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ARTHRITIS

PROFESSIONAL DEVELOPMENT HOUR
CONTINUING EDUCATION COURSE

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Library of Congress # 6579737
ISBN 9780979955914

Artist Credits
Most Illustrations are drawn by artist Jack White.

Copyright Notice
©2005 Technical Learning College (TLC) No part of this work may be reproduced or distributed in any form or by any means
without TLC’s prior written approval. Permission has been sought for all images and text where we believe copyright exists and
where the copyright holder is traceable and contactable. All material that is not credited or acknowledged is the copyright of
Technical Learning College. This information is intended for educational purposes only. Most uncredited photographs have been
taken by TLC instructors or TLC students. We will be pleased to hear from any copyright holder and will make good on your work
if any unintentional copyright infringements were made as soon as these issues are brought to the editor's attention.
Every possible effort is made to ensure that all information provided in this course is accurate. All written, graphic, photographic or
other material is provided for information only. Therefore, Technical Learning College accepts no responsibility or liability
whatsoever for the application or misuse of any information included herein. Requests for permission to make copies should be
made to the following address:
TLC
P.O. Box 420
Payson, AZ 85547-0420
Information in this document is subject to change without notice. TLC is not liable for errors or omissions appearing in this
document.

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Arthritis refers to inflammation of the joints, often accompanied by pain,
stiffness, or swelling. Arthritis may occur in many different diseases and
medical conditions.
Picture above is Osteoarthritis. It is sometimes called "wear-and-tear" arthritis, the
most common type of arthritis in adults.

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类风湿性关节炎的食疗
(extra information for Chinese students)
木瓜薏米羹:木瓜4个,蒸熟去皮;薏米250克煮熟,两者共研烂如泥。蜂蜜1千克,调入
和匀,放于干净容器内。每日晨起温热服2~3匙。适用于关节红肿热痛、口渴、小便黄、
大便干结、舌苔黄的类风湿性关节炎患者。
川乌粥:制川乌去皮尖后碾成末,粳米半碗。取药末6克,同米用慢火熬稀粥,下姜汁10
毫升,蜂蜜3匙,搅匀,空腹喝,温为佳。适用于关节肿胀冷痛,遇寒疼痛加剧、得热痛
减,平时怕冷的类风湿性关节炎患者。
桃仁粥:桃仁15克,粳米150克。先将桃仁捣烂如泥,加水研汁,去渣用粳米煮为稀粥。
适用于关节肿胀刺痛,关节(尤其是手指关节)周围肤色变深变暗,舌质紫暗的类风湿性关
节炎患者。

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Course Description
ARTHRITIS CEU REVIEW TRAINING COURSE
Welcome to TLC’s Arthritis CEU review training course. It is our sincere hope that this
course will provide each participant with the skills and continuing education necessary to
remain a highly trained health care provider. This short refresher course will provide 20
contact hours for continuing education requirements. This manual is not a
comprehensive Arthritis information manual.
Arthritis is any of more than 100 different diseases causing pain, stiffness, and in most
cases, swelling in the joints. According to the National Arthritis Foundation, arthritis is the
number one cause of physical disability, affecting nearly 43 million Americans— 16
percent of the population of the United States. Arthritis affects people of both sexes and
of all races, socioeconomic levels, and geographic areas. Although most forms of
arthritis are more common in adults, about 300,000 children in the United States suffer
from some type of arthritis-related disease.
Our acupuncturist’s Continuing Education classes are offered to licensed acupuncturists
to provide required continuing education. This CEU course is also recommended for
beginning students, people skilled in other therapeutic disciplines (e.g., acupuncture,
physical therapy, etc), or Licensed Massage Therapists (LMTs) needing Continuing
Education Units (CEU) to complete state licensing or recertification requirements.
This course will provide 20 hours of continuing education or 20 DCA’s CEUs knowledge
base in systems pathology for the mastery of Arthritis for clinical competencies. Material
in this course will contribute to a student's ability to perform or understand:
Physical Examination and Application of Therapy of Arthritis and related diseases.
Diagnostic Studies of Arthritis and related diseases.
Diagnosis of Clinical Impression of Arthritis and related diseases.
Other Diseases covered:
Ankylosing Spondylitis
Avascular Necrosis (Osteonecrosis)
Fibromyalgia
Gout
Juvenile Systemic Lupus Erythematosus
(SLE)
Mixed Connective Tissue Disease
(MCTD)
Non-Inflammatory Disorders

Other Connective Tissue-Related
Diagnoses
Overlap Syndromes
Psoriatic Arthritis
Scleroderma
Spondyloarthropathy Syndromes
Vasculitis

CTM
This course will provide 20 hours of continuing education knowledge base or 20 DCA’s
CEUs in systems pathology for the mastery of acupuncture points for clinical
competencies. Material in this course will contribute to a student's ability to perform or
understand:
1. To provide continuing education training in Acupuncture formulas and acupuncture
points. Acupressure/acupuncture formulas use a combination of points along energy
meridians to treat different conditions.
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2. Diagnostic Studies of Lung, Large Intestine, Stomach, Spleen, Heart, Small Intestine,
Urinary Bladder, Kidney, Pericardium, Triple Warmer (aka Triple Heater), Gall Bladder,
and Liver.
3. A knowledge of the biomechanical aspects of the skeletal and muscular systems.
Accreditation Formula for Figuring CEU Credit
This course will provide 10 hours of continuing education knowledge. The following
information was used to tabulate the continuing education credit from taking this course.
The formula to determine average student time for accreditation purposes for intended
audiences is as follows.
1 page of text = 2 minutes of student time.
1 word quiz/exam question = 1.4 minutes of student time.
440 pages of text X 2 minutes of student time = 880 minutes
235 examination questions X 1.4 minutes of student time = 329 minutes.
This formula may not work for unintended audiences.
**CEU is awarded based on guidelines established by the International Association of
Continuing Education and Training (IACET).
Medical Department Mission Statement
Our mission is to present to the student a foundation in public health, communicable
disease, pathogenesis, immunology, mechanisms of pathological change, and pertinent
clinical presentation preparatory to further studies in diagnosis and other clinical
sciences. This syllabus reflects case study-oriented approaches to the presentation of
the course material, one that parallels standard approaches to teaching medicine.
Course Procedures for Registration and Support
All of Therapeutic Learning College’s CEU courses have complete registration and
support services offered. Delivery of services will include, e-mail, web site, telephone,
fax and mail support. TLC will attempt immediate and prompt service.
Instructions for Written Assignments
The Arthritis CEU Review Training course will have a multiple choice type of an exam.
TLC will require that the document is typed and preferably faxed back to TLC.
Feedback Mechanism (examination procedures)
Each student will receive a feedback form as part of their study packet. You will find this
form in the rear of the course or lesson.
Security and Integrity
All students are required to do their own work. All lesson sheets and final exams are not
returned to the student to discourage sharing of answers. Any fraud or deceit and the
student will forfeit all fees and the appropriate agency will be notified.
Required Texts
The Arthritis CEU Review Training course does not require any course materials. This
course is complete.

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Do not expect to receive a grade higher than that merited by your total points. ADA Compliance TLC will make reasonable accommodations for persons with documented disabilities.abctlc. Course Objective: This course will provide 20 hours of continuing education knowledge base in systems pathology for the mastery of Arthritis for clinical competencies. or fax to 928-468-0675.com . If your work is lost you can submit your copy for grading. or fax to 928-468-0675. independent work.com info@tlch2o. Note to students: Keep a copy of everything that you submit. plagiarism) can expect penalties as specified in the Student Handbook. The grading scale is administered equally to all students in the course. If you should need any assistance. Diagnostic Studies of Arthritis and related diseases. Material in this course will contribute to a student's ability to perform or understand: Physical Examination and Application of Therapy of Arthritis and related diseases.Recordkeeping and Reporting Practices TLC will keep all student records for a minimum of seven years. which is available through Student Services. Arthritis © 1/21/2009 TLC 9 www. Diagnosis of Clinical Impression of Arthritis and related diseases. Note to students: Final course grades are based on the total number of possible points. We expect every student to produce his/her original. No point adjustments will be made for class participation or other subjective factors. A score of 70% or better is necessary to pass this course. please contact your instructor. It is the student’s responsibility to give the completion certificate to the appropriate agencies. A score of 70% or better is necessary to pass this course. you must inform the instructor prior to submitting any of the assignments.com. contact them at (928) 468-0665. Continuing Education Units You will have 90 days from receipt of this manual to complete it in order to receive your Continuing Education Units (CEUs) or Professional Development Hours (PDHs). please email all concerns and the final test to info@tlch2o. Students should notify TLC and their instructors of any special needs. If you should need any assistance. You will have 90 days from receipt of this manual to complete it in order to receive your Continuing Education Units (CEUs) or Professional Development Hours (PDHs). Course content may vary from this outline to meet the needs of this particular group. If you desire a letter grade for this course. If you do not receive your graded assignment or quiz results within two or three weeks after submitting it. Any student whose work indicates a violation of the Academic Misconduct Policy (cheating.com. There are 100 total points possible for the course: This course will be graded on a "P" (credit) or "Z" (no credit) basis. please email all concerns and the final test to info@tlch2o.

WWW. To provide opportunities for TLC students to learn and practice healthcare related educational skills with members of the community for the purpose of sharing diverse perspectives and experience.com .COM Arthritis © 1/21/2009 TLC 10 www.ABCTLC.abctlc. To provide a forum for the collection and dissemination of current information related to healthcare.com info@tlch2o. To provide TLC students with opportunities to apply and understand the theory and skills needed for successful healthcare careers.Educational Mission The educational mission of TLC is: To provide TLC students with comprehensive and ongoing training in the theory and skills needed for the healthcare field. and to maintain an environment that nurtures academic and personal growth. Call us if you need any assistance or visit our web site. To provide a forum in which students can exchange experiences and ideas related to healthcare education.

abctlc.com info@tlch2o.Index Introduction Symptoms Understanding Pain Health Care Team Osteoarthritis Cartilage Osteoarthritis Treatment Surgery Self Management Weight Control Osteoarthritis Research Rheumatoid Arthritis Juvenile Rheumatoid JRA Symptoms Fibromyalgia Anti-Inflammatory Drugs Gout Section Related Diseases Psoriatic Symptoms Medications More Information Acupuncture Section Proportional Measures Moxibustion Pathways of Qi Qigong Meridians Causes of Diseases Formula Flows Acupuncture Key Fast Find Healing Points Glossary References Arthritis © 1/21/2009 TLC 13 14 15 21 23 29 33 37 43 45 47 53 57 59 69 73 75 81 83 95 105 116 118 122 126 150 158 209 217 345 367 381 385 403 11 www.com .

com info@tlch2o.com . Artist Credits Acupuncture meridian location illustrations are drawn by the famous cartoonist artist Jack White.Acupuncture points for the relief of Arthritis.abctlc. Arthritis © 1/21/2009 TLC 12 www.

com info@tlch2o. However. tendons.abctlc. Some rheumatic diseases are described as connective tissue diseases because they affect the supporting framework of the body and its internal organs. the word literally means joint inflammation. They especially affect joints. bones. Others are known as autoimmune diseases because they occur when the immune system.Introduction Rheumatic diseases are characterized by inflammation (signs are redness and/or heat.com . which normally protects the body from infection and disease. Throughout this book the terms "arthritis" and "rheumatic diseases" are sometimes used interchangeably. harms the body's own healthy tissues. There are more than 100 rheumatic diseases. and stiffness. The many different kinds of arthritis comprise just a portion of the rheumatic diseases. swelling. Some rheumatic diseases can also involve internal organs. Arthritis is the number 2 crippling disease of Americans. and muscles. ligaments. Many people use the word "arthritis" to refer to all rheumatic diseases. Common symptoms are pain. and pain) and loss of function of one or more connecting or supporting structures of the body. Heart disease is number 1. swelling. The approximate number of cases in the United States of some common forms of arthritis. Arthritis © 1/21/2009 TLC 13 www.

the doctor may ask many other questions. and what they were doing when the pain started. Some of the more common symptoms are listed in the box.com . Stiffness around the joints that lasts for at least 1 hour in the early morning. how long the pain lasts. Medical History It is vital for people with joint pain to give the doctor a complete medical history. Answers to the following questions will help the doctor make an accurate diagnosis: Is the pain in one or more joints? When does the pain occur? How long does the pain last? When did you first notice the pain? What were you doing when you first noticed the pain? Does activity make the pain better or worse? Have you had any illnesses or accidents that may account for the pain? Is there a family history of any arthritis or other rheumatic disease? What medicine(s) are you taking? Because rheumatic diseases are so diverse and sometimes involve several parts of the body. how it feels.What Are the Symptoms of Arthritis? Different types of arthritis have different symptoms. Common Symptoms of Arthritis Swelling in one or more joints. It may be helpful for people to keep a daily journal that describes the pain.com info@tlch2o. Warmth and redness in a joint. people who have arthritis feel pain and stiffness in the joints. Patients should write down what the affected joint looks like. Constant or recurring pain or tenderness in a joint. Early diagnosis and treatment help decrease further joint damage and help control symptoms of arthritis and many other rheumatic diseases.abctlc. Arthritis © 1/21/2009 TLC 14 www. In general. Difficulty using or moving a joint normally.

Each person needs a pain management plan. stress and depression that makes managing pain and arthritis seem more difficult. conduct a physical examination. Depression or stress. When the body is injured. The patient can get caught in a cycle of pain. and obtain laboratory tests and x-rays or other imaging tests. is different. like the kind that accompanies arthritis or fibromyalgia. Managing this type of pain is essential to enhance quality of life and sense of well-being. where they are recognized as pain. there are also different types of pain. A general practitioner or family doctor may be able to evaluate a patient or refer him or her to a rheumatologist (a doctor who specializes in treating arthritis and other rheumatic diseases). This type of pain helps protect you. Before learning different management techniques. The Purpose of Pain Pain is the body's alarm system that tells us something is wrong. One person’s pain may vary from day to day. Fatigue that results from the disease process.How Are Rheumatic Diseases Diagnosed? Diagnosing rheumatic diseases can be difficult because some symptoms and signs are common to many different diseases. because that will help determine treatment. the process that causes the redness and swelling in your joints. Damage to joint tissues. injury or pressure on the joints. which results from limited movement or no longer doing activities you enjoy. Not All Pain is Alike Just as there are different types of arthritis. You may need to try several different treatments for the patient before you find the one that works for them. however. For example. limited/lost abilities. which can make pain seem worse and harder to handle. which results from the disease process or from stress. Understanding Pain Dealing with pain can be the hardest part of having arthritis or a related condition.com . The doctor will review the patient's medical history. pain signals from your brain make you pull your hand away. nerves in the affected area release chemical signals. Other nerves send these signals to the brain. Pain often tells you that you need to act. While it tells you that something is wrong. it's important to understand some concepts about pain. The doctor may need to see the patient more than once to make an accurate diagnosis. but the patient can learn to manage it and its impact on their life. if you touch a hot stove. What works for one person may not work for someone else.abctlc. Arthritis © 1/21/2009 TLC 15 www. such as: Inflammation.com info@tlch2o. The first step is knowing which type of arthritis or condition the patient has. Long-lasting pain. Causes of Pain Arthritis pain is caused by several factors. it often isn't as easy to relieve.

Different Reactions to Pain People react differently to pain for several reasons. Physical factors include the sensitivity of the nervous system and the severity of the arthritis. Many people with arthritis have found that by learning and practicing pain management skills. attitude about the condition and the way people around the patient react to pain. they can reduce their pain.com .abctlc. previous experiences with pain. Arthritis © 1/21/2009 TLC 16 www. energy level.com info@tlch2o. Emotional and social factors include fears and anxieties about pain.

or moist heat. For example. the body tries to stop these signals by creating chemicals that help block pain signals. They are especially good for joint pain caused by a flare. The concern for his children has caused the natural release of endorphins. which block the pain signal and prevent him from noticing the pain. These chemicals. Cold packs numb the sore area and reduce inflammation and swelling. don't use cold or heat. Dry heat. can stimulate the body to either release endorphins or block pain signals in other ways. At times. such as warm baths or heated wash cloths.com info@tlch2o. a father who is driving his children is hurt in a car accident. He is so worried about his children that he doesn't feel the pain of his own broken arm. Different factors cause the body to produce endorphins. Arthritis © 1/21/2009 TLC 17 www. One example is thoughts and emotions. especially paraffin wax baths.Pain Factors What can make pain feel worse? Increased disease activity Stress Overdoing physical activity Focusing on pain Fatigue Anxiety Depression What can block pain signals? Positive attitude and pleasant thoughts Appropriate exercise Relaxation Medications Massage Distraction Topical pain relievers Humor Heat and cold treatments How the Body Controls Pain Pain signals travel through a system of nerves in the brain and spinal cord. Managing Pain Use Heat and Cold--Using heat and cold treatments can reduce the pain and stiffness of arthritis.abctlc. such as heating pads or heat lamps. Heat relaxes your muscles and stimulates blood circulation. If the patient has visible skin damage. Before using either treatment.com . Other external pain control methods. such as heat and cold treatments. Codeine is one example of a powerful pain-blocking medication. The body also produces endorphins in response to external factors. can be used. such as medicine. Use a towel to protect the patient’s skin from injury when you are treating an area where the bone is close to the skin's surface. called endorphins. be sure the skin is dry and free from cuts and sores. are morphine-like painkilling substances that decrease the pain sensation.

Get Enough Sleep--Sleep restores energy so that the patient can better manage pain. use lotion or oil to help your hands glide over your skin. suggest relaxing quietly in the afternoon rather than taking a nap. Avoid alcohol and caffeine. there may be some skin damage. When giving yourself a massage. always remove it before using a heat treatment to prevent burns. It is normal for skin to appear pink after using a cold or hot pack. Most people need seven to nine hours of sleep per night. Avoid taking sleeping pills unless your doctor recommends them. Listen to soothing music.com info@tlch2o. Gently move the joint to reduce stiffness. carefully dry the area and check for purplish-red skin or hives. which can help restore energy and spirits. Avoid technical information. However. Allow the skin to return to normal temperature and color before using heat or cold again. Also check the area for any swelling or discoloration. even on weekends. work-related material. Avoid exercise right before bedtime. The patient can massage his/her own muscles or you may recommend a professional who is trained to give massages. if an area appears dark red or spotty red and white. Arthritis © 1/21/2009 TLC 18 www. If you use menthol gel for massage. Read for pleasure. Give the patient the following guidelines if they will be doing self-massage: When doing self-massage. Consider Massage--Massage brings warmth and relaxation to the painful area. scary novels or other materials that can keep your mind from relaxing. How to Sleep Better Share the following guidelines with the patient: Do moderate exercise on a regular basis. suggest taking a brief nap (15 to 20 minutes).com . especially late in the day. If the patient complains of feeling tired and achy after lunch every day. make sure the massage therapist has experience working with people who have arthritis. be sure to speak with your doctor. It's especially important to get up at the same time every day.After using heat or cold. Only the individual knows how much sleep his body needs. which may indicate the treatment was too strong. Blisters may indicate the pack was too cold or hot. If the patient has trouble sleeping at night. If you are sleeping poorly. Establish a regular sleep schedule. stop if you feel any pain. If you have a professional massage. Don't massage a joint that is very swollen or painful. Take a warm bath before going to bed. Spend some quiet time by yourself before you go to bed.abctlc. It also rests joints to reduce pain and swelling. so he should get into the habit of listening to his body.

Pain and stress have similar effects on the body: muscles tighten. Make a tape recording of a soothing inspirational message or practice your own type of personal prayer. You might also want to make your own tape of your favorite relaxation routine. Create all the details . Relaxation audiotapes and videotapes can help guide the relaxation process. These images take the mind away from pain and focus it on something more pleasant.Practice Relaxation--People who are in pain experience both physical and emotional stress. People who find hypnosis helpful in relieving pain say it is both soothing and enjoyable. Arthritis © 1/21/2009 TLC 19 www. You can also learn self-hypnosis techniques that you can practice on your own. and heart rate and blood pressure go up. Hypnosis is a form of deep relaxation and guided imagery in which the attention is focused internally . safe and relaxed.abctlc. Think of a place where you feel comfortable.com info@tlch2o. Suggest that the patient try some of the following methods until they find ones that work: Guided imagery uses the mind to focus on pleasant images. begin by breathing slowly and deeply. First.the colors. Prayer is very relaxing and comforting for some people. as long as both body and mind are relaxed. sounds.com . Relaxation can help reverse these effects and give a sense of control and well-being that makes it easier to manage pain. counselor or social worker who is trained in hypnosis.away from your thoughts and anxieties. Relaxation involves learning ways to calm and control the body and mind. smells and feelings. These tapes provide directions for relaxation so you don't have to recall the instructions. breathing becomes fast and shallow. There is no best way to learn how to relax. Work with a professional psychologist.

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Medical doctors who specialize in treating arthritis and related conditions that affect joints. psychologists. a psychologist. Health professionals who teach ways to use a good diet to improve health and maintain a healthy weight. Doctors who treat patients before they are referred to other specialists in the health care system. and other needs resulting from their medical conditions. a counselor. including physicians. Professionals who assist patients with social challenges caused by disability. This group of professionals is coordinated by the primary care physician and may include: a nurse. minimize pain. muscles.Health-Care Team Health Professionals Who Treat Arthritis Many types of health professionals care for people with arthritis: Primary care physicians.com info@tlch2o. Physical therapists. Rheumatologists. Pain Clinics These clinics are staffed by several different health professionals. Health professionals who help patients cope with difficulties in the home and workplace resulting from their medical conditions. Health-care professionals are trained to help with pain management techniques and they may be able to recommend helpful services. Psychologists. Arthritis © 1/21/2009 TLC 21 www.abctlc. Social workers. and conserve energy. Orthopaedists. physical and occupational therapists. Health professionals who reduce pain and improve physical functioning by inserting fine needles into the skin at various points on the body. and bones. Health professionals who work with patients to improve joint function. Nurse educators. Physiatrists (rehabilitation specialists). Health professionals who teach ways to protect joints. They may be located in a hospital or may operate independently. Doctors who help patients make the most of their physical potential. unemployment.com . a pharmacist. an occupational or physical therapist. The patient should talk to their health-care team about ways to manage pain. Licensed acupuncture therapists. financial hardships. Dietitians. Nurses who specialize in helping patients understand their overall condition and implement their treatment plans. home health care. Doctors who specialize in treatment of and surgery for bone and joint diseases. exercise physiologists and nurses. an exercise physiologist. a social worker. Occupational therapists.

They believe that other people may think less of them if they talk to a psychiatrist or counselor about their problems. depression. A support group helps patients realize they're not alone and it can give them new ideas for coping with problems.com info@tlch2o. crying.may lead to feelings of anxiety. Some people are afraid to admit that they need help.abctlc. If the patient has symptoms of depression .Professional Counselors Any major disturbance in lifestyle . changes in appetite.such as illness. In these cases. The reality is some of these health professionals are specially trained to work with the emotional side of chronic health problems like arthritis and related conditions. It also can help them feel good about themselves because they'll be helping others in the group. Some people feel so bad that they cannot sleep or e at. counseling or medication may help. Support Groups Sharing feelings and experiences with a group can make living with the various types of arthritis easier. It's smart to get help when you need it.help them find the right health-care professional.poor sleep. anger or hopelessness. Many people become depressed when they have severe pain. Arthritis © 1/21/2009 TLC 22 www.com . They also can teach ways to reduce pain by managing pain. therapy. sad thoughts . chronic pain. Most of the general information contained in the course is credited to National Institute of Health. family problems or increased dependence on others .

It also absorbs energy from the shock of physical movement. but for our purposes. It begins at a younger age than osteoarthritis. feet. OA can affect any joint. Also. Bits of bone or cartilage can break off and float inside the joint space. Osteoarthritis is a joint disease that mostly affects the cartilage. osteoarthritis affects only joints. weight-bearing joints such as the hips and knees. Despite the longevity and frequency of the disease. OA is a chronic condition characterized by the breakdown of the joint’s cartilage. injury or overuse and genetics. stiffness. Unlike some other forms of arthritis. and sometimes the formation of bone growths. It is thought that osteoarthritis dates back to ancient humans. Healthy cartilage allows bones to glide over one another. Many researchers believe that OA is in part hereditary. not internal organs. and in large. we will refer to all of these as osteoarthritis. Over time. This causes more pain and damage. including degenerative joint disease. it can also be caused or exacerbated by a number of other problems. Known as the “wear-and-tear” kind of arthritis. but it is most common in the hands. Your doctor might choose to use one of these terms to better describe what is happening in your body. Although OA is often attributed to general wear and tear associated with aging. including age. and may be due to genetic abnormalities in the cells that produce cartilage.abctlc. Your OA could be caused by any one or by a combination of any of these factors. result. causing stiffness. For example. Pain. injury. The disease is most prevalent in people aged 55 and older. many different factors may play a role in whether or not you get OA. Evidence of osteoarthritis has been found in ice-aged skeletons. the joint may lose its normal shape. causes swelling and redness in joints. and loss of motion of the joint. Cartilage is the part of the joint that cushions the ends of the bones and allows easy movement of joints. In osteoarthritis. ostoarthrosis. People with osteoarthritis usually have joint pain and limited movement. In OA. the cause is still not completely known and there is no cure. or repeated joint stress. including obesity.com info@tlch2o. obesity.Examples of Rheumatic Diseases Osteoarthritis Section Osteoarthritis (OS-tee-oh-are-THRY-tis) (OA) is one of the oldest and most common forms of arthritis. called spurs. hypertrophic arthritis and degenerative arthritis. the cartilage cushion in the joints breaks down. rheumatoid arthritis--the second most common form of arthritis--affects other parts of the body besides the joints. bone spurs--small growths called osteophytes--may grow on the edges of the joint. In fact. swelling. Cartilage is the slippery tissue that covers the ends of bones in a joint. the surface layer of cartilage breaks down and wears away. causing pain. This allows bones under the cartilage to rub together. 80 percent of whom are women. Osteoarthritis is known by many different names. and may make people feel sick. spine. pain and loss of movement in the joint.com . and (uncommonly) feverish. Arthritis © 1/21/2009 TLC 23 www. causing the bones to rub together. The breakdown of cartilage causes the bones to rub against each other. OA affects about 28 million Americans. tired.

while the knuckles. Some people’s OA will never progress past this early stage. In some people. it is more common in women. How Does Osteoarthritis Affect People? Osteoarthritis affects each person differently. MD. The most common signs and symptoms of osteoarthritis are: Joint soreness after periods of overuse or inactivity. we will discuss the general symptoms you want to look for if you suspect arthritis. wrists elbows.” notes David S. The knees.com info@tlch2o. Remember. Most often. including being overweight. climb stairs or sleep. Before age 45. “If OA was caused by simple wear and tear. it is crucial that the doctor makes a firm diagnosis before treating your OA. shoulders and ankles are rarely affected except in usually cases of overuse or injury. In fact.abctlc. Pisetsky. It may start as soreness or stiffness that seems more a nuisance than a medical concern. Rarely. this isn’t true. OA develops gradually. Pain may be moderate. Scientists do not yet know what causes the disease. in others. Deterioration of coordination. more than half of the population age 65 or older would show x-ray evidence of osteoarthritis in at least one joint. Others will have their OA progress to a point where it interferes with daily activities and pain and stiffness make it difficult to walk. but they suspect a combination of factors. posture and walking due to pain and stiffness. Pain caused by the weakening of muscles surrounding the joint due to inactivity. joint injury. Stiffness after periods of rest that goes away quickly when activity resumes. the patient may experience: Pain in groin. Morning stiffness. in his book The Duke University Medical Center Book of Arthritis. inner thigh and buttock Referred pain in knee and side of thigh Limping when walking Arthritis © 1/21/2009 TLC 24 www. but are treated in different ways. intermittent and not interfere with your day-to-day existence. 20 percent of Americans--about 70 million people--will have passed their 65th birthday and will be at risk for osteoarthritis. While each person is an individual and may be affected differently by osteoarthritis. it progresses quickly. If OA is in the hips. neck and lower back are most commonly affected by OA. a person with OA will experience sudden signs of inflammation such as redness. known as inflammatory or erosive osteoarthritis. the aging process. hips. whereas after age 45. By 2030. While many people think of OA as the inevitable result of aging and wear on the joints. Some younger people get osteoarthritis from joint injuries. but osteoarthritis most often occurs in older people. pain and swelling. More than 20 million people in the United States have the disease. you would expect these body parts to be affected more often. Both men and women have the disease. Several other conditions seem similar to OA. more men than women have osteoarthritis. and stresses on the joints from certain jobs and sports activities. Joint pain is usually less in the morning and worse in the evening after a day’s activity. which usually lasts no more than 30 minutes.com . fingers. the symptoms are more serious.Who Has Osteoarthritis? Osteoarthritis is one of the most frequent causes of physical disability among adults.

If OA is in the feet. the patient may experience: A breakdown of the spinal discs resulting in bony overgrowth Stiffness and pain in the neck and lower back Pressure on the nerves in the spinal cord (pinched nerves) Pain in the neck.If OA is in the knees. arm.abctlc. especially early on when the nodes are forming Enlarged joints Difficulty with pinching movements. tenderness and swelling in the affected joints. Arthritis © 1/21/2009 TLC 25 www. Redness. the patient may experience: Pain when moving the knee Grating or catching when moving the knee Pain when walking up and down stairs or getting up from a chair Pain that prevents the patient from exercising their leg Weakened large thigh muscles If OA is in the fingers.com info@tlch2o. or at the middle joint. lower back and legs Weakness or numbness in arms and legs due to pinched nerves result in inflammation. Osteoarthritis hurts people in more than their joints: their finances and lifestyles also are affected. the patient may experience: Pain and swelling of the finger joints Bony growth spurs at the joint at the end of the finger. the patient may experience: Pain and tenderness in the large joint at the base of the big toe Pain when wearing tight shoes or high heels If OA is in the spine. such as picking an item up from a table or grasping a pencil or pen. shoulder. called Heberden’s nodes.com . called Bouchard’s nodes.

it is because there is an apparent cause for the disease. to develop near the ends of bones Mean the joint fluid doesn’t have enough hyaluronan. develop near the end of the bone at the affected joint. most people with osteoarthritis can lead active and productive lives. the breakdown of cartilage can be associated to injury. Arthritis © 1/21/2009 TLC 26 www. Bits of bone or cartilage float loosely in the joint space. the more likely that they will have some degree of primary arthritis. Primary osteoarthritis is the type associated with aging and is thought of as “wear and tear” osteoarthritis. The older a patient is. Cause fragments of bone and cartilage to float in joint fluid. stiffness and use limitations.abctlc.Financial effects include The cost of treatment Wages lost due to disability. when someone is diagnosed with secondary osteoarthritis. Despite these challenges. obesity or something else. The bone thickens and cysts may occur under the cartilage. such as the following: Pain relief medications Rest and exercise Patient education and support programs Learning self-care and having a "good-health attitude. This can mean that the patients limp when they walk or have trouble going up and down stairs. called spurs or osteophytes. heredity. causing irritation and pain. Deterioration of cartilage can: Affect the shape and makeup of the joint so it doesn’t function smoothly. Wear of cartilage causes changes to underlying bone. There is no apparent cause for this type of osteoarthritis. if we live long enough. Bony growths. which affects the joint’s ability to absorb shock. In contrast. or the synovium. called osteophytes. even if it is just a touch. The joint lining.com . Changes in the cartilage and bones of the joint can lead to pain. Lifestyle effects include Depression Anxiety Feelings of helplessness Limitations on daily activities Job limitations Trouble participating in everyday personal and family joys and responsibilities." There are several stages of osteoarthritis: Cartilage loses elasticity and is more easily damaged by injury or use. They succeed by using osteoarthritis treatment strategies. In fact. most of us will experience primary osteoarthritis. Cause bony spurs. becomes inflamed due to cartilage breakdown causing cytokines (inflammation proteins) and enzymes that damage cartilage further.com info@tlch2o. There are two distinct types of osteoarthritis – primary and secondary. In other words.

• Obesity. Obesity is a nationwide epidemic and we hear about the danger from it everyday on the news. the more they have used their joints. it doesn’t mean that OA is inevitable. particularly in the knees. plays a big role in determining if they will have OA. Also. There are even steps that can be taken to lower a patient’s risk for developing OA at all. The most important thing you can do if it is suspected that a patient has any form of arthritis is to make a complete diagnosis and begin early. • Muscle Weakness. OA also develops in later years in joints where bones have been fractured or surgery has occurred. Since “wear and tear” does play a part in the development of OA. particularly in the hands. Although age is an important risk factor. that have different treatment plans. Incidences of OA increase as people age. • Injury or Overuse. Regular moderate exercise strengthens the joint causing it to be more stable. Acromegaly. particularly in middle age. such as landscaping. It is becoming more and more clear that genetics plays a role in the development of OA. add 3 pounds of pressure on the knees and six times the pressure on the hips. There are several other conditions that are similar to OA. or excess growth hormone.abctlc. This shows itself in many ways. also has adverse affects on the bones and joints and can lead to OA. • Age. reducing the risk of OA in that joint. hemochromotosis. can damage cartilage to the point of chronic deterioration. Treatment may change as the disease progresses or improves. It is important that people take an active role in the treatment of OA and in prevention of additional joint damage. Note: Avoiding repetitive movement shouldn’t be interpreted as not exercising. Just because people have one of these inherited traits. a bowlegged person is more likely to develop OA. It is important for athletes to learn to take precautions to avoid injury and for people in repetitive jobs to modify their movements to lessen this stress. People with rheumatoid arthritis tend to have a greater chance of developing OA. Arthritis © 1/21/2009 TLC 27 www. have a higher risk of developing OA due to injury and increase stress on certain joints.Listed below are the risk factors for osteoarthritis. It is important that the patient is being treated properly for arthritis. Increased body weight is a serious factor in the development of OA. or having too much iron. but that strengthening exercises for thigh muscles are important in reducing the risk. researchers have been looking at a defect in the gene responsible for manufacturing cartilage as a risk factor. It is also more common in joints that don’t fit together smoothly. Recently. the weight gain the decade before a person has OA symptoms. It just means that the doctor should check more closely and more frequently for signs and symptoms of the disease. For example. the older someone is. thereby.com . • Other Diseases and Types of Arthritis. Increased laxity or being double jointed also increases the risk of OA. Studies of the knee muscles not only show that weakness of the muscles surrounding the knee can lead to OA. Athletes and people who have jobs that require doing repetitive motion. which carry the brunt of weight day in and day out. aggressive treatment. • Genetics or Heredity. typing or machine operating. Inherited abnormalities of the bones that affect the shape or stability of the joints can lead to OA. Since weight gain gradually increases the stress on joints. doesn’t mean that they are going to develop OA. including rheumatoid arthritis. For every pound a person gains.com info@tlch2o.

Synovium (sin-O-vee-um): a thin membrane inside the joint capsule.Osteoarthritis Basics: The Joint and Its Parts Most joints--the place where two moving bones come together--are designed to allow smooth movement between the bones and to absorb shock from movements like walking or repetitive movements. Ligaments are tough. Ligaments.com .com info@tlch2o. Cartilage.abctlc. Joint capsule: a tough membrane sac that holds all the bones and other joint parts together. The joint is made up of: Cartilage: a hard but slippery coating on the end of each bone. Synovial fluid: a fluid that lubricates the joint and keeps the cartilage smooth and healthy. fibrous cords that connect muscles to bones. Muscles are bundles of specialized cells that contract to produce movement when stimulated by nerves. is described in more detail below. Tendons are tough. which breaks down and wears away in osteoarthritis. and muscles: tissues that keep the bones stable and allow the joint to bend and move. tendons. Arthritis © 1/21/2009 TLC 28 www. cord-like tissues that connect one bone to another.

joints may ache after physical work or exercise. Chondrocytes (KAHN-druh-sytz): cells that are found all through the cartilage. Collagen (KAHL-uh-jen): a fibrous protein. swollen. Some people feel better when they sleep on a firm mattress or sit using back support pillows. such as canes or walkers. If not treated. Researchers are trying to learn more about chondrocytes. This can make daily activities. and severe disability. Knees: The knees are the body's primary weight-bearing joints. medication. making it hard to walk. or heat treatment. The base of the thumb joint also is commonly affected by osteoarthritis. and exercise can help relieve pain and improve motion. knee replacement surgery may be helpful. Hands: Osteoarthritis of the fingers is one type of osteoarthritis that seems to have some hereditary characteristics.How Do You Know if A Patient Has Osteoarthritis? Usually. People may feel the pain in their hips. knees. proteoglycans. Others find it helps to use heat treatments or to follow an exercise program that strengthens the Arthritis © 1/21/2009 TLC 29 www. Collagen is also the building block of skin. a challenge.com info@tlch2o. Three other components make up the rest of cartilage tissue: collagen. buttocks. and other connective tissues. For this reason.abctlc. In osteoarthritis. osteoarthritis in the knees can lead to disability. Similar knobs. They are called Heberden's (HEB-err-denz) nodes. called Bouchard's (boo-SHARDZ) nodes. Cartilage: The Key to Healthy Joints Cartilage is 65 to 80 percent water. This allows cartilage to flex and absorb physical shock. In severe cases.com . Fingers can become enlarged and gnarled. weight loss. Osteoarthritis in the hip may limit moving and bending. however. Hips: Osteoarthritis in the hip can cause pain. or in their groin. splints. Weakness or numbness of the arms or legs also can result. More women than men have it. or knees. They may be stiff. Hip replacement may be necessary if the pain is severe and not relieved by other methods. osteoarthritis comes on slowly. and get in and out of chairs and bathtubs. inner thigh. and chondrocytes. Strands of proteoglycans and collagen weave together and form a mesh-like tissue. they release substances called enzymes that destroy collagen and other proteins. and they develop it especially after menopause. stiffness. bony knobs appear on the end joints of the fingers. and painful. they are among the joints most commonly affected by osteoarthritis. can appear on the middle joints of the fingers. They mainly help cartilage stay healthy and grow. can reduce stress on the hip. bone. that is. Walking aids. Osteoarthritis can occur in any joint. Spine: Stiffness and pain in the neck or in the lower back can result from osteoarthritis of the spine. and they may ache or be stiff and numb. and walking aids can reduce pain and disability. Proteoglycans (PRO-tee-uh-GLY-kanz): a combination of proteins and sugars. such as dressing and foot care. Sometimes. Walking aids. Osteoarthritis of the hands can be helped by medications. small. tendon. hips. climb. exercise. it runs in families. Most often it occurs at the hands. or spine. Early in the disease. Medications.

or pronated feet (feet that turn toward the inside of the arch.” Feet also change size from fluid retention. As the condition progresses. and by the time we’re 50. of the toes) or neuromas (an irritated nerve often between the third and fourth toes). and the shock absorbers simply don’t work as well as they used to.000 pounds of stress bears down on them.000 miles. If they already have arthritis. Joints inflamed and distorted by arthritis find no comfort from a day’s pounding in ill-fitting shoes or from feet whose padding has grown thin. In fact. MD. Problems can crop up like bunions (an enlargement of the bone and tissue around the joint of the big toe). Around the mid-40s.abctlc.-based podiatrist Arnold Ravick. that’s what the anatomy of your heel looks like. Once there’s enough damage to initiate inflammation. Years of wearing the wrong shoes also take their toll. so to speak. “But it’s not arthritis until the irritation changes the joint tissues. feet are in their face.back and abdominal muscles. loosening ligaments and the flattening effects of gravity and weight. and they’re much more likely to develop osteoarthritis (OA) in the feet. Without those pillows. and assistant clinical professor at the University of California in San Francisco. “Feet degenerate like tires on cars.com info@tlch2o. muscles weaken and skin thins.” says Sharon Feldmann. bony spurs form around joints and limit movement. for example.” explains Glenn Pfeffer. are a leading cause of inactivity and disability in the United States.” says Washington. joints creak and joint tissues stiffen.C. Heredity pops up as well – a predisposition to flattened arches. not just a painful one. honeycomb-shaped sacs filled with fat. it’s crucial. placing abnormal stress on the foot muscles). Feet age as the rest of our body does. “Each sac is a beautifully constructed pillow made to decrease the stress walking puts on our bodies. Experts say orthopaedic disorders. then you have an arthritic foot. it can begin to feel like you’re walking on pebbles. and you have a double whammy. In severe cases.com . Despite the central role feet play in our lives. Feet: Feet are the “whipping boys” of the body. a spokesperson for the American Podiatric Association. D.” Patients begin to lose flexibility and elasticity. hammertoes (a buckling. most of us ignore them. more surveillance and care taking of feet and joints not only make sense. 200. That’s a lot of action for two narrow islands of 26 bones and more than 30 joints. including foot problems. “You can have a painful foot from wearing high heels or running too much. With every mile we walk. a physical therapist and orthopaedic specialist at the Arthritis Center of the Rehabilitation Institute of Chicago. an orthopaedic surgeon specializing in feet and ankles. Feet begin to lose their once-plump cushion. As people enter their fifth and sixth decades. Neglect foot problems.000 to 300. our feet spread out. “If you think of a honeycomb. almost half of people in their 60s and 70s have arthritis affecting the foot or ankle. or contraction. Add arthritis. If people pay attention to their feet. most of us have walked 75.” Arthritis © 1/21/2009 TLC 30 www. surgery may be suggested to reduce pain and help restore function. they can head off potential problems. “Just like the rest of our body.

a physical therapist who works in the arthritis program at the Schwab Rehabilitation Hospital in Chicago. x-rays may not show early osteoarthritis damage. If you move one block. which may result in deterioration of joint surfaces. which can degenerate the outside of the knee joint. and how they have changed over time. Other tests: Order blood tests to rule out other causes of symptoms. Arthritis © 1/21/2009 TLC 31 www. you put more weight on one leg than the other. Finally. And if stress is abnormal. When the foot isn’t aligned.abctlc. But there often is a big difference between the severity of osteoarthritis as shown by the xray and the degree of pain and disability felt by the patient. It is also important to know how the condition affects the patient's work and daily life.” says Anastasia Willis. or arthritis. knees. It’s almost as if your body is a tower of stacked blocks. joint difficulties worsen. they also change the way they turn their ankles. cartilage in the ankle degenerates. or tender? Probably not osteoarthritis. How Do Doctors Diagnose Osteoarthritis? No single test can diagnose osteoarthritis. hips and spine. Physical examination: Check the patient's general health. “If you pronate (tilt your foot to the inside). and joint function.com info@tlch2o. A better assessment can be given if the patient gives a good description of pain.Another problem is that pain – whether it’s from arthritis or other foot problems – changes the way people walk. Pain? Not always.” If you already have arthritis. X-rays: Take x-rays to see how much joint damage has been done. Also.” “You’re caught in a vicious cycle. Also observe the patient's ability to walk. “Then you have more stress on the other foot. you also need to know about other medical conditions and whether the patient is taking any medicines. X-rays of the affected joint can show such things as cartilage loss.com . and when and how the condition started. “If you have a limp. forcing the knee to turn in and then you have a non-alignment of the knee.” Feldmann agrees. In fact. red. Joints bothering the patient should be examined. That causes stress on the knee joint. which involves drawing fluid from the joint for examination. Good doctor-patient communication is important. and bone spurs. bend. The Warning Signs of Osteoarthritis • Steady or intermittent pain in a joint • Stiffness in a joint after getting out of bed or sitting for a long time • Swelling or tenderness in one or more joints • A crunching feeling or the sound of bone rubbing on bone • Hot. pelvis or lower back is stressed. it leads to problems in those joints. A combination of the following methods are used to diagnose the disease and rule out other conditions: Clinical history: Ask the patient to describe the symptoms. stiffness. further wearing out the cartilage. hip. and carry out activities of daily living. bone damage. only a third of people whose x rays show evidence of osteoarthritis report pain or other symptoms. before much cartilage loss has taken place. including reflexes and muscle strength. it affects everything – the way the knee. all the other blocks have to shift so the tower doesn’t fall. Another common test is called joint aspiration. for instance. And once someone changes the way they use their feet. causing you to pronate more.

It is more difficult to tell if the disease is causing the patient's symptoms. Try to find out what is causing the symptoms by ruling out other disorders and identifying conditions that may make the symptoms worse.abctlc. Osteoarthritis is so common--especially in older people--that symptoms seemingly caused by the disease actually may be due to other medical conditions. It occurs when the body’s immune system attacks itself.com . Arthritis © 1/21/2009 TLC 32 www. Rheumatoid Arthritis: This is an autoimmune form of arthritis. This form of arthritis causes joint damage.It usually is not difficult to tell if a patient has osteoarthritis.com info@tlch2o.

inexpensive devices that add resistance. which prevents pain caused by overexertion.com info@tlch2o. Rest and joint care: Treatment plans include regularly scheduled rest. increase flexibility. and promote general physical fitness. medicines. extend range of movement. Neck and back strength exercises: These can help keep the spine strong and limber. and health. and whether a joint replacement has already been done. An occupational therapist or a doctor can help the patient get a properly fitting splint.How Is Osteoarthritis Treated? Most successful treatment programs involve a combination of treatments tailored to the patient's needs. Exercise: Research shows that exercise is one of the best treatments for osteoarthritis. if done correctly. and know when to stop or slow down. Such plans can involve exercise. and reduce weight. decrease pain. surgery. how stable the joints are. rest and joint care. maintain weight. lifestyle. Aerobic activities: These keep lungs and circulation systems in shape. On the Move: Fighting Osteoarthritis With Exercise The patient should use exercises to keep strong and limber. weight control. Osteoarthritis treatment has four general goals: Improve joint care through rest and exercise. Some patients find that relaxation techniques. Some different types of exercise include the following: Strength exercises: These can be performed with exercise bands. Some use canes and splints to protect joints and take pressure off them. The amount and form of exercise will depend on which joints are involved. Exercise is also inexpensive and. Exercise can improve mood and outlook. Arthritis © 1/21/2009 TLC 33 www. Patients must learn to recognize the body's signals. stress reduction. Splints should be used only for limited periods because joints and muscles need to be exercised to prevent stiffness and weakness. has few negative side effects. Range of motion activities: These keep joints limber.abctlc. Splints or braces provide extra support for weakened joints. Treatment Approaches to Osteoarthritis Exercise Weight control Rest and joint care Pain relief techniques Medicines Alternative therapies Surgery Osteoarthritis treatment plans often include ways to manage pain and improve function. pain relief. Control pain with medicine and other measures. and biofeedback help. and nontraditional treatment approaches.com . Agility exercises: These can help maintain daily living skills. improve the heart and blood flow. Achieve a healthy lifestyle. They also keep the joint in proper position during sleep or activity. Maintain an acceptable body weight.

A healthy diet and regular exercise help reduce weight. Motrin IB. However. Check with a doctor or physical therapist to find out if heat or cold is the best treatment. Arthritis © 1/21/2009 TLC 34 www. Water therapy in a heated pool or whirlpool also may relieve pain and stiffness. Medicines: Doctors prescribe medicines to eliminate or reduce pain and to improve functioning. For osteoarthritis in the knee. Weight control: Osteoarthritis patients who are overweight or obese need to lose weight. cold packs (a bag of ice or frozen vegetables wrapped in a towel) can relieve pain or numb the sore area. Their inclusion does not mean they are endorsed by Therapeutic Learning College or any other agency. ketoprofen). Weight loss can reduce stress on weight-bearing joints and limit further injury. and each has a slightly different effect on the body. ™ Note: Brand names are provided as examples only. Advil. patients may wear insoles or cushioned shoes to redistribute weight and reduce joint stress. Patients must use medicines carefully and tell their doctors about any changes that occur. Research has shown that acetaminophen relieves pain as effectively as NSAIDs for many patients with osteoarthritis. The following types of medicines are commonly used in treating osteoarthritis: • Acetaminophen: Acetaminophen is a pain reliever (for example. people who drink alcohol heavily. Aleve. In some cases.thinning medicines or NSAIDs should use acetaminophen with caution. Others require a prescription. Also. A dietitian can help patients develop healthy eating habits. Warning: People with liver disease. Warm towels. aspirin. or a warm bath or shower to apply moist heat to the joint can relieve pain and stiffness. • NSAIDs (nonsteroidal anti-inflammatory drugs): Many NSAIDs are used to treat osteoarthritis.com .Nondrug pain relief: People with osteoarthritis may find nondrug ways to relieve pain. Two important factors are the intensity of the pain and the potential side effects of the medicine. each NSAID is a different chemical. this does not mean or imply that the product is unsatisfactory. Tylenol*) that does not reduce swelling.abctlc. if a certain brand name is not mentioned. Doctors consider a number of factors when choosing medicines for their patients with osteoarthritis. Patients can buy some over the counter (for example. hot packs. Acetaminophen does not irritate the stomach and is less likely than nonsteroidal anti-inflammatory drugs (NSAIDs) to cause long-term side effects. All NSAIDs work similarly: they fight inflammation and relieve pain.com info@tlch2o. and those taking blood.

powerful anti-inflammatory hormones made naturally in the body or manmade for use as medicine. which are applied directly to the skin. The longer a person uses NSAIDs. used to treat osteoarthritis of the knee. ranging from mild to serious. and rofecoxib (Vioxx)--from a class of drugs known as COX-2 inhibitors are now being used to treat osteoarthritis. Even nonprescription drugs should be checked.abctlc. such as people with a history of peptic ulcers or digestive tract bleeding. Oral corticosteroids should not be used to treat osteoarthritis. This is a short-term measure. Hyaluronic acid. celecoxib (Celebrex). bleeding. a medicine for joint injection. but they are not always completely effective. and caffeine. These medicines reduce inflammation similarly to traditional NSAIDs. less often. including the following: Topical pain-relieving creams. Corticosteroids. NSAIDs sometimes are associated with serious gastrointestinal problems. Several groups of patients are at high risk for side effects from NSAIDs. Some patients may be able to help reduce side effects by taking some medicines with food. the more likely he or she is to have side effects.com . they can affect kidney function. Other medications: Doctors may prescribe several other medicines for osteoarthritis. However. COX-2 inhibitors: Several new NSAIDs--valdecoxib (Bextra). so it is important for people to learn about the medicines they take. This substance is a normal component of the joint. and sprays (for example. Some patients try to protect their stomachs by taking other medicines that coat the stomach or block stomach acids. rubs. Also. generally not recommended for more than two or three treatments per year. but they cause fewer gastrointestinal side effects. capsaicin cream). Corticosteroids may be injected into the affected joints to temporarily relieve pain. Others should avoid stomach irritants such as alcohol. and people who consume alcohol. which--although very effective--may be addictive and are not commonly used. smokers. Questions To Ask Your Doctor or Pharmacist About Medicines How often should I take this medicine? Should I take this medicine with food or between meals? What side effects can I expect? Should I take this medicine with the other prescription medicines I take? Should I take this medicine with the over-the-counter medicines I take? Arthritis © 1/21/2009 TLC 35 www. Most medicines used to treat osteoarthritis have side effects. and perforation of the stomach or intestine. involved in joint lubrication and nutrition. tobacco. These measures help.com info@tlch2o. including ulcers. Many other drugs cannot be taken when a patient is being treated with NSAIDs because NSAIDs alter the way the body uses or eliminates these other drugs. these medications occasionally are associated with harmful reactions ranging from mild to severe.Side effects: NSAIDs can cause stomach irritation or. people taking oral corticosteroids or anticoagulants (blood thinners). People over age 65 and those with any history of ulcers or gastrointestinal bleeding should use NSAIDs with caution. Mild narcotic painkillers.

com info@tlch2o.abctlc.com .Arthritis © 1/21/2009 TLC 36 www.

A physical or occupational therapist can give more good recommendations on protecting joints. surgery helps relieve the pain and disability of osteoarthritis.Physical and Occupational Therapy May be treated by the primary care physician or the patient may be referred to a rheumatologist (an arthritis specialist) or an orthropaedic surgeon. Occupational therapy focuses on helping manage daily activities. About 10 percent of artificial joints may need revision. They can be joined to bone surfaces by special cements. and can move more easily. Surgery may be performed to Remove loose pieces of bone and cartilage from the joint if they are causing mechanical symptoms of buckling or locking Resurface (smooth out) bones Reposition bones Replace joints. the patient usually feels less pain and swelling. the interference with the patient's lifestyle. the surgeon inserts a very thin tube with a light at the end into the joint through a small incision. and occupation. sex. The decision to use surgery depends on several things. age. These joints can be made from metal alloys. The physical therapist will work with the patient on a specific exercise program and other pain management techniques. Physical therapy works on strengthening muscles and improving flexibility and joint mobility.In this procedure.abctlc. If they are having trouble with these types of tasks. dressing and walking. Artificial joints can last 10 to 15 years or longer. It is connected to a closed-circuit television and allows the surgeon to see the extent of the damage in the joint. There are several different types of joint surgery. Arthroscopic Surgery .com . and other medical conditions. more than 80 percent of osteoarthritis surgery cases involve replacing the hip or knee joint. Sometimes OA can affect the patient’s ability to do everyday tasks such as bathing. Below are the ones most commonly done on people with osteoarthritis. Arthritis © 1/21/2009 TLC 37 www. the patient's age. you may prescribe physical or occupational therapy.com info@tlch2o. They also know which products can help complete tasks more comfortably. They also may show how to use splints and braces to stabilize joints and reduce pain. the intensity of pain. activity level. Surgery For many people. Both the surgeon and the patient consider the patient's level of disability. Currently. Surgeons may replace affected joints with artificial joints called prostheses. An occupational therapist will show the patient ways to perform tasks without putting damaging stress on joints. Surgeons choose the design and components of prostheses according to their patient's weight. high-density plastic and ceramic material. After surgery and rehabilitation.

This procedure is usually recommended for people over 50 or who have severe disease progression. not generally used in hospitals. it often refers to medical practices or remedies to be used in place of mainstream Western medicine.” since they are outside of mainstream Western medicine. Complementary medicine better describes the approach to unconventional therapies.” this procedure is used to increase stability by redistributing the weight on the joint. It is still the term most commonly used today. repair tears. joint replacement surgery involves the removal of the joint. was used for all unconventional therapies. Osteotomy . resurfacing and relining of the ends of bones and replacing the joint with a man-made component. How Many Treatments do I Need? The number of acupuncture treatments you need depends on the complexity of the illness. We will use the term complementary medicine throughout this section.com info@tlch2o.Literally meaning. Complementary therapies are used along with or in support of mainstream Western medicine. remove loose cartilage. We believe this approach is too narrow. These therapies are also often called “unconventional therapies. until recently. whether it's a chronic or recent condition. It is most commonly performed on the knee and shoulder. who are too young for a total joint replacement. because it doesn't take advantage of the proven benefits of conventional medicine. smooth a rough surface or remove diseased synovial tissue. The National Institutes of Health says it generally is defined in the United States as those treatments and health-care practices that are not taught widely in medical schools. Most often these therapies have not undergone rigorous scientific analysis. or of so-called “natural healing therapies” instead of prescription drugs.Once there. such as exclusive use of herbs. and the patient’s general health.com .This is the surgical reconstruction or replacement of a joint. Typically a new joint will last between 20 and 30 years. and not usually reimbursed by medical insurance companies. while a longArthritis © 1/21/2009 TLC 38 www. Osteotomy is useful in people with unilateral hip or knee osteoarthritis (involvement in only one joint). Joint Replacement Surgery or Arthroplasty . However. Nontraditional Approaches: Among the complementary medicine used to treat osteoarthritis are the following: Acupuncture: Some people have found pain relief using acupuncture (the use of fine needles inserted at specific points on the skin).abctlc. because any treatments a patient tries should be used along with conventional medical treatments. approaches and therapies. the doctor can take tissue samples. Successfully used to help people who otherwise might be in a wheelchair. Preliminary research shows that acupuncture may be a useful component in an osteoarthritis treatment plan for some patients. Alternative medicine is a term that. For example. a patient may need only one treatment for a recent wrist sprain. Complementary Medicine The phrase “alternative and complementary medicine” covers a broad range of healing philosophies. “to cut bone.

The needles can be quickly adjusted in the unlikely event of uncomfortable feelings during the needling process. They are solid (not hollow like the needles used by doctors in surgery).com . These needles are carefully manufactured under the guidance of the FDA. Acupuncture needles are small and hair-thin. Some people experience a sensation like that of a mosquito bite that disappears very quickly. People experience acupuncture differently. Some experience minimal pain as the needles are inserted. This is why it is important to seek treatment from a qualified acupuncture practitioner. The more you can relax during an acupuncture treatment. metallic. What does Acupuncture Feel Like? Acupuncture needles are hair-thin. the US FDA approved acupuncture needles for licensed practitioners. or a defect in the needle can cause soreness and pain during treatment. it is very common to feel a tremendous sense of relaxation and calm.abctlc. Arthritis © 1/21/2009 TLC 39 www. numb or tingling. What are the needles like? Can I get infected? In 1996. movement of the patient. The FDA requires that the needles be sterile. nontoxic. Acupuncture needles are not designed to cut the skin. when an acupuncture needle is inserted. chronic illness may require treatments once or twice a week for several months to achieve good results. Only FDA approved sterile. the round edge pushes the tissue aside without cutting it. and disposed of after a single use. Be comfortable and relax while the needles are in place. Some people even fall asleep during the treatment. Most feel no pain. heavy. but most feel minimal pain (or even none at all) as the needles are inserted. and they are only used once. Often people describe their sensations as warming. Following treatment. There is no risk of infection. Acupuncture needles are so thin it's as if they can glide through the spaces between the individual cells of the body.standing. and solid. Instead. the better the results. Some people are energized by treatment. while others feel relaxed.com info@tlch2o. Does it (Needling or Acupuncture Process) Hurt? People experience needling differently. Improper needle placement. disposable needles should be used. The end of an acupuncture needle is smooth and rounded.

blood pressure. and taking mud baths. Common side effects include increased intestinal gas and softened stools. Nutritional supplements: Nutrients such as glucosamine and chondroitin sulfate have been reported to improve the symptoms of people with osteoarthritis. have your blood clotting checked more frequently. you can learn to control some of your body's responses to pain. A screen or gauge displays the body's signals so you can monitor your reactions. infusion pumps. but there is a risk that a patient may be harmed if the acupuncturist is not well trained. convulsions. These two dietary supplements have been used for years to treat osteoarthritis in dogs and horses. Those who are taking anticoagulants (blood thinners) may have bleeding problems with traditional needle acupuncture. Additional studies are being carried out to further evaluate these claims. skin temperature and muscle tension.abctlc.Are there any Possible Problems or Complications? When done by a trained professional. The number of complications reported have been relatively few. Arthritis © 1/21/2009 TLC 40 www. If you have diabetes. drinking herbal teas. Punctured lungs have happened rarely but have resulted in a few deaths. no scientific research shows these approaches to be helpful in treating osteoarthritis. The risk of infection is much lower now that acupuncturists in the United States use sterile needles that are discarded after a single use. If you practice relaxation while using biofeedback. Glucosamine is an amino sugar that appears to play a role in the formation and repair of cartilage. and increased pain. hepatitis B. dermatitis. To date. and avoiding or delaying conventional medical care. Folk remedies: Some patients seek alternative therapies for their pain and disability.com . If you take blood-thinning medications or daily aspirin therapy. some can be expensive. They also cause delays in seeking medical treatment. and the combination may cause bleeding in some people. get your blood sugar levels checked frequently because glucosamine is an amino sugar. acupuncture is generally considered safe. local internal bleeding. and in Europe to treat osteoarthritis in people. Glucosamine and Chondroitin Sulfate. People with cardiac pacemakers. Chondroitin sulfate is part of a protein that gives cartilage elasticity. Other cautions include: Women who are pregnant or who may become pregnant should not take glucosamine and chondroitin sulfate because the effects on unborn children have not been studied. although the supplements may take longer to begin working. or other electrical devices should avoid electroacupuncture. Traditional acupuncture also poses risks. fainting. nerve damage. Traditional needle acupuncture can cause dizziness. Biofeedback uses sensitive electrical equipment to help you be more aware of your body's reaction to stress and pain. Some of these alternative therapies have included wearing copper bracelets. as have certain vitamins. Chondroitin sulfate is similar in structure to the blood thinner heparin.com info@tlch2o. may have serious health consequences. Relying on this type of treatment alone. Studies show that people with mild-to-moderate OA who took these supplements reported pain relief similar to that achieved with NSAIDs. Biofeedback helps you learn how you feel when your body is tense or relaxed. While these practices are not harmful. such as infection from contaminated needles or improper delivery of treatment. The equipment monitors your heart rate.

especially those for rheumatoid arthritis or lupus. not all practitioners are ethical or competent. it is associated with decreased OA progression and pain. and glucosamine is extracted from a carbohydrate called chitin. They should never stop or change doses of prescription drugs without talking to their regular physician. consult your doctor before taking glucosamine because it is extracted from crab. Vitamin D may have preventative qualities when it comes to OA. Some research has shown that antioxidants in certain vitamins may help ease certain symptoms of osteoarthritis.” Many therapies may help the condition. Insists the patient pay in advance for a series of expensive treatments. Try the supplements along with regular medications for six to eight weeks. Chiropractics. A physical or occupational therapist can perform this technique. however. Vitamin E provides some pain relief to people with OA. however one study showed it was not as affective in easing OA pain in AfricanAmerican men.abctlc. and the patient should not have to pay for treatments they do not receive or need. Stopping certain medications (such as glucocorticoids like cortisone) abruptly can be dangerous. Other drugs may be necessary to keep the overall management program in balance. Ultrasound uses high-energy sound waves to bring comfort to painful joints and muscles. Vitamin C has been shown to counteract the wearing away of cartilage in animals with OA. then they probably won’t work for the patient. Don’t give up your other medications without talking to your doctor. In humans. No practitioner can predict how anyone might respond to a treatment. Stopping some prescription drugs. One study found that disease progression was faster in people who had a low intake of the vitamin. Arthritis © 1/21/2009 TLC 41 www. Seven Danger Signs About Therapists Some types of complementary medicine are regulated and many practitioners have high standards of professional ethics and practice. No. but there is no cure for most kinds of arthritis and related diseases – and no reputable practitioner will promise a cure. Tells the patient to stop or decrease prescription medications. However. Be sure to tell the chiropractor that the patient has osteoarthritis and suggest one that has experience working with people with arthritis. but joint manipulation of weak or damaged joints could cause problems. If the patient wants to go this route.com info@tlch2o. Manipulation of some joints may help relieve osteoarthritis pain. the allergies are triggered by the proteins in shellfish. Vitamins. Advises a severely restricted diet.If you are allergic to shellfish. Chiropractic care involves the manipulation and manual adjustment of the spine. In general. give a referral to a nutritionally-oriented physician or to a registered dietitian with expertise in arthritis who will help plan a wellbalanced diet.com . In most cases. lobster or shrimp shells. can lead to flares of disease activity. we don’t mean a vegetarian diet – we mean a diet that is extreme or involves eliminating many types of foods. A patient should be suspicious of any health professional who: Promises they can be “cured. vitamins from whole foods are believed to be better absorbed by the body than supplements. others are not regulated – and unfortunately. If the patient doesn’t experience any change in symptoms.

Good medical treatments are not secrets – they are shared in the medical community. How? By learning self-care skills and developing a "good-health attitude. Working actively with a team of health care providers enables people with the disease to minimize pain. Any practitioner who crosses this boundary should be reported to the state medical board of registration.Cannot show a license or a certificate from an approved school or organization in his or her specialty.” Ask for proof. Be a Winner! Practice Self-Care and Keep a "Good-Health Attitude" People with osteoarthritis can enjoy good health despite having the disease. This is totally inappropriate behavior.abctlc. They also enjoy a better quality of life. Arthritis © 1/21/2009 TLC 42 www." Self-care is central to successfully managing the pain and disability of osteoarthritis. or the appropriate licensing or certifying agency for that therapy.com info@tlch2o. People have a much better chance of having a rewarding lifestyle when they educate themselves about the disease and take part in their own care. Advises the patient to keep the treatment a secret from their doctor. Most of the general information contained in the course is credited to National Institute of Health. and feel a sense of control over their lives.com . The patient’s regular doctor and spouse or partner (or at least one member of their family or a good friend) should know the details of the patient’s medical treatment. Research shows that people with osteoarthritis who take part in their own care report less pain and make fewer doctor visits. Anyone can claim to be an “expert. in case of emergency. or anyone else. Suggests or asks for an intimate sexual relationship. share in decision making about treatment.

and problem solving. Build confidence in their ability to live an active. A physical therapist can evaluate how a patient's muscles are working. The other type. Patients should be realistic when they start exercising. The first type. patient and health care provider communication. improve strength and fitness. It also reduces the risk of injury. and improve their good-health attitude. Reduce pain while remaining active. Exercise: Regular physical activity plays a key role in self-care and wellness. learn self-care. because exercising incorrectly can cause problems.Self-Management Programs Do Help People with osteoarthritis find that self-management programs help them Understand the disease. and control weight.abctlc. Cope physically. independent life. Research has shown that these programs have clear and long-lasting benefits. Resting frequently ensures a good workout.com info@tlch2o. Have greater control over the disease. These programs teach people about osteoarthritis. Self-Help and Education Programs: Three kinds of programs help people learn about osteoarthritis. Most people with osteoarthritis exercise best when their pain is least severe. keep joints working as well as possible. Arthritis © 1/21/2009 TLC 43 www. These programs include Patient education programs Arthritis self-management programs Arthritis support groups. This information helps the therapist develop a safe. They should learn how to exercise correctly.com . Two types of exercise are important in osteoarthritis management. personalized exercise program to increase strength and flexibility. and mentally. therapeutic exercises. aerobic conditioning exercises. exercise and relaxation. emotionally. Start with an adequate warm-up and begin exercising slowly. its treatments.

and using exercise machines and exercise videotapes.Many people enjoy sports or other activities in their exercise program. Health care providers will suggest what exercises are best for you. how to warm up safely. Exercises for Osteoarthritis People with osteoarthritis should do different kinds of exercise for different benefits to the body. Good activities include swimming and aquatic exercise.com info@tlch2o. walking. Pain medications and applying ice after exercising may make exercising easier.abctlc. cross-country skiing. Arthritis © 1/21/2009 TLC 44 www. People with osteoarthritis should check with their doctor or physical therapist before starting an exercise program. biking. running. and when to avoid exercising a joint affected by arthritis.com .

The patient shouldn’t hesitate to use them if they need to.com . Avoiding Joint Pain and Damage The patient can take steps to protect their joints and manage joint pain and damage before it is severe. Don’t set unrealistic goals. For example. Both work and leisure activities are important. Pace yourself. Doing this is as easy as reducing daily stresses and listening to the body.com info@tlch2o. Weight control not only helps prevent OA. If the patient is overweight. Too much rest isn’t good for joints either. Listening to the body is the most important thing a patient can do to take care of themselves. it is an important element in your treatment of the disease as well. Lift with their legs instead of their back. because if the patient plans rest breaks in their day.and don’t add to it. Make a “to do” list that leaves plenty of time to achieve all tasks . sit down and get up from a chair or toilet seat. from standing or sitting too long or from concentrating too long on one task. They should take a 15-minute break each hour to give their body a break from the computer. reach for items. Use good body mechanics. The patient should use their palms instead of their fingers when lifting or carry things. they should try to do some exercise. Even on days when the patient is tired and stiff. back and feet. carry a backpack instead of a purse. work with them to devise a weight-loss plan that includes eating fewer calories and increasing physical exercise. The trick is in balancing them. By increasing their level of fitness. Use good posture. they may avoid times of acute pain. can help manage their day and pain. This is where balancing rest and activity really comes into play. especially when arthritis is more active. Take short breaks and alternate heavy and light activities during the day. Devices that help open jars. Maintaining a recommended weight or losing weight if they are overweight can lessen pain by reducing stress on the affected joints. The patient shouldn’t wait for the physical signals of pain before resting. Know when to take breaks. Excess weight directly contributes to the development of osteoarthritis.abctlc. knees. Moderations should be the motto. Take some time to plan out daily activities. Make sure they are getting enough nutrients to keep their body healthy and that the activities they choose don’t harm their joints. which takes stress off the joints. Use assistive device when you need them. Use larger muscles. Keep active. they will actually have more energy and less pain. to carry things. Weight loss specifically helps ease pressure on weight-bearing joints such as the hips. rather than smaller ones.Weight Control Weight control is particularly important for people with OA. Arthritis © 1/21/2009 TLC 45 www.

such as RA. vitamin D supplements and bone-building exercise – to further improve bone health. It takes work. Because bone mass quickly diminishes when levels of the hormone drop at menopause. • Develop a support system of family. you will achieve it. and health professionals. such as estrogens and calcitonin. Osteoporosis Medications Bone health is intricately connected to joint health. Spirit: Making the most of good health requires careful attention to the body. • Develop methods to minimize and manage stress. People with OA tend to be older. partly because of the chemical changes occurring in the body due to the disease itself and partly because some medications used to treat RA deplete bone. hormones. Osteoporosis drugs can slow bone loss. reduce the risk of fractures and even ease the pain of fractures. promote bone growth. They need to plan ahead for cooking and errand running so they minimize extra trips and rushing around for something they forgot.abctlc. • Focus on your strengths instead of weaknesses. ibandronate and risedronate sodium). Regardless of the medication your doctor prescribes. People with osteoarthritis must plan and develop daily routines that maximize their quality of life and minimize disability. • Break down activities into small tasks that you can manage. Don’t forget that regular exercise will also help by making muscles and joints stronger. Enjoy a "Good-Health Attitude" • Focus on your abilities instead of disabilities. • Incorporate fitness and nutrition into daily routines. children and women who don’t want to risk estrogen’s adverse effects. They also need to evaluate these routines periodically to make sure they are working well. Body. • Balance rest with activity. Medication options for osteoporosis fall into four categories: bisphosphonates (alendronate. have an increased risk of osteoporosis. mind. women who had or were at risk for osteoporosis had one medication option – estrogen. replacing estrogen seemed a solution to the bone-loss problem. every day. While estrogen is still used – and is included in this guide – increasing medication options make osteoporosis treatment possible for men. Mind.com . And with the right attitude.com info@tlch2o. ask about additional measures you can take – including a high-calcium diet. People with inflammatory forms of arthritis. so the bone-thinning disease osteoporosis is related to arthritis for several reasons. selective receptor molecules (raloxifene hydrochloride) and the newest category. This attitude--a good-health mindset--doesn't just happen. People must decide to make the most of things when faced with the challenges of osteoarthritis. the bone formation agents (teriparatide). They should keep tools that help out close by so they don’t have to search for them when they need them. and spirit. A few decades ago. The patient should rotate cleaning and don’t do it all in one day. friends. Arthritis © 1/21/2009 TLC 46 www. and osteoporosis is a disease that occurs late in life. Good health also requires a positive attitude.Work to organize and simplify your life.

Researchers have found that genetics may play a role in approximately 40 to 65 percent of hand and knee osteoarthritis cases. or urine of people with the disease. which may break or tear more easily under stress. They suspect inheritance might play a role in other types of osteoarthritis. within the National Institutes of Health (NIH). an important part of cartilage. joint fluid. as well as bone changes in osteoarthritis. Genetics Studies: Researchers suspect that inheritance plays a role in 25 to 30 percent of osteoarthritis cases.com info@tlch2o. and what might prevent the disease. and breakdown of cartilage. in patients with an inherited kind of osteoarthritis that starts at an early age. Animal models help researchers learn many things about osteoarthritis. The NIAMS funds many researchers across the United States to study osteoarthritis. are now seen as a series or cascade of events. health services. research has shown that there is more to the disorder than aging alone. By understanding what goes wrong. many people have osteoarthritis in the knees or hips.Current Research The leading role in osteoarthritis research is played by the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS). These centers conduct basic. Center researchers also study epidemiology. They seek specific abnormalities in the blood. a test to determine who carries the genetic defect (or defects) could help people reduce their risk for osteoarthritis with lifestyle adjustments. Animal Models: Animals help researchers understand how diseases work and why they occur. Arthritis © 1/21/2009 TLC 47 www. thus making them more susceptible to disease. Animal models also help scientists study osteoarthritis in very early stages before it causes detectable joint damage. For example. as well. It has established a Specialized Center of Research devoted to osteoarthritis. Also.abctlc. maintenance. For years. laboratory. In the future. Recently. how treatment strategies might work. and prevention of arthritis and musculoskeletal diseases. many researchers study arthritis at NIAMS Multipurpose Arthritis and Musculoskeletal Diseases Centers and Multidisciplinary Clinical Research Centers. but few have it in the ankles. they hope to find new ways to prevent or treat osteoarthritis. Diagnostic Tools: Some scientists want to find ways to detect osteoarthritis at earlier stages so that they can treat it earlier. Scientists have identified a mutation (a gene defect) affecting collagen. and public education. such as what happens to cartilage. and professional. and clinical research aimed at understanding the causes. In the last decade. The production. Can ankle cartilage be different? Does it age differently? Answering these questions will help us understand the disease better. The NIAMS also supports multidisciplinary clinical research centers that expand clinical studies for diseases like osteoarthritis. treatment options. The mutation weakens collagen protein. Other scientists use new technologies to analyze the differences between the cartilage from different joints. scientists thought that osteoarthritis was simply a disease of "wear and tear" that occurred in joints as people got older. researchers found that the daughters of women who have knee osteoarthritis have a significant increase in cartilage breakdown. Many researchers are trying to discover where in that cascade of events things go wrong. Some key areas of research are described below. Scientists are looking for other gene mutations in osteoarthritis. patient. however.com .

called enzymes. The two most common methods being studied today include cartilage cell replacement and stem cell transplantation. Research has shown that losing extra weight can help people who already have osteoarthritis. Moreover. such as muscle or bone cells. effective way to decrease pain and reduce the amount of medicine used.abctlc. however. the farther you will be able to walk. it is used to treat small traumatic injuries or defects in cartilage.Tissue Engineering: This technology involves removing cells from a healthy part of the body and placing them in an area of diseased or damaged tissue in order to improve certain body functions. genetically changed.com . this process could be used to repair damaged cartilage and avoid the need for surgical joint replacements with metal or plastics. and then injected back into the affected joint. If successful. cells are removed from the body. Research shows that adding patient education and social support is a low-cost. For example. Actual cartilage repair is limited. Their results included the following: Strengthening the thigh muscle (quadriceps) can relieve symptoms of knee osteoarthritis and prevent more damage. Researchers are studying exercise in greater detail and finding out just how to use it in treating or preventing osteoarthritis. Stem cell transplantation: Stem cells are primitive cells that can transform into other kinds of cells. that may help break down cartilage and cause joint damage. several scientists have studied knee osteoarthritis and exercise. They usually are taken from bone marrow.com info@tlch2o. Currently. The third method is gene therapy. Walking can result in better functioning. Comprehensive Treatment Strategies: Effective treatment for osteoarthritis takes more than medicine or surgery. Arthritis © 1/21/2009 TLC 48 www. Researchers at the NIAMS are exploring three types of tissue engineering. and the more you walk. researchers hope to insert stem cells into cartilage. where the cells will make new cartilage. overweight or obese people who do not have osteoarthritis may reduce their risk of developing the disease by losing weight. researchers remove cartilage cells from the patient's own joint and then clone or grow new cells using tissue culture and other laboratory techniques. Gene therapy: Scientists are working to genetically engineer cells that would inhibit the body chemicals. They also function better. Getting help from a variety of care professionals often can improve patient treatment and self-care. In gene therapy. and. Exercise plays a key part in comprehensive treatment. if successful. In the future. They live in the joint and protect it from damaging enzymes. They then inject the newly grown cells into the patient's joint. Cartilage cell replacement: In this procedure. Patients with cartilage cell replacement have fewer symptoms of osteoarthritis. People with knee osteoarthritis who were active in an exercise program feel less pain. could eventually help treat osteoarthritis.

chondroitin sulfate. Arthritis © 1/21/2009 TLC 49 www. may stop certain enzymes from damaging cartilage. and beta carotene: The progression of osteoarthritis may be slower in people who take higher levels of vitamin D. heartburn. as part of an overall treatment program with exercise. and pain relief. Early findings suggest that traditional Chinese acupuncture is effective for some patients as an additional therapy for osteoarthritis. Researchers also are studying growth factors and other natural chemical messengers. doxycycline. Scientists think the needles stimulate the release of natural. relaxation. More studies are needed to confirm these reports. One example currently available is a class of selective NSAIDs called COX-2 inhibitors. As a result. or reverse joint damage. These potential medicines may be able to stimulate cartilage growth or repair.abctlc. primarily block the COX-2 enzyme. Researchers are looking for drugs that would prevent. One experimental antibiotic drug. The drug has shown some promise in clinical studies. Nutritional Supplements: Nutritional supplements are often reported as helpful in treating osteoarthritis. Researchers are studying acupuncture treatment of patients who have knee osteoarthritis.Using NSAIDs: Many people who have osteoarthritis have persistent pain despite taking simple pain relievers such as acetaminophen.com . reducing pain and improving function. COX-2 inhibitors reduce pain and inflammation but are less likely than traditional NSAIDs to cause gastrointestinal ulcers and bleeding. or the two nutrients in combination reduce pain and improve function. Scientists are working to design and test new. The National Center for Complementary and Alternative Medicine at the NIH is supporting a clinical trial to test whether glucosamine. however. C. research shows that some COX-2 inhibitors may not protect against heart disease as well as traditional NSAIDs. however. pain-relieving chemicals produced by the brain or the nervous system. and more dangerous side effects. a licensed acupuncture therapist inserts very fine needles into the skin at various points on the body. Such reports should be viewed with caution. Vitamins D. such as ulcers. Drugs to Prevent Joint Damage: No treatment actually prevents osteoarthritis or reverses or blocks the disease process once it begins. The new selective COX-2 inhibitors. however. which helps protect the stomach lining. Health care providers are concerned about long-term NSAID use because it can lead to an upset stomach. However. Patients using this therapy should do so only under the supervision of their doctor. Scientific studies on these two nutritional supplements have not yet shown that they affect the disease. They may relieve symptoms and reduce joint damage in some patients. The gastrointestinal side effects associated with traditional NSAIDs seems to be associated mainly with blocking the COX-1 enzyme. E. slow down. Present treatments just relieve the symptoms. safer NSAIDs. Some of these patients take NSAIDs instead. Traditional NSAIDs prevent inflammation by blocking two related enzymes in the body called COX-1 and COX-2. E. Acupuncture: During an acupuncture treatment.com info@tlch2o. nausea. Glucosamine and chondroitin sulfate: Both of these nutrients are found in small quantities in food and are components of normal cartilage. or beta carotene. C. which helps control inflammation in the body. but more studies are needed. so check with your doctor if you have concerns. since very few studies have carefully evaluated the role of nutritional supplements in osteoarthritis.

Additional studies are needed to answer this question. A balanced. Arthritis © 1/21/2009 TLC 50 www. relaxation education. or simple analgesics.abctlc. The Food and Drug Administration (FDA) approved this therapy for patients with osteoarthritis of the knee who do not get relief from exercise. Estrogen: In studies of older women. The researchers suspect having low levels of estrogen could increase the risk of developing osteoarthritis. Meanwhile.com .Hyaluronic Acid: Injecting this substance into the knee joint provides long-term pain relief for some people with osteoarthritis.com info@tlch2o. People with osteoarthritis should combine exercise. Hyaluronic acid is a natural component of cartilage and joint fluid. social support. comprehensive approach is still the key to staying active and healthy with the disease. Hope for the Future Research is opening up new avenues of treatment for people with osteoarthritis. as scientists unravel the complexities of the disease. Researchers are presently studying the benefits of using hyaluronic acid to treat osteoarthritis. It lubricates and absorbs shock in the joint. new treatments and prevention methods should appear. scientists found a lower risk of osteoarthritis in women who had used oral estrogens for hormone replacement therapy. physical therapy. and medicines in their treatment strategies. They will improve the quality of life for people with osteoarthritis and their families.

aaos. and free literature. physician referral services. MD 20892-3675 (301) 495-4484 or (877) 22-NIAMS (free of charge) TTY: (301) 565-2966 Fax: (301) 718-6366 niamsinfo@mail.org This association provides referrals to rheumatologists and physical and occupational therapists who have experience working with people who have osteoarthritis. American College of Rheumatology 1800 Century Place. muscles.niams. Suite 250 Atlanta.com . IL 60017 (800) 824-BONE (2663) (free of charge) www. It distributes patient and professional education materials and also refers people to other sources of information. nutrition.com info@tlch2o.org The academy provides education and practice management services for orthopedic surgeons and allied health professionals.Additional Resources National Institute of Arthritis and Musculoskeletal and Skin Diseases National Institutes of Health 1 AMS Circle Bethesda.gov NIAMS provides information about various forms of arthritis and rheumatic diseases. Arthritis Foundation 1330 West Peachtree Street Atlanta. and selfmanagement strategies. or (800) 283-7800 (free of charge) www.arthritis.abctlc. The orthopedist’s scope of practice includes disorders of the body's bones. alternative therapies. ligaments. It also provides up-to-date information on treatments. and tendons. Arthritis © 1/21/2009 TLC 51 www. It also serves as an advocate for improved patient care and informs the public about the science of orthopedics. send a self-addressed stamped envelope to the address above or visit the AAOS Web site. joints. support groups. The organization also provides educational materials and guidelines.nih. Box 2058 Des Plaines. GA 30309 Call your local chapter (listed in the telephone directory). American Academy of Orthopedic Surgeons P.gov www.nih. GA 30345 (404) 633-3777 Fax: (404) 633-1870 www. For a single copy of an AAOS brochure. The foundation publishes a free pamphlet on osteoarthritis and a magazine for members on arthritis and related conditions.rheumatology. Chapters nationwide offer exercise programs.org The foundation is a major voluntary organization devoted to supporting research on arthritis and other rheumatic diseases. classes.O.

NIH. in preparation and review of this publication. wrote this section About NIAMS and Its Clearinghouse: The mission of the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS). Bassin.Acknowledgments The NIAMS gratefully acknowledges the assistance of Gayle Lester. Ph. a part of the National Institutes of Health (NIH). Joan McGowan. Most of the general information contained in the course is credited to National Institute of Health. M. Additional information can be found on the NIAMS Web site at www.D. Debbie Novak of Johnson.niams. M. Marc C. Arthritis © 1/21/2009 TLC 52 www.D.. M. Susana Serrate-Sztein.D. M. University Hospitals of Cleveland. is to support research into the causes.D.. M. Atlanta.. M.. and Roland Moskowitz.D.com .P. Hochberg.. M. Victor M. Baltimore.abctlc.H... the Arthritis Foundation.D. Kenneth D.gov.nih. Ph. The National Institute of Arthritis and Musculoskeletal and Skin Diseases Information Clearinghouse is a public service sponsored by the NIAMS that provides health information and information sources.. Case Western Reserve University. Special thanks also go to the patients who reviewed this publication and provided valuable input.D. the training of basic and clinical scientists to carry out this research.com info@tlch2o..D. Indiana University School of Medicine.D. and Bernadette Tyree. and the dissemination of information on research progress in these diseases. Brandt. Cleveland.. John Klippel. Goldberg. Inc. and prevention of arthritis and musculoskeletal and skin diseases. NIAMS. M. Ph. treatment.D. University of Maryland. Indianapolis.. James Panagis. and Shaw.

S. It is three times more common in women than in men. rheumatoid arthritis may occasionally affect the skin. results in pain. lungs.Rheumatoid Arthritis Section This inflammatory disease of the synovium. but it is thought to be due to a combination of genetic. population. joint damage.abctlc. It usually occurs in people 20 to 50 years old. causing it to attack the joints. and loss of function of the joints. resulting in irreversible damage to the bone. heart. As the joint lining grows. Inflammation most often affects joints of the hands and feet and tends to be symmetrical (occurring equally on both sides of the body). joint symptoms develop gradually over several years. What Causes Rheumatoid Arthritis? The exact cause of rheumatoid arthritis is unknown. immune cells migrate from the blood into the joints and produce substances that cause inflammation. some people do seem to have a genetic or inherited factor that increases their chance of developing rheumatoid arthritis. Some theories suggest that a virus or bacteria may alter the immune system. swelling the joint lining (synovium) and causing the joint lining to produce fluid. As the cartilage wears down.com info@tlch2o. How Does Rheumatoid Arthritis Affect the Body? Once the immune system is triggered. something seems to trigger the immune system to attack the joints and sometimes other organs. wearing down cartilage (cushioning material at the end of bones). however. What Are the Symptoms of Rheumatoid Arthritis? Symptoms of rheumatoid arthritis include: • Joint pain and swelling • Stiffness. the bones could rub against each other. The increased number of cells and inflammatory substances within the joint cause irritation. nerves or kidneys. young children and the elderly also can develop rheumatoid arthritis. This symmetry helps distinguish rheumatoid arthritis from other forms of the disease. Who Gets Rheumatoid Arthritis? Rheumatoid arthritis affects about 1% of the U. With rheumatoid arthritis. stiffness. In addition to affecting the joints. If the condition worsens. eyes. Arthritis © 1/21/2009 TLC 53 www. or lining of the joint. But in some. the space between the bones narrows. it may invade or erode into the bone. especially in the morning or after sitting for long periods • Fatigue Rheumatoid arthritis affects everyone differently. swollen and warm to the touch. However. environmental and hormonal factors. Research hasn't been able to determine exactly what role genetics plays in rheumatoid arthritis. blood. rheumatoid arthritis may progress rapidly and yet other people may have rheumatoid arthritis for a limited period of time and then enter a period of remission. All of these factors cause the joint to become very painful.com . In most people. swelling.

Nature’s Tears and Ocucoat. To use the tears. so tears can absorb. They can be applied three or four times daily. Eye drops can be used as needed (up to four times per day if bottles contain preservatives) and are available without prescription. mouth sprays and rinses can help moisten the mouth and lessen discomfort. Other diseases also can cause the rheumatoid factor to be produced in the blood. according to package directions. A surgical procedure to block the tear ducts (punctal occlusion) is an option for severe cases of dry eyes. the benefits of artificial tears are temporary. gums and roof of the mouth. Isopto Tears. Moi-Stir. These products should be applied directly to the tongue. including Glandosane. may be used to treat other manifestations. The dry-eye treatments add moisture to the eye or suppress eye inflammation. including: • The specific location and symmetry of painful joints • The presence of joint stiffness in the morning • Presence of bumps and nodules under the skin (rheumatoid nodules) • Results of X-ray tests that suggest rheumatoid arthritis • Positive results of a blood test called the rheumatoid factor Many. the moisture-producing glands also can be attacked. the diagnosis of rheumatoid arthritis is based on a combination of several factors and not just the presence of the rheumatoid factor in the blood. Just as joints and connective tissues can be attacked as part of the autoimmune condition. Gonak. This test is positive in people with lupus. Over-the-counter treatments are available. Although these products do not stimulate saliva production. such as lupus or RA. Artificial tears (hydroxypropyl cellulose drops) are also sold under a number of brand names. The prescription medications available to treat dry eyes and dry mouth are listed in the chart. One out of 10 people with RA may also have a positive antinuclear antibody test (ANA). they do provide temporary moisture and can be reapplied as needed.How Is Rheumatoid Arthritis Diagnosed? The diagnosis of rheumatoid arthritis is based on a combination of factors. Available in sprays. too. Oralube. Sjögren's Syndrome Dry mucous membranes caused by Sjögren’s syndrome elicits descriptions from patients like. artificial saliva products are sold under a number of brand names. place one drop in each lower eyelid and then close eyes one or two minutes. People with RA may have a mild anemia. such as the DMARD hydroxychloroquine sulfate (Plaquenil). liquids and pretreated swabs.abctlc.com info@tlch2o. Optimoist. people with rheumatoid arthritis have the rheumatoid-factor antibody in their blood. but not all. Therefore. Other prescription medications. Lacril. The rheumatoid factor may be present in people who do not have rheumatoid arthritis. Bion Tears. As with artificial salivas. Arthritis © 1/21/2009 TLC 54 www. Salivart and Xero-Lube. Sugar-free chewing gum and candies. MouthKote. a marker of inflammation. “food tastes like paper” and “eyes feel gritty.” Sjögren’s syndrome can occur by itself or along with autoimmune conditions. including Artificial Tears. Blood tests may also reveal an elevated erythrocyte sedimentation rate (ESR). The oral drugs listed here work internally to help your body produce more moisture in the mouth.com .

like that used for hemodialysis. Enbrel. When the blood passes through the Prosorba column. when chemotherapy medications (such as methotrexate or Cytoxan) are used to treat rheumatoid arthritis. The type of treatment will depend on several factors including the person's age. Arthritis © 1/21/2009 TLC 55 www. A special catheter. is placed in a large vein. Apheresis is a treatment that removes antibodies from the blood. Humira. stiffness and swelling) include: • Anti-inflammatory painkiller drugs. gold and minocycline • Arava Some of these medications are traditionally used to treat other conditions such as cancer or inflammatory bowel disease. They include: • Anti-malaria medications. and then circulates back to the body. and surgery to correct damage to the joint. or to reduce the risk of rejection of a transplanted organ. rest and exercise. such as hydroxychloroquine • Chemotherapy drugs. into a special machine containing the Prosorba column. medical history and severity of the arthritis. swelling and inflammation. and blood travels out of the body. ibuprofen or naproxen • Topical (applied directly to the skin) pain relievers • Corticosteroids. such as cyclosporine • Biologic treatments. Kineret. Medications that offer relief of arthritis symptoms (joint pain. Remicade • Miscellaneous drugs. the doses are significantly lower and the risks of side effects tend to be considerably less than when prescribed in higher doses for cancer treatment. antibodies are retained in the column and removed from the blood. These medicines usually work by interfering with or suppressing the immune system attack on the joints. such as prednisone • Narcotic pain relievers There are also many strong medications called disease-modifying antirheumatic drugs (DMARDs) that are used to treat RA. penicillamine. How Is Rheumatoid Arthritis Treated? There are many different ways to treat rheumatoid arthritis. such as Arava.Be sure to check specific directions on the product’s packaging. avoiding smoking and caffeine and talking with your doctor about any medications you may be taking that could be drying your mucous membranes. such as methotrexate. Medications There are many medications available to decrease joint pain.com info@tlch2o. such as aspirin. such as Azulfidine.abctlc. Treatments include medications. However. and possibly prevent or minimize the progression of the disease. Other measures you can take on your own include sipping water throughout the day. overall health. People who haven't responded to the DMARDs may consider another new treatment called apheresis with Prosorba.com . Imuran and Cytoxan • Organ rejection drugs.

Why Is Rest and Exercise Important? A balance of rest and exercise is important in treating rheumatoid arthritis.com . clotting of the vein or the catheter. When joint inflammation is decreased. Arthritis © 1/21/2009 TLC 56 www. When Is Surgery Necessary? When joint damage from the arthritis has become severe or pain is not controlled with medications. Research studies have shown that some patients with rheumatoid arthritis improve after Prosorba treatments. Possible complications include anemia. and low blood pressure. surgery is an option to restore function to a damaged joint. it is best to rest the joints that are inflamed.com info@tlch2o. This may be accomplished by the temporary use of a cane or joint splints. Range-ofmotion exercises should be done regularly to maintain joint mobility. infection. During flareups (worsening of joint inflammation). For rheumatoid arthritis. the treatments are performed once a week for 12 weeks.The treatments take about two hours each.abctlc. guided exercise programs are necessary to maintain flexibility of the joints and to strengthen the muscles that surround the joints.

