ssical Point Combinations and

Clusters of Points in

Acupuncture Therapy
Object Object10 1 2 3 4 5 6 7 8 9

This work will present the thesis that, both clinically and theoretically, point-combinations in acupuncture therapy and especially classical point combinations, constitute the most reliable form of treatment in Chinese acupuncture. We shall try to demonstrate as many such combinations as possible, dealing with their logic, i.e. theoretical foundations within the framework of Chinese medical philosophy and other aspects such as: Analysis of each point in regard to its place in the prescription. Comparison of certain point-combinations to herbal formulae used to treat the same patterns of disharmony. When possible, comparison of each point in the formula with a specific herb used for the same energetic action. ele!ant and real case histories demonstrating the efficacy of a specific point combination. Technical data of importance in utili"ing #$%&T C$'(%&AT%$&s like: ). &eedle manipulation of !arious points in the combination *i.e.strengthening, reducing, dispersing, heating, etc.+. ,. -e.uence of needling procedure. /. $ther techni.ues of stimulation like: mo0ibustion, pressure, cupping, lectro-acupuncture and more. %n addition, we shall e0amine a few ma1or methods of formula composition e0istent in Chinese medicine for ages. These methods are !ery important to our thesis as they form the theoretical basis from which many of the point-combinations ha!e e!ol!ed. Another important facet of this sub1ect is the tendency of students and practitioners alike, to regard point-combinations as formulae for treatment. %n this work, we shall show that point-combinations are not formulae and that they ser!e only as solid 2brick constructions2 so to speak for a good formula. A comprehensi!e formula has to be formulated entirely on diagnosis.

CONSTRUCTION This work consists of the following chapters: A. #oint-combinations general rules. (. The !arious laws for combining points. C. 3ormula building in acupuncture therapy utili"ing #$%&T C$'(%&AT%$&s. 4. -ur!ey of popular and effecti!e point combinations . DETAI IN! C5A#T6 A - This chapter discusses the nature of point combinations in general terms and will demonstrate the general principles of their e0istence. C5A#T6 ( - Chapter ( discusses in detail the !arious laws and principles from which the art of combining points has e!ol!ed. C5A#T6 C - %n this chapter, we discuss the difference between treatment formulae and point combinations . There are a few e0amples of the way in which a treatment formula is constructed, utili"ing one or more point combinations. C5A#T67 4 - This is the last and the lengthiest chapter in which we have surveyed 18 effective point combinations, each of which includes the parameters that we have mentioned above. RE"AR#S The assumption of this work is that the reader is completely familiar with the concepts, philosophy and terminology of Traditional Chinese 'edicine *T.C.'.+. Therefore, basic concepts such as: 8i, (lood, 9in, Wind, 5eat and the like, ha!e not been discussed or e0plained.

-ome of the ideas presented in this work, particularly those dealing with the practical aspects of T.C.'., ha!e no roots other than the clinical e0perience accumulated by me during my years of practice and my personal obser!ation. &e!ertheless, in most cases, there is a numbered reference throughout the paper, pointing to a bibliography at the end of the work. C$APTER A POINT CO"%INATION !ENERA RU ES A point combination in Chinese medicine is a term used to describe a well known collection of acupuncture points from two up to, usually, no more than fi!e or si0 points. :enerally, this collection of points has a long history of clinical use based both on theoretical foundations and e0perience. -ince most of T.C.'. *Traditional Chinese 'edicine from now onward+ clinical means, herbs and acupuncture alike, ha!e e!ol!ed from solid theoretical ground, it is not surprising that almost all classical pointcombinations are the result of logical reasoning of the same !alid principles. 'oreo!er, the fact that so many classical combinations ha!e sur!i!ed throughout the ages *and we are speaking of some thousands of years+ *)+, and ha!e pro!en themsel!es clinically successful, only emphasi"es and reaffirms the stability and truthfulness of these theoretical principles. (asically a point combination, or point cluster *which is a different thing+ *,+, is supposed to ha!e a !ery specific energetic impact on the body, thus enhancing the effecti!eness of the whole treatment of which it is a part. %n order to illustrate this idea more clearly, here are a few e0amples: A. A nasal congestion and;or sinus infection is supposed to clog the 9ang 'ing meridian system in the region of the nasal ca!ities and forehead. There is an age old point combination dealing with this phenomenon, based on the points: 5e.u *7% <+, $uchi *7% ))+ and 9%ng0)ang *7% ,=+. These three points together, which belong to the -hou 9ang 'ing system, if punctured in the abo!e mentioned se.uence, ha!e a pushing, obstruction clearing action on the meridian thus, resol!ing the stagnation in the affected region. (. Another e0ample, which is based on the principle -hu 'u combinations, will show an effect directed toward a specific internal organ in the body. 3or instance the points: 3eishu *( )/+ and >hongfu *7 )+, which ser!e as the (ack -hu *associated+ point of the 7ung organ and the 3ront 'u *alarm+ point of the 7ung organ, deal successfully with problems such as asthma, painful breathing, pulmonary bleeding etc. These problems need a soothing, calming and harmoni"ing action which this combination can pro!ide. 9et, other combinations are capable of e!en more fantastic effects. There are combinations based on more comple0 principles, which are capable of multi system o!erall effects. -uch a combination is 7iehchueh *7 ?+ and >haohai *@ A+. These two form the 'aster and Coupled points of an e0tra meridian the Ben 'ai. As such, they ha!e a !ast influence o!er the organs and functions in the domain of this !essel. This may include the breathing, digesti!e and se0ual-urinary systemsC it may also include fluid metabolism in general, as well as hormonal imbalances affecting the uterus */+. (esides 2opening2 the Ben 'ai by acti!ating its 'aster and Coupled points, these two points bind the mutual assistance function of the 7ung and @idney systems *<+. 7iehchueh acti!ates the downward flow of the lung energy, thus setting in motion the lungDs acti!ities such as

breathing properly, dispersing e0tra fluid from the body *perspiration, urine, etc.+, sending e0tra fluid to the kidney and eliminating phlegm *E+. >haohai, in response, causes an upward mo!ement by acti!ating kidney functions associated with 9in *water, phlegm metabolism+ *A+, thus harmoni"ing the acti!ities in the @idneyDs domain, such as se0ual urinary functions. %n addition, as mentioned abo!e, these two points form the link between the 7ung and the kidney, by aiding the kidney to 2grasp2 lung 8i *which descends+, and pre!enting it from 2rebelling2 upward *i.e. dyspnoea, asthma+ *?+. %n these three e0amples we can see that point-combinations may ha!e a local effect on a meridian, on an internal organ, on a specific disease focus in the body as well as on general functions or acti!ities of !arious systems in the body. %t is, therefore, of primary importance to make a proper diagnosis which will enable the practitioner to choose the proper point combination in order to assist the treatment formula in the desired way. -till, it will be difficult to choose the proper point combination 1ust by memori"ing them all. A profound comprehension of the logic which lies behind each combination is needed. This brings us back to the 2laws2 of acupuncture and to its !ery core the theories of 9in 9ang, 3i!e elements, Tsang 3u etc. $nly by a thorough understanding of these principles can one understand or e!en memori"e the manifold point-combinations &' The a( of the Opposites The use of the 2law of opposites2 suggests that a disease located in one part of the body should be treated on the opposite part. 3or %nstance, a disease located in the right part of the body should be treated on the left side. A disease located in the back should be treated in the front and !ice !ersa. A disease located in the upper part should be treated in the lower part of the body and so on. #ractical e0amples of this law is treating Wei"hong *( E<+ for back pain *lower upper+, or treating 5egu *7% <+ left for a toothache in the right mandible, etc. An e0tension of this law ga!e birth to many sets of point combination, using two effecti!e points from each of the opposites. Thus, in the case of lower back pain, the use of the point below Wei"hong *( E<+, is happily 2married2 with the most effecti!e point in the upper part, i.e. -henshu *( ,/+. These two points together form the !ery basis for any lumbago treatment, taking ad!antage of the law of opposites.

)' Combinin* +in Channel Points (ith +an* Channel Points This law is another e0ample of how Chinese thinking makes use of the philosophy of duality or rather, contrasting and complementary phenomena such as 9in 9ang etc. The Comprehensi!e Te0t of -hanghai College states: 2As we know, the primary 9ang channels are connected to the primary 9in channels in a 9in;9ang relationship. (y combining a point on a 9ang channel with another on its paired 9in channel, the

cumulati!e effect is greater than needling either point separately. 60amples: combining - /A *>usanli+ on the stomach channel *9ang+ with -# < *:ongsun+ on the spleen channel *9in+ for stomach disease. $r, combining 7 F *Taiyuan+ on the lung channel *9in+ with 7% < *5e.u+ on the large intestine channel *9ang+ for coughing. The most well known combinations of this kind are between the -ource points on the channel primarily affected by a disease, and the Connecting point on the channel paired with the first, in the 9in 9ang relationship. %n this combination the -ource point is called the 2host2 and the Connecting point the 2guest2.2*p.EG+. This principle of combining points has created renowned combinations such as 5egu *7% <+ with 7iehchueh *7 ?+ for upper respiratory tract ailments. Taichong *7%H /+ with :uangming *:/?+ for eye disorders, Taiyuan *7 F+ with #ianli *7% A+ for cough from phlegm aetiology, etc. The idea behind this form of combination is to di!ert e0cess energy from the diseased organ to its parallel 9in;9ang related channel. Thus, by puncturing the 2host2 point which is a -ource point, one directly drains an o!eracti!e organ *-ource points are in close relation with their organ *F++. The stimulation of the 7uo point of the parallel meridian ensures that the e0cess 8i would thus lea!e by the closest possible gate. *7uo points form a passage between two 9in;9ang meridians+. *)=+ ,' "aster and Coupled Points of E-tra "eridians The master and coupled points of the eight e0tra meridians form eight pairs of points each attributed to one e0tra meridian. 6ach pair is said to 2open2 its e0tra meridian, thus enabling it to absorb e0tra energy like a 2sea2 or 2reser!oir2 of energy. *))+ Two techni.ues e0ist by which these combinations are used. one way stimulates the two master points and then the two coupled points. The second ad!ocates puncturing right master point and left coupled point in women and !ice !ersa in men. *),+ 'any of the eight pairs ha!e been found so successful in clinical practice that they are often used with no regard to their original assignment as master and coupled points of an e0tra meridian. A good e0ample would be the pair &eiguan *# A+ and :ongsun *-# <+. This couple with the addition of >usanli *-T /A+ form the best point combination to treat morning sickness or any nausea, of different etiologies. Another couple: 7iehchueh *7 ?+ and -haohai *@ A+ which is also used .uite fre.uently, has already been discussed in the pre!ious chapter. 'ore of these couples will be discussed later in our last chapter. .' Combinin* ocal (ith Distant Points This is a general law for combining points in acupuncture. The law takes ad!antage of the e0perience gained from the use of !arious points and binds together effecti!e points in the !icinity of the disease, with other effecti!e points from distant parts of the body. %t has been found, for instance, that 7igou *7%H E+ is an effecti!e point in treating maladies of the e0ternal se0 organs *by !irtue of its task as a 7uo point of the meridian that encircles these organs+. >hongi *CH /+ is also an effecti!e point for treating such problems *)/+. Thus, binding the two together, one close to the disease focus, and one from afar, makes a good combination in any formula for this purpose.

This law also has a deep root in the concept of 2 oot and (ranch2 and 2$rigin and 6nd2. This concept is an ancient obser!ation that all primary meridians ha!e reciprocal relationships between points situated on the upper and lower reaches of the body, respecti!ely. Thus, the bladder meridian has its root area in the !icinity of 3uyang *( EF+ and branch area around Bingming *( )+. $r, the spleen channel makes its root around -anyiniiao *-# A+ and its branch in #ishu *( ,=+ as well as 7ianchuan *CH-,/+. *Acupuncture A Comprehensi!e Te0t, p. A)+. /' One Point Abo0e' T(o Points %elo( An e0tension of the pre!ious law this e0traordinary law achie!es wonders in acute processes, if applied correctly. This law makes use of the pre!ious law: 2combining local with distant points2, with two additions. $ne is that all the points should be on the same meridian segment *i.e. -haoyang, 9angming, Taiyin etc.+. The second, emphasi"es that only one needle should be planted near the disease, while far from it two needles. This may, at first, sound bi"arre, but the logic is clear. Taking, once more, the e0ample of sinusitis, the point-combination which is the outcome of this law would be: 5egu *7% <+, 9ing0iang *7% ,=+, >usanly *-T /A+, &elting *-T <<+. 5egu, as the strongest point in the hand 9angming, will set the whole 9ang 'ing energy in motion. 9ing0iang ser!es as the local point to cause a dispersion effect in the area and >usanli, together with &eiting, are 2the two points below2. These two points below pro!ide a strong stimulation to the other end of the meridian accelerating its energy and flow while eliminating the stagnation in its upper part. This same law formulates another !ery important point-combination, used to effect 4ampness elimination from the intestines *purgation of the intestines+. The combination is: Tianshu *-T ,E+, >usanli *-T /A+, -hang1u0u *-T /?+and Iia1u0u *-T /F+. Tianshu is the local strong point for the intestines *the 'u point of the colon+, the other three points being situated on the same stomach meridian and creating the weight to cause a strong downward flow of the stomach meridian energy *)E+. 1' Empirical Point combinations There are do"ens of point-combinations in acupuncture which ha!e emerged through sheer clinical e0perience. 6!ery practitioner, who has spent a considerable length of time in clinical work, has probably noticed that some points yield better results when combined with certain other points. %t is only logical that after so many generations of accumulated e0perience in the field of acupuncture, such empirical combinations ha!e become the inheritance of the ma1ority of practitioners. %n comparison with the other forms of point-combinations that ha!e so far been detailed, this form lacks their theoretical background in most cases.

&e!ertheless, clinical success is after all the ultimate 1udge and thus, these combinations ha!e earned their position in clinical work. 5ere are a few e0amples of point-combinations whose source is entirely empirical: The addition of -ibai *-T ,+ to the combination of 4annang0ue *e0tra+, Tianshsu *-T ,E+ and :uanyuan *CH <+, ha!e a great soothing effect on biliary ascariasis. 'anipulating -ibai in a sedati!e fashion, usually eliminates the !ery sharp pain which this illness causes *)A+. There is no theoretical e0planation for this phenomenon. 5egu *7% <+ on the opposite side, combined with 7iang.iu*-T /<+ on the affected side, is a .uick relief for strained muscles or tendons of the knee 1oint *usually due to a sport in1ury+. %n order to obtain the full effect of this combination, one should first puncture 5egu, at an obli.ue angle towards the metacarpal bones, two Cun deep, and then manipulate 7iang.iu to cause numbness or distension around the knee *)?+. -hao"e *-% )+ has an undeniable influence on the breasts. 5ence, all breast diseases, including agalactia *lack of milk+, are treated with the aid of this point. When combining Taiyang *e0tra+ to -hao"e *-% )+, we make an effecti!e point combination for swollen breasts. This formulaDs source is also classical *-ong of the Bade 4ragon Ca. )E==+ *)G+. %t is worthwhile mentioning, in this connection, that many empirical combinations include e0tra points, and there are a few that are composed entirely of e0tra points. The reason for this is clear. -ince e0tra points themsel!es ha!e originated from clinical e0perience, and in many cases as Ahshi points, they lack the theoretical basis that most of the meridiansD points ha!e. %t is no wonder then, that many empirical combinations include e0tra points, for they too ha!e originated from clinical obser!ation. 60ample &o. / *abo!e+ may illustrate this phenomenon, or this !ery popular combination: 9intang *e0tra+, -henmen *5 ?+, -anyin1iao *-# A+. This formula is often used to calm the mind, especially in cases of insomnia *)F+, or mental an0iety. -henmen and -anyinBiao harmoni"e 3ire and Water elements, or heart and kidney functions, while 9intang places an emphasis on calming the mind. Thus, an e0tra point *9intang+ contributes to the principal effect of the two meridian points, with its empirically found soothing properties. 2' Point Clusters A point cluster is a grouping of a few points in the same area of the body, whose mutual effect on this area is beneficial. %n many cases, these clusters are formed from e0tra points like -ishencong on the !erte0 or from Ahshi points *tender points+ in the !icinity of the disease focus. An e0ample of a point cluster would be 2Three needles at the ankle2. %.e. @unlun *( A=+, Bie0i *-T <)+, Tai0i *@ /+. This cluster ser!es as a local treatment to disperse any blood stagnation caused by trauma in

the ankle 1oint, or paraplegia *,=+. Another 2Three needles at the ankle2 ser!es the same purpose, and is a combination of three different points: 8iu0u *: <=+, Bie0i *-T <)+, and -hang.iu *-# E+. This is indeed a !ery effecti!e trio for a sprained ankle, etc. The ma1ority of the point clusters, though not all of them, are concerned with locali"ed influence. 'aking use of the T.C.'. principle that any pain, swelling etc. is caused by stagnant energy or blood, or both, *,)+ the use of powerful local points in con1unction, is supposed to resol!e this stagnation, and dislodge the barrier. &eedless to mention, the utili"ation of such a combination would need a special dispersing techni.ue, one that would enhance the flow of energy in the region, and disperse blood or fluid from the 1oint. $ther point clusters ser!e the same purpose as regular point combinations, i.e. to cause any precalculated therapeutic effect, with the difference, as we mentioned abo!e, that they are located in close !icinity. The articulations of the body, such as: shoulder 1oint, ankle, knee or elbow 1oint, are considered the most !ulnerable parts of the body, in relation to the smooth flow of 8i *,,+. heumatic pain which is caused by weather %nfluences, according to T.C.'. thinking, is usually lodged in the 1oints, thus hindering the smooth flow of 8i. %t is not surprising, therefore, that many clusters of points ha!e originated in the !icinity of the 1oints for the purpose of remo!ing the stagnant pernicious influence that has lodged there. -uch clusters are the 2three ankle points2 that we ha!e already mentioned or 2the three shoulder points2 and the 2three knee points2, some of which will be discussed later. 3' %alancin* and "utual Assistance This !ery traditional principle of Chinese medicine is responsible for do"ens of point combinations, which ha!e been formulated o!er the millennia. The idea of balancing is, after all, the core of Chinese thought, originating from the basic conception of 9in and 9ang *,/+. All phenomena in our body can actually be attributed to 9in and 9ang, and its balanced or imbalanced state. Without pondering too deeply upon this sub1ectDs philosophy, which is beyond the scope of this work, it is sufficient to say that the balancing of 9in and 9ang, 5ot and Cold, -hi and Iu, is the ultimate goal of Chinese medicine *,<+. Therefore, besides the !arious rules of point-combinations that we ha!e summari"ed abo!e, there is the principle of balancing 9in and 9ang acti!ities, which dictates what points to use in each case of imbalance. $ne of the most fre.uently encountered imbalances in clinical practice is that of the elements of 3ire and Water. 'ost often symptoms such as heart palpitations, insomnia, dream disturbed sleep, an0iety etc., are

the outcome of this imbalance. According to the poetic and imaginati!e Chinese physiology, kidney Water is insufficient and unable to control heart 3ire, which bla"es upward. This may cause palpitations and a restless heart, as well as a disturbed -hen *spirit+, since -hen resides in the heart organ. To rectify this, the Chinese ha!e originated many combinations, formulated from points ha!ing the ability to restrain or dredge the heart acti!ity on the one hand, and to strengthen or supplement kidney Water, on the other. -uch combinations are: ). -henmen *5 ?+ and -anyin1iao *-# A+ ,. Tongli *5 E+ and 4a"hong *@ <+ /. Tongli *5 E+ and >haohai *@ A+. *,A+ Another fre.uently encountered balancing method is to harmoni"e acti!ities, either of organs or of functions. This is also based on the concept of deficiency or e0cess of specific acti!ities. A good illustration for this would be the combination of 5e.u *7% <+ and 3uliu *@ ?+. This combination is used primarily to treat cases of either e0cessi!e or lack of perspiration. %n case of e0cessi!e perspiration, Wei 8i is deficient, so 5egu has to be tonified in order to fortify the protecti!e abilities of Wei 8i. *#lease note that Wei 8i is responsible for the tonus of the sweat pores, thus controlling perspiration+. At the same time 3uliu has to be reduced, since its acti!ities are closely linked to 2water2 mo!ements in the body. %n the case of the absence of perspiration, one should use these !ery points, only with re!ersed manipulation. 3or e0ample: 5egu sedated, in order to release tightness of the sweat pores which are controlled by Wei 8i. 3uliu tonified, in order to increase 2Water2 mo!ement %n the body *,?+. Another principle of point combination, which was included under this heading, is the principle of mutual assistance. %n the same way that herbs are fre.uently chosen to assist and strengthen each otherJs action, so are points, by this principle of combination. This method is often rele!ant in cases where the elimination of a pathogenic factor is needed, much like herbal treatment. 3or instance, where the elimination of a Wind 5eat factor in the head region is needed *i.e. tonsillitis+, 5egu *7% <+ is of ma1or importance. To strengthen its action we shall most probably choose 8uchi *7% ))+, a point .uite powerful by itself, for eliminating Wind 5eat. Clinical obser!aton has !erified, that this couple of points has a much better impact on the head region than each of them alone *,G+. (y the same logic, -anyin1iao *-# A+ and 9inling.uan *-#-F+ are often combined together, for the purpose of eliminating 4amp 5eat pathogen from the 7ower (urner. -anyinB%ao is indicated, among many other .ualities, to resol!e 4amp and 4amp 5eat from the 7ower (urner, mostly by facilitating urination *,F+. 9inling.uan is also indicated to resol!e 4amp and 4amp

5eat from the 7ower Biao, and it treats: edema, ascites, retention of urine, urinary tract infection, diarrhea, etc. */=+. Again, clinical e0perience has shown that putting together these two points, enhances the therapeutic effect of each of them, and this combination has become a !aluable asset of Traditional Chinese medicine */)+. C$APTER C 4OR"U A %UI DIN! IN ACUPUNCTURE T$ERAP+5 UTI I6IN! POINT CO"%INATIONS 7' Dia*nosis 4iagnosis is of prime importance in T.C.'. Actually, it is impossible to construct a treatment formula, unless one has reached a sound diagnosis. @nowing that, in ancient times the Chinese de!eloped a uni.ue diagnostic skill, based on procedures that matched their medical doctrine. emaining faithful to their basic concept that !ia the meridiansD system, the inside of the body can be percei!ed by the outside of the body, most diagnostic procedure was based on techni.ues of how to best decipher these outside signs. Thus, the famous four methods of diagnosis emerged. These four methods are: %. 7ooking %%. 7istening and smelling *which is the same word in Chinese+ %%%. Asking %H. Touching */,+ Without gi!ing a fully detailed description of each of these steps of diagnosis, suffice it to say that they consist of: 7ooking especially at the tongue shape, colors and fur. 7istening - to the pitch of !oice, or cough *moaning or groaning and other sounds+ whether loud or low, labored breathing such as whee"ing etc. Asking which is an interrogation of specifities of the patientDs complaints, and especially some pointed .uestions, uni.ue to T.C.'. Touching especially the art of taking the pulse, but also the palpation of the abdomen or of some special acupuncture points. After these procedures ha!e been performed, the practitioner has to form a diagnosis, based on the eight principles of T.C.'. These principles are: 9in or 9ang *)K,+ 5ot or Cold */K<+ -hi or Iu *EKA+ %nternal or 60ternal *?KG+ %n addition, the information gathered so far must include the site of disease *whether the spleen, colon, or

any of the meridians+ and, of no less importance, the cause of the disease. All these details and knowledge ha!e a strong impact on the planned treatment, as well as on the prognosis. When all of this information has been collected and processed into a logical and workable diagnosis, then we must determine our treatment approach. This approach is based entirely on diagnosis. Thus if we ha!e diagnosed a simple case of a Wind 5eat condition, the approach would be: the elimination of Wind 5eat and restoring normal balance. $r, in a more complicated case, where our diagnosis leads us to a conclusion of disharmony of stomach and spleen and a kidney 9in deficiency, our approach should be to tonify spleen 8i and sedate stomach 3ire, while placing an emphasis on strengthening kidney 9in. At this stage, the practitioner must assess whether -tomach 3ire is more se!ere than the deficiency condition of the kidneys, and this conclusion must lead him either to put an emphasis on sedating the stomach, or on tonifying @idney 9in and -pleen 8i. %t is no less important to educate the patient as to how to beha!e in the future, enabling him to keep his reharmoni"ed state of health intact. This education cannot be of !alue unless the real cause of disease has been grasped by the practitioner. When a specific approach has been determined, as we ha!e illustrated abo!e, our ne0t step is to choose a specific techni.ue for the treatment. A specific techni.ue may actually be comprised of se!eral techni.ues, with one goal: to induce a general effect on the patient, in order to achie!e the aims of the approach. A techni.ue may be a tonifying techni.ue, based on choosing points that usually tonify. %t may use mo0a, in order to enhance the tonifying effect, and it should apply certain needle manipulations that cause an effecti!e tonification. A techni.ue may need to disperse stagnant blood that causes pain, swelling and immobility. Therefore dispersion techni.ues should be adopted such as: drawing blood with a cup, or, again, certain needle manipulations like: 2needling one point in four different directions2 *//+, etc. While discussing the techni.ue, we must also bear in mind that at this stage, we ha!e to set the course of the whole treatment. We ha!e to decide whether we treat the (en first, or the (iao *i.e. the symptoms, or the cause+, or we ha!e to decide whether we treat an e0ternally inflicted disease, before we treat an internal imbalance or, sometimes, !ice !ersa. %n the same manner, we shall ha!e to decide whether to treat the -hi condition or the Iu condition first and make many other difficult decisions. As a rule, all these decisions, and others, will be the outcome of a careful assessment of our patientDs condition, which will dictate the treatment techni.ue, its impetus, its rhythm, and abo!e all the treatment formula. (uilding the treatment formula is really the clima0 of the practitionerDs intellectual ability. (y composing the formula, the practitionerDs diagnostic skills, as well as his thorough memori"ation of points, combinations and actions, will come to full reali"ation. There are many methods and approaches as to how to construct a formula. -ome of these approaches

e!en contradict each other. -ome approaches state that any formula should ha!e close points, medium points and distant points */<+, in order to ha!e a full effect. -ome approaches ad!ocate the use of the 3i!e 6lements school, as the basis for any treatment. $ther approaches recommend prescriptions by the new China T.C.'. approach. There are e!en practitioners who are trained to build a treatment formula that will match their patientDs astrological map, and some that use the famous % Ching trigrams he0agrams and to construct a formula. The methods are numerous, and differ entirely. 5owe!er, the China T.C.'. stream is the main, and this is the method that yields the best results, according to Chinese researchers */E+. The T.C.'. method of formula building relies most of all on empiricism. %t relies also on strong foundations of sound traditional medical theories. %ts main theoretical source is syndrome differentiation according to the T"ang 3u system, but, ne!ertheless, it adopts any treatment procedure that has pro!en itself !aluable throughout the ages. %t is no wonder that a method that relies most of all on clinical e0perience, will use as many pointcombinations as does this method. We ha!e already shown that point-combinations ha!e both theoretical and empirical background as their backbone. Thus, we can rarely find a treatment formula that does not include, at least, one practical points combination. %n order to illustrate this assumption, the following is a casually chosen list of treatment formulae, for !arious complaints in which % ha!e marked the point combinations: %. :anshu *( )G+, 8imen *7%H )<+, 4anshu *: ,<+, Changman *7%H )/+. This is a formula for infectious hepatitis, combined by two pairs of point-combinations according to the -hu 'u principle. %%. 3or acute enteritis: Tianshsu *-T ,E+ with -hang1u0u *-T-/?+. This combination is one point abo!e and one point below, on the same meridian. %%%. 3or bronchitis: Chit"e *7 E+, 5egu *7% <+ and 7iehchueh *7 ?+. %n this formula, 5egu and 7iehchueh form the 25ost :uest2 relationship combination. %H. 6rmen *T ,)+, Tinggong *-% )F+, Tinghui *:( ,+, 9ifeng *T)?+, Waiguan *T E+ and Chung"hu *T /+, is a recommended formula to treat deafness. 6rmen, Tinggong, Tinghui and 9ifeng, make a cluster of points for ear problems. H. 3or rectal prolapse we may choose #aihui *:H ,=+, Chang.iang *:H )+, >usauli *-T /A+, -anyin1iao *-# A+, 8ihai *CH A+ and -henchueh *CH G+ the last two points, and probably #aihul too, with mo0a. #aihu, 8ihai and -henchueh together make a !ery strong point combination that powerfully raises 9ang 8i thereby ele!ating prolapsed organs, like the rectum. This combination is based on the mutual assistance principle *see pre!ious chapter, paragraph &o. F+. Chang.iang and #aihui is another combination in this formula, built on the principle of 2one point abo!e, one point below,2 on the same meridian. While puncturing both ends of the meridian, we balance its acti!ities, and if it is on an e0tra meridian, like the 4u 'o meridian, by doing so we drain its e0cess energy */A, /?+. H%. 3or the treatment of palpitations caused by !entricular septal defect with symptoms such as: general weakness and shortness of breath, the following formula may be utili"ed */G+:

&eiguan *# A+, -henmen *5 ?+, Tan"hong *CH )?+, >usanli *-T /A+, 8ihai *CH A+, -anyin1iao *-# A+, -haohal *@ A+, Bueyinshu *( )<+, Iinshu *( )E+, @eshu *( )?+. %n this formula, se!eral classical point-combinations were used, in order to bring about the desired effect. This is ob!iously a case that needs a direct effect on the main symptom, palpitations, while not neglecting the rest of the problem which is 8i and blood deficiency. The points &eiguan, -henmen and Tan"hong ser!e as a well known combination to rela0 the heart, calm the -hen and 2open the chest2. *2$pen the chest2 is a Chinese metaphor used to describe functions such as: to impro!e blood circulation between heart and lungs, or to rela0 symptoms such as sensations of fullness or congestion and tightness in the chest+. Bueyinshu and again, Tan"hong, is another combination which uses the principle of -hu 'u. %n this case, adding mutual assistance to the pre!ious combination to enhance heart circulation. >usanli, -anyinBiao and 8ihai constitute an e!en more fre.uently used combination whose goal is to tonify the 8i and eliminate lassitude. %n this case, it also has another task of helping in creation of blood, since 28i is the mother of blood2 */F. Tonifying the 8i will help produce new blood. (ut, this e0cellent formula creator has made another important link and added -haohai and -anyin1iao to the formula. This pair ha!e a mutual assistance effect on the general 9in 8i. -ince blood is 9in, it is important to tonify both 8i and 9in, in order to supplement blood. The last combination in this formula is -anyin1iao, Iinshu and @eshu. This is also a blood strengthening combination *based on @eshu which is the associated point of blood+, only it puts an impetus on the heartDs blood. We ha!e to bear in mind that according to Chinese physiology, blood is also formed in the Tan"hong area with the aid of the heart. 3rom the few e0amples abo!e, we can see that treatment formulae may !ary considerably from one another. A formula may contain, or e!en be composed of one point combination and it may ha!e as many as four or e!en more point combinations. %n any case, the purpose of including these combinations so deliberately in the formula, is to ensure that certain influences shall be e0erted as decisi!ely and promptly as possible. -ince many of the pointcombinations ha!e pro!ed themsel!es most !aluable in clinical work, it is ob!ious that one should use these combinations while composing a treatment scheme. Thus, besides taking ad!antage of the use of already clinically pro!en combinations and gi!ing our formula a solid basis, there is also a benefit in utili"ing pre-made segments for the formula, liberating us from the necessity to build them by oursel!es. C$APTER D SUR8E+ O4 POPU AR AND E44ECTI8E POINT CO"%INATIONS 4ore(ord to this chapter

'ost of the combinations in this chapter ha!e been taken from the book: ACL#L&CTL 6 A C$'# 656&-%H6 T6IT, by the -5A&:5A% C$776:6 $3 T A4%T%$&A7 C5%&6-6 '64%C%&6. The ma1ority of the combinations form the backbone of the clinical knowledge of e!ery practicing acupuncturist and as such, they should certainly not be e0pected to be inno!ations or rare information. 'oreo!er, the eighteen point-combinations analy"ed here, are only a drop in the ocean when compared with the myriad combinations which ha!e e!ol!ed throughout the history of T.C.'. 5owe!er, the aim of this analysis is to understand the principles by which a point combination has been formed, as well as its clinical !alue and application. The functions of the !arious points in the following combinations as well as their classical indications and .ualities, were taken from two main sources: ). The same C$'# 656&-%H6 T6IT *see abo!e+. ,. T56 ACT%$&- $3 ACL#L&CTL 6 #$%&T- by #eter 4eadman which was published in se!eral parts in the B$L &A7 $3 C5%&6-6 '64%C%&6. The rest of the material, including the analysis of each point, the theoretical background of the combination, the practical application and the comparison with a herbal prescription, were all taken from my own clinical e0perience and personal obser!ation, unless otherwise stated. &eedless to say, all the case histories in this chapter are of persons treated by me in my practice. The source for all information presented here regarding herbs, including herbal prescriptions, is the book: C5%&6-6 56 (A7 '64%C%&6 'AT6 %A '64%CA of 6astland #ress, by 4an (ensky et al. 5owe!er, comparison of the point-combinations with the herbal prescriptions in this chapter, is mine alone. -------------------------------------------

bac9 to top of pa*e

7' SAN+IN:IAO ;SP /<5 !UAN+UAN ;C8 ,<5 =I$AI ;C8 /<' "ain effect and clinical purpose This point combination is commonly used as a general tonic for 8i and (lood. %t is therefore fre.uently used in cases of se!ere lassitude, anemia, impotence, spermatorrhea and the like.

