilities to assist each other and to ha!e amutual impact on the disease, which is far better than any one of them alone.

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The fact that all the three are situated on the same meridian, enables each pointDs sensationto tra!el to the ne0t point and thus propagate the needle sensation along the whole limb.When needle sensation is propagated, so is 8i and thereafter blood.

There is a saying in T.C.'. that 2Acupuncture is only effecti!e when the 8i reaches the

affected area2. 'any contemporary researchers ha!e !erified this concept. They also founda significant correlation between the degree of induced propagated needle sensation, andtherapeutic success *E/+.

As we ha!e mentioned abo!e, the &ei Bing has recommended the use of the 9angmingsystem for diseases characteri"ed by flaccidity, numbness and hypertrophical features. Thefact that the 9angming has been recommended for such tasks is due to its abundance of 8i,and especially blood.

ecent researchers in China ha!e !erified for instance, that the use of these points in aC.H.A. seuelae, like hemiplegia, has no substitute. The reasons are those mentioned abo!e.5emiplegia, as an e0ample, is a paralysis of half of the body, caused by blood stasis *orhemorrhage+ in the brain. This stagnation has caused a 8i and blood circulatoryimpediment and in fact a real blockage in half of the body, usually longitudinally.

Thus, these three points *among other points+, are manipulated to in!igorate the blockedcirculation and return the limb to its normal function.

(y the same token, these points help eliminate pain caused by a Iu condition like paralysis,or a hi condition such as painful obstruction of the 1oints. The only difference is in thetechniue of stimulation and in the combination of other points within the formula.


The needling seuence in this combination is usually performed in accordance with thenature of the disease. %n Iu conditions, when paralysis, numbness or weakness of the armand fingers e0ists, the needling seuence is applied from Bianyu to 5egu. This is done inorder to dri!e the 8i sensation toward the fingers which, in most cases, are in a worsecondition.

%n painful hi conditions 5egu is most often punctured first due to its generali"ed analgesiceffect, followed by the rest of the points. %t is, ne!ertheless, possible to start with Bianyu,especially if there is a marked stagnation there.

%n the conditions of paralysis or atrophied muscles, the stimulation is by tonification. Themethod of tonification !aries, but in most cases it is a strong tonification for two reasons:

A. The paralytic state of the limb does not allow a satisfactory 4ei sensation in manycases, if the manipulation is too weak.(. This is a se!ere condition which generally will not respond satisfactorily to a mildstimulation. %n this conte0t we may compare the amount of stimulation, or degree of needlemanipulation, to a measured dose in medication or a herbal formula. %n se!ere conditionsthe dose will generally be increased. The difference howe!er, between acupuncture and

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other remedies, is that only a well e0perienced practitioner is able to de!elop the 2touch2 orsensiti!ity for the right amount of manual stimulation. %n orally taken remedies the dosageis measurable and recommended in the formula.

%n many cases of Iu conditions, especially the most se!ere or those in which cold is a partof the condition, the preferred type of tonification is the 2(urning the 'ountain2 *E<+

techniue, which was discussed under case number ) in this chapter.Iu conditions of the upper limb are !ery often treated with mo0a too. The warm needletechniue is highly recommended, as it warms the channel, tonifies the 8i and acceleratesits flow.

'assage techniues, Tui &a with warming and acti!ating oils and ointments, are also !erypopular and widely used. The massage is carried along the limb meridians, with rubbingand pinching, and scraping mo!ements, pressing on the acupressure points and acti!ating8i and (lood.

3or such conditions also the plum blossom, se!en star hammer needle is applied by tappingit along the meridians, until the whole route is reddened.

%n hi conditions, such as painful (i of the shoulder, elbow, carpal and phalangeal 1oints,the needle techniue is in sedation and dispersion. The needle is inserted against the energystream of the channel or manipulated in sedating procedures, or in the 5uiCi techniuewhich was described earlier in this work.

Cupping is also applicable, as it drains e0cess and disperses stagnation. Also electro-acupuncture is possible, usually combining two points from the trio in a disperse wa!e.

Case history

'r. ., age /, a barber by profession, left handed, had, a month before he came to see me,a marked decrease in the power of his left hand, fingers and leg.

5e had a sudden decrease of mental acuity, of his usual sense of humor, as well as physicalabilities of hand and leg. 'r. . had to cease working in his barber shop, since he was lefthanded.

A week before coming to me, he suddenly felt !ery unwell and almost lost consciousness.5e could not speak properly, and suffered a staggering headache. 5e was taken to &ahariya5ospital where he underwent a C.T. scan of the head. The diagnosis was a cerebro !ascularinfarct in his right brain lobe.

Lpon e0amination it was ob!ious that he had significant difficulty in mo!ing his leftfingers freely and his gait was a little clumsy. 5is tongue was big, red and peeled. The pulsewas moderate and big at the Cun and uan positions. 'r. . confessed to a long history ofmoderate hypertension.

'y diagnosis was a basic hi condition of li!er 9ang, complicated by a Iu condition, afterthe brain damage had occurred.

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The treatment principle was, therefore, to in!igorate the flow of 8i and blood in his lefthand and leg, subdue li!er 9ang and in!igorate the blood circulation in general.

The points chosen for these purposes were:

Bianyu *7% )E+, $uchi *7% ))+, 5egu *7% <+, (a0ie *e0tra+, (iguan *T /)+, >usanli *T /+all in the left side only and, Taichong *7%H /+, anyin1iao *# +, Iuehai *# )=+ bilaterally.

Bianyu, $uchi and 5egu were manipulated in a strong tonification. (a0ie, are eight pointssituated between the knuckles of the fingers. These were stimulated in order to facilitate theflow of 8i and blood in the fingers.

(iguan and >usanli are a combination of two points on the leg 9angming channel, and theprinciple of their choice and use is e0actly the same as for the three 9angming points of thearm.

Taichong and Iuehai act on the blood le!el, in general. Taichong reduces li!er 9ang andimpro!es blood circulation by facilitating li!er 8i and IuehaiJs role in blood disorders hasalready been discussed in case &umber E of this chapter.

'r. . felt mental impro!ement after the first treatment. 3ollowing this treatment he ne!eragain e0perienced any episode of losing consciousness or difficulty in speaking. After thethird treatment, which took place during the same week, his leg returned to normal and hehad lost his clumsy gait.

After the se!enth treatment his hand and fingers regained their normal fle0ibility andstrength.

'r. . was ad!ised to come once a month for a check up for his li!er 9ang and wasconsulted about his way of life for the same purpose.

2' S$AO6E ;SI 7<5 TAN6$ON! ;C8 71<5 RU!EN ;ST 72<


This point combination was mentioned in the 2reat Compendium of Acupuncture and'o0ibustian2 *>hen1iu 4acheng+ written in )=) in China during the 'ing 4ynasty by 9angBi"how *EE+.

ince those ancient times the rele!ance of the combination has not diminished and its !alidityser!es us today eually well.

The combination is suitable for all breast diseases, especially those of a hi nature. %t is used withgreat efficacy in cases of breast abscess, mastitis, benign tumors of the breast and the like. Thissame formula is also utili"ed in mastosis or agalactia *insufficient lactation+ which are primarilyIu conditions.Point discussion

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hao"e is the Well point of the samll intestine meridian and its main indications show:

). 4isperses Wind and 5eat.. 3acilitates the flow of milk in the breast.

%ts first indication, which is in accord with its role as a Well point, makes it useful in acute

conditions of febrile diseases, coma etc.%ts second indication points to its soothing effect on the breast.

The breast is where milk is originates and is produced in the female body. %t is anatomicallylocated in the Lpper (urner, where blood is also produced. 'ilk, according to Chinese medicaltheory, is made of se!en parts blood and one part 8i *E+. The mechanism of milk production inthe female body, is closely related to the functioning of the Chong 'ai *the e0tra meridian whichis also called the ea of (lood+ and which tra!erses the breasts *E?+.

The tomach meridian also tra!erses the breasts and this meridian too, as we know, is !ery rich inblood, thus both meridians nourish the breasts.

The close location of the breasts to the lungs and lung meridian, permits the access of 8i from theair to the blood of the breasts. Thus the intermingling of 8i and blood in the proper amounts,make the formation of milk possible.

till, in order not to accumulate and become stagnant, milk needs a harmoni"er which willacti!ate and super!ise its flow. 3or this purpose li!er 8i is responsible, for two reasons:

• This is the main task of li!er 8i in the whole body, as the li!er is responsible for the free flow of8i anywhere in the body.• The li!er meridian itself tra!erses the breasts.

'ilk flow, therefore, is !ery dependent on the free flowing of li!er 8i, in the same manner asblood flow *like menstrual flow+ is also dependent on li!er 8i. *&ei Bing: N8i is the ruler of(lood2+.

When li!er 8i stagnates due to emotional problems, then blood and;or milk tends to stagnate too.%n nursing mothers, this stagnation causes heat *due to the pressure+ and then mastitis, breastabscesses, etc.

hao"e, both due to its milk flow facilitating uality, as well as its heat dispersing uality, is afirst choice point for such problems.

Tan"hong was partially discussed in this paper under case history number . %t is the master pointof the Lpper (urner, and the 'u point of the pericardium. %ts stimulation sets in motion theLpper (urner 8i, in order to eliminate stagnation in the Lpper (urner. %t thus helps facilitate thefunction of the lungs, aids in dispersion of phlegm in the chest in cases of asthma, facilitates theflow of heart 8i and resol!es angina pectoris, circulates the 8i of the breasts and eliminatesstagnation there.

%n accord with these ualities, Tan"hong was selected for this combination.

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%n cases of agalactia due to a Iu pattern, Tan"hong is stimulated with mo0a, to tonify theacti!ities of the Lpper- (urner for milk production.

ugen is situated in the fifth inter-costal space, directly below the nipple. 4ue to its location inthe !icinity of the breast and to its belonging to the stomach meridian, its function is to regulate

the breast. ugen, therefore, assists either by tonification in Iu conditions or by sedation in hiconditions of the breast.

The combination, as we can see, was based on the principle of 1oining points which can assisteach other by influencing the same organ. hao"e and ugen are specific points fo0 breastproblems, while Tan"hong is the most powerful point in the !icinity of the breast. Tan"hong hassome systemic influences in addition as we ha!e seen abo!e, influences that help regulate breastfunctioning through general physiological functioning.


Lsually, hao"e is first punctured so as to direct the influence of the treatment to the breast. ThenTan"hong is stimulated due to its prime importance and then ugen.

hao"e is punctured ) fen deep, slantingly, in the direction of the wrist.

Tan"hong is punctured either pointed upward or downward, until 4ei is obtained. When this isdone, the needle is lifted to the skin le!el and redirected towards the diseased breast.'anipulation of the needle is then performed by twirling and lift thrusting mo!ements, allowingthe sensation to pro1ect to the breast. %n cases of abscesses or mastitis, it is imperati!e that needlesensation should pro1ect inside the diseased breast.

%f both breasts are diseased, the same procedure is applied to the other breast as well.%n Iu conditions of the Lpper-(urner leading to agalactia, the use of mo0a is !ery beneficial. %t ispossible to apply direct mo0ibustion, taking proper care not to cause a scald. %t is possible towarm the point with a mo0a stick or by indirect mo0ibustion on a thin ginger layer.

%t is forbidden to stimulate Tan"hong with electricity, or cupping, as it may ha!e an ad!erse effectupon the heart. Actually there are some te0ts that forbid the stimulation of this point e!en byacupuncture, and recommend only the use of mo0a *#oints of Chinese Acupuncture by 4r. B.7a!ier, or Chinese Acupuncture by 4r. Wu Wei #ing for instance+. %n any case, contemporarye0perience in China strongly ad!ocates acupuncture in this point, plus mo0ibustion.

With ugen, the procedure of needling is the same as with Tan"hong. After obtaining the 8i theneedle is directed pro0imally toward the breast and then manipulated.

$erbal e>ui0alent

This point combination, especially when performed in order to soothe hi patterns, resembles aherbal prescription generally used to treat the same disorders.

). #ericarpium Citri eticulata *8ing #i+. emen Haccaria *Wang (u 7iu Iing+

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/. adi0 al!ia 'iltihorri"a *4an hen+

This herbal prescription is used to treat pain and swelling of the breasts, palpable masses orlumps in the breasts, due to congealed blood or constrained 8i.

%t is also used to promote lactation. 'uch like the point-combination, it is a basic prescription, on

which other herbs are usually added according to the !arious necessities of any specific case.8ing #i is a ma1or herb to regulate the free flow of li!er 8i. %t reduces 8i accumulations due toconstrained li!er 8i in the breasts and therefore alle!iates pain and distension.

4an hen in!igorates blood flow and breaks up congealed blood. %t may be used also for palpablemasses in the chest, cysts and lumps. 4an hen also clears heat and may be used therefore to treatbreast abscess due to heat stagnation.

Wang (u 7iu Iing, with its ualities regarding the breasts, may be adeuately compared to pointhao"e. %t also promotes lactation and treats breast abscesses and swellings. The meridians itenters are those of the stomach and li!er, e0actly the same meridians that play such a large role inbreast physiology.

This formula, when tonifying herbs such as radi0 Astragali *5uang 8i+ are added to, may be usedto treat agalactia due to 8i Iu conditions which ha!e led to constrained 8i.

$n the other hand, when herbs like Tara0acum *#u ong 9ing+ are added, it may treat breastabscesses, due to fire and poison origin and constrained li!er 8i.

Case history

'iss @., age ?, a stage actress by profession, complained of a large abscess on her left breast. Amonth prior to that, she had another abscess on her right thigh, on the path of the li!er meridiannear 9inlian *7%H ))+.

he was treated at that time with antibiotics which caused the former abscess to disappear and thenew one to appear on her left breast. The antibiotics, she proclaimed, had made her !ery weak,lethargic, and depressed.

$n arri!al at my clinic, she had a fe!er and suffered great pain in her left breast, a pain thatradiated along the pericardium channel of her left arm.

The abscess was large, situated under her left nipple, inflamed and resembled a second red, bignipple.

'iss @.Ds pulse was moderate and choppy, deep and weak. The Cun position on both sides was!ery choppy.

5er tongue was red purple with e!en redder rims. The inside of her eyelids showed a red shadedline on the upper part of the lids a blood stasis indication.

%n reply to my uestion as to whether she had had any problems with her li!er, she said that she

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had suffered a se!ere 1aundice fi!e years earlier.

Thus, in accordance with all the symptoms and signs, % diagnosed 'iss @. as suffering from li!erheat stagnation, affecting the meridian. The abscess on her left breast was of the 3ire #oisoncategory and also in!ol!ed blood stagnation. This blood in!ol!ement had caused the fe!er andthe in!ol!ement of the pericardium channel. The pericardium channel is in continuum with the

li!er channel, as a partner in the Chueh 9in segment.The formula for treatment was de!ised as follows:

7eft side: hao"e *% )+, Tan"hong *CH )?+, ugen *T )G+, >ulini * <)+, Waiguan *T E+

(oth sides:8uchi *7% ))+, >usanli *T /+.

This formula was actually constructed from three well known point combinations.

on the first combination there is no need to elaborate, it is sufficient to say that in this case all thecriteria e0isted in order to utili"e this combination.

>ulini and Waiguan are the 'aster and Coupled points of 4ai 'ai the irdle Hessel. This e0trameridian harmoni"es li!er and gallbladder acti!ities and its areas of influence are the waist, ribsand chest and the head. 4ai 'ai, as an e0tra-meridian, absorbs e0cess energy from the li!er andgall channels and ad1usts their functioning. 'oreo!er, >ulini is indicated for li!er 8i stagnationaffecting the breast and that includes mastitis and abscess.

Waiguan, in addition to its role as the coupled point of the 4ai 'ai, is the 7uo point of the handTriple (urner *an Biao+ meridian. %ts coupled *9in-9ang+ meridian is the pericardium meridian.#uncturing Waiguan may be thus used to di!ert e0cess from the pericardium and to ad1ust itsfunctioning. All this is due to the 7uo pointsD role as a 2tap2 that may be used to balance twocoupled *9in 9ang+ meridians.

8uchi and >usanli, both situated on the 9angming segment of channels, drain e0cess heat, relie!efe!er and in!igorate and regulate the blood. They are therefore widely used in hypertension dueto e0cess heat a fact which has already been discussed in this paper.

The first session lasted thirty minutes, in which Tan"hong and >ulini were manipulated e!eryten minutes. The patient e0perienced a 2sucking2 sensation tra!eling from Tan"hong to theabscess. 3ollowing the treatment, she e0perienced the same 2sucking2 sensation plus pain alongher left arm, for about si0 hours.

After si0 hours the abscess burst open and a great deal of pus and blood were discharged.Afterwards, she e0perienced a sudden relief. The pain subsided almost completely, as did thefe!er and the depression.

'iss @. came for si0 consecuti!e treatments thereafter, following which her breast healedcompletely.

'iss @. came to me a year later for a different problem and while e0amining her % noticed thather breast did not bear e!en the slightest mark of the episode she had undergone.

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3' $E!U ;I ,<5 TIANTU ;C8 &&<5 4UTU ;I 72<


The point combination abo!e is mainly used to treat conditions in which phlegm has accumulated

in the region of the throat, gi!ing rise to problems such as: hoarse !oice, asthma with a sensationof blocked throat, lumps in the throat, goiter etc.

Point discussion

5egu is a point which possesses many ualities, some of which ha!e been discussed in !ariousparts of this work and especially under cases numbers and ?.

5egu was chosen in this point combination due to its key role in the large intestine meridianwhich makes its route through the neck and throat.

We ha!e already discussed the in!igorating uality of 5egu, which, when stimulated, sets inmotion and in!igorates the flow of 8i in this channel, thus clearing any blockages along its route.%n case number , for e0ample, the point was utili"ed to unblock stagnation in the area of thenasal sinuses. 5ere, the point ser!es to resol!e phlegm, or #hlegm-3ire, or 4amp #hlegm in theregion of the throat, conditions that may cause, if untreated, gra!e problems in that area.

4ue to 5eguJs other ualities it may be used 1ust as well for e0ternally contracted dampness thathas transformed into phlegm, or an internally originated #hlegm.

We already know that 5egu is a first choice point for e0ternally contracted situations. That mayinclude in fact all the patterns. Wind, 5eat, Cold, 4ampness, plus any combinations of them.%nternally, 5egu is the 9uan point of the large intestine, therefore in close relation with the organitself. The large bowel is responsible for eliminating to0ins and waste through the lower orificeand thereby, 5egu plays an important role. 'oreo!er, 5egu also belongs to the 9ang 'ingsystem and thereby, e0erts an influence o!er the stomach too. ince we know that thestomach;spleen malfunctioning is responsible for phlegm creation, we can imagine how 5egumay ha!e an influence on the internal origins of phlegm.

Tiantu is probably the most important symptomatic point in the case of asthma. %t is located in thebase of the throat and forms the barrier between the trunk and the head region.

%n this area, people sometimes feel a sensation as if 2something2 is stuck in their throat, asensation metaphorically related to as 2plum seed2 in Chinese. This sensation is typical of theformation of phlegm accumulations in the throat.

ince phlegm has a dense energy, or 2dirty2 energy, it is stuck in the narrow passages of the throatand blocks li!er 8i, or the 2Clear 9ang2 of stomach 8i from ascending to nourish the brain *EG+.

timulation of Tiantu disperses the phlegm in this area and facilitates both the ascent of 8i to thehead and the absorption of air 8i in the lungs.

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Tiantu is also indicated when 3ire e0ists in the throat. 3ire may present on its own, but in thethroat region it is usually combined with phlegm, creating the phenomenon of #hlegm 3ire.#hlegm 3ire e0ists in cases of throat cancer, abscess, acute goiter, etc.

3utu is also a point on the large intestine meridian and is located on both sides of the neck. %t iscombined with 5egu which is on the other end of the meridian, forming the bond of one point in

the !icinity of the diseased organ and one distant point.3utuJs traditional indications are:

Coughing and whee"ing, e0cessi!e mucous, difficulty in swallowing, hoarse !oice, and 2ducklike2 sounds in the throat.

%t is therefore in mutual assistance with 5egu on the same meridian and with Tiantu in the!icinity of the focus of the disease.


As with other conditions which are basically hi, needling is initiated with distant points andcontinued with close points *EF+.

5egu is stimulated in sedation in order to in!igorate the flow of 8i %n the meridian and todisperse phlegm in the throat. Then, 3utu is punctured, to make a continuum with 5egu and takead!antage of the propagated 8i that 5egu has transmitted upward.

Tiantu is lastly utili"ed to produce its effect on the whole area.

%n Taiwan % ha!e watched practitioners using the 2warm needle2 techniue on 5egu in thisconte0t, when there were no heat signs. The idea behind this is that the &ei Bing states that incases of abundant dampness 2warm needle2 techniue is superior *=+.

The logic is that the heated needle con!eys warmth through the point to the meridian. Thiswarmth helps dissipate the phlegm by drying it.

% ha!e occasionally used this techniue myself with !ery good results.

3utu, in cases of goiter or neck lumps, is sometimes stimulated with indirect mo0ibustion o!er alayer of ginger. This is applied after the point has been needled and the needle is withdrawn rightafterwards.

%n cases of lumps in the !icinity of 3utu, it is often seen that the lump itself is pierced ratherdeeply, to follow right afterwards with the indirect mo0ibustion procedure.

egarding Tiantu there are two main possibilities. The first is to insert the needle parallel to thesternum posteriorly, until 4ei is obtained and then to withdraw it. The second is to do likewise,but suspend the needle until the whole treatment is terminated.

$erbal e>ui0alent

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A herbal formula consisted of the following herbs:

). Thallus Algae *@un (u+. 5erba aragassi *5ai >ao+/. adi0 Cynanchi tautoni *(ai 8ian+

is !ery similar in action to the abo!e mentioned point combination.@un (u and 5ai >ao assist each other in dissipating phlegm nodules in the neck region or theyare used together to treat goiter. Their nature is cold and salty and they clear heat and reducephlegm.

(ai 8ian is !ery similar in action to point 3utu and probably Tiantu as well. %t is used to treatphlegm conditions in the throat and to redirect rebellious lung 8i, which means asthmaticconditions.

%ts traditional indications also mention that (ai 8ian is effecti!e in treating 2gurgling soundsM inthe throat2 which is a sign of accumulation of 4amp-#hlegm,.

This indication in particular reminds us of the classical indication of the point 3utu which weha!e mentioned abo!e, that it treats: 2sounds in throat like a duck2.

Case history

'iss ., age , also a stage actress and a close friend of 'iss @. from case history number F,was diagnosed fi!e years before as ha!ing a benign tumor on her !ocal cords.

he e0hibited symptoms of hoarse !oice, a fact that was not at all unwelcome in her professionand a constant sensation of mucous in her throat.

he had an odorless !aginal discharge, occasional stomachache and not !ery freuently alsonausea.

All four methods of Chinese diagnosis re!ealed a state of lung and spleen 8i Iu as a basis forformation of phlegm and the obstruction of her throat by phlegm.

5er pulse was thin, soggy and weak, especially on right Cun and uan positions.

5er tongue body was slightly flabby and co!ered with a thick, white, transparent and slipperycoating.

Changmen *7%H )/+ on the left side was tender but !ery ticklish, and >hongwan *CH )+ was!ery tender as well.

'iss . was a ten year smoker and used to smoke at least = cigarettes a day.

The principle of treatment was to eliminate phlegm in the throat and to tonify spleen and lung 8i.

% therefore chose the following points for treatment:

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5egu *7% <+, 3utu *7% )G+, Tiantu *CH +, #anglianuan *e0tra+, 7iehchueh *7 ?+, 3englong *T<=+

ince there were no heat signs despite the fact that 'iss . was uite a smoker, 5egu was actedon by the warm needle techniue.

#anglianuan are two points located =.E cun on both sides of 7ianuan *CH /+. These arespecial points for diseases of the !ocal cords. $ne should insert the needle there trans!ersely,along the skin, in an upward pro0imal direction, until the patients feel as if they 2had swallowedfish bones2P

7iehchueh and 3englong make a !ery effecti!e point-combination to treat phlegm in the upperrespiratory tract. 7iehchueh is the 7uo point of the lung meridian and is !ery useful in resol!ingdamp conditions of the lungs, as well as redirecting rebellious lung 8i. %t is also the master pointof the en 'ai, the e0tra meridian which passes through and nourishes the throat and which is!ery prone to 4amp #hlegmatic diseases. 7iehchueh was also chosen because of the leucorrheaof the patient, a problem which is also sub1ect to the functioning of the en 'ai.3enlong is the point to treat any phlegm condition in the body, as it ad1usts the functioning of thespleen and stomach meridians.

The last point combination in this formula is 5egu and 7iehchueh which follow the 25ost uest2principle and ha!e a renowned ability to harmoni"e the lungs, dissipate phlegm and redirect lung8i.

The patient was instructed to cut off her cigarette consumption, as well as coffee and milkproducts.

he made efforts to eat more regularly and to a!oid 1unk-food and too much salt.

'iss . recei!ed se!enteen treatments, after which all her symptoms had practically disappeared.he would not agree to undergo another e0amination of her !ocal cords in order to check uponthe tumor there. he was completely satisfied with the way she felt and said she could not careless whether or not the tumor was still there.

7@' S$ENS$U ;% &)<5 EI6$ON! ;% .,<5 #UNUN ;% /@<


This is another point combination in e0istence for at least <== years. This combination was firstmentioned in the 2reat Compendium of Acupuncture and 'o0ibustion2, written by 9ang Bi"howin )=), as was combination number G abo!e *)+.

%t is structured on the principle 2one point abo!e two points below, on the same meridian2 *seechapter (, number +.

%t is perhaps the most popular combination treating low back pain of any etiology. %t maydefinitely be of great !alue e!en in cases of middle and upper back pain, with the addition of

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some other local points.

Point discussion

henshu is the (ack hu point of the kidneys. %t is a !ery strong point, and one of the mostfreuently used in clinical practice.

henshuDs traditional functions include:

• egulates @idney 8i.• trengthens the lumbar !ertebrae and knees.• (enefits the ears and eyes.• 6liminates dampness.

%t reinforces kidney 8i in all kidney syndromes:

@idney 8i Iu or not firm, @idney 9in Iu and @idney 9ang Iu.

%t is a well known fact in T.C.' that @idney 8i is the actual source of all the energetic acti!itiesof the body. @idney 8i is the #renatal-8i, as well as the storage of all reser!es of postnatal,acuired 8i.

%t is also the source of 9ang 8i, as the 3ire of 'ing 'en resides between the two kidneys.

henshu, as the hu point of the kidneys, is in close contact with the organ itself. %t has probablythe best influence o!er the kidney function and is therefore utili"ed in any disease in!ol!ing theorgan itself.

(ut, besides diseases such as: nephritis, renal calculi, nephroptosis or bladder diseases, thephysiologic spectrum of the kidney functioning is so broad that henshu is also applied in manyother pathologies. This may include: skeletal problems, se0ual problems, hemato-genesis, agingdiseases, gastrointestinal, hormonal and other problems.

%n this point combination conte0t, henshu is applied due to two of its manifold ualities:

A. As a local strong point in the lower back which, like any local point, helps regulate localfunctioning and resol!e local 8i stagnation. This is especially so when its indications include lowback pain.(. 'any etiologies of low back pain stem from @idney Iu, leading to either skeletaldeformations or muscular impairment in the lower back.

Thus, these ualities make henshu the first choice local point for low back pain.

Wei"hong, according to chapter four of the 2piritual A0is2 *7ing hu+, connects behind the kneewith its bladder meridian, as its 27ower Lniting #oint2. The bladder channel connects with thekidney meridian !ia the 9in 9ang coupled meridians law.

The course of the bladder meridian passes through the lower back and influences it.

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'oreo!er, in the classics, Wei"hong is regarded as one of the Ni0 'ain #ointsM classification,recorded as follows: 2Take anli for the belly and abdomen, Wei"hong for the waist and back,7iehchueh for the head and neck, 5egu for the face and mouth, &eiguan for the heart and thora0and anyin1iao for the lower abdomen2.

Therefore, two indications of this point show:

• ela0es tendons and in!igorates collaterals.• (enefits the lower back and knees and strengthens the waist.

The other two indications may well be listed here, being:

• Clears heat from the blood.• 4ispels ummer 5eat e!il *pathogen+.

3rom the abo!e data we can see that e!en /=== years ago, Wei"hong was the first choice distalpoint, as much as henshu the local point, for treating low back pain.

%t is used therefore to treat acute back sprains or inflammations of lower back tendons andmuscles, or, 1ust as often, Iu conditions of chronic low back pain or weakness, etc. Wei"hong isalso a !ery important point in the treatment of sciatica. %t is located abo!e the trunk of the sciaticner!e behind the knee and its stimulation may cause an electric shock sensation all along thesciatic ner!e Q down to the toes. As we ha!e mentioned in the case of &eiguan *# + *see undercase number +, this electric like sensation helps propagate the 8i along the channel and toresol!e !arious stagnancies along it. The !ery distinct sensation that Wei"hong produces, is thusconsidered the cause for its great efficacy in the treatment of low back pain and sciatica.

@unlun is another point on the bladder channel, whose indications also say: 2To rela0 the sinewsand muscles and benefit the lower back2.

%t is !ery much used in the treatment of low back pain and sciatica, as much as stiff neck andhead problems related to wind.

ince 24ispersing the wind and clearing the channels2 is its other indication, @unlun is mainlyused in low back pain related to Wind (i. Wind (i is a form of wandering rheumatism which mayaffect !arious parts of the body progressi!ely. %n the posterior part of the body, it is most oftenseen in people suffering alternately from stiff neck or back or buttocks. %n such cases the additionof @unlun to the formula is !ery rewarding.

The law of 2$ne point abo!e, two points below2 is !ery pertinent in the case of low back pain.The bladder meridian energy flows in a distal direction from the back. henshu ser!es as the localpoint that acti!ates and in!igorates the flow of 8i in the lower back, while the other two pointsattract the bladder energy downward, enhancing and accelerating its flow.

(eside this principle, all the three points ser!e in mutual assistance to benefit the lower back andrela0 muscles and tendons there, as their indications imply.

%n addition, henshu has a more fundamental task which is to act directly on the kidneys, whichare the organs responsible for the lower back.

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Needlin* se>uences5 manipulation and stimulation

%n !ery acute cases that in!ol!e pain, it is ad!isable to start with the most powerful distant point.Thus, Wei"hong is usually the first point, then henshu and lastly @unlun.

%n acute sprains of the lower back, Wei"hong is may be utili"ed while the patient is standing. %t ismanipulated in sedation, as strongly as the patient can tolerate, while he or she is asked to gentlyrotate the waist. This type of procedure is often performed in acute, painful conditions of !ariousparts of the body. A point is strongly manipulated while the patients are asked to rotate andmaneu!er their painful 1oint *+.

%n acute hot conditions Wei"hong is freuently bled with the pyramid needle. This is doneespecially if congested !eins are !isible in the !icinity of Wei"hong.

Another popular method is to apply cups on henshu, with or without needles. Alsorecommended is the application of cupping on Wei"hong in the case of painful knee, related tolow-back pain. This is usually done after the needles ha!e been withdrawn */+.

6lectrical stimulation of the points is also possible and often seen in the clinic, in cases of lowback pain. Lsually the right side is stimulated by one wire and the left side by the other. %t isperformed by a dispersion wa!e.$erbal e>ui0alent

adi0 4uhuo *Angelica pubescens+ has !ery similar ualities to point @unlun. %t is in thecategory of Wind 4amp e0pelling herbs and its indications are:

• 60pels Wind 4amp that causes painful obstruction.• Alle!iates pain caused by the former indication.• Channels entered are kidney and bladder.• Lsed to treat low back pain and leg pain.• Also treats headache and toothache because of Wind Cold 4amp.

With the addition of herba Assri cum radice *Ii Iin+ and adi0 entiana 'acophylla *8in Biao+,it constitutes a classic formula to treat soreness, pain and numbness in the neck, back and lowere0tremities due to Wind 4amp (i.

With the addition of radi0 4ispaci *Iu 4uan+ this formula imitates our point combination !eryclosely, as Iu 4uan plays the role of point henshu. Iu 4uan tonifies kidney 8i and 9ang and itstrengthens the sinews and bones.

Iu 4uan also promotes and in!igorates blood circulation and is therefore useful e!en in cases oflow back pain due to trauma and blood stagnation. %n this, Iu 4uan imitates the mutual effect ofboth henshu and Wei"hong.

Case history

'rs. 4., <= years old, married plus two children, has suffered from chronic low back pain foryears. 6!ery weather change, especially cooler, or a damper weather, had affected her body. he

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could not tolerate cold weather in general, apart from its effect on her lower back condition.

4uring the last se!en years 'rs. 4. has not used any contracepti!es because she was certain shecould no longer concei!e.

5er tongue was pale, flabby with 2tooth marks2, and co!ered with a thin layer of white, damp

moss.'rs. 4.Js pulse was sunken and weak, e!en more so in both Chi positions.%t was apparent that her case was a kidney 9ang deficiency, with 4amp Cold (i in her lowerback.

Treatment was administered three times a week, based on the point combination discussed abo!e.%n addition to these points, % applied direct mo0ibustion on her 'ingmen *H <+, e!ery second!isit.

3ollowing the first session her lower back impro!ed radically and after three more treatments itdid not bother her at all. The freuency of treatments was then reduced to once a week, for fourmore treatments.

Two months later, to 'rs. 4.Js great astonishment and delight, she became pregnant.

&ow 'rs. and 'r. 4. ha!e a three year old daughter in addition to their two former sons and she!ery seldom complains about her lower back.

77' DIN!C$UAN ;E?TRA<5 TIANTU ;C8 &&<5 TAN6$ON! ;C8 71<5 NEI!UAN ;P /<54EN!ON! ;ST ,@<'


The goal of this much used point combination is to relie!e whee"ing and to abate phlegm fromthe chest and respiratory tract.

%t is therefore used in cases of asthma with e0cessi!e phlegm or bronchitis, or any other lungdisease characteri"ed by much phlegm and difficult breathing.

#oint discussion

4ingchuan is an e0tra point located =.E cun lateral to the lower end of the spinous process of the?th cer!ical !ertebra. %t is mainly used to stop whee"ing and dyspnea and indeed, its effect is, in

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most cases, !ery dramatic.

4ingchuan belongs to the 5ua Tuo Bia1i points, named after the great Chinese physician whodisco!ered them. 5ua Tuo li!ed in the 5an period, during the reign of the 6mperors hun *)/)<) A4+, and 5uang 4i *=G A4+.

The Bia1i points are located =.E cun from each !ertebra, bilaterally. The 4ing Chuan point, beingso effecti!e in treating difficult breathing, has won a uniue name of its own.

4ingchuan is also effecti!e in treating urticaria, which is an allergic skin disease, often related tolung disorders.

4ingchuan has a remarkable effect on bronchodilation, and relie!ing spasm of the bronchialbranches. %t is less effecti!e in clearing the phlegm from the respiratory tract, and therefore itmakes a first choice point in the case of acute asthmatic attack.

Tiantu was discussed broadly under case number F. %ts indications are:

• To disperse the lung.• To resol!e and lower phlegm.• To regulate 8i.• To clear and reduce fire in the throat.• To stop cough.• To soothe asthma.

We can see that it is a !ery suitable point in all cases in!ol!ing cough, asthma, e0cessi!e phlegm,etc.

Tiantu is an important point on the Ben 'ai, the !essel of conception. This !essel is the2reser!oir2 of all 9in energy in the body and therefore, one of its chief concerns is to regulatebody fluids. edation of point Tiantu, may disperse accumulations of fluid, of which phlegm isone phenomenon. %n order to perform this adeuately !ia the Ben 'ai, it is appropriate to 2open2the Ben 'ai by stimulating 7iehchueh *7?+ which ser!es as its master point, at the same time.

Tan"hong, another point of Ben 'ai, was also discussed in this paper, under case number G.

(esides playing a role in Ben 'ai functioning, as described abo!e, Tan"hong ser!es as the masterpoint of all acti!ities taking place in the chest and upper Biao.

(ecause of this, its ma1or indication is to 2regulate 8i in the chest,,2 and to 2rela0, e0pand anddispel fullness from the chest2. Another indication, much like the former point Tiantu, is: 2Toclear the lungs and resol!e phlegm.2

Tan"hong is also considered the 'u *alarm+ point of the Lpper-(urner, as much as >hongwan*CH )+ is of the 'iddle-(urner and 9in1iao *CH ?+ of the 7ower-(urner.(ecause of this role, Tan"hong is responsible for regulating 8i and blood in the Lpper (urnerand resol!ing any forms of stagnation there.

The 8i collected in the chest is >ong 8i, and is the refined u 8i *2grain2 8i+ which ascends as

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the essence of food, by the acti!ity of the spleen. This 8i is responsible for the functioning of theheart and lung, including the 8i control o!er the blood. This 8i also dominates the !oice andenhances blood circulation in the e0tremities. The place where >ong 8i gathers and acts in thechest is called 2ea of 8i2, and Tan"hong is the point responsible for its acti!ities *<+.

$ne of the commonest stagnations in the body and especially in the chest, is phlegm. (y utili"ing

Tan"hong we acti!ate >ong 8i, enhance its flow in a circular fashion in the chest and thusdisperse phlegm.

&eiguan has also been discussed in this work *ee case number +. %t is considered the mostpowerful point of the pericardium meridian and is also its 7uo point.

&eiguanDs functioning is closely related to the chest and diaphragm, mainly because of the routeof the pericardium channel which tra!erses the chest, along with its 7uo channel that connectswith the heart.

The function of &eiguan which relates to the chest says: 2%t e0pands the chest, regulates 8icirculation and stops pain.2 %n this regard &eiguanDs function is !ery similar to that of Tan"hong,as it impro!es 8i circulation in the chest, an acti!ity which also disperses phlegm.

3englong is the connecting 7uo point of the stomach meridian. The point connects with thespleen meridian which is the stomach coupled meridian in the 9in 9ang relationship.

The spleen, when malfunctioning, is considered the source of phlegm in the body. (y stimulating3englong one restores harmony between the stomach and spleen, read1usts their functioning and,in this way, eliminates phlegm.

3englongDs ualities are therefore:

• %t resol!es phlegm, dampness and #hlegm 5eat.• %t calms and clears the mind.• %t eliminates #hlegm 3ire in the stomach.

4ue to these ualities 3englong is a !ery important point in any case where phlegm is abundantand that, of course, includes asthmatic conditions.

These fi!e points are combined, as we can see, in order to ha!e a strong effect on phlegmaccumulation in the respiratory tract.

The points which were chosen share a mutual uality of phlegm abatement and regulating the 8iof the respiratory organs.

The power and great efficacy of this combination is due to the fact that the points which werecombined here belong to different systems thus, dealing with the problem from different angles.

4ingchuan, for e0ample, e0erts its influence through the ner!ous system, directly on the tracheaand the bronchus and relie!es their spasm. Tiantu, achie!es its main effect by eliminating phlegmfrom the trachea. Tan"hong affects the lungs and the bronchioles by eliminating phlegm andad1usting their function. &eiguan plays its role as a distant point that regulates from afar, the

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whole chest organsJ function and last but not least, 3englong deals with the !ery source ofphlegm and abates it systemically.Needlin* se>uence5 manipulation and stimulation

%n this point combination the needling procedure generally starts with 4ingchuan, in a sittingposition. The patient bends forward with his arms crossed beneath his forehead and then,

4ingchuan is punctured =.E cun medially slanted, slightly below both sides of the prominence ofse!enth cer!ical !ertebra.

After needling, the point is manipulated in dispersion for / minutes. Lsually the patiente0periences an immediate relief from whee"ing and dyspnea.

After E )E minutes, the patientDs position is changed to supine, and the rest of the points areneedled in this order: &eiguan, Tiantu, Tan"hong and 3englong.

All the points are needled to sedate and disperse phlegm. When it is desired to accentuate theneedle sensation, the techniue of 2wagging the tail2 is utili"ed *E+. (y this techniue, afterobtaining 8i, the needle handle is 2wagged2 back and forth, until the patient senses a strongreaction along the meridian. This procedure is said to mo!e the 9ang 8i and by so doing todisperse phlegm stagnation.

%n the case of children, Tinatu is usually remo!ed after 4ei, whereas with adults the needle maybe left in situ during the whole treatment.

The procedure of 2wagging the tail2 may be performed on &eiguan, if the patient is robustenough to endure it, and on 3englong as well. 5owe!er, attention must be paid to a!oid a strongreaction which might occur after the treatment. %n some patients, 3englong has a strong impact onphlegm mo!ements in the body, and this may aggra!ate their condition at the beginning of thetreatment. %t is ad!isable in such cases, to instruct these patients to keep using their 2Westernmedicine2 broncho dilators until their basic condition has been significantly impro!ed.

%t has been obser!ed that scarring mo0ibustion is also !ery effecti!e in stubborn asthma. Thepoints suitable for this techniue, from among this combinationDs points, are &eiguan, Tan"hongand 3englong.

%n order to perform this correctly, a tiny cone of white mo0a is placed o!er the point, preferablyafter needling it and burned to its end. %mmediately afterwards the procedure is repeated, withslightly larger cones, on the same spot, three to se!en more times. There are some specificointments which may be utili"ed to heal the wound, after pus e0udates. $ne of them and a !erygood one too, is the 2ed Bade $intment2 *+, in the case of a serious wound, or simply eggwhite, for a relati!ely mild wound.$erbal e>ui0alent

This point combination may be compared to the following herbal formula:

• emen #runi Armeniaca *Iing en+• 3ructus #erilla 3rutescentis *u >i+• (ulbus 3ritillaria Thunbergi *>he (ei 'u+• hi"oma #inellia Teranta *(an Iia+

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• adi0 Cynanchi tautoni *(ai ian+• talactitum *6 uan hi+

This herbal prescription is a combination of herbs that ha!e an effect on cough due to rebellious7ung 8i, and accumulation of phlegm.

$ne component though, is 6 uan hi which is a mineral, and has a general effect onstrengthening 9ang and transforming phlegm. %t may be compared to point 3englong, e!enthough it does not affect the spleen directly.

%n order to achie!e a more straightforward effect on strengthening the spleen and therebyresol!ing phlegm, it is suitable to add to the formula herbs such as Codonopsis #ilosula *4anghen+, or adi0 lycyrrhi"a *an Cao+, both of which tonify the 8i !ia the spleen and also, ha!ethe effect of reducing phlegm.

Iing en may be compared to both 4ingchuan and Tiantu in its ability to stop whee"ing andredirect 7ung 8i downward.

u >i is used to stop whee"ing and dissol!e phlegm. %t is mainly used when copious phlegmobstructs the air passages.

>he (ei 'u is also suitable for the same indications, only it is more appropriate for dealing withheat in the lungs, as well.

(an Iia and (ai 8ian are both used to treat whee"ing and cough due to rebellious 8i andphlegm.Case history

'rs. '., age /, suffered since childhood from se!ere hay fe!er and urticaria on her upper backand shins.

Two years prior to her !isit in my clinic, she began to e0perience occasional asthmatic attacks,until this condition became permanent.

'rs. '. had a 2barking2 cough and whee"ing and congested chest, with a sensation of lodgedphlegm which could not be e0pectorated.

5er pulse was !ery soggy and slippery. Chi position was not palpable at all, and the pulse of herlungs was small and hard.

5er tongue was pink pale, wet and scalloped the coating was white and damp.

$n e!aluating the different aspects of this information, % came to the conclusion that 'rs. '. wason the !erge of an e0ternally inflicted disease turning into an internal disharmony.

The history of many years of stubborn hay fe!er, along with the wet and white coated tongue,pointed to an e0ternal 4amp, and probably Cold origin of the problem.

The lippery and oggy pulse, along with the scalloped tongue, suggested a weak spleen and

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accumulation of dampness and phlegm.

The congested pulse on the right cun position with chest stuffiness and whee"ing, demonstrated aconcentration of phlegm in her chest, probably phlegm which had become too !iscose to allowitself to be e0pectorated.

The point combination abo!e was, therefore, utili"ed, in order to act directly on the phlegm,disperse and eliminate it. #oint &eiguan was intermittently switched with the couple 5egu *7% <+and 7iehchueh *7 ?+. This couple has already been discussed se!eral times in this work. *eeChapter (, paragraph %%%, case history number F.+ 5ere it was chosen for its marked effect onredirecting rebellious 7ung 8i and eliminating stagnation in the upper respiratory tract.

%t is interesting to note here that whene!er 'rs. '. had come to the treatment demonstratingdyspnea and whee"ing, point 4ingchuan, manipulated in the fashion described abo!e, had, in fi!eminutes, relie!ed her symptoms completely.

After fi!e sessions only, the urticaria and the itchy skin ha!e both disappeared. 5er asthmaticcondition impro!ed gradually, and after ten treatments 'rs. '. reported that she had no furtherdyspnea nor whee"ing.

% then changed her prescription in order to place an emphasis on the 2(%A$2 the root of herbodily condition. The principle was to tonify both lung and spleen 8i, strengthen Wei 8i, whilestill occasionally using points that release e0terior conditions, such as: 3engmen *( )+, 3engfu*H )+ etc.

Today, after one and a half years, 'rs. '. suffers no more from either asthma or urticaria. hene!ertheless has, e!en though to a much lesser e0tent, occasional hay fe!er attacks.

%t is !ery important, during the course of such treatment, to emphasi"e to the patient theimportance of a!oiding phlegm, or damp producing foods. These would be especially milkproducts, sweets and !ery sweet food, o!erly greasy food, fried food with much oil, and salt.

%t is no less important to stress the essential role of physical e0ercise and breathing techniues.7&' NEI!UAN ;P /<5 6USANI ;ST )/<5 6$ON!AN ;C8 7&<


This point combination is the basic and most fundamental prescription for all stomachcomplaints. %ts action is to regulate and harmoni"e tomach 8i, resol!e gastric stagnation of anykind and redirect the rebellious 8i of the stomach.%t is therefore mainly used for gastric pain of different etiologies, nausea and !omiting, such as inthe morning sickness syndrome.Point discussion

&eiguan is one of the most popular points in clinical practice. %t is !ery often encountered intreatments and it has a broad spectrum of indications. This is the third point combination in thiswork in which &eiguan is present.

Lnder point combination number )=, we ha!e already mentioned that &eiguan is one of si0

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points considered 2'ain #oints2 in the classics. There, its indications say: 2Take &eiguan for theheart and thora0.2

Actually, the two main organs that &eiguan is so much effecti!e for, are the heart and thestomach. The influence that &eiguan e0erts upon the stomach is reflected in its indications list:

2To promote the function of the stomach, and regulate the 'iddle-Biao.2&eiguan is also used as an important point to regulate the heart and calm the mind. %t is thereforeused e0tensi!ely in cases of an0iety and palpitations, etc. The fact that &eiguan is so helpful inthese conditions, is probably due to its role as the 'aster point of the e0tra !essel 9in Wei 'ai.

This e0tra !essel is used primarily to treat emotional problems related to deficiency of 9in 8i andblood. %t is a !essel that binds all the 9in meridians and controls the heart functioning, in relationto blood *?+. &eiguan, as its 'aster point, is situated on the Chuehyin segment, which is thehinge of the 9in, and thus controls the 9in.

%n order to ha!e an effect on blood production, so as to tonify the heart functioning, &eiguanmust regulate tomach 8i in order to permit the stomach and spleen to produce blood. %ts coupledpoint in the 9in Wei 'ai meridian, ongsun *# <+, actually complements &eiguanDs influenceupon the stomach due to its role as the connecting 7uo point between the stomach and the spleen.Thus, ongsun has a tonifying effect on the spleen, it pacifies the stomach and it regulates theChong 'ai, of which it is its 'aster-point.

%n summary, &eiguan has a regulating and tonifying effect o!er the stomach, due to its manifoldconnections with other !essels in the body.

>usanli is the lower 5e ea point of the stomach. %t is also called the 3issural point and its actionis described in the 7ing hu as follows: 2They *3issural points+ refer to the deep regions wherethe energy of the meridians gathers together, and they are more effecti!e in relie!ing acute pain inthe tra!eling regions of the related meridian, and also in the internal organ to which the meridianin uestion belongs.2

>usanli is also one of the 2i0 'ain #oints2 of the classics described before and is indicated therefor all diseases located in the abdomen and belly.

As the lower 5e ea point of the stomach, >usanli ad1usts the function of the stomach and spleenand is used as the ma1or point to tonify the spleen. %t is often used in con1unction with pointTaiyuan *7 F+ to tonify the 8i of the whole body, as the source of post natal 8i are the lungs andspleen.

>usanli also regulates the circulation of 8i and blood and tonifies anti pathogenic 8i in the body.

%n all stomach diseases it plays the most important role and is used to strengthen conditions ofdeficiency, as much as to sedate e0cess.

>hongwan is the Alarm 'u point of the stomach. %t is also used in all stomach syndromes, both0u and shi. %t regulates tomach 8i and is therefore used in painful syndromes or nausea and!omiting. %t relie!es food stagnation and treats indigestion, abdominal distension and the like. %t

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is also used to tonify the stomach and spleen and therefore treats anore0ia, anemia, chronicdiarrhea, etc. >hongwan relie!es abdominal pain and is used to treat gastric ulcers andgastrodynia of !arious etiologies.

>hongwan is also a confluent point of all the 3u organs and e0erts its influence on all theiracti!ities. %t is known, for instance, that the intestinal rhythm, or peristalsis, affects the stomach

function and !ice !ersa. >honwan, as the meeting point of all the 3u organs, is thus used toharmoni"e and regulate the peristalsis of the stomach and intestines.

After analy"ing the three pointsD functions, it is ob!ious now how these three points ha!e aregulating effect o!er the stomach. %t is important to bear in mind, howe!er, that this is a !eryfundamental combination, despite its great efficacy. %t is necessary, as a rule, to add other pointsto this trio, according to the !arious manifestations of the gastric stagnation.

%n order to further elaborate on this, let us take a few e0amples:

). %f we ha!e diagnosed a gastric stagnation due to food and heat accumulation, it would beappropriate to add: &eiting *T <<+ and Weishsu *( )+.

. %f the stagnation is due to li!er 8i in!ading the spleen, we may add: Taichong *7%H /+ andChangmen *7%H )/+.

/. $r, in the case of phlegm accumulation: 3englong *T <=+ and 9inlingchuan *# F+ and so on.


&eiguan, as the 'aster-point of 9in Wei 'ai and a distant upper point, opens the treatment by itsregulating effect o!er the chest and abdomen. %t is mostly proper to do so when nausea and;or!omiting e0ist, due to &eiguanDs calming effect and its ability to diminish nausea.

%n hi syndromes it is manipulated with lift thrust and twirling mo!ements. %n case number weha!e stressed the !ery distinct 8i sensation of this point. %t is important to direct this sensation inpro0imal direction *in contrast with case number which was a distal direction+. This may bedone by pointing the needle tip in a pro0imal direction and gently massaging the route of thepericardium channel, from the needle upward *G+. >hongwan is then needled to produce a soreor tight sensation, usually in wa!es encircling the point. %t is manipulated in the same way as&eiguan, with one difference. This is a point which 2lo!es2 heat stimulation and reacts e0tremelywell to it. Thus, in cases where cold is the cause of disease or one of its manifestations, this pointmay be stimulated by all forms of mo0a applications *which were discussed earlier in this work+.Also the application of a mo0a-bo0 is recommended. This is a perforated metal bo0 with ahandle, in which mo0a is lit until it gets hot. Then it is placed o!er the point, after a piece ofgau"e has been placed between the body surface and the instrument *F+.

%n cases of nausea or heartburn, the needle tip at >hongwan may be pointed downward, so as toredirect omach 8i. %n cases of prolapsed stomach due to 9ang deficiency, the needle tip shouldbe pointed upward and >hongwan is stimulated by heat.

>usanly is also manipulated in the same fashion as &eiguan, only it is more difficult to cause itssensation to tra!el pro0imally. %t is also not necessary, as it may sometimes aggra!ate the patientDs

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condition. 8uite often, also >usanli is stimulated by mo0a.

$erbal e>ui0alentA proper herbal eui!alent for this point combination is the following prescription:

• #ericarpium Citri eticulata Chen #i

• Corte0 'agnolia $fficinalis 5ou #o• hi"ome Atractylodis Cang >hu• 3ructus Citri seu #onciri >hi hi

This, too, is a basic prescription to regulate stomach and spleen 8i. %t is used for epigastric andabdominal fullness, distension and pain from stagnant 8i and it treats nausea and !omiting due torebellious tomach 8i.

Chen #i mo!es stagnant tomach 8i and tonifies pleen 8i. %t also redirects rebellious tomach8i and is used for any type of nausea and !omiting. %n addition, it is an important herb to treatcoughing due to e0cessi!e damp and phlegm originated by the spleen.

5ou #o also mo!es the stomach stagnant 8i, redirects rebellious 8i with symptoms of nausea and!omiting and 1ust like Chen #i, it dries dampness and transforms phlegm. %t thus complementsChen #i, and accentuates its action.

Cang >hu too has more or less the same ualities, with the addition of tonifying the spleen. %t istherefore used also for anore0ia and diarrhea caused by weak spleen.

>hi hi breaks up stagnant 8i and reduces accumulations and it deals therefore more adeuatelywith the painful symptoms of stagnant stomach 8i.

Case $istory No' I

'iss @. was ten years old when her parents brought her to see me on emergency call. #rior to her!isit she had been hospitali"ed for one month in the paediatric %n #atient department of ambam5ospital, 5aifa, but her condition did not impro!e.

'iss @. suffered acute gastrodynia with occasional nausea. 5er epigastric region was !ery tender,her face !ery pale and she appeared !ery emaciated and in great pain. 5er pulse was fast and hertongue had red points on its tip and both sides.

% diagnosed her condition as a stagnation of tomach 8i due to irregular eating habits andemotional problems.

This conclusion was reached after an interrogation, during which her parents admitted the facts.he did not ha!e the food stagnation signs, neither phlegm, nor blood stagnation.

% applied the point combination with the addition of 7iangin *T /<+. 7iangin is the Ii Cleftpoint of the stomach. %t is applied in cases of acute pain in the organ to which it is associated.

All the points were manipulated in the regular sedation techniue.

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4uring the first few treatments 'iss @. e0perienced pain relief which sometimes lasted for a fewhours after the treatment. After nine treatments, which were carried out o!er the course of ele!endays, her problem was resol!ed completely. $ne year after the termination of the treatment therehas been no recurrence of symptoms.

Case history No' &

'rs. ., age /?, married plus four children, was in her se!enth month of pregnancy when shecame to see me. ince the beginning of her contemporary pregnancy she had suffered se!erenausea and !omiting. ince her fifth month she had been e0periencing lassitude, anore0ia,heartburn, !omiting and nausea.

3urthermore, 'rs. . complained of dry mouth, especially at night in addition to constant thirstand cra!ing for fruit. %n addition she felt abundant phlegm in her throat.5er pulse was !ery slippery and her tongue was scalloped.

%n this case, a tomach 8i stagnation was also present, but the pattern was more comple0.

%n the first place it was ob!ious that her spleen and stomach were not in harmony. There weresymptoms such as lassitude, anore0ia and phlegm, along with a scalloped tongue, suggesti!e ofpleen 8i deficiency. $n the other hand, her tomach 8i was rebellious, she had heartburn,!omiting and thirst, all of which indicated a hi;5ot stomach.

The deficient condition of the spleen ga!e rise to abundant phlegm, a hi pattern, whichaggra!ated the situation of the patient. Thus, we could see that she was constantly thirsty andcra!ed for fruit *a !ery 9in food. At the same time she was anorectic and nauseous because ofphlegm stagnation in her stomach.

%t is !ery common, of course, to see nausea and !omiting in pregnant women. The T.C.'.e0planation for this phenomenon is the hea!y burden that pregnancy e0erts upon the spleen andkidney. (oth organs play a ma1or role in the production of blood and 9in, essential substances forconception and maturation of the foetus. This burden weakens the spleen and kidney, gi!ing riseto abundant phlegm and the weakening of tomach 8i *?=+.

The prescription for 'rs. . included the point combination with the addition of the followingpoints: Tiantu *CH + and 3englong *T <=+ to reduce phlegm in the throat and in the wholebody. The mutual functioning of these two points was already e0plained in the pre!iouscombination of points, number )). %n addition, two other points were also added: &eiting *T<<+, and ongsun *# <+.

&eiting in order to decrease tomach 5eat and stagnation, and ongsun, as the 7uo connectingpoint of the spleen, to shift e0cess energy from the stomach to the spleen.

symptomatically, ongsun is capable of relie!ing nausea and it thus aids in the o!erall action ofthe point combination.

%t is important to note here that >usanli was manipulated gently in tonificaiton, whereas the otherpoints were manipulated in sedation. As 'rs. . was somewhat frightened and sensiti!e to thetreatment, the manipulation of the needles, e!en in sedation, was carried out rather gently.

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'rs. . felt much better immediately after the first session. After the third session, she hadsignificantly less phlegm, her nausea and !omiting subsided and she felt much stronger.

The whole treatment lasted three weeks after which 'rs. . felt that she had regained fullstrength. she ga!e birth in due time, without any complications and in good health.

7)' C$AN!=IAN! ;!8 7<5 C$EN!S$AN ;% .1<5 PAI$UI ;!8 &@<

"ain effect and clinical purposeThis point combination has indeed a long history. The first two points, Changiang andChengshan, were already mentioned as a combination E== years ago, in )EF, by the physicianao Wu in his (ai >heng 3u *$de of a 5undred yndromes+ *?)+.

This is the basic formula for treating hemorrhoids of any aetiology. This combination treatshemorrhoids symptomatically, including bleeding and prolapse, but it may need additional pointsin order to effecti!ely treat the underlying cause of the hemorrhoids.Point discussion

Changiang is the first point of the 4u 'ai channel and is also the connecting 7uo point of 4u'ai and Ben 'ai.

on its route, the 4u 'ai encircles the anus and then climbs up the spine to the brain and emergesat the !erte0, at point #aihui. 4ue to its course, this channel is also associated with diseases of theanus, such as hemorrhoids.

5emorrhoids, in most cases, is a hi phenomenon, associated with inflammation and bleeding ofthe rectal area, causing !eins there to bulge out and cause sharp pain. %n most cases the diseasein!ol!es heat symptoms such as redness, acute pain, bleeding and a burning sensation. %n somecases dampness also e0ists when there is pus in!ol!ed, diarrhea and a hea!y sinking sensation.

%n some other cases the most salient etiology is a spleen 8i deficiency, an etiology that may alsocause bleeding, prolapse and diarrhea, but then the symptoms will not be so acute, rather morechronic. %n any case, e!en on the basis of a pleen 8i Iu condition, a hi condition may arise,including the pre!iously described symptoms and signs, a condition which is both se!ere andacute at the same time.

%n order to drain e0cess from the rectal area and from the 4u 'ai, there are three maintechniues:

). #uncture in sedation the point Changiang which is the 7uo point with the en 'ai, andthereby, to transfer e0cess from 4u 'ai to en 'ai and disperse the stagnation in the rectal area.(y doing so, we also take ad!antage of the fact that Changiang too is a local point, situated inthe rectal area and affecting this area symptomatically.

. Any e0tra meridian, including the 4u 'ai, may be 2opened2 and drained by simultaneouslypuncturing two points, one at each end. Thus, puncturing Changiang and #alhui simultaneously,would drain the e0cess and harmoni"e the o!erning Hessel.

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/. %t is also possible to drain e0cess energy from an e0tra meridian by puncturing its master andcoupled points.%n this point combination, both techniues &o.) and &o. are utili"ed, making use of twopossible methods to drain the e0cess from the 4u 'ai and to resol!e the hemorrhoids problem.Considering the facts mentioned abo!e, it is no wonder that one of the main indications ofChangiang, is to treat hemorrhoids and prolapsed anus. %ts traditional functions uote: 2To

regulate and remo!e obstruction from the 4u 'ai and Ben 'ai, to promote the functions of theintestines, to treat hemorrhoids and rectal prolapseM.

Chengshan is a point located on the bladder meridian and is the first choice symptomatic point todeal with hemorrhoids. The bladder meridian tra!erses the anal region and therefore affects it.

Chengshan has an effect o!er all the 9ang organs. %ts indications are:

). %t regulates the 8i of the 9ang organs.. %t benefits hemorrhoids.

ince hemorrhoids are situated on the 2outer gate2 of the large intestine which is a 9ang organ,and because the bladder meridian itself connects with the same 2outer gate2, it is not surprisingthat Chengshan e0erts such an influence o!er the anus.

#aihui *2hundred meetings2+ is the highest point on the !erte0. #ictorially it constitutes the otherend of the body Q in relation to Chengiang. This point is used in the formula for two reasons:

). %t is located at the other end of the 4o 'ai channel and is thus used in con1unction withChengiang to drain this channel from e0cess. This function has already been e0plained abo!e.. #aihui is the crossroad point on the !erte0 for all the 9ang channels and it has the function ofstrengthening 9ang, and ele!ating 8i. %t is also known to raise the sinking 8i of the spleen and bythis, arrest bleeding and raise prolapsed organs *?+.

%t is important to remember here that the spleen is responsible in T.C.'. thinking, for thefunctions of 2holding the blood in the blood !essels2 and 2keeping the organs in their places2.Therefore, functional bleeding or prolapse of organs such as: rectum, uterus, stomach, etc., areattributed to pleen-8i Iu, and;or 9ang Iu.

%t should be ob!ious by now how these three points together ha!e a common calming effect onthe hemorrhoids. &e!ertheless, as with almost any other point combination, an assessment of theetiology and energetic manifestation of the hemorrhoids must be made. This done, acomprehensi!e formula may be built, utili"ing also other points in order to deal effecti!ely andholistically with the disease.

To illustrate this more clearly, here are a few e0amples:

). %n chronic hemorrhoids due to spleen and kidney deficiency, Taibai *# /+, Tai0i *@ /+,anyin1iao *# + may be utili"ed in tonification. *#alhui too in tonification+. When damp and heat coe0ist, it is possible to add: 4achangshu *( E+, Chengfu *( E=+, 8uchi*7% ))+ and 6rbai *e0tra+./. %f massi!e bleeding is predominant, it would be appropriate to use: 9inbai *# )+ in directmo0ibustion, Iuehai *#-)=+ and 8ihaishu *( <+.

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Needlin* se>uence5 manipulation5 and stimulation

%n acute cases in!ol!ing pain, it is usually recommended to begin the treatment with adistant point, manipulated in dispersion. %n this case Chengshan is the appropriate point.

%t is !ery important to locate Chengshan accurately and then, manipulate it in a smallamplitude by the pull thrust sedation techniue. %n cases of se!ere heat, it is ad!isable toutili"e the 2Cooling the sky2 techniue on Chengshan, until a cooling or numb sensation isachie!ed near the point or around the hemorrhoids.

&e0t point is Chengiang. This point is somewhat problematic, as many practitioners arereluctant to use it because of its anatomical location. till, this is a !ery important point andthe patient should be told to wash the region properly before coming to the clinic. Theneedle may be inserted there perpendicularly and manipulated by twirling mo!ements afterdei has been obtained.

#aihui is needled last. %t is either needled in a posterior direction, or from the left to theright if the patient is lying on his stomach and his right cheek on the bed.

%n a sinking hemorrhoidal condition, after the heat and inflammation ha!e subsided, mo0amay be applied after needling, usually with the warming stick method. This mo0ibustionfurther enhances the raising of spleen 9ang 8i thus, contracting the hemorrhoidal tissueinside. The same procedure, though, may be e0ecuted with Benchueh *CH G+ whichpossesses the same uality.

$erbal e>ui0alent

adi0 anguisorba *4i 9u+ and 3los ophora Baponica *5uai 5ua 'i+ are usually usedtogether for hot and bleeding hemorrhoids. (oth of these herbs belong to the category ofherbs that arrest bleeding. (oth of them also cool the blood and are therefore suitable forulcerations, burns, and similar skin problems. 4% 9u, in addition, clears heat and promoteshealing and is suitable for e0ternal application on such skin problems.

%n addition, it is common to find in a formula for hemorrhoids herbs that treat 4amp 5eatconditions such as cutellaria (aicalensis *5uang 8in+. This herb also enters the largeintestine meridian and is used for %ntestinal Wind which is blood in the stools and forintestinal abscess.

5erbs like Corydalis *9an 5u uo+ that in!igorate the blood and stop pain, may also befound in such formulae. 'inerals such as uccinum resin *5u #o+ which is ground Amber,is also suitable, due to its ability to reduce swelling and promote healing of ulcerations,carbuncles and swollen scrotum.

%n comparison with point #aihui, adi0 Astragali *5uang 8i+ may perfectly fit in. This herbhas the function of raising the 9ang 8i of the spleen and thus, it is used in prolapsed

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syndromes, or bleeding, due to deficiency. %t is a warm herb, it tonifies the spleen and thelung, and it may be added to a herbal formula that treats prolapsed anus with hemorrhoidsor sinking bleeding hemorrhoids.

Case history

'rs. '., age <, suffered for se!eral years from recurrent bleeding hemorrhoids. 5er recentattack, which she defined as the se!erest of them all, had caught her abroad, on !acation.Harious medicines prescribed for her were not of much help and she came to me sufferinggreat pain and discomfort.

4espite the fact that 'rs. '. was a physical fitness teacher, she was slightly obese. Whenasked to describe the pain, she said that it had been a sharp pricking pain, with a sensationof hea!iness and sinking.

5er pulse was oggy, but (ig in the Cun position. 5er tongue was scalloped, somewhatpurplish blue, and co!ered with many red points around the tip. %t also had a thin yellowishlayer.

As was e!idenced by actually all the symptoms and signs, her case was a 4amp 5eatstagnation in the rectal region, plus a pre e0isting spleen 8i Iu pattern.

A soggy pulse and scalloped tongue are basic ualities which point out a weak spleencondition. The red points on the tongue and the yellowish co!er, e0hibit a 4amp 5eatcondition. The (ig pulse, that had a oggy uality as well in the Cun position, also showeda damp e0cessi!e condition in the domain of the large intestine.

5er symptoms clearly matched those signs thus, she e0hibited a case that 2goes with thecurrent2. This is a Chinese saying that suggests that whene!er the signs match the patientDssymptoms, the case may respond well to the treatment *?/+.

'rs. '. was treated twice a day by the following formula: Chengshan *( E?+, Changiang*H )+, 8uchi *7% ))+, 5uiyang *(/E+. 8uchi was introduced in the formula in order totreat heat and damp in the large intestine in general, as did 5uiyang, locally.

$n the second day the pain decreased markedly and on the third day 8uchi was substitutedby #aihui *H =+.

After fi!e more daily treatments with the re!ised formula, 'rs. '. was completely cured.

7,' S$EN"EN ;$ 1<5 NEI!UAN ;P /<5 +INTA"! ;E?TRA<5 SAN+IN:IAO ;SP /<


'any points and combinations e0ist in acupuncture for the purpose of rela0ing the ner!oussystem. This combination, howe!er, is probably the most renowned for this purpose.

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%t is used to rela0 the heart and calm the hen, relie!e tension and an0iety and treatinsomnia.

Point discussion

henmen, which is the 9uan ource point of the heart channel, is the most effecti!e pointused to rela0 the ner!ous system. 5ere, both clinical obser!ation and theoreticalbackground support each other and pro!e !alidity.

According to the T.C.'. theory, the hen-pirit, resides in the heart. This means that anyemotional disorder that one may encounter, will probably ha!e its impact upon the heartsystem. This may also mean, that illnesses of the heart organ or the heart meridian, mayinfluence the pirit *?<+.

Classical problems of the pirit, according to T.C.'. are: insomnia, tension, an0iety,e0cessi!e dreaming, forgetfulness for the light problems and, for the more serious: hysteria,insanity, delirium, etc.

henmen, as the 9uan source point of the heart meridian, is connected !ia the 9uan energy,directly to the heart. %t is also considered the most important point on the heart channel. %tsindications are:

). To calm the pirit.. To regulate 5eart 8i./. To remo!e obstruction from the Bing 7uo.

Thus, besides being used to supplement heart 8i or to tonify 5eart (lood or 9in, henmenis broadly used in all problems associated with the pirit.

%t is belie!ed in T.C.'. that when the heart lacks blood, there is restlessness, insomnia andpalpitations. These symptoms arise because of shortage of 9in energy that causes the heart9ang, or 3ire, to flare up. To subdue this, henmen is utili"ed to 2cool the heart2, or sedateits fire, while, at the same time, other points are used to tonify the 9in and blood. (y doingso, the harmony is restored and 9in and blood pro!ide the substantial basis for heart 9ang.

&eiguan has been discussed se!eral times in this paper and there is no need to elaboratefurther. %n this case, it was chosen because of its traditional function Nto tranuili"e theheart and calm the mind2.

%n addition, clinical practice demonstrates that &eiguan makes a !ery good couple withhenmen, mainly because it is the most important point on the pericardium channel, anorgan closely related to the heart.

Thus, each of these two accentuates the other pointJs function of calming the hen andrela0ing the heart.

9intang is an e0tra point situated on the route of the 4u 'ai meridian, e0actly between theeyebrows. %ts indications in the classics are firstly to eliminate Wind 5eat and secondly, to

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calm the pirit.

%t is therefore used for rhinitis, sinusitis, headache and other Wind-5eat induced problems.

As for its second indication, 9intang is often used for insomnia or restlessness.Traditionally the point is situated where the mystic 2third eye2 is located. This 2third eye2 is

the 2window of the soul2, and mysticism attributes great mental powers to those who areable to use their 2third eye2.

'odern researchers ha!e found that the stimulation of this point has an effect on producingelectrical Alpha wa!es in the brain. The Alpha wa!es are typical of a state of deep sleep ormeditation. There are e!en acupuncture laser stimulators that ha!e a special switch forAlpha wa!e form, and the practitioner is instructed to stimulate point 9intang using thiswa!e length *?E+ in cases of ner!ous tension, insomnia, etc.

anyin1iao was discussed under combination number ) of this work. %t is one of the mostimportant and freuently used acupuncture points. %t is also a member in the pre!iouslydiscussed 2i0 main points2 category.

%n this point combination it was added in order to balance the treatment *please refer toChapter (, paragraph %I+.

anyin1iao is perhaps the most freuently used point to tonify 9in 8i. %t is the meeting pointof the three leg 9in meridians: the kidney, li!er and spleen and it has the effect ofstimulating them all.

4ue to its effect on the 9in in general and on these three organs in particular, anyin1iao isa ma1or point to tonify the blood too. Taking into consideration the role that these threeorgans play in regard to the blood functioning, we can understand the importance ofanyin1iao in relation to the blood.

The kidneys are associated with blood production by ruling the bone marrow *Bing+, whereblood is created. At the same time, the kidneys pro!ide the 9uan 8i for the spleen in orderto produce blood. This 9uan 8i plays a ma1or role also in the area called: The ea of 8iunder Tan"hong *CH )?+, where blood is produced by the mutual energetic cooperation ofthe heart and lungs in the Lpper Biao.

The spleen rules the creation of blood from the essence of food digested in the stomach.Thus the !olume of blood is most dependent on the spleen. The li!er stores the blood andrules its mo!ement and distribution, due to its 8i sprinkling acti!ities *?+.

Thus, point anyin1iao plays a role in supplementing deficient blood and in circulating andin!igorating stagnant blood.

We must keep in mind the most freuent causes of insomnia and restlessness, mentioned inrelation to point henmen *5 ?+, in this combination.

The 25eart bla"ing 3ire2, or 25eart 9ang hi2, is due to, or in continuum, with 5eart 9inIu or 5eart (lood Iu. %n either case, anyin1iao is utili"ed here to supplement both 9in

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and blood and thereby to reduce, or eliminate, 5eart-3ire.

This point combination is constructed of three points that ha!e a mutually assistant actionon calming the hen by reducing 5eart 3ire and regulating its acti!ity. The fourth pointgi!es the balance to the formula, by acting directly on the cause of the disharmony.

$n this !ery principle many other point-combinations ha!e been de!eloped, especiallypoints that reduce 5eart 3ire on the one hand and points that supplement @idney Water onthe other hand.

uch combinations are:

• Tongli *5 E+ 4a"hong *@ <+• Tongli *5 E+ >haohai *@ +• henmen *5 ?+ Tai0i *@ /+ *??+


henmen and then &eiguan are needled first. These two points ha!e the strongest andfastest response, and they are used to calm the patient as uickly as possible. (oth pointsare generally used in sedation. %n cases of too weak or an0ious patients, the stimulationshould be mild, and skilful needle techniue is important in order to cause minimal pain tothe patient.

9intang is then needled in the same manner, and at last, anyin1iao, in tonification.

%t is not necessary in this combination to cause a propagated needle sensation, as there is nospecific area of discomfort or pain. %t is enough to suspend the needles in situ after 4ei hasarri!ed, without further manipulation.

When this combination is utili"ed for insomniatic patients, it is recommended to retain theneedles for /= <= minutes, and the treatment should be conducted as close to bedtime aspossible *?G+.

$erbal e>ui0alent

There are many herbal prescriptions that deal with an unuiet heart and troubled spirit.There are e!en two categories of herbs that deal directly with these symptoms. $necategory is of herbs that 2nourish the heart and calm the spirit2 and the other is, 2substancesthat settle and calm the spirit2.

The prescription that % ha!e chosen to parallel this point-combination is constructed of fourherbs. Two herbs that ha!e a calming effect on the spirit. They simultaneously nourish theheart and regulate its function. The third herb, has a direct effect on calming the spirit andthe fourth herb tonifies blood and 9in.

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The herbs are:

• adi0 #olygale Tennifolia 9uan >hi• emen >i"iphy pinosa - uan >ao en• clerotium #oria Cocos - 3u hen• adi0 ehmania lutinosa hu 4i 5uang.

9uan >hi is used to calm the spirit and facilitate heart function and is used mainly forner!ous tension, an0iety and emotional problems hindering the heart function.

uan >ao en also calms the spirit, but, in addition, it nourishes the heart blood and 9in.

3u hen is a fungus similar to 3u 7ing, but it en!elopes the root and is considered better forcalming the spirit.

hu 4i 5uang is a widely used herb to tonify both 9in and blood in general, and it is usedhere to supplement the 9in substance for the heart function.

Thus, the mutual action of 9uan >hi and uan >ao en is !ery similar to the action ofpoints henmen and &eiguan. 3u hen may be compared to 9intang, especially when e!enits name 3u hen *Tockahoe pirit+ implies its influence upon the spirit *hen+.

hu 4i 5uang in this formula imitates the role of anyin1iao and its effect upon bloodcreation and 9in tonification.

The whole formula is therefore effecti!e in the treatment of: insomnia, dream disturbedsleep, an0iety, palpitations, weakness and anemia, forgetfulness, disorientation andlightheadedness and the like.

Case history

'rs. C., age /), ga!e birth to her only child three years ago, after si0 years of sterility. hehad been treated for her sterility with hormones and did not feel well during the course ofthe treatment.

A year after she ga!e birth, she had suddenly e0perienced palpitations, pain in her leftchest, left arm and left leg, lassitude and an0iety.

ince that time and for the last two years, her condition had not impro!ed, despite differenttranuili"ers that she had been prescribed and sessions of con!ersations with herpsychiatrist. 7ately, she started ha!ing headaches in her temples and her !erte0.

'rs. C. had a !ery fast pulse *around ))=+, of choppy and wiry uality. The Cun positionwas soft and thin and weak, on both wrists. 7i!er position was choppy and wiry. @idneyposition was choppy and wiry and weak.

5er tongue was purplish red, but underneath was pale. %t was !ery flabby and the lung areashowed small cracks. The tip of the tongue was red and had red pimples. 5owe!er, it wasmoist, not dry.

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7.' 6$I!OU ;T /<5 =I"EN ;I8 7,<5 +AN!IN!=UAN ;! ),<5 TAIC$ON! ;I8)<"ain effect and clinical purpose

This point combination is used to regulate the li!er and gallbladder meridians, to remo!eobstruction from their passages, and to resol!e stagnation of 7i!er 8i.

Therefore, it is often used in cases of flank pain, oppression and discomfort in the chest anddistension of the breasts.

(esides this it may also treat sciatica which occurs along the route of the allbladdermeridian, or paralysis of one side of the body associated with this meridian.

Point discussion ;13<

>higou is a point on the hand hao 9ang meridian, which is in continuum with the leg hao9ang, allbladder meridian.

%ts indications are mainly concerned with the domain of the hao 9ang system. %t spreadsand in!igorates the 8i in this meridian and disperses obstructions which are located alongits route.

The a0illa, side of the chest and the rib cage, are all irrigated by the 8i of the hao 9angand Chueh 9in meridians. These meridians form the internal;e0ternal relationship, andpoints from each of them also affect the other.