These classifications help the doctor determine how the disease will progress and whether the internal organs or skin is affected. The arthritis may be associated with rashes or fevers. it affects the same joint on both sides of the body. One is called antinuclear antibody (ANA) and one is called rheumatoid factor. Systemic--Besides joint swelling. about half of all children with JRA have this type. but the disease may also affect large joints. and loss of function of the joints. Some children have special kinds of antibodies in the blood. that is.com info@tlch2o. Pauciarticular disease typically affects large joints. the symptoms. A small percentage of these children develop arthritis in many joints and can have severe arthritis that continues into adulthood. Some children with polyarticular disease have an antibody in their blood called IgM rheumatoid factor (RF). Any joint can be affected and inflammation may limit the mobility of affected joints. Eye disease affects about 20 to 30 percent of children with pauciarticular JRA. such as those in the hands and feet. spleen. or the inner eye). the colored part of the eye) or uveitis (inflammation of the uvea. warmth. Doctors sometimes call it Still's disease. Regular examinations by an ophthalmologist (a doctor who specializes in eye diseases) are necessary to prevent serious eye problems such as iritis (inflammation of the iris. The small joints. In polyarticular disease. although many children with JRA do not complain of joint pain. Inflammation causes redness. Almost all children with this type of JRA test negative for both RF and ANA. stiffness. Pauciarticular (PAW-see-are-TICK-you-lar)--Pauciarticular means that four or fewer joints are affected. and soreness in the joints. Pauciarticular is the most common form of JRA. and lymph nodes. the systemic form of JRA is characterized by fever and a light skin rash. which doctors consider to be similar in many ways to adult rheumatoid arthritis. Some children with pauciarticular disease outgrow arthritis by adulthood. five or more joints are affected. liver. and may also affect internal organs such as the heart. Juvenile rheumatoid arthritis is arthritis that causes joint inflammation and stiffness for more than 6 weeks in a child of 16 years of age or less. swelling. Polyarticular JRA often is symmetrical. Doctors classify JRA into three types by the number of joints involved. such as the knees.Juvenile Rheumatoid Arthritis Section This is the most common form of arthritis in childhood. and the presence or absence of certain antibodies found by a blood test. One type of JRA can also affect the internal organs. Polyarticular--About 30 percent of all children with JRA have polyarticular disease. are most commonly involved. although eye problems can continue and joint symptoms may recur in some people. Up to 80 percent of those with eye disease also test positive for ANA and the disease tends to develop at a particularly early age in these children. (Antibodies are special proteins made by the immune system. The systemic form affects 20 percent of all children with JRA. These children often have a more severe form of the disease. causing pain. Girls under age 8 are most likely to develop this type of JRA.abctlc.com . swelling. Arthritis © 1/21/2009 TLC 57 www. and may affect various parts of the body.

something in a child's genetic makeup gives them a tendency to develop JRA. and stiffness that typically is worse in the morning or after a nap. and swelling. very rarely. which normally helps to fight off harmful. which means that the body mistakenly identifies some of its own cells and tissues as foreign.abctlc. begins to attack healthy cells and tissues. there are periods when the symptoms of JRA are better or disappear (remissions) and times when symptoms are worse (flare-ups). A diagnosis of JRA also is considered in children with an unexplained limp or excessive clumsiness. then an environmental factor. The immune system. triggers the development of JRA. Besides joint symptoms. especially younger ones. How Is Juvenile Rheumatoid Arthritis Diagnosed? Doctors usually suspect JRA. while others experience many flare-ups or even have symptoms that never go away. JRA is different in each child--some may have just one or two flare-ups and never have symptoms again. What Are the Symptoms and Signs of Juvenile Rheumatoid Arthritis? The most common symptom of all types of JRA is persistent joint swelling.com info@tlch2o. Systemic JRA also may cause the lymph nodes located in the neck and other parts of the body to swell. such as a virus. when they see children with persistent joint pain or swelling. pain. Doctors do not know why the immune system goes awry in children who develop JRA. or swelling of lymph nodes or inflammation of internal organs. foreign substances such as bacteria or viruses. heat. Some children with JRA may have growth problems. internal organs including the heart and. Arthritis © 1/21/2009 TLC 58 www. The result is inflammation--marked by redness. JRA commonly affects the knees and joints in the hands and feet. JRA also may cause joints to grow unevenly or to one side. A doctor diagnoses JRA by carefully examining the patient and considering the patient's medical history. No one test can be used to diagnose JRA.com . First. growth in affected joints may be too fast or too slow. unexplained skin rashes and fever. Eye diseases such as iritis and uveitis often are not present until some time after a child first develops JRA. In some cases (less than half). will not complain of pain. The pain may limit movement of the affected joint although many children. Typically. along with several other possible conditions. Scientists suspect that it is a two-step process. pain. Depending on the severity of the disease and the joints involved. One of the earliest signs of JRA may be limping in the morning because of an affected knee. causing one leg or arm to be longer than the other. the lungs may be involved. children with systemic JRA have a high fever and a light skin rash. Doctors are exploring the use of growth hormones to treat this problem. Overall growth may also be slowed.What Causes Juvenile Rheumatoid Arthritis? JRA is an autoimmune disorder. Eye inflammation is a potentially severe complication that sometimes occurs in children with pauciarticular JRA. the results of laboratory tests. The rash and fever may appear and disappear very quickly. and x rays that help rule out other conditions.

health care professionals. lupus. Children are sometimes reluctant to complain of pain. and may deny or under report pain because they: fear it will result in additional unpleasant procedures or treatments do not understand the pain can be treated wish to protect their parents from the reality of their disease desire to please others. there is an increasing awareness of the need to focus on pain in children. Pain may significantly interfere with a child’s daily activities. and some forms of cancer. Children with arthritis may experience pain until their disease is adequately treated and controlled. and comprehensive treatment optimizes their ability to fully participate in school and social activities.com info@tlch2o. Not all children with active joint inflammation have an elevated ESR. Other diseases--Because there are many causes of joint pain and swelling. While arthritis pain has been the focus of much research in adults.JRA Symptoms One important consideration in diagnosing JRA is the length of time that symptoms have been present. Some people with rheumatic disease have an elevated ESR or "sed rate" (cells fall quickly to the bottom of the test tube). when they first appeared. showing that there is inflammation in the body. and to determine the erythrocyte sedimentation rate (ESR). it is difficult for parents. dermatomyositis.com . Childhood Pain Juvenile arthritis is one of the most prevalent chronic diseases in children in the United States. Laboratory tests--Laboratory tests. some x rays can show cartilage damage. Arthritis © 1/21/2009 TLC 59 www. In general. bacterial or viral infection. cannot by themselves provide the doctor with a clear diagnosis. But these tests can be used to help rule out other conditions and to help classify the type of JRA that a patient has. A child’s self report of pain is the most valid and reliable assessment of a child’s pain intensity and location. The doctor may use additional laboratory tests to help rule out these and other possible conditions. inflammatory bowel disease. o ESR is a test that measures how quickly red blood cells fall to the bottom of a test tube. and teachers to determine how much pain a child is experiencing. X rays--X rays are needed if the doctor suspects injury to the bone or unusual bone development. and during disease flares. Because this factor is so important. the doctor must rule out other conditions before diagnosing JRA.abctlc. and both are found in only a small portion of JRA patients. Early in the disease. when bones may be affected. When children do not want to talk about their pain. usually blood tests. x rays are more useful later in the disease. These include physical injury. o ANA is found in the blood more often than RF. Children with juvenile arthritis may have pain that can be intense and disabling. it may be useful to keep a record of the symptoms. Lyme disease. Blood may be taken to test for RF and ANA. The RF test helps the doctor tell the difference among the three types of JRA. and when they are worse or better. Joint swelling or pain must last for at least 6 weeks for the doctor to consider a diagnosis of JRA.

g. and some areas of the country have none at all. Children over the age of 4 years can use crayons or colored markers to indicate the part of the body which has pain. However. using the colors he has chosen to show how much it hurts. For convenience. "Of these colors. ask the child if this is a picture of how he hurts now or how he hurt earlier. use example given above.abctlc. The main goals of treatment are to preserve a high level of physical and social functioning and maintain a good quality of life. maintain full movement in the affected joints. Of course. treat. and identify. e. while other children can only understand what they have experienced. at lunch or in the playroom. and after the child has answered. and prevent complications. Some children may be able to imagine much worse pain than they have ever had. Who Treats Juvenile Rheumatoid Arthritis? What Are the Treatments? The special expertise of rheumatologists in caring for patients with JRA is extremely valuable.. "Which color is like no hurt at all?” Show the four colors (marked boxes. a team approach involving the child's pediatrician and a rheumatologist with experience in both adult and pediatric rheumatic disease provides optimal care for children with arthritis. but whatever term the child uses should be substituted. severe pain. After discussing with the child several things that have hurt the child in the past.com . In such circumstances. mark the appropriate square on the tool (e. but not quite as bad?" 3. give eight crayons or markers to the child. orange. purple.com info@tlch2o. brown. Other important members of the team include physical therapists and occupational therapists. Most children with JRA need medication and physical therapy to reach these goals. the word hurt is used here. blue. which color is most like the worst hurt you have ever had. When the child finishes. To achieve these goals.Body Outline: A Body Outline can assist a child in communicating the location and intensity of their pain. worst hurt). Ask the following questions. and black. "Which color is almost as much hurt as the worst hurt (or. Be specific about what earlier means by relating the time to an event. (using whatever example the child has given) or the worst hurt anybody could ever have?" Which phrase is chosen will depend on the child's experience and what the child is able to understand. and how much the pain hurts. Ask the child to color the body outline where he hurts. or markers) to the child in the order he has chosen them. green. Suggested colors are yellow. relieve pain. if any).g. Arthritis © 1/21/2009 TLC 60 www. Pediatric rheumatologists are trained in both pediatrics and rheumatology and are best equipped to deal with the complex problems of children with arthritis and other rheumatic diseases. red. doctors recommend treatments to reduce swelling. from the color chosen for the worst hurt to the color chosen for no hurt.. some children may have experienced the worst pain they can imagine. there are very few such specialists. 2. and put that color away from the others. crayons. Ask the child these questions: 1. "Which color is like something that hurts just a little?" 4.

stronger medicines may be needed to stop serious symptoms such as inflammation of the sac around the heart (pericarditis). ibuprofen (Motrin. Biologic agents--Children with polyarticular JRA who have gotten little relief from other drugs may be given one of a new class of drug treatments called "biologic agents. Advil. or Reye's syndrome. such as a round face. This medication can be given either intravenously (directly into the vein) or by mouth. Nuprin). for children with JRA. Careful monitoring for side effects is important for people taking methotrexate. liver problems. Corticosteroids--In children with very severe JRA. methotrexate. For example. they often are taken with an NSAID. the doctor may reduce the dose gradually and eventually stop it completely. Because only small doses of methotrexate are needed to relieve arthritis symptoms. the doctor can reduce the dose and eliminate side effects. Studies show that these medications are as effective as aspirin with fewer side effects. Once the medication controls severe symptoms. They often are the first type of medication used. other NSAIDs are available.Several types of medication are available to treat JRA: Nonsteroidal anti-inflammatory drugs (NSAIDs)--Aspirin.com info@tlch2o. the doctor is likely to prescribe this type of medication. stomach upset. An upset stomach is the most common complaint. diclofenac and tolmetin are available with a doctor's prescription. but because they take weeks or months to relieve symptoms. Researchers have learned that methotrexate is safe and effective for some children with rheumatoid arthritis whose symptoms are not relieved by other medications. Corticosteroids can interfere with a child's normal growth and can cause other side effects.* and naproxen or naproxen sodium (Naprosyn. DMARDs slow the progression of JRA. aspirin in the correct dose (measured by blood test) can control JRA symptoms effectively with few serious side effects. but it can be avoided with regular blood screening tests and doctor follow-up. Corticosteroids like prednisone may be added to the treatment plan to control severe symptoms. Most doctors do not treat children with aspirin because of the possibility that it will cause bleeding problems. Various types of DMARDs are available. Disease-modifying anti-rheumatic drugs (DMARDs)--If NSAIDs do not relieve symptoms of JRA. in addition to those mentioned above. When side effects are noticed early. who may change the type or amount of medication. Any side effects should be reported to the doctor.abctlc. and increased susceptibility to infections. If the doctor prefers not to use aspirin. But for some children.com . it is important that the patient carefully follow the doctor's instructions about how to take or reduce the dose. Aleve) are examples of NSAIDs. potentially dangerous side effects rarely occur. Because it can be dangerous to stop taking corticosteroids suddenly. weakened bones. Doctors are likely to use one type of DMARD. The most serious complication is liver damage." Arthritis © 1/21/2009 TLC 61 www.

two natural substances found in and around cartilage cells. it can be incorporated into the treatment plan. in which thin needles are inserted at specific points in the body. (See the end of this section for information about Kids on the Block. ƒ Some alternative or complementary approaches may help a child to cope with or reduce some of the stress of living with a chronic illness. is such an agent. There are several things that family members can do to help the child do well physically and emotionally. However. it is important not to neglect regular health care or treatment of serious symptoms. It can help to maintain muscle tone and preserve and recover the range of motion of the joints. Complementary and alternative medicine--Many adults seek alternative ways of treating arthritis. a naturally occurring protein in the body that helps cause inflammation. Although these methods may not be harmful in and of themselves. For many young people. what works for one may not work for another. Treat the child as normally as possible. Inc. Ensure that the child receives appropriate medical care and follows the doctor's instructions. and their inclusion does not mean that these products are endorsed by Therapeutic Learning College. such as special diets or supplements. If the medications that the doctor prescribes do not relieve symptoms or if they cause unpleasant side effects.com . patients and parents should discuss other choices with their doctor. Some people have tried acupuncture. A person with JRA can be more active when symptoms are controlled. Physical therapy--Exercise is an important part of a child's treatment plan. friends. sports. Others have tried glucosamine and chondroitin sulfate. A physiatrist (rehabilitation specialist) or a physical therapist can design an appropriate exercise program for a person with JRA. During symptom-free periods. If the doctor feels the approach has value and will not harm the child. if a particular brand name is not mentioned. Parents can arrange for children to participate in activities that the doctor recommends. ™ Brand names are provided as examples only..com info@tlch2o. The specialist also may recommend using splints and other devices to help maintain normal bone and joint growth. for example. many doctors suggest playing team sports or doing other activities to help keep the joints strong and flexible and to provide play time with other children and encourage appropriate social development.) Arthritis © 1/21/2009 TLC 62 www. this does not mean or imply that the product is unsatisfactory.abctlc. and family. Also.Etanercept (Enbrel). JRA can strain a child's participation in social and after-school activities and make school work more difficult. exercise and physical therapy play important roles in managing JRA. How Can the Family Help a Child Live Well With JRA? JRA affects the entire family who must cope with the special challenges of this disease. Many treatment options are available. a program that uses puppets to illustrate how juvenile arthritis can affect school. Work closely with the school to develop a suitable lesson plan for the child and to educate the teacher and the child's classmates about JRA. It blocks the actions of tumor necrosis factor. Encourage exercise and physical therapy for the child. and because JRA is different in each child. for osteoarthritis of the knee. no research to date shows that they help.

No one likes to take medications. The reasons why the child needs to do what is prescribed can best be explained by the doctor. parents are not often given specific advice on HOW they can help their children follow their treatment program. Some of these suggestions will not be new to some parents as they have been following them on their own for a long time Understanding What's to Be Done and Why It’s important that parent and child understand what the child is being asked to do and why. Children with chronic diseases (such as juvenile rheumatoid arthritis) often have difficulty following a treatment program consistently. most children progress normally through school. Explain to the child that getting JRA is nobody's fault. Work with therapists or social workers to adapt more easily to the lifestyle change JRA may bring. Support group meetings provide the chance to talk to other young people and parents of children with JRA and may help a child and the family cope with the condition. The Taking Control section provides specific suggestions about how you can help your child be more consistent in taking medications.com info@tlch2o. parent and child will be sure about what they need to do. This way. At each doctor visit it is important that they know specifically what the child is to do. This way. there are several reasons why it’s important that the child follows a prescribed treatment. try to rehearse these with the parents before they leave the clinic. such as range-ofmotion exercises. for example. It’s important that parents understand the regimen prescribed for their child. nurse. It will control disease symptoms. Many patients and their families simply don’t know what they should do or else they don’t understand the purpose of the treatment prescribed. Some children believe that JRA is a punishment for something they did. doing exercises. or therapist. For complex regimens.abctlc. or wear splints over a long period of time. Some minor changes such as an extra set of books. and adhering to other prescribed activities. Sometimes this does not happen. Medications for rheumatic diseases. wearing splints. One way to keep track of changes in the child’s treatment regimen is to use a regimen checklist form.Some children with JRA may be absent from school for prolonged periods and need to have the teacher send assignments home. With proper attention. or leaving class a few minutes early to get to the next class on time can be a great help. However. They have responsibilities for making sure their children follow prescribed treatments. parent and child can remember what they are supposed to do. However. Generally speaking. Encourage them to ask questions if they are not sure. control symptoms such as joint stiffness and swelling. Arthritis © 1/21/2009 TLC 63 www. The American Juvenile Arthritis Organization runs support groups for people with JRA and their families. do special exercises. Consider joining a support group. when your child follows her program consistently she is more likely to benefit from treatment. On this form parents can record changes made in their child’s treatment program and when the change was made.com . Parents are an important part of a medical treatment team. Some parents do take notes and ask questions.

If the child is consistent in following her treatment program. This does not mean that parents should "spy on" or badger their child! However. Another way to remind the child is to use a digital alarm watch. This not only spares the child the need for some services. etc) at the same time each day and at a time that blends in with normal routines. For example. If the child is inconsistent. by wrapping them or soaking them in warm water. These watches are now relatively inexpensive. it is important to monitor their adherence to treatment and their disease symptoms. it may minimize further diagnostic tests and some treatment services. This form can be posted on the refrigerator. even with older children. does exercise. etc. etc. it can be “checked off”. Each time the child takes medicine. To minimize stomach irritation. consider the use of antacids (Maalox.abctlc. Talk about scheduling things to be done at times that are convenient for the family. Minimizing Negative Side-Effects Some children fail to do what’s prescribed because it causes some problems or is uncomfortable. It’s important to reduce these negative side-effects as much as possible if the child is to be consistent in following her treatment program. the child is more likely to get off all medications if she is consistent in taking the medications and has no symptoms over a period of several months. For example. One of the easiest ways to do this is to have the child schedule the treatments (taking medications. A chart or calendar can also be used to keep track of what the child is doing on a daily basis. Range-of-motion exercises can be painful at times and some medications cause stomach pain. can make exercising less painful.) or anti-inflammatory medications that contain antacids. Reminders One major reason why people don’t do what is prescribed is that they simply forget. Therefore. doing exercises. Consistency in following the treatment program is more likely to lead to the child being off the regimen. exercises for younger children can be done during the late afternoon while they are watching their favorite TV program. it’s hard to tell whether the treatment is working or not.If the child is consistent in following her treatment regimen.com info@tlch2o. it is important to monitor their progress. but also saves money that would have been paid out for these services. the doctor or therapist can fairly evaluate the effectiveness of the treatment. Monitoring Adherence and Disease Symptoms When the child has a chronic disease.com . For example. set at times when the child has to take medications or do other things prescribed. This is also a good way to remind kids and monitor other “fun” activities such as cleaning their room! Arthritis © 1/21/2009 TLC 64 www. warming the joints before exercising. it is important to use cues or reminders to help the child remember to follow their treatment program. One way to monitor adherence is to use a regimen record form.

Even teenagers like to hear positive comments (maybe because there are fewer opportunities or reasons for them to hear these). things. If she continues to complain.abctlc.The child’s disease symptoms can also be monitored on a daily basis. if the child starts to complain when asked to do her exercises. However. the parents should ignore these complaints as long as the child continues to do what is asked of her. Most parents have had the experience of asking their child to do something and the child cries or complains but ends up doing it while continuing to complain. Even though the child "should" know what to do and do it because it can help her. but does it less often or not as loudly. isn’t this like bribing the child to do something he is supposed to do anyway?" To bribe someone means to offer them something good for doing something illegal or immoral. Parents can also give positive feedback in more tangible ways such as allowing the child to earn "tokens" (stickers. If parents are firm but don’t lose their temper. To reward the child for following her treatment program is not bribing her. children don’t often reason this way and don’t always see the long range consequences of their actions or lack of action. complain when they have to do things they don’t particularly like to do. one can see how consistent compliance with prescribed treatments can lead to improvements in symptoms Positive Feedback Following a treatment program for a chronic disease is not easy. it is important that parents give her positive feedback. Parents (and other patients) can use these to monitor their disease. You might be saying.) for adhering and to trade them in for special activities. Ignoring minor complaints is most effective when combined with positive feedback for cooperating. By also monitoring adherence. Even though the child continues to complain. or for weekly allowances. the parents can be sympathetic ("I know you don’t like to do the exercises. Ignoring Minor Negative Reactions Children. like adults. etc. For example. With older children. They have a way of wearing anyone down. this is improvement and should be rewarded. Praise is not just for younger children. The parents shouldn’t fall into the trap of debating and arguing with their child. one for patients with juvenile rheumatoid arthritis (JRA) and one for patients with systemic lupus erythematosus (SLE) or dermatomyositis (DM). this can grow into a full blown conflict with everyone upset. parents can Arthritis © 1/21/2009 TLC 65 www. Complaints (such as whining or crying) when asked to do something can be very "trying" over a period of time. In our clinic we have developed two symptom rating forms. most children will do what they are asked to (with some complaints sandwiched in) and the incident is over. However. Many parents have had the experience of debating with a three-foot high child and wondered at some point during the debate how they ever got into the silly situation to begin with.com info@tlch2o. "Well. but they are helping you. if parents get into a lengthy debate with their child. poker chips.") but insist that the child follow up on what’s to be done. This is most effective when done immediately after the child does what was asked of her.com . complaints which are at least followed closely by cooperation can be effectively ignored and will diminish over time. Everyone needs some encouragement and this is particularly true for children living with chronic diseases. When the child is consistently following her treatment program.

the doctor may advise limiting certain activities depending on the joints involved. Arthritis © 1/21/2009 TLC 66 www. however.com info@tlch2o. With children from about 18 months to 10 years. After allowing the child to leave time-out. they will begin to test the limits. However. they can take a specified number of tokens away for not following the treatment program. If parents are using a reward system. During a disease flare-up. if the child doesn’t take her medications. parents have few options but to discipline the child. When parents have to discipline. There are some better alternatives. Parents should make sure they are clear about where the limits are and that they intend to enforce them when necessary. What does discipline involve? A good general definition is "setting rules and enforcing them in a way that is the least bothersome to the parent and child. in a firm but loving way. she could lose phone privileges for 24 hours but could earn them back by taking her medications the next day. the most effective discipline procedure is to take away privileges. children occasionally refuse to cooperate. What many parents begin to realize is that the best they can do for their child with a chronic illness is to treat them like any other child. a child can start regular activities again. For example. it is most effective if they do it in a matter-of-fact way without arguing or yelling. Discipline: When and How In spite of parents’ best efforts to reward cooperation and ignore minor complaints. With older children. the “time-out” procedure works well when children refuse to cooperate. No one wants to add more negatives to a child’s life that at times has more negatives than needed.also inform them that they don’t want to argue and walk away. They may be followed for a time but they should keep busy and give the child the chance to do what they asked her to do. and may have even spanked their children. From an early age. privileges should be taken away for a specific amount of time and opportunities should be available for earning them back. All children need to develop selfdiscipline whether they have a chronic disease or not (it may actually be more important for a child with a chronic disease)." Most parents have pleaded with.com . this can’t be avoided when raising children. This is always difficult for parents and particularly difficult for parents of children with chronic diseases.abctlc. Most children with JRA can take part fully in physical activities and sports when their symptoms are under control. Although most parents would like to avoid disciplining their children. The child won’t like to be disciplined but children really do want limits and boundaries in their life. she is immediately asked to do what the parents asked her to do. Self-discipline does not just develop on its own but follows from the discipline that children receive from their parents over a period of years. yelled at (raised their voices at least). Do Children With Juvenile Rheumatoid Arthritis Have To Limit Activities? Although pain sometimes limits physical activity. When this happens. This basically involves placing the child in a chair located in a boring place and requiring them to sit for a period of time (usually less than 5 minutes if they get quiet fast enough). Once the flare-up is over. exercise is important to reduce the symptoms of JRA and maintain function and range of motion of the joints. These strategies are often not effective and have a way of generating guilt.

Additional information and updates can also be found on the NIAMS Web site.com info@tlch2o. A doctor or physical therapist can recommend exercises and activities. researchers are studying the long-term effects of the use of methotrexate in children.gov/ NIAMS provides information about various forms of arthritis and rheumatic disease and bone. To help explore the role of genetics. muscle. OH 45229-3039 Phone: 513-636-7686 (administrative office) or 513-636-4676 (clinic) Fax: 513-636-4116 E-mail: david. Where Can People Get More Information About the MAMDC? For more information about the MAMDC. For example.Swimming is particularly useful because it uses many joints and muscles without putting weight on the joints. Glass. Children's Hospital Medical Center 3333 Burnet Avenue Cincinnati. Arthritis © 1/21/2009 TLC 67 www. The focus of the registry is on families whose brothers and sisters have JRA. Researchers suspect that both genetic and environmental factors are involved in development of the disease and they are studying these factors in detail. Researchers are continuing to try to improve existing treatments and find new medicines that will work better with fewer side effects. contact: David N. and skin diseases. continues to list new cases as well as be maintained and systematically updated.cincinnatichildrens. MD 20892-3675 Phone: 301-495-4484 or 877-22-NIAMS (226-4267) (free of charge) TTY: 301-565-2966 Fax: 301-718-6366 http://www.glass@chmcc. The research registry for JRA is located at Children's Hospital Medical Center at the University of Cincinnati College of Medicine in Ohio.com . such as etanercept. In addition. the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) has established a research registry for families in which two or more siblings have JRA. It distributes patient and professional education materials and refers people to other sources of information. joint.niams.org/Research/Divisions/Rheumatology/default.org www. established in 1994.htm Where Can People Get More Information About Juvenile Rheumatoid Arthritis? National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) National Institutes of Health 1 AMS Circle Bethesda. with emphasis on genetic susceptibility in those affected families.abctlc.D. the Food and Drug Administration's "Pediatric Rule" requires manufacturers of new drugs and biologic agents. that will be commonly used for children to provide specific information about safe pediatric use. The registry. M. NIAMS also funds a Multipurpose Arthritis and Musculoskeletal Diseases Center (MAMDC) that specializes in research on pediatric rheumatic diseases including JRA. What Are Researchers Trying To Learn About Juvenile Rheumatoid Arthritis? Scientists are investigating the possible causes of JRA.nih.

It also serves as an advocate for improved patient care and informs the public about the science of orthopedics. is an educational program that uses puppets to show how JRA can affect school..American Academy of Orthopedic Surgeons P. as well as audiocassettes.com . Kids on the Block. and pediatric rheumatology centers around the country. a training guide. props.org The association provides referrals to doctors and health professionals who work on arthritis. Most of the general information contained in the course is credited to National Institute of Health. Arthritis © 1/21/2009 TLC 68 www. Inc. GA 30309 Phone: 404-872-7100 or 800-283-7800 (free of charge) www.abctlc. Box 2058 Des Plaines. The program is designed so that anyone can be a puppeteer. 9385-C Gerwig Lane Columbia.rheumatology. and tendons.aaos. friends. and related conditions. GA 30345 Phone: 404-633-3777 Fax: 404-633-1870 www. follow-up activities. sports. and workshops to train puppeteers are available. For a single copy of an AAOS brochure. MD 21046 Phone: 410-290-9095 or 800-368-KIDS (5437) (free of charge) Kids on the Block. and family. IL 60017 Phone: 800-824-BONE (2663) (free of charge) www. this organization is the primary nonprofit group devoted to childhood rheumatic diseases. The association also provides educational materials and guidelines.arthritis. ligaments. send a self-addressed stamped envelope to the address above or visit the AAOS Web site. American College of Rheumatology 1800 Century Place.O. The orthopedist’s scope of practice includes disorders of the body's bones. A package is available (for a fee) that includes a set of large puppets that represent a diverse group of children. four different program scripts. muscles. It has information about JRA.org The academy provides education and practice management services for orthopedic surgeons and allied health professionals. joints.com info@tlch2o. support groups. rheumatic diseases. Suite 250 Atlanta. Inc.org Part of the National Arthritis Foundation. and other resources. American Juvenile Arthritis Organization 1330 West Peachtree Street Atlanta.

with the exception of unpleasantness ratings at high stimulus intensities. into the tender point site with increasing force. Arthritis © 1/21/2009 TLC 69 www. Chronic Fatigue Syndrome (CFS). In a recent study. several subjects with Fibromyalgia (FM).abctlc. Pain threshold and tolerance as assessed by Dolorimetry were significantly associated with average measures of clinical pain. Clinical pain was assessed using visual analogue ratings and the short form of the McGill Pain Questionnaire (MPQ). attached to a spring-loaded force gauge. and the strength of the association was greater at increasingly noxious stimulus intensities. and comparable levels of unpleasantness.com . moderate and high sensory intensity.Fibromyalgia Section Fibromyalgia is a chronic disorder that causes pain throughout the tissues that support and move the bones and joints. Patients are then asked to say when they stop feeling pressure and start feeling pain. stiffness. moderate and high levels. or both syndromes were administered measures of clinical pain and underwent a Dolorimetry (measurement of pain sensitivity/intensity) evaluation. and hips. particularly those of the neck. In the dolorimetry method. Dolorimetry Doctors measure these tender points in one of two ways: by simply pressing the site with a finger or by using a slightly higher-tech method called dolorimetry. Ratings of heat pain sensation were not significantly associated with clinical pain ratings. Pain.com info@tlch2o. Patients may also experience fatigue and sleep disturbances. spine. Both intensity and unpleasantness ratings of pressure delivered using random staircase methods were significantly associated with clinical pain at low. shoulders. Subjects also underwent experimental pain testing utilizing heat and pressure stimulation. Stimulation levels evoking low. were determined for both types of stimuli using random staircase methods. and localized tender points occur in the muscles and tendons. the examiner presses a rubber endplate.

These findings suggest that random pressure stimulation as an experimental pain model in these populations more closely reflects the clinical pain for these conditions. Conditions that Often Overlap with FMS • Depression • Restless leg syndrome • Irritable bowel syndrome • Irritable bladder syndrome • Migraine • Chronic fatigue syndrome • Myofascial pain • Multiple Chemical Sensitivity Syndrome Is FMS Really Psychosomatic? As with other diseases whose causes are not understood. FMS and Other Disorders Patients with FMS often suffer from associated diseases. Table 4. multiple sclerosis. FMS patients have been diagnosed as hysterical. diabetes. hypoglycemia. and parathyroid disorders Also complicating the FMS picture is the fact that FMS sufferers often have a variety of overlapping conditions or syndromes. In the past. Table 5. These findings merit consideration when designing experimental studies of clinical pain associated with FM and CFS. • • • Table 3. pain. Diseases that Mimic FMS • Polymyalgia rheumatica • Myositis or myopathies • Neuropathies. or myasthenia gravis • Spondylarthropathies • Hypermobility disorders • Substance abuse • Endocrinopathies: hypo/hyperthyroidism. is quite subjective and is difficult to document.com . Arthritis © 1/21/2009 TLC 70 www. It is not hard to understand why: FMS sufferers look well and have normal laboratory test results. some have suggested that FMS may be a psychosomatic illness or even a psychiatric disorder. The most common of these are listed in Table 3.com info@tlch2o. Your doctor will need to run a series of lab tests to rule out these disorders (Table 4) before FMS can be diagnosed. Illnesses that Often Accompany FMS Rheumatoid Arthritis (12% of FMS sufferers) Systemic Lupus Erythematosus (22% of FMS sufferers) Primary Sjogren's Syndrome (11% of FMS sufferers) Some diseases also mimic FMS and cause confusingly similar complaints. The most common of these are shown in Table 5.abctlc. Their chief symptom.

Using EMG-biofeedback. improving sleep hygiene. Dealing with fatigue: optimizing rest and activity. central nervous system abnormalities that might cause sleep disturbance and sensory problems.g. preventive medicine). In one study of childhood experiences. and growth hormone) or other bodily substance that might lead to amplified pain perception. 5.. 8. Controlling aggravating factors (e. healthy diet. Improving sleep quality by analysis of sleep. and are much more likely to experience medically unexplained physical problems. brisk walking. 4. Modifying lifestyle: (e. when compared to rheumatoid arthritis patients. Narcotic analgesics should be used sparingly and only under unusual circumstances. Dealing with stress.com info@tlch2o. Educational literature from the Arthritis or Fibromyalgia Societies and access to support groups can reduce patient anxiety and play an important role in FMS treatment management. and with medications (zolpidem tartrate). acupuncture or hypnosis therapy. counseling. plus strengthening and stretching exercises. 9. sleep apnea. 2.com .g. The patient must understand that this disorder is neither life threatening nor imaginary. Some researchers go so far as to question whether FMS even exists as a physical illness. barometer changes. endorphins. and problems such as alcoholism and childhood abuse with cognitive behavioral therapy. and problems with neurohormones (serotonin. 7. there are several theories. restless leg syndrome). humidity.g.In addition. 3. Managing pain using non-narcotic analgesics (acetaminophen. tramadol) and heat and cold treatments.. are much more likely to have a psychiatric diagnosis at some point in their lives. Arthritis © 1/21/2009 TLC 71 www. swimming or water aerobics).. Patient education. many FMS symptoms also occur in depression and other psychiatric problems. warmth. sleep disturbance and pain. can accompany anxiety and depression. 6. Chronic pain. 10. These include muscle abnormalities that might account for tender point sites. studies have found that FMS sufferers.e. Embarking on a low-impact exercise program (i..abctlc. Furthermore. treating sleep disturbances (e. noise). clinical depression can cause fatigue. relaxation techniques and self-help groups. depression. biking. pacing yourself. cold. there does seem to be a relationship of some kind between FMS and various psychiatric disorders. FMS patients were found to be much more likely than others to have experienced maltreatment or victimization. How to Treat and Manage FMS Recommended treatments include: 1. for example. changes in working conditions. Possible Causes of FMS While we do not know with certainty the causes of FMS. Though psychiatric problems do not cause tender point sites (the chief distinguishing feature of FMS) and we know that FMS patients who have been cured of depression normally continue to suffer from FMS. Dealing with any overlapping disorders.

such as over-the-counter acetaminophen. The combination of 20 mg Prozac taken in the morning and 25 mg amitryptyline taken at night also has shown effectiveness in easing symptoms throughout the day and helping to ensure sleep at night. such as cylobenzaprine (Cycloflex. Flexeril) and certain analgesics. provides sufficient pain relief. fluoxetine (Prozac) and paroxetine (Paxil). For many people with this painful condition. Nevertheless.com info@tlch2o. including tramadol (Ultram). such as amitriptyline (Endep). Recent studies using anti-seizure medications. others take an NSAID or analgesic along with one or more of the medications listed here. because none of the medications used for fibromyalgia were actually developed for the condition or even approved by the FDA for treating it. There are some other drugs used for fibromyalgia in the charts on analgesics and NSAIDs. demonstrated promising results in helping to ease pain. an NSAID or analgesic.abctlc. These include the antidepressant medications. promote sleep and relieve fatigue. muscle relaxants. the medications listed in this chart have shown effectiveness in randomized clinical trials of people with fibromyalgia. such as gabapentin (Neurontin) and the drug pregabalin (Lyrica). duloxetine (Cymbalta).com .Fibromyalgia Medications Fibromyalgia prompts doctors to prescribe medications from a variety of drug classes. Arthritis © 1/21/2009 TLC 72 www.

abctlc.Nonsteroidal Anti-inflammatory Drugs (NSAIDs) Tricyclic antidepressants (TCAD): TCADs can decrease depression. agitation and morning hangover. improve sleep. constipation. Serotonin reuptake inhibitors: morning administration of these drugs may relieve daytime fatigue and fight pain. Topical creams: capsaicin 0. low blood pressure. Arthritis © 1/21/2009 TLC 73 www. relax the muscles and help restless leg syndrome. Summary FMS is a difficult and poorly understood illness that affects different people in different ways.com info@tlch2o. Side effects include weight gain.25%. and release endorphins. Local injections with lidocaine and steroids. Muscle relaxants Benzodiazepins: these promote sleep.com . relax muscles. Accordingly. there are many approaches to its treatment and therapies must be customized to the needs of the individual FMS sufferer.

com .西安 (Xi An) 九寨沟 (Jiuzhaigou Valley Scenic and Historical Interest Area) Arthritis © 1/21/2009 TLC 74 www.abctlc.com info@tlch2o.

Hyperuricemia also may result when a person eats too many high-purine foods. attacks can last longer and occur more frequently. The term arthritis refers to more than 100 different rheumatic diseases that affect the joints. the disease has caused permanent damage to the affected joints and sometimes to the kidneys. deposits are made up of calcium phosphate crystals. which also may be warm and very tender. if excess uric acid crystals form as a result of hyperuricemia. ankles. a person does not have any symptoms and has normal joint function. Chondrocalcinosis Pseudogout is sometimes confused with gout because it produces similar symptoms of inflammation. Early attacks usually subside within 3 to 10 days. called tophi (singular: tophus). Chronic tophaceous gout--This is the most disabling stage of gout and usually develops over a long period. anchovies. hyperuricemia has caused the deposit of uric acid crystals in joint spaces. Uric Acid Uric acid is a substance that results from the breakdown of purines. and elbows. This leads to a sudden onset of intense pain and swelling in the joints. alcohol or drugs. where it is eliminated. It also can affect the instep. which causes swelling. wrists. pseudogout is treated somewhat differently and is not reviewed in this course. uric acid crystals can collect in the kidneys and cause kidney stones. even without treatment. heat.abctlc. a person has elevated levels of uric acid in the blood but no other symptoms. Hyperuricemia is not a disease and by itself is not dangerous. in the joint space between two bones. gout initially affects the joints in the big toe. In this stage. If the body increases its production of uric acid or if the kidneys do not eliminate enough uric acid from the body. such as 10 years. The excess crystals build up in the joint spaces. In this stage. However.com info@tlch2o.com . and stiffness in the joints. or the presence of another illness. These deposits lead to inflammatory arthritis. as well as other tissues and structures. Interval or intercritical gout--This is the period between acute attacks. and bones. For many people. gout will affect the big toe in about 75 percent of patients. Deposits of uric acid. In addition. or acute gouty arthritis--In this stage. Over time.Gout Section Gout is one of the most painful rheumatic diseases. However. The disease can progress through four stages: Asymptomatic (without symptoms) hyperuricemia--In this stage. Acute gout. can appear as lumps under the skin around the joints and at the rim of the ear. knees. pain. causing inflammation. also called chondrocalcinosis. levels of it build up in the blood (a condition called hyperuricemia). however. A person in this stage does not usually require treatment. such as liver. fingers. or in both. Normally. uric acid is dissolved in the blood and passed through the kidneys into the urine. muscles. Sometime during the course of the disease. in this condition. not uric acid. Therefore. Gout accounts for approximately 5 percent of all cases of arthritis. and gravies. and the next attack may not occur for months or even years. It results from deposits of needlelike crystals of uric acid in connective tissue. An acute attack commonly occurs at night and can be triggered by stressful events. Arthritis © 1/21/2009 TLC 75 www. gout can develop. dried beans and peas. which are part of all human tissue and are found in many foods. heels. redness.

many of whom have a family history of gout. which are taken to eliminate excess fluid from the body in conditions like hypertension. What Causes Gout? A number of risk factors are related to the development of hyperuricemia and gout: Genetics may play a role in determining a person's risk. edema.com info@tlch2o. particularly those between the ages of 40 and 50. it is more common in men than in women and more common in adults than in children.With proper treatment. An enzyme defect that interferes with the way the body breaks down purines causes gout in a small number of people. since up to 18 percent of people with gout have a family history of the disease. Adult men. and which decrease the amount of uric acid passed in the urine. and Levodopa. For example. and heart disease. People who have had an organ transplant are more susceptible to gout. Cyclosporine. Being overweight increases the risk of developing hyperuricemia and gout because there is more tissue available for turnover or breakdown. Eating too many foods rich in purines can cause or aggravate gout in some people. which leads to excess uric acid production. The vitamin niacin. who rarely develop the disorder before menopause. are more likely to develop gout than women. Gender and age are related to the risk of developing gout. also called nicotinic acid. It is rare in children and young adults. a medicine used to support communication along nerve pathways in the treatment of Parkinson's disease. such as aspirin. Some people who take certain medicines or have certain conditions are at risk for having high levels of uric acid in their body fluids. the following types of medicines can lead to hyperuricemia because they reduce the body's ability to remove uric acid: Diuretics. Salicylates. Arthritis © 1/21/2009 TLC 76 www. a medicine used to suppress the body's immune system (the system that protects the body from infection and disease) and control the body's rejection of transplanted organs. Drinking too much alcohol can lead to hyperuricemia because it interferes with the removal of uric acid from the body. most people with gout do not progress to this advanced stage. Exposure to lead in the environment can cause gout. Who Is Likely To Develop Gout? Gout occurs in approximately 840 out of every 100.000 people.com .abctlc. or anti-inflammatory medicines made from salicylic acid.

and warm joint Attack of arthritis in only one joint. and they often mimic other conditions. Patients often begin to improve within a few hours of treatment with a corticosteroid. To confirm a diagnosis of gout. The most commonly prescribed corticosteroid is prednisone. red. it may not be present during an acute attack. In addition.How Is Gout Diagnosed? Gout may be difficult for doctors to diagnose because the symptoms may be vague. or corticosteroids. which are taken orally every day. This drug is most effective when taken within the first 12 hours of an acute attack. does not completely rule out the diagnosis. Successful treatment can reduce both the discomfort caused by the symptoms of gout and long-term damage of the affected joints. When NSAIDs or corticosteroids do not control symptoms. this does not mean or imply that the product is unsatisfactory. sodium urate deposits (tophi) around joints to diagnose gout.com . Although most people with gout have hyperuricemia at some time during the course of their disease. The goals of treatment are to ease the pain associated with acute attacks. Arthritis © 1/21/2009 TLC 77 www. a doctor may insert a needle into an inflamed joint and draw a sample of synovial fluid. Gout can be treated with one or a combination of therapies. NSAIDs reduce the inflammation caused by deposits of uric acid crystals but have no effect on the amount of uric acid in the body. the substance that lubricates a joint. the doctor may consider using colchicine. Their absence. usually the toe. and to avoid the formation of tophi and kidney stones. A laboratory technician places some of the fluid on a slide and looks for monosodium urate crystals under a microscope. Naprosyn). however. which are taken orally or injected into the affected joint. to prevent future attacks. ankle. The NSAIDs most commonly prescribed for gout are indomethacin (Indocin*) and naproxen (Anaprox. In fact. Also.abctlc. Gout attacks may mimic joint infections. producing a swollen. Signs and Symptoms of Gout Hyperuricemia Presence of uric acid crystals in joint fluid More than one attack of acute arthritis Arthritis that develops in 1 day. if a particular brand name is not mentioned. most people with hyperuricemia do not develop the disease. and a doctor who suspects a joint infection (rather than gout) may check for the presence of bacteria. The doctor also may find it helpful to examine chalky. and their inclusion does not mean that these products are endorsed by Therapeutic Learning College. Corticosteroids are strong anti-inflammatory hormones. or knee How Is Gout Treated? With proper treatment. and the attack usually goes away completely within a week or so. * Brand names included in this booklet are provided as examples only. having hyperuricemia alone does not mean that a person will get gout. Treatment will help to prevent disability due to gout. most people with gout are able to control their symptoms and live productive lives.com info@tlch2o. The most common treatments for an acute attack of gout are high doses of nonsteroidal anti-inflammatory drugs (NSAIDs) taken orally (by mouth).

avoid foods that are high in purines. another drug . patients can dramatically decrease painful gout attacks What Research Is Being Conducted To Help People With Gout? Scientists are studying which NSAIDs are the most effective gout treatments. Plan follow-up visits to evaluate progress. there are also medications that can help keep future attacks from happening. the doctor may prescribe either NSAIDs or oral colchicine in small daily doses to prevent future attacks.com . an inflamed joint during a gout attack can be very painful.and following any diet or exercise program. If the body produces too much uric acid. Gout Medications If someone has gout. Maintain a healthy. Fluids help remove uric acid from the body.abctlc. If the body doesn't excrete uric acid well. The treatment prescribed to control gout and reduce future attacks depends on whether the body produces too much uric acid or doesn't excrete uric acid properly. abdominal cramps. Arthritis © 1/21/2009 TLC 78 www. but for long-term treatment. They need to tell their doctor about all the medicines and vitamins they take. What Can People With Gout Do To Stay Healthy? To help prevent future attacks. Zyloprim) may slow uric acid production. they need to take the medicines the doctor prescribes. Scientists are studying the effect of crystal deposits on cartilage cells for clues to treatment. Allopurinol is also helpful if the kidneys under-excrete uric acid. effective medicines to lower the level of uric acid in the blood and to treat symptoms.uric acid-lowering therapy is life-long . Acute gout is best treated when symptoms first occur. They should carefully follow instructions about how much medicine to take and when to take it. and drink plenty of fluids. NSAIDs. gout is one of the most preventable and treatable forms of arthritis. Fortunately.can help step up the process. For some patients. They also are studying the structure of the enzymes that break down purines in the body to achieve a better understanding of the enzyme defects that can cause gout.probenecid (Benemid. but do not go on diets designed for quick or extreme loss of weight because they increase uric acid levels in the blood. especially water. balanced diet.com info@tlch2o. or diarrhea make it uncomfortable to continue the drug. Exercise regularly and maintain a healthy body weight. and they are analyzing new compounds to develop safe. vomiting. The role genetics and environmental factors play in hyperuricemia also is being investigated. The doctor also may consider prescribing medicine such as allopurinol (Zyloprim) or probenecid (Benemid) to treat hyperuricemia and reduce the frequency of sudden attacks and the development of tophi. Not only are there medications that can ease attacks. Lose weight if the patient is overweight. corticosteroids or an anti-inflammatory medication called colchicine quickly reduce pain and inflammation during attacks. You. Probalan) . By taking prescribed medication regularly . as the doctor. can tell if any of them increase the patient’s risk of hyperuricemia. a drug called allopurinol (Lopurin.Doctors may ask patients to take oral colchicine as often as every hour until joint symptoms begin to improve or side effects such as nausea. They also are looking at the role of calcium deposits in pseudogout in the hope of developing new treatments. the most useful drugs are those that target the build-up of uric acid that deposits as crystals in the joint tissue.

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Tests show that 90 percent of all people with AS carry a specific gene. One common form-ankylosing spondylitis--not only affects the spine.com info@tlch2o. elbows. Another autoimmune disorder. joint inflammation around the bones of the spinal column. shoulders. which may eventually restrict a patient’s mobility. usually between the ages of 20 and 40. is another spondyloarthropathy. or other environmental agents. and for external triggers. knee.abctlc. painful. wrists. called the HLA-B27 gene. or other organ and is commonly associated with eye problems. bowel. Often regarded as the most serious. rash.1 million Americans. commonly known as lupus. in this case the synovium. and feet. Because not everyone with this gene Arthritis © 1/21/2009 TLC 81 www. resulting in pain and stiffness. RA occurs most often in the same joints on both sides of the body. Spondyloarthropathies This group of rheumatic diseases principally affects the spine. and mouth sores. that may set off the disease in genetically predisposed people. As the disease progresses. Lupus affects about 500. shoulders. may cause these bones to fuse. Although AS is often confined to the sacroiliac joint. Researchers continue to search for other genes involved. and knees as the tendons and ligaments around the bones and joints become inflamed.Other Arthritis Diseases Autoimmune Disease In autoimmune disease. such as viruses. the bone itself erodes and joints may dislocate. The resulting inflammation can lead to widespread and severe joint damage. Ankylosing spondylitis tends to affect people in late adolescence or early adulthood. Females are nine times more likely than males to develop the disease. systemic lupus erythematosus. brain. it may progress up the spine and into the ribs and neck. but may also affect the hips. a glitch in the immune system leads disease-fighting cells to attack the body’s own healthy tissue. a joint between the lower bones in the spinal column. bacteria. AS may also affect the hip. is an arthritis-related condition causing fever. RA affects more than 2. which affects up to 1 million Americans. usually develops before age 40 and is two to three times more common in men than women. Ankylosing spondylitis AS is due to chronic inflammation of the spine. and is three times more likely to affect women than men. Lupus can have serious complications. bone marrow. Reactive arthritis. and shoulder joints. AS often begins with pain and stiffness in the sacroiliac joint.5 million Americans and is most common in young women aged 15 to 40. and disabling of all forms of arthritis. including inflammation of the lungs. and swelling of the joints. In severe cases.com .000 to 1. knees. Although some genes have been identified that predispose people to certain forms of inflammatory arthritis. these genes are not the only factor. or vertebrae. skin rashes. and the lining of the heart. such as the hands. The causes of arthritisrelated autoimmune responses are not well understood. The tendency to develop AS is genetic. The immune system attacks the joint’s synovial tissue. One of the most common forms of arthritis due to autoimmune disease is rheumatoid arthritis (RA). It develops after an infection involving the lower urinary tract. kidneys. ankles. sometimes called Reiter's syndrome. causing the joint to freeze in one position. The disease. but scientists believe genetics may play a role.

Arthritis symptoms may also occur in Lyme disease. blood vessels. Scleroderma Also known as systemic sclerosis. researchers believe an infectious or environmental trigger is also involved. scleroderma means literally "hard skin. In those cases of arthritis caused by bacteria. Infectious Arthritis This is a general term used to describe forms of arthritis that are caused by infectious agents.abctlc. there is an abnormal and excessive production of collagen (a fiber-like protein) in the skin or internal organs. early diagnosis and treatment with antibiotics are crucial to get rid of the infection and minimize damage to the joints. Arthritis © 1/21/2009 TLC 82 www." The disease affects the skin. and joints.com info@tlch2o. which is caused by a bacterial infection following the bite of certain ticks.com . such as the lungs and kidneys.develops the disease. such as bacteria or viruses. Yoga can also help with back borne and joints. Parvovirus arthritis and gonococcal arthritis are examples of infectious arthritis. In scleroderma. It may also affect internal organs.

NSAIDs. and more than 80% of people with psoriatic arthritis have nail lesions. Psoriatic arthritis. It is related to the skin condition psoriasis.What Causes Psoriatic Arthritis? The cause is not yet known. DMARDs (disease-modifying rheumatic drugs) such as methotrexate. elbows. gold.com info@tlch2o. It may be partly inherited and environment might play a role.abctlc. Treatment Options Skin care Light treatment (UVB or PUVA) Corrective cosmetics Medications: glucocorticoids. knees and/or lower end of the spine. How Is It Diagnosed? May involve X-rays. Arthritis © 1/21/2009 TLC 83 www. but can occur at any age. About 95% of those with psoriatic arthritis have swelling in joints outside the spine. cyclosporine Exercise Rest Heat and cold Splints Surgery (rarely) anti- Who Is At Risk? Psoriatic arthritis affects men and women of all races and usually occurs between the ages of 20 and 50. The course of psoriatic arthritis varies. Pitting of fingernails/toenails Pain and swelling in one or more joints Swelling of fingers/toes that gives them a "sausage" appearance.com . blood tests and joint fluid tests. sulfasalazine. Severe deformity of the joints at the ends of the fingers. Psoriatic Arthritis Causes pain and swelling in some joints and scaly skin patches on some areas of the body. Psoriatic Arthritis Symptoms include: Silver or grey scaly spots on the scalp. with most doing reasonably well.

The disease may affect the whole body and cause disability. and fever. The inflammation may result from arthritis in the joint or injury or infection of the bursae.abctlc. Sagittal view of the Knee highlighting Bursae. aching. Arthritis © 1/21/2009 TLC 84 www.com . Tendinitis produces pain and tenderness and may restrict movement of nearby joints.com info@tlch2o. and tissues around the joint.Polymyalgia Rheumatica Because this disease involves tendons. muscles. injury. fluid-filled sacs that help reduce friction between bones and other moving structures in the joints. weight loss. Bursitis This condition involves inflammation of the bursae. a disease of the arteries characterized by inflammation. neck. It is sometimes the first sign of giant cell arteritis. weakness. small. symptoms often include pain. and lower back. hips. or a rheumatic condition. ligaments. Bursitis produces pain and tenderness and may limit the movement of nearby joints. Polymyositis This is a rheumatic disease that causes inflammation and weakness in the muscles. and morning stiffness in the shoulders. Tendinitis (Tendonitis) This condition refers to inflammation of tendons (tough cords of tissue that connect muscle to bone) caused by overuse.

Through the spinal column and behind the vertebrae bodies and discs. however.A nerve root compressed by arthritis may be decompressed by removing the bone spurs and hypertrophied ligament associated with the arthritis.Spinal Stenosis This is arthritis of the spine. that it is unusual to notice any overall loss of motion. or both. Behind each of these passageways for the nerve roots is a facet joint. The narrowing puts pressure on the roots of the sciatic nerve. Occasionally. and a gelatinous interior called the nucleus pulposus. called the annulus fibrosus. There is a foramen on the right and one on the left at each level. The bones which make up the spine are called vertebrae. and five lumbar vertebrae in the lower back. The location of each nerve root between the disc and the facet joint makes it vulnerable to pressure from a herniated disc in front of it or from arthritis in the facet joint behind it. It can cause sciatica. Each individual nerve root exits the spinal canal through a space. Each disc has a firm outer layer. The condition where arthritis narrows the space for the spinal nerves is called spinal stenosis.com info@tlch2o. Between the vertebrae are intervertebral discs.com . The two facet joints at each level allow rotation so the spine can flex forward or extend backward.abctlc. There are so many motion segments in the spine. but not necessarily. the spinal cord and spinal nerves course on their way to various locations from the brain. two vertebral bodies must be fused together if a large amount of the joint must be removed. There are seven cervical vertebrae in the neck. causing narrowing of the spinal canal in the lumbar vertebrae. called its intervertebral foramen or neural foramen. twelve thoracic vertebrae. Arthritis © 1/21/2009 TLC 85 www.

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That is. They are devoted to helping the patient get back to normal pursuits and start feeling like themselves again. or talking on the phone with the receiver held against your shoulder and under your chin). Arthritis can also involve symptoms including headaches. whose joints have been worn by much use over time. They may be one of the many unfortunates who. and even a grating/grinding feeling when the patient moves their head. When this form of arthritis hits the back and neck. overcome stiffness. most minor. Examination. It is very important for a chiropractor to examine them to rule out osteoarthritis or identify it and see that it is properly treated.com . if they keep your head in an awkward position for too long.abctlc. our head is "balanced" atop the spinal column. are subject to osteoarthritis (also known as degenerative joint disease or DJD). or progressive degeneration that can come with age may be responsible for the more significant pain you experience. only to awake with a stiff and painful neck. Or it can be so severe that it is unbearable and incapacitating. while working. using a computer. Who suffers from neck pain? Almost everyone experiences some sort of neck pain or stiffness at one time or another. What can chiropractics do? Doctors of chiropractics have the training and skills to relieve neck pain. Neck pain that lasts for many days or keeps coming back is a signal that something isn't right.Neck Pain Neck pain can be so mild that it is merely annoying and distracting. posture-induced neck pain episodes clear up on their own after rest and efforts not to repeat the offending stresses on the neck. an injury (such as whiplash in an auto accident). An expert must determine the underlying causes of such neck pain. and restore the mobility and range of motion of any frozen neck vertebrae. Older people. dizziness. watching TV. Because we are human and walk upright. Disease. The price someone pays for carelessness in how they position their head and neck (say. and the patient may feel numbness or tingling in hands and fingers. But neck pain that just won't go away after a day or so is a more serious matter.com info@tlch2o. is a pain in the neck. reading a book. If the muscles that support the head are not kept strong and in good condition. has "harmlessly" fallen asleep in a chair or in bed with their head propped up. a congenital malformation. Fortunately. after a long and tiring day. Most instances of neck pain (and stiffness) are minor and commonly caused by something the patient did. Arthritis © 1/21/2009 TLC 88 www. diagnosis and treatment by a doctor of chiropractic may quickly relieve your pain. The pain may radiate into the shoulders and arms. it is felt as neck pain that gets worse over time. the joints in the neck can "lock" and the neck muscles can become painfully fatigued. the upper part of the spinal column is vulnerable to strains and injuries.

urine. Gender is another factor in some rheumatic diseases.abctlc. and throat may be necessary. abdomen. eyes. Since the antibodies react with material in the cell's nucleus (control center). scleroderma. Some of these factors have been identified. • Lupus is three times more common in African American women than in Caucasian women. This indicates that hormones or other male-female differences may play a role in the development of these conditions. • Nine out of 10 people who have fibromyalgia are women. For example: • Rheumatoid arthritis occurs two to three times more often in women than in men. There are also tests for individual types of ANAs that may be more specific to people with certain autoimmune disorders. the combination of genetic factors that determine susceptibility and environmental triggers are believed to be important. this number is expected to reach 60 million. may affect other organs. Lupus. • Nine out of 10 people who have lupus are women. Some rheumatic conditions are more common among certain populations. Rheumatic diseases affect people of all races and ages. • Scleroderma is more common in women than in men. such as lupus. By the year 2020. ANAs are also sometimes found in people who do not have an autoimmune disorder. • Ankylosing spondylitis is more common in men than in women. Arthritis © 1/21/2009 TLC 89 www. they are referred to as antinuclear antibodies. Physical Examination and Laboratory Tests The doctor will examine the patient's joints for redness. Family history also plays a role in some diseases such as gout and ankylosing spondylitis. a complete physical examination that includes the heart. and tenderness. Who Is Affected by Arthritis and Rheumatic Conditions? An estimated 43 million people in the United States have arthritis or other rheumatic conditions.com info@tlch2o. having ANAs in the blood does not necessarily mean that a person has a disease. warmth. nervous system. inherited cartilage weakness or excessive stress on the joint from repeated injury may play a role. damage. In lupus. such as lupus. For example. rheumatoid arthritis. ears. and scleroderma. rheumatoid arthritis. in osteoarthritis. Common laboratory tests and procedures include the following: Antinuclear antibody (ANA) This test checks blood levels of antibodies that are often present in people who have connective tissue diseases or other autoimmune disorders. lungs.What Causes Rheumatic Disease? Scientists are studying risk factors that increase the likelihood of developing a rheumatic disease.com . Samples of blood. The doctor may order some laboratory tests to help confirm a diagnosis. and fibromyalgia are more common among women. • Gout is more common in men than in women. ease of movement. Because some forms of arthritis. Therefore. Rheumatic diseases are the leading cause of disability among adults age 65 and older. or synovial fluid (lubricating fluid found in the joint) may be needed for the tests.

packed cell volume) This test and the test for hemoglobin (a substance in the red blood cells that carries oxygen throughout the body) measure the number of red blood cells present in a sample of blood. such as lupus. When doctors prescribe medications that affect the CBC. a group of proteins in the blood. Complement helps destroy foreign substances. and may decline when corticosteroids or nonsteroidal anti-inflammatory drugs (NSAIDs) are used to reduce inflammation. Synovial fluid examination Synovial fluid may be examined for white blood cells (found in patients with rheumatoid arthritis and infections). Rheumatoid factor This test detects the presence of rheumatoid factor.com . such as rheumatoid arthritis and ankylosing spondylitis. Creatinine is a breakdown product of creatine. they periodically test the patient's blood. low red blood count (anemia). an antibody found in the blood of most (but not all) people who have rheumatoid arthritis. Erythrocyte sedimentation rate (sed rate) This blood test is used to detect inflammation in the body. or crystals in the joint (found in patients with gout or other types of crystal-induced arthritis). The procedure is called arthrocentesis or joint aspiration. Levels of the protein are often increased in patients with active disease such as rheumatoid arthritis. and sometimes in people without health problems.C-reactive protein test This is a nonspecific test used to detect generalized inflammation. A decrease in the number of red blood cells (anemia) is common in people who have inflammatory arthritis or another rheumatic disease. which is an important component of muscle. the doctor injects a local anesthetic. such as germs. to monitor for underlying kidney disease. Higher sed rates indicate the presence of inflammation and are typical of many forms of arthritis. It is excreted from the body entirely by the kidneys. Complement This test measures the level of complement. and then inserts a needle into the joint to withdraw the synovial fluid into a syringe. Hematocrit (PCV. A low blood level of complement is common in people who have active lupus. To obtain a specimen.com info@tlch2o. Creatinine This blood test is commonly ordered in patients who have a rheumatic disease. and the level remains constant and normal when kidney function is normal. and many of the connective tissue diseases. Rheumatoid factor may be found in many diseases besides rheumatoid arthritis. or low platelet count (thrombocytopenia). bacteria or viruses (found in patients with infectious arthritis). that enter the body. red blood cells. and platelets present in a sample of blood.abctlc. Complete blood count (CBC) This test determines the number of white blood cells. Some rheumatic conditions or drugs used to treat arthritis are associated with a low white blood count (leukopenia). Arthritis © 1/21/2009 TLC 90 www.

flexible tube which is inserted through a small incision at the joint and which transmits the image of the inside of a joint to a video screen. and ligaments. muscles. Arthritis © 1/21/2009 TLC 91 www. The doctor may look for damage to a joint by using an arthroscope. red blood cells. These abnormalities may indicate kidney disease. Carpal tunnel syndrome area of pain. such as lupus. a small. white blood cells.abctlc. which may be seen in several rheumatic diseases. Some medications used to treat arthritis can also cause abnormal findings on urinalysis. X-rays provide an image of the bones.com . magnetic resonance imaging (MRI). including lupus. White blood cell count (WBC) This test determines the number of white blood cells present in a sample of blood. The number may increase as a result of infection or decrease in response to certain medications or in certain diseases. and bacteria. but they do not show cartilage. and arthrography show the whole joint. Low numbers of white blood cells increase a person's risk of infections. Other noninvasive imaging methods such as computed tomography (CT or CAT scan). the doctor may order x-rays or other imaging procedures.com info@tlch2o. X-Rays and Other Imaging Procedures To see what the joint looks like inside. a urine sample is studied for protein.Urinalysis In this test.

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Exercise. people with arthritis should talk with their doctor. People with gout should avoid alcohol and foods that are high in purines. muscle strength.. and endurance. People with a rheumatic disease such as arthritis can participate in a variety of sports and exercise programs. In severe cases. bicycle riding) to improve cardiovascular fitness. such as splints or braces. Strengthening exercises (e. Arthritis © 1/21/2009 TLC 93 www.g. stretching. Another important part of a treatment program is a well-balanced diet..com . and improve overall well-being. may cause muscles and joints to become stiff. Along with exercise. dance) to help maintain normal joint movement. Weight control is important to people who have arthritis because extra weight puts extra pressure on some joints and can aggravate many types of arthritis. For example. such as organ meats (liver. it is important to take a break and rest. when experiencing pain or fatigue. Rest. Treatment plans usually combine several types of treatment and vary depending on the rheumatic condition and the patient.g. weight lifting) to maintain or increase muscle strength. kidney). medication. Too much rest. a well-balanced diet helps people manage their body weight and stay healthy. surgery may be necessary.abctlc. One sign of many rheumatic conditions is fatigue. Studies show that aerobic exercise can also reduce inflammation in some joints. however.. sardines. It also helps with weight reduction and contributes to an improved sense of well-being. anchovies. and relieve stiffness. Other treatments include the use of pain relief methods and assistive devices. Exercises that doctors often recommend include: Range-of-motion exercises (e. The doctor and the patient work together to develop a treatment plan that helps the patient maintain or improve his or her lifestyle. Physical exercise can reduce joint pain and stiffness and increase flexibility. Patients must pay attention to signals from their bodies. and instruction about the proper use of joints and ways to conserve energy.What Are the Western Treatments? Treatments for rheumatic diseases include rest and relaxation.com info@tlch2o. exercise.g. Diet is especially important for people who have gout. and Diet People who have a rheumatic disease should develop a comfortable balance between rest and activity. Before starting any exercise program. proper diet. and gravy. maintain or increase flexibility. Aerobic or endurance exercises (e. help control weight. Strong muscles help support and protect joints affected by arthritis. walking.

abctlc.com .com info@tlch2o.Picturing these…and stay healthy… REST EXERCISE DIET Arthritis © 1/21/2009 TLC WEIGHT CONTROL 94 www.

A common side effect of NSAIDs is stomach irritation. and possibly safer. but rather limit the symptoms of the disease. they may be safe for people who are unable to take NSAIDs due to allergies or stomach problems. which can often be reduced by changing the dosage or medication. The doctor may be able to change the dosage or medicine to reduce these side effects.com . Analgesics Pain gets in the way. The medications used to treat most rheumatic diseases do not provide a cure. In some cases. even those available without a prescription). The most commonly used analgesic. where symptoms of arthritis may be prevented or may disappear if the infection is caught early and treated with antibiotics. For that reason. effectiveness and safety.abctlc. the medication may slow the course of the disease and prevent further damage to joints or other parts of the body. acetaminophen.com info@tlch2o. rheumatologists recommend acetaminophen as a first-line option against osteoarthritis (OA) pain. and their long-term effects are still being studied. should always follow the doctor's instructions. The doctor may delay using medications until a definite diagnosis is made because medications can hide important symptoms (such as fever and swelling) and thereby interfere with diagnosis. However. Analgesics (pain relievers) such as acetaminophen (Tylenol)* and nonsteroidal antiinflammatory drugs (NSAIDs) such as ibuprofen are used to reduce the pain caused by many rheumatic conditions. caused by the bite of certain ticks. such as an upset stomach. is also the most widely available. The type of medication depends on the rheumatic disease and on the individual patient. disrupting sleep and generally reducing the quality of life for many people. Because of its low cost. Unlike nonsteroidal anti-inflammatory drugs (NSAIDs). analgesics are designed purely for pain relief. including celecoxib (Celebrex) and rofecoxib (Vioxx). choice for people whose arthritis causes pain but not inflammation. Another example is Lyme disease. Medications commonly used to treat rheumatic diseases provide relief from pain and inflammation. That’s why medications to ease pain – analgesics – are among the most-used drugs for many forms of arthritis. even new medications are occasionally associated with reactions ranging from mild to severe.Medications A variety of medications are used to treat rheumatic diseases. Patients taking any medication. They’re also an appropriate. for example. NSAIDs have the added benefit of decreasing the inflammation associated with arthritis. or headache. Arthritis © 1/21/2009 TLC 95 www. which target pain and inflammation. were introduced to reduce gastrointestinal side effects and offer additional options for treatment. Infectious arthritis and gout are exceptions if medications are used properly. interfering with daily activities. The doctor should be notified immediately if the medicine is making the symptoms worse or causing other problems. Some people use acetaminophen in addition to an NSAID for added pain relief (but always check patient’s history before suggesting any medications. nausea. New NSAIDs. either prescription or over-thecounter.

and their inclusion does not mean that these products are endorsed by Therapeutic Learning College. swelling and restricted movement. another option is transdermal fentanyl (Duragesic).abctlc.com info@tlch2o. hydroxychloroquine Arthritis © 1/21/2009 TLC 96 www. they take a long time to show results. Longer-acting opioid analgesics are available. the first steroid-based drug. feet. * Brand names included in this course are provided as examples only. make sure they don't get a double dose of acetaminophen. Relief from Arthritis and Rheumatism Ibuprofen is a well-known drug that is used to treat the symptoms of rheumatism and arthritis. and the sufferers rarely die and rarely get better. Sometimes these products also contain acetaminophen. Some of these come in pill forms. such as codeine or hydrocodone. doctors sometimes prescribe analgesics containing an opioid. Doctors know that it is wise to prescribe a disease-modifying antirheumatic drug (DMARD) before such damage occurs. which can be toxic. such as stomach irritation and bleeding. this does not mean or imply that the product is unsatisfactory. sugar and protein metabolism soon caused disillusionment. Rheumatoid arthritis can result in severe deformation of the hands wrists. may be prescribed a DMARD upon their diagnosis. Another reason DMARDs should be started early is that. and causes severe pain. This means there is a huge market for drugs that relieve pain and swelling and reduce inflammation. Also. if a particular brand name is not mentioned. a patch that delivers opioid medication through the skin. such as RA. was discovered in 1948. became serious. joint inflammation can cause permanent damage. too. although they are generally effective. 7 of the top 100 best selling drugs in the world are antiinflammatory drugs of this type. such as oxycodone with acetaminophen (Percocet) or propoxyphene with acetaminophen (Darvocet)—so if the patient is prescribed one. DMARDs Without treatment. For example. In fact.For severe pain that isn’t eased by acetaminophen. but this only relieved the pain and did nothing to relieve the inflammation. often for the rest of their lives.com . the minor side-effects of aspirin. For over half a century. the only anti-inflammatory drug available was aspirin. Alternatives were tried.but then reports of it causing problems with essential salt. and was hailed as a miracle cure . ankles and hip joints. such as paracetamol. such as oxycodone (OxyContin). this caused problems for arthritics who needed to take the drug regularly and in large doses. People newly diagnosed with an inflammatory form of arthritis. However. Such illnesses are very disabling. Cortisone. Under such conditions.

DMARDs are most commonly used for RA. Biologic Response Modifiers Biological response modifiers are new drugs used for the treatment of rheumatoid arthritis. Kineret blocks a cytokine called interleukin-1 (IL-1). Like DMARDs. If analgesics do not ease the pain.com info@tlch2o. Although the biologics work in different ways. Some. Adalimumab (Humira). Unlike DMARDs. studies show that two-thirds of people with RA respond favorably to a biologic.(Plaquenil) and sulfasalazine (Azulfidine) may take up to three or four months before effects are noticed. Like many drugs. are used mainly to treat severe organ disease. with most of them achieving remission. biologics are used together with standard DMARDs. all block specific steps in the inflammation process. The others were borrowed from different areas of medicine: Hydroxychloroquine (Plaquenil) is a malaria drug. abatacept (Orencia). Abatacept (Orencia) blocks the activation of T cells. Because DMARDs suppress the immune system. such as methotrexate. sore throat or cough. but often not quickly enough. Also. most often. etanercept (Enbrel) and infliximab (Remicade) block a cytokine called tumor necrosis factor-alpha (TNF-a). two biologics are not used together. For that reason. body weight and other medications they are taking. sometimes they initiate a long-lasting remission. other medications may be appropriate. chlorambucil (Leukeran) and methotrexate are cancer medications and cyclosporine (Neoral) originally was developed to keep the body from rejecting transplanted organs.abctlc. the biologics stop disease progression. The dosages listed in this chart are for those with RA. always watch for signs of infection – chills. The dosage will vary depending on the particular illness and the overall health of the patient. leflunomide (Arava) and Azulfidine – were actually developed for RA. Other drugs. work more quickly. For instance. biologics have a downside. psoriatic arthritis and lupus. In fact. a protein involved in immune system response. doctors frequently prescribe an additional drug – such as a corticosteroid or an NSAID – to help control pain and inflammation while the DMARD starts to work. these drugs often work for people in whom other therapies have failed. Moreover. the drugs must Arthritis © 1/21/2009 TLC 97 www. which may be used in combination with one another. fever. mycophenolate mofetil (CellCept) or cyclosphosphamide (Cytoxan). They can help reduce inflammation and structural damage of the joints by blocking the reaction of a substance called tumor necrosis factor. The “biologics” technically are a subset of DMARDs. Only three DMARDs – auranofin (Ridaura). such as methotrexate. expense. In many cases. The doctor and patient must work together to determine which analgesic to use and the appropriate amount. anakinra (Kineret) and rituximab (Rituxan) should not be used with TNF-a inhibitors. dosage may vary depending on the patient’s specific condition and factors like disease severity. such as chlorambucil (Leukeran). Rituximab (Rituxan) blocks B cells. ankylosing spondylitis.com . and TNF-a inhibitors should not be combined. age. such as kidney disease caused by lupus or vasculitis. but some are also used for juvenile RA.

Side effects that may occur after long-term use of corticosteroids include stretch marks. It can be dangerous to stop taking corticosteroids suddenly. They are usually injected directly into the joint to help provide temporary relief of pain and flexible joint movement. The dosage of these medications will vary depending on the diagnosis and the patient. ice massage. TENS blocks pain messages to the brain with a small device that directs mild electric pulses to nerve endings that lie beneath the painful area of the skin. Corticosteroids Corticosteroids. Devices Used in Treatment Transcutaneous electrical nerve stimulation (TENS) has been found effective in modifying pain perception. A blood-filtering device called the Prosorba Column is used in some health care facilities for filtering out harmful antibodies in people with severe rheumatoid arthritis. Some ways to apply moist heat include placing warm towels or hot packs on the inflamed joint or taking a warm bath or shower. The patient and doctor can determine which one works best. Physical therapists are needed for some of these therapies. cortisone.abctlc. solumedrol. Cold therapy numbs the nerves around the joint (which reduces pain) and may relieve inflammation and muscle spasms. tolerance for pain. high blood sugar. Arthritis © 1/21/2009 TLC 98 www. Short-term side effects of corticosteroids include swelling. Heat and Cold Therapies Heat and cold can both be used to reduce the pain and inflammation of arthritis. weight gain. microwaves. ultrasound.com . Heat therapy increases blood flow. excessive hair growth. and emotional ups and downs. Cold therapy can involve cold packs. infections.com info@tlch2o. and cataracts. but patients can apply moist heat themselves. so it is very important that the doctor and patient work together when changing the corticosteroid dose. osteoporosis. Researchers say that future agents may be less expensive and taken orally. Capsaicin cream is a preparation put on the skin to relieve joint or muscle pain when only one or two joints are involved. soaking in cold water. These side effects generally stop when the drug is stopped. high blood pressure. Corticosteroids can be given by mouth. Hyaluronic acid products like Hyalgan and Synvisc mimic a naturally occurring body substance that lubricates the knee joint. and flexibility. Again.be infused intravenously or injected. such as microwave or ultrasound therapy. in creams applied to the skin. the patient and doctor must work together to determine the right amount of medication. are used to treat many rheumatic conditions because they decrease inflammation and suppress the immune system. or over-the-counter sprays and ointments that cool the skin and joints. increased appetite. and hydrocortisone. or moist heat. such as prednisone. or by injection. damage to the arteries. Heat therapy can involve treatment with paraffin wax.

the patient tightens a muscle group and then slowly releases the tension. making it easier to exercise. who will show the patient the Arthritis © 1/21/2009 TLC 99 www. others allow some movement. and reduction in pain and swelling related to such injuries reduction in the formation of excessive scar tissue following soft tissue injuries enhancement in the health and nourishment of skin improvement in posture through changing tension patterns that affect posture reduction in stress and an excellent stress management tool creation of a feeling of well-being reduction in levels of anxiety increase in awareness of the mind-body connection promotion of a relaxed state of mental awareness Assistive Devices The most common assistive devices for treating arthritis pain are splints and braces. holding. massage is known to affect the circulation of blood and the flow of blood and lymph. and enhance tissue healing. Massage therapy is the scientific manipulation of the soft tissues of the body for the purpose of normalizing those tissues. Some of these devices prevent the joint from moving. and consists of manual techniques that include applying fixed or movable pressure. known as progressive relaxation. (Someone other than the patient moves stiff joints through their normal range of motion. A splint or brace should be used only when recommended by a doctor or therapist. reduce muscular tension or flaccidity. increase joint motion. Mobilization Therapy Mobilization therapies include traction (gentle. Purpose Generally. and manipulation. and/or causing movement of or to the body. In one method of relaxation therapy.abctlc. Doctors and physical therapists can teach patients a variety of relaxation techniques. such as pulled muscles and sprained ligaments. which are used to support weakened joints or allow them to rest. and improve muscle and tendon flexibility. such as headaches and eyestrain promotion of faster healing of soft tissue injuries. massage. These effects provide a number of benefits: reduction of muscle tension and stiffness relief of muscle spasms greater flexibility and range of motion increase of the ease and efficiency of movement relief of stress and aide of relaxation promotion of deeper and easier breathing improvement of the circulation of blood and movement of lymph relief of tension-related conditions.) When done by a trained professional. The water takes some weight off painful joints. It helps relax tense muscles and relieve pain.com .com info@tlch2o. steady pulling). these methods can help control pain. affect the nervous system through stimulation or sedation.Hydrotherapy and Relaxation Therapy Hydrotherapy involves exercising or relaxing in warm water. Relaxation therapy helps reduce pain by teaching people various ways to release muscle tension throughout the body.

there is no scientific evidence that such treatments cure arthritis. It is vital for them to have a good relationship with the doctor in order to work together. or other products. radiation. Surgery Surgery may be required to repair damage to a joint after injury or to restore function or relieve pain in a joint damaged by arthritis. Moreover. and explain when and for how long it should be worn. which can affect their overall well-being. Even when arthritis impairs only one joint.abctlc. A shoe insert (orthotic) can ease the pain of walking caused by arthritis of the foot or knee. Nutritional Supplements Nutritional supplements are often reported as helpful in treating rheumatic diseases. special diets. They must understand the treatment plan and tell the doctor whether or not it is helping them. bone fusion (surgery in which bones in the joint are fused or joined together).com info@tlch2o. When arthritis affects the entire body. People with arthritis may find that they can no longer participate in some of their favorite activities. the only type of arthritis that can be cured is that caused by infections. What Can Be Done To Help? Studies show that an estimated 18 percent of Americans who have arthritis or other rheumatic conditions believe that their condition limits their activities. Research has shown that patients who are well informed and participate actively in their own care experience less pain and make fewer visits to the doctor. Work To Limit Pain The role the patient plays in planning treatment is very important. closing zippers. Some people claim to have been cured by treatment with herbs. The incorrect use of a splint or brace can cause joint damage. ensure that it fits properly. a person may have to change many daily activities to protect that joint from further damage and reduce pain. chemicals. the use of a cane when walking can reduce some of the weight placed on a knee or hip affected by arthritis. A person with arthritis can use other kinds of devices to ease the pain. Although symptoms of other types of arthritis can be effectively managed with rest. Myths About Treating Arthritis At this time. Reports on the safety and effectiveness of these products should be viewed with caution since very few claims have been carefully evaluated. in which the damaged joint is removed and replaced with an artificial one). The patient should be able to ask questions about their condition or treatment. dehydroepiandrosterone (DHEA) for lupus. exercise. The doctor may recommend arthroscopic surgery. there are no cures. and holding pencils. However. Patients should talk to their doctor before using any therapy that has not been prescribed or recommended by the health care team caring for the patient. and glucosamine and chondroitin sulfate for osteoarthritis. stiffness. Other devices can help with activities such as opening jars. or arthroplasty (also known as total joint replacement. For example. and medication. oils. and pain. some may lead to serious side effects. These include products such as S-adenosylmethionine (SAM-e) for osteoarthritis and fibromyalgia. as it does in people with rheumatoid arthritis Arthritis © 1/21/2009 TLC 100 www.com .correct way to put the device on.

can make it easier to cope. and raising the height of the toilet seat can help. rheumatic diseases. The NIAMS currently supports three types of research centers that study arthritis. Friends and family members can help a patient with a rheumatic condition by learning about that condition and understanding how it affects the patient's life. osteoarthritis. An occupational therapist can help people who have rheumatic conditions identify and make adjustments in their homes to create a safer. People with arthritis may become weak. musculoskeletal disorders (including bone and muscle diseases). By providing funding for facilities. and program enrichment activities at the Core Center. more comfortable. Current centers Arthritis © 1/21/2009 TLC 101 www. In the bathroom.com info@tlch2o. Maryland. rheumatoid arthritis. and more efficient environment. and scleroderma are being studied. Research activities include both basic (laboratory) and clinical (involving patients) research studies to better understand what causes these conditions and how best to treat and prevent them. and other symptoms. or fall. The NIAMS sponsors research and research training on the NIH campus in Bethesda. leads the Federal medical research effort in arthritis and rheumatic diseases. and with less pain. The MCRCs are programs that focus on clinical research designed to assess and improve outcomes for patients affected by arthritis and other rheumatic diseases. the Institute reinforces investigations already underway in NIAMS program areas. Core Centers promote interdisciplinary collaborative efforts among scientists doing highquality research related to a common theme. Currently. Each center studies one or more of the diseases within the NIAMS mission and provides resources for developing clinical projects using more than one approach. fatigue. osteoporosis. a part of the National Institutes of Health (NIH). Specialized Centers of Research (SCORs). Their support. Changes in the home may help a person with chronic arthritis continue to live safely. pilot and feasibility studies.or fibromyalgia. systemic lupus erythematosus. and at universities and medical centers throughout the United States. as well as support from other people who have the same disease. Research Being Done on Arthritis The National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS).abctlc. placing a secure seat in the tub. productively. Each SCOR focuses on a single disease.com . many daily activities have to be changed to deal with pain. Friends and family can provide emotional and physical assistance. The Arthritis Foundation has a wealth of information to help people with arthritis. installing grab bars in the tub or shower and by the toilet. Special kitchen utensils can accommodate hands affected by arthritis to make meal preparation easier. and other musculoskeletal conditions: Multidisciplinary Clinical Research Centers (MCRCs). and Core Centers. A list of these centers and their locations can be obtained from the Institute (listed at the end of this fact sheet). and skin diseases. lose their balance. Combining laboratory and clinical studies under one roof speeds up research on the causes of these diseases and hastens transfer of advances from the laboratory to the bedside to improve patient care.

and laboratory information from patients and. and the ways in which these systems interact with environmental and genetic factors in the development of rheumatoid arthritis. Other investigators have shown that minocycline and doxycycline. antiphospholipid syndrome (an autoimmune disorder). scientists are looking at new ways to treat rheumatoid arthritis. and Core Centers for Musculoskeletal Disorders. nervous.com . Others are studying the role of certain enzymes (specialized proteins in the body that spark biochemical reactions) in breaking down cartilage.abctlc. two antibiotic medications in the tetracycline family. Some scientists are trying to determine whether an infectious agent triggers rheumatoid arthritis. Rheumatoid Arthritis Researchers are trying to identify the cause of rheumatoid arthritis in order to develop better and more specific treatments. scleroderma. lupus and neonatal lupus. Arthritis © 1/21/2009 TLC 102 www. and immune systems play. Skin Disease Research Core Centers. Research registries provide a means for collecting clinical. Studies for additional new drugs continue. Moreover. have a modest benefit for people with rheumatoid arthritis. Biomarkers (laboratory and imaging signposts that detect disease) help researchers determine the likelihood that a person will develop a specific disease and its possible severity and outcome. They are examining the role that the endocrine (hormonal). Research continues in this area. Biomarkers have the potential to lead to novel and more effective ways to predict and monitor disease activity and responses to treatment. juvenile rheumatoid arthritis. Follow-up studies show promise for their effectiveness in slowing disease progression. demographic. Novel studies using imaging technologies are underway as well.com info@tlch2o. Biomarkers Recent scientific breakthroughs in basic research have provided new information about what happens to the body's cells and other structures as rheumatic diseases progress. their relatives. Newly developed drugs include etanercept (Enbrel) and infliximab (Remicade). NIAMS currently supports research registries for rheumatoid arthritis.include Rheumatic Diseases Research Core Centers. The NIAMS supports research on biomarkers for rheumatic and skin diseases. and prevention. Researchers are also trying to identify the genetic factors that place some people at higher risk than others for developing rheumatoid arthritis. including a new initiative on osteoarthritis. sometimes. and juvenile dermatomyositis. Additional studies on specific rheumatic diseases follow. Some current NIAMS research efforts in rheumatic diseases are outlined below. They are experimenting with new drugs and "biologic agents" that selectively block certain immune system activities associated with inflammation. ankylosing spondylitis. These techniques help identify targets for new drugs by allowing researchers to see changes in cells during the disease process. These registries facilitate studies that could ultimately lead to improved diagnosis. treatment.

Osteoarthritis
The NIAMS has embarked on several innovative approaches to understand the causes
and identify effective treatment and prevention methods for osteoarthritis. Through a
public/ private partnership, researchers are identifying biomarkers for osteoarthritis to
help develop and test new drugs. Imaging studies designed to better identify joint
disorders and assess their progression are taking place as well.
The National Center for Complementary and Alternative Medicine and the NIAMS at the
National Institutes of Health are currently funding a study on the usefulness of the
dietary supplements glucosamine and chondroitin sulfate for osteoarthritis. Previous
studies suggest these substances may be effective for reducing pain in knee
osteoarthritis. Researchers are also investigating whether they prevent the loss of
cartilage.
Some genetic and behavioral studies are focusing on factors that may lead to
osteoarthritis. Researchers recently found that daughters of women who have knee
osteoarthritis have a significant increase in cartilage breakdown, thus making them more
susceptible to disease. This finding has important implications for identifying people who
are susceptible to osteoarthritis. Other studies of risk factors for osteoarthritis have
identified excessive weight and lack of exercise as contributing factors to knee and hip
disability.
Researchers are working to understand what role certain enzymes play in the
breakdown of joint cartilage in osteoarthritis and are testing drugs that block the action of
these enzymes.
Studies of injuries in young adults show that those who have had a previous joint injury
are more likely to develop osteoarthritis. These studies underscore the need for
increased education about joint injury prevention and use of proper sports equipment.
Systemic Lupus Erythematosus
Researchers are looking at how genetic, environmental, and hormonal factors influence
the development of systemic lupus erythematosus. They are trying to find out why lupus
is more common in certain populations, and they have made progress in identifying the
genes that may be responsible for lupus. Researchers also continue to study the cellular
and molecular basis of autoimmune disorders such as lupus. Promising areas of
research on treatment include biologic agents; newer, more selective drugs that
suppress the immune system; and bone transplants to correct immune abnormalities.
Contrary to the widely held belief that estrogens can make the disease worse, clinical
studies are revealing that it may be safe to use estrogens for hormone replacement
therapy and birth control in women with lupus.
Scleroderma
Current studies on scleroderma are focusing on overproduction of collagen, blood vessel
injury, and abnormal immune system activity. Researchers hope to discover how these
three elements interact to cause and promote scleroderma. In one study, researchers
found evidence of fetal cells within the blood and skin lesions of women who had been
pregnant years before developing scleroderma. The study suggests that fetal cells may
play a role in scleroderma by fostering the maturation of immune cells that promote the

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overproduction of collagen. Scientists are continuing to study the implications of this
finding.
Treatment studies are underway as well. One study in particular is looking at the
effectiveness of oral collagen in treating scleroderma.
Fibromyalgia
Scientists are looking at the basic causes of chronic pain and the health status of young
women affected by fibromyalgia. The effectiveness of behavior therapy, acupuncture,
and some alternative medical approaches for dealing with pain and loss of sleep are
being tested. Researchers are also studying whether certain genes contribute to this
disease.
Spondyloarthropathies
Researchers are working to understand the genetic and environmental causes of
spondyloarthropathies, which include ankylosing spondylitis, psoriatic arthritis,
inflammatory bowel disease, and reactive arthritis (Reiter's syndrome), as well as related
conditions of the eye. They are also looking at new imaging methods that will help with
early and accurate diagnosis, guide treatment, and detect responses to treatment.
Research on new treatments is also underway.

YIN & YANG (TAI CHI QUAN)

Chinese play Tai Chi to protect
themselves from arthritis.

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More Information About Arthritis and Rheumatic Diseases
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
National Institutes of Health
1 AMS Circle
Bethesda, MD 20892-3675
Phone: 301-495-4484 or
877-22-NIAMS (226-4267) (free of charge)
TTY: 301-565-2966
Fax: 301-718-6366
E-mail: niamsinfo@mail.nih.gov
www.niams.nih.gov
NIAMS provides information about various forms of arthritis and rheumatic diseases and
bone, muscle, joint, and skin diseases. It distributes patient and professional education
materials and refers people to other sources of information. Additional information and
updates can be found on the NIAMS Web site. Listings of clinical trials recruiting patients
who have or are at risk of developing a rheumatic disease can be found at
www.ClinicalTrials.gov.
American Academy of Orthopedic Surgeons
P.O. Box 2058
Des Plaines, IL 60017
Phone: 800-824-BONE (2663) (free of charge)
www.aaos.org
The academy provides education and practice management services for orthopedic
surgeons and allied health professionals. It also serves as an advocate for improved
patient care and informs the public about the science of orthopedics. The orthopedist’s
scope of practice includes disorders of the body's bones, joints, ligaments, muscles, and
tendons. For a single copy of an AAOS brochure, send a self-addressed stamped
envelope to the address above or visit the AAOS Web site.
American College of Rheumatology/Association of Rheumatology Health
Professionals
1800 Century Place, Suite 250
Atlanta, GA 30345-4300
Phone: 404-633-3777
Fax: 404-633-1870
www.rheumatology.org
This association provides referrals to rheumatologists and physical and occupational
therapists who have experience working with people who have rheumatic diseases. The
organization also provides educational materials and guidelines about many different
rheumatic diseases.

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Arthritis Foundation
1330 West Peachtree Street
Atlanta, GA 30309
Phone: 404-872-7100 or 800-283-7800 (free of charge)
or call your local chapter (listed in the telephone directory)
www.arthritis.org
This is the main voluntary organization devoted to arthritis. The foundation publishes
free pamphlets on many types of arthritis and a monthly magazine for members that
provide up-to-date information on arthritis. The foundation can provide physician and
clinic referrals. The American Juvenile Arthritis Organization (AJAO) is under the
umbrella of the Arthritis Foundation. It shares the same address, phone numbers, and
Web site.
Acknowledgments
The NIAMS gratefully acknowledges the assistance of Barri Fessler, M.D., Cleveland
Clinic Foundation, OH; John H. Klippel, M.D., Arthritis Foundation, Washington, DC;
Reva Lawrence, M.P.H., NIAMS, NIH; Eric Matteson, M.D., Mayo Clinic, Rochester, MN;
and Barbara Mittleman, M.D., NIAMS, NIH in the preparation and review of the current
and earlier versions of this section.

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References
1. Wolfe F. Fibromyalgia: the clinical syndrome. Rheum Dis Clin North Am 1989; 15:118.
2. Jacobsson L, Lindgarde F, Manthorpe R. The commonest rheumatic complaints of
over six weeks' duration in a twelve-month period in a defined Swedish population.
Prevalences and relationships. Scan J Rheumatol 1989; 18:353-60.
3. Prescott E, Kjoller M, Jacobsen S, Bulow PM, Danneskiold-Samsoe B, KamperJorgensen F. Fibromyalgia in the adult Danish population: I. A prevalence study. Scand
J Rheumatol 1993; 22:233-7.
4. Wolfe F, Ross K, Anderson J, Russell IJ, Hebert L. The prevalence and
characteristics of fibromyalgia in the general population. Arthritis Rheum 1995; 38:19-28.
5. Wolfe F, Smythe HA, Yunus MB, Bennett RM, Bombardier C, Goldenberg DL. The
American College of Rheumatology 1990 criteria for the classification of fibromyalgia:
report of the Multicenter Criteria Committee. Arthritis Rheum 1990; 33:160-72.
6. Wolfe F. Fibromyalgia: the clinical syndrome. Rheum Dis Clin North Am 1990; 16:68198.
7. Reilly PA. Fibromyalgia in the workplace: a management problem. Ann Rheum Dis
1993; 342:906-9.
8. Goldenberg DL. Fibromyalgia and related syndromes. In: Klippel JH, Dieppe PA, Eds.
Rheumatology. London: Mosby, 1998:15.1-15.12.
9. Wallace DJ. The fibromyalgia syndrome. Ann Med 1997;29:9-21.
10. Wolfe F. When to diagnose fibromyalgia? Rheum Dis Clin North Am 1994; 20(2):
485-501.
11. Borg- Stein J, Stein J. Trigger points and tender points: one and the same? Does
injection treatment help? Rheum Dis Clin North Am 1996; 22(2): 305-21.
12. Wolfe F. What use is fibromyalgia control points? J Rheumatol 1998; 25:546-50.
13. Goldenberg DL. Psychiatric and psychological aspects of Fibromyalgia Syndrome.
Rheum Dis Clin North Am 1989;15(1):105-14.
14. Dunne FJ, Dunne CA. Fibromyalgia syndrome and psychiatric disorder. British
Journal of Hospital Medicine 1995;54(5): 194-7.
15. Walker EA, Keegan D, Gardner G, Sullivan M, Katon WJ, Bernstein D. Psychosocial
factors in fibromyalgia compared with rheumatoid arthritis: I. Psychiatric diagnosis and
functional disability. Psychosomatic medicine 1997;59:565-71.

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16. Walker EA, Keegan D, Gardner G, Sullivan M, Katon WJ, Bernstein D. Psychosocial
factors in fibromyalgia compared with rheumatoid arthritis: II. Sexual, physical, and
emotional abuse and neglect. Psychosomatic medicine 1997;59: 572-77.
17. Bennett R. Fibromyalgia, chronic fatigue syndrome, and myofascial pain. Current
opinion in rheumatology 1998; 10:93-103.
18. Goldenberg DL. Fibromyalgia syndrome a decade later. What have we learned?
Arch Intern Med 1999; 159:777-85.
19. Bradley LA, Alarcon GS. Fibromyalgia. In:Koopman WJ, Ed.Arthritis and allied
conditions. A textbook of rheumatology. Baltimore: Williams and Wilkins, 1997:1619-40.

Most of the general information contained in the course is credited to
National Institute of Health.

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Arthritis/Gout Herbal Formulas
Pain Relief
While these herbs are often used in combination, each has its own history of study
and/or therapeutic use.
Ginger (Zingiber officinale) may be among the best-studied of the five herbs. Research
suggests ginger root inhibits production of prostaglandins and leukotrienes, which are
involved in pain and inflammation. In an uncontrolled 1992 Danish study, 56 patients
who had either RA, OA or muscular discomfort took powdered ginger. All of those with
musculoskeletal pain and three-fourths of those with OA or RA reported varying degrees
of pain relief and no side effects, even among those who took the ginger for more than
two years.
Turmeric (Curcumin longa) is used lavishly for color and flavor in Indian cuisine. Studies
show it inhibits prostaglandin production and stimulates the creation of cortisol, which
relieves inflammation. It seems to act like capsaicin, an active ingredient in cayenne
pepper, by depleting nerve endings of the neurotransmitter substance P. When turmeric
was taken internally along with cayenne pepper in an animal study, it significantly
lowered inflammation. Capsaicin is usually used in ointments that are applied externally
to aching joints. One researcher suggests turmeric might also work applied externally,
but there are no studies to show this.
Frankincense, also known as boswellia (Boswellia serrata), comes from a tree that
yields gum when its bark is peeled away. In animal and test tube studies, it inhibited the
production of leukotrienes, which cause inflammation.
Ashwagandha (Withania somniferum) is an Asian plant of the potato family. Its roots
have long been used to treat "rheumatism," high blood pressure, immune dysfunctions,
erection problems and also to ease inflammation. Because of all this, it's sometimes
called the "Indian ginseng."
Rosemary Rosemary stimulates the circulation and its use in this beeswax based
massage cream may help Arthritis sufferers by increasing their mobility. Use on stiff
joints for improved blood flow and more mobility. Rosemary Embrocation Fresh
Rosemary leaves in sunflower oil for many weeks to produce this concentrated
embrocation. Apply often to painful joints. Massage oil for Arthritis-type symptoms and
poor circulation.
Analgesic Blend
Eucalyptus ............. 2 drops
Lavender .............. 10 drops
Wintergreen ............ 6 drops
Carrier oil ............ 1 ounce
Massage blend to relieve pain. Indicated for arthritis, back pain, or aches and pains in
general. Ingredients: Eucalyptus, Lavender, Wintergreen.
Instructions: Oil Massage. Related: Aches and pains, aromatherapy, arthritis Rheumatoid/Osteoarthritis/Gout, massage oil.
Marlene Ericksen (2000)
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Berry gout fighters
Cherries, blueberries, and strawberries have proven their ability to reduce levels of uric
acid. Black cherry juice is likely to be the most effective. Drink 1/4 cup per day.
Related: Arthritis - Rheumatoid/Osteoarthritis/Gout, Gout.
Birch Bark tea
Teas of the birch bark contain salicylate, the compound in aspirin that relieves
inflammation and pain associated with osteoarthritis, rheumatoid arthritis, or gout. The
antibacterial and anti-inflammatory actions of birch bark support its traditional uses in
skin disorders such as eczema, urinary tract infections and water retention.
Ingredients: Birch.
Instructions: Standard Brew
Related: Arthritis - Rheumatoid/Osteoarthritis/Gout, bladder infection. UTI, Eczema,
Gout, herbal teas.
Black cohosh tea
Black cohosh can be brewed to make a bitter, dark tea that has a wide range of benefits,
beyond women’s health. Black cohosh acts as a nervine, giving relief to headaches, pain
and muscle spasms. Use the finely chopped roots to make the infusion.
Ingredients: Black Cohosh.
Instructions: Standard Brew.
Related: Aches and pains, arthritis - Rheumatoid/Osteoarthritis/Gout, Cough, herbal
teas, hormones, and menopause - perimenopause, women's health.
Cayenne Infused oil
Cayenne oil is not nearly as irritating to the skin as capsaicin creams, and I use it
regularly for lower back pain, neuralgia, sciatica, muscle aches, fibromyalgia and arthritis
pain. This recipe is good for cooking oil too.
Mix approx. 5 tablespoon of the hottest organic Cayenne pepper powder in 2 cups of
olive oil. The ratio of oil to pepper will depend on the hotness of the peppers, and your
own preferences. Place in a warm sunny window for 30 days, or follow the directing for
quicker methods of infusing oils. Strain mixture through muslin, or coffee filter, and
rebottle for use.
Ingredients: Cayenne Pepper.
Related: Aches and pains, arthritis - Rheumatoid/Osteoarthritis/Gout, Culinary,
Fibromyalgia, Herb Infused Oil, neuralgia - nerve pain, Osteoarthritis, rheumatoid
arthritis.
Celery seed extract tea
Extract of celery seed has the ability to calm inflammation and neutralize the harmful
effects of uric acid that often causes pain and inflammation in gout and arthritis. Use 1 to
2 teaspoons of celery seed per cup of hot water and drink daily. Also eat all celery stalks
you please.
Ingredients: Celery.
Related: Arthritis - Rheumatoid/Osteoarthritis/Gout, Gout, herbal teas.
James Duke (2000)

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of the dried herb to 1 pint of water.Rheumatoid/Osteoarthritis/Gout.depurative. delayed menstruation. culinary. Lavender. for languid digestion with heartburn after food. a wineglass full of this infusion . Valerie Ann Worwood (1993) Arthritis © 1/21/2009 TLC 111 www. but not yet set. To each bath add 2 handfuls of Epsom Salts and 4 . Continued use can also help fight high cholesterol.6 drops of the following synergistic blend. then pour into clean.taken three or four times daily. arthritis . Instructions: Balms/Salves Related: Arthritis . Comfrey . Coconut. sunburn. Comfrey salve can also bring comfort to aching arthritic joints. digestion gas and bloating. Kidney Tonics. appetite loss. When run down and suffering from want of appetite.Rheumatoid/Osteoarthritis/Gout. Herbs and Oils Baths. good for almost any skin irritations including chronic inflammatory psoriasis. herbal teas. Detoxification. Cypress. Juniper. arthritis Rheumatoid/Osteoarthritis/Gout. herbal teas. loss of period. and should be done daily for a two week period whenever arthritis or allergies flare up. Related: allergies and hay fever. add 10 drops or so of an antiseptic essential oil such as lavender. At the point where the mixture has cooled a little.edema. Thyme. Liver Tonics. as it can cause the skin to heal over and seal infection inside.Centaury Tea Centuary is used extensively in dyspepsia. rheumatoid arthritis. Ingredients: Fennel. cholesterol control. constipation.Centaury Tea . Home first aid kit. bruises . rheumatoid arthritis. Maud Grieve (1931) Chicory . Use it on cuts. 3/4 cup comfrey infused oil 1/4 cup coconut oil 4 tablespoons beeswax Following the directions for salves.Coconut Healing Salve This comfrey salve is a mainstay of your home first aid kit. A gentle effective laxative for constipation. diuretics .abctlc. Related: Amenorrhea.sprains. aromatherapy. blood purifier . The same infusion may also be taken for muscular rheumatism. Licorice. Ingredients: Comfrey. Dandelion. Ingredients: Centaury. Instructions: Decoction Related: Arthritis . and sore muscles. in an infusion of 1 OZ. Combine with equal parts of dandelion root and a teaspoon of licorice root to enhance the flavor. burns . rashes. salves balms – ointments. Do not use on deep. heat the oil and wax together until the wax melts completely.sunburns. Detoxifying Bath This bath concentrates on detoxification. Gout. Osteoarthritis.Dandelion root coffee Chicory makes a great morning brew on it's own. anorexic. half an hour before meals.com .com info@tlch2o. thyme or tea tree if desired. This is a great morning diuretic brew for days when arthritis or gout flares up. or can be added to coffee for a mellow taste. Ingredients: Chicory. scrapes.Rheumatoid/Osteoarthritis/Gout. dry jars. Gout. puncture type wounds. cuts/abrasions/wounds. is found of great benefit.

neuralgia. circulation hypotension. Second massage with the following blend: lavender 5 drops. drink 1 cup or more of ginger tea daily.Anniesremedy. Herb Infused Oil. arthritis . sensitive skin or facial area. Use ginger anytime you want to increase circulation and restore energy. Ingredients: Ginger. Ingredients: Ginger. Instructions: Oil Massage Related: Aches and pains. morning sickness and quell nausea of all types. with 6 drops of rosemary essential oil. Another great benefit of is that ginger can prevent motion sickness. Ginger can also be added to almost any herbal tea blend as an activator.com . Warning! This is a strong remedy for hard to treat arthritis pain and muscle aches. Rosemary. Pregnancy. or use ginger lozenges.upset stomach. Related: Aches and pains. fibromyalgia and sports injuries. This oil has so many great uses. arthritis. Reference Annie at WWW. Infused with a low. arthritis .com Ginger root infused oil 1 cups of fresh ginger root finely chopped 2 cups olive oil This oil can be a bit tricky. but dried root just does not get the same results. Reference Annie at WWW. arthritis . rheumatoid arthritis. Black Pepper. Add 10 drops black pepper and 5 drops rosemary essential oils. clove 2 drops. Arthritis © 1/21/2009 TLC 112 www.Ginger and rosemary bath Make a strong tea with grated fresh ginger. Good for sore muscles. as a massage for lower back pain. massage oil. steady heat for 2 to 3 days. Makes a great spicy cooking oil too! Ingredients: Ginger. brewed with one half to one teaspoon of fresh ground root to 1 cup of water. and arthritis pain.Anniesremedy. cover the top with cheesecloth.Rheumatoid/Osteoarthritis/Gout.Anniesremedy.com Ginger root tea To ease arthritis pain.Rheumatoid/Osteoarthritis/Gout.com info@tlch2o.Anniesremedy. Reference Annie at WWW.Rheumatoid/Osteoarthritis/Gout. Ingredients: Cayenne Pepper.com Hot Pepper rub Mix 1/8 teaspoon of Cayenne pepper with 1 tablespoon of almond or olive oil. fibromyalgia. or sore muscles. rheumatoid arthritis. Herbs and Oils Baths. chamomile 5 drops. Fibromyalgia. due to the high water content. or if using a jar method. herbal teas. Related: Arthritis .com Joint and Muscle Pain This method works for join pain of all types. leaving the lid to your pot ajar. aromatherapy. nausea . Dilute with 2 teaspoons of carrier oil. and freeze sliced ginger to keep fresh. Strain and add to bath water.Rheumatoid/Osteoarthritis/Gout. Sip ginger root tea. about 1 1\2 cups of water to a tablespoon of ginger. First use ice or a cold compress on the affected joint to relieve inflammation.(great for pregnant ladies) arthritis pain. Massage into affected area. Reference Annie at WWW. Do not use on broken skin. Available at most grocery stores. Rosemary. choose roots that have smooth skins. Fibromyalgia. Related: Aches and pains.abctlc.