(ecause of this point combinationDs main effect, it is used with a tonifying manipulation and;or mo0a. Point discussion -anyin1iao *-# A+ is the point of intersection of the li!er, spleen and kidney meridians and functions to regulate and tonify the $i in these channels. %t also has a strong effect on the reproducti!e, as well as on the urinary systems and is therefore used to regulate 9in 8i either to tonify, or drain. -anyin1iao belongs to the spleen meridian and has a great influence on all the functions of the spleen organ. That includes: regulating the digesti!e system, impro!ing appetite, creation of blood and elimination of 4ampness *<=+. :uanyuan *CH <+ The meaning of :uanyuan is 2the passage for the -ource 8i2. This is the point of intersection of the three 9in channels of the leg on the Conception Hessel *<)+. &eedling this point tonifies the 9uan 8i which is the prenatal 8i. %t therefore strengthens the kidneys and actually the whole body. 4ue to its location, it is primarily used to tonify 9in 8i but it can be used to tonify 9ang 8i as well. %t is hardly e!er used to sedate. 8ihai *CH A+ is also located on the Conception Hessel, en 'ai. %ts name implies that it controls the sea of 8i which lies e0actly on this spot, known as the 27ower 4an tien2. 8ihai is therefore used to regulate 8i, especially post natal 8i *<,+ and strengthen kidney 8i, 9in and 9ang in general. Combining :uanyuan and 8ihai has a strong strengthening effect on the 8i of the whole body. These points together stimulate pre and post natal 8i and the kidneys. Adding -anyin1iao to these two, gi!es a further impetus to creation of 9in and blood, impro!ed li!er and spleen functioning, thus making the best tonifying point-combination. There is another similar point combination that uses >usanli *-T /A+ instead of -anyin1iao *-# A+. The difference between these two is that the latter is used mainly for general strengthening purposes, with an emphasis on digesti!e irregularities, blood and general stamina. The pre!ious combination has a more uro genital bias. Needlin* se>uence5 manipulation and stimulation 3or purposes of general strengthening of 8i, one generally punctures in this order: :uanyuan, 8ihai and then -anyin1iao. (ut, if our aim is to strengthen 9in 8i, or treat the uro-genital system, -anyin1iao precedes the other two points. As we ha!e stated before, the goal of this combination is primarily to tonify. %n order to do so, we must use a tonifying manipulation, i.e. penetrate the point gently in three stages. While manipulating, we need to push into the point more strongly than when withdrawing the needle. $ften we may utili"e the 2(urning the 'ountain2 techni.ue. %n this techni.ue the needle is first inserted to a superficial le!el and is then ad!anced to a middle and finally to a deep le!el. At each le!el the needle is forcefully thrust, and gently raised, nine times. Then, the needle is left in the superficial le!el. This manipulation is repeated until the patient

e0periences a warm or burning sensation. %t is also !ery common to use mo0a on these points, either direct mo0a, or 2warm needling2. 'o0a is used mainly in cold;deficient diseases. $erbal e*ui0alent %t is ade.uate to compare the use of :uanyuan and 8ihai to radi0 #ana0 :inseng. This herb is mainly used in se!ere 8i deficiencies or e!en collapse. %t is also known to tonify the 9uan 8i and both 9in and 9ang 8i. We can also find similarities between Angelica -inensis, 4an :ui and the actions of -anyin1iao. This herb, too, is used to tonify the blood and treat uro-genital disorders. Along with this, 4ang :ui is also used for abdominal pain, constipation, 4amp (i etc., for all of which -anyin1iao is also useful. Case history 'r. A.'. of Arab origin, age ,?, occupation: building worker, married for two years. Complaint infertility, spermatorrhea especially at night and premature e1aculation. 4iagnostic features ). ed face, cold feet. ,. 3eels generally fine, e0cept sometimes dribbling urine. /. #ulse slippery, big. <. Tongue pale, soft E. Abdominal tenderness under umbilicus and right hypochondriac region. 4iagnosis ). Weakness and looseness of the 2gate of sperm2 *2'ing 'en2+, due to e0cessi!e se0ual intercourse and hard physical labor. ,. 60citement of 5eart 3ire. Treatment ). -anyin1iao *-# A+, :yanyuan *CH <+, 8ihai *CH A+ and Taling *# ?+. ,. efrain from se0ual intercourse until spermatorrhea subsides. 60planation -anyin1iao, :uanyuan and 8ihai together tonify the 9uan 8i thus enli!ening the sperm and strengthening the 'ing 'en. Taling is used to decrease 5eart 3ire and thereby helps the patient control his se0ual enthusiasm. Taling was punctured against the flow of 8i, i.e. needle pointed pro0imally, in order to cause sedation.

esults After two sessions the spermatorrhea ceased. After three months the patientJs wife became pregnant. &' $E!U ; I ,<5 +IN!?IAN! ; I &@<5 6USAN I ;ST )/<5 NEITIN! ;ST ,,<5 ?IAN!U ;ST ,)< A,)B' "ain effect and clinical purpose This is a point combination based on the law 2one point abo!e two points below2 *see pre!ious chapter+. %ts purpose is to clear obstruction from the 9ang 'ing system, mainly sinusitis. %t has a clear sedating effect and is therefore used for e0cess patterns characteri"ed by 5eat and 4ampness. Point discussion 5egu is one of the most fre.uently used acupuncture points. %t is the strongest point on the hand 9angming channel and is often used for all complaints of the head. %t is used to eliminate Wind heat or Wind cold. 5egu is an analgesic point and it relie!es pain. %t is anti-phlogistic, anti-pyretic and used for all inflammatory processes in the head region. 9ing0iang is the last point of the hand 9angming channel. %ts indications are for all diseases of the nose and to dispel Wind heat from the nasal ca!ities. %t is also an intersection point between the large intestine and stomach meridians. >usanli is also one of the most fre.uently used points in acupuncture. %t is the most powerful point on the stomach meridian and is used for all digesti!e complaints. %n this conte0t it is used to eliminate 4ampness and 5eat from the 9angming channel. >usanli may be either tonified or sedated, depending on the nature of the disharmony. Thus, among its manifold acti!ities, it may be used to eliminate Wind and 4ampness, to regulate circulation of 8i and blood, to tonify weakness and promote anti pathogenic 8i. &eiting is a point of choice in the treatment of e0cess patterns in the stomach or stomach meridian. %t is mainly used to reduce 5eat in the channel or in organs under control of this channel. This includes the nasal ca!ities, the upper teeth and gums, the stomach and intestines. %ts indications are also to regulate 8i and relie!e pain. Iiangu is indicated mainly for facial edema, for pain and elimination of Wind. -inusitis is characteri"ed as a Wind 5eat disease and it causes accumulation of fluid *4ampness+ in the face due to a 5eat stagnation. As we ha!e e0plained in the pre!ious chapter, this type of combination places an emphasis on regulating the 8i in the channel, making it flow more !igorously in the proper direction,

by utili"ing more points situated on the desired direction. Therefore, points >usanli, &eiting and Iiangu pro!ide a hea!ier weight than 5egu and 9ing0iang, in order to promote the flow of 8i in their direction. This in!igoration of 8i is said to clear the obstruction *sinusitis+ where the hand 9angming and leg 9angming meet *the nasal area+. %t is worthwhile mentioning that all of these points ha!e a clear 4ampness and 5eat clearing functioning among their other .ualities. Needlin* se>uence' manipulation and stimulation The needling se.uence is of ma1or importance in this combination. -ince the whole idea is to propel the energy along the meridian in the desired direction, we ha!e to stimulate the points in the appropriate order. (y needling these points in succession, we propagate both the needle sensation and the effect towards the oriented direction. The fact that &eiting is needled before Iiangu is because &eiting is a stronger point than Iiangu and therefore plays a more important role in the 2see saw2 balance of the combination. The points are naturally manipulated in a reducing, or sedating techni.ue. This may be either the anti clockwise rotation of the needles, or pull thrust maneu!ering. When an e0cessi!e hot condition is obser!ed, it is possible to perform the 2Cooling the -ky2 techni.ue. (y this techni.ue the needle is inserted rapidly to the desired depth and then forcefully raised up a fraction, then gently inserted again. This manipulation is repeated si0 times. The procedure is repeated at three different le!els, from the deepest to the most superficial position, until the patient senses coolness. This is e0actly the opposite procedure to 2burning the mountain2 which was described under the pre!ious combination *<<+. As a rule, for sedation purposes the needle manipulation re.uires stronger mo!ements by the practitioner, with larger amplitude and angles than the tonifying manipulations. $n shallow surfaces it is often sufficient to point the needle tip along or against the energy stream, in order to tonify or sedate, respecti!ely. Case history 'rs. -.A., age <=, has suffered from chronic sinusitis for ), years. -he had some < E acute incidents each year, for which !arious antibiotics had been prescribed. Twice she had undergone nasal operations and sinus pumping without long term satisfactory results. -he came to see me three years ago, suffering an acute attack which did not respond to antibiotic remedies. -he had a low fe!er, felt !ery weak and sick and had unbearable pain around the supra-orbital area, especially of her left eye. 'rs. -.A. had a purulent yellow, foul smelling nasal discharge, dry mouth and constipation. (oth her pulse and tongue indicated an e0cessi!e 4amp-5eat condition. 5er pulse was also

weak and indicated her general weakness. 'rs. -. recei!ed si0 treatments. The prescription was built from the abo!e combination, with the addition of >anshu *( ,+. >anshu was manipulated by a dispersion techni.ue, i.e. was punctured in three directions one after the other, and then was left intact. >anshu was chosen due to its local effect, in order to disperse the purulent li.uid around the eyesD orbit. After two treatments 'rs. -. e0perienced significant relief and after the fifth appointment she proclaimed that she was free of all symptoms. 5ence, she was gi!en another treatment to consolidate the effect and the treatment was terminated. 4uring the last three years 'rs. -. suffered one more attack which responded to treatment in the same fashion. )' :IAN+U ; I 7.<5 :IANEI IN! ;E?TRA<5 :IAN IAO ;T 7,< "ain effect and clinical purpose The combination abo!e is a point cluster of the shoulder. %t is fre.uently used to disperse stagnation in the shoulder 1oint and to facilitate the flow of 8i there. The cluster is usually effecti!e in cold stagnation of the shoulder or 4amp (i *cases of fro"en shoulder, perifocal inflammation of the shoulder 1oint etc.+. %t may also be of !alue for traumatic pain from sports or accidents. Point discussion Bianyu in Chinese 2shoulder bone2, is the main point for all shoulder diseases. %ts indications are: to eliminate Wind to remo!e obstruction from the Bingluo, and promote circulation of 8i and blood. to soothe the Boints, relie!e pain and scatter (i. Bianyu is either punctured deeply, with the arm abducted, towards Bi.uan *5 )+, for inflammation of the 1oint bones, or along the deltoid muscle, for 4amp or cold (i, affecting the muscles and tendons. %t is often cauteri"ed with mo0a, by all the !ariations: direct *scarring+ mo0ibustion, the warm needle techni.ue and mo0a on ginger. These techni.ues are applied for Cold, or 4amp-Cold induced problems. 3or the 2fro"en shoulder2 syndrome, Cold penetrating to the bone le!el, one may use the 23ire needle2 techni.ue. (y this techni.ue a long needle is heated by fire, and immediately introduced into the deep le!el of Bianyu, then withdrawn. This techni.ue was already mentioned in the 27ing -huM and the 'ing dynasty physician, Wu 5egao, recommended it for Cold (i of the shoulder. %n any case, utili"ation of mo0a or heat at this point, accelerates the flow of 8i, disperses the cold and damp stagnations and returns the 1oint and muscles to normal functioning.

5owe!er, it is imperati!e to stress that any shoulder inflammation e0hibiting heat condition, *i.e. febrile (i+ should not be treated with mo0a which can undoubtedly aggra!ate the condition. Bianneiling is an e0tra point situated e0actly between Bianyu and the top of the anterior a0illary crease. %ts indications are the same as BianyuJs. Bianliao 2-houlder -eam2 in Chinese, also has e0actly the same indications as Bianyu. %t is more often used for pain located on the posterior aspect of the shoulder, on the route of the -an1iao channel. &eedling these three points together affects the shoulder from three different angles and causes an acceleration of the 8i that passes through this 1oint. The !arious methods of stimulation, when properly applied, deal with the cause and nature of the stagnation accordingly. Needlin* se>uence5 manipulation and stimulation The needling se.uence in this combination is usually related to the site of the pain. %f the pain is in the anterior part of the shoulder, Bianneiling is usually needled first, and then the other two. %f the whole shoulder is painful, Bianyu is needled first, as the strongest point of the trio. (esides mo0a stimulation, of which we ha!e already spoken, the 2cupping2 treatment o!er these points is also fre.uently used. Cupping is generally applied on spots where we need to enhance circulation of 8i and (lood and is widely used in China and in T.C.'. clinics. Also electrical stimulation of these points is often applied, as shoulder problems usually in!ol!e pain. 6lectrical stimulation is usually applied with a dense disperse wa!e, for periods of )= ,= minutes. Cupping is usually applied after needling the points, or o!er the needles, also for )E ,= minutes. When the 2warm needle2 techni.ue is utili"ed, only one needle of the trio is generally cauteri"ed with mo0a. %t is usually the needle that is situated in the most painful site of the shoulder. This is a small !ariation of a techni.ue called 8ici which was already mentioned in the &ei Bing *<E+. Another techni.ue which is often used to disperse stagnation of 8i and (lood and to resol!e pain .uickly, is called 25uici2, and has also been mentioned in the &ei Bing. (y this method a ).E inch needle is inserted and manipulated until 24e.i2 is obtained. The needle is then raised and redirected to the left or right, and manipulated again for / minutes. The needle is then raised and redirected toward another direction and manipulated once again. %t is then raised to a superficial le!el and left intact.

Case history 'rs. 4.(., a teacher by profession, was born in )FE). $n April )G, )FF= she consulted me, complaining of se!ere pain in her right shoulder which hindered her sleep and disabled her right hand pre!enting almost any mo!ement. I ray e0amination at 2 ambam2 5ospital in 5aifa re!ealed e0cessi!e calcium deposits in the shoulder 1oint, hence she had been ad!ised to undergo the calcium pumping operation, as well as steroid in1ections to the affected 1oint. 'rs. 4. was reluctant for such 2ad!entures2 as she e0pressed it, and since she had had a pre!ious successful e0perience in my clinic for another problem, she made an appointment. An e0amination by means of Chinese medicine brought me to the diagnosis of a Cold (i condition in the shoulder, and kidney hypo-functioning *@idney 9ang Iu+. The main signs were: ). 3ear of cold in general and especially a need for warmth around both shoulders. ,. #allid face and lips. /. #ale, wet tongue, with a thin white fur. <. Thin, soft and deep pulse, weak on third position. The only sign which did not match the diagnosis entirely, was the pulse, which should ha!e been tighter. &e!ertheless, % interpreted the thin pulse as a sign of a (lood Iu to some e0tent due to her kidney 9ang Iu condition which pre!ented her from a proper creation of blood. The relati!e weakness and depth of the pulse was due to her kidney weakness. The prescription for treatment was: ight side: Tiaokou *-T /G+, Bianyu *7% )E+, Bianliao *T )<+, Bianneiling. (oth: Tai0i *@ /+, -henshu *( ,/+. Tiaokou is an e0cellent empirical point for acute shoulder pain. %t was inserted toward Chengshan *( E?+ and manipulated for E minutes *<A+. on Bianyu % burnt four mo0a balls on top of the needle, in e!ery treatment session. The three cluster points of the shoulder were manipulated by the dispersal 25uiciM pattern *see abo!e+. This was done prior to the application of mo0a, and in order to disperse the stagnant Cold which lodged in the area. Tai0i and -henshu were chosen to stimulate and reinforce kidney 9ang. %n order to ensure a full impact on kidney 9ang, three mo0a balls were burnt o!er the left -henshu needle. -ince all the 9ang go to the left and all the 9in to the right, -henshu left is also considered to belong to 9ang, and was gi!en an e0tra stimulation there. 'rs. 4. e0perienced significant pain relief following the first session and could sleep the whole night through. After the second and third treatments her condition impro!ed e!en

more and on the fourth, the treatment was performed without mo0a. After the fourth treatment her condition worsened, probably due to a cold change in the weather. 3i!e more treatments were re.uired to establish a full reco!ery, all of them with mo0a. ,' 4EN!C$I ;! &@<5 TAI+AN! ;E?TRA<5 ?IN:IAN ; I8 &<5 +AN! IN!C$UAN ;! ),< "ain effect and clinical purpose This point combination works primarily on the li!er and gallbladder channels and has a strong 9ang, or 3ire reducing action, as well as Wind clearing, especially li!er Wind from the head. As a result of these properties, the combination is widely used to treat hypertension of li!er 9ang, or li!er 3ire origin. %t may also treat headaches, migraine, or pressure behind the eye *glaucoma+ stemming from the same etiology. Point discussion 3engchi is an important point, situated on the gallbladder meridian, below the occipital bone. %t is in!ol!ed in almost e!ery formula that treats headaches, especially of a -hi nature. The point is indicated to eliminate Wind *e0ternal, or an internal li!er Wind+, to pacify the li!er and reduce 9ang 8i, to clear the mind, brighten the eyes, to benefit the ears and to reduce heat. 3engchi is usually punctured toward the eyeball of the opposite site, with care not to point the tip upward, the direction of the medulla oblongata. -ince its use is most often indicated to calm hyperacti!e 9ang or sedate Wind, it is manipulated to sedate by a leftward twirling, or forcefully withdrawing and gently thrusting back. 3engchi is often combined with 5egu *7% <+ for !arious headaches and this is a basic combination for headaches. 5egu has a strong effect on the face, forehead and the anterior half of the head, whereas 3engchl has the same effect on the posterior half. (oth points therefore, circulate the 8i and (lood of the whole head and disperse Wind and stagnation. Taiyang is an e0tra point situated on both temples. %ts indications are also to disperse Wind and 5eat from the head and eyes. %t is often used for migraine headaches, red and painful eyes, fe!er or high blood pressure. Taiyang has a close relationship to the :allbladder meridian, firstly because of its location, as well as its functioning. %t is punctured up to a depth of one cun perpendicularly and it is often pricked with a triangular needle to release a few drops of blood. This is usually done in acute conditions,

in!ol!ing pain, heat, se!ere inflammation, etc. Iin1ian also has similar properties. %t is widely used to reduce li!er 3ire, but it is located on the other end of the body, i.e. the foot. (esides draining the e0cessi!e li!er 3ire, Iin1ian is also said to spread the stagnant 8i of the li!er. This is usually a heat stagnation, which is one of se!en stagnations that e0ist in classical Chinese medicine: stagnations of 8i, (lood, 4ampness, Cold, 5eat, #hlegm and 3ood *<?+. This stagnation of heat often in!ol!es the blood too, as it causes the blood to coagulate. -ince blood and heat both ha!e a close physiologic link with the concept of li!er in T.C.'., it is not surprising that hypertension in its most common etiology, is treated !ia the li!er or :all meridians. Iin1ian therefore, is an important point for this disorder, as it treats both heat and stagnation. 9anglinchuan also has the ability to cool li!er heat, as well as to clear dampness. %t regulates and benefits the li!er and gallbladder and strengthens the tendons, sinews and bones. After analy"ing each point in the combination, it is clear that this point combination is built on the concept of mutual assistance. Actually, all the mentioned abo!e points ha!e the .uality of lowering 9ang, and subduing li!er 3ire. The most fre.uently encountered etiology for high blood pressure in T.C.'. is hyperacti!e li!er 9ang. This pattern usually in!ol!es symptoms such as: headache, glaucoma, red eyes and face, di""iness, tinnitus, etc., all of which are !ery common in the modern concept of hypertension. According to Chinese medical philosophy, when the li!er lacks 9in 8i *due to a kidney deficiency, most often+, or blood *due to spleen deficiency+, or its 8i stagnates due to other causes, it creates heat. 5eat tends to climb up, or float to the head region, !ia the gallbladder meridian, which is the li!er coupled meridian, or !ia the internal branch of the li!er meridian itself. The heat rushes up the blood, thus creating the hypertension as well as the accompanying symptoms.

Needlin* se>uence' manipulation and stimulation The needling se.uence in this combination is from abo!e downward, in order to lower or bring down li!er 9ang. %t is therefore necessary to use the head points first, in order to sedate li!er 3ire or Wind in the head region, then Iin1ian which is more important for this purpose and finally 9anglingchuan. 'anipulation of the needles is effected to sedate li!er 9ang and therefore, the amplitude

and strength should be as high as the patient can tolerate. &e!ertheless, care must be taken in cases ha!ing a fragile constitution, or a pattern which includes a Iu condition, at the same time. %n this case the practitioner must assess which is predominant, the -hi or the Iu condition and stimulate accordingly. %t is also ad!ised, in any case, not to be too !igorous with the manipulation at the first session. As we ha!e stated before, in cases which in!ol!e an acute head or eye pain, with inflammation or 3ire signs, it is possible to bleed Taiyang and release a few drops of blood with the prysmatic needle. $erbal e>ui0alent The effect of this point combination may be compared to the use of -pica #runella Hulgaris *Iia @u Cao+, together with 3los. Chrysanthemi 'orifoli *Bu 5ua+. The first herb is cold in nature and acrid and is used to clear the li!er and brighten the eyes. Hery much like Taiyang and Iin1ian. The latter herb is slightly cold and bitter and is used to disperse Wind and clear heat. %t therefore clears Wind-5eat in the li!er channel and pacifies the li!er and relie!es headache, di""iness, red and painful eyes, etc. %ts action resembles that of 3engchi. The two herbs together are therefore classically used for headache, di""iness, !ertigo, painful and red eyes and high blood pressure. Case history 'r. :., age <A a businessman, has suffered for the past eight years from hypertension and occipital headaches. 4uring this period he has regularly taken hypotensi!e drugs *E= mg Con!ertin+, which ha!e ad!ersely affected his se0ual abilities. With the drugs, his blood pressure was )<=;))= 5g. 'r. :. had a shiny red face, red eyes and darkish lips. 5e spoke loudly and was !ery talkati!e. 60amination of the tongue re!ealed red rims, and a slippery yellow coating. 5is pulse was moderate and first and second positions of his right hand were -hi. %t was apparent that 'r. :. had an e0cess heat condition. The problem was whether it was of li!er 9ang origin, or stomach 3ire. As neither of these possibilities in!ol!ed other symptoms, it was decided to clear the heat from the 9angming system through a combination renowned for this purpose. The combination is: 8uchi *7% ))+, >usauli *-T /A+ &eiting *-T <<+. Actually, the 9angming channel was chosen to operate upon because of the pulse, which showed predominance on the right :uan position. A few treatments were carried out by this method, but the patient showed no impro!ement. The diagnosis was then reconsidered, and changed to hyperacti!e li!er 9ang. The pulse

abnormality was thence interpreted as an o!eracti!ity of the right li!er channel, rather than both channels, a fact which has shown itself on the right hand pulse. The formula for treatment was thus changed to the following: 3engchi *: ,=+, Taiyang, Iin1ian *7%H ,+, 9anglingchuan *: /<+, 8imen *7%H )<+ on the right side only, and 3uliu *@ ?+. All points, e0cept 8imen and 3uliu, were sedated in a broad angle twirling and raise thrust manipulation. 8imen was manipulated in an e!en manner, in order to regulate li!er 8i and 3uliu was tonified so as to tonify kidney 9in. After the first treatment, 'r. :Js blood-pressure decreased to )<=;)== 5g. and after fi!e more treatments to )<=;F= 5g. 5e was ad!ised not to take any more hypotensi!e drugs, ad!ice which he accepted readily, and his blood pressure remains stable. -ince 'r. :. was not prone to anger, he was only ad!ised to regulate his diet, to e0clude 9ang nourishing foods *coffee, sea food, fried food, pepper, alcohol, etc.+ and to tend his business in a more rela0ed manner. .' =UC$I ; I 77<5 ?UE$AI ;SP 7@<5 CAI!UAN ;T .< "ain effect and clinical purpose The abo!e point combination is widely used to treat skin disorders, mainly characteri"ed by heat and Wind of either internal or e0ternal origin. These disorders include allergic skin reactions, !arious types of ec"ema, rash, hi!es, and other conditions. With added points like 9inlingchuan *-# F+, or -anyin1iao *-# A+, it may also treat skin conditions in which 4ampness e0ists, i.e. weeping ec"ema, furunculosis, etc. Point discussion 8uchi is the most effecti!e point for skin diseases, especially those characteri"ed by wind and heat. %ts traditional functions are: ). 6liminates Wind and e0terior conditions. ,. Cools heat and alle!iates 4ampness. /. egulates the (lood. 8uchi is situated on the large intestine meridian, a meridian most of whose functions deal with e0terior conditions or with the outer layers of the body, such as: skin, muscles, etc. As its most pronounced function is to eliminate heat and therefore it is used in cases of fe!er, and since it is !ery influential at the skin le!el, 8uchi also remo!es heat from the skin. (y remo!ing heat from the skin, it impro!es Ching % *fluid+ circulation at the cellular le!el, thus facilitating skin nutrition. 8uchi is also an important point to clear heat from the blood. We know that the large intestine meridian carries the largest amount of blood in comparison with other meridians,

as it belongs to the 9angming system. As a result of this fact, 8uchi is able to act directly on the blood, regulate it and drain e0cess heat therefrom. %n this regard, we should bear in mind that many skin diseases are the result of 2heat entering the blood le!el2, according to T.C.'. theory. The heat in the blood concept may be paralleled to the western concept of to0ins in the blood. This phenomenon of to0ins is of a hot energetic nature, often manifesting itself as red skin eruptions of !arious kinds. %n its most e0treme !ariation it is defined e!en in T.C.' as N3ire-to0inM. This definition is often attributed to the western medical diseases such as furunculosis, purulent abscesses and the like. Iuehai 2-ea of blood2 in Chinese, is situated on the spleen meridian. The -pleen go!erns the circulation of blood *i.e. keeps the blood in the blood !essels+ and go!erns the !olume of blood, as it stimulates its creation. Iuehai therefore, is the point which ser!es to regulate and in!igorate blood circulation, on behalf of the spleen. %n its indications Iuehai is said to harmoni"e blood and 9ing 8i *the nourishing 8i+ and to cool heat. %n accordance with these .ualities Iuehai is used to tonify blood, impro!e its circulation and drain e0cessi!e heat from it. Waiguan is used in this prescription for its .uality to relie!e e0terior and hot conditions. %t is called the 2$uter :ate2 in Chinese and thus ser!es as a gate keeper against e0ogenous pernicious influences. Traditional Chinese 'edicine teaches that in order to control wind, the blood must be first regulated. Wind subsides by itself when normal blood flow is restored, i.e., it is e0pelled naturally when it has nothing to cling to. NThe use of Iuehai and Waiguan for in!igorating the blood and dispersing the wind, combined with 8uchi for clearing the heat, is an important combination of points for treating the itching due to stagnation of Wind and 5eat in the skin.2 *<G+.

Needlin* se>uence5 manipulation and stimulation The needling se.uence in this combination is from the upper limb to the lower limb. This follows the general acupuncture rules accordingly: ). :enerally apply needles first to the upper parts of the body and then to the lower parts. ,. 3irst apply to points situated on the back and then on the abdomen. /. Apply needles first to the left side and then to the right side. 'anipulations of the needles are, in most cases, in order to disperse wind and heat, which are -hi conditions. %n any case, Iuehai may sometimes be tonified, when the blood is 0u, or dry, or more often, be manipulated e!enly so as to tonify the blood and at the same time drain the pathogenic heat. %n !ery acute conditions it is possible to bleed these points with the triangular needle, but it should not be done too often, as it might damage both 8i and (lood.