>higou is located at the beginning of the hao 9ang, which is literally the small 9ang. Thepoints at the beginning of the hao 9ang ha!e an accelerating effect on the mo!ement ofthe 9ang from the upper parts of the body, to the lower parts. (y accelerating thismo!ement, we can disperse obstructions along the route, one of which is chest or flank pain*G=+.

ymptomatically, >higou is !ery rele!ant in cases of flank pain and it is often mentioned inancient works from China, thus: 2%n pain of the ribs and flank, needle >higouM was writtenin the (%A$ 9$L 3L *$de of the tandard of 'ystery+. Also, in the 9L 7$& 6 *ongof the Bade 4ragon+, we find: 2When there is pain and obstruction of the flanks, using>higou, will gi!e e0cellent results.2

>higou is also freuently used in the treatment of constipation, due to its ability to remo!eobstruction from the intestines as well.

8imen is the 3ront 'u point of the li!er channel. %t is located in the costal region and has alocal effect on this area. (esides its location in the site of the pain, it has a similar action to>higou. %t spreads and in!igorates the 8i. 3urthermore, it also has the ability to transformcongealed blood and remo!e blood stagnation. Thus, e!en in cases of traumatic in1ury, suchas a broken rib, 8imen is indicated.

8imen, as the 3ront 'u point of the li!er, has a direct effect on this organ. ince the li!er isthe organ mostly associated with 8i stagnation, 8imen, as its 'u point, has an effect onin!igorating the 8i in general. Therefore, e!en costal pain that is due to emotional problems

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*i.e. depression+ or internal diseases *i.e. hepatitis+, may be treated by 8imen.

With regard to its effect on the flanks, we can find in the >hen Biu 4acheng *reatCompendium of Acupuncture and 'o0ibustion+, written by 9ang Bi"hou in )=), thefollowing recommendation: 2pain, fullness and obstruction of the flanks, when 8imen isused, great results will be achie!ed2.

9anglingchuan constitutes the counterpart of >higou on the same segment of hao 9ang. %tis the 5e ea point of the allbladder, and has a strong effect on this organ.As we know, the gallbladder is anatomically situated under the costal region, andmalfunctioning of this organ often gi!es rise to flank pain, distension and soreness of thewhole area.

timulation of 9anglinguan has a calming effect on the gallbladder and it regulates itsfunction. Thereby it is beneficial for flank pain.

(esides regulating the function of the li!er and gallbladder, 9anglinguan is the confluentpoint of the tendons and ligaments. %ts indications say in this respect that its use benefitstendons and bones. Thus, in cases of traumatic in1ury, this is a !ery important point toresol!e stagnation in the costal region, brought about by accident.

%n the 2ong of #oints for 'iscellaneous 4iseases *>abing Iuewei e+, written in )E/?,we find: 2When there is flank pain, 9anglinguan must be used2.

Taichong constitutes a continuum in this point combination with 8imen. They are bothsituated on the li!er meridian and Taichong is the 9uan ource point of the li!er.

9uan ource points are closely connected with the organ to which they are linked. %n thisrespect, Taichong has the same ualities that we ha!e mentioned under 8imen, only itoperates from afar.

Taichong is actually the strongest point in the treatment of stagnant 7i!er 8i. %t is mostuseful in internal diseases caused by stagnation of 8i, but may be used in any form or causeof stagnation.

Taichong has pain relie!ing ualities, due to its role as a destagnation point. %t is soremarkably effecti!e in relie!ing pain, that it has been used for generations in the renownedpoint-combination known as the 23our ates2. The combination is 5egu *7% <+, two pointsabo!e, and Taichong, two points below. This combination has a strong sedati!e effect byacti!ating and dispersing 8i and blood in the whole body.

%n the treatment of flank pain, Taichong plays its role by relie!ing pain, dispersing stagnant8i, regulating the li!er and li!er channel and regulating the blood.

%n this point combination, two principles ha!e combined in order to form the theoreticalbasis for its e0istence. $ne is the principle of mutual assistance, and the second %s 2onepoint abo!e two points below.2

We ha!e demonstrated, under each point description, the influence that it has upon the

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costal region. We ha!e seen that each one of the points is capable to affect the flanks, chestand the ribs. Together, they e0ert a much greater potency in resol!ing any kind of pain inthis region, than any one of them alone.

The hao 9ang and Chueh 9in meridians, form the e0ternal;internal 9in;9ang relationship.They thus influence one another and may also be treated, one by the other.

%n this combination we ha!e two points belonging to the hao 9ang segment, >higouabo!e, and 9anglinguan below, and two points belonging to the Chueh 9in segment,8imen abo!e, and Taichong below.

(y the principle of 2one abo!e two below2, >higou, as was described abo!e, accelerates theflow of 8i in order to unblock the stagnation in the costal region. 8imen ser!es as the localupper point, that in!igorates 8i and (lood in the disease focus. Taichong with9anglinguan constitute the weight on the other end of the see saw, so as to attract theenergy and facilitate its flow.

%t is !ery similar to the pre!iously described sinusitis point combination, under combinationnumber two of this chapter. The only difference being that the latter is based on onemeridian segment, whereas the former, on two meridian segments. The effect, ne!ertheless,is the same.Needlin* se>uence5 manipulation and stimulation

The order of needling in this combination, is as in other combinations based on the 2oneabo!e two below2 principle. >higou is the starter, for the reasons mentioned abo!e. 8imen,9anglinguan and Taichong follow. The seuence, thus, goes in descending order andfollows the appropriate direction of energy.

The method of stimulation is dispersion, with an emphasis on conducting the 8i in thedirection of the disease focus. %t is possible to administer electrical stimulation in the caseof acute pain, in the same way as we ha!e discussed in other cases.

%n the case of traumatic in1ury of the rib cage, it is possible to apply mo0a. This is usuallydone with a mo0a stick abo!e local points such as 8imen or Ahshi points. %t is notrecommended to apply mo0a immediately after the in1ury has occurred, but a few dayslater. %t is also not recommended if heat signs are e!ident.

$erbal e>ui0alent

The opening herb, much like >higou, was chosen in this prescription mainly because itenters both the Triple (urner and the li!er meridians. This herb is hi"oma Cyperi otundl*Iiang 3u+. %t regulates the flow of 8i in these two meridians and it resol!es stagnation of7i!er 8i.

Together with adi0 (upleuri *Chai 5u+, it is classically used for pain and distension in thechest and flanks.

Chai 5u, together with its ability to release e0terior conditions associated with the hao9ang pattern, is also used to rela0 constrained 7i!er 8i. As such, its indications include:

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>higou was broadly described and analy"ed in the pre!ious combination, number )E.

There, we also mentioned that >higou is !ery effecti!e in the treatment of constipation dueto its ability to remo!e obstructions from the intestines. The e0planation for this ability of>higou is in two of >higouDs characteristics:

). (eing situated on the beginning of hao 9ang, this point has the ability to in!igorate themo!ement of 9ang 8i throughout the body, in a downward direction from abo!e to theinferior parts of the body. ince all the 9ang 8i tra!els downward, while all the 9in 8istarts from below and tra!els upward, hao 9ang is utili"ed to facilitate the 9angmo!ement, as much as hao 9in, by the same principle, the mo!ement of 9in 8i.

. As a point belonging to the Triple (urner, this point helps regulate the circulation of 8iin the three Biaos. Along with >higouDs ability to remo!e obstructions, it makes a powerfulpoint in both regulating and cleaning the intestines.

>haohai is located in the leg hao 9in meridian. The hao9in starts the mo!ements of the9in 8i towards the upper parts of the body *G)+ and this makes >haohai one of the mostimportant points to tonify the 9in.

$ne of the most freuent causes of constipation is accumulation of e0cess heat in the largeintestine. %t dries the stools, making it hard and difficult to e!acuate.

Another freuent cause, is the lack of sufficient fluid in the large intestine, which causesdryness of the bowel and insufficient lubrication to allow smooth passage of the stools. Thelack of fluid, or 9in, may be either because there is e0cess heat in the large bowel or,because of a Iu condition of systemic 9in or blood deficiency.

>haohai, as a 9in tonic, supplies the large intestine with 9in 8i and thus pro!ideslubrication for the constipated dry intestines.

Another facet of these ingeniously combined two points, is the energetic outcome of thesimultaneous use of both of them.

>higou starts an accelerated mo!ement of 9ang 8i downward. 9ang 8i makes peristalsisfaster and better, as 9ang 8i manifests itself in mo!ement and function. >haohai, for itsrole, starts an accelerated mo!ement of 9in 8i upward. 9in 8i brings coolness and fluid, asthose are the manifestations of 9in. As the result of this bipolar mo!ement, the intestinesare mo!ed to e0pel their contents, and at the same time are irrigated to allow its freepassage. Thus, the use of these points together creates an energetic motion, harmonious andcomplementary, that has a regulating effect o!er the function of the large intestine.

Tianshu is the 3ront 'u point of the large intestine. %n this way it is connected directly withthe organ itself and is therefore associated with all the problems of this organ.

%n its indications we can find the following:

• Tianshu ad1usts the function of the intestines.• Tianshu regulates the 8i of the intestines.

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• %t relie!es stagnation of 8i, blood and food in the intestines.• %t regulates menstruation.

(ecause of these ualities, Tianshu is used in both chronic and acute constipation.

As do most of the 3ront 'u points, Tianshu also ser!es as a local point, close to the focus

of disease. As such, it has a direct and immediate effect upon the large intestine, an effectthat may be taken ad!antage of, e!en by hand manipulation of the Tui &a massage. LsingTianshu as a pressure point mo!es the intestines, relie!es distension and helps achie!e ane!acuation, especially, in acute, painful constipation.

The combination of >higou with >haohai was mentioned as an effecti!e treatment forconstipation, as far back as the year )E/?.

%t was mentioned then in the 9u 7ong e *ong of the Bade 4ragon+, found in theCollection of atherings 3rom $utstanding Acupuncturists *>hen1iu Buying+ *G+.

The methodology by which these two points were combined has already been e0plainedpre!iously. The introduction of Tianshu to the couple, centers their effect on the largeintestine and adds the strong influence of Tianshu itself upon the intestine.

Needlin* se>uence5 manipulation and stimulation>higou and >haohai are needled one after the other to perform their energetic influence, aswas described pre!iously. Tianshu is then needled and manipulated. >higou is usuallymanipulated in a dispersion fashion. >haohai has a better effect if its 8i is made to tra!elupward along the medial aspect of the shin, towards anyin1iao. Tianshu is alsomanipulated in dispersion usually.

When the cause of the constipation is a deficiency of 9in and;or blood in the large intestine,usually due to old age, >haohai and Tianshu may be tonified. $therwise, the condition of aconstipation is hi *obstruction, heat, congestion, stagnation+ in general and the pointsshould be sedated.

$erbal e>ui0alent

emen Trichosanthis *ua 7ou en+, emen Cannabis *5uo 'a en+, emen #ersica *Taoen+, emen (iota orientalls *(ai >i en+ and emen esami %ndici *5ei >hi 'a+, all treatconstipation.

ua 7ou en treats constipation due to heat in the lungs that penetrates into the largeintestine, usually after fe!er. 5uo 'a en treats constipation due to deficient 8i, especiallyin the elderly. 4eficient 8i causes stagnation and dryness in the intestines. Tao en is anherb used to in!igorate the blood and treat constipation due to congealed blood and heatstagnation. (ai >i en tonifies blood and 9in in the intestines, as it is a nourishing herb,and is therefore used in the treatment of the elderly and debilitated. 5ei >hi 'a, may beused like point >haohai. %t tonifies the 9in of the kidney and li!er and lubricates theintestines.

This formula actually encompasses all the possible causes for constipation, and each herb

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contributes its personal uality, plus a generali"ed effect common to all of them, namely, tolubricate the intestines and smooth their action.

This prescription must be modified in any particular case, according to the diagnosis. Thus,if (lood Iu dominates the picture, then herbs such as adi0 Angelica inensis *4ang ui+must be added and so on.

Case history

'rs. @, age <E, suffered for many years from constipation. ometimes she did not ha!e abowel mo!ement for a whole week. %n addition she complained of halitosis and much gasin the abdomen. A month before our first appointment, she started e0periencing weaknessand sometimes e!en palpitations. he was slightly obese and had puffy bags below hereyes.

$bser!ation also re!ealed a bright red tongue, purplish in the center, with many redprickles around the tip and sides. %t was peeled and slightly scalloped in the sides. The pulsewas regular and soft, with the kidney position deep and weak.

These symptoms were e!idently a 9ang within 9in condition, or a Iu condition gi!ing riseto hi symptoms.

The basic pattern, as e!idenced by the soft pulse, puffy eye bags, scalloped tongue andobesity, pointed out a spleen 8i Iu. pleen 8i Iu affects the transformation transportation*9un-5ua+ function of the spleen, gi!ing rise to obesity and la"y bowel mo!ements henceconstipation.

7ong term constipation causes stagnant 8i in the large intestine, which in turn de!elopsinto heat. 5eat causes dryness of the intestines, hard stools, and may also cause bloodstasis. 'rs. @. showed a shiny red tongue with a purplish center and red prickles. All thesesigns pointed to a heat stagnation, probably with congealed blood inside too.

The treatment gi!en to 'rs. @. included our point-combination to treat the basic stagnationand to lubricate the intestines. %n addition, other points were combined, in order to form acomprehensi!e formula.

4achangshu *( E+ The (ack hu point of the large intestine, in order to acti!ate the boweland disperse the heat therefrom. 4achangshu and Tianshu together, make another pointcombination, based on the hu 'u principle, that has a strong draining effect on the bowel.

Taichong *7%H /+ and anyin1iao *# + were also added as another point combination.These points regulate the 8i, disperse stagnant 8i and blood and tonify both the li!er andspleen.

>usanli *T /+ is perhaps the most important point to tonify spleen 8i and strengthen itstransportation function. %n addition, it has a strong influence on constipation, it tonifies theblood and strengthens its circulation in the gastro intestinal tract.

'rs. @. has been treated se!eral times during the past three years. he usually recei!ed a

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few treatments based on the abo!e prescription. 5er constipation impro!ed for a year or so,until the ne0t time.

%t is !ery important to educate the patient regarding the proper life habits for dealing withconstipation. 3iber-rich foods are essential, along with 9in supplementing foods, such as:whole wheat, !egetables, fruit, oils, dried fruit, almonds, and so on. #hysical e0ercise is

essential for people with weak abdominal muscles and, no less, regular eating habits.71' +IN%AI ;SP 7<5 =I$AI ;C8 /<5 ?UE$AI ;SP 7@<5 SAN+IN:IAO ;SP /<


This combination has a strong effect on the blood. 'ost of the points here ha!e a regulatingeffect on the blood, and as a whole, it is used for astringent purposes. %t arrests bleedingfrom any of the body nine orifices, but particularly uterine bleeding, or bleeding of thedigesti!e tract.

Point discussion

9inbai is freuently used to tonify the spleen. $ne of the spleenDs main functions is tocontain the blood, or keep the blood in the blood !essels. This function of the spleen comesin continuum with its role in creation of blood. (y commanding the digesti!e function ofthe stomach, the spleen e0tracts the pure essence of digested food and drink and transformsit into 8i and blood *G/+.

Thereafter, as the master of transportation too *i.e., the 9un 5ua role of the spleen,translated as transformation and transportation+, the spleen is responsible for keeping theblood flowing through its proper routes the blood !essels.

(ecause of these functions, the spleen meridian, or points that tonify the spleen situated onthis meridian, are used in diseases associated with blood disorders.

9inbai is the most important point on the spleen channel regarding its function ofcontaining the blood. This function of 9inbal is probably due to its role as the 2Well2 pointof the spleen meridian. Well points are used primarily in acute or dangerous conditions, asthey connect the 9in and the 9ang, e0terior-interior channels. Thus they are commonly usedin acute fe!er, delirium and e0cessi!e heat conditions, or resuscitation from fainting andcoma. 7oss of blood is also considered a dangerous condition. 7oss of blood is a loss of 8itoo. Thus, the Well point of the channel most associated with 2keeping the blood in the!essels2 function, is the most appropriate to deal with such problems.

As stated before, the other function of 9inbai, is to strengthen the spleen. (y strengtheningthe spleen in general, all the spleenDs acti!ities are strengthened, including digestion, bloodand 8i production, containing the blood, holding the organs and tissues in their properposition, nourishing the muscles, transporting waste outside the body and additionalfunctions as well.

8ihai was already discussed under combination number one in this chapter. As the ruler ofthe 2sea of energy2 in the lower 4antien, this point has a strong impact upon the amplitude

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of 8i in the body.

ince abnormal bleeding implies, first of all, a weak 8i which is incapable of 2ruling theblood2 properly, this point is called upon to draw out e0tra 8i from the reser!es which arelocated at the 2ea of 8iM.

The special relationship between 8i and blood is one of the cornerstones of Chinesemedical thinking. 8i is considered the commander of blood, and (lood is regarded as themother of 8i *G<+. This means that 8i regulates the blood, mo!es it and keeps it in place,while the blood nourishes the organs that produce 8i.

The pleen, of all organs, is mostly in!ol!ed in this relationship. %t creates blood, as weha!e already seen, and if blood is abundant enough to feed the spleen itself, the spleen iscapable of producing 8i.

%f 8i fails, howe!er, it may be strengthened and supplied by tonifying the spleen itself andby drawing 8i from its reser!es, namely 8ihai.

Iuehai was also discussed pre!iously in this chapter, under combination no. E.

We would like to stress, howe!er, that this too is a point on the spleen channel, mostlyassociated with blood. Iuehai drains heat from the blood and cools it. ince many of theabnormal bleeding syndromes occur due to this phenomenon of heat in the blood, causingreckless mo!ement of blood and bleeding *GE+, Iuehai is perfectly appropriate for treatingthis kind of problem.

%n addition, Iuehai regulates the mo!ement of 9ing 8i *nutriti!e energy+ and blood and isthus a counterpart for 9inbai in the function of keeping the blood enroute.

anyin1iao was Also thoroughly discussed in this chapter, under combinations number )and )E. %n short, anyin1iao tonifies 9in and blood and the three organs that produce andcontrol blood, e0cept for the heart.

(y tonifying the blood and its production, and by tonifying the spleen, this point is asubstantial addition to this combination, whose aim is to stop abnormal bleeding.

This combination, as we ha!e shown, is constructed of three points that ha!e a strongtonifying effect o!er the spleen itself. They ha!e been chosen, from all the other points onthe spleen channel, because of each oneDs personal characteristics as a blood regulator.

Thus, their mutual effect on the spleen system strengthens this organDs functions of2building the blood2, and 2holding the blood2, while the points themsel!es e0ert theirsymptomatic influence for the same purpose.

The fourth point, 8ihai, acts directly on the 8i, reinforcing it and enabling it to perform itsduty as the 2commander of blood2, meaning: to pre!ent reckless mo!ement and stopbleeding.

%t is important to note here that the combination is effecti!e primarily for digesti!e or

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uterine hemorrhage. %t is less effecti!e for epista0is, coughing up of blood, blood in theurine, or bleeding hemorrhoids.

The reason is that the in!ol!ement of the spleen channel is primarily in diseases associatedwith uterine function and digesti!e disturbances.

%t does not mean, howe!er, that this combination cannot be used in other hemorrhagicproblems, because as was e0plained, the spleen does ha!e an effect on all occurrences ofabnormal bleeding. till, the combination should then be modified to deal with theseproblems specifically.


%n this combination we start from below and proceed in an upward direction. The reason forthis is twofold:

). %n order to tonify the blood it is necessary to act on the 9in, since blood is mostly 9in.9in starts flowing from below *from earth+ and tra!els upward, while 9ang does theopposite. Thus, we start with 9inbai, go on to anyin1iao, and ad!ance to Iuehai.. As we ha!e shown, this combination has also the aim of tonifying the spleen. $ne of therules of tonification is to needle the points in the direction of the energy stream. ince thespleen meridian is 9in and it flows from 9inbal upward, the needling order follows suit.

8ihai is an additional point in this combination as we ha!e demonstrated earlier. Thereforeit is needled last, and it crowns the combination. The spleen points act directly on theblood, while 8ihai balances the formula by acting on the 8i, the commander of blood.

Clinical e0perience has shown that stimulation of 9inbai with tiny mo0a cones, bears thebest results. %t is a tiny point at the angle of the thumb nail, so, tiny mo0a cones, the si"e ofrice grains, are placed directly on it and ignited. Lsually, three cones suffice for e!erytreatment.

The rest of the points are punctured in tonification in case of a Iu condition and in e!enmanipulation, in cases of heat in the blood that causes the bleeding.

%n performing an e!en manipulation, it is important to distinguish the relati!e importance ofIu and hi within a complicated syndrome. %n our case, Iu means deficient spleen 8i anddeficient blood, while hi is usually the presence of heat in the blood and 9ing 8i.

When Iu symptoms are predominant one should reinforce with doubled effort and reducewith a single effort. $ne should also reinforce first and then reduce.

Traditionally, the procedure is applied as follows: The needle is thrust nine times,emphasi"ing on thrusting forcefully while lifting the needle gently. After nine times, thesame point is reduced by lifting the needle forcefully si0 times and thrusting it gently.

When hi symptoms are more pronounced, the procedure is re!ersed *G+.

8ihai is stimulated only in tonification. When 9ang 8i is in deficiency, it is recommended

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to apply mo0ibustion, either by warm needling or indirect mo0ibustion upon a layer ofginger or aconite *3u >i+.

'o0ibustion is, of course, permissible also on anyin1iao and Iuehai, if the patientDscondition is a Cold;deficiency pattern. %n such cases, the warming needle techniue issuperior, as it warms the channel, disperses cold and supports the 8i.

$erbal e>ui0alent

Terra 3la!a Lsta *3u 7ong an+, which is actually the center of the ashes from the bottomof a cooking sto!e, where adi0 7ithospermi *>i Cao+ has been burnt, is used to tonify thespleen 9ang and stop bleeding. When added to Crinis Carbonisatus *Iue 9u Tan+, which isactually charred human hair, this combination is effecti!e in treating abnormal uterinebleeding.

(oth substances treat bleeding due to deficiency.

5erba Agrimonia #ilosa *Iian 5e Cao+ treats abnormal bleeding, no matter of whichetiology. %t may be added to other herbs according to a specific etiology.

adi0 anguisorba *4i 9u+ cools the blood and stops bleeding, both digesti!e and uterine.%t may be, to some e0tent, compared to point Iuehai, especially because, like Iuehai, italso treats skin disorders.

The last herb, which also has an astringent influence on bleeding, is chosen, like point8ihai, to tonify the 8i, raise the 9ang 8i of the spleen and treat the problem from its core.This herb is adi0 Astragali *5uang 8i+. Actually, its ualities may be compared to theactions of se!eral points together. These ualities are:

). %t tonifies the spleen in general and treats symptoms of anore0ia, weakness, chronicdiarrhea, etc. This uality may be paralleled to the influence that point anyin1iao has uponthe spleen.. %t raises the 9ang 8i of the spleen and this may be compared to the mutual action ofpoints 9inbai and 8ihai./. %t tonifies both 8i and blood and in this it is similar to points Iuehai and 8ihai.

Case history

'rs. 5., age /=, has tried since she was ? years old to become pregnant. At the age of )Fshe had gone through an artificial abortion and according to her doctors, this was the reasonwhy she could not retain her pregnancies. ince the age of ?, she has had fourmiscarriages. <G hours before her !isit to my clinic she had had another miscarriage,followed by hea!y bleeding, pain and nausea.

% obser!ed a tall, slim woman, !ery pale, and !ery much in pain. 5er lips were pale and dulland her finger nails were white. The pulse was moderate, wiry and weak, while the tonguewas bright red.

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'rs. 5. also told me that she had a !ery weak digestion and that she felt weak most of thetime. he suffered from heartburn, swollen and painful gums, and dry mouth. 5er periodswere always accompanied by e0cessi!e bleeding and contained blood clots.

%t was ob!ious that 'rs. 5. suffered a basic spleen stomach disharmony, caused by spleen8i Iu. The spleen deficiency caused deficient blood and an impairment of the spleen

function of retaining the blood, or the fetus.The first goal of the treatment was to stop the massi!e bleeding and the pain whichfollowed the miscarriage. The second phase was planned to strengthen the spleen, tonify9in and blood and re-harmoni"e stomach and spleen functioning.

Thus, in the first treatment % used the point combination with an addition of 5egu *7% <+and Taichong *7%H /+. This combination was supposed to 2open the four gates2, whichmeans to regulate 8i and blood in the whole body and to stop the pain.

%n the second day 'rs. 5. had much less pain and less bleeding. The second treatment wasconstructed of the same point combination, e0cluding 5egu and Taichong. %nstead >hiyin*( ?+ and >hongBi *CH /+ were added. These points were added in order to cause theuterus to e0pel the remaining tissue of the dead fetus.

The ne0t day there was almost no bleeding at all, but she felt contractions in her lowerabdomen. Thus, the same formula was applied to her once again and in the ne0t day shee0pelled some !ery big blood clots.

Two days later, when she came to me again, there was no pain at all and no bleeding. 5erpulse had changed dramatically and the wiry uality remained only at the stomach position.

72' TIANS$U ;ST &.<5 S$AN!:U?U ;ST )1<5 S$AN!=IU ;SP .<5 +ININ!=UAN;SP 3<


This combination is a classical point combination to clear damp and heat from theintestines. %t is therefore used to treat problems such as chronic diarrhea, dysentery, enteritisand colitis.Point discussion

Tianshu was discussed in combination number ), dealing with constipation. As the 3ront'u point of the large intestine, this point actually deals with all the afflictions of theintestines.

%ts indications imply that it regulates and facilitates the functioning of the intestines andeliminates stagnation. This indeed co!ers all the possible diseases of the intestines.

Theoretically, the 7arge %ntestine is the organ by which the spleen applies its transportationfunction. The large intestine transports and e!acuates the residues of the digested food andfluids *G?+.

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When the spleen 8i is weak, the transportation ability of the large intestine is impaired,gi!ing rise to constipation or diarrhea. Another phenomenon which often e0ists whenspleen 8i is weak, is the formation of dampness and phlegm. When this dampness 2pours2into the intestines, there is a damp stagnation, gi!ing rise to chronic diarrhea, colitis, etc.

As a 3u organ which is in close contact with e0ternal influence, the large intestine may

occasionally be in!ol!ed with into0ication brought about by contaminated food or drink.This into0ication has usually the characteristics of damp heat or 3ire #oison and it causesdiseases such as se!ere colitis, ulcerati!e colitis, dysentery and the like.

Tianshu, as the 3ront 'u point of the large intestine, is capable of eliminating stagnation inthe organ and that includes 4amp 5eat, 4amp Cold, blood stasis, etc.

hang1u0u is the lower 5e ea point of the same organ, the large intestine. We ha!edescribed already how the classics refer to 5e ea points, in combination number ), withreference to point >usanli, which is the lower 5e ea point of the stomach. Also hag1u0uis connected directly with its organ and affects it !ery similarly to Tianshu. %t regulates the$i of the large intestine and stomach and eliminates pain. %t eliminates accumulations andstagnation, but mainly in!ol!ing damp stagnation, characteri"ed by !arious types ofdiarrhea. %t clears and cools dampness and heat, treating 4amp 5eat conditions such ascolitis, diarrhea with blood and pus and the like.

%t is important to note in this conte0t, that hang1u0u is one of a group of three points,situated along the muscle tibialis-anterior that ha!e an influence o!er the whole gastro-intestinal tract. >usanli *T /+, the lower 5e ea point of the stomach, hang1u0u *T /?+,the lower 5e ea point of the large intestine and Iia1u0u *T /F+, the lower 5e ea point ofthe small intestine.

These points, when used together, ha!e a strong draining effect on the gastro intestinal tractand they are usually used in this form when a strong purgation is needed, in order to cleanand clear the digesti!e tract of food into0ication.

hangiu has a sedati!e effect on e0cessi!e conditions of the spleen, concerning thedigesti!e system.

%t is the metal *3i!e-6lements+ point of the spleen and as such it acts as the son of earthelement, the spleen. on points are used mainly for sedation purposes, which is in accordwith the classics: 2%f a meridian is empty, tonify its mother. %f it is full, sedate its child2*>hen1iu 9i0ue+.

The most common e0cessi!e condition of the spleen is abundant dampness. Thus, hangiuis utili"ed to sedate the spleen and disperse the damp condition. %n its classical indications,therefore, we can find that it is used to transform damp stagnation and thereby to strengthenthe stomach and spleen. %n the list of diseases that this point is capable of treating, we mayfind the following: gastritis, enteritis, indigestion, edema, diarrhea, intestinal noises andmore.

9inlinguan is closely associated with the urinary and digesti!e systems, in all afflictionsbrought about by e0cessi!e dampness. %ts main indication is to transform damp stagnation,

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!ery much like the former point hangiu, only it is eually beneficial for the digesti!e andurinary systems. Thus, in the digesti!e system it may treat diarrhea, whether acute orchronic, distension of the abdomen due to retention of fluids, ascites, enteritis, dysenteryand more. The theoretical background for this pointDs indications, is, also here, related to the3i!e-6lements principles.

9inlinguan is the Water-point of the spleen meridian. (ecause dampness is an energeticphenomenon related to the element water and the spleen is the organ mostly associated withdamp conditions, therefore the water point of the spleen is sedated. 4ispersion of this pointis considered to abate dampness, impro!e water metabolism and balance the spleen.

This point combination is actually two point-combinations combined together, in order toha!e a more comprehensi!e effect on a specific problem.

Tianshu and hang1u0u ha!e a direct effect o!er the large intestine, as both of them arerelated directly to this organ. %n fact, in many sources, both of the points appear as acombination by itself for the treatment of enteritis *GG+ or dysentery.

hangiu and 9inlinguan represent, in this formula, a function which is related to thespleen, and this is to eliminate damp conditions. The connection of these two pairs together,ha!e centered the effect of eliminating damp in the large intestine.

$f course, as is in the case of other effecti!e point combinations, hangiu and 9inlinguanare symptomatically helpful in large intestine afflictions, as is e!idenced by their listedfunctions, as much as both Tianshu and hang1u0u are effecti!e in the treatment ofe0cessi!e damp conditions. This is also e!idenced by their list of functions.Needlin* se>uence5 manipulation and stimulation

(ecause this combination deals with problems of the large intestine, Tianshu andhang1u0u are first to be needled. hangiu and 9inlinguan are secondary in importanceand they are therefore needled secondly.

%n most of the cases all the four points are needled in reducing techniues, in order todisperse the e0cessi!e dampness and most of the heat. 'ost often, howe!er, the hicondition of the enteritis or diarrhea, is complicated with a basic Iu condition, usually ofthe spleen, and in such cases care must be taken not to o!er sedate the patient, as it mightaggra!ate the condition.

ometimes the basic condition is a hi condition, such as with food into0ication *ha"heng+, and if prolonged enough the true 8i of the patient becomes damaged, resulting in aIu condition. %n such cases, the manipulation of the points must be performed with theutmost care and consideration, using other tonifying points as main points and thiscombination becomes secondary.

When there is a cold dysentery, or diarrhea of the Iu type, and there are no heat signs,mo0ibustion is recommended on Tianshu and 9inlinguan. This may be done as a warmingneedle techniue, or, in se!ere cases, also by direct mo0ibustion. %n such cases,mo0ibustion therapy is imperati!e and the results are astonishingly decisi!e.

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%n the case of bleeding along with the diarrhea, as in ulcerati!e colitis, dysentery, etc., otherpoints must be introduced into the formula. 9inbai *# )+ *please refer to the pre!iouscombination, number )?+, or #aihui *H =+ *GF+ and @eshu *( )?+ are the points ofchoice.$erbal e>ui0alent

A !ery familiar prescription for 4amp 5eat dysentery like disorders, is the following:). adi0 cutellaria (aicalensis *5uang 8in+. hy"oma Coptidis *5uang 7ian+/. adi0 #eonia 7actiflora *(ai hao+

5uang 8in drains 4amp 5eat and is considered a ma1or herb for 4amp 5eat in the stomachor intestines. This 4amp 5eat, as we know, may manifest as diarrhea with a burningsensation in the anus or, dysentery like disorders with pus and blood.

5uang 7ian has !ery similar ualities, especially in regard to the digesti!e system and it isused for the same problems. %ts ad!antage, howe!er, o!er 5uang 8in, is that it is capable ofarresting bleeding due to heat.

(ai hao is usually used to nourish the blood, but it is also capable of ad1usting thefunctions of the li!er and spleen and to alle!iate abdominal pain associated with dysenterylike disorders.

These three herbs imitate the functions of points Tianshu and han1u0u, which, as we ha!eseen, regulate the 8i of the large intestine, stop pain, drain 4amp 5eat, cool and stopbleeding.

&e!ertheless, in order to pro!ide a comprehensi!e herbal eui!alent to the point-combination, two other herbs are added:

adi0 aussaria seu Hladimiria *'u Iiang+clerotium #oria Cocus *3u 7ing+

'u Iiang is a herb that regulates the 8i, and is used in 8i stagnations in!ol!ing pain. %t isoften a partner in a formula that treats intestinal problems such as we ha!e discussed here,as most of them in!ol!e pain. %ts indications say that it ad1usts and regulates stagnant 8i inthe intestines and is used for diarrhea and dysentery like disorders, or for abdominal painand tenesmus. This herb is said to enter the spleen meridian and to strengthen the spleen.The other herb, 3u 7ing, also tonifies the spleen, and is the most important substance fordraining damp conditions. 'uch like point 9inlinguan, it is useful both for e0cessi!eurinary and digesti!e conditions.Case history

#lease refer to the case history described in my article: The Astringent 8uality of #oint#aihui in my homepage: http:;;www.acumedico.com;colitis.htmThe article was originally published in ept. )FGF in the Bournal of Chinese 'edicine in6ngland.

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6!en though point hangiu is missing from the point combination in this article, % decidedto bring this case history as it is, for the following reasons:

• The case history is !ery rele!ant to the e0amples of the disharmony for which this pointcombination is used.• #oint hangiu has been substituted in the initiati!e formula of the case history by

anyin1iao *# + because of the blood and 9in deficiency pattern e0hibited by the patient.&e!ertheless, anyin1iao is also capable of performing the functions hangiu such astransforming damp stagnation in the intestines and strengthening the spleen. %ts ad!antage,howe!er, lies in its powerful influence o!er the spleen, an influence which makes it a betterassociate for 9inlinguan in most cases.• This case history includes some other common point-combinations as well, also rele!antto the treatment of 4amp 5eat dysentery like stagnations. They are mentioned anddiscussed briefly throughout the article.• This case history has been written by me as an article for the maga"ine, and it is morecomprehensi!e and detailed than any of the case histories introduced so far in this work. %tencompasses many facets of both diagnosis and treatment in T.C.'., as well as aninteresting treatment process. %t was therefore considered fitting as the last accord in thiswork.

%I%IO!RAP$+ AND NOTES

Abbre0iations and biblio*raphyB.C.'. The Bournal of Chinese 'edicine&..T. &an1ing eminar Transcript of pring )FG<, transcribed by #eter 4eadman.W.&.W. The Web That 5as &o Wea!er, by 4r. Ted @aptchuk, published by Congdon andWeed, &.9.A.C.T. Acupuncture a Comprehensi!e Te0t by 6astland #ress, eattle.A.C.5.C. Acupuncture Case 5istories from China by 6astland #ress, eattle.&.A.C.A. The &orth American College of Acupuncture became licensed in )F? in alem,$regon, by the tate of $regon 4epartment of 6ducation and the (oard of 'edical60aminers.T.4.A. Treatment of 4isease with Acupuncture by 4r. Bames Tin 9ao o, published by:#aradigm #ublications, (rookline, 'ass.#.4. #ulse 4iagnosis by 7i hi >hen, based on the (in 5u 'ai Iue, #aradigm#ublications.

*)+ The Bournal of Chinese 'edicine *B.C.'.+ &o. F p. )=.*+ #lease refer to chapter (, for #oints Clusters.*/+ &an1ing eminar Transcript *&..T.+ p. ) , B.C.'. &o. F, #. ?.*<+ B.C.'., &o. F, pp. ?, W.&.W. p. E *The @idneys rule the grasping of 8i+.*E+ The Web That 5as &o Wea!er *W.&.W.+ by 4r. @aptchuk p. EE*+ B.C.'. &o. F p. ?.*?+ W.&.W. chapter / p. E.*G+ Acupuncture a Comprehensi!e Te0t *A.C.T.+ by the hanghai College of T.C.'., #. EEG.*F+ Acupuncture Case 5istories from China *A.C.5.C.+ p. ?.*)=+ Acupuncture Case 5istories from China *A.C.5.C.+ p. ?.

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Itching

#oints of the 5eart channel ha!e a marked effect in stopping pruritus *itching+. The two main points forthis are 56-? henmen and 56-G haofu, the latter being stronger. Lsing 5eart points for itching is theeui!alent of using herbs that calm the 'ind and nourish the 5eart *such as 9e Biao Teng Caulis Polygoni multiflori or (ai >i en Semen Biotae orientalis+ which also stop itching.

topping itching is e0tremely important in ec"ema and is the first treatment strategy one should adoptbecause, although this disease causes itching, the scratching resulting from it perpetuates the disease bycausing e0coriation of the skin and possible infections.Sexual Function in Men

The 5eart channel is related to the @idney channel within the hao 9in channels. %t is also indirectlyrelated to the @idneys through the 4u 'ai and en 'ai, both of which flow through the 5eart andoriginate from the space between the @idneys. (oth the 4u and en 'ai ha!e a profound influence onse0uality and the se0ual function including se0ual desire, se0ual arousal, erection, maintenance oferection and e1aculation. 3urthermore, the Chong 'ai also starts from the space between the @idneysand goes to the 5eart and, in addition, it controls the zong muscles in the abdomen which manyinterpret as being the penis. Thus, especially in menDs se0uality, we can consider the 5eart as an 2Lpper

@idney2, influencing many of the abo!e se0ual functions. %f we accept this, it is easy to see howmental-emotional stress affecting the 5eart has a profound influence on the se0ual function in men.There is yet another important connection between menDs se0ual function and the 5eart !ia the 'inister3ire of the Ming Men. The 'inister 3ire is a special type of 3ire that can actually generate Water: thus,the 3ire and Water within the @idneys are inseparable and interdependent. The 'inister 3ire warms andnourishes the Room of Sperm: when it is deficient, the oom of perm is cold and this may causeimpotence or lack of libido when it is e0cessi!e, it flares upwards affecting the 5eart and #ericardium.The oom of perm, located in the Dan Tian is also called Bao, a term that applies to both men andwomen and that is therefore erroneously translated as 2Lterus2 *Zi Bao is the Lterus+. %n women, theLterus corresponds to the 7ower 3ield of 6li0ir * Dan Tian+ which in men houses the 2oom of perm2.The 2olden 'irror of 'edicine2 *Yi Zong Jin Jian, )?<+ says: 2The Governing essel arises !ithin

the lo!er a"#omen$ e%ternally in the a"#omen$ internally in the Bao&&&also 'alle# Dan Tian in "oth menan# !omen( in !omen it is the )terus$ in men it is the Room of Sperm2. This passage clearly shows thatBao is a structure common to both men and women being the Lterus in women and the 2oom ofperm2 in men. The e0traordinary !essels arise from this area. We can therefore consider the#ericardium * *in Bao+ and oom of perm *Jing Shi+ *also called Bao+ as two centres of se0uality, onein the Lpper (urner, the other in the 7ower (urner: it is the coordination of these two centres thatcontrols se0uality and specifically in men, libido, erection, orgasm and e1aculation. These two centres,the 5eart and #ericardium abo!e and the 'inister 3ire of the @idneys below regulate the ascending anddescending of 3ire and Water and mutually inhibit and nourish each other.Thus, in men we can use the 5eart channel points to treat se0ual dysfunctions such as impotence orpremature e1aculation which are nearly always due to a dysfunction of 5eart-3ire *deficient or

e0cessi!e+ rather than a @idney deficiency. That is why, in most cases, all these tonics with deer antler,dogDs penis, seal penis or sea-horse ne!er do anything. The main points for this function are 56 ?henmen and 56-/ haohai. % often combine the point 56-? henmen with the opening points of the4u 'ai. An e0ample of a point combination for a man complaining of impotence or prematuree1aculation against a background of mental-emotional problems would be %-/ 5ou0i on the left, (7- henmai on the right, 56-? henmen on the right and 7%H-/ Taichong on the left if the pulse isWiry, or @%-/ Tai0i if there is also a @idney deficiency and the pulse is Weak and 3ine.

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Connection with Uterus

The 5eart is closely connected with the Lterus through the Lterus Hessel *Bao Mai+ and this e0plainsthe profound influence of mental-emotional problems affecting the 5eart on the Lterus. The Lterus is

related to the @idneys !ia a channel called the Lterus Channel *Bao +uo+. The 2imple 8uestions2 inchapter <? says: 2The )terus Channel e%ten#s to the ,i#neys2.The Lterus is physiologically related also to the 5eart !ia a channel called Lterus Hessel *Bao Mai+.The 2imple 8uestions2 in chapter // says: 2The )terus essel pertains to the -eart an# e%ten#s to the)terus2 and 2.hen the perio# #oes not 'ome it means the )terus essel is o"stru'te#2.5ence normal menstruation and fertility depend on the state of the @idney 6ssence and 5eart-(lood. %f5eart-(lood is deficient 5eart-8i does not descend to the Lterus. %f the @idney-6ssence is deficient,menstruation does not occur. A deficiency in either 5eart or @idneys can therefore cause infertility oramenorrhoea.There is also another important connection and that is !ia (lood: the 5eart go!erns (lood and theLterus stores (lood. Although the o!erwhelming ma1ority of gynaecologists will emphasi"e the role of

7i!er-(lood in relation to the Lterus, some put the accent on 5eart-(lood. Thus, when they want tonourish (lood in gynaecological problems, these gynaecologists would nourish 5eart-(lood withpoints such as 56-? henmen and (7-)E Iinshu. 'oreo!er, the famous 8ing dynastyDs gynaecologist3u 8ing >hu said that the 5ea!enly Gui *i.e. menstrual (lood+ deri!es from the @idney-Bing but withthe assistance of 5eart-9ang which must flow down to communicate with the @idney-Bing. Thus,tonifying the 5eart, will necessarily help @idney-Bing to produce menstrual (lood. This is probably thereason why ui #i Tang, which nourishes 5eart (lood, is such an important formula in gynaecologicalproblems.

4r 9ao hi An mentions se!eral patterns of the 5eart which affect the gynaecological functions.Women are prone to stagnation of 8i, this often turns into 3ire which affects the 5eart 3ire harassesdownwards and disturbs the 4irecting and #enetrating !essels, the ea of (lood becomes reckless andthis may result in 5ea!y #eriods or 3looding and Trickling. The 2Ji Yin Gang Mu2 says: 2 /ire "urnsthe -eart$ Bloo# "e'omes re'0less an# 'auses "lee#ing #o!n!ar#s2.adness o!er a long period of time may cause 5eart-9in deficiency, the 'ind has no residence, thiscauses 5eart-9ang to float and may cause menorrhagia. The 2imple 8uestions2 says in chapter <<:2Sa#ness lea#s to severan'e of the )terus Channel( !hen this is severe# Yang 1i is agitate# in the 2nterior an# the -eart 'auses menorrhagia2.When 5eart-8i rebels upwards, it impairs the descending of 7ung-8i 8i cannot descend andcommunicate with the Lterus Hessel and amenorrhoea results. The 2imple 8uestions2 says in thechapter Ping Re Bing +un: 2 2f the perio#s #o not 'ome it means the )terus essel is shut&&&1i rises toharass the +ungs$ -eart31i #oes not #es'en# an# the perio#s #o not 'ome2.$!erwork weakens 5eart-9in which leads to 6mpty 5eat: this may also cause amenorrhoea. The2ecret ecord of the $rchid oom2 * +an Shi Mi Cang+ says: 2 Mental strain an# stress 456 7 8!ea0ens the -eart$ -eart3/ire rises an# the perio#s #o not 'ome2.When there is 3ire in the 5eart channel, it rises to harass the 5eart and the mouth and below it maycause e0cessi!e !aginal discharge. Chen >i 'ing says: 2aginal sores in !omen are #ue to mentalrestlessness an# 'haoti' -eart an# !ea0 Stoma'h31i resulting in stagnation of 1i an# Bloo#2. The2imple 8uestions2 in the chapter Zhi Zhen Yao Da +un says: 2 Pain$ it'hing an# sores are #ue to the -eart 2.#ensi!eness and worry agitate the 5eart, the 6mperor 3ire mo!es and fails to communicate with the@idneys, Water and 3ire do not communicate and infertility may result. Wang 9u Tai says:

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#oints of the 5eart channel can be used to treat acute attacks of asthma. This is probably due to theiranti-spastic action and they presumably rela0 the bronchial muscles and therefore relie!e bronchoconstriction. Thus, in this case, 5eart point are not used to 2calm the 'ind2 but to rela0 the bronchialmuscles. The main point used is 56-? henmen, usually in combination with 4u-< henting and en-)E Biuwei *which rela0es the chest and acts on the 5eart+. The 260planation of Acupuncture #oints2recommends 56-? henmen for rebellious 8i and 5eart-3ire causing breathlessness. 5eart points also

help asthma because they help to restore the descending of 8i in the chest. The 2reat Compendium ofAcupuncture2 recommends 56-? henmen, #-F 9inlinguan, (7-= @unlun and (-<) >ulini forbreathlessness.

Tremors

5eart points can be used to alle!iate tremors in #arkinsonDs disease. They ha!e an effect on tremors fortwo reasons: first, through the anti spastic effect mentioned abo!e secondly, because 5eart points willnourish 9in in the arm and will help to alle!iate tremors of the arm *since Wind, especially in oldpeople, deri!es from 9in deficiency+. The main points are 56-? henmen, 56- 9in0i and 56-ETongli. The 2reat 4ictionary of Chinese Acupuncture2 recommends the point 56-/ haohai forcontracture of the hand and numbness of the arm.

nees

The Su .en mentions a combination for swollen and painful knee: %- 8iangu, 56-G haofu, @%-angu and (7- Tonggu. The 5eart points affect the knee firstly because of the relationship with the@idney channel and secondly, because 5eart points can be used to clear 5eat and cool (lood ingeneral. They are therefore used usually when the knee is inflamed and swollen. The best point is 56-ETongli.

!"e

(oth the 5eart main and Connecting channels flow to the eye and 5eart points can therefore be usedfor eye problems, especially from inflammation. The best point is 56-E Tongli. %n fact the 260planationof Acupuncture #oints2 recommends 56-E Tongli for painful and red eye *from 5eart-3ire+ and 56-?henmen for yellow and painful eye.

Urinar" #ro$lems

The 5eart channel points can be used for urinary problems due to its connection with the (ladderchannel through the mall %ntestine channel. %n fact, the 5eart is e0teriorly-interiorly connected to themall %ntestine and this, in turn, has an Abo!e-(elow connection with the (ladder channel within thereater 9ang channels. The 5eart channel is particularly used for +in urinary problems from 5eart-

5eat transmitting to the mall %ntestine and (ladder, and the main point is 56-G haofu, incombination with %- 8iangu, (7- Tonggu. ometimes 5eart-3ire combines with 7i!er-3ire tocause urinary problems and the main points are 56-G haofu and 7%H- Iing1ian. The 260planation ofAcupuncture #oints2 recommends 56-G haofu *with reducing method+ for urinary problems

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para un trastorno digesti!o o diarrea si es el meridiano de ba"o ue estU implicado. Tambin puede seruna buena ayuda en caso de dolor en la muSeca y del codo.

Indicaciones de P . ;ch F ǐ < para el tratamiento del dolor5se*Gn los clsicos de la acupuntura Dans :rt@'ulos en 9spaAol

http://sionneau.com/medecine-chinoise/articles/indicaciones-de-p-5-para-el-tratamiento-del-dolor-segun-los-clasicos/

http://sionneau.com/medecine-chinoise/articles/indicaciones-de-p-5-para-el-tratamiento-del-dolor-segun-los-clasicos/

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Object13

7a acupuntura ha sufrido numerosas transformaciones a lo largo de su historia.

#rimeramente se modificarU en auellos paRses asiUticos donde se implante: BapZn, Corea yHietnam y, posteriormente, e!olucionarU en su propio paRs. 6n Corea, el uso actual

dominante es diferente al originario. 6l presente artRculo estU orientado a mostrar dicha

e!oluciZn a tra!s de un e1emplo concreto: las indicaciones del punto # E *ch "ǐ 丘丘+ para eltratamiento del dolor.

Tras recordar la manera en ue la China moderna utili"a # E *ch "ǐ 丘丘+ para el tratamiento del dolor,nos sumergiremos en el uni!erso de los te0tos antiguos. Citaremos dichos te0tos y trataremos dee0plicar el uso ue # E *ch "ǐ 丘丘+ hacRan los antiguos. 3inalmente concluiremos con algunascombinaciones de puntos e0traRdas de los clUsicos mdicos. 5ay ue reseSar ue todos los te0toscitados han sido traducidos por #hilippe ionneau y estUn detallados al final del te0to.

P .

ch F ǐ

4unciones se*Gn la acupuntura contempornea ;en relaciHn con el dolor<

• egulari"a el 8i de #ulmZn• 4espe1a los meridianos y elimina el dolor

Aplicaciones contemporneas en relaciHn con el dolor

• 6spasmo;contractura del antebra"o 4olor o tendinitis del codo y del bra"o &euralgia delomZplato

• 4olor e hincha"Zn de la rZtula• 4olor y espasmo;contractura de los m]sculos de la espalda y de la regiZn lumbar• 4olor en el pecho en caso de pleuresRa•

4olor e hincha"Zn de la garganta *anginas, amigdalitis, flemZn+abemos gracias a in!estigaciones modernas ue este punto disminuye la tensiZn arterial. AsR pues, encierto modo puede tratar los dolores de cabe"a debidos a la hipertensiZn.

Indicaciones se*Gn los clsicos

• 4olor de la regiZn torUcica lateral 4olor de codo• 4olor del hombro y del bra"o• 4olor de la columna !ertebral

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• 4olor y rigide" de la espalda y lumbares• 7os cinco tipos de dolor lumbar• 4olor y contractura del bra"o y codo• 4olor e hincha"Zn de los cuatro miembros• 4olor del borde interno del omZplato• 4olor ue impide e0tender la mano• $bstrucciZn *(i+ de !iento, de la mano y del bra"o $bstrucciZn *(i+ de !iento, con contractura

del codo %mposibilidad de le!antar mano y bra"o• 4olor e hincha"Zn de la rZtula• 4olor y tumefacciZn de rodilla de cigeSa *)+• 4olor cordial y falta de aliento• 4olor cordial y sensaciZn de frRo en el hombro• 4olor de pecho con sensaciZn de distensiZn• (i de garganta

4uentes clsicas

6hen :iu :ia +i :in* ;Clsico del A%C de la acupuntura y la mo-ibustiHn< 24olor de la columna!ertebral *P+ pinchar #E *Chi >e+2, *!olumen ?+. 24olor de pecho con sensaciZn de distensiZn, falta dealiento *+ y respiraciZn insuficiente, #E *Chi >e+ es esencial2, *!olumen F+. 24olor de codo, #E *Chi>e+ es esencial2, *!olumen )=+.

=ian :in +ao 4an* ;Prescripciones principales de las mil onas de oro< #E *Chi >e+ es esencial

para la lengua seca y el dolor de la regiZn torUcica lateral2, *!olumen /=+. 2#E *Chi >e+ y %) *hao >e+son esenciales para la falta de aliento, el dolor de la regiZn torUcica lateral, la disforia de cora"Zn2*!olumen /=+. 2#E *Chi >e+ es esenial para el dolor de pecho con sensaciZn de distensiZn, disforia decora"Zn con opresiZn y agitaciZn, falta de aliento y respiraciZn insuficiente2 *!olumen /=+. 2#E *Chi>e+ es esencial para los !Zmitos y la diarrea ue salen respecti!amente por arriba y por aba1o, condolor en la parte inferior de la regiZn torUcica lateral2 *!olumen /=+. 2#E *Chi >e+ es esencial para eldolor ue impide e0tender la mano2 *!olumen /=+, 2#E *Chi >e+, T) *uan Chong+, TE *Wai uan+,H()) *Tou 8iao 9in+ son esenciales para el bra"o ue no llega hasta la cabe"a2.

6hen :iu 6i Shen* :in* ;ibro de acupuntura y mo-ibustiHn para ayudar a la 0ida< 2Trante" enla mano ue la impide desplegarse2 *capRtulo E de la parte+.

+i ?in 4an* ;Prescripciones del coraHn de la medicina< 2dolor cordial, dolor de codo. (i degarganta, *P+ dolor de la regiZn torUcica lateral, *P+ la mano ue no puede e0tenderse *i.e.desplegarse+2, *!olumen +.

Tong en hu Iue >hen Biu Tu Bing *7ibro ilustrado de los puntos de acupuntura y mo0ibustiZn delhombre de bronce+: 2#E *Chi >e+ trata la contractura del codo por (i de !iento, la mano y el codo ueno se pueden le!antar, (i de garganta, *P+ frRo en el bra"o2, *!olumen E+.

6hen :in* 6hai +in* :i ;;InmeJorable colecciHn de selecciones de los clsicos de acupuntura<2#E *Chi >e+ es esencial para consumir el calor *e 7ao+, el acenso de 8i y la dispepsia, el dolor y

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rigide" de la espada y lumbares2.

?i 4an* 6i "in* Tan* :iu :in* ;Clsico de mo-ibustiHn del palacio luminoso de ?i 4an* 6i< 2#E*Chi >e+ es esencial para (i de garganta, dolor de codo con sensaciZn periZdica de frRo, dolor delborde interno del omZplato2, *!olumen +.

%ian =ue Shen +in* 6hen :iu +u on* :in* ;Clsico del dra*Hn de Jade sobre acupuntura ymo-ibustiHn de acuerdo al espKritu de %ian =ue< 2#E *Chi >e+ trata los cinco tipos de dolorlumbar, el sRndrome (i de !iento de la mano y el bra"o, la contractura de tendones y el dolor de codo*P+. 4olor y seuedad de garganta2.

6hen :iu Da Chen* ;Compendio de acupuntura y mo-ibustiHn< 24olor de hombro y de bra"o *P+dolor de pecho espalda frRa, *P+ dolor y rigide" de la "ona lumbar */+2, *!olumen +.

6hen :iu :u +in* ;ColecciHn de lo meJor sobre acupuntura y mo-ibustiHn< 2dolor e hincha"Zn derodilla de cigeSa ue impide andar con normalidad, #E *Chi >e+ posee la capacidad de eliminar eldolor de los huesos y los tendones2 *!olumen <+. 2#ara los cinco tipos de dolor de codo, pinchar #E*Chi >e+ y T)) *8ing 7eng 9uan+, con una sola punciZn se obtiene un resultado milagroso2,*!olumen <+.

Comentarios

Naturale a del punto

• #unto 5e-'ar• #unto agua

• B i %e garganta & 'olor " se(ue%a% %e la garganta)

7a mayorRa de las inflamaciones de garganta implican un deseuilibrio del pulmZn inducido por uncalor !acRo o plenitud. 7uego #E *Chi >e+, en tanto ue punto agua del meridiano pulmZn, puedehumedecer el recorrido de pulmZn en caso de calor !acRo ue lesione los lRuidos del pulmZn o ue seoponga directamente al fuego seg]n el principio de dominancia de los cinco mo!imientos. #E *Chi >e+es un punto muy importante para el calor del pulmZn, sea ste e0terno *canRcula, !iento calor, !ientofrRo ue se transforma en calorP+ o interno *calor interno, mucosidad fuego, fuego del hRgado ueataca el pulmZnP+, !acRo o plenitud. 6stos son los puntos con los ue se combina #E *Chi >e+ uefocali"an su acciZn hacia un tipo de calor u otro. Her 2Acupuncture : les points essentiels2 #hilippeionneau. 6diciones Trdaniel, #arRs, ===. *<+.

• 'olor %el hom$ro " %el $ra*o & Im+osi$ili%a% %e levantar hom$ro " $ra*o)

Como para #) *>hong 3u+ o # *9un 'en+, #E *Chi >e+ drena las in!asiones per!ersas locali"adas enel canal del pulmZn. stas blouean la circulaciZn del 8i y de la sangre a ni!el de la cara anterior delhombro y causan un dolor ue impide le!antar la mano. 4renando el meridiano, ste se libera ytambin el hombro.

• 'olor %e co%o & 'olor " contractura %e $ra*o " co%o & $strucci-n .Bi/ %e viento concontractura %e co%o)

#E *Chi >e+ es un punto de drena1e muy potente de todo el recorrido del meridiano pulmZn, ya ue losmeridianos principal y tendinomuscular recorren todo el miembro superior desde el hombro hasta la

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mano. 4e hecho #E *Chi >e+ estU situado en el pliegue de fle0iZn del codo. #or ello no sorprende ue#E *Chi >e+ trate el dolor a la !e" del bra"o, del antebra"o y del codo sobre su cara anterior, todo a lolargo del trayecto del meridiano. #E *Chi >e+ es un gran punto para las obstrucciones *(i+ del miembrosuperior. #arece ue es a]n mUs efica" ue %)) *8u Chi+ en caso de epicondilitis, desde el momentoen ue la punta de la agu1a se dirige hacia el sitio dolorido. 5ay ue destacar ue seg]n ciertos clUsicos,#E *Chi >e+ es tan efica" para dispersar los agentes per!ersos e0ternos situados en la superficie, ue

estU indicado para el dolor de todo el cuerpo cuando ste es debido a un agente per!erso ue blouee el8i de la superficie *en caso de !iento frRo, por e1emplo+ o cuando es inducido por un !iento humedadue ataca la superficie muscular o las articulaciones. 6s por esto ue estU indicado para el dolor y lahincha"Zn de los cuatro miembros.

• 'olor (ue im+i%e la extensi-n %e la mano & Bi %e viento en la mano " el $ra*o)

6sta disfunciZn puede interpretarse de dos maneras. 6n principio, la prdida de mo!ilidad de la manopuede e0plicarse por una obstrucciZn *(i+ ordinaria focali"ada en el meridiano del pulmZn a ni!el de lamano. 4e este modo, al despe1ar los meridianos principal y tendinomuscular, #E *Chi >e+ elimina el!iento humedad ue obstaculi"aba la circulaciZn del 8i y de la sangre, atenuando asR el dolor. 6stae0plicaciZn nos !ale cuando lo mUs afectado es el borde e0terno de la mano, a ni!el de los meridianosprincipal y tendinomuscular. A continuaciZn con!iene recordar ue el !aso 7uo longitudinal *7uo 'ai+del pulmZn, cuyo trayecto principal se sit]a por el lado e0terno de la mano, se e0tiende por toda lapalma. 6s por esto ue, si locali"amos !iento-humedad en dicho !aso, puede suceder ue este hechoimpida la circulaciZn del 8i y la sangre, pro!ocando cierta prdida de mo!ilidad en la mano. #E *Chi>e+ no estU situado en este !aso longitudinal del pulmZn ya ue ste arranca de #? *7ie 8ue+ paraconcluir en %) *hang 9ang+. 9a sabemos ue los 7uo 'ai parten de los meridianos principales y uepor eso, no son otra cosa ue una prolongaciZn, una proyecciZn, de stos hacia otras "onas asR comohacia los meridianos del Zrgano con uienes forman la pare1a (iao;7i *e0terior;interior+. #or esto eslZgico pensar ue, por supuesto #? *7ie 8ue+, pero tambin todos los puntos pre!ios a #? *7ie 8ue+,drenan el meridiano. 6n todo caso, esto es lo ue confirman ciertos clUsicos al respecto de #E *Chi >e+.#or e1emplo el (ian 8ue hen 9ing >heng Biu 9u 7ong Bing *ClUsico del dragZn de 1ade sobreacupuntura y mo0ibustiZn de acuerdo al espRritu de (ian 8ue+ dice ue #E *Chi >e+ trata la contracturade tendones... 3inalmente, #E *Chi >e+ es un punto cla!e en la enfermedad de 4upuytren.

• 'olor %e la regi-n tor0cica lateral)

Como hemos !isto pre!iamente, el Urea de influencia del meridiano pulmZn estU ligada a la "onatorUcica lateral. AsR pues, su meridiano tendinomuscular estU unido a H( *9uan 9e+ a ni!el del cuartoespacio intercostal. AdemUs, este mismo meridiano, termina su recorrido en la cara interna de lascostillas flotantes. 5ay ue sumar tambin ue el meridiano distinto del pulmZn pasa tambin por elpunto H( *9uan 9e+ en la regiZn torUcica lateral. 4e este modo #E *Chi >e+, al drenar los meridianostendinomuscular y distinto del pulmZn, fa!orece una circulaciZn fluida del 8i y de la sangre en dicharegiZn, lo cual estU confirmado por numerosos clUsicos.

•

'olor e hincha*-n %e la r-tula & 'olor e hincha*-n %e ro%illa %e cig1e2a) #odRamos sorprendernos al obser!ar ue un punto del meridiano pulmZn, ue carece de relaciZnmeridiana con la rodilla, trate la artrosis de rodilla, sal!o si conocemos la regla acupuntural de lapunciZn por analogRa. 6fecti!amente, uno de los mtodos de selecciZn de puntos es el de punciZncru"ada. Teniendo en cuenta ue los meridianos de los Zrganos son bilaterales, se trata de pinchar lospuntos del lado opuesto al afectado. #or e1emplo, pinchamos el codo derecho para tratar el codoi"uierdo, el pie i"uierdo para tratar el pie derecho, etc. 6sto es !Ulido, por e1emplo, cuando el ladoafectado estU demasiado dolorido o inflamado para pincharlo. e trata de una del aplicaciones de lapunciZn 'iu descrita en el capRtulo / del u Wen *Cuestiones sencillas+. Lna de las !ariantes de esta

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punciZn cru"ada consiste en pinchar, por analogRa, una articulaciZn de la parte superior del cuerpo,opuesta a la articulaciZn a tratar en la parte inferior del mismo, y !ice!ersa. #or e1emplo, cuandopinchamos la muSeca derecha *sana+ para tratar el tobillo i"uierdo *doloroso+, el codo i"uierdo parala rodilla derecha, el lado derecho de la cadera para el hombro i"uierdo y !ice!ersa... 4e este modo,#E *Chi >e+ por analogRa, y seg]n este principio de punciZn cru"ada, tratarU las afecciones de la rodilla.

• Dolor #e la 'olumna verte"ral Dolor y rigi#ez #e la espal#a y 'a#eras +os 'in'o tipos #e

#olor lum"ar Dolor #el "or#e interno #el omplato(9a hemos e0plicado para #) *>hong 3u+ poru ciertos puntos del meridiano pulmZn podRan tratar undolor en la parte superior de la espalda. #or e0tensiZn, trata tambin el dolor del borde interno delomoplato, ue conocemos como una "ona de proyecciZn de los deseuilibrios del pulmZn en lo alto dela espalda. &o ol!idemos ue H)/ *3ei hu+ y H< *#o 5u+ son dos puntos directamente ligados alZrgano del pulmZn, situUndose este ]ltimo al ni!el 1usto del borde interno del omZplato. esulta mUsdifRcil de e0plicar poru #E *Chi >e+ trata el dolor de la columna !ertebral y la "ona lumbar. Ciertosacupuntores tienen una e0plicaciZn. #or analogRa, #E *Chi >e+ estU situado, asR como H<= *Wei >hong+en el pliegue de fle0iZn de la articulaciZn central de un miembro. Como H<= *Wei >hong+ es un puntoinsoslayable en el caso de dolor lumbar, #E *Chi >e+ podrRa funcionar como eco, como transmisor deauel, lo cual harRa posible alg]n tipo de acciZn en la columna lumbar. AdemUs #E *Chi >e+ es el puntohe-mar *丘+ del meridiano Tai 9in mientras ue H<= *Wei >hong+ es el punto he-mar *丘+ del Tai 9ang.6l meridiano Tai 9in es la abertura interna, mientras ue Tai 9ang es la abertura e0terna. 6stas dosredes pueden sostenerse mutuamente compartiendo su mo!imiento de apertura. 4e este modo #E *Chi>e+ de alguna manera act]a sobre el >u Tai 9ang, ue circula por toda la espalda y "ona lumbar.

• 'olor cor%ial " 3alta %e aliento & 'olor cor%ial " sensaci-n %e 3r4o en el hom$ro & 'olorcor%ial con sensaci-n %e %istensi-n)

5emos !isto mUs arriba ue el 8i del cora"Zn necesita el 8i de pulmZn para hacer circularnormalmente la sangre por los !asos sanguRneos. 4el mismo modo y por las mismas ra"ones e!ocadaspara #) *>hong 3u+ y # *9un 'en+, #E *chen >u+ al acti!ar el 8i del pulmZn sostiene al 8i delCora"Zn, lo ue tiene como efecto atenuar el dolor cordial pro!ocado por un estancamiento de 8i yestasis de sangre por !acRo de 8i o de 9ang de Cora"Zn.

Asociaciones clsicas

P . ;Chi 6e< se asocia a

• T) *uan Chong+, TE *Wai uan+, H()) *Tou 8iao 9in+: bra"o ue no llega a la cabe"a*8ian Bin 9ao 3ang+.

• %4) *hao >e+: falta de aliento, dolor en la regiZn torUcica lateral, disforia de cora"Zn *8ian Bin9ao 3ang+.

• T) *uan Chong+, %)) *8u Chi+, %)= *hou an 7i+, T/ *>hong >hu+, %E *9ang u+:dolor de codo con frRo ocasional *8ian Bin 9ao 3ang+.

• %)) *8u Chi+, %< *5e u+: obstrucciZn *(i+ de tipo !iento con contractura de codo, ue no

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puede le!antarse *hen 9ing Bing+.• H(/G *9ang 3u+: (i de !iento *>hen Biu 4a Cheng+.• H<= *Wei >hong+, 4' *en >hong+: 2lumbago2, dolor lumbar y de la regiZn torUcica lateral

*>hen Biu 4a Cheng+.• %)) *8u Chi+: dolor y contractura de codo *9u 7ong 3u #oema del dragZn de 1ade en el >hen

Biu Bu 9ing+.•

T *>hi ou+ en dispersiZn, 6/ *>u an 7i+ pinchar y de1ar la agu1a, %< *5e u+: )< conosde mo0a, 'C? *4a 7ing+: / conos de mo0a, 5/ *Tai Chong+: dolor cordial con te" opaca ynegru"ca, paciente a punto de fallecer *>hen Biu Bi Cheng+.

%re0e presentaciHn de los te-tos citados en este artKculo

• 6hen :iu :ia +i :in* ;Clsic o del A%C de la acupuntura y la mo-ibustiHn<

$bra escrita por 5uang 3u 'i ba1o la dinastRa Wei y publicado hacia EF 4.C. Constituye, seg]n le7ing hu, el primer gran clUsico dedicado principalmente a la acupuntura y la mo0ibustiZn. 5a sidouna referencia insoslayable de las siguientes generaciones hasta hoy.

•

=ian :in +ao 4an* ;Prescripcione s principales de las mil onas de oro< 6sta obra fue escrita por un i 'iao *EG)-G+ ba1o la dinastRa Tang. #resenta numerosos tratamientosde farmacopea pero tambin de acupuntura y mo0ibustiZn, de diettica e higiene de !ida, comomtodos de pre!enciZn *9ang heng+. 6ste erudito, humanista y defensor de la tica mdica*influenciado tanto por el taoismo, el confucionismo como el budismo+, tendrU mucha importanciasobre numerosas generaciones de doctores en China y BapZn. us traba1os constituyen toda!Ra hoy endRa una referencia esencial.

• 6hen :iu 6i Shen* :in* ;ibro de acupuntura y mo-ibustiHn para fa0orecer la 0ida<

$bra escrita por Wang >hi >hong durante la dinastRa ong y publicado en )=. 6ste libro nos presentala e0periencia clRnica de su autor, numerosas combinaciones de puntos pro!enientes de clUsicos

anteriores asR como ilustraciones de las locali"aciZn de los puntos.• +i ?in 4an* ;Prescripcione s del coraHn de la medicina<

$bra 1aponesa publicada en FG< y escrita por 4an (o @ang 7ai.

• Ton* Ren Shu ?ue 6hen :iu Tu :in* ;Clsico ilustrado de los puntos de acupuntura ymo-ibustiHn del hombre de bronce<

$bra publicada en )= ba1o la dinastRa ong del &orte y escrito por Wang Wei 9i *FG?-)=?+, aliasWei 4e. 3ue uno de los mUs clebres acupuntores de la tradiciZn mdica china. 'iembro de la ede%mperial de 'edicina ba1o los ong del &orte, fue el promotor de la primera estatua de bronce uerepresentaba un hombre en tamaSo natural con la locali"aciZn de todos los puntos de acupuntura y los

meridianos. 6ste 2halla"go2 permitiZ un gran progreso pedagZgico y una mayor coherencia en elestudio de la acupuntura. 6n el Tong en hu Iue >hen Biu Tu Bing *7ibro ilustrado de los puntos deacupuntura y de mo0ibustiZn sobre el hombre de bronce+ corregirU la locali"aciZn de los meridianos yde los puntos de acupuntura. ecopila tambin el conocimiento de los acupuntores de las generacionesprecedentes y serU referencial para otras tantas posteriores.

• 6hen :in* 6hai +in* :i ;InmeJorabl e colecciHn de selecciones de los clsicos de acupuntura<

$bra publicada en )/)E ba1o la dinastRa 9uan y escrito por 4u i Bing. e trata en realidad de una obra

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integrada en otro libro, el Bi heng (a Cui *ecopilaciZn para socorrer la !ida+ escrito por >hang 9un8i >i, hi1o del clebre mdico de la dinastRa Bin;9uan: >hang 9uan u. 6l >hen Bing >hai 9ing Bi es unautntico manual de acupuntura ue presenta los nue!e tipos de agu1as, los mtodos de combinaciZn depuntos, de tonificaciZn y dispersiZn, el mtodo de acupuntura seg]n la respiraciZn, tratamiento deenfermedades con acupuntura, la locali"aciZn de puntos, tcnicas de punciZn, profundidad de inserciZn,precauciones, etc.

• ?i 4an* 6i "in* Tan* :iu :in* ;Clsico de mo-ibustiHn del palacio luminoso de ?i 4an*6i<

$bra de mo0ibustiZn publicada ba1o la dinastRa ong del &orte y escrito por Ii 3ang >i. 6sta obra secaracteri"a por sus numerosas ilustraciones de las diferentes partes del cuerpo. 'uestra los meridianos,los puntos, los mtodos de selecciZn de puntos, los mtodos de mo0ibustiZn, las contraindicaciones, eltratamiento de las enfermedades, etc.

• %ian =ue Shen +in* 6hen :iu +u on* :in* ;Clsico del dra*Hn de Jade sobre acupunturay mo-ibustiHn de acuerdo al espKritu de %ian =ue<

$bra tambin llamada 9u 7ong e *Canto del dragZn de 1ade+ publicada en )/F ba1o la dinastRa 9uany escrito por Wang uo ui. e trata de un con1unto de enseSan"as sobre acupuntura y mo0ibustiZnpresentada en parte ba1o una forma de canto para facilitar la memori"aciZn y el estudio. 6s una de lasmUs reseSables referencia en acupuntura.

• 6hen :iu Da Chen* ;Compendi o de acupuntura y mo-ibustiHn<

$bra escrita por 9ang Bi 5ou ba1o la dinastRa 'ing y publicada en )=). #resenta una sRntesis delcon1unto de conocimientos de acupuntura y mo0ibustiZn desde su orRgen hasta su publicaciZn. usnumerosas fZrmulas y tcnicas de agu1as han inspirado a numerosas generaciones de acupuntores hastanuestros dRas.

• 6hen :iu :u +in* ;ColecciH n de lo meJor sobre acupuntura y mo-ibustiHn<

$bra publicada en )EF ba1o la dinastRa 'ing y escrito por ao Wu. Acupuntor clebre, estu!o en el

origen de la producciZn de tres estatuas de bronce: un hombre, una mu1er y un niSo, con la locali"aciZnde los puntos y los meridianos. 6sta obra ofrece numerosos tratamientos y mtodos de acupuntura. 6s,igualmente, uno de los grandes clUsicos de la acupuntura.

Notas

*)+ 7a odilla de CigeSa *5e Ii+ corresponde a la artrosis de rodilla ue puede ser deformante.

*+ 6l trmino hao 8i designa una respiraciZn dbil, corta, rUpida, una !o" dbil y una tendencia ainspirar profundamente para poder seguir hablando. 6ste con1unto de sRntomas se asocia casi siempre ala fatiga, cuando no al agotamiento. 6s una enfermedad ue re!ela !acRo de 8i. %ncluye la falta dealiento y es este ]ltimo el ue designa la generalidad del trmino. AdemUs, no hay ue confundir lafalta de aliento *hao 8i+ con el aliento corto *4uan 8i+ ue son dos conceptos distintos. Aliento cortoes ]nicamente aliento corto y puede estar presente tanto en el !acRo como en la plenitud. 6s un sRntomaen sR mismo. 7a falta de aliento es un con1unto de sRntomas ue afectan a la respiraciZn y al habla, yue re!elan !acRo. 6s seSal de una gran fatiga. 6s una enfermedad.

*/+ 7a "ona lumbar de la columna *9ao Bi+ corresponde a las !rtebras, pero tambin incluye a losm]sculos sacro-lumbares de dicha "ona. 6s un sinZnimo de 9ao: "ona lumbar.

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Douleur de lLestomac ei an ton* Dans Mala#ies et symptEmes

#ar #hilippe ionneau

Cet article est bas sur un cours ue donna #hilippe ionneau [ Toulouse en ==) et [(arcelone en ==. %l nDinclut pas les e0plications, les commentaires et les rponsesau0 uestions. Cet article ne prsente ue les grandes lignes directrices de

lJenseignement. Celui-ci est inspir par les mthodes uni!ersitaires chinoises.

DFfinition

7e terme Wei Tong *ou bien encore Wei Wan Tong+ dsigne une douleur localise dans la rgionpigastriue, cJest-[-dire entre lJappendice 0iphode et le nombril. Ceci nJinclut pas la douleur dans lesrgions du cjur, de la poitrine et;ou des hypochondres, ni les douleurs ou maladies intestinales.

=ue recou0re ei Ton* dans le systMme de la mFdecine occidentale )- Wei Tong recou!re de nombreuses maladies digesti!es dont les sui!antes sont les plus courantes :gastrite aigu ou chroniue, ulcre du duodnum ou de lJestomac, spasme de lJestomac *gastrospasme+,ptse de lJestomac, prolapsus de la muueuse gastriue, n!rose gastriue, indigestion.- 7a douleur de lJestomac peut aussi se retrou!er dans dJautres maladies ui faut sa!oir reprer :hpatite, cholcystite, pancratite, pneumonie, appendicite, infarctus du myocarde, pylonphrite.

CaractFristi>ues des symptmes de ei Ton*

7 ocalisation

7a douleur est situe sous le cjur *cJest-[-dire sous lJappendice 0iphode+, et au dessus de lJombilic,dans la partie haute *hang Wan+, mdiane *>hong Wan+ et;ou basse *Iia Wan+ de lJpigastre.

& Nature de la douleur

7a douleur de lJestomac peut sJe0primer de diffrentes manires.

7es plus courantes sont :

• douleur en distension• douleur en pire• douleur sourde *!ague+

4Jautres sensations fruemment rencontrs sont :

• sensation de brlure ou de chaleur• sensation de torsion• sensation dJoppression

Ces sensations peu!ent sJe0primer par alternance sous forme de crise ou tre permanentes.

Object14

http://sionneau.com/medecine-chinoise/articles/douleur_de_lestomac_wei_wan_tong/

http://sionneau.com/medecine-chinoise/articles/douleur_de_lestomac_wei_wan_tong/

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) es symptmes concomitants les plus communs

7es symptmes ui accompagnent le plus sou!ent la douleur de lJestomac sont :

• baisse de lJapptit• nauses ou !omissements• rgurgitations acides•

syndrome Cao >a. 7e terme Cao >a dsigne une sensation de malaise pigastriue ui est dcritcomme une gne, une sensation de faim, de tiraillement, !oire de brlure dans lJestomac.5abituellement, le Cao >a est accompagn dJructations, nauses, rgurgitations acides et desensation de plnitude ou dJoppression dans lJpigastreP

, es facteurs a**ra0ants

7es facteurs les plus fruents ui ont une influence sur la douleur de lJestomac sont :

• erreurs alimentaires• troubles motionnels

Causes et mFcanismes de la maladie

7' 4roid per0ers en0ahissant lLestomac

7e froid per!ers peut en!ahir lJpigastre directement uand la rgion de lJestomac est e0pose au froidpendant longtemps ou lorsuJil y a consommation e0cessi!e dJaliments froids ou crus ou de boissonsglaces. i le froid per!ers en!ahit lJpigastre, il !a dJabord blouer le 9ang 8i, inhibant la capacit ducelui-ci [ rchauffer et [ acti!er. 6nsuite, X la nature du froid est de contracter et congeler Y. #arconsuent, le froid per!ers peut contracter les 7uo de lJpigastre, conduisant [ une circulation ralentiedu 8i et du sang. %l y a alors douleur pigastriue.