Follow the basic procedure for making fresh herb infused oils. the joint appears swollen and feels puffy or boggy to the touch. This hypericated oil is a useful external application for bruises. Dilute in 2 tablespoons carrier oil and massage into inflamed joint.com info@tlch2o. or both. Herbal compress. Instructions: Oil Massage Related: Aches and pains. stiff joints. arthritis . Arthritis © 1/21/2009 TLC 113 www. eucalyptus 5 drops.sprains.. or use as a massage blend diluted with carrier oils. The flower stems serve the function of allowing oil flow around the mashed flowers and leaves.com . The dried herb does not extract in oil. and old burns excellent applied externally for neuralgia and can ease the pain of sciatica .. Gout.... Warming pain blend Rosemary ... Fibromyalgia. rashes. Instructions: Oil Massage Related: Aches and pains. Ingredients: St. Eucalyptus. Varicose veins... sprains. 5 drops Lavender . Richo Cech (2000) Synovitis .. varicose ulcers. and rheumatic pains. bursitis.nerve pain. Related: Aromatherapy. John's Wort Oil Oil infusion of fresh flowering and budding tops only: Combine 1 part by weight of the fresh herb: 3 parts by volume of olive oil. ulcers...Rheumatoid/Osteoarthritis/Gout. Lavender.. Herb Infused Oil. John's Wort.Rheumatoid/Osteoarthritis/Gout. Related: Aches and pains. rosemary 5 drops.. rosemary essential oil.nerve pain. Rosemary..The oil can also be used internally as a treatment for indigestion and/or gastric ulcer.abctlc.. arthritis .. and muscle aches and pains.Rheumatoid/Osteoarthritis/Gout. Rosemary.. This blend of essential oils promotes elimination of uric acid making it useful in treatment of gout and rheumatoid arthritis. aromatherapy. Gout. aromatherapy. rheumatoid arthritis.Ingredients: Lavender.. Blend: Chamomile 10 drops. swellings. arthritis . 3 drops Use in a bath with 2 cups of Epsom salts.Inflamed -boggy joints Because of the mass of inflammatory cells in rheumatoid arthritis. rheumatoid arthritis.Rheumatoid/Osteoarthritis/Gout.. Hemorrhoids. Clove... Set in a warm.Rheumatoid/Osteoarthritis/Gout. St. Ingredients: Lavender. Peppermint. hemorrhoids. Rosemary compress Apply a compress of rosemary to relieve sore muscles... Related: arthritis .. arthritis . which otherwise tend to clump. The fresh herb should be thoroughly bruised or mashed prior to combining with the oil. neuralgia . Ingredients: Rosemary. lavender 3 drops... sunny window for 2 weeks. Herbs and Oils Baths. neuralgia .. 6 drops Juniper . bruises .. Juniper. Home first aid kit... Use a strong rosemary tea. peppermint 7 drops. Ingredients: Chamomile. The internal dosage is 1 teaspoon (5 ml) taken 2 to 3 times daily. Chamomile.

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there were no significant side effects. ashwagandha. N. exercise and a well-balanced diet. And don't look to herbs to fully solve your health problems. Gout patient . Ayurvedic practitioners and Western doctors agree it takes a well-rounded treatment plan to control arthritis. A 1991 study conducted in India looked at another combination formula . these herbs work.M. In a doubleblinded. they say they retain their therapeutic punch over several years without a need to increase the dosage. Edwards Smith. Ayurvedic medicine traditionally combines herbs for greater effect. placebo-controlled trial of 42 patients with OA." says D. turmeric and zinc. "but herbs are just one part of therapy. the combination appeared to only affect the symptoms: X-rays didn't show any changes in the joints of the test group. "Yes.Strength in Numbers Although each herb may have some action on its own. While researchers report that the herbs require up to a month to take effect. Again. a rheumatologist and Ayurvedic practitioner who is now dean of the Maharishi College of Vedic Medicine in Albuquerque.of Boswellia. MD. relaxation.. Moreover. those receiving the test formula showed a significant drop in pain and disability." Treating and preventing disease requires daily healthy living that includes rest.

Many studies and research have been directed towards understanding the mechanism of acupuncture. usually palpated with the index. Effects of Acupuncture Acupuncture has been shown to stimulate the immune system. blood pressure. maturation. secretion of the gastric acid. acupuncture points were believed to be holes that allow entry into channels. and functioning of some types of cells. pain. redirect. If one can produce enough fast signals. rhythm and stroke volume of the heart. These holes provide us gateways to influence. and production of red and white cells. Studies have shown that there is a correlation between the electromagnetic fields in the body and the channels or meridians. and one and two fingers' breadth proximally. or decrease the body's vital substance. which are: chills and fever. Like a road or highway. So. and stimulating these points alters chemical neurotransmitters in the body. thirst and taste. this electrical theory suggests that acupuncture works by influencing the body's electromagnetic fields. Acupuncture points have certain electrical properties. making it nearly impossible for the slow traffic on the lane to move forward.) Acupuncture generates competing stimulus and effectively blocks the slow pain signals from reaching the brain. Inquiring focuses on the "seven inquiries". pain signals must pass through a number of high-traffic "gates" as they move from the area of injury upward through the spinal cord into the brain. it can effectively crowd out the pain signals. The faster signals crowd out the slower ones because of the limited capacity of the nerves. Now. It stimulates the release of a variety of hormones that help the body to respond to injury and stress. Chi(immediately proximal to the wrist crease. Palpation Auscultation and olfaction refer. Electrical Theory of Pain The body continually generates tiny but detectable electrical discharges. defecation and urination. middle and ring fingers). (Imagine sitting in traffic near a construction zone. The fast cars on the merging lanes go further and merge ahead of the slower ones. Guan. This electrical field influences the growth. respectively. It is known that acupuncture points are concentrated in regions of low electrical resistance. where the two lanes merge into one. thus correcting many of the imbalances.General Acupuncture and Related Information How Does Acupuncture Work? Historically. qi. the pain signals are the slow ones sitting there waiting for an opening to move through. increase. The Gate Control Theory of Pain According to this theory. The pain signals travels very slowly. sleep. We can generate other signals which move faster. to listening for particular sounds (such as wheezing) and attending to body odor. The result: we never "experience the pain". and palpation of the left and right radial pulses at two levels of pressure (superficial and deep) and three positions Cun. It also affects the circulation. perspiration. Palpation includes feeling the body for tender "ashi" points. appetite. and menses and leukorrhea. these nerves can handle only a limited number of nerve signals at one time. .

For example. palpation of the muscles and the hara (abdomen) are central to diagnosis. These observations are encapsulated in the TCM aphorism "One disease.abctlc. but not exclusively. comes from zhen meaning "needle". Clinical Practice Classically.007" to 0. primarily mugwort). practitioners familiar with both systems have commented on relationships between the two. Likewise.Other forms of acupuncture employ additional diagnostic techniques. and jiu meaning "moxibustion". etc. and the depth of insertion.18 mm to 0. since they do not have to be hollow for purposes of injection. The size and type of needle used.on other points you use other relative landmarks. as well as Japanese acupuncture.51 mm). the space from nipple to nipple is 8 cun and this 8 cun can be used to find points on the chest . diarrhea or uterine prolapse. sterilized with ethylene oxide or by autoclave. Warming an acupuncture point. many diseases". acupuncture treatment is typically highly-individualized and based on philosophical constructs and subjective and intuitive impressions" and not on controlled scientific research. (Kaptchuk. typically by moxibustion (the burning of a combination of herbs. used as a supplemental treatment. These needles are far smaller in diameter (and therefore less painful) than the needles used to give shots.020". 1982) What Is A Cun? The cun is a measurement relative to the patient’s body that is used to find acupuncture points. The upper third of each needle is wound with a thicker wire (typically bronze). "in clinical practice. many patterns. this cun can only be used on certain parts of the body when finding acupuncture points .com info@tlch2o. TCM Perspective on Treatment of Disease Although TCM is based on the treatment of "patterns of disharmony" rather than biomedical diagnoses." Most modern acupuncturists use disposable stainless steel needles of fine diameter (0. to stiffen the needle and provide a handle for the acupuncturist to grasp while inserting. or covered in plastic. a population of patients with a given biomedical diagnosis may have varying TCM patterns. 0. commonly used to refer to acupuncture. The Chinese term zhēn jǐu (針灸). Arthritis © 1/21/2009 TLC 117 www. However. one pattern. is a different treatment than acupuncture itself and is often. In many forms of classical Chinese acupuncture. depend on the acupuncture style being practiced. Generally speaking one cun is equal to the space between the distal interphalangeal joint and the proximal interphalangeal joint on the middle finger.com . A given TCM pattern of disharmony may be reflected in a certain range of biomedical diagnoses: thus. the pattern called Deficiency of Spleen Qi could manifest as chronic fatigue.the space from the center of the patella to the lateral malleolus is 16 cun and this 16 cun can be used to find points on the legs.

3 The hairline between the two temporal. The xiphoid process is equivalent to 0. 8 the midlines of two clavicles.8 From lower end of sternum to Umbilicus.Table of Commonly Used Proportional Measurements Head and Neck Distance Anterior hairline to posterior hairline.5 cun. Thorax and Abdomen Distance From Tientu (CV 22) to Tanchung (CV 17). 9 Distance between the tips of two mastoid. The distance between the tips of the two mastoid processes is measured processer instead in case the hairlines on the temples are indistinct. Proportional Unit (cun) 12 Glabella to anterior hairline. This is the transverse measurement used in chest and abdominal Between regions. This vertical measurement is the pubia. 3 Posterior hairline to Tachui (GV 14). 8 Arthritis © 1/21/2009 TLC Remarks This vertical distance is measured as standard on the chest. 118 www. standard used in hypogastrium. This is the standard measured vertically on the neck. These are the standards measured transversely regions in the head region. 3 Remarks There are the standards vertically measured from the forehead to the neck if hairlines are indistinguishable the distance from the glabella to Tachui (GV 14) taken s 18 cun. This standard measured vertically is used on hypochondriuim. In women use the measurement between the midlines of the clavicles. 9 From the laryngeal prominence to Tientu (CV 22). Proportional Unit (cun) 6.com info@tlch2o.abctlc. This vertical distance is used as the standard measured transversely on the neck. 8 Umbilicus to upper border of symphysis 5 Distance between two nipples.com . 4 Distance between two Jenying (ST 9).

16 This measurement is used for the three Yang meridians of the foot. Arthritis © 1/21/2009 TLC 119 www. Upper Extremities Distance Front (or back) transverse crease of the axilla to the cubital (or the olecranon). Proportional Unit (cun) 9 Remarks This distance is measured vertically crease upper extremities. From the inferior border of medical condyle of tibia to the tip of medical Maleolus. 19 This is the standard measurement of three Yang meridians of the foot. The cubital crease (or the olecranon) to the wrist tranaverse crease. 13 This measurement is used for the three Yin meridians of the foot. From the middle of the knee to the tip of lateral malleolus. Proportional Unit (cun) 18 Remarks This is the standard measurement of three Yin meridians of the foot. Therefore the length fromithe middle of knee to the tip of lateral malleolus is 16 cun.abctlc. From the tip of greater trochanter to the middle of the knee. This vertical measurement is taken of as the lateral aspect of abdomen. The free end of the 11th rib to the tip greater trochanter. Proportional Unit (cun) 12 9 Remarks This vertical measurement is taken free as the standard for the lateral aspect of thorax.Lateral Aspect of Thorax and Abdomen Distance The center of the axil lary fossa to the end of the 11th rib. This standard may be also used for the three Yin meridians of the foot. ♦ The distance from the middle of knee to the inferior border of medical condyle of the tibia is 2 cun. 12 Lower Extremities Distance From the upper border of the symphysis pubia to the upper border of the medical condyle of the femur. The medial malleohus is 1 cun higher than the lateral malleolus.com .com info@tlch2o.

5寸。 脐孔到耻骨联合上缘 5 此为下腹部的直量标准。 两乳头之间 8 此为胸腹部衡量标准,妇女可以用锁骨 两锁骨中线之间 8 中线之间的骨度测量。 说明 侧胸腹部 起止部位 骨度 腋窝正中到第十一浮肋端 12 此为侧胸部直量标准。 十一浮肋端到大转子最高点 9 此为侧腹部直量标准。 Arthritis © 1/21/2009 TLC 说明 120 www.com info@tlch2o.常用骨度分寸表 头颈部 起止部位 骨度 前发际正中至后发际正中 12 此为头部,前额,颈部的直量 眉心到前发际正中 3 标准,如发际不明,可自眉心 后发际正中到大椎穴 3 至大椎18寸折算。 两发角之间 9 此为头部衡量标准,如发角不 两乳突之间 9 明,可用两乳间骨度代替。 结喉到天突穴 4 此为颈部直量标准。 两人迎穴之间 3 此为颈部横量标准。 说明 胸腹部 起止部位 骨度 头突穴到澶中穴 6.8 此为胸部直量标准。 胸骨体下端到脐孔 8 此为上腹部的直量标准,剑突折作0.com .abctlc.

abctlc.com .侧胸腹部 起止部位 骨度 腋(前或后) 纹头到肘横纹(或) 9 说明 肘尖 此为上肢直量标准。 肘横纹(或肘尖) 到腕横纹 12 下肢部 起止部位 骨度 耻骨联合上缘到股骨内裸上缘 18 足三阴标准 大转子最点到膝中 19 足三阳标准 胫骨内裸下缘至内裸尖 13 足三阴标准 膝中到外裸尖 16 足三阳标准 说明 ♦ 耻骨联合上缘到大转子最高点为1寸,股骨内裸上缘至膝中为2寸,故耻骨 联合上缘至膝中可作20寸,足三阴,足三阳通用。膝中到胫骨内裸下缘为2 寸,内裸高于外裸1寸,故膝中至外裸尖作16寸,足三阴可通用。 Arthritis © 1/21/2009 TLC 121 www.com info@tlch2o.

cone moxa (smaller soybean size or larger pyramids) or needle moxa (spheres of moxa on the top of an inserted needle). and adds Qi when Vacuity is a problem. usually by applying an ointment to the skin to protect from burns. Moxa is processed from the fibers inside the leaves of Mugwort (various Artemisia species). Grades of Moxa There are a number of grades of moxa. Moxibustion is still used in the 21st century to varying degrees among the schools of oriental medicine. rather than burning with a flame. Gua Sha is performed by rubbing the skin with the smooth surface of a coin. creates movement when Stagnation is a problem. attach dried moxa to the external end of an acupuncture needle. while the lower grades are applied to needles or burned with a something between them and the skin. moxa has been an integral part of medical practice. often ginger. and the ashes tend to tighten up. garlic. They smolder when ignited.” zhen jui in Chinese and shinkyu in Japanese.com info@tlch2o. The result is healthy circulation of blood and an improvement of symptoms that is usually felt immediately. either cupping or gua sha may be used to support the healing process. Gua sha In cases of the common cold or muscular pain. ceramic spoon or lid in areas where stuck or stagnated blood is found to reside. For example. more refined and aged moxa burns at a lower temperature.Moxibustion The characters that we translate as “acupuncture. The word moxa is an English approximation of the Japanese mogusha. The types used most often are thread moxa (sesame seed or rice grain size). and aged for several years. and then ignite it. salt or miso paste. allowed to bleach in the sun. Another common technique is to hold a large glowing stick of moxa over the needles. Moxa is also sometimes burned at the skin surface. to complete Song dynasty treatises solely dealing with moxibustion. rather than falling apart. The term moxibustion describes the techniques of burning moxa for therapeutic purposes. one well known technique is to insert the needle at the desired acupuncture point. Various techniques are used to apply the heat to the points. Arthritis © 1/21/2009 TLC 122 www. The highest grade is suitable for use directly on the skin of children. holding their shape.” From the earliest Han dynasty texts.abctlc. the Mugwort plant.com . though burning of the skin is a general practice in China. translate more literally as “needles and moxa. Moxa adds warmth when Cold is a problem. The moxa will then smolder for several minutes (depending on the amount adhered to the needle) and conduct heat through the needle to the tissue surrounding the needle in the patient's body. Small red dots or petechiae come to the surface. The fibers are separated from the rest of the plant matter.

Acupuncturists trained in Chinese herbal preparations may prescribe herbs along with acupuncture.com . The acupuncturist may also look at the color and texture of your skin. twirling or gently jiggling each as it goes in. Once the needles are all in place. Typically. your posture. What Does an Acupuncturist Do? In addition to asking questions. During this time. and other physical characteristics that offer clues to your health. the acupuncturist quickly and painlessly removes the needles. or you may feel a twitch or a quick twinge of pain that disappears when the needle is completely inserted. You may not feel the needles at all. For certain conditions.Cupping Cupping uses glass. The technique may temporarily leave small round red marks on the skin. Look at the prices for just an ounce of tea. cupping can be used for many conditions including muscular pain and the common cold. and coating of your tongue. plastic or bamboo cups that create suction when placed upon the patient’s body. At the end of the session. acupuncture is more effective when the needles are heated using a technique known as "moxibustion" (see previous section). Arthritis © 1/21/2009 TLC 123 www.abctlc. you rest for 15 to 60 minutes. You will lie down on a padded examining table. you'll probably feel relaxed and sleepy and may even doze off. the acupuncturist may want to take your pulse at several points along the wrist and look at the shape. and the acupuncturist will insert the needles.com info@tlch2o. Similar to the technique of gua sha. the marks will clear within a few days. Another variation is electrical acupuncture. color.

Pericardium. The three yang channels of the foot (Stomach. most commonly the twelve primary pathways (meridians). "ouch". Liver. in the region of the eye. The other six meridians are "activated" by using a master and couple point technique which involves needling the acupuncture points located on the twelve main meridians that correspond to the particular extraordinary pathway. The three yin channels of the foot (Spleen.). The two independent extraordinary pathways Ren Mai and Du Mai are situated on the midline of the anterior and posterior aspects of the trunk and head respectively.com info@tlch2o. etc. Unaffiliated. the Divergents and the Sinew Channels. called "ah shi" (signifying "that's it". or tender points. The external pathway is what is normally shown on an acupuncture chart and it is relatively superficial. Ten of the primary pathways are named after organs of the body (Heart. only two have acupuncture points of their own. and Small intestine) begin on the hand and travel along the outer surface (mostly the posterior portion) of the arm to the head. The movement of qi through each of the twelve channels is comprised of an internal and an external pathway. the last is the 'three spaces' (San Jiao). we write the "Heart meridian" as opposed to the "heart meridian"). and travel down the body and along the outer surface (mostly the anterior and lateral portion) of the leg to the foot. Gallbladder.com . and Heart) begin on the chest and travel along the inner surface (mostly the anterior portion) of the arm to the hand. Other pathways include the Eight Extraordinary Pathways Qi Jing Ba Mai. Liver. and symmetrically and every channel corresponds to and connects internally with one of the twelve Zang Fu ("organs"). This means that there are six yin and six yang channels. The internal pathways are the deep course of the channel where it enters the body cavities and related Zang-Fu organs. There are three yin and three yang channels on each arm. one is named for the serous membrane that wraps the heart (Heart Protector or Pericardium). and Bladder) begin on the face. or "oh yes") are generally used for treatment of local pain. The three yang channels of the hand (Large intestine. The three yin channels of the hand (Lung. The twelve primary pathways run vertically. Arthritis © 1/21/2009 TLC 124 www. located throughout the body. All the acupuncture points of a channel lie on its external pathway. bilaterally.abctlc.Twelve Primary Pathways Treatment of acupuncture points may be performed along several layers of pathways. and Kidney) begin on the foot and travel along the inner surface (mostly posterior and medial portion) of the leg to the chest or flank. and three yin and three yang on each leg. the Luo Vessels. Of the eight extraordinary pathways. San Jiao. The pathways are capitalized to avoid confusion with a physical organ (for example.

inappropriate sexual behavior. and coming full circle with the Liver 1AM-3AM. all are believed to result in the depletion of Jing. 3AM5AM. etc. the Chinese developed two concepts that together form the basis of Chinese thought: yin and yang and the more detailed system of the five elements. is one of the core texts of the Chinese way of thinking known as "Daoism". Arthritis © 1/21/2009 TLC 125 www.com . etc. Role of Acupuncturist in Traditional Chinese Medicine According to the philosophy of Dao. Each channel occupies two hours. Living a life of excess. A number of factors can contribute to the depletion of Jing. along with the Zhuangzi. Although Daoism is often set in opposition to Confucianism. hands to head. working too hard. There is a common disapproval of the unnatural and artificial.The superficial pathways of the twelve channels describe three complete circuits of the body. head to feet. the role of the acupuncturist is to restore your health and enable you to live a little closer to the Dao.com info@tlch2o.abctlc. Daoism is manifest as a sophisticated view of the world which mediates on the nature of the world. This word has a number of meanings. drinking too much. feet to chest. thus preserving your Jing and helping you live to a ripe old age. in many respects it draws on Daoist ideas. Daoism The Dao De Jing. Chinese Clock The distribution of qi through the pathways is said to be as follows (based on the demarcations in TCM's Chinese Clock): Lung channel of hand taiyin to Large Intestine channel of hand yangming to Stomach channel of foot yangming to Spleen channel of foot taiyin to Heart channel of hand shaoyin to Small Intestine channel of hand taiyang to Bladder channel of foot taiyang to Kidney channel of foot shaoyin to Pericardium channel of hand jueyin to San Jiao channel of hand shaoyang to Gallbladder channel of foot shaoyang to Liver channel of foot jueyin then back to the Lung channel of hand taiyin. In early texts. Social convention is rejected in favor of the ecstatic and the immediate nature of experience. excessive emotional reactions. both ways of thinking interact with each other. It should also be noted that although Ch'an Buddhism (or Zen Buddhism) is usually seen as a variant of Mahayana Buddhism. In order to increase their understanding of the Dao. Later on Daoism also came to signify the large number of popular cults that exist in China (so-called "popular Daoism"). Balance in all things is considered the key to good health and long life. beginning with the Lung. chest to hands.

(There may be as many as 2000 points in use for different treatments.Channels or Meridians in Acupuncture The Invisible Pathways of Qi Chinese use the term "jing luo" which means. There are 12 main meridians. According to acupuncture. which form a network of energy channels throughout the body. The main ones are: the lung. urinary bladder. and named after. kidney. gallbladder.com . number and the meridian to which they belong. six of which are yin and six are yang and numerous minor ones.abctlc. Arthritis © 1/21/2009 TLC 126 www. these are the invisible channels through which qi circulate throughout the body. gall bladder. In acupuncture. Dotted along these meridians are more than 400 acupuncture points. an organ or function. heart. These are believed to have a strong connection to the kidney. small intestine. The acupuncture points (or holes as the Chinese term xue is more aptly translated means) are the locations where the qi of the channels rises close to the surface of the body. each meridian is related to.) These are listed by name. There are also 8 extraordinary channels in acupuncture that are considered to be reservoirs supplying qi and blood to the twelve regular channels. The meridians are shown in the figures. Location of the meridians and acupoints (acupuncture points) in the body. conduit.com info@tlch2o. channels. meridian etc. classified by WHO. spleen. stomach. san jiao (three heater) and pericardium (heart protector/ or circulation sex meridian). large intestine.

stagnated or weakened. Meridian name (Chinese) Arm / Leg Yin / Yang 5 elements Organ 手太陰肺經 Major Yin (太陰) Arm (手) Metal (金) Lung (肺) 手厥陰心包經 Yin (厥陰) Arm (手) Fire (火) Pericardium (心包) 手少陰心經 Minor Yin (少陰) Arm (手) Fire (火) Heart (心) 手陽明大腸經 Yang (陽明) Arm (手) Metal (金) Large Intestine (大腸) 手少陽三焦經 Minor Yang (少陽) Arm (手) Fire (火) Triple Warmer (三焦) 手太陽小腸經 Major Yang (太陽) Arm (手) Fire (火) Small Intestine (小腸) 足少陰腎經 Minor Yin (少陰) Leg (足) Water (水) Kidney (腎) 足太陰脾經 Major Yin (太陰) Leg (足) Earth (土) 足厥陰肝經 Yin (厥陰) Leg (足) Wood (木) Liver (肝) 足陽明胃經 Yang (陽明) Leg (足) Earth (土) 足太陽膀胱經 Major Yang (太陽) Leg (足) Water (水) Bladder (膀胱) 足少陽膽經 Minor Yang (少陽) Leg (足) Wood (木) Gall Bladder (膽) Arthritis © 1/21/2009 TLC 127 Spleen (脾) Stomach (胃) www. An imbalance in a person's body can result from inappropriate emotional responses such as: excess anger. and so on. and heat can also cause imbalance so as factors such as wrong diet. damp/humidity. the acupuncturist stimulates the acupuncture points that will counteract that imbalance. If it is blocked. he will choose specific points to stimulate it. self-pity. So. In this way. wind. if you have stagnant Chi. deep grief and fear.com info@tlch2o. acupuncture can effectively rebalance the energy system and restore health or prevent the development of disease. he will unblock it. over-excitement. overwork and too much exercise. he will choose points to warm it. it can result in physical. but if the energy becomes blocked. too much sex. If the Chi is too cold.com . The points that the practitioner chooses to stimulate may not necessarily be at the site of the symptoms.When Chi flows freely through the meridians. mental or emotional ill health. Environmental factors such as cold. he will strengthen it.abctlc. If it is too weak. dryness. To restore the balance. the body is balanced and healthy.

Sp (Spleen). Head. Cheek. CV (RM. S (Stomach). K (Kidney). BV (Belt Vessel. Sexual organs. Face. K (Kidney). Heart. Ears. Limbs (along the related Meridian area) #6 (Sp4) & #8 (P6) H (Heart). Dumai) Ears. Limbs (along the related Meridian area) #2. Limbs (along the related Meridian area) Arthritis © 1/21/2009 TLC 128 www. Back. Low back. Internal canthus. Limbs (along the related Meridian area) #3 (TE5) & #4 (G41) G (Gallbladder).com info@tlch2o. Neck. Stomach. P (Pericardium) Chest. Liv (Liver). Head area behind ears. Diaphragm.com . #5 (K6) & #9 (L7) L (Lung). Renmai) Lungs. LI (Large Intestine). GV (DM. Eyes. Nape. Shoulder. Throat & Larynx. B (Bladder). Shoulder. Daimai -. TE (Triple Energizer). Abdomen.abctlc.one of the ExtraMeridians related to gynecological diseases) External canthus. Tongue.Indication of the "8-Hui" Acupoints for Treatment Points Meridians Involved Area Involved #1 (B62) & #7 (SI 3) SI (Small Intestine).

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Meridians Arthritis © 1/21/2009 TLC 130 www.com info@tlch2o.com .abctlc.

com .com info@tlch2o.abctlc. it travels along the radial border of the palm ending at the medial side of the tip of the thumb. Arthritis © 1/21/2009 TLC 131 www. passes the cubital region and arrives at the radial side of the wrist containing the radial artery for pulse palpation. It then travels along the anterior-medial aspect of the upper arm.Lung Meridian (LU) The Hand Greater Yin (Tai Yin) of the Lung has 11 points The lung channel of the Hand Taiyin originates from the lateral aspect of the chest near the arm pit. Passing the thenar eminence.

Arthritis © 1/21/2009 TLC 132 www.abctlc. It then travels along the anterior border of the acromion. it passes through the inter-space of the first and second metacarpal bones. Running upward along the radical aspect of the index finger. where it crosses the opposite large intestine channel of the Hand-Yangming at the philtrum. and ascends along the lateral anterior aspect of the upper arm to the highest point of the shoulder. From the supraclavicular fossa it travels upward to the neck and to the cheek.com info@tlch2o.Large Intestine (LI) The Hand Bright Yang (Yang MIng) of the Large Intestine 20 points The large intestine channel of the Hang-Yangming starts from the tip of the index finger. it ends at the side of the nose.com . where is connects with the stomach channel of the Foot-Yangming. then it curves around the upper lip and exits at the corner of the mouth. then descends to the supraclavicular fossa.

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From there it continues further down along the anterior border of the lateral aspect of the tibia to the dorsum of the foot and reaches the lateral side of the tip of the second toe. Running downward along the lateral side of the nose. to the lateral corner of the mouth.Stomach Meridian (ST) The Foot Bright Yang (Yang MIng) of the Stomach 45 points The stomach channel of the Foot-Yangming starts directly below the pupil between the eyeball and the infraorbital ridge.abctlc. It then runs along the throat and enters the supraclavicular fossa. Curving posterior to the anterior angle of the mandible.com info@tlch2o. ascending in front of the ear and following the anterior hairline.com . Arthritis © 1/21/2009 TLC 134 www. Running downward. it travels along the anterior aspect of the thigh and reaches the knee. It travels to the side of the umbilicus and descends to the inguinal groove. Then it travels to the posterior aspect of the mandible. reaching to the forehead. The straight line of the channels separates the supraclavicular fossa and runs downward along the middle mammillary line.

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Spleen Meridian (SP) The Foot Greater Yin (Tai Yin) of the Spleen 21 points The spleen of the Foot-Taiyin starts from the medial aspect of the tip of the big toe.com . Arthritis © 1/21/2009 TLC 136 www. It then curves lateral to the midline to the intercostal space up to the 2nd intercostal space. it enters the inguinal region traveling along the anterior of the abdomen. Passing through the anterior medial aspect of the thigh.abctlc. It travels along the medial aspect of the foot at the junction between the red and white skin. then turns inferior to midway between the axilla and the free end of the eleventh rib.com info@tlch2o. ascends anteriorly to the medial malleolus up to the medial aspect of the leg.

HE) The Hand Lesser Yin (Shao Yin) of the Heart 9 points The heart channel of the Hand-Shaoyin starts in the center of axilla. Passing through the cubital region. it descends to the pisiform region proximal to the palm and enters the palm. Then it ends at the medial aspect of the tip of the little finger.abctlc.com .Heart Meridian (HT. Arthritis © 1/21/2009 TLC 137 www.com info@tlch2o. From there is goes along the posterior border of the medial aspect of the upper arm.

and travels along the ulnar border of the hand dorsum upward to the posterior border of the lateral aspect of the upper arm .abctlc. travels up to the cheek going through the outer canthus of the eye.com .com info@tlch2o. Arthritis © 1/21/2009 TLC 138 www. Then. it ascends to the neck. and ends anterior to the tragus of the ear. curving around the scapular region. turning downward to the supra-clavicular fossa.Small Intestine Meridian (SI) The Hand Greater Yang (Tai Yang) of the Small Intestine 19 points The small intestine channel of the Hand-Taiyang starts at the ulnar aspect of the tip of the little finger. It passes through the cubital region.

Arthritis © 1/21/2009 TLC 139 www.Bladder Meridian (BL. Passing through the gluteal region. Passing through the forehead. It bifurcates above the posterior hairline into two lines. Ending at lateral posterior side of the tip of the little toe.abctlc.com . Another line runs straight downward (1. From there. UB) The Foot Greater Yang (Tai Yang) of the Bladder 67 points The urinary bladder channel of the FootTaiyang originates from the inner canthus of the eye. One line runs from the posterior aspect of the neck downward along the medial border of the scapula (3 cun lateral to the back mid-line).5 cun lateral to the mid-line of the back) to the lumbar region. it descends along the posterior aspect of the thigh to the popliteal fossa.com info@tlch2o. it flows up to the vertex. Descending to the posterior aspect of the gastrocnemius muscle and further to the posterior inferior aspect of the lateral malleolus.

It ascends diverging at the diaphragm. it passes the medial side of the popliteal fossa and goes further upward along the posterior-medial aspect of the thigh. It travels behind the medial malleolus and encircles the malleolus. Traveling to the superior border of the symphysis pubis.com .abctlc. it forms a straight line 0.5 cun from the midline. Ascending along the medial side of the leg. ending in a depression on the lower border of the clavicle 2 cun from the midline. and runs through a depression in the lower aspect of the tuberosity of the navicular bone. Arthritis © 1/21/2009 TLC 140 www. depending on the text).com info@tlch2o.Kidney Meridian (KI) The Foot Lesser Yin (Shao Yin) of the Kidney 27 points The kidney channel of the Foot-Shaoyin starts from the interior aspect of the little toe (or the sole of the foot.

PC) The Hand Terminal Yin (Jue Yin) of the Pericardium 9 points The pericardium channel of the Hand-Jueyin originates in the chest lateral to the nipple. It then ascends to the axillary fossa and runs along the medial aspect of the upper arm. It goes further downward to the forearm between the tendons of the m.com info@tlch2o.abctlc.com .Pericardium Meridian (P. It enters the palm and passes along the middle finger to its tip. Arthritis © 1/21/2009 TLC 141 www. palmaris longus and m. flexor carpi radialis. passing through the cubital fossa.

Arthritis © 1/21/2009 TLC 142 www. It travels upward between the fourth and fifth metacarpal bones and along the dorsal side of the wrist and the lateral side of the forearm between the radius and ulna.com .Triple Warmer (San Jiao) Meridian (TW. it enters the supraclavicular fossa. Then it runs along the lateral aspect of the upper arm and reaches the shoulder region. SJ) The Hand Lesser Yang (Shao Yang) of the San Jiao 23 points The sanjiao channel of the Hand-Shaoyang originates from the tip of the ring finger. Then it turns downward to the cheek and terminates in the depression at the lateral end of the eyebrow. It then ascends to the neck.abctlc. TB. running along the posterior border of the ear. Crossing over the shoulder. It crosses from the superior aspect of the ear to the corner of the forehead. it passes through the olecranon.com info@tlch2o.

Arthritis © 1/21/2009 TLC 143 www.Gall Bladder Meridian (GB) The Foot Lesser Yang (Shao Yang) of the Gall bladder 44 points The gall bladder channel of the Foot-Shaoyang starts from the outer canthus of the eye. it reaches the lower end of the fibula. and descends to the anterior aspect of the ear. Then it curves along the margin of the pubic hair and runs transversely into the hip region. It then travels interiorly in the hypochondriac region. and winds downward posterior to the ear. From there. It then arches forward to the forehead at the midpoint of the eyebrow. then ascends to the corner of the forehead. It then travels downward along the lateral side of thigh to the lateral side of the knee.abctlc. where it then travels to the highest point of the trapezium muscle.com . it further descends to the axilla and enters the chest. Further descending along the anterior aspect of the fibula.com info@tlch2o. emerging at the lateral side of the lower abdomen near the femoral artery in the inguinal region. it terminates at the lateral side of the fourth toe's tip. and the anterior aspect of the lateral malleolus. and runs above the hairline to the lateral side of the neck. Following the dorsum of the foot.

it flows further upward to the anterior aspect of the medial malleolus.Liver Meridian (LV) The Foot Terminal Yin (Jue Yin) of the Liver 14 points The liver channel of the Foot-Jueyin originates on the lateral side of the great toe. Then it runs upward to the medial side of the knee and along the medial aspect of the thigh into the pubic region.abctlc. ending directly below the nipple.com info@tlch2o.com . Arthritis © 1/21/2009 TLC 144 www. Ascending along the dorsum of the foot. From there it curves around the external genitalia and crosses the midline up to the lower abdomen.

abctlc. and between the anus and the posterior labial commissure in females. reaching the throat. Ren) The Directing Channel has 28 points The Ren channel starts on the midline between the anus and the scrotum in males. Flowing further upward. Arthritis © 1/21/2009 TLC 145 www. It ascends anteriorly to the pubic region. it flows upward. it ends in the depression in the center of the mentolabial groove.com info@tlch2o.Conception Vessel Meridian (CV. Along the midline of the abdomen.com .

and ascends to the vertex. ending at the labial frenulum inside the upper lip. Arthritis © 1/21/2009 TLC 146 www. Along the forehead. it descends to the nose bridge.com info@tlch2o. then to the lips. It then flows upward inside the spinal column to the nape of the neck. Du) The Governing Channel has 28 points The Du channel starts midway between the tip of the coccyx bone and the anus with patient lying prone.abctlc.Governing Vessel Meridian (GV.com .

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People with this disease are encouraged to undergo reflexology therapy to alleviate any of a number of chronic bowel syndromes associated with the condition. Anecdotally. although the effectiveness of limited hand therapy is less pronounced than with the foot pressure therapy. as well as stress. The techniques of reflexology can be performed conveniently on the hand in situations where a session on the feet is not practical. How does reflexology work? There are many theories but in our approach we look at the nervous system as the explanation of reflexology's working.com info@tlch2o. Pressure sensors in the feet and hands are a part of the body's reflexive response that makes possible the "fight or flight" reaction to danger. In the process. back pain. reflexologists claim success in the treatment of a variety of conditions and injuries.abctlc. The sudden adrenal surge that enables a person to lift a car is an example of this Arthritis © 1/21/2009 TLC 148 www. but relieves the source of the pain as well. and chronic fatigue. reflexology not only quells the sensation of pain. Feet ready to flee and hands ready to fight communicate with the body's internal organs to make possible wither eventuality. Reflexology applied properly can alleviate allergy symptoms.com .Reflexology Reflexology promotes healing by stimulating the nerves in the body and encouraging the flow of blood. Frequent brief sessions of reflexology therapy are also recommended as an alternative to drug therapy for controlling the muscle pain associated with fibromyalgia and for relieving difficult breathing caused by tightness in the muscles of the patient's neck and throat. One condition is fibromyalgia.

the therapist as well as the patient should be situated so as to afford optimal comfort for both. when pressure is reapplied to the tender points of the foot during the second session. Arthritis © 1/21/2009 TLC 149 www. Diabetes patients in particular are urged to approach this therapy cautiously. the therapy does not cause a condition to worsen. Reflexology taps into this reflex network. Likewise pregnant women are cautioned emphatically to avoid reflexology during the early phases of pregnancy altogether. creams. oils.abctlc. As a result. fundamentally it is a form of preventive therapy. The qualified reflexologist offers a clear and open disclaimer that reflexology does not constitute medical treatment in any form. or alternately on the bare hands. Precautions Reflexology is extremely safe.reaction. or lotions are used on the skin. nor is reflexology given as a substitute for medical advice or treatment. No other preparation is involved. that some patients experience greater discomfort in the second session than in the first session. It has been noted. because a significant easing of pain and tension is generally associated with the initial therapy session. providing an exercise of pressure sensors and thus the internal organs to which they are inextricably tied. It may even be self-administered in a limited form whenever desired. as accidentally induced labor and subsequent premature delivery can result from reflexology treatment. Side effects Because reflexology is intended to normalize the body functions. A reflexology patient removes both shoes and socks in order to receive treatment. People with serious and long-term medical problems are urged to seek the advice of a physician. A consultation with a reflexologist is recommended in order to determine the safety and appropriateness of reflexology therapy for a specific health problem or condition. with the therapist positioned as necessary—to work on the bare feet. Patients in general receive treatment in a reclining position. This increase in sensitivity may cause minor additional discomfort for the patient. Most patients find that pain diminishes over the course of the therapy. The ultimate purpose of the therapy is to promote wellness. however. the sensitivity has been heightened.com info@tlch2o. Preparations In order to realize maximum benefit from a reflexology session.com . No prescription drugs.

a yang organ (see Yin Yang). With a thorough understanding of either of these schools of thought. One view which is one taken by most Western medical practitioners. of different styles and schools of qigong. the entire person divided into five categorical systems. and requires true mastery of the art of traditional Chinese Medicine. as well as the Chinese government views qigong simply as a set of breathing and movement exercises. therapeutic results are achieved accordingly. In general. There are many hundreds. and by extension the energy produced by breathing that keeps us alive.com info@tlch2o. emotions. Zang organs are also known as yin organs. part of the TCM model of the body. each Zang organ is the home of an aspect of the spirit. In addition to bodily functions. with many possible benefits to health through stress reduction and exercise. similar to the Hindu chakra concept. Qigong relies on the traditional Chinese belief that the body has an energy field. therapeutic application. especially in China. many practitioners of traditional Chinese medicine. and the musculoskeletal system-essentially.abctlc. Arthritis © 1/21/2009 TLC 150 www. The Zang systems include organs. and each has a Fu partner. Qigong is then "breath work" or the art of managing the breath to achieve and maintain good health. Others see qigong in more metaphysical terms. and especially in the martial arts. More on Zang-Fu Zang-Fu theory is a concept within traditional Chinese medicine. Wade-Giles: ch'i kung) is an increasingly popular aspect of Chinese medicine. Qigong is mostly taught for health maintenance purposes. Attitudes toward the basis of qigong vary markedly. if not thousands. The theory is always in service of practical.Qigong Qigong (氣功 . for therapeutic interventions. This theory treats each of the Zang organs as an energy center that runs an entire system. Qi means breath or to breathe in Mandarin Chinese. with the goal of an "elegant" treatment.com . gong means work or technique. Various forms of traditional qigong are also widely taught in conjunction with Chinese martial arts. to enhance the leverage and stamina of the body in coordination with the physical process of respiration. claiming that breathing and movement exercises can influence the fundamental forces of the universe. An extreme form of the latter view was advocated by some participants in the Boxer Rebellion of the late 19th century who believed that breathing and movement exercises would allow them to ward off bullets. There are five zang (臟 pinyin zang4 心、肝、脾、肺、腎) and six fu (腑 pinyin fu3 胃、小腸 、大腸、膀胱、膽、三焦).Pinyin: q�gōng. known as Qi. senses. but there are also some who teach it. An elegant treatment uses the least amount of force for the greatest therapeutic benefit. qigong schools teach their own variations of physical training routines based on coordinating different patterns of breathing with different physical motions of the body.

abctlc. • Fire: Heart. home of the Po (Corporeal Soul).com info@tlch2o. home of the Shen (Aggregate Soul) paired with the Small intestine. • Earth: Spleen. paired with the Bladder. home of the Yi (Intellect). paired with the Gall Bladder.com . • Metal: Lung. the San Jiao or Triple burner and Pericardium). 三脉七轮为瑜珈术术语,道家、密教中同样有此说法,现结合三脉七轮图予以论述。 修瑜珈术都要谈脉轮,脉者三脉,轮者七轮,一般讲的三脉是中脉、左脉、右脉等三,七轮者是海 底轮、脐轮、心轮、喉轮、眉间轮、顶轮、梵穴轮。 Arthritis © 1/21/2009 TLC 151 www. (and secondarily. home of the Zhi (Will). • Wood: Liver. paired with the Stomach. home of the Hun (Ethereal Soul). • Water: Kidney. paired with the Large Intestine.The five elements are associated energetically with the following Zang-Fu organs.

yang is light. passive. as they move from the interior throughout the body. The yin and yang is like a candle. illustrates how they flow into each other with a little yin always within yang and a little yang always within yin. burns brightly. Yin (wax) nourishes and supports the yang (flame). Ayurveda proposes that every person has vata. Herbal and nutritional therapies.abctlc. The tai chi symbol. there is the state of perfect health. Life is possible only because of the interplay between these forces. Yin-Yang Symbol (Tai Chi symbol) Traditionally.com . Many of the major organs of the body are classified as yin-yang pairs that exchange healthy and unhealthy influences. it brings about an imbalance that can result in ill health. See the table below to understand the relationship between yin and yang. but complementary forces of yin and yang. Flame needs the wax for its existence. is central to all Chinese thought. When the two opposing forces are in balance we feel good. cold and hot. mind and emotions are all subject to the influences of yin and yang. When these are balanced. shown above. The principle that each person is governed by the opposing. Yang consumes yin and. are yin therapies. Yin represents the wax in the candle. Arthritis © 1/21/2009 TLC 152 www.Yin and Yang in Acupuncture and in Traditional Chinese Medicine (TCM) The idea of harmony and balance are also the basis of yin and yang. cold and negative. One can compare the concept of yin and yang to the corresponding principle of tridoshas in Ayurveda. the flame is gone too. pitta and kapha. the ancient remedy from India.com info@tlch2o. male. active. They cannot exist without each other and nothing is ever completely one or the other. feminine. in the process. You cannot have one without the other. There are varying degrees of each within everything and everybody. one can see how yin and yang depend on each other for their existence. while earth and water are yin. yin is dark. including ourselves. Acupuncture is a yang therapy because it moves from the exterior to the interior. The body. Ying is also gone at that time. on the other hand. When the wax (yin) is gone. In the world. tired and energetic. Another simpler way of looking at yin and yang is that there are two sides to everything . When there are imbalances then there is disease.happy and sad. but if one force dominates the other. The flame represents the yang. One of the main aims of the acupuncturist is to maintain a balance of yin and yang within the whole person to prevent illness from occurring and to restore existing health. warm and positive. All of these forces are required for the life to exist. sun and fire are yang. It is believed to affect everything in the universe. Yin and yang are the opposites that make the whole. So.

com info@tlch2o.Yin Forces/Aspects Yang Forces/Aspects Dark Light Moon Sun Water Fire Passive Active Descending Ascending Female Male Contracting Expanding Cold Hot Winter Summer Interior Exterior Heavy Light Bone Skin Front Back Interior of Body Exterior of body Yin and yang are also part of the eight principles of traditional Chinese medicine. Arthritis © 1/21/2009 TLC 153 www. These principles allow the practitioner to use yin and yang more precisely in order to bring more detail into his diagnosis. deficiency and excess.com .abctlc. internal and external. The other six are: cold and heat.

other) • Paresthesias * • Persistent hiccups* • Phantom pain • Plantar fasciitis* • Post-traumatic and post-operative ileus * • Premenstrual syndrome • Selected dermatoses (urticaria. tinnitus * • Idiopathic palpitations. eczema. Arthritis © 1/21/2009 TLC 154 www. tics. tremors. fright. diarrhea * • Cough with contraindications for narcotics • Drug detoxification * • Dysmenorrhea. These cases.com . and enhancing healing process • Muscle spasms. adverse drug effect) * Additionally. irritable bowel) * • Cervical and lumbar spine syndromes* • Constipation. pruritus. and not necessarily on controlled clinical research: furthermore. spastic.Indications According to Acupuncturists in the West According to the American Academy of Medical Acupuncture (2004). hemiplegia) * • Seventh nerve palsy • Severe hyperthermia • Sprains and contusions • Temporo-mandibular joint derangement. assisting in pain control. sinus tachycardia • In fractures.com info@tlch2o. regarding in vitro fertilization. psoriasis) • Sequelae of stroke syndrome (aphasia. esophageal spasm. hyperacidity. panic* • Arthritis/arthrosis * • Atypical chest pain (negative workup) • Bursitis. The conditions labeled with * are also included in the World Health Organization list of acupuncture indications. the inclusion of specific diseases is not meant to indicate the extent of acupuncture's efficacy in treating them. retention (neurogenic. pelvic pain * • Frozen shoulder * • Headache (migraine and tension-type). contractures* • Neuralgias (trigeminal. carpal tunnel syndrome* • Certain functional gastrointestinal disorders (nausea and vomiting. are based on clinical experience. see Expansions of in vitro fertilization – acupuncture. other sources advocate the use of acupuncture for the following conditions: • Infertility. tendonitis. acupuncture may be considered as a complementary therapy for the conditions in the list below. bruxism * • Urinary incontinence. edema. vertigo (Meniere disease). however. • Abdominal distention/flatulence* • Acute and chronic pain control* • Allergic sinusitis * • Anesthesia for high-risk patients or patients with previous adverse responses to anesthetics • Anorexia • Anxiety. herpes zoster.abctlc. postherpetic pain.

imparts a sense of well being and accelerates patients' recovery. However.com . Acupuncture is often used as an adjunctive therapy in anesthesia. successful pain control and provide a sense of well being to cancer sufferers. Acupuncture can provide a more durable. the dreaded side effect of nausea and vomiting is more sickening than the chemotherapy itself. for shortening the resolution of hematoma and tissue swelling and for minimizing use of medications and their attendant side effects. disturbed mentation. nausea and severe constipation. there is no evidence that acupuncture is effective as a treatment for cancer. and others that are ravaged by cancer. It can also add to the patients' sense of well being and decrease the malaise associated with any chronic disease. It also reestablishes homeostasis by re-balancing energy distribution and un-blocking energy flow. For example.abctlc.com info@tlch2o. after and in between chemotherapy treatment sessions for control of nausea and emesis. are approaches available to the acupuncturists. percutaneous electrical nerve stimulation. expensive multi-drug anti-nausea regimens with their attendant side effects for chemotherapy patients. Energetic acupuncture. For many people undergoing chemotherapy. This is deemed necessary for more durable. Researchers at UCLA found that Arthritis © 1/21/2009 TLC 155 www. Another clinical trial found that acupuncture was effective in reducing the number of hot flashes experienced by men after prostate cancer hormonal therapy. Needling a variety of trigger and painful points. along with whole body energetic acupuncture support. of local swelling post-operatively. an approach consisting of the use of needles with electricity and moxibustion. Traditional Chinese Medicine According to Traditional Chinese Medicine (TCM).Is Acupuncture Useful for Cancer? According to American Cancer Society. Acupuncture may lessen the need for pain medicines. in post-operative pain control. Energetic acupuncture repletes energy level to the body and the diseased organs or part of the body. A study conducted at the University of Los Angeles (UCLA) School of Medicine found significant reduction of nausea and vomiting when the patients were treated with acupuncture before undergoing chemotherapy. It is used routinely in cancer institutions along with nutritional support. kidney. and in aiding and hastening recovery from the side effects of the various therapies. Energetic acupuncture is routinely used to provide healing energy to diseased organs such as liver. pancreas. Use of acupuncture helps in minimizing the use of standard. Acupuncture is effective for control of pain. successful pain control. The American Cancer Society reports that acupuncture is now routinely administered before. and osteo-puncture. The chronic disease process depletes the energy level in the organism. Acupuncture is useful in managing cancer-related pain. behavioral changes. headache sufferers treated with acupuncture used less pain medicines and missed fewer work days as compared with those taking standard treatment. any such energy depletion can be ameliorated by a process known as tonification by imparting energy into the system. especially cancer. the normal result of taking narcotics. clinical studies have shown that acupuncture is helpful in treating nausea caused by chemotherapy drugs and surgical anesthesia. The use of acupuncture can reduce the need for narcotic drugs. This also means that acupuncture will minimize side effects such as confusion.

abctlc.com info@tlch2o.com .when nutrition and supplements are combined with energetic acupuncture. acupuncture can help in the care of the cancer patient. along with minimizing the immune and white blood cell suppression. it boosts the immune response in cancer patients. In summary. Source: American Cancer Society Arthritis © 1/21/2009 TLC 156 www.

gov/1997/1997Acupuncture107html. Done ML (2004). 5. Second edition 2. 15. 2005. BC Lee. KS Soh. Anatomical record. ^ WHO Publications and documents -Standard acupuncture nomenclature.ox. PMID 17224820. KS Soh.CD001351. Berman B. "Meta-analysis: acupuncture for low back pain" (PDF).acupuncture points are no more real than the black spots that a drunkard sees in front of his eyes. Retrieved on 200703-06. Med. Cochrane database of systematic reviews (Online) (3): CD003281. JS Yoo. ^ Lee A. KY Baik.Acupuncture for idiopathic headache.pub2. Butterworth Heinemann. ^ a b Trinh K.abctlc. "Acupuncture for neck disorders". ^ a b Lewith GT. pp. Ernst E (2005).net: The Bonghan Theory by Kim. This lab. ^ Okmedi. Pariente J (Sep 2005). Retrieved 30 January 2007.htm. London. "Stimulation of the wrist acupuncture point P6 for preventing postoperative nausea and vomiting". "The Final Days of Traditional Beliefs? . 284(1).1093/ecam/neh110. Brinkhaus B 8. Available online at consensus. National Institutes of Health: Consensus Development Conference Statement. et al (2005). Part B New anatomist. van Tulder MW. Gross A.html 4.14." Acupuncture. Bong-Han 9. 34-35 14. which are difficult to reconcile with contemporary biomedical information but continue to play an important role in the evaluation of patients and the formulation of treatment in acupuncture. DOI:10. Graham N. 35-40. Cochrane review of Acupuncture for neck disorders 7.pub2. "Acupuncture and dry-needling for low back pain". Seoul National University. White PJ. Intern. 1997. ^ The Cochrane Collaboration . pp. White A. 1983. Cochrane database of systematic reviews (Online) (1): CD001351. DOI:10. Berman B. Reinventing Acupuncture: A New Concept of Ancient Medicine. (Feature article) 10. 1996.Spring / Summer 2000. 142 (8): 651-63. Ann.uk/bandolier/band59/b59-4. ^ Biomedical Physics Laboratory for Korean Medicine. Linde K. Melchart D.com info@tlch2o..nih.1002/14651858. HM Johng.com .. 12. Kay T (2007).Footnotes 1. Goldsmith C. 3. Vickers A. studies on the Bonghan system. ^ Felix Mann: ". "Investigating acupuncture using brain imaging techniques: the current state of play". ^ Manheimer E. 11. Allais G. Wang E. ^ "Despite considerable efforts to understand the anatomy and physiology of the "acupuncture points". the definition and characterization of these points remains controversial. PMID 15674876. PMID 15266478. Cameron I. ^ Furlan AD. Spine 32 (2): 236-43. November 3-5.) Quoted by Matthew Bauer in Chinese Medicine Times. ^ Kaptchuk. School of Physics. the meridian system. White A. 6. Vol 1 Issue 4 . and the five phases theory. ^ HS Shin. Cherkin DC.jr2. Forys K." (Mann F.ac. DOI:10. Evidence-based complementary and alternative medicine: eCAM 2 (3): 315-9.Aug 2006. PMID 15838072. ^ http://www. South Korea. Even more elusive is the basis of some of the key traditional Eastern medical concepts such as the circulation of Qi. S Cho. Feulgen reaction study of novel threadlike structures (Bonghan ducts) on the surfaces of mammalian organs.Volume 12 / Number 1 Arthritis © 1/21/2009 TLC 157 www.CD003281.Part One" 13. ^ Medical Acupuncture .1002/14651858.

on the supraorbital notch. 1 cun posterior to anterior hairline. On the head.5 cun lateral to the midline.5 cun lateral to GV 24 at the midline. 1. In the occipital region.5 cun posterior to anterior hairline.3 cun lateral to GV 15 at the level between cervical vertebrae C1 and C2. BL3 • Mei Chong Bladder • 3 BL9 • Yu Zhen Bladder • 9 Eyebrow Ascencion Jade Pillow.5 cun lateral to the midline. BL7 • Tong Tian Bladder • 7 On the face.5 cun lateral to GV 24 at the midline. 1. Arthritis © 1/21/2009 TLC 158 www.5 cun within the anterior hairline and 0. In the nuchal region.1 cun superior to the inner canthus when the eye is closed. Declining Connection. Contraindication: Moxa.5 cun lateral to GV 23 at the midline.5 cun lateral to the midline. Bright Eyes. BL5 • Wu Chu Bladder • 5 Fifth Place. Celestial Connection. 1. Stomach. 4 cun posterior to anterior hairline. Meeting Point on Bladder Channel with Small Intestine.5 cun posterior to anterior hairline. 1. at the medial end of the eyebrow.com . BL2 • Zan Zhu Bladder • 2 BL8 • Luo Que Bladder • 8 Bamboo Gathering. On the head. In the frontal region of the head. 5. and Yin and Yang Motility Vessels.com info@tlch2o. 0. On the head.5 cun lateral to the superior aspect of the external occipital protruberance. In the frontal region of the head. 0. in a depression 1. BL4 • Qu Chai Bladder • 4 BL10 • Tian Zhu Bladder • 10 Deviating Turn. 1. Conception. 1.abctlc. Gall Bladder. Celestial Pillar. 2.5 cun within the anterior hairline. Triple Energizer Channels Governing. Major Window of the Sky Point. on the lateral border of the trapezius muscle. On the head. Caution Do not needle upward toward medulla oblongata.Meridians and Acupuncture Point Identification Section Alphabetical Order Bladder Meridian BL6 • Cheng Guang Bladder • 6 BL1 • Jing Ming Bladder • 1 Light Guard. 0. On the face.

BL14 • Jue Yin Shu Bladder • 14 On the middle back. Back Shu of the Gall Bladder that connects with Front Mu GB24. On the middle back. On the upper back. 1. 1. On the upper back. Wind Gate. Meeting Point on Bladder Channel with Small Intestine.5 cun lateral to the lower border of the spinous process of the seventh thoracic vertebra (T7). Back Shu of the Heart that connects with Front Mu CV14. Meeting Point of Bones.5 cun lateral to the lower border of the spinous process of the tenth thoracic vertebra (T10). Back Shu of the Liver that connects with Front Mu LR14. On the upper back. Back Shu of the Lung that connects with Front Mu LU1. Gall Bladder.5 cun lateral to the lower border of the spinous process of the fourth thoracic vertebra (T4). BL19 • Dan Shu Bladder • 19 Gall Bladder Shu. Back Shu of the Spleen that connects with Front Mu LR13.com .5 cun lateral to the lower border of the spinous process of the second thoracic vertebra (T2). 1. Arthritis © 1/21/2009 TLC 159 www. 1.com info@tlch2o. Meeting Point on the Bladder Channel with the Governing Vessel. BL17 • Ge Shu Bladder • 17 Diaphragm Shu.5 cun lateral to the lower border of the spinous process of the third thoracic vertebra (T3). BL13 • Fei Shu Bladder • 13 On the middle back. 1. Back Shu of the Pericardium that connects with Front Mu CV17.5 cun lateral to the lower border of the spinous process of the fifth thoracic vertebra (T5). BL18 • Gan Shu Bladder • 18 Liver Shu.5 cun lateral to the lower border of the spinous process of the first thoracic vertebra (T1). Lung Shu. 1. 1. Governing Shu. Spleen and Lung Channels. On the upper back. On the upper back. 1. On the upper back.5 cun lateral to the lower border of the spinous process of the eleventh thoracic vertebra (T11).BL11 • Da Zhu Bladder • 11 BL16 • Du Shu Bladder • 16 Great Shuttle. BL12 • Feng Men Bladder • 12 On the middle back.5 cun lateral to the lower border of the spinous process of the sixth thoracic vertebra (T6). BL20 • Pi Shu Bladder • 20 BL15 • Xin Shu Bladder • 15 Spleen Shu. Heart Shu. 1. Pericardium Shu.5 cun lateral to the lower border of the spinous process of the ninth thoracic vertebra (T9). Triple Energizer.abctlc. 1.

5 cun lateral to the lower border of the spinous process of the fourth lumbar vertebra (L4). at the level of the second posterior sacral foramen.5 cun lateral to the posterior midline. Back Shu for Sea of Qi that connects with Front Mu CV6.com . Caution Avoid the Kidneys. BL30 • Bai Huan Shu Bladder • 30 White Ring Shu BL25 • Da Chang Shu Bladder • 25 In the sacral region. 1. On the lower back. On the lower back. Back Shu of the Small Intestine that connects with Front Mu CV4.com info@tlch2o. BL22 • San Jiao Shu Bladder • 22 BL27 • Xiao Chang Shu Bladder • 27 Triple Burner Shu. 1. Back Shu of the Large Intestine that connects with Front Mu ST25. 1.5 cun lateral to the lower border of the spinous process of the twelfth thoracic vertebra (T12). BL29 • Zhong Lu Shu Bladder • 29 BL24 • Qi Hai Shu Bladder • 24 Central Backbone Shu. 1. BL28 • Pang Guang Shu Bladder • 28 BL23 • Shen Shu Bladder • 23 Bladder Shu.5 cun lateral to the lower border of the spinous process of the second lumbar vertebra (L2).5 cun lateral to the posterior midline. On the lower back. Back Shu of the Triple Energizer that connects with Front Mu CV5. In the sacral region. Origin Pass Shu. at the level of the first posterior sacral foramen.abctlc. 1. 1. Sea of Qi Shu. 1.5 cun lateral to the posterior midline. On the middle back. Small Intestine Shu. Back Shu of the Stomach that connects with Front Mu CV12.5 cun lateral to the lower border of the spinous process of the first lumbar vertebra (L1). 1. at the level of the third posterior sacral foramen. On the lower back. at the level of the fourth posterior sacral foramen. Back Shu of the Bladder that connects with Front Mu CV3. 1. Large Intestine Shu. Back Shu of the Kidney that connects with Front Mu GB25.BL21 • Wei Shu Bladder • 21 BL26 • Guan Yuan Shu Bladder • 26 Stomach Shu. Arthritis © 1/21/2009 TLC 160 www. Back Shu Point for Energy and Blood that connects with CV4. 1. In the sacral region. Kidney Shu.5 cun lateral to the lower border of the spinous process of the fifth lumbar vertebra (L5).5 cun lateral to the lower border of the spinous process of the third lumbar vertebra (L3). Caution Avoid the Kidneys In the sacral region.5 cun lateral to the posterior midline. On the lower back.

He Sea Point on the Bladder Channel. In the sacral region. at the lateral crease. Lower He Sea Point on the Triple Energizer Channel. Bend Middle. 6 cun inferior to BL 36 at the transverse gluteal fold. with the knee in slight flexion. Support.com info@tlch2o. BL32 • Ci Liao Bladder • 32 BL38 • Fu Xi Bladder • 38 Second Bone Hole. in the third posterior sacral foramen. Attached Branch. In the middle of the transverse gluteal fold. Lower Bone Hole. In the gluteal region. BL33 • Zhong Liao Bladder • 33 Central Bone Hole. On the posterior thigh. 0. Meeting Point on the Bladder Channel with the Small Intestine Channel. Superficial Cleft. Earth Point on Water Meridian.abctlc.com . in the first posterior sacral foramen. In the popliteal fossa. on a line joining BL 36 and BL 40 at the popliteal fossa. Command Point for the Upper and Lower Back. BL36 • Cheng Fu Bladder • 36 On the upper back. medial to the biceps femoris tendon. In the sacral region. on the medial side of biceps femoris tendon. in the second posterior sacral foramen. 3 cun lateral to the lower border of the spinous process of the second thoracic vertebra (T2). BL34 • Xia Liao Bladder • 34 In the popliteal fossa. BL35 • Hui Yang Bladder • 35 At the midpoint of the popliteal fossa. Bend Yang. BL41 • Fu Fen Bladder • 41 On either side of the tip of the coccyx. Arthritis © 1/21/2009 TLC 161 www. BL39 • Wei Yang Bladder • 39 In the sacral region. BL40 • Wei Zhong Bladder • 40 In the sacral region. in the fourth posterior sacral foramen.5 cun lateral to the posterior midline. Gate of Abundance.BL31 • Shang Liao Bladder • 31 BL37 • Yin Men Bladder • 37 Upper Bone Hole. 1 cun superior to BL 39. at the level of BL 12. Meeting of the Yang.

Stomach Granary. at the level of BL 22. at the level of BL 19.abctlc. 3 cun lateral to the lower border of the spinous process of the fourth thoracic vertebra (T4).com info@tlch2o. On the middle back. at the level of BL 13. 3 cun lateral to the lower border of the spinous process of the twelfth thoracic vertebra (T12). 3 cun lateral to the lower border of the spinous process of the seventh thoracic vertebra (T7). 3 cun lateral to the lower border of the spinous process of the third thoracic vertebra (T3). at the level of BL 14. On the lower back. Bladder Huang. 3 cun lateral to the posterior midline. at the level of BL 18. BL46 • Ge Guan Bladder • 46 BL52 • Zhi Shi Bladder • 52 Diaphragm Pass. at the level of BL 16. On the upper back. On the middle back. Will Chamber. 3 cun lateral to the lower border of the spinous process of the eleventh thoracic vertebra (T11). at the level of BL 21. On the upper back. 3 cun lateral to the lower border of the spinous process of the first lumbar vertebra (L1). 3 cun lateral to the lower border of the spinous process of the ninth thoracic vertebra (T9). at the level of BL 17.BL42 • Po Hu Bladder • 42 BL48 • Yang Gang Bladder • 48 Door of the Corporeal Soul. On the lower back. 3 cun lateral to the lower border of the spinous process of the sixth thoracic vertebra (T6). On the middle back. On the middle back. at the level of the second sacral foramen. BL44 • Shen Tang Bladder • 44 BL50 • Wei Cang Bladder • 50 Spirit Hall. at the level of BL 20. On the upper back. In the sacral region. 3 cun lateral to the lower border of the spinous process of the fifth thoracic vertebra (T5). at the level of BL 23. On the upper back. BL43 • Gao Huan Shu Bladder • 43 BL49 • Yi She Bladder • 49 Vital Center Shu.com . at the level of BL 15. 3 cun lateral to the lower border of the spinous process of the tenth thoracic vertebra (T10). BL45 • Yi Xi Bladder • 45 BL51 • Huang Men Bladder • 51 Yi Xi. Huang Gate. On the middle back. BL47 • Hun Men Bladder • 47 BL53 • Bao Huang Bladder • 53 Hun Gate. Yang Headrope. Arthritis © 1/21/2009 TLC 162 www. Reflexion Abode. 3 cun lateral to the lower border of the spinous process of the second lumbar vertebra (L2).

3 cun superior to BL 60 posterior to the lateral malleolus. On the lateral ankle. 7 cun superior to BL 60 posterior to the lateral malleolus. BL62 • Shen Mai Bladder • 62 Extending Vessel. between the medial and lateral heads of the gastrocnemius muscle. BL55 • Hey Yng Bladder • 55 BL60 • Kun Lun Bladder • 60 Yang Union. Xi Cleft Point on Yang Motility Vessel. Kun Lun Mountains. Metal Gate. 8 cun inferior to BL 40 at the popliteal crease. 8 cun inferior to BL 40. at the dorsal-plantar skin junction. and 1 cun inferior to BL 57. Xi Cleft Point on the Bladder Channel. On the posterior leg. Instep Yang. Mountain Support. directly below BL60 which is posterior to the lateral malleolus. Luo Connecting Point on the Bladder Channel to KI3. BL63 • Jin Men Bladder • 63 On the posterior leg. BL56 • Cheng Jin Bladder • 56 BL61 • Pu Can Bladder • 61 Sinew Support. Arthritis © 1/21/2009 TLC 163 www.com info@tlch2o. On the posterior leg. Subservient Visitor. 2 cun inferior to BL 40 at the popliteal crease.com . 5 cun inferior to BL 40. Fire Point on Water Meridian. BL57 • Cheng Shan Bladder • 57 On the lateral foot. in the depression posterior to the fifth metatarsal bone and lateral to the cuboid bone. Meeting Point of the Bladder Channel with the Yang Linking Vessel. in the depression directly inferior to the lateral malleolus. Meeting Point on the Bladder Channel with the Yang Motility Vessel. 1. On the posterior surface of the leg. Contraindication: Do Not Needle If Pregnancy is known or suspected On the posterior leg. On the lateral foot. in a depression on the lateral calcaneus. 3 cun lateral to the posterior midline. along the line connecting BL 40 at the popliteal crease and BL 60 posterior to the lateral malleolus.BL54 • Zhi Bian Bladder • 54 BL59 • Fu Yang Bladder • 59 Sequential Limit. in the depression midway between the external malleolus and the tendon calcaneus. In the sacral region. On the lateral foot. in the center of the gastrocnemius muscle. Jing River Point on the Bladder Channel. BL58 • Fei Yang Bladder • 58 Taking Flight.5 cun inferior and posterior to the lateral malleolus. at the level of the fourth sacral foramen.abctlc.

Shu Stream Point on the Bladder Channel. Arthritis © 1/21/2009 TLC 164 www. On the lateral foot. 0. Contraindication: Do Not Needle If Pregnancy is known or suspected. Yuan Source Point on the Bladder Channel. On the lateral foot.com . On the lateral foot. BL66 • Tong Gu Bladder • 66 Valley Passage. BL65 • Shu Gu Bladder • 65 Bundle Bone.abctlc. Jing Well Point on the Bladder Channel. Wood Point on Water Meridian.1 cun from the corner of the nailbed. in the depression anterior and inferior to the fifth metatarsophalangeal joint. Water Point on Water Meridian. Ying Spring Point on the Bladder Channel. in the depression posterior and inferior to the fifth metatarsophalangeal joint. BL67 • Zhi Yin Bladder • 67 Reaching Yin.com info@tlch2o.BL64 • Jing Gu Bladder • 64 Capital Bone. in the depression anterior and inferior to the tuberosity of the fifth metatarsal bone. Metal Point on Water Meridian. On the lateral foot. at the lateral fifth digit.

abctlc.com .com info@tlch2o.Arthritis © 1/21/2009 TLC 165 www.

5 cun inferior to the umbilicus. Yin Intersection. 1 cun inferior to the umbilicus. on the anterior midline. Liver and Kidney Channels. 166 www. Needling is Contraindicated. on the anterior midline. Command Point for the Lower Burner. Meeting Point on the Conception Vessel with the Spleen Channel. CV10 • Xia Guan Conception Vessel • 10 Lower Stomach Cavity. In the pubic region. on the anterior midline. CV6 • Qi Hai Conception Vessel • 6 In the perineal region. Meeting Point on the Conception Vessel with the Spleen. CV9 • Shui Fen Conception Vessel • 9 CV4 • Guan Yuan Conception Vessel • 4 Water Divide. CV8 • Shen Que Conception Vessel • 8 Spirit Gate.CV5 • Shi Men Conception Vessel • 5 Conception Vessel Meridian CV1 • Hui Yin Conception Vessel • 1 Stone Gate. Central Pole. Meeting Point on the Conception Vessel with the Spleen. Front Mu Point of the Bladder that connects with Back Shu BL28. CV2 • Qu Gu Conception Vessel • 2 CV7 • Yin Jiao Conception Vessel • 7 Curved Bone. In the umbilical region. Arthritis © 1/21/2009 TLC In the umbilical region. Sea of Qi. on the anterior midline. at the superior border of the symphysis pubis. Liver and Kidney Channels.abctlc. Meeting of Yin. Moxa is applicable. Front Mu Point of the Triple Energizer that connects with Back Shu BL22. On the lower abdomen. Contraindication: Do Not Needle If Pregnancy is known or suspected. Meeting Point on the Conception Vessel with the Liver Channel. Meeting Point on the Conception Vessel with the Penetrating Vessel. 2 cun superior to the umbilicus. on the anterior midline. On the lower abdomen. Front Mu Point for Sea of Qi that connects with Back Shu BL24. on the anterior midline. on the anterior midline. 1 cun superior to the umbilicus. Origin Pass.com info@tlch2o. In the pubic region. at the midpoint between the anus and the posterior border of the scrotum in males and the posterior labial commissure in females. CV3 • Zhong Ji Conception Vessel • 3 In the umbilical region. 1. In the pubic region. At the umbilicus. on the anterior midline. 1 cun superior to the upper border of the symphysis pubis. 2 cun inferior to the umbilicus. 2 cun superior to the upper border of the symphysis pubis.com . Front Mu Point of the Small Intestine that connects with Back Shu BL27. Meeting Point on the Conception Vessel with the Governing and Penetrating Vessels.

2 cun inferior to the xiphoid process and 6 cun superior to the umbilicus. on the anterior midline.com info@tlch2o. 5 cun superior to the umbilicus. Chest Center. On the sternal midline. level with the fourth intercostal space. 1 cun inferior to the xiphoid process and 7 cun superior to the umbilicus. In the upper umbilical region. CV13 • Shan Guan Conception Vessel • 13 CV18 • Yu Tang Conception Vessel • 18 Upper Venter. Kidney. Meeting Point on the Conception Vessel with the Lung.CV11 • Jian Li Conception Vessel • 11 CV16 • Zhong Ting Conception Vessel • 16 Interior Strengthening. CV21 • Xuan Ji Conception Vessel • 21 Jade Pivot. Small Intestine and Triple Energizer Channels. on the anterior midline. Turtledove Tail. CV15 • Jiu Wei Conception Vessel • 15 On the sternal midline. on the xiphoid process. Front Mu Point of the Stomach that connects with Back Shu BL21. In the upper umbilical region. Meeting Point on Conception Vessel with Pericardium. on the anterior midline. Front Mu of the Pericardium that connects with Back Shu BL14. In the epigastric region. and Triple Energizer Channels. on the anterior midline.com . CV19 • Zi Gong Conception Vessel • 19 CV14 • Ju Que Conception Vessel • 14 Purple Palace. On the sternal midline. Stomach. Front Mu of the Heart that connects with Back Shu BL15. 3 cun superior to the umbilicus.abctlc. Arthritis © 1/21/2009 TLC On the manubrium midline. Luo Connecting Point on the Conception Vessel to the internal abdominal viscera. on the anterior midline. level with the second intercostal space. Meeting Point on the Conception Vessel with the Stomach and Small Intestine Channels. on the anterior midline. Great Tower Gate. In the upper umbilical region. On the sternal midline. midway between CV 20 and CV 22. 167 www. In the epigastric region. 4 cun superior to the umbilicus. Spleen. between the nipples. CV20 • Hua Gai Conception Vessel • 20 Florid Canopy. Spleen. level with the first intercostal space. level with the third intercostal space. Jade Hall. CV12 • Zhon Guan Conception Vessel • 12 CV17 • Shan Zhong Conception Vessel • 17 Central Venter. Central Palace. In the epigastric region.

CV22 • Tian Tu
Conception Vessel • 22
Celestial Chimney. Meeting Point on the
Conception Vessel with the Yin Linking
Vessel. Minor Window of the Sky Point.
In the suprasternal fossa, on the anterior
midline, just above the jugular notch.
CV23 • Lian Quan
Conception Vessel • 23
Ridge Spring. Meeting Point on the
Conception Vessel with the Yin Linking
Vessel.
On the neck, on the anterior midline, in the
depression superior to the hyoid bone.
CV24 • Cheng Jiang
Conception Vessel • 24
Sauce Receptacle. Meeting Point on the
Conception Vessel with the Governing
Vessel, Large Intestine and Stomach
Channels.
On the chin, in the depression in the center of
the mentolabial groove, below the middle of
the lower lip.

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气功养生学是中

民国至中华人民共和国成立前,中西汇通派代表张锡纯

医学的一个重要

在其著作《医学衷中参西录》中,力主“医士当用静坐之

组成部分,堪称

功以悟哲学”。此间一些养生家的专著,如蒋维乔《因是

历史悠久,源远

子静坐法》、丁福保《静坐法精义》、王宾贤《意气功

流长。

详解》、陈乾明《静的修养法》、董浩《肺痨病特殊疗
养法》、方公溥《气功治验录》等,也纷纷出版。

中医学有一本最
早和最重要的经

数千年来,气功一直在民间流传,并且没有一个统一的

典著作叫《黄帝

名称。这类锻炼方法或因其强调姿势、呼吸、意念的不

内经》,成书于

同,或因其来源于医、儒、道、佛、武之差异,有很多

两千年前春秋战

称呼。例如导引、吐呐、行气、服气、坐忘、守神、炼

国时期。书中除

丹、坐禅等等。发展到40年代末期,河北省的刘贵珍先

有多处论述气功

生在传播他所学练的一种养生锻炼方法的过程中,受到

外,其首篇就提

了河北省卫生厅的重视和支持。他们在一起商定,将刘

到:“上古(很

贵珍的锻炼方法和前述多种称呼的锻炼方法统一叫做气

久以前)有真人

功。后来,他们委派刘贵珍前往北京,向国家卫生部汇

者,提挈天地,

报了气功。1955年12月19日,在中国中医研究院成立典

把握阴阳,呼吸精气,独立守神,肌肉若一。”说明气功

礼的大会上,国家卫生部对刘贵珍总结传播气功的事迹

的历史不只是两千多年。

给予表彰,同时给他颁发了奖状和奖金。多家新闻机构
对此事进行了报导,气功和刘贵珍的名字一下子传遍全

据《吕氏春秋》记载,早在四千多年前,我们的祖先就

国,致使刘贵珍成为气功领域最权威的人物,同时掀起

已将气功疗法用于健身治病。《老子》中则较早提到“或

全国性的第一次学练气功的高潮。

嘘或吹”、“绵绵呵其若存”的吐纳功法。《庄子》也有“吹
嘘呼吸,吐故呐新,熊经鸟伸,为寿而已矣。此导引之

文革结束后,气功重新得以发展,逐渐形成全国性第二

士,养形之人,彭祖寿考者之所好也”的记载。春秋战国

次学练气功热潮。各地区相继成立气功研究会、气功疗

初期的出土文物“行气玉佩铭”(约公元前380年)上有

养院。1978年,上海一位名叫顾涵森的物理工作者,突

吐纳行气方法的铭文。湖南长沙马王堆汉墓出土的文物

然对气功产生浓厚兴趣。她在上海出版的《自然杂志》

中有帛书《却谷食气篇》和彩色帛画《导引图》。《却

连续发表论文,声称她发现气功师能发放出物质性“外气”

谷食气篇》是介绍呼吸吐呐方法为主的著作。《导引图

(实际上她的实验并未经过科学验证)。顾氏观点在气

》堪称最早的气功图谱,其中绘有44幅模仿一些动物

功爱好者中引起了强烈反响,突然间声称具有发放外气

运动的图像,是古代人们用气功防治疾病的真实写照。

能力以及可用外气给他人治病的外气师大量涌现。其中
最有代表性的人物是被誉为“现代济公”的严新。在报纸、

自《黄帝内经》后,历代名医的重要著作都有气功的内

杂志、电台、电视台等几乎所有新闻媒介的参预下,中

容。中医发展史上的许多医学名家,本身也是练功家。

国的大地上掀起了一个轰轰烈烈的“外气”浪潮。并且这股

汉代名医华佗创编了五禽戏流传后世,至今仍被气功爱

浪潮还强烈地波及到中国以外的许多国家,开创了一个

好者喜爱。其他如东晋时期的葛洪、南北朝时期的陶弘

国际性的“外气”新纪元。与此同时,学术领域对气功的实

景、隋代巢元方、唐代孙思邈、金元四大家、明代李时

质、概念、定义的争论和“外气”实质的争论也异常激烈地

珍、张景岳、清代张璐……等,也都在自己的著作中对

展开。“外气”实质的讨论甚至成为社会热点。

气功养生做了很多重要论述。

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Gall Bladder Meridian

GB6 • Xuan Li
Gall Bladder • 6

GB1 • Tong Zi Liao
Gall Bladder • 1

Suspended Tuft. Meeting Point on the Gall
Bladder Channel with the Triple Energizer,
Large Intestine and Stomach Channels.

Pupil Bone Hole. Meeting Point on the Gall
Bladder Channel with the Small Intestine and
Triple Energizer Channels.

In the temporal region, posterior to the
hairline, 2 cun inferior to GB4 on the curved
line connecting ST 8 and GB 7.

On the lateral face, 0.5 cun lateral to the
outer canthus of the eye.

GB7 • Qu Bin
Gall Bladder • 7

GB2 • Ting Hui
Gall Bladder • 2

Temporal Hairline Curve. Meeting Point on
the Gall Bladder Channel with the Bladder
Channel.

Auditory Convergence.
With the mouth open, in the depression
anterior to the auricular intertragic notch.

Within the hairline, anterior and superior to
the auricle, about 1 cun anterior to TE 20.

GB3 • Shang Guan
Gall Bladder • 3

GB8 • Shuai Gu
Gall Bladder • 8

Upper Gate. Meeting Point on the Gall
Bladder Channel with the Triple Energizer
and Stomach Channels. On the lateral face,
anterior to the ear, on the upper border of the
zygomatic arch.

Valley Lead. Meeting Point on the Gall
Bladder Channel with the Bladder Channel.
1.5 cun superior to the auricular apex and
directly above TE 20.

GB4 • Han Yan
Gall Bladder • 4

GB9 • Tian Chong
Gall Bladder • 9

Suspended Fullness. Meeting Point on the
Gall Bladder Channel with the Triple
Energizer, Large Intestine and Stomach
Channels. In the temporal region, posterior to
the hairline, at the junction of the upper
quarter and lower three-quarters of the
distance between ST 8 and GB 7.

Celestial Hub. Meeting Point on the Gall
Bladder Channel with the Bladder Channel.
Posterior and superior to the auricular border
and 0.5 cun posterior to GB 8.
GB10 • Fu Bai
Gall Bladder • 10

GB5 • Xuan Lu
Gall Bladder • 5

Floating White. Meeting Point on the Gall
Bladder Channel with the Bladder Channel.

Suspended Skull. Meeting Point on the Gall
Bladder Channel with the Triple Energizer,
Large Intestine and Stomach Channels.

In the temporal region, posterior to the auricle
and superior to the mastoid process, at the
junction of the upper and middle thirds of a
curved line connecting GB 9 and GB 12.

In the temporal region, posterior to the
hairline, midway between ST 8 and GB 7.

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GB11 • Tou Qiao Yin
Gall Bladder • 11

GB16 • Mu Chuang
Gall Bladder • 16

Head Portal Yin. Meeting Point on the Gall
Bladder Channel with the Bladder Channel.

Eye Window. Meeting Point on the Gall
Bladder Channel with the Yang Linking
Vessel.

In the temporal region, posterior to the auricle
and superior to the mastoid process, at the
junction of the middle and lower thirds of a
curved line connecting GB 9 and GB 12.

In the frontal region, 1.5 cun posterior to GB
15 and 3 cun lateral to the mid-sagittal line.
GB17 • Zheng Ying
Gall Bladder • 17

GB12 • Wan Gu
Gall Bladder • 12

Upright Construction. Meeting Point on the
Gall Bladder Channel with the Yang Linking
Vessel.

Completion Bone. Meeting Point on the Gall
Bladder Channel with the Bladder Channel.

In the frontal region, 1.5 cun posterior to GB
16, on the line connecting GB15 and GB20.

In the temporal region, in the depression
posterior and inferior to the mastoid process,
at the level of the inferior ridge of the auricle.

GB18 • Cheng Ling
Gall Bladder • 18

GB13 • Ben Shen
Gall Bladder • 13

Spirit Container. Meeting Point on the Gall
Bladder Channel with the Yang Linking
Vessel.

Root Spirit. Meeting point on the Gall Bladder
Channel with the Yang Linking Vessel.

In the parietal region, 1.5 cun posterior to GB
17 and 3 cun lateral to GV 20.

In the frontal region, 0.5 cun within the
anterior hairline, on a sagittal line ascending
from the lateral canthus of the eye.

GB19 • Nao Kong
Gall Bladder • 19

GB14 • Yang Bai
Gall Bladder • 14

Brain Hollow. Meeting Point on the Gall
Bladder Channel with the Yang Linking
Vessel. In the occipital region, 2.25 cun
lateral to the posterior midline, at the level of
the upper border of the external occipital
protuberance.

Yang White. Meeting Point on the Gall
Bladder Channel with the Stomach and Large
Intestine Channels and Yang Linking Vessel.
In the frontal region, 1 cun superior to the
eyebrow, aligned with the pupil when the
eyes are focused forward.

GB20 • Feng Chi
Gall Bladder • 20

GB15 • Tou Lin Qi
Gall Bladder • 15

Wind Pool. Meeting Point on Gall Bladder
Channel with the Triple Energizer Channel,
Yang Linking and Yang Motility Vessels.

Head Overlooking Tears. Meeting point on
the Gall Bladder Channel with the Bladder
Channel and Yang Linking Vessel. In the
frontal region, 0.5 cun within the hairline,
aligned with the pupil when the eyes are
focused forward.
Arthritis © 1/21/2009 TLC

At the posterior head, at the junction of the
occipital and nuchal regions, in the
depression between the origins of
Sternocleidomastoid and Trapezius muscles.

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GB21 • Jian Jing
Gall Bladder • 21

GB26 • Dai Mai
Gall Bladder • 26

Shoulder Well. Meeting Point on the Gall
Bladder Channel with the Triple Energizer
and Stomach Channels.

Girdling Vessel. Meeting Point on the Gall
Bladder Channel with the Girdling Vessel.
On the midaxillary line, superior to the iliac
crest, at the level of the umbilicus.

In the suprascapular region, midway between
the tip of the acromion process and below the
spinous process of the seventh cervical
vertebra (C7). Contraindication: Do Not
Needle If Pregnancy or Heart Disease is
known or suspected.

GB27 • Wu Shu
Gall Bladder • 27
Fifth Pivot. Meeting Point on the Gall Bladder
Channel with the Girdling Vessel.

GB22 • Yuan Ye
Gall Bladder • 22
Armpit Abyss.

In the inguinal region, medial to the anterior
superior iliac spine, 3 cun inferior to the level
of the umbilicus.

On the lateral chest wall, on the midaxillary
line, 3 cun inferior to the axillary fold.

GB28 • Wei Dao
Gall Bladder • 28

GB23 • Zhe Jin
Gall Bladder • 23

Linking Path. Meeting Point on the Gall
Bladder Channel with the Girdling Vessel.

Sinew Seat. Meeting Point on the Gall
Bladder Channel with the Bladder Channel.
Secondary Front Mu Point for the Gall
Bladder.

In the inguinal region, 0.5 cun inferior to the
anterior superior iliac spine, at the anterior
margin of the ileum.
GB29 • Ju Liao
Gall Bladder • 29

On the lateral chest wall, on the 4th
intercostal space, 1 cun anterior to GB22.

Squatting Bone Hole. Meeting Point on the
Gall Bladder Channel with the Yang Motility
Vessel. At the hip, midway between the
anterior superior iliac spine and the greater
trochanter. GB29 is located with patient in the
lateral recumbent position with the thigh
flexed slightly.

GB24 • Ri Yue
Gall Bladder • 24
Sun and Moon. Front Mu Point of the Gall
Bladder that connects with Back Shu BL19.
On the anterior chest midclavicular line at the
level of the seventh intercostal space.

GB30 • Huan Tiao
Gall Bladder • 30

GB25 • Jing Men
Gall Bladder • 25

Jumping Round. Meeting Point on the Gall
Bladder Channel with the Bladder Channel.

Capital Gate. Front Mu Point of the Kidneys
that connects with Back Shu BL23.

In the gluteal region, one third the distance
from the greater trochanter to the sacral
hiatus. Locate GB30 with the patient in the
lateral recumbent position with the thigh
flexed slightly.

On the lateral abdomen at the lower border of
the free end of the twelfth rib.

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GB31 • Feng Shi
Gall Bladder • 31

GB36 • Wai Qui
Gall Bladder • 36

Wind Market.

Outer Hill. Xi Cleft Point on the Gall Bladder
Channel.

On the midline of the lateral thigh, 7 cun
superior to the popliteal crease. GB 31 can
also be located directly inferior to the tip of
the middle finger when patient is standing
and the arm is extended along the thigh.

On the lateral side of the leg, 7 cun superior
to the prominence of the lateral malleolus.
GB37 • Guang Ming
Gall Bladder • 37

GB32 • Zhong Du
Gall Bladder • 32

Bright Light. Luo Connecting Point on the
Gall Bladder Channel to LR3.

Central River.
On the lateral side of the leg, 5 cun superior
to the prominence of the lateral malleolus.

On the midline of the lateral thigh, 5 cun
superior to the popliteal crease.

GB38 • Yang Fu
Gall Bladder • 38

GB33 • Xi Yang Guan
Gall Bladder • 33
Knee Yang Gate.

Yang Assistance. Jing River on the Gall
Bladder Channel. Fire Point on Wood
Meridian.

On the lateral side of the knee, superior to
the jointline, in a depression between biceps
femoris tendon and the lateral condoyle of
the femur.

On the lateral side of the leg, 4 cun superior
to the prominence of the lateral malleolus.
GB39 • Xuan Zhong
Gall Bladder • 39

GB34 • Yang Ling Quan
Gall Bladder • 34

Suspended Bell. Hui Meeting Point for
Marrow. Intersection Point of the three Yang
channels of the leg.

Yang Mound Spring. Hui Point for Tendons
and Muscles. He Sea Point on Gall Bladder
Channel. Earth Point on Wood Meridian.

On the lateral side of the leg, 3 cun superior
to the prominence of the lateral malleolus.

On the lateral side of the leg, in the
depression anterior and inferior to the head
of the fibula.

GB40 • Qiu Xu
Gall Bladder • 40

GB35 • Yang Jiao
Gall Bladder • 35

Hill Ruins. Yuan Source point on the Gall
Bladder Channel.

Yang Intersection. Xi Cleft Point of the Yang
Linking Vessel.

At the lateral ankle, In the depression anterior
and inferior to the lateral malleolus.

On the lateral side of the leg, on the posterior
border of the fibula, 7 cun superior to the
prominence of the lateral malleolus.

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GB41 • Zu Lin Qi
Gall Bladder • 41
Foot Overlooking Tears. Shu Stream Point
on the Gall Bladder Channel. Wood Point on
Wood Meridian.
On the dorsum of the foot, in the depression
between the fourth and fifth metatarsals.
GB42 • Di Wu Hui
Gall Bladder • 42
Earth Fivefold Convergence.
On the dorsum of the foot, in a depression
proximal to the heads of the fourth and fifth
metatarsal bones.
GB43 • Jia Xi
Gall Bladder • 43
Pinched Ravine. Ying Spring Point on the
Gall Bladder Channel. Water Point on Wood
Meridian.
On the dorsum of the foot, distal to the fourth
and fifth metatarsophalangeal joints, 0.5 cun
proximal to the web margin.
GB44 • Zu Qiao Yin
Gall Bladder • 44
Foot Portal Yin. Jing Well Point on the Gall
Bladder Channel. Metal Point on Wood
Meridian.
On the lateral side of the fourth toe, 0.1 cun
from the nail bed.

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arthritis pain conditions. Most of the studies that have
been done have shown inconclusive results – one or
two of them suggest that acupuncture does not have
any significant benefit. The many arthritis pain patients
who have obtained significant arthritis pain relief from
acupuncture treatment counteract this however. In
1997 a consensus statement from the National
Institutes of Health listed several conditions, including
osteoathritis, for which acupuncture "may be useful"
when combined with standard medical care.

Advice for Arthritis Patience
How does acupuncture work?
There are two views on how acupuncture works to
relieve arthritis pain – the traditional Chinese view and
the western scientific view.
Traditional Chinese Acupuncture

The simple advice is: try it and see how it works for
you.

Traditional Chinese medicine is based on the belief that
an essential life force called qi ("chee") flows through
the body along channels called meridians. These
meridians are like rivers that irrigate the body and
nourish its tissues. Any obstruction along one of the
meridians is like a dam that blocks the vital energy flow,
creating pain and disease. “Obstructions” to the free
flow of energy in these meridians is said to be caused
by injury or scar tissue along the line of the meridian or
it can be due to a problem in the internal organ where
the meridian starts its course. Many western trained
doctors find these ideas of how the body works very
alien to their way of thinking. Nevertheless, applying
the Chinese principles and choosing the needle points
accordingly often seems to help arthritis pain sufferers.

How is acupuncture used in arthritis pain relief?
Your first acupuncture session may last about an hour
and subsequent appointments are often shorter in
length. From two to twenty very thin needles are put in
place and left there for several minutes. Having
needles stuck in your body may not sound like fun but
most people say there's only a slight stinging sensation
as the needles enter, and no pain at all after that. Your
therapist may stimulate the needles by turning or
rotating them quickly during your treatment session.
Acupuncture needles are very thin and solid with a
smooth point and having them inserted may not be as
uncomfortable as getting an immunisation having blood
taken for a blood test. The number of sessions needed
varies. Long-standing and complex chronic pain
problems like arthritis might need one or two treatments
a week for several months.

The Chinese medical system believes that inserting
acupuncture needles along the line of the “blocked
meridian” will release the dammed up “chee” energy
and thus relieve the pain that it is causing.
A Chinese medicine doctor will often spend a long time
taking your pulse and examining your tongue to help
him or her arrive at your Chinese medical diagnosis.

Most people do not experience side effects from
acupuncture therapy but a few of us can have problems
such as bleeding or infection. Some people who have
never experienced acupuncture may feel dizzy after
their first acupuncture treatment

Western “Scientific” Acupuncture
Western doctors have not been able to prove the
existence of meridians (but note – they haven't
disproved them either!). The path of the Chinese
meridians does not correspond to any known nerve or
blood vessel path in our body.

Reference: Joint Enterprise
<http://www.jointenterprise.co.uk>

Western research has focussed most on the changes
that acupuncture can make to our nervous system.
Science has discovered that stimulation of certain skin
or muscle areas by fine needles can cause the release
of large amounts of endorphins or bradykinins.
Endorphins and bradykinins are the bodies own natural
pain killers and anti-inflammatory agents respectively.
Research on humans and on animals has shown that
acupuncture is able to relieve pain and suppress
inflammation.
The research studies that show chemical release and
suppression of inflammation are only laboratory
theoretical studies. It has been very difficult to create
large research studies on acupuncture treatment of

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www.abctlc.com info@tlch2o.com

On the lower back. below the spinous process of the seventh thoracic vertebra (T7). GV12 • Shen Zhu Governing Vessel • 12 GV6 • Ji Zhong Governing Vessel • 6 Body Pillar. Suspended Pivot. On the middle back. Arthritis © 1/21/2009 TLC 176 www. approximately level with the inferior angle of the scapula. Below the spinous process of the third thoracic vertebra (T3). below the spinous process of the ninth thoracic vertebra (T9). Below the spinous process of the sixth thoracic vertebra (T6). below the spinous process of the tenth thoracic vertebra (T10). Meeting Point on the Governing Vessel with the Conception Vessel. GV11 • Shen Dao Governing Vessel • 11 Spirit Path. Extremity of Yang. Reunion point on Curious Meridian Dai Mo. below the spinous process of the second lumbar vertebra (L2). Lumbar Yang Pass.com info@tlch2o.com . GV5 • Xuan Shu Governing Vessel • 5 Below the spinous process of the fifth thoracic vertebra (T5).Governing Vessel Meridian GV7 • Zhong Shu Governing Vessel • 7 GV1 • Chang Qiang Governing Vessel • 1 Central Pivot. Sinew Contraction. GV3 • Yao Yang Guan Governing Vessel • 3 On the middle back.abctlc. On the lower back. Luo Connecting Point of the Governing Vessel to CV1. GV2 • Yao Shu Governing Vessel • 2 On the middle back. below the spinous process of the eleventh thoracic vertebra (T11). below the spinous process of the first lumbar vertebra (L1). On the lower back. below the spinous process of the fourth lumbar vertebra (L4). GV9 • Zhi Yang Governing Vessel • 9 On the posterior midline at the sacral hiatus. On the middle back. Lumbar Shu. Life Gate. GV8 • Jin Suo Governing Vessel • 8 Midway between the anus and the tip of the coccyx. Long Strong. Spinal Center. GV10 • Ling Tai Governing Vessel • 10 GV4 • Ming Men Governing Vessel • 4 Spirit Tower.

Meeting Point on the Governing Vessel with the six yang channels.abctlc. Meeting Point on the Governing Vessel with the Bladder Channel. GV22 • Xin Hui Governing Vessel • 22 GV16 • Feng Fu Governing Vessel • 16 Fontanelle Meeting. 1 cun posterior to the anterior hairline. On the posterior head.5 cun directly below the external occipital protuberance. Below the spinous process of the first thoracic vertebra (T1). 4 cun directly above the external occipital protuberance. Meeting point on the Governing Vessel with the Bladder and Stomach Channels. On the posterior head. Meeting Point on the Governing Vessel with the Yang Linking Vessel. Sea of Qi Point. Wind Mansion.5 cun posterior to the anterior hairline. 1. Below the spinous process of the seventh cervical vertebra (C7). GV24 • Shen Ting Governing Vessel • 24 Spirit Court. 2 cun posterior to the anterior hairline. Below the spinous process of the first cervical vertebra (C1). 0. Sea of Marrow Point.5 cun anterior to the intersection of the line connecting the right and left ear apices. On the posterior head. at the intersection of a line connecting the right and left ear apices.5 cun directly above the external occipital protuberance.5 cun directly above the external occipital protuberance. Great Hammer.com . 0. 177 www. On the midsagittal line. Meeting Point on the Governing Vessel with the Bladder Channel. On the midline. GV18 • Qiang Jian Governing Vessel • 18 Unyielding Space. Arthritis © 1/21/2009 TLC On the midline. 1. GV23 • Shang Xing Governing Vessel • 23 On the midline.GV13 • Tao Dao Governing Vessel • 13 GV19 • Hou Ding Governing Vessel • 19 Kiln Path. Mute's Gate. GV21 • Qian Ding Governing Vessel • 21 GV15 • Ya Men Governing Vessel • 15 Before the Vertex. Meeting Point on the Governing Vessel with the six yang channels. On the posterior head. 2. Meeting Point on the Governing Vessel with the Yang Linking Vessel. GV20 • Bai Hui Governing Vessel • 20 GV14 • Daz Hui Governing Vessel • 14 Hundred Meetings. Brain's Door. Behind the Vertex. GV17 • Nao Hu Governing Vessel • 17 Upper Star. On the midsagittal line.com info@tlch2o.