$erbal e>ui0alent The functions of Iuehai are !ery similar, in many aspects, to those of adi0 ehmainia :lutinosa *-heng 4i 5uang+. This herb has these properties: ). Clears heat and cools the blood. ,. %ndicated for cases of hemorrhage, where heat has penetrated the blood le!el *in cases like e0cessi!e menstruation and premature menstruation, for which Iuehai is also indicated+. /. &ourishes the 9in and the blood. The whole point combination may be compared to a classical herbal prescription that has about the same properties. it includes: ). #eriostracum Cicade *Chan Tui+ ,. 5erba 'entha *(o 5e+ /. adi0 ehmania :lutinose *-heng 4i 5uang+ Chan Tui and (o 5e belong to the cooling herbs that relie!e e0terior conditions. Therefore their main acti!ity is to disperse wind and clear heat. (oth of them are also used to speed reco!ery in measles, as they are said to encourage rashes to rise to the surface. -heng 4i 5uang, as mentioned abo!e, acts on the blood le!el. (y tonifying the blood it assists in dispersing Wind conditions and by cooling the blood it remo!es the basis for any skin hot conditions. Case history 'iss $.-., age F, has suffered for one month from a pruritic rash on her right costal surface, anteriorly and posteriorly. Harious allergic e0aminations did not re!eal any special sensiti!ity and local application of ointments had not impro!ed her condition. 8uestioning re!ealed that the rash had appeared suddenly and that it was !ery itchy. $bser!ation showed that the rash consisted of tiny red points, gi!ing the impression of sand on the skin. %t also showed a red rimmed tongue with a !ery thin white moss. The diagnosis was an e0ternally contracted Wind-5eat, affecting the li!er;gallbladder meridians. *Wind- ash, in Chinese+. The fact that the rash appeared only on the surface of the right rib cage, along with the red rimmed tongue, pointed to the in!ol!ement of the li!er and gall meridians. The sudden

appearance of the disease, together with its red color, plus the thin white coating of the tongue, indicated an e0ternally contracted Wind-5eat. The formula chosen for treatment was: 8uchi *7% ))+, Iuehai *-# )=+, Waignau *T E+, Talchong *7%H /+, -anyin1iao *-# A+. Taichong and -anyin1iao were added to the prescription in order to resol!e stagnation of the li!er and hasten the reco!ery. This is another well known point combination, used to promote the function of the li!er and spread 7i!er 8i. After two treatments which were carried out on two consecuti!e days, there was no itchiness at all and the rash had significantly diminished. After the fifth treatment the problem was entirely resol!ed.

/' NEI!UAN ;P /<5 TA IN! ;P 1<5 IE$C$UE$ ; 1< "ain effect and clinical purpose This point cluster helps facilitate the flow of 8i and blood to the palm and fingers. %t is used in cases of 'etacarpal Tunnel -yndrome, where 8i and (lood are blocked in the matacorpal 1oint tunnel and the symptoms e0hibit numbness, pain and weakness of the fingers. #oint discussion &eiguan is the most important point on the pericardium channel. %t is mainly used to treat chest or abdominal problems and its functions spread from regulating the stomach acti!ities, to impro!ing blood circulation in the heart. $ne of its manifold characteristics is to regulate the 8i. The fact that it belongs to the pericardium li!er system, the Chueh 9in energetic segment, suggests that it is also closely linked with blood circulation problems. *%n fact some authors call the pericardium meridian 2Circulation -e0 meridian2+ *<F+. As a tribute to its anatomical location near the metacarpal tunnel, it influences 8i and blood circulation in this area. 4ue to its ma1or role in impro!ing blood circulation in general, &eiguan has a double effect on this area: one merely as a local effect and the second as an influence on systemic circulation in the whole body. Another uni.ue characteristic of &eiguan is that contributing to its anatomical location abo!e the medial ner!e of the arm, it is !ery easy to propagate the needle sensation as far as

the finger tips. As 'etacarpal Tunnel -yndrome usually e0hibits numbness of the middle finger, or e!en of the other fingers too, we can manipulate &eiguan to transmit a clear sensation to those fingers, thus facilitating the flow of 8i and blood up to the desired foremost target. Taling has much the same characteristics as &eiguan, with one ad!antage o!er the latter. %ts location is e0actly abo!e the metacarpal bones and 1oint, a fact which makes Taling a barrier point for this area. %ts needle sensation is also most often felt through to the finger tips, and puncturing this point has a direct effect on the 1oint tunnel itself. Taling has a more cooling effect than &eiguan. %t is a point often used to clear 5eart 3ire and resol!e heat in the meridian or the organ. %n many cases 'etacarpal Tunnel -yndrome also e0hibits heat symptoms due to the pressure of the stagnation there. The use of Taling is !ery beneficial for such a condition. 7iehchueh is the 7uo point, or connecting point of the lung meridian. The connecting channel of the lung, after lea!ing the main lung channel at point 7iehchueh, tra!els to the large intestine meridian and connects with it at point #ianli *7% A+. Another branch follows the lung meridian into the palm and spreads there through the thenar eminence. 4ue to its course, 7iehchueh is also used for wrist 1oint problems or abnormalities of the palm, such as: pain, hot palms, ec"ematous or numb palms. 7iehchueh needs to be punctured with the tip of the needle pointed toward the thumb, for maladies of the palm. The needle sensation must follow the route of the lung meridian or to spread into the palm. %n this point combination we can see that besides its .uality as a point cluster, there is a combination of two points, Taling and &eiguan, whereby each enhances the action of the other. Thus, there is the principle of mutual assistance as well as the facilitation of the normal flow of 8i and blood that any point cluster would achie!e. Needlin* se>uence5 manipulation and stimulation The order of needling these points is from &eiguan to Taling, so as to follow the ordinary flow of 8i in this meridian. These are also the more significant points of the trio and the pericardium meridian is more significant than the lung meridian for this prescriptionJs purpose. 7iehchueh is punctured last. As was hinted abo!e, after 4e.i has been obtained, needles must be pointed towards the palm and manipulated in dispersion so as to cause needle sensation to tra!el downwards toward the fingers. %n 'etacarpal Tunnel -yndrome, where specific heat signs are absent, it is recommended to apply mo0a stimulation on the points after needling. %n se!ere cases, direct mo0ibustion is usually applied and scars are formed. %n less se!ere conditions it is possible to lay the mo0a cones, the si"e of beans, on a thin layer of fresh ginger *-heng Biang+. The layer is punctured through, in order to allow the heat to penetrate easily and the cones are placed one after the other, until the whole area becomes red.

Another techni.ue ad!ocates the use of white pepper mi0ed with flour to make a paste and spread o!er the point. The thickness of the layer should be =.) inch, and a hole is made in the center. A mo0a cone is set upon it and ignited. This method is indicated usually for numbness and stiffnss, and is most suitable for the 'etacarpal Tunnel -yndrome *E=+. Case history 'rs. $.T., age /E, is the owner of a goat farm and she is also the mother of case history number E * see abo!e+. A year and a half prior to her first !isit to my clinic, she began e0periencing numbness along the anterior medial aspect of her right arm, e0tending towards her fingers. %t was more pronounced at night, while sleeping. 7ater, she e0perienced pain when numbness reached its clima0. %n the last few weeks she started ha!ing the same phenomena, though to a much milder e0tent, in her left hand too. outine checks at &ahariya 5ospital re!ealed no signs on her cer!ical !ertebrae, where they had pro1ected their suspicion. The diagnosis gi!en was of a 'etacarpal Tunnel -yndrome and she was ad!ised to undergo an operation. $n .uestioning, 'rs. $.T. re!ealed that sometimes when she awakens in the morning, she senses a sharp prick in her heart region, e0periencing difficulty in breathing deeply, for a while. The sensation then disappears. 8uestioning also re!ealed that she is in the habit of milking her goats for many hours and that she rides a motorcycle in the fields. $bser!ation re!ealed a red tipped tongue with red points and red rims. -he also had peeled areas. 5er right palm was dry and ec"ematous, she said that she had been told that it was a fungal infection, but it did not respond to medications. % diagnosed her condition as follows: ). A pre e0isting state of slight heat stagnation of the pericardium which ga!e rise to the shape of the tongue, to the stabbing pain in the chest, and to disturbances along the pericardium meridian. ,. 5ard labor of milking had strained the brachial muscles, especially the fle0or group. This strain had impeded the flow of 8i and blood to the palm and had laid an e0tra burden on the pericardium channel. /. 4ue to impeded flow of 8i and blood to the palm, the palm became dry, undernourished and had de!eloped the ec"ema. The reason for aggra!ated numbness at night, was that rest hindered the flow of 8i and blood e!en more due to lack of mo!ement or acti!ity, thus making the numb sensation more pronounced. The treatment was constructed from the three cluster points, plus Tan"hong *CH )?+.

Tan"hong was utili"ed to build the formula due to its task as the 'u point for the pericardium. %t has a strong influence on blood circulation and is said to propel 8i in the Lpper (urner, thus enhancing blood formation and 8i and blood circulation *E)+. (y choosing Tan"hang, % dealt with the local carpal stagnation, as well as assisting from afar by !iewing the local problem in its holistic background. After needling &eiguan % applied se!en mo0a cones on the point, using a layer of a paste made from flour and white pepper underneath. After se!en treatments o!er a two weeks period, 'rs. $.T. impro!ed by F=O as she proclaimed. About one year later she came to me again, saying she was afraid that her pre!ious symptoms were returning. -he was then gi!en four more treatments, after which she felt better again. 1' :IAN+U ; I 7.<5 OUC$I ; I 77<5 $E!U ; I ,< "ain effect and clinical purpose This fre.uently used point combination has been de!ised in accord with the principle of choosing points on the same meridian, for mutual assistance. %t is used in many different problems of the arm, in!ol!ing the shoulder, arm, hand and fingers. %ts main use, howe!er, is to in!igorate the flow of 8i and blood in the upper limb, for problems such as painful (i syndrome of different etiologies, or paralysis. The fact that all these points are situated only on the large intestine meridian and not on one or more of the other fi!e meridians of the arm, is because this meridian is known to ha!e the richest supply of 8i and blood *together with its 9angming counterpart, the stomach meridian+. The &ei Bing states: 2When treating flaccidity of the limbs *Wei syndrome+, use points only from 9angming2 *E,+. Point discussion As stated abo!e, all the three points are situated on the large intestine meridian and are considered important points. The title of important points is usually gi!en to those points which ha!e a broad spectrum of acti!ity and that play a ma1or role in many formulae. All three ha!e in their indications .ualities such as: in!igorating 8i and blood circulation, remo!ing obstruction from the Bing 7uo, relie!ing pain, scattering (i and the like. (y choosing these three points, we combine their abilities to assist each other and to ha!e a mutual impact on the disease, which is far better than any one of them alone.

The fact that all the three are situated on the same meridian, enables each pointDs sensation to tra!el to the ne0t point and thus propagate the needle sensation along the whole limb. When needle sensation is propagated, so is 8i and thereafter blood. There is a saying in T.C.'. that 2Acupuncture is only effecti!e when the 8i reaches the affected area2. 'any contemporary researchers ha!e !erified this concept. They also found a significant correlation between the degree of induced propagated needle sensation, and therapeutic success *E/+. As we ha!e mentioned abo!e, the &ei Bing has recommended the use of the 9angming system for diseases characteri"ed by flaccidity, numbness and hypertrophical features. The fact that the 9angming has been recommended for such tasks is due to its abundance of 8i, and especially blood. ecent researchers in China ha!e !erified for instance, that the use of these points in a C.H.A. se.uelae, like hemiplegia, has no substitute. The reasons are those mentioned abo!e. 5emiplegia, as an e0ample, is a paralysis of half of the body, caused by blood stasis *or hemorrhage+ in the brain. This stagnation has caused a 8i and blood circulatory impediment and in fact a real blockage in half of the body, usually longitudinally. Thus, these three points *among other points+, are manipulated to in!igorate the blocked circulation and return the limb to its normal function. (y the same token, these points help eliminate pain caused by a Iu condition like paralysis, or a -hi condition such as painful obstruction of the 1oints. The only difference is in the techni.ue of stimulation and in the combination of other points within the formula. Needlin* se>uence' manipulation and stimulation The needling se.uence in this combination is usually performed in accordance with the nature of the disease. %n Iu conditions, when paralysis, numbness or weakness of the arm and fingers e0ists, the needling se.uence is applied from Bianyu to 5egu. This is done in order to dri!e the 8i sensation toward the fingers which, in most cases, are in a worse condition. %n painful -hi conditions 5egu is most often punctured first due to its generali"ed analgesic effect, followed by the rest of the points. %t is, ne!ertheless, possible to start with Bianyu, especially if there is a marked stagnation there. %n the conditions of paralysis or atrophied muscles, the stimulation is by tonification. The method of tonification !aries, but in most cases it is a strong tonification for two reasons: A. The paralytic state of the limb does not allow a satisfactory 4e.i sensation in many cases, if the manipulation is too weak. (. This is a se!ere condition which generally will not respond satisfactorily to a mild stimulation. %n this conte0t we may compare the amount of stimulation, or degree of needle manipulation, to a measured dose in medication or a herbal formula. %n se!ere conditions the dose will generally be increased. The difference howe!er, between acupuncture and

other remedies, is that only a well e0perienced practitioner is able to de!elop the 2touch2 or sensiti!ity for the right amount of manual stimulation. %n orally taken remedies the dosage is measurable and recommended in the formula. %n many cases of Iu conditions, especially the most se!ere or those in which cold is a part of the condition, the preferred type of tonification is the 2(urning the 'ountain2 *E<+ techni.ue, which was discussed under case number ) in this chapter. Iu conditions of the upper limb are !ery often treated with mo0a too. The warm needle techni.ue is highly recommended, as it warms the channel, tonifies the 8i and accelerates its flow. 'assage techni.ues, Tui &a with warming and acti!ating oils and ointments, are also !ery popular and widely used. The massage is carried along the limb meridians, with rubbing and pinching, and scraping mo!ements, pressing on the acupressure points and acti!ating 8i and (lood. 3or such conditions also the plum blossom, se!en star hammer needle is applied by tapping it along the meridians, until the whole route is reddened. %n -hi conditions, such as painful (i of the shoulder, elbow, carpal and phalangeal 1oints, the needle techni.ue is in sedation and dispersion. The needle is inserted against the energy stream of the channel or manipulated in sedating procedures, or in the 5uiCi techni.ue which was described earlier in this work. Cupping is also applicable, as it drains e0cess and disperses stagnation. Also electroacupuncture is possible, usually combining two points from the trio in a disperse wa!e. Case history 'r. :., age A/, a barber by profession, left handed, had, a month before he came to see me, a marked decrease in the power of his left hand, fingers and leg. 5e had a sudden decrease of mental acuity, of his usual sense of humor, as well as physical abilities of hand and leg. 'r. :. had to cease working in his barber shop, since he was left handed. A week before coming to me, he suddenly felt !ery unwell and almost lost consciousness. 5e could not speak properly, and suffered a staggering headache. 5e was taken to &ahariya 5ospital where he underwent a C.T. scan of the head. The diagnosis was a cerebro !ascular infarct in his right brain lobe. Lpon e0amination it was ob!ious that he had significant difficulty in mo!ing his left fingers freely and his gait was a little clumsy. 5is tongue was big, red and peeled. The pulse was moderate and big at the Cun and :uan positions. 'r. :. confessed to a long history of moderate hypertension. 'y diagnosis was a basic -hi condition of li!er 9ang, complicated by a Iu condition, after the brain damage had occurred.

The treatment principle was, therefore, to in!igorate the flow of 8i and blood in his left hand and leg, subdue li!er 9ang and in!igorate the blood circulation in general. The points chosen for these purposes were: Bianyu *7% )E+, $uchi *7% ))+, 5egu *7% <+, (a0ie *e0tra+, (iguan *-T /)+, >usanli *-T /A+ all in the left side only and, Taichong *7%H /+, -anyin1iao *-# A+, Iuehai *-# )=+ bilaterally. Bianyu, $uchi and 5egu were manipulated in a strong tonification. (a0ie, are eight points situated between the knuckles of the fingers. These were stimulated in order to facilitate the flow of 8i and blood in the fingers. (iguan and >usanli are a combination of two points on the leg 9angming channel, and the principle of their choice and use is e0actly the same as for the three 9angming points of the arm. Taichong and Iuehai act on the blood le!el, in general. Taichong reduces li!er 9ang and impro!es blood circulation by facilitating li!er 8i and IuehaiJs role in blood disorders has already been discussed in case &umber E of this chapter. 'r. :. felt mental impro!ement after the first treatment. 3ollowing this treatment he ne!er again e0perienced any episode of losing consciousness or difficulty in speaking. After the third treatment, which took place during the same week, his leg returned to normal and he had lost his clumsy gait. After the se!enth treatment his hand and fingers regained their normal fle0ibility and strength. 'r. :. was ad!ised to come once a month for a check up for his li!er 9ang and was consulted about his way of life for the same purpose. 2' S$AO6E ;SI 7<5 TAN6$ON! ;C8 71<5 RU!EN ;ST 72< "ain effect and clinical purpose This point combination was mentioned in the 2:reat Compendium of Acupuncture and 'o0ibustian2 *>hen1iu 4acheng+ written in )A=) in China during the 'ing 4ynasty by 9ang Bi"how *EE+. -ince those ancient times the rele!ance of the combination has not diminished and its !alidity ser!es us today e.ually well. The combination is suitable for all breast diseases, especially those of a -hi nature. %t is used with great efficacy in cases of breast abscess, mastitis, benign tumors of the breast and the like. This same formula is also utili"ed in mastosis or agalactia *insufficient lactation+ which are primarily Iu conditions. Point discussion

-hao"e is the Well point of the samll intestine meridian and its main indications show: ). 4isperses Wind and 5eat. ,. 3acilitates the flow of milk in the breast. %ts first indication, which is in accord with its role as a Well point, makes it useful in acute conditions of febrile diseases, coma etc. %ts second indication points to its soothing effect on the breast. The breast is where milk is originates and is produced in the female body. %t is anatomically located in the Lpper (urner, where blood is also produced. 'ilk, according to Chinese medical theory, is made of se!en parts blood and one part 8i *EA+. The mechanism of milk production in the female body, is closely related to the functioning of the Chong 'ai *the e0tra meridian which is also called the -ea of (lood+ and which tra!erses the breasts *E?+. The -tomach meridian also tra!erses the breasts and this meridian too, as we know, is !ery rich in blood, thus both meridians nourish the breasts. The close location of the breasts to the lungs and lung meridian, permits the access of 8i from the air to the blood of the breasts. Thus the intermingling of 8i and blood in the proper amounts, make the formation of milk possible. -till, in order not to accumulate and become stagnant, milk needs a harmoni"er which will acti!ate and super!ise its flow. 3or this purpose li!er 8i is responsible, for two reasons: This is the main task of li!er 8i in the whole body, as the li!er is responsible for the free flow of 8i anywhere in the body. The li!er meridian itself tra!erses the breasts. 'ilk flow, therefore, is !ery dependent on the free flowing of li!er 8i, in the same manner as blood flow *like menstrual flow+ is also dependent on li!er 8i. *&ei Bing: N8i is the ruler of (lood2+. When li!er 8i stagnates due to emotional problems, then blood and;or milk tends to stagnate too. %n nursing mothers, this stagnation causes heat *due to the pressure+ and then mastitis, breast abscesses, etc. -hao"e, both due to its milk flow facilitating .uality, as well as its heat dispersing .uality, is a first choice point for such problems. Tan"hong was partially discussed in this paper under case history number A. %t is the master point of the Lpper (urner, and the 'u point of the pericardium. %ts stimulation sets in motion the Lpper (urner 8i, in order to eliminate stagnation in the Lpper (urner. %t thus helps facilitate the function of the lungs, aids in dispersion of phlegm in the chest in cases of asthma, facilitates the flow of heart 8i and resol!es angina pectoris, circulates the 8i of the breasts and eliminates stagnation there. %n accord with these .ualities, Tan"hong was selected for this combination.

%n cases of agalactia due to a Iu pattern, Tan"hong is stimulated with mo0a, to tonify the acti!ities of the Lpper- (urner for milk production. ugen is situated in the fifth inter-costal space, directly below the nipple. 4ue to its location in the !icinity of the breast and to its belonging to the stomach meridian, its function is to regulate the breast. ugen, therefore, assists either by tonification in Iu conditions or by sedation in -hi conditions of the breast. The combination, as we can see, was based on the principle of 1oining points which can assist each other by influencing the same organ. -hao"e and ugen are specific points fo0 breast problems, while Tan"hong is the most powerful point in the !icinity of the breast. Tan"hong has some systemic influences in addition as we ha!e seen abo!e, influences that help regulate breast functioning through general physiological functioning. Needlin* se>uence' manipulation and stimulation Lsually, -hao"e is first punctured so as to direct the influence of the treatment to the breast. Then Tan"hong is stimulated due to its prime importance and then ugen. -hao"e is punctured ) , fen deep, slantingly, in the direction of the wrist. Tan"hong is punctured either pointed upward or downward, until 4e.i is obtained. When this is done, the needle is lifted to the skin le!el and redirected towards the diseased breast. 'anipulation of the needle is then performed by twirling and lift thrusting mo!ements, allowing the sensation to pro1ect to the breast. %n cases of abscesses or mastitis, it is imperati!e that needle sensation should pro1ect inside the diseased breast. %f both breasts are diseased, the same procedure is applied to the other breast as well. %n Iu conditions of the Lpper-(urner leading to agalactia, the use of mo0a is !ery beneficial. %t is possible to apply direct mo0ibustion, taking proper care not to cause a scald. %t is possible to warm the point with a mo0a stick or by indirect mo0ibustion on a thin ginger layer. %t is forbidden to stimulate Tan"hong with electricity, or cupping, as it may ha!e an ad!erse effect upon the heart. Actually there are some te0ts that forbid the stimulation of this point e!en by acupuncture, and recommend only the use of mo0a *#oints of Chinese Acupuncture by 4r. B. 7a!ier, or Chinese Acupuncture by 4r. Wu Wei #ing for instance+. %n any case, contemporary e0perience in China strongly ad!ocates acupuncture in this point, plus mo0ibustion. With ugen, the procedure of needling is the same as with Tan"hong. After obtaining the 8i the needle is directed pro0imally toward the breast and then manipulated. $erbal e>ui0alent This point combination, especially when performed in order to soothe -hi patterns, resembles a herbal prescription generally used to treat the same disorders. ). #ericarpium Citri eticulata *8ing #i+ ,. -emen Haccaria *Wang (u 7iu Iing+

/. adi0 -al!ia 'iltihorri"a *4an -hen+ This herbal prescription is used to treat pain and swelling of the breasts, palpable masses or lumps in the breasts, due to congealed blood or constrained 8i. %t is also used to promote lactation. 'uch like the point-combination, it is a basic prescription, on which other herbs are usually added according to the !arious necessities of any specific case. 8ing #i is a ma1or herb to regulate the free flow of li!er 8i. %t reduces 8i accumulations due to constrained li!er 8i in the breasts and therefore alle!iates pain and distension. 4an -hen in!igorates blood flow and breaks up congealed blood. %t may be used also for palpable masses in the chest, cysts and lumps. 4an -hen also clears heat and may be used therefore to treat breast abscess due to heat stagnation. Wang (u 7iu Iing, with its .ualities regarding the breasts, may be ade.uately compared to point -hao"e. %t also promotes lactation and treats breast abscesses and swellings. The meridians it enters are those of the stomach and li!er, e0actly the same meridians that play such a large role in breast physiology. This formula, when tonifying herbs such as radi0 Astragali *5uang 8i+ are added to, may be used to treat agalactia due to 8i Iu conditions which ha!e led to constrained 8i. $n the other hand, when herbs like Tara0acum *#u :ong 9ing+ are added, it may treat breast abscesses, due to fire and poison origin and constrained li!er 8i. Case history 'iss @., age ,?, a stage actress by profession, complained of a large abscess on her left breast. A month prior to that, she had another abscess on her right thigh, on the path of the li!er meridian near 9inlian *7%H ))+. -he was treated at that time with antibiotics which caused the former abscess to disappear and the new one to appear on her left breast. The antibiotics, she proclaimed, had made her !ery weak, lethargic, and depressed. $n arri!al at my clinic, she had a fe!er and suffered great pain in her left breast, a pain that radiated along the pericardium channel of her left arm. The abscess was large, situated under her left nipple, inflamed and resembled a second red, big nipple. 'iss @.Ds pulse was moderate and choppy, deep and weak. The Cun position on both sides was !ery choppy. 5er tongue was red purple with e!en redder rims. The inside of her eyelids showed a red shaded line on the upper part of the lids a blood stasis indication. %n reply to my .uestion as to whether she had had any problems with her li!er, she said that she

had suffered a se!ere 1aundice fi!e years earlier. Thus, in accordance with all the symptoms and signs, % diagnosed 'iss @. as suffering from li!er heat stagnation, affecting the meridian. The abscess on her left breast was of the 3ire #oison category and also in!ol!ed blood stagnation. This blood in!ol!ement had caused the fe!er and the in!ol!ement of the pericardium channel. The pericardium channel is in continuum with the li!er channel, as a partner in the Chueh 9in segment. The formula for treatment was de!ised as follows: 7eft side: -hao"e *-% )+, Tan"hong *CH )?+, ugen *-T )G+, >ulin.i *: <)+, Waiguan *T E+ (oth sides:8uchi *7% ))+, >usanli *-T /A+. This formula was actually constructed from three well known point combinations. on the first combination there is no need to elaborate, it is sufficient to say that in this case all the criteria e0isted in order to utili"e this combination. >ulin.i and Waiguan are the 'aster and Coupled points of 4ai 'ai the :irdle Hessel. This e0tra meridian harmoni"es li!er and gallbladder acti!ities and its areas of influence are the waist, ribs and chest and the head. 4ai 'ai, as an e0tra-meridian, absorbs e0cess energy from the li!er and gall channels and ad1usts their functioning. 'oreo!er, >ulin.i is indicated for li!er 8i stagnation affecting the breast and that includes mastitis and abscess. Waiguan, in addition to its role as the coupled point of the 4ai 'ai, is the 7uo point of the hand Triple (urner *-an Biao+ meridian. %ts coupled *9in-9ang+ meridian is the pericardium meridian. #uncturing Waiguan may be thus used to di!ert e0cess from the pericardium and to ad1ust its functioning. All this is due to the 7uo pointsD role as a 2tap2 that may be used to balance two coupled *9in 9ang+ meridians. 8uchi and >usanli, both situated on the 9angming segment of channels, drain e0cess heat, relie!e fe!er and in!igorate and regulate the blood. They are therefore widely used in hypertension due to e0cess heat a fact which has already been discussed in this paper. The first session lasted thirty minutes, in which Tan"hong and >ulin.i were manipulated e!ery ten minutes. The patient e0perienced a 2sucking2 sensation tra!eling from Tan"hong to the abscess. 3ollowing the treatment, she e0perienced the same 2sucking2 sensation plus pain along her left arm, for about si0 hours. After si0 hours the abscess burst open and a great deal of pus and blood were discharged. Afterwards, she e0perienced a sudden relief. The pain subsided almost completely, as did the fe!er and the depression. 'iss @. came for si0 consecuti!e treatments thereafter, following which her breast healed completely. 'iss @. came to me a year later for a different problem and while e0amining her % noticed that her breast did not bear e!en the slightest mark of the episode she had undergone.

3' $E!U ; I ,<5 TIANTU ;C8 &&<5 4UTU ; I 72< "ain effect and clinical purpose The point combination abo!e is mainly used to treat conditions in which phlegm has accumulated in the region of the throat, gi!ing rise to problems such as: hoarse !oice, asthma with a sensation of blocked throat, lumps in the throat, goiter etc. Point discussion 5egu is a point which possesses many .ualities, some of which ha!e been discussed in !arious parts of this work and especially under cases numbers , and ?. 5egu was chosen in this point combination due to its key role in the large intestine meridian which makes its route through the neck and throat. We ha!e already discussed the in!igorating .uality of 5egu, which, when stimulated, sets in motion and in!igorates the flow of 8i in this channel, thus clearing any blockages along its route. %n case number ,, for e0ample, the point was utili"ed to unblock stagnation in the area of the nasal sinuses. 5ere, the point ser!es to resol!e phlegm, or #hlegm-3ire, or 4amp #hlegm in the region of the throat, conditions that may cause, if untreated, gra!e problems in that area. 4ue to 5eguJs other .ualities it may be used 1ust as well for e0ternally contracted dampness that has transformed into phlegm, or an internally originated #hlegm. We already know that 5egu is a first choice point for e0ternally contracted situations. That may include in fact all the patterns. Wind, 5eat, Cold, 4ampness, plus any combinations of them. %nternally, 5egu is the 9uan point of the large intestine, therefore in close relation with the organ itself. The large bowel is responsible for eliminating to0ins and waste through the lower orifice and thereby, 5egu plays an important role. 'oreo!er, 5egu also belongs to the 9ang 'ing system and thereby, e0erts an influence o!er the stomach too. -ince we know that the stomach;spleen malfunctioning is responsible for phlegm creation, we can imagine how 5egu may ha!e an influence on the internal origins of phlegm. Tiantu is probably the most important symptomatic point in the case of asthma. %t is located in the base of the throat and forms the barrier between the trunk and the head region. %n this area, people sometimes feel a sensation as if 2something2 is stuck in their throat, a sensation metaphorically related to as 2plum seed2 in Chinese. This sensation is typical of the formation of phlegm accumulations in the throat. -ince phlegm has a dense energy, or 2dirty2 energy, it is stuck in the narrow passages of the throat and blocks li!er 8i, or the 2Clear 9ang2 of stomach 8i from ascending to nourish the brain *EG+. -timulation of Tiantu disperses the phlegm in this area and facilitates both the ascent of 8i to the head and the absorption of air 8i in the lungs.