&' Accumulation et sta*nation dLaliments

7a stagnation dJaliments peut pro!enir du fait de manger trop ou trop !ite, de manger des alimentsdurs, difficiles [ digrer sans mcher suffisamment ou dJune consommation e0cessi!e dJalimentssucrs et gras ui sont forts en sa!eur et ui sont difficiles [ dissoudre et transformer. i les alimentssJaccumulent et stagnent dans lJpigastre, ils obstruent les mou!ements du 8i. 7e clair ne peut trele! et la libre circulation est inhibe. #ar consuent il y a douleur de lJestomac. i la stagnationdJaliments est aigu et ponctuelle, cJest gnralement un syndrome de plnitude. Cependant, elle peutaussi tre chroniue, auuel cas cJest gnralement un syndrome dJintrication de !ide et de plnitude.

)' =i du foie en0ahissant lLestomac

7e foie gou!erne la libre circulation et lJ!acuation. i le foie est ls par les sept motions, il y agnralement surpression du 8i du foie. 4ans ce cas, il a tendance [ attauer hori"ontalement eten!ahir lJestomac. Cela est bas sur la loi des cin mou!ements o le foie;bois en plnitude e0ploite*principe Cheng+ lJestomac;terre. 7e 8i de lJestomac perd alors son harmonie, cJest-[-dire son 8i tend[ stagner et [ remonter, ce ui induit la douleur pigastriue.

,' Surpression de chaleur dans le foie et lLestomac

i la surpression du 8i du foie perdure ou sJaggra!e, elle peut facilement se transformer en chaleur

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per!erse ou en feu. i ce feu en!ahit hori"ontalement lJestomac !oire se combine a!ec une chaleur delJestomac d1[ e0istante, cette chaleur se congestionne et induit un feu de lJestomac. Celui-ci inhibe lemou!ement du 8i et brle [ lJintrieur de lJorgane 3u de la terre, pro!ouant la douleur pigastriue.

.' Stase de san*

7a stase de sang peut pro!enir soit dJun feu ui brle et endommage les 7uo de lJestomac, soit dJunestagnation de 8i chroniue ui affecte la circulation du sang. i la stase de sang se noue dans les 7uode lJestomac, elle cause une obstruction locale, ui inhibe la libre circulation. #ar consuent il y adouleur pigastriue.

/' 4roid 0ide de la rate et de lLestomac

7e froid !ide peut rsulter dJun !ide constitutionnel de la rate et de lJestomac, dJune maladie chroniueui a ls la rate et lJestomac, de lJadministration e0cessi!e ou sur une longue dure de remdes amerset froids, ou dJune alimentation errone. X 7e froid pro!oue des contractures et des tensions Y. #arconsuent, sJil y a froid !ide de la rate et de lJestomac, le 9ang ne peut pas tidir efficacement les7uo. 7es 7uo se figent et se contractent et cela conduit [ la douleur pigastriue.

1' Insuffisance du +in de lLestomac

7Jinsuffisance du 9in de lJestomac peut se d!elopper [ partir dJune consommation e0cessi!edJaliments chauds et pics, dJune maladie fbrile ui a ls et consum les liuides 9in ou dJunesurpression de chaleur dans lJestomac ui a consum et ls le 9in de lJestomac. 7e 9in de lJestomacest cens humidifier et nourrir les 7uo dans lJestomac. Jil y a insuffisance du 9in de lJestomac, les7uo ne sont pas suffisamment humidifis et nourris. #ar consuent, ils perdent leur harmonie et secontractent. Lne fois de plus, le manue de libre circulation conduit [ la douleur pigastriue.

es points clFs du dia*nostic

7 es points obli*atoires du dia*nostic

#our diagnostiuer un Wei Tong en mdecine chinoise, il faut runir au moins les trois points sui!ants:

Au ni0eau des symptmes a!oir une douleur dans la rgion de lJestomac comme cela a t dfiniplus haut.

Au ni0eau de la cause a!oir dans son anamnse au moins une des uatre causes : troublesmotionnels, drglements alimentaires, surmenage, a!oir attrap un refroidissement.

Au ni0eau de lLhistori>ue de la maladie a!oir eu des crises de douleur [ plusieurs reprises.

& DiffFrencier ei Ton* a0ec dLautres maladies ayant des points communs

• ei Pi et ei Ton*'

ei Pi $bstruction de lJestomac. %l sJagit dJune sensation dJobstruction, de blocage, dJoppressiondans lJestomac.

Ce >uLils ont en commun 7e trouble est localis au ni!eau de lJpigastre et se manifeste par destroubles digestifs o est impliu lDestomac.

Ce >uLils ont de diffFrent

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Wei #i :

). ensation de blocage, dJobstruction sous le cjur. $ppression et sensation de plnitude dans le thora0 et le diaphragme/. A la palpation le X blocage Y nJa pas de forme<. A la palpation il nJy a pas de douleur, cJest la sensation de plnitude ui domine

Wei Tong :

). 7e trouble est principalement caractris par la douleur. Celle-ci peut tre accompagne par un Wei #i, mais la douleur domine

• 6hen ?in Ton* et ei Ton*'

6hen ?in Ton* douleur !ritable du cjur. %l sJagit dJune douleur du cjur ui se manifeste dans lespathologies cardiaues.

Ce >uLils ont en commun 7es deu0 troubles peu!ent se manifester sous la rgion du cjur par de ladouleur. 7Jestomac est sou!ent appel dans la littrature ancienne X Iin Iia Y, littralement X endessous du cjur Y.

Ce >uLils ont de diffFrent >hen Iin Tong

). - 7a douleur est aussi situe plus haute dans la poitrine.. - 7a douleur est pongiti!e, coupante, irradie dans lJpaule ou le dos./. - ignes accompagnateurs : souffle court, transpiration froide<. - nralement maladie ui se manifeste de manire aigu

Wei Tong

). - 7a douleur est aussi situe !ers le centre ou la partie basse de lDestomac. - 7a douleur est associe [ de la distension/. - ignes accompagnateurs : symptmes digestifs

<. - nralement maladie chroniue de longue dure

• ?ie Ton* et ei Ton*

?ie Ton* douleur des hypochondres. 7e terme Iie Tong dsigne une douleur se produisant dans largion thoraciue latrale, dJun ou des deu0 cts. Ce ue nous traduisons [ tort X hypochondre Ycorrespond en mdecine chinoise [ lJaspect latral de la cage thoraciue, de la pointe infrieure delJaisselle 1usue en-dessous de la dernire cte.

Ce >uLils ont en commun 7es deu0 troubles peu!ent sJaccompagner de troubles digestifs et dedouleur ui irradie dans la poitrine et le diaphragme.

Ce >uLils ont de diffFrent

Iie Tong :

). - 7a douleur est principalement localise au ni!eau des hypochondres.. - ignes accompagnateurs : oppression de la poitrine, soupirs fruents et profonds, en!ie de

sJtirer, irritabilit, colreP

Wei Tong :

). - 'me en cas de dysharmonie foie;estomac, la douleur est principalement localise au ni!eaude lJestomac.

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. - ignes accompagnateurs : inapptence, nause, !omissements, rgurgitations acides, Cao >aP

• 4u Ton* et ei Ton*'

4u Ton* douleur abdominale. 4ouleur localise au ni!eau de lJabdomen sous lJombilic 1usuJau bordsuprieur du pubis.

Ce >uLils ont en commun Ce sont deu0 maladies digesti!es dont la douleur est le symptme

principal.Ce >uLils ont de diffFrent

3u Tong : 7a douleur est localise sous lJombilic et au dessus du bord suprieur du pubis.Wei Tong : 7a douleur est localise sous lJappendice 0iphode et au dessus de lJombilic.

) es principau- points du dia*nostic diffFrentiel

A DiffFrencier selon la 0itesse de lLinstallation du trouble

• i la douleur de lJestomac est apparue brusuement : atteinte e0terne, drglements alimentaires*stagnation dJaliments due [ e0cs rcent+.

• i la douleur de lDestomac cJest installe progressi!ement : surpression du foie, !ide de la rate etde lJestomac, dysharmonie foie;estomac.

% DiffFrencier a0ec le froid et le chaud

• yndrome froid *plnitude+ : crise soudaine, douleur !iolente, dteste la pression, aime le chaud,dteste le froid, enduit blanc, pouls Iian *en corde+ et Bin *serr+.

• yndrome chaleur : douleur a!ec sensation de chaleur ou de brlure, soif a!ec en!ie deboissons, crainte du chaud et attirance pour le frais, constipation, urines fonces, langue rouge,enduit 1aune a!ec peu dJenduit, pouls Iian *en corde+ et huo *rapide+.

• yndrome de froid !ide : douleur sourde, !ague, aime la chaleur et la pression, craint le froidui aggra!e la douleur, membres froids, langue pale a!ec enduit blanc, pouls uo *faible+.

C DiffFrencier a0ec le 0ide et la plFnitude

PlFnitude *plutt de type chaleur ou de 8i ou de ang+

• 'aladie rcente• 4ouleur de lJestomac a!ec distension• Constipation• Aime de frais• Craint la pression• 4ouleur aprs le repas• 4ouleur forte

• 4ouleur fi0e• #ouls hi *plein+

8ide *plutt de type froid+

• 'aladie ancienne• 4ouleur de lJestomac sans distension• elles molles• Aime le chaud• Aime la pression

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• 7a boisson augmente la douleur• 4ouleur modre• 4ouleur mobile• #ouls Iu *!ide+

D DiffFrencier a0ec le =i et le san*

Sta*nation de =i• 4ouleur de lJestomac a!ec distension• 7a distension domine sur la douleur• 4ouleur sans localisation fi0e• 4ouleur ui !a et ui !ient *non permanente+• A la palpation, il nJy a pas de masse

Stase de san*

• 4ouleur pongiti!e• 4ouleur forte, marue•

4ouleur a!ec une localisation fi0e• 7angue !iolace• A la palpation, il y a une masse

ConsF>uences et a**ra0ations possibles des *rands syndromes

). 7a coagulation peut se transformer en chaleur. 7a stagnation dJaliments peut gnrer de lJhumidit chaleur/. 7a surpression du 8i peut se transformer en feu ou bien induire une stase de sang, !oir une

stagnation dJaliments ou une production de mucosits

Ces trois premires aggra!ations peu!ent donner lieu [ une intrication de froid et de chaleur.

). 7a stagnation de 8i et la stase de sang peu!ent induire des masses abdominales *tumeurs,splnomgalie, hpatomgalie, spasme de lJestomacP+

. i la chaleur de lJestomac se transmet dans le sang, si la stase de sang ancienne blesse les 7uo,si la rate ne retient pas le sang, cela peut induire : selles sanglantes, hmatmse. i lessaignements sont important, le 8i sui!ant le sang, il y a collapsus de 8i ui se manifestebrusuement par : transpiration spontane et importante, membres froids, pouls Wei *tnu+.

DIA!NOSTIC DI44ERENTIE Q T$ERAPEUTI=UE

7' 4roid per0ers en0ahissant lLestomac

$iFrarchisation des symptmes

). Accs soudain de douleur s!re dans lJpigastre, amlioration par la chaleur et aggra!ation parlJe0position au froid, atteinte soudaine et rcente

. Absence de soif, prfrence pour les boissons chaudes, membres froids/. 6nduit lingual fin et blanc, pouls Bin *serr+ ou Iian *en corde+

#our pou!oir poser le diagnostic il faut a!oir les groupes ) K ou ) K /

Principes thFrapeuti>ues

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- Tidir lDestomac- 4isperser le froid- gulariser le 8i et arrter la douleur

Acupuncture mo-ibustion6C *&ei uan+ Associs, ces points rgularisent le 8i du foyer mdian.' ) *>hong Wan+ A!ec application de mo0ibustion, ' ) *>hong Wan+ peut galement tidir le

centre et disperser le froid.6 / *>u an 7i+ Combinant lJe0trieur et lJintrieur, associs, ces points peu!entt / *Tai (ai+ stimuler le 9ang de la rate et disperser le froid. *mo0ibustion+

"odifications

• 6n cas dJoppression de lJestomac, inapptence, ructations et enduit lingual gras, a1outer t <*ong un+ et ' )) *Bian 7i+.

• 6n cas de !omissements, appliuer une mo0ibustion sur ' )/ *hang Wan+.• 6n cas de corps froid et fi!re, a1outer % < *5e u+ et % )) *8u Chi+.• 6n cas de plnitude et oppression de lJestomac, nause ou !omissements et enduit lingual fin,

blanc et gras, a1outer ' )/ *hang Wan+ et t < *ong un+.PharmacopFe3L >% 7% >5$& WA& modifie *#ilule de radi0 Aconiti Carmichaeli pour rgulariser le centre+ plus7%A& 3L WA& *#ilule de rhi"oma Alpiniae et rhi"oma Cyperi+

3L >% *radi0 Aconiti Carmichaeli #raeparata+ g,A& B%A& *rhi"oma >ingiberis e0siccata+ g,A$ 7%A& B%A& *rhi"oma Alpiniae+ Fg,I%A& 3L *rhi"oma Cyperi+ Fg.(A% >5L *rhi"oma Atractylodis Albae+ )g,>5% A& CA$ *radi0 lycyrrhi"ae praeparata+ g,4A& 56& *radi0 Codonopsitis+ Fg,

"odifications

• 6n cas de froid s!re, a1outer WL >5L 9L *fructus 6!odiae+ /g et 56& B%A& *rhi"oma>ingiberis ecens+ g.

• 6n cas de !omissements, a1outer 56& B%A& *rhi"oma >ingiberis ecens+ Fg.• 6n cas de douleur en coup de poignard, a1outer 4A& 56& *radi0 al!iae 'iltiorrhi"ae+ )=g.• 6n cas dJattaue de froid e0terne, a1outer >% L 96 *folium #erillae+ Fg, C$& (A% *bulbus

Allii 3istulosi+ g, *wen+ 4A& 4$L C5% *semen o1ae praeparatum+ Fg et 56& B%A&*rhi"oma >ingiberis ecens+ g, et supprimer (A% >5L *rhi"oma Atractylodis Albae+.

• 6n cas de distension pigastriue, a1outer 'L I%A& *radi0 aussureae+ Fg et *chao+ C56&

#% *epicarpium Citri eticulatae+ Fg.• 6n cas de froid se transformant en chaleur a!ec sensation de brlure dans lJestomac, got amerdans la bouche et bouche sche, remplacer 3L >% 7% >5$& WA& par (A& I%A I%6 I%&TA& *4coction de tuber #inelliae pour drainer lJpigastre+ : *1iang "hi+ (A& I%A *tuber#inelliae+ Fg, A& B%A& *rhi"oma >ingiberis e0siccata+ Fg, 4A& 56& *radi0Codonopsitis+ Fg, 5LA& 8%& *radi0 cutellariae+ /g, 5LA& 7%A& *rhi"oma Coptidis+ /g,4A >A$ *fructus >i"yphi Bu1ubae+ E fruits et >5% A& CA$ *radi0 lycyrrhi"ae praeparata+g. Augmenter la posologie de 5LA& 8%& *radi0 cutellariae+ et de 5LA& 7%A& *rhi"omaCoptidis+ en fonction de la s!rit de la chaleur.

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&' Accumulation et sta*nation dLaliments


). douleur pigastriue a!ec distension et plnitude de lJestomac ui nJapprcie pas la pression,ructations putrides et rgurgitations acides, parfois !omissements dJaliments non digrscalmant la douleur, inapptence

. constipation ou selles difficiles [ !acuer, flatus malodorants ui soulagent temporairement/. enduit lingual pais et gras Q pouls 5ua *glissant+.



• 4issiper les aliments et !acuer la stagnation• 5armoniser lDestomac et arrter la douleur

Acupuncture mo-ibustion6C *&ei uan+ Associs, ces points librent la circulation du 8i de lJestomac et des6 E *Tian hu+ intestins et harmonisent le centre.

6 / *>u an 7i+ Associs, ces points dissipent les aliments et !acuent la stagnation.6 ) *7iang 'en+

' ) *Iuan Bi+ #oint dJe0prience pour la stagnation dJaliments.

"odifications

• i la douleur persiste aprs la puncture des points ci-dessus, a1outer 6 /< *7iang 8iu+.• 6n cas dJenduit lingual 1aune et de constipation, a1outer 6 <) *Bie Ii+ et 6 /? *hang Bu Iu+.• 6n cas de distension, plnitude et douleur pigastriues s!res, refusant la pression, a1outer

' ) *>hong Wan+ et ' *8i 5ai+.• 6n cas de sensation de blocage et plnitude de lJestomac, inapptence et selles molles, a1outer

t *an 9in Biao+ et t < *ong un+.

PharmacopFe(A$ 56 WA& modifie *#ilule pour prser!er lJharmonie+

*chao+ 5A& >5A *fructus Crataegi+ Fg,*chao+ 'A% 9A *fructus 5ordei germinatus+ Fg,*chao+ 56& 8L *'assa 3ermentata+ Fg,7A% 3L >% *semen aphani+ Fg,>5% @6 *fructus Citri Aurantii+ g,(%& 7A& *semen Arecae+ Fg,'L I%A& *radi0 aussureae+ Fg,*chao+ C56& #% *epicarpium Citri eticulatae+ Fg,

3L 7%& *sclerotium #oriae+ Fg,7%A& 8%A$ *fructus 3orsythiae+ g,

"odifications

• 6n cas de distension, plnitude et douleur pigastriues s!res, a1outer >5% 5% *fructus CitriAurantii %mmaturus+ Fg et *1iang "hi+ 5$L #$ *corte0 'agnoliae+ Fg.

• 6n cas de constipation, a1outer *sheng+ 4A 5LA& *radi0 hei+ /-Fg.• 6n cas de stagnation dJaliments se transformant en chaleur, a!ec constipation, got amer dans la

bouche et soif, a1outer 5LA& 8%& *radi0 cutellariae+ g, augmenter la posologie de 7%A&

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• 6n cas distension et douleur pigastriues s!res, a1outer *chao 1iao+ C5LA& 7%A& >%*fructus 'eliae Toosendan+ Fg et *cu "hi+ 9A& 5L L$ *rhi"oma Corydalis+ )g.

• 6n cas de distension pigastriue s!re, a1outer 8%& #% *pericarpium Citri eticulatae Hiride+g et 3$ 5$L *fructus Citri arcodactylis+ Fg.

• 6n cas de douleur spasmodiue, augmenter la posologie de (A% 5A$ 9A$ *radi0 #aeoniaeAlbae+ et A& CA$ *radi0 lycyrrhi"ae+ 1usuJ[ )g.

•

6n cas de surpression du foie se transformant en feu, a!ec got amer dans la bouche, gorgesche, sensation de brlure dans lJestomac et langue rouge a!ec un enduit 1aune, a1outer *sheng+>5% >% *fructus ardeniae+ Fg et 'L 4A& #% *corte0 'outan radicis+ Fg.

• 6n cas de !ide du sang du foie concomitant, a1outer *1iu "hi+ 4A& L% *radi0 Angelicaeinensis+ Fg et 5L 4% 5LA& *radi0 ehmanniae praeparata+ Fg.

• 6n cas de !ide du 8i de la rate concomitant, a1outer *fu chao+ (A% >5L *rhi"oma AtractylodisAlbae+ Fg, 3L 7%& *sclerotium #oriae+ Fg et *mi "hi+ 4A& 56& *radi0 Codonopsitis+ Fg.

• 4ans certains cas, il y a stagnation du 8i de lJpigastre sans surpression du foie. 4ans ce cas,les principau0 symptmes sont : distension, douleur et plnitude pigastriue, douleur mobilesans localisation fi0e, ructations, rgurgitations acides, inapptence, nause, !omissements,borborygmes et constipation. %l nJy a pas de symptmes spcifiues de lJorgane foie. 4ans ce

cas, nous pou!ons utiliser ' ) *>hong Wan+, 6C *&ei uan+, t < *ong un+ et % < *5eu+ pour lJacupuncture et #A% 8% 9%& *(oisson carminati!e+ comme formule de pharmacope.es ingrdients sont : 'L I%A& *radi0 aussureae+ g, I%A& 3L *rhi"oma Cyperi+ g,*1iang "hi+ 5$L #$ *corte0 'agnoliae+ g, *chao+ C56& #% *epicarpium Citri eticulatae+ g,>5% @6 *fructus Citri Aurantii+ g, WL 9A$ *radi0 7inderae+ /g, 5L$ I%A& *herbaAgastaches+ g et >6 I%6 *rhi"oma Alismatis+ /g.

,' Surpression de chaleur dans le foie et lLestomac


). 4ouleur brlante dans lJpigastre, aggra!e par la pression, la douleur apparaqt par crise

. 'au!aise haleine, ructations ftides, rgurgitations acides, malaise pigastriue *Cao >a+,bouche sche, got amer dans la bouche, soif, dysphorie agitation, irritabilit, crainte de lachaleur et prfrence pour la fraqcheur

/. 7angue rouge, enduit lingual 1aune Q pouls Iian *en corde+, huo *rapide+.



• Clarifier lJestomac et drainer la chaleur• 4isperser le foie et rgulariser le 8i

Acupuncture mo-ibustion

6C *&ei uan+ Associs, ces points rgularisent le 8i, harmonisent lJestomac et' ) *>hong Wan+ arrtent la douleur.

H( /< *9ang 7ing 8uan+ Associs, ces points clarifient lJestomac et drainent la chaleur.6 << *&ei Ting+6 / *>u an 7i+

"odifications

• 6n cas dJructations fruentes, a1outer ' )/ *hang Wan+ et 3 / *Tai Chong+.• 6n cas de douleur a!ec distension et plnitude pigastriues, ructations ftides et enduit lingual

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pais et gras, a1outer ' ) *Iuan Bi+ ou 6 ) *7iang 'en+.• 6n cas de constipation et dJenduit lingual pais, sec et 1aune, a1outer 6 E *Tian hu+ et t

*an 9in Biao+.• 6n cas dJhmatmse de sang frais, langue rouge a!ec un enduit 1aune et pouls Iian *en corde+

ou huo *rapide+, a1outer 6C ? *4a 7ing+ et n ) *9ong 8uan+.• 6n cas de langue rouge a!ec enduit 1aune et pouls Ii *fin+, huo *rapide+, a1outer t *an 9in

Biao+ et n / *Tai Ii+.PharmacopFe>L$ B%& WA& modifie *#ilule du mtal de gauche+

*sheng+ 5LA& 7%A& *rhi"oma Coptidis+ g,*"hi+ WL >5L 9L *fructus 6!odiae+ )g,>5% >% *fructus ardeniae+ Fg,'L 4A& #% *corte0 'outan radicis+ g,C56& #% *epicarpium Citri eticulatae+ g,9L B%& *radi0 Curcumae+ g,(A% 5A$ 9A$ *radi0 #aeoniae Albae+ Fg,

>56 (6% 'L *bulbus 3ritillariae Thunbergii+ g,A& CA$ *radi0 lycyrrhi"ae+ g.

"odifications

• 6n cas de soif s!re, a1outer T%A& 5LA 36& *radi0 Trichosanthis+ g et 7L 6& *rhi"oma#hragmitis+ g.

• 6n cas de constipation, a1outer *sheng+ 4A 5LA& *radi0 hei+ g.• 6n cas de douleur s!re, a1outer *chao 1iao+ C5LA& 7%A& >% *fructus 'eliae Toosendan+ g

et 9A& 5L L$ *rhi"oma Corydalis+ Fg.

.' Stase de san*


). 4ouleur pigastriue fi0e, en coup de poignard ou coupante, aggra!e la nuit, aggra!e par lapression et lJingestion de nourriture Q douleur ancienne

. parfois hmatmse Q parfois selles sanglantes/. 7angue !iolace a!ec parfois des taches de stase Q pouls e *rugueu0+.



• Acti!er le sang et transformer la stase• 5armoniser lJestomac et arrter la douleur

Acupuncture mo-ibustionH )? *e hu+ Associs, ces points acti!ent le sang et transforment la stase.H ) *Wei hu+t )= *Iue 5ai+

' ) *>hong Wan+ Associs, ces points rgularisent la dynamiue du 8i du foyer mdian6 / *>u an 7i+ et arrtent la douleur.

"odifications

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• 6n cas de douleur s!re, a1outer ' )/ *hang Wan+ et ' )= *Iia Wan+.• 6n cas de teint i!oire, lassitude mentale, manue de force et pouls Ii *fin+, uo *faible+,

symptmes suggrant un !ide de 8i et de sang d au0 saignements, a1outer ' *8i 5ai+, t *an 9in Biao+.

PharmacopFe5% I%A$ A& modifie *#oudre pour clater de rire+ plus 4A& 56& 9%& *(oisson de radi0

al!iae 'iltiorrhi"ae+*cu "hi+ WL 7%& >5% *e0crementum Trogopteri+ )=g,*sheng+ #L 5LA& *pollen Typhae+ )=g,4A& 56& *radi0 al!iae 'iltiorrhi"ae+ )=g,TA& I%A& *lignum antali Albi+ /g,5A 6& *fructus Amomi Hillosi+ g,(A% 5A$ 9A$ *radi0 #aeoniae Albae+ )=g,>5% A& CA$ *radi0 lycyrrhi"ae praeparata+ )=g.

"odifications

• 6n cas dJhmatmse, a1outer (A% B% *rhi"oma (letillae+ /g *en poudre, [ a!aler a!ec ladcoction chaude+ et A& 8% *radi0 #seudoginseng+ /g *en poudre, [ a!aler a!ec la dcoctionchaude+.

• 6n cas de selles sanglantes, a1outer 8%A& CA$ 6& *radi0 ubiae+ Fg et A& 8% *radi0#seudoginseng+ /g *en poudre, [ a!aler a!ec la dcoction chaude+.

• 6n cas de !ide de 8i, a1outer *mi "hi+ 5LA& 8% *radi0 Astragali+ )Eg et *fu chao+ (A% >5L*rhi"oma Atractylodis Albae+ Fg. &e pas utiliser 4A& 56& *radi0 Codonopsitis+ ici car il estcontre-indiu a!ec WL 7%& >5% *e0crementum Trogopteri+.

• 6n cas de distension et douleur, remplacer 5A 6& *fructus Amomi Hillosi+ par 'L I%A&*radi0 aussureae+ Fg.

/' $umiditF chaleur obstruant le centre$iFrarchisation des symptmes

). douleur de lJpigastre, syndrome Cao >a, sensation de brlure ou de chaleur dan slJestomac,bouche amre et sche, soif sans en!ie de boire

. cphale a!ec sensation de tte en!eloppe, sensation de corps et de membres lourds,inapptence, nauses, urines fonces, selles difficiles [ !acuer ou selles pteuses etmalodorantes, dermatose sur le !isage sur le tra1et du 9ang 'ing

/. enduit 1aune et gras, pouls 5ua *glissant+ et huo *rapide+


Principes thFrapeuti>ues• clarifier la chaleur et transformer lJhumidit• rgulariser le 8i et harmoniser lJestomac

Acupuncture mo-ibustion' ) *>hong Wan+ Associs, ces points clarifier la chaleur dans le 9ang 'ing6 << *&ei Ting+ et transforment lJhumiditt F *9in 7ing 8uan+

6C *&ei uan+ %l rgularise le 8i et harmonise lJestomac

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PharmacopFe8%& >5$& TA& *dcoction pour clarifier le centre+

adi0 cutellariae (aicalensis *5uang 8in+ g3ructus ardeniae Basminoidis *>hi >i+ Fghi"oma #inelliae Ternatae *(an Iia+ gclerotium #oriae Cocos *3u 7ing+ Fg

3ructus Cardamomi *(ai 4ou @ou+ g#ericarpium Citri eticulatae *Chen #i+ Fgadi0 lycyrrhi"ae *an Cao+ g

"odifications

• i la chaleur domine et induit de la constipation, a1outer adi0 6t hi"oma hei *4a 5uang+ /-g, 3ructus %mmaturus Citri Aurantii *>hi hi+ -Fg.

• i la distension de lJestomac est s!re ou accompagne dJune distension de lJabdomen, a1outerCorte0 'agnoliae $fficinalis *5ou #o+, Fg, #ericarpium Arecae Catechu *4a 3u #i+, Fg.

• Jil y a une intrication de froid et de chaleur, de !ide et de plnitude, remplacer la formule par :(A& I%A I%6 I%& TA& *4coction de tuber #inelliae pour drainer lJpigastre+ : *1iang "hi+

(A& I%A *tuber #inelliae+ Fg, A& B%A& *rhi"oma >ingiberis e0siccata+ g, 4A& 56&*radi0 Codonopsitis+ Fg, 5LA& 8%& *radi0 cutellariae+ /g, 5LA& 7%A& *rhi"omaCoptidis+ /g, 4A >A$ *fructus >i"yphi Bu1ubae+ E fruits et >5% A& CA$ *radi0 lycyrrhi"aepraeparata+ g.

1' 4roid 0ide de la rate et de lLestomac


). 4ouleur pigastriue sourde mais chroniue ui perdure, ui traqne, amliore par la pression etla chaleur et aprs lJingestion de nourriture, mais aggra!e [ lJeffort ou par le froid ou par lafatigue ou par un !entre !ide

. Homissements occasionnels de liuides clairs Q inapptence Q lassitude mentale Q fatigue etmanue de force Q mains et pieds froids Q selles molles

/. 7angue ple parfois paisse, enduit blanc Q pouls Iu *!ide+, uo *faible+.



• Tidir le centre• enforcer la rate• 5armoniser lJestomac• Arrter la douleur

Acupuncture mo-ibustionH = *#i hu+ Combinaison de points (ei hu-transport du dos et 'u-collecteur.H ) *Wei hu+ Associs, a!ec application de mo0ibustion, ces points peu!ent tidir et ' ) *>hongWan+ disperser le froid per!ers, tonifier la rate et harmoniser lJestomac.

6C *&ei uan+ Associs, ces points peu!ent rgulariser le 8i et arrter la douleur.6 / *>u an 7i+

"odifications

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• 6n cas de !omissements de liuides clairs, a1outer t F *9in 7ing 8uan+.• 6n cas de rgurgitations acides, a1outer H( /< *9ang 7ing 8uan+.• 6n cas douleur froide dans lJpigastre, a1outer 6 ) *7iang 'en+.• 6n cas de douleur pigastriue s!re, manue de chaleur dans les membres, enduit lingual gras

et blanc et pouls Iian *en corde+, Ii *fin+, a1outer ' )/ *hang Wan+ et ' )= *Iia Wan+pour tidir le centre.

PharmacopFe5LA& 8% B%A& >5$& TA& modifie *4coction de radi0 Astragali pour renforcer le centre+

5LA& 8% *radi0 Astragali+ )Eg,>5% A& CA$ *radi0 lycyrrhi"ae praeparata+ g,4A >A$ *fructus >i"yphi Bu1ubae+ fruits,3L 7%& *sclerotium #oriae+ g,9% TA& *accharum ranorum+ Eg,*chao+ L% >5% *ramulus Cinnamomi+ g,(% C56& 8%6 *fructus Cubebae+ g.56& B%A& *rhi"oma >ingiberis ecens+ g,

(A% 5A$ 9A$ *radi0 #aeoniae Albae+ Fg,*1iang "hi+ (A& I%A *tuber #inelliae+ Fg,

"odifications

• 6n cas de douleur pigastriue s!re, a1outer 7%A& 3L WA& *#ilules de rhi"oma Alpiniae etrhi"oma Cyperi+, soit A$ 7%A& B%A& *rhi"oma Alpiniae+ Fg et I%A& 3L *rhi"omaCyperi+ g.

• 6n cas de froid !ide s!re, a1outer A& B%A& *rhi"oma >ingiberis e0siccata+ g.• 6n cas de !ide de 8i s!re, a1outer 4A& 56& *radi0 Codonopsitis+ Fg.• 6n cas de !omissements de liuides clairs, a1outer C56& #% *epicarpium Citri eticulatae+ Fg

et ILA& 3L 5LA *flos %nulae+ Fg.•

6n cas de !omissements acides, supprimer 9% TA& *accharum ranorum+ et a1outer WL>5L 9L *fructus 6!odiae+ /g et 5LA& 7%A& *rhi"oma Coptidis+ /g.

2' Insuffisance du +in de lLestomac


). 4ouleur brlante dans lJpigastre sourde ou lgre Q faim sans en!ie de manger. (ouche et gorge sches Q amaigrissement ou maigreur Q parfois soif Q constipation a!ec selles

sches Q inapptence Q dysphorie chaleur des cin cjur/. 7angue rouge a!ec peu dJenduit ou parfois langue compltement pele Q pouls Ii *fin+, huo

*rapide+.



• &ourrir le 9in• Tonifier lJestomac

Acupuncture mo-ibustionH = *#i hu+ Associs, ces points renforcent la rate et tonifient lJestomac.H ) *Wei hu+

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' ) *>hong Wan+

6 / *>u an 7i+ Associs, ces points nourrissent le 9in et tonifient lJestomac.n ? *3u 7iu+

"odifications

• 6n cas de lassitude mentale, souffle court, !ertiges et faiblesse des membres, a1outer ' *8i

5ai+ pour augmenter le 8i.• 6n cas de faim sans dsir de manger, a1outer ' )) *Bian 7i+.• 6n cas de nauses, a1outer ' )/ *hang Wan+.• 6n cas de houet, a1outer 6C *&ei uan+.• 6n cas dJhmatmse, a1outer H )? *e hu+.• 6n cas de selles sanglantes, a1outer t )= *Iue 5ai+.

Remar>ue#our ce syndrome particulier, lJacupuncture est moins efficace ue pour les autres syndromes de cetrouble. %l faut donc la combiner a!ec la pharmacope

PharmacopFe

9% W6% TA& modifie *4coction pour nourrir lJestomac+'A% '6& 4$& *tuber $phiopogonis+ Fg,&A& 5A 56& *radi0 Adenophorae+ Fg,9L >5L *rhi"oma #olygonati+ Fg,56& 4% 5LA& *radi0 ehmanniae+ )g,(A% 5A$ 9A$ *radi0 #aeoniae Albae+ Fg,>5% A& CA$ *radi0 lycyrrhi"ae praeparata+ Fg.

"odifications

• 6n cas de liuides lss, a!ec soif s!re, a1outer T%A& 5LA 36& *radi0 Trichosanthis+ Fg.•

6n cas de selles sches, a1outer ILA& 56& *radi0 crophulariae+ Fg et LA 7$L 6&*semen Trichosanthis+ Fg.• 6n cas de !ide de 8i concomitant, a1outer 5A& 9A$ *radi0 4ioscoreae+ Fg et *sheng+ 4A&

56& *radi0 Codonopsitis+ Fg.• 6n cas de douleur s!re de lJestomac, augmenter la posologie de (A% 5A$ 9A$ *radi0

#aeoniae Albae+ et >5% A& CA$ *radi0 lycyrrhi"ae praeparata+ 1usuJ[ )g. 6n cas de stasede sang concomitante, a!ec douleur coupante ou en coup de poignard, a1outer 4A& 56&*radi0 al!iae 'iltiorrhi"ae+ Fg et TA$ 6& *semen #ersicae+ Fg.

Remar>ues

). 7Jacupuncture et la mo0ibustion sont des thrapies trs efficaces pour la douleur pigastriue,mme uand cette douleur est associe a!ec ce ue la mdecine occidentale diagnostiuecomme X ulcre de lJestomac Y.

. Comme lJestomac, associ [ la rate, est responsable de la transformation des aliments, beaucoupde troubles de lJpigastre comme Wei Tong, sont dus [ une dittiue errone. #ar consuent,il est important de dcou!rir toutes les mau!aises habitudes alimentaires des patients et de lesconseiller pour trou!er une nutrition plus harmonieuse. 7es principales erreurs dittiuesidentifies par la mdecine chinoise sont :

• Trop manger peut causer une stagnation dJaliments.

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• Lne consommation e0cessi!e dJaliments sucrs, gras et de laitages peut causer de lJhumidit etune stagnation dJaliments.

• Lne consommation e0cessi!e dJalcool, dJaliments rtis, frits, chauds, pics peut causer unechaleur de lJestomac.

• Lne consommation e0cessi!e dJaliments froids ou crus peut causer un froid de lJestomac.• 'anger la nuit peut causer un !ide du 9in de lJestomac.

• 'anger fruemment a!ant ue le dernier repas ait t digr *grignotage+ peut causer de lastagnation dJaliments.

• 'anger [ des heures irrgulires, ne pas mcher correctement, manger dans un en!ironnementbruyant, stressant ou a!aler rapidement peut causer une stagnation de 8i ou un !ide du 8i delJestomac.

• 'anger aprs un boule!ersement motionnel peut causer une stagnation du 8i de lJestomac ouune dysharmonie foie-estomac.

6n plus de ces mau!aises habitudes alimentaires, nous pou!ons a1outer la consommation de polluantset contaminants modernes dans les aliments et lJeau, tels ue les conser!ateurs, additifs, insecticides,herbicides, engrais chimiues, colorants, hormones, antibiotiues, e0hausteurs de gots, stabilisants,etc.

Lne autre cause trs commune de douleur de lJestomac est une consommation fruente, importante oudurable de certains mdicaments occidentau0, tels ue la cortisone, les antihistaminiues, lJaspirine, lesantibiotiues et les anti-inflammatoires. Chacun dJeu0 [ sa manire peut lser le 8i de lJestomac. #are0emple, les antibiotiues sont classs comme tant de nature froide. #ar consuent, ils peu!ent lserle 8i de la rate et de lJestomac de la mme manire uJune administration e0cessi!e de 5uang 7ian*rhi"oma Coptidis+ pourrait le faire. 7es antihistaminiues sont similaires au0 remdes chinois pourlibrer la surface. Aussi un usage e0cessif de ceu0-ci peut lser et consumer les liuides de lJestomac.7Jaspirine est un remde ui acti!e le sang. Ltilise en e0cs, elle peut attauer et consumer le 8i, lesang et les liuides du corps.

6nfin, il ne faut pas oublier les causes motionnelles uoi sont aussi sou!ent [ lJorigine des douleurs delJestomac. 7es motions les plus inductrice de Wei Tong sont la colre, les soucis, la peur.

Cas clini>ue typi>ue

5omme, < ans.4ouleur pigastriue depuis si0 ans et ui sJest fortement aggra!e il y a un mois. X Llcre gastro-duodnal Y est le diagnostic pos par la mdecine occidentale. 4iffrents traitements molculaires sontpar!enus [ attnuer la douleur mais nJempchent pas de re!enir. 4epuis un mois la douleur a empir [la fa!eur dJun e0cs de tra!ail. 7Jabsorption de nourriture soulage la douleur. 6lle est de maniregnrale amliore par la chaleur mais aggra!e par le froid, distension et sensation de plnitude delJestomac, sensation de faim, de tiraillement de brlure dans lJestomac, bouche amre, urines fonces,

fatigue, inapptence, enduit 1aune et gras dans le centre de la langue, pouls Ii *fin+ et Iian *en corde+.Donne

• &om de la maladie `• 4iagnostic diffrentiel `• 'canisme pathologiue `• #rincipes thrapeutiues `• Traitements en acupuncture et en pharmacope `

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espontUnea ue pro!oca la presiZn+ confirmarU la certe"a del daSo.

- 4' G *9in Biao+ *al ni!el de la encRa superior, ba1o el freno del labio+ cuando cambia de color o deforma, es casi siempre signo de una enfermedad anal: fRstula, fisura, hemorroide, inflamaciZn..... 7anaturale"a de los cambios denotan la gra!edad y;o la naturale"a del daSo. 4' G *9in Biao+ secon!ierte en un punto indiscutible *entendiendo ue sangrUndolo+ para el tratamiento y especialmentepara el de las hemorroides.

#ero, la obser!aciZn atenta ue proporciona la prUctica nos puede lle!ar a]n mUs le1os en el arte deldiagnZstico chino. 7os 2puntos de diagnZstico2 pueden ayudarnos a reunir numeroso signos sutiles.4aremos nue!os e1emplos tRpicos para concretar nuestro propZsito. 4e todas formas hay ue tenerclaro ue no se trata de dar informaciones e0hausti!as, ni limitati!as si no las ue pueden ilustrar loue cada uno puede obser!ar con !igilancia, paciencia y tiempo.

AsK5 E )/ ;6u San i< es un punto de dia*nHstico para mas de un tratamiento

- Cuando es sensible o doloroso a la presiZn, es a menudo seSal de problemas en el sistema digesti!o*ba"o, estZmago, intestinos+.

- 4espus de la inserciZn de la agu1a y durante la manipulaciZn, si la sensaciZn de 8i *4e 8i+ esmoderada y lenta, es a menudo signo de un sRndrome de 3rRo o de HacRo y los efectos de la punciZnserUn lentos.

- 4espus de la inserciZn de la agu1a y durante la manipulaciZn, si la sensaciZn de 8i *4e 8i+ es !i!a y

rUpida, es a menudo un signo de sRndrome de Calor o de #lenitud y los efectos de la punciZn serUnrUpidos.

- 4espus de la inserciZn de la agu1a y durante la manipulaciZn, si la sensaciZn de 8i *4e 8i+ es nula,es a menudo un signo de gran HacRo o de una enfermedad gra!e.

- 4espus de la punciZn, si la sensaciZn de 8i llega rUpidamente, es a menudo signo de un buenpronZstico.

- i la inserciZn se hace en un m]sculo blando, es a menudo signo de sRndrome de HacRo.

- i la inserciZn se hace en un m]sculo muy blando, como si la agu1a se hundiera en un ueso de so1a,la agu1a no estU oprimida *su1eta+ es a menudo un signo de gran HacRo, incluso de un mal pronZstico. 6lefecto de la punciZn serU muy lento, incluso ine0istente.

- i la inserciZn se hace en un m]sculo tenso, difRcil de penetrar como si la agu1a fuera rugosa y ue seha agarrado a la carne, es a menudo signo de sRndrome de #lenitud.

- 6n caso de debilidad constitucional o de una persona mayor, la sensaciZn de 8i es lenta, moderadadespus de la inserciZn de la agu1a.

- 6n caso de constituciZn fuerte o de una persona 1o!en, la sensaciZn de 8i es !i!a y rUpida, despus dela inserciZn de la agu1a.

- Con la mo0ibustiZn, si la sensaciZn de calor llega lentamente, es a menudo signo de sRndrome de 3rRo.

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- Con la mo0ibustiZn, si la sensaciZn de calor lle!a rUpidamente, es a menudo sigo de sRndrome deCalor.

- Cuando la agu1a estU ya insertada, si tiende a hundirse espontUneamente en la carne, pro!ocando loue se denomina 2la agu1a aspirada2 *Ii >hen+, es a menudo seSal de 3rRo y de HacRo.

- Cuando la agu1a estU ya insertada, si tiende a salirse espontUneamente, pro!ocando lo ue sedenomina 2agu1a empu1ada2 *4ing >hen+, es a menudo signo de Calor o de #lenitud.

#odemos constatar ue el acto teraputico se con!ierte, l mismo, en un complemento del diagnZstico2en directo2 y ue hay ue aprender a integrar con los otros cuatro tiempos de e0amen.

Prose*uimos nuestra ilustraciHn con E &. ;Tian Shu< >ue es tambiFn un punto dedia*nostico toda0Ka mas e0idente'

• i es sensible o doloroso a la presiZn, casi siempre indica problemas intestinales.• i la presiZn aporta un dolor o agra!a un dolor se trata de una #lenitud, si la presiZn ali!ia un

dolor o aporta una me1orRa, se trata de un HacRo.• i la persona prefiere calor en esta "ona, se trata de un sRndrome de 3rRo, si prefiere frRo en el

mismo lugar se trata de un sRndrome de Calor.• i despus de la inserciZn de la agu1a, la sensaciZn de 8i es moderada y llega lentamente, es

signo de 3rRo y de HacRo, si es !i!a y llega rUpidamente es signo de Calor y #lenitud.• i la inserciZn se hace en carne dura, difRcil de penetrar, es signo de #lenitud, si se hace en carne

flo1a fUcil de penetrar, es signo de HacRo.• i con la mo0ibustiZn la sensaciZn de calor se siente con lentitud, es sRntoma de 3rRo, si se

siente rUpidamente es sRntoma de Calor.• 4espus de la inserciZn de la agu1a, se mue!e sola, es signo de plenitud *el mas frecuente del

estancamiento de 8i+.

Siempre con la misma lH*ica E &7 ;ian* "en< *ran punto del Estoma*o y enparticular del estancamiento de los alimentos5 nos puede aportar informacionescomplementarias

• i es doloroso a la presiZn, esto significa ue casi siempre e0iste un deseuilibrio de 6stomagoy en particular un estancamiento de alimentos.

• i a la palpaciZn la "ona estU mas frRa ue el resto del abdomen se trata de un sRndrome de tipo3rRo.

• i a la palpaciZn la "ona estU mas caliente ue el resto del abdomen se trata de un sRndrome detipo de Calor.

• Cuando la agu1a esta puesta en el punto, si tiende a meterse espontUneamente, pro!ocando loue se llama 2la agu1a aspirada2 *Ii >hen+, es signo a menudo de 3rRo - HacRo.

• Cuando la agu1a estU puesta en el punto, si tiende a salirse, pro!ocando lo ue se llama 2la agu1aue empu1ada2 *4ing >hen+, es signo a menudo de Calor - #lenitud.

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cuerpo energtico.

Todo esto es para e0plicar ue algunos de estos e1emplos de 2puntos de diagnostico2 son lademostraciZn de ue el ue practica la acupuntura debe de estar atento a las grandes leyes taoRstas *yin-yang, cinco mo!imientos, 8i-hen-Bing, etc.+, ue e0presan en cada cosa, en cada acto, en cada ser, enel mismo y ue cuando son bien comprendidos interiormente y no solo intelectualmente sonobser!ables en todas partes, re!elUndose entonces como un ]til e0tremadamente poderoso.

6s por esta ra"Zn ue el diagnostico chino es en realidad muy difRcil de practicar. #ues supone ue lapersona ue lo practica ha asimilado en si mismo, en lo mas profundo de cada una de sus clulas losgrandes principios taoRstas en los ue la representaciZn del mundo y del ser humano es mas interna uee0terna, mas esotrica ue e0otrica. 6s en la combinaciZn de las fuer"as de las dos medicinas2esotrica2 y 2e0otrica2 ue la humanidad, espero, llegarU a conseguir su salud de una manera mUsefica".

San 6hen 4aPor Philippe Sionneau

TraducciHn del francFs "aria Casero Romero

IntroducciHn

#ara tratar las enfermedades psRuicas, el 4r. ao 7i han, con una e0periencia de mUs de/= aSos, utili"a un mtodo personal para apaciguar a sus pacientes. 7o llama el mtodo de las trespacificaciones *o tres apaciguamientos+. 7o emplea para tratar todo tipo de desZrdenes psRuicas talescomo el insomnio, la prdida de memoria, la agitaciZn, los espantos, las psicosis *4ian o @uang+, etc.7as tres pacificaciones corresponden a situaciones diferentes pero tambin a ni!eles diferentes degra!edad.

7El mFtodo de pacificaciHn li*era7os puntos principales son: H )= *Tian >hu+, C ? *hen 'en+, 6 / *>u an 7i+

3unciones: armoni"ar el estZmago, calmar el hen, apaciguar la in!ersiZn.

%ndicaciones: insomnio, !rtigos, confusiZn mental.

$bser!aciones: esta fZrmula estU particularmente adaptada para el insomnio acompaSado de trastornosdigesti!os. H )= *Tian >hu+ es dispersado, los otros puntos estimulados con el mtodo detonificaciZn;dispersiZn euilibrado.

& El mFtodo de pacificaciHn media

7os puntos principales son: punto pulmZn, hen 'en de la ore1a, % = *9ing Iiang+, C ? *hen 'en+,6 / *>u an 7i+.

3unciones: clarifica el pulmZn, armoni"a el estZmago, calma el hen y tranuili"a.

%ndicaciones: interrupciZn del tabaco, insomnio, tics faciales, enfermedades psRuicas.

$bser!aciones: eg]n ao 7i hen si hay calor en #ulmZn y estZmago, el hen;cora"Zn no estUcalmado a causa de este calor. 6sto produce agitaciZn;disforia y otrso desZrdenes psRuicos. Todos lospuntos son estimulados con el mtodo de tonificaciZn;dispersiZn euilibrada.

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) El mFtodo de pacificaciHn 0i*orosa

7os puntos principales son :% < *5e u+, 5 / *Tai Chong+, ' *8i 5ai+, ( )= *Iue 5ai+, 4an>hong *' )?+, H )? *e hu+, ' < *Cheng Biang+, 4' ) *3eng 3u+, 9in Tang *5' =+, 4' G*Bin uo+.

4unciones

egula 9ing y Wei, armoni"a el 8i y la sangre, apacigua y calma fuertemente el hen.

Indicaciones

4olores, insomnio, 4ian *#sicosis depresi!a+, @uang *manRa+.

Obser0aciones

4ispersar todos los puntos.

"odificacionesA partir de estas tres fZrmulas da acupuntura, ao 7i han aSade otros puntos en funciZn de lossRntomas o las causas de los desZrdenes psRuicos. 7a seleccciZn se produce seg]n los cinco parUmetrossiguientes teniendo en cuenta la situaciZn del paciente:

7 Tratar la emociHn dominante

• i el desorden toca al hRgado con la cZlera, utili"ar: 5 / *Tai Chong+ y H )G *an hu+.• i el desorden toca el cora"Zn con el e0ceso de alegrRa, risas *e0citaciZn, agitaciZn ner!iosa+

utili"ar: C ? *hen 'en+ ? H )E *Iin hu+.• i el desorden toca al ba"o con preocupaciones, utili"ar: ( / *Tai (ai+ y H = *#i hu+.

• i el desorden toca el pulmZn con triste"a, utili"ar: # F *Tai 9uan+ y H )/ *3ei hu+.• i el desorden toca los riSones con miedo, utili"ar: / *Tai Ii+ y H / *hen hu+.

Anotaremos ue ao 7i han preconi"a la utilil"aciZn del punto 9uan-3uente y (ei hu-Transporte deldorso ue tienen una acciZn directa sobre el Zrgano >ang ue acoge los cinco espRritus ue son elorigen de las cinco emociones.

& Tratar los trastornos de la conciencia

i la enfermedad estU locali"ada a ni!el de la cabe"a, del cerebro, si hay transtornos de la consciencia,de confusiZn mental, utili"ar: 4' = *(ai 5ui+ y i hen Cong *5' /)+.

6stos puntos calman el hen, abren los orificios, clarifican la cabe"a, despierta el cerebro.

) Tratar el calor

i la causa de los desZrdenes emocionales es el fuego, en particular el calor interno acumulado en los>ang 3u, utili"ar: hi Iuan *5' )+, #C / *8u >e+ y H <= *Wei >hong+. angrar los hi Iuan,despus punturar #C / *8u >e+ y H <= *Wei >hong+ y al final de la sesiZn hacer salir algunas gotas desangre de estos dos puntos.

6l calor por naturale"a agita, e0cita, estimula el hen produciendo asR di!ersos transtornos

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meilleures re!ues mdicales chinoises ui prsentent rgulirement les tra!au0 et les rsultats cliniuesde clbres praticiens. Be nDai ni in!ent ni modifi aucune formule et toute sont rputes efficientes.

7es commentaires sont parfois inspirs par les articles eu0 mme, mais le plus sou!ent sont personnels.Car gnralement les e0plications des re!ues mdicales chinoises me paraissaient 2 trop chinoises 2 outrop insuffisantes pour ue le lecteur occidental saisisse le mcanisme subtil ou lDintrt des formules.6n outre, 1Dai !oulu dans cette section e0primer mes ides, mon e0prience concernant la pratiue de la

pharmacope chinoise.

4u !en* +in;%oisson pour la mFnopause<

In*rFdients

adi0 ehmanniae *heng 4i+, )Eg, adi0 7ithospermi eu Arnebiae *>i Cao+, )Eg, amulus 7oranthieu Hisci *ang Bi heng+, )Eg, amulus Lncariae Cum Lncis *ou Teng+, )Eg, *sheng+ 3ructuserminatus 5ordei Hulgaris *'ai 9a+, )Eg, 5erba 6pimedii *9in 9ang 5uo+, )=g, adi0 Angelicaeinensis *4ang ui+, )=g, hi"oma Cyperi otundi *Iiang 3u+, )=g

"ode demploi

4coction. 3aire deu0 dcoctions par 1our a!ec les mmes substances.

4onctions

• tonifie le 9in et le 9ang des reins• disperse le foie et abaisse le 9ang• nourrit le sang et clarifie la chaleur !ide

Indications

syndrome de la mnopause due [ un !ide du 9in et du 9ang des reins, un !ide du sang du foie, unesurpression du foie et une chaleur !ide.

"odifications

• 6n cas de transpiration s! re, a1outer emen 7e!is Tritici Aesti!i *3u Iiao 'ai+, /=g.• 6n cas de fatigue, a1outer adi0 Codonopsitis #ilosulae *4ang hen+, )g.• 6n cas dDinsomnie, a1outer *chao+ emen >i"yphi pinosae *uan >ao en+, )Eg.• 6n cas de bouffes de chaleur, a1outer hi"oma Anemarrhenae Asphodeloidis *>hi 'u+, )g.

Commentaire

Cette formule apparemment simple est en fait trs complte et [ la pointe de la pratiue moderne de lamdecine chinoise. 4Jabord un constat : la mnopause est le plus sou!ent un syndrome comple0e o semlangent )- un !ide du 9in et du 9ang des reins, lJun pou!ant engendrer ou aggra!er lJautre, - un!ide du sang du foie *induit par la mnopause+ ui fa!orise une surpression du foie. 7a consuence deces deu0 dsuilibres est dJinduire une monte du 9ang du foie et;ou une chaleur !ide. (ien!idemment, il est e0trmement habituel pour le pas dire constant ue le tout soit compliu par un!ide de rate.

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ue otros en el tratamiento de una enfermedad particular. 6stas obser!aciones clRnicas pro!ocaron lautili"aciZn de un solo punto siempre y cuando ste fuera poderoso y suficiente para regular undeterminado deseuilibrio. 6sto dio origen a lo ue hoy llamamos X mtodo teraputico de acupunturay mo0ibustiZn para un punto ]nico Y *>hen Biu 4u >hong >hi 7iao+. #odrRa resumirse por: X unaenfermedad: un punto Y. 6stas agu1as X mUgicas Y *>hen 7ing+ son utili"adas actualmente por losacupuntores chinos contemporUneos. 7as han sacado de su propia e0periencia clRnica pero tambin de

la lectura atenta de los clUsicos. AsR, el &ei Bing u Wen, el >hen Biu Bia 9i Bing, el >hen Biu 4a 8uan,el >hen Biu Bu 9ing, el >hen Biu 4a Cheng, por citar sZlo a los clUsicos de acupuntura mUs conocidos en$ccidente, abundan de e1emplos de la utili"aciZn de este mtodo de punto ]nico. &o digo ue esteprocedimiento sea el me1or o el mUs esencial, sin embargo, e0isten diferentes caminos tradicionalespara aplicar la acupuntura y el mtodo de punto ]nico es sZlo uno de ellos. 7o ]nico ue me pareceimportante de retener es ue los acupuntores de la antigedad o de nuestra poca moderna subrayaronla eficacia de ciertos puntos y, en definiti!a, como facultati!o, es lo ue mUs me importa. 5eseleccionado para esta presentaciZn dos tipos de fuentes: los te0tos clUsicos y la e0periencia clRnica deacupuntores contemporUneos. 6ste artRculo constituye la segunda parte de esta e0posiciZn: lasaplicaciones contemporUneas. 4esde luego, todo esto es sZlo una ilustraciZn y no pretende sere0hausti!a.

El mFtodo del punto Gnico en los clsicos de la acupuntura

4e1aremos a cada uno el descubrir la lZgica acupuntural ue hay detrUs de la elecciZn de los puntos enlos clUsicos. e trata a menudo de elecciZn ue sale de la anatomRa y de la fisiologRa dinUmicos yrelacionales de los meridianos *y no sZlo de los meridianos regulares+, de la ley del 9in y del 9ang y delos cinco mo!imientos y de las propiedades empRricas de los puntos seg]n estos tratados clUsicos. 5eintentado elegir algunas aplicaciones de puntos ue se salRan un poco de lo normal *sin ir a lo2sensacional2+. #ara e!itar hacer pesado el te0to, sZlo me he limitado a siete clUsicos y die" citas porclUsico. AdemUs, no he precisado los capRtulos de donde han sido sacados los puntos. 'e pongo adisposiciZn de las personas ue leen chino para darles las referencias e0actas. 6s necesario tener encuenta ue he adaptado un poco el te0to al traducirlo con la finalidad de hacer estos tratados antiguosmUs legibles y comprensibles.

7 "Ftodo de tratamiento para un punto Gnico del $uan* Di Nei :in* Su en ;Cuestionesesenciales del libro interno del emperador amarillo &@@ aVos a' :C'<

• #ara la respiraciZn asmUtica, coger ( ) *9in (ai+.• #ara los o1os ro1os y dolorosos, coger *>hao 5ai+.• #ara el lagrimeo, coger H )= *Tian >hu+.• #ara el dolor de cora"Zn, coger 4' G *Bin uo+.• #ara la enfermedad de 4ian *psicosis depresi!a+, coger 4' ) *Chang 8iang+.• #ara la rigide" de la espalda y de la columna !ertebral, coger 4' ) *Chang 8iang+.• #ara el dolor muscular, coger 6 / *>u an 7i+.• #ara el dolor en el con1unto del cuerpo coger ( ) *4a (ao+.• #ara el calor de la palma de la mano, coger # ? *7ie 8ue+• #ara el dolor y adormecimiento del !ientre, *petit bassin+, coger H <= *Wei >hong+.

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& "Ftodo de tratamiento para un punto Gnico del 6hen :iu :ia +i :in* ; ibro del A%C de laacupuntura y de la mo-ibustion de $uan* 4u "i &.3 d' :C'<

• #ara el hipersomnio, coger % *6r Bian+.• #ara la tos con dolor de hipocondrios, coger H( << *>u 8iao 9in+.• #ara la locura, la di!agaciZn !erbal, la cZlera, coger ' )< *Bu 8ue+.• #ara la fiebre y los escalofrRos y cefalea como si la cabe"a se fendait, coger 6 G *Tou Wei+.• #ara el dolor del hombro ue se irradia hacia la nuca, coger 6 ) *8ue #en+.• #ara el cuerpo pesado y los huesos dolorosos, coger ( / *Tai (ai+.• #ara el miedo, la triste"a y la falta de alegrRa, cara caliente, sed, coger 5 *Iing Bian+.• #ara los borborigmos acompaSados de dolor, coger % ? *Wen 7iu+.• #ara la lumbalgia con dificultad de e0pulsar las heces, coger H // *>hong 7iao+.• #ara las hemorroides dolorosas, coger H *>an >hu+.

) "Ftodo de tratamiento para un punto Gnico del Shen* :i 6on* u ;ColecciHn *eneral de lasabia asistencia manual oficial de acupuntura de la escuela de medicina imperial en la dinastKaSon* entre 77777771<

• #ara la tos con dolor en los dos hipocondrios, coger 5 / *Tai Chong+.• #ara la tos con dolor en el hipocondrio derecho, coger ( / *Tai (ai+.• #ara la tos con dolor en lumbares y espalda, coger ( / *Tai Ii+.• #our la tou0 a!ec douleur cardiaue, prendre C ? *hen 'en+.• #ara la tos con flatulencias, coger %4 G *Iiao 5ai+.• #ara la tos con prdida de orina, coger H <= *Wei >hong+.• #ara la tos con !Zmitos, coger 6 / *>u an 7i+.• #ara la tos con !Zmitos de lRuidos amargos, coger H( /< *9ang 7ing 8uan+.• #ara el dolor pungiti!o en el pecho, coger, 6 <= *3eng 7ong+.• #ara un (i del pecho ue irradia hacia la espalda, coger #er E *Bian hi+.

, "Ftodo de tratamiento para un punto Gnico del 6hen :iu 6i Shen* :in* ;ibro de e-perienciasen acupuntura y mo-ibustion de an* 6hi 6hon* 7&&@<

• #ara la triste"a y el miedo, coger C < *7ing 4ao+.• #ara el dolor coupante en los intestinos, coger )? *hang 8u+.• #ara la dilataciZn de los cinco tipos de hemorroides, coger H E< *>hi (ian+.• #ara las heces irregulares, coger H <? *5un 'en+.• #ara las micciones difRciles con !ientre *petit bassin+ dilatado,coger ' *8u u+.• #ara la anuria, coger 5 G *8u 8uan+ o 5 *Iing Bian+.• #ara el HacRo de los >ang 3u, coger ' *8i 5ai+.• #ara el agotamiento con adelga"amiento con espermatorrea, coger H </ ao 5uang hu+.• #ara una polifagia y delgade" del cuerpo, coger H = *#i hu+.• #ara los cinco 7in *estrangurias+, coger ? *3u 7iu+ o ' / *>hong Bi+ o ' *8u u+.

. "Ftodo de tratamiento para un punto Gnico del 6hen :iu Da =uan ;Somme de acupuntura ymo-ibustion de ?u 4en* 7,)3<

• #ara la rigide" de la nuca, coger ' < *Cheng Biang+.

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• #ara la ictericia, coger %4 < *Wan u+.• #ara el dolor de detrUs del talZn, coger H ) *#u Can+.• #ara los cinco dedos ue no se despliegan, coger B / *>hong >hu+.• #ara el (a"o frRo y el dolor de estZmago, coger ( < *ong un+.• #ara las piernas y las rodillas hinchadas, coger H ? *>hi 9in+.• #ara el dolor del abdomen en la "ona del ombligo, coger ( )= *9in u+.• #ara el dolor de dientes, coger / *Tai Ii+.• #ara los dos hombros difRciles de emplear, coger H( ) *Bian Bing+.• #ara el dolor de cora"Zn y las manos temblorosas, coger C / *hao 5ai+.

/ "Ftodo de tratamiento para un punto Gnico del 6hen :iu :u +in* ;Rassemblement de flores dela acupuntura y mo-ibustion de !ao u 7.&3<

• #ara el parto difRcil, coger *>hao 5ai+.• #ara las heces con sangre, coger # ? *7ie 8ue+.• #ara el hombro frRo, coger H *hen 'ai+.• #ara la transpiraciZn nocturna incesante, coger %4/ *5ou Ii+.• #ara el entumecimiento, dolor y la falta de fuer"a en las manos y los pies, coger B E *Wai

uan+.• #ara la mano y el pie ue no pueden ser ele!ados despus de un >ong 3eng *A. H. C.+, coger H(

<) *>u 7in 8i+.• #ara el arro" y los cereales ue no son transformados, coger #er *&ei uan+.• #ara los nue!e tipos de dolores cardRacos, coger ( < *ong un+.

1 "Ftodo de tratamiento para un punto Gnico del 6hen :iu Da Chen* ;!randes F-itos de laacupuntura y de la mo-ibustion de +an* :i 6hou 7/@7<

• #ara el e0ceso de refle0iZn, coger 4' = *(ai 5ui+.• #ara las pesadillas, coger ( E *hang 8iu+.• #ara las heces y la orina ue no circulan, coger ' ) *>hong Wan+.• #ara el edema de la cara, coger 6 <E *7i 4ui+.• #ara los pies frRos como el hielo, coger H / *hen hu+.• #ara el dolor lumbar ue impide la posiciZn !ertical, coger H EF *3u 9ang+.• #ara la te" ro1a con tos calor, coger B *>hi ou+.• #ara el cuerpo caliente *fiebre+ con transpiraciZn, coger ( *4a 4u+.• #ara los senos hinchados y dolorosos, coger H( <) *>u 7in 8i+.• #ara las dos piernas ue estUn como el hielo, coger 6 // *9in hi+.

Spleen 4lo(chart

Lsed with permission from >ang 3u yndromes, (y 'c4onald and #enner.

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The i0erThe 2imple 8uestions2 says in chapter G that 2The +iver is li0e an armys general from !hom the strategy is #erive#H&

4unctions

). tores (lood. . 6nsures the smooth flow of 8i. /. Controls the sinews. <. 'anifests in the nails. E. $pens into the eyes. . 5ouses the 6thereal oul.

i0er Patholo*ies

?U%OT$ ?U and S$I

4EATURESS$I

$EAT7%H 9%& IL 7%H 9%& IL W%T5 7%H

9A& %%&

7%H 3%6 37A%& L#

4A'#-56AT %& 7%H;(

6IT6'6 56AT 6&6AT6W%&4

7%H 9A& TA&3$' %&T$

W%&4

NEIT$ER $EATNOR COD

7%H (7$$4IL 7%H (7$$4 IL

6&6AT6 W%&47%H 8% TA&AT%$&

COD C$74 TA&AT%$& %& T56

7%H C5A&&67

Patholo*y 4lo(chart

Click on the following image for a flowchart of 7i!er #athologies.

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The #idneyThe kidneyDs are the foundation for all the 9in and 9ang energies of the body.

4unctions

). tore 6ssence and go!ern birth, growth, reproduction and de!elopment . #roduce marrow, fill up the brain and control bones. /. o!ern Water <. Control the reception of 8i E. $pen into the ears . 'anifest in the hair ?. Control the two lower orifices G. 5ouse Will #ower.

#idney Patholo*ies

?U%OT$ ?U and S$I4EATURES

S$I

$EAT @% 9%& IL@% 9%& IL W%T5 3%637A%&

NEIT$ER $EAT NOR COD@% B%&%&L33%C%6&T

COD @% 9A& IL Patholo*y 4lo(chart

Click on the following image for a flowchart of @idney #athologies.

8/13/2019 acuntur


The #idneyThe kidneyDs are the foundation for all the 9in and 9ang energies of the body.

4unctions

). tore 6ssence and go!ern birth, growth, reproduction and de!elopment . #roduce marrow, fill up the brain and control bones. /. o!ern Water <. Control the reception of 8i E. $pen into the ears . 'anifest in the hair ?. Control the two lower orifices

G. 5ouse Will #ower. #idney Patholo*ies

?U%OT$ ?U and S$I4EATURES

S$I

$EAT @% 9%& IL@% 9%& IL W%T5 3%637A%&

NEIT$ER $EAT NOR COD@% B%&%&L33%C%6&T

COD @% 9A& IL Patholo*y 4lo(chart

Click on the following image for a flowchart of @idney #athologies.

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The un*2The imple 8uestions2 in chapter G says that 2The +ungs are li0e a Minister from !hom poli'ies are issue#2.

4unctions

). o!ern 8i and respiration . Control channels and blood !essels /. Control dispersing and descending <. egular water passages E. Control skin and hair . $pen into the nose ?. 5ouse the Corporeal oul.

un* Patholo*ies

?US$I

ind Phle*m

$EAT 7L 9%& IL W%&4-56AT ATTAC@ 7L#576'-56ATC$&6T 7L

NEIT$ER $EATNOR COD

7L 8% IL*'ay be cold+

W%&4-49&6 ATTAC@ 7L*'ay be 5eat or Cold+

COD 7L 8% IL W%&4-C$74 ATTAC@ 7L#576'-4A'#$(TLCT 7L

Patholo*y 4lo(chart

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The $eart

The heart is considered the be the most important of all the internal organs with is main functions of go!erning blood andblood !essels and housing the mind.

4unctions

). o!erns (lood. . Controls the (lood !essels. /. 'anifests in the comple0ion. <. 5ouses the mind. E. $pens into the tongue. . Controls sweat.

$eart Patholo*ies

?U S$I

$EAT

5T 9%& IL

5T 3%6 37A%& L#

Phle*m

#576'-3%6 4%TL( 5T

NEIT$ER $EAT NORCOD

5T (7$$4IL

5T 8% IL

5T (7$$4TA&AT%$&

#576' C$&3L6 5T$%3%C6

#576' $(TLCT 5T$%3%C6

COD 5T 9A&IL Patholo*y 4lo(chart

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The PericardiumThe 2piritual A0is2 in chapter ?) says 2The -eart is the Ruler of the I Yin rgans an# K Yang organs$ it is the resi#en'e ofthe Min# an# it is so tough that no pathogeni' fa'tor 'an ta0e hol# in it& 2f the -eart is atta'0e# "y a pathogeni' fa'tor$ the

Min# suffers$ !hi'h 'an lea# to #eath& 2f a pathogeni' fa'tor #oes atta'0 the -eart it !ill "e #eviate# to atta'0 the Peri'ar#ium instea#& /or this reason$ the -eart 'hannel has no Stream Transporting Point 2.

The 2imple 8uestions2 in chapter G says 2The Peri'ar#ium is the am"assa#or an# from it Loy an# happiness #erive2.

4unctions

). o!erns (lood *with the heart+ . 5ouses the 'ind *with the heart+

The Stomach

The tomach is the origin of all 8i and blood produced after birth *#ost-5ea!en 8i+.

4unctions

). Controls the 2otting and ipening2 of food. . Controls the transportation of food essences. /. Controls the descending of 8i. <. $rigin of fluids'

Stomach Patholo*ies ;Detailed<

Click on any of the following tomach #athologies for detailed information.

IL(oth IL and 5% 5%

56AT T$'AC5 9%& IL T$'AC5 3%6 (7A>%&

&6%T5656AT&$ C$74

T$'AC5 8% IL

3$$4 TA&AT%$& %&T$'AC5

(7$$4 TA&AT%$& %&T$'AC5

C$74T$'AC5 9A&IL

6T6&T%$& $3 37L%4%&T$'AC5 4L6 T$

C$74 #6&6TAT6T$'AC5 A&4 %&T6T%&6

http://www.acupuncture.com.au/education/zangfu/stomach_yinxu.html

http://www.acupuncture.com.au/education/zangfu/stomach_fire.html

http://www.acupuncture.com.au/education/zangfu/stomach_qixu.html

http://www.acupuncture.com.au/education/zangfu/stomach_foodstagnation.html


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C$74

T$'AC5 IL W%T5TA&AT%$& $3C$74

Patholo*y 4lo(chart

Stomach +in ?u ;Deficiency<

Lsed with permission from >ang 3u yndromes, (y 'c4onald and #enner.

6tiology Clinical 'anifestations

Complications Associated Western Conditions 4ifferential 4iagnosis Treatment #rinciple Common Acupuncture #oints Common 5erbal 3ormulae

Etiolo*y60ternal #er!erse 5eat that has not been cleared from T damages T 9in.

Chronic disease damages T 9in. 60cessi!e or prolonged !omiting damages T 9in.

# and T 4amp-5eat damage T 9in.

Clinical "anifestations

Symptoms especially e0ident upon (a9in*Hague epigastric pain'outh and throat dry but with no desire to drink

Symptoms e0ident at any time&o appetite or %rritability with low grade fe!er3amished but with no desire to eat 'aybe dry retching orAbdominal distention after meals 5iccoughs4ry stools

T: ed









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C: 7ittle and dry#: Thready and rapidComplications

T 9in Iu freuently occurs with # 9in Iu, especially after prolonged !omiting with diarrhea, because !omiting depletesT 3luids while diarrhea drains # 3luids.

Associated estern ConditionsChronic gastritis Con!alescent stage ofa febrile disease4iabetes mellitus astric neurosis

Differential Dia*nosisT 9in Iu and # 9in Iu are !ery similar. When # 9in Iu occurs together with T 9in Iu there is:

3amished but with no desire to eat 6maciation 3atigue and physical weakness

These symptoms occur because # rules the flesh *emaciation+, the four limbs *fatigue and weakness+ and appetite *nodesire to eat+.

%f # 9in Iu occurs with no in!ol!ement of T 9in Iu, there is no dry retching, hiccoughs *T 8i Contra!ention+ or

epigastric pain *T pain+.T 9in Iu may be differentiated from T 3ire (la"ing by the following:

ST +in ?u ST 4ire %lain*

Hague epigastric pain 6pigastric burning and pain

4ry mouth but no thirst reat thirst for cold drinks

&o appetite or 5ungers easily and eats a lot

3amished with no desire to eat Homiting sour fluid

4ry retching ingi!itis, bad breath

T: ed T: ed

C: 7ittle and dry C: Thick, yellow and dry

#: Thready and rapid 6pigastric burning heat andpain #: lippery, big, hi and rapid

Treatment Principle&ourish 9in and &ourish T.

Common Acupuncture PointsL() *Weishu+ - (ack-hu point for T.

6&) *>hongwan+ - 3ront-'u point for T.

@%/ *Tai0i+ - 9uan-ource point of the @% channel: reinforces @% 9in which is the source of all 9in of the body - for drymouth.

# *anyin1iao+ - 'eeting point of the Three 7eg 9in channels.

T/ *>usanli+ 7ower 5e-ea point of the T channel: regulates # ; T.

Common $erbal 4ormulaeha hen 'ai 'en 4ong Tang ; 4ecoction of lehnia ; Adenophora and $phiopogonis

9i Wei Tang plus or minus ; (enefit the tomach 4ecoction with !ariations

The 4i0e Anti>ue ;Transportin*< Points

3i!e points per channel, important in fi!e element applications. 7ocated between the elbow andfingertips or knees and toes.

http://www.acupuncture.com.au/education/acupoints/UB21.html


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6lement

*9in+

Wood 3ire 6arth 'etal Water6lement

*9ang+

'etal Water Wood 3ire 6arth

Bing

Well

9ing

pring

hu

tream

Bing

i!er

5e

ea

Bing

Well

9ing

pring

hu

tream

Bing

i!er

5e

ea

7L 7L)) 7L)= 7LF 7LG 7LE C$ C$) C$ C$/ C$E C$))

# #) # #/ #E #F T T<E T<< T</ T<) T/

5T 5TF 5TG 5T? 5T< 5T/ % %) % %/ %E %G

@% @%) @%/ @%/ @%? @%)= L( L(? L( L(E L(= L(<=

#C #CF #CG #C? #CE #C/ B B) B B/ B B)=

7%H 7%H) 7%H 7%H/ 7%H< 7%HG ( (<< (</ (<) (/G (/<

:in*ell Points

The point at !hi'h the 1i emanates&

'eridians start at Bing-Well points. They are located on the fingers and toes of the four e0tremities.

Bing means DwellD. %ndications are to re!iew consciousness, fullness in the chest *below the heart+mental disorders related to the 9in organs and disease of the 9ang.

+in*Sprin* Points

The point at !hi'h the 1i gli#es&

These points are located distal to the metacarpophalangeal 1oints or metatarsophalangeal 1oints and areused for febrile diseases. %n the 9in meridians, the 9ing-pring point belonds to the 3ire 6lement. Thismeans that it may be !ery useful in the treatment of releasing heat from its related meridian or organsystem. Also used for heat in body, changes in colour, disease of 9ang channels, disease of the >ang.

ShuStream Points

The point at !hi'h the 1i pours through&The hu-tream point in 9in organs is also what we refer to as 9uan-ource points. This means that thestimulation of this point is able to build strength and energy in its related meridian or organ system.These points are located pro0imal to the metacarpophalangeal 1oints or metatarsophalangeal 1oints andare used for disorders related to hea!iness in the body, painful 1oint conditions and disease whichattacks intermittently.

:in*Ri0er Points

The point at !hi'h the 1i flo!s&

These points are located around the 1oints of the wrists or ankles and are used for cough and asthmadue to pathogenic cold and heat, chills and fe!er, disease manifesting as changes in the persons !oice,disease of sinews and bones.

$eSea Points

The merge of rivers Loining an# emptying into the sea&

These points are located around the 1oints of the elbows or knees. These points are indicated forper!erse *counterflow+ 8i flow such as diarrhea. Also used for disease of the stomach and disordersresulting from irregular eating or drinking, disease of the skin *9ang 5e-ea points only+.

?iCleft Points

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Where the 8i and (lood gather more deeply.

+uan Source Points

$riginal 8i surfaces and lingers.

ST)/ ;Stomach )/< Acupuncture Point Information

Chinese Name: >usanli

En*lish Name: 7eg Three 7i

ocation: / cun below 4ubi *T/E+, one finger-breadth from the anterior crest of the tibia.

Nature

7ower 5e-ea point of the tomach Channel, )st of 'a 4an 9angDs Twel!e tars, treat abdominallywith >usanli *upper and lower adbomen+: 3our 4ominant #oints ong.

4unctions

trengthens the pleen, 5armoni"es the pleen and tomach, 5armoni"es the intestines and clearsfood stagnation, makes contra!ecting 8i descend and stops !omiting, regulates 8i and (lood,reinforces Iu conditions generally, eliminates 4ampness, transforms #hlegm, pre!ents disease*enhances immune function+, breaks up blood stagnation in the chest.

Primary Indications

%ndigestion, abdominal distension;pain, borborygmus, constipation, knee and shin ache *(i syndrome+.

Tertiary Indications

tomach pain, gastric ulcer, !omiting, diarrhea, dysentry, cholera, hemiplegia, paralysis *Weisyndrome+, mastitis;breast abcess, Iu emaciation;fatigue, mental disorders *psychosis, neuraesthenia+,di""iness;!ertigo, edema, foot swelling;limb swelling, ascites, lin syndrome *dysuria+, urinaryincontinence, hypertension;hypotension, epilepsy, cough;asthma, eye disorders, tinnitus, headache,

fe!er, poor appetite, pain, low back pain, tonsillitis *throat (i+, fullness in chest;ribs and abdomen,appendicitis, health enhancement, heart pain.