Arthritis © 1/21/2009 TLC 178 www.abctlc. GV28 • Yin Jiao Governing Vessel • 28 Gum Intersection. Reunion Point on the Governing with the Conception Vessels. 1/3 the distance from the nose and the top of the lip.GV25 • Su Liao Governing Vessel • 25 White Bone Hole. Meeting Point on the Governing Vessel with the Large Intestine and Stomach Channels. In the mouth. at the junction of the frenulum of the upper lip with the upper gum. GV27 • Dui Duan Governing Vessel • 27 Extremity of the Mouth. In the philtrum.com . GV26 • Shui Gou Governing Vessel • 26 Water Trough. At the tip of the nose.com info@tlch2o. Meeting Point on the Governing Vessel with the Conception Vessel. At the junction of the philtrum with the upper lip.

Caution Reserve HE 9 for Unconsciousness or Shock. Xi Cleft Point on the Heart Channel. Cyan Spirit. Jing River Point on the Heart Channel. Lesser Mansion. Yuan Source Point on the Heart Channel.abctlc. HE7 • Shen Men Heart • 7 HE2 • Qing Ling Heart • 2 Spirit Gate. On the medial arm when the elbow is flexed. medial to the axillary artery. 1 cun proximal to the transverse wrist crease. at the medial end of the transverse cubital crease. Luo Connecting Point on the Heart Channel to SI4. on the radial side of flexor carpi ulnaris tendon. On the radial side of the fifth digit. With the elbow flexed. on the radial side of flexor carpi ulnaris tendon. 3 cun proximal to the transverse cubital crease. Earth Point on Fire Meridian. Highest Spring. He Sea Point on the Heart Channel. HE9 • Shao Chong Heart • 9 On the palmar surface of the forearm. Lesser Surge. Arthritis © 1/21/2009 TLC 179 www. Jing Well Point on the Heart Channel.5 cun proximal to the transverse wrist crease. Shu Stream Point on the Heart Channel. Water Point on Fire Meridian.5 cun proximal to the transverse wrist crease. Wood Point on Fire Meridian. On the palmar surface of the forearm. In the axillary fossa when the arm is abducted. on the radial side of flexor carpi ulnaris tendon. in the small depression between the pisiform and ulna bones. On the transverse wrist crease. Metal Point on Fire Meridian. Caution Avoid the axillary artery. HE5 • Tong Li Heart • 5 Connecting Li. On the palmar surface of the forearm.com info@tlch2o. Spirit Pathway. 0.Heart Meridian HE6 • Yin Xi Heart • 6 HE1 • Ji Quan Heart • 1 Yin Cleft.1 cun from the corner of the nail bed. between the fourth and fifth metacarpal bones. When a tight fist is made. HE 8 is where the fifth digit rests. Fire Point on Fire Meridian. HE4 • Ling Dao Heart • 4 On the palmar surface of the hand. 1. Ying Spring Point on the Heart Channel.com . 0. HE3 • Shao Hai Heart • 3 HE8 • Shao Fu Heart • 8 Lesser Sea.

On the medial leg. KI3 • Tai Xi Kidney • 3 On the medial leg. Earth Point on Water Meridian. KI2 • Ran Gu Kidney • 2 On the medial ankle. between the second and third metatarsal bones. Intersecting Point on Kidney Channel with the Yin Motility Vessel. Luo Connecting point on the Kidney Channel to BL64. Blazing Valley. 5 cun superior to KI 3. On the medial ankle. KI8 • Jiao Xin Kidney • 8 Intersecting Reach. 2 cun superior to KI 3 on the anterior border of the Achilles’ tendon. in the depression anterior and superior to the medial side of the tuberosity of the calcaneus. at the lower end of the gastrocnemius muscle. Guest House. Fire Point on Water Meridian. in the depression inferior to the lower border of the tuberosity of the navicular bone. Yuan Source on the Kidney Channel. On the medial ankle. 2 cun superior to KI 3 and 0. 180 www. KI4 • Da Zhong Kidney • 4 KI9 • Zhu Bin Kidney • 9 Large Goblet. Xi Cleft Point on the Yin Motility Vessel. Arthritis © 1/21/2009 TLC On the medial leg.com info@tlch2o.KI5 • Shui quan Kidney • 5 Kidney Meridian KI1 • Yong Quan Kidney • 1 Water Spring. KI7 • Fu Liu Kidney • 7 On the medial surface of the foot. Recover Flow. at the midpoint between the prominence of the medial malleolus and Achilles’ Tendon. Gushing Spring.abctlc. one-third the distance from the webs of the toes to the heel. 1 cun below KI 3. Great Ravine. Xi Cleft Point on the Yin Linking Vessel. Jing Well Point on the Kidney Channel. Wood Point on Water Meridian. KI6 • Zhao Hai Kidney • 6 Shining Sea. On the medial ankle. posterior and inferior to the medial malleolus. Jing River Point on the Kidney Channel. Shu Stream Point on the Kidney Channel. Metal Point on Water Meridian. On the sole of the foot. in the depression 1 cun inferior to the medial malleolus.5 cun anterior to KI 7. Ying Spring Point on the Kidney Channel. Xi Cleft Point on the Kidney Channel. in the depression anterior to the medial side of the attachment of Achilles’ tendon.com .

5 cun lateral to the anterior midline. in the depression between tendons of semitendinosus and semimembranosus muscles when the knee is flexed. 2 cun superior to the umbilicus and 0.5 cun lateral to the anterior midline.5 cun lateral to the midline. Meeting Point on the Kidney Channel with the Penetrating Vessel. Central Flow. Meeting Point on the Kidney Channel with the Penetrating Vessel. He Sea Point on the Kidney Channel. 1 cun superior to the symphysis pubis.5 cun lateral to the midline at the level of CV 12. Meeting Point on the Kidney Channel with the Penetrating Vessel. 0. Great Manifestation. at the level of CV 5.KI10 • Yin Gu Kidney • 10 KI15 • Zhong Zhu Kidney • 15 Yin Valley. KI16 • Huan Shu Kidney • 16 KI11 • Heng Gu Kidney • 11 Shu of Abdominal Fu. Water Point on Water Meridian. 4 cun superior to the umbilicus and 0. at the level of CV 3. at the level of CV 8. 3 cun superior to the umbilicus and 0. On the medial side of the popliteal fossa. KI17 • Shang Qu Kidney • 17 KI12 • Da He Kidney • 12 Shang Bend. In the epigastric region.com info@tlch2o. 3 cun superior to the symphysis pubis. at the level of CV 4. Meeting Point on the Kidney Channel with the Penetrating Vessel.5 cun lateral to the midline at the level of CV 10. In the umbilical region. Qi Hole. In the pubic region. Meeting Point on the Kidney Channel with the Penetrating Vessel. Meeting Point on the Kidney Channel with the Penetrating Vessel. At the umbilicus. In the pubic region. at the level of CV 7. Meeting Point on the Kidney Channel with the Penetrating Vessel. 0. Meeting Point on the Kidney Channel with the Penetrating Vessel. In the pubic region.abctlc. at the level of CV 2. In the pubic region. 0. KI18 • Shi Guan Kidney • 18 KI13 • Qi Xue Kidney • 13 Stone Pass. 0. 0. Meeting Point on the Kidney Channel with the Penetrating Vessel. Fourfold Fullness. 0.5 cun lateral to the midline.5 cun lateral to the anterior midline. In the umbilical region.com .5 cun lateral to the midline at the level of CV 11. 2 cun superior to the symphysis pubis. KI19 • Yin Du Kidney • 19 KI14 • Si Man Kidney • 14 Yin Metropolis. 1 cun inferior to the level of the umbilicus. Arthritis © 1/21/2009 TLC 181 www. Pubic Bone.5 cun lateral to the anterior midline. immediately superior to the symphysis pubis. In the umbilical region.

KI23 • Shen Feng Kidney • 23 Spirit Seal. In the pectoral region. 5 cun superior to the umbilicus and 0. Corridor Walk. In the pectoral region. KI26 • Yu Zhong Kidney • 26 KI21 • You Men Kidney • 21 Lively Center. Meeting Point on the Kidney Channel with the Penetrating Vessel. Spirit Storehouse.KI20 • Tong Gu Kidney • 20 KI25 • Shen Cang Kidney • 25 Open Valley. in the first intercostal space.abctlc. In the pectoral region. In the epigastric region. 2 cun lateral to the anterior midline at the level of CV 20. Dark Gate. 2 cun lateral to the anterior midline at the level of CV 16. KI27 • Shu Fu Kidney • 27 KI22 • Bu Lang Kidney • 22 Shu Mansion.5 cun lateral to the midline at the level of CV 13.com info@tlch2o. 6 cun superior to the umbilicus and 0. Arthritis © 1/21/2009 TLC 182 www. in the fourth intercostal space. in the second intercostal space. 2 cun lateral to the anterior midline.5 cun lateral to the midline at the level of CV 14. Meeting Point on the Kidney Channel with the Penetrating Vessel. 2 cun lateral to the anterior midline at the level of CV 17. in the fifth intercostal space.com . KI24 • Ling Xu Kidney • 24 Spirit Ruins. In the pectoral region. 2 cun lateral to the anterior midline at the level of CV 19. In the epigastric region. in the third intercostal space. On the lower border of the clavicle. In the pectoral region. 2 cun lateral to the anterior midline at the level of CV 18. Caution Avoid the Liver.

Yuan Source Point on the Large Intestine Channel. LI3 • San Jian Large Intestine • 3 LI7 • Wen Liu Large Intestine • 7 Third Space. Shu Stream Point on the Large Intestine Channel. On the radial side of the posterior antebrachial region. Metal Yang. Fire Point on Metal Meridian. Jing Well Point on the Large Intestine Channel.abctlc. 3 cun proximal to the dorsal wrist crease. Jing River Point on the Large Intestine Channel. Contraindication: Do Not Needle If Pregnancy is known or suspected.LI5 • Yang Xi Large Intestine • 5 Large Intestine Meridian LI1 • Shang Yang Large Intestine • 1 Yang Ravine. On the radial side of the second digit. Arthritis © 1/21/2009 TLC 183 www. On the dorsum of the hand. in the belly of the first interosseus dorsalis muscle. Water Point on Metal Meridian.com info@tlch2o. 5 cun proximal to the dorsal wrist crease. 4 cun distal cubital crease. Ying Spring Point on the Large Intestine Channel. On the radial side of the posterior antebrachial region. Wood Point on Metal Meridian. On the radial side of the wrist. on the line connecting LI 5 at the wrist and LI 11 at the lateral cubital crease. LI4 • He Gu Large Intestine • 4 LI8 • Xia Lian Large Intestine • 8 Union Valley. on the line connecting LI 5 at the wrist and LI 11 at the lateral cubital crease. approximately at the midpoint of the second metacarpal bone. On the radial side of the posterior antebrachial region. On the dorsum of the hand.com . Command Point of the Face and Mouth. Xi Cleft Point on the Large Intestine Channel. Warm Flow. in the depression between the tendons of extensor pollicis longus and brevis. LI2 • Er Jian Large Intestine • 2 LI6 • Pian Li Large Intestine • 6 Second Space. Lower Ridge. On the radial side of the second digit in slight flexion. at the dorsalpalmar skin junction. distal to the tip of the radial styloid process. 0. on the line connecting LI 5 at the wrist and LI 11 at the lateral cubital crease. in the depression anterior to the metacarpophalangeal joint. in the "anatomical snuff box". Luo Connecting Point on the Large Intestine Channel to LU9. proximal to the metacarpophalangeal joint. on the radial side of the second metacarpal bone.1 cun from the corner of the nail bed. Metal Point on Metal Meridian. Veering Passageway.

LI10 • Shou San Li Large Intestine • 10 LI15 • Jian Yu Large Intestine • 15 Arm Three Li. Shoulder Bone. Meeting Point on the Large Intestine Channel with the Small Intestine and Bladder Channels.com . 1 cun superior to LI 11. On the superior aspect of the scapular region. LI12 • Zhou Liao Large Intestine • 12 Elbow Bone Hole. Earth Point on Metal Meridian.abctlc. Meeting Point on the Large Intestine Channel with the Yang Motility Vessel. On the lateral brachial region. at the junction of the lateral supracondylar ridge of the humerus with the epicondyle. in the depression posterior to the acromial extremity of the clavicle and anterior to the scapular spine. Arthritis © 1/21/2009 TLC 184 www. on the line connecting LI 5 at the wrist and LI 11 at the lateral cubital crease. 3 cun distal cubital crease. On the radial side of the posterior antebrachial region. on the line connecting LI 11 at the cubital crease and LI15 inferior to the acromion. LI17 • Tian Ding Large Intestine • 17 Celestial Tripod. At the anterior margin of the posterior triangle of the neck. 1 cun inferior to LI 18 at the level of the laryngeal prominence. He Sea Point on the Large Intestine Channel. On the lateral side of the cubital crease. 2 cun distal cubital crease. on the line connecting LI 5 at the wrist and LI 11 at the lateral cubital crease.LI9 • Shang Lian Large Intestine • 9 LI14 • Bi Nao Large Intestine • 14 Upper Ridge. On the lateral side of the cubital crease when the elbow is close to full flexion. On the radial side of the posterior antebrachial region. On the lateral brachial region. 3 cun superior to LI 11. Upper Arm. on the anterior margin of the insertion of the deltoid muscle. Locate LI 12 with the elbow flexed. on the line connecting LI 11 at the cubital crease and LI15 inferior to the acromion.com info@tlch2o. on the posterior border of the sternocleidomastoid muscle. On the shoulder in the depression on the anterior border of the acromial part of the deltoid muscle when the arm is abducted. LI11 • Qu Chi Large Intestine • 11 Pool at the Bend. Meeting Point on the Large Intestine Channel with the Small Intestine and Triple Energizer Channels. LI13 • Shou Wu Li Large Intestine • 13 Arm Five Li. LI16 • Ju Gu Large Intestine • 16 Great Bone.

Fire Point on Wood Meridian. Great Surge. Yuan Source Point on the Liver Channel. Knee Joint. LR5 • Li Gou Liver • 5 Woodworm Canal. between the first and second metatarsophalangeal joints. directly inferior to the lateral margin of the nostril. posterior to the tibial medial margin. 7 cun superior to the medial malleolus. Ying Spring Point on the Liver Channel. Xi Cleft Point on the Liver Channel. 5 cun superior to the medial malleolus.com .1 cun from the corner of the nail bed. 1 cun posterior to SP 9. 3 cun lateral to the laryngeal prominence. Central Metropolis. Arthritis © 1/21/2009 TLC On the medial side of the leg. Jing River Point on the Liver Channel.com info@tlch2o. Major Window of Sky Point. 1 cun anterior to the medial malleolus. between the first and second metatarsal bones. LI20 • Ying Xiang Large Intestine • 20 Welcome Fragrance. posterior to the tibial medial margin. 0.5 cun proximal to the web margin. Shu Stream Point on the Liver Channel. Earth Point on Wood Meridian. inferior to the medial condyle of the tibia. Meeting Point on the Large Intestine Channel with the Stomach Channel. On the medial side of the leg. LI19 • He Liao Large Intestine • 19 LR4 • Zhong Feng Liver • 4 Grain Bone Hole. Wood Point on Wood Meridian. 185 www. Jing Well Point on the Liver Channel. 0. On the neck. On the dorsum of the foot. On the lateral side of the first digit.abctlc. level with GV 26. the great toe. Metal Point on Wood Meridian. Mound Center. On the dorsum of the foot.LI18 • Fu Tu Large Intestine • 18 LR3 • Tai Chong Liver • 3 Protuberance Assistant. Luo Connecting Point on the Liver Channel to GB40. in the upper portion of the medial head of the gastrocnemius muscle.5 cun lateral to the nostril. in the depression medial to the tibialis anterior tendon. In the oral region. approximately 2 cun superior to the web margin. on the sternocleidomastoid muscle. In the nasolabial groove. On the medial side of the leg. 0. LR2 • Xing Jian Liver • 2 LR7 • Xi Guan Liver • 7 Moving Between. Liver Meridian LR1 • Da Dun Liver • 1 LR6 • Zhong Du Liver • 6 Large Pile. On the dorsum of the foot.

One the medial side of the knee. 1 cun along the tendon/muscle from its attachment near the pubic symphysis and 2 cun inferior to ST 30. in the sixth intercostal space. on the lateral border of abductor longus muscle. on the lateral border of abductor longus muscle. Beware the Femoral Vein! Arthritis © 1/21/2009 TLC 186 www.5 cun lateral to the anterior midline. LR12 • Ji Mai Liver • 12 Urgent Pulse. 2 cun along the tendon/muscle from its attachment near the pubic symphysis and 3 cun inferior to ST 30. Heart. LR11 • Yin Lian Liver • 11 Yin Corner. Front Mu Point of the Spleen that connects with Back Shu BL20. On the medial thigh. On the lateral abdomen. Camphorwood Gate. At the base of the femoral triangle. On the medial thigh. Kidney.LR8 • Qu Quan Liver • 8 LR13 • Zhang Men Liver • 13 Spring at the Bend. 2.abctlc. in the depression of the transverse popliteal crease between the upper border of the medial epicondyle of the femur and semitendinosus and semimembranosus tendons. He Sea Point on the Liver Channel. Cycle Gate. Meeting Point on the Liver Channel with the Spleen Channel. medial to the femoral artery. at the level of CV 14. On the superior. LR10 • Zu Wu Li Liver • 10 Foot Five Li. Meeting Point on the Liver Channel with the Gall Bladder. Front Mu Point of the Liver that connects with Back Shu BL18. Spleen and Lung Channels. Water Point on Wood Meridian.com info@tlch2o. 4 cun superior to the medial epicondyle of the femur. LR9 • Yin Bao Liver • 9 LR14 • Qi Men Liver • 14 Yin Bladder. on the midclavicular line. medial thigh.com . slightly inferior and anterior to the tip of the free end of the eleventh rib. On the chest. between sartorius muscle anteriorly and vastus medialis posteriorly.

On the lateral side of the anterior wrist crease. 5 cun inferior to LU 5. 187 www. Luo Connecting Point on the Lung Channel to LI4. Guarding White. in the depression lateral to biceps brachia tendon. LU5 • Chi Ze Lung • 5 LU10 • Yu Ji Lung • 10 Cubit Marsh. Major Window of the Sky Point. inferior to the acromial end of the clavicle. on the dorsal-palmar surface. Central Treasury. on the lateral border of muscle biceps brachia. Metal Point on Metal Meridian. Yaun Source Point on the Lung Channel. Front Mu Point of the Lung that connects with Back Shu BL13. LU8 • Jing Qu Lung • 8 On the lateral chest. LU3 • Tian Fu Lung • 3 On the radial side of the forearm. Meeting Point on the Lung Channel with the Spleen Channel. 3 cun inferior to the anterior axillary fold. At the elbow. Arthritis © 1/21/2009 TLC Midpoint on the thenar eminence. Earth Point on Metal Meridian. 4 cun inferior to the anterior axillary fold. On the upper arm. Fire Point on Metal Meridian. On the radial side of the forearm. in the cubital crease. Water Point on Metal Meridian. 1.abctlc. pectoralis major muscle and the clavicle. on the lateral border of muscle biceps brachia. 6 cun lateral to the Conception Vessel. LU2 • Yun Men Lung • 2 Cloud Gate. Caution Avoid the Lungs! LU7 • Lie Que Lung • 7 Broken Sequence. On the upper arm. In the depression formed by the deltoid muscle. On the radial side of the forearm. LU9 • Tai Yuan Lung • 9 LU4 • Xia Bai Lung • 4 Great Abyss. Fish Border. 1 cun superior to the transverse wrist crease and in the depression between the radial artery and styloid process.5 cun superior to the tip of the radial styloid process. in the depression on the radial side of the radial artery. Xi Cleft Point on the Lung Channel.com info@tlch2o. Jing River Point on the Lung Channel. Channel Ditch. Contraindication: Moxa is forbidden! Celestial Storehouse.LU6 • Kong Zui Lung • 6 Lung Meridian LU1 • Zhong Fu Lung • 1 Collection Hole.com . on a line from LU 5 at the cubital crease and LU 9 at the lateral side of the wrist crease. Shu Stream Point on the Lung Channel. Ying Spring Point on the Lung Channel. He Sea Point on the Lung Channel. On the lateral chest.

LU11 • Shao Shang Lung • 11 Lesser Merchant.abctlc.com info@tlch2o. 0.1 cun posterior to the nailbed. Wood Point on Metal Meridian.com . On the radial side of the thenar eminence. Arthritis © 1/21/2009 TLC 188 www. Jing Well Point on the Lung Channel.

Celestial Spring. approximately 1 cun lateral to the nipple. 2 cun inferior to the axillary fold. At the transverse wrist crease. 5 cun lateral to the anterior midline. Central Hub. Palace of Toil. Jing Well Point on the Pericardium Channel. Luo Connecting Point on the Pericardium Channel to TE4. in the fourth intercostal space. PC7 • Da Ling Pericardium • 7 PC2 • Tian Quan Pericardium • 2 Great Mound. Yuan Source Point on the Pericardium Channel. On the anterior forearm. Water Point on Fire Meridian.com info@tlch2o. Wood Point on Fire Meridian. between the tendons of palmaris longus and flexor carpi radialis muscles. At the elbow. proximal to the metacarpophalangeal joint. On the anterior forearm. PC9 • Zhong Chong Pericardium • 9 On the anterior forearm. Minor Window of the Sky Point. Meeting Point on the Pericardium Channel with the Gall Bladder. medial to the brachial artery. 3 cun superior to the transverse wrist crease. He Sea Point on the Pericardium Channel. Xi Cleft Point on the Pericardium Channel. Intermediary Courier.abctlc. 5 cun superior to the transverse wrist crease. on the ulnar side of the biceps brachii tendon. Arthritis © 1/21/2009 TLC 189 www. PC3 • Qu Ze Pericardium • 3 PC8 • Lao Gong Pericardium • 8 Marsh at the Bend. On the upper arm.PC6 • Nei Guan Pericardium • 6 Pericardium Meridian PC1 • Tian Chi Pericardium • 1 Inner Pass. PC4 • Xi Men Pericardium • 4 On the palmar surface. Metal Point on Fire Meridian. Fire Point on Fire Meridian. Jing River Point on the Pericardium Channel. between the tendons of palmaris longus and flexor carpi radialis muscles. 2 cun superior to the transverse wrist crease. Shu Stream Point on the Pericardium Channel. between the tendons of palmaris longus and flexor carpi radialis muscles. Earth Point on Fire Meridian. PC5 • Jian Shi Pericardium • 5 On the center of the tip of the third digit. Celestial Pool. Xi Gate. On the lateral chest. Liver and Triple Energizer Channels. between the tendons of palmaris longus and flexor carpi radialis muscles.com . Special Command Point for the Thorax. between the second and third metacarpal bones. between the two heads of muscle biceps brachii. Ying Spring Point on the Pericardium Channel.

Arthritis © 1/21/2009 TLC 190 www.com .com info@tlch2o.abctlc.

com . in the depression between the ulnar styloid process and the triquetrum and pisiform bones. Arthritis © 1/21/2009 TLC With the elbow in flexion. in the depression distal to the metacarpophalangeal joint. between the anterior border of the ulna and flexor carpi ulnaris muscle. SI6 • Yang Lao Small Intestine • 6 SI2 • Qian Gu Small Intestine • 2 Nursing the Aged. Luo Connecting Point on the Small Intestine Channel to HE7. 5 cun superior to the wrist crease. at the junction of the dorsal and palmar surfaces. in a depression between the styloid process of the ulna and the triquetral and pisiform bones. in the depression between the olecranon and the medial epicondyle of the humerus. Earth Point on Fire Meridian. Lesser Marsh. on the line connecting SI 5 at the wrist and SI 8 at the medial epicondyle of the humerus at the elbow. 0. Shu Stream Point on the Small Intestine Channel. Jing Well Poing on the Small Intestine Channel. Ying Spring Point on the Small Intestine channel. On the ulna side of the wrist.com info@tlch2o. On the ulnar side of the forearm. 191 www. Wood Point on Fire Meridian. Fire Point on Fire Meridian. in the depression between the fifth metacarpal bone and the hamate and pisiform bones. On the ulna side of the wrist. SI3 • Hou Xi Small Intestine • 3 SI7 • Zhi Zheng Small Intestine • 7 Back Ravine.SI5 • Yang Gu Small Intestine • 5 Small Intestine Meridian SI1 • Shao Ze Small Intestine • 1 Yang Valley. Jing River Point on the Small Intestine Channel. Xi Cleft Point on the Small Intestine Channel. On the ulnar side of the wrist. Water Point on Fire Meridian. SI 6 can be located when patient's wrist is in flexion with the index finger pointing to the sternum. He Sea Point on the Small Intestine Channel.abctlc. In the depression proximal to the head of the fifth metacarpal bone. SI4 • Wan Gu Small Intestine • 4 SI8 • Xiao Hai Small Intestine • 8 Wrist Bone. On the ulnar side of the fifth digit. Yuan Source Point on the Small Intestine Channel. at the junction of the dorsal and palmar surfaces. Front Valley. at the junction of the dorsal and palmar surfaces. On the ulner side of the fifth digit. Metal Point on Fire Meridian. Branch to the Correct. Small Sea.1 cun from the corner of the nail bed.

On the scapula. SI17 • Tian Rong Small Intestine • 17 SI12 • Bing Feng Small Intestine • 12 Celestial Counternance. in the depression on the medial end of the supraspinous fossa. On the posterior shoulder. On the neck. 1 cun superior to the posterior end of the axillary fold. with the arm in abduction. On the face. on the lower border of the zygomatic bone. SI18 • Quan Liao Small Intestine • 18 Cheek Bone Hole. on the posterior margin of the sternocleidomastoid muscle. Minor Window of the Sky Point. one-third the distance between the lower border of the scapular spine and the inferior angle of the scapula.com info@tlch2o. inferior to the outer canthus of the eye. On the upper back. SI16 • Tian Chuang Small Intestine • 16 SI11 • Tian Zong Small Intestine • 11 Celestial Window. Central Shoulder Shu. 1 cun superior to SI 9 . in the depression inferior and lateral to the scapular spine.abctlc. Grasping the Wind. On the upper back. SI13 • Qu Yaun Small Intestine • 13 Crooked Wall. in the depression of the infrascapular fossa. On the neck. Meeting Point on the Small Intestine Channel with the Large Intestine. On the upper back. Meeting Point on the Small Intestine Channel with the Bladder Channel. On the upper back. with the arm in abduction. Outer Shoulder Shu. Arthritis © 1/21/2009 TLC 192 www. On the upper back.com . Meeting Point on the Small Intestine Channel with the Triple Energizer Channel. in the middle of the supraspinous fossa. SI10 • Nao Shu Small Intestine • 10 SI15 • Jian Zhong Zhu Small Intestine • 15 Upper Arm Shu. Triple Energizer and Gall Bladder Channels.SI9 • Jian Zhen Small Intestine • 9 SI14 • Jian Wai Shu Small Intestine • 14 True Shoulder. at the level of the laryngeal prominence and the transverse process of the fourth cervical transverse process (C4). with the arm in slight abduction. Celestial Gathering. In the depression between the angle of the mandible and the anterior margin of the sternocleidomastoid muscle. 3 cun lateral to the lower border of the spinous process of the first thoracic vertebra (T1). 2 cun lateral to the lower border of the spinous process of the seventh cervical vertebra (C7).

Anterior to the tragus of the ear. Jing Well Point on the Spleen Channel. Earth Point on Earth Meridian. Fire Point on Earth Meridian. SP7 • Lou Gu Spleen • 7 SP3 • Tai Bai Spleen • 3 Leaking Valley. On the medial foot. Jing River Point on the Spleen Channel. 193 www. in the depression distal to the base of the first metatarsal bone. in the depression between the tragus and the mandibular joint when the mouth is open slightly. in the depression midway between the navicular bone and the vertex of the medial malleolus. 3 cun superior to the medial malleolus. SP8 • Di Ji Spleen • 8 On the medial foot.SI19 • Ting Gong Small Intestine • 19 SP4 • Gong Sun Spleen • 4 Auditory Palace. Metal Point on Earth Meridian. Shu Stream Point on the Spleen Channel. at dorsal plantar junction.com . Ying Spring Point on the Spleen Channel. in the depression distal to the metatarsophalangeal joint. Great Metropolis. Meeting Point on the Spleen Channel with the Liver and Kidney Channels. posterior to the medial margin of the tibia. Yuan Source Point on the Spleen Channel. Wood Point on Earth Meridian. On the medial great toe. On the great toe.plantar junction. Arthritis © 1/21/2009 TLC Earth's Crux. Confluent point of the Penetrating Vessel. On the medial leg. Luo Connecting Point on the Spleen Channel ST42. in the depression proximal to the first metatarsophalangeal joint. SP5 • Shang Qui Spleen • 5 Spleen Meridian Shang Hill. SP1 • Yin Bai Spleen • 1 Hidden White. On the medial leg. .abctlc.com info@tlch2o. SP6 • San Yin Jiao Spleen • 6 SP2 • Da Du Spleen • 2 Three Yin Intersection. 6 cun superior to the medial malleolus. Xi Cleft Point on the Spleen Channel. Meeting Point on the Small Intestine Channel with the Triple Energizer and Gall Bladder Channels. 3 cun inferior to the medial condyle of the tibia on the line connecting the medial malleolus at the ankle and SP 9 at the lower border of the medial condyle of the tibia. Yellow Emperor. at the dorsal . on the posterior border of the tibia. On the medial foot.01 cun from the corner of the nail bed. Supreme White. Contraindication: Do Not Needle If Pregnancy is known or suspected. On the medial leg.

3. 6 cun lateral to the anterior midline. at the level of CV 3. Avoid the Femoral Artery! SP18 • Tian Xi Spleen • 18 Celestial Ravine. On the upper abdomen. Meeting Point on the Spleen Channel with the Yin Linking Vessel. 3. 4 cun lateral to the anterior midline. 4 cun lateral to the anterior midline and 1 cun below the umbilicus at the level of CV 7. SP15 • Da Heng Spleen • 15 SP10 • Xue Hai Spleen • 10 Great Horizontal. 4 cun lateral to the anterior midline. Bowel Abode. Water Point on Earth Meridian. 2 cun superior to the superomedial angle of the patella. at the level of the umbilicus. in the fifth intercostal space. Winnower Gate.SP9 • Yin Ling Quan Spleen • 9 SP14 • Fu Jie Spleen • 14 Yin Mound Spring. 6 cun superior to SP 10. On the abdomen. On the medial leg.com . at the level of CV 17. on vastus medialis muscle. on the lateral side of the femoral artery. On the medial thigh. 6 cun lateral to anterior midline. SP12 • Chong Men Spleen • 12 On the lateral chest. 3 cun above the umbilicus at the level of CV 11. Meeting Point on the Spleen Channel with the Liver Channel and Yin Linking Vessel. with the knee in flexion. Sea of Blood.5 cun lateral to the upper border of pubic symphysis. SP13 • Fu She Spleen • 13 On the lateral chest. 1 cun above the superior border of the pubic symphysis. Abdominal Bind. Arthritis © 1/21/2009 TLC 194 www. in the fourth intercostal space. SP16 • Fu Ai Spleen • 16 SP11 • Ji Men Spleen • 11 Abdominal Lament.com info@tlch2o. 4 cun lateral to the anterior midline. On the lower abdomen. He Sea Point on the Spleen Channel. On the lower abdomen. on the line connecting SP 10 above the superomedial angle of the patella and SP 12. Meeting Point on the Spleen Channel with the Yin Linking Vessel. In the inguinal region. Surging Gate. on the inferior border of the medial condyle of the tibia. On the medial thigh. in the depression between the posterior border of the tibia and gastrocnemius muscle. SP17 • Shi Dou Spleen • 17 Food Hole.abctlc.5 cun lateral to the anterior midline.

On the lateral chest wall. Arthritis © 1/21/2009 TLC 195 www. Great Luo Connecting Point on the Spleen Channel. on the midaxillary line. 6 cun lateral to the anterior midline.com info@tlch2o. SP20 • Zhou Rong Spleen • 20 All Round Flourishing. in the second intercostal space. SP21 • Da Bao Spleen • 21 Great Embracement. in the third intercostal space. On the lateral chest.SP19 • Xiong Xiang Spleen • 19 Chest Village. 6 cun lateral to the anterior midline. On the lateral chest.com . 6 cun inferior to the anterior axillary crease.abctlc.

anterior to the angle of the mandible. directly below the pupil when eyes are focused forward. 0. ST8 • Tou Wei Stomach • 8 On the face. Meeting Point on the Stomach Channel with the Gall Bladder Channel and Yang Linking Vessel. 4. ST3 • Ju Liao Stomach • 3 Great Bone Hole. Tear Container. Earth Granary. 0. On the lateral face. Meeting Point on the Stomach Channel with the Gall Bladder Channel. Meeting Point on the Stomach Channel with the Gall Bladder Channel. Caution Avoid the Artery! One the face. ST9 • Ren Ying Stomach • 9 Man's Prognosis. ST2 • Si Bai Stomach • 2 ST7 • Xia Guan Stomach • 7 Four Whites. On the face. on the inferior border of the orbit. ST 7 is located with the mouth closed. in the orbicularis oculi muscle. in line with the pupil when the eyes are focused forward. Meeting Point on the Stomach Channel with the Yang Motility and Conception Vessels. On the face. at the level of the laryngeal prominence.5 cun inferior to ST 1 when eyes are focused forward.5 cun lateral to the corner of the mouth. in the belly of masseter muscle.5 cun posterior to the anterior hairline.abctlc. 1 cun anterior and superior to the angle of the mandible. ST6 • Jia Che Stomach • 6 Jaw Bone.Stomach Meridian ST5 • Da Ying Stomach • 5 ST1 • Cheng Qi Stomach • 1 Great Reception. in the oral region. On the cheek. ST4 • Di Cang Stomach • 4 At the corner of the forehead. On the neck. on the infraorbital foramen. Meeting Point on the Stomach Channel with the Yang Motility Vessel. Caution Do not needle deeply as to puncture the eyeball. Head Corner. On the cheek.5 cun lateral to the anterior midline.com . Meeting Point on the Stomach Channel with the Large Intestine Channel and Yang Motility and Conception Vessels. in the depression at the lower border of the zygomatic arch. Caution Avoid the Vasculature! Arthritis © 1/21/2009 TLC 196 www. level with the border of the ala nasi. 0. on the anterior border of masseter muscle. Major Window of Sky Point. Below the Joint. in line with the pupil when the eyes are focused forward. on the anterior border of sternocleidomastoid muscle. anterior to the condyloid process of the mandible. Caution Do not manipulate the needle as bleeding occurs very easily.com info@tlch2o.

ST19 • Bu Rong Stomach • 19 Not Contained. Lung and Gall Bladder Channels. 2 cun lateral to the anterior midline and 6 cun superior to the umbilicus. Breast Center. At the center of the nipple. 4 cun lateral to the anterior midline. Arthritis © 1/21/2009 TLC 197 www. At the midpoint of the supraclavicular fossa. 4 cun lateral to the anterior midline. Breast Root. 4 cun lateral to the anterior midline. in the fifth intercostal space.abctlc. Pericardium and Lung Channels. Gall Bladder. Large Intestine. Small Intestine. on the midclavicular line. on the midclavicular line. Empty Basin. Meeting Point on the Stomach Channel with the Large Intestine. On the upper abdomen. on the midclavicular line.ST10 • Shui Tu Stomach • 10 ST14 • Ku Fang Stomach • 14 Water Prominence. ST16 • Ying Chuang Stomach • 16 ST12 • Que Pen Stomach • 12 On the chest. Triple Energizer. on the midclavicular line. ST15 • Wu Yi Stomach • 15 ST11 • Qi She Stomach • 11 Roof. between the sternal and clavicular heads of sternocleidomastoid muscle. Storeroom. at the level of CV 14. Contraindication: Do not use if pregnancy is known or suspected. In the infraclavicular fossa. in the second intercostal space. On the neck. ST17 • Ru Zhong Stomach • 17 Breast Window.com . at the superior border of the sternal end of the clavicle. On the chest. posterior to the clavicle. At the root of the neck. 4 cun lateral to the anterior midline.ST 17 SERVES AS A LANDMARK ONLY! ST13 • Qi Hu Stomach • 13 ST18 • Ru Gen Stomach • 18 Qi Door. Triple Energizer. Contraindication: DO NOT NEEDLE OR MOXA . midway between ST 9 at the level of the laryngeal prominence and ST 11 at the upper clavicle border. 4 cun lateral to the anterior midline. 4 cun lateral to the anterior midline. Caution Avoid the Artery! On the chest. in the first intercostal space. On the chest. on the midclavicular line. Qi Abode.com info@tlch2o. in the third intercostal space. on the anterior border of sternocleidomastoid muscle. Meeting Point on the Stomach Channel with the Kidney. on the midclavicular line.

ST20 • Cheng Man
Stomach • 20

ST26 • Wai Ling
Stomach • 26

Assuming Fullness.

Outer Mound.

On the abdomen, 2 cun lateral to the anterior
midline and 5 cun superior to the umbilicus,
at the level of CV 13.

On the lower abdomen, 1 cun inferior to the
umbilicus and 2 cun lateral to the anterior
midline, at the level of CV 7.

ST21 • Liang Men
Stomach • 21

ST27 • Da Ju
Stomach • 27

Beam Gate. On the abdomen, 2 cun lateral
to the anterior midline, 4 cun superior to the
umbilicus, at the level of CV 12.

Great Gigantic.
On the lower abdomen, 2 cun inferior to the
umbilicus and 2 cun lateral to the anterior
midline, at the level of CV 5.

ST22 • Guan Men
Stomach • 22

ST28 • Shui Dao
Stomach • 28

Pass Gate. On the abdomen, 2 cun lateral to
the anterior midline, 3 cun superior to the
umbilicus, at the level of CV 11.

Waterway.
On the lower abdomen, 3 cun inferior to the
umbilicus and 2 cun lateral to the anterior
midline, at the level of CV 4.

ST23 • Tai Yi
Stomach • 23
Supreme Unity.

ST29 • Gui Lai
Stomach • 29

On the abdomen, 2 cun lateral to the anterior
midline, 2 cun superior to the umbilicus, at
the level of CV 10.

Return.
On the lower abdomen, 1 cun above the
pubic symphysis and 2 cun lateral to the
anterior midline, at the level of CV 3.

ST24 • Hua Rou Men
Stomach • 24
Slippery Flesh Gate.

ST30 • Qi Chong
Stomach • 30

On the abdomen, 2 cun lateral to the anterior
midline, 1 cun superior to the umbilicus, at
the level of CV 9.

Surging Qi. Meeting Point on the Stomach
Channel with the Penetrating Vessel.

ST25 • Tian Shu
Stomach • 25

At the superior border of the pubic
symphysis, 2 cun lateral to the anterior
midline, at the level of CV 2. Caution Avoid
the Femoral Vein, spermatic cord in men
and round ligament in women.

Celestial Pivot. Front Mu Point of the Large
Intestine that connects with Back Shu BL25.
On the abdomen, 2 cun lateral to the
umbilicus. Contraindication: Do Not Needle
If Pregnancy is known or suspected

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ST31 • Bi Guan
Stomach • 31

ST36 • Zu San Li
Stomach • 36

Thigh Joint.

Leg Three Li. He Sea Point on the Stomach
Channel. Special Command Point for the
Abdomen. Earth Point on the Earth Meridian.

On the anterior thigh, directly inferior to the
anterior superior iliac spine, in the depression
lateral to the sartorius muscle.

On the leg, one finger breadth lateral to the
tibia's anterior crest, 3 cun inferior to ST 35 in
the depression to the lateral side of the
patella.

ST32 • Fu Tu
Stomach • 32
Crouching Rabbit.

ST37 • Shang Ju Xu
Stomach • 37

On the anterior thigh, on a line between the
anterior superior iliac spine and the
superolatero patella, 6 cun superior to lateral
patella.

Upper Great Hollow. Lower He Sea Point of
the Large Intestine. Lower Body Sea of Blood
Point with ST39.
On the leg, one finger breadth lateral to the
tibia's anterior crest, 6 cun inferior to ST 35 in
the depression to the lateral side of the
patella.

ST33 • Yin Shi
Stomach • 33
Yin Market.
On the anterior thigh, on a line between the
anterior superior iliac spine and the
superolatero patella, 3 cun superior to lateral
patella.

ST38 • Tiao Kou
Stomach • 38

ST34 • Liang Qiu
Stomach • 34

On the leg, one cun lateral to the tibia's
anterior crest, at the midpoint of a line
between ST 35 at the lateral patella and the
lateral malleolus.

Ribbon Opening.

Beam Hill. Xi Cleft Point on the Stomach
Channel.

ST39 • Xia Ju Xu
Stomach • 39

On the anterior thigh, on a line between the
anterior superior iliac spine and the
superolatero patella, 2 cun superior to lateral
patella. Contraindication: Do Not Needle If
Pregnancy is known/suspect.

Lower Great Hollow. Lower He Sea Point of
the Small Intestine. Lower Body Sea of Blood
Point with ST37.
On the leg, one cun inferior to ST 38 at the
midpoint of a line between ST 35 at the
lateral patella and the lateral malleolus.

ST35 • Du Bi
Stomach • 35
Calf's Nose
At the knee region, in the depression below
the lateral side of the patella when the knee
is flexed slightly.

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ST40 • Feng Long
Stomach • 40

ST45 • Li Dui
Stomach • 45

Bountiful Bulge. Luo Connecting Point on the
Stomach Channel to SP3. On the leg, one
cun lateral to ST 38 at the midpoint of a line
between ST 35 at the lateral patella and the
lateral malleolus.

Severe Mouth. Jing Well Point on the
Stomach Channel. Metal Point on Earth
Meridian.
On the lateral side of the second toe, 0.1 cun
from the corner of the nail bed.

ST41 • Jie Xi
Stomach • 41
Ravine Divide. Jing River Point on the
Stomach Channel. Fire Point on Earth
Meridian. On the dorsum of the foot, between
tendons of muscles extensor digitorum
longus and extersor hallucis longus, level
with the tip of the lateral malleolus.
ST42 • Chong Yang
Stomach • 42
Surging Yang. Yuan Source Point on the
Stomach Channel.
On the dorsum of the foot, 1.5 cun inferior to
ST 41, in the depression between the second
and third metatarsals and cuneiform bones.
Caution Avoid the Dorsal Artery.
ST43 • Xian Gu
Stomach • 43
Sunken Valley. Shu Stream Point on the
Stomach Channel. Wood Point on Earth
Meridian.
On the dorsum of the foot, between the
second and third metatarsal bones, 1.5 cun
superior to the web margin, in line with the
lateral side of the second digit.
ST44 • Nei Ting
Stomach • 44
Inner Court. Ying Spring Point on the
Stomach Channel. Water Point on Earth
Meridian.
On the dorsum of the foot, at the proximal
end of the web between the second and third
toes.
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TB6 • Zhi Gou
Triple Burner • 6

Triple Burner Meridian
TB1 • Guan Chong
Triple Burner • 1

Branch Ditch. Jing River Point on Triple
Energizer Channel. Fire Point on Fire
Meridian.

Passage Hub. Jing Well Point on the Triple
Energizer Channel. Metal Point on Fire
Meridian. On the ulnar side of the fourth digit,
0.1 cun from the corner of the nailbed.

On the dorsal forearm, between the radius
and ulna, 3 cun superior to TE 4 at the dorsal
transverse wrist crease.

TB2 • Ye Men
Triple Burner • 2

TB7 • Hui Zong
Triple Burner • 7

Humor Gate. Ying Spring Point on the Triple
Energizer Channel. Water Point on Fire
Meridian.

Convergence and Gathering. Xi Cleft Point
on Triple Energizer Channel.

On the dorsum of the hand, 0.5 cun from the
web margin between the fourth and fifth
digits.

On the dorsal forearm, 3 cun superior to the
dorsal transverse wrist crease, on the radial
border of the ulna, at the level of TE 6.

TB3 • Zhong Zhu
Triple Burner • 3

TB8 • San Yang Luo
Triple Burner • 8

Central Islet. Shu Stream Point on the Triple
Energizer Channel. Wood Point on Fire
Meridian. On the dorsum of the hand, in the
depression proximal to the fourth and fifth
metacarpophalangeal joints.

Three Yang Connection. Intersection Point
for the three Yang Channels of the arm.
On the dorsal forearm, between the radius
and ulna, 4 cun superior to TE 4 at the dorsal
transverse wrist crease.

TB4 • Yang Chi
Triple Burner • 4

TB9 • Si Du
Triple Burner • 9

Yang Pool. Yuan Source Point on the Triple
Energizer Channel.

Four Rivers.

On the dorsal transverse wrist crease,
between the tendons of muscles extensor
digitorum and extensor digiti minimi.

On the dorsal forearm, between the radius
and ulna, 7 cun superior to TE 4 at the dorsal
transverse wrist crease.

TB5 • Wai Guan
Triple Burner • 5

TB10 • Tian Jing
Triple Burner • 10

Outer Pass. Luo Connecting Point on Triple
Energizer Channel to PC7. Confluent Point of
the Yang Linking Vessel.

Celestial Well. He Sea Point on the Triple
Energizer Channel. Earth Point on Fire
Meridian.

On the dorsal forearm, between the radius
and ulna, 2 cun superior to TE 4 at the dorsal
transverse wrist crease.

In the posterior cubital region, in the
depression 1 cun superior to the olecranon
when the elbow is flexed.

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TB11 • Qing Leng Yuan
Triple Burner • 11

TB16 • Tian You
Triple Burner • 16

Clear Cold Abyss.

Celestial Oriole. Major Window of the Sky
Point.

In the posterior cubital region, 2 cun superior
to the olecranon when the elbow is flexed.

On the lateral neck, posterior and inferior to
the mastoid process on the posterior border
of sternocleidomastoid muscle.

TB12 • Xiao Luo
Triple Burner • 12

TB17 • Yi Feng
Triple Burner • 17

Dispersing Riverbed

Wind Screen. Meeting Point on the Triple
Energizer Channel with the Gall Bladder
Channel.

On the posterior upper arm, 5 cun superior to
the olecranon, on a line joining TE 10 at the
posterior elbow and TE 14 posterior and
inferior to the acromion.

At the ear, in the depression between the
mastoid process and the mandible, behind
the earlobe.

TB13 • Nao Hui
Triple Burner • 13
Upper Arm Convergence. Meeting Point on
the Triple Energizer Channel with the Yang
Linking Vessel.

TB18 • Qi Mai
Triple Burner • 18
Spasm Vessel.

On the posterior border of the deltoid muscle,
2 cun inferior to TE 14 at the posterior and
inferior to the acromion.

On the mastoid bone, posterior to the ear, at
the junction of the lower and middle third of
the curve that connects TE 17 at the earlobe
and TE 20 at the apex of the ear.

TB14 • Jian Liao
Triple Burner • 14

TB19 • Lu Xi
Triple Burner • 19

Shoulder Bone Hole. Meeting Point on the
Triple Energizer Channel with the Yang
Linking Vessel.

Skull's Rest.

On the posterior deltoid region, in the
posterior depression on the lateral border of
the acromion when the arm is abducted 90
degrees.

On the mastoid bone, posterior to the ear, at
the junction of the middle and upper third of
the curve that connects TE 17 at the earlobe
and TE 20 at the apex of the ear.

TB15 • Tian Liao
Triple Burner • 15

TB20 • Jiao Sun
Triple Burner • 20

Celestial Bone Hole. Meeting Point on the
Triple Energizer Channel with the Gall
Bladder Channel and Yang Linking Vessel.

Angle Vertex. Meeting Point on the Triple
Energizer Channel with the Small Intestine
and Gall Bladder Channels.

In the scapular region, on the superior angle
of the scapula, at the insertion of lavator
scapulae muscle.

In the temporal region, within the hairline,
superior to the apex of the ear.

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TB21 • Er Men
Triple Burner • 21
Ear Gate.
Anterior to the ear, in the depression anterior
to the supratragic notch and posterior to the
mandibular condyloid process when the
mouth is open.
TB22 • He Liao
Triple Burner • 22
Harmony Bone Hole. Meeting Point on the
Triple Energizer Channel with the Small
Intestine and Gall Bladder Channels.
Anterior to the ear, on the hairline, level with
the lateral canthus of the eye.
TB23 • Si Zhu Kong
Triple Burner • 23
Silk Bamboo Hole. In the depression at the
lateral end of the eyebrow.

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Chinese Name and Acupuncture Point Location
Alphabetical Order
Bai Huan Shu BL30
Bai Hui GV20
Bao Huang BL53
Ben Shen GB13
Bi Guan ST31
Bi Nao LI14
Bing Feng SI12
Bu Lang KI22
Bu Rong ST19
Chang Qiang GV1
Cheng Fu BL36
Cheng Guang BL6
Cheng Jiang CV24
Cheng Jin BL56
Cheng Ling GB18
Cheng Man ST20
Cheng Qi ST1
Cheng Shan BL57
Chi Ze LU5
Chong Men SP12
Chong Yang ST42
Ci Liao BL32
Da Bao SP21
Da Chang Shu BL25
Da Du SP2
Da Dun LR1
Da He KI12
Da Heng SP15
Da Ju ST27
Da Ling PC7
Da Ying ST5
Da Zhong KI4
Da Zhu BL11
Dai Mai GB26
Dan Shu BL19
Daz Hui GV14
Di Cang ST4
Di Ji SP8
Di Wu Hui GB42
Du Bi ST35
Du Shu BL16
Dui Duan GV27
Arthritis © 1/21/2009 TLC

Er Jian LI2
Er Men TB21
Fei Shu BL13
Fei Yang BL58
Feng Chi GB20
Feng Fu GV16
Feng Long ST40
Feng Men BL12
Feng Shi GB31
Fu Ai SP16
Fu Bai GB10
Fu Fen BL41
Fu Jie SP14
Fu Liu KI7
Fu She SP13
Fu Tu LI18
Fu Tu ST32
Fu Xi BL38
Fu Yang BL59
Gan Shu BL18
Gao Huan Shu BL43
Ge Guan BL46
Ge Shu BL17
Gong Sun SP4
Guan Chong TB1
Guan Men ST22
Guan Yuan CV4
Guan Yuan Shu BL26
Guang Ming GB37
Gui Lai ST29
Han Yan GB4
He Gu LI4
He Liao LI19
He Liao TB22
Heng Gu KI11
Hey Yng BL55
Hou Ding GV19
Hou Xi SI3
Hua Gai CV20
Hua Rou Men ST24
Huan Shu KI16
Huan Tiao GB30
205

Huang Men BL51
Hui Yang BL35
Hui Yin CV1
Hui Zong TB7
Hun Men BL47
Ji Mai LR12
Ji Men SP11
Ji Quan HE1
Ji Zhong GV6
Jia Che ST6
Jia Xi GB43
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abctlc.Liang Qiu ST34 Lie Que LU7 Ling Dao HE4 Ling Tai GV10 Ling Xu KI24 Lou Gu SP7 Lu Xi TB19 Luo Que BL8 Mei Chong BL3 Ming Men GV4 Mu Chuang GB16 Nao Hu GV17 Nao Hui TB13 Nao Kong GB19 Nao Shu SI10 Nei Guan PC6 Nei Ting ST44 Pang Guang Shu BL28 Pi Shu BL20 Pian Li LI6 Po Hu BL42 Pu Can BL61 Qi Chong ST30 Qi Hai CV6 Qi Hai Shu BL24 Qi Hu ST13 Qi Mai TB18 Qi Men LR14 Qi She ST11 Qi Xue KI13 Qian Ding GV21 Qian Gu SI2 Qiang Jian GV18 Qing Leng Yuan TB11 Qing Ling HE2 Qiu Xu GB40 Qu Bin GB7 Qu Chai BL4 Qu Chi LI11 Qu Gu CV2 Qu Quan LR8 Qu Yaun SI13 Qu Ze PC3 Quan Liao SI18 Que Pen ST12 Ran Gu KI2 Arthritis © 1/21/2009 TLC Ren Ying ST9 Ri Yue GB24 Ru Gen ST18 Ru Zhong ST17 San Jian LI3 San Jiao Shu BL22 San Yang Luo TB8 San Yin Jiao SP6 Shan Guan CV13 Shan Zhong CV17 Shang Guan GB3 Shang Ju Xu ST37 Shang Lian LI9 Shang Liao BL31 Shang Qu KI17 Shang Qui SP5 Shang Xing GV23 Shang Yang LI1 Shao Chong HE9 Shao Fu HE8 Shao Hai HE3 Shao Shang LU11 Shao Ze SI1 Shen Cang KI25 Shen Dao GV11 Shen Feng KI23 Shen Mai BL62 Shen Men HE7 Shen Que CV8 Shen Shu BL23 Shen Tang BL44 Shen Ting GV24 Shen Zhu GV12 Shi Dou SP17 Shi Guan KI18 Shi Men CV5 Shou San Li LI10 Shou Wu Li LI13 Shu Fu KI27 Shu Gu BL65 Shuai Gu GB8 Shui Dao ST28 Shui Fen CV9 Shui Gou GV26 Shui quan KI5 Shui Tu ST10 206 Si Bai ST2 Si Du TB9 Si Man KI14 Si Zhu Kong TB23 Su Liao GV25 Tai Bai SP3 Tai Chong LR3 Tai Xi KI3 Tai Yi ST23 Tai Yuan LU9 Tao Dao GV13 Tian Chi PC1 Tian Chong GB9 Tian Chuang SI16 Tian Ding LI17 Tian Fu LU3 Tian Jing TB10 Tian Liao TB15 Tian Quan PC2 Tian Rong SI17 Tian Shu ST25 Tian Tu CV22 Tian Xi SP18 Tian You TB16 Tian Zhu BL10 Tian Zong SI11 Tiao Kou ST38 Ting Gong SI19 Ting Hui GB2 Tong Gu BL66 Tong Gu KI20 Tong Li HE5 Tong Tian BL7 Tong Zi Liao GB1 Tou Lin Qi GB15 Tou Qiao Yin GB11 Tou Wei ST8 Wai Guan TB5 Wai Ling ST26 Wai Qui GB36 Wan Gu GB12 Wan Gu SI4 Wei Cang BL50 Wei Dao GB28 Wei Shu BL21 Wei Yang BL39 www.com .com info@tlch2o.

com info@tlch2o.com .Wei Zhong BL40 Wen Liu LI7 Wu Chu BL5 Wu Shu GB27 Wu Yi ST15 Xi Guan LR7 Xi Men PC4 Xi Yang Guan GB33 Xia Bai LU4 Xia Guan CV10 Xia Guan ST7 Xia Ju Xu ST39 Xia Lian LI8 Xia Liao BL34 Xian Gu ST43 Xiao Chang Shu BL27 Xiao Hai SI8 Xiao Luo TB12 Xin Hui GV22 Xin Shu BL15 Xing Jian LR2 Xiong Xiang SP19 Xuan Ji CV21 Xuan Li GB6 Xuan Lu GB5 Xuan Shu GV5 Xuan Zhong GB39 Xue Hai SP10 Ya Men GV15 Yang Bai GB14 Yang Chi TB4 Yang Fu GB38 Yang Gang BL48 Arthritis © 1/21/2009 TLC Yang Gu SI5 Yang Jiao GB35 Yang Lao SI6 Yang Ling Quan GB34 Yang Xi LI5 Yao Shu GV2 Yao Yang Guan GV3 Ye Men TB2 Yi Feng TB17 Yi She BL49 Yi Xi BL45 Yin Bai SP1 Yin Bao LR9 Yin Du KI19 Yin Gu KI10 Yin Jiao CV7 Yin Jiao GV28 Yin Lian LR11 Yin Ling Quan SP9 Yin Men BL37 Yin Shi ST33 Yin Xi HE6 Ying Chuang ST16 Ying Xiang LI20 Yong Quan KI1 You Men KI21 Yu Ji LU10 Yu Tang CV18 Yu Zhen BL9 Yu Zhong KI26 Yuan Ye GB22 Yun Men LU2 Zan Zhu BL2 207 Zhang Men LR13 Zhao Hai KI6 Zhe Jin GB23 Zheng Ying GB17 Zhi Bian BL54 Zhi Gou TB6 Zhi Shi BL52 Zhi Yang GV9 Zhi Yin BL67 Zhi Zheng SI7 Zhon Guan CV12 Zhong Chong PC9 Zhong Du GB32 Zhong Du LR6 Zhong Feng LR4 Zhong Fu LU1 Zhong Ji CV3 Zhong Liao BL33 Zhong Lu Shu BL29 Zhong Shu GV7 Zhong Ting CV16 Zhong Zhu KI15 Zhong Zhu TB3 Zhou Liao LI12 Zhou Rong SP20 Zhu Bin KI9 Zi Gong CV19 Zu Lin Qi GB41 Zu Qiao Yin GB44 Zu San Li ST36 Zu Wu Li LR10 www.abctlc.

Arthritis © 1/21/2009 TLC 208 www.com info@tlch2o.com .Acupuncture relief of common carpal tunnel symptoms.abctlc.

but a woman loses Essence through the process of childbirth. eating irregular meals. physical overwork. Sexual activity not leading to ejaculation in men is thought to be non-detrimental to health Excessive sexual activity is one that leads to marked fatigue. Arthritis © 1/21/2009 TLC 209 www. Men are more affected than women by a Kidney weakness (women's sexual energy is more related to Blood than men's which is more related to Essence). Overthinking depletes the Spleen. Excessive lifting can deplete the Kidneys and the lower back. Sexual activity should be seriously curtailed if there is Qi or Blood deficiency. lower backache. lack of exercise also leads to stagnation of Qi. Excessive sexual activity depends on the strength of one's Essence which reaches a peak during the twenties and then declines slowly. while the irregular diet depletes the Stomach-Qi or Stomach-Yin which can lead to a Kidney-Yin deficiency. Kidney-Yin deficiency may lead to excessive sexual desire that can never be satisfied. more activity is possible.com info@tlch2o. Over-Exertion: This is a frequent problem in the West. Physical work depletes the Spleen-Qi. especially if accompanied by other symptoms such as dizziness. If the constitution is strong. Insufficient rest over a period of months or years means that the body has to draw on Jing (Original Essence) for additional strength. but not when done to the point of exhaustion. and illnesses caused by medical treatment. blurred vision. Lack of sexual activities is also considered a disease. over a long period. Men's ejaculation is more depleting than women's orgasm. Repetitive use of muscles may cause localized Qi or Blood stagnation.com . There are three types of overwork: mental overwork. The person may also have vivid sexual dreams resulting in nocturnal emissions in men and orgasms in women. but with herbal therapy there is a potential risk. Mental overwork includes working long hours in conditions of extreme stress. Kidney-Yang Deficiency: Kidney-Yang deficiency may lead to a lack of sexual desire or to an inability to enjoy sex or reach orgasm. it can lead to impotence and premature ejaculation. Kidney-Essence: Kidney-Essence and KidneyYin are important for the nourishment of the Uterus.Miscellaneous Causes of Disease Excessive Sexual Activity: Excessive sexual activity depletes one's vital energy. Exercise is good for the health. and this can lead to Dampness. Latrogenesis: This includes the side effects of any medical treatment. Yoga and Tai Chi Chuan are good for those deficient in Qi who do not have enough energy for more rigorous exercise. Irregular and exhausting exercise depletes the Qi. and so does excessive standing. excessive physical exercise. weak knees and frequent urination. In acupuncture or Asian bodywork therapy.abctlc. However. The body draws on Essence at ejaculation and orgasm. and their deficiency may cause infertility in women. this is a minor problem only. or especially in the presence of a weakness of the Kidneys. being always in a hurry. In men. as the body can readjust itself after a few days.

Malnutrition is such a problem. inadequate rest. Large quantities of cooling food (fruits. In all cases. diet can be unbalanced from a quantitative and a qualitative point of view. stasis of Blood. found all over the world. bananas.abctlc. cream. going straight back to work after eating. salads) can injure the Yang of the Spleen. A slight trauma causes Stagnation of Qi. according to the Chinese. milk. fatty meats.com info@tlch2o. ice-cream. excessive sexual activity or can be preserved and enhanced by Tai Qi Quan.com . nausea and gastric reflux (heartburn). Many childhood diseases. fried and greasy food.Parasites and Poisons: Treated with herbal prescriptions. and that is what has to be changed. Trying to loose weight by not eating enough is also detrimental. too much rest. It also depends especially on the mother's health and age during the pregnancy. A severe shock during pregnancy is also detrimental to the health of the child. It seriously weakens the Qi and the Blood and results in Spleen Deficiency. butter. eating late in the evening. it is also the way one eats it. Over-eating also weakens the Spleen and Stomach. Poor Constitution: The person's constitutional strength depends on the health and age of their parents. leads to Dampness and Stagnation. It is not only what one eats. Shiatsu can help with old injuries by increasing Qi and blood circulation that is often blocked where there is scar tissue. a more serious one. indicate a weak constitution. on the other hand. especially of the Liver and Stomach. cheese. it causes pain. particularly whooping cough. breathing exercise. The main problem is a lifestyle one. PreHeaven Essence can be prematurely drained through overwork. show constitutional weaknesses. and a person cannot transform food into Blood and Body Fluids. including deep-fried food. Rest: Too little rest. It may cause long-term stagnation of Qi if combined with other factors such as External Dampness. alcohol. particularly at the time of conception. and leads to retention of Food characterized by a bloated feeling in the Stomach. Excessive consumption of sweet foods and sugar also blocks the Spleen function and leads to Dampness. meditation. The constitution determines how much Qi you have in reserve to combat any stress factors that might undermine your health. Arthritis © 1/21/2009 TLC 210 www. fruit juice and ice cream. and Qi Gung. Excessive consumption of hot food (alcohol and spicy food) should be reduced by those who are Yin deficient. Small ears with short ear lobes. Poor Dietary Habit: From a Chinese point of view. It is caused by eating food with no calorific or nutritive value. Eating in a hurry. peanuts. Trauma: Trauma includes physical accidents such as broken bones and bruising. or by adhering too strictly to fixed diets. Oily. as it may cause Dampness. Excessive consumption of food that is Hot or Cold in energy can also be detrimental. belching. should be reduced in amount. bruising and swelling. because the child's Pre-Heaven Essence is formed by the fusion of the parental Essences. eating in a state of emotional tension can lead to Stomach Yin deficiency.

com info@tlch2o.不同原因引发的疾病 Miscellaneous Causes of Disease 过度性行为: 性行为过度损耗一个人的生命能。人体在高潮和射精时吸收精髓。性行为是否过度取决于一个人的 精髓力,当人在二十几岁时精髓力达到一个顶峰,然后缓慢下降。如果一个人的体质强壮,更多的 性行为是可能的。男人们的射精比女人们的性高潮更耗力,但是一个女人可以通过生育过程丧失精 髓力。男人们不射精的性行为被认为对健康无害。过度性行为引起明显的疲劳,特别是可能会伴随 其他症状,诸如,晕眩,视力模糊,腰后背疼痛,膝软和经常性排尿。如果一个人气虚或血虚,特 别是肾虚,他需要严肃的减少性行为。肾虚对男人们的影响比对女人们更大(比起男人们更依赖于精 髓力,女人们的性能量更依赖于血液) 。过少性行为也被认为是一种疾病。 肾精: 肾精和肾阴对子宫健康很重要,两者的短缺可能会引起女子不育。 肾阳短缺: 肾阳短缺可能会引起性冷淡,亦或达到高潮能力的丧失。对于男人们,肾阳短缺可以引起阳萎和射 精过早。 肾阴短缺可能会引起无法满足的性欲望过度。一个人也可以有逼真的性梦,这导致男人们夜间遗精 和女人们在梦中达到性高潮。 不良反应: 它包括药物治疗的副作用,和由于药物治疗引起的疾病。对于针灸或亚洲人体疗法,人体自身在几 天后能够重新调整,药物副作用仅仅是一个微不足道的问题,但是草药疗法还是有潜在的危险的。 过劳: 在西方这是一个经常性问题:超过一定时期的休息不足导致人体为了获得额外的机能不得不吸收自身 精髓。如今的三种过劳类型是:脑过劳,体过劳,过度体质锻炼。体力工作消耗脾气。肌肉的持续使 用会导致局限的气或血停滞。非经常性的过度锻炼消耗”气”。过度举重可以导致肾衰竭和损害腰背 部。脑力工作包括长期性的在高压下长时间的工作,不规则进餐,经常性匆忙的行动。当不规则的 进食损耗脾气或胃阴而导致肾阴不足,过度思考也会消化脾脏。锻炼有利于健康,但不是过度锻炼 。然而,缺少锻炼也会导致气停滞,并且也会导致湿气。渝迦和太极拳帮助对气不足和缺乏精力的 人得到更多的锻炼。 寄生物和毒物: 用草药治疗。 Arthritis © 1/21/2009 TLC 211 www.abctlc.com .

体质差: 一个人的体质能力取决于他们的健康程度和他们父母的年龄,特别是在母亲的妊娠期,因为儿童的 先天精髓是通过父母精髓的融合而形成的。先天精髓也特别取决于母亲的健康和怀孕年龄。母亲在 怀孕期经历剧烈的情绪激动也对孩子的健康有害。很多儿童期疾病,特别是百日咳,显示了儿童的 体弱。过劳,缺乏休息,酗酒,过度性行为使先天精髓过早的被消耗完。但是通过太极拳,沉思, 呼吸锻炼和气功,先天精髓可以被保藏和增强。体质决定一个人拥有多少气以帮助减少压力等暗中 损害健康因素的影响。根据中国老话,小耳朵和短耳垂显示一个人的体质偏弱。 不良饮食习惯: 在中国人的观念中,饮食也会是质和量上的不平衡。营养不良是一个全球化的问题。它严重的削弱 气和血并导致脾虚。营养不良是由于进食无热量或无营养价值的食品,或太固执和严格的进食固定 食品。尝试通过饥饿疗法来减肥也是有害的。然后过食也会削弱脾和胃,并且导致胃胀气而产生分 泌闭止,打嗝,恶心和胃气回流(胃痛)等症状。过度进食热性或凉性的食品也对精力有害。大量的 冷冻食品(水果,果汁和冰激凌,沙拉)会伤害脾阳。过量进食甜食和糖会阻塞脾功能并导致湿气。 油炸,油腻的食品,包括油煎食品,牛奶,奶酪,黄油,奶油,冰激凌,香蕉,花生,肥肉等,这 些食品由于能导致湿气从而应该减少此类食品的进食量。对于阴虚,特别是肝虚和胃虚的人,应避 免过度进食热性食品(酒精和辣食)。健康饮食习惯不仅取决于吃什么,也取决于进食方式。进食过 快,进食完立刻继续工作,晚餐用餐太晚,进食时情绪紧张都可以导致胃阴虚。最终问题还是需要 改变一个人的生活方式。 休息: 太少的休息导致人的身体不能将食物转换成血液和体液;而另一方面,太多的休息会导致湿气和瘀 阻。 创伤: 创伤包括身体意外事故,诸如骨折和淤青。微小的创伤可以导致气停滞,更严重点的会导致血液淤 积。在所有的病例中,体格创伤导致疼痛,瘀伤和肿胀。如果和其他诸如皮肤湿气等因素结合,体 格创伤也可能引起长期气停滞。指压按摩疗法可以通过增加气和血流动来愈合旧伤,因为气血经常 会被疤痕组织阻塞住。 编辑: 姚斐 (FEI YAO) 中国学生顾问 Arthritis © 1/21/2009 TLC 212 www.com .com info@tlch2o.abctlc.

When a patient is described as suffering from Wind Heat. Wind: This term usually suggests a pattern of disharmony rather than a climatic factor. It is the way the body reacts and a description of symptoms. or Excesses. and it may combine with external pathogenic factors such as Wind or Damp. If our defensive system is strong. Cold: External cold can penetrate the body of those who live or work in cold conditions or cannot dress properly.com . Dryness: Dryness attacks are usually limited to the respiratory tract or the skin. it simply repels the invasion or adjusts to the sudden changes. They are also called External Pathogenic Factors. Dampness: Exposure to damp weather. Heat invades more readily by the nose and mouth. It can appear in any season and it can combine with any other evil. Fire/Summer Heat: External Heat can penetrate the body of those who live or work in hot conditions. Usually there is an aversion to the Evil one is affected by. cramping pain and watery discharge. if the defensive system is weak or the Evil unusually strong. it does not necessarily mean that it was caused by Wind or Heat. and the presence of Wind can worsen the impact of the other climatic factors. Some people get neck problems from exposure to Wind. They encroach upon the body from the outside environment. It causes Qi stagnation and results in contraction of muscles and joints. Arthritis © 1/21/2009 TLC 213 www. Evils tend to be a predominant cause or aggravation of a disease in their related seasons. An Evil describes both the cause of the condition and the condition.abctlc.com info@tlch2o. Evils can penetrate the body when the weather is unseasonably excessive or when the Defensive Qi is weak and they cause an imbalance. the nose or the skin. wearing wet clothes. An Evil can penetrate either via the mouth. It often combines with Heat and Cold.External Causes of Disease: The Evil Pernicious Influences External causes of diseases are of a physical nature and are due to climatic factors. However. Evils can appear in combination or alone. Evils. an illness develops and may go progressively deeper in the body. a humid environment can cause External Dampness to invade.

various Liver patterns can result in pain in the joints and tendons.Hit Medicine There have always been injuries. and boosting the Wei Qi. Three Stages of Injury Injuries progress through three stages. Four kinds are recognized depending on which kinds of weather make symptoms worse. It feels better when heat is applied. Windy-Bi acts like the wind. Moxabustion is often used. If your arthritis is sensitive to the weather. as ice restricts flow and will result in a rougher healing. is to insure the smoothness of flow. Last week it was shoulder pain. The second stage lasts a few weeks. and protect against stagnation. indicates that our defensive energy (wei qi) has become weak. damp bi. reduce inflammation (heat). relieve pain (vitalize blood). in Chinese medicine. BI SYNDROME Bi-syndrome. Hot bi is usually diagnosed as rheumatoid arthritis or gouty arthritis. clear debris. and windy bi. cold bi. Damp-Bi syndrome gets worse when the weather gets damp. Treatment will vary individually and must be appropriate for each stage. obstructing flow and causing pain or stiffness. Heat is not applied if the injury looks red or feels warm to the touch. The first is up to two days after the injury. We encourage the flow of energy and fluids to the injured area. as it will worsen the swelling. this week the knees hurt.com info@tlch2o. they often feel better. and begin to strengthen the qi of the tissue. Chinese HERBS for INJURY & TRAUMA Dit Da Yao . Pain migrates around the body. it can spring up and subside quickly. Injuries older than that are considered third stage or old injuries. Since the Liver also governs the joints and tendons. At all stages of injury. the Chinese practitioner tends to avoid the use of ice. Cause of Arthritis #2: Liver Not Smoothing the Qi A function of the "Liver ". Putting heat on such an inflamed joint makes it feel worse.abctlc. Soaking is usually discouraged whenever swelling is present. When damage to this organ occurs. First stage treatment can employ acupuncture as well as internal and topical herbs. The Chinese diagnosis in these cases are Deficiencies of Liver and Kidney. treatment must stop bleeding. Like the wind. Hot bi. Now we treat to reduce swelling. allowing atmospheric conditions to penetrate our bodies. its ability to insure smooth flow may be impaired. promote flow. At first. Cold-bi and Damp-bi are usually diagnosed as osteoarthritis. Thousands of years of experience have given Chinese doctors a unique understanding of this healing process. Treatment involves expelling and countering the pathogenic influence.com . you likely have bi-syndrome. relieving pain. When sufferers go to a warm dry climate. break remaining stagnations. In the second stage the injury will change. Gentle acupuncture will Arthritis © 1/21/2009 TLC 214 www.Arthritis Treatment Samples Cause of Arthritis # 1.

painful in the first stage will aid the movement of energy and fluids.QIN JIAO CHINESE CLEMATIS ROOT .CHAENOMELIS FRUCTUS .drshen.AGKISTRODON .GENTIANAE MACROPHYLLAE . Massage.ANGELICAE PUBESCENS RADIX .abctlc. relieve pressure and loosen stagnations. Sometimes herbs used for arthritis (wind damp herbs) like du huo.BAI SHAO OR CHI SHAO Reference: Dr. the site of the injury will be weak due to insufficient nourishment.HAI TONG PI PAPAYA . At this stage. Herbs used to promote the flow of water and disperse energy at the surface will be added to reduce possible swelling.WEI LING XIAN WHITE OR RED PEONY ROOT .BOMBYCIS FAECES .DU HUO SEA PAULOWNIA BARK . Shen <http://www. we strengthen the area aggressively and assist the growth of new tissue.ERYTHRINAE CORTEX .com info@tlch2o.com . Commonly used are: WHITE PATTERNED SNAKE . or gentian are also used. drynaria.CAN SHA GENTIAN ROOT . and 7 Forest's San Qi 17 pills. strengthening herbs like dang gui.BAI HUA SHE DUHUO ROOT . Shir's Liniment. Some products for second stage injury are Dr. SINGLE HERBS USED TO TREAT ARTHRITIS Herbs are almost always used in combinations (formulae).MU GUA SILKWORM EXCREMENT . Massage and heat (moxabustion).com> Arthritis © 1/21/2009 TLC 215 www. and ginseng are used internally and externally as well.CLEMATIDIS RADIX .promote flow.PEONEA ALBA OR RUBRA . In the third stage. Most substances used to counter bisyndrome (arthritis) belong to the category Herbs to Expell Wind and Damp.

com .abctlc.com info@tlch2o.Arthritis © 1/21/2009 TLC 216 www.

HE7 . Xing Jian. PC6 . Nei Guan. PC5 . Tian Quan. Ji Quan Circulation Problems Secondary: Arrhythmia Final Eye Disorders BL64 . Tong Li Circulation Problems Secondary: Arrhythmia Final: Abdominal Distention BL19 . Li Gou Circulation Problems Secondary: Arrhythmia Final Ankle Conditions BL62 . Shen Men. Jing Gu Circulation Problems Secondary: Arrhythmia Final Arm Contraction PC6 . PC2 . Qu Formula Flow Chart Ze. HE5 . Shao Fu. LR2 . You can also call it Point Indications. HE8 . Shen Ting Circulation Problems Secondary: Arrhythmia Arthritis © 1/21/2009 TLC 217 www. Dan Shu. Jian Shi Circulation Problems Secondary: Arrhythmia Final Depression HE7 . Shen Dao. Zu San Li Circulation Problems Secondary: Arrhythmia Final Cardiac Conditions BL15 . Tong Li Circulation Problems Secondary: Arrhythmia Final Agitation GV20 . Bai Hui. Nei Guan Circulation Problems Secondary: Arrhythmia Final Cardiac Pain CV14 . Tong Li. Xin Shu. GV24 .The Formula Flow Chart below is to help the students determine the right way of diagnosis proper remedy. Nei Guan Circulation Problems Secondary: Arrhythmia Final Fright Palpitations GV11 . Shen Mai Circulation Problems Secondary: Arrhythmia Final Dream Disturbed Sleep HE7 . LR5 .com info@tlch2o. PC7 . Shen Men. Qu Ze. Ye Men Secondary Problem Alphabetized Circulation Problems Secondary: Arrhythmia Circulation Problems Secondary: Arrhythmia Final Cardiac Arrhythmia BL15 . Shan Guan. Shao Fu. ST36 . PC3 . Tian Jing.com . Da Ling Circulation Problems Secondary: Arrhythmia Final Abdominal Pain PC6 . CV13 . Final Arm Pain HE5 . Nei Guan Circulation Problems Secondary: Arrhythmia Final Cough HE5 . PC7 . Da Ling Circulation Problems Secondary: Arrhythmia Final: Abdominal Fullness PC6 . Ju Que. Shen Men Circulation Problems Secondary: Arrhythmia Final Anxiety HE1 . TB2 .abctlc. SP6 . HE8 . PC3 . TB10 . San Yin Jiao. Xin Shu.

HE9 . San Yin Jiao. Qu Chi. Shao Chong Circulation Problems Secondary: Blood Pressure Final: Asthma GV14 . He Gu. Xing Jian Circulation Problems Secondary: Blood Pressure Final: Constipation KI1 . Zhong Chong Circulation Problems Secondary: Blood Pressure Final: Abdominal Pain GV26 . Yang Ling Quan Circulation Problems Secondary: Blood Pressure Circulation Problems Secondary: Blood Pressure Final: Cardiac Pain PC9 . Lao Gong Circulation Problems Secondary: Blood Pressure Final: Hypotension GV25 .com info@tlch2o. ST36 . TB5 . LI4 . Su Liao Arthritis © 1/21/2009 TLC 218 www. Yong Quan Circulation Problems Secondary: Blood Pressure Final: Amenorrhea ST40 . Zu San Li. Nei Guan. LI11 . Ren Ying Circulation Problems Secondary: Arrhythmia Final Posterior Shoulder Pain PC2 . Shao Chong Circulation Problems Secondary: Blood Pressure Final: Bitter Taste GB34 . Yu Zhong Circulation Problems Secondary: Blood Pressure Final: Arm Motor Impairment LI15 .Circulation Problems Secondary: Arrhythmia Final Nausea KI26 . LR3 . Feng Long Circulation Problems Secondary: Blood Pressure Final: Cough LU7 . Daz Hui. CV15 . Bai Hui Circulation Problems Secondary: Blood Pressure Final: Anger PC8 . HE6 . Tian Quan Circulation Problems Secondary: Blood Pressure Final: Back Pain GB20 . Yin Xi. SP6 . Ren Ying Circulation Problems Secondary: Blood Pressure Final: Anal Prolapse GV20 . LI18 . Jian Yu Circulation Problems Secondary: Arrhythmia Final Palpitations BL14 . ST9 .com . Wai Guan Circulation Problems Secondary: Blood Pressure Final: Chest Pain GB43 . ST9 . Tai Chong. Jue Yin Shu. Lie Que. Jiu Wei. PC6 . Bai Hui Circulation Problems Secondary: Blood Pressure Final: Deafness GV20 . Jia Xi Circulation Problems Secondary: Blood Pressure Final: Agitation LR2 .abctlc. Shui Gou. Feng Chi Circulation Problems Secondary: Arrhythmia Final Pounding Of The Heart HE9 . Fu Tu.

ST29 . Shao Ze Question: Circulation Secondary: Edema Final: Amenorrhea LI4 . Qu Chai Arthritis © 1/21/2009 TLC 219 www.com . Shou Wu Li Question: Circulation Secondary: Edema Final: Allergies ST36 . Pi Shu. Gong Sun. Zhang Men. CV3 . SI19 . Da Du. Jing Qu. Chi Ze.abctlc. Tai Chong Question: Circulation Secondary: Chest Final: Dizziness BL3 . ST43 . SP5 . San Jiao Shu. Fu Liu. Nei Guan Question: Circulation Secondary: Edema Final: Anger LR2 . LU8 . Yin Ling Quan Question: Circulation Secondary: Chest Final: Finger Pain LU11 . Xiao Chang Shu. Xing Jian Question: Circulation Secondary: Chest Final: Cough LU11 . SP9 . GB40 .com info@tlch2o. Shen Que. Ting Gong Question: Circulation Secondary: Edema Question: Circulation Secondary: Edema Final: Abdominal Distention BL17 . Shao Shang. Zu San Li Question: Circulation Secondary: Chest Final: Breast Swelling SI1 . BL4 . Xian Gu Question: Circulation Secondary: Chest Final: Below Heart Distention And Fullness LI13 . LR13 . Yu Ji. Xiao Hai Question: Circulation Secondary: Edema Final: Abdominal Pain BL20 . Gui Lai.Question: Circulation Secondary: Chest Final: Fever LU11 . Zhong Ji. SP4 . SI8 . Yin Bai. CV8 . Shang Qui Question: Circulation Secondary: Chest Final: Amenorrhea SP6 . Ge Shu. LR3 . Gong Sun. SP2 . Shao Shang Question: Circulation Secondary: Edema Final: Ankle Conditions GB38 . PC9 . San Yin Jiao Question: Circulation Secondary: Chest Final: Arm Pain LU5 . He Gu Question: Circulation Secondary: Chest Final: Cardiac Arrhythmia PC6 . KI7 . Shao Shang Question: Circulation Secondary: Chest Final: Abdominal Pain LU10 . ST25 . Zhong Chong. Guan Yuan. SP4 . Tian Shu. BL20 . Mei Chong. BL22 . Yang Fu. Question: Circulation Secondary: Chest Question: Circulation Secondary: Chest Final: Abdominal Distention BL27 . Qiu Xu. Yin Ling Quan. Pi Shu. SP1 . GB39 . SP9 . CV4 . Xuan Zhong.

SP17 . Fu Liu Question: Circulation Secondary: Edema Final: Breast Pain GB41 . SP8 . Jian Li. Da Ling Question: Circulation Secondary: Edema Final: Coma GV26 .Question: Circulation Secondary: Edema Final: Aphasia ST4 . Yang Ling Quan Question: Circulation Secondary: Edema Final: Ascites CV9 . Yuan Ye Question: Circulation Secondary: Edema Final: Cystitis BL58 . SI8 . Jia Xi. Di Ji. ST22 .com . Di Cang Question: Circulation Secondary: Edema Final: Cardiac Pain GV26 . Shui Fen. SI17 . CV9 . Xiao Hai Question: Circulation Secondary: Edema Final: Borborygmus KI7 . Shui Gou Question: Circulation Secondary: Edema Final: Asthma BL23 .abctlc. Zhao Hai Question: Circulation Secondary: Edema Final: Axillary Edema GB22 . Fei Yang.com info@tlch2o. Tai Yuan. Fu Liu. CV5 . Nei Guan Arthritis © 1/21/2009 TLC Question: Circulation Secondary: Edema Final: Edema CV11 . SP6 . SP9 . GB43 . Yin Ling Quan Question: Circulation. Guan Men 220 www. GB29 . San Yin Jiao Question: Circulation Secondary: Edema Final: Diarrhea KI7 . Tian Rong Question: Circulation Secondary: Edema Final: Constipation KI6 . Zhi Shi Question: Circulation Secondary: Edema Final: Cardiac Conditions PC6 . Shi Men. Ju Liao Question: Circulation Secondary: Edema Final: Axillary Swelling BL19 . Shui Fen. Pian Li. Zu Lin Qi Question: Circulation Secondary: Edema Final: Dysuria BL52 . LU5 . Shen Shu. LU9 . Dan Shu Question: Circulation Secondary: Edema Final: Deafness GB20 . Shi Dou. Jian Shi Question: Circulation Secondary: Edema Final: Chest Discomfort GB34 . Feng Chi. Pian Li . LI6 . LI6 . Secondary: Edema Final: Chest Pain PC7 . Chi Ze. Shui Gou Question: Circulation Secondary: Edema Final: Apprehension PC5 .

Pi Shu Question: Circulation Secondary: Syncope Final: Diarrhea SP1 . Ya Men. Jie Xi Question: Circulation Secondary: Syncope Final: Asthma CV17 . Yin Bai Question: Circulation Secondary: Syncope Question: Circulation Secondary: Syncope Final: Dizziness BL7 . Shen Que Question: Circulation Secondary: Edema Final: Facial And Head Edema ST41 .com info@tlch2o. Zhong Ji Arthritis © 1/21/2009 TLC 221 www.abctlc. Bai Hui. LI1 .com . Zhon Guan Question: Circulation Secondary: Syncope Final: Dysuria LR1 . Zan Zhu Question: Circulation Secondary: Hemorrhage Question: Circulation Secondary: Syncope Final: Deafness GV15 . KI1 . Jia Che Question: Circulation Secondary: Syncope Final: Cardiac Pain PC8 . Tong Tian. Qian Gu Question: Circulation Secondary: Syncope Final: Chest Discomfort CV14 . Shan Zhong. Xing Jian Question: Circulation Secondary: Edema Final: Facial Edema ST6 . Lao Gong Question: Circulation Secondary: Edema Final: Fever SI2 . GV20 .Question: Circulation Secondary: Edema Final: Eye Deviation LU7 . Da Dun Question: Circulation Secondary: Syncope Final: Amenorrhea CV3 . Shang Yang Question: Circulation Secondary: Hemorrhage Final: Appetite Absent BL20 . ST36 . Da Ying Question: Circulation Secondary: Syncope Final: Bitter Taste LR2 . Ju Que Question: Circulation Secondary: Edema Final: Uterine Prolapse BL36 . Cheng Fu Question: Circulation Secondary: Syncope Final: Common Cold BL2 . Yong Quan Question: Circulation Secondary: Syncope Final: Abdominal Distention CV12 . Zu San Li Question: Circulation Secondary: Edema Final: Facial And Lower Cheek Edema ST5 . Lie Que Question: Circulation Secondary: Syncope Final: Anal Prolapse CV8 .

com . GB41 . Tong Tian. Xuan Zhong Question: Circulation Secondary: TCM Final: Abdominal Distention KI15 . Tai Chong Question: Circulation Secondary: Syncope Final: Headache BL7 . Shang Xing. LR8 . ST30 . GV23 . Shao Chong Question: Digestion Secondary: Abdominal Question: Circulation Secondary: TCM Question: Digestion: Secondary: Abdominal Final: Abdominal Fullness GB39 . GV20 . Tai Yuan Question: Circulation Secondary: Syncope Final: Syncope HE9 . Qi Men Question: Digestion: Secondary: Abdominal Final: Abdominal Masses BL18 . Qi Men Question: Circulation Secondary: TCM. Final: Headache BL62 . LI4 . Final: Abdominal Pain SP16 . Yang Ling Quan 222 www.Question: Circulation Secondary: Syncope Final: Edema GV26 . Zhong Zhu. Qu Quan. He Liao.com info@tlch2o. Zhang Men Question: Digestion Secondary: Abdominal Final: Breast Pain LR14 . Lie Que Question: Circulation Secondary: TCM Final: Depression LR3 . PC9 . Qi Chong Question: Circulation Secondary: Syncope Final: Facial Muscle Paralysis LI19 . LU9 . Bai Hui. Shan Guan. Qi Men Question: Circulation Secondary: TCM Final: Bone Disorders BL23 . Fu Ai. Shen Shu Arthritis © 1/21/2009 TLC Question: Digestion Secondary: Abdominal Final: Constipation GB34 .abctlc. Shao Shang Question: Circulation Secondary: TCM. LR14 . Shui Gou Question: Circulation Secondary: TCM Final: Childbirth Disorders ST30 . LR13 . LU7 . He Gu. Zu Lin Qi. Shen Mai. Gan Shu Question: Circulation Secondary: TCM Final: Abdominal Masses CV13 . Zhong Chong Question: Circulation: Secondary: TCM Final: Dry Tongue KI7 . Fu Liu Question: Circulation Secondary: Syncope Final: Loss Of Consciousness LU11 . Qi Chong Question: Digestion Secondary: Abdominal Final: Breast Swelling LR14 .

Si Bai Question: Digestion Secondary: Abdominal Final: Edema BL52 . Bao Huang. Da Chang Shu. Jian Li. Da Chang Shu. BL53 .com info@tlch2o. Yin Gu. Zhang Men. GB24 . Pi Shu Question: Digestion Secondary: Abdominal Distention Final: Abdominal Distention And Pain KI20 . Zhon Guan. Du Shu. Shang Qui Question: Digestion Secondary: Abdominal Final: Dizziness ST2 . Guan Men Question: Digestion Secondary: Abdominal Distention Final: Back Pain BL20 . Tai Xi. Wei Yang Question: Digestion Secondary: Abdominal Final: Tibial Bone Pain ST36 .abctlc. San Jiao Shu. Ri Yue. Qu Chi Question: Digestion Secondary: Abdominal Final: Thigh Lateral Distention BL38 . GB25 . CV10 . CV11 . LU1 . Ying Xiang Question: Digestion Secondary: Abdominal Distention Final: Allergies LI11 . CV5 . Wei Shu. Da Du. LR13 . Yi Xi Question: Digestion Secondary: Abdominal Distention Final: Appetite Absent ST25 . CV6 . Fu Xi Question: Digestion Secondary: Abdominal Distention Final: Anuria BL39 . SP2 . Qi Hai. Tong Gu Question: Digestion Secondary: Abdominal Distention Final: Beriberi SP9 . Wei Zhong. Xin Shu Question: Digestion Secondary: Abdominal Distention Final: Abdominal Discomfort BL45 . CV12 . Zhong Fu Question: Digestion Secondary: Abdominal Distention Final: Abdominal Distention And Fullness ST22 . Shi Men Question: Digestion Secondary: Abdominal Distention Final: Asthma KI3 . Yin Ling Quan Question: Digestion Secondary: Abdominal Distention Final: Abdominal Fullness ST28 . Shui Dao Arthritis © 1/21/2009 TLC 223 www. Tian Shu Question: Digestion Secondary: Abdominal Distention Final: Abdominal Distention BL21 . BL40 . KI10 . Zhi Shi Question: Digestion Secondary: Abdominal Final: Facial Edema LI20 . Huan Shu Question: Digestion Secondary: Abdominal Distention Final: Ascites BL22 . BL26 . Zu San Li Question: Digestion Secondary: Abdominal Distention Final: Anxiety BL15 . Jing Men. Guan Yuan Shu. BL25 . SP5 . KI16 .com .Question: Digestion Secondary: Abdominal Distention Final: Abdominal Pain BL16 . Xia Guan. BL25 .

Xuan Zhong Question: Digestion Secondary: Abdominal Distention Final: Genital Pain LR1 . LR13 . Zu Wu Li Question: Digestion Secondary: Abdominal Distention Final: Dream Disturbed Sleep SP1 . Ju Que Question: Digestion Secondary: Abdominal Distention Final: Chest Discomfort LU5 . CV12 . Ju Que Question: Digestion Secondary: Abdominal Fullness Question: Digestion Secondary: Abdominal Distention Final: Deafness TB10 . Wai Ling Question: Digestion Secondary: Abdominal Distention Final: Toothache LI7 . GV7 . Wen Liu Question: Digestion Secondary: Abdominal Distention Final: Cough CV14 .com info@tlch2o. ST36 . Wei Cang.Question: Digestion Secondary: Abdominal Distention Final: Hypogastric Distention And Fullness T27 . Tai Bai Question: Digestion Secondary: Abdominal Distention Final: Borborygmus CV13 . Yin Bai Question: Digestion Secondary: Abdominal Fullness Final: Amenorrhea CV4 . Tian Jing Question: Digestion Secondary: Abdominal Fullness Final: Abdominal Distention And Fullness SP7 .com . Ju Que Question: Digestion Secondary: Abdominal Distention Final: Constipation BL33 . Da Dun. ST30 . Li Gou Question: Digestion Secondary: Abdominal Fullness Final: Ankle Conditions GB39 . Zhong Shu. Qi Chong Arthritis © 1/21/2009 TLC 224 www. Xian Gu Question: Digestion Secondary: Abdominal Distention Final: Indigestion CV14 .abctlc. LR2 . Xing Jian Question: Digestion Secondary: Abdominal Distention Final: Lower Abdominal Disorders ST26 . Lou Gu Question: Digestion Secondary: Abdominal Distention Final: Diarrhea SP6 . Shan Guan. Zhon Guan. Zhang Men. LR10 . Zu San Li. Da Ju Question: Digestion Secondary: Abdominal Distention Final: Body Heaviness SP3 . Chi Ze Question: Digestion Secondary: Abdominal Distention Final: Jaundice CV14 . Zhong Liao. Guan Yuan Question: Digestion Secondary: Abdominal Distention Final: Dysmenorrhea LR5 . San Yin Jiao Question: Digestion Secondary: Abdominal Fullness Final: Abdominal Fullness BL50 . ST43 .

BL21 . BL28 . Fu She Question: Digestion Secondary: Abdominal Fullness Final: Diarrhea BL40 . Xing Jian Question: Digestion Secondary: Abdominal Masses Final: Anuria CV3 .com info@tlch2o. Qi Chong Question: Digestion Secondary: Abdominal Masses Final: Coma PC8 . Zhon Guan Question: Digestion Secondary: Abdominal Masses Final: Abdominal Pain BL18 . Zu Wu Li Question: Digestion Secondary: Abdominal Masses Final: Diarrhea BL20 . Qu Quan Question: Digestion Secondary: Abdominal Fullness Final: Dizziness LR2 . Ci Liao Arthritis © 1/21/2009 TLC 225 www. Xia Guan Question: Digestion Secondary: Abdominal Fullness Final: Constipation BL28 . Ge Shu Question: Digestion Secondary: Abdominal Hardness Final: Epigastric Hardness Below The Heart BL51 . LR8 . Shang Qu. Pang Guang Shu Question: Digestion Secondary: Abdominal Masses Question: Digestion Secondary: Abdominal Masses Final: Abdominal Masses SP12 .abctlc. Gan Shu. Yong Quan Question: Digestion Secondary: Abdominal Masses Final: Borborygmus BL22 . Wei Shu. Wei Zhong. Lao Gong Question: Digestion Secondary: Abdominal Fullness Final: Hypogastric Fullness LR10 . KI17 . SP13 . Huang Men Question: Digestion Secondary: Abdominal Fullness Final: Borborygmus CV10 . San Jiao Shu Question: Digestion Secondary: Abdominal Fullness Final: Genital Swelling ST30 .Question: Digestion Secondary: Abdominal Fullness Final: Asthma BL17 . Qiu Xu Question: Digestion Secondary: Abdominal Hardness Final: Constipation BL32 . Xia Guan Question: Digestion Secondary: Abdominal Hardness Final: Stomach Pain CV10 . Zhong Ji Question: Digestion Secondary: Abdominal Fullness Final: Dry Tongue KI1 . Pang Guang Shu Question: Digestion Secondary: Abdominal Hardness Question: Digestion Secondary: Abdominal Hardness Final: Axillary Swelling GB40 . Chong Men. Pi Shu.com . CV12 .

Wai Guan Question: Digestion Secondary: Abdominal Pain Final: Abdominal Discomfort BL49 . Jian Shi Question: Digestion Secondary: Abdominal Pain Final: Abdominal Pain BL11 . Du Shu. SP3 . Gong Sun. Da Heng Question: Digestion Secondary: Abdominal Pain Final: Arm Motor Impairment T B5 . Qi Hai Shu. Xiao Chang Shu. Da Chang Shu. Jian Shi. Shang Ju Xu Question: Digestion Secondary: Abdominal Pain Final: Ankle Conditions LR4 . BL34 . CV5 . You Men Question: Digestion Secondary: Abdominal Pain Final: Back Pain BL18 . KI16 . BL25 . Zhi Gou Question: Digestion Secondary: Abdominal Pain Final: Abdominal Distention LI8 . Shang Ju Xu Question: Digestion Secondary: Abdominal Pain Final: Abdominal Swelling CV7 .com info@tlch2o. BL27 . Yang Gang. GB26 . Da Heng Question: Digestion Secondary: Abdominal Pain Final: Asthma BL24 . Da Zhu. Ge Shu Question: Digestion Secondary: Abdominal Pain Final: Amenorrhea ST29 . Tai Bai. KI21 . TB6 . Wei Shu Question: Digestion Secondary: Abdominal Pain Question: Digestion Secondary: Abdominal Pain Final: Abdominal Cold Pain SP15 . Dai Mai. Fu She Question: Digestion Secondary: Abdominal Pain Final: Beriberi ST37 . Yi She Question: Digestion Secondary: Abdominal Pain Final: Arm Pain LU6 . Gan Shu Question: Digestion Secondary: Abdominal Pain Final: Abdominal Pain Or Swelling SP13 . Xia Lian. Shen Que. SP4 . Huan Shu. Kong Zui. ST40 . Yin Jiao Question: Digestion Secondary: Abdominal Pain Final: Bone Disorders BL17 . Wu Shu. PC5 . CV8 . Tian Shu. Xia Liao. Feng Long Question: Digestion Secondary: Abdominal Pain Final: Abdominal Masses CV6 . KI18 . ST25 . BL48 . GB27 . Gui Lai Question: Digestion Secondary: Abdominal Pain Final: Borborygmus BL16 . ST37 . Qi Hai Question: Digestion Secondary: Abdominal Pain Final: Axillary Swelling PC5 .Question: Digestion Secondary: Abdominal Pain Final: Appetite Absent BL21 . Shi Guan. Zhong Feng Arthritis © 1/21/2009 TLC 226 www.com .abctlc. Shi Men. SP15 .