Tiantu is also indicated when 3ire e0ists in the throat. 3ire may present on its own, but in the throat region it is usually combined with phlegm, creating the phenomenon of #hlegm 3ire. #hlegm 3ire e0ists in cases of throat cancer, abscess, acute goiter, etc. 3utu is also a point on the large intestine meridian and is located on both sides of the neck. %t is combined with 5egu which is on the other end of the meridian, forming the bond of one point in the !icinity of the diseased organ and one distant point. 3utuJs traditional indications are: Coughing and whee"ing, e0cessi!e mucous, difficulty in swallowing, hoarse !oice, and 2duck like2 sounds in the throat. %t is therefore in mutual assistance with 5egu on the same meridian and with Tiantu in the !icinity of the focus of the disease. Needlin* se>uence5 manipulation and stimulation As with other conditions which are basically -hi, needling is initiated with distant points and continued with close points *EF+. 5egu is stimulated in sedation in order to in!igorate the flow of 8i %n the meridian and to disperse phlegm in the throat. Then, 3utu is punctured, to make a continuum with 5egu and take ad!antage of the propagated 8i that 5egu has transmitted upward. Tiantu is lastly utili"ed to produce its effect on the whole area. %n Taiwan % ha!e watched practitioners using the 2warm needle2 techni.ue on 5egu in this conte0t, when there were no heat signs. The idea behind this is that the &ei Bing states that in cases of abundant dampness 2warm needle2 techni.ue is superior *A=+. The logic is that the heated needle con!eys warmth through the point to the meridian. This warmth helps dissipate the phlegm by drying it. % ha!e occasionally used this techni.ue myself with !ery good results. 3utu, in cases of goiter or neck lumps, is sometimes stimulated with indirect mo0ibustion o!er a layer of ginger. This is applied after the point has been needled and the needle is withdrawn right afterwards. %n cases of lumps in the !icinity of 3utu, it is often seen that the lump itself is pierced rather deeply, to follow right afterwards with the indirect mo0ibustion procedure. egarding Tiantu there are two main possibilities. The first is to insert the needle parallel to the sternum posteriorly, until 4e.i is obtained and then to withdraw it. The second is to do likewise, but suspend the needle until the whole treatment is terminated. $erbal e>ui0alent

A herbal formula consisted of the following herbs: ). Thallus Algae *@un (u+ ,. 5erba -aragassi *5ai >ao+ /. adi0 Cynanchi -tautoni *(ai 8ian+ is !ery similar in action to the abo!e mentioned point combination. @un (u and 5ai >ao assist each other in dissipating phlegm nodules in the neck region or they are used together to treat goiter. Their nature is cold and salty and they clear heat and reduce phlegm. (ai 8ian is !ery similar in action to point 3utu and probably Tiantu as well. %t is used to treat phlegm conditions in the throat and to redirect rebellious lung 8i, which means asthmatic conditions. %ts traditional indications also mention that (ai 8ian is effecti!e in treating 2gurgling soundsM in the throat2 which is a sign of accumulation of 4amp-#hlegm,. This indication in particular reminds us of the classical indication of the point 3utu which we ha!e mentioned abo!e, that it treats: 2sounds in throat like a duck2. Case history 'iss -., age ,A, also a stage actress and a close friend of 'iss @. from case history number F, was diagnosed fi!e years before as ha!ing a benign tumor on her !ocal cords. -he e0hibited symptoms of hoarse !oice, a fact that was not at all unwelcome in her profession and a constant sensation of mucous in her throat. -he had an odorless !aginal discharge, occasional stomachache and not !ery fre.uently also nausea. All four methods of Chinese diagnosis re!ealed a state of lung and spleen 8i Iu as a basis for formation of phlegm and the obstruction of her throat by phlegm. 5er pulse was thin, soggy and weak, especially on right Cun and :uan positions. 5er tongue body was slightly flabby and co!ered with a thick, white, transparent and slippery coating. Changmen *7%H )/+ on the left side was tender but !ery ticklish, and >hongwan *CH ),+ was !ery tender as well. 'iss -. was a ten year smoker and used to smoke at least ,= cigarettes a day. The principle of treatment was to eliminate phlegm in the throat and to tonify spleen and lung 8i. % therefore chose the following points for treatment:

5egu *7% <+, 3utu *7% )G+, Tiantu *CH ,,+, #anglian.uan *e0tra+, 7iehchueh *7 ?+, 3englong *-T <=+ -ince there were no heat signs despite the fact that 'iss -. was .uite a smoker, 5egu was acted on by the warm needle techni.ue. #anglian.uan are two points located =.E cun on both sides of 7ian.uan *CH ,/+. These are special points for diseases of the !ocal cords. $ne should insert the needle there trans!ersely, along the skin, in an upward pro0imal direction, until the patients feel as if they 2had swallowed fish bones2P 7iehchueh and 3englong make a !ery effecti!e point-combination to treat phlegm in the upper respiratory tract. 7iehchueh is the 7uo point of the lung meridian and is !ery useful in resol!ing damp conditions of the lungs, as well as redirecting rebellious lung 8i. %t is also the master point of the en 'ai, the e0tra meridian which passes through and nourishes the throat and which is !ery prone to 4amp #hlegmatic diseases. 7iehchueh was also chosen because of the leucorrhea of the patient, a problem which is also sub1ect to the functioning of the en 'ai. 3enlong is the point to treat any phlegm condition in the body, as it ad1usts the functioning of the spleen and stomach meridians. The last point combination in this formula is 5egu and 7iehchueh which follow the 25ost :uest2 principle and ha!e a renowned ability to harmoni"e the lungs, dissipate phlegm and redirect lung 8i. The patient was instructed to cut off her cigarette consumption, as well as coffee and milk products. -he made efforts to eat more regularly and to a!oid 1unk-food and too much salt. 'iss -. recei!ed se!enteen treatments, after which all her symptoms had practically disappeared. -he would not agree to undergo another e0amination of her !ocal cords in order to check upon the tumor there. -he was completely satisfied with the way she felt and said she could not care less whether or not the tumor was still there. 7@' S$ENS$U ;% &)<5 CEI6$ON! ;% .,<5 #UN UN ;% /@< "ain effect and clinical purpose This is another point combination in e0istence for at least <== years. This combination was first mentioned in the 2:reat Compendium of Acupuncture and 'o0ibustion2, written by 9ang Bi"how in )A=), as was combination number G abo!e *A)+. %t is structured on the principle 2one point abo!e two points below, on the same meridian2 *see chapter (, number A+. %t is perhaps the most popular combination treating low back pain of any etiology. %t may definitely be of great !alue e!en in cases of middle and upper back pain, with the addition of

some other local points. Point discussion -henshu is the (ack -hu point of the kidneys. %t is a !ery strong point, and one of the most fre.uently used in clinical practice. -henshuDs traditional functions include: egulates @idney 8i. -trengthens the lumbar !ertebrae and knees. (enefits the ears and eyes. 6liminates dampness. %t reinforces kidney 8i in all kidney syndromes: @idney 8i Iu or not firm, @idney 9in Iu and @idney 9ang Iu. %t is a well known fact in T.C.' that @idney 8i is the actual source of all the energetic acti!ities of the body. @idney 8i is the #renatal-8i, as well as the storage of all reser!es of postnatal, ac.uired 8i. %t is also the source of 9ang 8i, as the 3ire of 'ing 'en resides between the two kidneys. -henshu, as the -hu point of the kidneys, is in close contact with the organ itself. %t has probably the best influence o!er the kidney function and is therefore utili"ed in any disease in!ol!ing the organ itself. (ut, besides diseases such as: nephritis, renal calculi, nephroptosis or bladder diseases, the physiologic spectrum of the kidney functioning is so broad that -henshu is also applied in many other pathologies. This may include: skeletal problems, se0ual problems, hemato-genesis, aging diseases, gastrointestinal, hormonal and other problems. %n this point combination conte0t, -henshu is applied due to two of its manifold .ualities: A. As a local strong point in the lower back which, like any local point, helps regulate local functioning and resol!e local 8i stagnation. This is especially so when its indications include low back pain. (. 'any etiologies of low back pain stem from @idney Iu, leading to either skeletal deformations or muscular impairment in the lower back. Thus, these .ualities make -henshu the first choice local point for low back pain. Wei"hong, according to chapter four of the 2-piritual A0is2 *7ing -hu+, connects behind the knee with its bladder meridian, as its 27ower Lniting #oint2. The bladder channel connects with the kidney meridian !ia the 9in 9ang coupled meridians law. The course of the bladder meridian passes through the lower back and influences it.

'oreo!er, in the classics, Wei"hong is regarded as one of the N-i0 'ain #ointsM classification, recorded as follows: 2Take -anli for the belly and abdomen, Wei"hong for the waist and back, 7iehchueh for the head and neck, 5egu for the face and mouth, &eiguan for the heart and thora0 and -anyin1iao for the lower abdomen2. Therefore, two indications of this point show: ela0es tendons and in!igorates collaterals. (enefits the lower back and knees and strengthens the waist. The other two indications may well be listed here, being: Clears heat from the blood. 4ispels -ummer 5eat e!il *pathogen+. 3rom the abo!e data we can see that e!en /=== years ago, Wei"hong was the first choice distal point, as much as -henshu the local point, for treating low back pain. %t is used therefore to treat acute back sprains or inflammations of lower back tendons and muscles, or, 1ust as often, Iu conditions of chronic low back pain or weakness, etc. Wei"hong is also a !ery important point in the treatment of sciatica. %t is located abo!e the trunk of the sciatic ner!e behind the knee and its stimulation may cause an electric shock sensation all along the sciatic ner!e Q down to the toes. As we ha!e mentioned in the case of &eiguan *# A+ *see under case number A+, this electric like sensation helps propagate the 8i along the channel and to resol!e !arious stagnancies along it. The !ery distinct sensation that Wei"hong produces, is thus considered the cause for its great efficacy in the treatment of low back pain and sciatica. @unlun is another point on the bladder channel, whose indications also say: 2To rela0 the sinews and muscles and benefit the lower back2. %t is !ery much used in the treatment of low back pain and sciatica, as much as stiff neck and head problems related to wind. -ince 24ispersing the wind and clearing the channels2 is its other indication, @unlun is mainly used in low back pain related to Wind (i. Wind (i is a form of wandering rheumatism which may affect !arious parts of the body progressi!ely. %n the posterior part of the body, it is most often seen in people suffering alternately from stiff neck or back or buttocks. %n such cases the addition of @unlun to the formula is !ery rewarding. The law of 2$ne point abo!e, two points below2 is !ery pertinent in the case of low back pain. The bladder meridian energy flows in a distal direction from the back. -henshu ser!es as the local point that acti!ates and in!igorates the flow of 8i in the lower back, while the other two points attract the bladder energy downward, enhancing and accelerating its flow. (eside this principle, all the three points ser!e in mutual assistance to benefit the lower back and rela0 muscles and tendons there, as their indications imply. %n addition, -henshu has a more fundamental task which is to act directly on the kidneys, which are the organs responsible for the lower back.

Needlin* se>uences5 manipulation and stimulation %n !ery acute cases that in!ol!e pain, it is ad!isable to start with the most powerful distant point. Thus, Wei"hong is usually the first point, then -henshu and lastly @unlun. %n acute sprains of the lower back, Wei"hong is may be utili"ed while the patient is standing. %t is manipulated in sedation, as strongly as the patient can tolerate, while he or she is asked to gently rotate the waist. This type of procedure is often performed in acute, painful conditions of !arious parts of the body. A point is strongly manipulated while the patients are asked to rotate and maneu!er their painful 1oint *A,+. %n acute hot conditions Wei"hong is fre.uently bled with the pyramid needle. This is done especially if congested !eins are !isible in the !icinity of Wei"hong. Another popular method is to apply cups on -henshu, with or without needles. Also recommended is the application of cupping on Wei"hong in the case of painful knee, related to low-back pain. This is usually done after the needles ha!e been withdrawn *A/+. 6lectrical stimulation of the points is also possible and often seen in the clinic, in cases of low back pain. Lsually the right side is stimulated by one wire and the left side by the other. %t is performed by a dispersion wa!e. $erbal e>ui0alent adi0 4uhuo *Angelica pubescens+ has !ery similar .ualities to point @unlun. %t is in the category of Wind 4amp e0pelling herbs and its indications are: 60pels Wind 4amp that causes painful obstruction. Alle!iates pain caused by the former indication. Channels entered are kidney and bladder. Lsed to treat low back pain and leg pain. Also treats headache and toothache because of Wind Cold 4amp. With the addition of herba Assri cum radice *Ii Iin+ and adi0 :entiana 'acophylla *8in Biao+, it constitutes a classic formula to treat soreness, pain and numbness in the neck, back and lower e0tremities due to Wind 4amp (i. With the addition of radi0 4ispaci *Iu 4uan+ this formula imitates our point combination !ery closely, as Iu 4uan plays the role of point -henshu. Iu 4uan tonifies kidney 8i and 9ang and it strengthens the sinews and bones. Iu 4uan also promotes and in!igorates blood circulation and is therefore useful e!en in cases of low back pain due to trauma and blood stagnation. %n this, Iu 4uan imitates the mutual effect of both -henshu and Wei"hong. Case history 'rs. 4., <= years old, married plus two children, has suffered from chronic low back pain for years. 6!ery weather change, especially cooler, or a damper weather, had affected her body. -he

could not tolerate cold weather in general, apart from its effect on her lower back condition. 4uring the last se!en years 'rs. 4. has not used any contracepti!es because she was certain she could no longer concei!e. 5er tongue was pale, flabby with 2tooth marks2, and co!ered with a thin layer of white, damp moss. 'rs. 4.Js pulse was sunken and weak, e!en more so in both Chi positions. %t was apparent that her case was a kidney 9ang deficiency, with 4amp Cold (i in her lower back. Treatment was administered three times a week, based on the point combination discussed abo!e. %n addition to these points, % applied direct mo0ibustion on her 'ingmen *:H <+, e!ery second !isit. 3ollowing the first session her lower back impro!ed radically and after three more treatments it did not bother her at all. The fre.uency of treatments was then reduced to once a week, for four more treatments. Two months later, to 'rs. 4.Js great astonishment and delight, she became pregnant. &ow 'rs. and 'r. 4. ha!e a three year old daughter in addition to their two former sons and she !ery seldom complains about her lower back.

77' DIN!C$UAN ;E?TRA<5 TIANTU ;C8 &&<5 TAN6$ON! ;C8 71<5 NEI!UAN ;P /<5 4EN! ON! ;ST ,@<' "ain effect and clinical purpose The goal of this much used point combination is to relie!e whee"ing and to abate phlegm from the chest and respiratory tract. %t is therefore used in cases of asthma with e0cessi!e phlegm or bronchitis, or any other lung disease characteri"ed by much phlegm and difficult breathing. #oint discussion 4ingchuan is an e0tra point located =.E cun lateral to the lower end of the spinous process of the ?th cer!ical !ertebra. %t is mainly used to stop whee"ing and dyspnea and indeed, its effect is, in

most cases, !ery dramatic. 4ingchuan belongs to the 5ua Tuo Bia1i points, named after the great Chinese physician who disco!ered them. 5ua Tuo li!ed in the 5an period, during the reign of the 6mperors -hun *)/A )<) A4+, and 5uang 4i *,=G A4+. The Bia1i points are located =.E cun from each !ertebra, bilaterally. The 4ing Chuan point, being so effecti!e in treating difficult breathing, has won a uni.ue name of its own. 4ingchuan is also effecti!e in treating urticaria, which is an allergic skin disease, often related to lung disorders. 4ingchuan has a remarkable effect on bronchodilation, and relie!ing spasm of the bronchial branches. %t is less effecti!e in clearing the phlegm from the respiratory tract, and therefore it makes a first choice point in the case of acute asthmatic attack. Tiantu was discussed broadly under case number F. %ts indications are: To disperse the lung. To resol!e and lower phlegm. To regulate 8i. To clear and reduce fire in the throat. To stop cough. To soothe asthma. We can see that it is a !ery suitable point in all cases in!ol!ing cough, asthma, e0cessi!e phlegm, etc. Tiantu is an important point on the Ben 'ai, the !essel of conception. This !essel is the 2reser!oir2 of all 9in energy in the body and therefore, one of its chief concerns is to regulate body fluids. -edation of point Tiantu, may disperse accumulations of fluid, of which phlegm is one phenomenon. %n order to perform this ade.uately !ia the Ben 'ai, it is appropriate to 2open2 the Ben 'ai by stimulating 7iehchueh *7?+ which ser!es as its master point, at the same time. Tan"hong, another point of Ben 'ai, was also discussed in this paper, under case number G. (esides playing a role in Ben 'ai functioning, as described abo!e, Tan"hong ser!es as the master point of all acti!ities taking place in the chest and upper Biao. (ecause of this, its ma1or indication is to 2regulate 8i in the chest,,2 and to 2rela0, e0pand and dispel fullness from the chest2. Another indication, much like the former point Tiantu, is: 2To clear the lungs and resol!e phlegm.2 Tan"hong is also considered the 'u *alarm+ point of the Lpper-(urner, as much as >hongwan *CH ),+ is of the 'iddle-(urner and 9in1iao *CH ?+ of the 7ower-(urner. (ecause of this role, Tan"hong is responsible for regulating 8i and blood in the Lpper (urner and resol!ing any forms of stagnation there. The 8i collected in the chest is >ong 8i, and is the refined :u 8i *2grain2 8i+ which ascends as

the essence of food, by the acti!ity of the spleen. This 8i is responsible for the functioning of the heart and lung, including the 8i control o!er the blood. This 8i also dominates the !oice and enhances blood circulation in the e0tremities. The place where >ong 8i gathers and acts in the chest is called 2-ea of 8i2, and Tan"hong is the point responsible for its acti!ities *A<+. $ne of the commonest stagnations in the body and especially in the chest, is phlegm. (y utili"ing Tan"hong we acti!ate >ong 8i, enhance its flow in a circular fashion in the chest and thus disperse phlegm. &eiguan has also been discussed in this work *-ee case number A+. %t is considered the most powerful point of the pericardium meridian and is also its 7uo point. &eiguanDs functioning is closely related to the chest and diaphragm, mainly because of the route of the pericardium channel which tra!erses the chest, along with its 7uo channel that connects with the heart. The function of &eiguan which relates to the chest says: 2%t e0pands the chest, regulates 8i circulation and stops pain.2 %n this regard &eiguanDs function is !ery similar to that of Tan"hong, as it impro!es 8i circulation in the chest, an acti!ity which also disperses phlegm. 3englong is the connecting 7uo point of the stomach meridian. The point connects with the spleen meridian which is the stomach coupled meridian in the 9in 9ang relationship. The spleen, when malfunctioning, is considered the source of phlegm in the body. (y stimulating 3englong one restores harmony between the stomach and spleen, read1usts their functioning and, in this way, eliminates phlegm. 3englongDs .ualities are therefore: %t resol!es phlegm, dampness and #hlegm 5eat. %t calms and clears the mind. %t eliminates #hlegm 3ire in the stomach. 4ue to these .ualities 3englong is a !ery important point in any case where phlegm is abundant and that, of course, includes asthmatic conditions. These fi!e points are combined, as we can see, in order to ha!e a strong effect on phlegm accumulation in the respiratory tract. The points which were chosen share a mutual .uality of phlegm abatement and regulating the 8i of the respiratory organs. The power and great efficacy of this combination is due to the fact that the points which were combined here belong to different systems thus, dealing with the problem from different angles. 4ingchuan, for e0ample, e0erts its influence through the ner!ous system, directly on the trachea and the bronchus and relie!es their spasm. Tiantu, achie!es its main effect by eliminating phlegm from the trachea. Tan"hong affects the lungs and the bronchioles by eliminating phlegm and ad1usting their function. &eiguan plays its role as a distant point that regulates from afar, the

whole chest organsJ function and last but not least, 3englong deals with the !ery source of phlegm and abates it systemically. Needlin* se>uence5 manipulation and stimulation %n this point combination the needling procedure generally starts with 4ingchuan, in a sitting position. The patient bends forward with his arms crossed beneath his forehead and then, 4ingchuan is punctured =.E cun medially slanted, slightly below both sides of the prominence of se!enth cer!ical !ertebra. After needling, the point is manipulated in dispersion for , / minutes. Lsually the patient e0periences an immediate relief from whee"ing and dyspnea. After E )E minutes, the patientDs position is changed to supine, and the rest of the points are needled in this order: &eiguan, Tiantu, Tan"hong and 3englong. All the points are needled to sedate and disperse phlegm. When it is desired to accentuate the needle sensation, the techni.ue of 2wagging the tail2 is utili"ed *AE+. (y this techni.ue, after obtaining 8i, the needle handle is 2wagged2 back and forth, until the patient senses a strong reaction along the meridian. This procedure is said to mo!e the 9ang 8i and by so doing to disperse phlegm stagnation. %n the case of children, Tinatu is usually remo!ed after 4e.i, whereas with adults the needle may be left in situ during the whole treatment. The procedure of 2wagging the tail2 may be performed on &eiguan, if the patient is robust enough to endure it, and on 3englong as well. 5owe!er, attention must be paid to a!oid a strong reaction which might occur after the treatment. %n some patients, 3englong has a strong impact on phlegm mo!ements in the body, and this may aggra!ate their condition at the beginning of the treatment. %t is ad!isable in such cases, to instruct these patients to keep using their 2Western medicine2 broncho dilators until their basic condition has been significantly impro!ed. %t has been obser!ed that scarring mo0ibustion is also !ery effecti!e in stubborn asthma. The points suitable for this techni.ue, from among this combinationDs points, are &eiguan, Tan"hong and 3englong. %n order to perform this correctly, a tiny cone of white mo0a is placed o!er the point, preferably after needling it and burned to its end. %mmediately afterwards the procedure is repeated, with slightly larger cones, on the same spot, three to se!en more times. There are some specific ointments which may be utili"ed to heal the wound, after pus e0udates. $ne of them and a !ery good one too, is the 2 ed Bade $intment2 *AA+, in the case of a serious wound, or simply egg white, for a relati!ely mild wound. $erbal e>ui0alent This point combination may be compared to the following herbal formula: -emen #runi Armeniaca *Iing en+ 3ructus #erilla 3rutescentis *-u >i+ (ulbus 3ritillaria Thunbergi *>he (ei 'u+ hi"oma #inellia Teranta *(an Iia+

 adi0 Cynanchi -tautoni *(ai :ian+ -talactitum *6 :uan -hi+ This herbal prescription is a combination of herbs that ha!e an effect on cough due to rebellious 7ung 8i, and accumulation of phlegm. $ne component though, is 6 :uan -hi which is a mineral, and has a general effect on strengthening 9ang and transforming phlegm. %t may be compared to point 3englong, e!en though it does not affect the spleen directly. %n order to achie!e a more straightforward effect on strengthening the spleen and thereby resol!ing phlegm, it is suitable to add to the formula herbs such as Codonopsis #ilosula *4ang -hen+, or adi0 :lycyrrhi"a *:an Cao+, both of which tonify the 8i !ia the spleen and also, ha!e the effect of reducing phlegm. Iing en may be compared to both 4ingchuan and Tiantu in its ability to stop whee"ing and redirect 7ung 8i downward. -u >i is used to stop whee"ing and dissol!e phlegm. %t is mainly used when copious phlegm obstructs the air passages. >he (ei 'u is also suitable for the same indications, only it is more appropriate for dealing with heat in the lungs, as well. (an Iia and (ai 8ian are both used to treat whee"ing and cough due to rebellious 8i and phlegm. Case history 'rs. '., age /A, suffered since childhood from se!ere hay fe!er and urticaria on her upper back and shins. Two years prior to her !isit in my clinic, she began to e0perience occasional asthmatic attacks, until this condition became permanent. 'rs. '. had a 2barking2 cough and whee"ing and congested chest, with a sensation of lodged phlegm which could not be e0pectorated. 5er pulse was !ery soggy and slippery. Chi position was not palpable at all, and the pulse of her lungs was small and hard. 5er tongue was pink pale, wet and scallopedC the coating was white and damp. $n e!aluating the different aspects of this information, % came to the conclusion that 'rs. '. was on the !erge of an e0ternally inflicted disease turning into an internal disharmony. The history of many years of stubborn hay fe!er, along with the wet and white coated tongue, pointed to an e0ternal 4amp, and probably Cold origin of the problem. The -lippery and -oggy pulse, along with the scalloped tongue, suggested a weak spleen and

accumulation of dampness and phlegm. The congested pulse on the right cun position with chest stuffiness and whee"ing, demonstrated a concentration of phlegm in her chest, probably phlegm which had become too !iscose to allow itself to be e0pectorated. The point combination abo!e was, therefore, utili"ed, in order to act directly on the phlegm, disperse and eliminate it. #oint &eiguan was intermittently switched with the couple 5egu *7% <+ and 7iehchueh *7 ?+. This couple has already been discussed se!eral times in this work. *-ee Chapter (, paragraph %%%, case history number F.+ 5ere it was chosen for its marked effect on redirecting rebellious 7ung 8i and eliminating stagnation in the upper respiratory tract. %t is interesting to note here that whene!er 'rs. '. had come to the treatment demonstrating dyspnea and whee"ing, point 4ingchuan, manipulated in the fashion described abo!e, had, in fi!e minutes, relie!ed her symptoms completely. After fi!e sessions only, the urticaria and the itchy skin ha!e both disappeared. 5er asthmatic condition impro!ed gradually, and after ten treatments 'rs. '. reported that she had no further dyspnea nor whee"ing. % then changed her prescription in order to place an emphasis on the 2(%A$2 the root of her bodily condition. The principle was to tonify both lung and spleen 8i, strengthen Wei 8i, while still occasionally using points that release e0terior conditions, such as: 3engmen *( ),+, 3engfu *:H )A+ etc. Today, after one and a half years, 'rs. '. suffers no more from either asthma or urticaria. -he ne!ertheless has, e!en though to a much lesser e0tent, occasional hay fe!er attacks. %t is !ery important, during the course of such treatment, to emphasi"e to the patient the importance of a!oiding phlegm, or damp producing foods. These would be especially milk products, sweets and !ery sweet food, o!erly greasy food, fried food with much oil, and salt. %t is no less important to stress the essential role of physical e0ercise and breathing techni.ues. 7&' NEI!UAN ;P /<5 6USAN I ;ST )/<5 6$ON!CAN ;C8 7&< "ain effect and clinical purpose This point combination is the basic and most fundamental prescription for all stomach complaints. %ts action is to regulate and harmoni"e -tomach 8i, resol!e gastric stagnation of any kind and redirect the rebellious 8i of the stomach. %t is therefore mainly used for gastric pain of different etiologies, nausea and !omiting, such as in the morning sickness syndrome. Point discussion &eiguan is one of the most popular points in clinical practice. %t is !ery often encountered in treatments and it has a broad spectrum of indications. This is the third point combination in this work in which &eiguan is present. Lnder point combination number )=, we ha!e already mentioned that &eiguan is one of si0

points considered 2'ain #oints2 in the classics. There, its indications say: 2Take &eiguan for the heart and thora0.2 Actually, the two main organs that &eiguan is so much effecti!e for, are the heart and the stomach. The influence that &eiguan e0erts upon the stomach is reflected in its indications list: 2To promote the function of the stomach, and regulate the 'iddle-Biao.2 &eiguan is also used as an important point to regulate the heart and calm the mind. %t is therefore used e0tensi!ely in cases of an0iety and palpitations, etc. The fact that &eiguan is so helpful in these conditions, is probably due to its role as the 'aster point of the e0tra !essel 9in Wei 'ai. This e0tra !essel is used primarily to treat emotional problems related to deficiency of 9in 8i and blood. %t is a !essel that binds all the 9in meridians and controls the heart functioning, in relation to blood *A?+. &eiguan, as its 'aster point, is situated on the Chuehyin segment, which is the hinge of the 9in, and thus controls the 9in. %n order to ha!e an effect on blood production, so as to tonify the heart functioning, &eiguan must regulate -tomach 8i in order to permit the stomach and spleen to produce blood. %ts coupled point in the 9in Wei 'ai meridian, :ongsun *-# <+, actually complements &eiguanDs influence upon the stomach due to its role as the connecting 7uo point between the stomach and the spleen. Thus, :ongsun has a tonifying effect on the spleen, it pacifies the stomach and it regulates the Chong 'ai, of which it is its 'aster-point. %n summary, &eiguan has a regulating and tonifying effect o!er the stomach, due to its manifold connections with other !essels in the body. >usanli is the lower 5e -ea point of the stomach. %t is also called the 3issural point and its action is described in the 7ing -hu as follows: 2They *3issural points+ refer to the deep regions where the energy of the meridians gathers together, and they are more effecti!e in relie!ing acute pain in the tra!eling regions of the related meridian, and also in the internal organ to which the meridian in .uestion belongs.2 >usanli is also one of the 2-i0 'ain #oints2 of the classics described before and is indicated there for all diseases located in the abdomen and belly. As the lower 5e -ea point of the stomach, >usanli ad1usts the function of the stomach and spleen and is used as the ma1or point to tonify the spleen. %t is often used in con1unction with point Taiyuan *7 F+ to tonify the 8i of the whole body, as the source of post natal 8i are the lungs and spleen. >usanli also regulates the circulation of 8i and blood and tonifies anti pathogenic 8i in the body. %n all stomach diseases it plays the most important role and is used to strengthen conditions of deficiency, as much as to sedate e0cess. >hongwan is the Alarm 'u point of the stomach. %t is also used in all stomach syndromes, both 0u and shi. %t regulates -tomach 8i and is therefore used in painful syndromes or nausea and !omiting. %t relie!es food stagnation and treats indigestion, abdominal distension and the like. %t

is also used to tonify the stomach and spleen and therefore treats anore0ia, anemia, chronic diarrhea, etc. >hongwan relie!es abdominal pain and is used to treat gastric ulcers and gastrodynia of !arious etiologies. >hongwan is also a confluent point of all the 3u organs and e0erts its influence on all their acti!ities. %t is known, for instance, that the intestinal rhythm, or peristalsis, affects the stomach function and !ice !ersa. >honwan, as the meeting point of all the 3u organs, is thus used to harmoni"e and regulate the peristalsis of the stomach and intestines. After analy"ing the three pointsD functions, it is ob!ious now how these three points ha!e a regulating effect o!er the stomach. %t is important to bear in mind, howe!er, that this is a !ery fundamental combination, despite its great efficacy. %t is necessary, as a rule, to add other points to this trio, according to the !arious manifestations of the gastric stagnation. %n order to further elaborate on this, let us take a few e0amples: ). %f we ha!e diagnosed a gastric stagnation due to food and heat accumulation, it would be appropriate to add: &eiting *-T <<+ and Weishsu *( ,)+. ,. %f the stagnation is due to li!er 8i in!ading the spleen, we may add: Taichong *7%H /+ and Changmen *7%H )/+. /. $r, in the case of phlegm accumulation: 3englong *-T <=+ and 9inlingchuan *-# F+ and so on. Needlin* se>uence5 manipulation and stimulation &eiguan, as the 'aster-point of 9in Wei 'ai and a distant upper point, opens the treatment by its regulating effect o!er the chest and abdomen. %t is mostly proper to do so when nausea and;or !omiting e0ist, due to &eiguanDs calming effect and its ability to diminish nausea. %n -hi syndromes it is manipulated with lift thrust and twirling mo!ements. %n case number A we ha!e stressed the !ery distinct 8i sensation of this point. %t is important to direct this sensation in pro0imal direction *in contrast with case number A which was a distal direction+. This may be done by pointing the needle tip in a pro0imal direction and gently massaging the route of the pericardium channel, from the needle upward *AG+. >hongwan is then needled to produce a sore or tight sensation, usually in wa!es encircling the point. %t is manipulated in the same way as &eiguan, with one difference. This is a point which 2lo!es2 heat stimulation and reacts e0tremely well to it. Thus, in cases where cold is the cause of disease or one of its manifestations, this point may be stimulated by all forms of mo0a applications *which were discussed earlier in this work+. Also the application of a mo0a-bo0 is recommended. This is a perforated metal bo0 with a handle, in which mo0a is lit until it gets hot. Then it is placed o!er the point, after a piece of gau"e has been placed between the body surface and the instrument *AF+. %n cases of nausea or heartburn, the needle tip at >hongwan may be pointed downward, so as to redirect -omach 8i. %n cases of prolapsed stomach due to 9ang deficiency, the needle tip should be pointed upward and >hongwan is stimulated by heat. >usanly is also manipulated in the same fashion as &eiguan, only it is more difficult to cause its sensation to tra!el pro0imally. %t is also not necessary, as it may sometimes aggra!ate the patientDs

condition. 8uite often, also >usanli is stimulated by mo0a. $erbal e>ui0alent A proper herbal e.ui!alent for this point combination is the following prescription: #ericarpium Citri eticulata Chen #i Corte0 'agnolia $fficinalis 5ou #o hi"ome Atractylodis Cang >hu 3ructus Citri seu #onciri >hi -hi This, too, is a basic prescription to regulate stomach and spleen 8i. %t is used for epigastric and abdominal fullness, distension and pain from stagnant 8i and it treats nausea and !omiting due to rebellious -tomach 8i. Chen #i mo!es stagnant -tomach 8i and tonifies -pleen 8i. %t also redirects rebellious -tomach 8i and is used for any type of nausea and !omiting. %n addition, it is an important herb to treat coughing due to e0cessi!e damp and phlegm originated by the spleen. 5ou #o also mo!es the stomach stagnant 8i, redirects rebellious 8i with symptoms of nausea and !omiting and 1ust like Chen #i, it dries dampness and transforms phlegm. %t thus complements Chen #i, and accentuates its action. Cang >hu too has more or less the same .ualities, with the addition of tonifying the spleen. %t is therefore used also for anore0ia and diarrhea caused by weak spleen. >hi -hi breaks up stagnant 8i and reduces accumulations and it deals therefore more ade.uately with the painful symptoms of stagnant stomach 8i. Case $istory No' I 'iss @. was ten years old when her parents brought her to see me on emergency call. #rior to her !isit she had been hospitali"ed for one month in the paediatric %n #atient department of ambam 5ospital, 5aifa, but her condition did not impro!e. 'iss @. suffered acute gastrodynia with occasional nausea. 5er epigastric region was !ery tender, her face !ery pale and she appeared !ery emaciated and in great pain. 5er pulse was fast and her tongue had red points on its tip and both sides. % diagnosed her condition as a stagnation of -tomach 8i due to irregular eating habits and emotional problems. This conclusion was reached after an interrogation, during which her parents admitted the facts. -he did not ha!e the food stagnation signs, neither phlegm, nor blood stagnation. % applied the point combination with the addition of 7iang.in *-T /<+. 7iang.in is the Ii Cleft point of the stomach. %t is applied in cases of acute pain in the organ to which it is associated. All the points were manipulated in the regular sedation techni.ue.