Other Indications

'ute, all mouth problems, bitter taste in mouth, swelling of lower 1aw, torticollis, ateriosclerosis,cannot swallow food, 9in problems in stomach, childhood nutritional impairment, hiccough,inflammation of abdomen, small intestine, intestinal tuberculosis, sensations of strong heat in abdomen, 1aundice, acute pancreatitis, anaemia, renal (i syndrome, diseases of reproducti!e system, post-partumsyncope, shock, hernia, allergies.

References

This information is from the book Acupuncture #oint 4ynamics and has been used with permissionfrom the author Bohn 'c4onald.

8ie( other points on the Stomach channel

*T), T, T/, T<, TE, T, T?, TG, TF, T)=, T)), T), T)/, T)<, T)E, T), T)?, T)G, T)F, T=, T), T, T/, T<, TE, T, T?, TG, TF, T/=, T/), T/, T//, T/<, T/E, T/, T/?, T/G,T/F, T<=, T<), T<, T</, T<<, T<E+

The !all %ladder

The 2imple 8uestions2 says in chapter G that 2The Gall Bla##er is the upright offi'ial that ta0es #e'isionsH&



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4unctions

). tores and e0cretes bile. . Controls 1udgement. /. Controls the sinews

!all %ladder Patholo*ies

?U S$I$EAT ( IL 56AT

4A'#-56AT %& 7%H;(

COD

Patholo*y 4lo(chart

The Urinary %ladderThe 2imple 8uestions2 says in chapter G that 2The Bla##er is li0e a #istri't offi'ial$ it stores the flui#s so that they 'an "ee%'rete# "y its a'tion of 1i transformationH&

4unctions

). emo!es water by 8i transformation.

Urinary %ladder Patholo*ies

?U S$I

$EAT 4A'#-56AT %& L(

CODL( 8% IL *@i 8i &ot Consolidated+

Patholo*y 4lo(chart

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The Colon ;ar*e Intestine<The main function of the colon is to recei!e food and drink from the small intestine.

4unctions

). ecei!e food and drink from the small intestine.

Colon Patholo*ies

?U S$I

$EAT463%C%6&C9 $3 37L%4 %& T56C$7$&

C$7$& 56AT

C$7$& 5% *5eat @nots the

%ntestinal #assage+

4A'#-56AT %& C$7$&

%&T6T%&A7 A(C6*Appendicitis+

COD

C$7$& IL W%T5 7%##69#$7A#6

C$7$& C$74 *Cold @nots the Colon

C$74-4A'# %& T56 C$7$&*Cold-4amp 4istressing the #+

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The Small IntestineThe 2imple 8uestions2 says in chapter G that 2The Small 2ntestine is the offi'ial in 'harge of re'eiving$ "eing fille# an#

transforming2.

4unctions

). Controls recei!ing and transforming. . eperates fluids.

Small Intestine Patholo*ies

?U S$I

$EAT % 5% 56AT

COD% IL C$74 *# 9ang Iu+ % 8% #A%&

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The San :iao ;Triple $eater<an Biao is officially one of the 9ang organs although there has been much debate as to whether it is an actual organ or afunction. The functions of the an Biao will be shown from three different !iewpoints.

4unctions ;as a +an* or*an<

The 2imple 8uestions2 in chapter G says 2The Triple Burner is the offi'ial in 'harge of irrigation an# it 'ontrols the !ater passages2.

). 6nsuring the free passage *making things go through+

4unctions ;as an a0enue for ori*inal =i<

The Classic of 4ifficulties states that the $riginal 8i resides in the lower abdomen, between the two @idneys, it spreads tothe E 9in and 9ang organs !ia the Triple (urner, it then enters the ) primary channels and emerges at the 9uan ourcepoints.

4unctions ;As three di0isions of the body<

The Lpper (urner is like a mist

The 2piritual A0is2 in chapter /= says 2The )pper Burner opens out!ar#s$ sprea#s the I tastes of the foo# essen'es$ perva#es the s0in$ fills the "o#y$ moistens the s0in an# it is li0e mist2.

The 'iddle (urner is like a maceration chamber

The 2piritual A0is2 in chapter )G says 2The Mi##le Burner is situate# in the Stoma'h&&& it re'eives 1i$ e%pels the !astes$steams the "o#y flui#s$ transforms the refine# essen'es of foo# an# 'onne'ts up!ar#s !ith the +ungs2.

The 7ower (urner is like a ditch.

The 2piritual A0is2 in chapter )G says 2 /oo# an# #rin0 first enter the stoma'h$ the !aste pro#u'ts go to the large intestinein the +o!er Burner !hi'h oozes #o!n!ar#s$ se'retes the flui#s an# transmits them to the "la##erH.

8/13/2019 acuntur


!host Pointshost #oints *ui0ue+ listed by un i-'iao in the book 8ian Bin 9ao 3ang *#rescriptions worth aThousand old 4ucats+ for the treatment of psychosis *4iankuang+ and epilepsy *4ian0ian+.

En*lish NamePoint

host #alace 4L

host Con!incing 7L))

host 3ortress #)

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http://www.acupuncture.com.au/education/acupoints/DU26.html




















8/13/2019 acuntur


host 5idden 6&)

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The Contraindicated ;4orbidden< PointsThe following points ha!e been traditionally considered forbidden to use during the nine months ofgestation *pregnancy+ with any techniue. This is due to their o0ytocic effect *ability to induce labor bystimulating contractions of the muscles of the uterus+.

4orbidden Point

C$<

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L(/)

L(/

L(//

L(/<

L(=

L(?

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4urther readin*

4ale A. The contraindicated *forbidden+ points of acupuncture for needling,

Tam $ealin* and Ton* Ren Therapy forArthritis

ubmitted by yyhstaff on 3ri, =/;=<;=)) - )):<am

The areas and points listed below are those that are commonly found blocked in people with arthritis.













http://www.yinyanghouse.com/user/1















8/13/2019 acuntur


While there are some clinical differences between rheumatoid and osteo arthritis, our treatmentsgenerally are the same. We direct the treatment primarily towards the auto-immune aspects which wefeel are an important aspect of all types of arthritis. The system focuses on the scalp and 5uatuo1ia1i points along the spine. 9ou may use acupuncture, massage and;or the tong ren to focus on the followingareas for healing. 3or details about the system consider reading Tong en Therapy: (eyondAcupuncture. A full list of conditions with treatment points is a!ailable in A 7a"y (umDs 5ealing: Tong

en Therapy Cross eference - both are a!ailable in our book store:• "ain Points • C? - 5uatuo area - #arathyroid land, calcium metabolism, circulation into arms, hands.• T) - 5uatuo area - (one 'arrow, circulation into arms, hands.• T - 5uatuo area - Thymus land• T/ - 5uatuo area - 7ung;7ymph ystem *Collecti!ely T), T, and T/ balance the immune

system, useful for all immune and auto-immune based conditions+• L( - regular the pituitary and hypothalamus• Ashi, 2$uch2 points - where the person e0periences the most discomfort• ( = - Clear wind from the head, open circulation to and from the brain•

@4 - $pen circulation in the chest, promote acti!ity of T), T, T/ huatuo points• Secondary Points • T? - 5uatuo area - pleen and Abdominal (lood Hessels - used for any condition that tra!els

within or is in!ol!ed with the blood, circulation in the lower body.• H - mo!ement issues, resol!e 2wind2 in the body from a TC' perspecti!e.• T ) - stimulate subcla!ian artery - circulation on the shoulders, arms, wrist and hands.• T5 E - regular muscle;tendon;1oint problems in the body, more helpful for arthritis in the upper

body.• ( /< - regulate muscle;tendon;1oint problems in the body, !ery helpful for arthritis in the

lower body.

Tong en Therapy is a form of energy healing de!eloped by the prominent (oston area acupuncturistand healer, 'aster Tom Tam. Tong en was originally de!eloped to aid in the treatment of cancer, buthas been e0tended to treat a broad range of conditions. Tong en classes are now offered around theworld.

The clinical success of Tong en Therapy is due in part to the precise and scientific focus on particularareas of the body for a particular condition. The Tam 5ealing ystem utili"es information from bothwestern and eastern medicine as well as a !ast amount of clinical e0perience to de!elop these treatmentprotocols.

5ome Acupuncture #oints 'eridians L(

http://www.yinyanghouse.com/acupuncturepoints/x-huatuojiaji


http://www.yinyanghouse.com/tongren/tongren_therapy_books_supplies#tongbeyondacu


http://www.yinyanghouse.com/tongren/tongren_therapy_books_supplies#lazybum


http://www.yinyanghouse.com/tongren/tongren_therapy_books_supplies

http://www.yinyanghouse.com/acupuncturepoints/ub6

http://www.yinyanghouse.com/acupuncturepoints/gb20

http://www.yinyanghouse.com/acupuncturepoints/kd26

http://www.yinyanghouse.com/acupuncturepoints/gv22

http://www.yinyanghouse.com/acupuncturepoints/st12

http://www.yinyanghouse.com/acupuncturepoints/th5


http://www.yinyanghouse.com/tongren/introduction_to_tongren_therapy


http://www.yinyanghouse.com/tongren/directory_of_classes


http://www.yinyanghouse.com/

http://www.yinyanghouse.com/acupuncturepoints/locations_theory_and_clinical_applications


http://www.yinyanghouse.com/acupuncturepoints/bladder_meridian_graphic
















http://www.yinyanghouse.com/




8/13/2019 acuntur


;U%< Urinary %ladder "eridian Point4unctions Chart

9ou may click on a specific acupuncture point for more detailed information including the location,functions, precautions and the chinese and english names.

#oints 3unctions

L( ) eye problems from e0cess, wind a;or heat, pain, swelling, blurred !ision

L( sinus issues, allergies red, itchy eyes headache

L( ? restore 8i flow with the head nose issues, congestion, sinusitis

L( )= sea of 8i window of the sky stiff neck v shoulders

L( ))hui meeting of the bones sea of (lood bone a;or 1oint disorders, arthritis upper respiratoryinfections, cold, flu tonify bone marrow, anemia

L( ) wind disorders tonify wei iL( )/ 7L hu lung disorders, cough, asthma, $( body fluids, skin disorders grief, sadness

L( )< #C hu heart issues, palpitations, an0iety 1ue yin, 7H 8i stagnation effecting chest

L( )E 5T hu heart a;or spirit issues, insomnia night sweats from deficient 8i or 9in

L( ) H hu hot skin disorders, acne, boils

L( )?4iaphragm hu hui meeting of the (lood nourish (lood, four flowers w;L( )F menstrualissues from deficient (lood skin issues, red, itchy

L( )G7H hu 7H organ issues, hepatitis, 1aundice eye issues, dryness, redness emotionalimbalances, anger subcostal a;or hypochondriac tension;pain

L( )F ( hu shao yang le!el diseases, alternating fe!er v chills 7H;( damp-heat issues,hepatitis, 1aundice nourish (lood, four flowers w;L( )? pain along the sides of the body

L( = # hu spleen issues, digestion, prolapse, reckless bleeding

L( ) T hu stomach issues, food stagnation, !omiting, accumulations

L( T5 hu water disorders esp. between middle and lower 1iaos, bloating, urinary retention

L( /@4 hu male se0ual issues, impotence female se0ual and reproducti!e issues, infertility @49ang deficiency breathing issues, @4 grasp the 8i acute;chronic low back pain ear issues,tinnitus, deafness

L( < ea of 8i hu back pain

L( E 7% hu back pain w;constipation a;or period intestinal issues, constipation, diarrhea

L( 9uan 8i torage hu low back pain

L( ?% hu % damp-heat issues, diarrhea, dysentary damp-heat urinary issues, painful urination,cystitis

L( GL( hu urinary bladder issues, painful, dark urination, incontinence, freuent urination riddampness in the body through urination w;# F

L( /=White ing hu gynecological issues from @4 8i;9in deficiency, !aginal discharge,menstrual issues





http://www.yinyanghouse.com/acupuncturepoints/point_categories#fourseas

http://www.yinyanghouse.com/acupuncturepoints/point_categories#windowsky


http://www.yinyanghouse.com/acupuncturepoints/point_categories#huimeeting




http://www.yinyanghouse.com/acupuncturepoints/point_categories#backshu


































http://www.yinyanghouse.com/acupuncturepoints/sp9



















































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L( /) one of the eight liao genito-urinary, lower back, sacrum issues, sciatica, lumbosacral pain

L( /one of the eight liao used most often induce labor, ease labor pain menstrual issues, bloodstagnation, discharges

L( // one of the eight liao genito-urinary, intestinal issues

L( /< one of the eight liao genital and intestinal issues

L( /E hemorrhoids coccy0 trauma, de!iation, painL( / low back pain tonify elderly patients, weak legs

L( /F lower he sea of T5 damp-heat in the lower 1iao, difficult urination urinary incontinence

L( <=he sea lower he sea of L( lumbar command point acute low back issues skin diseases, red,itchy, inflammed mo!es fluids, lower body edema

L( < reinforce L( )/ 7L hu, cough, asthma drains heat from the E "ang

L( </Hital egion hu tonify weakness and deficiency, fatigue, chronic illness, difficult to curediseases deficient 7L issues, asthma

L( << reinforce L( )E 5T hu, spirit disorders, insomnia

L( <? reinforce L( )G 7H hu local back, chest, rib painL( <F reinforce L( = # hu disperse dampness;damp-heat, wasting v thirsting disorder

L( Ereinforce L( / @4 hu tonify @4 Bing, 9in, 9ang, incontinence, infertility, impotence locallow back pain

L( E< sciatica, lumbosacral pain E 7in painful urinary dysfunction

L( E? hemorrhoids from e0cess or deficiency local calf pain heel and foot pain

L( EGluo connecting release the e0terior, neck pain and stiffness chronic low back pain 2e0cessabo!e, deficiency below2, weak low back with stiff neck

L( EF 0i cleft resol!e i stagnation effecting mobility lateral ankle sprain

L( = 1ing ri!er headache chronic low back pain, pain along L( channel induce labor, e0pelplacenta

L( yang iao master, couple with H master *% /+ insomnia wind in head;face, stroke, facialparalysis wind-cold, chills and fe!er w;% / low back pain

L( ? 1ing well clear stagnation from opposite end of channel, !erte0 headache ad1ust breech fetus

Tam $ealin* and Ton* Ren Therapy forCerebral Palsy

ubmitted by Chad 4upuis on 3ri, =);=?;=)) - /:)Gpm


The clinical success of Tong en Therapy is due in part to the precise and scientific focus on particular









http://www.yinyanghouse.com/acupuncturepoints/point_categories#commandpoints
















http://www.yinyanghouse.com/acupuncturepoints/point_categories#luoconnecting


http://www.yinyanghouse.com/acupuncturepoints/point_categories#xicleft


http://www.yinyanghouse.com/acupuncturepoints/theory_fiveshu


http://www.yinyanghouse.com/acupuncturepoints/point_categories#mastercouple

http://www.yinyanghouse.com/acupuncturepoints/si3















































8/13/2019 acuntur


areas of the body for a particular condition. The Tam 5ealing ystem utili"es information from bothwestern and eastern medicine as well as a !ast amount of clinical e0perience to de!elop these treatmentprotocols.

The areas and points listed below are those that are commonly found blocked in people with cerebralpalsy. The system focuses on the scalp and 5uatuo1ia1i points along the spine. 9ou may useacupuncture, massage and;or the tong ren to focus on the following areas for healing. 3or details about

the system consider reading Tong en Therapy: (eyond Acupuncture. A full list of conditions withtreatment points is a!ailable in A 7a"y (umDs 5ealing: Tong en Therapy Cross eference - both area!ailable in our book store:

• "ain Points • T) - bone marrow, immunity• T - thymus gland, immunity• C) - effect ner!es to motor corte0, de!elopment and communication between head and body• C - effect ner!es to frontal lobe, de!elopment and communication between head and body• T5 ) - sky window point, foster circulation to brain, de!elopmental issues• 7% )? - sky window point, foster circulation to brain, de!elopmental issues

• Secondary Points • H )F - used to help balance hormonal related issues as well as subconscious patterns• H = - motor corte0 area of the brain, coordination, de!elopment• Tiandong - sky window point, impro!e the circulation between the head and the body• L( F - medulla area, control circulation, blood pressure, de!elopment

Tam $ealin* and Ton* Ren Therapy forEndometriosis



The areas and points listed below are those that are commonly found blocked in people with

endometriosis. The system focuses on the scalp and 5uatuo1ia1i points along the spine. 9ou may useacupuncture, massage and;or the tong ren to focus on the following areas for healing. 3or details aboutthe system consider reading the Tom Tam 5ealing ystem te0t. A full list of conditions with treatmentpoints is a!ailable in A 7a"y (umDs 5ealing: Tong en Therapy Cross eference - both are a!ailable inour book store:

• "ain Points • T? *both, or side most sore, usually right+ - effect the abdominal blood !essels for blood

circulation;stasis issues.







http://www.yinyanghouse.com/acupuncturepoints/li17




http://www.yinyanghouse.com/acupuncturepoints/x-tiandong









http://www.yinyanghouse.com/tongren/tongren_therapy_books_supplies#healingsystem













http://www.yinyanghouse.com/acupuncturepoints/x-tiandong









8/13/2019 acuntur


• 7) *both, or side most sore+ - 6ffect the adrenals, !aginal circulation and se0 organs.• 7/ *both, or side most sore+ - 6ffect the function of the o!aries.• CH <• Secondary Points • # - Tonify o!erall i and blood in the body.• H 6ffect unconscious brain acti!ity

The !ertebrae are separated into the cer!ical *2C2 - neck+, thoracic *2T2 - upper back+, lumbar *272 -lower back+, and sacral *22 - sacrum+ regions.

(elow you will find the location and functions of the huatuo 1ia1i points as we use them within oursystem:

• Cer0ical 8ertebrae ;Nec9<• C) - Top of the 5ead• C - 3orehead• C/ - 6ye, inus, 6ar• C< - 'outh, Cheek Chin•

CE - 7aryn0, #haryn0• C - Thyroid land• C? - #arathyroid land• Thoracic 8ertebrae ;Upper and "id %ac9<• T) - Windpipe, (one 'arrow• T - (ronchus, Thymus land• T/ - 7ung, 7ymph• T< - (reast, weat land, 5air 3ollicle• TE - 5eart *7+, #ericardium *+• T - 4iaphragm•

T? - pleen *7+, Abdominal (lood Hessel *+• TG - 6sophagus *7+, #ancreas *+• TF - tomach *7+, 7i!er *+• T)= - all (ladder *7+, (ile 4uct *+• T)) - mall %ntestine• T) - Trans!erse Colon• umbar 8ertebrae ;o( %ac9<• 7) - Adrenal land, Testis, Hagina• 7 - @idney, eminal Hesicle, Lterus• 7/ - #rostate, $!ary• 7< - 7arge %ntestine• 7E - 4escending Colon• Sacral Area• ) - Lreter• - Lrinary (ladder• / - 60ternal enitals• < - Lrinary Tract• E - ectum

http://www.yinyanghouse.com/acupuncturepoints/cv4






8/13/2019 acuntur


Tam $ealin* and Ton* Ren Therapy forO0arian Cancer

ubmitted by yyhstaff on 3ri, =;E;=)) - F:=am

Tong en Therapy is a form of energy healing de!eloped by the prominent (oston area acupuncturistand healer, 'aster Tom Tam. Tong en was originally de!eloped to aid in the treatment of cancer, buthas been e0tended to facilitate healing within a broad range of conditions. Tong en classes are nowoffered around the world.


The areas and points listed below are those that are commonly found blocked in people with o!arian

cancer. The system largely uses the scalp and 5uatuo1ia1i points along the spine. 9ou may useacupuncture, massage and;or the tong ren to focus on the following areas for healing. 3or details aboutthe system consider reading the Tom Tam 5ealing ystem te0t. A full list of conditions with treatmentpoints is a!ailable in A 7a"y (umDs 5ealing: Tong en Therapy Cross eference - both are a!ailable inour book store:

• "ain Points • T? 5uatuo - pleen *7+, Abdominal (lood Hessels *+ - used for any condition that in!ol!es the

blood, circulation in the lower abdomen;legs, and many immune related issues.• 7/ 5uatuo - #rostate *'en+, $!aries *Women+ - any physical organ problems, urinary

problems, fertility, cancers, etc.• CH - 6mpirical point for tonifying energy in the lower and middle warmers *digestion, se0ual,

and eliminations systems+.• Secondary Points • T5 ) - sky window point - used to promote proper circulation to and from the body,

nourishment of the brain for proper function, aids the effect of scalp points.• H - used in TC' to subdue li!er wind and resol!e spasms, we use the point to regulate

acti!ity within the frontal fontanel for stress related responses and unconscious patterns ofthought contributing to disease.

• L( F *both, or side most sore+ - effect the cerebellum *muscle control;coordination+.• # - tonify the yin and blood of the body, useful in this case for its tonifying actions on the

o!aries and other aspects of the reproducti!e system.

4i0e Phase Treatments Dia*nosis andTreatment Step One

ubmitted by yyhstaff on at, =;)=;== - ):)pm





http://www.yinyanghouse.com/tongrentherapy/class-directory/energy-healing-class-map






http://www.yinyanghouse.com/theory/tamhealing/huatuo_jiaji_system
























8/13/2019 acuntur


tep one of the 3i!e #hase Treatment #rotocol is to choose and treat the primary sho*deficiency;imbalance+. The side chosen for initial needlin* should generally be done based on apreponderance of symptoms on one side - treating the 2healthier2 side, or, lacking that, based on gender- the left side for men and the right side for women. 3or student;practitioner use the following #43charts may be helpful *basic, ad!anced %, ad!anced %%+

3or treatment use W7 or smaller needles, retaining them for appro0imately 7@ minutes.

• 4i0e Phase Treatment Protocols and Point Selections

• @idney ho• "ain Treatment Points: *@4 ? v 7L E or 7L G+• Ad0anced #idney Patterns:• @idney 4eficiency Cold• @idney 4eficiency 5eat

• 7ung ho• "ain Treatment Points: *7L F v # /+• Ad0anced un* Patterns:• 7ung 4eficiency Cold• 7ung 4eficiency 5eat

• 7i!er ho• "ain Treatment Points: *7H G v @4 )=+• Ad0anced i0er Patterns:• 7i!er 4eficiency Cold• 7i!er 4eficiency 5eat

• pleen ho• "ain Treatment Points: *# / v #C ?+•

Ad0anced Spleen Patterns:• pleen 4eficiency Cold• pleen 4eficiency 5eat• pleen 4eficiency with T;7%;% 60cess• pleen 4eficiency with 7H 60cess• pleen 4eficiency with 7H 60cess 5eat

http://www.yinyanghouse.com/theory/japanese/fivephase_treatment_protocol

http://www.yinyanghouse.com/files/jap5phase_basic.pdf

http://www.yinyanghouse.com/files/jap5phase_adv1.pdf



http://www.yinyanghouse.com/theory/japanese/kidney_sho


http://www.yinyanghouse.com/acupuncturepoints/lu5


http://www.yinyanghouse.com/theory/japanese/kidney_deficiency_cold

http://www.yinyanghouse.com/theory/japanese/kidney_deficiency_heat

http://www.yinyanghouse.com/theory/japanese/lung_sho




http://www.yinyanghouse.com/theory/japanese/lung_deficiency_cold

http://www.yinyanghouse.com/theory/japanese/lung_deficiency_heat

http://www.yinyanghouse.com/theory/japanese/liver_sho

http://www.yinyanghouse.com/acupuncturepoints/lv8


http://www.yinyanghouse.com/theory/japanese/liver_deficiency_cold

http://www.yinyanghouse.com/theory/japanese/liver_deficiency_heat

http://www.yinyanghouse.com/theory/japanese/spleen_sho


http://www.yinyanghouse.com/acupuncturepoints/pc7

http://www.yinyanghouse.com/theory/japanese/spleen_deficiency_cold

http://www.yinyanghouse.com/theory/japanese/spleen_deficiency_heat

http://www.yinyanghouse.com/theory/japanese/spleen_deficiency_stomach_excess

http://www.yinyanghouse.com/theory/japanese/spleen_deficiency_liver_excess

http://www.yinyanghouse.com/theory/japanese/spleen_deficiency_liver_excess_heat


http://www.yinyanghouse.com/files/jap5phase_basic.pdf



http://www.yinyanghouse.com/theory/japanese/kidney_sho




http://www.yinyanghouse.com/theory/japanese/kidney_deficiency_cold

http://www.yinyanghouse.com/theory/japanese/kidney_deficiency_heat

http://www.yinyanghouse.com/theory/japanese/lung_sho



http://www.yinyanghouse.com/theory/japanese/lung_deficiency_cold

http://www.yinyanghouse.com/theory/japanese/lung_deficiency_heat

http://www.yinyanghouse.com/theory/japanese/liver_sho



http://www.yinyanghouse.com/theory/japanese/liver_deficiency_cold

http://www.yinyanghouse.com/theory/japanese/liver_deficiency_heat

http://www.yinyanghouse.com/theory/japanese/spleen_sho



http://www.yinyanghouse.com/theory/japanese/spleen_deficiency_cold

http://www.yinyanghouse.com/theory/japanese/spleen_deficiency_heat

http://www.yinyanghouse.com/theory/japanese/spleen_deficiency_stomach_excess

http://www.yinyanghouse.com/theory/japanese/spleen_deficiency_liver_excess

http://www.yinyanghouse.com/theory/japanese/spleen_deficiency_liver_excess_heat

8/13/2019 acuntur


:apanese Acupuncture #idney Sho 4i0ePhase "eridian Therapy Treatment

ubmitted by yyhstaff on at, =;)=;== - :EEpm

This page contains the abdominal presentation, treatment points and associated signs and symptoms forthe @idney ho 3i!e #hase treatment. 3or a description of the o!erall treatment protocol see our 3i!e#hase treatment information page.

4i0e Phase #idney Sho Pattern

Treatment Points

• @4 ?• 7L E or 7L G

• Possible Secondaries • 6arth Controls Water and Water Controls 3ire• Spleen E-cess or Deficiency - # / •

The 5eart 'eridian is not treated.• . Element Theory Associations:• Color: (lack• mell: otten• 3la!or: alty• ound: roaning• 6motion: 3ear, urprise

• Common Symptoms










http://www.yinyanghouse.com/acupuncturepoints/heart_meridian_graphic

http://www.yinyanghouse.com/theory/chinese/five_element_acupuncture_theory









http://www.yinyanghouse.com/theory/chinese/five_element_acupuncture_theory

8/13/2019 acuntur


• 4e!elopmental %ssues• (one %ssues• @nee a;or Ankle #ain• 5ead 5air %ssues• 5earing #roblems• 60cessi!e 3ear

Pulse Dia*nosis in TC" Acupuncture Theory

ubmitted by Chad 4upuis on at, =;<;== - E:/pm

$ne of the most common uestions that people ask about acupuncture is: 2Why does my acupuncturistcheck my pulse`2

#ulse and tongue diagnosis are two of the more important diagnostic tools in Chinese medicine. Theyare both used to deri!e a TC' diagnosis for your condition which is used to plan your treatment. $f

the diagnostic tools, pulse diagnosis is one of the more important tools used in Chinese and Bapaneseacupuncture and herbal medicine. While tongue diagnosis pro!ides !aluable clinical information, thepulse can be used to gain a deep understanding of the patient on many le!els. 2'astering2 pulsediagnosis is difficult without the guidance of a skilled teacher. 6!en at basic le!els, howe!er, the pulsepro!ides immediate and specific information that can help clarify contradictory diagnostic informationand symptomology.

• Common #ulse 7ocations and elated 'eridians• Alternati!e 'eridian elationships• #ulse 7e!els• #ulse 4escriptions, 8ualities and Clinical ignificance•

4escription of a 5ealthy *2&ormal2+ #ulse• %nfluential 3actors• ources• Acupuncture Theory elated esources• 4iscuss Acupuncture Theory

Common Pulse ocations and Related "eridians

eft rist Ri*ht rist

Cun *inch+ - )st position 5T ; % 7L ; 7%

uan *barr+ - nd position 7H ; ( # ; T

Chi *foot+ - /rd position @4 ; L( #C ; T5ocation of the Pulse: The uan *econd+ #osition is found opposite the styloid process of the radius,the Cun #osition is found between the uan #osition and the wrist and the Chi position is found at apoint eual the distance between uan and Cun.


http://www.yinyanghouse.com/theory/chinese/tongue_diagnosis

http://www.yinyanghouse.com/theory/japanese/acupuncture_information




http://www.yinyanghouse.com/theory/chinese/pulse_diagnosis#meridiancorrelations

http://www.yinyanghouse.com/theory/chinese/pulse_diagnosis#alternativecorrelations

http://www.yinyanghouse.com/theory/chinese/pulse_diagnosis#levels

http://www.yinyanghouse.com/theory/chinese/pulse_diagnosis#diagnosis

http://www.yinyanghouse.com/theory/chinese/pulse_diagnosis#normal

http://www.yinyanghouse.com/theory/chinese/pulse_diagnosis#factors

http://www.yinyanghouse.com/theory/chinese/pulse_diagnosis#sources

http://www.yinyanghouse.com/research/chinese_acupuncture_resources

http://www.yinyanghouse.com/theory/chinese_tcm_acupuncture_discussions


http://www.yinyanghouse.com/acupuncturepoints/smallintestine_meridian_graphic

http://www.yinyanghouse.com/acupuncturepoints/lung_meridian_graphic

http://www.yinyanghouse.com/acupuncturepoints/largeintestine_meridian_graphic

http://www.yinyanghouse.com/acupuncturepoints/liver_meridian_graphic

http://www.yinyanghouse.com/acupuncturepoints/gallbladder_meridian_graphic

http://www.yinyanghouse.com/acupuncturepoints/spleen_meridian_graphic

http://www.yinyanghouse.com/acupuncturepoints/stomach_meridian_graphic

http://www.yinyanghouse.com/acupuncturepoints/kidney_meridian_graphic



http://www.yinyanghouse.com/acupuncturepoints/pericardium_meridian_graphic


http://www.yinyanghouse.com/acupuncturepoints/tripleheater_meridian_graphic







http://www.yinyanghouse.com/theory/chinese/pulse_diagnosis#meridiancorrelations

http://www.yinyanghouse.com/theory/chinese/pulse_diagnosis#alternativecorrelations

http://www.yinyanghouse.com/theory/chinese/pulse_diagnosis#levels

http://www.yinyanghouse.com/theory/chinese/pulse_diagnosis#diagnosis

http://www.yinyanghouse.com/theory/chinese/pulse_diagnosis#normal

http://www.yinyanghouse.com/theory/chinese/pulse_diagnosis#factors

http://www.yinyanghouse.com/theory/chinese/pulse_diagnosis#sources















8/13/2019 acuntur


Alternati0e "eridian Relationships

Pulse Classic

eft rist Ri*ht rist

Cun *inch+ - )st position 5T ; % 7L ; 7%

uan *barr+ - nd position 7H ; ( # ; TChi *foot+ - /rd position @4 ; L( 'ingmen ; 7ower (urner

!olden "irror of "edical Traditions

eft rist Ri*ht rist

Cun *inch+ - )st position 5T ; #C 7L ; Chest

uan *barr+ - nd position 7H ; ( # ; T

Chi *foot+ - /rd position @4 ; 7% ; % #C ; T5

Alternati0e 0ie( used in China eft rist Ri*ht rist

Cun *inch+ - )st position 5T 7L

uan *barr+ - nd position 7H #

Chi *foot+ - /rd position @4 9in @4 9ang

Clinical si*nificance of the Pulse at 0aryin* le0els

superficial *skin le!el+ - generally shows e0ogenous pathogens

middle - generally shows state of T;# 8i

deep *bone le!el+ - generally shows internal conditions

Pulse Descriptions5 =ualities and Clinical Si*nificance

4esignation ensation %ndications

B" 'e+th)

4loatin*

*superficial+

easily felt at the superficial le!el

not as significant as you feel deeper

e-ternal conditionpatho*enK empty yin a;or blood defK rapid wind heatK tight;slow wind cold

Sin9in* *deep+ felt only at the deep le!el

interior conditionobstructionK rapid internal heatK slow internal coldK slippery internal damp;phlegmK empty i or yang def


































http://www.yinyanghouse.com/theory/chinese/pulse_diagnosis#empty

http://www.yinyanghouse.com/theory/chinese/pulse_diagnosis#rapid


http://www.yinyanghouse.com/theory/chinese/pulse_diagnosis#tight

http://www.yinyanghouse.com/theory/chinese/pulse_diagnosis#slow





http://www.yinyanghouse.com/theory/chinese/pulse_diagnosis#slippery

































http://www.yinyanghouse.com/theory/chinese/pulse_diagnosis#tight






8/13/2019 acuntur


B" Fre(uenc")

Slo(less than < beats per breath *x =bpm+

cold condition aor patho*enic factorK floating e0terior wind coldK sinking;empty yang def

Rapid more than E beats per breath * F=bpm +

hot condition aor patho*enic factorK floating e0ternal wind heat

K sinking internal heatK full e0cess heatK empty empty heat

B" 5ualit"6Sha+e)

$esitant *choppy+ rough and une!en blood aor Jin* sta*nation

Slippery smooth with a !iscous sensation

e-cess dampness, retention of food,pregnancyK rapid damp heatK slow cold damp obstruction

Ti*ht tension with side to side mo!ements*thicker than a wiry pulse+

e-cess cold - interior or e0terior, commonlyassociated with pain

irytension with no side to sidemo!ements *thinner than a tightpulse+

8!% disharmony

By .i#th(

%i* *e0cess,o!erflowing+

broad but with distinct edges e-cess heat, commonly in T or %ntestines

Thin *thready,

fine+ fine but with distinct edges blood aor >i deficiency

By Strength(

Empty *deficient+wide but not strong, disappears withslight pressure, forceless

blood aor >i deficiency

4ull *e0cess+wide and strong, felt with strength atall le!els

e-cess condition, often e0cess heat withrebellious 8i

By +ength(

Short not felt in all / positions >i deficiencyon* felt beyond the / positions

e-cess5 heat, generally considered normalin absence of other ualities

By Rhythm(

$urried *abrubt+ rapid with irregularly missed beats heat a*itatin* >i blood

Intermittent regularly skipped beats heart disharmony, e0haustion of "ang i

#notted slow with irregularly missed beats cold obstruction, ht i or yang deficiency,

http://www.yinyanghouse.com/theory/chinese/pulse_diagnosis#floating

http://www.yinyanghouse.com/theory/chinese/pulse_diagnosis#sinking




http://www.yinyanghouse.com/theory/chinese/pulse_diagnosis#full
















8/13/2019 acuntur


general def of 8i, (lood a;or Bing

Description of a healthy ;XnormalX< pulse

• The pulse should be felt in all F positions• The uality of the pulse should ha!e 2spirit2 and not collapse or feel hard or unyielding• The rhythm should be e!en and balanced and regular beats of =-F=bpm

4actors (hich influence the Pulse

• A*e - the strength and uality of the pulse will decline as a person ages.• !ender - 'en are generally stronger on the left and Women are generally stronger on the right.• Seasonal Influences:

zz pring - more wiryzz ummer - strongerzz Winter - deeper

Point Cate*ories4or complete information about a sin*le point5 clic9 on it (ithin the chart' 4or more informationabout a cate*ory5 clic9 on the Xdetailed theoryX lin9

• Acupuncture Point Theoretical !roupin*s • 3i!e hu #oints• 3i!e 6lement #oints• 7ower 5e ea #oints• Ii Cleft #oints• 9uan ource #oints•

7uo Connecting #oints• (ack hu #oints• 3ront 'u #oints• 5ui 'eeting #oints• 60traordinary Hessel 'aster Coupled #oints• Command #oints• 3our eas #oints• ky Window #oints• Thirteen host #oints• 6ntry 60it #oints• hokanten #oints• Additional Theory elated esources• Discussions • 4iscuss Acupuncture Theory

Acupuncture Point !roupin*s by TC" Theory

{ 4i0e Shu Points - detailed theory

http://www.yinyanghouse.com/acupuncturepoints/point_categories#fiveshu

http://www.yinyanghouse.com/acupuncturepoints/point_categories#motherchild

http://www.yinyanghouse.com/acupuncturepoints/point_categories#lowerhesea


http://www.yinyanghouse.com/acupuncturepoints/point_categories#yuansource



http://www.yinyanghouse.com/acupuncturepoints/point_categories#frontmu






http://www.yinyanghouse.com/acupuncturepoints/point_categories#ghostpoints

http://www.yinyanghouse.com/acupuncturepoints/point_categories#entryexit

http://www.yinyanghouse.com/acupuncturepoints/point_categories#shokanten



http://www.yinyanghouse.com/acupuncturepoints/theory_fiveshu#fiveshudetails

http://www.yinyanghouse.com/acupuncturepoints/point_categories#fiveshu

http://www.yinyanghouse.com/acupuncturepoints/point_categories#motherchild

http://www.yinyanghouse.com/acupuncturepoints/point_categories#lowerhesea


http://www.yinyanghouse.com/acupuncturepoints/point_categories#yuansource









http://www.yinyanghouse.com/acupuncturepoints/point_categories#ghostpoints

http://www.yinyanghouse.com/acupuncturepoints/point_categories#entryexit

http://www.yinyanghouse.com/acupuncturepoints/point_categories#shokanten




8/13/2019 acuntur


9in 'eridiansBing-well*Wood+

9ing-spring*3ire+

hu-stream*6arth+

Bing-ri!er*'etal+

5e-ea*Water+

7L 7L )) 7L )= 7L F 7L G 7L E

#C #C F #C G #C ? #C E #C /

5T 5T F 5T G 5T ? 5T < 5T /

# # ) # # / # E # F7H 7H ) 7H 7H / 7H < 7H G

@4 @4 ) @4 @4 / @4 ? @4 )=

9ang 'eridiansBing-well*'etal+

9ing-spring*Water+

hu-stream*Wood+

Bing-ri!er*3ire+

5e-ea*6arth+

7% 7% ) 7% 7% / 7% E 7% ))

T5 T5 ) T5 T5 / T5 T5 )=

% % ) % % / % E % G

T T <E T << T </ T <) T /

( ( << ( </ ( <) ( /G ( /<

L( L( ? L( L( E L( = L( <=

{ 4i0e Element Points - detailed theory

'other Child

7ung *'etal+ 7L F 7L E

7arge %ntestine *'etal+ 7% )) 7%

tomach *6arth+ T <) T <E

pleen *6arth+ # # E5eart *3ire+ 5T F 5T ?

mall %ntestine *3ire+ % / % G

Lrinary (ladder *Water+ L( ? L( E

@idney *Water+ @4 ? @4 )

#ericardium *3ire+ #C F #C ?

Triple 5eater *3ire+ T5 / T5 )=

all (ladder *Wood+ ( </ ( /G

7i!er *Wood+ 7H G 7H

{ o(er $e Sea Points of the / 4u ;+an*< Or*ans - detailed theory

7arge %ntestine T /? -9ang 'ing- tomach T /

Triple 5eater L( /F -hao 9ang- all (ladder ( /<

mall %ntestine T /F -Tai 9ang- Lrinary (ladder L( <=











http://www.yinyanghouse.com/acupuncturepoints/ht9


















































http://www.yinyanghouse.com/acupuncturepoints/theory_fiveshu#motherchild

























http://www.yinyanghouse.com/acupuncturepoints/theory_lowerhesea#heseadetails




































































http://www.yinyanghouse.com/acupuncturepoints/theory_fiveshu#motherchild
































8/13/2019 acuntur


{ ?iCleft Points - detailed theory

7ung 7L Lrinary (ladder L( / 9in 8iao Hessel @4 G

7arge %ntestine 7% ? @idney @4 E 9ang 8iao Hessel L( EF

tomach T /< #ericardium #C < 9in Wei Hessel @4 F

pleen # G Triple 5eater T5 ? 9ang Wei Hessel ( /E5eart 5T all (ladder ( /

mall %ntestine % 7i!er 7H

{ +uan Source Points - detailed theory

7ung 7L F Lrinary (ladder L( <

7arge %ntestine 7% < @idney @4 /

tomach T < #ericardium #C ?pleen # / Triple 5eater T5 <

5eart 5T ? all (ladder ( <=

mall %ntestine % < 7i!er 7H /

{ uo Connectin* Points - detailed theory

7ung 7L ? Lrinary (ladder L( EG

7arge %ntestine 7% @idney @4 <

tomach T <= #ericardium #C pleen # < Triple 5eater T5 E

5eart 5T E all (ladder ( /?

mall %ntestine % ? 7i!er 7H E

{ %ac9 Shu Points - detailed theory

7ung L( )/ Lrinary (ladder L( G

7arge %ntestine L( E @idney L( /

tomach L( ) #ericardium L( )<

pleen L( = Triple 5eater L(

5eart L( )E all (ladder L( )F

mall %ntestine L( ? 7i!er L( )G

o!erning Hessel L( ) 4iaphragm L( )?

8ihai *ea of 8i+ L( < uanyuan *ate of ource+ L(

>honglu *Center (ack 'uscles+ L( F (aihuan *White ing+ L( /=

http://www.yinyanghouse.com/acupuncturepoints/theory_xicleft#xidetails

















http://www.yinyanghouse.com/acupuncturepoints/theory_yuanluo#yuandetails













http://www.yinyanghouse.com/acupuncturepoints/theory_yuanluo#luodetails













http://www.yinyanghouse.com/acupuncturepoints/theory_mushu#shudetails



















http://www.yinyanghouse.com/acupuncturepoints/theory_xicleft#xidetails

















http://www.yinyanghouse.com/acupuncturepoints/theory_yuanluo#yuandetails













http://www.yinyanghouse.com/acupuncturepoints/theory_yuanluo#luodetails













http://www.yinyanghouse.com/acupuncturepoints/theory_mushu#shudetails



















8/13/2019 acuntur


aohuang *Hital egion+ L( </

{ 4ront "u Points - detailed theory

7ung 7L ) Lrinary (ladder CH /

7arge %ntestine T E @idney ( E

tomach CH ) #ericardium CH )?

pleen 7H )/ Triple 5eater CH E

5eart CH )< all (ladder ( <

mall %ntestine CH < 7i!er 7H )<

{ $ui "eetin* Points - detailed theory

>ang 7H )/ inews ( /<3u CH ) Hessels 7L F

8i CH )? (ones L( ))

(lood L( )? 'arrow ( /F

{ E-traordinary 8essel "aster Coupled Points - detailed theory

60traordinary Hessel 'aster #oint Coupled #oint

Conception Hessel 7L ? @4

o!erning Hessel % / L(

Chong Hessel # < #C

4ai Hessel ( <) T5 E

9in 8iao Hessel @4 7L ?

9ang 8iao Hessel L( % /

9in Wei Hessel #C # <

9ang Wei Hessel T5 E ( <)

{ Command Points - detailed theory

Abdomen T /

7umbar egion L( <=

5ead v #osterior &eck 7L ?

3ace v 'outh 7% <

5eart, Chest v 6pigastrium #C

3ainting v Collapse H


http://www.yinyanghouse.com/acupuncturepoints/theory_mushu#mudetails













http://www.yinyanghouse.com/acupuncturepoints/theory_huimeeting#huidetails









http://www.yinyanghouse.com/acupuncturepoints/theory_ev

















http://www.yinyanghouse.com/acupuncturepoints/theory_commandpoints#commanddetails








http://www.yinyanghouse.com/acupuncturepoints/theory_mushu#mudetails













http://www.yinyanghouse.com/acupuncturepoints/theory_huimeeting#huidetails









http://www.yinyanghouse.com/acupuncturepoints/theory_ev

















http://www.yinyanghouse.com/acupuncturepoints/theory_commandpoints#commanddetails







8/13/2019 acuntur


{ The 4our Seas - detailed theory

ea of 8i T F, CH )?, H )E, H )<

ea of (lood L( )), T /?, T /F

ea of Water vrain

T /= *upper point+, T / *lower point+

ea of 'arrow H =, H )

{ indo( of the S9y Points - detailed theory

3rom 7ing hu Ch. ) 3rom 7ing hu Ch.

enying T F Tiantu CH

3utu 7% )G Tianchuang % )Tianyou T5 ) Tianrong % )?

Tian"hu L( )= 3engfu H )

Tianfu 7L / Tianchi #C )

{ Thirteen !host Points ;from Sun Si "iao<

#oint &umber #oint &ame

H host #alace

H / host 5allH ) host #illow

CH < host 'arket

7L )) host 3aith

7% )) host 7eg

#C ? host 5eart

#C G host Ca!e

T host (ed

# ) host 3ortress

L( host #athuifeng *60tra #oint+

on the underside ofthe tongue, one cun from

the tip of the midline

host eal

6ssentially CH )originally described as

9umentou *60tra #oint - Women+host tore

http://www.yinyanghouse.com/acupuncturepoints/theory_fourseas#fourseasdetails

















http://www.yinyanghouse.com/acupuncturepoints/theory_skywindow#details



































http://www.yinyanghouse.com/acupuncturepoints/theory_skywindow#details























8/13/2019 acuntur


;9in0iafeng *60tra #oint - 'en+

{ Entry E-it Points - detailed theory

The entry;e0it points that are not the first or the last points on the meridian are marked with an 22 andwith the first or last point within parentheses. The entry;e0it points are also in red on the meridian flow

diagram following the chart.

6ntry 60it

U 7L ) 7L ? *7L ))+

I 7% < *7% )+ 7% =

PC #C ) #C G *#C F+

T$ T5 ) T5 *T5 /+

$T 5T ) 5T F

SI % ) % )F

SP # ) # )

ST T ) T < *T <E+

8 7H ) 7H )<

!% ( ) ( <) *( <<+

#D @4 ) @4 *@4 ?+

U% L( ) L( ?

{ Sho9anten Points and the Nine Continent Pulses - detailed theory

#ulse 7ocation 4i!ision hokanten 6ffected Area

Upper Tai 9ang Tai 9ang @4 ) ides of the 5ead

"iddle T5 ) hao 9ang T E;@4 ) 6yes v 6ars

o(er T 9ang 'ing T ? 'outh v Teeth

Upper 7L F Tai 9in 7H )/ 7ungs

"iddle 5T ? hao 9in @4 ) 5eart

o(er 7% < Bue 9in 7H )<;@4 )F Chest

Upper 7H / Tai 9in 7H )/ 7i!er"iddle T < hao 9in @4 ) pleen

Acupuncture for Abdominal Pain TreatmentProtocols

http://www.yinyanghouse.com/acupuncturepoints/theory_entryexit#entryexitdetails
































http://www.yinyanghouse.com/acupuncturepoints/theory_shokanten_ninecontinent_pulses#shokantendetails


















http://www.yinyanghouse.com/acupuncturepoints/theory_entryexit#entryexitdetails
































http://www.yinyanghouse.com/acupuncturepoints/theory_shokanten_ninecontinent_pulses#shokantendetails


















8/13/2019 acuntur


(elow you will find some of the more common tcm diagnoses and acupuncture treatment protocols forabdominal pain. There are many ways to treat this condition with 6astern 'edicine and ourpresentation is only one of many possible options.

• Etiolo*y Patholo*y •

?innon* ;CA"< Differentiations • 4irect tike of Cold to the %ntestines• etention of 3ood• Chronic lower abdominal pain due to # 9ang 4eficiency

• "aciocia Differentiations • Cold• 4amp 5eat• etention of 3ood• tagnant 8i• tagnant (lood• # 9ang 4eficiency;6mpty Cold

• Differentiation • Direct Stri9e of Cold to the Intestines *'aciocia Cold+

• Si*ns Symptoms • udden onset, lower abdominal pain, patient feels cold, chills,

diarrhea• Tongue: White coat• #ulse: 4eep, tight v slow *with dehydration the pulse may appear

fast, but it is still a cold pathology+• Treatment Points

• ?innon* ;CA"< Point Selection

• CH ) - T 'u • CH G - w;salt mo0a, warms lower 1iao• T / - tonify T;#• # < - clear T e0cess• "aciocia Point Selection • T E - warm lower 1iao• # )E - warm lower 1iao, esp. w;constipation• T ? - warm lower 1iao• CH )= - direct T 8i downwards• # - tonify T;#•

T / - tonify T;#• 8alas9at*is Point Selection • T E - warm lower 1iao• T /? - reinforce T E • T ? - warm lower 1iao• CH - tonify 8i• # < - clear T e0cess• # - tonify T;#

• Retention of 4ood

http://www.yinyanghouse.com/treatments/acupuncture_for_abdominal_pain#camcoldstrike

http://www.yinyanghouse.com/treatments/acupuncture_for_abdominal_pain#foodretention

http://www.yinyanghouse.com/treatments/acupuncture_for_abdominal_pain#spyangdeficiency


http://www.yinyanghouse.com/treatments/acupuncture_for_abdominal_pain#gvdampheat


http://www.yinyanghouse.com/treatments/acupuncture_for_abdominal_pain#gvstagnantqi

http://www.yinyanghouse.com/treatments/acupuncture_for_abdominal_pain#gvstagnantblood



http://www.yinyanghouse.com/theory/chinese/pulse_diagnosis
























http://www.yinyanghouse.com/treatments/acupuncture_for_abdominal_pain#gvdampheat


http://www.yinyanghouse.com/treatments/acupuncture_for_abdominal_pain#gvstagnantqi

http://www.yinyanghouse.com/treatments/acupuncture_for_abdominal_pain#gvstagnantblood






















8/13/2019 acuntur


• Si*ns Symptoms • Constipation, abdominal fullness, burping, flatulence.• Tongue: Thick, greasy coat• #ulse: lippery *indicates retention of food esp. w;thicker coat+

• Treatment Points • ?innon* ;CA"< Point Selection • CH ) - T 'u • T E - 7% 'u • CH - mo!es food;8i in the lower abdomen• T << - mo!es the stools *may not be necessary+• "aciocia Point Selection • CH )= - mo!e food;8i downwards• CH - mo!e 8i in the lower abdomen• # )E - constipation• # ) - T E possibly better• T ? - pain in the lower abdomen•

T5 G - regulate the T5 and promote bowel mo!ements *notcommonly used, T5 for heat w;e0cess is more commonly used+• T / - tonify T;#• L( E - 7% hu • L( ? - % hu

• SP +an* Deficiency • Si*ns Symptoms

• 4ull pain, better with the application of heat, fatigue• Tongue: #ale• #ulse: Weak

•

Treatment Points • ?innon* ;CA"< Point Selection • L( = - # hu • L( ) - T hu • T / - tonify T;#• # - tonify T;#• CH ) - T 'u • 7H )/ - # 'u • "aciocia Point Selection • T / - tonify T;#• # - tonify T;#• CH - tonify 8i• L( = - # hu • L( ) - T hu

• Retention of 4ood • Si*ns Symptoms

• 'ay effect either the T or the intestines.• Can be acute or chronic, depending on dietary habits.• Lsually from o!erconsumption of food, o!ereating when tired a;or



















































































8/13/2019 acuntur


contaminated food.• #ersistient pain that is constant or colic-like, worse with pressure

and eating, fullness and discomfort in the epigastric area, nausea,foul belching, !omiting of undigested food.

• 7% symptoms - constipation a;or flatulence.• &o desire to eat.•

Tongue: Thick, greasy coat• #ulse: 3ull, slippery *which can indicate, phlegm, damp a;or

pregnancy as well as stagnation of food+• Treatment Principle

• esol!e food stagnation.• #romote digestion.

• Treatment Points • 8alas9at*is Point Selection • CH )= - direct 8i downwards• 7H )/ - # 'u, mo!es stuck food in the epigastric area•

T / - regulates T 8i, tonifies 8i, can disperse e0cess abo!e,descends the T 8i• T << - cools heat in the T and conducts 8i downwards• 7% )= - arm eui!alent of T / • "aciocia Point Selection • CH )/ - useful w;!omiting a;or nausea• CH )= - directs 8i downwards• T ) - e0cesses in the epigastric area, reinforces C! ) • T =• T <<• T <E - T fire, possibly effecting the mind *may not be

necessary+• T E - 7% 'u, epigastric pain, constipation• # < v #C - 9in Wei Chong 'ai, mo!e e0cesses in the

epigastric area• Damp $eat *common clinically+

• Si*ns Symptoms • ChronDs 4isease, %( patients may ha!e damp heat in the 7%.• 7ower abdominal pain, loose, urgent stools w;strong odor,

possibly with mucus a;or blood, burning anus.• Tongue: reasy, yellow coat•

#ulse: lippery, fast• Treatment Principle

• Clear 5eat in the %ntestines.• esol!e dampness.

• Treatment Points • "aciocia Point Selection • T E - 7% 'u • T /? - regulate intestines• L( E - 7% hu






























































8/13/2019 acuntur


• # - tonify T;#, resol!e damp• # F - !ery good for dampness in the lower warmer w;# • T5 - cool heat• 7% )) - cool heat• CH )= - regulate 8i downwards• CH - possibly instead of CH )=

• Sta*nant =i • Si*ns Symptoms

• esult of the 7H in!ading the #• #ain that is directly related to emotions, moodiness, irritability,

belching, flatulence, borborygmus, lower abdominal bloating,alternating constipation and diarrhea

• Tongue: &ormal or slightly purplish• #ulse: Wiry

• Treatment Principle • egulate the %ntestines.•

Tonify #.• 'o!e 8i in lower abdomen

• Treatment Points • "aciocia Point Selection • CH • ( /< - w;CH for mo!ing 8i in the lower abdomen• 7H /• # - w;7H / to harmoni"e 7H v #• L( )G - 7H hu • #C - useful with 7H 8i stagnation• T5 - mo!es intestines w;constipation

• Sta*nant %lood • Si*ns Symptoms

• 'asses in the lower abdomen, dark comple0ion, dark stoolspossibly w;blood.

• Tongue: #urple• #ulse: 4eep, choppy or firm

• Treatment Principle • 'o!e 8i;(lood in 7ower Abdomen.

• Treatment Points • "aciocia Point Selection for Phle*m 4ire differentiation • 7H / - resol!e blood stagnation• ( /< - resol!e blood stagnation• T5 - useful w;constipation• # - mo!e 7H;# 8i• L( )? - 4iaphragm hu • # )= - w;L( )? to mo!e (lood• #ossibly 9in 8iao en 'ai, @4 v 7L ? - mo!e (lood in the

lower warmer





































































8/13/2019 acuntur


Acupuncture for Aller*ies Treatment Protocols

(elow you will find some of the more common tcm diagnoses and acupuncture treatment protocols forallergies and related issues. There are many ways to treat this condition with 6astern 'edicine and ourpresentation is only one of many possible options.

• Etiolo*y Patholo*y • Wind-Cold effecting the 7L• Wind-5eat effecting the 7L• When the patient is not in an acute stage you should treat the oot @4, 7L v H

4eficiencies • eneral peaking, according to io!anni 'aciocia, a persons 2allergic2 reaction*s+ to

certain substances correlates with a weakening of the bodyDs 4efensi!e 8i *Wei 8i+system in the body due to 7L v @4 deficiences.

• Differentiation • indCold effecting the 7L

• Si*ns Symptoms • imilar to general Wind-cold as it presents with the common cold,

howe!er, there are more signs of an underlying @4 a;or 7L 4eficiency.• #atient may ha!e: snee"ing, runny;stuffy nose *white discharge+, slight

headache, no thirst, pale comple0ion.• Treatment Protocol

• 60pel Wind-Cold• estore the 4escending and 4ispersing 3unction of the 7L 8i

• Treatment Points • 'ain #oints:

• L( ) - 'ain point for Wind 4isorders.• ( = - 60pel Wind.• H / - 60pel Wind from the &ose.• L( )/ - 7L (ack hu.• 7L ? - estore the 4escending and 4ispersing 3unction of the 7L

8i.• 7ocal #oints:

• Lse !arious local points for the sinus issues:7% = a;or 9intang - good local points for sinus issues.

• ind$eat effecting the 7L•

Si*ns Symptoms • imilar to general Wind-heat as it presents with the common cold,

howe!er, there are more signs of an underlying @4 a;or 7L 4eficiency.• #atient may ha!e: 3e!er and Chills w;3e!er predominating, slight

sweating, runny nose w;yellow discharge, headaches, body aches, cough,itchy red eyes *heat+, sratchy throat *wind+.

• Treatment Protocol • 60pel Wind-5eat• estore the 4escending and 4ispersing 3unction of the 7L 8i.

http://www.yinyanghouse.com/treatments/acupuncture_for_allergies#wind-cold-etiology

http://www.yinyanghouse.com/treatments/acupuncture_for_allergies#wind-heat-etiology

http://www.yinyanghouse.com/treatments/acupuncture_for_allergies#treat-root-etiology


http://www.yinyanghouse.com/treatments/acupuncture_for_common_cold#wind-cold-etiology








http://www.yinyanghouse.com/acupuncturepoints/x-yintang


http://www.yinyanghouse.com/treatments/acupuncture_for_common_cold#wind-heat-etiology


http://www.yinyanghouse.com/treatments/acupuncture_for_allergies#wind-cold-etiology

http://www.yinyanghouse.com/treatments/acupuncture_for_allergies#wind-heat-etiology



http://www.yinyanghouse.com/treatments/acupuncture_for_common_cold#wind-cold-etiology










8/13/2019 acuntur


• Treatment Points • 'ain #oints:

• L( ) - 'ain point for Wind 4isorders.• L( )/ - 7L (ack hu.• 7% < v 7% )) - used together to clear heat and mo!e the 7%.

• 7ocal #oints:• 7% = a;or 9intang - good local points for sinus issues.• ( = v L( - used together for itchy eyes.

• Root Deficiencies of U5 #D !8 • When the patient is not e0periencing an acute phase you should try to tonify the

@4 v 7L 4eficiencies and trengthen the H.• #oints to Tonify the @idneys:

• @4 / - tonify @4.• L( / - @4 (ack hu

• #oints to Tonify the 7ungs:• L( )/ - 7L (ack hu •

H ) - tonify 7L, support L( )/.• #oints to trengthen the o!erning Hessel:

• H < v CH < - tonify H.• H )< - mo0a to tonify H.• L( v % / the 'aster v Coupled #oints of the 9ang 8iao 4u 'ai -

open the H.

Acupuncture for Amenorrhea TreatmentProtocols

(elow you will find some of the more common tcm diagnoses and acupuncture treatment protocols foramenorrhea. There are many ways to treat this condition with 6astern 'edicine and our presentation isonly one of many possible options.

• Differentiation • E-cess Patholo*ies • 8i v (lood tagnation• #hlegm;4amp $bstruction• Deficient Patholo*ies • 8i v (lood 4eficiency• 5T;# (lood 4eficiency• 7H;@4 4eficiency• #;@4 9ang 4eficiency• 5T;@4 9in 4eficiency

• =i %lood Sta*nation E-cess Condition • Si*ns Symptoms

• 7ack of menstruation for /K months, abdominal masses, abdominal pain a;or


























http://www.yinyanghouse.com/treatments/acupuncture_for_amenorrhea#excess-qiblood

http://www.yinyanghouse.com/treatments/acupuncture_for_amenorrhea#excess-phlegmdamp

http://www.yinyanghouse.com/treatments/acupuncture_for_amenorrhea#def-qiblood

http://www.yinyanghouse.com/treatments/acupuncture_for_amenorrhea#def-htspblood

http://www.yinyanghouse.com/treatments/acupuncture_for_amenorrhea#def-lvkd

http://www.yinyanghouse.com/treatments/acupuncture_for_amenorrhea#def-spkdyang

http://www.yinyanghouse.com/treatments/acupuncture_for_amenorrhea#def-htkdyin






















http://www.yinyanghouse.com/treatments/acupuncture_for_amenorrhea#excess-qiblood

http://www.yinyanghouse.com/treatments/acupuncture_for_amenorrhea#excess-phlegmdamp

http://www.yinyanghouse.com/treatments/acupuncture_for_amenorrhea#def-qiblood

http://www.yinyanghouse.com/treatments/acupuncture_for_amenorrhea#def-htspblood

http://www.yinyanghouse.com/treatments/acupuncture_for_amenorrhea#def-lvkd

http://www.yinyanghouse.com/treatments/acupuncture_for_amenorrhea#def-spkdyang

http://www.yinyanghouse.com/treatments/acupuncture_for_amenorrhea#def-htkdyin

8/13/2019 acuntur


distention that is worse with pressure, may also ha!e hypochondriac a;or chestoppression

• Tongue: #urple or purple spots esp. along the 7H area• #ulse: 4eep, tight

• Treatment Points • ?innon* ;CA"< Point Selection

• CH / - e0cess in the lower abdomen• T F - mo!es stagnant (lood in the abdomen, empirical point for returning

menstruation• # )= - mo!es (lood• 7H / - resol!e 8i stagnation• # - mo!e 8i;(lood in the lower abdomen• 7% < - mo!e 8i;(lood in the lower abdomen• %f palpable abdominal masses - @4 )< • "aciocia Point Selection • # < w;#C - yin wei chong mai •

CH - mo!e 8i in the abdomen• T /= - regulate menstruation• 7H / - resol!e 8i stagnation• # - mo!e 8i;(lood in the lower abdomen• %f palpable abdominal masses - @4 )< • %f caused by shock - @4

• Phle*mDamp Obstruction E-cess Condition • Si*ns Symptoms

• #atient is likely to be o!erweight, body feels hea!y, stuffy chest, nausea, !aginaldischarges are likely if the lower heater is effected

• Tongue: wollen w;greasy yellow coat especially in the rear• #ulse: lippery

• Treatment Points • "aciocia Point Selection • # - mo!e 8;(lood in the lower abdomen• # F - resol!e damp• CH - tonify;mo!e 8i in the abdomen• T G - clear damp in the lower abdomen• T5 E w;( <) - yang wei dai mai, resol!e dampness in the lower warmer• L( - T5 hu, regulate water• %f symptoms are effecting the middle warmer *i.e. stuffy chest, nausea+ - CH ),

CH F v T <=, clear damp, tonify T;#• =i %lood Deficiency

• Si*ns Symptoms • A gradual de!elopment of secondary amenorrhea where the cycle gets delayed

more and more each month w;gradual decreases in (lood o!er time, fatigue, poorappetite, loose stools, dry skin, di""iness, may also effect the essence - soreback;knees, dry mouth, heat in the E palms, night sweats

• Tongue: Weak, possibly slow, Thin if essence is effected• #ulse: #ale








































































8/13/2019 acuntur


• Treatment Points • ?innon* ;CA"< Point Selection • CH < - tonify 9in v (lood• L( )G - 7H hu • L( = - # hu • L( / - @4 hu • T / - tonify 8i v (lood• # - tonify #• %f essence is effected - @4 / or @4 • "aciocia Point Selection • H considers this w;stronger (lood deficient signs - blurred !ision, di""iness,

numbness;tingling, poor memory, palpitations, insomnia - #ale v Thin Tongueand Thin #ulse

• L( )? - hui meeting of the (lood • L( )G - 7H hu • 7H G - tonify 7H (lood•

T / - tonify 8i v (lood• # - tonify #• @4 / - tonify @4• CH < - tonify @4• CH - tonify 8i• 3or strong emotional components - CH )? • >igong Iue - regulate the uterus

• $TSP %lood Deficiency • Si*ns Symptoms

• A combination of 5T and (lood 4eficiency signs, palpitations, dream-disturbedsleep, poor memory, looses stools, poor appetite

• Tongue: #ale, possibly w;red tip• #ulse: Thin

• Treatment Points • "aciocia Point Selection • T / - tonify T;#• # - tonify #• CH ) - T 'u, tonify T;#• L( = - # hu • L( )E - 5T hu • CH )< - 5T 'u • 5T ? - calm spirit• CH < - tonify @4, generate (lood• 7H G - tonify 7H (lood

• 8#D Deficiency • Si*ns Symptoms

• @4 9ang w;7H (lood 4eficiency, fatigue, sore back;knees, di""iness,depression, lack of willpower

• Tongue: #ale























http://www.yinyanghouse.com/acupuncturepoints/x-zigongxue
























































8/13/2019 acuntur


• #ulse: Weak• Treatment Points

• "aciocia Point Selection • 7L ? w;@4 - yin iao ren mai, useful w;deficient conditions• 7H G - tonify 7H (lood• # - tonify #• T / - tonify T;#• L( )G - 7H hu • L( / - @4 hu • L( E - strengthen willpower• CH < - tonify 8i• @4 )/ - reinforce CH <, strengthens Lterus, useful in deficiency patterns• CH )? v CH - emotional causes, ancient chinese prescription

• SP#D +an* Deficiency • Si*ns Symptoms

• ore back;knees, fatigue, digesti!e issues•

Tongue: wollen, wet• #ulse: 4eep, weak, tight

• Treatment Points • "aciocia Point Selection • CH ) - T 'u, tonify T;#• T / - tonify T;#• # - tonify T;#• L( = - # hu • L( ) - T hu • @4 / - tonify @4•

CH < - tonify @4• L( / - @4 hu • L( E - strengthen willpower• CH )? v CH - emotional causes, ancient chinese prescription• >igong Iue - strengthen Lterus

• $T#D +in Deficiency • Si*ns Symptoms

• 6motional causes are likely, palpitations, insomnia, dream-disturbed sleep, nightsweats, dry mouth, mallor flush, heat in the E palms

• Tongue: ed w;no coat• #ulse: 3loating, empty

• Treatment Points • "aciocia Point Selection • 7L ? w;@4 - yin iao ren mai • 5T ? - calm the spirit• #C ? - clear heat from the 5T• L( << - clear psycho-emotional manifestation of heat• CH )E - chest oppression, descend the 8i• CH )< - 5T 'u































































































8/13/2019 acuntur


• CH < - tonify 8i, (lood v 9in• @4 / - tonify @4• # - tonify #

Acupuncture for An-iety Treatment Protocols

(elow you will find some of the more common tcm diagnoses and acupuncture treatment protocols foran0iety disorders. There are many ways to treat this condition with 6astern 'edicine and ourpresentation is only one of many possible options.

• Differentiation • E-cess Conditions • 5T 8i v (lood tagnation• #hlegm effecting the 5eart• Deficient Conditions •

9in 4eficiency - empty heat may rise and effect the shen• 5T 8i v (lood 4eficiency - may arise after a prolonged illness• 5T 9ang 4eficiency

• 5T 8i v (lood tagnation - 60cess• Si*ns Symptoms

• #anic attacks *sudden feeling of doom, rapid breathing, shortness ofbreath, palpitations, chest oppression+, insomnia, profuse dreams.

• Tongue: #ale w;dark spots• #ulse: Weak, fine possibly irregular

• Treatment #oints:• St' :ohn Treatment Points ;(ith modifications< • 7H / - harmoni"e 7H• 7% < - four gates w;7H / abo!e• # )= - mo!e the (lood• 5T ? - calm the spirit, possibly 5T G if in distress• #C - calm the spirit, rela0 the chest, possibly #C ? for a stronger effect• L( )E - 5T hu • L( )? - 5ui meeting of the (lood

• #hlegm 6ffecting the 5eart - 60cess• Si*ns Symptoms

• An0iety coupled with emotional depression and other signs of 7Hstagnation *easily angered, tension, sighing+, insomnia, nightmares,di""iness, profuse thick phlegm.

• Tongue: reasy yellow coat• #ulse: lippery, wiry

• Treatment #oints:• St' :ohn Treatment Points ;(ith modifications< • 7H / - harmoni"e 7H




http://www.yinyanghouse.com/treatments/acupuncture_for_anxiety#htqibloodstag

http://www.yinyanghouse.com/treatments/acupuncture_for_anxiety#phlegmeffectht

http://www.yinyanghouse.com/treatments/acupuncture_for_anxiety#yindeficiency

http://www.yinyanghouse.com/treatments/acupuncture_for_anxiety#htqiblooddef

http://www.yinyanghouse.com/treatments/acupuncture_for_anxiety#htyangdeficiency























http://www.yinyanghouse.com/treatments/acupuncture_for_anxiety#htqibloodstag

http://www.yinyanghouse.com/treatments/acupuncture_for_anxiety#phlegmeffectht

http://www.yinyanghouse.com/treatments/acupuncture_for_anxiety#yindeficiency

http://www.yinyanghouse.com/treatments/acupuncture_for_anxiety#htqiblooddef

http://www.yinyanghouse.com/treatments/acupuncture_for_anxiety#htyangdeficiency


















8/13/2019 acuntur


• #C E - e0pel phlegm• T <= - resol!e phlegm• CH ) - T 'u • CH )? - #C 'u • 5T ? - calm spirit

• 9in 4eficiency• Si*ns Symptoms

• An0iety originating with fear a;or dread, restlessness, palpitations,nightsweats, afternoon fe!ers, mallor flush, heat in the E palms, drymouth a;or throat, di""iness, tinnitus.

• Tongue: ed possibly w;yellow coat• #ulse: Thin, rapid, wiry

• Treatment #oints:• St' :ohn Treatment Points ;(ith modifications< • 5T G - clear heat effecting the 5T• #C ? - clear heat efffecting the 5T•

@4 / - tonify @4 v 5T yin• # - tonify yin• ( = - clear the head, di""iness, tinnitus• L( )E - 5T hu • L( / - @4 hu

• 5T 8i v (lood 4eficiency• Si*ns Symptoms

• #alpitations with e0ertion, shortness of breath, fatigue, di""iness, poormemory, insomnia, pale lustreless comple0ion.

• Tongue: #ale w;thin white coat• #ulse: Thin, weak

• Treatment #oints:• St' :ohn Treatment Points ;(ith modifications< • 5T ? - tonify 5T (lood v 9in, harmoni"e spirit• #C - calm the heart v spirit, regulate 5T 8i• # - tonify T;#• T / - tonify T;#• L( )E - 5T hu • L( )? - hui meeting of the (lood • L( = - # hu

• 5T 9ang 4eficiency• 'ay arise as a further de!elopment of 5T 8i and (lood 4eficiency, palpitations

worse after e0ertion, shortness of breath, chest tightness, a!ersion to cold, coldlimbs, di""iness.

• Tongue: #ale• #ulse: 4eep, thin, empty or 4eep, slow

• Treatment #oints:• 8alas9ata*is Treatment Points • 5T ? - calm the spirit





































































8/13/2019 acuntur


• L( )E - 5T hu • L( / - @4 hu • H < - tonify 9ang• CH < - tonify 9ang• T / - tonify 8i

!eneral Si*ns and Symptoms of $eart =i Deficiency!eneral Si*ns Symptoms#alpitations on e0ertion, spontaneous sweating, fatigue

• Ton*ue#ale, possibly a midline crack down to the tip

• Pulse6mpty

Conditions that may arise from $eart =i Deficiency7isted below are western medical conditions and;or general symptoms that may arise from thisparticular TC' pattern. The condition page that they link to will ha!e the ma1ority of commonlyrelated patterns for this specific condition.

Pattern Related ConditionsSymptoms Other Possible TC" Patterns

Pattern RelatedConditionsSymptoms

Other Possible TC" Patterns

Anemia (lood tagnation, 5eart 8i 4eficiency, @idney 8i 4eficiency, 7i!er (lood4eficiency, pleen 8i 4eficiency, tomach 8i 4eficiency

Angina

(lood tagnation, 5eart 8i 4eficiency, 5eart 9ang 4eficiency, 5eart 9in

4eficiency, #hlegm tagnation

Arrhythmia*#alpitations+

(lood tagnation, 5eart 8i 4eficiency, 5eart 9ang 4eficiency, 5eart 9in4eficiency, @idney 9ang 4eficiency, @idney 9in 4eficiency, 7i!er 9in4eficiency, pleen 8i 4eficiency, pleen 9ang 4eficiency

Cardiomyopathy*4ilated+

(lood tagnation, 5eart (lood tagnation, 5eart 8i 4eficiency, 5eart 9ang4eficiency

Congesti!e 5eart3ailure

(lood tagnation, 5eart 8i 4eficiency, 5eart 9ang 4eficiency, @idney 9ang4eficiency, 7ung 8i 4eficiency, #hlegm tagnation

Coronary Artery4isease

(lood tagnation, 5eart 8i 4eficiency, 5eart 9ang Collapse, 5eart 9ang4eficiency, 5eart 9in 4eficiency, 7ung 8i 4eficiency, 7ung 9in 4eficiency,

tomach 8i 4eficiency, tomach 9in 4eficiency

4iabetes Type %,4iabetes Type %%

(lood tagnation, 5eart 8i 4eficiency, 5eart 9in 4eficiency, @idney 8i4eficiency, @idney 9ang 4eficiency, @idney 9in 4eficiency, 7ung 8i4eficiency, 7ung 9in 4eficiency, tomach 3ire, tomach 8i 4eficiency,tomach 9in 4eficiency

3orgetfulness 5eart 8i 4eficiency, @idney Bing 4eficiency, 7i!er 8i tagnation, #hlegmtagnation, pleen 8i 4eficiency

5eat troke 5eart 8i 4eficiency, 5eart 9in 4eficiency, 7i!er Wind, 7ung 8i 4eficiency,7ung 9in 4eficiency, hen 4isturbance, tomach 8i 4eficiency, tomach










http://www.yinyanghouse.com/conditions-treated/alternative-natural-options-for-anemia

http://www.yinyanghouse.com/theory/traditional-chinese-medicine/blood-stagnation-tcm-diagnostic-pattern

http://www.yinyanghouse.com/theory/traditional-chinese-medicine/heart-qi-deficiency-tcm-diagnostic-pattern


http://www.yinyanghouse.com/theory/traditional-chinese-medicine/kidney-qi-deficiency-tcm-diagnostic-pattern


http://www.yinyanghouse.com/theory/traditional-chinese-medicine/liver-blood-deficiency-tcm-diagnostic-pattern


http://www.yinyanghouse.com/theory/traditional-chinese-medicine/spleen-qi-deficiency-tcm-diagnostic-pattern


http://www.yinyanghouse.com/theory/traditional-chinese-medicine/stomach-qi-deficiency-tcm-diagnostic-pattern

http://www.yinyanghouse.com/conditions-treated/alternative-natural-options-for-angina




http://www.yinyanghouse.com/theory/traditional-chinese-medicine/heart-yang-deficiency-tcm-diagnostic-pattern

http://www.yinyanghouse.com/theory/traditional-chinese-medicine/heart-yin-deficiency-tcm-diagnostic-pattern


http://www.yinyanghouse.com/theory/traditional-chinese-medicine/phlegm-stagnation-tcm-diagnostic-pattern

http://www.yinyanghouse.com/conditions-treated/alternative-natural-options-for-arrhythmia-palpitations








http://www.yinyanghouse.com/theory/traditional-chinese-medicine/kidney-yang-deficiency-tcm-diagnostic-pattern


http://www.yinyanghouse.com/theory/traditional-chinese-medicine/kidney-yin-deficiency-tcm-diagnostic-pattern

http://www.yinyanghouse.com/theory/traditional-chinese-medicine/liver-yin-deficiency-tcm-diagnostic-pattern




http://www.yinyanghouse.com/theory/traditional-chinese-medicine/spleen-yang-deficiency-tcm-diagnostic-pattern

http://www.yinyanghouse.com/conditions-treated/alternative-natural-options-for-cardiomyopathy-dilated



http://www.yinyanghouse.com/theory/traditional-chinese-medicine/heart-blood-stagnation-tcm-diagnostic-pattern






http://www.yinyanghouse.com/conditions-treated/alternative-natural-options-for-congestive-heart-failure








http://www.yinyanghouse.com/theory/traditional-chinese-medicine/lung-qi-deficiency-tcm-diagnostic-pattern


http://www.yinyanghouse.com/conditions-treated/alternative-natural-options-for-coronary-artery-disease





http://www.yinyanghouse.com/theory/traditional-chinese-medicine/heart-yang-collapse-tcm-diagnostic-pattern







http://www.yinyanghouse.com/theory/traditional-chinese-medicine/lung-yin-deficiency-tcm-diagnostic-pattern


http://www.yinyanghouse.com/theory/traditional-chinese-medicine/stomach-yin-deficiency-tcm-diagnostic-pattern

http://www.yinyanghouse.com/conditions-treated/alternative-natural-options-for-diabetes-type-i

http://www.yinyanghouse.com/conditions-treated/alternative-natural-options-for-diabetes-type-ii














http://www.yinyanghouse.com/theory/traditional-chinese-medicine/stomach-fire-tcm-diagnostic-pattern



http://www.yinyanghouse.com/conditions-treated/alternative-natural-options-for-forgetfulness



http://www.yinyanghouse.com/theory/traditional-chinese-medicine/kidney-jing-deficiency-tcm-diagnostic-pattern


http://www.yinyanghouse.com/theory/traditional-chinese-medicine/liver-qi-stagnation-tcm-diagnostic-pattern





http://www.yinyanghouse.com/conditions-treated/alternative-natural-options-for-heat-stroke




http://www.yinyanghouse.com/theory/traditional-chinese-medicine/liver-wind-tcm-diagnostic-pattern



http://www.yinyanghouse.com/theory/traditional-chinese-medicine/shen-disturbance-tcm-diagnostic-pattern













http://www.yinyanghouse.com/conditions-treated/alternative-natural-options-for-anemia








http://www.yinyanghouse.com/conditions-treated/alternative-natural-options-for-angina
















































http://www.yinyanghouse.com/conditions-treated/alternative-natural-options-for-diabetes-type-i

http://www.yinyanghouse.com/conditions-treated/alternative-natural-options-for-diabetes-type-ii











http://www.yinyanghouse.com/theory/traditional-chinese-medicine/stomach-fire-tcm-diagnostic-pattern










http://www.yinyanghouse.com/conditions-treated/alternative-natural-options-for-heat-stroke



http://www.yinyanghouse.com/theory/traditional-chinese-medicine/liver-wind-tcm-diagnostic-pattern






8/13/2019 acuntur


Pattern RelatedConditionsSymptoms

Other Possible TC" Patterns

9in 4eficiency

%mpotence *6rectile4ysfunction+

5eart 8i 4eficiency, 7i!er and allbladder 4amp 5eat, 7i!er 8i tagnation,pleen 8i 4eficiency

%nsomnia

5eart 3ire, 5eart 8i 4eficiency, 7i!er and allbladder 4amp 5eat, 7i!er

3ire, pleen 8i 4eficiency 'yocardial %nfarction (lood tagnation, 5eart 8i 4eficiency, 5eart 9in 4eficiency

&eurasthenia 5eart 8i 4eficiency, 7i!er 3ire, 7i!er 8i tagnation, pleen 8i 4eficiency

#alpitations (lood tagnation, 5eart 8i 4eficiency, 5eart 9ang 4eficiency, 5eart 9in4eficiency

ystemic 7upus6rythematosus *76+

5eart (lood 4eficiency, 5eart 8i 4eficiency, 5eart 9in 4eficiency, @idney9ang 4eficiency, 7i!er 8i tagnation, 7ung 8i 4eficiency, 7ung 9in4eficiency, pleen 8i 4eficiency, pleen 9ang 4eficiency, tomach 8i4eficiency, tomach 9in 4eficiency

Acupuncture for Arthritis Treatment Protocols

(elow you will find some of the more common tcm diagnoses and acupuncture treatment protocols forarthritis *also known as bi-syndromes in TC' theory+. There are many ways to treat this condition with6astern 'edicine and our presentation is only one of many possible options.