Tai Chong. Yin Ling Quan Question: Digestion Secondary: Abdominal Pain Final: Epigastric Pain BL51 . Jia Xi. Nei Guan Question: Digestion Secondary: Abdominal Pain Final: Chest Lumps BL18 .com . Gan Shu Question: Digestion Secondary: Abdominal Pain: Final: Chest Discomfort LR14 . Da Chang Shu.abctlc. Gong Sun Question: Digestion Secondary: Abdominal Pain Final: Genital Pain LR4 . GB25 . Jing Men. Da Du. Zhao Hai Question: Digestion Secondary: Abdominal Pain Final: Diarrhea BL25 . Nei Guan.Question: Digestion Secondary: Abdominal Pain Final: Cardiac Pain CV13 . LR8 . GB43 . SP9 . Gong Sun. ST36 . PC6 . Tai Chong. PC6 . Da Dun 227 www. Shen Shu Question: Digestion Secondary: Abdominal Pain Final: Edema KI6 . Yin Ling Quan Question: Digestion Secondary: Abdominal Pain Final: Endocrine Disorders LR3 . Tian Shu Question: Digestion Secondary: Abdominal Pain Final: Dorsal Foot Painful Swelling ST43 . Qu Quan. GB24 . SP3 . LR3 . SI8 . Shan Guan. Tai Chong Question: Digestion Secondary: Abdominal Pain Final: Diarrhea with Undigested Food SP9 .com info@tlch2o. Cheng Man Question: Digestion Secondary: Abdominal Pain Final: Digestive Disturbances CV12 . Huang Men. Yin Gu Question: Digestion Secondary: Abdominal Pain Final: Deafness BL23 . Ri Yue. ST20 . Zhon Guan. Yong Quan. LR3 . Xiao Hai Arthritis © 1/21/2009 TLC Question: Digestion Secondary: Abdominal Pain Final: Genital Swelling LR1 . Da Ling Question: Digestion Secondary: Abdominal Pain Final: Dysuria KI1 . KI10 . SP4 . Zhong Feng Question: Digestion Secondary: Abdominal Pain Final: Dizziness BL18 . Zhon Guan Question: Digestion Secondary: Abdominal Pain Final: Coughing Blood PC7 . Da Chang Shu. ST25 . Qi Men. SP4 . Tai Bai. Nei Guan Question: Digestion Secondary: Abdominal Pain Final: Chest Pain PC6 . Xian Gu Question: Digestion Secondary: Abdominal Pain Final: Dyspnea CV12 . Gan Shu. SP2 . Zu San Li Question: Digestion Secondary: Abdominal Pain Final: Constipation BL25 .

com info@tlch2o. Qi Chong Question: Digestion Secondary: Abdominal Pain Final: Periumbilical Pain Acute ST22 . Qi Chong Question: Digestion Secondary: Appetite Final: Anal Prolapse ST21 . CV9 . Shang Qu Question: Digestion Secondary: Abdominal Pain Final: Lower Abdominal Pain GB28 . Ju Que Question: Digestion Secondary: Appetite Final: Body Aches General GB39 . Wei Shu. Tai Yi Question: Digestion Secondary: Abdominal Pain Final: Hypogastric Pain KI11 . KI17 .com . Zhang Men 228 www. Fu Ai Arthritis © 1/21/2009 TLC Question: Digestion Secondary: Appetite Final: Cardiac Pain KI3 . ST30 . Ji Mai. Zhong Chong Question: Digestion Secondary: Appetite Final: Appetite Absent GV9 . Yu Ji Question: Digestion Secondary: Abdominal Pain Final: Memory Impaired CV14 . Jian Li Question: Digestion Secondary: Appetite Final: Ankle Conditions SP5 . Heng Gu. LR12 . Zhi Yang. Liang Qiu Question: Digestion Secondary: Abdominal Pain Final: Stomach Pain ST23 . Liang Men Question: Digestion Secondary: Abdominal Pain Final: Intestinal Pain CV11 .Question: Digestion Secondary: Abdominal Pain Final: Hernia KI10 . Yin Gu. Shui Fen. CV9 . LR13 . Fu Jie. Zhong Du Question: Digestion Secondary: Appetite Question: Digestion Secondary: Appetite Final: Agitation BL13 . LR6 . SP16 . Shui Fen Question: Digestion Secondary: Abdominal Pain Final: Periumbilical Pain CV7 . Yin Jiao. Shang Qui Question: Digestion Secondary: Abdominal Pain Final: Loss Of Consciousness PC9 . Guan Men Question: Digestion Secondary: Abdominal Pain Final: Hiccough ST34 . Tai Xi. Fei Shu Question: Digestion Secondary: Abdominal Pain Final: Impotence KI10 . Xuan Zhong Question: Digestion Secondary: Abdominal Pain Final: Menstrual Disorders SP8 . SP14 . Wei Dao Question: Digestion Secondary: Appetite Final: Back Pain LU10 . Di Ji Question: Digestion Secondary: Appetite Final: Borborygmus BL21 . ST30 .abctlc. Yin Gu.

KI22 . Tian Shu Question: Digestion Secondary: Appetite Final: Gastrointestinal Disorders BL20 . Chong Yang Question: Digestion: Secondary: Appetite Final: Endometriosis SP4 . CV10 . Yin Ling Quan Question: Digestion Secondary: Appetite Final: No Desire To Eat GV7 . ST25 . TB10 . Da Chang Shu. Di Ji. Zhong Feng Question: Digestion Secondary: Appetite Final: Dysmenorrhea CV3 .com . Ling Xu. San Yin Jiao Question: Digestion Secondary: Appetite Final: Jaundice LR4 . Zu San Li Question: Digestion Secondary: Appetite Final: Gastric Ulcer CV12 . Jian Li.com info@tlch2o. Ge Shu.Question: Digestion Secondary: Appetite Final: Chest Pain BL21 . Zhong Shu Question: Digestion Secondary: Appetite Final: Edema BL20 . Xia Guan. SP8 . Qi Men Question: Digestion Secondary: Appetite Final: Eyelid Spasm ST4 . Gong Sun Arthritis © 1/21/2009 TLC 229 www. Da Du. ST19 . Yang Gang. Pi Shu Question: Digestion Secondary: Appetite Final: Hernia Pain LR4 . Da Chang Shu. Guan Chong. Shen Shu. ST20 . Qu Quan. SP9 . Pi Shu Question: Digestion Secondary: Appetite Final: No Pleasure In Eating BL48 .LR14 . Cheng Man. CV11 . SP3 . Jing Gu. Bu Lang Question: Digestion Secondary: Appetite Final: Elbow Problems TB1 . Tian Jing Question: Digestion Secondary: Appetite Final: No Pleasure In Eating With Abdominal Distention ST42 . Zhong Feng Question: Digestion Secondary: Appetite Final: Digestive Disturbances BL25 . SP2 . Zhon Guan Question: Digestion Secondary: Appetite Final: Diarrhea BL23 . SP6 . Wei Shu. SP1 . Bu Rong. LR8 . Zhong Ji Question: Digestion Secondary: Appetite Final: No Appetite KI24 . Zu San Li Question: Digestion Secondary: Appetite Final: Fever BL64 . Guan Men Question: Digestion Secondary: Appetite Final: Dysuria BL25 . Di Cang Question: Digestion Secondary: Appetite Final: Constipation ST36 . ST22 . ST36 .abctlc. Yin Bai Question: Digestion Secondary: Appetite Final: Cough BL17 . Tai Bai.

Bao Huang. SP3 . Fu Liu. Wei Shu.com . Shi Dou. Xian Gu Question: Digestion Secondary: Borborygmus Final: Asthma GV9 . Shan Guan Question: Digestion Secondary: Borborygmus Final: Cardiac Pain BL16 . BL53 . Nei Guan Question: Digestion Secondary: Borborygmus Final: Borborygmus BL48 . LR3 . Shang Qui Question: Digestion Secondary: Borborygmus Final: Edema KI7 .abctlc. Tai Chong Question: Digestion Secondary: Borborygmus Final: Borborygmus With Abdominal Pain LI7 . LI9 . Shang Lian. Guan Men Question: Digestion Secondary: Borborygmus Final: Eye Disorders LI3 . Liang Men Question: Digestion Secondary: Borborygmus Final: Dysmenorrhea BL32 . Wen Liu Question: Digestion Secondary: Borborygmus Final: Fever Without Sweating CV13 . ST37 . GB25 . CV8 . Tian Shu. SP17 . San Jiao Shu. Cheng Man. Da Chang Shu. San Jian. SP4 . Zhi Yang Question: Digestion Secondary: Borborygmus Final: Elbow Problems PC6 . Yang Gang.Question: Digestion Secondary: Borborygmus Final: Dizziness BL23 . ST44 . BL22 . Shen Que. ST36 . ST20 . Shang Ju Xu Arthritis © 1/21/2009 TLC 230 www. SP6 . Zu San Li. Shen Shu. SP7 .com info@tlch2o. San Yin Jiao Question: Digestion Secondary: Borborygmus Question: Digestion Secondary: Borborygmus Final: Appetite Absent ST21 . Nei Ting Question: Digestion Secondary: Borborygmus Final: Intestinal Disorders BL25 . Gong Sun Question: Digestion Secondary: Borborygmus Final: Diarrhea BL21 . ST25 . Ci Liao Question: Digestion Secondary: Borborygmus Final: Appetite Excessive SP5 . ST43 . Lou Gu. Du Shu Question: Digestion Secondary: Borborygmus Final: Gastrointestinal Disorders Acute SP3 . Xia Liao. ST22 . Jing Men. Tai Bai Question: Digestion Secondary: Borborygmus Final: Constipation BL34 . Tai Bai.

Chang Qiang Question: Digestion Secondary: Dysenteric Disorder Final: Edema SP9 . Ling Dao Question: Digestion Secondary: Dysenteric Disorder Final: Fever Without Sweating KI7 . Xi Men Question: Digestion Secondary: Dysenteric Disorder Final: Dysenteric Disorder BL29 .com . SP8 . Xia Ju Xu Question: Digestion Secondary: Emesis Final: Anal Prolapse GV1 . Gong Sun Question: Digestion Secondary: Dysenteric Disorder Final: Diarrhea CV4 . Qi Hai. He Gu Question: Digestion Secondary: Dysenteric Disorder Final: Hemiplegia BL40 . Tian Shu Question: Digestion Secondary: Dysenteric Disorder Question: Digestion Secondary: Dysenteric Disorder Final: Abdominal Pain CV6 . ST44 . LI4 . Zhon Guan. Si Man. Guan Yuan. ST39 . Fu Ai. Da Chang Shu Question: Digestion Secondary: Dysenteric Disorder Final: Digestive Disturbances BL22 . San Jiao Shu. ST25 . Nei Ting Question: Digestion Secondary: Dysenteric Disorder Final: Leg Numbness BL25 . Hui Yang. Wei Zhong Question: Digestion Secondary: Dysenteric Disorder Final: Arm Tremor PC3 . Shang Ju Xu Question: Digestion Secondary: Emesis Question: Digestion Secondary: Emesis Final: Agitation BL15 . Fu Liu Arthritis © 1/21/2009 TLC 231 www.abctlc. Qu Ze Question: Digestion Secondary: Dysenteric Disorder Final: Hemorrhage Chronic BL20 .com info@tlch2o. Pi Shu Question: Digestion Secondary: Dysenteric Disorder Final: Constipation BL27 . PC4 . BL35 . ST37 . Qu Chi. KI14 . Xin Shu. Di Ji.Question: Digestion Secondary: Dysenteric Disorder Final: Gastrointestinal Disorders CV12 . Da Heng Question: Digestion Secondary: Dysenteric Disorder Final: Headache SP3 . Xiao Chang Shu Question: Digestion Secondary: Dysenteric Disorder Final: Jaundice SP4 . SP15 . SP16 . Tai Bai Question: Digestion Secondary: Dysenteric Disorder Final: Arm Pain LI11 . Zhong Lu Shu. Yin Ling Quan Question: Digestion Secondary: Emesis Final: Arm Contraction HE4 .

GV14 .com . Chi Ze Question: Digestion Secondary: Emesis Final: Back Stiffness BL13 . BL13 .Question: Digestion Secondary: Emesis Final: Arm Motor Impairment LI16 . LU5 . Fei Shu. Chi Ze Question: Digestion Secondary: Emesis Final: Back Pain BL13 . Jian Shi Question: Digestion Secondary: Emesis Final: Arm Paralysis LI11 . LI5 . Wai Guan Question: Digestion Secondary: Emesis Final: Chest Pain GB40 . Yu Ji. Qiu Xu. Shao Hai Question: Digestion Secondary: Emesis Final: Borborygmus SP5 . Feng Men. Xin Shu. LU9 . Qu Chi Question: Digestion Secondary: Emesis Final: Chest Discomfort CV17 . Tai Yuan. Tong Li 232 www. LU1 . Jian Shi Question: Digestion Secondary: Emesis Final: Asthma BL12 .abctlc. Kong Zui Question: Digestion Secondary: Emesis Final: Constipation BL31 . Shan Zhong. Ju Gu. Daz Hui Question: Digestion Secondary: Emesis Final: Arm Numbness HE3 . Tian Rong Question: Digestion Secondary: Emesis Final: Bitter Taste BL19 . LU1 . Dan Shu Arthritis © 1/21/2009 TLC Question: Digestion Secondary: Emesis Final: Depression HE5 . LU6 . LU10 . Yang Xi Question: Digestion Secondary: Emesis Final: Bone Disorders BL19 . Fei Shu. PC3 . Zhi Gou Question: Digestion Secondary: Emesis Final: Cough BL43 . Zhong Fu Question: Digestion Secondary: Emesis Final: Coughing Blood LU5 . Tian Tu. CV22 . Qu Ze. PC5 . Shang Qui Question: Digestion Secondary: Emesis Final: Arm Pain LI10 . Shang Liao Question: Digestion Secondary: Emesis Final: Axillary Pain TB6 . Fei Shu Question: Digestion Secondary: Emesis Final: Deafness SI17 .com info@tlch2o. Shou San Li Question: Digestion Secondary: Emesis Final: Cardiac Pain BL15 . Dan Shu. Yu Ji. Zhong Fu Question: Digestion Secondary: Emesis Final: Arthritis Shoulder TB5 . LU10 . Gao Huan Shu. PC5 .

Wei Shu. ST36 .Question: Digestion Secondary: Emesis Final: Eye Disorders BL18 . PC5 . Guan Yuan. Tai Chong Question: Digestion Secondary: Emesis Final: Edema Lower Body SP2 . Qi Men Question: Digestion Secondary: Emesis Final: Elbow Problems PC3 . PC8 . Zu San Li Question: Digestion Secondary: Emesis Final: Fever Tidal BL17 . Zu San Li. SP6 . LR14 . KI1 . Wei Shu. Da Ling Question: Digestion Secondary: Emesis Final: Genital Pain BL52 . Ren Ying Question: Digestion Secondary: Emesis Final: Fear PC5 .com info@tlch2o. Lao Gong Question: Digestion Secondary: Emesis Final: Dysuria LR2 . Tai Chong Arthritis © 1/21/2009 TLC 233 www. ST21 . Lao Gong Question: Digestion Secondary: Emesis Final: Dysmenorrhea CV4 . Gan Shu. Tou Wei. San Yin Jiao Question: Digestion Secondary: Emesis Final: Fever BL17 . LR3 . Ge Shu. Zhang Men. Ju Liao. PC8 . San Jiao Shu. Qi Men. Xing Jian. CV13 . ST36 . Liang Men Question: Digestion Secondary: Emesis Final: Eyes Yellow HE7 . Ge Shu. ST36 . Da Du Question: Digestion Secondary: Emesis Final: Gastric Disorders BL21 . PC7 . Shan Guan Question: Digestion Secondary: Emesis Final: Eructations BL17 .com . Da Ling. Yang Ling Quan Question: Digestion Secondary: Emesis Final: Dizziness BL22 . ST8 . Guan Chong Question: Digestion Secondary: Emesis Final: Diarrhea GB29 . Jian Shi. Shen Men. Jian Shi Question: Digestion Secondary: Emesis Final: Gastrointestinal Disorders BL21 . Yong Quan.abctlc. Jian Shi Question: Digestion Secondary: Emesis Final: Digestive Disturbances ST36 . PC6 . ST9 . Zu San Li Question: Digestion Secondary: Emesis Final: Facial Edema GB34 . PC7 . Ge Shu Question: Digestion Secondary: Emesis Final: Edema BL21 . LR13 . Qu Ze. Nei Guan. PC5 . TB1 . Zu San Li Question: Digestion Secondary: Emesis Final: Foot Cold LR3 . LR14 . Wei Shu. Zhi Shi.

Zhon Guan. Zhong Chong Question: Digestion Secondary: Emesis Final: Hypochondriac Region Pain BL21 . Hua Rou Men. LU11 . Tai Chong Question: Digestion Secondary: Emesis Final: Intestinal Disorders BL20 . Zhon Guan Question: Digestion Secondary: Emesis Final: Headache Vertex GV20 . SP3 . Yin Bai Question: Digestion Secondary: Emesis Final: Mental Disorders CV14 . TB19 . Pi Shu. Ju Que Question: Digestion Secondary: Emesis Final: Hernia KI9 . CV12 . CV13 . ST24 . Xia Bai Question: Digestion Secondary: Emesis Final: Indigestion CV12 .com . Pi Shu. Tian Shu Question: Digestion Secondary: Emesis Final: Headache LR3 . Lie Que Question: Digestion Secondary: Emesis Final: Infertility ST25 . CV12 . Wei Shu Question: Digestion Secondary: Emesis Final: Retching LU4 . Xia Guan. Gong Sun Question: Digestion Secondary: Emesis Final: Hematuria SP1 .abctlc. Ge Guan Question: Digestion Secondary: Emesis Final: Palm Heat PC9 . Tai Bai Question: Digestion Secondary: Emesis Final: Nausea CV14 . Zhon Guan. Ju Que. Wei Zhong. Shan Guan Arthritis © 1/21/2009 TLC Question: Digestion Secondary: Emesis Final: Sadness KI17 . Lu Xi Question: Digestion Secondary: Emesis Final: Hiccough BL46 .com info@tlch2o. Shao Shang Question: Digestion Secondary: Emesis Final: Hemorrhoids BL40 . Tian Shu Question: Digestion Secondary: Emesis Final: Headache Migraine PC6 . ST25 . Zhu Bin Question: Digestion Secondary: Emesis Final: Nausea And Vomiting CV10 . Nei Guan Question: Digestion Secondary: Emesis Final: Jaundice BL20 . Shang Qu 234 www. Bai Hui Question: Digestion Secondary: Emesis Final: Menses Irregular SP4 .Question: Digestion Secondary: Emesis Final: Genital Penis Pain LU7 .

Shou Wu Li Question: Digestion Secondary: Eructation Final: Halitosis PC8 . PC6 . Qi Hu Question: Digestion Secondary: Eructation Final: Chest Pain LU6 . Zu San Li Question: Digestion Secondary: Emesis Final: Vomiting BL46 . Da Ling Question: Digestion Secondary: Emesis Final: Vomiting Blood LI13 . Ge Shu. Yi She. KI18 . Dan Shu. Shi Guan. KI18 . Xian Gu Question: Digestion Secondary: Emesis Final: Throat Disorders CV23 . LR5 . Hun Men. KI21 . Huan Shu. BL47 . Shan Zhong. CV22 . Tong Gu. Li Gou Question: Digestion Secondary: Gastroesophageal Final: Chest Discomfort BL19 . Guan Yuan. Zhong Fu Question: Digestion Secondary: Eructation Final: Eructations BL46 . GB23 . SP18 .abctlc. LU1 . Tian Xi. Hua Rou Men Question: Digestion Secondary: Eructation Final: Eye Disorders ST43 . Ge Guan Arthritis © 1/21/2009 TLC 235 www.com . CV18 . Lao Gong Question: Digestion Secondary: Eructation Question: Digestion Secondary: Eructation Final: Hiccough BL17 . Ri Yue.com info@tlch2o. Kong Zui Question: Digestion Secondary: Eructation Final: Cough LU9 . Ge Guan. Zu San Li Question: Digestion Secondary: Gastroesophageal Final: Chest Pain CV17 . You Men. Zhe Jin. Tai Yuan Question: Digestion Secondary: Gastroesophageal Question: Digestion Secondary: Gastroesophageal Final: Asthma CV21 . BL49 . Lou Gu Question: Digestion Secondary: Eructation Final: Gastrointestinal Disorders PC7 . KI20 . Shi Guan. KI16 . ST13 . Lian Quan Question: Digestion Secondary: Eructation Final: Fever ST36 . Nei Guan. Xuan Ji Question: Digestion Secondary: Eructation Final: Dysuria CV4 . Tian Tu Question: Digestion Secondary: Eructation Final: Edema Lower Body ST36 . GB24 . Question: Digestion Secondary: Eructation Final: Flatulence SP7 . Yu Tang.Question: Digestion Secondary: Emesis Final: Stomach Pain ST24 .

Wei Shu. Qi Men Question: Digestion Secondary: Gastroesophageal Final: Coughing Blood BL43 . Gao Huan Shu. ST20 . Cheng Man Question: Digestion Secondary: Gastroesophageal Final: Jaundice CV13 . Jiu Wei Question: Digestion Secondary: Gastroesophageal Final: Palpitations CV14 . Ju Que Question: Digestion Secondary: Gastroesophageal Final: Gastroesophageal Reflux CV9 . Zhang Men Question: Digestion Secondary: Gastroesophageal Final: Indigestion BL21 . Zi Gong. ST9 . San Jiao Shu Question: Digestion Secondary: Gastroesophageal Final: Mental Disorders CV12 . CV22 . Zhon Guan.Question: Digestion Secondary: Gastroesophageal Final: Chills BL15 . Xin Shu Question: Digestion Secondary: Gastroesophageal Final: Gastrointestinal Disorders BL22 . ST34 .abctlc. Shan Zhong.com . Liang Qiu Question: Digestion Secondary: Gastroesophageal Final: Dysphagia BL46 . CV12 . Zhou Rong. BL49 . CV13 . Yin Bai Question: Digestion Secondary: Gastroesophageal Final: Dyspnea GB40 . Ge Guan. Ri Yue Arthritis © 1/21/2009 TLC 236 www. ST36 . Shui Fen. Ren Ying Question: Digestion Secondary: Gastroesophageal Final: Menses Irregular ST25 . Shan Guan Question: Digestion Secondary: Gastroesophageal Final: Menorrhagia SP1 .com info@tlch2o. Shan Zhong Question: Digestion Secondary: Gastroesophageal Final: Inability To Swallow Food PC8 . San Jiao Shu. Yi She. Qiu Xu. Lao Gong Question: Digestion Secondary: Gastroesophageal Final: Digestive Disturbances LR13 . Yang Gang. Zhe Jin. Tian Tu Question: Digestion Secondary: Gastroesophageal Final: Hiccough LR14 . Zhong Ting Question: Digestion Secondary: Gastroesophageal Final: Nausea BL21 . Tian Shu Question: Digestion Secondary: Gastroesophageal Final: Edema BL22 . Wei Shu. CV19 . CV20 . GB23 . Hua Gai SP20 . Zu San Li Question: Digestion Secondary: Gastroesophageal Final: Cough CV17 . Zhon Guan Question: Digestion Secondary: Gastroesophageal Final: Esophageal Constriction CV16 . Shan Guan Question: Digestion Secondary: Gastroesophageal Final: Gastric Reflux CV15 . CV17 . GB24 . BL48 .

Chi Ze Question: Digestion Secondary: Gastroesophageal Final: Respiratory Disorders CV16 . Fei Shu Question: Digestion Secondary: Saliva Final: Vomiting CV14 . KI21 . Ju Que Question: Digestion Secondary: Saliva Final: Eye Deviation CV24 . Lian Quan Question: Digestion Secondary: Gastroesophageal Final: Seizures CV14 .com . Ge Shu. Zhong Ting Question: Digestion Secondary: Saliva Final: Excessive Production Of Watery Saliva CV23 . Tian Tu. Ju Que Question: Digestion Secondary: Saliva Final: Cough KI3 . Shen Men Question: Digestion Secondary: Saliva Question: Digestion Secondary: Saliva Final: Saliva Like White Glue CV19 . LU9 . Cheng Jiang Question: Digestion Secondary: Gastroesophageal Final: Skin Disorders LI17 . Gan Shu Question: Digestion Secondary: Gastroesophageal Final: Swallowing Difficult BL17 .Question: Digestion Secondary: Gastroesophageal Final: Perspiration At Night BL17 . Ran Gu. Shi Guan. LU5 . Ju Que Question: Digestion Secondary: Saliva Final: Hypochondriac Region Pain HE7 . You Men Question: Digestion Secondary: Gastroesophageal Final: Throat Disorders BL17 . Tian Ding Question: Digestion Secondary: Saliva Final: Gastric Disorders BL18 . Ge Shu Question: Digestion Secondary: Saliva Final: Hypersalivation KI18 . CV14 . LU6 .abctlc. Ge Shu Question: Digestion Secondary: Saliva Final: Bone Disorders BL13 . Tai Xi.com info@tlch2o. Tai Yuan Arthritis © 1/21/2009 TLC 237 www. Jian Zhong Zhu Question: Digestion Secondary: Saliva Final: Urticaria BL17 . Zi Gong Question: Digestion Secondary: Saliva Final: Asthma SI15 . Kong Zui Question: Digestion Secondary: Saliva Final: Coughing Blood KI2 . Ge Shu Question: Digestion Secondary: Saliva Final: Dyspnea CV22 .

Dan Shu Question: Digestion Secondary: TCM Final: Agitation BL14 . Shou San Li Question: Digestion Secondary: Taste Final: Fever SI4 . Zhong Zhu. GV9 . Shen Zhu. Shang Qui Question: Digestion Secondary: Taste Final: Hemiplegia GV20 .abctlc. Tou Qiao Yin Question: Digestion Secondary: TCM Final: Abdominal Pain SP16 . Xing Jian Question: Digestion Secondary: TCM Final: Arm Paralysis LI10 . Jue Yin Shu Question: Digestion Secondary: Taste Final: Eye Disorders LR2 . Qi Hai Question: Digestion Secondary: Taste Final: Hernia Pain LR1 . Guan Chong Question: Digestion Secondary: TCM Final: Back Pain BL12 . Fu Tu Question: Digestion Secondary: Taste Final: Headache BL22 .Question: Digestion Secondary: Taste Question: Digestion Secondary: TCM Question: Digestion Secondary: Taste Final: Axillary Pain GB38 . Da Dun Arthritis © 1/21/2009 TLC Question: Digestion Secondary: TCM Final: Chest Discomfort CV21 . Yang Ling Quan Question: Digestion Secondary: TCM Final: Beriberi ST32 . Qi Chong Question: Digestion Secondary: Taste Final: Chest Pain BL19 . Wan Gu. TB6 . TB1 . Yang Fu Question: Digestion Secondary: TCM Final: Abdominal Distention KI15 . Xuan Ji 238 www. Bai Hui Question: Digestion Secondary: TCM Final: Cardiac Pain CV6 . Zhi Gou Question: Digestion Secondary: Taste Final: Gastric Disorders GB34 . Ling Tai. GV10 . San Jiao Shu Question: Digestion Secondary: TCM Final: Breast Pain SP5 . LR14 . Fu Ai. Qi Men Question: Digestion Secondary: Taste Final: Bitter Taste GB11 .com . Feng Men. GV12 . ST30 .com info@tlch2o. Zhi Yang.

Shen Shu Question: Musculoskeletal Secondary: TCM Final: Endometriosis BL30 . SP6 . Shen Shu. Xin Shu. LU8 . Shen Que. HE8 . Chong Men 239 www. BL13 . Shui Fen. BL15 . Er Jian. SP6 . LR13 . Da Zhong. Bu Rong Question: Digestion Secondary: TCM Final: Genital Itching CV3 . LR5 . ST5 . Fei Shu. Guan Yuan Shu. Bai Huan Shu. San Yin Jiao Arthritis © 1/21/2009 TLC Question: Digestion Secondary: TCM Final: Gynecological Disorders SP12 . Yu Ji Question: Digestion Secondary: TCM Final: Ejaculation Premature BL23 . TB6 . SP14 . Dan Shu.com . LU10 . LU1 . Zhong Ji. Li Gou Question: Digestion Secondary: TCM Final: Coughing Blood KI3 . Da Ying. Fu Jie Question: Hearing Secondary: TCM Final: Fever BL12 . Zhong Ji. Tian Tu.abctlc. CV3 . Jian Shi. GB21 . Ju Gu Question: Infection Secondary: TCM Final: Eczema GV14 . KI4 . BL19 .Question: Musculoskeletal Secondary: TCM Final: Chest Pain GV9 . ST40 . Feng Men. Jian Jing. Tai Xi Question: Digestion Secondary: TCM Final: Facial Muscle Paralysis LI2 . LU10 . Shui Fen. Xuan Zhong. Ci Liao. Zhi Gou Question: Digestion Secondary: TCM Final: Digestive Disturbances CV8 . San Yin Jiao Question: Digestion Secondary: TCM Final: Goiter CV22 . Yi Feng Question: Digestion Secondary: TCM Final: Diarrhea BL26 . LI16 . GV14 . Feng Men. TB17 . Da Heng Question: Digestion Secondary: TCM Final: Edema Lower Body SP9 . Question: Digestion Secondary: TCM Final: Genital Pain CV3 . Daz Hui. Jing Qu. Daz Hui. PC5 . Zhong Ji Question: Musculoskeletal Secondary: TCM Final: Dysuria BL32 . Zhong Fu. Shao Fu. Zhi Yang. Yu Ji. Feng Long Question: Digestion Secondary: TCM Final: Edema BL23 . ST19 . CV9 . Zhang Men Question: Digestion Secondary: TCM Final: Constipation SP15 . Zhao Hai Question: Fever/Chills Secondary: TCM Final: Dyspnea BL12 . CV9 .com info@tlch2o. Tai Yuan. Yin Ling Quan Question: Digestion Secondary: TCM Final: Cough GB39 . KI6 . LU9 .

PC6 . LR13 . KI1 . Tai Bai. Shen Mai. Shang Ju Xu Question: Musculoskeletal Secondary: TCM Final: Hemiplegia GB21 . Tai Xi. Nei Guan Question: Digestion Secondary: TCM Final: Peritonitis ST25 . PC6 . ST37 . Shan Guan. Da Dun Question: Fever/Chills Secondary: TCM Final: Intestinal Disorders CV4 . Jing Gu. CV4 . Qi Chong Question: Neuromuscular Secondary: TCM Final: Seizures BL62 . BL64 . BL23 .Question: Hearing Secondary: TCM Final: Hematuria BL23 . Zu San Li Question: Musculoskeletal Secondary: TCM Final: Menses Irregular BL23 . HE3 . Gong Sun. ST36 . ST30 . Zhang Men. LR2 . GV15 .com info@tlch2o. Jian Shi. Nei Guan. Qi Chong. Shang Ju Xu Question: Musculoskeletal Secondary: TCM Final: Lumbar Pain BL12 . TB10 . Zhon Guan. Si Zhu Kong Question: Fever/Chills Secondary: TCM Final: Insomnia LR2 . ST31 . PC4 . Guan Yuan. Question: Digestion Secondary: TCM Final: Neurasthenia CV12 . ST30 .abctlc. Yong Quan. LR13 . Guan Yuan. Jing Gu. HE3 . Shao Hai Question: Neuromuscular Secondary: TCM Final: Hysteria GV12 . SP6 .com . Xing Jian. BL64 . TB23 . Daz Hui. PC6 . GB31 . Tian Jing. San Yin Jiao. ST37 . Zhao Hai. Bi Guan. LR1 . Question: Digestion Secondary: TCM Final: Hepatobiliary Disorders GB24 . Shen Shu. Shao Hai. Feng Shi. Shen Shu. SP4 . Zu San Li. Tian Jing. Guan Yuan. Xuan Zhong. Qi Men. Qi Chong. TB10 . Question: Fever/Chills Secondary: TCM Final: Hypochondriac Region Pain GB39 . Guan Yuan. Ju Gu. CV13 . ST30 . CV4 . PC5 . Zhang Men. Jian Jing. ST36 . Xi Men. Nei Guan Arthritis © 1/21/2009 TLC 240 www. Daz Hui. Shen Zhu. Gao Huan Shu Question: Digestion Secondary: TCM Final: Hiccough ST36 . LI16 . KI6 . Zu San Li Question: Pain Secondary: TCM Final: Mental Disorders GV14 . Ri Yue Question: Digestion Secondary: TCM Final: Memory Impaired BL43 . SP3 . Xing Jian. Shen Shu. LR14 . KI3 . Ya Men. Feng Men. Question: Musculoskeletal Secondary: TCM Final: Hypertension GV14 . Tian Shu Question: Fever/Chills Secondary: TCM Final: Infertility CV4 .

Xi Men Question: Digestion Secondary: TCM Final: Stomach Pain BL21 . Ji Quan Question: Emotions Secondary: Agitation Final: Headache GB39 . Da Du Emotions Question: Emotions Secondary: Agitation Final: Agitation GV12 . Shen Zhu. ST23 . Tai Yi Question: Emotions Secondary: Agitation Final: Fever Without Sweating SI4 . Wei Shu. Liang Qiu Question: Emotions Secondary: Agitation Final: Chills And Fever BL15 .com . CV12 . Xuan Zhong 241 www. You Men Question: Emotions Secondary: Agitation Final: Foot Cold KI1 . Wei Shu Question: Emotions Secondary: Agitation Final: Dysuria HE8 . SP2 . Zhon Guan. ST40 . Jue Yin Shu. Xuan Zhong Question: Emotions Secondary: Agitation Final: Bone Disorders GV13 . Shan Guan Question: Emotions Secondary: Agitation Final: Cardiac Pain BL14 . Xin Shu Question: Emotions Secondary: Agitation Final: Constipation SP5 .com info@tlch2o. Wan Gu Question: Emotions Secondary: Agitation Final: Agitation And Fullness Below The Heart KI21 . Hou Ding. GV24 .Question: Digestion Secondary: TCM Final: Stomach Dilated CV13 . Shao Fu Question: Hearing Secondary: TCM Final: Visual Dizziness GV19 . Feng Long Question: Digestion Secondary: TCM Final: Stool With Undigested Food BL21 . Yong Quan Question: Emotions Secondary: Agitation Final: Arm Cold HE1 . Qu Ze Question: Digestion Secondary: TCM Final: Vomiting With Uprising Qi CV19 . Qu Ze.abctlc. PC4 . Shang Qui. ST34 . Tao Dao Arthritis © 1/21/2009 TLC Question: Emotions Secondary: Agitation Final: Headache Migraine GB39 . Shen Ting Question: Emotions Secondary: Agitation Final: Fear PC3 . Zi Gong Question: Emotions Secondary: Agitation Final: Fever PC3 .

Unhappiness KI4 . Nei Ting Question: Emotions Secondary: Anger Final: Dizziness HE5 . Jian Shi Question: Emotions Secondary: Anger Final: Indigestion ST36 . Gan Shu Question: Emotions Secondary: Agitation Final: Hysteria PC5 . Lao Gong. Da Zhong Question: Emotions Secondary: Aversion Question: Emotions Secondary: Anger Final: Coughing Blood LU10 . Zhu Bin Question: Emotions Secondary: Anger Question: Emotions Secondary: Anger Final: Mouth Ulcers PC8 . Jiu Wei Question: Emotions Secondary: Anger Final: Headache LR2 . Yu Ji Question: Emotions Secondary: Aversion Final: Dorsal Foot Painful Swelling ST44 . Fright. Zu San Li Question: Emotions Secondary: Agitation Final: Insomnia PC5 . Jian Shi Question: Emotions Secondary: Anger Final: Jaundice LR13 . Fu Liu Question: Emotions Secondary: Agitation Final: Mental Disorders PC8 . Zhang Men Question: Emotions Secondary: Agitation Final: Jaundice PC6 .com . Xuan Zhong Question: Emotions Secondary: Agitation Final: Hypochondriac Region Pain PC7 .Question: Emotions Secondary: Agitation Final: Hemorrhoids GV20 .com info@tlch2o. Yin Bai Question: Emotions Secondary: Anger Final: Leg Pain Medial KI9 . Bai Hui Question: Emotions Secondary: Anger Final: Hemiplegia GB39 . Tong Li Question: Emotions Secondary: Aversion Final: Esophageal Disorders CV15 . Nei Guan Question: Emotions Secondary: Anger Final: Leg Muscle Atrophy KI7 .abctlc. Da Ling Question: Emotions Secondary: Anger Final: Hypochondriac Region Pain BL18 . Xing Jian Arthritis © 1/21/2009 TLC 242 www. Fear. Lao Gong Question: Emotions Secondary: Anger Final: Anger. SP1 .

com . Yin Gu Question: Emotions Secondary: Depression Final: Eye Deviation GV26 . Li Gou Question: Emotions Secondary: Depression Final: Arm Motor Impairment GB21 . Hua Rou Men. ST42 . Ya Men Question: Emotions Secondary: Depression Final: Arm Pain SI3 . LR5 . Shang Xing Question: Emotions Secondary: Depression Final: Knee Disorders KI10 . Cheng Jiang Question: Emotions Secondary: Depression Question: Emotions Secondary: Depression Final: Aphasia From Stroke BL62 . Shang Qui Question: Emotions Secondary: Depression Final: Jaundice BL18 . ST24 . Shang Qui Question: Emotions Secondary: Depression Final: Cough BL15 . Gan Shu Question: Emotions Secondary: Depression Final: Dizziness GV23 . Feng Long Question: Emotions Secondary: Depression Final: Hysteria HE7 .com info@tlch2o. Xi Men Question: Emotions Secondary: Depression Final: Foot Pain SP5 . Zu San Li Question: Emotions Secondary: Depression Final: Diarrhea SP5 . Shen Mai Question: Emotions Secondary: Depression Final: Fear HE5 . Xin Shu. Shui Gou Arthritis © 1/21/2009 TLC Question: Emotions Secondary: Depression Final: Mania ST23 .Question: Emotions Secondary: Depression Final: Facial Edema CV24 . Tai Yi. Jing Gu Question: Emotions Secondary: Depression Final: Chest Pain PC4 . Jian Jing Question: Emotions Secondary: Depression Final: Fever And Chills GV15 . Hou Xi Question: Emotions Secondary: Depression Final: Fever Tidal BL64 . Yang Xi Question: Emotions Secondary: Depression Final: Intestinal Disorders ST36 . ST40 . Tong Li. Chong Yang 243 www. Shen Men Question: Emotions Secondary: Depression Final: Deafness LI5 .abctlc.

Ge Shu Arthritis © 1/21/2009 TLC Question: Emotions Secondary: Fear Final: Coughing Blood PC4 . Qiang Jian. Tian Chuang Question: Emotions Secondary: Disorientation Final: Hypertension GV20 . Yin Bai Question: Emotions Secondary: Disorientation Final: Disorientation And Forgetfulness LU3 . Zhon Guan Question: Emotions Final: Abdominal Pain Question: Emotions Secondary: Disorientation Final: Coughing Blood BL15 . Shen Dao Question: Emotions Secondary: Depression Final: Nosebleed PC8 . Hui Yin. CV1 . GV27 .Question: Emotions Secondary: Depression Final: Mania And Depression BL65 . Dui Duan. Luo Que. SP1 . Shen Men Question: Emotions Secondary: Depression Final: Stomach Pain SP4 . Zhu Bin Question: Emotions Secondary: Disorientation Final: Disorientation GV11 . Shang Qui Question: Emotions Secondary: Depression Final: Urine Dark CV12 . SI7 . HE9 . Shu Gu. BL8 . GV18 . Shao Chong. Ting Hui Question: Emotions Secondary: Depression Final: Mental Disorders KI9 . Xi Men 244 www.com . Li Dui Emotions Secondary: Disorientation Question: Emotions Secondary: Depression Final: Menses Irregular LR1 . Yin Bai Question: Emotions Secondary: Disorientation Final: Insomnia HE7 . Bai Hui Question: Emotions Secondary: Depression Final: Seizures SP1 . Tian Fu Question: Emotions Secondary: Depression Final: Respiratory Disorders SI16 . Xin Shu Question: Emotions Secondary: Fear Final: Abdominal Pain GV4 . Gong Sun Question: Emotions Secondary: Excessive Thinking Final: Gastrointestinal Disorders SP5 . Lao Gong. Ming Men Question: Emotions Secondary: Depression Final: Vomiting BL17 . Da Dun Question: Emotions Secondary: Disorientation Final: Deafness GB2 . Zhi Zheng.abctlc. ST45 .com info@tlch2o.

Tai Chong Question: Emotions Secondary: Fear Final: Hernia Pain LR2 . TB10 . Jing Gu Question: Emotions Secondary: Fear Final: Diarrhea KI2 . San Yin Jiao Question: Emotions Secondary: Fear Final: Hemiplegia GB34 . Xing Jian Question: Emotions Secondary: Fear Final: Fever LI2 . Yong Quan Question: Emotions Secondary: Fear Final: Edema SP6 .Question: Emotions Secondary: Fear Final: Cystitis KI2 . LR3 . Zhao Hai. Da Ling Question: Emotions Secondary: Fear Final: Finger Inflammation LI3 .com info@tlch2o. Guan Yuan Question: Emotions Secondary: Fear Final: Fear And Fright GB9 . LR5 . Ran Gu Question: Emotions Secondary: Fear Final: Headache Vertex KI1 . Yang Xi. Xing Jian Question: Emotions Secondary: Fear Final: Fifth Digit Disorders HE8 . Qu Ze Arthritis © 1/21/2009 TLC 245 www. Tian Chong. Er Jian Question: Emotions Secondary: Fear Final: Hypertension LR2 .com . TB19 . Shao Fu Question: Emotions Secondary: Fear Final: Insomnia KI6 . Zhi Zheng. San Jian Question: Emotions Secondary: Fear Final: Irritable HE7 .abctlc. SI7 . Lu Xi Question: Emotions Secondary: Fear Final: Hernia CV4 . Yang Ling Quan Question: Emotions Secondary: Fear Final: Eye Disorders LI5 . Tian Jing Question: Emotions Secondary: Fear Final: Hemorrhage Postpartum CV4 . Shao Fu. Ran Gu Question: Emotions Secondary: Fear Final: Genital Itching HE8 . Li Gou Question: Emotions Secondary: Fear Final: Deafness Sudden TB2 . Guan Yuan. Shen Men Question: Emotions Secondary: Fear Final: Gastrointestinal Disorders Acute PC3 . Ye Men Question: Emotions Secondary: Fear Final: Headache BL64 . PC7 .

Liang Qiu Question: Emotions Secondary: Joy Final: Loss Of Voice HE7 . Nei Guan Question: Emotions Secondary: Mania Question: Emotions Secondary: Mania Final: Aphasia From Stroke GV12 . Lao Gong Question: Emotions Secondary: Mania Final: Arm Pain HE3 . Qu Chi Question: Emotions Secondary: Joy Question: Emotions Secondary: Joy Final: Dizziness ST40 . Feng Long Question: Emotions Secondary: Mania Final: Asthma GV12 . Da Dun Question: Emotions Secondary: Mania Final: Arthritis Shoulder LI11 . SI5 . Yang Gu. Shang Qui Arthritis © 1/21/2009 TLC 246 www. Zhang Men Question: Emotions Secondary: Joy Final: Lumbar Pain KI7 . TB3 . Shen Zhu Question: Emotions Secondary: Joy Final: Facial Edema GV26 .Question: Emotions Secondary: Fear Final: Knee Disorders ST34 . Yang Xi Question: Emotions Secondary: Mania Final: Chest Pain SI19 . Lie Que Question: Emotions Secondary: Mania Final: Chest Discomfort BL13 . Shen Men Question: Emotions Secondary: Fear Final: Liver Disorders LR13 .abctlc.com . PC6 . Zhong Zhu Question: Emotions Secondary: Fear Final: Seizures LR1 . Fu Liu Question: Emotions Secondary: Fear Final: Malaria PC5 . Fei Shu Question: Emotions Secondary: Joy Final: Headache LI5 . Jian Shi. Tian Zhu Question: Emotions Secondary: Joy Final: Grief LU7 .com info@tlch2o. Shao Hai. Shui Gou Question: Emotions Secondary: Mania Final: Aversion To Cold BL10 . Ting Gong Question: Emotions Secondary: Joy Final: Hemorrhoids SP5 . Shen Zhu Question: Emotions Secondary: Fear Final: Perspiration Excessive in Palms PC8 .

Hou Ding Question: Emotions Secondary: Mania Final: Depression ST41 . Nei Guan Question: Emotions Secondary: Mania Final: Ear Disorders TB2 . Zan Zhu. Yi Feng Question: Mind Secondary: Mania Final: Mania BL5 . GV16 . Jiu Wei Question: Emotions Secondary: Mania Final: Dizziness BL2 . Tian Zhu. Jian Shi Question: Mind Secondary: Mania Final: Eye Disorders BL10 . Ye Men Question: Emotions Secondary: Mania Final: Menses Irregular PC5 . Wu Chu. Qu Quan Question: Emotions Secondary: Mania Final: Nosebleed LU11 .com info@tlch2o. Chang Qiang Question: Emotions Secondary: Mania Final: Hemorrhoids GB39 . BL61 . Jia Xi Question: Emotions Secondary: Mania Final: Mental Disorders KI10 . He Gu Question: Emotions Secondary: Mania Final: Iliac Region Pain ST32 . Feng Fu.abctlc. Fu Tu Question: Emotions Secondary: Mania Final: Curled Tongue Edges SI1 . GB9 . Jie Xi Question: Emotions Secondary: Mania Final: Mania And Depression CV15 . GV19 . Zhu Bin 247 www. Xuan Zhong Question: Emotions Secondary: Mania Final: Constipation LI4 .Question: Emotions Secondary: Mania Final: Clonic Spasm GV1 . GB43 . Tian Chong. Pu Can. Shao Shang Question: Emotions Secondary: Mania Final: Heat Stroke KI1 . Da Ling Question: Emotions Secondary: Mania Final: Fright Mania LR8 . BL58 . Yong Quan Arthritis © 1/21/2009 TLC Question: Emotions Secondary: Mania Final: Pelvic Problems KI9 . Bai Hui Question: Emotions Secondary: Mania Final: Deafness TB17 .com . Yin Gu. Fei Yang Question: Emotions Secondary: Mania Final: Memory Impaired PC6 . Shao Ze Question: Emotions Secondary: Mania Final: Jaw Disorders GV20 . PC7 .

ST36 . Tong Li Question: Emotions Secondary: Sadness Final: Depression BL15 . Shen Dao. Zu San Li Question: Emotions Secondary: Sadness Final: Jaundice ST36 . Bai Hui Question: Emotions Secondary: Sadness Final: Dyspnea LU10 . Zu San Li Question: Emotions Secondary: Sadness Question: Emotions Secondary: Sadness Final: Arm Pain HE1 . Lao Gong.Question: Emotions Secondary: Sadness Final: Hypochondriac Region Pain LR2 . Tian Jing Arthritis © 1/21/2009 TLC Question: Emotions Secondary: Sadness Final: Sadness GV11 .com info@tlch2o. Xing Jian Question: Mind Secondary: Mania Final: Seizures HE7 . Chi Ze Question: Emotions Secondary: Sadness Final: Palpitations PC7 . PC8 . LU3 . Tian Fu 248 www. Bai Hui. Shen Men Question: Emotions Secondary: Sadness Final: Diarrhea SP15 . Jian Shi. PC5 . Shen Men. HE7 . Ji Quan Question: Emotions Secondary: Sadness Final: Leukorrhea KI6 . Ling Dao Question: Emotions Secondary: Sadness Final: Loss Of Voice Sudden HE5 . Da Ling Question: Emotions Secondary: Sadness Final: Elbow Problems LU5 . Da Heng Question: Emotions Secondary: Sadness Final: Menses Irregular PC6 . Zhao Hai Question: Emotions Secondary: Sadness Final: Cardiac Pain HE4 . Da Ling Question: Emotions Secondary: Sadness Final: Fever TB10 . Nei Guan Question: Emotions Secondary: Sadness Final: Dizziness GV13 .abctlc. Tao Dao Question: Emotions Secondary: Sadness Final: Mental Disorders GV20 . Xin Shu Question: Emotions Secondary: Sadness Final: Memory Impaired GV20 .com . Yu Ji Question: Emotions Secondary: Sadness Final: Palm Heat PC7 .

Shen Mai. LR13 . Qi Men. Qu Chai Question: Emotions Secondary: Sadness Final: Stool With Blood SP1 . LR14 . Jing Gu. Nei Guan. Zu Qiao Yin. PC5 . LU8 . KI4 . ST31 . Si Zhu Kong Question: Pain Secondary: TCM Final: Mental Disorders GV14 . Yong Quan. Guan Yuan Question: Emotions Secondary: TCM Final: Anger Injuring The Liver GV8 . GB21 . ST30 . ST44 .com info@tlch2o. Jian Yu.com . Zheng Ying. Feng Men. Nao Kong. Xin Shu. Zhi Zheng Question: Emotions Secondary: TCM Final: Groin Itches HE8 . LU9 . Nao Hu. GV17 . Tai Xi Question: Musculoskeletal Secondary: TCM Final: Lumbar Pain BL12 . Gong Sun. Tian Jing Question: Fever/Chills Secondary: TCM Final: Dyspnea BL12 . BL13 . Dan Shu. BL15 . Fei Shu. Bi Guan Question: Emotions Secondary: TCM Final: Dizziness BL62 . Feng Men. Daz Hui. Zhi Gou Arthritis © 1/21/2009 TLC 249 www. TB10 . BL64 . Zu San Li Question: Emotions Secondary: TCM Final: Deafness GB44 . GB19 . PC7 . PC5 . Tai Yuan Question: Pain Secondary: TCM Final: Skin Disorders HE1 . Zhang Men. Feng Men. Xuan Zhong. Da Zhong. KI3 .Question: Emotions Secondary: Sadness Final: Sadness And Anxiety SI7 . Nei Ting Question: Hearing Secondary: TCM Final: Fever BL12 . Jin Suo Question: Emotions Secondary: TCM Final: Knee Disorders ST36 . LI15 . TB10 . Tou Qiao Yin Question: Emotions Secondary: TCM Final: Hypogastric Pain Twisting CV4 . Lao Gong Question: Emotions Secondary: TCM Final: Headache Frontal BL4 . Jian Shi. BL19 . LR13 . Jian Shi. Yin Bai Question: Emotions Secondary: TCM Question: Fever/Chills Secondary: TCM Final: Hypochondriac Region Pain GB39 . LU10 . Shao Fu Question: Emotions Secondary: Sadness Final: Skin Disorders PC8 . Qi Chong. GB17 . TB6 . Tian Jing Question: Emotions Secondary: TCM Final: Agitation And Heat Of The Hands And Feet GB11 . LI13 . Jing Qu. KI1 . Yu Ji. Da Ling. PC6 . Jian Jing. Ji Quan. Shen Shu.abctlc. TB23 . SP4 . Zhang Men. GB31 . BL23 . Shou Wu Li. Feng Shi.

Shan Guan. Yu Ji Question: Fever/Chills Secondary: Chills Final: Chest Pain BL13 . PC6 . Da Zhu Question: Fever/Chills Secondary: Chills Final: Fever Tidal LU10 . Da Dun Question: Fever/Chills Secondary: Chills Final: Facial Pain ST44 . Chi Ze Question: Fever/Chills Secondary: Chills Final: Arthritis BL11 . CV22 . Fei Shu Question: Fever/Chills Secondary: Chills Final: Grief BL42 . Shao Fu Question: Fever/Chills Secondary: Chills Final: Dizziness GB14 .abctlc. Tian Tu. Po Hu Question: Fever/Chills Secondary: Chills Final: Cough BL12 . Li Gou Question: Fever/Chills Secondary: Chills Final: Facial Muscle Paralysis ST3 . Shen Dao Question: Fever/Chills Secondary: Chills Final: Eyes Yellow BL19 . Nei Guan Question: Fever/Chills Secondary: Chills Final: Eye Disorders LU9 . Hou Xi Question: Fever/Chills Secondary: Chills Final: Hysteria HE8 . Feng Men Question: Fever/Chills Secondary: Chills Final: Headache BL58 . GV3 .com info@tlch2o. LU7 . Dan Shu Question: Emotions Secondary: Worry Final: Genital Pain LR5 . Nei Ting Question: Fever/Chills Secondary: Chills Question: Fever/Chills Secondary: Chills Final: Fever LU5 . CV13 . Tai Yuan Question: Emotions Secondary: Timid Final: Worry GV11 . Shao Ze Question: Emotions Question: Emotions Secondary: TCM Final: Vomiting CV12 .com . Ju Liao Question: Emotions Secondary: Worry Final: Urinary Dysfunction LR1 . Yao Yang Guan. Zhon Guan.Question: Fever/Chills Secondary: Chills Final: Dyspnea SI1 . Fei Yang. Yang Bai Arthritis © 1/21/2009 TLC 250 www. Lie Que Question: Fever/Chills Secondary: Chills Final: Deafness SI3 .

SI3 . Zhi Gou Question: Fever/Chills Secondary: Fever Final: Ear Disorders TB3 . Ge Shu Question: Fever/Chills Secondary: Fever Final: Deafness LI4 . Qu Chi Question: Fever/Chills Secondary: Fever Final: Arm Pain TB4 . Yang Gu. Jing Qu Question: Fever/Chills Secondary: Fever Final: Dream Disturbed Sleep GB44 . TB5 . TB2 . Er Jian Question: Fever/Chills Secondary: Fever Final: Cough BL13 . Kong Zui Question: Fever/Chills Secondary: Chills Final: Vomiting Blood BL17 . Jing Qu. Zhong Zhu Question: Fever/Chills Secondary: Fever Final: Back Pain BL10 . Wai Guan Question: Fever/Chills Secondary: Chills Final: Nosebleed LI2 . Hou Xi. Ye Men Question: Fever/Chills Secondary: Fever Final: Breast Pain GB37 . LU6 . SI5 . SI1 . Zu Qiao Yin Question: Fever/Chills Secondary: Fever Final: Back Heaviness TB6 . Feng Chi Question: Fever/Chills Secondary: Fever Final: Asthma LU8 . Shao Ze. TB3 . San Yang Luo Question: Fever/Chills Secondary: Fever Final: Diarrhea LI11 . Fei Shu Question: Fever/Chills Secondary: Chills Final: Postpartum Abdominal Pain KI14 . Xian Gu 251 www. Guang Ming Arthritis © 1/21/2009 TLC Question: Fever/Chills Secondary: Fever Final: Facial Edema GB43 .com info@tlch2o. Shang Xing.com . Si Man Question: Fever/Chills Secondary: Fever Final: Coughing Blood BL13 . BL11 . Tian Zhu. Yang Chi Question: Fever/Chills Secondary: Fever Final: Dizziness GB20 . Da Zhu Question: Fever/Chills Secondary: Fever Final: Eye Disorders GV23 . Fei Shu. Jia Xi. Shen Men Question: Fever/Chills Secondary: Fever Final: Chest Pain LU8 .abctlc. Zhong Zhu Question: Fever/Chills Secondary: Fever Final: Aphasia From Stroke TB8 . He Gu. ST43 .Question: Fever/Chills Secondary: Chills Final: Mental Disorders HE7 .

Question: Fever/Chills
Secondary: Fever
Final: Fever
SI7 . Zhi Zheng, ST44 . Nei Ting

Question: Fever/Chills
Secondary: Fever
Final: Hip Joint Mobility Decreased
BL40 . Wei Zhong

Question: Fever/Chills
Secondary: Fever
Final: Fever High
LI1 . Shang Yang

Question: Fever/Chills
Secondary: Fever
Final: Hypertension
LR3 . Tai Chong

Question: Fever/Chills
Secondary: Fever
Final: Fever Tidal
LU5 . Chi Ze

Question: Fever/Chills
Secondary: Fever
Final: Impotence
CV4 . Guan Yuan

Question: Fever/Chills
Secondary: Fever
Final: Fever With Absence Of Sweating
GB6 . Xuan Li

Question: Fever/Chills
Secondary: Fever
Final: Indigestion
SP2 . Da Du

Question: Fever/Chills
Secondary: Fever
Final: Fever Without Sweating
SP2 . Da Du

Question: Fever/Chills
Secondary: Fever
Final: Irritable
TB1 . Guan Chong

Question: Fever/Chills
Secondary: Fever
Final: Finger Contraction
SI4 . Wan Gu

Question: Fever/Chills
Secondary: Fever
Final: Leg Pain
ST36 . Zu San Li

Question: Fever/Chills
Secondary: Fever
Final: Finger Numbness
SI2 . Qian Gu

Question: Fever/Chills
Secondary: Fever
Final: Loss Of Voice
TB1 . Guan Chong

Question: Fever/Chills
Secondary: Fever
Final: Hand Tremor
PC3 . Qu Ze

Question: Fever/Chills
Secondary: Fever
Final: Lumbar Pain
LR4 . Zhong Feng

Question: Fever/Chills
Secondary: Fever
Final: Headache
TB1 . Guan Chong

Question: Fever/Chills
Secondary: Fever
Final: Lumbar Spinal Pain
KI7 . Fu Liu

Question: Fever/Chills
Secondary: Fever
Final: Hemorrhoids
BL58 . Fei Yang

Question: Fever/Chills
Secondary: Fever
Final: Mastitis
ST36 . Zu San Li

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Question: Fever/Chills
Secondary: Fever
Final: Mental Disorders
PC6 . Nei Guan

Question: Fever/Chills
Secondary: Fever
Final: Uterine Bleeding Abnormal
SP1 . Yin Bai

Question: Fever/Chills
Secondary: Fever
Final: Metabolic Disturbances
PC6 . Nei Guan

Question: Fever/Chills
Secondary: Fever
Final: Vomiting
PC8 . Lao Gong, SP3 . Tai Bai

Question: Fever/Chills
Secondary: Fever
Final: Nausea
PC5 . Jian Shi

Question: Fever/Chills
Secondary: Fever And Chills
Final: Arm Motor Impairment
SI10 . Nao Shu

Question: Fever/Chills
Secondary: Fever
Final: Nocturnal Emissions
LR4 . Zhong Feng

Question: Fever/Chills
Secondary: Fever And Chills
Final: Axillary Swelling
GB38 . Yang Fu

Question: Fever/Chills
Secondary: Fever
Final: Seizures
PC7 . Da Ling, PC9 . Zhong Chong

Question: Fever/Chills
Secondary: Fever And Chills
Final: Back Pain
SI15 . Jian Zhong Zhu

Question: Fever/Chills
Secondary: Fever
Final: Shock
PC9 . Zhong Chong

Question: Fever/Chills
Secondary: Fever And Chills
Final: Chest Discomfort
GV14 . Daz Hui

Question: Fever/Chills
Secondary: Fever
Final: Stomach Pain
CV13 . Shan Guan, SP3 . Tai Bai

Question: Fever/Chills
Secondary: Fever And Chills
Final: Constipation
TB5 . Wai Guan

Question: Fever/Chills
Secondary: Fever
Final: Throat Constriction
LI2 . Er Jian, LI5 . Yang Xi

Question: Fever/Chills
Secondary: Fever And Chills
Final: Diaphragm Spasm
BL16 . Du Shu

Question: Fever/Chills
Secondary: Fever
Final: Throat Soreness
LI5 . Yang Xi

Question: Fever/Chills
Secondary: Fever And Chills
Final: Dizziness
SI5 . Yang Gu

Question: Fever/Chills
Secondary: Fever
Final: Ulcers
PC8 . Lao Gong

Question: Fever/Chills
Secondary: Fever And Chills
Final: Dyspnea
LU1 . Zhong Fu

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Question: Fever/Chills
Secondary: Fever And Chills
Final: Elbow Problems
TB3 . Zhong Zhu

Question: Fever/Chills
Secondary: Fever And Chills
Final: Gastric Disorders
GB40 . Qiu Xu

Question: Fever/Chills
Secondary: Fever And Chills
Final: Emaciation
BL23 . Shen Shu

Question: Fever/Chills
Secondary: Fever And Chills
Final: Genital Pain
SP9 . Yin Ling Quan

Question: Fever/Chills
Secondary: Fever And Chills
Final: Eye Deviation
BL62 . Shen Mai, LI4 . He Gu

Question: Fever/Chills
Secondary: Fever And Chills
Final: Hand Dorsal Inflammation
LI3 . San Jian

Question: Fever/Chills
Secondary: Fever And Chills
Final: Eye Disorders
GB20 . Feng Chi, ST8 . Tou Wei

Question: Fever/Chills
Secondary: Fever And Chills
Final: Headache
BL59 . Fu Yang

Question: Fever/Chills
Secondary: Fever And Chills
Final: Facial Edema
SI17 . Tian Rong

Question: Fever/Chills
Secondary: Fever And Chills
Final: Hematuria
LU7 . Lie Que

Question: Fever/Chills
Secondary: Fever And Chills
Final: Fever
GV13 . Tao Dao, SI1 . Shao Ze, SI3 . Hou Xi

Question: Fever/Chills
Secondary: Fever And Chills
Final: Hiccough
CV22 . Tian Tu

Question: Fever/Chills
Secondary: Fever And Chills
Final: Fever And Chills
SI7 . Zhi Zheng

Question: Fever/Chills
Secondary: Fever And Chills
Final: Hypertension
GB34 . Yang Ling Quan

Question: Fever/Chills
Secondary: Fever And Chills
Final: Fever Tidal
TB10 . Tian Jing

Question: Fever/Chills
Secondary: Fever And Chills
Final: Indigestion
LR14 . Qi Men

Question: Fever/Chills
Secondary: Fever And Chills
Final: Finger Movement Inhibited
SI4 . Wan Gu

Question: Fever/Chills
Secondary: Fever And Chills
Final: Intestinal Disorders
BL22 . San Jiao Shu

Question: Fever/Chills
Secondary: Fever And Chills
Final: Flaccid Tongue
GV15 . Ya Men

Question: Fever/Chills
Secondary: Fever And Chills
Final: Jaw Disorders
GV26 . Shui Gou

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Question: Fever/Chills
Secondary: Fever And Chills
Final: Knee Disorders
BL40 . Wei Zhong

Question: Fever/Chills
Secondary: TCM
Final: Arm Motor Impairment
SI9 . Jian Zhen

Question: Fever/Chills
Secondary: Fever And Chills
Final: Leg Muscle Weakness
BL58 . Fei Yang

Question: Fever/Chills
Secondary: TCM
Final: Aversion To Wind And Cold
BL65 . Shu Gu, GB3 . Shang Guan, GV19 .
Hou Ding

Question: Fever/Chills
Secondary: Fever And Chills
Final: Leg Pain
BL64 . Jing Gu

Question: Fever/Chills
Secondary: TCM
Final: Cardiac Conditions GV11 . Shen Dao
Question: Digestion
Secondary: TCM
Final: Back Pain
BL12 . Feng Men, GV10 . Ling Tai, GV12 .
Shen Zhu, GV9 . Zhi Yang, TB6 . Zhi Gou

Question: Fever/Chills
Secondary: Fever And Chills
Final: Mental Disorders
ST36 . Zu San Li
Question: Fever/Chills
Secondary: Fever And Chills
Final: Mouth Dryness
TB1 . Guan Chong

Question: Digestion
Secondary: TCM
Final: Cough
GB39 . Xuan Zhong, GV14 . Daz Hui, LU1 .
Zhong Fu, LU10 . Yu Ji

Question: Fever/Chills
Secondary: Fever And Chills
Final: Neck Movement Restricted
SI14 . Jian Wai Shu

Question: Emotions
Secondary: TCM
Final: Deafness
GB44 . Zu Qiao Yin, KI3 . Tai Xi

Question: Fever/Chills
Secondary: Fever And Chills
Final: Parotitis
LU11 . Shao Shang

Question: Emotions
Secondary: TCM
Final: Dizziness
BL62 . Shen Mai, GB17 . Zheng Ying, GB19 .
Nao Kong, GV17 . Nao Hu, TB23 . Si Zhu
Kong

Question: Fever/Chills
Secondary: Perspiration
Final: Bitter Taste GB38 . Yang Fu

Secondary: TCM

Question: Fever/Chills
Secondary: TCM
Final: Dyspnea
BL12 . Feng Men, BL13 . Fei Shu, BL15 . Xin
Shu, GB21 . Jian Jing, KI4 . Da Zhong, LU8 .
Jing Qu, LU9 . Tai Yuan

Question: Fever/Chills
Secondary: TCM
Final: Anal Prolapse
GV4 . Ming Men

Question: Fever/Chills
Secondary: TCM
Final: Elbow Problems
LI11 . Qu Chi

Question: Perspiration
Secondary: Perspiration
Final: Windstroke
GV15 . Ya Men, PC8 . Lao Gong

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Question: Musculoskeletal
Secondary: TCM
Final: Loss Of Voice
KI1 . Yong Quan, LU10 . Yu Ji

Question: Hearing
Secondary: TCM
Final: Eye Disorders
BL2 . Zan Zhu, GB14 . Yang Bai, TB16 . Tian
You, TB3 . Zhong Zhu

Question: Musculoskeletal
Secondary: TCM
Final: Lumbar Pain
BL12 . Feng Men, BL23 . Shen Shu, BL64 .
Jing Gu, GB31 . Feng Shi, LR13 . Zhang
Men, ST30 . Qi Chong, ST31 . Bi Guan

Question: Fever/Chills
Secondary: TCM
Final: Fever Afternoon
BL13 . Fei Shu
Question: Fever/Chills
Secondary: TCM
Final: Fever With Absence Of Sweating
TB15 . Tian Liao

Question: Pain
Secondary: TCM
Final: Mastitis
CV17 . Shan Zhong, LU5 . Chi Ze

Question: Fever/Chills
Secondary: TCM
Final: Heat In The Body Like Fire
HE9 . Shao Chong

Question: Fever/Chills
Secondary: TCM
Final: Nasal Congestion
GV20 . Bai Hui, GV23 . Shang Xing, LU1 .
Zhong Fu

Question: Fever/Chills
Secondary: TCM
Final: Hypochondriac Region Pain
GB39 . Xuan Zhong, LR13 . Zhang Men,
LR14 . Qi Men, PC6 . Nei Guan, TB10 . Tian
Jing

Question: Pain
Secondary: TCM
Final: Palpitations
CV17 . Shan Zhong, PC5 . Jian Shi
Question: Pain
Secondary: TCM
Final: Skin Disorders
HE1 . Ji Quan, LI13 . Shou Wu Li, LI15 . Jian
Yu, PC7 . Da Ling, ST44 . Nei Ting

Question: Fever/Chills
Secondary: TCM
Final: Infertility
CV4 . Guan Yuan, ST30 . Qi Chong
Question: Fever/Chills
Secondary: TCM
Final: Insomnia
LR2 . Xing Jian, PC4 . Xi Men, PC6 . Nei
Guan

Question: Pain
Secondary: TCM
Final: Stiff Tongue
GV15 . Ya Men, PC9 . Zhong Chong, TB1 .
Guan Chong

Question: Fever/Chills
Secondary: TCM
Final: Intestinal Disorders
CV4 . Guan Yuan, SP3 . Tai Bai, ST37 .
Shang Ju Xu

Question: Fever/Chills
Secondary: TCM
Final: Stomach Spasms
CV13 . Shan Guan
Question: Digestion
Secondary: TCM
Final: Back Pain
BL12 . Feng Men, GV10 . Ling Tai, GV12 .
Shen Zhu, GV9 . Zhi Yang, TB6 . Zhi Gou

Question: Fever/Chills
Secondary: TCM
Final: Jaundice
BL22 . San Jiao Shu, BL49 . Yi She

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Question: Hearing
Secondary: Hearing Loss
Final: Dizziness
KI3 . Tai Xi, TB16 . Tian You

Question: Emotions
Secondary: TCM
Final: Dizziness
BL62 . Shen Mai, GB17 . Zheng Ying, GB19 .
Nao Kong, GV17 . Nao Hu, TB23 . Si Zhu

Question: Hearing
Secondary: Hearing Loss
Final: Dream Disturbed Sleep
TB16 . Tian You

Question: Hearing
Secondary: TCM
Final: Eye Disorders
BL2 . Zan Zhu, GB14 . Yang Bai, TB16 . Tian
You, TB3 . Zhong Zhu

Question: Hearing
Secondary: Hearing Loss
Final: Ear Disorders
GB2 . Ting Hui, TB17 . Yi Feng, TB20 . Jiao
Sun, TB21 . Er Men, TB5 . Wai Guan

Question: Hearing
Secondary: TCM
Final: Facial Edema
SI8 . Xiao Hai

Question: Hearing
Secondary: Hearing Loss
Final: Elbow Problems
SI8 . Xiao Hai

Question: Digestion
Secondary: TCM
Final: Facial Muscle Paralysis
LI2 . Er Jian, ST5 . Da Ying, TB17 . Yi Feng

Question: Hearing
Secondary: Hearing Loss
Final: Eye Deviation
ST1 . Cheng Qi

Question: Musculoskeletal
Secondary: TCM
Final: Menses Irregular
BL23 . Shen Shu, CV4 . Guan Yuan, KI3 .
Tai Xi, ST30 . Qi Chong

Question: Hearing
Secondary: Hearing Loss
Final: Eye Disorders
BL62 . Shen Mai, GB44 . Zu Qiao Yin, LI4 .
He Gu

Question: Hearing
Question: Hearing
Secondary: Ears
Final: Leukorrhea CV4 . Guan Yuan

Question: Hearing
Secondary: Hearing Loss
Final: Facial Pain GB43 . Jia Xi

Question: Hearing
Secondary: Hearing Loss
Final: Arm Pain
SI9 . Jian Zhen, TB8 . San Yang Luo

Question: Hearing
Secondary: Hearing Loss
Final: Fever
GB20 . Feng Chi, SI5 . Yang Gu, TB3 .
Zhong Zhu

Question: Hearing
Secondary: Hearing Loss
Final: Breast Swelling
GB41 . Zu Lin Qi

Question: Hearing
Secondary: Hearing Loss
Final: Fever And Chills Without Sweating
SI1 . Shao Ze

Question: Hearing
Secondary: Hearing Loss
Final: Deafness
GB10 . Fu Bai, GB11 . Tou Qiao Yin, GB3 .
Shang Guan, LI6 . Pian Li, SI19 . Ting Gong
ST7 . Xia Guan, TB21 . Er Men, TB4 . Yang
Chi, TB5 . Wai Guan, TB7 . Hui Zong
Arthritis © 1/21/2009 TLC

Question: Hearing
Secondary: Hearing Loss
Final: Finger Contraction
SI3 . Hou Xi

257

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Question: Hearing
Secondary: Hearing Loss
Final: Finger Numbness
LI1 . Shang Yang

Question: Hearing
Secondary: Otitis
Final: Ear Pain
GB11 . Tou Qiao Yin

Question: Hearing
Secondary: Hearing Loss
Final: Goiter
SI17 . Tian Rong, TB10 . Tian Jing

Question: Hearing
Secondary: Otitis
Final: Elbow Problems
TB5 . Wai Guan

Question: Hearing
Secondary: Hearing Loss
Final: Gum Disorders
TB2 . Ye Men

Question: Hearing
Secondary: Otitis
Final: Eye Deviation
GB2 . Ting Hui, ST7 . Xia Guan, TB17 . Yi
Feng

Question: Hearing
Secondary: Hearing Loss
Final: Hand Pain
TB2 . Ye Men

Question: Hearing
Secondary: Otitis
Final: Eye Disorders
TB17 . Yi Feng

Question: Hearing
Secondary: Hearing Loss
Final: Headache
GB20 . Feng Chi

Question: Hearing
Secondary: Otitis
Final: Eye Redness And Swelling
TB20 . Jiao Sun

Question: Hearing
Secondary: Hearing Loss
Final: Hearing Loss
TB18 . Qi Mai, TB19 . Lu Xi

Question: Hearing
Secondary: Otitis
Final: Facial Edema
TB17 . Yi Feng

Question: Hearing
Secondary: Hearing Loss
Final: Shoulder Pain
SI16 . Tian Chuang

Question: Hearing
Secondary: Otitis
Final: Facial Muscle Paralysis
GB2 . Ting Hui

Question: Hearing
Secondary: Hearing Loss
Final: Throat Soreness
TB1 . Guan Chong

Question: Hearing
Secondary: Otitis
Final: Facial Pain
TB5 . Wai Guan

Question: Hearing
Secondary: Hearing Loss
Final: Tinnitus
LI5 . Yang Xi

Question: Hearing
Secondary: Otitis
Final: Fever
TB5 . Wai Guan

Question: Hearing
Secondary: Otitis
Final: Ear Disorders
GB12 . Wan Gu, SI19 . Ting Gong, ST7 . Xia
Guan, TB19 . Lu Xi

Arthritis © 1/21/2009 TLC

Question: Hearing
Secondary: Otitis
Final: Finger Movement Inhibited
TB3 . Zhong Zhu

258

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Question: Hearing
Secondary: TCM
Final: Hematuria
BL23 . Shen Shu, CV4 . Guan Yuan, LR1 .
Da Dun

Question: Hearing
Secondary: Otitis
Final: Headache
GB43 . Jia Xi, TB2 . Ye Men, TB21 . Er Men
Question: Hearing
Secondary: Otitis
Final: Jaw Disorders
TB21 . Er Men

Question: Hearing
Secondary: TCM
Final: Nosebleed
GV20 . Bai Hui, KI1 . Yong Quan

Question: Hearing
Secondary: Otitis
Final: Lip Stiffness
TB21 . Er Men

Question: Hearing
Secondary: TCM
Final: Visual Dizziness
GV19 . Hou Ding, GV24 . Shen Ting

Question: Hearing
Secondary: Otitis
Final: Tinnitus
TB21 . Er Men

Question: Hearing
Secondary: Tinnitus
Final: Bone Disorders
GV4 . Ming Men

Question: Hearing
Secondary: Otitis
Final: Toothache
LI5 . Yang Xi

Question: Hearing
Secondary: Tinnitus
Final: Cardiac Pain
TB6 . Zhi Gou

Question: Hearing
Secondary: Otitis
Final: Visual Disturbances
SI16 . Tian Chuang

Question: Hearing
Secondary: Tinnitus
Final: Eye Disorders
ST1 . Cheng Qi

Question: Hearing
Secondary: TCM
Question: Hearing
Secondary: TCM
Final: Fever
BL12 . Feng Men, BL19 . Dan Shu, LU10 .
Yu Ji, PC5 . Jian Shi, TB6 . Zhi Gou

Question: Hearing
Secondary: Tinnitus
Final: Facial Edema
LI4 . He Gu
Question: Hearing
Secondary: Tinnitus
Final: Facial Muscle Paralysis
ST7 . Xia Guan

Question: Hearing
Secondary: TCM
Final: Fever High
TB5 . Wai Guan

Question: Hearing
Secondary: Tinnitus
Final: Failure to Discharge Placenta
SP6 . San Yin Jiao

Question: Hearing
Secondary: TCM
Final: Headache
BL62 . Shen Mai, GB41 . Zu Lin Qi, GV20 .
Bai Hui, GV23 . Shang Xing, LI4 . He Gu,
LR8 . Qu Quan, LU9 . Tai Yuan

Arthritis © 1/21/2009 TLC

Question: Hearing
Secondary: Tinnitus
Final: Fever
GB44 . Zu Qiao Yin

259

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GB10 . He Liao Question: Hearing Secondary: Tinnitus Final: Impotence BL23 . Fu Bai. SI4 . GB3 . Yang Xi 260 www. Qi Mai. TB3 . Zhong Chong. Yi Feng Arthritis © 1/21/2009 TLC Question: Hearing Secondary: Tinnitus Final: Urticaria LI5 .Question: Hearing Secondary: Tinnitus Final: Finger Pain TB5 . Lu Xi. TB22 . Shang Guan. Wai Guan Question: Hearing Secondary: Tinnitus Final: Loss Of Voice TB2 . Di Wu Hui. Tou Qiao Yin. Jia Xi Question: Hearing Secondary: Tinnitus Final: Throat Infections SI17 . GB42 . Shen Shu. Nei Ting Question: Hearing Secondary: Tinnitus Final: Toothache TB21 .abctlc. Shao Ze. Bai Hui Question: Hearing Secondary: Tinnitus Final: Headache Migraine GB43 . PC9 . Zhong Zhu Question: Hearing Secondary: Tinnitus Final: Mental Disorders SI19 . Wan Gu. Tian Rong Question: Hearing Secondary: Tinnitus Final: Hemiplegia GB2 . Feng Chi Question: Hearing Secondary: Tinnitus Final: Seizures GV20 . Tai Xi Question: Hearing Secondary: Tinnitus Final: Intestinal Disorders ST44 .com info@tlch2o. San Jian Question: Hearing Secondary: Tinnitus Final: Headache SI1 .com . TB17 . Luo Que. GB11 . Shen Mai Question: Hearing Secondary: Tinnitus Final: Nosebleed SI2 . Si Du Question: Hearing Secondary: Tinnitus Final: Malaria LI3 . SI3 . Ye Men Question: Hearing Secondary: Tinnitus Final: Forearm Pain TB9 . TB18 . Ting Gong Question: Hearing Secondary: Tinnitus Final: Nausea ST36 . Qian Gu Question: Hearing Secondary: Tinnitus Final: Headache Midline GB20 . Er Men Question: Hearing Secondary: Tinnitus Final: Jaw Disorders LI1 . KI3 . TB19 . Shang Yang. Hou Xi. GB4 . Ting Hui Question: Hearing Secondary: Tinnitus Final: Tinnitus BL8 . Zu San Li Question: Hearing Secondary: Tinnitus Final: Headache Lateral BL62 . Han Yan.

Wai Guan Question: Hearing Secondary: Vertigo Final: Menses Irregular KI6 . Xing Jian Question: Hearing Secondary: Vertigo Final: Eyelid Spasm ST8 .Question: Hearing Secondary: Vertigo Final: Bone Disorders BL11 . GB43 .com . Yang Bai Question: Hearing Secondary: Vertigo Final: Lacrimation LR2 . Jia Xi Question: Hearing Secondary: Vertigo Final: Diarrhea GV4 . Tou Wei Question: Hearing Secondary: Vertigo Final: Liver Disorders BL18 . Feng Chi. Tai Chong Question: Hearing Secondary: Vertigo Final: Edema Lower Body ST40 . Si Zhu Kong Question: Hearing Secondary: Vertigo Final: Knee Disorders GB39 . Ming Men Question: Hearing Secondary: Vertigo Final: Hypertension KI1 . Fei Yang Question: Hearing Secondary: Vertigo Final: Hand Tremor TB5 .com info@tlch2o. Ren Ying Question: Hearing Secondary: Vertigo Final: Leg Pain BL58 . Xuan Zhong Question: Hearing Secondary: Vertigo Final: Eyelid Itching GB14 . Zu Qiao Yin Question: Hearing Secondary: Vertigo Final: Menses Painful CV4 . Da Zhu Question: Hearing Secondary: Vertigo Final: Hearing Loss GB20 . Guan Yuan Arthritis © 1/21/2009 TLC 261 www. TB23 . GB41 . Shao Ze Question: Hearing Secondary: Vertigo Final: Eye Disorders LI11 . Feng Long Question: Hearing Secondary: Vertigo Final: Jaundice SI1 . Gan Shu Question: Hearing Secondary: Vertigo Final: Goiter ST9 .abctlc. Qu Chi. Tian Zhu. Yong Quan Question: Hearing Secondary: Vertigo Final: Dizziness BL10 . Zhao Hai Question: Hearing Secondary: Vertigo Final: Headache GB44 . Zu Lin Qi Question: Hearing Secondary: Vertigo Final: Hypochondriac Region Pain LR3 .

Shang Liao Question: Hearing Secondary: Vertigo Final: Vertigo BL3 . Luo Que. Jing Qu Question: Hearing Secondary: Vertigo Final: Nocturnal Emissions BL43 . Yang Fu Question: Hearing Secondary: Vertigo Final: Neurasthenia ST36 . Bai Hui Question: Infection Secondary: Malaria Final: Dyspnea GV14 . GB8 . TB16 .abctlc. BL9 . Shu Gu Question: Infection Secondary: Malaria Final: Fear PC4 . Shang Xing. GV22 . He Gu Question: Infection Secondary: Malaria Final: Back Pain BL65 . Tian You Question: Hearing Secondary: Vertigo Final: Vertigo With Agitation GV18 . Daz Hui Question: Hearing Secondary: Vertigo Final: Shoulder Pain TB3 . Da Zhu Question: Infection Secondary: Malaria Final: Fever LI11 . Xi Men Question: Infection Secondary: Malaria Final: Chest Discomfort BL11 . Feng Fu.Question: Hearing Secondary: Vertigo Final: Nausea PC6 . Qu Chi Arthritis © 1/21/2009 TLC 262 www. BL8 . Mei Chong. Zu Lin Qi Question: Hearing Secondary: Vertigo Final: Shock GV20 . Xin Hui Question: Infection Secondary: Malaria Final: Eye Disorders TB4 . Gao Huan Shu Question: Infection Secondary: Malaria Final: Dorsal Foot Painful Swelling GB41 . Zu San Li Question: Infection Secondary: Malaria Final: Cough LU8 . Yu Zhen. Zhong Zhu Question: Infection Secondary: Malaria Final: Dysuria BL31 . Shuai Gu.com info@tlch2o. Yang Chi Question: Infection Secondary: Malaria Final: Facial Edema GV23 . GV16 . Qiang Jian Question: Infection Secondary: Malaria Question: Infection Secondary: Malaria Final: Facial Muscle Paralysis LI4 .com . Nei Guan Question: Infection Secondary: Malaria Final: Chest Pain GB38 .

SI8 . Xiao Hai Question: Infection Secondary: Malaria Final: Lactation Insufficient SI1 . Qiu Xu Question: Infection Secondary: Malaria Final: Lumbar Pain BL58 . Yang Ling Quan. Tao Dao Question: Infection Secondary: Malaria Final: Lateral Costal Region Swelling LR14 . Jia Xi Question: Infection Secondary: Malaria Final: Malaria TB2 . Feng Chi. Nei Ting Arthritis © 1/21/2009 TLC 263 www. Ming Men Question: Infection Secondary: Malaria Final: Leg Numbness BL40 . Hou Xi Question: Infection Secondary: Malaria Final: Hypertension GB43 . Yu Ji Question: Infection Secondary: Malaria Final: Hysteria ST43 . Pi Shu Question: Infection Secondary: Malaria Final: Insomnia KI3 .abctlc. Wan Gu Question: Infection Secondary: Malaria Final: Mastitis LU10 . Lie Que Question: Infection Secondary: Malaria Final: Loss Of Consciousness LI1 . Jing Gu.com .com info@tlch2o. Fei Yang. LU7 . Xian Gu Question: Infection Secondary: Malaria Final: Menorrhagia BL20 . GV4 . Qi Men Question: Infection Secondary: Malaria Final: Headache GV13 . SI4 . SI3 . Tao Dao. Tian Jing Question: Infection Secondary: Malaria Final: Leukorrhea LR2 . Shao Ze Question: Infection Secondary: Malaria Final: Mouth Deviation ST44 . Ye Men Question: Infection Secondary: Malaria Final: Hypochondriac Region Pain GB34 . Shang Yang Question: Infection Secondary: Malaria Final: Herpes Zoster GB40 . Tai Xi Question: Infection Secondary: Malaria Final: Mental Disorders BL64 . Xing Jian Question: Infection Secondary: Malaria Final: Hemiplegia GB20 . Wei Zhong Question: Infection Secondary: Malaria Final: Headache Migraine TB10 .Question: Infection Secondary: Malaria Final: Fever And Chills GV13 .

abctlc.Question: Infection Secondary: Malaria Final: Nasal Congestion BL58 . Yang Xi Question: Infection Secondary: Malaria Final: Parotitis SI2 . Ting Hui Question: Infection Secondary: Malaria Final: Swallowing Difficult BL21 . Bai Hui Arthritis © 1/21/2009 TLC Question: Infection Secondary: Mumps Final: Throat Soreness LU11 . Chi Ze Question: Infection Secondary: Mumps Final: Headache TB5 . Wei Shu Question: Infection Secondary: Mumps Final: Jaws Clenched ST5 . Qian Gu Question: Infection Secondary: Mumps Question: Infection Secondary: Mumps Final: Fever Without Sweating LI4 .com info@tlch2o. Gong Sun Question: Infection Secondary: Malaria Final: Palpitations PC6 .com . Zhong Zhu Question: Infection Secondary: Mumps Final: Seizures SI2 . Fei Yang Question: Infection Secondary: Malaria Final: Urine Retention LR4 . Da Ying Question: Infection Secondary: Malaria Final: Throat Infections LU11 . Shao Shang 264 www. Wai Guan Question: Infection Secondary: Malaria Final: Saliva Excessive PC5 . San Jian. Shao Shang Question: Infection Secondary: Mumps Final: Mouth Deviation TB17 . He Gu Question: Infection Secondary: Malaria Final: Respiratory Disorders LU5 . Jian Shi Question: Infection Secondary: Mumps Final: Jaw Disorders GB2 . Yi Feng Question: Infection Secondary: Malaria Final: Throat Soreness LI3 . Qian Gu Question: Infection Secondary: Malaria Final: Tinnitus GV20 . Shao Fu Question: Infection Secondary: Malaria Final: Vomiting SP4 . Nei Guan Question: Infection Secondary: Malaria Final: Wrist Joint Soft Tissue Diseases LI5 . TB3 . Zhong Feng Question: Infection Secondary: Malaria Final: Palm Heat HE8 .

Yong Quan Question: Mind Secondary: Mania Question: Mind Secondary: Mania Final: Breast Swelling GB37 . SI5 . Bai Huan Shu Question: Mind Secondary: Mania Final: Constipation GV1 . Yang Gu Question: Mind Secondary: Dementia Question: Mind Secondary: Mania Final: Headache ST40 . Shen Men Question: Mind Secondary: Mania Final: Infertility KI1 .com .Question: Mind Secondary: Mania Final: Cardiac Conditions GV12 . Da Zhong Question: Mind Secondary: Mania Final: Epilepsy GV8 . Feng Long 265 www. Xin Shu Question: Mind Secondary: Mania Final: Headache Unilateral TB10 . Daz Hui. Tian Zhu. Shen Zhu Question: Infection Secondary: TCM Question: Infection Secondary: TCM Final: Anal Diseases BL30 . Xin Shu Question: Mind Secondary: Mania Final: Carbuncles And Furuncles GV12 . GB43 . Shen Men Question: Mind Secondary: Mania Final: Fever Without Sweating BL10 . Jia Xi Question: Infection Secondary: TCM Final: Palm Heat HE7 . Chang Qiang Question: Infection Secondary: TCM Final: Decreased Energy KI4 . Shen Zhu Arthritis © 1/21/2009 TLC Question: Mind Secondary: Mania Final: Leg Muscle Atrophy ST40 .abctlc. SP6 . Jin Suo Question: Infection Secondary: TCM Final: Eczema GV14 . Feng Long Question: Mind Secondary: Dementia Final: Fever BL15 .com info@tlch2o. Guang Ming Question: Mind Secondary: Mania Final: Insomnia BL15 . Tian Zhu. Tian Jing Question: Mind Secondary: Dementia Final: Palpitations HE7 . San Yin Jiao Question: Mind Secondary: Mania Final: Eye Disorders BL10 .

Qu Chi Question: Mind Secondary: Mania Final: Reproductive System Disorders ST36 . Lao Gong. Shui Gou Question: Mind Secondary: Mania Final: Liver Disorders LR14 . Da Ling Question: Mind Secondary: Mania Final: Mania BL5 . BL61 . Da Ling Question: Mind Secondary: Mania Final: Pancreatitis ST36 . ST36 . Xia Lian Question: Mind Secondary: Mania Final: Suicidal Tendencies GV16 .com info@tlch2o. GV16 . Jian Shi. Feng Fu. Xiao Hai Question: Mind Secondary: Mania Final: Throat Infections PC7 . Zhang Men Question: Mind Secondary: Mania Final: Manic Raving LI6 . Pu Can. Tian Chong. Pian Li.com . Feng Fu Question: Mind Secondary: Mania Final: Menses Early LR2 . GB9 . Shao Hai Question: Mind Secondary: Mania Final: Perspiration At Night BL13 . Wu Chu. Zu San Li Question: Mind Secondary: Memory Question: Mind Secondary: Memory Final: Axillary Pain HE3 . Shen Men. Zu San Li Question: Mind Secondary: Mania Final: Lip Tremor GV26 . PC5 .abctlc. Ye Men Question: Mind Secondary: Mania Final: Neck Pain SI8 . Xing Jian Question: Mind Secondary: Mania Final: Throat Constriction TB2 . Qiang Jian Question: Mind Secondary: Mania Final: Paralysis Due To Wind Stoke ST36 . LI8 . Qi Men Question: Mind Secondary: Mania Final: Stomach Pain PC5 . Hou Ding Question: Mind Secondary: Mania Final: Stool With Undigested Food LR13 .Question: Mind Secondary: Mania Final: Seizures HE7 . Zu San Li Question: Mind Secondary: Mania Final: Visual Dizziness GV18 . PC7 . Fei Shu Question: Mind Secondary: Memory Final: Fever High LI11 . Zu San Li Arthritis © 1/21/2009 TLC 266 www. GV19 . Jian Shi. PC8 .

Nei Ting Question: Mind Secondary: Memory Final: Leg Paralysis KI1 . Feng Chi Question: Mind Secondary: Memory Final: Uterine Prolapse GV20 . Guang Ming 267 www. Bai Hui Question: Mind Secondary: Memory Final: Irritable BL15 . Zhi Yang Question: Mind Secondary: Memory Final: Thirst HE7 .Question: Mind Secondary: Memory Final: Hypertension GB20 . Xin Shu Question: Mind Secondary: Memory Final: Vomiting PC5 .abctlc.com info@tlch2o. Shen Zhu Question: Mind Secondary: Memory Final: Poor Memory GV11 . Lie Que Question: Mind Secondary: Mind Question: Mind Secondary: Mind Final: Nosebleed ST44 . Shen Men Question: Mind Secondary: Memory Final: Lumbar Pain KI3 . Yong Quan Question: Mind Secondary: Mind Final: Throat Dryness HE7 .com . Du Bi Question: Mind Secondary: Memory Final: Seizures PC6 . GV10 . Jian Shi Question: Mind Secondary: Memory Final: Jaw Disorders LU7 . Gao Huan Shu. Ling Tai. GV12 . Shen Men Arthritis © 1/21/2009 TLC Question: Musculoskeletal Secondary: Atrophy Final: Chills And Fever without Sweating GB37 . Bai Hui Question: Mind Secondary: Memory Final: Perspiration At Night BL43 . Da Zhu. Nei Guan Question: Musculoskeletal Secondary: Atrophy Final: Abdominal Pain ST35 . Tai Xi Question: Mind Secondary: Mind Final: Vertigo GV20 . Gao Huan Shu Question: Perspiration Secondary: TCM Final: Respiratory Disorders BL11 . Nei Guan Question: Musculoskeletal Secondary: Atrophy Final: Borborygmus GV9 . BL43 . Shen Dao Question: Musculoskeletal Secondary: Atrophy Question: Mind Secondary: Memory Final: Rectal Prolapse PC6 .

San Yin Jiao Question: Musculoskeletal Secondary: Atrophy Final: Goiter LI11 . Wei Zhong. Yin Men. Chong Men Question: Musculoskeletal Secondary: Atrophy Final: Constipation BL36 . Cheng Fu. Xuan Zhong. Di Cang Question: Musculoskeletal Secondary: Atrophy Final: Leg Pain BL25 . Feng Shi Arthritis © 1/21/2009 TLC Question: Musculoskeletal Secondary: Atrophy Final: Lower Extremity Pain ST39 . Zhong Liao Question: Musculoskeletal Secondary: Atrophy Final: Knee Disorders ST32 . Bi Guan Question: Musculoskeletal Secondary: Atrophy Final: Facial Muscle Paralysis ST4 . Xia Ju Xu 268 www. Fu Tu Question: Musculoskeletal Secondary: Atrophy Final: Edema GB30 . Qi Hai Question: Musculoskeletal Secondary: Atrophy Final: Hypochondriac Region Pain GB40 . BL54 . GB39 . Feng Long Question: Musculoskeletal Secondary: Atrophy Final: Headache GB31 . CV6 . BL33 . Feng Long Question: Musculoskeletal Secondary: Atrophy Final: Genital Pain SP6 .abctlc.Question: Musculoskeletal Secondary: Atrophy Final: Hip Movement Inhibited SP12 . Qu Chi Question: Musculoskeletal Secondary: Atrophy Final: Leg Paralysis ST40 . Shou San Li Question: Musculoskeletal Secondary: Atrophy Final: Hypochondriac Region Swelling LR3 . Tai Chong Question: Musculoskeletal Secondary: Atrophy Final: Dysmenorrhea BL24 . Zhi Bian. Da Chang Shu. BL40 . Qi Hai Shu Question: Musculoskeletal Secondary: Atrophy Final: Jaundice GB34 . Guang Ming Question: Musculoskeletal Secondary: Atrophy Final: Leg Muscle Atrophy BL37 . Huan tiao Question: Musculoskeletal Secondary: Atrophy Final: Leg Atrophy BL61 . Yang Ling Quan Question: Musculoskeletal Secondary: Atrophy Final: Dysuria BL28 . Pang Guang Shu.com info@tlch2o. ST40 . Qiu Xu Question: Musculoskeletal Secondary: Atrophy Final: Diarrhea LI10 . ST31 .com . Pu Can Question: Musculoskeletal Secondary: Atrophy Final: Eye Disorders GB37 .

San Jiao Shu. BL60 . Xia Liao BL56 . Tai Xi Question: Musculoskeletal Secondary: Back-Lower Final: Leg Paralysis BL25 . Da Chang Shu. Qi Hai Question: Musculoskeletal Secondary: Atrophy Final: Lower Limb Atrophy GB32 . Shu Gu.com . Kun Lun BL63 . Zhong Du Question: Musculoskeletal Secondary: Back-Lower Final: Eye Disorders GB38 . Gao Huan Shu Arthritis © 1/21/2009 TLC 269 www. BL59 . Zhang Men Question: Musculoskeletal Secondary: Atrophy Final: Lower Leg Pain Or Paralysis ST38 . Cheng Jin. SP9 . Zhi Shi. Yang Jiao. BL52 . Jie Xi Question: Musculoskeletal Secondary: Atrophy Final: Vomiting LR13 .com info@tlch2o. Wu Shu Question: Musculoskeletal Secondary: Atrophy Final: Nosebleed BL58 . Cheng Shan. Fei Yang Question: Musculoskeletal Secondary: Atrophy Final: Orchitis KI7 .Question: Musculoskeletal Secondary: Atrophy Final: Lower Extremity Pain Or Paralysis ST41 . BL40 . BL34 . Guan Yuan Shu. GB36 . Tiao Kou Question: Musculoskeletal Secondary: Back-Lower Question: Musculoskeletal Secondary: Back-Lower Final: Diarrhea CV6 . Jin Men. Tian Tu Question: Musculoskeletal Secondary: Atrophy Final: Seminal Emissions BL43 . Fu Liu Question: Musculoskeletal Secondary: Back-Upper Question: Musculoskeletal Secondary: Atrophy Final: Paralysis BL59 . Wei Zhong Question: Musculoskeletal Secondary: Atrophy Final: Nocturnal Emissions CV4 . Fu Yang. Shen Shu.abctlc. Wai Qui Question: Musculoskeletal Secondary: Back-Lower Final: Knee Disorders BL23 . BL57 . Yin Ling Quan Question: Musculoskeletal Secondary: Atrophy Final: Mastitis KI3 . Fu Yang Question: Musculoskeletal Secondary: Back-Upper Final: Loss Of Voice Sudden CV22 . Yang Fu Question: Musculoskeletal Secondary: Atrophy Final: Lower Limb Atrophy With Painful Obstruction GB35 . BL26 . BL65 . GB27 . Guan Yuan Question: Musculoskeletal Secondary: Back-Lower Final: Lumbar Pain BL22 .

Tian Zhu Question: Musculoskeletal Secondary: Contraction Final: Arm Pain LI14 . Shou San Li Question: Musculoskeletal Secondary: Contraction Final: Indigestion SP5 . LI13 . Qu Ze Question: Musculoskeletal Secondary: Contraction Final: Dysuria BL39 . Yao Yang Guan Question: Musculoskeletal Secondary: Contraction Final: Facial Edema LI10 . Zu Qiao Yin Question: Musculoskeletal Secondary: Contraction Final: Elbow Problems HE4 . Jian Yu Question: Musculoskeletal Secondary: Contraction Final: Headache Migraine GB38 . LI15 .com info@tlch2o. Ling Dao. Zu Lin Qi Question: Musculoskeletal Secondary: Contraction Final: Impotence GV3 . Zhi Zheng Question: Musculoskeletal Secondary: Contraction Final: Hypertension GB44 . Tai Chong Question: Musculoskeletal Secondary: Contraction Final: Groin Pain GB30 . Huan Tiao Arthritis © 1/21/2009 TLC 270 www. Wai Guan Question: Musculoskeletal Secondary: Contraction Final: Elbow Hypertonicity SI7 . Yang Fu Question: Musculoskeletal Secondary: Contraction Final: Chills BL11 . Zu Qiao Yin Question: Musculoskeletal Secondary: Contraction Final: Eye Disorders GB41 .com .Question: Musculoskeletal Secondary: Contraction Question: Musculoskeletal Secondary: Contraction Final: Headache BL10 . Da Zhu Question: Musculoskeletal Secondary: Contraction Final: Heat Stroke PC3 . Tai Chong Question: Musculoskeletal Secondary: Contraction Final: Four Limbs Contraction GB11 . He Gu Question: Musculoskeletal Secondary: Contraction Final: Insomnia LR3 .abctlc. Bi Nao. Shou Wu Li Question: Musculoskeletal Secondary: Contraction Final: Hypochondriac Region Pain GB43 . GB44 . Shang Qui Question: Musculoskeletal Secondary: Contraction Final: Finger Contraction LI4 . Feng Shi. Tou Qiao Yin Question: Musculoskeletal Secondary: Contraction Final: Jaundice LR3 . Jia Xi. TB5 . Wei Yang Question: Musculoskeletal Secondary: Contraction Final: Hemiplegia GB31 .