4uring the first few treatments 'iss @. e0perienced pain relief which sometimes lasted for a few hours after the treatment. After nine treatments, which were carried out o!er the course of ele!en days, her problem was resol!ed completely. $ne year after the termination of the treatment there has been no recurrence of symptoms. Case history No' & 'rs. :., age /?, married plus four children, was in her se!enth month of pregnancy when she came to see me. -ince the beginning of her contemporary pregnancy she had suffered se!ere nausea and !omiting. -ince her fifth month she had been e0periencing lassitude, anore0ia, heartburn, !omiting and nausea. 3urthermore, 'rs. :. complained of dry mouth, especially at night in addition to constant thirst and cra!ing for fruit. %n addition she felt abundant phlegm in her throat. 5er pulse was !ery slippery and her tongue was scalloped. %n this case, a -tomach 8i stagnation was also present, but the pattern was more comple0. %n the first place it was ob!ious that her spleen and stomach were not in harmony. There were symptoms such as lassitude, anore0ia and phlegm, along with a scalloped tongue, suggesti!e of -pleen 8i deficiency. $n the other hand, her -tomach 8i was rebellious, she had heartburn, !omiting and thirst, all of which indicated a -hi;5ot stomach. The deficient condition of the spleen ga!e rise to abundant phlegm, a -hi pattern, which aggra!ated the situation of the patient. Thus, we could see that she was constantly thirsty and cra!ed for fruit *a !ery 9in food. At the same time she was anorectic and nauseous because of phlegm stagnation in her stomach. %t is !ery common, of course, to see nausea and !omiting in pregnant women. The T.C.'. e0planation for this phenomenon is the hea!y burden that pregnancy e0erts upon the spleen and kidney. (oth organs play a ma1or role in the production of blood and 9in, essential substances for conception and maturation of the foetus. This burden weakens the spleen and kidney, gi!ing rise to abundant phlegm and the weakening of -tomach 8i *?=+. The prescription for 'rs. :. included the point combination with the addition of the following points: Tiantu *CH ,,+ and 3englong *-T <=+ to reduce phlegm in the throat and in the whole body. The mutual functioning of these two points was already e0plained in the pre!ious combination of points, number )). %n addition, two other points were also added: &eiting *-T <<+, and :ongsun *-# <+. &eiting in order to decrease -tomach 5eat and stagnation, and :ongsun, as the 7uo connecting point of the spleen, to shift e0cess energy from the stomach to the spleen. symptomatically, :ongsun is capable of relie!ing nausea and it thus aids in the o!erall action of the point combination. %t is important to note here that >usanli was manipulated gently in tonificaiton, whereas the other points were manipulated in sedation. As 'rs. :. was somewhat frightened and sensiti!e to the treatment, the manipulation of the needles, e!en in sedation, was carried out rather gently.

'rs. :. felt much better immediately after the first session. After the third session, she had significantly less phlegm, her nausea and !omiting subsided and she felt much stronger. The whole treatment lasted three weeks after which 'rs. :. felt that she had regained full strength. she ga!e birth in due time, without any complications and in good health. 7)' C$AN!=IAN! ;!8 7<5 C$EN!S$AN ;% .1<5 PAI$UI ;!8 &@< "ain effect and clinical purpose This point combination has indeed a long history. The first two points, Chang.iang and Chengshan, were already mentioned as a combination E== years ago, in )E,F, by the physician :ao Wu in his (ai >heng 3u *$de of a 5undred -yndromes+ *?)+. This is the basic formula for treating hemorrhoids of any aetiology. This combination treats hemorrhoids symptomatically, including bleeding and prolapse, but it may need additional points in order to effecti!ely treat the underlying cause of the hemorrhoids. Point discussion Chang.iang is the first point of the 4u 'ai channel and is also the connecting 7uo point of 4u 'ai and Ben 'ai. on its route, the 4u 'ai encircles the anus and then climbs up the spine to the brain and emerges at the !erte0, at point #aihui. 4ue to its course, this channel is also associated with diseases of the anus, such as hemorrhoids. 5emorrhoids, in most cases, is a -hi phenomenon, associated with inflammation and bleeding of the rectal area, causing !eins there to bulge out and cause sharp pain. %n most cases the disease in!ol!es heat symptoms such as redness, acute pain, bleeding and a burning sensation. %n some cases dampness also e0ists when there is pus in!ol!ed, diarrhea and a hea!y sinking sensation. %n some other cases the most salient etiology is a spleen 8i deficiency, an etiology that may also cause bleeding, prolapse and diarrhea, but then the symptoms will not be so acute, rather more chronic. %n any case, e!en on the basis of a -pleen 8i Iu condition, a -hi condition may arise, including the pre!iously described symptoms and signs, a condition which is both se!ere and acute at the same time. %n order to drain e0cess from the rectal area and from the 4u 'ai, there are three main techni.ues: ). #uncture in sedation the point Chang.iang which is the 7uo point with the en 'ai, and thereby, to transfer e0cess from 4u 'ai to en 'ai and disperse the stagnation in the rectal area. (y doing so, we also take ad!antage of the fact that Chang.iang too is a local point, situated in the rectal area and affecting this area symptomatically. ,. Any e0tra meridian, including the 4u 'ai, may be 2opened2 and drained by simultaneously puncturing two points, one at each end. Thus, puncturing Chang.iang and #alhui simultaneously, would drain the e0cess and harmoni"e the :o!erning Hessel.

/. %t is also possible to drain e0cess energy from an e0tra meridian by puncturing its master and coupled points. %n this point combination, both techni.ues &o.) and &o. , are utili"ed, making use of two possible methods to drain the e0cess from the 4u 'ai and to resol!e the hemorrhoids problem. Considering the facts mentioned abo!e, it is no wonder that one of the main indications of Chang.iang, is to treat hemorrhoids and prolapsed anus. %ts traditional functions .uote: 2To regulate and remo!e obstruction from the 4u 'ai and Ben 'ai, to promote the functions of the intestines, to treat hemorrhoids and rectal prolapseM. Chengshan is a point located on the bladder meridian and is the first choice symptomatic point to deal with hemorrhoids. The bladder meridian tra!erses the anal region and therefore affects it. Chengshan has an effect o!er all the 9ang organs. %ts indications are: ). %t regulates the 8i of the 9ang organs. ,. %t benefits hemorrhoids. -ince hemorrhoids are situated on the 2outer gate2 of the large intestine which is a 9ang organ, and because the bladder meridian itself connects with the same 2outer gate2, it is not surprising that Chengshan e0erts such an influence o!er the anus. #aihui *2hundred meetings2+ is the highest point on the !erte0. #ictorially it constitutes the other end of the body Q in relation to Cheng.iang. This point is used in the formula for two reasons: ). %t is located at the other end of the 4o 'ai channel and is thus used in con1unction with Cheng.iang to drain this channel from e0cess. This function has already been e0plained abo!e. ,. #aihui is the crossroad point on the !erte0 for all the 9ang channels and it has the function of strengthening 9ang, and ele!ating 8i. %t is also known to raise the sinking 8i of the spleen and by this, arrest bleeding and raise prolapsed organs *?,+. %t is important to remember here that the spleen is responsible in T.C.'. thinking, for the functions of 2holding the blood in the blood !essels2 and 2keeping the organs in their places2. Therefore, functional bleeding or prolapse of organs such as: rectum, uterus, stomach, etc., are attributed to -pleen-8i Iu, and;or 9ang Iu. %t should be ob!ious by now how these three points together ha!e a common calming effect on the hemorrhoids. &e!ertheless, as with almost any other point combination, an assessment of the etiology and energetic manifestation of the hemorrhoids must be made. This done, a comprehensi!e formula may be built, utili"ing also other points in order to deal effecti!ely and holistically with the disease. To illustrate this more clearly, here are a few e0amples: ). %n chronic hemorrhoids due to spleen and kidney deficiency, Taibai *-# /+, Tai0i *@ /+, -anyin1iao *-# A+ may be utili"ed in tonification. *#alhui too in tonification+ ,. When damp and heat coe0ist, it is possible to add: 4achangshu *( ,E+, Chengfu *( E=+, 8uchi *7% ))+ and 6rbai *e0tra+. /. %f massi!e bleeding is predominant, it would be appropriate to use: 9inbai *-# )+ in direct mo0ibustion, Iuehai *-#-)=+ and 8ihaishu *( ,<+.

Needlin* se>uence5 manipulation5 and stimulation %n acute cases in!ol!ing pain, it is usually recommended to begin the treatment with a distant point, manipulated in dispersion. %n this case Chengshan is the appropriate point. %t is !ery important to locate Chengshan accurately and then, manipulate it in a small amplitude by the pull thrust sedation techni.ue. %n cases of se!ere heat, it is ad!isable to utili"e the 2Cooling the sky2 techni.ue on Chengshan, until a cooling or numb sensation is achie!ed near the point or around the hemorrhoids. &e0t point is Cheng.iang. This point is somewhat problematic, as many practitioners are reluctant to use it because of its anatomical location. -till, this is a !ery important point and the patient should be told to wash the region properly before coming to the clinic. The needle may be inserted there perpendicularly and manipulated by twirling mo!ements after de.i has been obtained. #aihui is needled last. %t is either needled in a posterior direction, or from the left to the right if the patient is lying on his stomach and his right cheek on the bed. %n a sinking hemorrhoidal condition, after the heat and inflammation ha!e subsided, mo0a may be applied after needling, usually with the warming stick method. This mo0ibustion further enhances the raising of spleen 9ang 8i thus, contracting the hemorrhoidal tissue inside. The same procedure, though, may be e0ecuted with Benchueh *CH G+ which possesses the same .uality. $erbal e>ui0alent adi0 -anguisorba *4i 9u+ and 3los -ophora Baponica *5uai 5ua 'i+ are usually used together for hot and bleeding hemorrhoids. (oth of these herbs belong to the category of herbs that arrest bleeding. (oth of them also cool the blood and are therefore suitable for ulcerations, burns, and similar skin problems. 4% 9u, in addition, clears heat and promotes healing and is suitable for e0ternal application on such skin problems. %n addition, it is common to find in a formula for hemorrhoids herbs that treat 4amp 5eat conditions such as -cutellaria (aicalensis *5uang 8in+. This herb also enters the large intestine meridian and is used for %ntestinal Wind which is blood in the stools and for intestinal abscess. 5erbs like Corydalis *9an 5u -uo+ that in!igorate the blood and stop pain, may also be found in such formulae. 'inerals such as -uccinum resin *5u #o+ which is ground Amber, is also suitable, due to its ability to reduce swelling and promote healing of ulcerations, carbuncles and swollen scrotum. %n comparison with point #aihui, adi0 Astragali *5uang 8i+ may perfectly fit in. This herb has the function of raising the 9ang 8i of the spleen and thus, it is used in prolapsed

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

Case history 'rs. '., age <,, suffered for se!eral years from recurrent bleeding hemorrhoids. 5er recent attack, which she defined as the se!erest of them all, had caught her abroad, on !acation. Harious medicines prescribed for her were not of much help and she came to me suffering great pain and discomfort. 4espite the fact that 'rs. '. was a physical fitness teacher, she was slightly obese. When asked to describe the pain, she said that it had been a sharp pricking pain, with a sensation of hea!iness and sinking. 5er pulse was -oggy, but (ig in the Cun position. 5er tongue was scalloped, somewhat purplish blue, and co!ered with many red points around the tip. %t also had a thin yellowish layer. As was e!idenced by actually all the symptoms and signs, her case was a 4amp 5eat stagnation in the rectal region, plus a pre e0isting spleen 8i Iu pattern. A soggy pulse and scalloped tongue are basic .ualities which point out a weak spleen condition. The red points on the tongue and the yellowish co!er, e0hibit a 4amp 5eat condition. The (ig pulse, that had a -oggy .uality as well in the Cun position, also showed a damp e0cessi!e condition in the domain of the large intestine. 5er symptoms clearly matched those signs thus, she e0hibited a case that 2goes with the current2. This is a Chinese saying that suggests that whene!er the signs match the patientDs symptoms, the case may respond well to the treatment *?/+. 'rs. '. was treated twice a day by the following formula: Chengshan *( E?+, Chang.iang *:H )+, 8uchi *7% ))+, 5uiyang *(/E+. 8uchi was introduced in the formula in order to treat heat and damp in the large intestine in general, as did 5uiyang, locally. $n the second day the pain decreased markedly and on the third day 8uchi was substituted by #aihui *:H ,=+. After fi!e more daily treatments with the re!ised formula, 'rs. '. was completely cured. 7,' S$EN"EN ;$ 1<5 NEI!UAN ;P /<5 +INTA"! ;E?TRA<5 SAN+IN:IAO ;SP /< "ain effect and clinical purpose 'any points and combinations e0ist in acupuncture for the purpose of rela0ing the ner!ous system. This combination, howe!er, is probably the most renowned for this purpose.

%t is used to rela0 the heart and calm the -hen, relie!e tension and an0iety and treat insomnia. Point discussion -henmen, which is the 9uan -ource point of the heart channel, is the most effecti!e point used to rela0 the ner!ous system. 5ere, both clinical obser!ation and theoretical background support each other and pro!e !alidity. According to the T.C.'. theory, the -hen--pirit, resides in the heart. This means that any emotional disorder that one may encounter, will probably ha!e its impact upon the heart system. This may also mean, that illnesses of the heart organ or the heart meridian, may influence the -pirit *?<+. Classical problems of the -pirit, according to T.C.'. are: insomnia, tension, an0iety, e0cessi!e dreaming, forgetfulness for the light problems and, for the more serious: hysteria, insanity, delirium, etc. -henmen, as the 9uan source point of the heart meridian, is connected !ia the 9uan energy, directly to the heart. %t is also considered the most important point on the heart channel. %ts indications are: ). To calm the -pirit. ,. To regulate 5eart 8i. /. To remo!e obstruction from the Bing 7uo. Thus, besides being used to supplement heart 8i or to tonify 5eart (lood or 9in, -henmen is broadly used in all problems associated with the -pirit. %t is belie!ed in T.C.'. that when the heart lacks blood, there is restlessness, insomnia and palpitations. These symptoms arise because of shortage of 9in energy that causes the heart 9ang, or 3ire, to flare up. To subdue this, -henmen is utili"ed to 2cool the heart2, or sedate its fire, while, at the same time, other points are used to tonify the 9in and blood. (y doing so, the harmony is restored and 9in and blood pro!ide the substantial basis for heart 9ang. &eiguan has been discussed se!eral times in this paper and there is no need to elaborate further. %n this case, it was chosen because of its traditional function Nto tran.uili"e the heart and calm the mind2. %n addition, clinical practice demonstrates that &eiguan makes a !ery good couple with -henmen, mainly because it is the most important point on the pericardium channel, an organ closely related to the heart. Thus, each of these two accentuates the other pointJs function of calming the -hen and rela0ing the heart. 9intang is an e0tra point situated on the route of the 4u 'ai meridian, e0actly between the eyebrows. %ts indications in the classics are firstly to eliminate Wind 5eat and secondly, to

calm the -pirit. %t is therefore used for rhinitis, sinusitis, headache and other Wind-5eat induced problems. As for its second indication, 9intang is often used for insomnia or restlessness. Traditionally the point is situated where the mystic 2third eye2 is located. This 2third eye2 is the 2window of the soul2, and mysticism attributes great mental powers to those who are able to use their 2third eye2. 'odern researchers ha!e found that the stimulation of this point has an effect on producing electrical Alpha wa!es in the brain. The Alpha wa!es are typical of a state of deep sleep or meditation. There are e!en acupuncture laser stimulators that ha!e a special switch for Alpha wa!e form, and the practitioner is instructed to stimulate point 9intang using this wa!e length *?E+ in cases of ner!ous tension, insomnia, etc. -anyin1iao was discussed under combination number ) of this work. %t is one of the most important and fre.uently used acupuncture points. %t is also a member in the pre!iously discussed 2-i0 main points2 category. %n this point combination it was added in order to balance the treatment *please refer to Chapter (, paragraph %I+. -anyin1iao is perhaps the most fre.uently used point to tonify 9in 8i. %t is the meeting point of the three leg 9in meridians: the kidney, li!er and spleen and it has the effect of stimulating them all. 4ue to its effect on the 9in in general and on these three organs in particular, -anyin1iao is a ma1or point to tonify the blood too. Taking into consideration the role that these three organs play in regard to the blood functioning, we can understand the importance of -anyin1iao in relation to the blood. The kidneys are associated with blood production by ruling the bone marrow *Bing+, where blood is created. At the same time, the kidneys pro!ide the 9uan 8i for the spleen in order to produce blood. This 9uan 8i plays a ma1or role also in the area called: The -ea of 8i under Tan"hong *CH )?+, where blood is produced by the mutual energetic cooperation of the heart and lungs in the Lpper Biao. The spleen rules the creation of blood from the essence of food digested in the stomach. Thus the !olume of blood is most dependent on the spleen. The li!er stores the blood and rules its mo!ement and distribution, due to its 8i sprinkling acti!ities *?A+. Thus, point -anyin1iao plays a role in supplementing deficient blood and in circulating and in!igorating stagnant blood. We must keep in mind the most fre.uent causes of insomnia and restlessness, mentioned in relation to point -henmen *5 ?+, in this combination. The 25eart bla"ing 3ire2, or 25eart 9ang -hi2, is due to, or in continuum, with 5eart 9in Iu or 5eart (lood Iu. %n either case, -anyin1iao is utili"ed here to supplement both 9in

and blood and thereby to reduce, or eliminate, 5eart-3ire. This point combination is constructed of three points that ha!e a mutually assistant action on calming the -hen by reducing 5eart 3ire and regulating its acti!ity. The fourth point gi!es the balance to the formula, by acting directly on the cause of the disharmony. $n this !ery principle many other point-combinations ha!e been de!eloped, especially points that reduce 5eart 3ire on the one hand and points that supplement @idney Water on the other hand. -uch combinations are: Tongli *5 E+ 4a"hong *@ <+ Tongli *5 E+ >haohai *@ A+ -henmen *5 ?+ Tai0i *@ /+ *??+ Needlin* se>uence5 manipulation and stimulation -henmen and then &eiguan are needled first. These two points ha!e the strongest and fastest response, and they are used to calm the patient as .uickly as possible. (oth points are generally used in sedation. %n cases of too weak or an0ious patients, the stimulation should be mild, and skilful needle techni.ue is important in order to cause minimal pain to the patient. 9intang is then needled in the same manner, and at last, -anyin1iao, in tonification. %t is not necessary in this combination to cause a propagated needle sensation, as there is no specific area of discomfort or pain. %t is enough to suspend the needles in situ after 4e.i has arri!ed, without further manipulation. When this combination is utili"ed for insomniatic patients, it is recommended to retain the needles for /= <= minutes, and the treatment should be conducted as close to bedtime as possible *?G+.

$erbal e>ui0alent There are many herbal prescriptions that deal with an un.uiet heart and troubled spirit. There are e!en two categories of herbs that deal directly with these symptoms. $ne category is of herbs that 2nourish the heart and calm the spirit2 and the other is, 2substances that settle and calm the spirit2. The prescription that % ha!e chosen to parallel this point-combination is constructed of four herbs. Two herbs that ha!e a calming effect on the spirit. They simultaneously nourish the heart and regulate its function. The third herb, has a direct effect on calming the spirit and the fourth herb tonifies blood and 9in.

The herbs are: adi0 #olygale Tennifolia 9uan >hi -emen >i"iphy -pinosa - -uan >ao en -clerotium #oria Cocos - 3u -hen adi0 ehmania :lutinosa -hu 4i 5uang. 9uan >hi is used to calm the spirit and facilitate heart function and is used mainly for ner!ous tension, an0iety and emotional problems hindering the heart function. -uan >ao en also calms the spirit, but, in addition, it nourishes the heart blood and 9in. 3u -hen is a fungus similar to 3u 7ing, but it en!elopes the root and is considered better for calming the spirit. -hu 4i 5uang is a widely used herb to tonify both 9in and blood in general, and it is used here to supplement the 9in substance for the heart function. Thus, the mutual action of 9uan >hi and -uan >ao en is !ery similar to the action of points -henmen and &eiguan. 3u -hen may be compared to 9intang, especially when e!en its name 3u -hen *Tockahoe -pirit+ implies its influence upon the spirit *-hen+. -hu 4i 5uang in this formula imitates the role of -anyin1iao and its effect upon blood creation and 9in tonification. The whole formula is therefore effecti!e in the treatment of: insomnia, dream disturbed sleep, an0iety, palpitations, weakness and anemia, forgetfulness, disorientation and lightheadedness and the like. Case history 'rs. C., age /), ga!e birth to her only child three years ago, after si0 years of sterility. -he had been treated for her sterility with hormones and did not feel well during the course of the treatment. A year after she ga!e birth, she had suddenly e0perienced palpitations, pain in her left chest, left arm and left leg, lassitude and an0iety. -ince that time and for the last two years, her condition had not impro!ed, despite different tran.uili"ers that she had been prescribed and sessions of con!ersations with her psychiatrist. 7ately, she started ha!ing headaches in her temples and her !erte0. 'rs. C. had a !ery fast pulse *around ))=+, of choppy and wiry .uality. The Cun position was soft and thin and weak, on both wrists. 7i!er position was choppy and wiry. @idney position was choppy and wiry and weak. 5er tongue was purplish red, but underneath was pale. %t was !ery flabby and the lung area showed small cracks. The tip of the tongue was red and had red pimples. 5owe!er, it was moist, not dry.

'rs. C. had a pale comple0ion with red cheeks and in general, she had a thin and fragile figure. 5er !oice was low and weak, almost a whisper. $n her first e0amination % measured her blood pressure which was ))=;?E 5g. %t was !ery ob!ious that 'rs. C. had a depletion of 9in and blood and deficiency of 8i, in general. This conclusion was reached owing to her weak appearance, pale comple0ion and thin, choppy pulse. As a result, she ob!iously had a heart 9in;blood Iu condition, with a subse.uent bla"ing of 5eart 3ire. This was e!idenced by the fast pulse, palpitations, an0iety and red cheeks. The long period of 9in deficiency, led e!entually to an ascending 7i!er 9ang, which ga!e rise to the recent headaches. 3urthermore, % suspected that blood stagnation was de!eloping, relying on her choppy pulse and the red pimples on her tongue tip. The treatment plan was to put an emphasis on resol!ing the stagnation in the heart, reduce its fire and supplement the 9in and blood. To do so, % used the abo!e point combination, with two additions: ). Iimen *# <+, only on the left side, in order to in!igorate the heart circulation, break the stagnation there and alle!iate the pain. ,. Iing1ian *7%H ,+ on both sides, to reduce 7i!er 9ang, disperse the li!er, and treat the headache. -anyin1iao was the only point that was reinforced in order to tonify the 9in. 'rs. C.Ds condition impro!ed gradually, with some regressions, o!er a period of one month of treatments. When her headaches subsided, together with the chest pain, the point prescription was changed as follows: -henmen *5 ?+ and &eiguan *# A+ were left in order to continue the treatment of calming the -hen and further facilitate 5eart 8i. To -anyin1iao, % added :uanyuan *CH <+ and 8ihai *CH A+, in order to strengthen her constitution and general health. The last three points also form a point combination, which was discussed in combination number one of this work. After one more month, 'rs. C. felt much impro!ement in all respects and the treatment was therefore terminated. Addendum -i0 months later 'rs. C. became pregnant, and in her second month she had recurrence of headaches, chest pain, together with morning sickness. -he recei!ed fi!e more treatments in the course of two weeks, after which all her symptoms had disappeared again. -he ga!e birth to her second child in due course, without any complications.

7.' 6$I!OU ;T /<5 =I"EN ; I8 7,<5 +AN! IN!=UAN ;! ),<5 TAIC$ON! ; I8 )< "ain effect and clinical purpose This point combination is used to regulate the li!er and gallbladder meridians, to remo!e obstruction from their passages, and to resol!e stagnation of 7i!er 8i. Therefore, it is often used in cases of flank pain, oppression and discomfort in the chest and distension of the breasts. (esides this it may also treat sciatica which occurs along the route of the :allbladder meridian, or paralysis of one side of the body associated with this meridian. Point discussion ;13< >higou is a point on the hand -hao 9ang meridian, which is in continuum with the leg -hao 9ang, :allbladder meridian. %ts indications are mainly concerned with the domain of the -hao 9ang system. %t spreads and in!igorates the 8i in this meridian and disperses obstructions which are located along its route. The a0illa, side of the chest and the rib cage, are all irrigated by the 8i of the -hao 9ang and Chueh 9in meridians. These meridians form the internal;e0ternal relationship, and points from each of them also affect the other. >higou is located at the beginning of the -hao 9ang, which is literally the small 9ang. The points at the beginning of the -hao 9ang ha!e an accelerating effect on the mo!ement of the 9ang from the upper parts of the body, to the lower parts. (y accelerating this mo!ement, we can disperse obstructions along the route, one of which is chest or flank pain *G=+. -ymptomatically, >higou is !ery rele!ant in cases of flank pain and it is often mentioned in ancient works from China, thus: 2%n pain of the ribs and flank, needle >higouM was written in the (%A$ 9$L 3L *$de of the -tandard of 'ystery+. Also, in the 9L 7$&: :6 *-ong of the Bade 4ragon+, we find: 2When there is pain and obstruction of the flanks, using >higou, will gi!e e0cellent results.2 >higou is also fre.uently used in the treatment of constipation, due to its ability to remo!e obstruction from the intestines as well. 8imen is the 3ront 'u point of the li!er channel. %t is located in the costal region and has a local effect on this area. (esides its location in the site of the pain, it has a similar action to >higou. %t spreads and in!igorates the 8i. 3urthermore, it also has the ability to transform congealed blood and remo!e blood stagnation. Thus, e!en in cases of traumatic in1ury, such as a broken rib, 8imen is indicated. 8imen, as the 3ront 'u point of the li!er, has a direct effect on this organ. -ince the li!er is the organ mostly associated with 8i stagnation, 8imen, as its 'u point, has an effect on in!igorating the 8i in general. Therefore, e!en costal pain that is due to emotional problems