• Differentiation • anderin* %i ;ind<

• Si*ns Symptoms • Wandering pain in one 1oint or se!eral at a time• 7imitation of 'o!ement• 3e!er and a!ersion to wind• #ulse: 3loating and apid• Tongue: Thin, white coating

• Treatment Points • H )< - eliminate wind and heat• T5 - dispels wind, stops pain• ( /F - 1oint pain• *Lse of e!en needling method+

• Painful %i ;Cold< • Si*ns Symptoms

• #ain is fi0ed and se!ere• &o local redness or heat *swelling possible+• #ain worse in cold weather, better with heat• 7imitation of mo!ement• #ulse: Wiry or Tight• Tongue: White coating



http://www.yinyanghouse.com/conditions-treated/alternative-natural-options-for-impotence-erectile-dysfunction



http://www.yinyanghouse.com/theory/traditional-chinese-medicine/liver-and-gallbladder-damp-heat-tcm-diagnostic-pattern





http://www.yinyanghouse.com/conditions-treated/alternative-natural-options-for-insomnia

http://www.yinyanghouse.com/theory/traditional-chinese-medicine/heart-fire-tcm-diagnostic-pattern





http://www.yinyanghouse.com/theory/traditional-chinese-medicine/liver-fire-tcm-diagnostic-pattern




http://www.yinyanghouse.com/conditions-treated/alternative-natural-options-for-myocardia-infarction





http://www.yinyanghouse.com/conditions-treated/alternative-natural-options-for-neurasthenia







http://www.yinyanghouse.com/conditions-treated/alternative-natural-options-for-palpitations







http://www.yinyanghouse.com/conditions-treated/alternative-natural-options-for-systemic-lupus-erythematosus-sle


http://www.yinyanghouse.com/theory/traditional-chinese-medicine/heart-blood-deficiency-tcm-diagnostic-pattern

















http://www.yinyanghouse.com/theory/chinese/unique_tcm_conditions#bisyndromes















http://www.yinyanghouse.com/conditions-treated/alternative-natural-options-for-insomnia







http://www.yinyanghouse.com/conditions-treated/alternative-natural-options-for-myocardia-infarction




http://www.yinyanghouse.com/conditions-treated/alternative-natural-options-for-neurasthenia





http://www.yinyanghouse.com/conditions-treated/alternative-natural-options-for-palpitations








http://www.yinyanghouse.com/theory/traditional-chinese-medicine/heart-blood-deficiency-tcm-diagnostic-pattern














http://www.yinyanghouse.com/theory/chinese/unique_tcm_conditions#bisyndromes








8/13/2019 acuntur


• Treatment Points • T / v CH - tonify 8i and eliminate cold• 7% )) - promotes circulation of 8i and (lood, stops pain

• 4i-ed %i ;Damp< • Si*ns Symptoms

• 5ea!iness of local area• &umbness of skin and muscles• 3i0ed pain and swelling• #ain worse in damp weather• #ulse: lippery or soft• Tongue: White greasy coating

• Treatment Points • # - needle and mo0a to assist pleen• # F - needle to eliminate damp• %ony %i Boint deformity due to phlegm obstructing the channels

L( )) - meeting point of the bones

( /F - meeting point of the bone marrowT <= - to resol!e phlegm• 4ebrile %i ;$eat<

• Si*ns Symptoms • #ainful 1oints, se!ere with heat, swelling• 7ocal redness• 7imitation of mo!ement• 3e!er or thirst• #ulse: lippery, rapid• Tongue: reasy, yellow coating

• Treatment Points • T </ v 7% < - eliminate heat from 9ang 'ing• *Lse reducing method+

• Treatment Points for all Differentiations Accordin* to Affected Re*ions • Shoulder

• ocal7% )E, T5 )<, Bainneiling, % F, % )=, 7% )<

• Distal7% < - if 7% Channel in!ol!ed% / - if % Channel in!ol!edT5 E - if T5 Channel in!ol!ed

7L F - if 7L Channel in!ol!edT /G - for acute pain with restricted mo!ement• Elbo(

• ocal7% )), % G, T5 )=

• Distal Same as Shoulder • rist

• ocalT5 E, 7% E, % <

















http://www.yinyanghouse.com/acupuncturepoints/extra_points_information


































http://www.yinyanghouse.com/acupuncturepoints/extra_points_information















8/13/2019 acuntur


8/13/2019 acuntur


• 7ao 'ai *3irm, Confined+• uo 'ai *Weak+• Chi 'ai *low+• 5uan 'ai *lowed down, 'oderate, or ela0ed+• e 'ai *Choppy, 5esitant+• Bie 'ai *@notted, (ound+• hi 'ai *60cess, 3ull, eplete, 3orceful+• 5ua 'ai *lippery, olling+• Bin 'ai *Tight, Tense+• Chang 'ai *7ong+• Iuan 'ai *Wiry, Taut+• Wei 'ai *'inute, 3aint, %ndistinct+• Ii 'ai *Thready, Thin+• 4uan 'ai *hort+• 4ai 'ai *egularly %ntermittent+• huo 'ai *apid+•

Bi 'ai *acing, wift, 5urried+• Cu 'ai *apid-%rregular, kipping, Abrupt+• 4ong 'ai *'o!ing, Throbbing, tirring+• 4a 'ai *7arge, (ig+

4u "ai ;4loatin*5 Superficial<

4escription: 7ocated in the e0terior. With the finger raised, it has a surplus, when pressing down itis insufficient, weak, or disappears. When pressure is released, it regains full strength.

%ndications: 60ternal in!asion, 9in Iu with 9ang floating upwards, 8i or 9ang Iu6tiology: 'ainly an e0terior condition, syndromes due to Iu, or 9ang 8i loosing its root in the

lower part of the body and floating to the upper regions.

$on* "ai ;Sur*in*5 4loodin*<

4escription: 3loating, large *i.e. wide+ comes on e0uberant, departs debilitated. 2Coming onto theshore with force and retreating without force2

%ndications: 60treme heat if with thirst, high fe!er it can be 9angming heat or internal heat. %f

surging and forceless, this is Iu surging.

6tiology: This pulse has been said to arri!e strong at the chi position and depart at the cunposition, thus its wa!e like character. The 9ang is floating e0cess and upward, this is amanifestation of fire floating upward and water dr9ing internally*i.e. loss of blood,diarrhea+

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!e "ai ;eathery5 Drums9in5 Tympanic5 $ard<

4escription: (owstring and large *wide+ with an empty center feels like the head of a drum. 3eltwith light pressure. 3loating, large, and hard and resistant to pressure.

%ndications: 5emorrhage, permatorrhea, Abortion, 60cessi!e 'enstrual 3low, Iu Cold

6tiology: The 8i becomes detached and floats to the e0terior, the healthy 8i is failing to storesperm and blood.

#ou "ai ;$ollo( or Scallion Stal95 !reen Onion<

4escription: 3loating, soft, large body, but empty in the center. 3orceless--large and weak.

%ndications: 5emorrhage, 4amage of 9in, reat (lood 7oss *se!ere diarrhea;hemorrhage+

6tiology: There is failure to fill the !essels by insufficient 9ing and (lood causing 9ang 8i to

detach and float to the surface.

ources disagree on the description of this pulse, some say that the beats around themiddle le!el are palpable*i.e. light or hea!y pressure+ and the beats at the middle le!elare impalpable. (ob 3laws says that 2a pulse which is empty in the center is ane0treme floating pulse which not only gets weaker when one presses down butdisappears altogether. %t only reappears again when pressure is released to thesuperficial le!el.2

Ru "ai ;Soft or So**y<

4escription: 3loating, fine, soft and fle0ible. Can be felt with light pressure but cannot be obtainedby hea!y pressure. 23loating, thready, and soft2 27ike a silk thread in water2

%ndications: #rimarily means 4ampness, can be 9in Iu, (lood Iu, pleen Iu

6tiology: The dampness is obstructing the !essels or the 8i and (lood are unable to fill the!essels gi!ing it its soft uality. This is distinguished from other floating pulses,which tend to be large*i.e. wide+

San "ai ;Scattered<

4escription: 3loating, large *ie.wide+ and without root with light pressure it is easily irregular,becoming scattered and chaotic with hea!y pressure it is impalpable.

%ndications: 4ispersion of 9uan 8i, @idney 9uan 8i Iu, se!ere deficiency and e0haustion ofinternal organ 8i

6tiology: This pulse is without root, without definite edges and boundaries, not characteri"ed asan irregular beat pulse, although it feels chaotic. %t is a further progression from the

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Ruo "ai ;ea9<

4escription: 4eep, fine, soft like a thread.

%ndications: imultaneous 8i and (lood Iu

6tiology: (lood Iu results in failure to fill the !essels and 8i Iu results in its forcelessness.

Chi "ai ;Slo(<

4escription: (elow = (#' or less than < beats per practitioners breath.

%ndications: Cold syndromes. 3orceful and slowaccumulation of cold 3orceless and slowcoldfrom Iu low and floatinge0ternal cold. low and deepinterior cold. low andchoppyblood disease. low and slippery8i disease.

6tiology: There is stagnation of 8i due to cold. There may be other factors as well, such as

obstruction of blood due to accumulation of heat, this pulse must be forceful ande0cessi!e when palpated *i.e. 9angming+

$uan "ai ;Slo(ed do(n5 "oderate5 or Rela-ed<

4escription: As a ping mai, or normal pulse it is le!el and harmonious, rela0ed and forceful. As abing mai or abnormal pulse it is rela0ed, loose, slack, on the !erge of slow. About =(#'. The beats come and go slowly, feels !iscous, the rate is like normal but theslowness shows up at the end of a beat, before a slow pulse.

%ndications: yndromes of 4amp, #;T Iu &ot enough 8i and (lood to fill the !essels.

6tiology: 'ay also be due to wind if floating and rela0ed. %f it is deep and rela0ed is is dampsyndrome. %f large and rela0edli!er wind internally, if rela0ed and weak it maysignify heart 8i Iu

Se "ai ;Choppy5 $esitant<

4escription: low, rela0ed, stagnant, difficult, fine, may stop and loose a beat but then reco!ers. %tis not smoothly flowing. %t feels like a knife scraping bamboo.

%ndications: Consumption of essence, (lood Iu, tagnation of 8i, (lood tagnation, #hlegm orfood stagnation. %t can also be due to heart palpitations.

6tiology: (lood and essence failing to nourish the meridians. (lood is not flowing smoothly.

:ie "ai ;#notted5 %ound<

4escription: low, rela0ed, stops at irregular inter!als.

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instrument. Crisp and distinct edges, tends to re!eal itself when one slightly lets up onthe pressure.

%ndications: 7i!er and all (ladder disease, !arious painful disorders, phlegm retention, malaria,abnormal circulation of 8i

6tiology: Tense !ascular 8i due to the li!er not gently performing its function, can also be dueto the retention of a pathogen in the li!er. %f wiry, Thready and forceful-like feelingthe edge of a knife is indicati!e of tomach 8i e0haustion.

ei "ai ;"inute5 4aint5 Indistinct<

4escription: %nsufficient, e0tremely fine, soft, barely palpable. %t may be felt and then sometimes itis lost. 260tremely Thready and soft2

%ndications: 4ecline of 9ang 8i. 9in, 9ang, 8i, and (lood 4eficiency.

6tiology: The 9ang 8i cannot push the blood in the !essels or the 9in;blood cannot fill the!essels.

?i "ai ;Thready5 Thin<

4escription: oft, feels like a silken thread, weak, without strength but not scattered by pressure.

%ndications: 8i and (lood Iu, !arious deficiency syndromes, disorders due to 4amp. 4oes notindicate weakness.

6tiology: %mpairment of 9ing (lood fails to make the !essels plentiful. 8i is too deficient tomo!e the blood. 'ay also occur due to compression of !essels by dampness.

Duan "ai ;Short<

4escription: 4oes not reach*i.e. fill longitudinally+ its location or range. Can be felt most clearly atthe uan position, more indistinct at the Cun and the Chi.

%ndications: hort and forceful indicates 8i tagnation, hort and weak indicates 8i Iu

6tiology: 8i is failing to mo!e the (lood.

Dai "ai ;Re*ularly Intermittent<

4escription: Comparati!ely rela0ed and weak, stops at regular intermittent inter!als. Theseinter!als may be strikingly long.

%ndications: 4ecline of >ang 3u *organ+ 8i, Wind yndromes, #ain, Terror, 3ear, Trauma.

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6tiology: 3laws: 2#atients with this pulse ha!e ad!anced heart disease according to westernmedicine and should be immediately referred to a western doctor2

Shuo "ai ;Rapid<

4escription: Abo!e F= (%', or more than E beats per breath.%ndications: 5eat yndromes. 3orceful and rapid e0cess heat. Weak and rapid 4eficiency

5eat.

6tiology: 5yperacti!ity of heat accelerating 8i and (lood. apid pulse may be weak when itDs9in Iu due to a chronic disease resulting from interior deficient heat. apid pulse,when seen in cases of floating of 9ang Iu, must be large and weak with a sense ofemptiness.

:i "ai ;Racin*5 S(ift5 $urried<

4escription: Hery rapid, o!er )= (%', or ?-G beats per breath.

%ndications: 60cess of 9ang and e0haustion of 9in, impending e0haustion of primary 8i Can alsobe due to 5eart #alpitations.

6tiology: 60haustion of 9in in the lower body and e0cess of 9ang in the upper parts. $ftenaccompanies high temperatures. wift and wirynot enough true 9in, o!erabundanceof 9ang. wift and forceful#rimary 9ang will be e0hausted.

&ote: This can be normal for infants.

Cu "ai ;RapidIrre*ular5 S9ippin*5 Abrupt<

4escription: apid and irregularly interrupted.

%ndications: 60cess 5eat, 4omination of 9ang, 8i, (lood, #hlegm and 3ood tagnation. This canbe from an Atrial 3ibrillation.

6tiology: This is clinically !ery se!ere, 9in and 9ang are not in communication.

Don* "ai ;"o0in*5 Throbbin*5 Stirrin*<4escription: lippery, rapid, forceful, feels like a bean--strong and throbbing abruptly. 2Without

head or tail2 This is most distinguished at the uan position, and is a subcategory ofthe short pulse.

%ndications: #ain, 3right, hock

6tiology: Conflict between 9in and 9ang, disturbance of ascending and descending, leading to

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faster circulation of 8i and (lood which makes it appear smooth, rapid, and forcefulyet palpable o!er a narrow region.

Da "ai ;ar*e5 %i*<

4escription: 7arge, fills up the fingertip, forceful. imilar to the 5ong 'ai, but does not ha!e thewa!e-like shape

%ndications: Ad!ance of a disease due to domination of pathogenic factors and also 4eficiencyyndrome.

6tiology: %t is possible to differentiate e0uberance or decline of pathogenic factors and thehealth of the 8i according to whether 7arge pulse is forceful or weak

Chinese "edicine ;TC"< Pulse Indications Summary Chart

60cess5eat

60cessCold

#ain#hlegm

tagnation3ood

tagnation

8i and(lood

tagnation4ampness

8iIu

(loodIu

9inIu

9angIu

60ce#athog

urging;5ong

3orceful;hi

lippery;5ua

7ong;Chang

Wiry;Iuan

apid;hu

apidirregular;Cu

Tight;Bin

Confined,

3irm;7ao

5idden;3u

'o!ing,Throbbing;4ong

egular

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TC" Dia*nosis by Palpation ;Pulse Dia*nosis< One of the , Pillars

• 4i!isions of the #ulse• 7ocation of the adial #ulses• The 'ethod of #ulse 4iagnosis• 3actors %nfluencing #ulse

%n Western medicine, the pulse is only a minor diagnostic tool, it is, howe!er, !ery important in TC'.#ulse diagnosis gi!es information on

). The state of balance of the body as a whole, i.e. the state of the 8i, (lood, 9in and 9ang, ande!en the constitution.

. The state of indi!idual $rgans *esp. 9in $rgans+.

TC' practitioners feel the pulse and note the rate. They discern width or amplitude, length, how closeit is to the surface, how deep and close to the bone, the strength, and other ualities.

Di0isions of the Pulse• Three area of the #ulse:

%nch or Cun: 4istal or 3ront *at wrist crease+(ar or uan: 'iddle *1ust medial to radial styloid process+Cubit or Chi: #ro0imal or ear

• Three 7e!els of the #ulse:

uperficial: state of 8i and 9ang $rgans in general

'iddle: state of (lood

4eep: state of 9in and 9in $rgans

$

uperficial: the condition of the 60terior or of the Lpper (urner

'iddle: tomach and pleen diseases

4eep: %nterior diseases, esp. 7i!er and @idneys

ocation of the Radial PulsesThree positions at each wrist, along the radial artery.

The pulses are palpated at three positions, superficial, middle and deep.

'ost te0ts agree on the following:

• The pulse essentially reflects the state of 8i in the different burners of the an Biao *tripleburner+.

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• #osition: #atientDs arm should be hori"ontal and not higher than le!el of heart. 'ostpractitioners use a table and place patientDs wrists on a small cushion.

• 3inger #lacement: (est to keep all fingers in place as described abo!e, and only lift fingersslightly to feel different le!els.

• (reathing: #ractitioner must regulate his;her breathing in order to be more recepti!e.

#atientDs pulse is traditionally correlated with the #ractitionerDs (reathing Cycle in order to determine if

patientDs pulse is slow or rapid. *This was misinterpreted for a long time in the West+.

&ormal pulse: <-E beats per practitionerDs breath.

Three beats or less: low #ulse

'ore than fi!e beats: apid #ulse

Also pulse can be counted using a watch according to following table:

4actors that Influence a Pulse Readin*• The < easons: #ulse is deeper in Winter, more superficial in summer.• ender: 'enDs pulses are naturally a little stronger. %n men, the 763T pulse is slightly stronger

and in women the %5T pulse is slightly stronger.• $ccupation: those doing hea!y physical work should ha!e stronger pulse.• #atient should not ha!e 1ust eaten a large meal *) hr. before $@+. $therwise, tomach pulse will

read !ery high and other $rgan readings may be depleted.• Allow the patient to rest after arri!al at office.• Allow )E minutes after urination, defecation or ingestion of liuids.• #ulse diagnosis should take place in a calm, restful en!ironment.• ilence should be maintained during procedure.

• Western medications can interfere with reading, as can hypertension, and structural anomalies

The Ele0en Treatment "ethods• weating 2eleasing the urface2 'ethod• Homiting 'ethod• #urging *Iei+ 'ethod• 5armoni"ing 'ethod

Age ate

)-< F= or abo!e<-)= G<

)=-) ?G;G=

)-/E ?

/E-E= ?;?=

E=K G

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http://www.sacredlotus.com/diagnosis/eleven_treatments.cfm#vomiting

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(. %ngestion of To0ins;#oisons.

C. #hlegm obstructing airways5erbs: %n this treatment methods, herbs that induce !omiting are used. alty water can be used to2tickle2 the throat.

Top of #age

)' Pur*in* ;?ei< "ethodThere is a saying in an older Chinese medical te0t which states: 2insenghas killed many people but nobody says it is because of inseng. 4a 5uang has sa!ed many peopleDsli!es but nobody says it is because of 4a 5uang *purging+.2 4a 5uang is one of the primary herbs usedfor the purging method as it induces bowel mo!ements. The saying refers to people using insenginappropriately *e.g., self medication+ causing their deaths *a hero with a dark side+. Too muchtonifying, or tonifying when it is inappropriate can kill, but people still like the idea of tonifying. $nthe other hand few people gi!e 4a 5uang, or the purging method, credit for sa!ing many li!es. #eopledonDt like purging so few people reali"e the importance of the #urging method *the unsung hero+.

This method is used mainly to purge fire and clear heatA. 3e!er, headache, sweating, abdominal pain, bloating ana constipation. trong and rapid pulse. edTongue body with yellow coat, This is pattern of internal, e0cess, heat. purging method can be used inthis e0ample to clear heat. The heat will be e0pelled from the body through the bowel mo!ements. %fthere is e!en more heat symptoms, then this treatment method can be combined with the Clear 5eatmethod.

(. 5eat in the (lood.This pattern in!ol!es e0cess heat causing hemorrhages. 3or e0ample, heat in the upper body can resultin nose bleeds *epista0is+, coughing up of blood *hemoptysis+, or !omiting of blood *hematemesis+.The purging method can be used to draw the heat down and out through the elimination. This methodcan effecti!ely stop bleeding e!en though the top (leeding method isnDt used.

C. 4amp-5eat 4iarrhea.The pattern is identified by foul odor elimination with small amounts of mucus *4ysentery+. There maybe small amounts of blood. The patient cannot really finish eliminating so the #urging method is usedto cleanse and clear the 4amp-5eat 6!il.

4. Turbid Water etentionThe #urging method can be used only for an 60cess condition *not for4eficiency+. #urging draws the e0cess water out of the body through thebowel mo!ement.

6. Amenorrhea, or 4ysmenorrhea due to 8i;(lood tagnation

#urging can be used to break down 8i and;or (lood stagnation. After purging the menses will thenresume.

3. 7ubricating #urging- 'ild.Thus method in!ol!es using herbs rich in oils *i.e., nuts, seeds+ which ser!e as a la0ati!es. This methodis employed when using the cathartics is too harsh.#urging is e0tremely effecti!e for 9angming 3u yndromes

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Precautions

• This method is contraindicated if the 6!il is on the 60terior. #urging will only cause the patientto lose body fluid and will not e0pel the 6!il.

• This method is contraindicated if the 6!il is between the %nterior and 60terior. Again because#urging treats interior e0cess conditions, this method is not effecti!e for patterns that arebetween the interior and e0terior for e0ample in haoyang yndromes.

• This method is contraindicated if the patient is too young or too old. This method is !ery ta0ingon the body so if they are already deficiency, purging can only cause more deficiency.

• This method is !ery much contraindicated during pregnancy. 'ay cause miscarriage.• This method is also contraindicated during the menses. Can cause hea!ier bleeding.• When using this method, restrict use to ) or times. $therwise, too much purging will cause

deficiency.

Top of #age

,' $armoniin* "ethodA. Lsed for 5alf %nterior, 5alf 60terior *haoyang+ yndromes. 3or e0ample: common cold, flu,malaria where symptoms correspond with the haoyang syndrome.5erbs: spicy cool herbs to release the surface and also herbs to tonify the pleen deficiency.

(. Lsed for disharmony between the internal organs. 3or e0ample: in syndromes such as 7i!erin!ading the pleen or tomach, #remenstrual yndrome, hepatitis, digesti!e function disorders, li!erfunction disorders, often for female disorders.

C. Lsed as a last resort. %f none of the other treatment methods are effecti!e, you can resort to thismethod.

Precautions• Take caution in correctly identifying that this condition is between the %nterior and 60terior. As

this method is not ad!isable if the condition is on the e0terior or in the interior.• Also take care not to be careless in 1ust using this method. As opposed to making a through

diagnosis.

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.' armin* "ethodA. Lsed to a!e the 9ang in the case of 9ang Collapse. This methods brings back the 9ang in se!ere

9ang deficiency.• %n 9ang Collapse the patient may ha!e the following symptoms: poor shen, cold touch *whole body+,pallor, cold sweat, slow-weak-irregular pulse. This is also described as the separation of 9in and 9ang*rather serious+.• 5erbs: trong 9ang tonifying herbs to sa!e the 9ang. uch as @orean ginseng, or dried ginger.$ther: %n this circumstances, keep the patient warm *increase room temperature+. 'o0a acupuncturepoints: 4u-= (aihui and t-/ >usanli or use warm needle techniue.

(. Also used to Tonify the 9ang in cases of 9ang 4eficiency. This is similar to condition A but lessserious. 'ost common application is for 'iddle Biao Cold 4eficient patterns *pleen and tomach







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affected+.• ymptoms include: cold diarrhea *diarrhea without heat signs+, cramping and pain in abdomen,undigested food in elimination, increase pain with ingestion of cold foods, low energy;fatigue, bloating,poor appetite, nausea and !omiting.• 5erbs: warm, hot herbs to tonify the yang *e.g., ginger, peppers+. $ther: needle and mo0a en-)>hongwan and t-/ >usanli.

C. Lsed for Cold;tagnation of Channel 8i. Cold and pain on specific parts of the body.5erbs: 'ay use herb plaster or pepper oil in affect areas.$ther: Lse needle and mo0a on acupuncture points in the affected area.

4. Lsed to Warm @idney 9ang. %n conditions when the 27ife-ate 3ire2 is not strong enough there mayother associated patterns which complicate the 9ang deficiency. uch as 2dirty water2 edema *due to@idney deficiency+, urinary dysfunction, or reproducti!e dysfunction.

This method is used to tonify the @idney 9ang to treat associated symptoms. Can use @idney (ack-hupoints or 4u channel points or @idney channel points.

Precautions• 'ake sure the patient has no hemorrhaging. 6specially due to e0cessi!e heat, but also due to

9in deficiency problems. Warming method will worsen the bleeding.• 'ake sure the patient does not ha!e false cold symptoms. %n cases of e0treme heat, false

symptoms may arise. 9ou must make sure this is not the case as the Warming method willworsen these cases.

• 3loating 9ang. The warming method i not appropriate because this is a heat *deficient+ problem.

Top of #age

/' Clearin* "ethod same as Cold "ethod ;Clear $eat<'A. Lsed to Clear 5eat specifically, and for deto0ificationLse for syndromes where there is 5eat and To0ins on the interior of the body *To0in is not e0actly thesame as in Western 'edicine+. %ncludes conditions such as to0emia and septicemiaymptoms include: fe!er, dermatitis, or bronchitis.5erbs: honeysuckle, dandelion, chrysanthemum their use is similar that that of Western medicineDsaspirin and antibiotics.

(. Lsed to Treat 8i tage Warm 5eat *Wen (ing+ or 9angming 5eat*hang 5an 7un+.&ote that this is for 9angming channel conditions where the 2four (igDs2 are present *big fe!er, thirst,pulse, sweat+. $therwise if it is the 9angming 3u syndrome *constipation+ then use the #urging method.Acupuncture: 7%-)) 8uchi and other cooling points. $thers: apply ice to armpits, forehead.

C. Lsed to treat 5eat in the (lood at the Wei, 8i and 9ing le!els.3or symptoms such as skin rashes, fe!er *esp. nighttime fe!er+, and bleeding in some areas of the body.

4. Lsed to Clear 4amp 5eat.3or e0ample, 7ower Biao 4amp 5eat will ha!e symptoms such as fe!er, red face , cloudy urineaccompanied by burning sensation and urgency, diarrhea, red tongue with yellow greasy coating.5erbs: to clear heat and dry dampness.




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6. Lsed to Clear 4eficient 5eat *9in 4eficiency+4eficiency heat symptoms include| e: Tow grade fe!er, thirst, night sweating, malar flush, etc.. We usethis method combined with 9in tonification.

Precautions

•

'ake sure this is true heat as opposed to false heat and true cold. %f it is true cold do &$T usethe Clearing 5eat method.• 4o &$T use this method for too long. $therwise you may damage the 9ang 8i and will cause

further complication to the disease pattern.

Top of #age

1' Tonifyin* "ethod Nourishin* "ethod ;%u 4a<A. Lsed to Tonify 8i3or 8i deficiency syndromes and related syndromes such as 8i inking, etc.. Appropriate herbsinclude: 4ang hen, ginseng, 5uang 8i.

(. Lse to Tonify 9ang imilar to tonifying 8i but including temperature thus also warming as well.5erbs include: peppers, cinnamon bark, dry ginger, and treated ginseng.

C. Lse to Tonify (loodLsed for blood deficiency conditions the most ob!ious being anemia. 5owe!er tonifying blood may beappropriate for !arious menstrual dysfunctions so long is it is related to blood deficiency. Appropriateherbs include 4ang u

4. Lse to Tonify 9in$ne aspect of 9in is body fluids. o 9in deficiency shows up as dryness issues such as dry skin, mouth,eyes. (lood is also part of 9in as well. o (lood deficiency pattern can progress into 9in deficiency.Appropriate herbs include American inseng *Ii yang shen+ which can tonify body fluids as well.

Precautions

• 4o not tonify when there is an e0terior disease present. The idea is that if you tonify *theinterior+ while there is an e0terior 6!il, you run the risk of leading the 6!il into the interior.

• 4o not tonify when there is an e0cess 5eat pattern present. Tonifying when there is a fe!er willlikely worsen the fe!er. 7ike adding fuel to a fire.

• 4o not tonify if there is an e0cess type pain. Again if you tonify when there is pain due to 8istagnation it will increase the pain *like increasing the pressure without unblocking theobstruction+.

•

There are cases where the patient may be so deficient, that they are unable to toleratetonification methods. 3or e0ample, the pleen is so weak that the digesti!e tract is unable tohandle the stronger herbs. 3urthermore doing so may weaken them more *i.e., lower theirappetite, etc+. This is analogous to feeding someone who has been star!ing for a long period.They would not be able to tolerate rich foods. tart with simple foods and build up from there.

• Tonification must be done o!er longer periods compared to other treatment methods. Bust usingit a few days will not be effecti!e. o it is important to monitor the treatment as well as to a!oidabuse of tonification.

Comparison with Western 'edicine: When to use Tonification.




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). 5ormonal #roblemsAppropriate for conditions such as deficient adrenal glands *AddisonDs diseases+ where the @idney is9ang 4eficient. 5ypothyroidism is similar to 9ang deficiency. 5yperthyroidism is similar to 9indeficiency.

. Asthma

3or asthma due to deficient @idney and 7ung it may be appropriate to tonify these organs.

/. $rgan #rolapseTonify the >hong 8i, 'iddle 8i and pleen 8i for condition such as hernia *&$T always+, prolapsinguterus, rectum, etc..

<. (one 4iseases%ncluding arthritis, broken bones, osteoporosis *the @idneys control the bone so tonify the @idneys+.

E. Tonify the 7ungs 8i to benefit the %mmune system. 3or conditions such as A%4, 6pstein (arr Hirus.

. 'ay be appropriate for some types of Cancer *difficult to treat+.Tonify the >heng 8i but must also (reak tagnation and 4issol!e #hlegm.

?. Anemia'ay also be difficult to treat as it may be due to lack of marrow function if so then tonify the @idneyand pleen to treat this condition.$!erall the Tonification method is used freuently in the clinic, especially for people with chronicillnesses.

Top of #age

2' Remo0e Con*estion "ethodA. Lse to Treat 3ood tagnation.Can be due to poor digestion or o!ereating causing bloating, nausea,

!omiting, diarrhea. 3ood tagnation herbs are used specifically for these conditions.(. Lse to Treat #hlegm CongestionThis is not the same as the Western notion of phlegm. %t includes but is not limited to the sputum wee0pectorate. &odules, fatty tumors, swollenglands are consider phlegm under the skin.

Acupuncture: Turtle needling techniue.

C. Lse to 4rain 4ampness and Transform *4issol!e+ #hlegmand also Clear 5eat.

Where there is 4ampness present, the patient may feel !ery tired and hea!y. 4ampness can also be

complicated by 5eat. And if it persists long enough can turn into phlegm.60amples: 7ower Biao 4amp 5eat can look like a urinary tract infection*LT%+. 3or this condition you need to promote water *circulation and elimination+ and remo!edampness. Lpper Biao 4ampness can manifest as 'eniereDs disease where there is !ertigo, di""inessdue to 4amp congestion. Again this is treated by promoting water mo!ement and draining 4ampness.

Precautions

• emo!ing Congestion and #urging are methods used to treat 60cess conditions. %f the onset of




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the condition is acute, use the #urging method not the emo!e Congestion method. emo!eCongestion is not as strong but nor is it as harsh as #urging.

• Contraindicated for 4eficiency conditions.

Top of #age

3' Astrin*in* "ethodA. Lsed to top weating *Astringe weating+.3or 8i 4eficient sweating also tonify 8i.3or 9in 4eficient weating also tonify the 9in.

(. Lsed to top Coughing *Astringe the 7ungs+(y astringing the 7ung, this can stop chronic coughs.

C. Lsed to top 4iarrhea *Astringe the %ntestines+Lse to stop chronic types of diarrhea, also can stop prolapse of the large intestines.

4. Lsed to top Lrination *Astringe the (ladder+

Lse for bed wetting or too freuent urination *day or night+.6. Lsed to top permatorrhea *Astringe the Bing+Also for premature e1aculation.

3. Lsed to top 7eukorrhea *Astringe the (elt Channel;4ai 'ai+ Also appropriate for e0cess menstrualbleeding.

. Lsed to top 5emorrhage *Astringe the (lood+.Lsed for chronic bleeding conditions such as hemophilia

Precautions

• 4o &$T use for acute 60cess condition. This both will lock in any e!ils so you must be surethere is no e0cess condition *such as heat, wind, etc..+. enerally you would combine thistreatment method with the Tonifying treatment method. The tonification treats the root ofproblem while tringing treats the symptoms.

Top of #age

7@' In0i*oratin* the %lood5 Remo0in* or %rea9in* %loodSta*nation'A. Lsed to egulate the 8i and Hitali"e the (lood.8i is the leader of the (lood, so some kinds of (lood tagnation are caused by 8i stagnation andcongestion. 3or e0ample 7i!er 8i tagnation produces #' symptoms *painful menstruation+. Thismethod is good for many female problems.

(. Lsed to Warm the Channels and Hitali"e the (lood.(lood stagnation can be caused by Cold 6!il. $ne of the ob!ious symptoms of blood stagnation issharp pain, pain that is somewhat alle!iated bywarmth. 3or this condition, can use mo0a and acupuncture to treat as well.

C. Lsed for certain kinds of Wind #roblems which cause (lood tagnation. enerally %nternal Wind is







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• %n!asion of the 7ungs by Wind-Water• 4amp-#hlegm $bstructing the 7ungs• #hlegm-5eat $bstructing the 7ungs• #hlegm-3luids $bstructing the 7ungs

un* PatternsEtiolo*y

7ung patterns can be of either 60cess or 4eficiency. With 4eficient patterns, 7ung 8i 4eficiency ismore common than 7ung 9in 4eficiency. %n 60cess patterns, the 7ungs are usually in!aded by e0ternalpathogens, mostly Wind, Cold, and 5eat.

Patho*ens

Wind can combine with Cold or 5eat to form Wind-Cold and Wind-5eat. 60ogenous pathogenicfactors commonly first attack the Wei 8i *defensi!e energy+ and e0terior of the body. This would resultin e0terior condition, as the 7ungs ha!e not yet been affected. Common symptoms such as fe!er, chills,a!ersion to Cold, aching, snee"ing, and stuffy nose indicate the struggle between the (odyDs Wei 8i andthe in!ading pathogen *such as e0ternal Wind 5eat+. As the condition worsens, the 7ungs can easilybecome in!ol!ed.

4ryness, both internal and e0ternal, can affect the lungs creating symptoms such as dry throat, cough,and dry skin *the 7ungs control the skin+.

Although uncommon, 4ampness can combine with Wind causing an 60terior disorder with facialedema.

Diet

60cessi!e consumption of Cold and raw *salads, dairy, etc.+ foods decreases the pleenDs ability totransform and transport nutrients. When the pleenDs ability is impaired, %nternal 4ampness and

e!entually #hlegm accumulates in the (ody. %n Chinese 'edicine it is said that while the pleen is theproducer of #hlegm, the 7ungs are the container for #hlegm.

Emotions

(oth sadness and worry are associated with the 7ungs. Chronic sadness disperses 8i and causes 7ung8i 4eficiency. Chronic worry knots or ties up the 8i causing tagnation of 8i in the chest.

ifestyle

Acti!ities *or non acti!ities+ that restrict mo!ement of the chest and breathing such as being hunchedo!er a desk in computer work, reading, or studying can deplete the 7ung 8i. 60cessi!e la"iness andlounging can also weaken 7ung 8i.

un* =i Deficiency

Si*ns

• Weak breathing, shortness of breath on e0ertionThe 7ungs go!ern respiration

• Weak cough

http://www.sacredlotus.com/diagnosis/patterns/patterns_lu.cfm#wind_water

http://www.sacredlotus.com/diagnosis/patterns/patterns_lu.cfm#damp_phlegm

http://www.sacredlotus.com/diagnosis/patterns/patterns_lu.cfm#phlegm_heat

http://www.sacredlotus.com/diagnosis/patterns/patterns_lu.cfm#phlegm_fluids

http://www.sacredlotus.com/diagnosis/patterns/patterns_lu.cfm#wind_water

http://www.sacredlotus.com/diagnosis/patterns/patterns_lu.cfm#damp_phlegm

http://www.sacredlotus.com/diagnosis/patterns/patterns_lu.cfm#phlegm_heat

http://www.sacredlotus.com/diagnosis/patterns/patterns_lu.cfm#phlegm_fluids

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7ungs are too weak to send 8i downward• Thin watery sputum

7ung 8i too weak to regulate water passages• Weak !oice, lack of desire of speaking

Weak >ong 8i• pontaneous sweating, easily sweats, daytime sweating

7ungs circulate Wei 8i which go!erns the opening and closing of skin pores• A!ersion to Cold

7ungs and Wei 8i warm the skin and muscles• (right white comple0ion

8i 4eficiency• Weakened %mmunity

Weak 7ung 8i is also closely tied to weak Wei 8i, which could lead to freuent colds.

Pulse

6mpty pulse

Ton*ue

#ale or normal tongue body

Etiolo*yPatholo*y

Chronic 7ung problems may be hereditary, especially if a parent had 7ung tuberculosis. There may betrans!erse cracks in 7ung area and the 7ungDs pulse position may be more medial than normal.

60terior Wind Cold or Wind 5eat may remain in the body and e!entually cause 7ung 8i 4eficiency.There is often a chronic cough following an e0terior Wind Cold or Wind 5eat in!asion. This situation

can be worsened when taking antibiotics for cold or flu, as they contain the Cold in the chest andinterfere with 7ungDs dispersing v descending functions.

un* +in Deficiency

Si*ns

• 4ry cough or cough with sticky sputum7ung 9in not nourishing 7ung

• 4ry mouth and throat, 5oarse !oice

4eficient fluids• (lood tinged sputum

9in 4eficient 5eat burns the !essels• 7o!er grade fe!er or heat sensation in the e!ening time, malar flush, night sweats, fi!e palm

heat9in 4eficiency producing empty heat

• %nsomnia9in 4eficiency and 5eat disturb the hen

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Ton*ue

• ed peeled tongue with cracks in the 7ung area%n early stage, tongue signs are not as pronounced

Pulse

• 6mpty, floating, and rapid pulse

Etiolo*y

). 7ung 9in 4eficiency can de!elop from prolonged 7ung 8i 4eficiency.. Can be due to tomach 9in 4eficiency, which can be caused by irregular eating habits or diet./. Can result from @idney 9in 4eficiency, which can be caused by chronic o!erwork.<. Can de!elop from 7ung 4ryness *from e0ternal or internal causes+

Treatment Principle

• Tonify 7ung 9in, nourish (ody fluids clear 6mpty 5eat

Points

• U 3 *Taiyuan+ource point can tonify 7ung 9in

• REN71 *han"hong+Tonifies 8i and 7ung 9in

• % ,) *aohuangshu+Tonifies 7ung 9in, especially good in chronic cases

• % 7) *3eishu+

Tonifies 7ung 8i v 9in• Du 7& *hen"hu+

Tonifies 7ung 8i v 9in• REN, *uanyuan+

Tonifies @idney 9in v conducts 6mpty 5eat downwards• #I / *>haohai +

Tonifies @idney 9in v benefits throat esp. good where throat is dry. Can combine 7L ? and @% to tonify 7ung 8i and 7ung 9in, tonify @% 9in v benefit throat, reconnect 7ungs v @idneys

• REN7& *>hongwan +Tonifies tomach v nourishes fluids *tomach is origin of fluids+

•

U 7@ *9u1i+edate to clear 6mpty 5eat from 7ungs

"ethod

Tonify all #oints e0cept 7L )= which is sedated. &o mo0a.

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un* Dryness7ung 4ryness is characteri"ed by signs of 4ryness with deficient fluids, but it is not yet of 9in4eficiency. %t could be considered less se!ere and a precursor to 7ung 9in 4eficiency.

Si*ns

• 4ry cough, 4ry throat, 4ry mouth, 4ry skin• Thirst• 5oarse Hoice

Ton*ue

• 4ry, but not ed

Pulse

•

6mpty, especially in the 7ung position

Etiolo*yPatholo*y

7ung 4ryness can be either 60terior or %nterior. 60terior 4ryness damages 7ung fluids, such as in longperiods of dry and hot weather. %nternal 4ryness can occur from tomach 9in 4eficiency *i.e. - fromirregular eating times, irregular diet, etc.+.

Treatment Principle

• 'oisten the 7ungs and &ourish 3luids

Points

• U 3 *Taiyuan+'oistens 7ungs

• REN, *uanyuan+Tonify @idney 9in v nourishes fluids

• #I / *>haohai+&ourishes 3luids, benefits throat

• Sp / *an9in1iao+&ourishes 3luids

•

REN7& *>hongwan+Tonifies tomach v nourishes 3luids

"ethod

• Tonify all points

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In0asion of un*s by ind Cold

Si*ns

• 3e!erWind Cold pathogen battles with Wei 8i

• A!ersion to Cold60terior Cold impairs circulation of Wei 8i which cannot warm muscles

• $ccipital headache, whole head headache• (ody aches

60terior Cold impairs circulation of Wei 8i which cannot warm muscles• Cough, snee"ing, stuffy nose or runny nose with thin clear mucus, %tching throat

7ungs descending and dispersing ability is impaired

Ton*ue

• Thin white tongue coating

Pulse

• 3loating pulse

Etiolo*yPatholo*y

). 6n!ironmental Wind and Cold can enter the body *to superficial or deep le!els+ depending onthe strength of bodyDs Wei 8i in relation to a pathogen.

. Artificial sources of Wind Cold, such as air conditioning can also cause Wind Cold.

Treatment Principle

• elease 60terior, disperse Cold, stimulate 7ung descending and dispersing function

Points

• U 1 *7ieue+4isperses Wind Cold, releases 60terior, stimulates 7ung dispersing;descending

• % 7& *3engmen+eleases 60terior, 60pels Wind *esp cupped+ 'o0a after needling.

• Du 7/ *3engfu+

60pels wind

"ethod

sedation mo0a applicable after needling.

In0asion of the un*s by ind $eat60terior pathogenic Wind combines with 5eat and in!ades 7ung 60terior portion *7ung 4efensi!e 8i

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60pel 60terior Wind

"ethod

edate. &o mo0a. 7L-)) can be bled for sore throat

In0asion of the un*s by indaterThis is an 60terior in!asion of Wind-Cold and 4amp pathogens. %n addition to Wind-Cold signs, thereare signs of 4ampness as well. (ecause the 7ungDs function of controlling Water passages is impaired,this results in facial edema.

Si*ns

• udden swelling of the face and eyes, which may spread to the whole body, scanty urination7ungs are obstructed by Wind-Cold-4amp and can not properly send 3luids downward

• #ale urination, bright shiny comple0ion

Wei 8i and 9ang mo!ement is impeded• A!ersion to Wind

%mpaired Wei 8i• 3e!er

60terior pathogen struggling with the Wei 8i• Cough and shortness of breath

7ung 8i not descending

Ton*ue

• White slippery tongue coat

Pulse

• 3loating and slippery

Etiolo*yPatholo*y

60posure to e0terior Wind-Cold and 4ampness

Treatment Principle

•

elease the 60terior, disperse Cold, resol!e 4ampness, restore 7ung descending function, openWater #assages

Points

• U1 *7ieue+eleases 60terior, stimulates 7ung descending function - $pens Water passages

• I/ *#ianli+$pens 7ung Water passages

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• I1 *Wenli+Ii Cleft point of 7% channel, use for acute conditions

• I, *5egu+elease 60terior, opens Water #assages

• REN3 *huifen+$pens Water #assages, resol!es edema

•

%7& *3engmen+elease the 60terior, stimulate 7ung 8i to descend• %7) *3eishu+

elease the 60terior, stimulate 7ung 8i to descend

"ethod

• edate

DampPhle*m Obstructin* the un*s

This is an 60cess %nterior Cold syndrome. While #hlegm is obstructing the 7ungs, the pattern usuallyarises from chronic pleen 4eficiency with 4ampness that e!entually turns to #hlegm

Si*ns

• Chronic cough with acute attacks#hlegm obstructing the descending function of the 7ung 8i

• #rofuse white phlegm that is easily e0pectorated• #ale or pasty looking face

pleen and 9ang 8i 4eficiency of the 7ungs and pleen *pale+ or presence of dampness *pasty+• tuffiness in the chest

#hlegm obstructing the chest• 4yspnea

#hlegm obstructing 7ung 8i• ymptoms are worse lying down

Ton*ue

• Think sticky white coat

Pulse

• lippery pulse, or soggy and weak pulse

Etiolo*yPatholo*y

• 4eficiency of pleen 8i or pleen 9ang• 3reuent or reoccurring in!asions of e0terior pathogenic factors will weaken the 7ungs and

pleen. This leads to formation of #hlegm. #hlegm ultimately settles in 7ungs.• 60cessi!e consumption of greasy, cold, or raw foods leads to the formation of #hlegm

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Treatment Principle

• esol!e #hlegm, restore 7ung descending function

Points

• U . *Chi"e+

60pels #hlegm from 7ungs• U 1 *7ieue+

timulates 7ung descending function. tops cough• U 7 *>hongfu+

tops cough v resol!es #hlegm• Ren 71 *han"hong+

timulates 7ung descending function• ST ,@ *3inagling+

esol!es #hlegm• PER/ *&eiguan+

$pens the chest and e0pels #hlegm• Ren && *Tiantu+60pels #hlegm from throat v stimulates descending function of the 7ung

• Ren 7& *>hongwan+Tonifies pleen to resol!e #hlegm

• Ren 3 *huifen +timulates pleen function of transformation;transportation v resol!es 4ampness

• % &@ *#ishu+Tonifies pleen to resol!e #hlegm

• % 7) *3eishu+timulates 7ung descending function

"ethod

Tonify (7-= and 6&-), edate all other points.

Phle*m$eat Obstructin* the un*sThis is an 60cess 5ot %nterior condition. 7ung #hlegm 5eat is often chronic. The pattern is similar to4amp-#hlegm, but with the added component of 5eat.

Si*ns

• Cough7ung 8i not properly descending

• #rofuse yellow, green, or brownish, possibly foul smelling4ue to #hlegm and 5eat

• hortness of breath, Asthma, tuffiness in the chest#hlegm obstructing descending 7ung 8i

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Ton*ue

• Thick sticky yellow coating

Pulse

• lippery, rapid, and full pulse

Etiolo*yPatholo*y

). $!er-consumption of greasy and hot foods. moking/. 60terior Wind 5eat can weaken 7ung 8i and lea!es pathogenic 5eat and #hlegm, which

e!entually become chronic.

Treatment Principle

• esol!e #hlegm, clear 5eat, stimulate 7ung descending function

Points

• U . *Chi"e+Clears 5eat v #hlegm from 7ungs

• U 1 *7ieue+tops cough restores descending;dispersing

• U 7@ *9u1i+Clears 7ung 5eat

• U 7 *>hongfu+estores descending function, clears 7ung 5eat

• % 7) *3eishu+edate to clear 7ung 5eat

• I 77 *8uchi+Clears heat

• Ren 7& *>hongwan+esol!es #hlegm

• ST ,@ *3inagling+esol!es #hlegm

"ethod

Lse e!en method on 6&-). edate all other points.

Phle*m4luids Obstructin* the un*sChronic condition where !ery watery, dilute v frothy #hlegm *#hlegm-3luids+ obstructs 7ungs $nlyseen in old;middle aged people.

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Si*ns

• Cough with frothy white and watery sputum• 4yspnea

7ung 8i can not properly descend• plashing sounds in the chest

Weak pleen and #hlegm 3luids• Homiting of frothy sputum• Chills

9ang 4eficiency of pleen and 7ungs

Ton*ue

• #ale body with a thick sticky white coating

Pulse

• lippery weak or 3loating weak pulse

Treatment Principle

• esol!e #hlegm and Tonify the pleen and 7ung 8i

Points

• U . *Chi"e+Clears #hlegm from 7ungs

• U 3 *Taiyuan+Tonifies 7ung 8i v resol!es #hlegm esp chronic

• Ren 71 *shan"hong+Tonifies 7ung 8i v stimulates descending function

• % 7) *3eishu+Tonifies 7ung 8i

• Ren 3 *huifen+esol!es dampness

• ST ,@ *3inagling+esol!es #hlegm

• Ren 7& *>hongwan+Tonifies the stomach to resol!e phlegm

•

% ,) *aohuangshu+Tonifies 7ung 8i 6# good in chronic conditions• ST )/ *>usanli+

Tonifies pleen 8i

"ethod

• edate 7L-E, T-<=, 6&-F. Tonify other points. 'o0a applicable.

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A' +an* "in* :in* ;Channel< Syndromeymptoms *The 3our (igDs+:

• (ig fe!er- This indicates %nterior 60cess 5eat- This may be accompanied by mental restlessness or irritability if the 5eat affects the mind

• (ig sweat- %nterior 60cess 5eat is e!aporating fluids or forcing fluids out

• (ig thirst- 3rom consumption of body fluids and e0cess heat.- A preference for cold drinks

• (ig pulse.- trong pathogenic and anti-pathogenic factors

• ed 3ace• &o a!ersion to cold• Ton*ue ed (ody with Thick 9ellow Coat *or dry coating+.•

Pulse 60cess #ulse

Treatment

4ormula %ai $u Tan* *White Tiger 4ecoction+

3unction:Clears 8i tage and 9ang 'ing Channel 5eat 4rains tomach 3ire, generatesbody fluids and alle!iates thirst.

Contents:

• hi ao•

>hi 'u• Bing 'i• >hi an Cao

%' +an* "in* 4u ;Or*an< Syndromeymptoms:

• The 3our (igDs *As Abo!e+• Constant 3e!er, but more pronounced in the afternoon.• Abdominal distention

- The 9ang 'ing 3u *$rgan+ syndrome will also ha!e abdominal bloating or in more se!erecases, abdominal masses. This is due to the heat drying the fluids, causing 8i tagnation in theorgans

• Constipation- The main distinguishing symptom of the $rgan *3u+ and Channel *Bing+ syndrome- 4ue to interior heat consuming fluids

• Tongue: Thick, 4ry, 9ellow Coat.• #ulse: 60cess #ulse

http://www.sacredlotus.com/formulas/get.cfm/chinese_formula/bai_hu_tang

http://www.sacredlotus.com/formulas/get.cfm/chinese_formula/bai_hu_tang

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Treatment

4ormula Da Chen* =i Tan* *'a1or $rder the 8i 4ecoction+

3unction: Higorously purges the 5eat Accumulation *induces defecation+.

Contents:

• 4a 5uang• 'ang Iiao• 5ou #o• >hi hi

Top of #age

Shao +an* ;esser +an*< Syndrome

The Tai 9ang stage in!ol!es 6!il pathogens *Cold, Wind+ on the e0terior of the body which need to bereleased or 2sweated out.2 The 9ang 'ing stage in!ol!es pathogenic 5eat in the %nterior which need tobe purged through the bowels. %n between these two stages is the hao 9ang syndrome where thepathogen is between %nternal and 60ternal.

Although the hao 9ang symptoms include both chills and fe!er, these symptoms alternate from one tothe other. The related channels of the hao 9ang syndrome are the an Biao, allbladder, #ericardium,and 7i!er.

ymptoms:

• Alternating chills and fe!er- %t was belie!ed that fe!ers corresponded to the bodyDs >heng *Lpright or ood+ 8i fighting

and winning against the pathogenic 6!il 8i, and that Chills indicated that the bodyDs >heng 8iwas losing the fight against the pathogenic 6!il 8i.• (itter taste in mouth

- %ndicates an e0cess all (ladder condition, heat disrupting the flow of bile.• (lurred !ision

- The 7i!er, which opens to the eyes, is affected.• &ausea, !omiting, bloating, poor appetite, and stomach ache.

- An e0cess 7i!er condition can easily affect *attack+ the pleen and tomach, which go!ern thedigesti!e system.

• #ain in the costal *hypochondriac+ region- The costal region is the region of the 7i!er so as the 'eridian flow is disturbed, so is this area.

• %rritability, 5eart He0ation, and irregular heart beat.- This corresponds to the #ericardium channel being affected. The #ericardium is closely relatedto the 5eart which controls the hen *'ind+.- As the 5eat disturbs the #ericardium, the 5eart and thus the 'ind is also affected producingirritability *or e!en insomnia+.

• Ton*ue ides of the tongue are more red, mi0ed yellow and white coating *again reflecting thehalfway characteristic of the hao 9ang syndrome+.

• Pulse Wiry pulse.

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http://www.sacredlotus.com/diagnosis/six_stages.cfm#top

http://www.sacredlotus.com/formulas/get.cfm/chinese_formula/da_cheng_qi_tang


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Treatment

4ormula ?iao Chai $u Tan* *'inor (upleurum 4ecoction+

3unction: 5armoni"es and releases hao 9ang *lesser yang+ channel disorders.

Contents:

• Chai 5u• 5uang 8in• en hen• (an Iia• heng Biang• 4a >ao• >hi an Cao

Acupuncture #oints:

• Waiguan *B-E+• 9ifeng *B-)?+• 9anglinguan *(-/<+

Top of #age

Tai +in ;Initial +in< SyndromeThe in!asion into the Tai 9in can occur from a chronic Tai 9ang syndrome progressing into the Tai 9in,inappropriate treatment of a Tai 9ang disease whcih forces it into the Tai 9in, or if the pathogen is

strong enough, it can bypass the e0terior and immediately in!ade the Tai 9in stage. 3ood poisoning, fore0ample, can cause sudden diarrhea and Cold-4amp in the body *symptoms of Tai 9in syndrome+. %nall cases, the pleen and tomach >ang 3u will be deficient and there will be %nternal Cold and4ampness present.

ymptoms:

• Abdominal 3ullness- 3rom the pleen not being able to transform and transport.

• Abdominal #ain- As this is a deficient pain, it will be alle!iated by warmth and pressure.

• 4iarrhea, nausea, !omiting.

- 4ampness affects nausea and diarrhea.- Also due to the 4ampness, the tomach 8i may be obstructed from descending and may rebelproducing !omiting.

• &o Thirst- &o interior 5eat

• Ton*ue #ale with a white sticky coat.• Pulse low and weak pulse.• ShenSpirit 7ow energy, fatigued.

http://www.sacredlotus.com/formulas/get.cfm/chinese_formula/xiao_chai_hu_tang



http://www.sacredlotus.com/formulas/get.cfm/chinese_formula/xiao_chai_hu_tang


8/13/2019 acuntur


Treatment

4ormula i 6hon* an *egulate the 'iddle #ill+

3unction: Warms the 'iddle Biao and strengthens the pleen and tomach.

Contents:

• en hen• an Biang• (ai >hu• >hi an Cao

Acupuncture #oints:

• >usanli *t-/+• 9inlinguan *p-F+

Note Comparison of Tai +in and +an* "in* Abdominal Pain

%n Tai 9in syndromes, the diarrhea and lack of thirst are both a product of Cold-4amp inside the body.%n 9ang 'ing syndromes, the constipation and strong thirst are both products of the %nternal 5eat. %nthe 9ang 'ing syndrome, the abdominal pain is aggra!ated by pressure and heat because it is an e0cesscondition. %n the Tai 9in syndrome, the abdominal pain is alle!iated by pressure and heat because it is adeficiency syndrome.

tarting with a common cold *Tai 9ang syndrome+, in!asions can progress into more complicatedinternal;e0ternal hao 9ang conditions, as well as e0pressing into full 5eat conditions as the body

mounts all itDs defenses against the in!ading Cold. %f the pathogenic factor is too strong, the fe!er willsubside, and this is an ominous sign *accompanied by cold digesti!e problems+ that the situation isgetting worse. This is already a serious situation, if allowed to progress further, the condition may belife threatening.

Top of #age

Shao +in ;esser +in< Syndromeshao 9in syndrome affects the @idneys and the 5eart. There are two types of hao 9in syndromes:$ne in!ol!es a deficiency of 9ang 8i and Cold, and the other in!ol!es a deficiency of 9in and 5eat.

(oth in!ol!e a serious disruption of the bodyDs basic 9in and 9ang balance.

A' +an* Deficient Shao +in Syndromeymptoms:

• A!ersion to Cold, Cold 7imbs.- The hao 9in feeling of cold is colder than that of the Tai 9in syndrome.- The patient may lie curled up or prefer many blankets.- There is little thirst and the patient may prefer warm drinks.

http://www.sacredlotus.com/formulas/get.cfm/chinese_formula/li_zhong_wan






8/13/2019 acuntur


• Tendency to sleep and 7istlessness.- 3rom 9ang 4eficiency.

• 4iarrhea with undigested food- Cold affecting the pleen and @idney

• Clear Lrine with %ncreased Holume- 9ang deficiency leading to e0cess 9in

•

&o 3e!er• Ton*ue #ale *Hery 4eficient+ with a thin white coat.• Pulse 4eep, minute *!ery weak+ pulse.

Treatment

4ormula Si Ni Tan* *3rigid 60tremities 4ecoction+

3unction: escues de!astated 9ang, warms the 'iddle Biao, and stops the diarrhea.

Contents:

• 3u >i• an Biang• >hi an Cao

Acupuncture #oints:

• >usanli *T-/+• 8ihai *en-+• (aihui *4u-=+ to hold the 9ang

%' +in Deficient Shao +in Syndromeymptoms:

• %nsomnia, irritability.- 3rom 3ire 3laring up from 4eficiency. The 9in is 4eficient so the 9ang can not be subdued atnight.

• 4ry mouth and throat.- 9in 4eficiency implies deficiency of body fluids producing dry mouth and throat *or e!en skinand eyes+.

• canty dark yellow urination.

- 3rom consumption of 9in from 5eat• &o 4esire to 4rink 3luids• Ton*ue 4ark ed body, ed Tip with little or no coating.• Pulse Thin and rapid pulse.

Treatment

4ormula $uan* ian E :iao Tan* *Coptis and Ass-5ide elatine 4ecoction+

3unction: &ourishes the 9in, causes the 4eficient 3ire to descend, eliminates irritability and

http://www.sacredlotus.com/formulas/get.cfm/chinese_formula/si_ni_tang

http://www.sacredlotus.com/formulas/get.cfm/chinese_formula/huang_lian_e_jiao_tang

http://www.sacredlotus.com/formulas/get.cfm/chinese_formula/si_ni_tang

http://www.sacredlotus.com/formulas/get.cfm/chinese_formula/huang_lian_e_jiao_tang

8/13/2019 acuntur


calms the hen *pirit+.

Contents:

• 5uang 7ian• 5uang 8in•

6 Biao• hao 9ao• Bi >i 5uang *egg yolk+

Top of #age

:ue +in ;!reater +in< SyndromeBue 9in is the last yin stage. tarting with the initial Tai 9ang stage, we progress through the stagesuntil the Bue 9in tage. This syndrome is the last stage of disease caused by Cold 6!il. %t chief attributeis the weakness of the >heng 8i.

ymptoms:

• Alternating sensations of cold and heat.• Appetite and thirst.

- The patient will ha!e hunger but will not be able to eat. $nce the food is ingested, the patientwill !omit it up.- %f a purgati!e is inappropriately prescribed, there will be continuous diarrhea.

• 3reuent Lrination.• Lncomfortable sensation as if air were ascending upwards from below the epigastrium or 5ot

and painful feeling in the chest.- This sensation is described as 9ang separating from 9in.

• oundworms.- The hang 5an 7un also describes this condition where parasites *roundworms+ may be!omited.

• Ton*ue ed #apillae with lippery and White Coat.• Pulse 4eep, 5idden, Wiry

Treatment

4ormula u "ei an *'ume #ill+

3unction: Warms the organs *intestines+, calms worms and stops chronic diarrhea.

Contents:

• Chuan Biao• Ii Iin• ui >hi• 3u >i• an Biang• 5uang 7ian



http://www.sacredlotus.com/formulas/get.cfm/chinese_formula/wu_mei_wan


http://www.sacredlotus.com/formulas/get.cfm/chinese_formula/wu_mei_wan

8/13/2019 acuntur


• 5uang (ai• en hen• 4ang ui• Wu 'ei

At this stage of disease, the patient may be in shock. The 9ang 8i needs to be

re!itali"ed or the patient may die. oundworms may migrate to another part ofthe % tract that is more suitable if the gastrointestinal tract en!ironment isaltered from illness. They may mo!e into and lodge themsel!es in the hepato-pancreatic ampulla, producing e0treme colicky pain. %n this situation, theingestion of a sour solution such as !inegar or Wu 'ei Wan, may alle!iate thepain.

!eneral Symptoms and Their "eanin* in TC"

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Colors of the 4ace

- ed *60cess or Iu 5eat+

• Whole 3ace 5eat from 60ternal 6!il or 5yperacti!ity of

>ang 3u *60cess+• Cheeks, Tidal 3e!er, &ight weats %nternal 5eat *Iu+

- #ale *Cold or 7oss of (lood+

• #ale White 9in 60cess or 9ang Iu

• (right White with #uffy and (loatedAppearance

9ang 8i Iu

• Withered White (lood Iu

- 9ellow *4amp or Iu+

• (ody, 3ace, 6yes, and kin Baundice

• (right $range 9ang Baundice *4amp 5eat+

• moky 4ark 9in Baundice *Cold 4amp or 7ong Termtagnation+

• #ale 9ellow *&ot (right+ (lood and 8i Iu

- (lue *Cold, #ain, (lood tagnation, Con!ulsions+

• #ale with (lue Tinge and e!ere #ain inthe 6pigastrium and Abdomen

60cess 9in and Cold

• (luish #urple 3ace and 7ips with%ntermittent #ain (ehind the ternum or#recordial egion

tagnation of 5eart (lood

• (luish #urple 3ace and 7ips with 5igh3e!er and Hiolent 'o!ement of 7imbsin Children

%nfantile Con!ulsion

4ark ray *(lood tagnation and @idney Iu+

• #ale and 4ark with 7umbar orenessand Cold 3eet

@idney 9ang Iu

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!eneral Deficiency and E-cess of +in and +an*=uality of E-cess +an* Acute

;E-cess $eatCondition<

+in ?u

Chronic;Deficient $eatCondition<

E-cess +in

Acute;E-cessColdDampnessCondition<

+an* ?u

Chronic;Deficient ColdCondition<

PulseNormal"oderate

apid, trong. apid, Weak.

- Could (eThinner

low. low, Weak.

Ton*ueNormalPin9i*ht Red

ed (ody, 9ellowCoat

&otes:9ellow 4ue To 5eat(urning (ody 3luids.

ed (ody,Thin;&o Coat

&otes:7ight 'ild5eat;low(oiling 5eat.'ap Coating*#artial #eel:$nly #art $fTongue 5as

Coat+.

#ale;#ink $r#urplish;(luish(ody.

- #oss. Thick Coat

- #oss. wollen &otes:Thickness 4ue To60cess (ody

3luids.

#ale (ody,Thin;White Coat*&ormal+, 3laccid.

- #oss. Teeth'arks $!er'onths $r 9ears

&otes:&ot 60cess $r

Additi!e Cold,'ore $f A IuCold.5as &othing To4o W;9in 3luids.Water 'etabolismlows, CausingChronic Wateretention#roblem.

4ace ed.

- #oss. 4ryness

$nly Cheeks ed.

- #oss. 4ryness

#ale.

- #oss. wollen

#ale.

Eyes ed.

&otes:%f %nflammation %s

ed, 4ry.

&otes:4ryness 4ue To

6dema Around6yes.

4ark Circles.

&otes:4ark Circles 4ue

http://www.sacredlotus.com/diagnosis/symptoms_cam.cfm#top



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%n!ol!ed There Will(e (urning ensation.Any (urningensation %s LsuallyAssociated W;5eat.

3luid Iu, And5eat 60cess.

To low;#oorCirculation.@idney %n!ol!ed:@idney 8i Iu, $r@idney 9ang Iu.

S9in ed, %nflamed.

- #oss. kin ashes

&otes:%f #atient weats, %tWill (e A #rofuseweat.

4ry kin.

- #oss. ash, (ut&o #uss $rWounds

- #oss. weat, (ut$nly %n 7ateAfternoon, $r At&ight

- #oss. 3i!e #alm5eat

$ily kin, (ody$dor, #ale.

- #oss. ashesW;#uss %f There %s4ampness

- #oss. Cysts,'asts, 6dema 4ueTo 3atty Tissue

tagnation

&otes:%f There %s weat,%t Will (e reasyAnd $ily.4ampness Tries To#rotect The 6!il(y #ulling %t4own, %nhibitingweat 3rom

(enefiting 3e!erCondition.

pontaneousweat W;Wo60ertion.

&otes: 4oor %s$pen, 3unctional9ang 6nergy Iu,o weat 7eaks$ut.

un*s trong;7oud CoughW;#hlegm.

- #oss. 9ellow, reen,$r (rown #hlegm.%ndicates %nfectious4isease

- #oss. (lood

Weak;4ry Cough.

- #oss. Aftermath$f %llness

&otes:mokers Cough.

#rofuse ThickWhite;Clear#hlegm.

hortness $f(reath, 4ifficulty(reathing, $rWeak hallow(reathing.

&otes:

Asthma 5as (oth7ung And @idneyIu.

$eart Hery apid;trong(eat.

&otes:timulants uch As

apid;Weak (eat.

- #oss.4iscomfort;#ain

Hery #oor (loodCirculation.

- #oss. 5eart #ain

Weak 5eart And7ow 3unctional6nergy, 7ots $f5eart #roblems.







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Coffee v CigarettesAre 60cess 9angAdditi!es %nto Theystem.

Around The 5eart - Congestion:(lood Clots 4ueTo (loodtagnation

&otes:

5eart 3ailure#re!alent.

When There %stagnation There%s #ain, &otagnation, &o#ain.

Angina.

- #oss. kipping5eart ates

- #oss. Cardiac#ain, And Cardiac3ailure

Appetite 5igh.

&otes:

#atient 'ay 6at A 7ot,(ut 4o &ot ainWeight

5ungry, (ut Can&ot 6at.

- #oss. as,(loating,Abdominal #ain,&ausea,Homiting,4iarrhea

&otes:4eficient 3luids*%nsufficient To4igest 3ood+.

Hery 7owAppetite.

&otes:

Cra!e 3oods ThatCreate 4ampness,uch As aw $rreasy 3oods,'akes #atient 3eelComfortable.

Could (e Cause$f %llness.

Hery 7owAppetite, &o6nergy To6at;4igest.

- #oss. Lndigested3ood %n tool

Thirst 5igh Thirst, 7ikes5igh 8uantity $f Cold4rinks.

Thirsty, ips Cool4rinks, (ut Can&ot 4rink Hery'uch.

'ight;'ight &ot5a!e 7ow Thirst.

7ow Thirst, 7ikesWarm Water.

Di*estion (loating, tool Will(e 4ry, W;4ifficult(owel 'o!ement,60tending #ain, harp#ain, 4oes &ot 7ike#ressure, 4oes &ot7ike 5eat.

4ry 5ard tool*Chronic+. 4ull,Achy Abdominal#ain, W;A 7ittle(urningensation. 7ikes#ressure, 4oes&ot 7ike 5eat.

ticky toolW;'ucus, #oorly3ormed.Abdominal #ain.4oes &ot 7ike#ressure. 7ikes5eat.

Weak;low4igestion. 'ild,4ull, AchyAbdominal #ain.7ikes 5eat, 7ikes#ressure.

- #oss. 6arly'orning 4iarrhea.



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- #oss. (urning4iarrhea AssociatedW;4amp 5eat $r3rom 60treme 5eattagnation. Truly AConstipation

Condition Where $nly3luids Can (e #assed*Appears To (e4iarrhea+, (ut olidsAre &ot #assed

&otes:

4o &ot i!e #atientsWarm Water $r picy3oods.

- #oss. 4iarrhea 7owest6n!ironmental9ang.

#idney %ladder;ater"etabolism<

4ark, cant, 9ellowLrine, trong LrinaryTrack %nflammation*LT%+.

- #oss.60tending;harp #ain

&otes:

LT% ymptoms:Lrgency, 3reuency,And (urningensation.

cant, 7ight9ellow Lrine,7ow rade LT%.

- #oss. Chronic

Copious Lrination,7ight;WhitishColored.

- #oss. Cloudy $rW;#uss 4ue To4ampness

Copious, Clear,3reuent, Lsually&ight Lrination.

- #oss. 3eeling $f&ot (eing3inished, 4ue To7ack $f3unctional 6nergy

&otes:

@idney 9ang4eficiency#roblem.

Reproduction trong;60cess e04ri!e

- #oss. 5igh Chance

$f Contracting %llness*3atigue, #%4Ds, T4Ds,#rostatitis+

- #oss. 5ormone%mbalance

lightly 5ighere0 4ri!e, (utTires 6asily*5ard Time

#erforming+.

- #oss. Haginal4ryness

#rone To T4Ds,9east, %nfections,Warts, Cysts.

7ow e0 4ri!e,CanDt #erform.

- #oss. %nfertility,

#remature61aculation,&octurnal6missions, 7owperm Count

"ensesNormal

Hery ed Color, hortCycle.

(rown $r 4ark 4ark #urplish,7ong #eriod $r

7ong Cycle, Thin,$r 7ight Colored,



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Re*ular5 NoP"S5 NoCramps5 NoClots5 NoSpottin*

- #oss. 6arly'enstruation *E To ?4ays+

&otes:

(lood %s 6ither 4riedLp %n A hort Cycle,$r 5ea!y 4ue To#ushing 3orce $f5eat.

ed, canty. &o #eriod 4ue To60cess 3luids $rCold especti!ely

- #oss. (loodClots

4elayed'enstruation.

- #oss. kippingCycle *&o Cycle+

Sleep 4oes &ot 7ike Toleep, Toss And Turn,estless.

&otes:

Coffee %s A ood60ample $f 60cess3unctional 6nergyAdded To The ystem.

Trouble 3allingAsleep,ymptoms WorseAt &ight.

- #oss. 4ay Time&aps, 6asier To3all Asleep

&otes:

(lood 4eficiency.

Wants To leep,roggy Afterleep.

&otes:

Clear 9ang ets#ulled 4own (y4ampness.

Wants To leep A7ot, 7ikes To Take&aps, And Always3eels (etter Afterleep.

Ener*y 5igh 7e!el $f 6nergy,estless.

estless, (ut60hausted. Tired,

(ut Cannot leep.

$ften 3eel Tired,7ethargic w;no

'oti!ation.

Weak, 4ue To &o3unctional 6nergy,

True Weakness.

Emotions Angry, An0ious,Agitated, estless AllThe Time.

Angry AndAn0ious, (ut7ess 6nergy(ehind The6motion.

Clinical, 'ental,$r &eurological4isorders.

&otes:

Two Types $f'ental %llness.

#hlegm 'istingThe 5eart: &otocial, 5ide %n ACorner. #hlegm5eatAttacks;%n!adesThe 5eart.

ad, 4epressed,&o 'oti!ation,Cannot %nteract,Afraid, 7ow elf6steem.




8/13/2019 acuntur


Speech 7oud, apid, Talks A7ot.

peaks 8uickly,(ut &ot 7oud $rtrong.

low peech,5ea!y $r#hlegmy Hoice,peech 4isorders,6sp. W;Tonguewelling.

low And Weak.'ainly 9es $r &oAnswers.

%odyTemperature

5ot, 5igh 3e!er,ensiti!e To 5eat.

7ow rade 3e!er,E #alm 5eat*Also called ECenter 5eat+.

Cold, ensiti!e ToCold.

Hery Cold,ensiti!e To Cold.

Tam $ealin* and Ton* Ren Therapy for

Tinnitus ;Rin*in* in the Ears<ubmitted by yyhstaff on at, =/;);=)) - ?:<<am

(elow you will find the Tam 5ealing ystem points for people with tinnitus and other ear problems.These points are used within Tong en Therapy, a form of energy healing, de!eloped by theprominent (oston area acupuncturist and healer, 'aster Tom Tam. (ut they may also be used withacupuncture, massage, and other techniues by practitioners of acupuncture and other systems ofhealing. $riginally de!eloped to aid in the treatment of cancer, the Tam 5ealing ystem has beene0tended to treat a broad range of conditions. Tong en classes are now offered around the world.


The areas and points listed below are those that are commonly found blocked in people with (ellDs#alsy. The system focuses on the scalp and 5uatuo1ia1i points along the spine. 9ou may useacupuncture, massage and;or the tong ren to focus on the following areas for healing. 3or details aboutthe system consider reading Tong en Therapy: (eyond Acupuncture. A full list of conditions withtreatment points is a!ailable in A 7a"y (umDs 5ealing: Tong en Therapy Cross eference - both area!ailable in our book store:

•

"ain Points • C/ - (alance the ner!es which facilitate control of the eyes, sinus, and ears• % ) - sky window point, impro!e the circulation between the head and the body• 7% )G - sky window - impro!e the circulation between the head and the body• Ashi *2$uch2+ #oint - treat the areas which are most sensiti!e in the face• Secondary Points • T5 E - clears stagnation and foster circulation on the lateral and posterior aspects of the head,

!ision problems, headaches, ear problems• Taiyang - 2e0tra2 point which clears stagnation and aids circulation in the temporal region, eyes















http://www.yinyanghouse.com/acupuncturepoints/x-taiyang














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and ears• ( = - clears e0cess energy in the head which leads to pressure, ringing, headaches, etc.

Acupuncture for Diiness and 8erti*o

Treatment Protocols(elow you will find some of the more common tcm diagnoses and acupuncture treatment protocols forbalance disorders such as di""iness and !ertigo. There are many ways to treat this condition with6astern 'edicine and our presentation is only one of many possible options.

4i""iness may be e0perienced internally with uncomfortable sensations possibly with loss of balance.Hertigo may be e0perienced as an e0ternal imbalance where ob1ects may seem to mo!e around thepatient while they themsel!es feel still.

• Etiolo*y Patholo*y •

Differentiation • E-cess Conditions • 7H 9ang;3ire enerating Wind - 'ay arise from emotional issues a;or @4 9in

deficiency.• #hlegm-4amp etention - Arises from T;# weakness• Deficient Conditions • 8i v (lood 4eficiency - 'ay arise from long term illness a;or T;# weakness• @4 Bing 4eficiency - Lsually arises from old age but may come from e0treme

e0haustion• 8 +an*4ire !eneratin* ind E-cess

• Si*ns Symptoms • 4i""iness, red face, irritability, tremors;tics possible.• Tongue: ed w;thin yellow coat• #ulse: Wiry, rapid or possibly slippery

• Treatment Points • 8alas9ata*is Point Selection ;(ith additions< • 7H - 7H fire, could use 7H / if less heat signs• ( = - descend 8i, clear head• H = - descend 8i• ( /< - 7H;( fire• # - tonify 9in

• Phle*mDamp Retention E-cess • Si*ns Symptoms

• 4i""iness with sensation of hea!iness, fullness of the chest a;or epigastricregion, nausea, !omiting, profuse sputum, no appetite.