Fu Tu Question: Musculoskeletal Secondary: Contraction Final: Thigh Pain BL38 . Tong Li. Bi Guan Question: Musculoskeletal Secondary: Contraction Final: Shoulder And Back Contraction BL60 . SI3 . Zhao Hai Question: Musculoskeletal Secondary: Contraction Final: Leg Numbness ST31 . Fu Xi Question: Musculoskeletal Secondary: Contraction Final: Loss Of Consciousness KI1 .com . Wei Zhong Question: Musculoskeletal Secondary: Contraction Final: Ulcer Gastric BL21 . Da Ling Question: Musculoskeletal Secondary: Contraction Final: Mouth Deviation LR2 . Shao Fu Question: Musculoskeletal Secondary: Contraction Final: Mental Disorders HE5 . Xuan Zhong Question: Musculoskeletal Secondary: Contraction Final: Shoulder and Neck Pain BL41 . Hou Xi Question: Musculoskeletal Secondary: Contraction Final: Urinary Dysfunction HE8 .com info@tlch2o. Hou Xi Question: Musculoskeletal Secondary: Contraction Final: Vomiting PC7 . Wei Shu Question: Musculoskeletal Secondary: Contraction Final: Malaria SI3 .abctlc. Fu Fen Question: Musculoskeletal Secondary: Contraction Final: Leg Paralysis ST32 . Di Cang Arthritis © 1/21/2009 TLC 271 www. ST4 . Ye Men Question: Musculoskeletal Secondary: Contraction Final: Lumbar Pain BL40 . Kun Lun Question: Musculoskeletal Secondary: Contraction Final: Leg Pain GB39 .Question: Musculoskeletal Secondary: Contraction Final: Knee Disorders GB34 . Yang Ling Quan Question: Musculoskeletal Secondary: Contraction Final: Palpitations HE8 . Yang Ling Quan Question: Musculoskeletal Secondary: Contraction Final: Seizures KI6 . Xing Jian. Shao Fu Question: Musculoskeletal Secondary: Contraction Final: Leg Muscle Atrophy GB34 . Yong Quan Question: Musculoskeletal Secondary: Contraction Final: Throat Soreness TB2 .

Xing Jian Question: Musculoskeletal Secondary: Extremity-Lower Final: Constipation BL30 . Xiao Chang Shu Question: Musculoskeletal Secondary: Extremities Question: Musculoskeletal Secondary: Extremities Final: Deafness TB8 . Hey Yng Question: Musculoskeletal Secondary: Extremities Final: Seminal Emissions CV4 . Ran Gu Question: Musculoskeletal Secondary: Extremity-Lower Final: Seizures BL58 .com . Tiao Kou Question: Musculoskeletal Secondary: Extremity-Lower Final: Headache Occipital BL10 . Pu Can. Bai Huan Shu Question: Musculoskeletal Secondary: Extremity-Lower Final: Palpitations LR2 . Da Bao Question: Musculoskeletal Secondary: Extremity-Lower Final: Leg Muscle Cramp BL55 . Xing Jian Question: Musculoskeletal Secondary: Extremity-Lower Final: Dorsal Foot Painful Swelling KI2 .abctlc. Lou Gu Question: Musculoskeletal Secondary: Extremities Final: Limb Weakness SP21 . Zu Lin Qi Question: Musculoskeletal Secondary: Extremity-Lower Final: Thigh And Knee Swelling ST38 . Kun Lun. Zu San Li Question: Pain Secondary: Extremity-Lower Final: Foot Pain BL60 . Da Du Question: Musculoskeletal Secondary: Extremity-Lower Final: Neck Stiffness BL64 . Fei Yang Question: Musculoskeletal Secondary: Extremity-Lower Question: Musculoskeletal Secondary: Extremity-Lower Final: Shock ST36 . Yin Men Question: Musculoskeletal Secondary: Extremities Final: Stomach Pain SP2 . GB41 . Tian Zhu Arthritis © 1/21/2009 TLC 272 www.com info@tlch2o. SP7 . San Yang Luo Question: Musculoskeletal Secondary: Extremity-Lower Final: Knee Pain BL61 . Gao Huan Shu Question: Neuromuscular Secondary: Extremity-Lower Final: Nosebleed GB39 .Question: Musculoskeletal Secondary: Extremity-Lower Final: Hematuria BL27 . LR2 . Guan Yuan Question: Musculoskeletal Secondary: Extremity-Lower Final: Leg Numbness BL37 . Xuan Zhong. Jing Gu Question: Musculoskeletal Secondary: Extremities Final: Stool With Undigested Food BL43 .

Shao Ze Question: Musculoskeletal Secondary: Head And Neck Final: Cheek Swelling GB12 . Nao Hui Question: Musculoskeletal Secondary: Extremity-Upper Question: Musculoskeletal Secondary: Extremity-Upper Final: Arm Contraction LI12 . Lie Que Question: Musculoskeletal Secondary: Head And Neck Final: Cough BL11 . LI11 . Shang Yang. Qu Chi. Ye Men Question: Musculoskeletal Secondary: Extremity-Upper Final: Hypertension LI11 . Qu Bin Question: Musculoskeletal Secondary: Extremity-Upper Final: Loss Of Consciousness SI1 . LI3 . Ying Chuang Question: Musculoskeletal Secondary: Extremity-Upper Final: Liver Disorders LR3 . Tai Chong Question: Musculoskeletal Secondary: Head And Neck Final: Cheek And Sub mandible Swelling GB7 . Yang Lao Question: Pain Secondary: Extremity-Upper Final: Toothache LI1 . Bi Nao. Nei Guan Question: Musculoskeletal Secondary: Extremity-Upper Final: Arm Paralysis LI14 . Yu Ji. SI6 . Wai Guan Question: Musculoskeletal Secondary: Head And Neck Question: Musculoskeletal Secondary: Head And Neck Final: Arm Pain SI11 . Yang Gu. ST16 . Ye Men Question: Musculoskeletal Secondary: Extremity-Upper Final: Forearm Medial Pain LU9 . San Jian. SI5 . TB2 . TB5 . TB2 .abctlc. Qu Chi. Da Zhu Arthritis © 1/21/2009 TLC 273 www.com info@tlch2o. LU10 . Zhou Liao Question: Musculoskeletal Secondary: Extremity-Upper Final: Stomach Pain PC6 . SI5 . Tai Yuan Question: Musculoskeletal Secondary: Extremity-Upper Final: Hemiplegia LI11 .Question: Pain Secondary: Extremity-Upper Final: Scapular Pain SI13 . Hou Xi. Yang Gu. SI9 . Qu Yaun. Ling Tai. LI15 . Jian Zhen. TB13 . Wan Gu Question: Musculoskeletal Secondary: Extremity-Upper Final: Mouth Deviation LU7 . Tian Rong. Wai Guan Question: Musculoskeletal Secondary: Head And Neck Final: Asthma GV10 . Tian Zong Question: Musculoskeletal Secondary: Extremity-Upper Final: Hypochondriac Region Pain TB5 . LI2 . Jian Yu Question: Pain Secondary: Extremity-Upper Final: Tinnitus SI17 . Er Jian. SI3 . Qu Chi.com .

com . Tian You Question: Musculoskeletal Secondary: Head And Neck Final: Facial Muscle Paralysis CV24 . Jia Che Question: Musculoskeletal Secondary: Head And Neck Final: Heaviness Of The Head BL59 . GV17 .Question: Musculoskeletal Secondary: Head And Neck Final: Diarrhea GV1 . Chong Yang.abctlc. Yang Bai. Shen Mai Question: Musculoskeletal Secondary: Head And Neck Final: Fever Without Sweating GB37 . ST45 . Ying Xiang Question: Musculoskeletal Secondary: Head And Neck Final: Hearing Loss Sudden TB16 . Ya Men. Yang Ling Quan Question: Musculoskeletal Secondary: Head And Neck Final: Lips Swelling And Stiffness GV27 . Tian You Question: Musculoskeletal Secondary: Head And Neck Final: Leg Numbness GB34 . Guang Ming Question: Musculoskeletal Secondary: Head And Neck Final: Jaundice SI4 . Nao Hu Question: Musculoskeletal Secondary: Head And Neck Final: Facial Numbness CV24 . Fu Yang. Chang Qiang Question: Musculoskeletal Secondary: Head And Neck Final: Headache Occipital GV15 . Yu Zhen Question: Musculoskeletal Secondary: Head And Neck Final: Facial Pain CV24 . Cheng Jiang GB14 . Xia Guan Question: Musculoskeletal Secondary: Head And Neck Final: Hemiplegia BL7 . Cheng Jiang. Xia Guan Question: Musculoskeletal Secondary: Head And Neck Final: Headache BL12 . Shen Mai Arthritis © 1/21/2009 TLC 274 www. GB8 . GV15 . Tong Tian Question: Musculoskeletal Secondary: Head And Neck Final: Facial Swelling ST42 . Yang Gu Question: Musculoskeletal Secondary: Head And Neck Final: Jaw Disorders ST7 .com info@tlch2o. Feng Men. TB16 . Wan Gu Question: Musculoskeletal Secondary: Head And Neck Final: Hand Pain SI5 . ST7 . Li Dui Question: Musculoskeletal Secondary: Head And Neck Final: Insomnia BL62 . Shuai Gu. ST6 . Cheng Jiang Question: Musculoskeletal Secondary: Head And Neck Final: Heaviness Of The Head And Neck BL9 . Dui Duan Question: Musculoskeletal Secondary: Head And Neck Final: Headache Midline BL62 . Ya Men Question: Musculoskeletal Secondary: Head And Neck Final: Facial Itching LI20 .

Wan Gu Question: Musculoskeletal Secondary: Head And Neck Final: Parotitis TB5 .Question: Musculoskeletal Secondary: Head And Neck Final: Lumbar Pain LR3 .abctlc. Tai Chong. Zan Zhu. San Jian. TB16 . Shao Ze Question: Musculoskeletal Secondary: Head And Neck Final: Saliva Excessive ST4 . Wai Guan Question: Musculoskeletal Secondary: Head And Neck Final: Mastitis SI1 . SI4 . Tong Gu. Shang Yang Question: Pain Secondary: Head And Neck Final: Nasal Congestion BL2 . Wai Guan Arthritis © 1/21/2009 TLC 275 www. BL60 . Di Cang Question: Musculoskeletal Secondary: Head And Neck Final: Mental Disorders ST40 . Ting Hui Question: Musculoskeletal Secondary: Head And Neck Final: Throat Constriction LI1 . Zhong Fu Question: Musculoskeletal Secondary: Head And Neck Final: Trigeminal Neuralgia LI3 . Zhi Zheng. Tong Tian Question: Musculoskeletal Secondary: Head And Neck Final: Throat Pain SI17 . Tian Tu. Tong Tian. Yu Zhen Question: Musculoskeletal Secondary: Head And Neck Final: Mouth Deviation BL7 . Jia Che Question: Musculoskeletal Secondary: Head And Neck Final: Trismus ST45 . Feng Fu. BL7 . Fu Tu Question: Musculoskeletal Secondary: Head And Neck Final: Palpitations BL64 . ST4 . GV16 . Kun Lun. Tao Dao. ST32 . SI7 . Bai Hui Question: Musculoskeletal Secondary: Head And Neck Final: Neck Stiffness BL42 . GV16 . ST6 . Jing Gu Question: Musculoskeletal Secondary: Head And Neck Final: Malaria GV13 . Feng Fu. BL65 . Tian You. LU1 .com info@tlch2o. Li Dui Question: Musculoskeletal Secondary: Head And Neck Final: Windstroke GV20 . GB36 . Wai Qui. Po Hu. Tian Rong Question: Musculoskeletal Secondary: Head And Neck Final: Neck Nodular Growths CV22 .com . Feng Long Question: Musculoskeletal Secondary: Head And Neck Final: Tension Headache BL9 . Shu Gu. GB2 . Di Cang Question: Pain Secondary: Head And Neck Final: Neck Pain BL66 . TB5 .

Pang Guang Shu Question: Musculoskeletal Secondary: Muscle Final: Throat Dryness KI6 . Guan Yuan Question: Musculoskeletal Secondary: Muscle Final: Genital Swelling BL28 . ST36 . ST36 . Jin Suo. Shen Zhu Question: Musculoskeletal Secondary: Muscle Final: Skin Disorders BL40 . Yang Ling Quan Arthritis © 1/21/2009 TLC 276 www.com . Da Du. SP6 . Guan Yuan. GV12 . Cheng Shan Question: Musculoskeletal Secondary: Muscle Final: Vomiting SP2 . Fei Yang Question: Musculoskeletal Secondary: Muscle Final: Leg Muscle Cramping BL57 . Yang Gu Question: Musculoskeletal Secondary: Muscle Question: Musculoskeletal Secondary: Muscle Final: Dysmenorrhea CV6 . Yang Gu. Jia Che Question: Neuromuscular Secondary: Muscle Final: Visual Disturbances BL18 .com info@tlch2o. Qi Hai Question: Musculoskeletal Secondary: Muscle Final: Nasal Discharge Excessive ST40 . Feng Long Question: Musculoskeletal Secondary: Muscle Final: Dyspnea BL11 . Zhi Zheng Question: Musculoskeletal Secondary: Muscle Final: Stool With Blood CV4 . BL58 .abctlc. Zu San Li Question: Musculoskeletal Secondary: Muscle Final: Leg Muscle Weakness BL28 . LR3 . Daz Hui Question: Neuromuscular Secondary: Muscle Final: Stomach Pain GV8 . Da Zhu. Zhao Hai Question: Neuromuscular Secondary: Muscle Final: Hemiplegia CV24 . SI5 . Zu San Li Question: Musculoskeletal Secondary: Muscle Final: Forearm Pain SI7 . San Yin Jiao Question: Musculoskeletal Secondary: Muscle Final: Urinary Dysfunction CV4 . Tai Chong Question: Neuromuscular Secondary: Muscle Final: Jaw Disorders SI5 . Cheng Jiang. ST6 . Pang Guang Shu Question: Musculoskeletal Secondary: Muscle Final: Leg Pain GB34 .Question: Musculoskeletal Secondary: Muscle Final: Mental Disorders BL18 . Gan Shu. Wei Zhong Question: Musculoskeletal Secondary: Muscle Final: Fever GV14 . Gan Shu.

Ji Quan. Shao Hai Question: Musculoskeletal Secondary: Range Of Motion Final: Hernia Pain LR5 . Jian Jing. Jian Yu Question: Musculoskeletal Secondary: Range Of Motion Final: Cardiac Pain HE3 . Jian Liao Question: Musculoskeletal Secondary: Range Of Motion Final: Fever And Chills GV14 . Jian Yu Question: Musculoskeletal Secondary: Range Of Motion Final: Elbow Problems HE3 . Nao Shu. Yang Lao Question: Musculoskeletal Secondary: Range Of Motion Final: Hand Inability To Grip Firmly SI7 . Yang Lao Question: Musculoskeletal Secondary: Range Of Motion Final: Forearm Pain TB8 . Kong Zui Question: Musculoskeletal Secondary: Range Of Motion Final: Back Pain GB21 . Bi Nao Question: Musculoskeletal Secondary: Range Of Motion Final: Hemiplegia GB30 . Shou San Li Question: Musculoskeletal Secondary: Range Of Motion Final: Arthritis Shoulder HE1 . Daz Hui Question: Musculoskeletal Secondary: Range Of Motion Final: Arm Pain LI13 . LI15 . LI14 . Kong Zui Arthritis © 1/21/2009 TLC Question: Musculoskeletal Secondary: Range Of Motion Final: Inability To Turn Over When Lying Down SP19 . Jian Zhen Question: Musculoskeletal Secondary: Range Of Motion Final: Gastrointestinal Disorders LI10 . SI6 . Shao Hai. Tian Zong Question: Musculoskeletal Secondary: Range Of Motion Final: Headache LU6 . Zhi Zheng Question: Musculoskeletal Secondary: Range Of Motion Final: Asthma SI11 . Huan Tiao.Question: Musculoskeletal Secondary: Range Of Motion Final: Endometriosis GB29 . SI6 .com . Bai Huan Shu Question: Musculoskeletal Secondary: Range Of Motion Final: Hypertension LI15 .com info@tlch2o.abctlc. Xiong Xiang 277 www. Li Gou Question: Musculoskeletal Secondary: Range Of Motion Final: Dysuria BL30 . San Yang Luo Question: Musculoskeletal Secondary: Range Of Motion Final: Arm Paralysis SI9 . Shou Wu Li. Ju Liao Question: Musculoskeletal Secondary: Range Of Motion Question: Musculoskeletal Secondary: Range Of Motion Final: Arm Motor Impairment TB14 . LU6 . SI10 .

Wen Liu Question: Musculoskeletal Secondary: Range Of Motion Final: Lumbosacral Pain BL28 . Du Bi Question: Musculoskeletal Secondary: Range Of Motion Final: Neck Stiffness SI4 . Feng Long Question: Musculoskeletal Secondary: Range Of Motion Final: Lumbar Stiffness BL22 . LI7 .abctlc. Zhong Lu Shu Question: Musculoskeletal Secondary: Range Of Motion Final: Lumbar Pain BL62 . Yao Yang Guan. Yao Yang Guan Question: Musculoskeletal Secondary: Range Of Motion Final: Parotitis GB2 . Xiao Hai. SI8 . Zu Qiao Yin Question: Musculoskeletal Secondary: Range Of Motion Final: Menses Irregular LR3 .com info@tlch2o. Wan Gu. ST34 . Hou Xi Question: Musculoskeletal Secondary: Range Of Motion Final: Knee Disorders GB33 . Qiang Jian Question: Musculoskeletal Secondary: Range Of Motion Final: Leg Numbness GV3 .com .Question: Musculoskeletal Secondary: Range Of Motion Final: Insomnia GB44 . Tian Zhu Question: Musculoskeletal Secondary: Range Of Motion Final: Itching GB31 . Shen Mai Question: Musculoskeletal Secondary: Range Of Motion Final: Perspiration At Night LR2 . Da Heng Question: Musculoskeletal Secondary: Range Of Motion Final: Nasal Congestion BL10 . ST34 . Pang Guang Shu Arthritis © 1/21/2009 TLC 278 www. ST35 . Xi Yang Guan. BL62 . Bi Guan. Liang Qiu Question: Musculoskeletal Secondary: Range Of Motion Final: Seizures ST40 . GV3 . Shen Mai. Qing Ling. Xing Jian Question: Musculoskeletal Secondary: Range Of Motion Final: Leg Paralysis ST31 . Ting Hui Question: Musculoskeletal Secondary: Range Of Motion Final: Leg Pain BL55 . ST11 . Liang Qiu Question: Musculoskeletal Secondary: Range Of Motion Final: Sciatica BL29 . Tai Chong Question: Musculoskeletal Secondary: Range Of Motion Final: Intestinal Disorders SP15 . Hey Yng. San Jiao Shu Question: Musculoskeletal Secondary: Range Of Motion Final: Shoulder And Arm Pain HE2 . Feng Shi Question: Musculoskeletal Secondary: Range Of Motion Final: Neck Pain SI3 . Qi She Question: Musculoskeletal Secondary: Range Of Motion Final: Neck Stiffness With Inability To Rotate GV18 .

Yang Ling Quan Question: Musculoskeletal Secondary: Skeletal Final: Edema CV6 . Ge Guan Question: Musculoskeletal Secondary: Sensation Final: Genital Itching KI2 . Shen Que Arthritis © 1/21/2009 TLC 279 www. Liang Qiu Question: Musculoskeletal Secondary: Range Of Motion Final: Thoracic Discomfort LU5 .abctlc. Qi Hai. CV8 . Zhao Hai Question: Musculoskeletal Secondary: Range Of Motion Final: Wrist Pain GB4 . Shang Qui Question: Musculoskeletal Secondary: Skeletal Final: Cough GV12 . Fu Liu Question: Musculoskeletal Secondary: Range Of Motion Final: Tinnitus TB3 . Ran Gu Question: Musculoskeletal Secondary: Skeletal Final: Chest Discomfort GV9 . Shen Zhu Question: Musculoskeletal Secondary: Sensation Final: Leg Paralysis GB34 . Chi Ze. Shen Shu Question: Musculoskeletal Secondary: Range Of Motion Final: Thirst SI4 . SI2 .com . Pi Shu Question: Musculoskeletal Secondary: Range Of Motion Final: Urinary Incontinence BL40 . Zhong Zhu Question: Musculoskeletal Secondary: Sensation Final: Stomach Prolapse BL20 . Qian Gu Question: Musculoskeletal Secondary: Sensation Final: Perspiration Absent KI7 . Wei Zhong Question: Musculoskeletal Secondary: Sensation Final: Throat Soreness KI6 . Han Yan Question: Musculoskeletal Secondary: Skeletal Question: Musculoskeletal Secondary: Sensation Question: Musculoskeletal Secondary: Skeletal Final: Back Pain and Stiffness BL46 . Chi Ze Question: Musculoskeletal Secondary: Sensation Final: Mouth Deviation LR3 . Tai Chong Question: Musculoskeletal Secondary: Range Of Motion Final: Throat Soreness LU5 . Chi Ze Question: Musculoskeletal Secondary: Sensation Final: Leukorrhea BL23 . Zhi Yang Question: Musculoskeletal Secondary: Sensation Final: Jaundice SP5 .Question: Musculoskeletal Secondary: Range Of Motion Final: Shoulder Pain LU5 .com info@tlch2o. Wan Gu Question: Musculoskeletal Secondary: Sensation Final: Mastitis ST34 .

Du Bi Question: Musculoskeletal Secondary: Skeletal Final: Nosebleed BL18 . Yin Men. Wai Qui Question: Musculoskeletal Secondary: Skeletal Final: Respiratory Disorders BL13 .Question: Musculoskeletal Secondary: Skeletal Final: Fever BL11 . Fei Shu Arthritis © 1/21/2009 TLC 280 www. Shui Gou Question: Musculoskeletal Secondary: Skeletal Final: Heat Stroke GV14 . Feng Chi Question: Musculoskeletal Secondary: Skeletal Final: Mental Disorders GV13 . Tao Dao. Chang Qiang Question: Musculoskeletal Secondary: Skeletal Final: Lumbar Spinal Stiffness GV6 . Ya Men Question: Musculoskeletal Secondary: Skeletal Final: Headache Splitting GV4 .com info@tlch2o. Da Zhu Question: Musculoskeletal Secondary: Skeletal Final: Loss Of Voice Sudden GV15 . Ji Zhong Question: Musculoskeletal Secondary: Skeletal Final: Impotence GV4 . Da Zhu Question: Musculoskeletal Secondary: Skeletal Final: Loss Of Consciousness GV26 . Xuan Shu Question: Musculoskeletal Secondary: Skeletal Final: Hemorrhoids GV1 . Shui Gou Question: Musculoskeletal Secondary: Skeletal Final: Fever Tidal BL11 . Tai Chong Question: Musculoskeletal Secondary: Skeletal Final: Leg Muscle Weakness ST35 . Ming Men Question: Musculoskeletal Secondary: Skeletal Final: Nausea LR3 . Ming Men Question: Musculoskeletal Secondary: Skeletal Final: Meniere's Disease BL62 . Ming Men Question: Musculoskeletal Secondary: Skeletal Final: Lumbar Pain GV26 . GV15 .abctlc. Ya Men Question: Musculoskeletal Secondary: Skeletal Final: Intestinal Disorders GV4 . Gan Shu Question: Musculoskeletal Secondary: Skeletal Final: Leg Pain BL37 . Daz Hui Question: Musculoskeletal Secondary: Skeletal Final: Lumbar Spinal Pain And Stiffness GV5 .com . Shen Mai Question: Musculoskeletal Secondary: Skeletal Final: Insomnia GB20 . GB36 .

Jing Qu. Yi Feng Question: Musculoskeletal Secondary: Skeletal Final: Vomiting BL40 . Zhi Gou Question: Hearing Secondary: TCM Final: Fever BL12 . Zhi Gou Question: Musculoskeletal Secondary: TCM Question: Musculoskeletal Secondary: TCM Final: Flaccidity Of The Hundred Joints SP21 . Yang Jiao Question: Hearing Secondary: TCM Final: Headache BL62 . KI4 . LI4 . BL13 . Er Jian. Ling Dao Question: Digestion Secondary: TCM Final: Back Pain BL12 . SP6 . Zu Lin Qi Question: Musculoskeletal Secondary: TCM Final: Chest Fullness And Distention GB35 . Feng Men. LR5 . Xin Shu. Jin Suo Question: Musculoskeletal Secondary: TCM Final: Dysuria BL32 . ST40 . Shao Fu. Jian Jing. GV9 . TB6 . Zhi Yang. ST5 . Bai Huan Shu. LU8 . LU9 . GV12 . LR8 . Shen Mai. He Gu. Qu Quan. Da Zhong. GB41 . Zu Lin Qi. LU10 . Feng Men. Shen Zhu. PC5 . Zhi Yang. GB21 . Da Ying. Tai Yuan Question: Musculoskeletal Secondary: TCM Final: Chest Pain GV9 . Fu Tu Question: Musculoskeletal Secondary: TCM Final: Endometriosis BL30 .abctlc. LU9 . Fei Shu. HE8 . Wei Zhong Question: Musculoskeletal Secondary: TCM Final: Fear HE4 . BL15 . Tai Yuan Question: Musculoskeletal Secondary: Skeletal Final: Seizures BL18 .Question: Fever/Chills Secondary: TCM Final: Dyspnea BL12 . Gan Shu Question: Musculoskeletal Secondary: Skeletal Final: Spinal Stiffness And Contraction GV8 . Li Gou Question: Musculoskeletal Secondary: Skeletal Final: Vertigo TB3 . Dan Shu. Jian Shi. Feng Men. San Yin Jiao Question: Musculoskeletal Secondary: Skeletal Final: Urticaria ST32 . Yu Ji. BL19 . Feng Long Arthritis © 1/21/2009 TLC 281 www. Shang Lian Question: Musculoskeletal Secondary: TCM Final: Foot Swelling GB41 . Ci Liao. Da Bao Question: Musculoskeletal Secondary: TCM Final: Bone Marrow With Coldness LI9 . GV10 . TB6 . Bai Hui. GV20 . TB17 .com info@tlch2o. Ling Tai. GV23 .com . Shang Xing. Zhong Zhu Question: Digestion Secondary: TCM Final: Facial Muscle Paralysis LI2 .

ST36 . PC6 . Nei Guan Arthritis © 1/21/2009 TLC Question: Musculoskeletal Secondary: TCM Final: Leukorrhea GV4 . Xing Jian. TB10 . LR13 . Shang Ju Xu Question: Musculoskeletal Secondary: TCM Final: Lack Of Energy KI15 . Xi Men. Jia Xi. Ming Men 282 www. Lou Gu Question: Musculoskeletal Secondary: TCM Final: Leg Pain And Swelling BL61 . Xi Yang Guan Question: Fever/Chills Secondary: TCM Final: Hypochondriac Region Pain GB39 . Huan Tiao Question: Musculoskeletal Secondary: TCM Final: Leg Muscle Atrophy GB31 . ST36 . Zhi Yin Question: Musculoskeletal Secondary: TCM Final: Labor Difficult BL33 . LR14 . ST37 . Jian Jing.Question: Musculoskeletal Secondary: TCM Final: Headache Unilateral GB38 . Zhang Men. Shi Men. Nei Guan. SP6 . PC6 . Qi Men. Zhi Yang. Zhong Liao Question: Musculoskeletal Secondary: TCM Final: Hemiplegia GB21 . San Yin Jiao Question: Musculoskeletal Secondary: TCM Final: Lateral Costal Region Pain GB36 . Pu Can Question: Fever/Chills Secondary: TCM Final: Insomnia LR2 . KI6 . San Yin Jiao. Zu San Li Question: Musculoskeletal Secondary: TCM Final: Leg Numbness GB33 .abctlc. Zhong Zhu Question: Urination Secondary: TCM Final: Hernia CV5 . Xuan Zhong. Feng Shi Question: Musculoskeletal Secondary: TCM Final: Hypertension GV14 . Tian Jing Question: Musculoskeletal Secondary: TCM Final: Leg Numbness And Pain SP7 . Daz Hui.com . PC4 . GV9 .com info@tlch2o. Wai Qui Question: Musculoskeletal Secondary: TCM Final: Hip Pain GB30 . Zhi Gou Question: Musculoskeletal Secondary: TCM Final: Heat In The Soles Of The Feet BL67 . TB6 . Zu San Li. SP6 . Zhao Hai. Yang Fu Question: Musculoskeletal Secondary: TCM Question: Musculoskeletal Secondary: TCM Final: Intercostal Neuralgia GB43 .

Shen Shu. Tai Xi. Gong Sun. TB10 . GB31 . Tai Xi. LU10 . Bai Hui. Shen Mai. Yin Ling Quan Arthritis © 1/21/2009 TLC 283 www. KI3 . Xuan Zhong. GB34 . Fu Liu Question: Musculoskeletal Secondary: TCM Final: Menses Irregular BL23 . Tian Jing Question: Musculoskeletal Secondary: TCM Final: Rhinitis GV24 . BL28 . Guan Yuan. Yong Quan. ST30 .com . SP4 . Jian Yu Question: Musculoskeletal Secondary: TCM Final: Perspiration Spontaneous KI7 . KI1 . Lie Que Question: Pain Secondary: TCM Final: Sciatica BL26 . KI1 . Jian Shi. ST30 . Tai Xi. Yang Ling Quan Question: Hearing Secondary: TCM Final: Nosebleed GV20 . Si Zhu Kong Question: Neuromuscular Secondary: TCM Final: Nocturnal Emissions BL15 . GB34 . BL64 . Yang Ling Quan Question: Musculoskeletal Secondary: TCM Final: Nephritis KI3 . Yong Quan Question: Musculoskeletal Secondary: TCM Final: Loss Of Voice KI1 . Zhong Du Question: Pain Secondary: TCM Final: Mental Disorders GV14 . GV15 . Feng Shi. Zhang Men. BL64 . Bi Guan Question: Musculoskeletal Secondary: TCM Final: Perspiration Excessive LI15 . Tao Dao Question: Musculoskeletal Secondary: TCM Final: Lower Limbs And Feet Cold ST45 . BL23 . Hun Men. CV13 . Yu Ji Question: Musculoskeletal Secondary: TCM Final: Perspiration Absent GV13 . Pang Guang Shu. LR2 . Feng Men. Shen Ting Question: Musculoskeletal Secondary: TCM Final: Sadness LU7 . Guan Yuan Shu. Xin Shu. Yong Quan. Shan Guan. KI3 . Jing Gu. Qi Chong Question: Musculoskeletal Secondary: TCM Final: Postpartum Uterine Hemorrhage LR6 . GV14 . Jing Gu. Ju Gu. LU7 . Shui Dao Question: Neuromuscular Secondary: TCM Final: Seizures BL62 .Question: Musculoskeletal Secondary: TCM Final: Liver Disorders BL47 . Daz Hui. Shen Shu. HE3 . Qi Chong. Xing Jian. PC5 . Li Dui Question: Musculoskeletal Secondary: TCM Final: Perspiration Continuous Postpartum LR3 . LI16 . TB23 . Tai Chong Question: Musculoskeletal Secondary: TCM Final: Lumbar Pain BL12 . SP9 . ST31 . Shen Shu. CV4 . Daz Hui. BL23 .com info@tlch2o. Ya Men. Lie Que Question: Musculoskeletal Secondary: TCM Final: Neck Stiffness GB39 . LR13 . Shao Hai. ST28 .abctlc.

LI13 . Chi Ze Question: Digestion Secondary: TCM Final: Stomach Pain BL21 . GV2 . CV12 . GB13 . Yao Shu. GV19 . Tian. Shao Hai 284 www. Chong.Question: Musculoskeletal Secondary: TCM Final: Shoulder Joint Soft Tissue Diseases LI15 . TB23 . LI1 . Nao Hu. Da Ling. KI6 . TB18 . Jian Zhen Question: Skin Secondary: TCM Final: Uterine Prolapse CV6 . SI9 . ST44 . Da Ying Question: Musculoskeletal Secondary: TCM Final: Thirst LR2 . Zhao Hai Question: Neuromuscular Secondary: TCM Final: Shoulder Pain LI10 . GB9 . Nei Ting Question: Musculoskeletal Secondary: TCM Final: Wheezing LU5 . Qi Hai. Gao Huan Shu Question: Pain Secondary: TCM Final: Skin Disorders HE1 . LI15 . Qi Mai Question: Neuromuscular Secondary: Epilepsy Final: Epilepsy BL3 . GV18 . SI2 . LR1 . Qiang Jian.com info@tlch2o. KI6 . Zu San Li Question: Neuromuscular Secondary: Epilepsy Final: Eyelid Spasm BL2 . Liang Qiu Question: Musculoskeletal Secondary: TCM Final: Wind Tetany With Lockjaw ST5 . Jin Men. TB7 . Shou Wu Li. Shen Mai. Mei Chong. Shang Yang. Xing Jian Question: Neuromuscular Secondary: Epilepsy Question: Musculoskeletal Secondary: TCM Final: Throat Constriction GB34 . GV17 . Zan Zhu. BL63 .com . Guan Yuan. Jian Yu. Ben Shen. Hou Ding. Tou Lin Qi. Yang Ling Quan Question: Neuromuscular Secondary: Epilepsy Final: Convulsions BL5 . Jian Yu Question: Musculoskeletal Secondary: TCM Final: Urination Frequent CV4 . ST34 . Wei Shu. Shou San Li. PC7 . LI15 . Wu Chu Question: OBGYN Secondary: TCM Final: Tinnitus BL62 . Zhao Hai. Jian Yu. Si Zhu Kong Question: Musculoskeletal Secondary: TCM Final: Urinary Incontinence HE8 . Zhon Guan. Hui Zong Question: Musculoskeletal Secondary: TCM Final: Ulcer Gastric ST36 . Da Dun Question: Musculoskeletal Secondary: TCM Final: Weakness General BL43 . Qian Gu. GB15 .abctlc. Shao Fu Arthritis © 1/21/2009 TLC Question: Neuromuscular Secondary: Epilepsy Final: Forearm Numbness HE3 . Ji Quan.

Tai Chong Question: Neuromuscular Secondary: Epilepsy Final: Mastitis PC4 . Ming Men Question: Neuromuscular Secondary: Epilepsy Final: Scapular Pain SI8 . Tian Zhu Question: Neuromuscular Secondary: Epilepsy Final: Tinnitus SI19 . Tian Jing Arthritis © 1/21/2009 TLC Question: Neuromuscular Secondary: Epilepsy Final: Urinary Incontinence GB34 . Feng Long Question: Neuromuscular Secondary: Epilepsy Final: Mouth Deviation BL62 .abctlc.Question: Neuromuscular Secondary: Epilepsy Final: Insomnia GV14 . Xin Shu Question: Neuromuscular Secondary: Epilepsy Final: Thigh Pain BL64 . Shen Mai Question: Neuromuscular Secondary: Epilepsy Final: Throat Dryness LR2 . Lie Que Question: Neuromuscular Secondary: Epilepsy Final: Neck Muscle Stiffness And Tension BL10 .com info@tlch2o. KI1 . Gan Shu Question: Neuromuscular Secondary: Epilepsy Final: Memory Impaired BL15 . SI3 . Jing Gu Question: Neuromuscular Secondary: Epilepsy Final: Mental Disorders BL62 .com . Hou Xi Question: Neuromuscular Secondary: Epilepsy Final: Lumbar Pain GV4 . Yang Ling Quan. Xi Men Question: Neuromuscular Secondary: Epilepsy Final: Spinal Pain BL18 . Daz Hui Question: Neuromuscular Secondary: Epilepsy Final: Neck Stiffness GV15 . Shen Mai Question: Neuromuscular Secondary: Epilepsy Final: Throat Constriction ST40 . Ming Men Question: Neuromuscular Secondary: Epilepsy Final: Seizures BL10 . LR1 . Xiao Hai Question: Neuromuscular Secondary: Epilepsy Final: Lumbar Pain GV4 . Ya Men. LR3 . Yong Quan. Feng Chi Question: Neuromuscular Secondary: Epilepsy Final: Throat Soreness LU7 . Tian Zhu. Xing Jian Question: Neuromuscular Secondary: Epilepsy Final: Nasal Congestion GB20 . Da Dun 285 www. Ting Gong Question: Neuromuscular Secondary: Epilepsy Final: Neck Pain TB10 .

TB5 . Quan Liao. ST1 . Cheng Jiang Question: Neuromuscular Secondary: Extremity-Lower Final: Lower Extremity Arthralgia LR6 . Ying Xiang Question: Pain Secondary: Extremity-Upper Final: Respiratory Disorders LI4 . Xuan Zhong. He Gu Question: Neuromuscular Secondary: Extremity-Lower Final: Nosebleed GB39 . Zhong Du Question: Neuromuscular Secondary: Facial Deviation Final: Hemiplegia LI4 .com .abctlc. He Liao Question: Neuromuscular Secondary: Extremity-Lower Final: Testicular Swelling LR3 . Si Zhu Kong Question: Neuromuscular Secondary: Extremity-Lower Final: Indigestion GB40 . Han Yan. Shou San Li Question: Neuromuscular Secondary: Extremity-Upper Question: Neuromuscular Secondary: Facial Deviation Final: Jaw Disorders LI19 . Si Bai Arthritis © 1/21/2009 TLC 286 www. ST2 . Yang Bai. He Gu. SI18 . Yang Chi. Tong Zi Liao. Qiu Xu Question: Neuromuscular Secondary: Facial Deviation Final: Gum Disorders CV24 .com info@tlch2o.Question: Neuromuscular Secondary: Epilepsy Final: Wrist Pain PC7 . Shang Guan. LU9 . Xing Jian Question: Neuromuscular Secondary: Facial Deviation Final: Hypertonicity Of The Jaws TB22 . Da Ling Question: Neuromuscular Secondary: Facial Deviation Final: Eyelid Spasm GB14 . Tai Yuan. TB23 . Ju Liao Question: Neuromuscular Secondary: Facial Deviation Final: Eye Deviation GB1 . LR2 . He Liao Question: Neuromuscular Secondary: Extremity-Upper Final: Hand Numbness HE3 . Tai Chong Question: Neuromuscular Secondary: Facial Deviation Final: Indigestion LI10 . Wai Guan Question: Neuromuscular Secondary: Facial Deviation Final: Lumbar Sprain GV26 . GB3 . Cheng Qi Question: Neuromuscular Secondary: Extremity-Lower Question: Neuromuscular Secondary: Facial Deviation Final: Facial Muscle Paralysis GB4 . ST3 . TB4 . Shui Gou Question: Neuromuscular Secondary: Facial Deviation Question: Neuromuscular Secondary: Facial Deviation Final: Mouth And Eye Deviation GB12 . Wan Gu. Shao Hai Question: Neuromuscular Secondary: Facial Deviation Final: Loss Of Sense Of Smell LI20 .

Tai Chong Question: Neuromuscular Secondary: Muscle Final: Chest Pain TB6 . GB36 . Xia Guan Question: Musculoskeletal Secondary: Head And Neck Question: Musculoskeletal Secondary: Head And Neck Final: Facial Muscle Paralysis CV24 . Zhi Gou Question: Neuromuscular Secondary: Facial Deviation Final: Tinnitus GB2 . ST4 . Chong Yang. Li Dui.Question: Neuromuscular Secondary: Facial Deviation Final: Mouth Deviation ST42 . GV16 . ST6 . Di Cang Question: Neuromuscular Secondary: Facial Deviation Final: Parotitis TB17 .com info@tlch2o. Yang Bai. Da Zhu. San Jian.com . Shen Zhu Question: Neuromuscular Secondary: Facial Deviation Final: Urethral Discharge LR2 . GB14 . Yi Feng Question: Neuromuscular Secondary: Muscle Question: Neuromuscular Secondary: Facial Deviation Final: Stomach Pain ST44 . Tong Tian Question: Musculoskeletal Secondary: Head And Neck Final: Trigeminal Neuralgia LI3 . ST45 . Da Ying. Tong Gu. Wu Shu Question: Neuromuscular Secondary: Facial Deviation Final: Toothache LU7 . Dai Mai Question: Neuromuscular Secondary: Facial Deviation Final: Throat Soreness LI2 . Wai Qui. GV12 . Nei Ting Question: Neuromuscular Secondary: Muscle Final: Amenorrhea GB26 . Feng Chi Question: Pain Secondary: Head And Neck Final: Neck Pain BL66 . ST4 . Jia Che Question: Neuromuscular Secondary: Facial Deviation Final: Nosebleed BL62 . Er Jian. Shen Mai. BL7 . Jia Che. Jia Che Question: Neuromuscular Secondary: Facial Deviation Final: Neck Nodular Growths GB20 . LR3 . He Liao Question: Neuromuscular Secondary: Muscle Final: Facial Tetany GB7 . ST6 . Qu Bin Arthritis © 1/21/2009 TLC 287 www. Xing Jian Question: Neuromuscular Secondary: Muscle Final: Facial Neuralgia TB22 . Ting Hui Question: Neuromuscular Secondary: Muscle Final: Constipation GB27 . Di Cang Question: Musculoskeletal Secondary: Muscle Final: Dyspnea BL11 . ST7 . Lie Que. ST5 .abctlc. ST6 . Feng Fu. Cheng Jiang.

Da Zhu Question: Neuromuscular Secondary: Muscle Final: Lumbar Stiffness GV26 . Xiao Hai. SI5 . Si Zhu Kong Question: Neuromuscular Secondary: Muscle Final: Malaria LR14 . Da Zhu . Kong Zui Question: Neuromuscular Secondary: Muscle Final: Mouth Deviation LI19 . LI4 . Shao Ze Question: Neuromuscular Secondary: Muscle Final: Jaw Disorders SI5 . Qi Men Question: Neuromuscular Secondary: Muscle Final: Hemiplegia CV24 . Jia Che Question: Neuromuscular Secondary: Muscle Final: Palm Heat LU10 . Ling Dao Question: Neuromuscular Secondary: Muscle Final: Neck Pain GB20 . Chang Qiang Question: Neuromuscular Secondary: Muscle Final: Seizures GV13 . SP6 . Yu Ji Question: Neuromuscular Secondary: Muscle Final: Loss Of Voice Sudden CV24 . ST6 .abctlc. Cheng Jiang Question: Neuromuscular Secondary: Muscle Final: Palpitations BL62 . Tian Jing Arthritis © 1/21/2009 TLC 288 www. SI1 . Cheng Jiang. Shui Gou Question: Neuromuscular Secondary: Muscle Final: Headache BL11 . Yang Gu Question: Neuromuscular Secondary: Muscle Final: Hemorrhoids LU6 . TB23 . SI8 . Chang Qiang Question: Neuromuscular Secondary: Muscle Final: Neck Stiffness ST6 .Question: Neuromuscular Secondary: Muscle Final: Fever Without Sweating BL11 . He Liao Question: Neuromuscular Secondary: Muscle Final: Hysteria HE4 .com info@tlch2o. Shen Mai Question: Neuromuscular Secondary: Muscle Final: Lumbar Pain V1 . Ya Men.com . Gan Shu. He Gu Question: Neuromuscular Secondary: Muscle Final: Nosebleed GV15 . Yang Gu. Qu Chi. Tao Dao. Feng Chi Question: Neuromuscular Secondary: Muscle Final: Impotence GV1 . Jia Che Question: Neuromuscular Secondary: Muscle Final: Intestinal Disorders LI11 . TB10 . San Yin Jiao Question: Musculoskeletal Secondary: Muscle Final: Mental Disorders BL18 .

LR3 . Fei Yang Arthritis © 1/21/2009 TLC Question: Neuromuscular Secondary: Neural Final: Hemorrhoids BL27 . ST36 . Zu San Li Question: Neuromuscular Secondary: Muscle Final: Stool With Undigested Food BL20 . Yi Feng Question: Neuromuscular Secondary: Muscle Final: Worry LU7 .Question: Neuromuscular Secondary: Muscle Final: Stomach Pain GV8 . Gan Shu. TB17 . Xiao Chang Shu 289 www. Da Dun Question: Neuromuscular Secondary: Neural Final: Hand Pain HE3 .com . Jie Xi Question: Neuromuscular Secondary: Muscle Final: Uterine Bleeding Abnormal LR1 . Feng Long Question: Neuromuscular Secondary: Muscle Final: Weakness General ST36 . ST7 . Hui Yin Question: Neuromuscular Secondary: Muscle Final: Trismus TB17 . Guan Yuan. Shui Dao Question: Neuromuscular Secondary: Muscle Final: Urinary Incontinence LR2 . Wan Gu. Yi Feng Question: Neuromuscular Secondary: Neural Final: Coma CV1 . Xia Guan. Xing Jian Question: Neuromuscular Secondary: Neural Final: Dorsal Foot Pain And Swelling ST41 . Lie Que Question: Neuromuscular Secondary: Neural Question: Neuromuscular Secondary: Muscle Final: Toothache TB17 . ST36 . Tai Chong Question: Neuromuscular Secondary: Neural Final: Cystitis ST28 . Jin Suo. Hua Rou Men Question: Musculoskeletal Secondary: Muscle Final: Urinary Dysfunction CV4 . Zu San Li Question: Musculoskeletal Secondary: Muscle Final: Vomiting SP2 . BL58 .com info@tlch2o. Zu San Li Question: Neuromuscular Secondary: Muscle Final: Tinnitus SI4 . Da Du. Yi Feng Question: Neuromuscular Secondary: Neural Final: Constipation ST24 .abctlc. Shao Hai Question: Neuromuscular Secondary: Muscle Final: Visual Disturbances BL18 . Gan Shu Question: Neuromuscular Secondary: Muscle Final: Throat Soreness ST40 . Pi Shu Question: Neuromuscular Secondary: Muscle Final: Vomiting Blood BL18 .

Bai Huan Shu.Question: Neuromuscular Secondary: Neural Final: Hernia BL30 . Ran Gu Question: Neuromuscular Secondary: Neural Final: Stiff Tongue SI1 . Ci Liao Question: Neuromuscular Secondary: Neural Final: Retention Of Urine And Feces CV7 . Tian Jing Question: Neuromuscular Secondary: Neural Final: Infertility KI2 . Bao Huang Question: Neuromuscular Secondary: Neural Final: Lumbar Pain BL25 . Shao Ze Question: Neuromuscular Secondary: Neural Final: Leg Muscle Cramp GB40 . Qu Chi Question: Neuromuscular Secondary: Neural Final: Urination Difficult CV1 . Yin Gu Question: Neuromuscular Secondary: Neural Final: Indigestion ST23 . Feng Long Question: Neuromuscular Secondary: Neural Final: Neck Swelling SI5 . Jiao Xin Question: Neuromuscular Secondary: Neural Final: Measles LI11 . Shang Liao Question: Neuromuscular Secondary: Neural Final: Saliva Excessive KI10 . Shui Gou Question: Neuromuscular Secondary: Neural Final: Uterine Bleeding Abnormal ST40 . Zhong Liao Question: Neuromuscular Secondary: Neural Final: Urinary Dysfunction BL53 . Qiu Xu Question: Neuromuscular Secondary: Neural Final: Tongue Pain LI7 .com . Wen Liu Question: Neuromuscular Secondary: Neural Final: Leg Paralysis BL33 . Yang Gu Question: Neuromuscular Secondary: Neural Final: Vertigo GV24 . BL32 . Xiao Hai. Da Chang Shu Question: Neuromuscular Secondary: Neural Final: Urination And Defecation Difficult KI8 . Yin Jiao Question: Neuromuscular Secondary: Neural Final: Impotence BL31 . Shen Ting Arthritis © 1/21/2009 TLC 290 www.abctlc.com info@tlch2o. TB10 . Hui Yin Question: Neuromuscular Secondary: Neural Final: Mental Disorders GV26 . Tai Yi Question: Neuromuscular Secondary: Neural Final: Shoulder Pain SI8 .

Ci Liao Question: Neuromuscular Secondary: Numbness Final: Vomiting GB34 . Zhong Du Question: Neuromuscular Secondary: Numbness Final: Back Pain SI6 . Jian Liao Question: Neuromuscular Secondary: Numbness Final: Leg Muscle Weakness GB31 . Tian Jing Question: Neuromuscular Secondary: Numbness Final: Hand Numbness LI9 . Feng Shi Question: Neuromuscular Secondary: Numbness Final: Arm Upper And Elbow Numbness BL41 . Tai Xi Question: Neuromuscular Secondary: Numbness Final: Constipation TB6 . KI3 . Jian Zhen Question: Neuromuscular Secondary: Numbness Final: Somnolence TB10 . Wai Guan Question: Neuromuscular Secondary: Numbness Final: Headache GB37 . Huan Tiao Question: Neuromuscular Secondary: Numbness Question: Neuromuscular Secondary: Numbness Final: Arm Pain TB14 .Question: Neuromuscular Secondary: Numbness Final: Leg Muscle Atrophy GB30 . Shao Hai Question: Neuromuscular Secondary: Numbness Final: Tinnitus TB5 .com . Tai Chong Question: Neuromuscular Secondary: Numbness Final: Impotence BL32 . Tian Jing Question: Neuromuscular Secondary: Numbness Final: Deafness SI9 . Shang Lian Question: Neuromuscular Secondary: Numbness Final: Throat Soreness LI1 . Zhi Gou Question: Neuromuscular Secondary: Numbness Final: Skin Disorders TB10 . Yang Ling Quan Question: Neuromuscular Secondary: Numbness Final: Inguinal Lymphadenitis ST31 .com info@tlch2o. SI1 .abctlc. Shang Yang. Bi Guan Arthritis © 1/21/2009 TLC 291 www. Pang Guang Shu. Yang Lao Question: Neuromuscular Secondary: Numbness Final: Seminal Emissions BL28 . Guang Ming Question: Neuromuscular Secondary: Numbness Final: Urine Retention LR3 . Shao Ze Question: Neuromuscular Secondary: Numbness Final: Hand Tremor HE3 . Fu Fen Question: Neuromuscular Secondary: Numbness Final: Lower Limb Numbness GB32 .

Feng Chi Question: Neuromuscular Secondary: Paralysis Final: Facial Muscle Paralysis ST8 . Huan Tiao. LI4 . He Gu Arthritis © 1/21/2009 TLC 292 www. Zhong Du. GB40 . GB31 . Tong Li Question: Neuromuscular Secondary: Paralysis Final: Hemiplegia GB38 . Ji Quan Question: Neuromuscular Secondary: Paralysis Final: Mental Disorders BL15 .abctlc.com info@tlch2o. Jian Yu Question: Neuromuscular Secondary: Paralysis Final: Labor Difficult BL32 . GB30 . Ju Liao. Tou Wei Question: Neuromuscular Secondary: Paralysis Final: Nephritis BL23 . GV16 . Ri Yue Question: Neuromuscular Secondary: Paralysis Final: Cardiac Pain HE1 . Jian Jing. Shou San Li Question: Neuromuscular Secondary: Paralysis Final: Shoulder Wind Damp LI15 . Xuan Zhong Question: Neuromuscular Secondary: Paralysis Final: Irritable PC3 . Qiu Xu Question: Neuromuscular Secondary: Paralysis Question: Neuromuscular Secondary: Paralysis Final: Arm Paralysis TB14 . Feng Fu Question: Neuromuscular Secondary: Paralysis Final: Neurasthenia HE5 . LI11 . GB21 . Cheng Jiang. Ci Liao. Xin Shu. Yang Fu Question: Neuromuscular Secondary: Paralysis Final: Perspiration At Night SI3 . GB29 . Shen Shu Question: Neuromuscular Secondary: Paralysis Final: Hemiplagia GB32 . Qu Chi Question: Neuromuscular Secondary: Paralysis Final: Deafness TB6 . Feng Shi.com . Hou Xi Question: Neuromuscular Secondary: Paralysis Final: Impotence SP6 . Yong Quan Question: Neuromuscular Secondary: Paralysis Final: Jaw Disorders LI10 . San Yin Jiao Question: Neuromuscular Secondary: Paralysis Final: Sciatica GB39 . Qu Ze Question: Neuromuscular Secondary: Paralysis Final: Shock KI1 .Question: Neuromuscular Secondary: Paralysis Final: Leg Pain. Zhi Gou Question: Neuromuscular Secondary: Paralysis Final: Neck Stiffness GB20 . Jian Liao Question: Neuromuscular Secondary: Paralysis Final: Lumbar Pain GB24 . CV24 .

abctlc.Question: Neuromuscular Secondary: Paralysis Final: Thigh Pain ST31 . Shen Zhu. Zhong Du Question: Neuromuscular Secondary: TCM Final: Lumbar Spinal Pain GV1 . Feng Shi Question: Neuromuscular Secondary: TCM Final: Hysteria GV12 . Nei Guan Question: Neuromuscular Secondary: Sciatica Final: Malaria GB40 . Qi Hai Question: Neuromuscular Secondary: Sciatica Final: Leg Pain BL32 . Dan Shu. TB6 . BL19 . Jian Jing Question: Neuromuscular Secondary: Sciatica Final: Sciatica BL53 . Lie Que Question: Neuromuscular Secondary: TCM Final: Epilepsy CV15 . Daz Hui 293 www. LU10 . Qian Ding. Zhi Bian Question: Neuromuscular Secondary: TCM Final: Heat Stroke CV6 . Yu Ji. Pang Guang Shu Arthritis © 1/21/2009 TLC Question: Neuromuscular Secondary: TCM Final: Malaria GV14 . Jian Shi.com . GB30 . Shen Ting. GB32 . Shang Lian Question: Neuromuscular Secondary: Sciatica Final: Leg Paralysis BL37 . GV6 . Wan Gu Question: Hearing Secondary: TCM Final: Fever BL12 . Chang Qiang Question: Neuromuscular Secondary: Sciatica Final: Urinary Dysfunction BL28 . GV24 . GV21 . PC6 . GB29 . Yin Men. BL54 . PC5 . Zhi Gou Question: Neuromuscular Secondary: Sciatica Question: Neuromuscular Secondary: Sciatica Final: Dysuria BL36 . Ju Liao. Feng Men. Cheng Fu. Ji Zhong Question: Neuromuscular Secondary: Paralysis Final: Wrist Pain SI4 . Ci Liao Question: Neuromuscular Secondary: TCM Final: Hemiplagia LI9 . Bao Huang. Ju Gu Question: Neuromuscular Secondary: Paralysis Final: Wrist Joint Soft Tissue Diseases LU7 . Jiu Wei. Qiu Xu Question: Neuromuscular Secondary: TCM Final: Lactation Insufficient GB21 . GB31 .com info@tlch2o. Huan Tiao. Bi Guan Question: Neuromuscular Secondary: TCM Question: Neuromuscular Secondary: TCM Final: Arm Pain LI16 .

LI1 . Yao Yang Guan. Shen Mai. KI3 . HE3 . Nei Guan Question: Neuromuscular Secondary: TCM Final: Soles Hot KI1 . CV22 . Question: Emotions Secondary: TCM Final: Vomiting CV12 . BL23 . Shao Hai. Shen Que Question: Neuromuscular Secondary: TCM Final: Urticaria LI15 . Shou San Li. GV16 . SP9 . SI2 . Pi Shu Arthritis © 1/21/2009 TLC 294 www. Xing Jian Question: Neuromuscular Secondary: TCM Final: Shock CV8 . Da Dun Question: Pain Secondary: TCM Final: Skin Disorders HE1 . Qian Gu. LI13 . BL64 . GB40 . CV13 . Jing Gu. Tou Lin Qi. GV3 . Ya Men. Xin Shu. Si Zhu Kong Question: Neuromuscular Secondary: TCM Final: Urine Retention CV4 . LR2 . Zhao Hai. Shou Wu Li. Qi Mai Question: Neuromuscular Secondary: TCM Final: Nocturnal Emissions BL15 . PC6 . Qi Hai KI6 . SP6 . LR2 . LI16 . Zhon Guan. ST44 . Nei Guan Question: Pain Secondary: TCM Final: Neck Pain BL11 . SI9 . Xing Jian Question: Neuromuscular Secondary: TCM Final: Seizures BL62 . Zhong Chong Question: Neuromuscular Secondary: TCM Final: Stool With Blood BL20 . Cheng Jiang. LI15 . Shen Shu. Tai Xi. Ju Gu.Question: Neuromuscular Secondary: TCM Final: Mouth Deviation CV24 . Nei Ting. Shen Que. Jian Yu. PC9 . GV26 . Ting Hui Question: Neuromuscular Secondary: TCM Final: Urinary Tract Pain LR2 . Da Ling. GB15 . Qiu Xu Question: OBGYN Secondary: TCM Final: Tinnitus BL62 . Shan Guan. Yong Quan Question: Neuromuscular Secondary: TCM Final: Windstroke CV8 . San Yin Jiao Question: Neuromuscular Secondary: TCM Final: Shoulder Pain LI10 . Yin Ling Quan Question: Neuromuscular Secondary: TCM Final: Toothache GB2 . CV13 . Jian Zhen Question: Skin Secondary: TCM Final: Uterine Prolapse CV6 . Shen Mai. Jian Yu. Shang Yang. Shan Guan. LR1 . Tian Tu. PC7 . Jian Yu. Da Zhu. GV15 . Ji Quan. TB23 . Guan Yuan.abctlc. TB18 . Xing Jian.com .com info@tlch2o. LI15 . Feng Fu. Shui Gou Question: Neuromuscular Secondary: TCM Final: Surgical Pain Or Post Surgical Shock PC6 .

Question: Neuromuscular Secondary: Twitch Final: Facial Muscle Paralysis ST1 . Qu Ze Question: OBGYN Secondary: Abdominal Masses Final: Dysuria BL26 . Shao Hai Question: Neuromuscular Secondary: Twitch Final: Headache ST8 . San Yin Jiao Question: Neuromuscular Secondary: Twitch Question: OBGYN Secondary: Abdominal Masses Final: Stool With Undigested Food BL22 . Zan Zhu Question: Neuromuscular Secondary: Tremor Final: Headache with Dizziness HE3 . Xing Jian 295 www.com . Guan Yuan Question: OBGYN Secondary: Abdominal Masses Final: Infertility SP6 . Yang Bai Question: Neuromuscular Secondary: Tremor Final: Mental Disorders GV1 . Si Zhu Kong Question: Neuromuscular Secondary: Tremor Final: Palpitations PC3 . San Jiao Shu Question: Neuromuscular Secondary: Twitch Final: Eye Disorders ST2 . Zhi Gou Question: Neuromuscular Secondary: Twitch Final: Facial Pain BL2 . Ming Men Question: Neuromuscular Secondary: Twitch Final: Headache Frontal GB14 . Qu Ze Question: OBGYN Secondary: Abdominal Masses Question: Neuromuscular Secondary: Tremor Final: Skin Disorders PC3 . Guan Yuan Shu Question: Neuromuscular Secondary: Tremor Final: Uterine Bleeding Abnormal CV4 . Chang Qiang Question: Neuromuscular Secondary: Twitch Final: Mental Disorders TB23 . Pang Guang Shu Question: Neuromuscular Secondary: Twitch Final: Eyelid Twitching SI18 . Cheng Qi Question: Neuromuscular Secondary: Tremor Question: Neuromuscular Secondary: Tremor Final: Fever Without Sweating TB6 .abctlc. Quan Liao Arthritis © 1/21/2009 TLC Question: OBGYN Secondary: Abdominal Masses Final: Urine Turbid LR2 .com info@tlch2o. Si Bai Question: OBGYN Secondary: Abdominal Masses Final: Urinary Incontinence BL28 . Tou Wei Question: Neuromuscular Secondary: Tremor Final: Lumbar Sprain GV4 .

ST18 . Shen Feng. KI24 . Jian Jing Question: OBGYN Secondary: Breast Final: Dyspnea CV17 . Du Shu. Jia Xi Question: OBGYN Secondary: Breast Final: Breast Pain ST15 . CV17 . Wu Yi. LR14 . Tian You Question: OBGYN Secondary: Breast Final: Headache Migraine GB37 . Tai Chong 296 www. Di Wu Hui Question: OBGYN Secondary: Breast Final: Mastitis GB21 . Ling Xu. Tian Zong Question: OBGYN Secondary: Breast Final: Neck Pain GB21 . Yu Zhong Question: OBGYN Secondary: Breast Final: Breast Pain And Distention GB42 .com . Yu Ji Question: OBGYN Secondary: Breast Final: Headache Occipital GB41 . Ru Gen. ST15 . Tian Xi.com info@tlch2o. SP18 . Jian Jing. Zu Lin Qi Question: OBGYN Secondary: Breast Question: OBGYN Secondary: Breast Final: Breast Abscess KI23 . Qi Men.abctlc. Shan Zhong Arthritis © 1/21/2009 TLC Question: OBGYN Secondary: Breast Final: Uterine Bleeding Abnormal LR3 . ST39 . Xia Ju Xu Question: OBGYN Secondary: Breast Final: Chest Discomfort SI11 . Shan Zhong Question: OBGYN Secondary: Breast Final: Palpitations LU9 . Ying Chuang Question: OBGYN Secondary: Breast Final: Jaw Disorders GB43 . ST16 .Question: OBGYN Secondary: Breast Final: Hypochondriac Region Pain GB41 . Zu Lin Qi Question: OBGYN Secondary: Breast Final: Tinnitus GB43 . Jia Xi Question: OBGYN Secondary: Breast Final: Hiccough BL16 . Tian Zong Question: OBGYN Secondary: Breast Final: Skin Disorders TB16 . Tai Yuan Question: OBGYN Secondary: Breast Final: Elbow Problems SI11 . Guang Ming Question: OBGYN Secondary: Breast Final: Throat Infections LU10 . Wu Yi Question: OBGYN Secondary: Breast Final: Lateral Costal Region Fullness And Distention KI26 .

Ji. BL67 . Hui Yin Question: OBGYN Secondary: Childbirth Final: Mouth Deviation LI4 . Tai Chong Question: OBGYN Secondary: Childbirth Final: Edema ST28 . Gui Lai Question: OBGYN Secondary: Childbirth Final: Labor Difficult Or Prolonged BL60 . Ci Liao Question: OBGYN Secondary: Genitalia Final: Genital Diseases CV1 . LR12 . Zhi Shi Question: OBGYN Secondary: Childbirth Final: Shoulder Pain GB21 . Da He. Qu Quan Question: OBGYN Secondary: Childbirth Final: Neck Stiffness GB21 . Mai. San Yin Jiao Question: OBGYN Secondary: Genitalia Final: Endometriosis ST29 . Heng Gu Question: OBGYN Secondary: Childbirth Final: Retention Of Placenta BL67 . Zhi Bian. Xia Liao Question: OBGYN Secondary: Childbirth Final: Labor Difficult SP6 . BL54 . Cheng Fu. Shui Dao Question: OBGYN Secondary: Genitalia Question: OBGYN Secondary: Childbirth Final: Impotence CV3 . KI11 .com .abctlc. LR8 .com info@tlch2o. Zhi Yin Question: OBGYN Secondary: Genitalia Final: Genital Itching LR8 . San Yin Jiao Question: OBGYN Secondary: Genitalia Final: Dysuria BL34 . Qu Quan Question: OBGYN Secondary: Childbirth Final: Leg Paralysis BL32 . Qu Gu. Jian Jing Arthritis © 1/21/2009 TLC 297 www. Jian Jing Question: OBGYN Secondary: Genitalia Final: Genital Pain And Retraction KI11 . Zhong Ji Question: OBGYN Secondary: Genitalia Final: Amenorrhea SP10 .Question: OBGYN Secondary: Childbirth Question: OBGYN Secondary: Childbirth Final: Vertigo LR3 . CV2 . Xue Hai Question: OBGYN Secondary: Childbirth Final: Insomnia SP6 . Heng Gu. He Gu Question: OBGYN Secondary: Genitalia Final: Genital Pain BL36 . Kun Lun. KI12 . Zhi Yin Question: OBGYN Secondary: Genitalia Final: Genital Swelling BL52 .

Gui Lai 298 www.com . Hui Yang Question: OBGYN Secondary: Genitalia Final: Infertility CV3 .abctlc. San Yin Jiao Question: OBGYN Secondary: Genitalia Final: Urine Retention BL28 . Zhi Shi Question: OBGYN Secondary: Genitalia Final: Jaundice KI2 . Pang Guang Shu Question: OBGYN Secondary: Genitalia Final: Leg Pain LR5 . Ran Gu Question: OBGYN Secondary: Genitalia Final: Urine Dark BL28 . Zhong Ji Question: OBGYN Secondary: Genitalia Final: Seminal Emissions BL23 . Pang Guang Shu. Li Gou Question: OBGYN Secondary: Genitalia Final: Urination Frequent BL28 . BL55 . Dai Mai Question: OBGYN Secondary: Genitalia Final: Lumbar Pain BL55 . Shen Shu Question: OBGYN Secondary: Genitalia Final: Intestinal Disorders SP9 . Ji Mai Question: OBGYN Secondary: Genitalia Final: Menstrual Lumbar Pain BL35 . Yin Ling Quan Question: OBGYN Secondary: Genitalia Final: Thigh Medial Pain KI10 . Xing Jian Question: OBGYN Secondary: Genitalia Final: Leg Paralysis BL31 .Question: OBGYN Secondary: Genitalia Final: Hernia Pain LR12 . Shang Liao.com info@tlch2o. Pang Guang Shu Question: OBGYN Secondary: Genitalia Final: Leg Muscle Atrophy SP6 . Zhong Ji Question: OBGYN Secondary: Gynecological Disorders Question: OBGYN Secondary: Gynecological Disorders Final: Cystitis GB26 . Tai Chong Question: OBGYN Secondary: Genitalia Final: Leukorrhea CV3 . Hey Yng Question: OBGYN Secondary: Genitalia Final: Visual Disturbances LR3 . Yin Gu Question: OBGYN Secondary: Genitalia Final: Itching LR5 . Hey Yng Arthritis © 1/21/2009 TLC Question: OBGYN Secondary: Gynecological Disorders Final: Genital Penis Pain ST29 . Li Gou Question: OBGYN Secondary: Genitalia Final: Uterine Bleeding Abnormal LR2 . BL52 .

Tian Zong Question: OBGYN Secondary: Gynecological Disorders Final: Infertility KI18 . Tian Xi. Guan Yuan Question: OBGYN Secondary: Gynecological Disorders Final: Hernia ST28 . Shang Liao. Ci Liao. Xing Jian Question: OBGYN Secondary: Gynecological Disorders Final: Menses Irregular KI2 . Shi Guan Question: OBGYN Secondary: Lactation Final: Insufficient Lactation SP18 . Yong Quan Question: OBGYN Secondary: Gynecological Disorders Final: Urogenital Disorders KI10 . BL33 . Guan Yuan Question: OBGYN Secondary: Gynecological Disorders Final: Hip Pain BL30 . Zhong Liao Question: OBGYN Secondary: Lactation Final: Vertigo LR2 . Shan Zhong Question: OBGYN Secondary: Gynecological Disorders Final: Leg Paralysis GV3 . Ran Gu Question: OBGYN Secondary: Lactation Final: Vomiting LR3 . Tai Chong Question: OBGYN Secondary: Gynecological Disorders Final: Throat Constriction KI1 . Shui Dao Question: OBGYN Secondary: Gynecological Disorders Final: Windstroke CV4 . Qi Hai Question: OBGYN Secondary: Gynecological Disorders Final: Uterine Prolapse CV4 .com . Jian Jing Question: OBGYN Secondary: Gynecological Disorders Final: Leukorrhea BL31 . Yao Yang Guan Question: OBGYN Secondary: Lactation Final: Skin Disorders GB21 .com info@tlch2o. Ru Gen Question: OBGYN Secondary: Gynecological Disorders Final: Leg Pain SP6 . San Yin Jiao Question: OBGYN Secondary: Lactation Final: Intercostal Neuralgia CV17 . Yin Gu Arthritis © 1/21/2009 TLC 299 www.abctlc.Question: OBGYN Secondary: Gynecological Disorders Final: Hemorrhage Postpartum CV6 . BL32 . Bai Huan Shu Question: OBGYN Secondary: Lactation Question: OBGYN Secondary: Lactation Final: Facial Edema SI11 . ST18 .

Wei Dao. Xiao Chang Shu Question: OBGYN Secondary: Leukorrhea Final: Tinnitus BL23 . Qi Xue. Yin Gu Question: OBGYN Secondary: Leukorrhea Final: Leg Paralysis SP6 . CV7 . Zhong Liao Question: OBGYN Secondary: Leukorrhea Question: OBGYN Secondary: Leukorrhea Final: Dysmenorrhea SP10 . BL32 . Shang Liao. Yin Jiao.com . GB28 . Dai Mai. Yao Yang Guan. KI12 . KI13 .com info@tlch2o. Zhi Bian Question: OBGYN Secondary: Leukorrhea Final: Lumbosacral Joint Diseases BL31 . GB27 .abctlc. Shang Liao. GV4 . Ci Liao. GV3 . Shen Shu Question: OBGYN Secondary: Leukorrhea Final: Jaundice SP9 . Qi Hai Shu Question: OBGYN Secondary: Leukorrhea Final: Menorrhagia CV3 . BL33 . CV5 . Zhong Ji Question: OBGYN Secondary: Leukorrhea Final: Hernia CV6 . Qu Gu. LR5 . Da He.Question: OBGYN Secondary: Leukorrhea Final: Lumbar Pain BL31 . Xia Liao Question: OBGYN Secondary: Leukorrhea Final: Uterine Bleeding Abnormal KI10 . Li Gou Question: OBGYN Secondary: Leukorrhea Final: Endometriosis GB26 . CV2 . ST29 . Bai Huan Shu. Gui Lai Question: OBGYN Secondary: Leukorrhea Final: Menses Irregular BL31 . Ming Men Question: OBGYN Secondary: Leukorrhea Final: Intestinal Disorders BL27 . Shi Men. Xue Hai Question: OBGYN Secondary: Leukorrhea Final: Leukorrhea BL30 . Hui Yang. Yin Ling Quan Question: OBGYN Secondary: Leukorrhea Final: Urinary Dysfunction BL23 . Qi Hai. San Yin Jiao Arthritis © 1/21/2009 TLC Question: OBGYN Secondary: Leukorrhea Final: Visual Disturbances LR2 . Shen Shu Question: OBGYN Secondary: Leukorrhea Final: Labor Difficult BL34 . Shang Liao Question: OBGYN Secondary: Leukorrhea Final: Hemorrhoids BL24 . BL35 . Xing Jian 300 www. Wu Shu Question: OBGYN Secondary: Leukorrhea Final: Gluteal Muscle Pain BL54 .

com info@tlch2o. Yin Jiao Question: OBGYN Secondary: Menstruation Final: Leukorrhea BL34 . LR6 . Bai Huan Shu. Bai Huan Shu Question: OBGYN Secondary: Menstruation Final: Lumbar Pain BL24 . Shi Men Question: OBGYN Secondary: Menstruation Question: OBGYN Secondary: Menstruation Final: Leg Pain GB41 . Yin Jiao. GV3 . Gui Lai Question: OBGYN Secondary: Lochia Final: Nephritis CV3 . KI5 . Zhong Ji Question: OBGYN Secondary: Menstruation Final: Infertility CV6 . Wai Ling Question: OBGYN Secondary: Menstruation Final: Lumbar Cold Sensation BL30 . Zhong Ji Question: OBGYN Secondary: Menstruation Final: Intestinal Disorders CV6 .com . Zu Lin Qi Question: OBGYN Secondary: Menstruation Final: Amenorrhea CV7 . GB27 . Qi Hai. SP8 . Qi Hai Question: OBGYN Secondary: Menstruation Final: Hernia GB26 . Qu Gu. Li Gou Question: OBGYN Secondary: Menstruation Final: Eczema SP10 .Question: OBGYN Secondary: Menstruation Final: Genital Swelling LR8 . Xue Hai Arthritis © 1/21/2009 TLC 301 www. Yao Yang Guan. Shui Dao. Qu Quan Question: OBGYN Secondary: Lochia Question: OBGYN Secondary: Lochia Final: Impotence CV6 . GB26 . Dai Mai. Dai Mai Question: OBGYN Secondary: Lochia Final: Vaginal Discharge CV5 . Dai Mai Question: OBGYN Secondary: Lochia Final: Lochia Persistent Flow CV7 . Xia Liao Question: OBGYN Secondary: Menstruation Final: Dysmenorrhea CV2 . Qi Hai Shu. Qi Hai. Di Ji.abctlc. Wu Shu Question: OBGYN Secondary: Lochia Final: Leukorrhea SP6 . LR5 . BL30 . ST28 . Zhong Du Question: OBGYN Secondary: Menstruation Final: Impotence ST29 . ST29 . Shui quan. ST26 . Gui Lai Question: OBGYN Secondary: Lochia Final: Menses Irregular CV3 . San Yin Jiao Question: OBGYN Secondary: Menstruation Final: Hypochondriac Region Pain GB26 .

Tai Xi Question: OBGYN Secondary: Menstruation Final: Orchitis BL31 . Qu Chi. SP6 . Shang Liao Question: OBGYN Secondary: Menstruation Final: Menses Irregular BL32 . Si Man. Yin Jiao. Fu Liu Question: OBGYN Secondary: Menstruation Final: Lumbar Sprain BL25 . He Gu Question: OBGYN Secondary: Menstruation Final: Throat Soreness KI3 . Hui Yin. Tong Li Arthritis © 1/21/2009 TLC 302 www. Zu Lin Qi Question: OBGYN Secondary: Menstruation Final: Sciatica BL31 . Yao Shu. Zhong Liao Question: OBGYN Secondary: Menstruation Final: Retention Of Placenta CV3 . San Yin Jiao Question: OBGYN Secondary: Menstruation Final: Stiff Tongue GB44 . Shui quan Question: OBGYN Secondary: Menstruation Final: Seminal Emissions CV3 . Zhong Ji. SP10 . KI2 . Zhong Ji. CV7 . Zhong Shu Question: OBGYN Secondary: Menstruation Final: Nocturnal Emissions CV3 . Ci Liao.Question: OBGYN Secondary: Menstruation Final: Lumbar Spinal Pain BL24 . KI15 . Shang Liao Question: OBGYN Secondary: Menstruation Final: Ulcer Gastric BL20 . CV2 .com info@tlch2o. CV1 . Ci Liao. KI5 . Qu Gu. San Yin Jiao Question: OBGYN Secondary: Menstruation Final: Spinal Stiffness GV7 . Ran Gu Question: OBGYN Secondary: Menstruation Final: Skin Disorders LI11 . Pi Shu Question: OBGYN Secondary: Menstruation Final: Palpitations HE5 .com . Qi Hai Shu Question: OBGYN Secondary: Menstruation Final: Perspiration At Night KI7 . BL33 . Zu Qiao Yin Question: OBGYN Secondary: Menstruation Final: Nosebleed LI4 . Zhong Liao. KI14 .abctlc. San Yin Jiao Question: OBGYN Secondary: Menstruation Final: Lumbosacral Joint Diseases BL32 . KI13 . BL33 . Xue Hai Question: OBGYN Secondary: Menstruation Final: Neurasthenia SP6 . Qi Xue. Zhong Zhu. Zhong Ji Question: OBGYN Secondary: Menstruation Final: Malaria GB41 . GV2 . Da Chang Shu Question: OBGYN Secondary: Menstruation Final: Reproductive System Disorders SP6 .

abctlc. Shui Dao Question: OBGYN Secondary: Pain Final: Urinary Dysfunction CV3 . San Yin Jiao Question: OBGYN Secondary: Pain Question: OBGYN Secondary: Pregnancy Question: OBGYN Secondary: Pain Final: Cardiac Pain KI21 . Zhong Ji Question: OBGYN Secondary: Pregnancy Final: Nausea And Vomiting KI21 .Question: OBGYN Secondary: Menstruation Final: Urinary Incontinence BL23 . Yong Quan 303 www. Zhi Yin Question: OBGYN Secondary: Pain Final: Perineum Pain And Itching CV1 .com info@tlch2o. Nei Guan Question: OBGYN Secondary: Post-Partum Final: Urinary Dysfunction SP6 . Hui Yin Question: OBGYN Secondary: Pregnancy Final: Menses Irregular ST28 .com . Qi Hai Question: OBGYN Secondary: Menstruation Final: Vertigo GB43 . Qu Gu Question: OBGYN Secondary: Pain Final: Leukorrhea GB26 . Jia Xi Question: OBGYN Secondary: Post-Partum Final: Postpartum Abdominal Pain KI18 . You Men Question: OBGYN Secondary: Post-Partum Question: OBGYN Secondary: Pregnancy Final: Parotitis LI4 . He Gu Question: OBGYN Secondary: Post-Partum Final: Hypochondriac Region Pain TB6 . Qi Men Question: OBGYN Secondary: Menstruation Final: Windstroke PC6 . Shi Guan Question: OBGYN Secondary: Menstruation Final: Vomiting LR2 . Shen Shu Question: OBGYN Secondary: Post-Partum Final: Leukorrhea CV6 . Xing Jian Question: OBGYN Secondary: Post-Partum Final: Postpartum Disorders LR14 . Dai Mai Question: OBGYN Secondary: Pregnancy Final: Malposition Of Fetus BL67 . Zhi Gou Arthritis © 1/21/2009 TLC Question: OBGYN Secondary: Pregnancy Final: Throat Soreness KI1 . You Men Question: OBGYN Secondary: Pregnancy Final: Gynecological Disorders CV2 .

GV20 . Tai Yuan Question: OBGYN Secondary: TCM Final: Tinnitus BL62 . Question: OBGYN Secondary: Pregnancy Final: Urinary Incontinence SP6 .com . Shen Mai. LU9 . Shen Mai. LI16 . Zhi Yang. TB18 . GB14 .Question: Neuromuscular Secondary: TCM Final: Seizures BL62 . Xing Jian.com info@tlch2o. GV9 . Qu Quan Question: OBGYN Secondary: TCM Final: Toe Pain KI1 . GV15 . Jia Xi. Shan Guan. Zhong Ji Question: OBGYN Secondary: TCM Question: OBGYN Secondary: TCM Final: Genitals Itch CV7 . LI4 . Jian Yu. Yong Quan Question: Musculoskeletal Secondary: TCM Final: Intercostal Neuralgia GB43 . GB41 . Cheng Jiang Question: Neuromuscular Secondary: TCM Final: Urticaria LI15 . Yu Ji Question: Hearing Secondary: TCM Final: Headache BL62 . Shao Hai. Da He Question: OBGYN Secondary: TCM Final: Mouth Ulcers CV24 . CV13 . Shang Xing. Tai Xi. Jing Gu. San Yin Jiao Question: OBGYN Secondary: Pregnancy Final: Urine Retention CV3 . Ya Men. SP6 . Qian Gu. BL64 . Zhi Gou Question: OBGYN Secondary: TCM Final: Urogenital Disorders KI12 . Yin Jiao Question: OBGYN Secondary: TCM Final: Thigh Medial Pain SP10 . Shen Mai. LI1 . TB23 . Shui Dao Arthritis © 1/21/2009 TLC 304 www.abctlc. ST28 . Qu Quan. Feng Chi Question: Musculoskeletal Secondary: TCM Final: Nephritis KI3 . San Yin Jiao Question: Musculoskeletal Secondary: TCM Question: OBGYN Secondary: TCM Final: Visual Disturbances BL23 . HE3 . GB20 . Yang Bai. Cheng Fu Question: OBGYN Secondary: TCM Final: Throat Soreness LU10 . TB6 . He Gu. Xue Hai Question: OBGYN Secondary: TCM Final: Gluteal Muscle Pain BL36 . Bai Hui. Ju Gu. GV23 . SI2 . Qi Mai Question: OBGYN Secondary: TCM Final: Impotence LR8 . Shen Shu. Si Zhu Kong. Zu Lin Qi. Shang Yang. LR2 . LR8 .

Qi Hai. Shui quan.com info@tlch2o. Wei Dao. San Yin Jiao Question: OBGYN Secondary: Uterus Final: Metrorrhagia KI14 . Xue Hai Question: OBGYN Secondary: Uterus Final: Lumbar Pain GB26 . CV1 . Xue Hai Question: OBGYN Secondary: Uterus Final: Lumbosacral Pain BL30 . ST29 . LR6 . SP10 . KI8 . CV7 . Jian Jing. Dai Mai Question: OBGYN Secondary: Uterus Final: Urticaria BL20 . Tong Li Arthritis © 1/21/2009 TLC 305 www. Gui Lai Question: OBGYN Secondary: Uterus Final: Urinary Dysfunction CV6 . Yin Jiao. Qi Men Question: OBGYN Secondary: Uterus Final: Stiff Tongue HE5 . Qi Hai. Tong Li Question: OBGYN Secondary: Uterus Final: Stiff Tongue HE5 . Hui Yin.Question: OBGYN Secondary: Uterus Final: Stool With Pus KI7 . Qu Quan Question: OBGYN Secondary: Uterus Final: Throat Soreness KI2 . Bai Huan Shu Question: OBGYN Secondary: Uterus Final: Uterine Bleeding Abnormal CV3 . Zhong Ji . Wu Shu. Heng Gu Question: OBGYN Secondary: Uterus Final: Vomiting LR14 . KI5 .com . SP6 .abctlc. Fu Liu Question: OBGYN Secondary: Uterus Question: OBGYN Secondary: Uterus Final: Knee Disorders LR8 . Shui Dao Question: OBGYN Secondary: Uterus Final: Vertigo SP6 . Jiao Xin. Pi Shu. SP10 . Ji Mai. Si Man Question: OBGYN Secondary: Uterus Final: Orchitis LR5 . Shang Liao. Gui Lai Question: OBGYN Secondary: Uterus Final: Uterine Prolapse BL31 . SP6 . San Yin Jiao Question: OBGYN Secondary: Uterus Final: Pelvic And Reproductive Conditions KI11 . San Yin Jiao Question: OBGYN Secondary: Uterus Final: Menses Irregular CV6 . Ran Gu Question: OBGYN Secondary: Uterus Final: Leukorrhea GB27 . ST29 . ST28 . Zhong Du. GB21 . LR12 . Li Gou. GB28 .

Wei Dao Question: Pain Secondary: Abdominal Final: Nocturnal Emissions LR8 . Di Ji Question: Pain Secondary: Back Final: Impotence BL52 . Wei Shu Question: Pain Secondary: Abdominal Final: Inguinal Region Pain And Swelling SP11 . Wei Yang Arthritis © 1/21/2009 TLC 306 www. BL50 .com .Question: Pain Secondary: Back Final: Carbuncles And Furuncles GV10 . Shen Tang Question: Pain Secondary: Back-Lower Final: Foot Pain BL39 .com info@tlch2o. Ji Men Question: Pain Secondary: Back-Lower Question: Pain Secondary: Abdominal Final: Leg Pain LR8 . Ling Tai Question: Pain Secondary: Abdominal Question: Pain Secondary: Abdominal Final: Abdominal Distention SP8 .abctlc. Wei Cang Question: Pain Secondary: Back-Lower Final: Elbow Problems SI6 . Shi Dou Question: Pain Secondary: Back Final: Vomiting BL21 . Qu Quan Question: Pain Secondary: Back-Lower Final: Back Pain GB28 . Tai Xi Question: Pain Secondary: Back-Lower Final: Coccyx Pain BL35 . Wei Yang Question: Pain Secondary: Back Final: Back Pain BL47 . Qu Quan Question: Pain Secondary: Back-Lower Final: Back Pain Radiates To Testicles ST39 . Hun Men. Qi Hai Question: Pain Secondary: Back-Lower Final: Cough GV9 . BL49 . Xia Ju Xu Question: Pain Secondary: Abdominal Final: Tinnitus KI3 . Yang Lao Question: Pain Secondary: Back Final: Back Pain And Stiffness BL44 . Zhi Yang Question: Pain Secondary: Back Question: Pain Secondary: Back-Lower Final: Edema BL39 . Hui Yang Question: Pain Secondary: Abdominal Final: Urinary Incontinence CV6 . Yi She. Zhi Shi Question: Pain Secondary: Abdominal Final: Diaphragm Pain SP17 .

SP9 . Cheng Shan.com . BL34 . Feng Men Question: Pain Secondary: Back-Lower Final: Lower Abdominal Pain KI15 . Da Zhong Question: Pain Secondary: Back-Lower Final: Hypochondriac Region Pain GB38 . Zhi Shi. Yin Bao Question: Pain Secondary: Back-Lower Final: Leg Muscle Atrophy BL36 . BL56 . Bai Huan Shu. BL63 . Shu Gu.Question: Pain Secondary: Back-Lower Final: Hand Pain TB8 . GB26 . BL59 . BL65 . Wu Shu Question: Pain Secondary: Back-Lower Final: Hemorrhoids BL36 . Ren Ying Question: Pain Secondary: Back-Lower Final: Lumbar And Leg Pain BL35 . Xia Liao. KI4 . BL52 . Xia Liao. Hui Yang Question: Pain Secondary: Back-Lower Final: Headache With Chills BL11 . Kun Lun. BL34 . Yang Fu Question: Pain Secondary: Back-Lower Final: Nasal Congestion BL12 . Zhong Shu Question: Pain Secondary: Back-Lower Final: Headache ST9 . Zhi Bian Question: Pain Secondary: Back-Lower Question: Pain Secondary: Back-Lower Final: Hip Movement Decreased BL53 . Zhong Zhu Arthritis © 1/21/2009 TLC 307 www. Zhong Lu Shu. Yang Fu Question: Pain Secondary: Back-Lower Final: Lumbosacral Joint Diseases BL34 . San Yang Luo Question: Pain Secondary: Back-Lower Final: Lumbar And Back Pain GV7 . Guan Yuan Shu. Xia Liao Question: Musculoskeletal Secondary: Back-Lower Final: Knee Disorders BL23 . Shen Shu. BL60 . GB27 . BL26 . Bao Huang Question: Pain Secondary: Back-Lower Final: Lumbar Spine Pain And Stiffness BL29 . Fu Yang. Qi Hai Shu. Dai Mai Question: Pain Secondary: Back-Lower Final: Leg Pain GB38 . San Jiao Shu. BL54 . BL57 . Cheng Jin. Cheng Fu.abctlc.com info@tlch2o. Jin Men. Da Zhu Question: Musculoskeletal Secondary: Back-Lower Final: Lumbar Pain BL22 . Yin Ling Quan Question: Pain Secondary: Back-Lower Final: Lumbo-Sacral Pain Radiates To Hypogastrium LR9 . Cheng Fu Question: Pain Secondary: Back-Lower Final: Menses Irregular BL24 . BL30 .

Hou Xi Question: Pain Secondary: Back-Lower Final: Vertigo KI1 . Huan Tiao. BL32 . GV2 . Qiu Xu Question: Pain Secondary: Back-Lower Final: Skin Disorders LI10 . Chang Qiang. Shui Dao Question: Pain Secondary: Back-Lower Final: Respiratory Disorders GB20 . Da Chang Shu. Ci Liao. Tai Xi Question: Pain Secondary: Back-Lower Final: Rectal Prolapse BL30 .abctlc. Pi Shu. Ju Liao Question: Pain Secondary: Back-Lower Final: Tooth Decay SI8 . Chang Qiang. GV4 . Pang Guang Shu Question: Pain Secondary: Back-Lower Final: Sacral Pain BL25 . BL33 . Fu Liu Question: Pain Secondary: Back-Lower Final: Orchitis BL32 . GB29 . GV1 . Tian Jing Question: Pain Secondary: Back-Lower Final: Sciatica BL30 .com info@tlch2o. Bai Huan Shu Question: Pain Secondary: Back-Lower Final: Urine Retention ST28 . Yong Quan Question: Pain Secondary: Back-Lower Final: Sexual Dysfunction LR5 . Zhong Liao. Shou San Li Arthritis © 1/21/2009 TLC Question: Pain Secondary: Back-Upper Final: Back Pain GV11 . Zhong Ji Question: Pain Secondary: Back-Lower Final: Seizures GV1 . BL32 . Ci Liao. Bai Huan Shu.com . Zhong Liao. GB30 . CV3 . Feng Chi Question: Pain Secondary: Back-Lower Final: Urogenital Disorders BL28 . SI3 . Ming Men Question: Pain Secondary: Back-Lower Final: Uterine Prolapse BL20 . Xiao Hai Question: Pain Secondary: Back-Lower Final: Parotitis LI4 . Li Gou Question: Pain Secondary: Back-Lower Final: Vomiting GB40 . BL33 . Ci Liao. Yao Shu Question: Pain Secondary: Back-Lower Final: Urticaria TB10 . Shen Dao 308 www. He Gu Question: Pain Secondary: Back-Lower Final: Toothache KI3 .Question: Pain Secondary: Back-Lower Final: Stool With Blood KI7 .

Li Dui Question: Pain Secondary: Chest Final: Chest Pain And Lateral Costal Region Fullness CV16 . HE9 . CV19 . Jiu Wei Question: Pain Secondary: Chest Final: Chills LI14 . GB13 . SI9 . Shen Cang Question: Pain Secondary: Chest Final: Cardiothoracic Pain CV15 . Tian Tu Question: Pain Secondary: Chest Final: Chest Discomfort BL14 . Yi Xi Question: Pain Secondary: Back-Upper Final: Respiratory Disorders LU1 . Jian Zhen Question: Pain Secondary: Chest Final: Chest And Sternal Pain CV18 . Jue Yin Shu. Tian Xi Question: Pain Secondary: Back-Upper Final: Shoulder Pain SI3 . Hou Xi Question: Pain Secondary: Chest Final: Chest Pain BL14 . Xuan Ji.com info@tlch2o. Wai Qui. Xia Bai. Yin Xi. Bi Nao Question: Pain Secondary: Chest Final: Chest And Lateral Costal Region Pain SP21 . Jue Yin Shu. You Men. Zhong Ting Question: Pain Secondary: Chest Final: Cardiac Pain HE6 .Question: Pain Secondary: Chest Final: Chest And Lateral Costal Region Pain And Fullness KI22 . CV20 . Tian Zong. KI21 . Zi Gong. GB36 . Shao Chong. Hua Gai. CV21 . Shu Fu Question: Pain Secondary: Chest Question: Pain Secondary: Chest Final: Abdominal Fullness And Distention ST45 . Da Bao Arthritis © 1/21/2009 TLC Question: Pain Secondary: Chest Final: Dyspnea GV9 .abctlc. Da Zhu Question: Pain Secondary: Back-Upper Final: Jaw Disorders SI11 . PC2 . Bu Lang Question: Pain Secondary: Back-Upper Final: Irritable BL11 . Ben Shen. Zhong Fu Question: Pain Secondary: Chest Final: Chest Fullness And Pain SP18 .com . Tian Quan Question: Pain Secondary: Chest Final: Chest Pain And Oppression KI25 . HE1 . LU4 . KI27 . Zhi Yang 309 www. Ji Quan. Yu Tang Question: Pain Secondary: Back-Upper Final: Neck Swelling Posterior CV22 . BL45 .

Yang Chi Question: Pain Secondary: Chest Final: Lactation Insufficient CV17 . Zhi Gou Question: Circulation Secondary: Chest Question: Pain Secondary: Chest Final: Lateral Leg Pain KI19 . TB6 . Yang Jiao Arthritis © 1/21/2009 TLC Question: Pain Secondary: Chest Final: Oppressive Sensation In The Heart CV15 .abctlc. Shao Shang. LU8 . Zhong Chong Question: Pain Secondary: Chest Final: Leg Pain Lateral GB38 . Ling Xu Question: Pain Secondary: Chest Final: Nosebleed PC4 .Question: Pain Secondary: Chest Final: Elbow Problems HE1 . PC9 . Jing Qu. Kong Zui Question: Pain Secondary: Chest Final: Heart Pain CV11 . Shao Hai Question: Pain Secondary: Chest Final: Lumbar Pain GB38 . Jian Li Question: Pain Secondary: Chest Final: Loss Of Voice Sudden HE4 . Zhi Gou Question: Pain Secondary: Chest Final: Hypochondriac Region Pain HE3 . Ling Dao. Xi Men Question: Pain Secondary: Chest Final: Lateral Costal Region Fullness KI24 . Yang Fu Question: Pain Secondary: Chest Final: Intercostal Neuralgia HE3 . Shan Zhong Question: Pain Secondary: Chest Final: Melancholy PC4 .com info@tlch2o. Dan Shu Question: Pain Secondary: Chest Final: Loss Of Voice LU6 . TB6 . Yin Du Question: Circulation Secondary: Chest Final: Fever LU11 . Jiu Wei 310 www.com . Shao Hai Question: Pain Secondary: Chest Final: Malaria TB4 . Xi Men Question: Pain Secondary: Chest Final: Lateral Costal Region Fullness And Distention GB35 . Yang Fu Question: Pain Secondary: Chest Final: Gastric Disorders BL19 . Tian Quan. Ji Quan Question: Respiration Secondary: Chest Final: Lateral Costal Region Pain PC2 .

Yang Gu Question: Pain Secondary: Chest Final: Throat Soreness HE5 . Xin Shu. Yong Quan Question: Pain Secondary: Chest Final: Stool With Blood GV1 . Xi Men Question: Pain Secondary: Chest Final: Thoracic Distention And Fullness ST13 . Xin Shu Question: Pain Secondary: Chest Final: Urinary Dysfunction KI3 . Xin Shu Question: Respiration Secondary: Chest Final: Thoracic Pain BL60 . Feng Long Question: Pain Secondary: Chest Final: Stomach Pain PC3 . TB15 . Ran Gu Question: Pain Secondary: Chest Final: Shoulder Pain LU1 . Tai Xi Question: Pain Secondary: Chest Final: Respiratory Disorders LU8 . Yun Men Question: Pain Secondary: Chest Final: Uterine Prolapse KI2 . Qu Ze Question: Pain Secondary: Chest Final: Visual Disturbances KI1 . Qi Hu Question: Pain Secondary: Chest Final: Panic BL15 . Qi Hai Question: Pain Secondary: Chest Final: Shoulder Movement Limited LU2 . Da Zhu. Zhong Fu Question: Pain Secondary: Chest Final: Vertigo ST40 . SI11 . Chang Qiang Question: Pain Secondary: Epigastrium Final: Windstroke GB21 . Tai Xi Question: Respiration Secondary: Chest Final: Scapular Pain BL11 . Tian Rong Question: Pain Secondary: Chest Final: Perspiration At Night BL15 .Question: Pain Secondary: Chest Final: Palpitations BL15 . Ru Gen Question: Pain Secondary: Chest Final: Parotitis SI5 . PC4 . Tong Li SI17 . Tian Liao Question: Pain Secondary: Chest Final: Urine Retention CV6 .abctlc. Jing Qu Question: Pain Secondary: Chest Final: Urination Frequent KI3 . Kun Lun.com info@tlch2o. Jian Jing Arthritis © 1/21/2009 TLC 311 www.com . ST18 . Tian Zong.

SP9 . BL61 . Guang Ming.abctlc. Yin Ling Quan 312 www. BL60 . Yang Jiao Question: Pain Secondary: Extremity-Lower Question: Pain Secondary: Extremity-Lower Final: Lateral Malleolus Edema BL59 . Da Zhu. Zhi Yang Question: Pain Secondary: Extremity-Lower Final: Knee Disorders BL11 . SP7 . Kun Lun. Zhi Bian Question: Pain Secondary: Extremity-Lower Final: Dorsal Foot Pain And Swelling GB42 . Pu Can. Di Wu Hui. Cheng Shan. Chong Yang Question: Pain Secondary: Extremity-Lower Final: Leg Muscle Pain Lateral GB37 . Cheng Fu. Yin Shi Question: Pain Secondary: Extremity-Lower Final: Hip Movement Decreased LR11 . Guang Ming Question: Pain Secondary: Extremity-Lower Final: External Malleolus Pain BL63 . Xi Yang Guan Question: Pain Secondary: Extremity-Lower Final: Heel Pain BL57 . Lou Gu Question: Pain Secondary: Extremity-Lower Final: Ankle Pain BL60 . ST42 . SP9 . Kun Lun Question: Pain Secondary: Extremity-Lower Final: Knee Pain And Swelling GB35 . Fu Yang Question: Pain Secondary: Extremity-Lower Final: Ankle Pain And Swelling ST41 . Yin Lian Arthritis © 1/21/2009 TLC Question: Pain Secondary: Extremity-Lower Final: Lumbar Pain BL37 .Question: Pain Secondary: Extremities Final: Emaciation GV9 . Da Zhong Question: Pain Secondary: Extremity-Lower Final: Lower Extremity Disorders ST33 . Jin Men Question: Pain Secondary: Extremity-Lower Final: Leg Pain BL56 . GB37 . KI4 . GB41 . Guang Ming Question: Pain Secondary: Extremity-Lower Final: Abdominal Pain ST39 . GB37 . Yin Men. GB33 . Xia Ju Xu Question: Musculoskeletal Secondary: Extremity-Lower Final: Knee Pain BL61 . Zu Lin Qi Question: Pain Secondary: Extremity-Lower Final: Leg Paralysis BL36 . Jie Xi Question: Pain Secondary: Extremity-Lower Final: Leg Muscle Atrophy BL54 . Cheng Jin.com info@tlch2o. Pu Can. Yin Ling Quan Question: Pain Secondary: Extremity-Lower Final: Foot Pain BL60 .com . Kun Lun.