*i.e. depression+ or internal diseases *i.e. hepatitis+, may be treated by 8imen. With regard to its effect on the flanks, we can find in the >hen Biu 4acheng *:reat Compendium of Acupuncture and 'o0ibustion+, written by 9ang Bi"hou in )A=), the following recommendation: 2pain, fullness and obstruction of the flanks, when 8imen is used, great results will be achie!ed2. 9anglingchuan constitutes the counterpart of >higou on the same segment of -hao 9ang. %t is the 5e -ea point of the :allbladder, and has a strong effect on this organ. As we know, the gallbladder is anatomically situated under the costal region, and malfunctioning of this organ often gi!es rise to flank pain, distension and soreness of the whole area. -timulation of 9angling.uan has a calming effect on the gallbladder and it regulates its function. Thereby it is beneficial for flank pain. (esides regulating the function of the li!er and gallbladder, 9angling.uan is the confluent point of the tendons and ligaments. %ts indications say in this respect that its use benefits tendons and bones. Thus, in cases of traumatic in1ury, this is a !ery important point to resol!e stagnation in the costal region, brought about by accident. %n the 2-ong of #oints for 'iscellaneous 4iseases *>abing Iuewei :e+, written in )E/?, we find: 2When there is flank pain, 9angling.uan must be used2. Taichong constitutes a continuum in this point combination with 8imen. They are both situated on the li!er meridian and Taichong is the 9uan -ource point of the li!er. 9uan -ource points are closely connected with the organ to which they are linked. %n this respect, Taichong has the same .ualities that we ha!e mentioned under 8imen, only it operates from afar. Taichong is actually the strongest point in the treatment of stagnant 7i!er 8i. %t is most useful in internal diseases caused by stagnation of 8i, but may be used in any form or cause of stagnation. Taichong has pain relie!ing .ualities, due to its role as a destagnation point. %t is so remarkably effecti!e in relie!ing pain, that it has been used for generations in the renowned point-combination known as the 23our :ates2. The combination is 5egu *7% <+, two points abo!e, and Taichong, two points below. This combination has a strong sedati!e effect by acti!ating and dispersing 8i and blood in the whole body. %n the treatment of flank pain, Taichong plays its role by relie!ing pain, dispersing stagnant 8i, regulating the li!er and li!er channel and regulating the blood. %n this point combination, two principles ha!e combined in order to form the theoretical basis for its e0istence. $ne is the principle of mutual assistance, and the second %s 2one point abo!e two points below.2 We ha!e demonstrated, under each point description, the influence that it has upon the

costal region. We ha!e seen that each one of the points is capable to affect the flanks, chest and the ribs. Together, they e0ert a much greater potency in resol!ing any kind of pain in this region, than any one of them alone. The -hao 9ang and Chueh 9in meridians, form the e0ternal;internal 9in;9ang relationship. They thus influence one another and may also be treated, one by the other. %n this combination we ha!e two points belonging to the -hao 9ang segment, >higou abo!e, and 9angling.uan below, and two points belonging to the Chueh 9in segment, 8imen abo!e, and Taichong below. (y the principle of 2one abo!e two below2, >higou, as was described abo!e, accelerates the flow of 8i in order to unblock the stagnation in the costal region. 8imen ser!es as the local upper point, that in!igorates 8i and (lood in the disease focus. Taichong with 9angling.uan constitute the weight on the other end of the see saw, so as to attract the energy and facilitate its flow. %t is !ery similar to the pre!iously described sinusitis point combination, under combination number two of this chapter. The only difference being that the latter is based on one meridian segment, whereas the former, on two meridian segments. The effect, ne!ertheless, is the same. Needlin* se>uence5 manipulation and stimulation The order of needling in this combination, is as in other combinations based on the 2one abo!e two below2 principle. >higou is the starter, for the reasons mentioned abo!e. 8imen, 9angling.uan and Taichong follow. The se.uence, thus, goes in descending order and follows the appropriate direction of energy. The method of stimulation is dispersion, with an emphasis on conducting the 8i in the direction of the disease focus. %t is possible to administer electrical stimulation in the case of acute pain, in the same way as we ha!e discussed in other cases. %n the case of traumatic in1ury of the rib cage, it is possible to apply mo0a. This is usually done with a mo0a stick abo!e local points such as 8imen or Ahshi points. %t is not recommended to apply mo0a immediately after the in1ury has occurred, but a few days later. %t is also not recommended if heat signs are e!ident. $erbal e>ui0alent The opening herb, much like >higou, was chosen in this prescription mainly because it enters both the Triple (urner and the li!er meridians. This herb is hi"oma Cyperi otundl *Iiang 3u+. %t regulates the flow of 8i in these two meridians and it resol!es stagnation of 7i!er 8i. Together with adi0 (upleuri *Chai 5u+, it is classically used for pain and distension in the chest and flanks. Chai 5u, together with its ability to release e0terior conditions associated with the -hao 9ang pattern, is also used to rela0 constrained 7i!er 8i. As such, its indications include:

chest and flank pain, a feeling of constriction in the chest and other symptoms not rele!ant in this conte0t. Another herb that may assist the function of the former couple, is #ericarpium Citri reticulata *8ing #i+. This herb enters the li!er and gallbladder meridians, is used to regulate their 8i and to alle!iate pain. %t is used for chest, breast, flank and hypochondriac pain due to 8i stagnation, and also for blood stasis to some e0tent. The last herb in this formula is used to in!igorate the blood in the domain of the -hao 9ang and Chueh 9in channels. %t is a ma1or herb, and is used in many pain syndromes, including headaches. The herb is adi0 7igustici Wallici *Chuan Iiong+. 4ue to its ability to in!igorate the blood and break up congealed blood, it makes the whole formula !alid e!en in the case of traumatic in1ury in the chest or flank regions. Case history 'r. 6. age <G, was a psychologist who had decided, a month prior to his !isit at my clinic, to learn how to fly. Thus, he enrolled in a sky gliding course and in his first attempt to take off, he broke three ribs on his left side. After a month of suffering se!ere pain and sleepless nights, his I ray e0amination did not show any impro!ement. -o, when he came to me for treatment, he was already weak and e0hausted, not to mention his sincere repentance for his heroic aspirations. 'r. 6. was gi!en a course of si0 treatments, during two weeks, after which his pain and distension had left him completely. A week later he underwent another I ray e0amination which showed, this time, completely healed ribs. 5is treatments included our point combination, with the addition of 4a"hu *( ))+, and -henshu *( ,/+. The point-combination was chosen because the broken ribs were in the domain of the -hao 9ang and Chueh 9in channels. The combination, as already e0plained, has the ability to resol!e stagnation and in!igorate the 8i and blood in the flanks and costal region. 4a"hu was added due to its task as the confluent point of the bones and the effect it has on repairing skeletal damage and strengthening the bone structure. -henshu, as the (ack -hu point of the kidneys, 1oined the formula in order to strengthen the patient in general and to reinforce the kidneys which, according to T.C.'., rule the bones. Thus, by reinforcing the kidneys, the bones are also tonified. 7/' 6$I!OU ;T /<5 6$AO$AI ;# /<5 TIANS$SU ;ST &.< "ain effect and clinical purpose This combination of points has a special effect on regulating the function of the intestines and eliminating constipation. Point discussion

>higou was broadly described and analy"ed in the pre!ious combination, number )E. There, we also mentioned that >higou is !ery effecti!e in the treatment of constipation due to its ability to remo!e obstructions from the intestines. The e0planation for this ability of >higou is in two of >higouDs characteristics: ). (eing situated on the beginning of -hao 9ang, this point has the ability to in!igorate the mo!ement of 9ang 8i throughout the body, in a downward direction from abo!e to the inferior parts of the body. -ince all the 9ang 8i tra!els downward, while all the 9in 8i starts from below and tra!els upward, -hao 9ang is utili"ed to facilitate the 9ang mo!ement, as much as -hao 9in, by the same principle, the mo!ement of 9in 8i. ,. As a point belonging to the Triple (urner, this point helps regulate the circulation of 8i in the three Biaos. Along with >higouDs ability to remo!e obstructions, it makes a powerful point in both regulating and cleaning the intestines. >haohai is located in the leg -hao 9in meridian. The -hao9in starts the mo!ements of the 9in 8i towards the upper parts of the body *G)+ and this makes >haohai one of the most important points to tonify the 9in. $ne of the most fre.uent causes of constipation is accumulation of e0cess heat in the large intestine. %t dries the stools, making it hard and difficult to e!acuate. Another fre.uent cause, is the lack of sufficient fluid in the large intestine, which causes dryness of the bowel and insufficient lubrication to allow smooth passage of the stools. The lack of fluid, or 9in, may be either because there is e0cess heat in the large bowel or, because of a Iu condition of systemic 9in or blood deficiency. >haohai, as a 9in tonic, supplies the large intestine with 9in 8i and thus pro!ides lubrication for the constipated dry intestines. Another facet of these ingeniously combined two points, is the energetic outcome of the simultaneous use of both of them. >higou starts an accelerated mo!ement of 9ang 8i downward. 9ang 8i makes peristalsis faster and better, as 9ang 8i manifests itself in mo!ement and function. >haohai, for its role, starts an accelerated mo!ement of 9in 8i upward. 9in 8i brings coolness and fluid, as those are the manifestations of 9in. As the result of this bipolar mo!ement, the intestines are mo!ed to e0pel their contents, and at the same time are irrigated to allow its free passage. Thus, the use of these points together creates an energetic motion, harmonious and complementary, that has a regulating effect o!er the function of the large intestine. Tianshu is the 3ront 'u point of the large intestine. %n this way it is connected directly with the organ itself and is therefore associated with all the problems of this organ. %n its indications we can find the following: Tianshu ad1usts the function of the intestines. Tianshu regulates the 8i of the intestines.

 %t relie!es stagnation of 8i, blood and food in the intestines. %t regulates menstruation. (ecause of these .ualities, Tianshu is used in both chronic and acute constipation. As do most of the 3ront 'u points, Tianshu also ser!es as a local point, close to the focus of disease. As such, it has a direct and immediate effect upon the large intestine, an effect that may be taken ad!antage of, e!en by hand manipulation of the Tui &a massage. Lsing Tianshu as a pressure point mo!es the intestines, relie!es distension and helps achie!e an e!acuation, especially, in acute, painful constipation. The combination of >higou with >haohai was mentioned as an effecti!e treatment for constipation, as far back as the year )E/?. %t was mentioned then in the 9u 7ong :e *-ong of the Bade 4ragon+, found in the Collection of :atherings 3rom $utstanding Acupuncturists *>hen1iu Buying+ *G,+. The methodology by which these two points were combined has already been e0plained pre!iously. The introduction of Tianshu to the couple, centers their effect on the large intestine and adds the strong influence of Tianshu itself upon the intestine. Needlin* se>uence5 manipulation and stimulation >higou and >haohai are needled one after the other to perform their energetic influence, as was described pre!iously. Tianshu is then needled and manipulated. >higou is usually manipulated in a dispersion fashion. >haohai has a better effect if its 8i is made to tra!el upward along the medial aspect of the shin, towards -anyin1iao. Tianshu is also manipulated in dispersion usually. When the cause of the constipation is a deficiency of 9in and;or blood in the large intestine, usually due to old age, >haohai and Tianshu may be tonified. $therwise, the condition of a constipation is -hi *obstruction, heat, congestion, stagnation+ in general and the points should be sedated. $erbal e>ui0alent -emen Trichosanthis *:ua 7ou en+, -emen Cannabis *5uo 'a en+, -emen #ersica *Tao en+, -emen (iota orientalls *(ai >i en+ and -emen -esami %ndici *5ei >hi 'a+, all treat constipation. :ua 7ou en treats constipation due to heat in the lungs that penetrates into the large intestine, usually after fe!er. 5uo 'a en treats constipation due to deficient 8i, especially in the elderly. 4eficient 8i causes stagnation and dryness in the intestines. Tao en is an herb used to in!igorate the blood and treat constipation due to congealed blood and heat stagnation. (ai >i en tonifies blood and 9in in the intestines, as it is a nourishing herb, and is therefore used in the treatment of the elderly and debilitated. 5ei >hi 'a, may be used like point >haohai. %t tonifies the 9in of the kidney and li!er and lubricates the intestines. This formula actually encompasses all the possible causes for constipation, and each herb

contributes its personal .uality, plus a generali"ed effect common to all of them, namely, to lubricate the intestines and smooth their action. This prescription must be modified in any particular case, according to the diagnosis. Thus, if (lood Iu dominates the picture, then herbs such as adi0 Angelica -inensis *4ang :ui+ must be added and so on. Case history 'rs. @, age <E, suffered for many years from constipation. -ometimes she did not ha!e a bowel mo!ement for a whole week. %n addition she complained of halitosis and much gas in the abdomen. A month before our first appointment, she started e0periencing weakness and sometimes e!en palpitations. -he was slightly obese and had puffy bags below her eyes. $bser!ation also re!ealed a bright red tongue, purplish in the center, with many red prickles around the tip and sides. %t was peeled and slightly scalloped in the sides. The pulse was regular and soft, with the kidney position deep and weak. These symptoms were e!idently a 9ang within 9in condition, or a Iu condition gi!ing rise to -hi symptoms. The basic pattern, as e!idenced by the soft pulse, puffy eye bags, scalloped tongue and obesity, pointed out a spleen 8i Iu. -pleen 8i Iu affects the transformation transportation *9un-5ua+ function of the spleen, gi!ing rise to obesity and la"y bowel mo!ements hence constipation. 7ong term constipation causes stagnant 8i in the large intestine, which in turn de!elops into heat. 5eat causes dryness of the intestines, hard stools, and may also cause blood stasis. 'rs. @. showed a shiny red tongue with a purplish center and red prickles. All these signs pointed to a heat stagnation, probably with congealed blood inside too. The treatment gi!en to 'rs. @. included our point-combination to treat the basic stagnation and to lubricate the intestines. %n addition, other points were combined, in order to form a comprehensi!e formula. 4achangshu *( ,E+ The (ack -hu point of the large intestine, in order to acti!ate the bowel and disperse the heat therefrom. 4achangshu and Tianshu together, make another point combination, based on the -hu 'u principle, that has a strong draining effect on the bowel. Taichong *7%H /+ and -anyin1iao *-# A+ were also added as another point combination. These points regulate the 8i, disperse stagnant 8i and blood and tonify both the li!er and spleen. >usanli *-T /A+ is perhaps the most important point to tonify spleen 8i and strengthen its transportation function. %n addition, it has a strong influence on constipation, it tonifies the blood and strengthens its circulation in the gastro intestinal tract. 'rs. @. has been treated se!eral times during the past three years. -he usually recei!ed a

few treatments based on the abo!e prescription. 5er constipation impro!ed for a year or so, until the ne0t time. %t is !ery important to educate the patient regarding the proper life habits for dealing with constipation. 3iber-rich foods are essential, along with 9in supplementing foods, such as: whole wheat, !egetables, fruit, oils, dried fruit, almonds, and so on. #hysical e0ercise is essential for people with weak abdominal muscles and, no less, regular eating habits. 71' +IN%AI ;SP 7<5 =I$AI ;C8 /<5 ?UE$AI ;SP 7@<5 SAN+IN:IAO ;SP /< "ain effect and clinical purpose This combination has a strong effect on the blood. 'ost of the points here ha!e a regulating effect on the blood, and as a whole, it is used for astringent purposes. %t arrests bleeding from any of the body nine orifices, but particularly uterine bleeding, or bleeding of the digesti!e tract. Point discussion 9inbai is fre.uently used to tonify the spleen. $ne of the spleenDs main functions is to contain the blood, or keep the blood in the blood !essels. This function of the spleen comes in continuum with its role in creation of blood. (y commanding the digesti!e function of the stomach, the spleen e0tracts the pure essence of digested food and drink and transforms it into 8i and blood *G/+. Thereafter, as the master of transportation too *i.e., the 9un 5ua role of the spleen, translated as transformation and transportation+, the spleen is responsible for keeping the blood flowing through its proper routes the blood !essels. (ecause of these functions, the spleen meridian, or points that tonify the spleen situated on this meridian, are used in diseases associated with blood disorders. 9inbai is the most important point on the spleen channel regarding its function of containing the blood. This function of 9inbal is probably due to its role as the 2Well2 point of the spleen meridian. Well points are used primarily in acute or dangerous conditions, as they connect the 9in and the 9ang, e0terior-interior channels. Thus they are commonly used in acute fe!er, delirium and e0cessi!e heat conditions, or resuscitation from fainting and coma. 7oss of blood is also considered a dangerous condition. 7oss of blood is a loss of 8i too. Thus, the Well point of the channel most associated with 2keeping the blood in the !essels2 function, is the most appropriate to deal with such problems. As stated before, the other function of 9inbai, is to strengthen the spleen. (y strengthening the spleen in general, all the spleenDs acti!ities are strengthened, including digestion, blood and 8i production, containing the blood, holding the organs and tissues in their proper position, nourishing the muscles, transporting waste outside the body and additional functions as well. 8ihai was already discussed under combination number one in this chapter. As the ruler of the 2sea of energy2 in the lower 4antien, this point has a strong impact upon the amplitude

of 8i in the body. -ince abnormal bleeding implies, first of all, a weak 8i which is incapable of 2ruling the blood2 properly, this point is called upon to draw out e0tra 8i from the reser!es which are located at the 2-ea of 8iM. The special relationship between 8i and blood is one of the cornerstones of Chinese medical thinking. 8i is considered the commander of blood, and (lood is regarded as the mother of 8i *G<+. This means that 8i regulates the blood, mo!es it and keeps it in place, while the blood nourishes the organs that produce 8i. The -pleen, of all organs, is mostly in!ol!ed in this relationship. %t creates blood, as we ha!e already seen, and if blood is abundant enough to feed the spleen itself, the spleen is capable of producing 8i. %f 8i fails, howe!er, it may be strengthened and supplied by tonifying the spleen itself and by drawing 8i from its reser!es, namely 8ihai. Iuehai was also discussed pre!iously in this chapter, under combination no. E. We would like to stress, howe!er, that this too is a point on the spleen channel, mostly associated with blood. Iuehai drains heat from the blood and cools it. -ince many of the abnormal bleeding syndromes occur due to this phenomenon of heat in the blood, causing reckless mo!ement of blood and bleeding *GE+, Iuehai is perfectly appropriate for treating this kind of problem. %n addition, Iuehai regulates the mo!ement of 9ing 8i *nutriti!e energy+ and blood and is thus a counterpart for 9inbai in the function of keeping the blood enroute. -anyin1iao was Also thoroughly discussed in this chapter, under combinations number ) and )E. %n short, -anyin1iao tonifies 9in and blood and the three organs that produce and control blood, e0cept for the heart. (y tonifying the blood and its production, and by tonifying the spleen, this point is a substantial addition to this combination, whose aim is to stop abnormal bleeding. This combination, as we ha!e shown, is constructed of three points that ha!e a strong tonifying effect o!er the spleen itself. They ha!e been chosen, from all the other points on the spleen channel, because of each oneDs personal characteristics as a blood regulator. Thus, their mutual effect on the spleen system strengthens this organDs functions of 2building the blood2, and 2holding the blood2, while the points themsel!es e0ert their symptomatic influence for the same purpose. The fourth point, 8ihai, acts directly on the 8i, reinforcing it and enabling it to perform its duty as the 2commander of blood2, meaning: to pre!ent reckless mo!ement and stop bleeding. %t is important to note here that the combination is effecti!e primarily for digesti!e or

uterine hemorrhage. %t is less effecti!e for epista0is, coughing up of blood, blood in the urine, or bleeding hemorrhoids. The reason is that the in!ol!ement of the spleen channel is primarily in diseases associated with uterine function and digesti!e disturbances. %t does not mean, howe!er, that this combination cannot be used in other hemorrhagic problems, because as was e0plained, the spleen does ha!e an effect on all occurrences of abnormal bleeding. -till, the combination should then be modified to deal with these problems specifically. Needlin* se>uence5 manipulation and stimulation %n this combination we start from below and proceed in an upward direction. The reason for this is twofold: ). %n order to tonify the blood it is necessary to act on the 9in, since blood is mostly 9in. 9in starts flowing from below *from earth+ and tra!els upward, while 9ang does the opposite. Thus, we start with 9inbai, go on to -anyin1iao, and ad!ance to Iuehai. ,. As we ha!e shown, this combination has also the aim of tonifying the spleen. $ne of the rules of tonification is to needle the points in the direction of the energy stream. -ince the spleen meridian is 9in and it flows from 9inbal upward, the needling order follows suit. 8ihai is an additional point in this combination as we ha!e demonstrated earlier. Therefore it is needled last, and it crowns the combination. The spleen points act directly on the blood, while 8ihai balances the formula by acting on the 8i, the commander of blood. Clinical e0perience has shown that stimulation of 9inbai with tiny mo0a cones, bears the best results. %t is a tiny point at the angle of the thumb nail, so, tiny mo0a cones, the si"e of rice grains, are placed directly on it and ignited. Lsually, three cones suffice for e!ery treatment. The rest of the points are punctured in tonification in case of a Iu condition and in e!en manipulation, in cases of heat in the blood that causes the bleeding. %n performing an e!en manipulation, it is important to distinguish the relati!e importance of Iu and -hi within a complicated syndrome. %n our case, Iu means deficient spleen 8i and deficient blood, while -hi is usually the presence of heat in the blood and 9ing 8i. When Iu symptoms are predominant one should reinforce with doubled effort and reduce with a single effort. $ne should also reinforce first and then reduce. Traditionally, the procedure is applied as follows: The needle is thrust nine times, emphasi"ing on thrusting forcefully while lifting the needle gently. After nine times, the same point is reduced by lifting the needle forcefully si0 times and thrusting it gently. When -hi symptoms are more pronounced, the procedure is re!ersed *GA+. 8ihai is stimulated only in tonification. When 9ang 8i is in deficiency, it is recommended

to apply mo0ibustion, either by warm needling or indirect mo0ibustion upon a layer of ginger or aconite *3u >i+. 'o0ibustion is, of course, permissible also on -anyin1iao and Iuehai, if the patientDs condition is a Cold;deficiency pattern. %n such cases, the warming needle techni.ue is superior, as it warms the channel, disperses cold and supports the 8i. $erbal e>ui0alent Terra 3la!a Lsta *3u 7ong :an+, which is actually the center of the ashes from the bottom of a cooking sto!e, where adi0 7ithospermi *>i Cao+ has been burnt, is used to tonify the spleen 9ang and stop bleeding. When added to Crinis Carbonisatus *Iue 9u Tan+, which is actually charred human hair, this combination is effecti!e in treating abnormal uterine bleeding. (oth substances treat bleeding due to deficiency. 5erba Agrimonia #ilosa *Iian 5e Cao+ treats abnormal bleeding, no matter of which etiology. %t may be added to other herbs according to a specific etiology. adi0 -anguisorba *4i 9u+ cools the blood and stops bleeding, both digesti!e and uterine. %t may be, to some e0tent, compared to point Iuehai, especially because, like Iuehai, it also treats skin disorders. The last herb, which also has an astringent influence on bleeding, is chosen, like point 8ihai, to tonify the 8i, raise the 9ang 8i of the spleen and treat the problem from its core. This herb is adi0 Astragali *5uang 8i+. Actually, its .ualities may be compared to the actions of se!eral points together. These .ualities are: ). %t tonifies the spleen in general and treats symptoms of anore0ia, weakness, chronic diarrhea, etc. This .uality may be paralleled to the influence that point -anyin1iao has upon the spleen. ,. %t raises the 9ang 8i of the spleen and this may be compared to the mutual action of points 9inbai and 8ihai. /. %t tonifies both 8i and blood and in this it is similar to points Iuehai and 8ihai. Case history 'rs. 5., age /=, has tried since she was ,? years old to become pregnant. At the age of )F she had gone through an artificial abortion and according to her doctors, this was the reason why she could not retain her pregnancies. -ince the age of ,?, she has had four miscarriages. <G hours before her !isit to my clinic she had had another miscarriage, followed by hea!y bleeding, pain and nausea. % obser!ed a tall, slim woman, !ery pale, and !ery much in pain. 5er lips were pale and dull and her finger nails were white. The pulse was moderate, wiry and weak, while the tongue was bright red.

'rs. 5. also told me that she had a !ery weak digestion and that she felt weak most of the time. -he suffered from heartburn, swollen and painful gums, and dry mouth. 5er periods were always accompanied by e0cessi!e bleeding and contained blood clots. %t was ob!ious that 'rs. 5. suffered a basic spleen stomach disharmony, caused by spleen 8i Iu. The spleen deficiency caused deficient blood and an impairment of the spleen function of retaining the blood, or the fetus. The first goal of the treatment was to stop the massi!e bleeding and the pain which followed the miscarriage. The second phase was planned to strengthen the spleen, tonify 9in and blood and re-harmoni"e stomach and spleen functioning. Thus, in the first treatment % used the point combination with an addition of 5egu *7% <+ and Taichong *7%H /+. This combination was supposed to 2open the four gates2, which means to regulate 8i and blood in the whole body and to stop the pain. %n the second day 'rs. 5. had much less pain and less bleeding. The second treatment was constructed of the same point combination, e0cluding 5egu and Taichong. %nstead >hiyin *( A?+ and >hongBi *CH /+ were added. These points were added in order to cause the uterus to e0pel the remaining tissue of the dead fetus. The ne0t day there was almost no bleeding at all, but she felt contractions in her lower abdomen. Thus, the same formula was applied to her once again and in the ne0t day she e0pelled some !ery big blood clots. Two days later, when she came to me again, there was no pain at all and no bleeding. 5er pulse had changed dramatically and the wiry .uality remained only at the stomach position. 72' TIANS$U ;ST &.<5 S$AN!:U?U ;ST )1<5 S$AN!=IU ;SP .<5 +IN IN!=UAN ;SP 3< "ain effect and clinical purpose This combination is a classical point combination to clear damp and heat from the intestines. %t is therefore used to treat problems such as chronic diarrhea, dysentery, enteritis and colitis. Point discussion Tianshu was discussed in combination number )A, dealing with constipation. As the 3ront 'u point of the large intestine, this point actually deals with all the afflictions of the intestines. %ts indications imply that it regulates and facilitates the functioning of the intestines and eliminates stagnation. This indeed co!ers all the possible diseases of the intestines. Theoretically, the 7arge %ntestine is the organ by which the spleen applies its transportation function. The large intestine transports and e!acuates the residues of the digested food and fluids *G?+.

When the spleen 8i is weak, the transportation ability of the large intestine is impaired, gi!ing rise to constipation or diarrhea. Another phenomenon which often e0ists when spleen 8i is weak, is the formation of dampness and phlegm. When this dampness 2pours2 into the intestines, there is a damp stagnation, gi!ing rise to chronic diarrhea, colitis, etc. As a 3u organ which is in close contact with e0ternal influence, the large intestine may occasionally be in!ol!ed with into0ication brought about by contaminated food or drink. This into0ication has usually the characteristics of damp heat or 3ire #oison and it causes diseases such as se!ere colitis, ulcerati!e colitis, dysentery and the like. Tianshu, as the 3ront 'u point of the large intestine, is capable of eliminating stagnation in the organ and that includes 4amp 5eat, 4amp Cold, blood stasis, etc. -hang1u0u is the lower 5e -ea point of the same organ, the large intestine. We ha!e described already how the classics refer to 5e -ea points, in combination number ),, with reference to point >usanli, which is the lower 5e -ea point of the stomach. Also -hag1u0u is connected directly with its organ and affects it !ery similarly to Tianshu. %t regulates the $i of the large intestine and stomach and eliminates pain. %t eliminates accumulations and stagnation, but mainly in!ol!ing damp stagnation, characteri"ed by !arious types of diarrhea. %t clears and cools dampness and heat, treating 4amp 5eat conditions such as colitis, diarrhea with blood and pus and the like. %t is important to note in this conte0t, that -hang1u0u is one of a group of three points, situated along the muscle tibialis-anterior that ha!e an influence o!er the whole gastrointestinal tract. >usanli *-T /A+, the lower 5e -ea point of the stomach, -hang1u0u *-T /?+, the lower 5e -ea point of the large intestine and Iia1u0u *-T /F+, the lower 5e -ea point of the small intestine. These points, when used together, ha!e a strong draining effect on the gastro intestinal tract and they are usually used in this form when a strong purgation is needed, in order to clean and clear the digesti!e tract of food into0ication. -hang.iu has a sedati!e effect on e0cessi!e conditions of the spleen, concerning the digesti!e system. %t is the metal *3i!e-6lements+ point of the spleen and as such it acts as the son of earth element, the spleen. -on points are used mainly for sedation purposes, which is in accord with the classics: 2%f a meridian is empty, tonify its mother. %f it is full, sedate its child2 *>hen1iu 9i0ue+. The most common e0cessi!e condition of the spleen is abundant dampness. Thus, -hang.iu is utili"ed to sedate the spleen and disperse the damp condition. %n its classical indications, therefore, we can find that it is used to transform damp stagnation and thereby to strengthen the stomach and spleen. %n the list of diseases that this point is capable of treating, we may find the following: gastritis, enteritis, indigestion, edema, diarrhea, intestinal noises and more. 9inling.uan is closely associated with the urinary and digesti!e systems, in all afflictions brought about by e0cessi!e dampness. %ts main indication is to transform damp stagnation,

!ery much like the former point -hang.iu, only it is e.ually beneficial for the digesti!e and urinary systems. Thus, in the digesti!e system it may treat diarrhea, whether acute or chronic, distension of the abdomen due to retention of fluids, ascites, enteritis, dysentery and more. The theoretical background for this pointDs indications, is, also here, related to the 3i!e-6lements principles. 9inling.uan is the Water-point of the spleen meridian. (ecause dampness is an energetic phenomenon related to the element water and the spleen is the organ mostly associated with damp conditions, therefore the water point of the spleen is sedated. 4ispersion of this point is considered to abate dampness, impro!e water metabolism and balance the spleen. This point combination is actually two point-combinations combined together, in order to ha!e a more comprehensi!e effect on a specific problem. Tianshu and -hang1u0u ha!e a direct effect o!er the large intestine, as both of them are related directly to this organ. %n fact, in many sources, both of the points appear as a combination by itself for the treatment of enteritis *GG+ or dysentery. -hang.iu and 9inling.uan represent, in this formula, a function which is related to the spleen, and this is to eliminate damp conditions. The connection of these two pairs together, ha!e centered the effect of eliminating damp in the large intestine. $f course, as is in the case of other effecti!e point combinations, -hang.iu and 9inling.uan are symptomatically helpful in large intestine afflictions, as is e!idenced by their listed functions, as much as both Tianshu and -hang1u0u are effecti!e in the treatment of e0cessi!e damp conditions. This is also e!idenced by their list of functions. Needlin* se>uence5 manipulation and stimulation (ecause this combination deals with problems of the large intestine, Tianshu and -hang1u0u are first to be needled. -hang.iu and 9inling.uan are secondary in importance and they are therefore needled secondly. %n most of the cases all the four points are needled in reducing techni.ues, in order to disperse the e0cessi!e dampness and most of the heat. 'ost often, howe!er, the -hi condition of the enteritis or diarrhea, is complicated with a basic Iu condition, usually of the spleen, and in such cases care must be taken not to o!er sedate the patient, as it might aggra!ate the condition. -ometimes the basic condition is a -hi condition, such as with food into0ication *-ha "heng+, and if prolonged enough the true 8i of the patient becomes damaged, resulting in a Iu condition. %n such cases, the manipulation of the points must be performed with the utmost care and consideration, using other tonifying points as main points and this combination becomes secondary. When there is a cold dysentery, or diarrhea of the Iu type, and there are no heat signs, mo0ibustion is recommended on Tianshu and 9inling.uan. This may be done as a warming needle techni.ue, or, in se!ere cases, also by direct mo0ibustion. %n such cases, mo0ibustion therapy is imperati!e and the results are astonishingly decisi!e.

%n the case of bleeding along with the diarrhea, as in ulcerati!e colitis, dysentery, etc., other points must be introduced into the formula. 9inbai *-# )+ *please refer to the pre!ious combination, number )?+, or #aihui *:H ,=+ *GF+ and @eshu *( )?+ are the points of choice. $erbal e>ui0alent A !ery familiar prescription for 4amp 5eat dysentery like disorders, is the following: ). adi0 -cutellaria (aicalensis *5uang 8in+ ,. hy"oma Coptidis *5uang 7ian+ /. adi0 #eonia 7actiflora *(ai -hao+ 5uang 8in drains 4amp 5eat and is considered a ma1or herb for 4amp 5eat in the stomach or intestines. This 4amp 5eat, as we know, may manifest as diarrhea with a burning sensation in the anus or, dysentery like disorders with pus and blood. 5uang 7ian has !ery similar .ualities, especially in regard to the digesti!e system and it is used for the same problems. %ts ad!antage, howe!er, o!er 5uang 8in, is that it is capable of arresting bleeding due to heat. (ai -hao is usually used to nourish the blood, but it is also capable of ad1usting the functions of the li!er and spleen and to alle!iate abdominal pain associated with dysentery like disorders. These three herbs imitate the functions of points Tianshu and -han1u0u, which, as we ha!e seen, regulate the 8i of the large intestine, stop pain, drain 4amp 5eat, cool and stop bleeding. &e!ertheless, in order to pro!ide a comprehensi!e herbal e.ui!alent to the pointcombination, two other herbs are added: adi0 -aussaria seu Hladimiria *'u Iiang+ -clerotium #oria Cocus *3u 7ing+ 'u Iiang is a herb that regulates the 8i, and is used in 8i stagnations in!ol!ing pain. %t is often a partner in a formula that treats intestinal problems such as we ha!e discussed here, as most of them in!ol!e pain. %ts indications say that it ad1usts and regulates stagnant 8i in the intestines and is used for diarrhea and dysentery like disorders, or for abdominal pain and tenesmus. This herb is said to enter the spleen meridian and to strengthen the spleen. The other herb, 3u 7ing, also tonifies the spleen, and is the most important substance for draining damp conditions. 'uch like point 9inling.uan, it is useful both for e0cessi!e urinary and digesti!e conditions. Case history #lease refer to the case history described in my article: The Astringent 8uality of #oint #aihui in my homepage: http:;;www.acumedico.com;colitis.htm The article was originally published in -ept. )FGF in the Bournal of Chinese 'edicine in 6ngland.