• Tongue: reasy w;yellow or white coat• #ulse: lippery

• Treatment Points • 8alas9ata*is Point Selection ;(ith additions<


http://www.yinyanghouse.com/treatments/acupuncture_for_dizziness_vertigo#lvyang

http://www.yinyanghouse.com/treatments/acupuncture_for_dizziness_vertigo#phlegmdamp

http://www.yinyanghouse.com/treatments/acupuncture_for_dizziness_vertigo#qiblood

http://www.yinyanghouse.com/treatments/acupuncture_for_dizziness_vertigo#kdjing














http://www.yinyanghouse.com/treatments/acupuncture_for_dizziness_vertigo#lvyang

http://www.yinyanghouse.com/treatments/acupuncture_for_dizziness_vertigo#phlegmdamp

http://www.yinyanghouse.com/treatments/acupuncture_for_dizziness_vertigo#qiblood

http://www.yinyanghouse.com/treatments/acupuncture_for_dizziness_vertigo#kdjing











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• CH ) - T hu • T <= - resol!e phlegm• T G - resol!e phlegm in the head• L( = - # hu • L( ) - T hu • H = - clear the head

• =i %lood Deficiency • Si*ns Symptoms

• 4i""iness that is worse with e0ertion a;or mo!ement, pale a;or dullcomple0ion, lassitude, palpitations, insomnia, poor appetite.

• Tongue: #ale• #ulse: Thin, weak

• Treatment Points • 8alas9ata*is Point Selection ;(ith additions< • T / - tonify T;#• # - tonify T;#•

CH - if more i deficient, CH < if more blood deficient• L( = - # hu • L( )? - hui meeting of the (lood • H = - raise the 8i to the head

• #D :in* Deficiency • Si*ns Symptoms

• Chronic di""iness with feeling of emptiness in the head, poor memory,tinnitus, sore low back a;or knees, seminal emissions.

• Tongue: ed• #ulse: Thin

• Treatment Points • 8alas9ata*is Point Selection ;(ith modifications< • @4 / - tonify @4• CH < - tonify 8i• L( / - @4 hu • ( /F - hui meeting of the marrow • H = - raise the 8i to the head

Acupuncture for Eye and 8ision Problems

Treatment Protocols(elow you will find some of the more common tcm diagnoses and acupuncture treatment protocols foreye and !ision issues. There are many ways to treat this condition with 6astern 'edicine and ourpresentation is only one of many possible options.

• Etiolo*y Patholo*y • 60terior - wind-heat, acute, chronic eye problems usually present with 7H e0cess or @4

































http://www.yinyanghouse.com/treatments/acupuncture_for_eye_disorders#exterior






























http://www.yinyanghouse.com/treatments/acupuncture_for_eye_disorders#exterior

8/13/2019 acuntur


v 7H together• %nterior - from e0cess or deficiency• 6ye ymptoms are roughly the same for both etiologies - congestion, swelling, pain,

photophobia, e0cessi!e tearing, itchy eyes, sticky discharge• Differentiation

• E-terior ind$eat

• Si*ns Symptoms • 6ye symptoms, fe!er• Tongue: Thin, white *poss. yellow+ coat, red tip• #ulse: 3loating, rapid

• Treatment Points • L( , ( =, Taiyang, 7% < - general points• Wind-heat - T5 E or 7% )), possibly H )< - clear heat

• Interior 8!% Risin* • Si*ns Symptoms

• 6ye symptoms, red eyes, irritability, bitter taste in mouth, constipation•

Tongue: ed w;yellow coat• #ulse: wiry

• Treatment Points • L( , ( =, Taiyang, 7% < - general points• 7H 3ire - 7H , possibly ( </ • Could use 9ang 8iao *L( ;% /+ for heat w;e0cess in the eyes or 9in

8iao *@4 ;7L ?+ for dry eyes

Acupuncture for 4emale Infertility Treatment

Protocols(elow you will find some of the more common tcm diagnoses and acupuncture treatment protocols forfemale fertility issues. There are many ways to treat this condition with 6astern 'edicine and ourpresentation is only one of many possible options.

Note)When treating infertility cases it is imperati!e that the male partner recei!e a sperm analysis.egardless, it may be beneficial for both partners to recei!e regular treatments.

Etiolo*y Patholo*y

•

Etiolo*y • Constitutional 4eficiency - women with congenital @4 deficiencies which may ha!earisen from being born prematurely or ha!ing had an unhealthy mother.

• 60cessi!e e0ual Acti!ity - particularly around puberty, but also in women who ha!ehad multiple child births a;or chronic deficiencies of Bing and (lood - can lead tomalnourishment of the (ao 'ai and Lterus.

• Cold a;or 4amp - may arise from @4 9ang 4eficiency or chronic e0posures tocold;damp during menstruation - can disrupt the Lterus.

• tagnations of 8i a;or (lood, possibly with #hlegm;damp - can block the Lterus.

http://www.yinyanghouse.com/treatments/acupuncture_for_eye_disorders#interior





























http://www.yinyanghouse.com/treatments/acupuncture_for_eye_disorders#interior






















8/13/2019 acuntur


• Differentiation • E-cess Patholo*ies • Cold in the Lterus• (lood tagnation w;#hlegm *blocked fallopian tubes fall under this differentiation+• Deficient Patholo*ies • @4 9ang 4eficiency• @4 9in 4eficiency• (lood 4eficiency

• Cold in the Uterus E-cess Condition • Si*ns Symptoms

• #atient will likely appear pale, delayed menstruation w;dark dilute flow, pain a;orcoldness of the lower abdomen which impro!es with the application of heat,a!ersion to cold, cold limbs, may also ha!e weak back;knees a;or profuse clearurination

• Tongue: #ale• #ulse: 4eep, slow

•

Treatment Points • 8alas9ata*is Point Selection • CH E - T5 'u, warm the uterus• CH - warm the Lterus• CH < - tonify 8i• H < - tonify 9ang• @4 / - tonify @4• "aciocia Point Selection • CH - warm the Lterus• CH < - tonify 8i• H < - tonify 9ang• @4 ? - tonify @4 9ang• L( / - @4 hu

• %lood Sta*nation (Phle*m E-cess Condition • Si*ns Symptoms

• #atient is likely to be o!erweight, irregular menstruation w;clotting, delayedmost likely, chest a;or hypochondriac distention, irritability, palpitation,di""iness, profuse sticky leukorrhea.

• Tongue: White greasy coat w;purple spots• #ulse: 4eep, wiry

• Treatment Points • 8alas9ata*is Point Selection • CH / - resol!e damp in lower abdomen• T /= - regulate menstruation• @4 )/ - important point for infertility, influence chong mai• T <= - resol!e phlegm• # - tonify #, mo!e lower abdomen• %f discharge - # F • %f profuse leukorrhea - L( /

http://www.yinyanghouse.com/treatments/acupuncture_for_female_infertility#excess-colduterus

http://www.yinyanghouse.com/treatments/acupuncture_for_female_infertility#excess-bloodphlegmstag

http://www.medterms.com/script/main/art.asp?li=MNI&ArticleKey=3375

http://www.yinyanghouse.com/treatments/acupuncture_for_female_infertility#def-kdyang

http://www.yinyanghouse.com/treatments/acupuncture_for_female_infertility#def-kdyin

http://www.yinyanghouse.com/treatments/acupuncture_for_female_infertility#def-blood

























http://www.yinyanghouse.com/treatments/acupuncture_for_female_infertility#excess-colduterus

http://www.yinyanghouse.com/treatments/acupuncture_for_female_infertility#excess-bloodphlegmstag


http://www.yinyanghouse.com/treatments/acupuncture_for_female_infertility#def-kdyang

http://www.yinyanghouse.com/treatments/acupuncture_for_female_infertility#def-kdyin

http://www.yinyanghouse.com/treatments/acupuncture_for_female_infertility#def-blood
























8/13/2019 acuntur


• %f hesitant flow - # G • Chest;hypochondriac distention - 7H / w;#C • "aciocia Point Selection • 'aciocia differentiates this as 4amp in the 7ower 5eater• CH / - resol!e damp in lower abdomen• >igong Iue - infertility• T G - e0ces damp in the lower warmer• # F - resol!e damp• # - tonify #• CH F - mo!e stagnant water• 7L ? w;@4 - yin iao ren mai • T /= - regulate menstruation• @4 )< - influence chong mai• L( / - mo!e e0cesses in the lower warmer• T5 E w;( <) - yang wei dai mai • Treatment for %loc9ed 4allopian Tubes •

Lse electrical stimulation from positi!eCH < to negati!e L( / • #D +an* Deficiency

• Si*ns Symptoms • %rregular menstruation w;scanty pinkish (lood, weak back a;or knees, fatigue,

di""iness.• Tongue: Thin white coat• #ulse: 4eep, thin, particularly weak in the @4 position

• Treatment Points • 8alas9ata*is Point Selection • This is a general treatment for @4 4eficiency *i.e. not strongly 9in or 9ang+•

L( / - @4 hu • @4 )/ - important point for infertility, influence the chong mai• @4 - fire point, usually used to disperse empty fire rising causing sore throat,

here it is used w;mo0a to strengthen and warm the Lterus• @4 / - tonify @4• CH < - tonify 8i, (lood and 9in• %f di""iness a;or tinnitus - T5 )? • %f weak back a;or knees - @4 )= • "aciocia Point Selection • @4 )/ - important point for infertility, influence the chong mai• @4 / - tonify @4• L( / - @4 hu • L( E - tonify psycho-emotional aspects of the @4• @4 w;7L ? - yin iao ren mai • CH G - strongly tonify 9ang• CH < - tonify 9ang• H < - tonify 9ang

• #D +in Deficiency • Si*ns Symptoms




























http://www.yinyanghouse.com/acupuncturepoints/point_categories



























































8/13/2019 acuntur


• %rregular menstruation, sore back, constipation, mallor flush, night sweats, heat inthe E palms, insomnia, dry throat, di""iness, !ertigo

• Tongue: ed w;no coat• #ulse: 3loating, empty, rapid

• Treatment Points • "aciocia Point Selection • CH < - tonify 9in• CH ? - influence chong mai• @4 / - tonify @4• @4 )/ - important point for infertility - influence chong mai• 7L ? w;@4 - yin iao ren mai • # - tonify 9in• L( E - strengthen willpower

• %lood Deficiency • Si*ns Symptoms

• 4elayed menstruation w;scanty, pinkish flow, emaciation, sallow comple0ion,

fatigue, di""iness, may also ha!e palpitations a;or insomnia if 5T (lood isdeficient• Tongue: #ale, possibly swollen• #ulse: 4eep, thin, weak

• Treatment Points • 8alas9ata*is Point Selection • CH < - tonify 9in v (lood• @4 )/ - important point for infertility, influence the chong mai• >igong Iue - infertility• # - tonify #• T / - tonify T;#• L( )G - 7H hu • L( = - # hu • %f signs of hot (lood - # )= • %f insomnia;palpitations - 5T ? • %f di""iness - H = • "aciocia Point Selection • ame #oints as abo!e plus the following• L( / - @4 hu • L( )? - hui meeting of the (lood, instead of L( )G abo!e

Acupuncture for !laucoma TreatmentProtocols

(elow you will find some of the more common tcm diagnoses and acupuncture treatment protocols forglaucoma. There are many ways to treat this condition with 6astern 'edicine and our presentation isonly one of many possible options.





























































8/13/2019 acuntur


• Etiolo*y Patholo*y • %n glaucoma fluid is not draining properly from the canal of Canal of chlemm which

builds up pressure. Hision begins to fail, loss of small areas of peripheral !ision *blindspots+. 4uring acute attacks, blurred !ision or halos around lights is possible.

• @4 9in 4eficiency which leads to 7H 9ang ising and then to Wind rising to the head• Differentiation

• #D +in Deficiency, leads to 7H 9ang ising which leads to Wind• Si*ns Symptoms

• Tongue: ed w;no coat• #ulse: Thin, rapid

• Treatments Points • ( ) , L( - local point• ( = - e0tinguish wind in eyes• 7% < - command for head and face• L( )G - 7H hu• @4 / - tonify @4 9in•

# - / leg yin, tonify #, soften 7H, nourish @4• Consider: L( - e0cess from eyes

a;or @4 - nourish upper body, dry throat, dry eyes

Acupuncture for !laucoma TreatmentProtocols

(elow you will find some of the more common tcm diagnoses and acupuncture treatment protocols for

glaucoma. There are many ways to treat this condition with 6astern 'edicine and our presentation isonly one of many possible options.

• Etiolo*y Patholo*y • %n glaucoma fluid is not draining properly from the canal of Canal of chlemm which

builds up pressure. Hision begins to fail, loss of small areas of peripheral !ision *blindspots+. 4uring acute attacks, blurred !ision or halos around lights is possible.

• @4 9in 4eficiency which leads to 7H 9ang ising and then to Wind rising to the head• Differentiation

• #D +in Deficiency, leads to 7H 9ang ising which leads to Wind• Si*ns Symptoms

•

Tongue: ed w;no coat• #ulse: Thin, rapid

• Treatments Points • ( ) , L( - local point• ( = - e0tinguish wind in eyes• 7% < - command for head and face• L( )G - 7H hu• @4 / - tonify @4 9in

http://www.mercksharpdohme.com/disease/glaucoma/the_eye/anatomy/schlemm


http://www.yinyanghouse.com/treatments/acupuncture_for_glaucoma#kd-yin-deficiency














































8/13/2019 acuntur


• # - / leg yin, tonify #, soften 7H, nourish @4• Consider: L( - e0cess from eyes

a;or @4 - nourish upper body, dry throat, dry eyes

!8 &@ Acupuncture Point %ai $ui !o0ernin*8essel "eridian

• Chinese Name (ai 5ui• En*lish Name 5undred Con!ergences

• 7ocation: E cun posterior to the A57.

• #oint Associations:• ea of 'arrow #oint *with H )+• %ntersecting #oint of the o!erning Hessel, Lrinary (ladder, all (ladder, Triple 5eater v

7i!er Channels

• Actions v 6ffects:• 'ain point for headache, di""iness, eye pain and redness, irritability, hypertension from e0cess

yang in the upper body, often occuring with patterns of e0cess 7i!er yang or 7i!er fire.Combine with lower body points such as 7H , 7H /, @4 ), ( /<, ( <).

• 'ain point for internal wind which has some o!erlapping indications with the abo!e entry, forheadaches, di""iness, !isual di""iness, tinnitus, !erte0 pain, windstroke, sei"ures.

•

'ain point for prolapse, anal, uterine, !aginal main point for hemorrhoids.• Tong en;Tam 5ealing ystem: Lsed to effect the association area *related to emotions,

memory, beha!ior+, useful for low energy, yang energy imbalances, parkinsonDs, al"heimerDs,motor control issues.

• o!erning Hessel 'eridian #oints ;&2<:), , /, <, E, , ?, G, F, )=, )), ), )/, )<, )E, ), )?, )G, )F, =, ), , /, <, E, , ?, G

Acupuncture for Insomnia Treatment

Protocols(elow you will find some of the more common tcm diagnoses and acupuncture treatment protocols forinsomnia and related sleeping disorders. There are many ways to treat this condition with 6astern'edicine and our presentation is only one of many possible options.

• Differentiation • E-cess Conditions




http://www.yinyanghouse.com/acupuncturepoints/governingvessel_meridian_point_locations




http://www.yinyanghouse.com/acupuncturepoints/governingvessel_meridian_point_functions

http://www.yinyanghouse.com/lv2


http://www.yinyanghouse.com/kd1


http://www.yinyanghouse.com/gb34



http://www.yinyanghouse.com/theory/tamhealing/introductory_information

http://www.yinyanghouse.com/acupuncturepoints/governingvessel_meridian_graphic














































http://var/www/apps/conversion/tmp/scratch_5/




http://www.yinyanghouse.com/acupuncturepoints/governingvessel_meridian_point_locations




http://www.yinyanghouse.com/acupuncturepoints/governingvessel_meridian_point_functions






http://www.yinyanghouse.com/theory/tamhealing/introductory_information

http://www.yinyanghouse.com/acupuncturepoints/governingvessel_meridian_graphic





























8/13/2019 acuntur


• 7H 3ire• #hlegm 5eat• Deficient Conditions • # 8i v 5eart (lood 4eficiency• @4 9in 4eficiency• 5T v ( 4eficiency

• 8 4ire - 60cess• Si*ns Symptoms

• %nsomnia, usually somewhat chronic, with o!erall signs of 7H 5eat - irritability,e0cessi!e anger, possibly sub costal pain and;or bitter taste in mouth.

• Tongue: ed w;yellow coat• #ulse: Wiry

• Treatment #oints:• 8alas9ata*is Point Selection • 7H - drain li!er heat•

#C ? - regulate the shen• 5T ? - regulate the shen• ( << - dream disturbed sleep• L( )G - li!er shu • Anmian - e0tra point for insomnia;sleep issues

• Phle*m $eat - 60cess• Si*ns Symptoms

• %nsomnia with phlegm signs - sensation of fullness in the chest, poordigestion;appetite, di""iness, nausea along with heat signs such as a bitter taste inthe mouth.

• Tongue: reasy coating that is yellow *heat+ or white *deficiency+• #ulse: lippery

• Treatment #oints:• 8alas9ata*is Point Selection • CH ) - tonify spleen• T / - tonify 8i• T <= - resol!e phlegm• T <E - clear heat, calm mind• 5T ? - regulate shen• H = - clear head• Anmian - e0tra point for insomnia;sleep issues

• SP =i $eart %lood Deficiency • Si*ns Symptoms

• %nsomnia, usually with dreams, along with deficiency signs such as poor appetite,poor memory, fatigue a;or palpitations.

• Tongue: #ale w;thin white coat• #ulse: Thin, weak

• Treatment #oints:• 8alas9ata*is Point Selection

http://www.yinyanghouse.com/treatments/acupuncture_for_insomnia#lvfire

http://www.yinyanghouse.com/treatments/acupuncture_for_insomnia#phlegmheat

http://www.yinyanghouse.com/treatments/acupuncture_for_insomnia#spqiblooddef

http://www.yinyanghouse.com/treatments/acupuncture_for_insomnia#kdyindeficiency

http://www.yinyanghouse.com/treatments/acupuncture_for_insomnia#htgbdeficiency









http://www.yinyanghouse.com/acupuncturepoints/x-anmian












http://www.yinyanghouse.com/treatments/acupuncture_for_insomnia#lvfire

http://www.yinyanghouse.com/treatments/acupuncture_for_insomnia#phlegmheat

http://www.yinyanghouse.com/treatments/acupuncture_for_insomnia#spqiblooddef

http://www.yinyanghouse.com/treatments/acupuncture_for_insomnia#kdyindeficiency

http://www.yinyanghouse.com/treatments/acupuncture_for_insomnia#htgbdeficiency





















8/13/2019 acuntur


• # - tonify spleen• T / - tonify 8i• 5T ? - regulate shen• L( )E - heart shu • L( = - spleen shu • Anmian - e0tra point for insomnia;sleep issues• ?innon* ;CA"< Point Selection ;(ith modifications< • # ) - mo0a with small cones, dream-disturbed sleep• # - tonify spleen• 5T ? - regulate shen• L( )E - heart shu • L( = - spleen shu • Anmian - e0tra point for insomnia;sleep issues

• #D +in Deficiency • Si*ns Symptoms

• %nsomnia with difficulty falling asleep a;or waking often along with 9in

deficiency signs - heat in the fi!e hearts *hands, feet, chest+, palpitations, nightsweats, di""iness a;or poor memory. #ossibly with @4 deficiency signs such assore lower back a;or knees.

• Tongue: ed w;little or no coat• #ulse: apid, thin

• Treatment #oints:• 8alas9ata*is Point Selection • @4 / - tonify yin• @4 - tonify yin• 5T ? - regulate shen• #C ? - regulate shen• % / - night sweats, calm mind - possibly w;5T *instead of 5T ?+ for strong

night sweats• Anmian - e0tra point for insomnia;sleep issues

• $eart !all %ladder Deficiency • Si*ns Symptoms

• %nsomnia with an o!erall timid;shy nature - easily frightened, inability to makedecisions, etc.

• Tongue: &o specific tongue, possibly pale w;teethmarks• #ulse: Wiry, thin

• Treatment #oints:• 8alas9ata*is Point Selection • 5T ? - tonify heart• # - tonify spleen• ( << - regulate (, calm mind• L( )E - heart shu • L( )G - li!er shu • L( )F - gall bladder shu • Anmian - e0tra point for insomnia;sleep issues













































































8/13/2019 acuntur


8/13/2019 acuntur


• E-cess Types • 5eat in the (lood - may arise from a constitutional yang e0cess, e0cessi!e

consumption of alcohol;hot natured foods.• Accumulation of 5eat - may arise from 7H constraint a;or e0cess.• 4amp 5eat - effecting the lower 1iao which in1ures the (ao 'ai *uterine

channel+.

• (lood tagnation - causing reckless bleeding.• eneral Iinnong *CA'+ Treatment #oints for all 60cess Conditions: CH /, #

)=, # ), 7H G, 7% )), 5T G, 7H / • Deficiency Types • # 8i 4eficiency - may arise from constitutional # deficiencies, stress a;or poor

diet.• @4 9ang 4eficiency - leading to problems storing the (lood and dysfunctions in

the Chong and en channels.• @4 9in 4eficiency - leading to disruptions in the flow of Bing and (lood due to

weak 3ire.• eneral Iinnong *CA'+ Treatment #oints for all 4eficiency Conditions: H =,

CH <, T /, # , # ), T5 < • $eat in the %lood E-cess

• Si*ns Symptoms • 5ea!y, thick bleeding w;deep red color, strong odor, dry mouth w;desire

to drink, irritability *but not the same as with 7H 9ang+.• Tongue: ed w;yellow coat• #ulse: lippery, rapid

• Treatment Points • 8alas9ata*is Point Selection • CH - tonify # 8i• # - tonify # 8i• # ) - empirical point for uterine bleeding• # )= - mo!e and clear heat from the (lood• @4 E - clear heat• "aciocia Point Selection • # < w;#C - yin wei chong mai • 7% )) - clear heat• # )= - clear heat, mo!e (lood• # G - mo!es 8i v (lood, uterine bleeding• # ) - empirical point for uterine bleeding•

@4 E - clear heat• @4 - clear heat• 7H / - mo!e 7H 8i• 7H E - damp heat in the lower 1iao• @4 < - stop bleeding, luo connecting point • 7H ) - menstrual bleeding from e0cess or deficiency

• Accumulation of $eat E-cess • Si*ns Symptoms

• Costal;5ypochondriac distention, sighing, uick temper.

http://www.yinyanghouse.com/treatments/acupuncture_for_uterine_bleeding#heatblood

http://www.yinyanghouse.com/treatments/acupuncture_for_uterine_bleeding#accumheat

http://www.yinyanghouse.com/treatments/acupuncture_for_uterine_bleeding#dampheat

http://www.yinyanghouse.com/treatments/acupuncture_for_uterine_bleeding#bloodstag












http://www.yinyanghouse.com/treatments/acupuncture_for_uterine_bleeding#spqidef

http://www.yinyanghouse.com/treatments/acupuncture_for_uterine_bleeding#kdyangdef

http://www.yinyanghouse.com/treatments/acupuncture_for_uterine_bleeding#kdyindef





























http://www.yinyanghouse.com/treatments/acupuncture_for_uterine_bleeding#heatblood

http://www.yinyanghouse.com/treatments/acupuncture_for_uterine_bleeding#accumheat

http://www.yinyanghouse.com/treatments/acupuncture_for_uterine_bleeding#dampheat

http://www.yinyanghouse.com/treatments/acupuncture_for_uterine_bleeding#bloodstag









http://www.yinyanghouse.com/treatments/acupuncture_for_uterine_bleeding#spqidef

http://www.yinyanghouse.com/treatments/acupuncture_for_uterine_bleeding#kdyangdef

http://www.yinyanghouse.com/treatments/acupuncture_for_uterine_bleeding#kdyindef




























8/13/2019 acuntur


• Tongue: ed w;thin yellow coat• #ulse: Wiry, rapid

• Treatment Points • 8alas9ata*is Point Selection • CH - tonify # 8i• # - tonify # 8i• # ) - empirical point for uterine bleeding• 7H / - mo!e 7H 8i• T5 - clear costal area• 7H ) - empirical point for bleeding• "aciocia Point Selection • 'aciocia differentiates this as 7H 8i tagnation leading to 5eat,

conseuently he uses more points that mo!e the 7H• ( /< w;7H / - mo!e the 7H 8i• 7H ) - empirical point for bleeding• 7H )< w;L( )G - 7H 'u;hu combination•

T5 w;#C - clear the costal area• H < - descend 9ang e0cesses• ( )/ - descend 8i• # G - uterine bleeding, mo!e 8i v (lood• CH - tonify 8i• 7% )) - clear heat• # )= - clear heat and mo!e (lood

• Damp $eat E-cess • Si*ns Symptoms

• #rofuse or chronic lingering bleeding of dark red (lood that is not thick,thin;whitish *occ. green+ leukorrhea, genital itching a;or pain.

• Tongue: 9ellow greasy coat• #ulse: apid, possibly a little slippery

• Treatment Points • 8alas9ata*is Point Selection • CH - tonify # 8i• # - tonify # 8i• # ) - empirical point for uterine bleeding• CH / - clear damp in the lower 1iao• # F - resol!e damp

• %lood Sta*nation E-cess • Si*ns Symptoms

• Abdominal pain that is worse with pressure, blood clots which relie!epressure after passing.

• Tongue: 4eep red w;little coat or slightly purplish• #ulse: 4eep, choppy

• Treatment Points • 8alas9ata*is Point Selection • CH - tonify # 8i



































































8/13/2019 acuntur


• # - tonify # 8i• # ) - empirical point for uterine bleeding• # G - mo!e 8i and (lood, uterine bleeding• T /= - local point for mo!ing (lood• # ) - local point for mo!ing (lood

• SP =i Deficiency Deficient • Si*ns Symptoms

• #rofuse or lingering bleeding of light red (lood, lassitude, $(, poorappetite.

• Tongue: wollen body w;teeth marks, thin white coat• #ulse: Thin, weak

• Treatment Points • 8alas9ata*is Point Selection • CH < - tonify 8i• # - tonify #• L( / - @4 hu •

@4 G - uterine bleeding, 0i cleft, could use # ) instead• CH - tonify 8i• L( = - # hu • L( )? - hui meeting of the (lood, tonify (lood• T / - tonify 8i• "aciocia Point Selection • CH - tonify 8i• CH ) - T 'u, tonify #• T / - tonify 8i• # - tonify #•

L( = - # hu • L( ) - T hu • H = - tonify lower 1iao;uterus• # G - uterine bleeding, mo!e 8i v (lood

• #D +an* Deficiency Deficient • Si*ns Symptoms

• #rofuse or lingering bleeding w;light red color, abdominal pain betterw;application of heat, cold limbs, loose stools possible.

• Tongue: #ale• #ulse: 4eep, thin

• Treatment Points • 8alas9ata*is Point Selection • CH < - tonify 8i• # - tonify #• L( / - @4 hu • @4 G - uterine bleeding, 0i cleft, could use # ) instead• CH - tonify 8i• H < - tonify 9ang• @4 ? - tonify @4 9ang


























































































8/13/2019 acuntur


• "aciocia Point Selection • CH - tonify 8i• L( / - @4 hu • CH < - tonify 8i• T /= - regulate the uterus• @4 ? - tonify @4 9ang• T / - tonify T;#• # - tonify #• @4 )/ - local for abdominal;gynecological issues

• #D +in Deficiency Deficient • Si*ns Symptoms • canty or lingering bleeding of bright red (lood, di""iness, tinnitus *less likely+, heat in

the E palms, sore back a;or knees.• Tongue: ed w;scanty coat• #ulse: 3ine, rapid• Treatment Points

•

8alas9ata*is Point Selection • - tonify 8CH <i• # - tonify #• L( / - @4 hu • @4 G - uterine bleeding, 0i cleft, could use # ) instead• @4 - ying spring, clear heat• @4 )= - clear damp-heat in the lower 1iao• "aciocia Point Selection • CH - tonify 8i• L( / - @4 hu •

CH < - tonify 8i• @4 / - tonify @4 9in• T / - tonify T;#• # - tonify #• @4 - ying spring, clear heat• @4 )/ - local for abdominal;gynecological issues• @4 )= - clear damp-heat in the lower 1iao• 7L ? w;@4 - yin iao ren mai, tonify 9in

Acupuncture for T": Treatment Protocols

(elow you will find some of the more common tcm diagnoses and acupuncture treatment protocols forT'B and related temporomandibular disorders. There are many ways to treat this condition with6astern 'edicine and our presentation is only one of many possible options.

• Etiolo*y Patholo*y • Can be a local problem from trauma, arthritis in the 1oint, lots of dental work *from

keeping mouth open+, stress related tension *usually presents with (ru0ism+











































































8/13/2019 acuntur


• Tension in the occipital;atlas, upper cer!ical area can lead to T'B• T5, %, ( v T Channels in!ol!ed

• Treatment Points • ocal Points

• T , T ? - help rela0 masseter muscle• ( /• Taiyang

• Distal Points • 7% < - command face;1aw• T5 E v ( <) - 'aster;Couple of the 9ang Wei 'ai, mo!es 8i in the ear araa• % / or % ) - secondary• %f constrained 7H 8i *emotional causes+:

7H /, 7% < - four gates v ( /< - supplements 7H /

Acupuncture for Tri*eminal Neural*ia

Treatment Protocols

(elow you will find some of the more common tcm diagnoses and acupuncture treatment protocols fortrigeminal neuralgia. There are many ways to treat this condition with 6astern 'edicine and ourpresentation is only one of many possible options.

The trigeminal ner!e has / branches which come out around the taiyang area of the face. %n trigeminalneuralgia the pain can be uite se!ere with an electrical or burning sensation

• Etiolo*y Patholo*y

). 60terior - Wind-Cold %n!asion. %nterior - 7H;T 3ire /. %nterior - 9in 4eficiency w;empty fire rising

• Differentiation ). indCold In0asion

• Si*ns Symptoms • Acute onset, se!ere pain for a few seconds to a few minutes se!eral

times;day• 60terior signs, runny nose, tearing• Tongue: Thin white coat• #ulse: Tight, floating

• Treatment Points *see below+. 8ST 4ire

• Si*ns Symptoms • e!ere pain w;irritability• %nternal heat signs, thirst, constipation• Tongue: 9ellow, dry coat• #ulse: Wiry

• Treatment Points *see below+

























http://www.umanitoba.ca/cranial_nerves/trigeminal_neuralgia/manuscript/anatomy


http://www.yinyanghouse.com/treatments/acupuncture_for_trigeminal_neuralgia#wind-cold


http://www.yinyanghouse.com/treatments/acupuncture_for_trigeminal_neuralgia#lv-st-fire

http://www.yinyanghouse.com/treatments/acupuncture_for_trigeminal_neuralgia#yin-deficiency



http://www.yinyanghouse.com/treatments/acupuncture_for_trigeminal_neuralgia#points

























http://www.yinyanghouse.com/treatments/acupuncture_for_trigeminal_neuralgia#lv-st-fire

http://www.yinyanghouse.com/treatments/acupuncture_for_trigeminal_neuralgia#yin-deficiency







8/13/2019 acuntur


/. +in Deficiency (empty heat risin* • Si*ns Symptoms

• #ain is more insidious, gradual, comes and goes, mallar flush, soreness inlumbar area

• Tongue: ed w;no coat• #ulse: Thin, fast

• Treatment Points *see below+<. Treatment Points

3or pain in the supraorbital region:• 7ocal:• Taiyang• ( )<• L( • 4istal:• T5 E• 7% <

3or pain in the ma0illary region:• 7ocal:• T • % )G• 7% =• 4istal:• 7% <

3or pain in the mandibular region:• 7ocal:• T • T ?

• 60tra point ) cun lateral to CH < • 4istal:• 7% <

Wind-ColdAdd ( =

• 7H;T 3ire• Add 7H /, possibly 7H

• T <<• 9in 4eficiency

• Add @4 • #

Acupuncture Point I Dia*ram )A TheStomach "eridian of 4oot+an*min* ;ST< &
















































8/13/2019 acuntur


Acupuncture Point I Dia*ram 7 The un*

"eridian of $andTaiyin ;U<

Acupuncture Point I Dia*ram & The ar*e

Intestine "eridian of $and+an*min* ;I<

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Acupuncture Point I Dia*ram ) The Stomach"eridian of 4oot+an*min* ;ST<

Acupuncture Point I Dia*ram , The Spleen

"eridian of 4ootTaiyin ;SP< Part 7

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Acupuncture Point I Dia*ram . The $eart

"eridian of $andShaoyin ;$T<

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Acupuncture Point I Dia*ram / The Small

intestine "eridian of $andTaiyan* ;SI<

Acupuncture Point I Dia*ram 1 The %ladder"eridian of 4ootTaiyan* ;%< Part 7

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Acupuncture #oint % 4iagram ?A - The (ladder 'eridian of 3oot-Taiyang *(7+ #art

Acupuncture Point I Dia*ram 2A The #idney

"eridian of 4ootShaoyin ;#I< Part &

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Acupuncture Point I Dia*ram 3 ThePericardium "eridian of $and:ueyin ;PC<

Acupuncture Point I Dia*ram 7@ The SanJiao;Triple Ener*ier< "eridian of $andShaoyan*

;S:5 TE<

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COMMONLY USED MERIDIAN POINTS

This is Chapter 3 from R. C. Schafer, DC, PhD,ICC!s "est#se$$i%& "oo'(

)App$ie* Ph+siotherap+ i% Chiropractic

The fo$$o-i%& materia$s are proi*e* as a serice to o/r professio%.There is %o char&e for i%*ii*/a$s to cop+ a%* fi$e these materia$s.0o-eer, the+ ca%%ot "e so$* or /se* i% a%+ &ro/p or commercia$e%t/re -itho/t -ritte% permissio% from ACA#ress.

A$$ of Dr. Schafer!s "oo's are %o- aai$a"$e o% CDs, -ith a$$ procee*s

"ei%& *o%ate* to chiropractic research.P$ease reie- the complete list of a!ailable books'

The Theoretical Basis of Meridian Therapy Theoretical Concepts

The Nonneural Theories

The Neural Theories

The Cutaneovisceral Reflex

The Viscerocutaneous Reflex

Segmental and Intersegmental Effects Near and Distant Effects

The Gate Control Theory and Its Clinical Significance

Scientific Evidence

Empirical Evidence

Meridian Trigger points and Their Palpation Standard ethods of Stimulation

Site !ocation

!ocating "oints

http://www.acapress.com/

http://www.chiro.org/ACAPress/b-2.htm

http://www.chiro.org/ACAPress/Meridian_Points.html#Theoretical_Basis

http://www.chiro.org/ACAPress/Meridian_Points.html#Meridian_Triggerpoints_and_Their_Palpation

http://www.acapress.com/

http://www.chiro.org/ACAPress/b-2.htm

http://www.chiro.org/ACAPress/Meridian_Points.html#Theoretical_Basis

http://www.chiro.org/ACAPress/Meridian_Points.html#Meridian_Triggerpoints_and_Their_Palpation

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#ac$ground

"reparation

Types and Characteristics of %cupuncture "oints

Electrical %nalysis

The &uman Inch

Major Points: Locations, Primary Indications, and

Precautions The Lung Meridian

The Large Intestine Meridian

The Stomach Meridian

The Spleen Meridian

The Heart Meridian

The Small Intestine Meridian

The Urinary Bladder Meridian

The idney Meridian

The Heart !onstrictor Meridian

The Triple Heater Meridian

The "all#ladder Meridian

The Li$er Meridian

The !onception %essel Meridian

The "o$erning %essel Meridian

&larm Points

Master Points

&ssociation Points

Closing Remar$s

'eferences

Chapter 3( Commo%$+ Use* Meri*ia% Poi%ts

This chapter delineates a few of the many theories attempting to explain the mechanisms of acupuncture point (acupoint) stimulation and

meridian therapy. Stimulation of specific points on the body as a mechanism for pain control has achieved great interest in this country inrecent years. The majority of studies center on stimulating endorphin production in the body. (See Ta"$e 3.1). Antidotal and clinicalevidence as well as patient records from Oriental cultures point to numerous cases where specific point stimulation has affected visceral andfunctional disease processes. n the context of physiologic therapeutics! the location! primary indications! and precautions associated withthe major points (ie! those most commonly used) are reviewed.

Ta"$e 3.1. Iso$ate* Pepti*es of the E%*orphi% S/perfami$+

. "eptides of the pro#opiamelanocortin series

A. Opioid peptides

β$endorphin

. %$terminally extendeden&ephalins

'ynorphin

α$neoendorphin

http://www.chiro.org/ACAPress/Meridian_Points.html#Major_Points


http://www.chiro.org/ACAPress/Meridian_Points.html#Lung_Meridian

http://www.chiro.org/ACAPress/Meridian_Points.html#Large_Intestine

http://www.chiro.org/ACAPress/Meridian_Points.html#Stomach_Meridian

http://www.chiro.org/ACAPress/Meridian_Points.html#Spleen_Meridian

http://www.chiro.org/ACAPress/Meridian_Points.html#Heart_Meridian

http://www.chiro.org/ACAPress/Meridian_Points.html#Small_Intestine_Meridian

http://www.chiro.org/ACAPress/Meridian_Points.html#Urinary_Bladder_Meridian

http://www.chiro.org/ACAPress/Meridian_Points.html#Kidney_Meridian

http://www.chiro.org/ACAPress/Meridian_Points.html#Heart_Constrictor_Meridian

http://www.chiro.org/ACAPress/Meridian_Points.html#Triple_Heater_Meridian

http://www.chiro.org/ACAPress/Meridian_Points.html#Gallbladder_Meridian

http://www.chiro.org/ACAPress/Meridian_Points.html#Liver_Meridian

http://www.chiro.org/ACAPress/Meridian_Points.html#Conception_Vessel_Meridian

http://www.chiro.org/ACAPress/Meridian_Points.html#Governing_Vessel_Meridian

http://www.chiro.org/ACAPress/Meridian_Points.html#Alarm_Points

http://www.chiro.org/ACAPress/Meridian_Points.html#Master_Points

http://www.chiro.org/ACAPress/Meridian_Points.html#Association_Points

http://www.chiro.org/ACAPress/Meridian_Points.html#References



http://www.chiro.org/ACAPress/Meridian_Points.html#Lung_Meridian

http://www.chiro.org/ACAPress/Meridian_Points.html#Large_Intestine

http://www.chiro.org/ACAPress/Meridian_Points.html#Stomach_Meridian

http://www.chiro.org/ACAPress/Meridian_Points.html#Spleen_Meridian

http://www.chiro.org/ACAPress/Meridian_Points.html#Heart_Meridian

http://www.chiro.org/ACAPress/Meridian_Points.html#Small_Intestine_Meridian

http://www.chiro.org/ACAPress/Meridian_Points.html#Urinary_Bladder_Meridian

http://www.chiro.org/ACAPress/Meridian_Points.html#Kidney_Meridian

http://www.chiro.org/ACAPress/Meridian_Points.html#Heart_Constrictor_Meridian

http://www.chiro.org/ACAPress/Meridian_Points.html#Triple_Heater_Meridian

http://www.chiro.org/ACAPress/Meridian_Points.html#Gallbladder_Meridian

http://www.chiro.org/ACAPress/Meridian_Points.html#Liver_Meridian

http://www.chiro.org/ACAPress/Meridian_Points.html#Conception_Vessel_Meridian

http://www.chiro.org/ACAPress/Meridian_Points.html#Governing_Vessel_Meridian

http://www.chiro.org/ACAPress/Meridian_Points.html#Alarm_Points

http://www.chiro.org/ACAPress/Meridian_Points.html#Master_Points

http://www.chiro.org/ACAPress/Meridian_Points.html#Association_Points

http://www.chiro.org/ACAPress/Meridian_Points.html#References

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α$endorphin

ν$endorphin

. onopioids

ν *S+

β *S+

ν *S+,

. -n&ephalins

*et$en&ephalin/eu$en&ephalin*et#Arg0#"he1$en&ephalin

β$neoendorphin

2. Others

3yotorphin'ermophin

%asei#morphin

After 4ields 526###############################

oth 7estern and -astern cultures developed systems for treating specific pointson the body. t is hoped that future generations will be able to integrate the bestof traditional 7estern and Oriental medicine into a single health#care deliverysystem for all people. 516

The Theoretica$ 4asis of Meri*ia% Therap+

4orms of stimulation to specific sites on the s&in have been used for at least ,888

years. +owever! it is only in the last 9 years that comprehensive studies ofacupuncture as an alternative therapy have been seriously underta&en in thiscountry. The fact that meridian therapy has a beneficial effect on the control ofdisease processes seems evident today on the basis of empiric evidence andclinical studies.

Theoretica$ Co%cepts

Although it generally matters little to patients as to why they get well under acertain therapy! they do! however! expect that the doctor rendering that therapyhas an acceptable explanation and understanding of the biologic mechanisms thatare probably involved. That is! the patient has a natural tendency to believe thattheir doctor selects a particular procedure of treatment for their condition on thebasis of his or her &nowledge of the nature of their problem! and the &nowledge ofthe underlying principles behind a particular method of therapy. Also! since thestudy and effective application of meridian therapy re:uire some basic &nowledgeof its theoretical scientific basis! the need for this explanation is established.

n the case of meridian therapy! a number of theories have been advanced thatgenerally fall under the headings of ;eural; or ;onneural; concepts. These

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concepts attempt to explain the scientific basis for the biologic effects of meridiantherapy in terms of our present understanding of human anatomy and physiology.Although scientific verification of the concept of ;vital energy; as a physiologicprobability and the ;meridian; system as an anatomical fact have yet to beconclusive! verification for some of the effects of meridian therapy does exist onthe basis of these concepts. 556

The No%%e/ra$ Theories

One of the most commonly mentioned nonneural concepts attempts to explainthe meridian system by proposing an elaborate conducting system of what isreferred to as ;ong +an 'ucts and %orpuscles.; This theory! put forth by a orth3orean physiologist and acupuncturist! 3im ong +an! is a histologic description ofelongated tubular cells lying deep in the s&in. +an also thin&s that a ;uni:ue; fluidcirculates through these channels! which contains a high concentration ofribonucleic and other amino acids. +an believes that this fluid travels slowlythrough the meridians! completing a cycle each 9< hours. 53, 26

+an=s theory! however impressive as it might be! has for all practical purposesbeen refuted by other investigators. 3ellner has shown that some of this theory isbased on artifacts occurring in preparation of the histologic slides! and otherattempts at duplicating the wor& of +an reveal that he was probably describingthe lymphatic channels of the body. 56, 76

2arious other theories have attempted to explain acupuncture and the existenceof the meridians. 56 4or example! magnetic fields! :uantum mechanics!contraction waves of s&eletal muscles! discharging of electrical potentials! and therelease of histamine and epinephrine by stimulation of points have all been putforth as possible mechanisms. Others have li&ened the pinpric& in the body to theelectrical discharge of a condenser. At one time! 4elix *ann proposed a theorybased on the lateral line system in fish. These theories! along with others! havenow been dismissed in favor of one of the neurologic explanations.

One of the most recent theories has been postulated by 3oyo Ta&ase in >apan whoconcluded that the so#called ?i energy circulating through a ;meridian; inacupuncture therapy is actually extravascular sodium. 586 +is studies involved theuse of radioisotopes.

The Ne/ra$ Theories

t is generally conceded that the mechanisms of many effects of acupuncture aresimilar to but not identical to those of the nervous system. There are many:uestions! however! that remain unanswered. 596

7hen an acupuncture point is stimulated! it has been observed that the patientwill often experience a change in seconds and this change fre:uently occurs atthe opposite end and contralateral side of the body from the point stimulated. Theexact mechanism of this action is not yet fully understood! although certainaspects appear to be based on established neurophysiologic concepts. This

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indicates that some type of nerve conduction occurs! as nerve fibers transmitimpulses at an extremely rapid rate through their pathways. Such a rapid speed ofconduction excludes the blood and lymphatic systems as possible mediators ofthis response.

T0E CUTANEO:ISCERAL RELE;

Acupuncture is founded on the premise that stimulation of the s&in has an effecton distant internal organs and functional mechanisms of the body. 2ariousexperimental data tend to support the involvement of a cutaneovisceral reflex.51<=136

"roof for the existence of such a reflex has strong scientific support. n a series ofexperiments! 3unt@ and +a@elwood stimulated the s&in on the bac& of rabbits andrats and noted changes in various parts of the gastrointestinal tract that wererelated to the dermatomal segment stimulated. 512=176 n ermany! 7ernoestimulated a small segment of the s&in of fish and amphibians with silver nitrate

and! after a delay of several months! demonstrated vasoconstriction of the part ofthe intestine dermatomally related. 516 After these experiments! he deduced thatvasodilation was mediated by a spinal reflex and that vasoconstriction wasmediated by a postganglionic sympathetic reflex.

Travell and Bin@ler found that complete and prolonged relief resulted when triggerpoints on the front of the chests of patients with angina pectoris or acutemyocardial infarction were infiltrated with procaine or cooled with ethyl chloride.5186 Thus! the cutaneovisceral reflex is of prime importance in acupuncture. t isstrongly believed that! by its mediation! an acupuncture needle placed in thecorrect part of the s&in is able to influence the related organ or diseased part of

the body.

ew hypotheses are being brought forth rapidly. 4or example! it has beenestablished for years that the ear is a hologram of the body as a whole! and this isthe basis of auriculotherapy. +owever! 'ale has recently proposed an elaboratehypothesis that most any part of the body is a hologram of the body as a whole.5196

T0E :ISCEROCUTANEOUS RELE;

ext! an explanation of how a visceral problem can relate to areas of the s&in

should be given. One method is by postulating the viscerocutaneous reflex. Theimportance of such a reflex rests in two primary areasC (D) diagnosis and (9)lowering the threshold of stimulation re:uired in treatment with acupuncture. 55<6

2arious researchers have attempted to show that visceral problems may refer tothe s&in and give rise to trigger points! acupuncture points! andEor subluxations.551=536 'iagnostically! certain superficial areas have long been &nown to relateto an underlying visceral condition such as pain at *curney=s point inappendicitis! in the left arm in angina pectoris! and of the right shoulder in

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gallbladder disease. t is often noted clinically that a disease in an internal organwill produce pain! tenderness! hyperesthesia! or hypesthesia! etc! in some area ofs&in. The viscerocutaneous reflex is thought to be mediated by un&nownpathways of the sympathetic chain. 5526

The 0ea*#Mc>e%?ie Se%sor+ @o%e! as described by >udovich andates! shows how visceral pain can radiate to certain parts of the s&in. A

familiar example is cardiac ischemia with radiating pain to the left arm.556, 576 n this context! 7ernoe stimulated the rectum of a decapitatedplaice electrically and found that the s&in became pale. +e alsostimulated areas of the gastrointestinal tract of the eel and cod andnoted that in each case the s&in became lighter over an area of severaldermatomal segments. 556 t can therefore be readily appreciated thata visceral problem can exhibit in a specific dermatomal segment via aviscerocutaneous reflex and that the stimulation of the s&in can have adistinct effect on a related visceral area via a cutaneovisceral reflex.

SEMENTAL AND INTERSEMENTAL EECTS

*ost of the reflexes used to explain the effects of acupuncture are segmental andfollow specified dermatomal patterns. 558=3<6 Others! however! areintersegmental. 4or instance! stimulation of acupuncture points of the foot hasbeen shown to affect organs over D8 dermatomes away. 531, 356 A possibleexplanation of this phenomenon is via the long reflex of Sherrington. 533, 326 ncontrast! those reflexes that fit into the dermatomes are segmental reflexes! oftenreferred to as Sherrington=s short reflexes. The scratch reflex of a dog is a goodexample of an intersegmental cutaneomotor reflex.

NEAR AND DISTANT EECTS

One of the most perplexing problems is that some of the effects of acupuncturecannot be explained neurologically by either segmental or intersegmentalmechanisms. 4or example! the effects of stimulating the acupuncture points of thehead cannot be readily explained. +owever! some research has shown that adistinct reflex may probably exist between the nose and the heart or between theturbinates and the sexual organs. 536, 376 Some scientific explanation for this istherefore li&ely.

The scientific proof for these reflexes is important! but it does not fully or evenade:uately explain exactly what happens according to the empiric resultsobtained. The %hinese for many years have attempted an explanation in thephilosophical terms of Taoism with reference to FinEFang (law of opposites) and tothe circulation of biologic energy (life force! ?i 5pronounced chi6).

T0E ATE CONTROL T0EORY AND ITS CLINICAL SINIICANCE

The next consideration is the more recent Gate Theory, as described in %hapter 9.

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Although this theory! originally set forth by *el@ac& and 7all! has been amendedto some extent! it is basically the same as originally proposed! and it would bewell to summari@e it here. 53=396

The gate theory holds that the large myelinated nerve fibers of the s&in have aninhibitory effect! when stimulated! on the small pain#evo&ing fibers that enter the

same segment of the cord. 52<6 The large! rapid#conducting! alpha and beta fibersof the s&in conduct impulses via the dorsal columns to the brainstem and fromthere to the cerebral cortex. Small diameter! slow#conducting % fibers conveyprotopathic or pathologic and traumatic pain signals of the small fibers that arisefrom the deeper tissues of the body. f this were not so! the body would be in aconstant state of pain. The stimuli from the dermis specifically produce inhibitionin the cells of the substantia gelatinosa of Bolando! which is found in the dorsalhorn of the spinal cord. t is believed that the dermal stimulus depolari@es thecells here! which renders them incapable of receiving and transmitting painsignals. Thus! painful stimuli are bloc&ed (ie! the ;gate; is closed)! according to*el@ac& and 7all. f! however! the small fiber system is excessively stimulated by

some disease process! the small fiber system then gains dominance and thepatient perceives pain. t is then said that the pain gate has been opened by theincreased stimulation from the small fibers of the deep somatic and visceraltissues.

This theory has many practical applications in clinical practice. 4or example! let ussuppose that the ;gates; are open and the patient is in severe pain. 7hat can bedone to relieve this sufferingG Studies have shown that the inhibitory effects areenhanced when the large diameter fibers of the s&in are sufficiently stimulatedand the pain gate in the dorsal horn may be closed. n addition! these fast#conducting fibers may also arouse inhibitory responses in the brainstem that

produce a downward projection of impulses to various levels of the spinal cordthat further inhibit the transmission of pain signals that would normally progressto the brain. 5216 t is by way of this system of inhibitory projections that the fullvalue (ie! relief from pain) can be reali@ed.

Surgical research on patients with intractable pain has shown that theimplantation of a dorsal column stimulator (ie! T-S) can often completely bloc&the transmission of painful or protopathic impulses. 525, 236

SCIENTIIC E:IDENCE

*eridian therapy with needles! moxa! electrical stimulation! or by means of othermodalities most li&ely wor& by such a mechanismH vi@! by bloc&ing pain signals inor to the brain by projecting inhibitory impulses to the thalamus andEor cerebralcortex and ultimately to the cord! and finally! by bloc&ing noxious stimuli throughthe pathophysiologic reflex and thus producing muscular relaxation. Therefore! itshould be noted that acupuncture is veiled in empiric evidence. Obviously! then!current scientific proof for acupuncture explains in part much of what happenswhen acupoints are stimulated.

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Although the *el@ac&#7all theory explains how pain pathways can be bloc&ed! itdoes not ade:uately explain any possible locali@ed tissue changes that are &nownto occur. y extension of this theory! however! local tissue changes may bepostulated on the basis of locali@ed vascular changesH ie! improvement in the localmicrocirculation. 5226

Becent studies! several without a credible basis! have been advocated. n 4rance!-% readings on heart patients showed improvement after acupuncturetreatments. 5266 n Bussia! a sensitive stethoscope supposedly noted differentsounds over acupoints. The Bussians also noted a difference in the s&intemperature over acupuncture points.

*uch research still needs to be performed. t appears to be that there aredemonstrable entities called acupuncture points! but scientific verification forchartable meridians connecting these points is still wanting at this writing.+owever! according to a DIJ paper from Bussia referring to research beingconducted at the 'epartment of eurology of the 3iev nstitute for "hysicians!

*acheret and his associates have shown the existence of complex functionalrelationships between various parts of the human body and the internal organs. Their findings appear to support the existence of ;channels; that are identical tothose that the Orientals call meridians. ;The Kbody channels= in their peripherallin& are connected with somatic and vegetative conductors running bothindependently in the form of nerve trun&s! and li&e plexuses that get around thevessels and the muscles and reach the Kroot= spinal cells and truncus sympathicusnodes from which the corresponding segmental associations pass to the internalorgans.; According to these researchers! the channels in their central lin&constitute the conductive pathways of the spinal cord and the brain. 5276

EMPIRIC E:IDENCE

The volume of recently ac:uired empiric evidence cannot be denied. To mention just a few for example! 4ields has shown that acupuncture! through thestimulation of endorphins! is an effective modality in the treatment of pain!behavior modification! relief of the symptoms of drug withdrawal! and stimulatingthe autoimmune system. 526 After treating just one point for acutedysmenorrhea in D8 patients! Slagos&i found complete effectiveness in theresolution of the pain syndrome. 5286 Tseung and 2a@harov describe case aftercase of musculos&eletal disorders! anxiety and depression! growth problems!primary infertility! impotence! induction of labor! episcleritis! chronic asthmatic

bronchitis! and can&er sores (aphthous stomatitis) that responded to acupunctureafter failing to respond under 7estern medical treatment. 529, 6<6

3it@inger! a medical doctor! believes that even if acupuncture may achieve good!even spectacular! results by itself! he recommends combining it with neuraltherapy (electrical)! manipulative therapy (chiropractic)! and other standardphysiotherapeutic modalities when vertebrogenic disorders are treated. +e statesthat ;%ombining acupuncture with manipulative therapy for a bloc&age is not onlyfeasible! but also in some cases! the only correct procedure to achieve a

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therapeutic brea&through.; 5616 Shafsha& compared the effectiveness ofelectroacupuncture to that of standard physiotherapy in the treatment of tensionmyositisC I,.,L responded completely to electroacupuncture and I8.ILrecovered completely in response to physiotherapy. 5656

7hile acupuncture per se has not been as effective in treating disorders of a

purely psychic nature! it has been in relieving physiologic disturbances. Odellreports that when it is used in conjunction with hypnosis and visuali@ationtechni:ues! it has shown to be a consistent and invaluable tool in a behavioralreprogramming techni:ue. 5636

Meri*ia% Tri&&er poi%ts a%* Their Pa$patio%

Sta%*ar* Metho*s of Stim/$atio%

Acupuncture points are commonly stimulated by several methodsC

D. Msing ,8#! ,9#! or ,<#gauge! DE9 to D#DE9#inch stainless steel needles that are carefully inserted at specific preselected sites fordurations ranging from a few seconds to 98 minutes or more.

9. Msing electrical stimulation with any modality designed for this purpose.

,. Msing a specially designed blunt instrument (teishin).

<. Msing finger or thumb pressure.

. Msing a helium neon or infrared laser (controversial).

0. Msing tiny beads sometimes called acupatches or acu-aids.

Other methods of stimulation include use of moxa (a herb that is burned near oron the s&in)! spar&s from a hand#held device! and microcurrent stimulators! toname a few.

7hen low#volt electric modalities are used in stimulating acupoints! it is generallybelieved that a fre:uency of approximately pulses per second (pps) is ideal formaximal endorphin release. The intensity of current! using a small diameterelectrode! should be as high as the patient can comfortably tolerate. Stimulatingthe most painful trigger point contralateral to the patientNs pain (eg! elbow) whilethe patient moves the involved part has been found effective in rapidly alleviatingmusculos&eletal pain.

n summary! when acupuncture sites are stimulated by means of low#volt electric current! several factors should be &ept in mindC

D. The exact site of the point or of its contralateral partner must be stimulated.

9. A small diameter electrode must be used.

,. The correct fre:uency must be selected.

<. The correct duration must be determined.

t should be noted that many of these factors are also important when othermethods are used.

Site Locatio%

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Acupuncture points are usually tender to the touch and located in palpabledepressions under the s&in. Although most pertinent sites are usually tender!there are many situations where a lac& of normal tenderness at a site may also bediagnostic.

As previously described! recent evidence suggests that acupuncture wor&s by

means of an extravascular transport mechanism. This means that the points willbe located at a certain depth below the s&in surface. Some research studiesindicate that stimulation primarily affects the nervi vasorum (autonomic fiberscongruent with the blood vessels)! and this further lends credence to inserting theneedle to a specific depth.

Locati%& Poi%ts

Of prime importance in meridianEtrigger point therapy are the proper palpationand locali@ation of the acupoint. ut first! a specific definition of a meridian pointshould be attempted.

4elix *ann states that in all diseases! physical or mental! tender areas are presentat certain points on the surface of the body points that disappear when theillness is cured. +e calls these sites acupuncture points. n %hinese literature! wefind descriptions of over a thousand of these points. The more common ,0 pointsare located on certain fixed lines or pathways called meridians. t is our opinionthat an acupuncture point is! in many instances! identical to the trigger pointdescribed by Travell or the concepts described by *atsumoto and +iyodo in theirwritings.

n locating important acupoints for treatment and meridian dysfunction! onetechni:ue involves systemic palpation (ie! of alarm points) of the body atpredetermined sites. These points will be described later in this chapter.

4AC>ROUND

The palpating hands of the examiner contain sensitive nerve endings that are:uite perceptive to changes in tissue tone! temperature! texture! surfacehumidity! etc. The fingertips are particularly well supplied with touch and pressurereceptors! while the dorsal surface of the hand is especially endowed with heatreceptors. 4or these reasons! both the fingertips and the bac& of the hand shouldbe used during the evaluation procedure. As examiners gain experience in pointlocation! they will find it increasingly easier to locate critical sites.

Acupoints will often be found that are spontaneously tender. 4or instance! apatient with appendicitis will point to *curney=s point as being ex:uisitelypainful. ndividuals with headaches often relate a spontaneously tender area onthe nuchal line of the occiput. n other cases! areas will be painful only whenpressure is applied. *any of the points above the an&les and in the hand and wristbelong to this category. A third type of acupoint is not tender even when

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moderate pressure is applied. *any acupuncture points are of this type.

PREPARATION

n searching for the acupuncture point! the patient must first be positioned in acomfortable position. The patient should be disrobed in such a fashion that the

points are readily accessible to palpation. %are must be ta&en in all cases topreserve the modesty of the patient. As during the routine physical examination!it is generally best to have the patient undress and then robed in a gown that tiesin the bac&. The waist band of the patient should be loosened for comfort and toafford free access to points of the lumbar! sacral! and lower abdominal areas.

*ost examiners find it convenient to begin the examination with the patientseated on a low stool! and then transfer the patient to a comfortable cushionedtable for examination in the prone and supine positions. "rior to searching foracupuncture points! the doctor should remove any jewelry that might scratch orirritate a patient. "ersonal hygiene! as always! is of utmost importance. The

examiner=s hands should be thoroughly washed before and after eachexamination.

TYPES AND C0ARACTERISTICS O ACUPUNCTURE POINTS

Several types of acupuncture points or lesions might be discoveredC

D. i"rositic %o*/$es. *ost commonly! the fibrositic nodule will be thepoint located. This area feels li&e a small node or mass of tissueseveral millimeters in diameter. t will be tender to pressure andoften spontaneously painful. t is similar to the fibrositic

rheumatoid nodules often located at the bac& of the nec&! in theshoulders! or in the lumbar area.

9. I%*/rate* areas. n many instances! a hard (indurated) area will befound. nstead of a nodule! the palpator might feel a locali@ed areaof tense muscle fibers in a muscle.

,. Atrophic areas. n other cases! the acupuncture point might becharacteri@ed as a locali@ed swollen and discolored area or anatrophied area of tissue.

ELECTRIC ANALYSIS

The examiner might be unable to locate acupuncture points by palpation. n thesecases! it may be of value to ma&e use of one of the many electric devicesavailable for their detection. These instruments measure s&in resistance to anelectric current! showing areas where the resistance is altered. Once a point islocali@ed! whether manually or with an electric device! it should be carefullymar&ed with a s&in pencil or felt#tipped pen and then charted in the patient=s

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records so that a comparison can be made from one visit to another.

I% Bapa%, Na'ata%i mappe* o/t areas of a$tere* s'i% resista%ce i%to path-a+s that corre$ate -ith meri*ia%s.

0e treats the most a$tere* poi%ts. This s+stem is ca$$e* R+o*ora'/, 62 -hich, -he% tra%s$ate*,

mea%s good electroconduction system.

The fact that an acupuncture point exhibits altered electrical resistance

allows an examiner to determine specific sites by using any instrumentthat measures (objectively with an ohmmeter or subjectively by theintensity of the sound made by an instrument) s&in resistance at anisolated point. t is presently thought that sites that are reactive (ie!involved in a complaint)! especially when we are dealing with amusculos&eletal complaint! are more conductive than surrounding tissue. These points are usually more tender and conduct current more readily(less resistance to an electric current). These points give a higherreading on an ohmmeter and produce a louder sound. %hinesephysicians refer to these sites as ah shi (ouch) pointsH Americanphysicians usually call them as trigger points.

f the correct site is chosen for stimulation! the most common reactionwill be hyperemia (histamine reaction) around the point stimulated. Alsonoted! especially when needles are used! will be a sensation of tinglingor numbness radiating or referred distally from the site stimulated. Thissensation is called the deqi (also spelled tae chi). 5666 A lac& ofhyperemia or de:i appears to correlate with poor results! thus indicatingthat the proper site was not treated.

n DIJ<! studies conducted by F. *. Sin showed that acupuncturestimulation not only gave good symptomatic relief in inflammatory

disease but also suppressed the underlying progress of the disease. 5676

The 0/ma% I%ch

esides palpation and measuring electrical resistance! charted acupuncture pointscan be located by using a topographic system of anatomical measurement. Theunit of measure is called the human inch, tsun, or cun, and the system ofmeasurement uses the patient=s own anatomical proportions to establish theparameters to be used in (D) locating points and (9) determining the depth ofneedle insertion.

The human inch for a particular patient can be determined by measuring thedistance between the patient=s two joint creases of the volar surface of the middlephalanx of the middle finger when it is flexed. t can also be determined bymeasuring the width of the patient=s thumb. -ither hand can be used unless onethumb has been deformed by trauma or disease.

Once the human inch is &nown! various portions of the patient=s body may bemeasured lengthwise or transversely and that measurement may be divided into

http://www.chiro.org/acc/What_is_Ryodoraku.shtml

http://www.chiro.org/acc/What_is_Ryodoraku.shtml

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a certain number of human inches. ecause a human inch is a proportionalmeasurement for a specific individual! the number of cuns on a body part (eg! aforearm or leg) is approximately the same whether the patient is young or old! tallor short! or lean or obese. 5666 The only exception to this is where obviousgrowth! surgical! or pathologic asymmetries are present (eg! disproportionatelimb#trun& dwarfism).

Maor Poi%ts( Locatio%s, Primar+ I%*icatio%s, a%* Preca/tio%s

As the result of millions of observations of patient responses over severalcenturies! Oriental physicians have charted over ,88 major points on the body

and have attributed certain related functions to these locations. As a general rule!however! it is thought that any locali@ed point in an area of musculos&eletal paincan be stimulated to inhibit pain in that location.

n DIJ<! "eter -c&man! *'! "h'! developed a schematic model of the generaleffects of acupuncture. 566

n the following sections! we will attempt to describe the most common sites ofstimulation and the indications for treatment as cited by various authorities. 7emust state une:uivocally! however! that little or no scientific verification has beendone in the 7est to substantiate these projected effects. Thus! the reader is

cautioned to use every possible diagnostic tool available necessary to evaluatethe patient=s complaints and to use this chapter as a reference to those sites usedby Oriental physicians. The complete validity of the effects described must awaitfurther research substantiation.

Poi%ts o% the L/%& Meri*ia%

The maor poi%ts o% the $/%& FLUG meri*ia% are LU#1 a%* LU#.

LU#1

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Locatio%. The site of this point (Phongfu) is found on the anterior lateralaspect of the chest. Msing your finger! palpate below the clavicle andsee& a tender spot in the space between the first and second rib!approximately 0 cun lateral to the anterior midline of the chest.

I%*icatio%s. This point is the alarm point for the lung meridian! thus it

may be tender in any condition related to the lung meridian. This site isprimarily used for chronic respiratory complaints because it is the majorpoint influencing the lungs. Stimulation may also be made at this site forshoulder disorders! especially those exhibiting painful adduction.

LU#Locatio%. This point (/ie:ue) may be found just lateral to the radialartery at a spot D. cun from the transverse crease on the volar aspectof the wrist! proximal to the styloid process of the radius. A slightdepression mar&s the site of /M#1.

I%*icatio%s. According to some authorities! this is one of the sevenmaster points of the body. ts primary indication is in the reduction oflocali@ed edema of musculos&eletal origin.

Poi%ts o% the Lar&e I%testi%e Meri*ia%

The maor poi%ts o% the $ar&e i%testi%e FLIG meri*ia% are LI#2, LI#11, a%*LI#5<.

LI#2Locatio%. 7hen the thumb and index finger are brought together! suchas when ma&ing a fist! this point is fre:uently located at the highest spoton the domed muscle bulge between the thumb and index finger. *orespecifically! the point is half way between the proximal and distalaspects of the 9nd metacarpal! just lateral to its radial side.

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I%*icatio%s. This point (+o&u or +egu) is another master point. *anyauthorities feel it is the most powerful acupoint of the upper body. t hasbeen studied most extensively and is stimulated more often than anyother site of the body. -xtensive research has established a connectionbetween stimulation of this site and alleviation of pain in the upperextremity and anterior nec& or head. Stimulation of this site with

electrodes attached to inserted needles is used to bring aboutanesthesia in the lower jaw or scalp prior to dental wor& or duringcertain surgical procedures. 7hen it is used in combination with themost tender trigger point (Ah shi)! pain in the upper extremity andanterior nec& or head can be alleviated. 7e have also found thatprolonged stimulation at this site (eg! over D minutes with needles) willtrigger evacuation of the bowels in a patient who is constipated andpromote drainage of body fluids.

7hen used in combination with other sites! /#< may also influence otherconditions. 4or exampleC

LI#2 H LI#11 dermatologic complaints

LI#2 H ST#37 gastrointestinal complaints

LI#2 H SP#7 gynecologic complaints.

Preca/tio%s( As this is a hi&h$+ se%sitie poi%t, a*erse reactio%shae "ee% recor*e* -ith this site, the most fre/e%t of -hich iss+%cope. Thus! if the patient complains of wea&ness! faintness! ornausea during therapy! the treatment should be discontinued. This site

is also contraindicated during pregnancy! except to promote labor ormedical abortion.

LI#11Locatio%. The location of this point (?uchi) is located just distal to thelateral end of the transverse crease of the elbow joint when the arm isflexed on the forearm. This point is fre:uently tender.

I%*icatio%s. This point is treated for pains associated with lateralepicondylitis (eg! ;tennis elbow; syndrome) and is a special point used inthe treatment of acute torticollis. Some studies have also indicated that!when stimulated bilaterally! it may lower blood pressure and affect themotor aspects of the nervous system. Msed in conjunction with /#<! itmay be useful in the management of dermatologic and allergicnasorespiratory complaints.

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LI#5<Locatio%. This point (Fingxiang) is found at the nasolabial groove on theside of the nasal ala.

I%*icatio%s. Stimulation of this site promotes drainage of the nasalsinuses and may be effective in combination with other focal sites in thetreatment of facial paralysis.

Poi%ts o% the Stomach Meri*ia%

The maor poi%ts o% the stomach FSTG meri*ia% are ST#5, ST#, ST#56, a%*ST#37.

ST#5Locatio%. This point (Sibai) is found just below the orbit of the eye at

the site of the infraorbital foramen.

I%*icatio%s. Stimulation at this site promotes drainage of the maxillarysinuses and is another site that may be used in patients with facialparalysis.

Preca/tio%s( reat care m/st "e ta'e% to aoi* "r/isi%& these%sitie tiss/es i% this area. njury may readily lead tosubcutaneous hemorrhage (ie! a ;blac& eye;).

ST#Locatio%. This point (Qiaguan) is found in the depression of the inferiorborder of the @ygomatic arch! just in front of the condyloid process of themandible. "alpation of this point should be made when the patientNsmouth is closed.

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I%*icatio%s. Stimulation of this point is effective for patientNsexperiencing painful T*> dysfunction and may be effective for patientswith facial nerve palsy.

ST#56Locatio%. This point (Tianshu) is located at the level of the umbilicus! 9, cun lateral to the midsagittal line! at the border of the rectusabdominis muscle.

I%*icatio%s. This point is the alarm point for the large intestine. tappears that therapy here is effective in treating many gastrointestinaldisorders. t is often treated in conjunction with %2#< and %2#D9.

ST#37Locatio%. This point is found in a depression that is , cun below theplateau of the tibia! located between and slightly distal to the tibiofibulararticulation. The depression is located about one finger=s width lateral tothe anterior crest of the tibia.

I%*icatio%s. This point ('usanli) is another of the seven master pointsof the body! and many authorities feel it is the most powerful acupoint of

the lower body. t is thought to be the major body point for systemictonification. ecause of its location! it is also used in the treatment ofconditions locali@ed in the lateral aspect of the &nee joint. Severalstudies have related this point to the cellular elements of the bloodHthus! it has been indicated by some to be effective in the treatment ofanemia and to increase the white cell count in patients with infections.Stimulation of this point is often used in conjunction with /#< (thought tobe the most powerful acupoint of the upper body) in the treatment ofchronic gastrointestinal complaints.

Poi%ts o% the Sp$ee% Meri*ia%

The maor poi%ts o% the sp$ee% FSPG meri*ia% are SP#7 a%* SP#9.

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SP#7Locatio%. This point (Sanyinjiao) is found on the medial aspect of thean&le on the lower calf. t can be located by placing the lateral aspect ofan an&le on the opposite flexed &nee (as in the familiar male seatedposition) and placing the little finger of your hand (flexed &nee side) onthe medial malleolus of the exposed an&le so that the thumb pointstoward your flexed and rotated &nee. The point is located , cun up themedial aspect of the calf! proximal to the medial malleolus. The point islocated just posterior to the border of the tibia.

I%*icatio%s. This point is called the crossroads of the three Yin

meridians of the leg because the spleen! liver! and &idney meridianstransverse at this site. 'ue to this fact! the point has multipleindications. As one of the seven master points! it is often used in thetreatment of patients with gynecologic disorders! especially irregular orpainful menstrual complaints and male sexual dysfunctions. t is alsoreferred to as the master of the circulatory system as it affects variousvascular conditions such as patients with cold extremities or those thatbruise easily.

SP#9Locatio%. This point (Finling:uan) is located on the medial aspect of the&nee joint! just below the lower border of the medial condyle of theproximal tibia.

I%*icatio%s. This point is primarily stimulated in the treatment ofpatients with osteoarthritis of the &nee or sprains of the medial collateralligaments.

Poi%ts o% the 0eart Meri*ia%

There are t-o maor poi%ts o% the heart F0TG meri*ia%( 0T#3 a%* 0T#.

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0T#3Locatio%. This point (Shaohai) is located when the patientNs elbow isflexed. t is between the medial end of the transverse antecubital creaseand the medial epicondyle of the humerus. "alpation reveals anextremely tender point.

I%*icatio%s. This point is treated in medial epicondylitis (eg! golferNselbow) or other disorders of the medial aspect of the elbow. Someauthorities report success in treating this point in patients with angina#li&e symptoms.

0T#Locatio%. This acupoint (Shenmen) is located on the ulnar surface ofthe anterior wrist! just proximal to the pisiform bone. -xact locali@ationplaces this point in a depression located just to the radial side of theflexor carpi ulnaris tendon! just medial to the ulnar artery.

I%*icatio%s. This specific point is stimulated in an attempt to relievepatients with symptoms of nervousness! irritability! anxiety! depression!hypertension! insomnia! and abnormal forgetfulness.

Poi%ts o% the Sma$$ I%testi%e Meri*ia%

The maor poi%ts o% the sma$$ i%testi%e FSIG meri*ia% are SI#3, SI#9, a%*SI#19.

SI#3

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Locatio%. To locate this point (+ouxi)! ma&e a tight fist and note thesmall triangular bulge on medial aspect of the supinated hand. The pointis located at the end of the transverse crease just proximal to the headof the th metacarpophalangeal joint.

I%*icatio%s. This point is treated when patients have pain in the

contralateral lower bac& region and in patients suffering with varioustypes of arthritis.

SI#9Locatio%. To locate the exact site of this point (jian@hen)! have thepatient hold their relaxed arm at the side. n this position! the point islocated D cun above the top of the posterior axillary fold.

I%*icatio%s. This point is stimulated whenever a patient complains ofpain when reaching or putting their arm behind their bac& (extensionplus internal rotation) or when a patient exhibits signs of degenerative joint disease of the shoulder joint.

SI#19Locatio%. This point (Tinggong) can be found by placing an index finger

just anterior to the tragus of the ear and palpating for the gap betweenthe tragus and the temporomandibular joint when the patient opens themouth.

I%*icatio%s. This site is stimulated in various disorders of the ear suchas earache! hearing loss! or tinnitus.

Preca/tio%s( Care m/st "e ta'e% -he% /si%& a %ee*$i%& proce*/reto aoi* maor %ere a%* asc/$ar str/ct/res i% this area.

Poi%ts o% the Uri%ar+ 4$a**er Meri*ia%

The maor poi%ts o% the "$a**er F4LG meri*ia% are 4L#1<, 4L#53J56, 4L#31, 4L#61, 4L#62, 4L#6, a%* 4L#7<.

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A large portion of the bladder meridian is composed of points called asassociation or associated points. These points! which will be described later in thischapter! are located along the medial most aspect of this meridian. They appearto be related to specific viscera in a manner similar to that described in *eric

Analysis where specific spinal segments are related to specific organs.

C

4L#1<Locatio%. This point (Tian@hu) is located two finger widths lateral to themidline below the occiput in the suboccipital musculature just lateralfrom the border of the trape@ius muscle.

I%*icatio%s. This site is thought of as the atlas of acupuncture.Stimulation here is believed to have profound effects on the autonomicnervous system. ts stimulation may also relieve patients with thoracicoutlet syndromes! and perhaps! suboccipital headaches! suboccipitalmyalgia and tenderness! or torticollis.

4L#53, 4L#52, a%* 4L#56Locatio%. These three points (Shenshu! ?ihaishu! and 'achangshu) arefound two finger widths lateral to the midpoints of the spinous processesof /9/,! /,/<! and /</! respectively! in the intervertebraldepressions between the thoracic transverse processes or lumbarmamillary processes.

I%*icatio%s. Stimulation of these points is made in patients with low#bac& pain! usually bilaterally! and sometimes combined with stimulationof #,8 andEor other points. The choice of specific stimulation in thisarea depends on the determined level of spinal involvement.

4L#31Locatio%. This point (Shangliao) is found in the depression of the firstsacral foramen.

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I%*icatio%s. This is an important point in the treatment of 2'syndromes! lumbar sprains and strains! and other afflictions of the lowerbac&. Some reports of experiments with male animals indicate thattreatment of this point may elevate sperm :uantity.

4L#61Locatio%. This point (Finmen) is found in the longitudinal midline of theposterior thigh! halfway between the gluteal and popliteal creases.

I%*icatio%s. This is an important point in the treatment of low#bac&pain! especially when there is sciatic radiation to the thigh.

4L#62Locatio%. This posterior point (7ei@hong) is located on the transversecrease of the posterior &nee! in the center of the popliteal space.

I%*icatio%s. Stimulation of this point is made in patients with arthritis ofthe &nee or sciatic pain that radiates to the &nee.

Preca/tio%s( f needling is conducted! it is best to slightly flex the joint sothat tension will be removed from the popliteal tissues. %are must be

ta&en not to pierce one of the many vascular structures in this area.

4L#6Locatio%. This point (%hengshan) is found halfway down the bac& of thecalf! at the longitudinal midpoint between the &nee and the an&le joints!at the split of the gastrocnemius muscle.

I%*icatio%s. Stimulation of this point is indicated in cases of sciaticathat manifest pain radiating to the calf.

4L#7<Locatio%. This point (3unlun) is found on the external side of the an&le!at a level of the midpoint of the lateral malleolus longitudinally and

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halfway between the Achilles tendon and the lateral malleolustransversely.

I%*icatio%s. This site has been found to be of value in patients withgenerali@ed body pain! foot problems! and sciatic#li&e pains that radiatefrom the lower bac& to the an&le.

Poi%ts o% the >i*%e+ Meri*ia%

The maor poi%ts of the 'i*%e+ F>IG meri*ia% are >I#1, >I#5, a%* >I#5.

>I#1Locatio%. This point (Fong:uan) is found on the plantar surface of thefoot in a depression at the junction of the anterior and middle third ofthe sole! between the 9nd and ,rd metatarsophalangeal joints.