Qu Chi Question: Pain Secondary: Extremity-Lower Final: Throat Infections ST44 . Huan Tiao Question: Pain Secondary: Extremity-Lower Final: Medial Knee Pain. Zu Lin Qi Question: Pain Secondary: Extremity-Lower Final: Thigh Pain GB30 . Qu Quan Question: Pain Secondary: Extremity-Lower Final: Skin Disorders GB30 . Huan Tiao. Yin Shi Arthritis © 1/21/2009 TLC 313 www. Yong Quan Question: Pain Secondary: Extremity-Lower Final: Thigh And Knee Pain ST33 . Yang Fu Question: Pain Secondary: Extremity-Lower Final: Thigh Medial Pain LR8 . Zu Lin Qi Question: Pain Secondary: Extremity-Lower Final: Uterine Bleeding Abnormal SP10 .abctlc. Qu Quan Question: Pain Secondary: Extremity-Lower Final: Supraclavicular Fossa Pain GB38 .Question: Pain Secondary: Extremity-Lower Final: Malaria GB38 . Qu Quan Question: Pain Secondary: Extremity-Lower Final: Mastitis GB41 . Yao Yang Guan Question: Pain Secondary: Extremity-Lower Final: Paralysis GB29 . Qu Quan Question: Pain Secondary: Extremity-Lower Final: Urine Retention LR8 .com info@tlch2o. Li Gou Question: Pain Secondary: Extremity-Lower Final: Windstroke KI1 . GB41 . Zu Lin Qi. Xi Guan Question: Pain Secondary: Extremity-Lower Final: Throat Constriction LI11 . Swelling And Inflammation LR7 . Ju Liao Question: Pain Secondary: Extremity-Lower Final: Throat Soreness LU8 . Jing Qu Question: Pain Secondary: Extremity-Lower Final: Seminal Emissions LR8 . Xue Hai Question: Pain Secondary: Extremity-Lower Final: Uterine Prolapse LR8 . Nei Ting Question: Pain Secondary: Extremity-Lower Final: Menses Irregular GB41 . Yang Fu. GB38 . GV3 .com . Zu Lin Qi Question: Pain Secondary: Extremity-Lower Final: Testicular Pain LR5 . Yang Fu Question: Pain Secondary: Extremity-Lower Final: Vertigo GB41 .

Wei Yang Question: Pain Secondary: Extremity-Upper Final: Chest Pain PC2 .com info@tlch2o.com . Yang Lao Question: Pain Secondary: Extremity-Upper Final: Cough SI15 . Bi Nao Question: Pain Secondary: Extremity-Upper Final: Lumbar Mobility Decreased SI6 . Tian Quan Question: Pain Secondary: Extremity-Upper Final: Lassitude TB8 . Ji Quan Question: Pain Secondary: Extremity-Upper Final: Back Pain GB25 . Zhi Zheng Question: Pain Secondary: Extremity-Upper Final: Arm Pain LI6 . Jian Zhong Zhu Arthritis © 1/21/2009 TLC 314 www. Jing Men. Nao Shu Question: Musculoskeletal Secondary: Extremity-Upper Final: Hemiplegia LI11 . Pian Li. SI6 . LI16 . Ju Gu Question: Pain Secondary: Extremity-Upper Final: Intestinal Disorders BL39 .abctlc. Tian Chi Question: Pain Secondary: Extremity-Upper Final: Hypochondriac Region Fullness HE1 . San Yang Luo Question: Pain Secondary: Extremity-Upper Final: Chills SI10 . Pian Li Question: Pain Secondary: Extremity-Upper Question: Pain Secondary: Extremity-Upper Final: Arm And Elbow Pain LI8 . Si Du Question: Pain Secondary: Extremity-Upper Final: Arm Weakness SI10 . Qu Chi. PC1 . LI9 . Ji Quan Question: Pain Secondary: Extremity-Upper Final: Chills And Fever LI14 .Question: Pain Secondary: Extremity-Upper Final: Elbow Pain LI6 . Shang Lian Question: Pain Secondary: Extremity-Upper Final: Headache Migraine TB9 . Di Wu Hui. Xia Lian Question: Pain Secondary: Extremity-Upper Final: Eye Disorders SI6 . Yang Lao Question: Pain Secondary: Extremity-Upper Final: Axillary Pain And Swelling GB42 . Yang Lao Question: Pain Secondary: Extremity-Upper Final: Arm Numbness LI9 . Nao Shu Question: Pain Secondary: Extremity-Upper Final: Lateral Costal Region Pain HE1 . Shang Lian Question: Pain Secondary: Extremity-Upper Final: Fingers Ache SI7 .

Tai Yuan. TB12 . Yang Lao Question: Pain Secondary: Extremity-Upper Final: Sadness HE1 . Shao Hai Question: Pain Secondary: Extremity-Upper Final: Sciatica GB29 . TB15 .com info@tlch2o. TB6 . Tian Zong Arthritis © 1/21/2009 TLC 315 www. TB13 . Ling Dao Question: Pain Secondary: Extremity-Upper Final: Seizures GB20 . Shang Lian. Zhi Gou Question: Pain Secondary: Extremity-Upper Final: Perspiration Absent LU6 . Wai Guan Question: Pain Secondary: Extremity-Upper Final: Shoulder Pain HE2 . Yang Chi. Jian Zhen. Tian Zhu. He Gu. Yang Gu Question: Pain Secondary: Extremity-Upper Final: Mouth Dryness TB4 . BL45 . Yun Men. Que Pen Question: Pain Secondary: Extremity-Upper Final: Respiratory Disorders LI4 . TB4 . Yi Xi Question: Pain Secondary: Extremity-Upper Final: Neck Stiffness SI6 . Tian Zong Question: Pain Secondary: Extremity-Upper Final: Scapular Pain SI13 . Qing Leng Yuan. ST12 . Nao Hui. Nao Hui Question: Pain Secondary: Extremity-Upper Final: Memory Impaired HE3 . Ju Liao Question: Pain Secondary: Extremity-Upper Final: Mental Disorders HE4 . Qu Yaun. Jian Liao. Yang Lao Question: Pain Secondary: Extremity-Upper Final: Shoulder Heaviness TB14 . Yang Chi Question: Pain Secondary: Extremity-Upper Final: Shoulder And Arm Pain TB11 .Question: Pain Secondary: Extremity-Upper Final: Lumbar Pain SI6 . Feng Men Question: Pain Secondary: Extremity-Upper Final: Shoulder And Back Pain BL10 . Yang Chi. Qing Ling. Xiao Luo. TB4 . Tian Liao Question: Pain Secondary: Extremity-Upper Final: Nasal Discharge BL12 . Zhi Gou Question: Pain Secondary: Extremity-Upper Final: Rib Fullness SI11 . SI9 . Feng Chi. Qu Yaun. LU9 .abctlc. SI13 . LU2 . SI5 . TB6 . TB5 . Kong Zui Question: Pain Secondary: Extremity-Upper Final: Shoulder Movement Limited ST12 . LI9 . Ji Quan Question: Pain Secondary: Extremity-Upper Final: Mastitis SI11 . Que Pen. TB13 .com .

SI5 . LI11 . Shang Yang. Jian Wai Shu Question: Pain Secondary: Extremity-Upper Final: Vomiting BL20 .Question: Pain Secondary: Extremity-Upper Final: Shoulder Pain And Swelling ST10 . Tai Yuan Question: Pain Secondary: Facial Question: Pain Secondary: Facial Final: Eye Disorders GB1 . Zhi Gou Question: Pain Secondary: Extremity-Upper Final: Wrist Pain LI6 . Tiao Kou Question: Pain Secondary: Extremity-Upper Final: Uterine Bleeding Abnormal HE5 . Er Jian. Tong Zi Liao Question: Pain Secondary: Extremity-Upper Final: Tinnitus SI17 .com . GB14 . Tian Fu Arthritis © 1/21/2009 TLC 316 www. TB2 . LU9 . TB2 . Po Hu Question: Pain Secondary: Extremity-Upper Final: Visual Disturbances HE5 .abctlc. SI3 . Scapula And Back Pain BL42 . LU10 . Tong Li Question: Pain Secondary: Extremity-Upper Final: Shoulder. Upper Arm. SI18 . Yang Gu. Yang Gu. Zan Zhu Question: Pain Secondary: Extremity-Upper Final: Trigeminal Neuralgia LI2 . Er Jian Question: Pain Secondary: Facial Final: Lacrimation BL2 . Qu Chi.com info@tlch2o. Ye Men Question: Pain Secondary: Facial Final: Headache BL2 . Shang Guan. Hou Xi. LI2 . Quan Liao Question: Pain Secondary: Extremity-Upper Final: Toothache LI1 . Zan Zhu. Jing Qu Question: Pain Secondary: Extremity-Upper Final: Throat Soreness LI11 . San Jian. Ye Men Question: Pain Secondary: Facial Final: Facial Pain GB3 . SI5 . Shui Tu Question: Pain Secondary: Extremity-Upper Final: Upper Arm Pain LU4 . Yang Bai Question: Pain Secondary: Extremity-Upper Final: Upper Arm Antero-Lateral Pain LU3 . Pi Shu Question: Pain Secondary: Extremity-Upper Final: Throat Constriction TB6 . Nao Hu. Pian Li. Tian Rong. Mid Back Pain SI14 . Yu Ji. Qu Chi. LI3 . LU8 . Xia Bai Question: Pain Secondary: Extremity-Upper Final: Shoulder Pain With Stiffness ST38 . Tong Li Question: Pain Secondary: Extremity-Upper Final: Shoulder. GV17 .

Zu Qiao Yin Question: Pain Secondary: Facial Final: Neck Stiffness CV24 . TB17 . Yin Jiao Question: Pain Secondary: Facial Final: Throat Constriction TB16 .com . Tou Lin Qi. Zan Zhu. Shang Xing Question: Pain Secondary: Facial Final: Throat Soreness ST44 . Han Yan.Question: Pain Secondary: Facial Final: Lacrimation Upon Wind Exposure BL2 . Ju Liao Question: Pain Secondary: Facial Final: Skin Disorders LI4 . Nei Ting Question: Pain Secondary: Facial Final: Mouth Deviation LI20 . Xuan Li Question: Pain Secondary: Facial Final: Visual Disturbances LI2 . Tian You Question: Pain Secondary: Facial Final: Mental Disorders GV23 . Ying Xiang Question: Pain Secondary: Facial Final: Tinnitus GB44 .abctlc. Qu Chi Question: Pain Secondary: Facial Final: Sinus Pain ST3 . Er Jian. GB4 . Cheng Jiang Question: Pain Secondary: Facial Final: Toothache ST7 . Xuan Lu Question: Pain Secondary: Facial Final: Trigeminal Neuralgia ST7 . GB6 . GB14 . Yi Feng Question: Pain Secondary: Facial Final: Vomiting LI11 . Yang Bai Arthritis © 1/21/2009 TLC 317 www. Ju Liao Question: Pain Secondary: Facial Final: Mania And Depression GV28 .com info@tlch2o. Xia Guan Question: Pain Secondary: Facial Final: Outer Canthus Pain GB15 . He Gu Question: Pain Secondary: Facial Final: Supraorbital Neuralgia GB14 . Xia Guan Question: Pain Secondary: Facial Final: One Sided Headache GB5 . Yang Bai Question: Pain Secondary: Facial Final: Swelling Of Lips And Cheeks ST3 .

BL6 . BL60 . Yang Chi Question: Pain Secondary: Headache Final: Headache One-Sided GB17 . Tou Qiao Yin. Cheng Guang.com info@tlch2o. Jia Che Question: Pain Secondary: Headache Final: Dizziness BL65 . Zan Zhu. GB1 . GB11 .com . Fu Fen. BL4 . Tai Yuan Question: Pain Secondary: Head And Neck Question: Pain Secondary: Head And Neck Final: Nasal Congestion BL2 . Tian You Question: Pain Secondary: Headache Final: Headache With Dizziness BL56 . TB15 . GB19 . Tong Zi Liao. Shu Gu. GB12 . Kun Lun. GB10 . Ben Shen. BL67 .Question: Pain Secondary: Head And Neck Final: Toothache LU9 . Tou Wei Question: Pain Secondary: Head And Neck Final: Supraclavicular Fossa Pain ST12 . Xiao Luo Question: Pain Secondary: Headache Final: Gastrointestinal Disorders BL19 . Wu Chu. Jing Ming Question: Pain Secondary: Head And Neck Final: Neck Pain BL66 . Mei Chong. Fu Bai. Wan Gu. Zhi Yin. Fu Bai. Zheng Ying Question: Pain Secondary: Head And Neck Final: Throat Soreness TB16 . Tou Qiao Yin Question: Pain Secondary: Head And Neck Final: Shoulder Pain GB20 . Wai Qui. Qu Chai. Dan Shu Question: Pain Secondary: Head And Neck Final: Shoulder Disorders SI9 .abctlc. ST6 . Feng Fu. GV16 . Cheng Jin Arthritis © 1/21/2009 TLC 318 www. GB36 . Que Pen Question: Pain Secondary: Head And Neck Final: Thirst TB4 . Feng Chi Question: Pain Secondary: Headache Final: Headache Migraine ST8 . GB10 . Si Bai Question: Pain Secondary: Head And Neck Final: Neck Stiffness And Pain TB12 . Tian Liao Question: Pain Secondary: Headache Final: Eyelid Spasm ST2 . Nao Hu. GB11 . Tong Gu. GV17 . GB13 . Jian Zhen Question: Pain Secondary: Headache Final: Headache BL3 . BL5 . Nao Kong. Shu Gu Question: Pain Secondary: Head And Neck Final: Neck Pain And Stiffness BL41 . BL65 . Tong Tian Question: Pain Secondary: Headache Question: Pain Secondary: Headache Final: Chills BL1 . BL7 .

Tian Zhu. Xuan Lu Question: Pain Secondary: Headache Final: Vaginitis LR8 . LU6 . Qian Ding Arthritis © 1/21/2009 TLC 319 www. Ming Men Question: Pain Secondary: Headache Final: Hypertension ST9 .com info@tlch2o. GB8 .abctlc. Feng Men Question: Pain Secondary: Headache Final: Urine Retention BL22 . Kong Zui Question: Pain Secondary: Headache Final: Vertex Headache GV21 . LI4 . TB23 .com . Tong Tian. Da Zhu Question: Pain Secondary: Headache Final: Throat Soreness BL10 . He Gu Question: Pain Secondary: Headache Final: Lumbar Stiffness GV12 . Qu Quan Question: Pain Secondary: Headache Final: Respiratory Disorders BL7 . GB8 . Feng Chi Question: Pain Secondary: Headache Final: Outer Canthus Pain GB5 . San Jiao Shu Question: Pain Secondary: Headache Final: One Sided Headache GB6 . Shuai Gu Question: Pain Secondary: Headache Final: Lumbar Pain BL11 . Han Yan.Question: Pain Secondary: Headache Final: Headache With Heaviness TB22 . Si Zhu Kong Question: Pain Secondary: Headache Final: Neck Stiffness BL12 . Ren Ying Question: Pain Secondary: Headache Final: Superciliary Region Pain BL2 . Xuan Li. Feng Chi Question: Pain Secondary: Headache Final: Neck Mobility Decreased BL11 . Shen Zhu Question: Pain Secondary: Headache Final: Tinnitus GB20 . Da Zhu Question: Pain Secondary: Headache Final: Toothache LI4 . Shuai Gu Question: Pain Secondary: Headache Final: Urticaria GB20 . Zan Zhu Question: Pain Secondary: Headache Final: Leg Paralysis GB37 . He Gu. Guang Ming Question: Pain Secondary: Headache Final: Temporal Headache GB4 . He Liao Question: Pain Secondary: Headache Final: Seminal Emissions GV4 .

Yu Tang. TB23 . Zhong Ji Question: Pain Secondary: Mouth Question: Pain Secondary: Lateral Costal Question: Pain Secondary: Mouth Final: Cough BL14 . Tian You Question: Pain Secondary: Lateral Costal Final: Lumbar Pain BL52 . Tian Chi Question: Pain Secondary: Headache Final: Vertigo BL10 . Tong Li Question: Pain Secondary: Lateral Costal Final: Shoulder Joint Soft Tissue Diseases HE1 . PC1 . Qing Ling. Ri Yue. Tian Zhu. Yi Xi Question: Pain Secondary: Mouth Final: Dental Pain ST3 . Jue Yin Shu Question: Pain Secondary: Lateral Costal Final: Asthma BL45 . Yin Ling Quan Question: Pain Secondary: Headache Final: Wrist Pain HE5 . Da Bao Arthritis © 1/21/2009 TLC 320 www. Zhong Ji Question: Pain Secondary: Lateral Costal Final: Uterine Prolapse GB26 . Yu Ji Question: Pain Secondary: Lateral Costal Final: Menses Irregular SP9 . HE2 . Ji Quan Question: Pain Secondary: Hypogastrium Question: Pain Secondary: Lateral Costal Final: Tinnitus TB6 . Zhi Gou Question: Pain Secondary: Hypogastrium Final: Vaginal Pain CV3 . Ju Liao Question: Pain Secondary: Lateral Costal Final: Lateral Costal Region GB25 . Si Zhu Kong Question: Pain Secondary: Headache Final: Visual Disturbances TB16 . Yuan Ye.abctlc.com . Zhi Shi Question: Pain Secondary: Headache Final: Voice Hoarse LU10 . Yin Jiao Question: Pain Secondary: Lateral Costal Final: Lateral Costal Region Distention And Fullness SP21 . Dai Mai Question: Pain Secondary: Hypogastrium Final: Vaginitis CV3 . GB22 .Question: Pain Secondary: Lateral Costal Final: Lateral Costal Region Pain CV18 . GB24 . Jing Men Question: Pain Secondary: Mouth Final: Erosion Of The Gums GV28 .com info@tlch2o.

Question: Pain Secondary: Mouth Final: Gum Pain And Swelling GB9 . GB17 . Shou San Li. Shang Guan. Ting Gong. Nei Ting Question: Pain Secondary: Mouth Final: Loss Of Voice Sudden TB9 . Han Yan Arthritis © 1/21/2009 TLC 321 www. Tian. Dui Duan Question: Pain Secondary: Mouth Final: Tinnitus ST44 .abctlc. Xuan Lu.com info@tlch2o. ST44 . Jia Che Question: Pain Secondary: Mouth Final: Gum Pain And Swelling And Redness GV28 . Da Ying Question: Pain Secondary: Mouth Final: Mouth Pain LI7 . Quan Liao. SI19 . GB5 . GB3 . Nei Ting Question: Pain Secondary: Mouth Final: Mental Disorders HE3 . Wen Liu Question: Pain Secondary: Mouth Final: Trigeminal Neuralgia ST44 . Yin Jiao Question: Pain Secondary: Mouth Final: Thigh Swelling KI7 . ST42 . Nei Ting Question: Pain Secondary: Mouth Final: Mouth Ulcers CV23 . Tai Yuan Question: Pain Secondary: Mouth Final: One Sided Headache GB4 . Shao Hai Question: Pain Secondary: Mouth Final: Wrist Joint Soft Tissue Diseases LU9 . Lian Quan Question: Pain Secondary: Mouth Final: Visual Disturbances TB23 . Cheng Jiang Question: Pain Secondary: Mouth Final: Gums Bleeding GV28 . GB9 . Zheng Ying. Yin Jiao Question: Pain Secondary: Mouth Final: Saliva Excessive CV24 . Chong. SI18 . Shao Hai Question: Pain Secondary: Mouth Final: Toothache Lower Jaw ST5 .com . Chong Yang. Si Du Question: Pain Secondary: Mouth Final: Toothache GB12 . Fu Liu Question: Pain Secondary: Mouth Final: Gums Painful GV27 . Tian Chong Question: Pain Secondary: Mouth Final: Parotitis ST6 . LI10 . Si Zhu Kong Question: Pain Secondary: Mouth Final: Neck Stiffness HE3 . Wan Gu.

com info@tlch2o. HE3 . Tian Jin Question: Pain Secondary: TCM Question: Fever/Chills Secondary: TCM Final: Nasal Congestion GV20 . Shen Ting Arthritis © 1/21/2009 TLC 322 www. Bi Guan Question: Pain Secondary: Pain Final: Visual Disturbances BL10 . LU1 . Shao Hai Question: Pain Secondary: TCM Final: Frontal Headache GV24 . LU1 . Zhi Bian Question: Pain Secondary: Pain Final: Pain Of The Anus And Urethra CV1 . Zhong Fu Question: Pain Secondary: TCM Final: Damp Painful Obstruction ST38 . GB40 . Feng Men. Tian Tu. Jing Gu. Da Zhu. Hui Yin Question: Musculoskeletal Secondary: TCM Final: Lumbar Pain BL12 . Fu Tu.Question: Pain Secondary: Mouth Final: Wrist Pain SI5 . Zhon Guan. Gong Sun. Tiao Kou Question: Pain Secondary: TCM Final: Neck Pain BL11 . Daz Hui. BL64 . GB31 . Qiu Xu Question: Pain Secondary: TCM Final: Damp Painful Obstruction With Inability To Walk LR6 . Shang Xing. LR13 . TB10 .com . BL23 . ST31 . Chi Ze Question: Skin Secondary: Skin Question: Skin Secondary: Skin Final: Wheezing LI18 . Zhong Du Question: Digestion Secondary: TCM Final: Neurasthenia CV12 . PC5 . Han Yan Question: Pain Secondary: Pain Final: Asthma SP21 . Shan Zhong. Shen Shu. Feng Shi. ST30 . Tian Zhu Question: Pain Secondary: TCM Final: Mastitis CV17 . LI16 . KI1 . SP4 . GV23 . Da Bao Question: Pain Secondary: TCM Final: Leg Paralysis BL54 . Zhang Men. Qi Chong. Bai Hui. Zhong Fu Question: Pain Secondary: TCM Final: Mental Disorders GV14 . Ju Gu Question: Pain Secondary: Pain Question: Pain Secondary: TCM Final: Joint Wind With Sweating GB4 .abctlc. LU5 . Yang Gu Question: Digestion Secondary: TCM Final: Goiter CV22 . Jian Shi. Yong Quan.

Zhong Chong. GB20 . Jue Yin Shu Question: Pain Secondary: TCM Final: Sciatica BL26 . Yang Bai. LI16 . BL28 . TB18 . Yao Shu. Yao Yang Guan Question: Pain Secondary: TCM Final: Vertigo GB14 . GV3 . PC9 . BL64 . Ming Men Question: Pain Secondary: TCM Final: Wrist Pain LU9 . Da Ling. Yang Bai. CV13 . PC6 . LR2 . Jing Gu. TB23 . Jian Yu. Bai Huan Shu. Tai Yuan Question: Pain Secondary: TCM Final: Stiff Tongue GV15 . Jian Shi Question: Pain Secondary: TCM Final: Thoracic Discomfort BL14 . HE3 . PC7 .Question: Pain Secondary: TCM Final: Palpitations CV17 . Zan Zhu Arthritis © 1/21/2009 TLC 323 www. Feng Chi Question: Pain Secondary: TCM Final: Skin Disorders HE1 . LI15 . Ji Quan. Guan Yuan Shu. Jian Zhen Question: OBGYN Secondary: TCM Final: Visual Disturbances BL23 . Nei Guan Question: Pain Secondary: TCM Final: Spinal Pain GV2 . GV15 . PC5 . Qian Gu. Ming Men Question: Pain Secondary: TCM Final: Seminal Emissions BL30 .com . Shen Mai. LI15 . GV4 . Shen Mai. Zhon Guan. Si Zhu Kong Question: Pain Secondary: TCM Final: Urinary Tract Infection KI7 . Pang Guang Shu. SI2 . Jian Yu. LI1 . GV3 .abctlc. CV22 . Feng Chi Question: Neuromuscular Secondary: TCM Final: Shoulder Pain LI10 . Yao Yang Guan.com info@tlch2o. Ya Men. Shou San Li. ST44 . Tian Tu. Shan Guan. Fu Liu Question: Pain Secondary: TCM Final: Uterine Bleeding Abnormal GV4 . Shen Shu. GB34 . TB1 . Shao Hai. SI9 . GB20 . Ju Gu. Shou Wu Li. Qi Mai Question: Neuromuscular Secondary: TCM Final: Seizures BL62 . CV13 . GB14 . Guan Chong Question: Pain Secondary: TCM Final: Syncopy BL2 . Ya Men. Shang Yang. Shan Guan. LI13 . Xing Jian. Shan Zhong. Nei Ting Question: Emotions Secondary: TCM Final: Vomiting CV12 . Yang Ling Quan Question: OBGYN Secondary: TCM Final: Tinnitus BL62 .

Ya Men. Zhong Lu Shu Question: Musculoskeletal Secondary: TCM Final: Neck Stiffness GB39 . Ling Tai. Shen Zhu. Zhe Jin Question: Perspiration Secondary: Perspiration Final: Windstroke GV15 . Daz Hui. KI22 . Da Zhu. KI4 . Da Zhong. Hua Gai. Bu Lang. Ling Xu. Xin Shu Question: Respiration Secondary: Airway Obstruction Question: Perspiration Secondary: Perspiration Final: Spinal Pain GV13 .com . GV12 . Yin Xi Question: OBGYN Secondary: TCM Final: Visual Disturbances BL23 .com info@tlch2o. Question: Perspiration Secondary: Perspiration Final: Night Sweating HE6 . Ren Ying Question: Perspiration Secondary: Perspiration Final: Vertigo BL4 . Yang Bai.abctlc. Xiao Chang Shu 324 www. LU2 . Xuan Zhong. KI24 . Tao Dao Question: Respiration Secondary: Airway Obstruction Final: Asthma CV20 . GV10 . ST13 . Shen Shu. Qu Chai Question: Respiration Secondary: Airway Obstruction Final: Jaundice GB23 . BL43 . Shen Feng. Cheng Jiang Question: Respiration Secondary: Airway Obstruction Final: Cough GV10 . PC8 . Gao Huan Shu. Shen Cang. LU3 . KI23 . Yun Men. KI25 . LU7 . GB20 . Feng Chi Question: Perspiration Secondary: Perspiration Final: Seizures BL15 . Qi Hu Question: Perspiration Secondary: Perspiration Final: Thirst CV24 . Lie Que Question: Perspiration Secondary: Perspiration Final: Neck Pain GV14 . Tian Fu. KI26 . Ling Tai.Question: Perspiration Secondary: Perspiration Question: Musculoskeletal Secondary: TCM Question: Perspiration Secondary: Perspiration Final: Hemorrhoids BL29 . Yu Zhong. LI18 . Lao Gong Arthritis © 1/21/2009 TLC Question: Respiration Secondary: Airway Obstruction Final: Leukorrhea BL27 . Fu Tu Question: Perspiration Secondary: Perspiration Final: Uterine Bleeding Abnormal KI7 . GB14 . Daz Hui Question: Perspiration Secondary: TCM Final: Respiratory Disorders BL11 . Fu Liu Question: Respiration Secondary: Airway Obstruction Final: Hypotension ST9 . GV14 .

SP17 . Yuan Ye. SI11 . Yun Men Question: Respiration Secondary: Chest Final: Leg Muscle Cramp BL39 . SP19 . Tian Liao Question: Respiration Secondary: Airway Obstruction Final: Throat Infections LU6 .Question: Respiration Secondary: Airway Obstruction Final: Respiratory Disorders CV17 . Shen Feng. Zhe Jin Question: Respiration Secondary: Chest Final: Chest Agitation PC1 . Zhi Gou Question: Respiration Secondary: Chest Final: Chest Agitation And Oppression LU2 . Ku Fang Question: Respiration Secondary: Chest Question: Respiration Secondary: Chest Final: Hiccough GB23 . HE6 . Tian Liao 325 www. Ren Ying Question: Respiration Secondary: Chest Final: Chest And Lateral Costal Region Discomfort BL47 . TB15 . TB15 . Da Zhu. TB6 . Xia Bai Question: Respiration Secondary: Chest Final: Chest Oppression ST12 . Zhou Rong Arthritis © 1/21/2009 TLC Question: Respiration Secondary: Chest Final: Scapular Pain BL11 . Qi Hu Question: Respiration Secondary: Chest Final: Chest And Lateral Costal Region Fullness KI23 . Ge Guan Question: Respiration Secondary: Chest Final: Neck Nodular Growths ST9 . Wei Yang Question: Respiration Secondary: Chest Final: Chest and Diaphragm Discomfort BL46 . Shi Dou. Kong Zui Question: Respiration Secondary: Chest Final: Chest Pain And Fullness ST14 .abctlc. Yin Xi Question: Respiration Secondary: Airway Obstruction Final: Sputum with Blood and Pus CV22 . Tian Tu Question: Respiration Secondary: Chest Final: Chest Fullness And Distention KI26 . Tian Zong. Yu Zhong Question: Respiration Secondary: Airway Obstruction Final: Thoracic Fullness LU4 . Shan Zhong Question: Respiration Secondary: Chest Final: Chest Fullness GB22 . Tian Chi Question: Respiration Secondary: Chest Final: Lateral Costal Region Pain PC2 . SP20 . Hun Men Question: Respiration Secondary: Chest Final: Perspiration Excessive ST13 . Xiong Xiang. Tian Quan.com info@tlch2o. Que Pen.com .

Zi Gong. Ku Fang Question: Respiration Secondary: Chest Final: Wheezing CV17 . KI24 . Jian Zhong Zhu Question: Respiration Secondary: Chest Final: Thoracic Pain BL60 .com info@tlch2o. Ru Gen Question: Respiration Secondary: Cough Final: Dyspnea CV19 . Tian Fu Question: Respiration Secondary: Cough Final: Cough And Dyspnea KI20 . Zi Gong. KI23 .abctlc. Yi Xi. CV23 . Xin Shu Question: Respiration Secondary: Cough Final: Cough With Agitation CV18 . Yu Tang Question: Respiration Secondary: Chest Final: Skin Disorders HE3 . ST18 . Shan Zhong. Tian Tu Question: Respiration Secondary: Cough Final: Gastric Disorders GV9 . Ling Xu. Shen Dao. Xuan Ji. SP20 .com . Hua Gai. Bu Lang. GV11 . Kun Lun. GV10 . Tian Tu Question: Respiration Secondary: Cough Final: Grief And Sadness ST14 . Shen Feng.Question: Respiration Secondary: Chest Final: Seminal Emissions BL15 . Da Zhu Question: Respiration Secondary: Cough Final: Coughing Blood SI15 . CV20 . Fu Tu Question: Respiration Secondary: Cough Final: Cough BL45 . Ling Tai Question: Respiration Secondary: Chest Final: Throat Constriction CV22 . Shan Zhong Question: Respiration Secondary: Cough Final: Hemoptysis KI4 . Tong Gu Arthritis © 1/21/2009 TLC 326 www. Da Zhong Question: Respiration Secondary: Cough Question: Respiration Secondary: Cough Final: Loss Of Voice LI18 . Lian Quan. Tian Chi. Shen Cang Question: Respiration Secondary: Cough Final: Mental Disorders GV12 . KI25 . Shen Zhu Question: Respiration Secondary: Cough Final: Nosebleed LU3 . CV21 . CV19 . Shao Hai Question: Respiration Secondary: Cough Final: Cough With Copious Phlegm PC1 . KI22 . CV22 . Zhou Rong Question: Respiration Secondary: Chest Final: Spinal Pain BL11 . Zhi Yang Question: Respiration Secondary: Chest Final: Throat Disorders CV17 .

Da Bao Question: Respiration Secondary: Cough Final: Thoracic Distention SP20 . KI22 . Xi Men.Question: Respiration Secondary: Cough Final: Respiratory Disorders BL12 . Xin Shu Question: Respiration Secondary: Dyspnea Final: Neck Stiffness GV10 . SP21 . LU3 . Ling Tai Question: Respiration Secondary: Dyspnea Final: Nephritis SP9 . LI20 . Yi Xi. Hua Gai. CV15 . Jue Yin Shu Question: Respiration Secondary: Dyspnea Final: Mouth Dryness GV12 . BL44 . Xia Bai.com . Feng Men Question: Respiration Secondary: Dyspnea Final: Nasal Allergies BL3 . Jiu Wei. Kong Zui Question: Respiration Secondary: Dyspnea Final: Lacrimation Upon Wind Exposure ST8 . Ying Xiang Question: Respiration Secondary: Cough Final: Vomiting Blood BL15 . Shen Zhu Question: Respiration Secondary: Cough Final: Urticaria BL12 . ST14 . LU4 . Tian Zong Question: Respiration Secondary: Cough Final: Skin Disorders LI18 . BL45 . Zhi Gou Question: Respiration Secondary: Dyspnea Final: Nasal Congestion GV25 . Ku Fang Question: Respiration Secondary: Dyspnea Question: Respiration Secondary: Dyspnea Final: Cardiac Conditions BL44 . Shen Tang. Tou Wei Question: Respiration Secondary: Cough Final: Toothache BL14 . Mei Chong Question: Respiration Secondary: Cough Final: Vomiting BL15 . Xuan Ji. TB6 . Shen Tang Question: Respiration Secondary: Cough Final: Shoulder Pain BL12 . Feng Men. Zhi Yang Question: Respiration Secondary: Cough Final: Throat Soreness LU6 . Xin Shu. Tian Fu. CV20 . CV21 . Zhou Rong Question: Respiration Secondary: Dyspnea Final: Hypochondriac Region Fullness GV9 . Bu Lang. Su Liao. Feng Men. Zhe Jin.abctlc. SI11 . Po Hu. GB23 . Yin Ling Quan Arthritis © 1/21/2009 TLC 327 www.com info@tlch2o. PC4 . Fu Tu Question: Respiration Secondary: Dyspnea Final: Dyspnea BL42 .

Yin Xi. Li Dui Question: Respiration Secondary: Dyspnea Final: Uterine Bleeding Abnormal CV6 . Qu Ze Question: Respiration Secondary: Epistaxis Question: Respiration Secondary: Nasal Final: Nasal Congestion BL3 . Tong Gu. Qian Ding. GV16 . Qi Hai Question: Respiration Secondary: Nasal Final: Nasal Congested GV22 . LI6 . GV21 . Cheng Guang Question: Respiration Secondary: Lung Question: Respiration Secondary: Nasal Final: Nasal Disorders LI20 . Tian Tu Question: Respiration Secondary: Nasal Final: Epistaxis BL66 . Feng Fu.abctlc. Tian Fu. Daz Hui Question: Respiration Secondary: Lung Final: Throat Infections CV22 . Tou Lin Qi Question: Respiration Secondary: Dyspnea Final: Throat Dryness CV22 . Dui Duan Question: Respiration Secondary: Epistaxis Final: Nasal Congestion GV26 . Yin Jiao Question: Respiration Secondary: Dyspnea Final: Vomiting PC3 . Shang Xing Question: Respiration Secondary: Nasal Final: Nasal Discharge Copious And Clear BL6 . Shui Gou Question: Respiration Secondary: Nasal Final: Nasal Congestion And Discharge GV24 . Xuan Lu. Tou Lin Qi. Zhi Yin. Mei Chong. ST45 . BL4 . Qu Chai. HE6 . Xin Hui. Ying Xiang Question: Respiration Secondary: Lung Final: Respiratory Disorders BL42 . Tian Tu Question: Respiration Secondary: Dyspnea Final: Respiratory Disorders CV18 . Shen Ting Question: Respiration Secondary: Epistaxis Final: Nasal Polyps GV23 . LI19 . Pian Li. GB5 . ST3 . Dui Duan. Cheng Guang. He Liao Question: Respiration Secondary: Epistaxis Final: Epistaxis Ceaseless GV27 . BL6 . LU3 . GB15 . Cheng Ling.com . Ju Liao.Question: Respiration Secondary: Dyspnea Final: Nosebleed GV14 . Yu Tang Question: Respiration Secondary: Nasal Question: Respiration Secondary: Nasal Final: Aversion To Wind And Cold GB15 . GV28 .com info@tlch2o. BL67 . Po Hu Arthritis © 1/21/2009 TLC 328 www. GV27 . GB18 .

Zhi Yin. Yin Jiao LI19 . Shen Feng Question: Respiration Secondary: Nasal Final: Perspiration At Night GV14 .com . Tian Tu Question: Respiration Secondary: Nasal Final: Throat Soreness CV22 . BL67 . Ling Xu Question: Respiration Secondary: Nasal Final: Nosebleed BL4 . LI20 . Shui Gou. Qu Chai. KI23 . LI20 . ST15 . ST13 . Su Liao. Shui Gou Question: Respiration Secondary: Respiration Final: Voice Hoarse CV22 . Su Liao. Qi Hu. He Liao Question: Respiration Secondary: Respiration Final: Chest Fullness KI24 . GV25 . Bu Lang Question: Respiration Secondary: Nasal Final: Toothache CV24 . Xi Men Question: Respiration Secondary: Respiration Final: Throat Disorders CV21 . GV23 .Question: Respiration Secondary: Nasal Final: Nasal Obstruction KI22 . LI20 . Hua Gai. GV26 . Daz Hui Question: Respiration Secondary: Respiration Final: Respiratory Disorders CV20 . Wu Yi Question: Respiration Secondary: Nasal Final: Respiratory Disorders GV23 . Cheng Jiang Question: Respiration Secondary: Nasal Final: Nasal Polyps GV25 . Ying Xiang Question: Respiration Secondary: Respiration Final: Dry Heaves ST19 . Tian Tu Arthritis © 1/21/2009 TLC 329 www. Fu Tu Question: Respiration Secondary: Nasal Final: Retching Blood PC4 .abctlc. Bu Rong Question: Respiration Secondary: Respiration Final: Dyspnea CV18 . Ying Xiang Question: Respiration Secondary: Respiration Final: Swallowing Difficult LI18 . Yu Tang. Shang Xing. Zan Zhu Question: Respiration Secondary: Respiration Question: Respiration Secondary: Nasal Final: Nasal Sores GV28 .com info@tlch2o. Shang Xing. GV25 . LI19 . He Liao. Xuan Ji Question: Respiration Secondary: Nasal Final: Seizures GV26 . Su Liao. Ying Xiang Question: Respiration Secondary: Nasal Final: Visual Disturbances BL2 .

Cheng Ling Question: Respiration Secondary: Shortness Of Breath Final: Dyspnea SP18 . Xuan Lu Question: Respiration Secondary: Shortness Of Breath Final: Shortness Of Breath LU4 . Zan Zhu Question: Respiration Secondary: Shortness Of Breath Final: Skin Disorders ST9 . Ji Quan Question: Respiration Secondary: Sense Of Smell Final: Loss Of Sense Of Smell GV22 . Zan Zhu 330 www. Kun Lun. Daz Hui Question: Respiration Secondary: Rhinitis Final: Rhinitis BL4 . Qu Chai. Xin Hui Question: Respiration Secondary: Shortness Of Breath Final: Thoracic Pain And Distention ST16 . GB5 . Shui Gou Question: Respiration Secondary: Shortness Of Breath Final: Vomiting BL14 . Tian Chi. Xiong Xiang. Ren Ying Question: Respiration Secondary: Sense Of Smell Question: Respiration Secondary: Shortness Of Breath Final: Thirst HE1 .abctlc. LI19 . Ying Chuang Question: Respiration Secondary: Sense Of Smell Final: Respiratory Disorders LI19 . SP19 . Xia Bai. Tian Xi Question: Respiration Secondary: Rhinitis Final: Nosebleed BL60 .Question: Respiration Secondary: Rhinitis Question: Respiration Secondary: Shortness Of Breath Question: Respiration Secondary: Rhinitis Final: Epistaxis GB18 . He Liao Question: Respiration Secondary: Shortness Of Breath Final: Throat Infections TB9 . Jue Yin Shu Question: Respiration Secondary: Sense Of Smell Final: Vertigo BL6 . ST15 . Cheng Guang Arthritis © 1/21/2009 TLC Question: Respiration Secondary: Sneezing Final: Headache Frontal BL2 . PC1 .com info@tlch2o. Wu Yi Question: Respiration Secondary: Rhinitis Final: Syncope BL2 . Si Du Question: Respiration Secondary: Sense Of Smell Final: Shock GV26 .com . He Liao Question: Respiration Secondary: Shortness Of Breath Final: Respiratory Disorders GV14 .

Tai Yuan Question: Respiration Secondary: Throat Final: Rib Constriction GV14 . Jing Qu. Dan Shu Arthritis © 1/21/2009 TLC Question: Respiration Secondary: Throat Final: Throat Soreness CV21 . Shan Guan. LU8 . Fu Tu 331 www. Xin Shu. Shen Shu. Ling Tai. Tong Zi Liao Question: Fever/Chills Secondary: TCM Final: Dyspnea. BL12 . Da Zhong. CV13 . Feng Fu. Qi She Question: Respiration Secondary: Throat Final: Dry Throat HE9 . ST11 . BL23 . Da Zhu. Gao Huan Shu. CV22 . Tian Tu. GV10 .com info@tlch2o. Xin Shu.com . Ling Dao Question: Neuromuscular Secondary: TCM Final: Nocturnal Emissions BL15 . Li Dui Question: Respiration Secondary: Throat Question: Respiration Secondary: Throat Final: Throat Pain And Swollen GV16 . Yin Ling Quan Question: Respiration Secondary: Throat Final: Speech Impaired ST9 . Zhon Guan. ST45 . Fu Tu Question: Respiration Secondary: TCM Final: Upper Respiratory Conditions GV16 . Fei Shu. Shao Chong Question: Respiration Secondary: Throat Final: Throat Sore And Swollen ST12 .Question: Respiration Secondary: TCM Final: Chest Fullness BL44 . Tai Xi. LI7 . PC6 . LU9 . BL43 . Shen Zhu Question: Respiration Secondary: Throat Final: Throat Constriction LI18 . Wen Liu. Feng Fu Question: Respiration Secondary: Throat Final: Throat Infections CV21 . Wan Gu. GV12 . Xuan Ji. Daz Hui Question: Respiration Secondary: Throat Final: Seizures HE4 . Que Pen Question: Respiration Secondary: Throat Final: Headache BL19 . Yao Yang Guan. Nei Guan Question: Respiration Secondary: Throat Final: Throat Pain GB12 . GV3 . BL15 . LI18 . KI3 . TB4 .abctlc. Feng Men. Ren Ying Question: Perspiration Secondary: TCM Final: Respiratory Disorders BL11 . SP9 . GB21 . Yang Chi Question: Emotions Secondary: TCM Final: Vomiting CV12 . Jian Jing. Shen Tang Question: Respiration Secondary: Throat Final: Lacrimation GB1 . Xuan Ji. BL13 . KI4 .

Yang Gang Question: Skin Secondary: Skin Question: Skin Secondary: Skin Final: Axillary Adenopathy GB22 . Shui Tu Question: Skin Secondary: Goiter Final: Goiter TB13 . Feng Shi Question: Skin Secondary: Complexion Final: Facial Redness And Swelling GV21 . Wen Liu Question: Skin Secondary: Itching Final: Thoracic Pain And Fullness ST15 .com info@tlch2o.abctlc. Yuan Ye Question: Skin Secondary: Complexion Final: Throat Constriction ST9 . Quan Liao Question: Skin Secondary: Itching Final: Sciatica GB31 . Ren Ying Question: Skin Secondary: Complexion Question: Skin Secondary: Itching Question: Skin Secondary: Complexion Final: Complexion Red SI18 . Fu Tu Question: Skin Secondary: Goiter Final: Throat Soreness ST9 .com . Ren Ying Question: Skin Secondary: Goiter Question: Skin Secondary: Skin Final: Chest Fullness GB23 .Question: Respiration Secondary: Throat Final: Throat Soreness And Swelling ST10 . Nao Hui Question: Respiration Secondary: Throat Final: Toothache TB9 . Zhe Jin Question: Skin Secondary: Goiter Final: Eye Disorders LI14 . Wu Yi Question: Skin Secondary: Complexion Final: Jaundice BL48 . Bi Nao Question: Skin Secondary: Skin Final: Chills And Fever SI10 . Qian Ding Question: Skin Secondary: Itching Final: Testicular Swelling LR5 . Ju Gu Question: Respiration Secondary: Throat Final: Voice Hoarse LI18 . Li Gou Question: Skin Secondary: Complexion Final: Facial Swelling LI7 . Nao Shu Arthritis © 1/21/2009 TLC 332 www. Si Du Question: Skin Secondary: Goiter Final: Shoulder Movement Limited LI16 .

GV6 . Fu Tu.Question: Skin Secondary: Skin Final: Facial Redness And Swelling GB6 . Shou San Li Question: Skin Secondary: Skin Final: Fever LI14 . Xia Bai Question: Skin Secondary: Skin Final: Shoulder Pain LI16 . Ju Gu Question: Musculoskeletal Secondary: TCM Final: Intercostal Neuralgia GB43 . Yin Ling Quan Question: Skin Secondary: Skin Final: Hypochondriac Region Pain BL19 . Ri Yue. KI6 . Qi Hai.com info@tlch2o. Zhi Yang. LR1 . Jia Xi. Da Dun Question: Skin Secondary: Skin Final: Syncope GV26 . Ji Zhong Question: Skin Secondary: Skin Final: Wheezing LI18 . GV9 . Zhao Hai.com . Zhong Fu Question: Skin Secondary: Skin Final: Seizures GV12 . Zhi Gou Question: Skin Secondary: Skin Final: Spleen Heat GV10 . Ling Tai Question: Skin Secondary: TCM Final: Uterine Prolapse CV6 . LU1 . Dan Shu Question: Skin Secondary: Skin Final: Vomiting BL22 . Xuan Li Question: Skin Secondary: Skin Final: Ulcer Gastric LI10 . Ji Quan Question: Sleep Secondary: Dreams Question: Sleep Secondary: Dreams Final: Dreaming Excessive ST45 . San Jiao Shu Question: Skin Secondary: Skin Final: Jaundice GB24 . Li Dui Question: Skin Secondary: Skin Final: Toothache HE3 . Shui Gou Question: Skin Secondary: Urticaria Final: Urticaria GB31 . TB6 .abctlc. Shao Hai Arthritis © 1/21/2009 TLC 333 www. Bi Nao Question: Skin Secondary: Skin Final: Urinary Dysfunction SP9 . Feng Shi Question: Skin Secondary: Skin Final: Throat Dryness HE1 . Shen Zhu Question: Skin Secondary: TCM Final: Blotches Purple-White From Wind LU4 .

Da Ju Question: Stools Secondary: Constipation Final: Constipation BL51 . Tian Fu Question: Stools Secondary: Constipation Question: Stools Secondary: Constipation Final: Abdominal Pain SP14 . Zhong Liao Question: Sleep Secondary: TCM Final: Hip Movement Decreased LR10 . Jie Xi. Zhe Jin. KI18 . LU3 . GB23 . ST41 . KI15 . Qiang Jian. Zu Wu Li Arthritis © 1/21/2009 TLC 334 www. Xi Men Question: Stools Secondary: Constipation Final: Leg Paralysis BL39 . GV24 . Xia Liao. Guan Yuan Shu Question: Sleep Secondary: TCM Final: Arm Numbness LI12 .com info@tlch2o. GV19 . Shen Ting. Shi Guan. Wan Gu. Question: Sleep Secondary: Insomnia Final: Jaundice BL19 . Dan Shu Question: Stools Secondary: Constipation Final: Leg Paralysis BL39 . KI16 . PC4 . Tian Fu Question: Stools Secondary: Constipation Final: Orchitis BL34 . Huang Men.Question: Sleep Secondary: Insomnia Final: Insomnia GB12 . Fu Ai. Fu Jie Question: Sleep Secondary: Insomnia Final: Insomnia With Fear ST27 . GV18 . Shang Qu. Ying Chuang Question: Stools Secondary: Constipation Final: Lumbar pain BL27 . Xiao Chang Shu Question: Sleep Secondary: Somnolence Final: Somnolence LU3 . Cheng Shan. Fu She. Wei Yang Question: Sleep Secondary: Insomnia Final: Seizures GV14 .com . Zhou Liao Question: Stools Secondary: Constipation Final: Uterine Prolapse BL33 . Zhong Zhu. BL57 . Daz Hui. Hou Ding. KI17 . BL56 . SP16 . SP13 .abctlc. Huan Shu. GB27 . Wei Yang Question: Sleep Secondary: Sleep Question: Sleep Secondary: Sleep Final: Insomnia ST16 . Wu Shu Question: Sleep Secondary: TCM Question: Stools Secondary: Constipation Final: Thirst BL26 . Cheng Jin.

Shi Men. Qi Xue. Cheng Jin. Yin Men Question: Stools Secondary: Hemorrhoids Final: Urinary Dysfunction GV1 . Liang Men Question: Stools Secondary: Hemorrhoids Final: Lumbosacral Pain BL54 . Chang Qiang Question: Stools Secondary: Diarrhea Final: Sciatica BL37 . GV6 . BL36 . Zhi Bian Question: Stools Secondary: Diarrhea Final: Mouth Dryness BL27 . GV2 . Tong Gu Question: Stools Secondary: Hemorrhoids Final: Sacral Pain BL27 .com info@tlch2o. Xiao Chang Shu. Yang Gang.Question: Stools Secondary: Diarrhea Question: Stools Secondary: Hemorrhoids Question: Stools Secondary: Diarrhea Final: Diarrhea BL35 . Xiao Chang Shu Question: Stools Secondary: Diarrhea Final: Respiratory Disorders KI20 . BL48 . Yi She. Xiao Chang Shu Question: Stools Secondary: Hemorrhoids Final: Nocturnal Emissions BL27 . Cheng Shan. BL47 . Xuan Shu. Hui Yin. Ji Zhong. Si Man. Wei Yang Question: Stools Secondary: Diarrhea Final: Gastrointestinal Disorders ST21 . BL39 . Xia Liao Question: Stools Secondary: Hemorrhoids Final: Tetany GV1 . CV1 . KI17 . Cheng Fu Question: Stools Secondary: Diarrhea Final: Sacral Pain BL34 . BL56 . Hun Men. Yin Ling Quan Question: Stools Secondary: Diarrhea Final: Urinary Tract Infection SP9 . BL49 . Cheng Fu. Guan Yuan Shu Question: Stools Secondary: Diarrhea Final: Urinary Incontinence SP9 .abctlc. CV5 . Hui Yang. KI14 . Chang Qiang Question: Stools Secondary: Diarrhea Final: Urinary Dysfunction BL26 . Yin Ling Quan Arthritis © 1/21/2009 TLC 335 www. KI13 . GV5 . Hui Yang. Shang Qu Question: Stools Secondary: Hemorrhoids Final: Hemorrhoids BL35 . BL57 .com . Yao Shu Question: Stools Secondary: Hemorrhoids Final: Lumbar Pain BL36 .

Question: Stools Secondary: Rectal Prolapse Question: Stools Secondary: Stools Final: Seminal Emissions BL27 . Hui Yang Question: Stools Secondary: Stools Final: Stomach Nervous Dysfunction ST21 . Zhong Zhu Question: Stools Secondary: Tenesmus Final: Scrotal Conditions GB27 . Fu Jie Question: Stools Secondary: Stools Final: Blood And Pus In Stools SP16 .com info@tlch2o. GV6 . Xiao Chang Shu Question: Stools Secondary: Rectal Prolapse Final: Anal and Rectal Conditions BL35 . Hun Men Question: Digestion Secondary: TCM Final: Diarrhea BL26 . Tong Gu Question: TCM Secondary: Cold Final: Shoulder Pain GV14 . Xia Liao. Que Pen Question: Stools Secondary: Stools Final: Sciatica BL34 . Guan Yuan Shu. Di Ji Question: Stools Secondary: Stools Final: Menses Irregular BL52 . Xia Guan. Cheng Fu. BL54 . Ji Zhong Question: Stools Secondary: Stools Final: Dry Stools KI15 .abctlc. Daz Hui Question: Stools Secondary: Stools Final: Irregular Defecation BL48 . BL36 . Ji Zhong Question: Stools Secondary: Stools Question: Stools Secondary: Stools Final: Undigested Food In Stool CV10 . Wu Shu Question: Stools Secondary: Stools Final: Headache BL66 . Liang Men Question: Stools Secondary: Rectal Prolapse Final: Rectal Prolapse BL57 . SP14 . GV5 . Li Dui Arthritis © 1/21/2009 TLC 336 www. Yang Gang Question: TCM Secondary: Deficient Final: Digestive Disturbances SP8 . Zhi Shi Question: TCM Secondary: Heat Final: Angina ST12 . Cheng Shan. Xuan Shu Question: Stools Secondary: Stools Final: Anger BL47 .com . Fu Ai Question: Stools Secondary: TCM Final: Hemorrhoids GV6 . Zhi Bian Question: TCM Secondary: Heat Final: Excessive Heat In The Body ST45 .

Wei Dao Question: TCM Secondary: Qi Final: Small Intestine Disorders ST39 . Tian Chi Question: TCM Secondary: Rebel Qi Question: TCM Secondary: Shan Disorder Final: Stool With Blood BL27 . Shang Lian Question: TCM Secondary: Shan Disorder Final: Joint Pain LR6 . Bu Lang Question: TCM Secondary: Shan Disorder Final: Lumbar Pain GB28 . Yin Jiao Question: TCM Secondary: Pulse Final: Digestive Disturbances CV10 .abctlc. Zhong Du Question: TCM Secondary: Qi Final: Respiratory Disorders KI22 . Fu She. Xuan Ji Question: TCM Secondary: Shan Disorder Final: Urinary Dysfunction LR5 .Question: TCM Secondary: Heat Final: Jaundice GV9 . Jie Xi Question: TCM Secondary: Running Piglet Qi Final: Running Piglet Qi CV7 .com . ST26 . SP13 . Yin Jiao Question: TCM Secondary: Qi Final: Uprising Qi PC1 . Xiao Chang Shu Question: TCM Secondary: Rebel Qi Final: Wheezing CV21 . Xia Ju Xu Question: TCM Secondary: Shan Disorder Final: Postpartum Uterine Hemorrhage CV7 . Xia Guan Question: TCM Secondary: Shan Disorder Question: TCM Secondary: Pulse Final: Thoracic Fullness LU2 . SP14 . Zhi Yang Question: TCM Secondary: Running Piglet Qi Question: TCM Secondary: Running Piglet Qi Final: Orchitis ST29 . Fu Jie. Zhong Lu Shu. Yu Tang Question: TCM Secondary: Shan Disorder Final: Hernia Pain SP12 .com info@tlch2o. Yun Men Question: TCM Secondary: Shan Disorder Final: Hernia BL29 . Gui Lai Question: TCM Secondary: Heat Final: Stomach Disharmony ST41 . Wai Ling Question: TCM Secondary: Qi Final: Cardiac Pain CV18 . Chong Men Question: TCM Secondary: Qi Final: Large Intestine Qi Stagnation LI9 . Li Gou Arthritis © 1/21/2009 TLC 337 www.

Xia Liao. Shui Fen. GV14 . Bu Rong Question: TCM Secondary: Wind Question: TCM Secondary: Wind Final: Rhinitis GB18 . Li Gou Question: TCM Secondary: Turmoil Disorder Final: Ovarian Pain SP13 . Cheng Ling Question: TCM Secondary: Tongue Question: TCM Secondary: Wind Final: Spinal Pain GV11 . Shou San Li Question: Digestion Secondary: TCM Final: Digestive Disturbances CV8 . CV9 .com info@tlch2o. Ru Gen Question: TCM Secondary: Shan Disorder Final: Uterine Prolapse BL34 . Liang Men Question: TCM Secondary: Turmoil Disorder Final: Nocturnal Emissions BL52 .abctlc. Daz Hui Question: TCM Secondary: Turmoil Disorder Final: Vomiting LI10 . Cheng Jin Question: TCM Secondary: Stagnation Final: Ulcer Gastric ST21 . Chong Men Question: TCM Secondary: Stagnation Final: Stomach Pain ST21 . Zhi Shi Question: TCM Secondary: Stagnation Final: Uterine Bleeding Abnormal LR5 . Fu She Question: TCM Secondary: Taxation Final: Speech Impaired GV14 . Zhi Zheng Question: TCM Secondary: Tongue Final: Swollen Tongue CV23 . Shen Que. Hua Rou Men Question: TCM Secondary: Zang Final: Emotional Liability SI7 . Shui Fen. Wei Cang. Tou Qiao Yin. Daz Hui Question: TCM Secondary: Tongue Final: Stiff Tongue GB11 . ST24 . ST29 . Liang Men Question: TCM Secondary: Turmoil Disorder Final: Intestinal Cramping BL56 . ST18 . CV9 .com .Question: TCM Secondary: Shan Disorder Final: Urine Retention LR5 . Gui Lai Question: TCM Secondary: Stagnation Question: TCM Secondary: Turmoil Disorder Final: Edema SP12 . Yin Ling Quan Question: TCM Secondary: Turmoil Disorder Question: TCM Secondary: Turmoil Disorder Final: Digestive Disturbances BL50 . ST19 . Li Gou. Lian Quan Arthritis © 1/21/2009 TLC 338 www. SP9 . Shen Dao.

Zhi Shi Question: Thirst Secondary: Wasting And Thirst Disorder Final: Urination Frequent BL26 . Xiao Chang Shu Question: Urination Secondary: TCM Final: Failure Of The Water Passages To Flow GB25 .Question: Thirst Secondary: Thirst Question: Urination Secondary: Enuresis Question: Thirst Secondary: Thirst Final: Thirst CV23 . Wei Yang Question: Thirst Secondary: Thirst Final: Urinary Dysfunction BL27 . Hui Yin. Heng Gu Question: Thirst Secondary: Thirst Final: Throat Soreness TB4 . CV2 . San Yin Jiao Question: Urination Secondary: TCM Final: Urethritis CV1 . SP6 . Ji Men Question: Thirst Secondary: Thirst Final: Thirst Excessive SP20 . Yang Chi Question: Urination Secondary: TCM Final: Hernia CV5 . Shi Men Question: Thirst Secondary: Wasting And Thirst Disorder Final: Urine Dark BL27 . LR10 . Shi Men.com . Zu Wu Li. Guan Yuan Shu Question: Urination Secondary: TCM Final: Amenorrhea CV5 . Xiao Chang Shu Question: Urination Secondary: Incontinence Question: Thirst Secondary: Wasting And Thirst Disorder Question: Urination Secondary: Incontinence Final: Dribbling And Hesitant Flow Of Urine CV2 .abctlc. SP11 . Yi She Question: Urination Secondary: Incontinence Final: Seminal Emissions BL52 . Zhou Rong Question: Urination Secondary: Enuresis Final: Lower Abdominal Distention KI11 . Jing Men Question: Thirst Secondary: Wasting And Thirst Disorder Final: Wrist Joint Soft Tissue Diseases TB4 . Qu Gu. Yang Chi Question: Urination Secondary: Enuresis Final: Lumbar Stiffness BL39 . Lian Quan Question: Urination Secondary: Enuresis Final: Enuresis CV1 . Qu Gu Question: Thirst Secondary: Wasting And Thirst Disorder Final: Spleen Disorders BL49 . Hui Yin Arthritis © 1/21/2009 TLC 339 www.com info@tlch2o.

Yi She Question: OBGYN Secondary: Genitalia Final: Genital Pain BL36 . Ji Men. Yin Bao. KI4 . LR10 .com info@tlch2o. BL54 . Ji Men SP12 . Xia Lian Question: Urination Secondary: Urination Final: Liver Disorders BL49 . GB12 . Zu Wu Li. Xia Guan.Question: Urination Secondary: TCM Final: Urinary Dysfunction CV2 . Zhi Shi Arthritis © 1/21/2009 TLC 340 www. Da Zhong. Ji Mai Question: Urination Secondary: Urination Final: Urinary Dysfunction BL52 . ST27 . Chong Men. KI11 . Ji Mai. Shui quan. Ji Men Question: Urination Secondary: Urination Final: Urogenital Disorders BL61 .com . KI12 . Cheng Fu Question: Urogenital Secondary: Genitalia Final: Penis Pain LR12 . Heng Gu. Zu Wu Li. Heng Gu. Wei Yang Question: Urination Secondary: Urination Question: Urination Secondary: Urination Final: Urination Difficult CV2 . Yin Jiao Question: Urination Secondary: Urine Final: Hematuria LI8 . Da Ju Question: Urination Secondary: Urination Final: Inability To Urinate CV7 . LR8 . LR9 . Zhi Bian. LR9 . CV2 . Lou Gu Question: Urination Secondary: Urination Final: Uterine Prolapse LR5 . Di Ji Question: Urination Secondary: Urination Final: Difficult Urination KI13 . Shi Men. CV5 . ST39 . SP11 . Shi Men Question: Urination Secondary: Urination Final: Anuria SP11 . Pu Can. Qu Gu. Qi Xue.abctlc. LR10 . SP8 . Da Ju Question: Urogenital Secondary: Genitalia Question: Urogenital Secondary: Genitalia Final: Menorrhagia KI8 . Jiao Xin Question: Urination Secondary: Urination Final: Thigh Pain BL36 . Xia Ju Xu Question: Urination Secondary: Urination Final: Dysuria SP11 . KI11 . Qu Quan Question: Urination Secondary: Urination Final: Retention Of Urine CV5 . Qu Gu. KI5 . SP7 . Yin Bao. Wan Gu. Da He LR12 . Cheng Fu. Li Gou Question: Urination Secondary: Urine Final: Dark Urine CV10 . ST27 . Qu Gu Question: Urination Secondary: Urination Final: Urinary Obstruction BL39 .

Qu Gu. Tong Zi Liao. Da He Question: Vision Secondary: Eye Question: Vision Secondary: Eye Final: Inner Canthus Redness And Pain KI15 . CV2 . Shi Men Question: Urogenital Secondary: TCM Final: Deficiency And Exhaustion Of The Five Zang KI11 . Guang Ming Question: Urogenital Secondary: Seminal Emission Final: Seminal Emissions CV1 . Zhi Shi Question: Vision Secondary: Eye Final: Lacrimation ST1 . Jing Ming Question: OBGYN Secondary: Genitalia Final: Urination Frequent BL28 . Da He. Heng Gu Question: Urogenital Secondary: Genitalia Final: Testicular Swelling And Pain KI8 . Dan Shu Question: Vision Secondary: Eye Final: Mouth Deviation GB1 . Cheng Qi Question: Urogenital Secondary: Infertility Final: Infertility CV7 . ST27 . Da Ju Question: Vision Secondary: Eye Final: Optic Nerve Atrophy GB1 . Jiao Xin Question: Vision Secondary: Eye Question: Vision Secondary: Eye Final: Dizziness BL1 . Yang Bai 341 www. Si Bai Question: Urogenital Secondary: Impotence Question: Urogenital Secondary: Impotence Final: Impotence BL35 .com info@tlch2o. Qi Xue LR11 . Di Ji. Zhong Zhu Question: Urogenital Secondary: Impotence Final: Vomiting BL52 . KI12 . Zhi Shi Question: Vision Secondary: Eye Final: Facial Edema ST2 . Hui Yin. Yin Lian Question: Vision Secondary: Eye Final: Liver Disorders BL19 . Yin Jiao KI13 . CV2 .Question: Urogenital Secondary: Genitalia Final: Postpartum Uterine Hemorrhage CV5 . KI12 . Da Ju Arthritis © 1/21/2009 TLC Question: Vision Secondary: Eye Final: Ptosis GB14 . GB37 . Pang Guang Shu. Heng Gu. Qu Gu. SP8 .com . BL52 . KI11 .abctlc. Tong Zi Liao Question: Urogenital Secondary: Seminal Emission Question: Urogenital Secondary: Seminal Emission Final: Premature Ejaculation ST27 . Hui Yang. Heng Gu. KI11 .

Tou Lin Qi GB19 . Cheng Qi Question: Vision Secondary: Eye Pain Final: Eye Pain BL4 . GB15 . Yang Lao Question: Vision Secondary: Lacrimation Final: Mouth Deviation ST1 . Qing Ling.abctlc. Mu Chuang Question: Vision Secondary: Lacrimation Question: Vision Secondary: Eye Pain Final: Eye Redness KI17 .com info@tlch2o. Cheng Qi Question: Vision Secondary: Eye Pain Final: Teeth Grinding GB37 . Bi Nao Question: Vision Secondary: Eye Pain Final: Eye Pain And Redness GB42 . Zhi Yin. BL67 .com . Qu Chai. Si Bai Question: Vision Secondary: Eye Pain Final: Lateral Leg Cramping KI19 . Si Bai Question: Vision Secondary: Eye Redness Final: Shoulder Pain LI14 . Tou Lin Qi Question: Vision Secondary: Eye Pain Final: Shoulder Pain SI6 . GB1 . BL9 . Shang Qu Question: Vision Secondary: Lacrimation Final: Facial Pain ST2 . Ju Liao Question: Vision Secondary: Lacrimation Final: Lacrimation Upon Wind Exposure GB15 . GB11 . Quan Liao Question: Vision Secondary: Eye Pain Final: Visual Disturbances BL9 . Jing Ming Question: Vision Secondary: Eye Redness Final: Lacrimation Upon Wind Exposure ST1 . Yu Zhen.Question: Vision Secondary: Eye Final: Yellow Eyes HE2 . Yu Zhen. Tong Zi Liao Question: Vision Secondary: Eye Pain Final: Eye Disorders BL1 . Tou Wei Question: Vision Secondary: Lacrimation Final: Lacrimation ST3 . Nao Kong Question: Vision Secondary: Eye Redness Final: Facial Muscle Paralysis ST2 . Yin Du Question: Vision Secondary: Lacrimation Final: Headache BL1 . Di Wu Hui Question: Vision Secondary: Eye Redness Final: Vomiting HE3 . Tou Qiao Yin. Jing Ming Question: Vision Secondary: Eye Pain Final: Mental Disorders ST8 . Shao Hai Question: Vision Secondary: Eye Pain Final: Eye Pain And Redness With Swelling GB16 . SI18 . Guang Ming Arthritis © 1/21/2009 TLC 342 www.

SI6 . Cheng Qi Question: Vision Secondary: Vision Final: Myopia BL9 . Jian Zhong Zhu Question: Vision Secondary: Vision Final: Visual Disturbances BL1 . Cheng Guang Question: Vision Secondary: Vision Final: Blurred Vision LI13 . Ben Shen. Qian Ding. Mei Chong Question: Vision Secondary: Vision Final: Cloudy Vision KI5 . GB37 .Question: Vision Secondary: Lacrimation Final: Visual Disturbances ST8 . Shou Wu Li. Zhi Zheng Question: Vision Secondary: Vision Final: Rhinitis BL3 . GB15 .com . BL65 .com info@tlch2o. Mu Chuang Question: Vision Secondary: Vision Question: Vision Secondary: Vision Final: Nausea And Vomiting BL6 . Kun Lun. LU3 . SI7 . Mu Chuang. LI6 . Xin Hui Question: Vision Secondary: Vision Final: Lacrimation BL1 . Zheng Ying. Tou Lin Qi. Feng Fu. Jing Ming. ST2 . Zhi Zheng. Tong Gu. Si Bai Question: Vision Secondary: TCM Final: Optic Nerve Inflammation ST1 . ST41 . BL4 . Tou Wei Question: Vision Secondary: Vision Final: Lacrimation Upon Wind Exposure BL1 . Jie Xi Question: Vision Secondary: Vision Final: Thoracic Oppression PC1 . GV22 . GB16 . GV16 . Shui quan Question: Vision Secondary: Vision Final: Superficial Visual Obstruction ST3 .abctlc. Yang Lao ST1 . BL66 . Ju Liao Question: Vision Secondary: Vision Final: Dizziness GV21 . GB17 . Jing Ming Question: Vision Secondary: TCM Final: Optic Nerve Atrophy ST1 . Guang Ming. GB13 . Shu Gu. Tian Chi Question: Vision Secondary: Vision Final: Fever And Chills SI15 . GB16 . Si Bai Question: Vision Secondary: Vision Final: Visual Dizziness BL60 . Tian Fu. Yu Zhen. Qu Chai. SI7 . Han Yan. Pian Li. Si Bai Arthritis © 1/21/2009 TLC 343 www. GB4 . Cheng Qi Question: Vision Secondary: Vision Final: Headache ST2 . Jing Ming. Cheng Qi Question: Vision Secondary: Vision Final: Mouth Deviation ST2 .

com .Question: Voice Secondary: TCM Question: Voice Secondary: Voice Final: Loss Of Voice Sudden CV23 . Feng Fu Question: Voice Secondary: TCM Final: Limb Heaviness GV9 . Feng Fu Arthritis © 1/21/2009 TLC 344 www. Zhi Yang Question: Voice Secondary: Voice Final: Trismus ST6 .abctlc.com info@tlch2o. GV16 . Lian Quan. Jia Che Question: Voice Secondary: TCM Final: Sudden Inability To Speak Following Windstroke GV16 .

in the fifth intercostal space. In the middle of the transverse gluteal fold. in the depression in the center of the mentolabial groove. 2 cun lateral to the anterior midline at the level of CV 16. 1. in the depression lateral to the sartorius muscle. directly inferior to the anterior superior iliac spine.5 cun lateral to the midline. Cheng Ling • GB18: In the parietal region. Cheng Man • ST20: On the abdomen. Cheng Jiang • CV24: On the chin. in the center of the gastrocnemius muscle. below the middle of the lower lip. at the intersection of a line connecting the right and left ear apices. Bao Huang • BL53: In the sacral region. on the anterior margin of the insertion of the deltoid muscle. at the level of CV 14. in the middle of the supraspinous fossa. at the level of the second sacral foramen.5 cun within the anterior hairline. with the arm in slight abduction. 5 cun inferior to BL 40. 2 cun lateral to the anterior midline and 6 cun superior to the umbilicus. Cheng Jin • BL56: On the posterior leg. 0. Bi Guan • ST31: On the anterior thigh. at the level of CV 13. 3 cun lateral to the posterior midline.5 cun lateral to the posterior midline. at the level of the fourth posterior sacral foramen.com . 1. Bu Rong • ST19: On the upper abdomen.5 cun posterior to anterior hairline.abctlc.com info@tlch2o. Bu Lang • KI22: In the pectoral region. Cheng Fu • BL36: In the gluteal region.5 cun posterior to GB 17 and 3 cun lateral to GV 20. Bing Feng • SI12: On the upper back. Bi Nao • LI14: On the lateral brachial region. Cheng Guang • BL6: On the head. Arthritis © 1/21/2009 TLC 345 www. Chang Qiang • GV1: Midway between the anus and the tip of the coccyx.Acupuncture Location Identification Key Alphabetical Order Bai Huan Shu • BL30: In the sacral region. 1. on the line connecting LI 11 at the cubital crease and LI15 inferior to the acromion. 2. 2 cun lateral to the anterior midline and 5 cun superior to the umbilicus. Bai Hui • GV20: On the midsagittal line. on a sagittal line ascending from the lateral canthus of the eye. Ben Shen • GB13: In the frontal region.

5 cun lateral to the lower border of the spinous process of the fourth lumbar vertebra (L4). Cheng Shan • BL57: On the posterior leg. Da Ying • ST5: On the cheek. 2 cun inferior to the umbilicus and 2 cun lateral to the anterior midline. on the anterior border of masseter muscle. at the level of CV 5. the great toe. 8 cun inferior to BL 40.plantar junction. Avoid the Femoral Artery! Chong Yang • ST42: On the dorsum of the foot.5 cun lateral to the anterior midline. Da Dun • LR1: On the lateral side of the first digit. at dorsal .com . in the second posterior sacral foramen. 6 cun inferior to the anterior axillary crease. 4 cun lateral to the anterior midline.5 cun lateral to the anterior midline. in the depression between the second and third metatarsals and cuneiform bones. along the line connecting BL 40 at the popliteal crease and BL 60 posterior to the lateral malleolus. Da He • KI12: In the pubic region. on the inferior border of the orbit.com info@tlch2o. in the depression anterior to the medial side of the attachment of Achilles’ tendon. Da Ling • PC7: At the transverse wrist crease. between the tendons of palmaris longus and flexor carpi radialis muscles. in the depression lateral to biceps brachia tendon. Arthritis © 1/21/2009 TLC 346 www. 1. at the level of the umbilicus. 1 cun superior to the symphysis pubis. Da Ju • ST27: On the lower abdomen. Caution Avoid the Dorsal Artery. in the orbicularis oculi muscle. Chong Men • SP12: In the inguinal region. Contraindication: Do Not Needle If Pregnancy is known or suspected. Da Heng • SP15: On the abdomen.1 cun from the corner of the nail bed. 0. in the cubital crease.abctlc. on the midaxillary line. 1. in the depression distal to the metatarsophalangeal joint. anterior to the angle of the mandible. Chi Ze • LU5: At the elbow. Caution Avoid the Artery! Da Zhong • KI4: On the medial ankle.Cheng Qi • ST1: One the face. Da Bao • SP21: On the lateral chest wall. Da Chang Shu • BL25: On the lower back. 3. at the level of CV 3. directly below the pupil when eyes are focused forward. Da Du • SP2: On the great toe.5 cun inferior to ST 41. on the lateral side of the femoral artery. 0. posterior and inferior to the medial malleolus. Ci Liao • BL32: In the sacral region. Caution Do not manipulate the needle as bleeding occurs very easily.

5 cun lateral to the lower border of the spinous process of the third thoracic vertebra (T3).com . in a depression proximal to the heads of the fourth and fifth metatarsal bones. in line with the pupil when the eyes are focused forward. Feng Chi • GB20: At the posterior head.5 cun lateral to the lower border of the spinous process of the first thoracic vertebra (T1). Fei Shu • BL13: On the upper back. Feng Fu • GV16: Meeting Point on the Governing Vessel with the Yang Linking Vessel.Da Zhu • BL11: On the upper back. Arthritis © 1/21/2009 TLC 347 www. and 1 cun inferior to BL 57. On the medial leg. Di Ji • SP8: Xi Cleft Point on the Spleen Channel. 1. Di Cang • ST4: On the face. 1. in the depression between the origins of Sternocleidomastoid and Trapezius muscles. Daz Hui • GV14: Below the spinous process of the seventh cervical vertebra (C7). Du Bi • ST35: At the knee region. 8 cun inferior to BL 40 at the popliteal crease. Du Shu • BL16: On the upper back. Dui Duan • GV27: At the junction of the philtrum with the upper lip.5 cun lateral to the lower border of the spinous process of the sixth thoracic vertebra (T6). 1. Fei Yang • BL58: On the posterior leg. 0. Dai Mai • GB26: On the midaxillary line. Er Jian • LI2: On the radial side of the second digit in slight flexion. 1. 7 cun superior to BL 60 posterior to the lateral malleolus. in the oral region.abctlc. 0. Er Men • TB21: Anterior to the ear. in the depression anterior to the supratragic notch and posterior to the mandibular condyloid process when the mouth is open.5 cun directly below the external occipital protuberance.5 cun lateral to the lower border of the spinous process of the tenth thoracic vertebra (T10). at the level of the umbilicus. Sea of Marrow Point. superior to the iliac crest. Di Wu Hui • GB42: On the dorsum of the foot. 3 cun inferior to the medial condyle of the tibia on the line connecting the medial malleolus at the ankle and SP 9 at the lower border of the medial condyle of the tibia. Dan Shu • BL19: On the middle back.com info@tlch2o. in the depression anterior to the metacarpophalangeal joint. in the depression below the lateral side of the patella when the knee is flexed slightly.5 cun lateral to the corner of the mouth. On the posterior head. at the junction of the occipital and nuchal regions.

at the junction of the upper and middle thirds of a curved line connecting GB 9 and GB 12. 7 cun superior to the popliteal crease. Feng Shi • GB31: On the midline of the lateral thigh. Arthritis © 1/21/2009 TLC 348 www. 3 cun lateral to the lower border of the spinous process of the fourth thoracic vertebra (T4). at the level of BL 17. Fu Liu • KI7: On the medial leg.abctlc. Fu Yang • BL59: On the posterior surface of the leg. 3 cun lateral to the lower border of the spinous process of the seventh thoracic vertebra (T7). Fu She • SP13: On the lower abdomen. 3 cun lateral to the laryngeal prominence. 6 cun superior to lateral patella. 3 cun above the umbilicus at the level of CV 11. Feng Men • BL12: On the upper back. Fu Tu • ST32: On the anterior thigh. Gao Huan Shu • BL43:On the upper back. Fu Ai • SP16: On the upper abdomen. on the medial side of biceps femoris tendon. on the sternocleidomastoid muscle.com info@tlch2o.com . On the leg. 3 cun lateral to the lower border of the spinous process of the second thoracic vertebra (T2). posterior to the auricle and superior to the mastoid process.5 cun lateral to the lower border of the spinous process of the second thoracic vertebra (T2). at the level of CV 3. Ge Guan • BL46: On the middle back. on a line between the anterior superior iliac spine and the superolatero patella. 3 cun superior to BL 60 posterior to the lateral malleolus.Feng Long • ST40: Luo Connecting Point on the Stomach Channel to SP3. Fu Fen • BL41: On the upper back. Fu Tu • LI18: On the neck. Gan Shu • BL18: On the middle back. GB 31 can also be located directly inferior to the tip of the middle finger when patient is standing and the arm is extended along the thigh. at the level of BL 12. 1. Fu Jie • SP14: On the lower abdomen. 4 cun lateral to the anterior midline and 1 cun below the umbilicus at the level of CV 7. 1 cun above the superior border of the pubic symphysis. Fu Xi • BL38: In the popliteal fossa. 1 cun superior to BL 39. Fu Bai • GB10: In the temporal region. 1. one cun lateral to ST 38 at the midpoint of a line between ST 35 at the lateral patella and the lateral malleolus. with the knee in slight flexion. at the level of BL 14.5 cun lateral to the lower border of the spinous process of the ninth thoracic vertebra (T9). 4 cun lateral to the anterior midline. 2 cun superior to KI 3 on the anterior border of the Achilles’ tendon. 4 cun lateral to the anterior midline.

approximately at the midpoint of the second metacarpal bone. in the depression distal to the base of the first metatarsal bone. 1. 5 cun superior to the prominence of the lateral malleolus.5 cun lateral to the lower border of the spinous process of the fifth lumbar vertebra (L5). 4 cun directly above the external occipital protuberance. at the level of CV 2. Guan Yuan • CV4: In the pubic region. 1 cun above the pubic symphysis and 2 cun lateral to the anterior midline. immediately superior to the symphysis pubis.5 cun lateral to the lower border of the spinous process of the seventh thoracic vertebra (T7). Guan Men • ST22: On the abdomen. level with the lateral canthus of the eye.abctlc. Han Yan • GB4: Meeting Point on the Gall Bladder Channel with the Triple Energizer.Ge Shu • BL17: On the middle back. Hey Yn • BL55: On the posterior leg. Guang Ming • GB37: On the lateral side of the leg. Gui Lai • ST29: On the lower abdomen. 3 cun superior to the umbilicus. 2 cun inferior to BL 40 at the popliteal crease. at the level of CV 11. in the belly of the first interosseus dorsalis muscle. 1. Metal Point on Fire Meridian. on the hairline. at the junction of the dorsal and palmar surfaces. Guan Chong • TB1: Jing Well Point on the Triple Energizer Channel. On the ulnar side of the fourth digit. posterior to the hairline.1 cun from the corner of the nailbed. Hou Ding • GV19: On the posterior head. directly inferior to the lateral margin of the nostril. level with GV 26. 2 cun lateral to the anterior midline. Hou Xi • SI3: In the depression proximal to the head of the fifth metacarpal bone. Large Intestine and Stomach Channels. In the temporal region. on the anterior midline. Guan Yuan Shu • BL26: On the lower back. Arthritis © 1/21/2009 TLC 349 www. He Liao • LI19: In the oral region.com info@tlch2o. at the level of CV 3. Gong Sun • SP4: On the medial foot. He Gu • LI4: On the dorsum of the hand.5 cun lateral to the anterior midline. at the junction of the upper quarter and lower three-quarters of the distance between ST 8 and GB 7. 0.com . Contraindication: Do Not Needle If Pregnancy is known or suspected. He Liao • TB22: Anterior to the ear. 2 cun superior to the upper border of the symphysis pubis. 0. between the medial and lateral heads of the gastrocnemius muscle. Heng Gu • KI11: In the pubic region.

Huan Shu • KI16: At the umbilicus. Hui Yang • BL35: On either side of the tip of the coccyx. Locate GB30 with the patient in the lateral recumbent position with the thigh flexed slightly.Hua Gai • CV20: On the sternal midline.5 cun proximal to the web margin. Contraindication: Do Not Needle If Pregnancy or Heart Disease is known or suspected. midway between the tip of the acromion process and below the spinous process of the seventh cervical vertebra (C7). Caution Avoid the axillary artery. Beware the Femoral Vein! Ji Men • SP11: On the medial thigh. Jia Che • ST6: On the cheek. 0. 6 cun superior to SP 10. medial to the femoral artery. 2. level with the first intercostal space. Ji Mai • LR12: Urgent Pulse.5 cun lateral to the posterior midline.5 cun lateral to the upper border of pubic symphysis. Ji Quan • HE1: In the axillary fossa when the arm is abducted. at the level of CV 9. Arthritis © 1/21/2009 TLC 350 www. at the midpoint between the anus and the posterior border of the scrotum in males and the posterior labial commissure in females.abctlc.5 cun lateral to the midline. below the spinous process of the eleventh thoracic vertebra (T11). Huang Men • BL51: On the lower back. distal to the fourth and fifth metatarsophalangeal joints. at the level of CV 8. 3 cun lateral to the lower border of the spinous process of the ninth thoracic vertebra (T9). at the level of TE 6. Hua Rou Men • ST24: On the abdomen. 1 cun anterior and superior to the angle of the mandible.5 cun lateral to the anterior midline. Huan Tiao • GB30: In the gluteal region. Hun Men • BL47: On the middle back. Ji Zhong • GV6: On the middle back. Jia Xi • GB43: On the dorsum of the foot. 0. 2 cun lateral to the anterior midline.com info@tlch2o. Jian Jing • GB21: In the suprascapular region. 0. Hui Zong • TB7: On the dorsal forearm. at the level of BL 22. on the radial border of the ulna. Contraindication: Do Not Needle If Pregnancy is known or suspected. 1 cun superior to the umbilicus. Hui Yin • CV1: In the perineal region. 3. At the base of the femoral triangle. at the level of BL 18.com . one third the distance from the greater trochanter to the sacral hiatus. on the line connecting SP 10 above the superomedial angle of the patella and SP 12. medial to the axillary artery. 3 cun superior to the dorsal transverse wrist crease. 3 cun lateral to the lower border of the spinous process of the first lumbar vertebra (L1). in the belly of masseter muscle.

Jie Xi • ST41: Jing River Point on the Stomach Channel. level with the tip of the lateral malleolus. On the anterior forearm. in the depression anterior and inferior to the tuberosity of the fifth metatarsal bone. 0. Jing Men • GB25: On the lateral abdomen at the lower border of the free end of the twelfth rib. between the tendons of palmaris longus and flexor carpi radialis muscles. Jian Shi • PC5: Jing River Point on the Pericardium Channel.abctlc. On the dorsum of the foot. Jiao Xin • KI8: On the medial leg. between tendons of muscles extensor digitorum longus and extersor hallucis longus. with the arm in abduction. Jing Qu • LU8: On the radial side of the forearm. Jian Yu • LI15: On the shoulder in the depression on the anterior border of the acromial part of the deltoid muscle when the arm is abducted. Jian Liao • TB14: On the posterior deltoid region. Jiao Sun • TB20: In the temporal region. in the depression posterior to the fifth metatarsal bone and lateral to the cuboid bone. 3 cun superior to the transverse wrist crease. 3 cun superior to the umbilicus. 2 cun lateral to the lower border of the spinous process of the seventh cervical vertebra (C7). Jian Zhong Zhu • SI15: On the upper back. Fire Point on Earth Meridian.5 cun anterior to KI 7. in the posterior depression on the lateral border of the acromion when the arm is abducted 90 degrees. within the hairline. Jian Zhen • SI9: On the upper back. 2 cun superior to KI 3 and 0. Jing Ming • BL1: On the face. Jin Men • BL63: On the lateral foot.Jian Li • CV11: In the upper umbilical region. Jian Wai Shu • SI14: On the upper back. Jing Gu • BL64: On the lateral foot. 1 cun superior to the transverse wrist crease and in the depression between the radial artery and styloid process. on the anterior midline. Jin Suo • GV8: On the middle back. superior to the apex of the ear. Contraindication: Moxa is forbidden! Arthritis © 1/21/2009 TLC 351 www. below the spinous process of the ninth thoracic vertebra (T9). 3 cun lateral to the lower border of the spinous process of the first thoracic vertebra (T1). Metal Point on Fire Meridian.1 cun superior to the inner canthus when the eye is closed.com .com info@tlch2o. 1 cun superior to the posterior end of the axillary fold.

GB29 is located with patient in the lateral recumbent position with the thigh flexed slightly. On the lateral ankle. in the first intercostal space. Kun Lun • BL60: Jing River Point on the Bladder Channel. on the anterior midline. 2 cun inferior to the xiphoid process and 6 cun superior to the umbilicus. posterior to the tibial medial margin. 5 cun inferior to LU 5. 5 cun superior to the medial malleolus. Fire Point on Water Meridian. 4 cun superior to the umbilicus. Kong Zui • LU6: On the radial side of the forearm.5 cun superior to the tip of the radial styloid process. 1.1 cun from the corner of the nail bed. Ju Gu • LI16: On the superior aspect of the scapular region. On the upper back. Ku Fang • ST14: On the chest. 2 cun superior to lateral patella. on a line between the anterior superior iliac spine and the superolatero patella. 4 cun lateral to the anterior midline. Liang Men • ST21: On the abdomen. in the depression posterior to the acromial extremity of the clavicle and anterior to the scapular spine. Jue Yin Shu • BL14: Pericardium Shu. level with the border of the ala nasi. Ju Que • CV14: In the epigastric region. On the radial side of the forearm. Liang Qiu • ST34: On the anterior thigh.Jiu Wei • CV15: In the epigastric region. at the level of CV 12. Lian Quan • CV23: On the neck. Arthritis © 1/21/2009 TLC 352 www.com info@tlch2o. Li Gou • LR5: On the medial side of the leg.5 cun lateral to the lower border of the spinous process of the fourth thoracic vertebra (T4). on the anterior midline. on the anterior midline. on the midclavicular line. 2 cun lateral to the anterior midline. 0. 1. proximal to the metacarpophalangeal joint. Back Shu of the Pericardium that connects with Front Mu CV17. Contraindication: Do Not Needle If Pregnancy is known/suspect. in the depression midway between the external malleolus and the tendon calcaneus. Lie Que • LU7: Luo Connecting Point on the Lung Channel to LI4. in line with the pupil when the eyes are focused forward. Ju Liao • ST3: On the face. Ju Liao • GB29: At the hip. on a line from LU 5 at the cubital crease and LU 9 at the lateral side of the wrist crease.com .abctlc. Contraindication: Do Not Needle If Pregnancy is known or suspected Lao Gong • PC8: On the palmar surface. 1 cun inferior to the xiphoid process and 7 cun superior to the umbilicus. midway between the anterior superior iliac spine and the greater trochanter. in the depression superior to the hyoid bone. between the second and third metacarpal bones. Li Dui • ST45: On the lateral side of the second toe.

5 cun proximal to the transverse wrist crease. Lu Xi • TB19: On the mastoid bone. Mei Chong • BL3: In the frontal region of the head. Nao Hui • TB13: On the posterior border of the deltoid muscle. Nei Guan • PC6: On the anterior forearm.25 cun lateral to the posterior midline.com info@tlch2o. below the spinous process of the second lumbar vertebra (L2). Pi Shu • BL20: On the middle back. 1.Ling Dao • HE4: On the palmar surface of the forearm. 1.abctlc. 1 cun superior to SI 9 . at the level of the second posterior sacral foramen. Arthritis © 1/21/2009 TLC 353 www. 1. in the third intercostal space.5 cun directly above the external occipital protuberance. Lou Gu • SP7: On the medial leg.5 cun lateral to the midline. at the level of the upper border of the external occipital protuberance. in the depression inferior and lateral to the scapular spine. on the radial side of flexor carpi ulnaris tendon. posterior to the medial margin of the tibia.5 cun lateral to the posterior midline.com . 2. 6 cun superior to the medial malleolus. 1. Pang Guang Shu • BL28: In the sacral region. with the arm in abduction. Luo Que • BL8: On the head.5 cun posterior to GB 15 and 3 cun lateral to the mid-sagittal line. Mu Chuang • GB16: In the frontal region. 2 cun lateral to the anterior midline at the level of CV 18. posterior to the ear. Nei Ting • ST44: On the dorsum of the foot. at the junction of the middle and upper third of the curve that connects TE 17 at the earlobe and TE 20 at the apex of the ear. Nao Kong • GB19: In the occipital region. Nao Shu • SI10: On the posterior shoulder.5 cun posterior to anterior hairline. at the proximal end of the web between the second and third toes. Ling Tai • GV10: Below the spinous process of the sixth thoracic vertebra (T6). 1. Ling Xu • KI24: In the pectoral region. 2 cun superior to the transverse wrist crease.5 cun within the anterior hairline and 0. Ming Men • GV4: On the lower back.5 cun lateral to the lower border of the spinous process of the eleventh thoracic vertebra (T11). Nao Hu • GV17: Meeting Point on the Governing Vessel with the Bladder Channel. between the tendons of palmaris longus and flexor carpi radialis muscles.5 cun lateral to GV 24 at the midline. 2 cun inferior to TE 14 at the posterior and inferior to the acromion. On the posterior head. 0. 5. 1.

Qing Leng Yuan • TB11: In the posterior cubital region. 2 cun superior to the olecranon when the elbow is flexed. Qian Gu • SI2: On the ulner side of the fifth digit. at the level of CV 14. at the level of BL 13. at the junction of the lower and middle third of the curve that connects TE 17 at the earlobe and TE 20 at the apex of the ear. 3 cun lateral to the lower border of the spinous process of the third thoracic vertebra (T3). at the superior border of the sternal end of the clavicle. 2. 1. Arthritis © 1/21/2009 TLC 354 www. on the anterior midline. Qian Ding • GV21: On the midsagittal line. 3 cun proximal to the transverse cubital crease. spermatic cord in men and round ligament in women. Qi Hai • CV6: On the lower abdomen. in the sixth intercostal space.com . Qi Hu • ST13: In the infraclavicular fossa. Qi Hai Shu • BL24: On the lower back. Po Hu • BL42: On the upper back. Qi Chong • ST30: At the superior border of the pubic symphysis. posterior to the ear. Pu Can • BL61: On the lateral foot.5 cun inferior to the umbilicus.com info@tlch2o. Qiang Jian • GV18: On the posterior head. on the midclavicular line. in the depression distal to the metacarpophalangeal joint.5 cun directly above the external occipital protuberance.5 cun anterior to the intersection of the line connecting the right and left ear apices. 2 cun superior to the symphysis pubis. Qi She • ST11: At the root of the neck.5 cun lateral to the anterior midline. 3 cun proximal to the dorsal wrist crease.Pian Li • LI6: On the radial side of the posterior antebrachial region. in a depression on the lateral calcaneus. Qi Xue • KI13: In the pubic region.abctlc. 0. 1. 4 cun lateral to the anterior midline. 1. on the midclavicular line. between the sternal and clavicular heads of sternocleidomastoid muscle. 2 cun lateral to the anterior midline. 1. at the level of CV 2. Qing Ling • HE2: On the medial arm when the elbow is flexed. at the junction of the dorsal and palmar surfaces. Qi Mai • TB18: On the mastoid bone. at the level of CV 4.5 cun inferior and posterior to the lateral malleolus. Qi Men • LR14: On the chest. directly below BL60 which is posterior to the lateral malleolus. on the line connecting LI 5 at the wrist and LI 11 at the lateral cubital crease. Caution Avoid the Femoral Vein.5 cun lateral to the lower border of the spinous process of the third lumbar vertebra (L3).

Qu Quan • LR8: One the medial side of the knee. on the lower border of the zygomatic bone. Qu Bin • GB7: Within the hairline. on the anterior midline. anterior and superior to the auricle.com . Qu Ze • PC3: He Sea Point on the Pericardium Channel. at the level of the laryngeal prominence.abctlc. Quan Liao • SI18: On the face. Qu Chai • BL4: In the frontal region of the head.5 cun within the anterior hairline. posterior to the clavicle. Qu Chi • LI11: On the lateral side of the cubital crease when the elbow is close to full flexion.com info@tlch2o. Ru Gen • ST18: On the chest.5 cun lateral to GV 24 at the midline. Que Pen • ST12: At the midpoint of the supraclavicular fossa.ST 17 SERVES AS A LANDMARK ONLY! San Jian • LI3: On the dorsum of the hand. Water Point on Fire Meridian. 0. proximal to the metacarpophalangeal joint. on the midclavicular line. At the elbow. 1. Caution Avoid the Vasculature! Ri Yue • GB24: On the anterior chest midclavicular line at the level of the seventh intercostal space. at the superior border of the symphysis pubis. in the fifth intercostal space. on the ulnar side of the biceps brachii tendon. 4 cun lateral to the anterior midline. in the depression inferior to the lower border of the tuberosity of the navicular bone.Qiu Xu • GB40: At the lateral ankle. at the dorsal-palmar skin junction. inferior to the outer canthus of the eye. Ran Gu • KI2: On the medial surface of the foot. Contraindication: DO NOT NEEDLE OR MOXA . Qu Gu • CV2: In the pubic region. on the radial side of the second metacarpal bone. on the midclavicular line. Contraindication: Do not use if pregnancy is known or suspected. on the anterior border of sternocleidomastoid muscle. Ru Zhong • ST17: At the center of the nipple. medial to the brachial artery. In the depression anterior and inferior to the lateral malleolus. 4 cun lateral to the anterior midline. Arthritis © 1/21/2009 TLC 355 www. Ren Ying • ST9: On the neck. about 1 cun anterior to TE 20. in the depression on the medial end of the supraspinous fossa. in the depression of the transverse popliteal crease between the upper border of the medial epicondyle of the femur and semitendinosus and semimembranosus tendons. Qu Yaun • SI13: On the upper back.

in the first posterior sacral foramen. Shao Hai • HE3: With the elbow flexed. When a tight fist is made. Contraindication: Do Not Needle If Pregnancy is known or suspected. Shang Lian • LI9: On the radial side of the posterior antebrachial region.5 cun lateral to the lower border of the spinous process of the first lumbar vertebra (L1). On the lateral face. 5 cun superior to the umbilicus. Shang Xing • GV23: On the midline.abctlc. Shao Shang • LU11: On the radial side of the thenar eminence. Shang Liao • BL31: In the sacral region.1 cun posterior to the nailbed. 6 cun inferior to ST 35 in the depression to the lateral side of the patella. on the posterior border of the tibia. anterior to the ear. Caution Reserve HE 9 for Unconsciousness or Shock. 0. Caution Avoid the Kidneys San Yang Luo • TB8: On the dorsal forearm.com . between the nipples. San Yin Jiao • SP6: On the medial leg. Shang Yang • LI1: On the radial side of the second digit. on the line connecting LI 5 at the wrist and LI 11 at the lateral cubital crease. Arthritis © 1/21/2009 TLC 356 www. between the radius and ulna. on the anterior midline.1 cun from the corner of the nail bed. HE 8 is where the fifth digit rests. in the depression midway between the navicular bone and the vertex of the medial malleolus. Shang Ju Xu • ST37: On the leg. 1. 4 cun superior to TE 4 at the dorsal transverse wrist crease. at the medial end of the transverse cubital crease. 0.1 cun from the corner of the nail bed. Shao Chong • HE9: On the radial side of the fifth digit. one finger breadth lateral to the tibia's anterior crest. Shang Qui • SP5: On the medial foot. Shan Guan • CV13: In the upper umbilical region. Shang Guan • GB3: Meeting Point on the Gall Bladder Channel with the Triple Energizer and Stomach Channels. Shang Qu • KI17: In the umbilical region.5 cun lateral to the midline at the level of CV 10. Shan Zhong • CV17: On the sternal midline. level with the fourth intercostal space. 2 cun superior to the umbilicus and 0.San Jiao Shu • BL22: On the lower back. on the upper border of the zygomatic arch. 0. between the fourth and fifth metacarpal bones. 3 cun distal cubital crease. 1 cun posterior to the anterior hairline. 3 cun superior to the medial malleolus. Shao Fu • HE8: On the palmar surface of the hand.com info@tlch2o.

com info@tlch2o. in the fourth intercostal space. Arthritis © 1/21/2009 TLC 357 www. Shou Wu Li • LI13: On the lateral brachial region. 2 cun inferior to the umbilicus. Shen Mai • BL62: On the lateral foot. Shou San Li • LI10: On the radial side of the posterior antebrachial region.1 cun from the corner of the nail bed. Shen Men • HE7: On the transverse wrist crease. Shen Zhu • GV12: Below the spinous process of the third thoracic vertebra (T3). 6 cun lateral to anterior midline. in the small depression between the pisiform and ulna bones. Shen Que • CV8: At the umbilicus. 2 cun lateral to the anterior midline at the level of CV 19. Shi Dou • SP17: On the lateral chest. Shi Men • CV5: On the lower abdomen. at the level of BL 15. Shu Fu • KI27: On the lower border of the clavicle. 3 cun superior to the umbilicus and 0. on the line connecting LI 11 at the cubital crease and LI15 inferior to the acromion. in the second intercostal space. Shen Dao • GV11: Below the spinous process of the fifth thoracic vertebra (T5). 3 cun superior to LI 11. 2 cun distal cubital crease. on the anterior midline. Shen Ting • GV24: On the midline. in the fifth intercostal space.5 cun lateral to the lower border of the spinous process of the second lumbar vertebra (L2). Shen Feng • KI23: In the pectoral region. Shen Shu • BL23: On the lower back. 0. at the dorsal-plantar skin junction. 2 cun lateral to the anterior midline.com . 1. in the depression directly inferior to the lateral malleolus. on the line connecting LI 5 at the wrist and LI 11 at the lateral cubital crease.Shao Ze • SI1: On the ulnar side of the fifth digit. Caution Avoid the Kidneys. in the depression posterior and inferior to the fifth metatarsophalangeal joint. Shi Guan • KI18: In the umbilical region. Shen Tang • BL44: On the upper back. 3 cun lateral to the lower border of the spinous process of the fifth thoracic vertebra (T5).5 cun superior to the auricular apex and directly above TE 20. Shuai Gu • GB8: 1. Shu Gu • BL65: On the lateral foot. Shen Cang • KI25: In the pectoral region. 2 cun lateral to the anterior midline at the level of CV 17. 0.5 cun lateral to the midline at the level of CV 11.5 cun posterior to the anterior hairline.abctlc.