6!en though point -hang.iu is missing from the point combination in this article, % decided to bring this case history as it is, for the following reasons: The case history is !ery rele!ant to the e0amples of the disharmony for which this point combination is used. #oint -hang.iu has been substituted in the initiati!e formula of the case history by -anyin1iao *-# A+ because of the blood and 9in deficiency pattern e0hibited by the patient. &e!ertheless, -anyin1iao is also capable of performing the functions -hang.iu such as transforming damp stagnation in the intestines and strengthening the spleen. %ts ad!antage, howe!er, lies in its powerful influence o!er the spleen, an influence which makes it a better associate for 9inling.uan in most cases. This case history includes some other common point-combinations as well, also rele!ant to the treatment of 4amp 5eat dysentery like stagnations. They are mentioned and discussed briefly throughout the article. This case history has been written by me as an article for the maga"ine, and it is more comprehensi!e and detailed than any of the case histories introduced so far in this work. %t encompasses many facets of both diagnosis and treatment in T.C.'., as well as an interesting treatment process. %t was therefore considered fitting as the last accord in this work. %I% IO!RAP$+ AND NOTES Abbre0iations and biblio*raphy B.C.'. The Bournal of Chinese 'edicine &.-.T. &an1ing -eminar Transcript of -pring )FG<, transcribed by #eter 4eadman. W.&.W. The Web That 5as &o Wea!er, by 4r. Ted @aptchuk, published by Congdon and Weed, &.9. A.C.T. Acupuncture a Comprehensi!e Te0t by 6astland #ress, -eattle. A.C.5.C. Acupuncture Case 5istories from China by 6astland #ress, -eattle. &.A.C.A. The &orth American College of Acupuncture became licensed in )F?A in -alem, $regon, by the -tate of $regon 4epartment of 6ducation and the (oard of 'edical 60aminers. T.4.A. Treatment of 4isease with Acupuncture by 4r. Bames Tin 9ao -o, published by: #aradigm #ublications, (rookline, 'ass. #.4. #ulse 4iagnosis by 7i -hi >hen, based on the (in 5u 'ai Iue, #aradigm #ublications. *)+ The Bournal of Chinese 'edicine *B.C.'.+ &o. F p. )=. *,+ #lease refer to chapter (, for #oints Clusters. */+ &an1ing -eminar Transcript *&.-.T.+ p. ) ,, B.C.'. &o. ,F, #. A ?. *<+ B.C.'., &o. ,F, pp. A ?, W.&.W. p. AE *The @idneys rule the grasping of 8i+. *E+ The Web That 5as &o Wea!er *W.&.W.+ by 4r. @aptchuk p. EE *A+ B.C.'. &o. ,F p. A ?. *?+ W.&.W. chapter / p. AE. *G+ Acupuncture a Comprehensi!e Te0t *A.C.T.+ by the -hanghai College of T.C.'., #. EEG. *F+ Acupuncture Case 5istories from China *A.C.5.C.+ p. A ?. *)=+ Acupuncture Case 5istories from China *A.C.5.C.+ p. A ?.

Itching
#oints of the 5eart channel ha!e a marked effect in stopping pruritus *itching+. The two main points for this are 56-? -henmen and 56-G -haofu, the latter being stronger. Lsing 5eart points for itching is the e.ui!alent of using herbs that calm the 'ind and nourish the 5eart *such as 9e Biao Teng Caulis Polygoni multiflori or (ai >i en Semen Biotae orientalis+ which also stop itching. -topping itching is e0tremely important in ec"ema and is the first treatment strategy one should adopt because, although this disease causes itching, the scratching resulting from it perpetuates the disease by causing e0coriation of the skin and possible infections.

Sexual Function in Men

The 5eart channel is related to the @idney channel within the -hao 9in channels. %t is also indirectly related to the @idneys through the 4u 'ai and en 'ai, both of which flow through the 5eart and originate from the space between the @idneys. (oth the 4u and en 'ai ha!e a profound influence on se0uality and the se0ual function including se0ual desire, se0ual arousal, erection, maintenance of erection and e1aculation. 3urthermore, the Chong 'ai also starts from the space between the @idneys and goes to the 5eart and, in addition, it controls the zong muscles in the abdomen which many interpret as being the penis. Thus, especially in menDs se0uality, we can consider the 5eart as an 2Lpper @idney2, influencing many of the abo!e se0ual functions. %f we accept this, it is easy to see how mental-emotional stress affecting the 5eart has a profound influence on the se0ual function in men. There is yet another important connection between menDs se0ual function and the 5eart !ia the 'inister 3ire of the Ming Men. The 'inister 3ire is a special type of 3ire that can actually generate Water: thus, the 3ire and Water within the @idneys are inseparable and interdependent. The 'inister 3ire warms and nourishes the Room of Sperm: when it is deficient, the oom of -perm is cold and this may cause impotence or lack of libidoC when it is e0cessi!e, it flares upwards affecting the 5eart and #ericardium. The oom of -perm, located in the Dan Tian is also called Bao, a term that applies to both men and women and that is therefore erroneously translated as 2Lterus2 *Zi Bao is the Lterus+. %n women, the Lterus corresponds to the 7ower 3ield of 6li0ir *Dan Tian+ which in men houses the 2 oom of -perm2. The 2:olden 'irror of 'edicine2 *Yi Zong Jin Jian, )?<,+ says: 2The Governing essel arises !ithin the lo!er a"#omen$ e%ternally in the a"#omen$ internally in the Bao&&&also 'alle# Dan Tian in "oth men an# !omen( in !omen it is the )terus$ in men it is the Room of Sperm2. This passage clearly shows that Bao is a structure common to both men and women being the Lterus in women and the 2 oom of -perm2 in men. The e0traordinary !essels arise from this area. We can therefore consider the #ericardium **in Bao+ and oom of -perm *Jing Shi+ *also called Bao+ as two centres of se0uality, one in the Lpper (urner, the other in the 7ower (urner: it is the coordination of these two centres that controls se0uality and specifically in men, libido, erection, orgasm and e1aculation. These two centres, the 5eart and #ericardium abo!e and the 'inister 3ire of the @idneys below regulate the ascending and descending of 3ire and Water and mutually inhibit and nourish each other. Thus, in men we can use the 5eart channel points to treat se0ual dysfunctions such as impotence or premature e1aculation which are nearly always due to a dysfunction of 5eart-3ire *deficient or e0cessi!e+ rather than a @idney deficiency. That is why, in most cases, all these tonics with deer antler, dogDs penis, seal penis or sea-horse ne!er do anything. The main points for this function are 56 ? -henmen and 56-/ -haohai. % often combine the point 56-? -henmen with the opening points of the 4u 'ai. An e0ample of a point combination for a man complaining of impotence or premature e1aculation against a background of mental-emotional problems would be -%-/ 5ou0i on the left, (7A, -henmai on the right, 56-? -henmen on the right and 7%H-/ Taichong on the left if the pulse is Wiry, or @%-/ Tai0i if there is also a @idney deficiency and the pulse is Weak and 3ine.

Connection with Uterus

The 5eart is closely connected with the Lterus through the Lterus Hessel *Bao Mai+ and this e0plains the profound influence of mental-emotional problems affecting the 5eart on the Lterus. The Lterus is related to the @idneys !ia a channel called the Lterus Channel *Bao +uo+. The 2-imple 8uestions2 in chapter <? says: 2The )terus Channel e%ten#s to the ,i#neys2. The Lterus is physiologically related also to the 5eart !ia a channel called Lterus Hessel *Bao Mai+. The 2-imple 8uestions2 in chapter // says: 2The )terus essel pertains to the -eart an# e%ten#s to the )terus2 and 2.hen the perio# #oes not 'ome it means the )terus essel is o"stru'te#2. 5ence normal menstruation and fertility depend on the state of the @idney 6ssence and 5eart-(lood. %f 5eart-(lood is deficient 5eart-8i does not descend to the Lterus. %f the @idney-6ssence is deficient, menstruation does not occur. A deficiency in either 5eart or @idneys can therefore cause infertility or amenorrhoea. There is also another important connection and that is !ia (lood: the 5eart go!erns (lood and the Lterus stores (lood. Although the o!erwhelming ma1ority of gynaecologists will emphasi"e the role of 7i!er-(lood in relation to the Lterus, some put the accent on 5eart-(lood. Thus, when they want to nourish (lood in gynaecological problems, these gynaecologists would nourish 5eart-(lood with points such as 56-? -henmen and (7-)E Iinshu. 'oreo!er, the famous 8ing dynastyDs gynaecologist 3u 8ing >hu said that the 5ea!enly Gui *i.e. menstrual (lood+ deri!es from the @idney-Bing but with the assistance of 5eart-9ang which must flow down to communicate with the @idney-Bing. Thus, tonifying the 5eart, will necessarily help @idney-Bing to produce menstrual (lood. This is probably the reason why :ui #i Tang, which nourishes 5eart (lood, is such an important formula in gynaecological problems. 4r 9ao -hi An mentions se!eral patterns of the 5eart which affect the gynaecological functions. Women are prone to stagnation of 8i, this often turns into 3ire which affects the 5eartC 3ire harasses downwards and disturbs the 4irecting and #enetrating !essels, the -ea of (lood becomes reckless and this may result in 5ea!y #eriods or 3looding and Trickling. The 2Ji Yin Gang Mu2 says: 2/ire "urns the -eart$ Bloo# "e'omes re'0less an# 'auses "lee#ing #o!n!ar#s2. -adness o!er a long period of time may cause 5eart-9in deficiency, the 'ind has no residence, this causes 5eart-9ang to float and may cause menorrhagia. The 2-imple 8uestions2 says in chapter <<: 2Sa#ness lea#s to severan'e of the )terus Channel( !hen this is severe# Yang 1i is agitate# in the 2nterior an# the -eart 'auses menorrhagia2. When 5eart-8i rebels upwards, it impairs the descending of 7ung-8iC 8i cannot descend and communicate with the Lterus Hessel and amenorrhoea results. The 2-imple 8uestions2 says in the chapter Ping Re Bing +un: 22f the perio#s #o not 'ome it means the )terus essel is shut&&&1i rises to harass the +ungs$ -eart31i #oes not #es'en# an# the perio#s #o not 'ome2. $!erwork weakens 5eart-9in which leads to 6mpty 5eat: this may also cause amenorrhoea. The 2-ecret ecord of the $rchid oom2 *+an Shi Mi Cang+ says: 2Mental strain an# stress 456 7 8 !ea0ens the -eart$ -eart3/ire rises an# the perio#s #o not 'ome2. When there is 3ire in the 5eart channel, it rises to harass the 5eart and the mouth and below it may cause e0cessi!e !aginal discharge. Chen >i 'ing says: 2 aginal sores in !omen are #ue to mental restlessness an# 'haoti' -eart an# !ea0 Stoma'h31i resulting in stagnation of 1i an# Bloo#2. The 2-imple 8uestions2 in the chapter Zhi Zhen Yao Da +un says: 2Pain$ it'hing an# sores are #ue to the -eart2. #ensi!eness and worry agitate the 5eart, the 6mperor 3ire mo!es and fails to communicate with the @idneys, Water and 3ire do not communicate and infertility may result. Wang 9u Tai says:

2Pensiveness an# !orry may ma0e it #iffi'ult for a !oman to 'on'eive$ the -eart houses the Min#& pensiveness ma0es the -eart turn to!ar#s the outsi#e$ the 9mperor /ire 'annot #es'en#$ :"ove an# Belo! #o not 'ommuni'ate$ .ater an# /ire #o not 'ommuni'ate an# infertility may result2. After conception (lood is de!iated to the nourishment of the foetus, 3ire easily rises, this disturbs the 5eart and causes mental restlessness. The 24iscussion of :ynaecology2 *;u ,e Jing +un+ says: 2.hen the -eart is affe'te# "y Bloo# -eat$ -eart31i is not 'lear an# this 'auses mental restlessness2. Worry agitates the 5eart and causes a difficult birth. The 2:ynaecology of the (amboo :ro!e2 *Zhu +in ;u ,e+ says: 2.hen the -eart is affe'te# "y !orry an# pensiveness$ 1i an# Bloo# stagnate or flo! in the !rong #ire'tion$ in many 'ases this 'ases a #iffi'ult "irth2. The book 260planation of Acupuncture #oints2 recommends tonifying 56-G -haofu for prolapse of the !agina or !aginal pain and itching. The 2:reat 4ictionary of Chinese Acupuncture2 mentions 56-E Tongli for hea!y periods or 3looding and Trickling, especially in combination with 7%H-, Iing1ian and -#-A -anyin1iao *:reat Compendium of Acupuncture, )A=)+.

Backache in Men
% often use points of the 5eart channel for lower backache in men. The reason is the same as that gi!en for the use of these points for menDs se0ual problems: the 5eart is like an 2Lpper @idney2 and it therefore naturally influences the lower back. % find that the point 56-? -henmen is the best for this function because, besides its indirect action on the @idney channel *and therefore the lower back+, it also has a general anti-spastic effect, thus rela0ing the muscles. % usually combine this point with the opening points of the 4u 'ai *only if the pain stems from the spine area+. An e0ample of a combination would be -%-/ 5ou0i on the left, (7-A, -henmai on the right, 56-? -henmen on the right and @% < 4a"hong on the left. %f the pain is unilateral, % use @%-< 4a"hong on the side of the pain and 56-? -henmen on the opposite side.

Nausea, Vomiting
Although nausea and !omiting are always related to -tomach-8i ascending instead of descending, 5eart-8i also has *or should ha!e+ a descending mo!ement. The 260planation of Acupuncture #oints2 says: 2.hen -eart31i re"els up!ar#s there is "el'hing or vomiting( this means that -eart31i is full< tonifying the .ater point =-93> Shaohai? !ill ma0e 1i #es'en#2. The same also specifically recommends it for nausea and !omiting. The same te0t also recommends 56-E Tongli for !omiting of bitter fluids and 56-? -henmen for !omiting of blood. The 2:reat 4ictionary of Chinese Acupuncture2 mentions also 56-A 9in0i for !omiting of blood and 56-) Bi.uan for dry !omiting. 3urthermore, the 5eart channel is closely related to the epigastriumC in fact, in the old times, the distinction between 5eart pain and 6pigastric pain was somewhat blurred. %ncidentally, this is borne out by modern medicine too when symptoms of incipient cardiac infarction may often resemble indigestion. Thus, if 5eart-8i ascends rather than descend, nausea and !omiting may ensue *which incidentally may also occur in the prodromal stage of a heart infarction+. This is probably the reason why #-A &eiguan *acting on the 5eart+ is such an important point for nausea and !omiting. 3rom the 5eart channel, 56-E Tongli is the best point, and also en-)E Biuwei or en-)< Bu.ue both of which act on the 5eart.

Calm Nerves in Asthma

#oints of the 5eart channel can be used to treat acute attacks of asthma. This is probably due to their anti-spastic action and they presumably rela0 the bronchial muscles and therefore relie!e broncho constriction. Thus, in this case, 5eart point are not used to 2calm the 'ind2 but to rela0 the bronchial muscles. The main point used is 56-? -henmen, usually in combination with 4u-,< -henting and en)E Biuwei *which rela0es the chest and acts on the 5eart+. The 260planation of Acupuncture #oints2 recommends 56-? -henmen for rebellious 8i and 5eart-3ire causing breathlessness. 5eart points also help asthma because they help to restore the descending of 8i in the chest. The 2:reat Compendium of Acupuncture2 recommends 56-? -henmen, -#-F 9inling.uan, (7-A= @unlun and :(-<) >ulin.i for breathlessness.

Tremors
5eart points can be used to alle!iate tremors in #arkinsonDs disease. They ha!e an effect on tremors for two reasons: first, through the anti spastic effect mentioned abo!eC secondly, because 5eart points will nourish 9in in the arm and will help to alle!iate tremors of the arm *since Wind, especially in old people, deri!es from 9in deficiency+. The main points are 56-? -henmen, 56-A 9in0i and 56-E Tongli. The 2:reat 4ictionary of Chinese Acupuncture2 recommends the point 56-/ -haohai for contracture of the hand and numbness of the arm.

nees
The Su .en mentions a combination for swollen and painful knee: -%-, 8iangu, 56-G -haofu, @%-, angu and (7-AA Tonggu. The 5eart points affect the knee firstly because of the relationship with the @idney channel and secondly, because 5eart points can be used to clear 5eat and cool (lood in general. They are therefore used usually when the knee is inflamed and swollen. The best point is 56-E Tongli.

!"e
(oth the 5eart main and Connecting channels flow to the eye and 5eart points can therefore be used for eye problems, especially from inflammation. The best point is 56-E Tongli. %n fact the 260planation of Acupuncture #oints2 recommends 56-E Tongli for painful and red eye *from 5eart-3ire+ and 56-? -henmen for yellow and painful eye.

Urinar" #ro$lems
The 5eart channel points can be used for urinary problems due to its connection with the (ladder channel through the -mall %ntestine channel. %n fact, the 5eart is e0teriorly-interiorly connected to the -mall %ntestine and this, in turn, has an Abo!e-(elow connection with the (ladder channel within the :reater 9ang channels. The 5eart channel is particularly used for +in urinary problems from 5eart5eat transmitting to the -mall %ntestine and (ladder, and the main point is 56-G -haofu, in combination with -%-, 8iangu, (7-AA Tonggu. -ometimes 5eart-3ire combines with 7i!er-3ire to cause urinary problems and the main points are 56-G -haofu and 7%H-, Iing1ian. The 260planation of Acupuncture #oints2 recommends 56-G -haofu *with reducing method+ for urinary problems

Un punto mD*ico para el es*uince de tobillo

Dans :rt@'ulos en 9spaAol
Object 11

8uiero hablarles de una e0periencia relati!amente reciente. 6n el mes de febrero *,=))+ fui a Atenas por primera !e" en mi !ida con mi familia. Hisitamos las ruinas de la Antigua :recia durante tres dRas. Ahora bien a partir de la primera maSana, di un mal paso y me torcR el tobillo. Cuando uno planea !isitar la capital ateniana, esto !iene malT #ara ser honesto, no era nada gra!e, pero el pie me dolRa a cada paso. 9a .ue siempre lle!o unas agu1as conmigo, decidR hacer algo para hacer .ue mi estancia sea mUs agradable. 6l dolor era por deba1o del punto H( <= *.iV 0V +. #ara ser preciso, se situaba entre el meridiano de la !esRcula biliar y el de la !e1iga. Teniendo en cuenta .ue estoy practicando desde hace cerca de un aSo un mWtodo de acupuntura un poco diferente de la .ue se nos enseSa habitualmente, Wl de 2maestro Tung2 *4ong+, .uise probar su fiabilidad en mR. #ara el dolor, este mWtodo usa siempre puntos dRstales y contralaterales y a menudo diferentes de los .ue se locali"an sobre los meridianos. 6n caso de dolor del tobillo, en caso de esguince, se sugiere el punto X 0io 1iW Y, o en caracteres antiguos. -e puede traducir como X pe.ueSa articulaciZn Y. 6ste punto estU situado a lo largo del meridiano del pulmZn, sobre el segmento entre # )) *sh[o sh\ng + y # )= *y] 1^ +. 6stU sobre el lado de la primera articulaciZn metacarpofalUngica *'C3+ del pulgar, en la uniZn entre la carne blanca y ro1a. 6ncontrar un hueco, una depresiZn y pinchar el punto mUs sensible de esta pe.ueSa "ona. 6l puSo debe estar cerrado pero rela1ado para encontrar y punturar el punto.

4ebWis pinchar el punto .ue se encuentra en el lado opuesto al dolor. #or lo tanto, para tobillo i".uierdo doloroso, pinchW el punto de la mano derecha. 7uego, de1e la agu1a en su sitio durante <E minutos mo!ili"ando mi tobillo de , a / minutos cada )=;), minutos. 7o mUs espectacular fue la sensaciZn .ue mi tobillo se liberaba de una gran tensiZn de forma casi instantUnea. #ocos minutos despuWs de la inserciZn, mo!ili"ando el tobillo, la articulaciZn cru1iZ !arias !eces. 6sa misma noche pude !ol!er a caminar casi normalmente gracias a esta ]nica agu1a. #ersistRa una sensaciZn, como un recuerdo del dolor, pero era capa" de caminar de nue!o, ol!idUndome de mi tobilloT _Como puede funcionar este para un esguince de tobillo` 4e hecho, corresponde primero por analogRa con el Urea del pie, del dedo gordo del pie, del tobillo. 7uego, es un punto situado sobre el meridiano de pulmZn, el shu t[i yan . -abWis .ue este meridiano se relaciona y puede tratar el "b t[i yan .ue pasa al ni!el del malWolo interno y el "b t[i yUng .ue pasa a ni!el del malWolo e0terno. #or lo tanto 0io iiW, la pe.ueSa articulaciZn, puede tratar dolores del tobillo tanto a ni!el del malWolo interno como e0terno. $b!iamente, no es la ]nica manera de tratar un tobillo doloroso, pero es una opciZn adicional, y una elecciZn efica". 6n caso de dolor en la regiZn del H( <= *.iV 0V +, les sugiero pinchar T < *yUng chR + y en caso de dolor en la regiZn de 6 <) *1ic 0a +, %: E *yUng 0a +, siempre en el lado opuesto al dolor. 6stos puntos dRstales permiten al paciente mo!ili"ar el tobillo lesionado durante la sesiZn, lo .ue potencia el resultado. Iio 1iW *peBueAa arti'ula'iCn+ estU indicado tambiWn en la acupuntura 4ong *Tong+ para una ciUtica o un dolor en la nuca, en la espalda y en las lumbares, sobretodo si el meridiano de la !e1iga estU in!olucrada, para un dolor en el hombro o en el pecho si es el meridiano del pulmZn .ue estU afectado,

para un trastorno digesti!o o diarrea si es el meridiano de ba"o .ue estU implicado. TambiWn puede ser una buena ayuda en caso de dolor en la muSeca y del codo.

Indicaciones de P . ;ch EF < para el tratamiento del dolor5 se*Gn los clDsicos de la acupuntura
Dans :rt@'ulos en 9spaAol

Object 13

7a acupuntura ha sufrido numerosas transformaciones a lo largo de su historia. #rimeramente se modificarU en a.uellos paRses asiUticos donde se implante: BapZn, Corea y Hietnam y, posteriormente, e!olucionarU en su propio paRs. 6n Corea, el uso actual dominante es diferente al originario. 6l presente artRculo estU orientado a mostrar dicha e!oluciZn a tra!Ws de un e1emplo concreto: las indicaciones del punto # E *ch "W + para el tratamiento del dolor. Tras recordar la manera en .ue la China moderna utili"a # E *ch "W + para el tratamiento del dolor, nos sumergiremos en el uni!erso de los te0tos antiguos. Citaremos dichos te0tos y trataremos de e0plicar el uso .ue # E *ch "W + hacRan los antiguos. 3inalmente concluiremos con algunas combinaciones de puntos e0traRdas de los clUsicos mWdicos. 5ay .ue reseSar .ue todos los te0tos citados han sido traducidos por #hilippe -ionneau y estUn detallados al final del te0to.

P. ch EF
4unciones se*Gn la acupuntura contemporDnea ;en relaciHn con el dolor<I
egulari"a el 8i de #ulmZn 4espe1a los meridianos y elimina el dolor

Aplicaciones contemporDneas en relaciHn con el dolorI

6spasmo;contractura del antebra"o 4olor o tendinitis del codo y del bra"o &euralgia del omZplato 4olor e hincha"Zn de la rZtula 4olor y espasmo;contractura de los m]sculos de la espalda y de la regiZn lumbar 4olor en el pecho en caso de pleuresRa 4olor e hincha"Zn de la garganta *anginas, amigdalitis, flemZn+ -abemos gracias a in!estigaciones modernas .ue este punto disminuye la tensiZn arterial. AsR pues, en cierto modo puede tratar los dolores de cabe"a debidos a la hipertensiZn.

Indicaciones se*Gn los clDsicosI

4olor de la regiZn torUcica lateral 4olor de codo 4olor del hombro y del bra"o 4olor de la columna !ertebral

4olor y rigide" de la espalda y lumbares 7os cinco tipos de dolor lumbar 4olor y contractura del bra"o y codo 4olor e hincha"Zn de los cuatro miembros 4olor del borde interno del omZplato 4olor .ue impide e0tender la mano $bstrucciZn *(i+ de !iento, de la mano y del bra"o $bstrucciZn *(i+ de !iento, con contractura del codo %mposibilidad de le!antar mano y bra"o 4olor e hincha"Zn de la rZtula 4olor y tumefacciZn de rodilla de cigdeSa *)+ 4olor cordial y falta de aliento 4olor cordial y sensaciZn de frRo en el hombro 4olor de pecho con sensaciZn de distensiZn (i de garganta

4uentes clDsicasI
6hen :iu :ia +i :in* ;ClDsico del A%C de la acupuntura y la mo-ibustiHn<I 24olor de la columna !ertebral *P+ pinchar #E *Chi >e+2, *!olumen ?+. 24olor de pecho con sensaciZn de distensiZn, falta de aliento *,+ y respiraciZn insuficiente, #E *Chi >e+ es esencial2, *!olumen F+. 24olor de codo, #E *Chi >e+ es esencial2, *!olumen )=+. =ian :in +ao 4an* ;Prescripciones principales de las mil onEas de oro<I #E *Chi >e+ es esencial para la lengua seca y el dolor de la regiZn torUcica lateral2, *!olumen /=+. 2#E *Chi >e+ y %:) *-hao >e+ son esenciales para la falta de aliento, el dolor de la regiZn torUcica lateral, la disforia de cora"Zn2 *!olumen /=+. 2#E *Chi >e+ es esenial para el dolor de pecho con sensaciZn de distensiZn, disforia de cora"Zn con opresiZn y agitaciZn, falta de aliento y respiraciZn insuficiente2 *!olumen /=+. 2#E *Chi >e+ es esencial para los !Zmitos y la diarrea .ue salen erespecti!amentef por arriba y por aba1o, econf dolor en la parte inferior de la regiZn torUcica lateral2 *!olumen /=+. 2#E *Chi >e+ es esencial para el dolor .ue impide e0tender la mano2 *!olumen /=+, 2#E *Chi >e+, T ) *:uan Chong+, T E *Wai :uan+, H()) *Tou 8iao 9in+ son esenciales para el bra"o .ue no llega hasta la cabe"a2. 6hen :iu 6i Shen* :in* ; ibro de acupuntura y mo-ibustiHn para ayudar a la 0ida<I 2Trante" en la mano .ue la impide desplegarse2 *capRtulo E de la ,g parte+. +i ?in 4an* ;Prescripciones del coraEHn de la medicina<I 2dolor cordial, dolor de codo. (i de garganta, *P+ dolor de la regiZn torUcica lateral, *P+ la mano .ue no puede e0tenderse *i.e. desplegarse+2, *!olumen ,+. Tong en -hu Iue >hen Biu Tu Bing *7ibro ilustrado de los puntos de acupuntura y mo0ibustiZn del hombre de bronce+: 2e#E *Chi >e+f trata la contractura del codo por (i de !iento, la mano y el codo .ue no se pueden le!antar, (i de garganta, *P+ frRo en el bra"o2, *!olumen E+. 6hen :in* 6hai +in* :i ;;InmeJorable colecciHn de selecciones de los clDsicos de acupuntura<I 2e#E *Chi >e+f es esencial para consumir el calor * e 7ao+, el acenso de 8i y la dispepsia, el dolor y

rigide" de la espada y lumbares2. ?i 4an* 6i "in* Tan* :iu :in* ;ClDsico de mo-ibustiHn del palacio luminoso de ?i 4an* 6i<I 2e#E *Chi >e+f es esencial para (i de garganta, dolor de codo con sensaciZn periZdica de frRo, dolor del borde interno del omZplato2, *!olumen ,+. %ian =ue Shen +in* 6hen :iu +u on* :in* ;ClDsico del dra*Hn de Jade sobre acupuntura y mo-ibustiHn de acuerdo al espKritu de %ian =ue<I 2e#E *Chi >e+f trata los cinco tipos de dolor lumbar, el sRndrome (i de !iento de la mano y el bra"o, la contractura de tendones y el dolor de codo *P+. 4olor y se.uedad de garganta2. 6hen :iu Da Chen* ;Compendio de acupuntura y mo-ibustiHn<I 24olor de hombro y de bra"o *P+ dolor de pecho espalda frRa, *P+ dolor y rigide" de la "ona lumbar */+2, *!olumen A+. 6hen :iu :u +in* ;ColecciHn de lo meJor sobre acupuntura y mo-ibustiHn<I 2dolor e hincha"Zn de rodilla de cigdeSa .ue impide andar con normalidad, #E *Chi >e+ posee la capacidad de eliminar el dolor de los huesos y los tendones2 *!olumen <+. 2#ara los cinco tipos de dolor de codo, pinchar #E *Chi >e+ y T )) *8ing 7eng 9uan+, econf una esolaf punciZn se obtiene un resultado milagroso2, *!olumen <+.