I%*icatio%s. Although one of the most tender acupuncture sites of the

body! this point is one of the best sites to stimulate when a patient hasproblems related to the feet. t is also stimulated in patients with drys&in and complaints of impotence.

>I#5Locatio%. This point (Bangu) is found just anterior and inferior to themedial malleolus of the an&le. f an imaginary line is drawn from themidpoint of the foot (midpoint between the front and bac&)! the pointcan be located in a depression at the anterior#inferior border of thenavicular bone.

I%*icatio%s. Stimulation of this point is often made when patients showsigns of excessively moist s&in (ie! hyperhidrosis).

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>I#5Locatio%. The site of this point (Shufu) is found in the depressionbetween the Dst rib and the lower border of the clavicle! just lateral tothe manubrium of the sternum.

I%*icatio%s. This point is often referred to as the ;reset button; by&inesiologists. *anual stimulation of this site is thought to temporarilybalance the meridians or to ;reset; them before muscle testing orchec&ing for overall energy balance in the meridians.

Poi%ts o% the 0eart Co%strictor Meri*ia%

There is only one major point of the heart constrictor (+%) meridian! 0C#7. t

should be noted that this meridian is also referred to just as fre:uently by manyauthorities as the pericardium (") or circulationEsex (%S or %Q) meridian.

0C#7Locatio%. This point (eiguan) is found on the anterior surface of theforearm! directly in the midline! 9 cun from the largest transverse creaseof the wrist.

I%*icatio%s. Stimulation of this point is indicated for patients presentingwith thoracic pain (eg! rib pain! intercostal neuralgia! postherpeticneuralgia! thoracic strainEsprain! and painful disorders of the lungs).Some authorities have reported that stimulation of this site may stopsingultus (hiccups)! although we have yet to have our first success using

this point for hiccups.

Poi%ts o% the Trip$e 0eater Meri*ia%

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The maor poi%ts o% the trip$e heater FT0G meri*ia% are T0#6 a%* T0#1.

T0#6Locatio%. This point (7aiguan) is positioned on the dorsum of the wrist!exactly in the center! at a point two cun proximal from the flexure creaseof the wrist. t is located directly opposite to +%#0.

I%*icatio%s. This site is the major point of energy balance in the body.Stimulation of this point is thought to e:uali@e the autonomic nervoussystem.

T0#1Locatio%. This point (Fifeng) is found posterior to the earlobe in thedepression located between the mastoid bone and the angle of themandible.

I%*icatio%s. The indications for stimulating T+#D1 are hearing loss!tinnitus! and earache.

Preca/tio%s( f needling is performed! i%sertio% to a *epth &reater tha%1#1K5 c/% is a"so$/te$+ for"i**e%.

Poi%ts o% the a$$"$a**er Meri*ia%

The maor poi%ts o% the &a$$"$a**er F4G meri*ia% are 4#5<, 4#51, a%*4#32.

4#5<

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Locatio%. This point (4engchi) is found just inferior and medial to themastoid process! in a depression (usually tender) that is locatedbetween the sternocleidomastoideus and the trape@ius muscles.

I%*icatio%s. This site! one of the seven master points! influences theautonomic nervous system. t is also an excellent point to stimulate in

patients with suboccipital headaches.

Preca/tio%s( 7hen needling! the line of insertion is directed toward theopposite eye. 'eep insertion of a needle greater than D#DE9 cun maytrigger adverse effectsH thus! such depth is forbidden.

4#51Locatio%. The site of this point (>ianjing) is located midway between thespine and the acromion of the shoulder. 7ith the patient seated! handsfolded in the lap! head forward! run your palpating finger from the tip ofthe acromion halfway up toward the spine! splitting the trape@ius downthe middle. The site will be found as a tender depression at the halfwaypoint.

I%*icatio%s. This is probably the best point there is to stimulatepatients with muscle spasm in the upper half of the body.

Preca/tio%s( Perpe%*ic/$ar %ee*$e i%sertio%s are *isco/ra&e*.nsertion should be at an angle directed toward the midline. 'o notexceed a depth of D cun! as the apex of the lung might be punctured.

4#32Locatio%. This point (Fangling:uan) is found in a depression locatedanteroinferiorly to the head of the fibula.

I%*icatio%s. This point appears to be the best site on the body to

influence patients with muscle spasm! especially spasm in the lower halfof the body. The point may also be stimulated in patients with pain onthe lateral aspect of the thigh andEor leg.

Poi%ts o% the Lier Meri*ia%

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C:#8Locatio%. This point (Shenjue) is found in the center of the navel.

I%*icatio%s. This is a for"i**e% poi%t that sho/$* %eer "e

%ee*$e*.

Poi%ts o% the oer%i%& :esse$ Meri*ia%

The maor poi%ts o% the &oer%i%& esse$ F:G meri*ia% are :#3, :#12,:#17, :#5<, a%* :#57.

:#3Locatio%. This point (Faoyangguan) is found between the spinousprocesses of /< and /.

I%*icatio%s. This point is a good point to treat for low#bac& pain.

:#12

Locatio%. This point ('a@hui) is found between the spinous processes of%1 and TD.

I%*icatio%s. This point is used in the treatment of thoracic outletsyndromes! nec& pain! and shoulder pain. t is referred to as a reunion

point because it interconnects with other meridians and often ta&es onthe functions of those meridians.

:#17

Locatio%. This point (4engfu) is found directly in the midline just belowthe external occipital protuberance! at the base of the occiput.

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t is thought by Oriental physicians that tenderness or pain elicited by lightpressure on or spontaneous pain at any of these points indicates that themeridian has excessive energy (%hi). Tenderness only on heavy pressure indicatesthat there is a deficiency of %hi. enerally! the alarm points are associated withthe Fin types of diseasesH vi@! those diseases associated with cold! depression!

and wea&ness.

Ta"$e 3.5 $ists the a$arm poi%ts for the 15 meri*ia%s a%* &ies thea%atomica$ $ocatio% of each.

Ta"$e 3.5. A$arm Poi%ts of the 4o*+

"eridian Alarm Point ocation

4ILATERAL POINTS

7ung U7) cun below cla!icle, lateral interspace of nd }/rd ribs

7i!er 87, $n !ertical nipple line, between th}?th ribs

allbladder !%&, $n !ertical nipple line, between ?th}Gth ribs

pleen 87) Anterior tip of ))th rib

@idney !%&. Anterior tip of )th rib

7arge intestine ST&. cun lateral to na!el

MIDLINE POINTS

5eart constrictor C871'idsternal, nipple le!el, /;<ths down fromepisternal notch

5eart C87, cun abo!e na!el, 1ust below 0iphoid process

tomach C87&< cun abo!e na!el, epigastrium, midwaybetween the 0iphoid process and na!el

Triple heater C8. cun below na!el

mall intestine C8, / cun below na!el

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(ladder C8) < cun below na!el

Master Poi%ts

The seven master points are the primary points of the body! and! according tosome authorities! they are used more fre:uently than other points. enerally!they will all be tender to the touch and the effects from stimulating them areusually pronounced. These points! in review! areC

LI() ST(*+

SP(+ "B(-

BL(.) L%(* LU(/

Associatio% Poi%ts

Associated points were briefly described with the bladder meridian. An associationpoint (or associated point! as it is sometimes called) is a reflex site for an affiliatedmeridian. enerally! it allegedly becomes tender when the meridian=s %hi isabnormally disturbed.

All meridians have an associated point. This point is located along the bac& on the

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medial course of the bladder meridian! D#DE9 cun from the spinous processes! oneither side of the vertebral column. That is! all association points may be foundapproximately two finger widths lateral to the midline of the spine. There are alsoassociated points that do not correspond with a specific meridian. See Table ,.,.

Ta"$e 3.3. Associate* Poi%ts

"eridianAssociation

Pointocation

/M 4L 13)-); cun lateral to spinous processes, betweenT/ and T<

+% 4L 12)-); cun lateral to spinous processes, between

T< and TE

+T 4L 16)-); cun lateral to spinous processes, betweenTE and T

2 4L 17)-); cun lateral to spinous processes, betweenT and T?

/2 4L 18)-); cun lateral to spinous processes, betweenTF and T)=

4L 19)-); cun lateral to spinous processes, betweenT)= and T))

S" 4L 5<)-); cun lateral to spinous processes, betweenT)) and T)

ST 4L 51)-); cun lateral to spinous processes, betweenT) and 7)

T+ 4L 55)-); cun lateral to spinous processes, between7) and 7

3 4L 53)-); cun lateral to spinous processes, between7 and 7/

/ 4L 56)-); cun lateral to spinous processes, between7< and 7E

S 4L 5 At the le!el of the ) foramen

/ 4L 58 At the le!el of the foramen

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n this context! a special point to be noted is 3#91. This point is located on the

anterior surface of the body and supposedly acts as an associated point for theentire series. t is sometimes referred to as the ;home of all associated points.;

Some authorities contend that these association points! when tender! are the bestpoints to treat for tonification or sedation of the affiliated meridian because of alesser possibility of an adverse reaction or side effects.

The associated points have certain characteristics in contrast to the alarm points!according to 4elix *annC

D. %lassically! they are points of sedation. Sedation of an associationpoint in turn causes sedation of the meridian preceding it and the

meridian that follows it. This is typically the reverse of what occurs whenalarm points are stimulated.

9. These points! because of their general calming effect! are used in Fang diseases such as those associated with fever andEor overexcitation.

,. Association points also serve well as points of tonification.

<. %hinese osteopathy uses these points in the correction of minordisplacements of the vertebrae.

C$osi%& Remar's

Although needling procedures are fre:uently described in this chapter! the s&illfuluse of penetrating techni:ues re:uires speciali@ed instruction beyond the scope ofthis discourse. +owever! this information as presented will be of extreme valuewhen non#needling techni:ues (eg! electric stimulation) are used in adjunctive

therapeutics.

Refere%ces

D. >ayasuriya AC *edicina alternative strategy for the integration ofhealing methods.

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nternational >ournal of %hinese *edicine! 9(D)C1$D<! *arch DIJ.

9. >as&ovia& "AC Manual of Meridian Therapy. /ombard! /! ational%ollege of %hiropractic! DI1I! pp D8$D.

,. +an 3C On the Kyungra !ystem. "yongyang! 3orea! 4oreign

/anguage "ublishing +ouse! DI0<.

<. *ann 4C "cupuncture, The "ncient #hinese "rt of $ealing and $o% &t'ors !cientifically. ew For&! 2intage oo&s! DI1D! p .

. *ann 4C "apers presented to the nternational Acupuncture%onference in 2ienna and erman Acupuncture %onference in7eisbaden.

0. 2annerson >4C A neurological explanation of acupuncture.(igest of #hiropractic )conomics, *archEApril! pp 99$9J! DI1<.

1. *ann 4C Acupuncture! The "ncient #hinese "rt of $ealing and $o% &t'ors !cientifically. ew For&! 2intage oo&s! DI1D! p .

J. Ta&ase 3C Bevolutionary new pain theory and acupuncture treatmentprocedure based on new theory of acupuncture mechanism. "merican *ournal of "cupuncture, DD(<)C,8$,9J! October$'ecemberDIJ,.

I. +u F! ?i FC The "henomena of energy circulated in the meridiansystem.

&nternational *ournal of #hinese Medicine, D(<)C1$D<! 'ecember DIJ<.

D8. Sato AC Spinal and medullary reflex components of the somato#sympathetic reflex discharges evo&ed by stimulation of the group 2somatic afferents.+rain esearch, DC,81$,DJ! DI1,.

DD. 3unert 7C 4unctional disorders of internal organs due to vertebrallesions.#ia !ymposium, D,(,)! DI0.

D9. %oote >+! et alC Beflex discharges into thoracic white rami elicitedby somatic and visceral afferent excitation. *ournal of hysiology, 989CD<D$DI! DI0I.

D,. 'ittmar -C %utaneo#visceral neural pathways. *ournal of hysicalMedicine (ritish)! DC98J! DI9.

D<. 3unt@ A! +a@elwood /AC %irculatory reactions in the gastrointestinaltract elicited by local cutaneous stimulation.

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"merican $eart *ournal, 98C1<,$1<I! DI<8.

D. 3unt@ AC Anatomic and physiologic properties of cutaneo#visceralvasomotor reflex arcs. *ournal of /europhysiology, JC<9D$<9I! DI<,.

D0. Bichins %A! ri@@ee 3C -ffect of locali@ed cutaneous stimulation oncirculation in duodenal arterioles and capillary beds. *ournal of /europhysiology, D9CD,D$D,0! DI<I.

D1. *ann 4C "cupuncture, The "ncient #hinese "rt of $ealing and $o%&t 'ors Scientifically. ew For&! 2intage oo&s! DI1D! p 1.

DJ. Travell >! Bin@ler S+C Belief of cardiac pain by local bloc& of somatictrigger areas. roceedings of the !ociety for )xperimental +iology andMedicine, 0,C<J8$<J9! DI<0.

DI. 'ale BAC The principles and systems of micro#acupuncture.&nternational *ournal of #hinese Medicine, D(<)CD$<9! 'ecember DIJ<.

98. *ann 4C "cupuncture, The "ncient #hinese "rt of $ealing and $o%&t 'ors !cientifically. ew For&! 2intage oo&s! DI1D! pp J$I.

9D. Mssher TC The viscerospinal syndromeC a new concept ofvisceromotor and sensory changes in relation to deranged spinalstructures. "nnals of &nternal Medicine, DI<8! pp <91$<,9.

99. 7eiss S! 'avis 'C The significance of the afferent impulses from thes&in in the mechanism of visceral painH s&in infiltration as a usefultherapeutic measure. "merican *ournal of Medical !cience, D10CD1! DI9J.

9,. utstein BC A review of myodysneuria (fibrositis). "merican ractitioner and (igest of Treatment, 0C18$11! DI.

9<. *ann 4C "cupuncture, The "ncient #hinese "rt of $ealing and $o%&t 'ors !cientifically. ew For&! 2intage oo&s! DI1D! pp J$I.

9. *atsumoto TC "cupuncture for hysicians. Springfield! /! %harles %. Thomas! DI1<! pp DI$98.

90. "ennell B>! +euser 'C The 0$o% to0 !eminar of "cupuncture.ndependence! *O! "%! DI1,! pp 9$,8.

91. *ann 4C "cupuncture, The "ncient #hinese "rt of $ealing and $o%&t 'ors !cientifically. ew For&! 2intage oo&s! DI1D! pp J$I.

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9J. bid.

9I. 3eegan >>! arrett 4'C The segmental distribution of the cutaneousnerves in the limbs of man. "natomical ecord, D89C<8I$<,I! DI<J.

,8. Sherrington %SC The &ntegrative "ction of the /ervous !ystem. ew For&! Scribner! DI80.

Rele0ance of the +NSA cranial ner0e points

The cranial ner!e points are highly acti!e acupuncture points on the frontal scalp. Lsing these points,disorders of the corresponding meridians and the cranial ner!es can be treated. 3or e0ample, the lungcranial ner!e point, the glossopharyngeal point is used for the treatment of the swallowing disordersafter stroke as well as pulmonary disorders of different origin. (ased on the 9&A-9in basic point A,) cranial ner!e points are located in a row in the dorsal direction up to 4u'ai= for appro0imately -G cm. 3or the practical use, the cranial ner!e points are identified by the adbdominal or neck palpation

techniue. The painful abdominal or neck points show the way to the corresponding cranial ner!epoints. After correct acupuncture of the rele!ant cranial ner!e points, the pain intensity of theabdominal or neck sites should be reduced, similar to the 9psylon points. imilar to the other 9&Apoints, the cranial ner!e points display small treatment areas, which are identified using carefulpalpitation. Acupuncture is then performed at the point with the highest pain intensity. imilar to thebasic, brain and 9psilon points, a careful palpitation is necessary and important for the locali"ation ofthe cranial ner!e points. The known 9psilon and cranial ner!e points can be used alone and incombination. %t is important that the treated acupuncture point is reported as painful by the patient. Asite which is not painful should not be treated. The cranial ner!e points ha!e shown to be !ery suitablefor treatment of motor and other neurological symptoms.

Rele0ance of the +NSA cranial ner0e pointsThe cranial ner!e points are highly acti!e acupuncture points on the frontal scalp. Lsing these points,disorders of the corresponding meridians and the cranial ner!es can be treated. 3or e0ample, the lungcranial ner!e point, the glossopharyngeal point is used for the treatment of the swallowing disordersafter stroke as well as pulmonary disorders of different origin. (ased on the 9&A-9in basic point A,) cranial ner!e points are located in a row in the dorsal direction up to 4u'ai= for appro0imately -G cm. 3or the practical use, the cranial ner!e points are identified by the adbdominal or neck palpationtechniue. The painful abdominal or neck points show the way to the corresponding cranial ner!epoints. After correct acupuncture of the rele!ant cranial ner!e points, the pain intensity of theabdominal or neck sites should be reduced, similar to the 9psylon points. imilar to the other 9&Apoints, the cranial ner!e points display small treatment areas, which are identified using carefulpalpitation. Acupuncture is then performed at the point with the highest pain intensity. imilar to thebasic, brain and 9psilon points, a careful palpitation is necessary and important for the locali"ation ofthe cranial ner!e points. The known 9psilon and cranial ner!e points can be used alone and incombination. %t is important that the treated acupuncture point is reported as painful by the patient. Asite which is not painful should not be treated. The cranial ner!e points ha!e shown to be !ery suitablefor treatment of motor and other neurological symptoms.

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%n the 9amamoto &ew Chest Acupuncture pain is treated ipsilaterally, hemiparesis contralterally. Heryeffecti!e is especially the treatment of distubances of the locomotor system.

)' On the safety of acupuncture in the Thoracic re*ion&umerous references to side effects caused by acupuncture treatment can be found in medline. Thein!estigation presented here was moti!ated in particular by reports of pneumothora0 after acupuncture.After an autopsy on a corpse, the depth of !arious acupuncture needles penetrated into the thora0 wasin!estigated. The study was performed on a female corpse. 3or unknown reasons, the patient had beensub1ected to resuscitation and due to this measure had suffered a series of fractured ribs on the right-hand side. %ssue in!estigated: %s it possible to apply acupuncture treatment safely in the thoracic region,

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in particular intercostally` $bser!ations: Acupuncture in the thoracic region in!ol!es a greater or lesserdegree of risk depending on the thickness of the subcutaneous fatty tissue. The longer the needle, thegreater is the risk. %n !iew of the fact that in some places the intercostals muscles are only to / mmthick, the ribs themsel!es in the present case are / to < mm thick and the skin is ) to mm thick, in thecase of a slim or cachectic person an acupuncture needle ) cm in length can potentially lead topneumothora0 if applied intercostally. %n order to ensure the greatest possible safety in acupuncture, it

is necessary to choose needles that are as short and thin as possible and to apply them tangentially atthe flattest possible angle. Additional safety can be achie!ed by mo!ing the tip of the needle towardsthe rib or corpus sterni. %f, as for e0ample in the case of thoracic 9amamoto &ew Chest Acupuncture,the needles are to remain in position in the patient so that further physiotherapy measures can beapplied, then they must be secured by a good adhesi!e plaster. %t appears safest to apply the needlesabo!e the ribs and only abo!e the 0iphoid process, the corpus and manubrium sterni.

4i*ure 2'

Acupuncture needles of !arious lengths. %n comparison: The depth of penetration into the subcutaneousfatty tissue can be seen. #enetration depth of the needles with respecti!e lengths of )=, )E and E mmin relation to skin and subcutaneous tissue.

Conclusions: The safety of acupuncture in the front thoracic region depends on the length of the needleand the angle at which the needle is inserted. The greatest possible safety can be achie!ed by applyingshort, thin needles abo!e the ribs or towards the ribs or the corpus sterni.

4i*ure 3'

%ntercostal acupuncture with < different types and lengths of needles

4i*ure 7@'

These acupuncture needles penetrating through the intercostal muscles and into the thora0.

4i*ure 77'

The thickness of the ribs and the intercostal muscles

4i*ure 7&'

The rib is < mm thick

http://www.intechopen.com/source/html/18907/media/image13.png





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,' Effecti0eness and clinical applications

,'7' 4unctional "a*netic Resonance Ima*in* ;f"RI<

With the aid of functional magnetic resonance imaging *f'%+, it was possible to demonstrate the goodeffecti!eness of 9&A for stroke patients. %n this study, a new metal-free acupuncture needle

de!eloped by the author was applied. (enefits associated with 9&A ha!e been shown in studies inpatients after stroke, in patients with musculoskeletal pain and in emergency medicine. %n the Westernworld stroke is still the leading cause of disability in adults, often in the form of hemiparesis. The goalof the in!estigation introduced here was to correlate the effect of 9&A in hemiparetic stroke patientsto cortical acti!ation !isuali"ed in f'%. The neurological correlates of 9&A were studied in )?patients with ischaemic stroke in the right hemisphere suffering from residual paresis of the left handand in )F healthy !olunteers. A new acupuncture needle for magnetic resonance imaging de!eloped bychockert was used in this study. imilar to the principle of an indwelling !enous cannula, the needle ispositioned in the acupoint, the steel cylinder remo!ed, and the remaining plastic part is fi0ed in theacupoint by a plaster. The si"e of the plastic part remaining in the acupoint corresponds appro0imatelyto an acupuncture needle of the dimensions =./= 0 /= mm *chockert et al., =)=+.

According to the ethical !ote all participants ha!e signed a consent before the treatment.

The f'% study was performed in a ).E tesla #hilips '% system *T /=== ms, T6 E= ms, 3A F= ~+ ina bo0-car design. #atients were treated lying down and were instructed !ia !ideo goggles to open orclose their left hand. The f'% paradigm was: fi!e conditions with )= sec duration each: /sec closingof the fist, sec opening of the fist, /= sec break. Three runs of f'% were performed: no acupuncture,sham acupuncture *patient is blinded: acupressure without insertion of a needle+, real acupuncture. Thedata were analy"ed using an #' e!aluation program. All patients and !olunteers were first sub1ectedto sham acupuncture and then to 9&A. The sham acupuncture consisted of a single application ofpressure by a finger nail in the centre of an imaginary line between T6/ and ()<. %n the genuine9&A, needles were applied to the 9in points of the (asal anglia, Cerebellum, and (asic point C. $f

the )? in!estigated patients, only fi!e could be e!aluated due to motion artefacts. $n account ofinhomogeneous lesions no group analysis was performed as cortical acti!ation was different in eachpatient. enerally, in contrast to the sham acupuncture, genuine acupuncture was accompanied bysignificant cortical acti!ation in the motor, premotor and supplemental motor corte0.

6ight of )? patients felt sub1ecti!ely better after the 9&A. The patients e0perienced a reduction ofspasm and an impro!ement of the mo!ement of the paralysed upper e0tremities. The E patients fromwhom the data were e!aluated all showed sub1ecti!ely clinical benefit after the 9&A treatment. 4atafrom )/ healthy !olunteers could be analysed without artefacts. %n these sub1ects it was possible toperform a group analysis. %n contrast to the patients, the !olunteers displayed a decrease in corticalacti!ation during 9&A. Without acupuncture: Cortical acti!ation was shown in the motor corte0,cingulate gyrus and occipital lobe. ham acupuncture: Cortical acti!ation identical to that in sub1ects

without acupuncture. enuine acupuncture: &o acti!ation in the cingulate gyrus. The cingulate gyrus ispart of the limbic system, a multimodal area with important afferent and efferent connections which isin!ol!ed in planning of comple0 and difficult mo!ements. Theoretically, a lack of acti!ation in thecingulate gyrus could be a training effect or the result of selecti!e inhibition of this area by 9&A.Without acupuncture or with sham acupuncture cortical acti!ation was obser!ed close to the region ofthe !erte0 of the scalp, where H= is situated. This acti!ation is not seen after genuine acupuncture.o it is concei!able that this is a specific 9&A effect. The effects look promising but could be theresult of generalised stimulation. The reliability of the data analysis must also be !erified. The designof the study shows methodological deficits. 3or studies in the future the documentation has to be done

http://www.intechopen.com/books/acupuncture-clinical-practice-particular-techniques-and-special-issues/yamamoto-new-scalp-acupuncture-ynsa-development-principles-safety-effectiveness-and-clinical-applica#B5


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e!en more thoroughly with ob1ecti!e methods of measurement. The following practical problems wereseen during the conduct of this study: #atients were lying down still in the scanner for about one hour.This was !ery tiring and difficult for the patients. %n addition, it is concei!able that patients had ma1orconcentration problems during the third block *genuine acupuncture+. We assume the results of thisstudy could potentially support the use of 9&A as an ad1uncti!e measure in stroke rehabilitation. %n!iew of the fact that eight patients felt sub1ecti!ely better after the treatment and in !iew of the changes

in the cortical acti!ations in the motor, premotor and supplemental motor corte0 we assume that thisbenefit 1ustifies the hypothesis that the 9&A treatment itself had this positi!e influence and is thecause of the positi!e effects described by the patients. As stroke is the leading cause of disability in thewestern world we assume that it is 1ustified to suggest further larger controlled clinical trials and f'%studies with more participants to in!estigate the phenomenon we ha!e seen in this in!estigation*chockert et al., =)=+.

,'&' +NSA in PETCT

,'&'7' +NSA acti0ates cortical nocicepti0e and motor centers in patients (ith chronic pain of thelocomotory system

The clinical application of 9amamoto &ew calp Acupuncture *9&A+ often shows immediate andlong lasting effects in patients with locomotor disturbances such as pain syndromes, chronic stroke and#arkinsonDs disease. 5owe!er, little is known about the underlying mechanisms of 9&A.

The aim of the study was to in!estigate potential areas of the central ner!ous system influenced by9&A in the treatment of such patients. To this end, changes in the cerebral glucose metabolism weremeasured by #6T-CT. We measured three sub1ects that were treated with 9&A for chronic painsyndromes in their lower e0tremities. 6ach patient was measured twice. The first measurement ser!edas a baseline scan to assess the basic brain acti!ity of the patient. The second measurement wasacuired four to fi!e days later, and the patient was treated with 9&A shortly before the beginning ofthe scan. #oints were selected indi!idually after 9&A neck diagnosis. A !isual analogue scale *=-)=+

was used to assess pain reduction. 6ach sub1ectDs #6T data were spatially coregistered to correct fordifferences in head position between the two scans. Conseuently, the data were normali"ed to atemplate brain and smoothed with a ) mm isotropic kernel in order to account for anatomicaldifferences between the sub1ects. 3inally, demeaning was applied to correct for global changes of signalintensity. All these steps were carried out using #' G *Wellcome Trust Center for &euroimaging,7ondon+ and 37 <.) *3'%(, $0ford+, respecti!ely. After these pre-processing steps, data from thetwo measurements could be directly compared to each other. An increase in glucose metabolism *andthus of cortical acti!ity+ of more than )=O was considered significant. An a!erage pain reduction of <.< .? points was achie!ed with 9&A. #6T data showed increased acti!ity in the following corticaland subcortical areas: thalamus, lateral frontal- und dorsolateral prefrontal corte0 *47#3C+, insula,medial and !entromedial prefrontal corte0, posterior cingulate corte0 *#CC+, cerebellum, basal ganglia

and periaueductal grey *#A+.The reported acti!ations could all be assigned to either the nocicepti!e *thalamus, insula, 47#3C,#A+, motor *cerebellum, basal ganglia+ or attention networks *#CC, lateral frontal cortices+. Aschanges in the le!el of attention were not monitored in this study, they cannot be ruled out. Thus we donot consider the obser!ed acti!ations in the attention network *#CC, lateral frontal cortices+ a directeffect of 9&A. The a!erage reduction in pain scale score and corresponding change in nociceptionsystem acti!ation can be considered a direct effect of acupuncture. As HA !alues were lower under9&A as compared to baseline, these acti!ations cannot simply be a result of the painful needlemanipulation. The acti!ation of the motor system, especially in the basal ganglia, offers a possible



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e0planation for the efficacy of 9&A in general locomotor disorders. %n this conte0t, it is interesting tonote that the 9&A point Nbasal gangliaM was used for treatment in two of the three sub1ects.

4i*ure 7)'roup results of the #6T measurement. Contrast: can with 9&A needles in place (aseline scan.$nly signal changes of )=O and more are shown.

,')' +NSA in emer*ency medicine

4ue to the good effecti!eness of 9&A, especially since 9&A takes effect !ery rapidly, % would liketo propose that 9&A and other acupuncture methods could be applied as supporti!e measures both inemergency medicine and by the emergency ser!ices. 9&A has already been successfully employed bythe emergency ser!ices. Acupuncture has also been used in military applications. There is thus anurgent need for further e0tensi!e studies on the application of acupuncture by the emergency ser!ices

*Chen el al., =)=+.

,')'7' +NSA in emer*ency medicine Q a case report

Harious acupuncture methods are successfully applied in emergency medicine throughout the worldand ha!e also been studied scientifically. % myself regularly apply acupuncture in my daily practice andin emergency medical work. %n the case history described here, % would like to present 9&A and showthat % ha!e employed 9&A to support emergency medical measures during pregnancy. The patientherself described 9&A as e0tremely effecti!e and soothing. $n / April ==?, an emergency call waspassed on to the rescue !ehicle from the control centre at )F:)E concerning a pregnant patient who wase0periencing se!ere back pain, dyspnoea and pain in the thora0. %n a thorough physical e0amination of

the <)-year-old patient an auscultation re!ealed that all sections of the lungs were free without anyrattling noise or spasticity, after the immediate administration of o0ygen the o0ygen saturation was FFO, blood pressure was )E=;F= and pulse )==. An 6C did not show any pathological abnormalities.After a !enous cannula had been inserted into the bend of the left arm and lactated ingerJs solutionhad been administered to the patient, a decision was taken to apply 9amamoto &ew calp Acupunctureas an analgesic. Lpon closer uestioning, the patient said that she had se!ere thoracic and back pain,and that the back pain, which did not radiate into the legs, was the most problematic for her. he saidshe had not felt well all day, but she did not want to take any painkillers. The patient agreed to betreated by acupuncture as pain therapy. According to the current procedures for 9&A, a neckdiagnosis was first applied. The neck diagnosis led to the identification of the correct acupuncturepoints for this patient. The following G points were applied: basic points A right and left, basic points 4and 6 right, parietally situated 9 point kidney and brain points cerebrum, cerebellum and basalganglia.All needles ha!e been inserted for about E milimeters into the scalp. Then the pressure sensiti!ity in theneck disappeared. There has been no stimulation or rotation of the needles in this treatment. The patienthad already been treated by acupuncture on pre!ious occasions and also e0perienced rapid relief of hersymptoms by the scalp acupuncture applied under emergency conditions. Lpon arri!al in hospital, thepatient had a complete relief from her symptoms.

%n his book on acupuncture in emergency medicine that appeared in )FF<, ichard Lmlauf describesthe points for body acupuncture and the points of !arious microsystems for their use in difficult andlife-threatening illnesses. 5e considers these methods !ery efficacious and recommends their




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application. Acupuncture could be of great benefit in emergency medicine, especially for analgesicpurposes since acupuncture may also be regarded as e!idence-based medicine. ince the 6AC studythis is particularly true of the treatment of knee and back pain. Although acupuncture research is underway throughout the world and acupuncture is also used in the emergency ser!ices, acupuncture cannotyet be described as e!idence-based emergency medicine *6(6'+. 7ike many other measures incomplementary medicine, acupuncture offers a !aluable, efficient and reliable ad1u!ant therapy option

for all e0isting orthodo0 emergency treatments. (oth for ethical and uite particularly for cost-sa!ingreasons, the application of acupuncture and complementary medicine could also establish a permanentplace in emergency medicine. 7arger clinical trials are warranted to in!estigate the 9&A effects inemergency patients. %n recent years, % ha!e applied 9&A as a supporti!e measure or as a sole therapyfor the relief of pain in a wide range of cases, for e0ample acute renal colic and also for dyspnoeacaused by asthma, in the emergency rescue ser!ice and also for emergency public health ser!ices.9&A makes it possible to pro!ide efficient therapy by applying needles to 1ust a few points. Theinternational literature describes a wide range of applications of !arious forms of acupuncture Q alsoincluding acupressure Q for use in emergency medicine, but also side effects due to body acupuncturethat has not been applied correctly. As yet there are no articles on 9&A for emergency medicine in theinternational literature. % would like to encourage a discussion on increasingly including 9&A andother acupuncture methods in emergency public health ser!ices and also in emergency medical ser!icesas a complement to and in support of orthodo0 medicine. This will reuire e0tensi!e studies on theapplication of acupuncture by the emergency ser!ices. % hope for the sake of all affected emergencypatients that acupuncture will be increasingly applied as an ad1u!ant and supporti!e method in theemergency ser!ices.

3igure )<.

#atient ready for transport: patient treated by 6C, o0ygen and 9&A. The patient e0perienced relieffrom all symptoms after treatment with 1ust G needles.

.' ConclusionWorking with 9&A is !ery encouraging and satisfying due to the freuently occurring immediate

effects and lightning effects. 9&A finds widespread acceptance amongst patients.

Y AMAMOTO NEW SCALP ACUPUNCTURE (YNSA)

R AFTIS CHIN AND CHEEK ACUPUNCTURE (RCCA)

SYSTEMS USED IN COMPUTER CONTROLLED ACUPUNCTURE

from Aristarchos Raftis, MD PhD

1. INTRODUCTION:


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Dr. Toshikatsu Yamamoto of Nishinan, Japan, founded and deveoped a ne! form ofa"upun"ture in 1#$% !hie !orkin& in a sma hospita in 'outh Japan (Nishinan). It !as

first reported at the *+th annua meetin& of the Japanese 'o"iet of Rodoraku inOsaka, Japan, in 1#$-. To distin&uish his method from the earier Chinese '"apa"upun"ture, he added the !ord N/ after his name.

This mi"ro a"upun"ture sstem is different from traditiona Chinese a"upun"ture and

Chinese s"ap a"upun"ture. It is 0oth a dia&nosti" and intera"tive treatment sstem inreievin& 0oth somati" and vis"era pain pro0ems, as !e as 0aan"in& i.

2i&. 1 Approximate poitio! o" t#e YNSA$ RCCAomatotop% A!terior Yi!& poterior Ya!'&

i'#t o*er i! poitio! a!+ maer

YN'3 provides a sophisti"ated ne"k and a0domen dia&nosti" method deveoped 0 Dr. Yamamoto verifin& the Yin or Yan& and the eft or ri&ht sideness of the meridian and0od dsfun"tion. It provides an immediate feed0a"k after "orre"t pa"in& thea"upun"ture needes or other transa"tiona stimuation pro"edures su"h as s4"in5e"tion of norma saine, 6o"aine, ee"tri"a stimuation, o"a pressure or a7er

ener&. This "onstant inter"han&e 0et!een the pro0in& phsi"ian and feed0a"k fromthe patient8s 0od ena0es the pra"titioner to dia&nose and treat a !ide variet of"ini"a pro0ems. The ne"k and a0domen dia&nosis is a papator ps"homotor skithat is 0est tau&ht 0 an e6perien"ed trained phsi"ian or provider to a student. This is!here resuts "an 0e seen and perfe"t pra"ti"e makes for a""urate dia&nosis andeffe"tive treatment. The o"ation of YN'3 is 9uite different from that of the "hineses"ap a"upun"ture.

YN'3 shoud 0e "assified as a somati" representation or mi"rosstem "ompara0e tothe other !e kno!n mi"rosstems, su"h as ar, outh, Nose, ;and and 2oota"upun"ture.

The YN'3 0asi" somatotope is o"ated main aon& the fronta hairine or at east!here the hairine shoud 0e.

YN'3 < Ypsion points or interna or&an points are o"ated in the tempora re&ion. The YN'3 somatotope is present in a fronta (Yin) position and a&ain is a mirror ima&e onthe posterior s"ap.

3 further deveopment of the YN'3 !as dis"overed 0 the 3ITN34YN'3 =erman(3ns0a"h Institute for trans"rania neuroa"upun"ture). The 3ITN34YN'3 =ermandis"overed that the "hin and "heek somatotopes e6ist in 0oth the Yin and Yan& form.

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This !as the o&i"a "ontinuation of the YN'3 sstem.

>3'IC ?RINCI?@' O2 ;3D 3CU?UNCTUR /IT; ?;3'I' TO YN'3 RCC3:

The human head as the 0odAs most "entra overa "ontroin& sstem, o&i"ahouses the most po!erfu toos that "an "ontro a fun"tions of the or&anism.

The foo!in& forms of a"upun"ture have 0een identified unti no!.

2i&. *a B *0

a% Ear a,-p-!,t-re (C#i!ee a!+ Fre!,#).% Noe a,-p-!,t-re,% Mo-t# a,-p-!,t-re+% YNSA (Yamamoto Ne* S,ap A,-p-!,t-re)e% RCCA (Ra"ti C#i! a!+ C#ee/ A,-p-!,t-re

YN'3:

The 0asi" YN'3 somatotope is o"ated 0iatera on the forehead in the YIN position anda mirror ike refe"tion of this anterior somatotope "an 0e found, 0iatera on theo""ipita s"ap in the Y3N= position.

The o&i"a "ontinuation of the YN'3 somatotopes is the ne! dis"overed RCC3somatotope !hi"h 0asi"a is a mirror ima&e of the YN'3 from "rania to "ouda.

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2i&. - B Yi!'0Ya!'0Repree!tatio! o" t#e YNSA a,-p-!,t-re tem ("rom t#e YNSA0Poter 1223)

The YN'3 points are divided into the foo!in& four &roups:

). # 0asi" points Eineti" 3pparatus . sensor points sensor or&ans /. 1* Ypsion points um0ar or&an <. - 0asi" 0rain points "ere0rum4"ere0eum and 0asa &an&ia

3 fourth 0rain point "an aso 0e found in the "rossin& area of the other > ?,representin& the >R3IN 'T:

2ive of the YIN 0asi" points (3>CD) are o"ated on the forehead on either side of themidine aon& the natura hair ine. The 0asi" points are o"ated a0ove 0othee0ro!s. One e6"eption is the 0asi" point 2 point !hi"h is o"ated 0ehind the earsover the mastoid pro"ess.

2i&. +

The t!o ne! dis"overed 0asi" points ; and I are "ompimentar or as e6tra @um0arpoints and are situated "auda of the > and C points. 3 these kineti" (motor) points(3>CD=;I) are refe"ted 0iatera in the o""ipita area as Y3N= points.

The YIN sensor points (ee,nose,mouth) are o"ated 0iatera on the forehead a0out1"m atera to the midine,0eo! the 0asi" point 3.

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One YIN sensor point (ear) is situated on an o0i9ue ine 0eo! the 0asi" C point. 3sensor points are aso o"ated 0iatera in the o""ipita Y3N= re&ion.

The 1* YIN Y?'I@ON points (Y points) Y1F Y1* are o"ated in a reative sma area inthe tempora YIN re&ion !ith a "orrespondin& posterior Y3N= representation. Ypsionpoints not on have anterior and posterior representation, 0ut aso have "rania and"auda representation to "reate !eak and stron& YIN and Y3N= areas.

2i&. G

The three YIN >R3IN ?OINT' are o"ated on the midine and at 0oth sides of themidine 0ein& a "ontinuation of the 0asi" point 3 in a posterior dire"tionH (fi&ure -)/hi"h one of the Y points !oud 0e utii7ed !oud depend primari on the 30dominaand Ne"k dia&nosis. (2i&ure $ and )

The points of the YN'3 somatotope itsef "an 0e papated or sometimes their position"an even 0e seen on e6amination due to superfi"ia pathoo&i" "han&es in thepresen"e of disease.

2i&. $

The YIN somatotope is the most fre9uent used, 0ut o""asiona it is essentia toinsert a neede in the o""ipita Y3N= somatotope. ven 0 the same patient !ith thesame "ompaint, the a"tive YN'3 point ma var in different treatment sessions. 2orthis reason the modified YN'3 30domina and YN'3 Ne"k dia&nosis are a!as mostimportant to "arr throu&h.

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2i&.

It is ver important to a!as "he"k the Ne"k and 30domina dia&nosti" area 0eforetreatin& an patient. This !a ou "an assure e6"eent resuts. It is ne"essar to0aan"e the sstem ever time in order for the 0od to respond favora0.

*. C3' R?ORT' 2RO T; 3N'>3C; IN'TITUT 2OR TR3N'CR3NI3@NURO3CU?UNCTUR (3ITN3)

3t the 3ITN3 !e have 0een primari usin& the YN'3 method. /ith this most usefuand interestin& approa"h to medi"a a"upun"ture, !e have utii7ed modern, hi&h te"hdia&nosti" sstems in order to dia&nose and do"ument phsioo&i"a "han&es. Thisapproa"h ao!s us to s"ientifi"a do"ument and further e6pore trans"raniaphenomena.

In this "hapter !e !i present a sma num0er of "ini"a "ases !hi"h have 0eene6"usive treated at 3ITN3. 2or interested readers !e !oud ike to su&&est our

internet address !here su"h "ases "an 0e further studied: http:!!!.nsa.or&

CASE 1

'u""ess of the YN'3 ethod in the Treatment of Dermatoo&i"a ?ro0ems su"h asTherap4Resistant @e& U"ers (/ound ;eain& Distur0an"es)

http://www.ynsa.org/

http://www.ynsa.org/

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2i&. 341 4e'i!!i!' o" treatme!t 2i&. 34* T*o *ee/ a"ter .e'i!!i!' o" treatme!t

3 +%4ear od femae patient sufferin& from therap resistant !ound heain&distur0an"es (u"us "ruris) for the past 1 K ears su0se9uent to vari"ose sur&er. 'he"ompains of severe pain in the !ound area (figure A-1).

2i&. 34- Fo-r *ee/ a"ter .e'i!!i!' o" treatme!t 2i&. 34 Ei'#t *ee/ a"ter .e'i!!i!' o" treatme!t

?atient !as 0eein& treated !ith the YN'3 method on a dai 0asis usin& a "om0inationof 0asi" and Y4points.

CASE 2

YN'34medi"a treatment 0 Opti"us 3troph !ith &au"oma "ondition

2i&. >41 4 >4-

3 $- ear od patient !as referred 0 her neuroo&ist. ;er dia&nosis !as opti"usatroph !ith &au"oma "ondition. ;er eft ee !as !orse than the ri&ht one. Theneuroo&ist !as interested !hether the ne! +NSA4method "oud hep this "ondition. 3photo&raph of the retro4o"uar anatom of 0oth ees !ith "oor4dopper po!er modesstem (spe"ia te"hni"a devi"e from the "ompan ESAOTE %IO"EDICA =erman(3U)) indi"ates that the supp of 0ood to the ees (and mu"h more to the eft ee)

http://www.rhemamed.com/ynsa.htm

http://www.esaote.com/



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!as ver restri"ted (fi&ure >41).

3fter medi"a treatment !ith the +NSA4methode ('ensorpoint 3, >rainpoint, kidne on0oth sides: dra!in& >41) the patient immediate reported improvement of hereesi&ht. 'he reported that she "oud per"eive "oors and fi&ures mu"h 0etter thanprior to her treatment.Thirt minutes foo!in& medi"a treatment the ne! photo&raph sho!s no essential

improvement of the supp !ith 0ood of 0oth ees (fi&ure >4*).'i6t minutes foo!in& medi"a treatment, a third photo&raph taken sho!s anessential improvement of the supp !ith 0ood to 0oth ees and espe"ia on the eftside (fi&ure >4-).2oo!in& !eek treatments for four !eeks the visua improvements that !ereori&ina reported have sta0ii7ed. The patient "ontinues to report depth of visua fied,more intense "oor vision and sharper ima&es.2rom the medi"a point of vie! the "han&e !as the resut of an improvement of the0ood supp to 0oth ees. This is evident on the foo!in& ima&es do"umentedthrou&h a spe"ia utrasoni" "oor dopper devi"e in the po!ermode sstem (ESAOTE%IO"EDICA !ermany AU ,).

These ima&es demonstrate ho! the mi"ro "ir"uator sstem of 0oth ees improvesfoo!in& ea"h treatment !ith YN'3 method.

CASE 3

YN'3 Infuen"e in the Treatment of Retino"horoiditis, eft side, 'e"ondar =au"oma,Retina '"arin&, eft side, Resistant To6opasmosis (prenata To6opasmosis Infe"tion ofthe other)

3 *#4ear od patient !ho has 0een sufferin& from ee disease in the form of aresistant retino"horoiditis on the eft side, "ondition su0se9uent to un"ear

to6opasmosis (suspe"ted prenata to6opasmosis infe"tion of the mother) has 0eenrepeated treated 0 neuroo&ists and ophthamoo&ists for a num0er of ears.

3t the time of a routine visit of the patient to our pra"ti"e for reasons of a "ommon "odthe patient !as 9uestioned as to the present state of his eesi&ht. 3t this time thepatient !as sufferin& from an a"ute infammation 0out and had 0een takin& "ortisonemedi"ation sin"e a num0er of !eeks as !e as various other tpes of drops.

2i&. C4%

2indin&s and Treatment Course: 3fter a thorou&h dis"ussion !ith the patient re&ardin&the possi0iit of infuen"in& the aiments !ith our Y'N3 treatment methods, !e







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tart 0 5 mi!-te ater

2i&. C41% B C411

/ith these pi"tures and this simpe e6ampe !e !ant to arouse the interest of theneuroo&ists and ophthamoo&ists and hope that at on& ast these "onsutin&"oea&ues !i aso make the attempt to think and !ork in this dire"tion.

C3' ;earin& oss post Cere0ra Las"uar 3""ident (CL3)

2i&. D1

3 $* ear od femae suffered sudden hearin& oss si6 !eeks prior to our e6aminationin treatment. The patient !as treated from NT4spe"iaist !ith rheoo&i" IL4treatments!ith no su""ess. 3fter the ver first five a"upun"ture needes as used 0 the YN'34method, the patient sudden re"overed G%4%M of her norma hearin&.

3n RI e6amination done on the su0se9uent da sho!ed "ear an infar"tion in the>R3IN 'T affe"tin& primar the a"usti" nerve.

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2i&. D*

The patient !as "ontinued to 0e treated in our "ini" for the ne6t t!eve !eeks !ith&ood sta0iisin& resuts.

C3' +

YN'3 infuen"e in the treatment of post CL3 !ith eft hemiparesis and eft "od foot.

The foo!in& +%4ear4od patient sufferin& from eft hemiparesis and eft "od foot !as

treated in Ni"hinan, ia7aki, Japan on O"to0er, -%th 1##$ 0 Dr. Yamamoto. ;er strokeo""ured t!o ears prior to this treatment.

3t -:-+ pm the first thermo&raphi" photo !as made.

2i&. 41 (.e"ore) B 4* (a"ter)

Noti"e the *%,GG C on the efrt toes (ri&ht side of photo) and a sma amount of * C

area in the instep of the eft foot (ri&ht side of photo).

3fter pa"in& t!o a"upun"ture needes in the patients s"ap, the first !as pa"ed in theri&ht D4point to affe"t the eft e&. The se"ond !as pa"ed in the ri&ht >rainpoint4re&ion(Cere0rum for the eft e& effe"t). The needes !ere eft in pa"e for appro6imate -%minutes. The patient aid in 0ed !ith no so"ks on, on a 0anket over her !hoe 0od.

3fter the needes !ere removed she !aked to the toiet and 0a"k a&ain. Then 1%41+minutes ater at :-- pm the foo!in& thermo&raphi" photo !as made.

/ith the t!o photos side 0 side ou "an "ompare the effe"t of YN'3 3"upun"ture

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upon poor periphera "ir"uation in a t!o ear ad stroke "ase.

The eft hemiparesis resuted in a "od eft foot (ri&ht side of 0efore photo). The efttoes in"reased 1.+C to *C. The eft instep in"reased appro6imate 1,% C. Theforefoot and the hindfoot in"reased appro6imate 1,+C.

T!o a"upun"ture needes pa"ed in the "ontraatera side of the hemiparesis usin& Dr. Yamamoto8s sstem (YN'3) is "apa0e of stimuatin& in"reased periphera "ir"uationin a * ear od stroke "ase.

C3' G

RCC34YN'3 infuen"e in the treatment of a"ute and "hroni" >ron"hia 3sthma

2i&. 241

3 *G4ear4od !hite femae seen in our "ini" durin& an a"ute asthma episode. Thepatient !as treated !ith the ne! RCC3 points on the "hin and the points a""ordin&to the YN'34method. @un&4fun"tion4testin& !as done 0efore treatment and t!ominutes after treatment !as repeated.

T!o minutes after neede insertion the patient !as "ini"a free of ther asthmaepisode and "oud 0reathe perfe"t norma. No s.". or i.v. !ere used.

2i&. 24*a B 24*0 (light line 8 .e"ore treatme!t9 thick line 8 a"ter treatme!t)

2rom the a0ove sho!n un&4fun"tion4"urves it is "ear demonstraded that the RCC34 YN'34'stem "an 0e most effe"tive in treatment of asthma desease.

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Referen"es

3u&ustin ,'"hmiede L: Praxieit"a+e! Nat-r#ei/-!+e%5%A-"a'e%;-!'<o#a!!9 Ne,/ar-m9 (122=)>usse ,>usse ?: A/-p-!/t-r0Fi.e%=%A-"%Ri,#ar+ P"a-m9M>!,#e!9 (12?@)Chen Y,Den& @: Ee!tia o" Co!temporar C#i!ee A,-p-!,t-it,i!i,aex>eroem,e%ies : Pra'mati,#e T#erapie +er A-Be!/ra!/#eite!% I!:Pot#ma!! R (Hr'%): A/-p-!/t-r0Repetitori-m%5%A-"%Hippo/rate9St-tt'art9 (122=)2intemann L, enen ;=, 'ie&ers C4?: P#tot#erapie Ma!-a% Hippo/rate9St-tt'art (1232)=edits"h J: Re"exo!e! -!+ Somatotopie!%6%A-"%W4 4ioo'i,#0Me+ii!i,#e era''e%9S,#or!+or"9(1233);er&et ;2: Ne-ro0 -!+ P#tot#erapie ,#mer#a"ter "-!/tio!eer Er/ra!/-!'e!% 4a!+ I& ?

A-"%Pa,oe9iee!9(122@)Eampik =: Prop+e-ti/ +er A/-p-!/t-r%Hippo/rate9St-tt'art9(1233)Eoster >,0et4?aprotn =: Leit"a+e! P#iot#erapie%5%A-"%;-!'io#a!!9Ne,/ar-m&(122G)EPni& =,/an"ura I: Ei!">#r-!' i! +ie ,#i!ei,#e O#ra/-p-!/t-r%2%A-"a'e Ha-'9Hei+e.er'9 (1232)Eoeni& =, /an"ura I: Praxi -% T#eorie +er Ne-e! C#i!ei,#e! A/-p-!/t-r&4a!+ III: O#r0

A/-p-!/t-r%Ma-+ri,#9Wie!9 (123?)@an&e =: A/-p-!/t-r +er O#rm-,#e%6%A-"%W4 4ioo'i,#0Me+ii!i,#e era''e%:S,#or!+or"9 (123?)ari"Oeher /: Ne-e S,#+ea/-p-!/t-r !a,# Yamamoto$YNSA% I!%Pot#ma!! R (Hr'%): Stemati/ +erS,#mera/-p-!/t-r%Hippo/rate9St-tt'art (122G)

ari" Oeher /,O&a ;?: Ne-e S,#+ea/-p-!/t-r !a,# Yamamoto (YNSA) I& r-!+a'e! -!+ ei!"a,#e A!*e!+-!'.eipiee% (i+eo/aette)& KM9Mar.-r' 2GQari"4Oeher /,O&a ;?: Ne-e S,#+ea/-p-!/t-r !a,# Yamamoto (YNSA) III& Ei!">#r-!' i! +ie 4e#a!+-!'mit +e! YPSI0LON0P-!/te!%(i+eo/aette)9KM9 Mar.-r'9 (122G)No&ier ?2: Pra/ti,#e Ei!">#r-!' i! +ie A-ri/-ot#erapie%Maio!!e-e9Sai!te0R-""i!e9(12?3)O&a ;?: O#ra/-p-!/t-r I& r-!+a'e! -% pra/ti,#e A!*e!+-!''e.iete +er O#ra/-p-!/t-r%(i+eo/aette)9KM9 Mar.-r'9 (122G)O&a ;?: O#ra/-p-!/t-r II& 4e#a!+-!'/o!epte .ei #-"i'e! Er/ra!/-!'e! +% 4e*e'-!'apparate%(i+eo/aette)9 KM9 Mar.-r' (122G)O&a ;?: O#ra/-p-!/t-r III&4e#a!+-!' o! "-!/tio!ee! Er/ra!/-!'e!%(i+eo/aette)9 KM9Mar.-r'9(122G)O&a ;?: O#ra/-p-!/t-r I& A+<-a!te 4e#a!+-!'m'i,#/eite! .ei Aer'ie!& .ei S-,#t -!+ .ei p,#i,#e!4e"i!+i,#/eittr-!'e!%(i+eo/aette) KM9 Mar.-r'9(122G)O&a ;?: S,#+ea/-pre-r%I!:Koter 4& E.et0Paprot! (Hr'%):Leit"a+e!

P#iot#erapie%5%A-""%;-!'<o#a!!&Ne,/ar-m& (122G)O&a ;?,ies ,;er&et ;2: S,#mere! +e 4e*e'-!'apparate%I!:Pot#ma!! R (Hr'%):Stemati/ +erS,#mera/-p-!/t-r%Hippo/rate9St-tt'art9(122G)O&a ;?,Eoster >C: O#ra/-p-!/t-r0r-!+a'e!&Praxi& I!+i/atio!e!%KM&Mar.-r' (122?)O&a ;?,Eoster >C: Kompe!+i-m O#ra/-p-!/t-r Der e""e/tie We' om P-!/t -m4e#a!+-!'/o!ept%KM9Mar.-r' (122?)O&a ;?, ari"4Oeher /: Ne-e S,#+ea/-p-!/t-r !a,# Yamamotot (YNSA) II&4e#a!+-!' o! Er/ra!/-!'e!+e 4e*e'-!'apparate mit +e! 4SIS0P-!/te!% i+eo/aette)9 KM9Mar.-r' 9(122G)O&a ;?,ari"4Oeher /: Ne-e S,#+ea/-p-!/t-r !a,# Yamamoto (YNSA) I&4e#a!+-!' o! Er/ra!/-!'e!+e 4e*e'-!'apparate -% "-!/tio!ee! Str-!'e! mit +e! YPSILON0 -% 4ASIS0P-!/te!%(i+eo/aette)9KM9Mar.-r' (122G)?as"oe4Eompendium : Pa,oe9ieBe!9(122@)uan ': Appie+ C#i!ee A,-p-!,t-re "or Ci!i,a Pra,titio!er%S,ie!,e -% Te,#!oo' Pre9S#a!+o!'9(123@)

Rau0er,Eops"h (>er&r.):@eonhardt ;, Timann >, TPndur =, ies E (;rs&.): A!atomie +e Me!,#e&4+%III%T#ieme9St-tt'art9(123?)Ru0a"h 3: Prop+e-ti/ +er O#ra/-p-!/t-r%Hippo/rate9St-tt'art9(122@)RSdin&er ;: S,#mere! .ei i!!ere! Er/ra!/-!'e!%I!:Pot#ma!! R(Hr'%):Stemati/ +erS,#mera/-p-!/t-r%Hippo/rate9St-tt'art9(122G)'"hirmohammadi R: e+eorei#e +er Ne-rat#erapie94+%10G%Pa,oe9iee!9(122@)'"hre"ke >D,/erts"h =J: Le#r.-,# +er mo+er!e! -% /ai,#e! A/-p-!/t-r%2%A-"%W4 4ioo'i,#0Me+ii!i,#e era''e%9S,#or!+or"9(1232)Tis"her ;,der : I!"itratio!t#erapie%5%A-"%Hippo/rate9St-tt'art9(1221)/an& T,@i J@: A! i-trate+ Hitor o" A,-p-!,t-re a!+ Moxi.tio!%C#i!a A,a+em o" Tra+itio!a C#i!eeMe+i,i!e94ei<i!'9(123?)

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/ei R2: Le#r.-,# +er P#tot#erapie%?%A-"%Hippo/rate9St-tt'art9(1221) Yamamoto T: YNSA0Yamamoto NEW SCALP ACUPUTURE9 Spri!'er ;apa! P-.i#i!' I!,%(1223) Yamamoto T, ari"4Oeher /: Yamamoto Ne-e S,#+ea/-p-!/t-r%C#-!0;o9Frei.-r' i%4r%9(1221)

spinal ner!e

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$ne of the most common and de!astating problems a person can e0perience is, without uestion,insomnia. This problem has been the root cause of countless physical and emotional conditions.

All of us at one time or another ha!e e0perienced the torture of not being able to sleep, or wakingse!eral times during the night. $ften this is a short-li!ed e0perience, one or two nights of sleeplessness,then a return to normal sleep. 5owe!er there are millions of people worldwide who suffer from thismost e0asperating problem most e!ery night. The night becomes a sheer hell and the ne0t day is nobetter.

leeping pills are dangerous, and often do not work when pain or an0iety is the cause of the problem.

Acupuncture *acupressure+ is e0tremely beneficial for this condition, and should not only beconsidered, but recommended. The patient may apply firm pressure while mo!ing the finger in acircular motion to the points illustrated in the figures.

This condition is helped considerably by acupressure. hould you the practitioner stimulate these samepoints on the patient while in the office, your success will be counted in the !ery high F= percent range.

$ne of the most significant healing techniues used for insomnia is to simply ha!e the patient breathe

slowly and deeply, being sure to e0hale completely, for fi!e full minutes prior to lying down. Thistechniue rela0es the entire ner!ous system and is a great help in relie!ing insomnia by itself, let aloneshould you use the acupuncture points mentioned in this article.

Those of you reading this with a background in acupuncture know the precise location of the pointsillustrated those of you who donDt, simply go to the general area shown and stimulate the entire area toinsure you donDt miss. $ne of the sure ways to not get the 1ob done properly is to make too much of anissue as to the 2e0act2 location of these points.

Acupuncture and Emotions

:ohn A' Amaro 'Ac'5 Dipl'Ac';NCCAO"<5 DC4.4. #almer stated the three causes of sublu0ation and thus disease: poisons, traumas, andautointo0ications.

%n the long history of Asian healing, which we in the West usually only consider as being acupuncture,en!ironment and emotion are considered the most significant factors in the cause of disease.

The $riental practitioner also recogni"es trauma, poisons, chemicals, parasites, and lifestyle *e.g.,e0cessi!e se0 in the male+ as ma1or contributors to the ills of mankind.

Acupuncture is only one of four ma1or contributors to health, the others being manipulation of the spineand 1oints *chiropractic+, nutritional therapy, and psychological well being.

We in the =th century are constantly referring to our le!el of stress as we deal with routine matters inour day-to-day world. We make it sound as though we are the only ones who ha!e e!er e0periencedan0iety, fear, worry, grief, anger, and a host of emotions too numerous to mention in this article.

$ne need only browse through any book on world history. %n any gi!en era, in any country, itDs e!identthat the people of those nations and times certainly e0perienced all, if not more, of the turmoil andemotions we are confronted with in our li!es today.

%n recent years, the holistic practitioner has become !itally aware of the emotions as being a ma1orcontributor to disease and dysfunction. We see more and more practitioners using such techniues as

http://aidausj9.blogspot.com/2010/09/acupuncture-and-emotions.html

http://aidausj9.blogspot.com/2010/09/acupuncture-and-emotions.html

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&6T to balance the body and clear stagnated emotions.

Whene!er we are confronted with a situation which will produce one of the fi!e main emotions -- fear,anger, o!ere0citement, worry, and grief -- the mental emotion is translated to the body as a chemicalmessenger, which is usually rendered harmless by the protectorate meridians of the body, which are thebodyDs first line of defense against both the ra!ages of the emotions as well as en!ironmental factors.

hould the protectorate meridians, referred to as the e0taordinary !essels, not be able to renderharmless the negati!e factor due to a blockage, the pathology becomes apparent in the main meridianand thus produces symptomatology in the body. This symptomatology may be e0pressed by !irtuallyany condition. An o!ersimplified e0ample would be the gutters of a house blocked with lea!es. Whenthe rain comes, the runoff from the roof cannot drain properly, causing flooding or leaking of water inthe house, basement or lawn. The cure is to simply remo!e the lea!es from the gutter.

The same is true of the e0traordinary !essels. %f they are flowing freely, negati!e emotions simply drainoff, and e!en though we will mentally e0perience the emotion, it normally does not produce longlasting effects.

5owe!er, as you are well aware, often an emotion which was e0perienced years ago may surface as afull blown psychological or physical problem much later in a personDs life.

This is ob!iously a sub1ect which is !ery comple0, and e!en though the remedy % am about to offer isseemingly !ery simple, it likewise is comple0, especially if you were to e0plore all of the ramificationsand e0planations of its use. %n a nutshell, and % almost feel guilty making this !ery comple0 sub1ect soelementary, to clean your gutters, one stimulates the pairs of points known as (<) and T5E, )/ and(7, #< and #, 7L? and @%.

timulate one point on one side of the body and its pair on the opposite side. This combination ofpoints should be ideally repeated four times a year, primarily at the change of seasons. To do so willcreate a fa!orable balance situation which will allow most negati!e emotions as well as negati!een!ironmental factors to roll off like water on a duckDs back.

%n addition, there are se!eral points which ha!e a significant historical application which should also beconsidered if the patient is already suffering from emotional distress.

%,1 -- helps to release repressed fear and encourages feelings of strength resolution.

#I/ -- this point may be used for stage fright or fears about any performance.

P/ -- this point has historical applications for those who frighten !ery easily.

!%&@ and a point opposite of cer!ical /-< -- these points are particularly beneficial for those withobsessi!e thought patterns and to rela0 mental tension.

T$7. -- this point helps rela0 ner!ous tension associated with worry.

ST )/ -- helps to reduce an0iety by strengthening the entire energetic and physical body.

!%&7 -- this point is crucial to assisting feelings of irritation and general Duptightness.D

%,& -- helps to release repressed internali"ed anger.

SP, -- traditionally used for anger and rage.

U7 -- this is the great Dletting goD point used in grief or when the person has 1ust e0perienced the lossof a lo!ed one or another situation where grief and Dholding onD is a factor.

%)2 -- helps to strengthen the body after the e0perience of grief.

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!8&@!8&/C8/ -- are traditional points used for shock or o!erwhelming emotions.

$T1 -- helps to balance and calm the heart meridian in!ol!ed in o!ere0citement.

$T) -- the master point on the body for an0iety.

% ha!e in past articles in 4ynamic Chiropractic illustrated all of the aforementioned acupoints in a fi!e-part series 2The 'ost %mportant &otes of Acupuncture2 *eptember ), $ctober <, &o!ember ), and

4ecember )F, )FF=, and Banuary )G, )FF)+. #lease refer to these issues for an illustrati!e listing of themeridians and acupoints of the body.

3or those of you who are new to 4ynamic Chiropractic, new to Asian healing, or who would 1ust likean illustrated copy of the abo!e mentioned acupoints, send a self-addressed stamped en!elope to myattention and % will see that you recei!e it.

%n the meantime, begin using these acupoints with whate!er modality you ha!e for stimulation. 'yfa!orite for this techniue is a )mw 5e&e laser. This method of stimulation mimics mo0ibustionwithout all of the negati!es surrounding its use. 6lectronic stimulation produces fair to good results,and needle stimulation is often too abrasi!e for the patient. %f you do not ha!e any access to thesemodalities, finger pressure does a decent 1ob, but nothing compares to the laser in this application.

#osted by 56A7T5 'A&A6'6&T C6&T6 at &o comments:

The #orean X4our PointX System

%n my last article 2Acupuncture 4iagnosis in a Chiropractic;'edical #ractice2 *4ynamic Chiropractic -$ctober )G, )FFF+, % discussed the high technology acupuncture e0amination known as 2yodoraku2 or26lectro 'eridian imaging2 to determine the status of the meridian system.

ince pulse diagnosis as classically taught, only allows the practitioner to see a ma0imum of to Gpatients a day, many practitioners of Traditional Chinese 'edicine *TC'+ ha!e begun to use moderndiagnostic procedures along with classical acupuncture stimulation techniues.

$f course one of the most important issues in clinical acupuncture is without uestion the establishingof a proper diagnosis. This includes determining which of the ) meridians are in!ol!ed by either beingtoo high in electro magnetic energy, too low or split between left and right sides of the body.

$nce the status of the meridians are determined by 6lectro 'eridian %maging *yodoraku+ or byTraditional Chinese pulse diagnosis, it is imperati!e to balance the meridians to normalcy by toniflyingthe low meridians and sedating the high ones. %n 3i!e 6lement acupuncture, balancing betweenin!ol!ed meridians is classical and focuses on borrowing e0cessi!e energy to supply those meridiansthat are too low.

Acupuncture has numerous approaches around the world to include !irtually e!ery Asian nation.5owe!er, the @oreans appro0imately == years ago, de!eloped one of the most significant techniues

of balancing the meridians which is !irtually unknown to most acupuncturists e0cept those in @oreaand e0treme northern China. The procedure is also !ery well known in the northern islands of Bapan.

The techniue reuires the use of four specific acupuncture points for each meridian that is shown to beeither too high or too low. Whereas in Chinese acupuncture, the utili"ation of the single 2tonification2or 2sedation2 point is all that is classically used.

6!en though simple tonification and sedation will suffice in most cases, for those stubborn conditionsthat are ha!ing great difficulty in establishing a balance, this @orean system is ideal. This techniuewill balance meridians when other procedures will not.

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The four steps for a XdeficientX meridian are). Tonify the 5orary point of the 'other organ. Tonify the 'other organs element point on the affected organ/. edate the 5orary point of the controlling meridian *@$ cycle+<. edate the controlling organs element point on the affected organ

The four steps for an Xe-cessi0eX meridian are

). Tonify the 5orary point of the controlling organ *@$ cycle+. Tonify the controlling organs element point on the affected organ/. edate the 5orary point on the 2son2 organ<. edate the son organs element point on the affected organ

The fact of the matter is, once a meridian is determined to be too high or too low, rather than goingthrough the procedure of figuring out which points to use, the points are always the same for eachmeridian either being too high or too low. 3ollow the pro!ided chart to achie!e some of the mostspectacular clinical results you will e!er e0perience.

When the following meridians are 2DE4ICIENT2 treat:

"eridian T$&%39 64AT6

UN! #/ 7LF 5TG 7L)=

AR!E INTESTINE T/ 7%)) %E 7%E

STO"AC$ %E T<) (<) T</

SPEEN 5TG # 7%H) #)

$EART 7%H) 5TF @%)= 5T/

S"A INTESTINE (<) %/ (7 %

%ADDER 7%) (7? T/ (7E<

#IDNE+ 7LG @%? #/ @%/PERICARDIU" 7%H) #F @%)= #/

TRI$EATER (<) T5/ (7 T5

!A%ADDER (7 (</ 7%) (<<

I8ER @%)= 7%HG 7LG 7%H<

When the following meridians are 2E?CESSI8E2 treat:

"eridian T$&%39 64AT6

UN! 5TG 7L)= @%)= 7LE

AR!E INTESTINE %E 7%E (7 7%STO"AC$ (<) T</ 7%) T<E

SPEEN 7%H) #) 7LG #E

$EART @%)= 5T/ #/ 5T?

S"A INTESTINE (7 (<= T/ %G

%ADDER T/ (7E< (<) (7E

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#IDNE+ #/ @%/ 7%H) @%)

PERICARDIU" @%)= #/ #/ #?

TRI$EATER (7 T5 T/ T5)=

!A%ADDER 7%) (<< %E (/G

I8ER 7LG 7%H< 5TG 7%H

Try balancing the in!ol!ed meridians you ha!e disco!ered with 6'% e!aluation with this ancient@orean approach. %t has few euals. % personally use it in the most difficult cases.

Xhat points do you use forYYYYYX

:ohn A' Amaro 'Ac'5 Dipl'Ac';NCCAO"<5 DC

Without hesitation the number one uestion poised of me by doctors interested in the application ofacupuncture and which has been consistent for more than a uarter of a century is simply, 2What points

do you use for2.$f course this simplified approach to what many practitioners feel is the practice of acupuncture, is inreality a far cry from proper applications that deal with a host of theoretical and procedural processboth ancient and modern.

6!en though this article will be read in e!ery corner of the globe, % speak especially to my Americanbrethren who ha!ing been born Americans, feel we ha!e the birthright to change ancient rules at will.As a nation, we Americans seem to ha!e a way of minimi"ing e!erything to meet our way of life. Wetend to make things easier and less complicated sometimes disregarding the howDs, whyDs and historicalsignificance of matters of importance. 5owe!er, as the world becomes much smaller, it appears this isuickly becoming a global trend.

'any health care practitioners who 2dabble2 with acupuncture thru simple stimulation of patterns ofacupuncture points, often find themsel!es !ery frustrated when they achie!e outstanding results on onepatient and no response on the ne0t two. This is usually attributed to the fact many practitionerscommonly use only formulae or 2cookbook2 approaches e!en though acceptable are not specific for theindi!idual patient.

%n e!ery sport, occupation or profession, many will become !ery in!ol!ed and considered good at whatthey do howe!er, few e!er reach the pinnacle of fame, fortune and success in that particular endea!or.There are always in e!ery field only a few who stand out abo!e mediocrity.

%n the field of acupuncture, it behoo!es the practitioner to understand the reasoning behind the specificpoints on the meridian system and how and why they are used in a clinical practice. As opposed to the

simple 2what points do you use for2. The medical;chiropractic professional in order to practiceproper acupuncture needs an understanding of the principles of acupuncture, along with scientificcorrespondences and knowledge of special refle0 areas that are essential to its successful practice.

Acupuncture does not ha!e to in!ol!e the myriad of myth, shamanism and folklore that abounds inmany of the ancient principles of Traditional Chinese 'edicine *TC'+. %n actuality, TC' is 1ust onemethod of a large multi national system which includes, Bapan, @orea, Taiwan, outh 6ast Asia,'alaysia, not to mention e!ery country in 6urope which ha!e used acupuncture e0tensi!ely forcenturies. 6uropean applications ha!e demystified many of acupunctureDs e0planations that are morecompatible with Western scientific thought processes.

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i!en all of that, practitioners will continue to ask, 2What points are good for2. %n ichard ChengDs'.4., #h.4. book 2The cience of Acupuncture Therapy2, many of these orthopedic;neurologic basicpoints and formulaeDs are discussed. These points ha!e been found to be !ery effecti!e in the ma1orityof cases based on neurologic e0planations rather than TC' thought processes.

4r. Cheng a personal friend of mine and faculty member of the %nternational Academy of 'edicalAcupuncture is a neurophysiologist, internationally recogni"ed researcher and '.4. 5e was one of the

principle researchers in the disco!ery of endorphins and enkephalins at the Lni!ersity of Toronto. 5iswork has been published in numerous prestigious scientific 1ournals that earned him the first #h.4. inacupuncture research in &orth America. 3ollowing are specific points 4r. Chengs neurologic researchhas shown to be e0tremely effecti!e in pain control.

The following points will only be listed by number as opposed to illustrated *4r. ChengDs book isillustrated+. hould you not know the location of these powerful points, bring out your acupuncturechart or manneuin and begin your re!iew. These are far too powerful for you not to use. % ha!epersonally used them for years. The following represent 1ust a few from the book.

Neural*ic headachesH )E, TW )?, T <, ( ), ( )<, T ?, 7% =, (7, (7 F

Acupuncture points for nec9 painH ), H )E, H )<, (7 )=, (7 )), ( =, ( ), % )E, % )?, T F

Sciatica( /=, (7 E< *L( <=+

Elbo( pain7% )), 7% )=, #/, % G

rist pain

T5 <, 7% E

$ip painp ), (7 <F, (7 <G, ( /), 7%H ))

#nee disorders# F, # )=, ( /<, 7%H ?, ( //, T /E, @nee eye, T /, (7 E/, @% )=

An9le pain@6 /, (7 =, T <)

4r. Cheng lists the following as the ))-master;ma1or points that should be learned in detail.7% <, 5T ?, 7% )), ( =, # , TW E, H , T /, # , # )=, 56& '6& *6ar+

The o( %ac9 thru Asian Eyes

W#e! o!e ,o!i+er t#e "a,t .ei+e t#e ,ommo! ,o+& more peope *or+*i+e a!+ i!parti,-ar ,o!temporar Weter! !atio!& ee/ a +o,tor ,are "or o*er .a,/ pai! t#a! t#e,om.i!e+ tota o" a ot#er #eat# ,o!+itio!% It *o-+ t#e! ta!+ to reao! i!,e t#ei-tratio! #o*! #ere i! FIURE A% are o.io- ,ai, o,a a,-p-!,t-re (meri+ia! a,-0

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t#erap) poi!t "o-!+ i! t#e o* .a,/ re'io!& t#a! t#ee poi!t *o-+ .e *it#o-t J-etio! t#emot i'!i"i,a!t o,a poi!t "or t#e treatme!t o" t#e !-m.er o!e #eat# ,o!+itio! *or+ *i+e%

A reie* o" t#e poi!t i! FIURE A a!+ -tiiatio! o" <-t a "e* o" t#e o!e #o*!& *i ei,iti!,re+i.e ,i!i,a repo!e i! o* .a,/ pai! i! t#e ma<orit o" ,ae% T#ere are a++itio!apoi!t *#i,# are e'e!+ar "or o* .a,/ pai! *#i,# are !ot "o-!+ +ire,t i! t#e -m.ar re'io!#o*eer to t#e etera! pra,titio!er a *e a t#e -!i!itiate+ t#e o,a poi!t i-trate+ #ere

*#e! tim-ate+ . a ariet o" p#iot#erap mea! or a,-p-!,t-re !ee+e ,a! a!+ +oii,it impreie repo!e%

T#e 'rap#i, o" t#e a,-p-!,t-re poi!t o" t#e -m.ar re'io! (FIURE A) i o!e *#i,# o- *i+e"i!ite *a!t to ,ip a!+ ae "or "-rt#er reie*% T#e i!"ormatio! #ere i *a to importa!t to+o ot#er*ie%

irt-a eer poi!t i-trate+ *i #ae a pe,i"i, e""e,t o! -m.a'ia& #o*eer& 4L56& 4L5@&4 5?& 4L53& 4L@5 (=?)& DU () 5& 6& =& a!+ @ are *e /!o*! "or t#eir -,,e i! o* .a,/pai!%T#e DU meri+ia! ot#er*ie /!o*! a oer!i!' ee ( i a mi+ i!e pi!a meri+ia!r-!!i!' "rom t#e peri!e-m oer t#e pi!o- pro,ee ,o-ri!' oer t#e #ea+ a!+ e!+i!'

<-t -!+er t#e -pper ip .et*ee! t#e "ro!t t*o teet#% O! t#i meri+ia! *e *i "i!+ ome o" t#emot po*er"- a,-p-!,t-re poi!t o! t#e .o+ "or a ariet o" ,o!+itio!& ot#er t#a! t#eo.io- o* .a,/ pai!%

DU5 Expe i!terior Wi!+& tre!'t#e! t#e o* .a,/ a!+ ,am pam a!+ ,o!-io!DU6 4eo* t#e "o-rt# -m.ar& to!i"ie Ya!'& a!+ tre!'t#e! t#e o*er .a,/ a!+ e'DU= ate o" Li"e .eo* t#e pi!o- o" t#e e,o!+ -m.ar& !o-ri#e t#e ori'i!a C#i& to!i"ie/i+!e a!'& /!o*! a t#e Mi!' Me!& ate o" itait& tre!'t#e! t#e o*er .a,/%DU @ 4eo* t#e "irt -m.ar pi!o-& pai! a!+ ti""!e o" t#e o* .a,/& +iarr#ea a!+i!+i'etio!%DUG 4eo* t#e eee!t# pi!o-& #itori, area o" ,#iropra,ti, appi,atio! a,,or+i!' to Pamer DU? 4eo* t#e te!t# t#ora,i, pi!o-& epi'atri, pai!& pai! a!+ ti""!e o" -m.ar pi!e%

DU3 4eo* t#e !i!t# t#ora,i, pi!o-& expe i!terior Wi!+ a!+ reaxe te!+o!& i!e*%

A o" t#e a,-p-!,t-re poi!t .e'i!!i!' *it# 4L13 a!+ pro'rei!' t#r- 4L 53 are 1%@ t-! ort*o "i!'er .rea+t# .iatera to t#e mi+i!e ,orrepo!+i!' to t#e DU () meri+ia!% Ea,# o"t#ee poi!t are !ame+ a"ter t#eir pe,i"i, ao,iatio! t#- ao,iate+ (#-) poi!t% T#e!ame o" t#e ao,iatio! are . a..reiatio! t#e !eop#te *i <-t !ee+ to -e a i'#t .it o"ima'i!atio! to -!+erta!+ t#eir i'!i"i,a!,e% 4L12 .et*ee! T17 a!+ T11 i ao,iate+ *it#t#e 4 or a.a++er% K!o*e+'e o" t#e *or/i!' me,#a!im o" t#e a.a++er meri+ia!"rom a! a,-0pra,ti, ta!+poi!t *i ope! -p a! e!tire !e* *or+ o" #eai!'% 4L12 pe,i"i,areaxe t#e +iap#ra'm t#ere"ore it i -e+ "or ,#ro!i, #i,,o-'# or a!time t#e +iap#ra'm ii!oe+% It ao i /!o*! to pa,i" t#e Stoma,#% For exampe t#e Lier ao,iate+ poi!t 4L 13.et*ee! T20T17 #a a er tro!' i'!i"i,a!,e o! t#e ee a *e a m-,e& te!+o! a!+i'ame!t% T#i poi!t moe ta'!a!t C#i i! a++itio! to reoi!' Damp Heat a!+ expei!'Wi!+%

T#e t*o poi!t /!o*! a 4L 57 a!+ 4L51 pe,i"i,a ao,iate+ *it# t#e Spee! a!+Stoma,# repe,tie are ,ai, poi!t to reoe m-,-o0/eeta ,o!+itio! a a re-t o"Damp!e% T#e are o,ate+ oppoite o" t#e o*er pi!o- o" t#e 11t# a!+ 15t# t#ora,i,erte.rae% T#i i a er #itori, area o" t#e .o+ a it ao!' *it# DU G a!+ DU? i t#e areaD%D% Pamer re"erre+ to a Ki+!e pa,e *#i,# *a a! area *#i,# *a a+<-te+ i! eer,o!+itio! re'ar+e o" *#at t#e +ia'!oi *a% It ,orrepo!+ to t#e Eart# eeme!t i!