5 cun inferior to ST 1 when eyes are focused forward. midway between ST 9 at the level of the laryngeal prominence and ST 11 at the upper clavicle border. Tian Chi • PC1: On the lateral chest. at the level of CV 10. Tai Yi • ST23: On the abdomen. in the depression anterior and superior to the medial side of the tuberosity of the calcaneus. at the midpoint between the prominence of the medial malleolus and Achilles’ Tendon. Su Liao • GV25: At the tip of the nose. Caution Do not needle deeply as to puncture the eyeball. 0. 1 cun superior to the umbilicus. Shui Tu • ST10: On the neck. 2 cun superior to the umbilicus. approximately 1 cun lateral to the nipple. Caution Avoid the Artery! Si Bai • ST2: On the face. Tao Dao • GV13: Below the spinous process of the first thoracic vertebra (T1). at the level of CV 4. Arthritis © 1/21/2009 TLC 358 www.Shui Dao • ST28: On the lower abdomen. Tai Bai • SP3: On the medial foot. Si Du • TB9: On the dorsal forearm. 1 cun below KI 3. Si Man • KI14: In the pubic region.5 cun posterior to GB 8. 3 cun superior to the symphysis pubis. Si Zhu Kong • TB23: In the depression at the lateral end of the eyebrow.abctlc. Shui Gou • GV26: In the philtrum. 2 cun lateral to the anterior midline. on the infraorbital foramen. in the fourth intercostal space. Tai Yuan • LU9: On the lateral side of the anterior wrist crease. 0.5 cun lateral to the anterior midline. Tai Xi • KI3: On the medial ankle. on the anterior midline. 5 cun lateral to the anterior midline.plantar junction. 3 cun inferior to the umbilicus and 2 cun lateral to the anterior midline. at the dorsal . 1/3 the distance from the nose and the top of the lip. approximately 2 cun superior to the web margin. between the first and second metatarsal bones. between the radius and ulna. on the anterior border of sternocleidomastoid muscle. 7 cun superior to TE 4 at the dorsal transverse wrist crease. Shui Fen • CV9: In the umbilical region. in the depression proximal to the first metatarsophalangeal joint. Tian Chong • GB9: Posterior and superior to the auricular border and 0. Tai Chong • LR3: On the dorsum of the foot. Shui quan • KI5: On the medial ankle.com .com info@tlch2o. at the level of CV 5. in the depression on the radial side of the radial artery.

Tian Ding • LI17: At the anterior margin of the posterior triangle of the neck. Tian Shu • ST25: On the abdomen.com . on the lateral border of the trapezius muscle. on the superior angle of the scapula. on the anterior midline. 2 cun inferior to the axillary fold. at the level of the laryngeal prominence and the transverse process of the fourth cervical transverse process (C4). Contraindication: Do Not Needle If Pregnancy is known or suspected Tian Tu • CV22: In the suprasternal fossa. at the insertion of lavator scapulae muscle. Tian Rong • SI17: On the neck. Tian Zong • SI11: On the scapula. at the midpoint of a line between ST 35 at the lateral patella and the lateral malleolus. 6 cun lateral to the anterior midline. Tian Quan • PC2: On the upper arm. in the depression between the tragus and the mandibular joint when the mouth is open slightly. Tian Jing • TB10: In the posterior cubital region. in the depression of the infrascapular fossa. Tiao Kou • ST38: On the leg.Tian Chuang • SI16: On the neck. Ting Gong • SI19: Anterior to the tragus of the ear. Tian Liao • TB15: In the scapular region. 3 cun inferior to the anterior axillary fold. on the lateral border of muscle biceps brachia. at the level of CV 17. 1 cun inferior to LI 18 at the level of the laryngeal prominence. just above the jugular notch. 2 cun lateral to the umbilicus. 1. Tian Fu • LU3: On the upper arm. Tian You • TB16: On the lateral neck. one cun lateral to the tibia's anterior crest. posterior and inferior to the mastoid process on the posterior border of sternocleidomastoid muscle. Tian Xi • SP18: On the lateral chest. on the posterior margin of the sternocleidomastoid muscle. Arthritis © 1/21/2009 TLC 359 www. in the depression 1 cun superior to the olecranon when the elbow is flexed.com info@tlch2o. in the depression anterior to the auricular intertragic notch. Ting Hui • GB2: With the mouth open. Tian Zhu • BL10: In the nuchal region.3 cun lateral to GV 15 at the level between cervical vertebrae C1 and C2. between the two heads of muscle biceps brachii. one-third the distance between the lower border of the scapular spine and the inferior angle of the scapula. in the fourth intercostal space. in the depression between the angle of the mandible and the anterior margin of the sternocleidomastoid muscle.abctlc. on the posterior border of the sternocleidomastoid muscle.

at the anterior margin of the ileum. 0.5 cun lateral to the midline.5 cun within the hairline. 0. Tong Li • HE5: On the palmar surface of the forearm. aligned with the pupil when the eyes are focused forward. 1. Wei Cang • BL50: On the middle back. Tou Lin Qi • GB15: In the frontal region. Wai Guan • TB5: On the dorsal forearm. Tou Wei • ST8: At the corner of the forehead. at the lateral crease. 5 cun superior to the umbilicus and 0. Wai Ling • ST26: On the lower abdomen. medial to the biceps femoris tendon. Arthritis © 1/21/2009 TLC 360 www. posterior to the auricle and superior to the mastoid process. in the depression anterior and inferior to the fifth metatarsophalangeal joint. Wai Qui • GB36: On the lateral side of the leg.Tong Gu • BL66: On the lateral foot. at the junction of the dorsal and palmar surfaces. Wei Shu • BL21: On the middle back. Wei Yang • BL39: In the popliteal fossa. in the depression posterior and inferior to the mastoid process. Wan Gu • SI4: On the ulna side of the wrist. 0. at the level of CV 7. Tong Gu • KI20: In the epigastric region. 4 cun posterior to anterior hairline. at the junction of the middle and lower thirds of a curved line connecting GB 9 and GB 12. between the radius and ulna. Tong Tian • BL7: On the head.5 cun lateral to the midline at the level of CV 13. 1 cun inferior to the umbilicus and 2 cun lateral to the anterior midline. at the level of BL 21. 1. 3 cun lateral to the lower border of the spinous process of the twelfth thoracic vertebra (T12). on the radial side of flexor carpi ulnaris tendon. 4. Tong Zi Liao • GB1: On the lateral face.5 cun posterior to the anterior hairline. 1 cun proximal to the transverse wrist crease.abctlc.5 cun lateral to the lower border of the spinous process of the twelfth thoracic vertebra (T12). 0. Wan Gu • GB12: In the temporal region.5 cun inferior to the anterior superior iliac spine.com info@tlch2o. Wei Dao • GB28: In the inguinal region.5 cun lateral to the outer canthus of the eye. 7 cun superior to the prominence of the lateral malleolus.com .5 cun lateral to the anterior midline. 2 cun superior to TE 4 at the dorsal transverse wrist crease. in the depression between the fifth metacarpal bone and the hamate and pisiform bones. Tou Qiao Yin • GB11: In the temporal region. at the level of the inferior ridge of the auricle.

superior to the jointline. in the upper portion of the medial head of the gastrocnemius muscle. at the level of the first posterior sacral foramen. medial to the anterior superior iliac spine. anterior to the condyloid process of the mandible. 2 cun superior to the umbilicus.abctlc.5 cun lateral to the posterior midline. Xi Guan • LR7: On the medial side of the leg. ST 7 is located with the mouth closed. in the second intercostal space. 1. 1. on the line connecting LI 5 at the wrist and LI 11 at the lateral cubital crease. 1 cun posterior to anterior hairline. on the midclavicular line. Xia Lian • LI8: On the radial side of the posterior antebrachial region. Wu Chu • BL5: On the head.5 cun lateral to GV 23 at the midline. between the second and third metatarsal bones. on the lateral border of muscle biceps brachia. in the depression at the lower border of the zygomatic arch. Xi Yang Guan • GB33: On the lateral side of the knee. 4 cun distal cubital crease. Xia Guan • CV10: In the umbilical region. Wu Yi • ST15: On the chest.com . on the line connecting LI 5 at the wrist and LI 11 at the lateral cubital crease.Wei Zhong • BL40: At the midpoint of the popliteal fossa. 5 cun proximal to the dorsal wrist crease. Wu Shu • GB27: In the inguinal region. in a depression between biceps femoris tendon and the lateral condoyle of the femur. Xia Guan • ST7: On the lateral face. one cun inferior to ST 38 at the midpoint of a line between ST 35 at the lateral patella and the lateral malleolus. Xiao Chang Shu • BL27: In the sacral region. 3 cun inferior to the level of the umbilicus.com info@tlch2o. on the anterior midline. Xian Gu • ST43: On the dorsum of the foot. Xia Ju Xu • ST39: On the leg. in line with the lateral side of the second digit. 4 cun inferior to the anterior axillary fold. Arthritis © 1/21/2009 TLC 361 www. 1 cun posterior to SP 9. Xia Bai • LU4: On the upper arm. Xi Men • PC4: On the anterior forearm. 4 cun lateral to the anterior midline. 1. inferior to the medial condyle of the tibia. Xia Liao • BL34: In the sacral region.5 cun superior to the web margin. between the tendons of palmaris longus and flexor carpi radialis muscles. in the fourth posterior sacral foramen. Wen Liu • LI7: On the radial side of the posterior antebrachial region. 5 cun superior to the transverse wrist crease.

Xuan Zhong • GB39: On the lateral side of the leg. below the spinous process of the first lumbar vertebra (L1). 2 cun superior to the superomedial angle of the patella. 4 cun superior to the prominence of the lateral malleolus. Yang Gu • SI5: On the ulna side of the wrist. at the level of BL 19. Arthritis © 1/21/2009 TLC 362 www. Yang Bai • GB14: In the frontal region. on vastus medialis muscle. Xuan Ji • CV21: On the manubrium midline. Xuan Shu • GV5: On the lower back. Xiao Luo • TB12: On the posterior upper arm. Yang Fu • GB38: On the lateral side of the leg. posterior to the hairline. Xuan Li • GB6: In the temporal region.com info@tlch2o. Yang Chi • TB4: On the dorsal transverse wrist crease. midway between ST 8 and GB 7. Xing Jian • LR2: On the dorsum of the foot. in a depression between the styloid process of the ulna and the triquetral and pisiform bones. between the first and second metatarsophalangeal joints. Xiong Xiang • SP19: On the lateral chest. on a line joining TE 10 at the posterior elbow and TE 14 posterior and inferior to the acromion. 0. 2 cun inferior to GB4 on the curved line connecting ST 8 and GB 7. Ya Men • GV15: Below the spinous process of the first cervical vertebra (C1). 3 cun lateral to the lower border of the spinous process of the tenth thoracic vertebra (T10). 1 cun superior to the eyebrow. posterior to the hairline.5 cun lateral to the lower border of the spinous process of the fifth thoracic vertebra (T5). in the depression between the olecranon and the medial epicondyle of the humerus. 5 cun superior to the olecranon. Xin Hui • GV22: On the midline. between the tendons of muscles extensor digitorum and extensor digiti minimi.com . Xin Shu • BL15: On the upper back. Xuan Lu • GB5: In the temporal region.Xiao Hai • SI8: With the elbow in flexion. 6 cun lateral to the anterior midline. Yang Gang • BL48: On the middle back. with the knee in flexion. 2 cun posterior to the anterior hairline. 1. in the third intercostal space. aligned with the pupil when the eyes are focused forward.5 cun proximal to the web margin. 3 cun superior to the prominence of the lateral malleolus.abctlc. midway between CV 20 and CV 22. Xue Hai • SP10: On the medial thigh.

Yin Du • KI19: In the epigastric region. 4 cun superior to the umbilicus and 0. below the spinous process of the fourth lumbar vertebra (L4). at the junction of the frenulum of the upper lip with the upper gum. Yang Xi • LI5: On the radial side of the wrist. .5 cun from the web margin between the fourth and fifth digits. in the depression between the ulnar styloid process and the triquetrum and pisiform bones. Yin Bai • SP1: On the medial great toe. Yi She • BL49: On the middle back. 3 cun lateral to the lower border of the spinous process of the sixth thoracic vertebra (T6).abctlc.5 cun lateral to the midline at the level of CV 12. 4 cun superior to the medial epicondyle of the femur. between sartorius muscle anteriorly and vastus medialis posteriorly. Yao Shu • GV2: On the posterior midline at the sacral hiatus.com info@tlch2o. Yin Lian • LR11: On the superior. in the depression between the mastoid process and the mandible. Yang Ling Quan • GB34: On the lateral side of the leg. on the anterior midline. Yin Gu • KI10: On the medial side of the popliteal fossa.01 cun from the corner of the nail bed. at the level of BL 20. 7 cun superior to the prominence of the lateral malleolus. Yin Jiao • GV28: In the mouth. Yin Bao • LR9: On the medial thigh. in the depression between tendons of semitendinosus and semimembranosus muscles when the knee is flexed. Yi Feng • TB17: At the ear. Ye Men • TB2: On the dorsum of the hand. SI 6 can be located when patient's wrist is in flexion with the index finger pointing to the sternum. 0.com . medial thigh. Yao Yang Guan • GV3: On the lower back. Yi Xi • BL45: On the upper back. Arthritis © 1/21/2009 TLC 363 www. on the lateral border of abductor longus muscle. behind the earlobe. Yang Lao • SI6: On the ulnar side of the wrist. 1 cun along the tendon/muscle from its attachment near the pubic symphysis and 2 cun inferior to ST 30. in the depression between the tendons of extensor pollicis longus and brevis. on the posterior border of the fibula. in the depression anterior and inferior to the head of the fibula. 1 cun inferior to the umbilicus. in the "anatomical snuff box".Yang Jiao • GB35: On the lateral side of the leg. distal to the tip of the radial styloid process. 3 cun lateral to the lower border of the spinous process of the eleventh thoracic vertebra (T11). at the level of BL 16. Yin Jiao • CV7: In the umbilical region.

Yu Ji • LU10: Midpoint on the thenar eminence. on a line between the anterior superior iliac spine and the superolatero patella. Yu Tang • CV18: On the sternal midline. one-third the distance from the webs of the toes to the heel. Caution Avoid the Liver. slightly inferior and anterior to the tip of the free end of the eleventh rib. In the depression formed by the deltoid muscle. 6 cun superior to the umbilicus and 0. 3 cun superior to lateral patella.abctlc. Yu Zhen • BL9: In the occipital region. on the midclavicular line. on the dorsal-palmar surface. in the depression 1 cun inferior to the medial malleolus. Arthritis © 1/21/2009 TLC 364 www. Yin Men • BL37: On the posterior thigh. in a depression 1. Zhang Men • LR13: On the lateral abdomen. 4 cun lateral to the anterior midline. pectoralis major muscle and the clavicle.com . 0. Yu Zhong • KI26: In the pectoral region. on the radial side of flexor carpi ulnaris tendon. on the supraorbital notch.5 cun lateral to the midline at the level of CV 14.com info@tlch2o. in the depression between the posterior border of the tibia and gastrocnemius muscle. Yong Quan • KI1: On the sole of the foot. on a line joining BL 36 and BL 40 at the popliteal fossa. between the second and third metatarsal bones.5 cun proximal to the transverse wrist crease. Ying Xiang • LI20: In the nasolabial groove. on the 4th intercostal space. Yin Shi • ST33: On the anterior thigh. 2 cun lateral to the anterior midline at the level of CV 20. Zhao Hai • KI6: On the medial ankle. Yin Xi • HE6: On the palmar surface of the forearm. Yun Men • LU2: On the lateral chest. 0. in the first intercostal space. in the third intercostal space. Zhe Jin • GB23: On the lateral chest wall. Zan Zhu • BL2: On the face. level with the third intercostal space. 3 cun inferior to the axillary fold. Yuan Ye • GB22: On the lateral chest wall. 6 cun inferior to BL 36 at the transverse gluteal fold. You Men • KI21: In the epigastric region. Ying Chuang • ST16: On the chest. on the inferior border of the medial condyle of the tibia.Yin Ling Quan • SP9: On the medial leg.5 cun lateral to the superior aspect of the external occipital protruberance. at the medial end of the eyebrow. on the midaxillary line.5 cun lateral to the nostril. 1 cun anterior to GB22.

com info@tlch2o. Zhon Guan • CV12: In the upper umbilical region. posterior to the tibial medial margin. on the line connecting SI 5 at the wrist and SI 8 at the medial epicondyle of the humerus at the elbow. 5 cun superior to the popliteal crease. below the spinous process of the seventh thoracic vertebra (T7). Zhi Gou • TB6: On the dorsal forearm. in the third posterior sacral foramen. Zhi Zheng • SI7: On the ulnar side of the forearm. at the lateral fifth digit. Zhong Shu • GV7: On the middle back. on the anterior midline. on the line connecting GB15 and GB20. in the depression medial to the tibialis anterior tendon.abctlc.com . Zhi Yin • BL67: On the lateral foot.Zheng Ying • GB17: In the frontal region. Zhi Yang • GV9: On the middle back.5 cun lateral to the posterior midline. between the anterior border of the ulna and flexor carpi ulnaris muscle. Zhi Shi • BL52: On the lower back. 0. Zhong Chong • PC9: On the center of the tip of the third digit. 5 cun superior to the wrist crease. inferior to the acromial end of the clavicle.1 cun from the corner of the nailbed. below the spinous process of the tenth thoracic vertebra (T10). 7 cun superior to the medial malleolus. between the radius and ulna. 3 cun lateral to the lower border of the spinous process of the second lumbar vertebra (L2). Zhong Du • GB32: On the midline of the lateral thigh. 3 cun superior to TE 4 at the dorsal transverse wrist crease. Zhong Lu Shu • BL29: In the sacral region. at the level of the third posterior sacral foramen. approximately level with the inferior angle of the scapula. 3 cun lateral to the posterior midline. Zhong Du • LR6: On the medial side of the leg. at the level of the fourth sacral foramen. Zhong Liao • BL33: In the sacral region. on the anterior midline. Arthritis © 1/21/2009 TLC 365 www. 6 cun lateral to the Conception Vessel. Caution Avoid the Lungs! Zhong Ji • CV3: In the pubic region. 1 cun anterior to the medial malleolus.5 cun posterior to GB 16. 1. Zhong Feng • LR4: On the dorsum of the foot. 4 cun superior to the umbilicus. at the level of BL 23. 1 cun superior to the upper border of the symphysis pubis. Zhong Fu • LU1: On the lateral chest. Zhi Bian • BL54: In the sacral region. 1.

Zhu Bin • KI9: On the medial leg. On the dorsum of the hand. 0. on the anterior midline. Wood Point on Fire Meridian.com info@tlch2o. Zu Qiao Yin • GB44: On the lateral side of the fourth toe. 0.Zhong Ting • CV16: In the epigastric region. Zhong Zhu • KI15: In the umbilical region. at the level of CV 7. Arthritis © 1/21/2009 TLC 366 www. 1 cun inferior to the level of the umbilicus. Zu Wu Li • LR10: On the medial thigh.5 cun lateral to the midline. one finger breadth lateral to the tibia's anterior crest. Locate LI 12 with the elbow flexed. Zu Lin Qi • GB41: On the dorsum of the foot. Zu San Li • ST36: On the leg.abctlc. Zhou Rong • SP20: On the lateral chest. at the lower end of the gastrocnemius muscle. level with the second intercostal space. on the lateral border of abductor longus muscle. Zi Gong • CV19: On the sternal midline. 5 cun superior to KI 3. 3 cun inferior to ST 35 in the depression to the lateral side of the patella. in the depression proximal to the fourth and fifth metacarpophalangeal joints. 6 cun lateral to the anterior midline. Zhong Zhu • TB3: Shu Stream Point on the Triple Energizer Channel. at the junction of the lateral supracondylar ridge of the humerus with the epicondyle. in the second intercostal space.com . 1 cun superior to LI 11. in the depression between the fourth and fifth metatarsals.1 cun from the nail bed. on the xiphoid process. 2 cun along the tendon/muscle from its attachment near the pubic symphysis and 3 cun inferior to ST 30. Zhou Liao • LI12: On the lateral side of the cubital crease.

abctlc.com info@tlch2o.Common Acupuncture Formulas Alphabetical Order Fast Find AMENORRHEA CV 2 3 4 5 6 GV 1 4 KI 5 12 14 LI 4 LV 8 SP 6 8 10 ST 29 36 BL 18 20 23 25 37 38 60 ABDOMINAL DISTENTION REN 6 S 36 ABDOMINAL PAIN CV 4 5 6 8 P6 GB 27 GV 20 26 KI 15 16 17 18 19 20 LI 4 8 9 SP 1 2 4 5 6 9 15 16 21 ST 24 25 26 27 36 37 38 39 40 43 44 BL 16 25 43 48 57 AMYOTROPHIC LATERAL SCLEROSIS CV 17 GV 14 20 LI 4 11 LV 3 ST 36 BL 10 15 60 ACNE P6 LI 4 11 LU 11 LV 11 14 SP 6 10 ST 36 ANEMIA GB 43 GV 4 20 KI 1 LI 4 11 LV 8 14 SP 6 10 ST 44 BL 11 12 15 17 18 20 21 ALCOHOLISM GB 8 LI 4 SP 6 ST 36 ANGINA PECTORIS CV 14 15 P123456789 GB 20 GV 8 11 12 HT 3 4 5 6 7 8 9 KI 1 4 5 23 24 LI 4 LU 5 9 LV 3 SI 1 ST 19 36 TW 6 7 ALLERGIES LI 4 11 BL 12 38 ALOPECIA GB 20 11 LI 4 11 BL 16 23 38 54 ALZHEMER'S DISEASE P8 KI 9 LI 5 ST 23 45 TW 2 10 Arthritis © 1/21/2009 TLC ANKLE PAIN GB 39 40 42 LV 6 ST 41 BL 58 63 367 www.com .

ARTHRITIS P6 GB 34 GV 14 LI 4 11 15 LV 2 SI 9 SP 5 ST 36 TW 5 BL 8 10 11 58 60 ANOREXIA CV 5 6 9 10 11 12 13 14 P26 GB 6 28 GV 9 HT 3 7 KI 3 17 22 23 24 25 26 27 LI 4 11 LV 4 13 SP 1 2 4 8 9 19 20 ST 19 20 21 22 23 36 39 42 44 45 TW 1 BL 13 17 18 19 20 22 40 41 42 44 46 57 64 ASTHMA CV 6 12 16 17 18 20 21 22 23 GB 19 20 23 25 35 GV 10 12 14 KI 1 2 3 4 5 6 LI 4 8 LU 1 2 3 5 6 7 8 9 10 11 LV 8 14 SI 4 14 15 SP 21 ST 9 10 11 12 13 14 15 16 18 36 TW 3 5 BL 10 11 12 13 14 15 16 17 18 20 21 22 23 25 36 37 38 40 51 ANOSMIA GB 20 GV 16 23 LI 4 19 20 SP 4 ST 6 8 BL 1 2 17 21 ANXIETY CV 14 17 P7 GV 15 24 HT 4 5 6 7 8 9 KI 1 4 9 LU 4 10 LV 2 5 SI 3 4 7 ST 36 40 BL 14 20 BACK ACHE GV 4 14 SI 6 14 TW 3 6 BL 9 10 11 23 24 25 29 50 51 54 55 60 62 63 65 BACK PAIN GB 25 26 GV 5 6 7 10 12 14 KI 7 15 SP 2 3 5 TW 3 BL 33 40 54 60 ARM PAIN P56 GB 21 HT 2 5 3 LI 1 4 10 11 12 15 16 LU 5 6 SI 2 6 7 8 9 10 11 12 ST 36 TW 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 BELCHING CV 12 13 P6 KI 21 ST 36 ARTERIES CV 3 SP 10 ST 36 BL 17 Arthritis © 1/21/2009 TLC 368 www.com .abctlc.com info@tlch2o.

abctlc.com .com info@tlch2o.BLURRED VISION P1 GB 4 13 14 15 16 17 41 43 GV 16 18 20 21 22 HT 5 KI 1 4 LI 2 SI 6 ST 8 BL 1 2 4 5 6 18 23 CATARACT P6 GB 1 2 3 14 20 41 GV 14 20 28 LI 4 11 LU 9 LV 3 ST 1 2 6 14 TW 1 5 23 BL 1 2 8 10 11 18 64 67 BREAST PAIN P13 GB 41 42 SI 1 SP 5 ST 18 CERVICAL PAIN GB 21 GV 14 LI 4 SI 10 11 12 13 14 15 TW 3 5 15 BL 11 13 60 BRONCHITIS CV 13 14 17 18 19 20 21 22 23 P69 GB 10 11 18 20 21 GV 10 12 14 HT 3 KI 3 21 22 23 26 27 LI 4 8 10 11 LU 1 3 5 6 8 9 LV 1 14 SI 14 15 SP 18 ST 10 14 15 36 TW 3 10 BL 8 10 11 12 13 14 17 18 36 37 38 39 41 42 43 CHEST PAIN P 5 6 GB 34 HT 6 8 9 KI 21 24 24 26 27 LU 1 2 4 7 8 9 LV 14 SI 1 11 SP 18 19 21 ST 13 14 18 19 TW 5 6 BL 14 15 17 19 24 25 42 CHRONIC FATIGUE SYNDROME CV 4 6 P68 GB 20 GV 4 LI 4 11 LV 8 SP 6 ST 36 BL 17 18 20 38 CALF CRAMP GB 30 34 SP 6 ST 31 BL 50 54 55 56 57 61 63 CARDIAC PAIN P46 CLENCHED JAWS S67 LI 4 COMA DU 26 EX 24 (ShiXuan) Arthritis © 1/21/2009 TLC 369 www.

abctlc.com info@tlch2o.CONVULSION LI 4 LIV 3 COMMON COLD CV 12 GB 18 19 20 GV 14 16 LI 4 11 SP 6 ST 36 TW 4 5 BL 11 12 13 COUGH CV 6 12 16 17 20 21 22 23 P24 GB 8 10 11 20 21 44 GV 9 10 11 12 14 23 KI 1 3 19 22 24 27 LI 4 11 13 15 18 LU 1 2 4 5 6 7 8 9 10 11 LV 14 SI 1 2 15 SP 5 14 18 20 ST 9 12 13 14 15 16 17 18 19 20 25 36 38 40 41 TW 5 10 BL 11 12 13 14 15 17 20 21 37 38 42 43 44 45 CONJUNCTIVITIS P7 GB 1 4 14 20 37 42 GV 12 14 LI 4 5 20 LU 9 LV 2 ST 1 2 36 44 TW 23 BL 1 2 10 18 20 DEAFNESS CV 2 5 23 P234579 GB 1 2 3 4 10 11 15 17 20 23 25 41 43 44 GV 15 16 20 HT 5 6 LI 1 2 3 4 5 6 11 17 19 LV 3 5 6 8 SI 1 3 5 8 9 16 17 19 ST 1 4 7 36 38 TW 2 3 5 7 8 9 10 16 17 18 19 21 23 BL 1 18 23 65 COLITIS CV 6 GB 28 KI 2 7 15 LI 4 LU 8 LV 2 8 11 SP 1 9 14 CONSTIPATION CV 1 4 6 12 P6 GB 24 27 28 34 HT 5 KI 6 8 15 16 17 18 LI 2 3 4 6 11 13 LV 1 2 3 8 12 SP 3 5 6 13 15 16 ST 22 23 25 26 27 28 36 TW 6 BL 23 24 25 27 28 30 31 32 33 34 38 45 46 48 50 52 56 57 58 SJ 6 C1 K6 Arthritis © 1/21/2009 TLC DEPRESSION CV 3 6 12 P46 GV 4 13 14 20 HT 3 7 LI 4 LV 3 LU 4 SP 6 BL 13 15 38 H3 Ren 6 370 www.com .

com info@tlch2o.abctlc.DYSPEPSIA CV 5 6 10 11 12 13 P6 GB 25 GV 5 KI 1 19 20 LI 4 13 LV 3 8 13 14 SP 3 4 5 6 7 ST 21 22 23 25 36 44 45 BL 17 20 21 25 42 DIABETES CV 4 12 DU 6 P6 GV 26 HT 6 KI 2 5 7 LV 2 S 25 30 36 SP 4 6 ST 33 36 BL 13 15 17 20 22 23 26 28 29 31 32 34 50 EAR ACHE GB 11 ST 7 TW 19 DIARRHEA CV 4 5 6 8 9 12 13 P6 GB 25 26 39 GV 3 4 5 6 KI 8 13 14 LI 10 11 LV 6 8 13 SP 3 4 6 14 15 ST 16 22 25 34 36 37 39 TW 6 18 BL 10 21 22 23 24 25 28 35 43 ECZEMA AND ITCHING SP 6 10 SI 11 LI 11 EDEMA CV 5 6 8 9 11 GB 28 GV 28 KI 7 LI 6 LV 13 SP 8 9 ST 22 25 28 43 BL 20 22 23 27 47 52 DIVERTICULITIS CV 6 SP 6 ST 25 BL 25 DIZZINESS GB 4 8 20 41 43 GV 14 17 19 20 24 KI 1 LU 3 ST 8 36 BL 3 5 9 10 12 40 62 64 65 67 ELBOW PAIN P3 HT 1 3 5 9 LI 10 11 12 13 15 LU 5 SI 7 TW 10 DRY MOUTH GB 44 LI 3 LU 11 ST 19 TW 4 Arthritis © 1/21/2009 TLC 371 www.com .

com .EYE (STYE) GB 14 LI 4 LV 3 SP 1 9 ST 2 36 EMPHYSEMA CV 12 13 15 16 17 20 21 GV 4 10 12 14 HT 3 6 KI 1 3 4 9 20 LI 1 LU 5 7 8 9 11 LV 1 SI 14 SP 21 ST 13 14 16 36 40 BL 11 12 13 17 18 22 23 36 37 38 FEAR HT 4 5 8 KI 1 4 LI 13 ST 36 TW 18 BL 23 38 47 66 ENDOMETRIOSIS GB 26 28 29 GV 2 4 KI 2 8 LV 5 SP 9 12 ST 29 BL 23 30 FEVER DU 14 P39 GV 4 13 14 16 HT 9 LI 1 2 4 5 11 LU 10 11 SI 5 SP 2 ST 43 TW 1 3 5 6 15 BL 5 11 12 13 19 39 ENURESIS CV 4 6 GV 1 KI 3 11 LV 1 9 SP 6 ST 23 25 36 BL 22 27 28 32 33 FINGER PAIN SI 4 7 8 FLANK PAIN P128 GB 34 39 40 41 GV 5 LV 13 SP 17 19 20 21 EPISTASIS Du 23 LI 4 EYE PAIN GB 1 11 16 44 GV 23 LI 3 4 5 11 ST 8 TW 23 BL 1 2 6 18 58 FOOT PAIN GB 39 41 KI 2 3 LV 3 ST 34 41 44 TW 3 4 BL 55 56 61 62 EYE REDNESS LI 4 LV 3 TW 1 2 3 BL 18 Arthritis © 1/21/2009 TLC 372 www.com info@tlch2o.abctlc.

abctlc.GALLSTONES CV 10 12 13 GB 34 LV 13 14 ST 36 TW 6 BL 18 19 HEADACHE (FRONTAL) GB 14 20 GV 14 20 23 24 LI 4 SI 1 ST 8 BL 2 63 GASTRITIS CV 10 12 13 14 15 P5678 KI 20 LI 4 11 LU 5 LV 13 SP 4 5 ST 19 21 22 23 24 28 36 37 TW 6 8 BL 13 17 18 19 20 21 22 26 66 HEADACHE (MIGRAINE) CV 4 12 GB 1 4 5 6 8 9 11 12 14 15 17 18 19 20 38 44 GV 19 KI 10 11 LI 4 10 11 LU 6 SP 6 ST 8 36 44 TW 3 5 10 22 23 BL 2 7 10 62 67 GENITAL PAIN CV 1 GB 30 GV 1 KI 10 11 12 LV 4 8 12 BL 47 49 50 HEART PALPATAIONS CV 4 12 14 P67 GB 35 HT 5 7 KI 25 ST 36 BL 12 15 GINGIVITIS GB 4 12 GV 27 LI 4 SI 8 16 17 18 ST 4 5 42 44 45 TW 2 20 HEEL PAIN KI 3 4 SP 5 BL 57 60 61 GOUT LV 2 3 4 SP 4 5 6 ST 44 BL 39 HEPATITIS GB 24 34 GV 14 LV 4 13 14 ST 36 BL 18 19 20 21 HEADACHE (HANGOVER) CV 5 GB 4 8 20 KI 1 SI 1 ST 2 8 44 TW 12 BL 60 HERNIA CV 2 3 4 5 6 7 GB 26 27 KI 6 LV 1 2 3 4 5 6 12 SP 5 6 12 13 14 ST 23 26 27 28 29 43 BL 29 30 32 55 Arthritis © 1/21/2009 TLC 373 www.com info@tlch2o.com .

com .IMMUNE SYSTEM LI 4 11 SP 10 GV 14 20 ST 36 HICCUPS CV 6 12 13 15 17 22 P68 GB 20 24 GV 16 26 KI 3 17 18 LI 5 9 LU 6 LV 2 8 13 14 SP 3 ST 11 13 18 25 36 BL 14 17 18 19 21 38 40 41 S 36 UB 17 INCONTINENCE CV 1 2 3 4 6 GB 34 GV 4 20 HT 8 ST 22 36 BL 22 23 24 25 INFLUENZA P6 GB 20 GV 13 14 16 LI 4 LU 7 9 10 SP 15 ST 36 TW 5 BL 11 12 38 HYPOCHONDRIAC PAIN SJ 6 GB 34 HYPERTENSION CV 12 P89 GB 20 25 34 HT 7 KI 1 3 LI 11 LV 2 3 13 SP 6 ST 36 40 BL 15 19 54 INSOMNIA CV 4 6 12 P67 GB 17 20 41 44 GV 4 18 19 20 24 GV 4 18 19 20 24 HT 6 7 KI 1 6 24 LI 1 4 LU 9 10 LV 2 10 SI 3 SP 1 2 6 9 ST 12 27 36 40 45 TW 16 BL 13 15 18 20 21 23 26 30 39 42 62 HYPERTHYROID CV 22 23 P6 GB 1 20 21 26 GV 12 14 KI 15 LI 4 ST 2 9 10 26 BL 10 11 HYPOTENSION GV 20 25 26 HT 1 5 6 KI 1 LV 3 SP 6 ST 9 36 BL 15 17 18 22 23 38 Arthritis © 1/21/2009 TLC INTERCOSTAL NEURALGIA L7 374 www.com info@tlch2o.abctlc.

JOINT PAIN S 41 LOW BACK PAIN GB 25 26 27 28 29 30 34 GV 1 2 3 4 5 6 7 8 9 KI 3 7 LV 2 3 4 9 11 13 SI 3 SP 2 3 8 ST 31 36 37 BL 13 18 22 23 25 26 30 31 32 33 34 35 49 51 54 55 60 62 63 64 65 KIDNEY STONES GB 26 34 KI 3 SP 6 ST 36 BL 22 23 24 25 26 27 46 47 LOW BACK SPRAIN GB 34 KI 9 LV 6 SP 8 9 BL 23 24 25 50 51 55 KNEE INFLAMMATION GB 31 33 34 39 GV 3 KI 10 SP 9 BL 54 56 MENSTRATION (IRREGULAR CYCLE) CV 1 2 3 4 5 6 7 GB 26 34 41 GV 2 KI 2 3 5 6 8 13 14 15 LV 1 2 5 9 11 SP 1 6 9 10 ST 25 30 36 BL 18 23 31 32 33 34 JAW (LOCK JAW) CV 24 GB 7 GV 20 LI 4 19 ST 5 6 7 44 TW 6 17 22 KNEE PAIN GB 30 33 34 39 GV 12 14 KI 1 10 LV 4 7 8 SI 2 SP 9 10 ST 33 34 35 36 BL 53 54 MENOPAUSE UB 31 MENORRHAGIA CV 3 4 5 6 HT 1 8 KI 2 10 LV 1 2 3 6 SP 1 2 6 8 ST 10 12 36 TW 3 BL 23 54 LEG PAIN GB 28 29 30 31 34 37 39 40 41 KI 2 8 10 LV 9 11 SP 6 9 10 ST 31 32 38 BL 49 54 56 57 58 62 63 64 65 MULTIPLE SCLEROSIS GB 41 GV 12 HT 1 LV 3 5 SP 10 ST 43 LIVER CIRRHOSIS LV 3 9 14 SP 10 ST 36 BL 18 19 20 23 24 25 Arthritis © 1/21/2009 TLC 375 www.abctlc.com info@tlch2o.com .

abctlc.NECK STIFFNESS GB 7 13 19 20 21 36 39 GV 10 14 15 16 18 19 HT 3 LI 1 11 LU 7 SI 3 4 5 7 14 15 16 19 ST 6 11 TW 5 10 12 15 16 BL 1 2 4 10 11 12 64 65 66 MUSCLE SPASMS S 34 MUSCULAR DYSTOPHY CV 4 6 12 P6 GB 34 35 GV 4 KI 27 LV 8 13 14 SI 3 SP 6 ST 25 36 BL 20 21 22 25 54 57 60 NIGHTMARES K7 C3 UB 15 NAUSEA CV 12 P46 GB 14 HT 4 LU 4 9 5 LV 3 13 SP 1 ST 18 24 36 TW 5 7 BL 19 21 NIGHT SWEATING H6 SI 3 INSOMNIA H7 SP 3 6 K36 REN 24 UB62 S 45 NECK PAIN GB 4 20 21 36 39 40 GV 13 14 16 LI 4 11 LU 7 SI 3 6 13 14 15 ST 5 TW 5 10 15 17 OBESITY GB 34 LI 4 LV 3 SP 6 ST 36 OTITIS EXTERNA GB 2 LI 1 4 11 SI 19 ST 7 TW 3 22 NECK SPRAIN GB 20 SI 3 14 TW 10 16 BL 12 64 OTITIS MEDIA GB 2 3 12 20 21 41 LI 4 11 SI 14 15 17 19 ST 6 7 36 TW 5 17 19 21 Arthritis © 1/21/2009 TLC 376 www.com .com info@tlch2o.

PALPITATION P46 H7 SCAPULA PAIN SI 8 9 10 11 13 14 TW 15 PARKINSON'S DISEASE CV 4 GB 20 GV 4 12 20 SI 3 SCIATICA GB 25 30 31 32 33 34 35 36 37 38 39 40 GV 3 4 KI 4 LV 4 SP 2 4 6 9 ST 31 36 BL 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 48 49 50 51 53 54 57 58 60 64 PNEUMONIA CV 12 17 22 GV 12 14 KI 24 25 26 27 LI 4 10 11 13 LU 1 5 6 7 9 LV 14 SI 14 ST 13 14 15 16 36 TW 5 6 BL 11 12 13 14 15 20 23 36 37 38 SEXUALITY POINTS DU 4 Ren 4 SHOULDER PAIN GB 4 20 21 29 30 HT 2 LI 11 14 15 16 LU 2 SI 3 6 8 9 10 11 12 13 14 ST 32 38 TW 3 6 10 13 14 15 16 BL 10 21 37 PROSTATITIS CV 3 4 GV 4 SP 6 9 ST 36 BL 23 28 47 STOMACH ACHE CV 9 P5 GV 8 KI 18 LU 1 SP 2 3 4 5 ST 19 20 21 36 PSORIASIS P6 LI 4 11 15 LV 3 SP 6 10 ST 25 BL 25 STROKE CV 12 24 P569 GB 12 15 20 21 30 34 39 GV 12 15 16 20 26 HT 9 LI 1 4 9 10 11 LU 10 11 LV 2 ST 36 TW 10 BL 10 18 25 54 62 RECTAL PROLAPSE CV 2 3 4 8 P6 GB 20 GV 1 2 4 20 KI 1 5 15 SP 4 6 9 12 ST 15 25 26 36 TW 1 3 7 BL 22 23 24 25 31 32 33 34 57 58 Arthritis © 1/21/2009 TLC 377 www.com .abctlc.com info@tlch2o.

com .THROAT SORENESS CV 22 KI 1 2 3 6 LI 1 2 3 4 11 17 18 LU 5 6 7 8 9 10 11 LV 3 SI 17 19 ST 9 10 11 12 TW 1 2 3 6 BL 11 15 54 SWEATING GENERAL H5 K7 SWEATING (PALMS) L 10 P8 H8 SWEATING (ARMPIT) H1 TINNITUS GB 2 4 10 11 12 20 21 42 GV 4 20 LI 4 5 6 SI 2 3 4 5 9 16 17 ST 36 44 TW 1 2 3 5 17 18 19 21 22 BL 8 SWEATING (SOLE) K1 SWELLING Ren 5 9 Sp 9 UB 20 TOOTHACHE CV 24 GB 2 4 5 6 10 12 17 GV 16 26 KI 6 LI 1 4 6 10 11 LV 2 3 ST 6 36 42 44 TW 5 17 SJ 3 5 UB 60 LI 4 specific for lower jaw ST 44 specific for upper jaw SYNCOPE CV 8 GB 43 GV 20 26 HT 3 9 LU 11 LV 1 SI 3 5 ST 36 45 BL 3 38 58 TACHYCARDIA GB 20 HT 3 7 KI 25 SI 14 SP 19 ST 36 BL 10 11 12 38 TRIGEMINAL NEURALGIA CV 24 GB 1 11 14 20 41 LI 4 11 20 LU 7 LV 3 SI 4 8 18 ST 1 2 3 4 5 6 7 8 36 40 44 BL 2 THIGH PAIN GB 30 LV 11 SP 5 ST 32 BL 51 THORACIC DISORDERS L7 S 34 Arthritis © 1/21/2009 TLC 378 www.abctlc.com info@tlch2o.

com .VERTIGO CV 4 6 12 P167 GB 3 4 8 13 15 16 17 20 21 34 41 43 GV 16 18 19 20 21 22 23 24 26 HT 3 5 6 7 KI 1 3 LI 1 2 4 LU 3 10 LV 2 3 SI 3 7 15 SP 6 ST 2 7 36 40 41 TW 2 3 12 23 BL 1 2 5 6 8 9 10 11 15 16 17 18 20 23 40 58 60 62 65 66 67 TRISMUS (LOCKJAW) CV 24 GB 7 GV 20 LI 4 19 ST 5 6 7 44 TW 6 17 22 ULCER (GASTRIC) CV 10 12 13 14 P68 HT 5 7 LI 4 13 LU 5 SP 1 ST 36 38 TW 6 BL 17 18 19 20 22 23 25 38 44 45 VESSEL DISORDERS L9 UTERUS PROLAPSE CV 1 6 GV 20 KI 1 2 3 11 LV 8 12 SP 6 ST 36 BL 31 32 VOMITING P6 S 30 36 GB41 VOMITING DUE TO PREGNANCY CV 22 P6 KI 21 ST 36 BL 17 VENERIAL DZ (GONORRHEA) CV 1 2 3 4 KI 4 7 8 9 10 12 18 LV 1 4 SP 6 11 12 15 ST 25 31 BL 22 24 26 27 28 31 32 33 34 35 48 57 61 WEAKNESS S 36 DU 4 WRITERS' CRAMP P58 LI 3 4 5 11 LU 6 7 9 10 11 SI 4 6 TW 4 6 Arthritis © 1/21/2009 TLC 379 www.abctlc.com info@tlch2o.

UB18 SJ6. generally. LI14. UB2. UB65.COMBINING LOCAL AND DISTANT POINTS This technique combines local and adjacent points with distant points. UB60 UB57 www. P6 Liv14. GB27 Liv13. K6 L1. S44 GB20 SJ3. GB41. SI19. Taiyang GB20 UB10 DU14 UB1.com info@tlch2o. LI11. L7 SI6. GB1. S1. GB34 Upper abdomen Ren12 S21. SJ21. The adjacent points may be used independently or in combination with the local points. GB41. S44 LI4. LI4. LI15. S6. S38 Ear Nose Mouth and cheek Throat Chest Costal region Knee area Rectum Arthritis © 1/21/2009 TLC GB20 Du1 380 S36. SI10 S35. SJ5. G43 L7. SJ15. SI9. SI17 Ren17. S41. UB25 UB32 Shoulder area SJ14. UB40 UB30 S44. Liv8. Yuyao SJ17. LI4. S44 UB10 L10. S36 Lower abdomen Ren4. Du23. Liv3. Ren22 Nape Eye DISTANT POINTS SJ3. Xiyan GB21 Sp1. Yintang ADJACENT POINTS Du20 Temple GB8. UB67 UB40. GB34. SI3. are located below the elbows and knees. Yintang. S7 GB16 Ren22. L11. S45 SI18 LI4. S3. Sp6.com .abctlc. Yintang. GB14. GB37. GB2 LI20. UB13 L5. Heding. SI6. Ren23. S7 S4. UB60. Examples: DISEASED AREA LOCAL POINTS Forehead GB14. Liv8. S2. SI6. SJ5. S6. Du26 LI4. Ren6 S25 Lumbar region UB23. L7. GB43 SI3. The distant points. UB21 P6.

com info@tlch2o.THE PRIMARY SPECIFIC HEALING POINTS FOR EACH INDIVIDUAL BODY PART BODY PART ABDOMEN: POINT UPPER LOWER ST 36 CV 12 SP 6 CV 6 ANKLE BL 60 GB 40 ANUS LI 4 SP 6 ARMS LI 4 LI 11 LU 5 CV6 CV3 BACK: UPPER LOWER BL 60 BL 54 BLADDER SP 6 BLOOD BL 17 BONES BL 11 BOWELS SP 6 KI 3 BRAIN LI 4 LIV 3 GV 16 BREASTS P6 LIV 3 CHEEKS LI 4 CHEST P6 COCCYX BL 60 COLON LI 4 EAR GB 25 KI 3 ELBOWS LI 4 LI 11 ESOPHAGUS LI 4 BL 17 EYES LI 4 LIV 3 FACE LI 4 FALLOPIAN TUBES CV 6 Arthritis © 1/21/2009 TLC 381 LU 7 ST 25 SP 6 www.abctlc.com .

com .abctlc.com info@tlch2o.BODY PART POINT FINGERS LI 4 FEET BL 60 FOREHEAD LI 4 GALL BLADDER GB 24 GB40 GENITOURINARY SYSTEM CV 3 GUMS LI 4 HAIR BL 54 HANDS LI 4 TH 5 HEART HT 7 CV 14 HIPS GB 30 GB 34 INTESTINES CV 4 JAW SI 18 LI 4 KIDNEYS GB 25 KI 3 KNEES GB 34 BL 60 BL 54 LEG BL 54 GB 34 LIVER LIV 14 LIV 3 LUMBAR BL 60 BL 54 LUNG LU 1 MOUTH LI 4 MUSCLES LIV 3 GB 34 NECK LU 7 LI 4 NERVOUS SYSTEM HT 3 GV 16 NOSE LI 4 LI 20 OVARIES SP 6 P6 PANCREAS LIV 13 ST 36 Arthritis © 1/21/2009 TLC 382 TH 5 KI 3 ST 25 BL 13 TH 5 GV 3 www.

abctlc.BODY PART POINT PELVIS SP 6 KI 3 PENIS CV 3 KI 3 PHARYNX LI 4 RECTUM BL 60 RESPIRATORY SYSTEM LU 1 BL 13 SEXUAL ORGANS CV 3 CV 6 SP 6 SHOULDERS LI 4 LI 11 LI 15 SPINE: CERVICAL THORACIC LUMBAR SP 6 LU 7 LI 4 BL 60 BL 54 STOMACH ST 36 CV 12 P 6 TEETH LI 4 ST 45 TESTICLES CV 3 CV 6 THIGH BL 54 Arthritis © 1/21/2009 TLC SI 3 383 SP 6 www.com .com info@tlch2o.

A Stomach problem may therefore be treated with points on the Spleen meridian. Left and Right: Acupuncture points in the right side of the body may be selected for diseases in the left side of the body and vice versa.com info@tlch2o. Upper and Lower: Disease in the upper part of the body may be treated by selecting points in the lower part of the body and vice versa. For example the Spleen (yin) and Stomach (yang) are one pair. Arthritis © 1/21/2009 TLC 384 www. For example. A good example of this would be the combination of a Front (Mu) point and a Back (Shu) point in the treatment of a disorder. Front and Back: Often points are chosen from both the front of the body and the back of the body in order to elicit balance in the acupuncture treatment. which may also be effective. points of sensitivity (not actual points) called “AhShi” points. Local Points There are two kinds of local acupuncture points: classical acupuncture points which are located close to the area of pain. One of each pair represents the interior (yin) aspect of the relationship while the other represents the exterior (yang) of the relationship. GV 20 on the top of the head is an effective point to treat hemorrhoids. Interior. This type of treatment may be implemented for the purpose of balancing the energy in a meridian on different sides of the body. for instance): • Sensitive points (if present) + Local points + Distant points on affected and related Channels • (or) Sensitive Points + Earpoints for Elbow + Earpoint ShenMen • (or) Sensitive Points + Tsing points + Local points + Distant points on affected and related Channels Distal Points Acupuncture points are not always chosen locally to treat a problem. Often distal points are chosen. and. Experience Points These acupuncture points have been proven by clinical experience over time to be very effective in the treatment of a particular disorder. and are chosen for their ability to treat the problem.abctlc. or in the case of head acupuncture.com . These points are generally located quite far from the diseased area (often below the elbows and knees).Organ Diseases • • • • Sensitive Points (if present) + Mu + Shu points + points for symptoms (or) Sensitive points + Yuan + Luo + Xi + points for symptoms (or) Sensitive points + Earpoints (or) Sensitive points + Local points + Distant points on the affected Channel Local Disorders (elbow pain.Exterior (Yin-Yang) The twelve regular meridians are paired together into six groups. one side of the head may be treated to affect the opposite side of the body.

com info@tlch2o. or the unconscious swallowing of air can also cause distention. pregnancy. Anal Prolapse: Rectal prolapse is a condition in which the rectum falls downwards and turns inside out. it may protrude outside through the anus. and products that are not presently considered to be part of conventional medicine. which can be a sign of serious medical problems. the rectum stays inside the body. See Alternative medicine for additional definitions. Initially. Some are quite small and normal. and part of the tissue is rectal mucosa. Abdominal distention is often caused by intestinal gas. but as the condition worsens. There are over 1. practices. This may result from eating fibrous foods such as fruits and vegetables. Abdominal distention may also occasionally result from the accumulation of fluid in the abdomen.Acupuncture Terms and Glossary Abdominal Distention: Abdominal distention is a common condition. There is often weakness of the anal muscles. Alternative Medicine: "A group of diverse medical and health care systems. such as an awareness of a different heart beat. Simple weight gain. See also: Allopathic medicine Alternative Medical Systems: The precise name of an NCCAM classification for those forms of alternative medicine that are built upon a complete system of theory and practice. Others cause aggravating symptoms. Allopathy: A term for conventional medicine. Aromatic Stomacic: Herbs that are aromatic and promote digestion by moving dampness. There are usually other symptoms in this case. and eating such foods may cause distention. Legumes such as beans are common sources of intestinal gas. There is a partial overlap of this diagnosis with chronic prolapsed hemorrhoids. People who are lactose intolerant cannot properly digest dairy foods. Sinus arrhythmia Arthritis © 1/21/2009 TLC 385 www.000 acupoints that can be stimulated through the insertion of needles.com . especially if part of the prolapse is hemorrhoids. Aromatherapy: The use of essential oils and other aromatic compounds from plants to affect someone's mood or health. Incomplete rectal prolapse involves the abnormal protrusion of rectal mucosa through the anus. which usually results from over-eating." Alternatively defined in the Cambridge Advanced Learner's Dictionary as: a wide range of treatments for medical conditions that people use instead of or with western medicine: Alternative medicine includes treatments such as acupuncture. Acupuncture: The practice of inserting very thin needles in specific acupuncture points or combinations of points on the body to improve health and well-being. homeopathy and hypnotherapy. which may result in leakage of mucus or stool. If the protrusion of rectal mucosa is only partial. or palpitation. then this is called a partial mucosal prolapse. which can be annoying. The word was coined by Samuel Hahnemann.abctlc. rather than from a serious illness. used most frequently by its critics. Some arrhythmiae are life-threatening medical emergencies that can cause cardiac arrest and sudden death. Arrhythmia: Cardiac arrhythmia is any of a group of conditions in which the electrical activity of the heart is irregular or is faster or slower than normal. premenstrual syndrome (PMS).

In adults the normal resting heart rate ranges from 60 beats per minute to 100 beats per minute. or Kapha) through a series of personal history questions. Biopsychosocial Model: Sees health. eliminate headaches. dry skin or hair. Therefore someone who is blood deficient may have dry skin. skin temperature. exercise. including biological. Pitta. muscle activity." Bates Method: An alternative approach to eyesight improvement and maintenance. pale skin and poor memory.000 years ago. In this treatment method. Blood in Chinese medicine is a nourishing substance which cools and moistens the tissues including the skin. Biofeedback: Links the mind with the body through high-technology devices that allow the mind to control certain bodily functions. The patient's constitution then becomes the foundation of a specific treatment plan designed to guide the individual back into harmony with his or her environment." Biologically Based Therapies: The precise name of an NCCAM classification for alternative treatments that use substances found in nature and/or some other natural therapy. such as meditation. illness and healing as resulting from the interacting effects of events of very different types. Biomedical Model: A conceptual model of illness that excludes psychological and social factors and includes only biological factors in an attempt to understand a person's illness. dizziness. or their sleep may be disturbed by vivid dreams. Arthritis © 1/21/2009 TLC 386 www. and also nourishes the cells and organs. meditation. Recent reviews and clinical trials have failed to show its effectiveness and it is largely considered pseudoscience. developed in India over 2. and anchors the shen (mind/spirit). yoga. and other remedies.com info@tlch2o. tissues. scant or absent menstruation.com . mind. massage. Hygeia and Panacea. "Biofeedback has been used to reduce stress. psychological.is the mild acceleration followed by slowing of the normal rhythm that occurs with breathing. and blood pressure are responding to relaxation techniques.abctlc. sweat gland function. Blood: A broad term to describe the physical blood in the body that moistens the muscles. an individual is hooked up to monitoring devices which provide an indication of how brain waves. pulse. In oriental medical systems many terms have more meaning than in Western medicine--this is one of those. and social factors. Ayurveda: "This comprehensive system of medicine. Asklepios: (Latinate spelling Asclepius) the Greek god of medicine who treated the sick with the help of his daughters. skin and hair. fatigue. control asthmatic attacks. An Ayurvedic doctor identifies an individual's constitution or overall health profile by ascertaining the patient's metabolic body type (Vata. recondition injured muscles. and relieve pain. Blood Deficiency: A lack of blood with signs of anemia. The goal is to restore the natural harmony of the individual. This plan may include dietary changes. places equal emphasis on body. and spirit. herbal tonics. breathing patterns.

but traces its way back to the Greek "borboryzein. "Deep breathing involves slow.com info@tlch2o. massage therapists may use over 75 different methods. the process that moves the contents of the stomach and intestines downward. Channels: Over 2000 years of empirical practice has mapped out the course of the flow of Qi along the channels and identifies key focus points along these channels. because this health profession is trying to disassociate itself from the sex industry. and shoulder pain. The word arrived from New Latin. neuromuscular massage. several times a day. especially Asian. one generally concentrates fully on breathing and counting through each cycle. Bowel sounds are normal. rumbling. rubbing.abctlc. including back. vipassana. To help quiet the mind. Massage is considered effective for relieving any type of pain in the body's soft tissue. including yoga." Breathing Meditation: Many forms of meditation. The word "borborygmus" has been rumbling around the English language for some 200 years. and otherwise manipulating muscles and other soft tissues of the body. many of them unrelated." which means "to rumble. and tendonitis.com . for most there are key questions that are yet to be answered through well-designed studies. Chelation Therapy: The use of chelating agents such as EDTA to remove heavy metals from the body. some alternative practitioners advocate the use of chelation therapy to treat coronary artery disease. CAM: An acronym for Complementary and Alternative Medicine. or growling noise from the abdomen caused by the muscular contractions of peristalsis. Bowel sounds may also be temporarily absent after abdominal surgery. Its earliest known use in English dates to 1796. usually for a count of 10. etc. relieving symptoms. Arthritis © 1/21/2009 TLC 387 www. followed by slow and complete exhalation for a similar count. Borborygmus: Bowel sounds. The list of therapies included under CAM changes gradually. elbows. The plural is borborygmi. While in conventional medicine chelation therapy is used only to treat heavy metal poisoning. whether they work for the diseases or medical conditions for which they are used.Body Work: The preferred name for massage treatments. deep-tissue massage. Body work "involves pressing. focus on breathing in their technique. deep inhalation through the nose. headaches. which have in common that they are not generally accepted by the conventional medical establishment. Their absence can indicate intestinal obstruction. bursitis. causing them to relax and lengthen and allowing pain relieving oxygen and blood to flow to the affected area. and manual lymph drainage. the gurgling. and whether the explanations proponents offer for them are correct. qigong. and forearms. including whether these therapies are safe. It appears that they were identified to explain the progression of diseases and also by the massaging or needling of the channels. While some scientific evidence exists for or against some CAM therapies. Using their hands and sometimes feet. such as Swedish message. This is an umbrella term for a large range of treatments and theories on the nature of health and illness. neck." Calmative: Has a sedative or calming effect on the mind and the nerves. The process may be repeated 5 to 10 times.

tissues. spontaneous sweating.com . dry skin or hair. Deficient Blood: Blood is one of the five essential energies of the body in Oriental Medicine. especially as palliative care. alongside Cupping: An adjunctive physical technique of TCM (Chinese Medicine) employed by acupuncturists. aversion to cold. headaches. and appears in traditional medicines around the world including Turkish. with roots in many different Asian countries. thin Pulse. and other injuries and trauma. Eastern herbalism. night sweats. on or near the surface of the body. including cold limbs. shallow respiration." Complementary Medicine: Alternative treatments that are used ("complementary to") conventional medicine. low or soft voice. Deficient Yin is similar to Deficient Blood. as well as to treat specific health conditions like high cholesterol. You can see Sicilian immigrants using it in “The Godfather II” to treat colic. including colds. and muscles. Yin complements yang. Deficient Qi: Qi is the fundamental life force or energy that is found in all living things and is formed from the interaction of yin and yang energies. muscle spasms. thin Pulse. It involves creating a vacuum in specialized cups to affect the body. in which the most commonly utilized intervention is spinal manipulation. often resulting in infection (bacterial or viral). pale lips. It increases fluid circulation in the tissues and has been shown to reduce inflammation. deficient. lusterless face. dry. pale. Romany and Brazilian. Deficient blood shows a general pattern of dizziness. Deficient Qi shows general weakness. warm palms and soles. Some chiropractors maintain that their spinal adjustments move vertebrae to release pressure on spinal nerves to improve health. "This care involves the adjustment of the spine and joints to influence the body’s nervous system and natural defense mechanisms to alleviate pain and improve general health. pale Tongue material.abctlc. Blood is the physical manifestation of Qi and is responsible for carrying nourishment and moisture to the Organs. This millennia-old Asian medical tradition works to bring balance to the body through acupuncture. scant menses. It is primarily used to treat back problems. pale. damp. slow Pulse. red cheeks. but characterized by "appearance of Heat. Yang complements yin. Arthritis © 1/21/2009 TLC 388 www. Yin qualities or conditions are cold. nerve inflammation. red Tongue material and rapid. Diet-based Therapy: Uses a variety of diets in order to improve health and longevity. Empty. Deficient Yang is similar to Deficient Qi but with signs of Interior Cold. and found in the interior of the body. pale Tongue material. Deficient Yin: Yin is one of the two fundamental polar energies found in all living things. Damp Heat: Collection of Dampness and Heat. puffy Tongue.Chinese Medicine: The group of philosophies embodied by Chinese medicine is more accurately referred to as Oriental Medicine. and lifestyle changes such as martial arts and meditation. Yang qualities or conditions are hot. diet. bright face. weak Pulse. It is also used on internal problems.com info@tlch2o. massage. to control weight. and excessive. Deficient Yang: Yang is one of the two fundamental polar energies found in all living things.” including agitated manner. Chiropractics: A popular form of alternative medicine.

dypsena. as well as Wiry. From the Greek emein (to vomit).abctlc. but it can involve your entire body. In addition. your sense of touch. difficulty + "pnoia". Efferent: Neural pathways that have an 'effect'. Pregnancy. Emesis: Vomiting. Heart failure. it’s usually meant to describe a woman with menstrual symptoms severe enough to keep her from functioning for a day or two each month. eye diseases such as acute conjunctivitis and glaucoma. Kidney disease. Although not a serious medical problem. Standing or walking a lot when the weather is warm. It usually occurs in the feet. Dyspnea is a sign of serious disease of the airway.com . Causes of edema include: Eating too much salt.(to vomit). dry mouth. Problems with lymph nodes. lungs. migraine headaches. The word dyspnea comes the Greek "dys-". dark. They carry signals from the body to the central nervous system. The onset of dyspnea should not be ignored but is reason to seek medical attention. Energy Therapies: The name of an NCCAM classification for alternative treatments that involve the use of purported energy fields. ankles and legs. Sunburn. breathing = difficulty breathing. dizziness. red Tongue with rough. or otitis. dyspena Eclectic Medicine: A nineteenth-century system of medicine used in North America that treated diseases by the application of single herbal remedies to effect specific cures of certain signs and symptoms. This pattern is often seen in Western medicine as essential hypertension. or heart. yellow moss. the source of the words such as wamble (to feel nauseated) and vomit. red face and eyes. Meniere's disease. Edema: Means swelling caused by fluid in your body's tissues. Common Misspellings: dyspenia. Empty Fire: In Excess/Heat conditions where the "Fire" often rises to the head. and there are signs such as splitting headaches. An emesis basin is usually kept handy for surgery patients recovering from general anesthesia since nausea and vomiting are common in that situation. Arthritis © 1/21/2009 TLC 389 www. The Doctrine of Signatures is often associated with Western herbalism. and a rapid and full. menopausal complaints. from the Indo-European root wem. irritability. or ear disturbances such as labyrinthitis. Dyspnea is the American spelling and dyspnoea is the British (mis)spelling. bleeding of the upper digestive tract.com info@tlch2o. shortness of breath. dypsnea. Liver problems from cirrhosis.Disease Models: How people who have studied diseases try to explain them. Doctrine of Signatures: Developed around 1500 and claims that a plant's physical appearance reveals its medical value. Some medicines. Dysmenorrhea: This condition refers to the pain or discomfort associated with menstruation. as well as constipation. scanty urine. Dyspnea: Difficult or labored breathing. deafness or sudden ringing in the ears. Pulse.g. especially after mastectomy. frequent anger and insomnia may be present. e.

sparse dark urination. open bedroom windows. you may have GERD. Grahamism: Recommended hard mattresses. Exercise-based Therapy: Uses a variety of traditional forms of physical exercise in order to improve health and longevity.com . using the flowers that are local to their region. It also connects the muscles to tendon bones and each other. utilizing flowers all over the world. as well as to treat specific health conditions and to relieve stress. with exercise and lifestyle goals written on it. Folk Medicine: The collection of procedures traditionally used for treatment of illness and injury. Green Prescription: A card given by a doctor or nurse to a patient.com info@tlch2o. you can taste stomach fluid in the back of the mouth. Flower Essence Therapy: A sub-category of homeopathy which uses homeopathic dilutions of flowers. As in gastroesophageal reflux disease (GERD) or heartburn. dehydration. You may feel a burning in the chest or throat called heartburn. Normally the air in stomach is passed downstream into the intestines. Heat can also progress and penetrate to the interior of the body and frequently combines with damp to create internal heat-damp imbalances. This allows stomach contents to leak back. Sometimes. and to increase muscle mass. Heat is Yang in character. and insomnia. This practice was begun by Edward Bach with the Bach flower remedies but is now practiced much more widely. If you have these symptoms more than twice a week. goes up into the esophagus and is expelled though the mouth. Arthritis © 1/21/2009 TLC 390 www. Belching occurs when the stomach air. loose clothing. There are numerous makers of flower essences. Gastroesophageal reflux disease (GERD) happens when a muscle at the end of your esophagus does not close properly. overactivity. chastity. constipation. for example the fascial sheet at the lower back is an attachment for many different muscles. It is this connective tissue which the contractile muscle cells pull on to effect movement. Gastroesophageal: Gastroesophageal reflux disease.abctlc. or reflux. pure water and vigorous exercise. this process requires that the one way valve between esophagus and stomach (lower esophageal sphincter or LES) relax and allow the regurgitation of air upward into the esophagus and then out through the mouth making a sound. cold showers. into the esophagus and irritate it. Fascia: Connective tissue which wraps around and is continuous though muscle tissue. instead of going down. This is acid indigestion. Heat: An external or internal "climatic" imbalance or ailment characterized by fever. and maintenance of wellness. Group Modalities: Forms of CAM that an individual must seek out and perform with a group of like-minded people. aversion to heat. and therefore tightness in one place can also affect a distant muscle.Eructation: The voiding of gas or of a small quantity of acid fluid from the stomach through the mouth. Your esophagus is the tube that carries food from your mouth to your stomach. aid to childbirth.

They are painless but tend to bleed.these are like small hemorrhages (bleeds) under the skin around the anus. Numbering in the thousands. Herbalism: The practice of making or prescribing herbal remedies for medical conditions. science. For example. and parts of animals for medical treatment. and indigestion." Hydrotherapy: The external use of water in the medical treatment of disease. these remedies have been used to treat a wide variety of ailments including seasonal allergies. someone suffering from insomnia may be given a homeopathic dose of coffee. "For example. They feel like hard lumps. They are common in middle and later life. influenza.abctlc. metals. Heroic Medicine: Any medicine or method of treatment that is aggressive or daring in a dangerously ill patient. politics." Hypnotherapy: The treatment of a symptom. homeopathic remedies are derived from many natural sources.com . Iridology: The study of the iris to determine health.com info@tlch2o. are varicose veins of the rectum or anus.Hemorrhoids: Or piles. Herbology: The traditional Chinese medical practice of combining plants. on a healthy person. and reduce pain and stress. The procedure is used to access various levels of the mind to effect positive changes in a person's behavior and to treat numerous health conditions. combines conventional medical treatments and CAM alternative treatments for which there is some high-quality scientific evidence of their safety and effectiveness. improve sleep. or addiction by means of hypnotism. the anal sphincter (ring of muscle) can strangulate veins that hang out permanently. Homeopathy: An alternative medical practice founded on similars. disease. Integrative Medicine: As defined by NCCAM. Hypnosis: "An altered state of consciousness. hypnosis has been used to lose weight. Holism: The study and advocacy of wholeness in health. Prolapsed hemorrhoids . often caused by years of chronic constipation. Interventions: Any attempt to modify a medical or health condition. Administered in diluted form. The underlying theory is that disease states are cured by remedies which produce.a more severe and painful form of internal hemorrhoids. particularly after going to the toilet. headaches. Sometimes.found inside the rectum. or any other area of life. The three different types of hemorrhoids include: Internal hemorrhoids . it is characterized by increased responsiveness to suggestion. The hypnotic state is attained by first relaxing the body then shifting the client's attention toward a narrow range of objects or ideas as suggested by the hypnotist or hypnotheraptist. These veins push through the anus and hang out of the body. similar effects to the symptoms of the patient's complaint.) Arthritis © 1/21/2009 TLC 391 www. asthma. and minerals. minerals. (See also eyology and sclerology. including plants. External hemorrhoids .

Lifestyle Diseases: Diseases that appear to increase in frequency as countries become more industrialized and people live longer. or redness. It was rediscovered in Japan in the early 1900's by Master Jiro Murai. especially encompassing the Kidney and Liver (the location of the liver is related to its Meridian pathway in the lower groin). of the tissue. If you have leukorrhea. Leukorrhea: Is the medical term for a certain type of vaginal discharge that is common during pregnancy as well as at other times during your reproductive years. Researchers of life extension are a subclass of biogerontologists known as "biomedical gerontologists". It has functions but mainly is seen as the store of energy one is born with. using deep breathing and the placement of one's hands on specific areas of the body. habits or behaviors associated with an individual. Massage Therapy: "Involves pressing. yellow. On a continuum it is seen as a more Yin dense Qi. to an infectious process in the large intestine (dysentery) or in the bladder (urinary tract infection). for example. such as itching. Vaginal discharges are often a sign of vaginal yeast infections. Leukorrhea may or may not indicate the presence of infection. He taught the techniques to Mary Burmeister in the late 1940s. and is supportive. nutritive and is the basis of reproduction and development. and she brought it to the US. The condition of Damp Heat in the lower Warmer may refer.abctlc. Using their hands and Arthritis © 1/21/2009 TLC 392 www. and it is not usually accompanied by other signs and symptoms. causing them to relax and lengthen and allowing pain relieving oxygen and blood to flow to the affected area. Only a qualified health professional can tell you whether you have an infection.com info@tlch2o. rubbing. as opposed to Shen (mind/ Spirit) which is a more rarefied Qi giving rise to consciousness. or sexually transmitted diseases. always consult your health professional before trying any over-the-counter treatments or home remedies. If you have any unusual type of vaginal discharge during pregnancy or at any other time. pain. or green. Life Extension: A movement. It is thought of as fluid-like. or Essence. bacterial vaginosis. and to increase maximum lifespan or average lifespan. Lower Warmer: Anatomical location referring to the abdominal area below the navel. and otherwise manipulating muscles and other soft tissues of the body. determining a person’s constitution. Journaling: A technique for reducing stress by writing about stressful events in your life. called Safety Energy Locks (or SELs). Jing: The Substance. that underlies all organic life and is the source of organic change. burning or irritation. especially in mammals.Jin Shin Jyutsu: An ancient Japanese technique for energy healing. Manipulative and body-based methods: The precise name of an NCCAM classification for alternative treatments that are based on manipulation and/or movement of one or more parts of the body (See also manipulative therapy). It can vary with a woman's menstrual cycle as her hormone levels change. Lifestyle: Describes the particular attitudes. you may have a thick and sticky vaginal discharge that is white. the goal of which is to live longer through intervention.com .

but above the navel. and manual lymph drainage. Meditation: "Mental calmness and physical relaxation is achieved [with meditation] by suspending the stream of thoughts that normally occupy the mind. Myofascial Release: A technique which releases muscular tension by working on connective tissue (fascia). Generally performed once or twice a day for approximately 20 minutes at a time. Arthritis © 1/21/2009 TLC 393 www. neck. development.com info@tlch2o. Its major practices are fasting." Other forms of meditation work with focusing or distracting one's attention rather than "suspending the stream of thoughts". heart rate.com . headaches. It is not smoked. neuromuscular massage. and is very effective in relieving myofascial pain. Natural Health: An eclectic self-care system of natural therapies that purports to build and restore health by working with the natural recuperative powers of the human body. food combining. but used for warming regions on the body including acupuncture points. bursitis. and tendonitis. Mind-body Interventions: The precise name of an NCCAM classification that covers a variety of techniques designed to enhance the mind's capacity to affect bodily function and symptoms. This warming can be used to engender the production of Qi and blood (Tonifying). Muscle Energy Technique: basically involves using motion on the part of the client to facilitate lengthening of muscle tissue to return it to its normal resting length. In addition. Middle Warmer: Anatomical area below the chest.abctlc. and forearms. to clear heat even in the case of fever. It can be effective in any problem featuring tight muscle tissue. deep-tissue massage. It is one of the techniques of traditional Chinese medicine. on a needle or on the skin (with precautions to prevent burning the skin) in order to warm the area. Moxa: An herbal preparation of Mugwort. elbows. alter hormone levels. adrenaline levels. Moxibustion: The practice of burning an herb (Moxa/ artemesia vulgaris) over an area. and elevate one's mood.sometimes feet. the term Spleen/Stomach disharmony often refers to a variety of digestive disorders. and outcomes of an illness are determined as much from the interaction of psychological and social factors as they are due to the biological factors of health. such as Swedish message. Use of moxa is called moxibustion. Natural Hygiene: A variation of the nature cure. It is currently thought that the transverse pressure applied induces the peripheral nervous system to release the muscle. including back. dried and rolled into a pole which resembles a cigar. In Japanese acupuncture systems the use of moxa is more refined and it can be used for almost anything. Mind-body Connection: Says that the causes. Massage is considered effective for relieving any type of pain in the body's soft tissue. and a raw food diet. to promote circulation and healing. meditation is used to reduce stress. and skin temperature. a person experienced in meditation can achieve a reduction in blood pressure. massage therapists may use over 75 different methods. and shoulder pain. including the Spleen and Stomach in Traditional Chinese Medicine theory.

because sound cannot get through all that fluid. Naturopathic Medicine: The eclectic practice of Naturopathic Doctors (N." there is unconsciousness. this frequently refers to onset of an acute infectious process. It postulates that all disease is due to violations of nature's laws. Orthopathy: Started in 1802 in the US and developed into the natural hygiene movement.Outside factor precipitating a sudden onset of acute illness. nose and mouth. and that true healing consists in a return to natural habits. including eyes. The tubes inside the ears become clogged with fluid and mucus.com info@tlch2o.abctlc. ears. Otitis: Otitis media. Arthritis © 1/21/2009 TLC 394 www. the infection affects the middle ear and is called otitis media. Ear infections are the most common illnesses in babies and young children. This can affect hearing. Nature Cure: The progenitor of naturopathy in Europe. such as that seen with the common cold or flu (OPI Wind-Cold or OPI WindHeat).D) using many different natural therapies as treatment.Natural Therapy: The treatment method used by advocates of natural health. In conditions where the orifices are "closed. Some other treatments are as follows: o Acupressure o Acupuncture o Chinese martial arts o Chinese pulse diagnosis o Coin rubbing o Cupping o Five Elements o Food therapy o Herbology o Jing o Meridian o Moxibustion o Neigong o Qigong o San Jiao o Seven star o Shen o Tao Yin o TCM model of the body o Trigger point o Tui na o Yin and yang o Zang Fu theory OPI: Outside Pernicious Influence .com . In Western medicine terms. Most often. Orifices: The sense organs of the head. The original method of treatment of Naturopathy was the water cure.

the disease entity is not the basis. Progressive Relaxation: "This therapy involves the successive tensing and relaxing of each of the 15 major muscle groups. It refers to all doctor/patient relationships where the professional is functioning in the role of a doctor. whether licensed or not. Pattern Discrimination: The method by which Chinese Pathology is classified. Patent medicines are more convenient than brewing decoctions and thus are highly suited for taking outside of the home. Together they imply that Qi can be material or immaterial. Positional Release: A highly useful technique born of osteopathic practice. The professional is providing some type of treatment or therapy which the patient cannot perform on themselves. Typically. in different ranges of motion. It is a providerbased therapy where someone who is knowledgeable about a specific alternative health therapy provides care or gives advice about its use. This is the way it is seen in Qigong practice and Chinese medicine. relieving tension. generally for more minor conditions. as well as a metaphor used by several different Chinese martial arts. usually based on a Classic TCM decoction. Professionalized Modalities: A professional used in this context is referring to a person engaging in a given activity as a source of livelihood or as a career. or vital energy. the tissue that lines the wall of the abdomen and covers the abdominal organs. like asthma. they are used for acute conditions like onset of colds or for chronic but stable conditions. Patent Medicines: Like Western Over-The-Counter drugs. liniments. while ease is determined by palpation and the feel of the movement. It can also be done with the client giving feedback about pressure on a tender point. one generally begins with the head and progresses downward. syrups. and has a connotation of the transition from one state to another.Patent Formulas: A pre-made medicinal. It is performed by the therapist by moving a joint gently without the participation of the client. tensing each muscle as tightly as possible for a count of 5 to 10 and then releasing it completely. It is thought that this position allows the nervous system to reset afferent stimulus holding the muscle in a contracted and painful position by minimizing the painful stimuli.com info@tlch2o. and inducing sleep.abctlc. Performed lying down. Physical Educators: Teach physical fitness and exercise. Plum Blossom: (Chinese medicine) The name of both a tool (also called "Seven Star") and a technique in traditional Chinese medicine." Qi: This Chinese word is usually translated as energy. but are usually in pill form. progressive relaxations are particularly useful for reducing stress. Pattern Discriminations are much broader and based primarily on how the condition is manifesting in the individual patient. Often combined with deep breathing. Unlike Western medicine. Peritonitis: Is an inflammation (irritation) of the peritoneum. liquors. based on the idea that finding a position of a muscle where it is under no strain (position of ease) allows the muscle to release. Patents come in many forms. plasters. ointments. There is a continuum from the solid material Qi (Jing) to the Qi which we Arthritis © 1/21/2009 TLC 395 www. The character is formed of a pictogram meaning rice and another meaning steam or vapour.com .

Some Qigong involves movement. joy (extreme excitability) and pensiveness. other systems hold static postures. massage or exercise (and herbs) through to the more rarefied Shen (mind/spirit). the six excesses and the six evil qi. work. once these techniques are learned. and the quality of ones consciousness.abctlc. and corporeal soul (po). Arthritis © 1/21/2009 TLC 396 www. ethereal soul (hun). Seven Emotions: Sadness. There are hundreds of different schools. the ability to exhibit self control. The character Gong means. The six external evils are terms from nature that are used to describe the condition.influence with needles. It can be subdivided into constituent parts in diagnostic terms: will (zhi). During treatment. Energy healing therapy has been used to attempt treatment of a wide variety of ailments and health problems and is sometimes used in conjunction with other alternative and conventional medical treatments. and by the Confucians to reside in the heart. The term Qigong is relatively recent and refers to physical practices which aim to work on Qi. especially in China. so it is working on one’s Qi. These are all considered as potential causes of illness. as opposed to Jing. R-A Therapy: An alternative cancer therapy utilizing natural substances that purports to induce re-differentiation and apoptosis in tumors so as to cause a reduction of cancer cell numbers or an elimination of aggregations of malignant cells. cold. but there are also some who teach it. Reiki: Purports to be an energy healing therapy. It was thought by the Taoists to reside in the head or brain. be responsible. fright. fear. speak coherently. or can be learned from an experienced practitioner. or endeavour. and many variations to those systems. spiritually-fulfilled life. mind (shen). a condensed store of Qi. for therapeutic interventions. Qigong: An increasingly popular exercise aspect of Chinese medicine. Also known as the six climatic factors.com info@tlch2o. These cover techniques that can be self-taught with the aid of books or instructional videos. Mind or Spirit. more yang form of Qi. There are hundreds of different systems of Qigong. which is claimed to help the body's ability to heal itself through the flow and focusing of healing energy (reiki means "ghostly energy"). Shen: The spirit and mental faculties of a person which include the zest for life. one can therefore benefit ones physical constitution.com . Qigong is mostly taught for health maintenance purposes. dampness. charisma. and it is also an adjunct training of many East Asian martial arts. Although some initial training is needed. It is seen on a continuum as a rarefied. this healing energy is said to be channeled through the hands of a practitioner into the client's body to restore a normal energy balance and health. These include wind. Seated meditation can also be seen as Qigong. dryness and fire. and some believe that any exercise can be Qigong if the right intention and presence of mind is brought to it. intent (yi). They are given the label of internal exercises as they work on one’s internal systems. you will need no additional outside assistance unless you want to improve your skills. even if they need to be trained to do so. Terms are also used metaphorically to indicate the behavior of a particular ailment or condition. causes of illness and disease. Shen gives rise to conscious thought and all spiritual considerations of the human condition. think and form ideas and live a happy. Six External Evils: Like the seven emotions. summer heat. anger. grief. often stemming from family traditions or martial arts schools. Self-care Modalities: Forms of CAM that individuals can perform by themselves. By working on the quality of Qi.

com . dehydration. aversion to heat and craving for cold. muscle relaxation. It also may result from several heart. And it may be a side effect of some medicines. or elsewhere.Stagnation of Blood (or Congealed Blood): The Blood has become obstructed and is not flowing smoothly. Examples include the Finnish Sauna. Stagnation of Qi in the Liver may result in distension in the ribs and abdomen. It most often occurs when the blood pressure is too low (hypotension) and the heart doesn't pump a normal supply of oxygen to the brain. frontal headaches and/or mouth ulcers. There is sharp. create a sense of relaxation and keep qi flowing. restlessness. and has been helpful in treating insomnia and arthritis. Stagnation of Qi in the Lungs may result in coughing and dyspnea. accounting for 3 percent of emergency room visits and 6 percent of hospital admissions. flowing exercises used to improve or maintain health. Sweating procedures are beneficial for the prevention and treatment of some lung. bleeding or swollen gums. neurologic. psychiatric. burning sensation in the stomach. cysts or swelling of the Organs (most commonly the Liver). constipation and "hyper" conditions such as hypertension. and skin problems. inflammation. Summer Heat: Overactive functioning of an organ system resulting in symptoms of thirst. where it does not flow through the body in a smooth and orderly fashion. Sweat Therapy: The combination of group counseling/psychotherapy with group sweating. Stagnation of Qi: (or Stuck Qi) The normal movement of Qi is impaired." It's usually related to temporary insufficient blood flow to the brain. Tai Chi: A set of smooth. metabolic and lung disorders. pain relief. It may be caused by emotional stress. Stomach Heat: Too much heat in the stomach is represented by bad breath. It promotes deeper sleep. sweating. overheating. red face. and the African Sifutu. Group sweating has strong cultural validity. This is represented by the commonly known yin-yang symbol and is the name given to the popular internal martial art Taiji. dark yellow urine. Stagnant Qi in the limbs and Meridians may be the origins of pain and aches in the body. the Islamic Hammam. Syncope: Syncope (SIN'ko-pe) is temporary loss of consciousness and posture. pooling of blood in the legs due to sudden changes in body position. irritability. described as "fainting" or "passing out. the American Indian Sweat Lodge Ceremony. heart. the Russian Bania. the Japanese Mushi-Buro. It's a common problem.abctlc. It also promotes positive effects on feeling states. Arthritis © 1/21/2009 TLC 397 www. infection. dryness. pain. Sweat therapy has been found to accelerate and intensify counseling process. stabbing pain accompanied by tumors.com info@tlch2o. including breast distension. Syncope may occur during violent coughing spells (especially in men) because of rapid changes in blood pressure. Is a precursor of illness and disease and is frequently accompanied by pain or tingling. heavy sweating or exhaustion. Stagnation: A blockage or buildup of qi or blood that prevents it from flowing freely. Taiji: The supreme ultimate or great polarity. extreme thirst. Group sweating is social interaction while experiencing psycho physiological responses to heat exposure. as it has existed throughout the world for thousands of years to promote well-being.

They form in muscle that is held in undue stress for long periods and pain can be managed by releasing them. Tao: The ancient philosophy of oneness in all creation. Constantly refined and improved over the course of its history. both chronic and acute. Traditional Chinese Medicine (TCM): A system of health care which is based on the Chinese notion of harmony and balance inside the human body as well as harmony between the body and its outside environment. Trigger Points: Areas of myofascial (muscle) tissue where the local circulation has been impeded to the extent that they are held in contracture. That is. Tinnitus: Causes of tinnitus include hearing loss. and low incidence of side-effects have made it an attractive alternative to conventional care. Cupping. medicines and ways to learn how to cope with the noise.Ch’uan: Great polarity fist (the word Ch’uan means fist. Tonification/Tonify: To nourish. The medical system that originated in China approximately 3000 years ago. Treatments may include hearing aids.abctlc. Tantric tradition uses sexual rituals for spiritual development. boxing. but Herbology. The Hippocratic Oath exhorts doctors to avoid therapeutic nihilism. blood vessels. Tantra: Emphasizes a ritual connection with elements from an Indian cultural background. It consists of not only Acupuncture. TCM: The abbreviation for Traditional Chinese Medicine. tumors and problems in the heart.com . infection or severe heat disease. Tinnitus may also be a symptom of other health problems. It is a core principle in oriental thought and medicine. which uses a broader characterization of illness (Pattern Discriminations) than Western Medicine’s disease based pathology system. Treatment depends on the cause. Its effectiveness. and others. Moxabustion. and mutually transforming nature of yin and yang to understand disharmony in the person and how this affects health. Tibetan Eye Chart: A mandala-like chart used to improve eyesight through exercise. interdependence. Traditional Japanese Medicine: Pre-Western Japanese medicine was strongly influenced by traditional Chinese medicine and is often seen as a sub-category of TCM. grasping but also letting go in different contexts). it offers treatments for a wide variety of ailments.com info@tlch2o. jaw and neck. Nutrition. Diagnosis uses the idea of the interconnectedness. Massage (Tuina). Arthritis © 1/21/2009 TLC 398 www. sound-masking devices. The patterns of referral and common sites of trigger point formation have been mapped and often correspond with acupuncture points and channels. support or strengthen the condition of qi. low cost. exposure to loud noises or medicines you may be taking for a different problem. Exercise (Tai Qi). such as allergies. Toxicity: Applies to any inflammation. blood or weak organ function. less invasive nature. They are exquisitely painful are characterised by referred pain patterns. the point causes pain elsewhere in the body. Therapeutic Nihilism: Skepticism regarding the therapeutic value of drugs or medical treatment voiced by physicians. Thomsonianism: A form of herbalism in use during the 19th century in the US. high or low blood pressure. TCM has its own pathology system.

Sometimes people use the word Allopathy. Western Medicine is the treatment of choice for many life-threatening conditions. the Middle Burner (from Stomach to Large Intestine). but this term is so broad that it includes both TCM and Western Medicine. Western Medicine: The biological and biochemistry based medical system used in the United States and most Western nations. an "energy system that has no equivalent in conventional medicine. the middle burner is the spleen/stomach. Wei Stage of Febrile Disease: The first stage of Four Stages of Febrile Disease. seen with the common cold or flu. Wholeness: More than mere completeness or fullness. Upper Warmer: Anatomical area including the head and chest. Tuina: Traditional Chinese massage technique that focuses on meridians and acupoints. with symptoms such as fever. with or without perspiration. are typically 20-30 minutes and may be practiced several times a week. Wellness is generally used to mean a healthy balance of the mind-body and spirit that results in an overall feeling of well-being. The Wei Qi is the protective Qi of the body. Wellness: Has been used in CAM contexts since Halbert Dunn began using the phrase "high level wellness" in the 1950s. Sessions. "involves a series of relaxation techniques followed by the visualization of detailed images.com info@tlch2o. including headaches. the TCM equivalent of the immune system. stroke. Wei Syndrome: Weakness and eventual wasting of the musculature. and the Lower Burner (from Small Intestine to the Rectum). It is often an early stage of OPI WindHeat syndrome. If used for treatment. Uropathy: A specialized branch of alternative medicine. based on a series of lectures at a Unitarian Universalist Church in Arlington. Visualization: Or guided imagery. a slight fear of cold. high blood pressure. The upper burner is the heart/lung system. especially of the lower extremities. more precisely. including trauma. system or truth in which all parts or aspects are present in right and healthy relationship with each other. the client may visualize his/her body as healthy. Triple Warmer: Also called "Triple Burner" and San Jiao in Chinese. a healthy Arthritis © 1/21/2009 TLC 399 www. and the lower burner is the kidney/bladder/intestines. this is a yang organ or. Guided imagery has been advocated for a number of chronic conditions. and free of the specific problem or condition.Triple Burner or Triple Warmer: Represents the three production centers for warm energy and water. It implies a reality. heart attack. headache. and coughing. From the perspective of preferential wholeness.com . This right relationship—or synergy—is a major factor in the whole being "greater than the sum or its parts"." Wei qi: Defensive energy. VA. The Triple Warmer is crucial to all phases of digestion and has three parts: The Upper Burner (from mouth to Stomach). including any sort of oral or external application of urine for medicinal or cosmetic purposes. usually calm and peaceful in nature. and anxiety. This stage develops when an OPI is in the first depth of the body. strong. and cancer. conducted in groups or one-on-one.abctlc. and the resultant impairment of motor function. In Oriental Medicine. slight thirst. stress.

transforming and mutually supportive. It describes the active part of nature. insomnia and a burning sensation in the palms of the hands. infectious disease) characterized by headache. Yin and yang are seen as a dynamic interface which is interdependent. numbness of the limbs. moving. Wind-Cold: An OPI condition (acute. cold. Represents cool and the substance of the body. the more airy. Because Wind is associated with movement. tight Pulse. Wind-Heat: An OPI condition (acute. white. lower back pain and decreased sexual drive. Yin Deficiency: A heat condition that results in symptoms of night sweats. vertigo. The parts making up the Chinese character mean the sunny side of a hill. tremors. poor digestion.person is more whole than an ill or injured one.com info@tlch2o. the more solid. such as the common cold or flu (OPI Wind-Cold or Wind-Heat) as seen in an infectious or contagious disease. fever. illness and injury are part of the larger wholeness of life.com . In contrast. Symptoms include lethargy. Examples are a rash that is spreading. spasms. The Chinese character means the dark side of a hill which shows us the roots of the philosophy in the natural world. this may refer to sudden onset from the inside. Yin: In the Taiji symbol. Or. including blood and bodily fluids that nurture and moisten the organs and tissues. such as itching or skin eruptions that change location. especially cold. the Tongue is dry and reddish. Wind symptoms are sudden and acute. Yang Deficiency: A cold condition due to lack of the heating quality of yang. where there is dizziness.abctlc. still cold and descending qualities of the world. nervous exhaustion. human physiology or disease. dizziness. this refers to anything that has sudden onset and movement. and commonly occur in tandem with other external causes of illness. twitching. Wind: Causes the sudden movement of a condition. blurred vision. chills. It describes the passive part of nature. tremors of the limbs. and curing or fixing them is central to their healing. infectious disease) similar to Wind-Cold. Yang: In the Taiji symbol. with a yellow moss. such as Internal Wind (often referred to as Liver Wind). soreness due to obstructed Meridians. hot and ascending qualities of the world. the person or illness. and real healing would entail appreciation and positive engagement with illness and injury as well as wellness. low fever. soles of the feet and the chest. however the fever tends to be higher and the chills are less pronounced. the Pulse is floating and fast. Arthritis © 1/21/2009 TLC 400 www. dry eyes and throat. Yin and yang are seen as a dynamic interface which is interdependent. transforming and mutually supportive. There cannot be one without the other and each contains the potential of its opposite. Wind In: Traditional Chinese Medicine theory. onset of colds. grounded. spasms or twitches. convulsions and stroke (apoplexy). relatively severe chills. or joint and muscle pains that move throughout the body. dizziness. Yin is represented by the dark half with the seed of white in it. it is often recognized by signs that move from place to place. floating. This may refer to sudden onset from an Outside Factor. frequently occurring in the spring. the white half with the seed of black in it. tinnitus. fever. There cannot be one without the other and each contains the potential of its opposite. moist Tongue moss. from the perspective of existential wholeness.

It has also been used as supplementary therapy for such diverse conditions as cancer. asthma. and digestion.Yoga: A diverse and ancient East Indian practice. Arthritis © 1/21/2009 TLC 401 www. It is generally a combination of breathing exercises. and meditation that calms the nervous system and balances body. and AIDS. physical postures.com . Yoga has been used to lower blood pressure.abctlc. sleep. diabetes. and improve flexibility. There are many different styles and schools of yoga.com info@tlch2o. reduce stress. concentration. mind. and spirit. It is thought to prevent specific diseases and maladies by relaxing the body. Zangfu: Describes the solid organs (zang) that store vital substances and the hollow organs (fu) which are responsible for transportation. deepening respiration and calming the mind.

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abctlc. Arthritis © 1/21/2009 TLC 403 www. Ed. Essential of Chinese Massotherapy. Dillman. Acupuncture. Chez RA.htm accessed September 5. Inc. Brown GR. Boaler J. Atlanta.91(12):1121-1125. Den Mai Shudo. Acupuncture: a physician's primer. Acupuncture as a treatment for temporomandibular joint dysfunction. ISBN 0-609-60544-5 Altshuler LH. Michael Reed Gach. and indications. Finding Effective Acupuncture Points.6(5):375-378. Chinese Herbal Medicine: Formula & Strategies. The Physician's Integrative Medicine Companion . Eastland Press. 2002.gov/consensus/cons/107/107_statement. New York. Gao D. Shaman.20(1):26-29. ed. Yuen J. Chief Editor Cheng Xinnong. Mo: Mosby. Chinese Acupuncture And Moxibustion. Acupuncture: a review of its history. 1996:185-223. Alberto Villoldo.14(2):80-83. 1995 Acupuncture meridians demystified. Acupuncture in Medicine . 1993 Chinese Herbal Patent Formulas. 1994. George and Chris. 1998. Moxibustion in breech version – a descriptive review. theories. Helms. New York. ed. White AR. NY: Thunder's Mouth Press. In: Novey DW. Louis. Peng Jen Yi Cheng. Joseph M. Ceniceros S. Bensky & Gamble. theory.com . Healer. 1990 Acupuncture Energetics: A Clinical Approach for Physicians. Understanding Acupuncture . Beinfield and Korngold. 2000:18-28. Contribution of radiotracer methodology". In: Micozzi MS. 1974 Dean CF.nih.. 1999. Arch Otolaryngol Head Neck Surg. In: Saltmarsh N. Ga: American Health Consultants. Ed.com info@tlch2o. Bantam Books. NY: Churchill Livingstone Inc. South Med J . Retrieved on 2007-05-07. 1991 Birch SJ and Felt RL. 1996 Chuang Tsu: Inner Chapters. Newton. NY: ChurchillLivingstone. Translated by: Gia-Fu Feng and Jane English. Ergil KV. Acupressure and other therapies for nausea and vomiting in pregnancy. 1990 Chinese Herbal Medicine: Materia Medica. 1999. Acupuncture in the management of herpes zoster.od. 1999:211-214. Maher JH. Sage Hamony Books. A Dillman Karate International Book. 2002. Beijing. ISBN 0-9631996-3-3 Ergil KV. China. 1996. 2000. and practice. In: Wisneski LA. Jake Fratkin. 2005. Olah K. Medical Acupuncture Publishers. Advanced Pressure Point Fighting of Ryukyu Kempo. Foreign Language Press. Acupuncture: history. The Physician's Guide to Alternative Medicine . Chinese Medicine . Between Heaven and Earth: A Guide To Chinese Medicine. Vintage Books.1997:191-197. Mass: Integrative Medicine Communications. Part I. J Okla State Med Assoc . Ballentine. Fundamentals of Complementary and Alternative Medicine . New York. Mullins M. Thomas. Ewies A. St.125:269-272.References Acupressure's Potent Points. Shya Publications. Bensky & Barolet. Available at: at http://odp. 2000:191202. Clinician's Complete Reference to Complementary/Alternative Medicine . Eastland Press. Acupunct Med . Ernst E. China's traditional medicine.

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You can download the assignment in Microsoft Word from TLC’s website under the Assignment Page. www.We welcome you to complete the assignment in Microsoft Word. If you need any assistance. Call us if you need any help. Arthritis © 1/21/2009 TLC 406 www. If you need your certificate back within 48 hours.com . you may be asked to pay a rush service fee of $40.com.com info@tlch2o. please mail.00.com You will have 90 days in order to successfully complete this assignment with a score of 70% or better. Once we grade it. Once complete. we will mail a certificate of completion to you. e-mail or fax your answer sheet along with your registration form. just simply fax or e-mail the answer key along with the registration page to us and allow two weeks for grading.abctlc.abctlc. You can easily find the assignment at www.abctlc. please contact TLC’s Student Services. Once you are finished.