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a,-p-!,t-re a!+ a! area o" extreme i'!i"i,a!,e% I ,a! .e o .o+ a to a& eer D%C%#o-+ ,o!i+er ome tpe o" tim-- a,tio! o! t#i area o" poi!t o! eer patie!t *#o iitt#e o""i,e "or ,are%

T#e poi!t /!o*! a 4L55 or ao,iate+ poi!t to t#e Tripe Heater (Sa! ;iao) meri+ia! i a,ai, #eai!' poi!t% It i o,ate+ t*o "i!'er .rea+t# oppoite o" t#e o*er .or+er o" t#epi!o- o" t#e "irt -m.ar% T#i poi!t ao!' *it# 4L 5@ (Lar'e I!teti!e) a!+ 4L 5?(Sma

I!teti!e) *i #ae tarti!' e""e,t o! 'atroi!teti!a +"-!,tio! to i!,-+e ,oiti&+ierti,-oi& C#ro#! et,%T#e Ki+!e ao,iate+ poi!t !ame 4L56 <-t oppoite t#e o*er pi!o- o" L5 i o!e o" t#emot /!o*! poi!t o! t#e .o+ it e""e,t t#e e!tire Ki+!e !et*or/ to i!,-+e .o!e& marro*&ear a!+ Ki+!e ee!,e% It #a a er tro!' e""e,t o! -m.ar pai!& ti!!it-& +ii!e&+ea"!e& e+ema a!+ at#ma% It i a er i'!i"i,a!t poi!t% T#e at ao,iate+ poi!t i 4L53oppoite t#e e,o!+ a,ra "orame!% It i extreme i'!i"i,a!t "or re'-ati!' t#e .a++er&ope!i!' *ater paa'e a""e,te+ . t#e o*er .-r!er o" t#e Tripe Heater% It tre!'t#e! t#e.a,/ a!+ /!ee a!+ #a a er tro!' e""e,t o! pai! i! 'e!era% It #a a er ,oei!terreatio!#ip *it# t#e Ata erte.rae%

T#e 4L poi!t *#i,# are o,ate+ a!ot#er 1%@ t-! atera to t#e ao,iate+ 4L poi!t or "o-r"i!'er .rea+t# "rom t#e DU () are extreme i'!i"i,a!t i! a! a,-p-!,t-re pra,ti,e%T#ee poi!t eem to .e oeroo/e+ "ar too o"te! i! +i""ere!,e to t#e o!e preio-+i,-e+% T#e poi!t o" t#e e,o!+ ,#a!!e #ae t*o +iti!,t !-m.eri!' eJ-e!,e *#i,#are -!iera a,,epte+& #o*eer i! t#e US *e #ae ee! a 'ra+-a ta/e oer o" t#e tem*#i,# .e'i! at t#e top poi!t o" t#e o-ter ,#a!!e a 4L=1 a oppoe+ to 4L6G a /!o*! .t*o 'e!eratio! o" pra,titio!er oer t#e at 67 ear% For ,o!e!ie!,e a/e I #ae i+e!ti"ie+t#e poi!t o" t#e o*er .a,/ o-ter ,#a!!e . .ot# !-m.eri!' tem% T#e poi!t /!o*! a4L@5 (=? o! o+er ,#art)& i a er i'!i"i,a!t poi!t *#i,# i i! i!e *it# 4L 56 a!+ DU =*#i,# i <-t -!+er t#e pi!o- o" t#e e,o!+ -m.ar erte.rae% It i /!o*! to tre!'t#e! t#eo*er .a,/& tre!'t#e! t#e Ki+!e a!+ a""e,t *i po*er& t#- it !ame #i#i (Wi Po*erRoom)% 4L@1 (=G) <-t a.oe 4L@5 (=?) i /!o*! to re'-ate t#e TH meri+ia! e!-ri!'

moot# prea+i!' o" TH ,#i t#ro-'# t#e #eart a!+ -pper .-r!er% S-.-xatio! at t#i poi!t i,riti,a to t#e "-!,tio! o" t#e .o+%4L =? (=5) at t#e o*er .or+er o" t#e !i!t# t#ora,i, pi!o-& i i'!i"i,a!t i! t#at it re'-atet#e C#i o" t#e Lier a!+ #a tro!' #eai!' "a,tor *it# t#e Spee! a!+ Stoma,#% 4L =2 (==) ipe,i"i, to a""e,t t#e Spee! a!+ /!o*! to tim-ate .ot# memor a!+ ,o!,e!tratio!% It io,ate+ <-t .eo* t#e eee!t# t#ora,i, pi!o-% 4L@6 (=3) i a! extreme ita poi!t "or.a++er "-!,tio! a ee! i! it !ame 4ao#-a!' (4a++er ita)% T#i poi!t i 6 t-! or "o-r"i!'er .rea+t# .iatera to t#e e,o!+ a,ra "orame!% T#i poi!t i <-t oppoite 4L 53 *#i,#i t#e ao,iate+ poi!t "or t#e 4a++er%

Exami!e ,are"- t#e i-tratio! a #o*! i! FIURE A% T#ee poi!t *#i,# #ae -,#

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pe,ta,-ar i'!i"i,a!,e are omet#i!' t#at eer D%C% eer +a are i! i!timate ,o!ta,t *it#% Appre,iati!' t#eir pree!,e a!+ -!+erta!+i!' t#eir importa!,e *i ere t#e pra,titio!er a!+

patie!t er *e% e!era tim-atio! *it# a me,#a!i,a !o!0i!aie tim-atio! +ei,e/!o*! a a tei#ei!& a impe pieo tim-ator a!+ o" ,o-re o!e o" t#e J-i,/et& eaiet a!+mot e""e,tie i a @m* G6@!m aer pe! *#i,# i a! i+ea *a to tim-ate a,-poi!t% T#ee

are rea+i aaia.e a!+ er i!expe!ie% O.io- !ee+e are a p#e!ome!a *a to

tim-ate poi!t9 #o*eer t#e meri+ia! a,-0pra,ti, approa,# -tiii!' a #ot o" !o!0i!aiemea! i o" 'reat ,i!i,a i'!i"i,a!,e% Keep t#i 'rap#i, i! a ,o!e!ie!t o,atio! to re"er too"te!% I" o- are tpi,a& o- too *i ee ome pe,ta,-ar repo!e .


The Treatment of Chronic Pain

:ohn A' Amaro 'Ac'5 Dipl'Ac';NCCAO"<5 DC

The American public has been emotionally and physically traumati"ed due to announcements of the34A concerning the de!astating health effects disco!ered in a number of prescription pain medications

of the C$I- inhibitors to include the most popular pain drugs on the market.With Hio00, (e0tra, Celebre0, Ale!e and &aprosyn being named in specific consumer health ad!isoriesand warnings to medical physicians to Nstop prescribingJ, millions of Americans who ha!e reliedhea!ily on these drugs to ease their pain and affect their lifestyle are now wondering what their futureholds and where can they go and what can they do to ease their chronic pain.

Acupuncture is without uestion one of the most powerful pain altering modalities in the world, itsreputation for pain relief is known and respected internationally. %t may be successfully practiced with a!ariety of procedures other than needles to include laser, electronic and non-in!asi!e stimulationde!ices for those who are needle phobic and would not consider acupuncture otherwise.

7iterally millions of Americans suffering chronic pain are beginning to seek the care of those

knowledgeable in the academics and techniues of acupuncture to help ease their pain and lessen theirdependency on dangerous and cautioned prescription drugs.

There are a !ariety of techniues, procedures, acu-points and philosophies surrounding acupunctureand pain relief worldwide. As a practitioner whose clinic has seen in e0cess of )== patients a day fi!edays a week, % ha!e had the opportunity to attend to a number of patients suffering a host of maladies,chronic pain howe!er may be the most common occurrence seen in a practitioners office. 5istorically,our clinic has a!eraged a F<O success rate of NcureJ to Nma1or clinical responseJ with chronic painbased on the patient€s response inde0. $nly /O of all pain patients ha!e reported less than satisfactoryresponse in /< years of practice. %t is ob!ious, the following acu-points for pain are e0tremely effecti!e.

The following illustrated acupoints are without uestion some of my fa!orite for the successful

treatment of chronic pain. This list does not constitute the totality of effecti!e points a!ailable to us aspractitioners. There are many more effecti!e points not listed here, howe!er the following illustrationsare my personal fa!orite points which ha!e elicited incredible clinical success in chronic pain. Therewill be many points illustrated in this paper which will be instantly recogni"ed and others which willmake little sense, regardless, please use them e!en though space does not allow for detailed e0planationof each point.


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'ost of these points ha!e been taught to me by some of the great 'asters of Acupuncture in a !arietyof Asian nations. To say this combination of acupoints is effecti!e for chronic pain would be an

understatement. All illustrated points do not need to be stimulated on the same day if only needles areused. Ltili"ing a combination of both laser;electronic and needle on the following points is alsoe0tremely effecti!e. $therwise, all points may be stimulated for )-)E seconds with either green

E/Enm Emw laser or red /Enm Emw laser. 'icro current electronic stimulation is also uite effecti!eas a stand alone treatment.

(est Wishes for your successful treatment of se!ere, and unrelenting pain syndromes. 7et me hear ofyour successes.


72 $ealin* Points of Acupuncture

)G healing points of acupuncture recogni"ed by 4r. alph 4ale. This is a list of points 4r. 4ale sayscan treat conditions affecting most parts of the body.

). ar*e Intestine , *5e-gu+ treats conditions of the face and head. 3reuently used fortoothaches.

. un* 1 *7ie-ue+ treats conditions of the neck./. Pericardium / *&ei-guan+ treats conditions of the chest, including the heart, lungs and ribs.<. un* . *Chi-"e+ treats the respiratory system.E. ar*e Intestine 77 *8u-chi+ treats skin conditions and the arm.. Triple armer . *Wai-guan+ treats the hand and conditions of the ear.?. $eart 1 *hen=men+ treats heart palpitations associated with an0iety.

G. Stomach )/ *>u-san-li+ is the 'aster horary point and has an energi"ing effect. Treats the upperabdomen.

F. Spleen / *an-yin-1iao+ is the meeting place of the three yin meridians of the leg. Treatsconditions of the lower abdomen and reproducti!e organs.

)=.Urinary %ladder ., *Wei-"hong+ treats the lower back and leg.)).Urinary %ladder /@ *@un-lun+ treats the upper back, leg and foot.).i0er ) *Tai-chong+ treats the ner!ous system and conditions of the chest.)/.!all %ladder ), *9ang-ling-uan+ treats the muscles and tendons primarly of the leg and knee.)<.Conception 8essel 7& *>hong-wan+ treats the upper abdomen.


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)E.Conception 0essel / *8i-hai+ treats the lower abdomen and reproducti!e organs.).Urinary %ladder 77 *4a-shu+ treats the neck, shoulder, back and bone conditions.)?.Urinary %ladder 71 *e-shu+ treats conditions affecting the blood, skin and heart.)G.!o0ernin* 8essel &/ *en-"hong+ is an emergency point for fainting and unconsciousness.

Treats the lower back.

These )G cardinal points treat a wide range of conditions throughout the body. They all respond

fa!orably to acupressure, so are easy to teach to patients for use between !isits

"ASA:E PEDIZTRICO 4[n*chK 丘丘

4[n*chK es un punto de acupuntura ue pertenece la meridiano de !esRcula biliar y ue se

locali"a en la nuca. #ara los ue tengUis mUs conocimientos anatomRa, en la depresiZn ue se nota a lapalpaciZn entre el esternocleidomastoideo y el trapecio.

6n acupuntura este punto 3ngchR 丘丘 *H(=+ lo usamos mucho para tratar cer!icalgias, !rtigos ycefaleas.

6n masaJe peditrico chino se masa1ea con el dedo Rndice el Urea ue comprende desde el punto3ngchR 丘丘 *H(=+ hasta el punto e0tra 9^'^ng:

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Ayudar a tu bebF a conciliar el sueVo5 en molestias cer0icales yen el dolor de cabea'

"ASA:E PEDIZTRICO Ti\nh] 丘丘

Ti\nh] en acupuntura corresponde con un punto del meridiano de la !e1iga, situado en la "onasuperior del cuello.6n tuina infantil *masa1e chino+ es un punto lineal locali"ado en las !rtebras cer!icales, desde la C?

hasta el inicio del cuero cabelludo:

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e utili"a la tFcnica de empuJe en ambas direcciones:• Ascendente: 4e la C? hacia la C) para resfriados, mareos por debilidad o infecciones,

insolaciZn o mareo por e0ceso de calor en !erano.• 4escendente: 4el cuero cabelludo hacia C? en caso de !Zmitos.

#ublicado por Amparo anchis en &o hay comentarios:

"ASA:E PEDIZTRICO +Kn*-i\n* 丘丘

9Rng0i\ng 丘丘 se locali"a en el borde e0terior de las aletas nasales y es el ]ltimo punto de acupunturadel meridiano de %ntestino rueso.

^til en casos de con*estiHn y taponamiento nasal'

• Realiar una frotaciHn circular5 rpida y profunda ;.@7@@ 0eces<'

"asaJe peditrico +IN!?IAN! ;0ideo<

"ASA:E PEDIZTRICO RFnh_n* 丘丘

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RFnh_n* se locali"a en el tercio superior del surco nasolabial.

6s uno de mis puntos de acupuntura fa!oritos cuando e0iste sensaciZn de mareo en los !ia1es o sientesrepentinamente ue puedes desmayarte por una disminuciZn repentina en la presiZn arterial.

Tambin se usa en caso de con!ulsiZn infantil y sRntomas de espasmo, fa!orece las !rtebras y la regiZnlumbar, y es otro de los puntos usados para tranuili"ar y calmar el hen *la mente+.

• (asta una presiHn con la uVa *sin daSar la piel+

Ayuda a recuperar la conciencia antes del des0anecimiento'

'AAB6 #64%‚T%C$ - 9^ntUng 丘丘

Y%t%& se encuentra 1usto en el centro del entrece1o y es muy ]til para despeJar lacabea y ali0iar el dolor5 descon*estionar la nari y tran>uiliar' e usa en acupuntura y en tuina

*masa1e chino+.

• #resiZn sua!e y progresi!a con el dedo pulgar o Rndice en casos de inuietud e insomnio.• Cla!ar la uSa, sin lesionar la piel, en casos de con!ulsiZn y espasmos.

4a0orecer el sueVo de tu bebF

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"ASA:E PEDIZTRICO T`i +n* 丘丘

T`i +n* *9ang upremo+ es un punto situado entre el canto e0terno del o1o y el final de lace1a *se nota una ligera depresiZn+.

•

eali"ar frotaciZn sua!e con el dedo medio e Rndice o empu1e con el trayecto del arco.• 3recuencia: E-)= !eces

En acupuntura y tuina ;masaJe chino< es muy usado para calmar el Shen ;la mente<5 en eltratamiento del dolor de cabea y en las enfermedades de los oJos'

'asa1e pediUtrico - TA% 9A& *!ideo+

"ASA:E PEDIZTRICO #AN! !ON! ;palacio ele0ado<

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#an* !on* se sitGa sobre las ceJas5 directamente encima de las pupilas'

6n tuina pediUtrico *masa1e chino+, @ang ong puede ali!iar las molestias oculares tales como dolor einflamaciZn, ba1ar la fiebre por resfriados y calmar la cefalea.

eali"ar un empuJe sua0e a ambos lados ;desde el centro de las ceJas hacia fuera< .

3recuencia: /=- E= !eces.

'asa1e pediUtrico - @A&$& *!ideo+

#ublicado por Amparo anchis en &o hay comentarios:

"ASA:E PEDIZTRICO Ti\n "Fn 丘丘

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Ti\n "Fn 6s un punto lineal situado desde el entrece1o hasta la raR" del pelo. e usa paradispersar el factor patZgeno e0terno ue afecta a la cabe"a *fiebre5 dolor de cabea5 resfriados...+

Tambin, puede inducir la sudoraciHn, y calmar el hen *tran>uilia y relaJa+.

eali"ar un suave em+u7e lineal con los pulgares desde el entrece1o hacia la raR" del cabello,alternando un dedo y otro.

3recuencia: 6ntre /=-E= !eces.

Mu" 8til +ara $a7ar la 3ie$re " rela7ar9'asa1e pediUtrico - T%A& '6& *!ideo+

CICO DE ACTANTE masaJe peditrico chino

6ste punto de masa1e pediUtrico se llama Pi:in *meridiano del ba"o en los niSos+ y estU situado en el

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lado radial del pulgar e frota *unidireccional+ desde la punta a la base durante -/ minutos consua!idad y sin prisas.

Si tu $e$: tiene con 3recuencia c-licos este masa7e +o%r4a ser 8til9

alud, 'editaciZn y 'Us 46#6TA&4$ 7as ) 6strellas de 'arRa

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!n este tiem+o es im+ortante, alinearse con los seres elementales, +ara +o%er reci$ir la lu* 3otonicame%iante $a2os %e sol, %es%e (ue este sale9

=ue ya esta instaurada la atmosfera de este planeta tierra y con todos los seres de lu >ue estnapoyndonos para >ue esta ascencin sea posible' Por eJemplo

Esto se hace con re0erencia y amor5 mentalmente con el coraHn'se debe realiar en la maVana enla tarde y en la noche5 o sea antes del desayuno5 antes de la comida y antes de la cena' %uenosdKas5 madre cHsmica5 padre dios de lu5 de silencio5 sonido5 amor y perdHn'

%uenos dKas madre terrenal5 hermana diosa del a*ua5 hermana dios ;a<del aire5 del fue*o5hermana diosa de la luna5 del sol5 diosas fibonachis5 hermanas diosa del rayo5 hermanas diosas delas 1 cualidades di0inas;1 arcan*eles<5 ustedes y yo somos uno5 uno en la unidad de nuestromadre padre dios de amor5 de silencio de sonido y de perdHn ustedes y yo somos le*in'

Indenpendientemente5 se puede realiar con el sol5 mirndolo fiJamente por las maVanas cuando

este sale5 atraer su atenciHn con un len*uaJe respetuoso y amoroso5 mental esto te permitirhablarle para poderte a linear a lo >ue seria el fue*o'

decirle como anteriormente se menciona5 e incluso pedir >ue te baVe con sus rayos de lu desanaciHn y ni0el 0ibracional y ener*Ftico aumenten'

TambiFn lo >ue ayudara mucho es alinearte a la luna5 un baVo de luna es importante para tuestado emocional5 >uienes estn re*idos por este astro5 alinearse a ella5 hablndole con de0ociHn5con el coraHn mentalmente y con re*ociJo en nuestro padre dios cuando esta sale5 llenaespiritualmente de tran>uilidad yo sanaciHn espiritual5 claro inhalando sua0emente o-i*eno ye-halando todo el biH-ido de carbono o la tensiHn acumulada'

+O!A INTE!RA'

a Cru "utable de las Estrellas Q PRIORIDAD EN A%RI

Este protocolo fue dado por un ami*o5 en todas sus operaciones5 en lKnea5 /5 25 7@ y 77 de abril de&@77' Un ami*o le pre*untH >uF protocolo se transmitirn lo antes posible para ser 0i0ida5especKficamente durante el mes de abril'

Su obJeti0o es despertar las funciones totales de todas estas estrellas en la cabea y habilitar lascone-iones entre la cabea5 el coraHn5 el canal de Fter y el sacro eso es todo circuitos y las redesde ener*Ka de ascensiHn'

Esto promue0e la fusiHn de los teres5 la fusiHn de tres chimeneas5 la fusiHn definiti0a de todas lasestructuras5 para poner en acciHn las fueras de flotabilidad presentes en nuestras estructuras5nuestro cuerpo de la esencia5 a 0i0ir este cuerpo estado de ser a>uK como otra parte g'

) E:ES5 CONECTANDO CADA UNO DE "ARIE & ESTREAS

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fueron presentados por un ami*o a tener hoy en dKa un papel fundamental en el proceso detraducciHn dimensional puntos finales5 llamado Stars5 suficiente para permitir >ue la Cru"utable5 y por lo tanto todos los circuitos'

7er eJe PRO4UNDIDAD Q CARIDAD

Entre estas & Estrellas5 este eJe desarrolla impulso del alma5 la tensiHn de la intenciHn'

Se*undo eJe UNITE Q PRECISIONEntre estas & Estrellas5 este eJe desarrolla la capacidad de mantener la unidad'

)er eJe #IRISTI Q REPUSIONEntre estas & Estrellas5 este eJe desarrolla la capacidad de identificarse con Cristo'

$ay un cuarto eJe 8isiHn Q AtracciHn no se aplica a>uK por>ue es ;al i*ual >ue el desarrollo de!ema !al*ani en

su discurso del 7@ de abril< a una gdes0iaciHn del eJe A OD5 0inculada a una caracterKstica8ISION ATRACCIN e-terna del predominio de la dualidad en el trin*ulo luciferino hemos0inculado a una falsa lu ;i*ht obli>uFe<'

Puede encontrar detalles de las posiciones de los puntos de la misma secciHn Estrellasgprotocolos baJo el tKtulo g7& Estrellas de "arKa'

) Cru "utable lue*o aparecer5 mediante la combinaciHn de dos eJes' Estos se llaman mutableCru frente a la Cru 4iJa de la RedenciHn ;desde la intersecciHn del eJe AOD y el eJe I"IS<'

De hecho5 se puede intercambiar con otros5 creando un conJunto de redes de lu 0ibratoriarefiriFndose a la ar>uetKpica %uda $at

Cru "utable es el primer resultado de la combinaciHn de la primera y tercera eJes

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El se*undo Cru "utable se basa en la combinaciHn de los eJes primero y se*undo

a tercera Cru "utable pro0iene de la combinaciHn de las lKneas se*unda y tercera

EECCIN DE UN !IRO CRU6ADO

Debe estar habilitado en el Cross & ) este posible poner en acciHn los tres eJes5 uno de ellos encada cru y por lo tanto5 reproduJo dos 0eces' El orden de la Cru o el orden de la cru eJes esirrele0ante'

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Eli*e dos de la Cru >ue nos sentimos ms5 0ibratoriamente5 los puntos correspondientes a loseJes de las estrellas' Si usted no se siente a punto5 le da sHlo el eJe de lo*rar'

o seleccionar Cru & >ue corresponde a lo >ue es5 para usted5 la propuesta ms importante >ueilustra impulso del alma o el mantenimiento de la unidad o identificaciHn con Cristo'

a punta de la estrella se pueden encontrar e-actamente o se encuentra en un rea de alrededorde dos pul*adas alrededor del punto'

7 posibilidad ACTI8ACIN DE A CRU6 AONE

El hecho de >ue la sola prctica o ) depende sHlo de sus sentimientos' SiFntese5 sentado en unasilla5 con las piernas en un n*ulo de 3@ con los muslos5 con los oJos cerrados' a boca estentreabierta5 la respiraciHn es nasal' Eli*e dos de la Cru5 es decir5 , eJes'

Colocar con cuidado el dedo Kndice i>uierdo en el borde de ser la estrella en el e-tremo del

primer eJe de la Cru primera seleccionada y5 al mismo tiempo5 el dedo Kndice derecho en elpunto de la estrella en el otro e-tremo de este mismo eJe'

El si*uiente eJemplo muestra una ilustraciHn de un eJe5 a sabiendas de >ue hay , a la prctica elprimer eJe del eJe trans0ersal primero y se*undo de la Cru 7 7 y & eJe de la Cru y5finalmente5 se*undo eJe de la Cru se*undos<

"anten*a esta posiciHn durante al menos 7@ minutos'

Inmediatamente despuFs5 el dedo Kndice i>uierdo sua0emente pre*untar acerca de la estrella deestar en el e-tremo del se*undo eJe de la Cru seleccionado primero y al mismo tiempo5 el dedoKndice derecho en el punto de la estrella a la otra final del mismo eJe'

"anten*a esta posiciHn durante al menos 7@ minutos'

Se unen directamente a la acti0aciHn de la se*unda cru ;eJe primero y se*undo5 como se describeanteriormente< o esperar para acti0ar la Cru se*undo5 un m-imo de 7& horas'

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Colocar con cuidado el dedo Kndice i>uierdo en el borde de ser la estrella en el e-tremo delprimer eJe de la Cru ele*ido se*undo5 y al mismo tiempo5 el dedo Kndice derecho en el punto dela estrella en el otro e-tremo de este mismo eJe'

Colocar con cuidado el dedo Kndice i>uierdo en el borde de ser la estrella en el e-tremo delse*undo eJe de la Cru se*unda seleccionado y5 al mismo tiempo5 el dedo Kndice derecho en el

punto de la estrella en el otro e-tremo de este mismo eJe'

No cruce los braos' Esto implica >ue el Kndice i>uierdo sur*e sHlo en los puntos de estrellasi>uierda lado de la cabea y el dedo Kndice derecho en los puntos de las estrellas en el ladoderecho de la cabea'

Este protocolo completo5 es reproducir m-imo de ) 0eces ;por eJemplo5 una 0e al dKa5 ) dKas enuna fila<'

Se*unda posibilidad ACTI8ACIN DE A CRU6 CON ) PERSONAS

El hecho de >ue la sola prctica o ) depende sHlo de sus sentimientos' El >ue grecibe Cru eli*e&5 es decir5 , eJes y se comunica con otros dos'

A>uel >ue gse estableciH5 sentado en una silla5 con las piernas en un n*ulo de 3@ con losmuslos5 los oJos cerrados5 las manos sobre las piernas5 las palmas hacia el cielo' a boca estentreabierta5 la respiraciHn es nasal'

a primera persona pide dedo Kndice sua0emente a la i>uierda en el borde de ser la estrella en ele-tremo del primer eJe de la Cru primera seleccionada y5 al mismo tiempo5 el dedo Kndice

derecho en el punto de la estrella a la otra e-tremo del eJe mismo y mantiene esta posiciHndurante al menos 7@ minutos'

a se*unda persona coloca cuidadosamente el dedo Kndice i>uierdo en el borde de ser la estrellaal final de la se*unda lKnea de la Cru primera seleccionada y5 al mismo tiempo5 el dedo Kndicederecho en el punto de la estrella a la otra e-tremo del eJe mismo y mantiene esta posiciHndurante al menos 7@ minutos'

Estas dos personas se meten los dedos Juntos para formar el primer cruce' El eJemplo si*uientemuestra un eJemplo de una cru5 sabiendo >ue no tiene >ue practicar &'

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os puntos se describen detalladamente en la gprctica protocolos 7& Estrellas de "arKa

Paso 7 centrar la atenciHn sobre la cabea de A y OD

A cabea o AP$Aa frente a & milKmetros detrs de la creaciHn de la raK del pelo'




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OD de la cabea o O"E!A7 cm por encima de la raK de la implantaciHn de pelo5 en la lKnea media del cuello'

Paso & Enfo>ue su atenciHn en $IC y NUNC cabea

I" Q A=Uj Q $IC

Dos tra0eses de dedo por encima de la punta de la oreJa i>uierda'

ES Q A$ORA Q NUNCDos tra0eses de dedo por encima de la punta de la oreJa derecha'




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Paso ) centrar la atenciHn baJo los pies

+5 como ami*o diJo gUsted se sorprender al descubrir >ue todas las estructuras 8ibrales sepone en mo0imiento y permiten e-pandir la conciencia5 ms all de lo >ue era posible para ti5hasta >ue en la actualidad g'

as 7& estrellas son "arKa

Publicado &) de a*osto &@7@

AS 7& ESTREAS DE "ARjA

& representan el desplie*ue de los cha9ras de la cabea ;/ y 1< relacionados con la deconstrucciHnde la ilusiHn y el posible retorno a la Unidad'

En efecto5 el tercer oJo5 antes limitado al frente5 ahora se e-tiende lateralmente hacia la parteposterior de la cabea y5 por tanto5 en uniHn con el sFptimo cha9ra5 la corona y lle0ar a laposibilidad de re*resar a la unidad'

Dentro de este desplie*ue5 7& puntos se indi0idualian e-presando nue0as cone-iones y nue0asoportunidades psicoespirituales'

En cada punto corresponde a diferentes criterios 4unciHn sin re0elar con precisiHn5 pero cuyosolo nombre e0oca yaUbicaciHn al*unas referencias anatHmicas de su proyecciHn en la cabea'

Punto de acupuntura cada punto corresponde a un punto particular desarrollado por lasenseVanas de la ener*Ka tradicionalEs al*unos puntos estn conectados5 por eJemplo5 las sKlabas sa*radas por raones >ue toda0Kano han sido desarrolladas especKficamente hasta la fecha'

Acoplado cada punto est 0inculado con otro5 de forma simFtrica5 lo >ue permite laidentificaciHn de otras funciones aGn no desarrollados especKficamente'

Associated cristal cristal de 0ibraciHn5 especKficos para cada estrella' "et resuenan con la0ibraciHn de la estrella ;su utiliaciHn se distribuye baJo la rGbrica gprotocolos 4inaliaciHn del

Cuerpo estado de ser<

Primaria trin*ulo5 cada punto est conectado a otros dos en un trin*ulo' + , trin*ulosrepresentan los cuatro elementos$ermana asociada a este punto Estos 7& puntos se relacionan con cada una de las $ermanas de"arKa en los acontecimientos actuales >ue se acompaVan e ilustran la g0irtud >ue lle0a cada$ermana

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A continuaciHn5 encontrar un resumen de la informaciHn >ue hemos recibido de los >ue nosapoyan en otros aspectos dimensionales ;actualiado 7@ de octubre<' Nos enri>uecer otrossuplementos >ue tendrKamos >ue recibir

AP$A

UbicaciHn la frente a & milKmetros posterior a la ubicaciHn de la raK del pelo

a acupuntura punto &, !obernador Ship

Partidos A

Acoplado OD

Associated cristal rodocrosita

Primaria trin*ulo 4UE!O ;punto ms alto<

$ermana asociada a este punto Ananda "ayi "a

g"A Q repulsiHn

El gmal es el nombre >ue se utilia en el fue*o prometeico' El nombre de la estrella5 a la lu de la8erdad es gRepulsion'

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UbicaciHn en el frente5 sobre el oJo derecho5 en el eJe de la pupila5 a medio camino entre la ceJa yla lKnea del cabello de la raKPunto de Acupuntura 7, 8esKcula %iliar5 a la derecha

:unto con #iRisTi

Associated cristal esmeralda

Primaria trin*ulo 4IRE ;punta recta<

$ermana asociada a este punto $ilde*arde 0on %in*en

PRECISION

UbicaciHn sien derecha5 la lKnea del cabello de raK5 donde se aJusta el mGsculo de la mandKbula>ue se contrae cuando se siente la mandKbula inferior

a acupuntura punto , 8esKcula %iliar5 a la derecha

Acoplado UNITE



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Associated cristal selenita

Primaria trin*ulo UAE ;anterior conseJo<

$ermana asociada a este punto No se ha dado a conocer

A$ORA O NUNC

UbicaciHn & a tra0Fs de los dedos sobre la punta de la oreJa derecha

a acupuntura punto 2 8esKcula %iliar5 a la derecha Es kesAcoplado I"

Associated cristal peridot

Primaria trin*ulo UAE ;punto ms alto<

$ermana asociada a este punto No se ha dado a conocer

PRO4UNDIDAD



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ocaliaciHn hueco situado a & mm por encima de la lKnea del cabello raK5 detrs de la oreJaderecha

a acupuntura punto 77 8esKcula %iliar5 a la derechaEs

Acoplado CARIT+

Associated cristal 9unita

Primaria trin*ulo UAE ;Pointe despuFs<

$ermana asociada a este punto Sainte ThFrMse de isieu-

8ISION

ocaliaciHn lado hueco derecho del cuello en la base del occipucio

a acupuntura punto &@ 8esKcula %iliar5 a la derecha

Es

:unto con g!OOD atracciones

Associated cristal $iddenite

Primaria trin*ulo TIERRA ;punta recta<

$ermana asociada a este punto NO E+ES

O"E!A


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UbicaciHn 7 cm por encima de la raK de la implantaciHn de pelo5 en la lKnea media del cuello

a acupuntura punto 7/ !obernador Ship

Es OD

Acoplado A

Cristal asociada sandKa Turmalina ;o rubFlite y 8erdelite<

Primaria trin*ulo TIERRA ;menor punta<

$ermana asociada a este punto ANNE ;madre gor*nico "ARIE<

O8E #IRISTI

UbicaciHn lado hueco i>uierdo del cuello en la base del occipucio

Punto de Acupuntura &@ 8esKcula %iliar5 a la i>uierda

Corresponde a #iRisTi



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:unto con g"A Repulsion

Associated cristal Cristal emuriano 4uente

Primaria trin*ulo TIERRA ;e-tremo i>uierdo<

$ermana asociada a este punto +8ONNE $ermana Aimee "alestroit

UNIDAD

ocaliaciHn hueco situado a & mm por encima de la lKnea del cabello raK5 detrs de la oreJai>uierda

Punto de Acupuntura 77 8esKcula %iliar5 a la i>uierda

Es

Acoplado PRECISION

Associated cristal Phantom cuaro

Primaria trin*ulo AIR ;punta posterior<

$ermana asociada a este punto !ema !al*ani

A=Uj O $IC


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UbicaciHn & a tra0Fs de los dedos sobre el borde de la oreJa i>uierda

Punto Acupuntura 2 8esKcula %iliar5 a la i>uierda

Es I"

Acoplado IS

Asociado cristal octaFdrico fluorita ;aul o 0erde<

Primaria trin*ulo AIR ;punto ms alto<

$ermana asociada a este punto No se ha re0elado hasta ahora

CARIDAD

u*ar Templo de la i>uierda en la lKnea del cabello de raK5 donde se aJusta el mGsculo de lamandKbula >ue se contrae cuando se siente la mandKbula inferior

Punto de Acupuntura , 8esKcula %iliar5 a la i>uierda



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Es

Acoplado PRO4UNDIDAD

Associated cristal a>ua aura cuaro

Primaria trin*ulo AIR ;tip anterior<

$ermana asociada a este punto SNO

g%UENO Q AtracciHn

g%ueno es el nombre utiliado en el fue*o prometeico' El nombre de la estrella5 a la lu de la8erdad es gatracciHn'

UbicaciHn en el frente5 sobre el oJo i>uierdo5 en el eJe de la pupila5 a medio camino entre la ceJay la lKnea del cabello de la raK

Punto de Acupuntura 7, 8esKcula %iliar5 a la i>uierda

Es

Acoplado 8ISION

Associated cristal topacio imperial

Trin*ulo elemental 4ue*o ;e-tremo i>uierdo<

$ermana asociada a este punto "ADRE

TRIZN!UOS EE"ENTAES


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AS 7& ESTREAS ;0ista superior<


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+o NIE8E' Aliento y el !ran EspKritu de la Pa sea con 0osotros' Acabo de aVadir a lo >ue te hedado los elementos y los Ca0aliers5 lo >ue le permite e-perimentar estos elementos y los Ca0aliersen ti y obtener TransmutaciHn'

A continuaciHn5 los elementos de llamar5 y te llaman por la 0ibraciHn de la cabea' os Ca0aliers5

en el lu*ar de la Tierra donde se encuentre5 usted aparece' Se producen5 no sHlo para la Tierra5pero5 por supuesto5 tambiFn en nosotros'

En mi 0ida5 componentes me hablH y me hablH a los elementos5 no para controlar5 sino paracompartir con ellos y 0i0ir5 tambiFn5 en cierto modo5 la comuniHn de los Elementos y la fusiHn delos elementos'

Esta es precisamente la situaciHn >ue 0i0e esta noche' AcompaVado por el Arcn*el Uriel5 losCa0aliers 0an a interactuar con usted y transformar lo >ue deberKa ser'

Elementos >ue5 este mes5 se combinan y se meclan por &5 ) o todos' $ay en ti5 en cierto modo5muy simple ;ms all del aspecto fKsico de los elementos de acciHn en la Tierra donde seencuentra<5 sienten >ue su trabaJo en ti'

+ usted se sorprender de 0er y e-perimentar >ue se produce cuando un componente donde seencuentre5 la ona de la cabea >ue 0a a ser acti0ado'

Esta acti0aciHn permite a ambos5 y su resurrecciHn5 tanto la transmutaciHn del cuerpo y lo >ueest ms all de este cuerpo de manifestaciHn5 cuando se une al !ran EspKritu'

Componente5 & Elementos5 Elementos de ) o , artKculos estar llamando a su puerta' Cadaelemento se comunicar con usted ser el mismo >ue usted mire a su alrededor el aire Ca0alierle har sentirse Air Trin*ulo'

El fue*o Ca0alier le har sentir el Trin*ulo de 4ue*o' Si el Aire y el 4ue*o Ca0alier trabaJo Juntos5 Trin*ulo del Aire y 4ue*o concierto se manifestar'

o >ue llama a la puerta ;en la cabea y el EspKritu< debe abarcar muchos ms palpable de lo >uese ha e-perimentado hasta ahora'


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+ cada elemento tiene una afinidad con este cuerpo de carne' El trin*ulo de la tierra ;elementotierra< se encuentra en la parte inferior del cuerpo piernas5 pies y espalda' Trin*ulo de Aire;Air y Ca0alier< actGa sobre el Canal de "arian y su brao i>uierdo y en el pecho i>uierdo'

El A*ua Ca0alier ;y el elemento a*ua< estar en el brao derecho y el pecho en el lado derecho5donde se encuentran las puertas >ue conoces Nota as puertas correctas UNIDAD A y de la

i>uierda <'

El Caballero de 4ue*o ;Elemento 4ue*o es el frente de la cabea5 representado por el 4ue*oTrin*ulo< ser5 en el cuerpo5 tanto en el centro de hK*ado5 el bao y el coraHn'

$uel*as elemento cuando la puerta de su cabea5 lo *olpeH5 tambiFn5 a la puerta del cuerpo con elfin de promo0er5 a su 0e5 el coraHn hacia arriba'

e dar ;y darle< >ue impulsar la ascensiHn del coraHn aumentando' El aire est a su i>uierda'El a*ua es su derecho' Tierra y 4ue*o est de 0uelta en el frente'

Cuando el elemento y llamar a su puerta Ca0alier ;75 & o ) o ,<5 pre*Gntate a ti mismo y escuchar'Del mismo modo5 en mi pueblo5 escuchamos el 0iento por>ue tenKa al*o >ue decir'Escuchamos elrKo como la llu0ia5 debido a >ue tienen un mensaJe5 por>ue tenKan al*o >ue decir'

$oy en dKa5 los , Jinetes decirte al*o te llaman para completar su transformaciHn' 4usiHn y ustedhace lo >ue eres y deJa >ue tu coraHn aumentando5 por Gltimo5 ms all de la ilusiHn5 al !ranEspKritu'

ue*o5 por supuesto5 al*unos 0eteranos han dado +o*as y5 en particular5 >ue se deJa actuar sobre

los elementos ;Nota 0Fase A 4RIEND 71 inter0enciones5 72 y 73 de septiembre de &@7@ baJo eltKtulo glectura de mensaJes gy +o*a Unidad gen los protocolos de prctica g<'

Pero a>uK5 hoy en dKa5 ya no es sHlo actGan sobre los elementos' Esto es la hostia en el cuerpo y nosHlo en la cabea o en el coraHn5 para >ue se den cuenta de lo >ue hay >ue estar en tu cuerpo'

Elementos de la Tierra5 y los Ca0aliers son un refleJo de las fueras >ue estn incorporados ennuestra conciencia humana ;y5 kdHnde estamos5 tambiFn<5 al*o inima*inable'

Debido a >ue los elementos son no sHlo la conciencia o la forma son5 ante todo5 los motores y losacontecimientos creadores dimensiones'

os elementos se utilian para ensamblar Dimensiones y "undos' + los elementos de la Tierrahoy en dKa5 0ienen y te dicen otra cosa >ue lo sabes' Ellos participan en la liberaciHn y suele0aciHn'

Uno de los elementos >ue en al*Gn momento ;hace mella en la cabea y se encuentra en elcuerpo<5 y sHlo te dan Justo intercambio' Cuando el elemento se presenta a usted5 manten*a lacalma5 tambiFn'

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SiFntese y usarlo si >uieres5 tus manos5 como fue e-plicado por un ami*o ;nota 0er A 4RIEND 71inter0enciones5 72 y 73 de septiembre de &@7@ en los gmensaJes leKdos y g+o*a Unidad en losgprotocolos de prctica<'

El uso5 tambiFn5 el producto de la tierra minerales ;nota 0er gprotocolos de prctica "ateriales de 4usiHn<' O5 si lo prefiere5 puede utiliar simplemente su presencia Sit'

Cual>uier elemento o elementos de 0ibraciHn >ue se e-perimentan ;en la cabea y el cuerpoentero<5 deJar >ue simplemente actuar' No apunte5 no se podKa hacer'

Pero 0amos a crear lo >ue necesitan para crear' Usted puede ayudar5 como he dicho5 los tresdedos el dedo pul*ar5 Kndice y medio colocado en el elemento correspondiente de la cabea'

TambiFn puede utiliar los productos de la tierra ;minerales< >ue los coloca en el suelo5 donde tepuedes sentar y re*istrar su interior' +5 si usted puede5 simplemente permanecer callado y deJar>ue lo abra5 tG5 ellos se abrieron'

Cada elemento puede *olpear 0arias 0eces a sus puertas' as sensaciones fKsicas son muy claras yencontrarFis5 tambiFn5 >ue a 0eces hay 0arios elementos >ue 0ienen *olpeando en su cabea yaplaudir su cuerpo'

Una 0e ms5 se sientan y se sientan en el elemento ;y #ni*ht< 0iene a ti y permanecer asK5 hasta>ue lo sientes' Por>ue entonces usted puede reducir en 0osotros5 la resistencia al !ran EspKritu'

Usted permite a los Ca0aliers a disol0erla estF en 0osotros5 el cual se opone a su acciHn y la acciHnde la lu' Cuando tienes , $orsemen liberado de ciertas cosas5 usted ser profundamente

diferente'

Te sientes en ti y en tu manera de 0i0ir esta transformaciHn ser ms li*ero y ms fcil' ElCa0alier es decir5 dHnde se encuentra5 es el mismo para todos los >ue estn ;0i0a o no 0i0a en lacon0ocatoria de la cabea Ca0alier<'

Cuando lle*ue el momento de los , Jinetes5 de nue0o5 se sentir los cuatro elementos de la cabeay lo >ue une a estos cuatro elementos en lo >ue se llama5 cruo la Cru 4iJa de la cabea ;Nota0er la inter0enciHn de un ami*o 77 abril de &@77 en los gmensaJes leKdos<'

Use sus dedos' Usar los productos de los cristales de la Tierra' O simplemente su presencia'E-hortamos a Uriel' Depende de usted decidir lo >ue es meJor para usted'

+ sentarse en silencio y deJa >ue ha*a lo >ue est sucediendo' Esto no es una meditaciHn essimplemente una Presencia >ue os escucha a lo >ue los elementos tienen >ue decir5 y sobre todo eltrabaJo >ue se 0a' Esto 0a para el aire refinar el "arian Canal' Para la Tierra5 >ue 0a a *enerarel fue*o del #undalini'

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Esto amplificar la onda de la 8ida y CoraHn de 4ue*o5 tambiFn' Para el fue*o5 lo haresencialmente al ala sobre el coraHn y todo lo >ue ocurre en el pecho'

+ por Gltimo5 para el a*ua5 0a a cambiar radicalmente5 su humor5 su 0isiHn5 su forma de 0er ye>uilibrio' Cuando los , Jinetes lle*arn Juntos en su cabea y dHnde se encuentra5 entonces elFter ser 0isible de nue0o ;no sHlo como e0entos intermitentes< se trata de los Fteres de fusiHn5 si

los destellos de lu blanco >ue se 0e en el cielo o como es5 toda0Ka otros e0entos' Todo lo >ueaparecer ms claramente5 el momento en >ue facilitar el trabaJo de Ca0alier >ue lo llamH'

os , elementos5 , Jinetes5 >ue los anti*uos llamaban5 creo $ayoth $a #odesh ;nota consultegSoporte EspKritu DecodificaciHn del cuerpo< son supremos inteli*encias de lu puede ser decual>uier forma y en cual>uier tamaVo 5 sin saber confinamiento'

Se acaba de publicar los elementos de la tierra5 se habKa 0isto obli*ado5 como en su cuerpo' $a*aesto cuando te llaman o cuando percibes ese elemento puede ser Gtil'

No hay nada complicado sobre esto El fue*o purifica5 relaJa A*ua5 Aire comunica5 y transmutarla Tierra' Pero5 en *eneral5 todos ustedes5 hermanos y hermanas me escuchan ;>ue he leKdo<5 yasabes ;por>ue eres sensible< >ue afecta al elemento de cabea5 ya >ue se desarrolla en el cuerpotanto para el CoraHn y hacia arriba5 al mismo tiempo5 a elementos libres de su cuerpo'

No hay posibilidad de error debido a >ue el aire se encuentra en la parte superior i>uierda de lacabea5 el a*ua es el adecuado5 el fue*o est al frente y detrs de la Tierra'

+ en el cuerpo es la misma' e di las e>ui0alencias ;Nota 0Fase la inter0enciHn NIE8E 72 deoctubre de &@7& en los gmensaJes leKdos<' + cuando esto ocurre posicionarse como ya he dicho5la llamada Arcn*el Uriel5 o lu*ar de cristales o colocar los dedos'

4acilitar la labor del Ca0alier y 0er muy rpidamente ;como dirKa la primera sesiHn ye-periencia< efecto' Todo esto es 0i0ir5 fa0orecido5 les recuerdo5 por la presencia del Arcn*elUriel5 cuyo propHsito es re0elar el Fter5 en cuanto a su ori*en y no era raro en la Tierra'

a acciHn de los Ca0aliers es el mismo en la Tierra' $ay eJemplos a su alrededor5 todos los dKas5en diferentes partes del mundo' Esto es sHlo el principio' Si*a los Elementos'

Se acaba de despertar5 sin duda' Todo esto se lle0a a cabo fundamentalmente durante el mes seabre a>uK ;nota el mes de no0iembre<5 pero tambiFn al momento del anuncio "ARIE' Recuerde

>ue los elementos y los Ca0aliers son el %aile de la 8ida5 ClasificaciHn de los mundos ydimensiones'

Son un ladrillo e indi0isible ;para , y . de ellos< toda la 0ida5 toda conciencia ;nota el >uintoelemento es el Fter<' Ellos son el 0ehKculo de la fuente absoluta y' i0in* Elements5 su ocurrencia yla ComuniHn Combinar con ellos le dar al*o como nin*Gn otro en su comunicado'

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Si necesita ms informaciHn acerca de la conducta de estos elementos de acciHn5 ahora es tiempopara hacer pre*untas' es recuerdo5 mientras >ue usted piensa >ue la acciHn de los elementos es5por supuesto5 pero el hecho de >ue usted trai*a su conciencia de sK mismos ;deJando el cuerpo enreposo y deJar >ue el trabaJo< es fundamental se trata simplemente de estar presente ;enpresencia de URIE<5 ya sea con las manos o5 en su defecto5 del mundo mineral'

e corresponde a usted para 0er >uF pasa5 >ue es 0i0ir5 cuando el Ca0alier *olpea la cabea'Pre*unta 4ue*o y la Tierra se e-presan sHlo por los 0olcanes y los terremotos

Tierra es5 de hecho5 el mo0imiento de la tierra5 y especialmente la apertura de la Tierra' Tierracrece ms rpido y ms rpido' El fue*o no es sHlo el fue*o de los 0olcanes5 es tambiFn el fue*odel cielo5 la lu del cielo'

El a*ua es tambiFn5 por supuesto5 sus interiores lK>uidos5 a los rKos5 a*ua de mar5 sino tambiFn ela*ua del cielo' El Aire ;Air Ca0alier< es5 en esencia5 pero el 0iento est apoyando la Tierra cuandose mue0e'

TambiFn se alimenta el incendio y tambiFn puede suministrar a*ua5 colocndolo en donde espreferible' "uchos elementos de actuar Juntos ahora'

Se encuentra5 adems5 en >ue como en la Tierra5 la acciHn es a menudo Junto con el a*ua del aire5la acciHn de la lu es a menudo Junto con la acciHn de la Tierra5 y >ue muy Pronto5 los cuatroelementos5 como he dicho5 actuar conJuntamente y de comGn acuerdo5 en la Tierra como tG'

$abr una superposiciHn de estos cuatro elementos en los espacios de cada 0e ms *randes ydiri*idos cada 0e ms el impacto de lo >ue es5 me parece5 como Comandante te diJe ;nota"ic9al Omraam A0anho0<5 el por debaJo de la lKnea del Ecuador y en la re*iHn del PacKfico'

kCul ser el ms increKble ;si no lo has 0i0ido5 sin embar*o5 en los comienos< es la resonancia yel conJunto se producir entre los Ca0aliers cerca de donde ests5 y sus Ca0aliers cabea es elmismo'

Pre*unta kEs posible >ue ya han sentido los Ca0aliers en nuestras cabeas

SK' Esto es e-actamente lo >ue te diJe en los Gltimos dos inter0enciones ;ed 0er las inter0encionesNIE8E @7 de septiembre &@7& y 72 de octubre de &@7& en los gmensaJes leKdos<' a diferencia es>ue ahora5 los Ca0aliers se implementar simultneamente5 de acuerdo con la correspondencia

>ue he dado en su cuerpo'

Pre*unta kradioacti0idad es parte del Elemento de 4ue*o

No sHlo' a radiacti0idad ;natural como artificial< forH el 4ue*o y la Tierra y Aire' El Gnicoelemento >ue no est presente allK es a*ua' El a*ua5 de hecho5 limitar la radiacti0idad'

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NDR 7

En la prctica sumario gcuando el elemento se presenta a ustedes5 lue*o tres enfo>uespromue0en su acciHn

SiFntese5 recepciHn simple5 tran>uila'

Pon*a sus dedos en la cabea trian*ular >ue se trate5 tal como se describe en los gProtocolos parala Unidad prctica +o*a'

SiFntese en el centro de los cristales de mandalas5 como se describe en los gprotocolos deprctica Elementos de fusiHn'

NDR & Trin*ulos Primarias



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NDR ) Puertas



http://despertando.me/2012/11/29/salud-meditacion-y-mas-despertando-las-12-estrellas-de-%E2%80%8Bmaria%E2%80%8B/image016/

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OS , PIARES DE CORA6ON

Si usted es consciente de lo >ue sucede5 usted ;y no puede ser de otra manera5 debido a laintensidad de las percepciones 0ibratorias5 especialmente a Coronas Radiantes y especialmente lacabea<5 el simple hecho de lle0ar su conciencia5 abandonar el elemento sorpresa5 el estado de

nimo alterado elementos5 los elementos relacionados con una acti0idad mental o emocional'

Si en lu*ar de reaccionar o deJar >ue sus pensamientos asumir en este momento5 usted piensa5por eJemplo5 el Arcn*el Uriel5 al instante presentar su lado'

Del mismo modo5 si usted cree >ue su cha9ra del coraHn5 sin *anas de hacer nada5 el 4ue*o delCoraHn o CoraHn de 0ibraciHn aparecer por sK mismo5 sin nin*Gn esfuero'

Esto refleJa5 sin lu*ar a dudas ;y traducir ms<5 la realidad multidimensional >ue hae-perimentado en mucho tiempo' Estos momentos crecer en duraciHn5 intensidad5 y como he

dicho5 la precisiHn y la nitide' No est aprendiendo su preascensiHn' A>uK est su aclimataciHnal nue0o espacio 0ital no cerrado5 no limitati0o5 multidimensional'

+ la conclusiHn de mi inter0enciHn es la si*uiente desde el momento en >ue e-iste ;>ue como tualrededor< la sensaciHn de no estar Alinee la sensaciHn de estar en un estado de nimo >ue no esfeli5 la sensaciHn de tener >ue reaccionar a una parte de su 0ida5 la sensaciHn de tener >ueenfrentarse a un hermano o hermana >ue es en al*o diferente a lo >ue 0i0imos5 no debe obli*ar aluso de su habitual los medios de comunicaciHn sino >ue5 como prioridad5 le lle0ar a 0ol0er aconectar con el coraHn5 los pies o el Canal de "arian Asistencia multidimensional'

EliJa uno de los elementos >ue son los ms accesibles y 0ers por ti mismo5 lo >ue sucede en estemomento5 lo >ue est ms all de todas las e-pectati0as'

Del mismo modo5 si usted se siente5 en este cuerpo5 anomalKas ;si5 por eJemplo5 la sensaciHn defati*a5 una sensaciHn de estar fuera de su cuerpo5 o cual>uier otro dese>uilibrio<5 hio llame a unode los elementos'

+a sea directamente5 ya sea por los protocolos >ue han sido comunicados o de0uelto por la nie0e;nota 0er gprotocolos de prctica "ateriales de 4usiHn<'


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Esto le permitir 0er el efecto5 mucho ms rpido5 uno de los temas de su problema actual'Esto serefiere tanto a los dese>uilibrios del cuerpo5 los dese>uilibrios ambientales5 lo >ue puede sucederen su conciencia'

Por lo tanto5 usted aprender ;a tra0Fs de los cuatro elementos representan5 les recuerdo5tambiFn5 sus cuatro cepas< para maneJar5 de al*una manera la conciencia5 con el fin de obtener5

directa ;no a tra0Fs de una aplicaciHn o acciHn5 en su tamaVo<5 donde se encuentre5 los elementosde acciHn multidimensionales en su 0ida'

Por lo tanto ;y innumerables eJemplos< se enfrentan a una e-presiHn de enoJo o 4ue*o5 entonces5>ue usted encontrar >ue el estado de nimo del A*ua y el 4ue*o tipo;en el medio ambientecomo la dentro de una relaciHn o ms personas< se con0ertir profundamente casti*ado5 elmomento en >ue piensas >ue tu elemento fue*o5 >ue5 les recuerdo5 por la percepciHn del tema5 enel una parte de la Corona Radiante de la cabea'

Si usted 0i0e la llamada de uno o ms elementos5 es decir5 si no eres tG >uien llamar5 pero si se teocurre espontneamente5 usted sabe >ue 0a a traer atenciHn a lo >ue hace >ue este elemento5' Sila re0elaciHn de su linaJe5 es una manifestaciHn corporal5 o una manifestaciHn sutil o mKstica5 oalrededor5 aprender a detectar muy fcilmente y rpidamente5 kcules son las acciones de loselementos5 usted'

Esto le dar5 de nue0o5 una muy importante aprender a 0i0ir de 0iaJe multidimensional ye-plorar5 ms all de cual>uier prisiHn5 lo >ue su conciencia5 puede mostrar lo >ue puede crear ypuede resol0erse por la Inteli*encia de la u5 sin nin*Gn tipo de control'

En este momento5 usted encontrar >ue son los propios elementos >ue actGan en usted5 elmomento en >ue se pusieron en resonancia a la Corona Radiante de la cabea y lue*o el cuerpo'

a acciHn primaria est directamente in0olucrado en la resoluciHn de todo lo >ue le puede pasara usted y en usted'

os , pilares de la cabea y el coraHn

os elementos tambiFn le permitir e-plorar nue0as lKneas de dimensiones con *ran facilidad5 elhecho de >ue los elementos >ue se ponen en posiciHn de obser0ador inmediatamente5 aleJndosede la persona >ue crees >ue es mucho '

Esto contribuir a >ue muchos de ustedes ;de una manera diferente a la ola de la 8ida<5 para

establecerse en lo >ue eres5 por toda la eternidad'

A>uellos >ue realian esta ocasiHn5 ms all de la presencia Ultimate5 el Absoluto >ue sean5 no se0er afectada de nin*una manera por lo >ue ocurre en el cuerpo5 en estos pensamientos5 como ensus interacciones ambientales'

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Esto le dar la sensaciHn de 0ol0er5 de 0erdad5 en tu casa y lo >ue eres5 la 8erdad' SHlo la mente;en ocasiones en las >ue se mue0en ms leJos< puede dudar de lo >ue se e-perimenta' Pero5 comosu e-periencia y enfo>ue de los elementos5 entonces esta e-periencia reemplaar5 sin nin*unadificultad5 el e- 0i0ido'

E-traVa sensaciHn de tener mGltiples identidades ;>ue est en resonancia con las 0idas pasadas5 o

el no 0i0e en relaciHn con este mundo< pasan a ser5 de al*una manera5 ms tolerante y le ofrecen5independientemente de cual>uier curiosidad e independientemente de cual>uier deseo dee-plorar sus propias 0idas pasadas o de su propia historia'

Esta parte5 muy concretamente5 los mecanismos de liberaciHn5 por los elementos5 >ue est enmarcha' os in0ito a tener cuidado5 no tanto no los acontecimientos de este mundo5 tanto >ue tepuede ocurrir5 pero sobre todo lo >ue ocurre a tra0Fs de la acciHn de los elementos'

os cuatro pilares5 si los cuatro pilares de la cabea asociado con la Cru "utable al*o ;A>uK yAhora5 Alfa y Ome*a<5 si los cuatro pilares del coraHn5 se con0ertir para usted5 de una se*undanaturalea independiente de sus propias decisiones5 sus propias decisiones5 oa sus propiosintereses' Usted encontrar esta manera ms rpida y clara'

Eso es lo >ue le entre*o a ti5 y >ue en cierta medida es complementaria a lo >ue declarH y fueanunciado en los Gltimos dKas' TambiFn recuerde >ue la lu siempre ser mucho ms inteli*ente>ue cual>uier cosa >ue puedas ima*inar o suponer'

e dar este mes5 la oportunidad de comprobar si no lo est ya5 la fluide de la Dependencia5 laey de Sincronicidad5 la ey de AtracciHn y ms importante aGn5 k>uF es eso de ser un NiVo aey del Uno5 un hiJo de la u' !racias por su atenciHn' !racias por su comprensiHn'

Si hay en ti5 y por lo >ue han e-presado pre*untas5 entonces yo serF feli de aportar elementosadicionales5 si es necesario' Pre*unta cuando tres trin*ulos elementales de la cabea >ueocurren al mismo tiempo5 es apropiado para llamar a la cuarta

as circunstancias5 hermanas5 son profundamente diferentes' +a sea >ue usted pone en unmomento en >ue es usted >uien decide llamar a uno de los elementos'

+a sea >ue usted llame a elementos de sK mismos' En este momento5 es decir5 en los momentos enlos >ue uno de los tres elementos oelementos de llamar5 usted no tiene >ue trabaJar para ti mismoen cual>uier recurso adicional o complementaria'

No tenemos ms pre*untas5 *racias' $ermanos y hermanas en humanidad5 estamos 0i0iendo unmomento de la ComuniHn5 en la u Aul' +o di*o >ue la prH-ima 0e y nos 0emos pronto' AdiHs'

Compartiendo el re*alo de la !racia ''

'

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NDR os cuatro pilares de la cabea asociados con la Cru "utable ;a>uK ahora $IC y NUNC5

Alpha Ome*a A OD<

os cuatro pilares del CoraHn

PROTOCOOS DE PRZCTICA Q ActualiaciHn @) de no0iembre &@7&

ImplementaciHn Coeur hacia arriba

CoraHn D EPO+IN! hacia arriba




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obJeti0o

Para facilitar el descenso del indi0iduo "er9abah de %indu al coraHn'

%indu se encuentra a unos ,@ centKmetros por encima de la cabea ;por encima del 1 cha9ra yER Point<

Este protocolo fa0orece

TransiciHn a la 8ida nue0os espacios de cada uno'

a disoluciHn de la depredaciHn de lKneas personales'

4usiHn de ter y el cuerpo causal5 haciendo una >uKmica especial >ue consiste en obtener su terori*inal'

PRINCIPIO

Se detalla en la inter0enciHn de SRI AURO%INDO @, de octubre &@7& se encuentra en la secciHngeer mensaJes'

En resumen cuando el 0ehKculo ;llamado "er9abah interdimensional indi0idual y colecti0o< semue0e hacia el centro del coraHn5 el centro del Centro es decir5 en el pecho5 los diferentes puntos

de paso se pone en resonancia ;la posiciHn e-acta de estas puertas se muestra en la gprcticaprotocolos +o*a de la Eternidad Inte*raciHn Passa*es<

A-is llamado PRO4UNDIDAD PRECISION'

A-is llamado ATRACCIN 8ISIN

A-is A TE"A


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a implementaciHn de estos tres eJes5 y la estabiliaciHn de los tres eJes5 es preferentemente porA-is inferior E?ACTITUD5 y la profundidad5 y un eJe situado li*eramente por encima ;pero

resonancia UNIDAD A directamente con ellos< y Portes5 >ue es un rea abierta5 >ue seencuentra debaJo de las a-ilas' :untos5 estos cuatro puertas y estos dos eJes5 realia confinamiento

hotspots'

4usiHn de ter implica una forma de la reunificaciHn5 y el desplie*ue de estos / Puertas y estostres eJes'

4inaliaciHn de la AscensiHn5 la realiaciHn de la Conciencia de Unidad5 o la ubicaciHn delAbsoluto5 se 0er facilitada por el trabaJo consciente en estos cuatro plie*ues la in*le5 plie*ues

a-ilares ;o hueco la a-ila<'

Es en este ni0el donde se encuentran las cerraduras5 lla0es finales y puesta a punto final a tunue0o cuerpo de la esencia5 su nue0o 0ehKculo de u' 4acilitando asK el trabaJo de la tierra5 eltrabaJo colecti0o de la "er9abah colecti0o y el colecti0o de la Tierra Anta9arana' AsK se dio

cuenta de Fter 4usion y el 4usion DisoluciHn del cuerpo causal'

en la prctica Este protocolo se e-tendiH 0idas5 de preferencia ;o sentado<5 los oJos cerrados5 ensilencio durante ,. minutos5 despuFs de pre*untar dos cosas

Una tur>uesa en cada in*le

Tur>uoise uno debaJo de cada a-ila

Si la tur>uesa cuatro son del mismo ori*en *eo*rfico ;China5 Ariona < y apro-imadamente

del mismo tamaVo'

Para potenciar su acciHn5 es posible utiliar5 Justo en el comieno del proceso5 y "i9ael "ARIE'

os temores relacionados con ibFration shoc9 emocional de la humanidad


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Este protocolo es la liberaciHn de los temores pro0ocados por el cho>ue emocional de lahumanidad'

Por lo tanto5 facilita la inte*raciHn de impacto ;total5 de prH-ima publicaciHn< a 0ida en lasestructuras de ondas ;actual< de la persona'

En este conte-to

os temores son los >ue fi*uran en la e-periencia actual de la persona ;y no las relacionadas conlos adJuntos de colecti0os como se describe en la prctica gprotocolos ane-os de liberaciHn

colecti0a<'

El cho>ue de la humanidad es el ascenso de la ola de la 0ida5 a un ni0el inima*inable ydesencadena estos temores'

en la prctica Este protocolo es imperati0o 0io acostado con los oJos cerrados5 en silencio durante

,. minutos5 despuFs de pre*untar dos cosas

7 rutilo cuaro en el se*undo cha9ra a medio camino entre el ombli*o y el lKmite superior del0ello pGbico

Uno en cada mano cuaro rutilo

7 hematita en el primer cha9ra el pelo pGbico superior en el eJe del cuerpo

$ematite uno debaJo de cada pie

El iaison Nue0a TriUnidad con el CoraHn NUE8A TRIUNIDAD IN# CON E CORA6N


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Como "ichael diJo en su discurso el &3 de septiembre gos apoyaremos con nuestra presenciadentro de sus estructuras5 la unificaciHn y la nue0a EucaristKa Cristo "arKa y "i*uel5 acti0ar5 enti5 en tu CoraHn5 el trin*ulo in0ertido formado entre el punto focal de su cha9ra del coraHn5 elcha9ra del EspKritu llamado arrai*o y cha9ra raK llamada del alma5 lo >ue permite preparar5con facilidad de crecer en su Samadhi en su despertar en su realiaciHn g' AsK >ue usted puedeenfocar su conciencia en cada uno de estos tres puntos

7' CoraHn cha9ra

&' cha9ra de enraiamiento del EspKritu ;baJo la cla0Kcula i>uierda en la lKnea de los peones enel se*undo espacio intercostal o punto de acupuntura E7, i>uierda<

)' cha9ra de enraiamiento del alma ;en la cla0Kcula derecha en la lKnea de los peones en else*undo espacio intercostal o punto de acupuntura E7, derecha<

Un protocolo para facilitar la inte*raciHn de la Nue0a TriUnidad fue dado por un ami*o' Esta esla >uinta etapa del +o*a Celestial ;>ue se encuentra en este epK*rafe en el mismo tema<'

Enlace con el coraHn se ilustra como si*ue

Cuerpo 7@a est conectado con I" "i9al

Cuerpo 77 est conectado a los SI "ARIE

El cuerpo 7& est conectado a A CRISTO

+ O!A DE A ETERNIDAD INTE!RACIN DE PASA:ES

Para implementar la ola de la 8ida5 el Escudo Aul de la *racia por todo el cuerpo ;fKsico y sutil<

Puedes encontrar todos los detalles en la inter0enciHn A"I!O @1 de mayo &@7&5 en la cuentageer mensaJes'


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Practi>ue sucesi0amente cada uno de los si*uientes tres posturas

Alar*ado

Con los oJos cerrados

7@ minutos5 sosteniendo cada postura ;este protocolo por lo tanto dura unos )@ minutos<

En gsimple recepti0idad

En el si*uiente orden

Paso 7 as manos apoyadas en el plie*ue de la in*le cada

PRECISION En el centro de la in*le' A mano derecha por el eJe 0ertical del pubis

PRO4UNDIDAD En el centro de la in*le' A tra0Fs de una mano a la i>uierda del eJe 0erticaldel pubis

Paso & manos planas sobre los cha9ras del hK*ado y del bao

8ISION hK*ado Cha9ra Q la mano por debaJo de la mama derecha

ATRACCIN Cha9ra del bao Q una mano por debaJo de la mama i>uierda ;el cha9ra delbao es elKptico posiciHn simFtrica del cha9ra del hK*ado es muy adecuado a>uK<

Paso ) manos sobre las raKces de los cha9ras del alma y del EspKritu



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A cha9ra de enraiamiento del alma Q el lado derecho del pecho5 a tra0Fs de su mano sobre elpeHn5 en el se*undo espacio intercostal

UNIDAD Cha9ra arrai*o del EspKritu Q el lado i>uierdo del pecho5 a tra0Fs de su mano sobre elpeHn5 en el se*undo espacio intercostal

+O!A PARA A UNIDAD

El yo*a es una prctica en la Unidad ) pasos propuestos por el ami*o5 715 72 y 73 de septiembrede &@7@' as transcripciones de estas lKneas se encuentran en los gmensaJes leKdos'

A continuaciHn5 encontrar un resumen y los dia*ramas correspondientes'

Como diJo un ami*o gEl +o*a de la Unidad es la forma en >ue estn siendo ofrecidas5 entre*adasa despertarte a ti mismo5 usted se le0anta y pone de manifiesto todo lo >ue eres ' gDehecho5 la peculiaridad de las Estrellas 7& es a resonar &&5 )) y ,,5 lo >ue le permite despertar yplantear una serie de 0ibraciones5 una serie de cambios en su conciencia ordinaria5 lo >ue lepermite alcanar y establecer la cone-iHn con el ness Corps' "ediante el %indu o 4uente de

Cristal5 podrs 0er 0ibrar al unKsono con la unidad g'

Para ubicar con mayor precisiHn estos puntos5 usted encontrar los detalles de Star "arKa en losgProtocolos as 7& Estrellas de "arKa'

No hay nin*Gn orden en particular o tiempo recomendado a se*uir para la inte*raciHn de estostres pasos' Al i*ual >ue con cual>uier otra prctica5 hay 8erdad >ue es tuyo5 no es el "aestro dela suya5 no hay discernimiento como el tuyo5 hay una referencia gabsoluto relati0o en estemundo su propia interioridad' AsK >ue si*a su intuiciHn5 sus sentimientos5 sincronicidades poneen su camino y su CoraHn'

El primer paso

Como ami*o declarH gEn su primera parte5 &&5 los puntos ms importantes estn representadaspor las sKlabas sa*radas AODIS e I" Estos cuatro puntos son los e-tremos de la Cru de una0e*ar por su color blanco'


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a cabea y el coraHn5 por lo >ue la Cru de u necesario para restaurar la unidad cuatroelementos AsK >ue el primer cruce es estabiliar las cuatro estrellas llamado AODIS y lamensaJerKa

instantnea' RespiraciHn y usando su conciencia en estos cuatro puntos5 sealinean5 como he dicho5su frecuencia 0ibratoria para despertar autFntico5 acti0ar y alinear las tres chimeneas sacro5 el

coraHn y la cabea5 por lo >ue la fusiHn mKstica5 en ti5 Cristo5 "arKa y "ichael ' Paraa>uellos de ustedes >ue no captarKan la 0ibraciHn de la Cru5 hay una manera muy simple5 por sKmismo5 utiliando las palmas de las manos y la ener*Ka electroma*nFtica >ue se sienta en suspalmas5 para >ue el AODIS y la mensaJerKa instantnea'

Por lo tanto5 sHlo tiene >ue colocar su palma i>uierda Si*uiente Al punto5 a . cm de distancia5 yla palma de la mano derecha a una distancia de unos . cm de dimetro e-terior5 dndose cuentade la uniHn de Alfa y Ome*a5 deJando al descubierto el tamaVo >ue Cristou5 tambiFn llamada#iRisTi5 $iJo de la u y el $iJo Ardiente del Sol'

Entonces5 la respiraciHn y en silencio5 con las manos colocadas en estos lu*ares5 se desplaarpalma de su mano i>uierda sobre el borde de mensaJerKa instantnea ;por encima de la oreJai>uierda<5 mientras >ue la palma de la mano derecha se coloca a pocos centKmetros al lado delpunto IS'

Por lo tanto5 se le permitir a las dos principales circuitos de reunir cinco 0ibraciHn en uno5permitiendo >ue las ener*Kas de a 4ontaine Crystal 0ertiendo en ti y conectar5 de formapermanente5 su estado de ser 0ehKculo'

Por lo tanto5 el Alfa y la Ome*a unificador primero5 y lue*o el A>uK y Ahora5 usted se centra5 deforma permanente5 en la unidad de alineaciHn'

Al darse cuenta de esto5 como todo lo >ue >uieras5 siempre >ue pueda5 sin hacer otra cosa >uecolocar las manos como diJe y respirar tran>uila y profundamente5 establecer la rotaciHn y0ibraciHn 7& Estrellas >ue e-iste en su cabea'

Por lo tanto5 usted ser capa de5 poco a poco5 para permitir una detrs de otra5 todas susestrellas y las puso5 se prepara para recibir la unidad triple en su conJunto ;Cristo5 "arKa y"i*uel' g<

NDR

El si*uiente dia*rama ilustra el principio de la posiciHn de ) Cross' a diferencia entre la Crutres es como la posiciHn e-acta de las manos sobre las oreJas5 en la se*unda parte

Cruce Central mano i>uierda al lado de mano I" y Justo al lado de IS'

Anterior cru al lado de la mano i>uierda y la mano derecha CARIDAD lado PRECISION'

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Posterior cru la mano i>uierda al lado de UNITE y Justo al lado PRO4UNDIDAD'

PASO &

Como ami*o diJo gAhora 0amos a abordar la se*unda parte de esta Unidad +o*a5 utiliando noms trin*ulo Cru cuaternario pero AsK5 Trin*ulo de 4ue*o se hace en la partedelantera5 A5 %ien "al y de atracciHn repulsiHn'

Trin*ulo aFreo consiste I"5 Claridad y Unidad' A*ua Trian*le a su derecha5 en por encima dela oreJa derecha est constituido por IS5 precisiHn y profundidad ' El Trin*ulo OD >ue Fl5apuntando hacia abaJo representa el sKmbolo de los pueblos de Sirius ;Sirio A5 Sirio % como comoSirius C< >ue es la fertiliaciHn del EspKritu en el campo' Este trin*ulo apuntando hacia abaJo5se establece asK entre OD5 #iRisTi y 8isiHn g'



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PASO )




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Como ami*o diJo gPor lo tanto5 OD A5 de la periferia5 y A OD5 la periferia5 en un sentido ylue*o en el otro5 una y otra all de la IlusiHn' salir del recinto5 lo >ue permite5 si tal es su8ibraciHn y encontrar su coraHn unificado5 recubierto ;por redesplie*ue de la 8erdad y laUnidad como #iRisTi5 $iJo de la u y *rabaciHn el Sol< de su potencial5 su plena 0erdad de laeternidad OD A Desde la i>uierda5 a tra0Fs de mensaJerKa instantnea5 y A OD a laderecha5 a tra0Fs del IS5 se 0uel0e a crear el 0Knculo in>uebrantable su eternidad y la 8erdad'

coronar esto se manifiesta en el cuerpo5 la lu elFctrica5 la cual5 mediante la redistribuciHn depoder5 la fotHnica y Diamantina5 usted e-perimentar el cuerpo de la *loria5 la Unidad y la8erdad alto ' eJemplo5 para centrar su conciencia5 punto a punto5 >ue ele0ar los 7& canales y0elas Pelucas5 re0elando la 8erdad5 lo >ue le permite confi*urar y todas las luces para entrar enla "orada de la Eternidad y bien0enida en su Templo despierto #iRisTi de nue0o' g

"andalas cristales

Se sienta en la posiciHn de E*ipto ;como en los dia*ramas de abaJo<5 con los oJos cerrados5durante ,. minutos5 el centro de un mandala consta de tres cristales colocados en el suelo5 en unaforma trian*ular5 de unos .@ cm el eJe del cuerpo' En cuanto a la elecciHn del elemento5 sHlo tiene>ue se*uir sus sentimientos5 como se describiH anteriormente'

Cada cristal es una estrella' os si*uientes dia*ramas5 en particular5 la 0ista desde arriba5 >uemuestra cHmo colocar estos cristales

4UE!O



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Contra sK mismo una rodocrosita ;A<En la parte trasera i>uierda5 un topacio imperial ;atracciHn<En la parte trasera5 a la derecha una esmeralda ;repulsiHn<

AIR

A la i>uierda un octaedro de fluorita aul o 0erde ;I" ICI<Adelante5 a la derecha a>ua aura de cuaro ;CARIT+<8uelta a la derecha a fantle cuaro ;UNITE<

A!UA




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A la derecha un peridoto ;IS NUNC<Adelante5 a la i>uierda un selenita ;PRECISIN<Atrs5 a la i>uierda a #unite ;DEPT$<

TIERRA

Atrs una turmalina sandKa ;o asociaciHn simultnea de turmalina rosa Q rubelita turmalina y0erde Q 8erdelite ;OD<Adelante5 a la derecha a $iddenite ;8ISION<Adelante5 hacia la i>uierda una fuente de cristal de cristal de roca o emuria sello de SalomHnen un cristal de roca o rodar sin punta ;#IRISTI<

os cristales utiliados para este protocolo son idFnticos a los utiliados por otros dos protocolos4inaliaciHn del Cuerpo de la esencia y de la ResurrecciHn del Cuerpo de ReconstrucciHn'

El obJeti0o es siempre el mismo5 pero en realidad considerado como tres puntos de 0ista5 lo >uee-plica las formas en ) diferentes de colocar los mismos 7& cristales'Promo0er la e-pansiHn de laconciencia de la Presencia Infinita'

+ de este modo facilitar el acercamiento de la "orada de la Pa Suprema'

Este protocolo fue proporcionado por un ami*o durante su discurso el & de no0iembre de &@7&5 seencuentran los detalles en los gmensaJes leKdos


8/13/2019 acuntur


acuntur

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