Comentarios
NaturaleE a del puntoI #unto 5e-'ar #unto agua B i %e garganta & 'olor " se(ue%a% %e la garganta) 7a mayorRa de las inflamaciones de garganta implican un dese.uilibrio del pulmZn inducido por un calor !acRo o plenitud. 7uego #E *Chi >e+, en tanto .ue punto agua del meridiano pulmZn, puede humedecer el recorrido de pulmZn en caso de calor !acRo .ue lesione los lR.uidos del pulmZn o .ue se oponga directamente al fuego seg]n el principio de dominancia de los cinco mo!imientos. #E *Chi >e+ es un punto muy importante para el calor del pulmZn, sea Wste e0terno *canRcula, !iento calor, !iento frRo .ue se transforma en calorP+ o interno *calor interno, mucosidad fuego, fuego del hRgado .ue ataca el pulmZnP+, !acRo o plenitud. 6stos son los puntos con los .ue se combina #E *Chi >e+ .ue focali"an su acciZn hacia un tipo de calor u otro. Her 2Acupuncture : les points essentiels2 #hilippe -ionneau. 6diciones TrWdaniel, #arRs, ,===. *<+. 'olor %el hom$ro " %el $ra*o & Im+osi$ili%a% %e levantar hom$ro " $ra*o) Como para #) *>hong 3u+ o #, *9un 'en+, #E *Chi >e+ drena las in!asiones per!ersas locali"adas en el canal del pulmZn. hstas blo.uean la circulaciZn del 8i y de la sangre a ni!el de la cara anterior del hombro y causan un dolor .ue impide le!antar la mano. 4renando el meridiano, Wste se libera y tambiWn el hombro. 'olor %e co%o & 'olor " contractura %e $ra*o " co%o & ,$strucci-n .Bi/ %e viento con contractura %e co%o) #E *Chi >e+ es un punto de drena1e muy potente de todo el recorrido del meridiano pulmZn, ya .ue los meridianos principal y tendinomuscular recorren todo el miembro superior desde el hombro hasta la

mano. 4e hecho #E *Chi >e+ estU situado en el pliegue de fle0iZn del codo. #or ello no sorprende .ue #E *Chi >e+ trate el dolor a la !e" del bra"o, del antebra"o y del codo sobre su cara anterior, todo a lo largo del trayecto del meridiano. #E *Chi >e+ es un gran punto para las obstrucciones *(i+ del miembro superior. #arece .ue es a]n mUs efica" .ue %:)) *8u Chi+ en caso de epicondilitis, desde el momento en .ue la punta de la agu1a se dirige hacia el sitio dolorido. 5ay .ue destacar .ue seg]n ciertos clUsicos, #E *Chi >e+ es tan efica" para dispersar los agentes per!ersos e0ternos situados en la superficie, .ue estU indicado para el dolor de todo el cuerpo cuando Wste es debido a un agente per!erso .ue blo.uee el 8i de la superficie *en caso de !iento frRo, por e1emplo+ o cuando es inducido por un !iento humedad .ue ataca la superficie muscular o las articulaciones. 6s por esto .ue estU indicado para el dolor y la hincha"Zn de los cuatro miembros. 'olor (ue im+i%e la extensi-n %e la mano & Bi %e viento en la mano " el $ra*o) 6sta disfunciZn puede interpretarse de dos maneras. 6n principio, la pWrdida de mo!ilidad de la mano puede e0plicarse por una obstrucciZn *(i+ ordinaria focali"ada en el meridiano del pulmZn a ni!el de la mano. 4e este modo, al despe1ar los meridianos principal y tendinomuscular, #E *Chi >e+ elimina el !iento humedad .ue obstaculi"aba la circulaciZn del 8i y de la sangre, atenuando asR el dolor. 6sta e0plicaciZn nos !ale cuando lo mUs afectado es el borde e0terno de la mano, a ni!el de los meridianos principal y tendinomuscular. A continuaciZn con!iene recordar .ue el !aso 7uo longitudinal *7uo 'ai+ del pulmZn, cuyo trayecto principal se sit]a por el lado e0terno de la mano, se e0tiende por toda la palma. 6s por esto .ue, si locali"amos !iento-humedad en dicho !aso, puede suceder .ue este hecho impida la circulaciZn del 8i y la sangre, pro!ocando cierta pWrdida de mo!ilidad en la mano. #E *Chi >e+ no estU situado en este !aso longitudinal del pulmZn ya .ue Wste arranca de #? *7ie 8ue+ para concluir en %:) *-hang 9ang+. 9a sabemos .ue los 7uo 'ai parten de los meridianos principales y .ue por eso, no son otra cosa .ue una prolongaciZn, una proyecciZn, de Wstos hacia otras "onas asR como hacia los meridianos del Zrgano con .uienes forman la pare1a (iao;7i *e0terior;interior+. #or esto es lZgico pensar .ue, por supuesto #? *7ie 8ue+, pero tambiWn todos los puntos pre!ios a #? *7ie 8ue+, drenan el meridiano. 6n todo caso, esto es lo .ue confirman ciertos clUsicos al respecto de #E *Chi >e+. #or e1emplo el (ian 8ue -hen 9ing >heng Biu 9u 7ong Bing *ClUsico del dragZn de 1ade sobre acupuntura y mo0ibustiZn de acuerdo al espRritu de (ian 8ue+ dice .ue #E *Chi >e+ trata la contractura de tendones... 3inalmente, #E *Chi >e+ es un punto cla!e en la enfermedad de 4upuytren. 'olor %e la regi-n tor0cica lateral) Como hemos !isto pre!iamente, el Urea de influencia del meridiano pulmZn estU ligada a la "ona torUcica lateral. AsR pues, su meridiano tendinomuscular estU unido a H(,, *9uan 9e+ a ni!el del cuarto espacio intercostal. AdemUs, este mismo meridiano, termina su recorrido en la cara interna de las costillas flotantes. 5ay .ue sumar tambiWn .ue el meridiano distinto del pulmZn pasa tambiWn por el punto H(,, *9uan 9e+ en la regiZn torUcica lateral. 4e este modo #E *Chi >e+, al drenar los meridianos tendinomuscular y distinto del pulmZn, fa!orece una circulaciZn fluida del 8i y de la sangre en dicha regiZn, lo cual estU confirmado por numerosos clUsicos. 'olor e hincha*-n %e la r-tula & 'olor e hincha*-n %e ro%illa %e cig1e2a) #odRamos sorprendernos al obser!ar .ue un punto del meridiano pulmZn, .ue carece de relaciZn meridiana con la rodilla, trate la artrosis de rodilla, sal!o si conocemos la regla acupuntural de la punciZn por analogRa. 6fecti!amente, uno de los mWtodos de selecciZn de puntos es el de punciZn cru"ada. Teniendo en cuenta .ue los meridianos de los Zrganos son bilaterales, se trata de pinchar los puntos del lado opuesto al afectado. #or e1emplo, pinchamos el codo derecho para tratar el codo i".uierdo, el pie i".uierdo para tratar el pie derecho, etc. 6sto es !Ulido, por e1emplo, cuando el lado afectado estU demasiado dolorido o inflamado para pincharlo. -e trata de una del aplicaciones de la punciZn 'iu descrita en el capRtulo A/ del -u Wen *Cuestiones sencillas+. Lna de las !ariantes de esta

punciZn cru"ada consiste en pinchar, por analogRa, una articulaciZn de la parte superior del cuerpo, opuesta a la articulaciZn a tratar en la parte inferior del mismo, y !ice!ersa. #or e1emplo, cuando pinchamos la muSeca derecha *sana+ para tratar el tobillo i".uierdo *doloroso+, el codo i".uierdo para la rodilla derecha, el lado derecho de la cadera para el hombro i".uierdo y !ice!ersa... 4e este modo, #E *Chi >e+ por analogRa, y seg]n este principio de punciZn cru"ada, tratarU las afecciones de la rodilla. Dolor #e la 'olumna verte"ral D Dolor y rigi#ez #e la espal#a y 'a#eras D +os 'in'o tipos #e #olor lum"ar D Dolor #el "or#e interno #el omCplato( 9a hemos e0plicado para #) *>hong 3u+ por.uW ciertos puntos del meridiano pulmZn podRan tratar un dolor en la parte superior de la espalda. #or e0tensiZn, trata tambiWn el dolor del borde interno del omoplato, .ue conocemos como una "ona de proyecciZn de los dese.uilibrios del pulmZn en lo alto de la espalda. &o ol!idemos .ue H)/ *3ei -hu+ y H<, *#o 5u+ son dos puntos directamente ligados al Zrgano del pulmZn, situUndose este ]ltimo al ni!el 1usto del borde interno del omZplato. esulta mUs difRcil de e0plicar por.uW #E *Chi >e+ trata el dolor de la columna !ertebral y la "ona lumbar. Ciertos acupuntores tienen una e0plicaciZn. #or analogRa, #E *Chi >e+ estU situado, asR como H<= *Wei >hong+ en el pliegue de fle0iZn de la articulaciZn central de un miembro. Como H<= *Wei >hong+ es un punto insoslayable en el caso de dolor lumbar, #E *Chi >e+ podrRa funcionar como eco, como transmisor de a.uel, lo cual harRa posible alg]n tipo de acciZn en la columna lumbar. AdemUs #E *Chi >e+ es el punto he-mar *+ del meridiano Tai 9in mientras .ue H<= *Wei >hong+ es el punto he-mar *+ del Tai 9ang. 6l meridiano Tai 9in es la abertura interna, mientras .ue Tai 9ang es la abertura e0terna. 6stas dos redes pueden sostenerse mutuamente compartiendo su mo!imiento de apertura. 4e este modo #E *Chi >e+ de alguna manera act]a sobre el >u Tai 9ang, .ue circula por toda la espalda y "ona lumbar. 'olor cor%ial " 3alta %e aliento & 'olor cor%ial " sensaci-n %e 3r4o en el hom$ro & 'olor cor%ial con sensaci-n %e %istensi-n) 5emos !isto mUs arriba .ue el 8i del cora"Zn necesita el 8i de pulmZn para hacer circular normalmente la sangre por los !asos sanguRneos. 4el mismo modo y por las mismas ra"ones e!ocadas para #) *>hong 3u+ y #, *9un 'en+, #E *chen >u+ al acti!ar el 8i del pulmZn sostiene al 8i del Cora"Zn, lo .ue tiene como efecto atenuar el dolor cordial pro!ocado por un estancamiento de 8i y estasis de sangre por !acRo de 8i o de 9ang de Cora"Zn.

Asociaciones clDsicasI
P . ;Chi 6e< se asocia aI T ) *:uan Chong+, T E *Wai :uan+, H()) *Tou 8iao 9in+: bra"o .ue no llega a la cabe"a *8ian Bin 9ao 3ang+. %4) *-hao >e+: falta de aliento, dolor en la regiZn torUcica lateral, disforia de cora"Zn *8ian Bin 9ao 3ang+. T ) *:uan Chong+, %:)) *8u Chi+, %:)= *-hou -an 7i+, T / *>hong >hu+, %:E *9ang :u+: dolor de codo con frRo ocasional *8ian Bin 9ao 3ang+. %:)) *8u Chi+, %:< *5e :u+: obstrucciZn *(i+ de tipo !iento con contractura de codo, .ue no

puede le!antarse *-hen 9ing Bing+. H(/G *9ang 3u+: (i de !iento *>hen Biu 4a Cheng+. H<= *Wei >hong+, 4',A * en >hong+: 2lumbago2, dolor lumbar y de la regiZn torUcica lateral *>hen Biu 4a Cheng+. %:)) *8u Chi+: dolor y contractura de codo *9u 7ong 3u e#oema del dragZn de 1adef en el >hen Biu Bu 9ing+. T A *>hi :ou+ en dispersiZn, 6/A *>u -an 7i+ pinchar y de1ar la agu1a, %:< *5e :u+: )< conos de mo0a, 'C? *4a 7ing+: / conos de mo0a, 5/ *Tai Chong+: dolor cordial con te" opaca y negru"ca, paciente a punto de fallecer *>hen Biu Bi Cheng+.

%re0e presentaciHn de los te-tos citados en este artKculo

6hen :iu :ia +i :in* ;ClDsic o del A%C de la acupuntura y la mo-ibustiHn<I $bra escrita por 5uang 3u 'i ba1o la dinastRa Wei y publicado hacia ,EF 4.C. Constituye, seg]n le 7ing -hu, el primer gran clUsico dedicado principalmente a la acupuntura y la mo0ibustiZn. 5a sido una referencia insoslayable de las siguientes generaciones hasta hoy. =ian :in +ao 4an* ;Prescripcione s principales de las mil onEas de oro<I 6sta obra fue escrita por -un -i 'iao *EG)-AG,+ ba1o la dinastRa Tang. #resenta numerosos tratamientos de farmacopea pero tambiWn de acupuntura y mo0ibustiZn, de dietWtica e higiene de !ida, como mWtodos de pre!enciZn *9ang -heng+. 6ste erudito, humanista y defensor de la Wtica mWdica *influenciado tanto por el taoismo, el confucionismo como el budismo+, tendrU mucha importancia sobre numerosas generaciones de doctores en China y BapZn. -us traba1os constituyen toda!Ra hoy en dRa una referencia esencial. 6hen :iu 6i Shen* :in* ; ibro de acupuntura y mo-ibustiHn para fa0orecer la 0ida<I $bra escrita por Wang >hi >hong durante la dinastRa -ong y publicado en ),,=. 6ste libro nos presenta la e0periencia clRnica de su autor, numerosas combinaciones de puntos pro!enientes de clUsicos anteriores asR como ilustraciones de las locali"aciZn de los puntos. +i ?in 4an* ;Prescripcione s del coraEHn de la medicina<I $bra 1aponesa publicada en FG< y escrita por 4an (o @ang 7ai. Ton* Ren Shu ?ue 6hen :iu Tu :in* ;ClDsico ilustrado de los puntos de acupuntura y mo-ibustiHn del hombre de bronce<I $bra publicada en )=,A ba1o la dinastRa -ong del &orte y escrito por Wang Wei 9i *FG?-)=A?+, alias Wei 4e. 3ue uno de los mUs cWlebres acupuntores de la tradiciZn mWdica china. 'iembro de la -ede %mperial de 'edicina ba1o los -ong del &orte, fue el promotor de la primera estatua de bronce .ue representaba un hombre en tamaSo natural con la locali"aciZn de todos los puntos de acupuntura y los meridianos. 6ste 2halla"go2 permitiZ un gran progreso pedagZgico y una mayor coherencia en el estudio de la acupuntura. 6n el Tong en -hu Iue >hen Biu Tu Bing *7ibro ilustrado de los puntos de acupuntura y de mo0ibustiZn sobre el hombre de bronce+ corregirU la locali"aciZn de los meridianos y de los puntos de acupuntura. ecopila tambiWn el conocimiento de los acupuntores de las generaciones precedentes y serU referencial para otras tantas posteriores. 6hen :in* 6hai +in* :i ;InmeJorabl e colecciHn de selecciones de los clDsicos de acupuntura<I $bra publicada en )/)E ba1o la dinastRa 9uan y escrito por 4u -i Bing. -e trata en realidad de una obra

integrada en otro libro, el Bi -heng (a Cui * ecopilaciZn para socorrer la !ida+ escrito por >hang 9un 8i >i, hi1o del cWlebre mWdico de la dinastRa Bin;9uan: >hang 9uan -u. 6l >hen Bing >hai 9ing Bi es un autWntico manual de acupuntura .ue presenta los nue!e tipos de agu1as, los mWtodos de combinaciZn de puntos, de tonificaciZn y dispersiZn, el mWtodo de acupuntura seg]n la respiraciZn, tratamiento de enfermedades con acupuntura, la locali"aciZn de puntos, tWcnicas de punciZn, profundidad de inserciZn, precauciones, etc. ?i 4an* 6i "in* Tan* :iu :in* ;ClDsico de mo-ibustiHn del palacio luminoso de ?i 4an* 6i<I $bra de mo0ibustiZn publicada ba1o la dinastRa -ong del &orte y escrito por Ii 3ang >i. 6sta obra se caracteri"a por sus numerosas ilustraciones de las diferentes partes del cuerpo. 'uestra los meridianos, los puntos, los mWtodos de selecciZn de puntos, los mWtodos de mo0ibustiZn, las contraindicaciones, el tratamiento de las enfermedades, etc. %ian =ue Shen +in* 6hen :iu +u on* :in* ;ClDsico del dra*Hn de Jade sobre acupuntura y mo-ibustiHn de acuerdo al espKritu de %ian =ue<I $bra tambiWn llamada 9u 7ong :e *Canto del dragZn de 1ade+ publicada en )/,F ba1o la dinastRa 9uan y escrito por Wang :uo ui. -e trata de un con1unto de enseSan"as sobre acupuntura y mo0ibustiZn presentada en parte ba1o una forma de canto para facilitar la memori"aciZn y el estudio. 6s una de las mUs reseSables referencia en acupuntura. 6hen :iu Da Chen* ;Compendi o de acupuntura y mo-ibustiHn<I $bra escrita por 9ang Bi 5ou ba1o la dinastRa 'ing y publicada en )A=). #resenta una sRntesis del con1unto de conocimientos de acupuntura y mo0ibustiZn desde su orRgen hasta su publicaciZn. -us numerosas fZrmulas y tWcnicas de agu1as han inspirado a numerosas generaciones de acupuntores hasta nuestros dRas. 6hen :iu :u +in* ;ColecciH n de lo meJor sobre acupuntura y mo-ibustiHn<I $bra publicada en )E,F ba1o la dinastRa 'ing y escrito por :ao Wu. Acupuntor cWlebre, estu!o en el origen de la producciZn de tres estatuas de bronce: un hombre, una mu1er y un niSo, con la locali"aciZn de los puntos y los meridianos. 6sta obra ofrece numerosos tratamientos y mWtodos de acupuntura. 6s, igualmente, uno de los grandes clUsicos de la acupuntura. NotasI *)+ 7a odilla de CigdeSa *5e Ii+ corresponde a la artrosis de rodilla .ue puede ser deformante. *,+ 6l tWrmino -hao 8i designa una respiraciZn dWbil, corta, rUpida, una !o" dWbil y una tendencia a inspirar profundamente para poder seguir hablando. 6ste con1unto de sRntomas se asocia casi siempre a la fatiga, cuando no al agotamiento. 6s una enfermedad .ue re!ela !acRo de 8i. %ncluye la falta de aliento y es este ]ltimo el .ue designa la generalidad del tWrmino. AdemUs, no hay .ue confundir la falta de aliento *-hao 8i+ con el aliento corto *4uan 8i+ .ue son dos conceptos distintos. Aliento corto es ]nicamente aliento corto y puede estar presente tanto en el !acRo como en la plenitud. 6s un sRntoma en sR mismo. 7a falta de aliento es un con1unto de sRntomas .ue afectan a la respiraciZn y al habla, y .ue re!elan !acRo. 6s seSal de una gran fatiga. 6s una enfermedad. */+ 7a "ona lumbar de la columna *9ao Bi+ corresponde a las !Wrtebras, pero tambiWn incluye a los m]sculos sacro-lumbares de dicha "ona. 6s un sinZnimo de 9ao: "ona lumbar.

Douleur de lLestomac Cei Can ton*

Dans Mala#ies et symptEmes
Object 14

#ar #hilippe -ionneau Cet article est basW sur un cours .ue donna #hilippe -ionneau [ Toulouse en ,==) et [ (arcelone en ,==,. %l nDinclut pas les e0plications, les commentaires et les rWponses au0 .uestions. Cet article ne prWsente .ue les grandes lignes directrices de lJenseignement. Celui-ci est inspirW par les mWthodes uni!ersitaires chinoises. DFfinition 7e terme Wei Tong *ou bien encore Wei Wan Tong+ dWsigne une douleur localisWe dans la rWgion Wpigastri.ue, cJest-[-dire entre lJappendice 0iphoide et le nombril. Ceci nJinclut pas la douleur dans les rWgions du cjur, de la poitrine et;ou des hypochondres, ni les douleurs ou maladies intestinales. =ue recou0re Cei Ton* dans le systMme de la mFdecine occidentale N )- Wei Tong recou!re de nombreuses maladies digesti!es dont les sui!antes sont les plus courantes : gastrite aiguk ou chroni.ue, ulclre du duodWnum ou de lJestomac, spasme de lJestomac *gastrospasme+, ptmse de lJestomac, prolapsus de la mu.ueuse gastri.ue, nW!rose gastri.ue, indigestion. ,- 7a douleur de lJestomac peut aussi se retrou!er dans dJautres maladies .ui faut sa!oir repWrer : hWpatite, cholWcystite, pancrWatite, pneumonie, appendicite, infarctus du myocarde, pyWlonWphrite. CaractFristi>ues des symptOmes de Cei Ton* 7P ocalisation 7a douleur est situWe sous le cjur *cJest-[-dire sous lJappendice 0iphoide+, et au dessus de lJombilic, dans la partie haute *-hang Wan+, mWdiane *>hong Wan+ et;ou basse *Iia Wan+ de lJWpigastre. &P Nature de la douleur 7a douleur de lJestomac peut sJe0primer de diffWrentes manilres. 7es plus courantes sont : douleur en distension douleur en pi.nre douleur sourde *!ague+ 4Jautres sensations frW.uemment rencontrWs sont : sensation de brnlure ou de chaleur sensation de torsion sensation dJoppression Ces sensations peu!ent sJe0primer par alternance sous forme de crise ou otre permanentes.

)P es symptOmes concomitants les plus communs 7es symptmmes .ui accompagnent le plus sou!ent la douleur de lJestomac sont : baisse de lJappWtit nausWes ou !omissements rWgurgitations acides syndrome Cao >a. 7e terme Cao >a dWsigne une sensation de malaise Wpigastri.ue .ui est dWcrit comme une gone, une sensation de faim, de tiraillement, !oire de brnlure dans lJestomac. 5abituellement, le Cao >a est accompagnW dJWructations, nausWes, rWgurgitations acides et de sensation de plWnitude ou dJoppression dans lJWpigastreP

,P es facteurs a**ra0ants 7es facteurs les plus frW.uents .ui ont une influence sur la douleur de lJestomac sont : erreurs alimentaires troubles Wmotionnels

Causes et mFcanismes de la maladie

7' 4roid per0ers en0ahissant lLestomac 7e froid per!ers peut en!ahir lJWpigastre directement .uand la rWgion de lJestomac est e0posWe au froid pendant longtemps ou lors.uJil y a consommation e0cessi!e dJaliments froids ou crus ou de boissons glacWes. -i le froid per!ers en!ahit lJWpigastre, il !a dJabord blo.uer le 9ang 8i, inhibant la capacitW du celui-ci [ rWchauffer et [ acti!er. 6nsuite, X la nature du froid est de contracter et congeler Y. #ar consW.uent, le froid per!ers peut contracter les 7uo de lJWpigastre, conduisant [ une circulation ralentie du 8i et du sang. %l y a alors douleur Wpigastri.ue. &' Accumulation et sta*nation dLaliments 7a stagnation dJaliments peut pro!enir du fait de manger trop ou trop !ite, de manger des aliments durs, difficiles [ digWrer sans mpcher suffisamment ou dJune consommation e0cessi!e dJaliments sucrWs et gras .ui sont forts en sa!eur et .ui sont difficiles [ dissoudre et transformer. -i les aliments sJaccumulent et stagnent dans lJWpigastre, ils obstruent les mou!ements du 8i. 7e clair ne peut otre Wle!W et la libre circulation est inhibWe. #ar consW.uent il y a douleur de lJestomac. -i la stagnation dJaliments est aiguk et ponctuelle, cJest gWnWralement un syndrome de plWnitude. Cependant, elle peut aussi otre chroni.ue, au.uel cas cJest gWnWralement un syndrome dJintrication de !ide et de plWnitude. )' =i du foie en0ahissant lLestomac 7e foie gou!erne la libre circulation et lJW!acuation. -i le foie est lWsW par les sept Wmotions, il y a gWnWralement surpression du 8i du foie. 4ans ce cas, il a tendance [ atta.uer hori"ontalement et en!ahir lJestomac. Cela est basW sur la loi des cin. mou!ements ob le foie;bois en plWnitude e0ploite *principe Cheng+ lJestomac;terre. 7e 8i de lJestomac perd alors son harmonie, cJest-[-dire son 8i tend [ stagner et [ remonter, ce .ui induit la douleur Wpigastri.ue. ,' Surpression de chaleur dans le foie et lLestomac -i la surpression du 8i du foie perdure ou sJaggra!e, elle peut facilement se transformer en chaleur

per!erse ou en feu. -i ce feu en!ahit hori"ontalement lJestomac !oire se combine a!ec une chaleur de lJestomac dW1[ e0istante, cette chaleur se congestionne et induit un feu de lJestomac. Celui-ci inhibe le mou!ement du 8i et brnle [ lJintWrieur de lJorgane 3u de la terre, pro!o.uant la douleur Wpigastri.ue. .' Stase de san* 7a stase de sang peut pro!enir soit dJun feu .ui brnle et endommage les 7uo de lJestomac, soit dJune stagnation de 8i chroni.ue .ui affecte la circulation du sang. -i la stase de sang se noue dans les 7uo de lJestomac, elle cause une obstruction locale, .ui inhibe la libre circulation. #ar consW.uent il y a douleur Wpigastri.ue. /' 4roid 0ide de la rate et de lLestomac 7e froid !ide peut rWsulter dJun !ide constitutionnel de la rate et de lJestomac, dJune maladie chroni.ue .ui a lWsW la rate et lJestomac, de lJadministration e0cessi!e ou sur une longue durWe de remldes amers et froids, ou dJune alimentation erronWe. X 7e froid pro!o.ue des contractures et des tensions Y. #ar consW.uent, sJil y a froid !ide de la rate et de lJestomac, le 9ang ne peut pas tiWdir efficacement les 7uo. 7es 7uo se figent et se contractent et cela conduit [ la douleur Wpigastri.ue. 1' Insuffisance du +in de lLestomac 7Jinsuffisance du 9in de lJestomac peut se dW!elopper [ partir dJune consommation e0cessi!e dJaliments chauds et WpicWs, dJune maladie fWbrile .ui a lWsW et consumW les li.uides 9in ou dJune surpression de chaleur dans lJestomac .ui a consumW et lWsW le 9in de lJestomac. 7e 9in de lJestomac est censW humidifier et nourrir les 7uo dans lJestomac. -Jil y a insuffisance du 9in de lJestomac, les 7uo ne sont pas suffisamment humidifiWs et nourris. #ar consW.uent, ils perdent leur harmonie et se contractent. Lne fois de plus, le man.ue de libre circulation conduit [ la douleur Wpigastri.ue.

es points clFs du dia*nostic

7P es points obli*atoires du dia*nostic #our diagnosti.uer un Wei Tong en mWdecine chinoise, il faut rWunir au moins les trois points sui!ants: Au ni0eau des symptOmes I a!oir une douleur dans la rWgion de lJestomac comme cela a WtW dWfini plus haut. Au ni0eau de la cause I a!oir dans son anamnlse au moins une des .uatre causes : troubles Wmotionnels, dWrlglements alimentaires, surmenage, a!oir attrapW un refroidissement. Au ni0eau de lLhistori>ue de la maladie I a!oir eu des crises de douleur [ plusieurs reprises. &P DiffFrencier Cei Ton* a0ec dLautres maladies ayant des points communs Cei Pi et Cei Ton*' Cei Pi I $bstruction de lJestomac. %l sJagit dJune sensation dJobstruction, de blocage, dJoppression dans lJestomac. Ce >uLils ont en commun I 7e trouble est localisW au ni!eau de lJWpigastre et se manifeste par des troubles digestifs ob est impli.uW lDestomac. Ce >uLils ont de diffFrent I

Wei #i : ). ,. /. <. -ensation de blocage, dJobstruction sous le cjur $ppression et sensation de plWnitude dans le thora0 et le diaphragme A la palpation le X blocage Y nJa pas de forme A la palpation il nJy a pas de douleur, cJest la sensation de plWnitude .ui domine

Wei Tong : ). 7e trouble est principalement caractWrisW par la douleur ,. Celle-ci peut otre accompagnWe par un Wei #i, mais la douleur domine 6hen ?in Ton* et Cei Ton*' 6hen ?in Ton* I douleur !Writable du cjur. %l sJagit dJune douleur du cjur .ui se manifeste dans les pathologies cardia.ues. Ce >uLils ont en commun I 7es deu0 troubles peu!ent se manifester sous la rWgion du cjur par de la douleur. 7Jestomac est sou!ent appelW dans la littWrature ancienne X Iin Iia Y, littWralement X en dessous du cjur Y. Ce >uLils ont de diffFrent I >hen Iin Tong ). ,. /. <. ). ,. /. <. - 7a douleur est aussi situWe plus haute dans la poitrine. - 7a douleur est pongiti!e, coupante, irradie dans lJWpaule ou le dos. - -ignes accompagnateurs : souffle court, transpiration froide - :WnWralement maladie .ui se manifeste de manilre aiguk - 7a douleur est aussi situWe !ers le centre ou la partie basse de lDestomac - 7a douleur est associWe [ de la distension - -ignes accompagnateurs : symptmmes digestifs - :WnWralement maladie chroni.ue de longue durWe

Wei Tong

?ie Ton* et Cei Ton* ?ie Ton* I douleur des hypochondres. 7e terme Iie Tong dWsigne une douleur se produisant dans la rWgion thoraci.ue latWrale, dJun ou des deu0 cmtWs. Ce .ue nous traduisons [ tort X hypochondre Y correspond en mWdecine chinoise [ lJaspect latWral de la cage thoraci.ue, de la pointe infWrieure de lJaisselle 1us.ue en-dessous de la dernilre cmte. Ce >uLils ont en commun I 7es deu0 troubles peu!ent sJaccompagner de troubles digestifs et de douleur .ui irradie dans la poitrine et le diaphragme. Ce >uLils ont de diffFrent I Iie Tong : ). - 7a douleur est principalement localisWe au ni!eau des hypochondres. ,. - -ignes accompagnateurs : oppression de la poitrine, soupirs frW.uents et profonds, en!ie de sJWtirer, irritabilitW, collreP Wei Tong : ). - 'ome en cas de dysharmonie foie;estomac, la douleur est principalement localisWe au ni!eau de lJestomac.

,. - -ignes accompagnateurs : inappWtence, nausWe, !omissements, rWgurgitations acides, Cao >aP 4u Ton* et Cei Ton*' 4u Ton* I douleur abdominale. 4ouleur localisWe au ni!eau de lJabdomen sous lJombilic 1us.uJau bord supWrieur du pubis. Ce >uLils ont en commun I Ce sont deu0 maladies digesti!es dont la douleur est le symptmme principal. Ce >uLils ont de diffFrent I 3u Tong : 7a douleur est localisWe sous lJombilic et au dessus du bord supWrieur du pubis. Wei Tong : 7a douleur est localisWe sous lJappendice 0iphoide et au dessus de lJombilic. )P es principau- points du dia*nostic diffFrentiel AP DiffFrencier selon la 0itesse de lLinstallation du trouble -i la douleur de lJestomac est apparue brus.uement : atteinte e0terne, dWrlglements alimentaires *stagnation dJaliments due [ e0cls rWcent+. -i la douleur de lDestomac cJest installWe progressi!ement : surpression du foie, !ide de la rate et de lJestomac, dysharmonie foie;estomac. %P DiffFrencier a0ec le froid et le chaud -yndrome froid *plWnitude+ : crise soudaine, douleur !iolente, dWteste la pression, aime le chaud, dWteste le froid, enduit blanc, pouls Iian *en corde+ et Bin *serrW+. -yndrome chaleur : douleur a!ec sensation de chaleur ou de brnlure, soif a!ec en!ie de boissons, crainte du chaud et attirance pour le frais, constipation, urines foncWes, langue rouge, enduit 1aune a!ec peu dJenduit, pouls Iian *en corde+ et -huo *rapide+. -yndrome de froid !ide : douleur sourde, !ague, aime la chaleur et la pression, craint le froid .ui aggra!e la douleur, membres froids, langue pale a!ec enduit blanc, pouls uo *faible+. CP DiffFrencier a0ec le 0ide et la plFnitude PlFnitude *plutmt de type chaleur ou de 8i ou de -ang+ 'aladie rWcente 4ouleur de lJestomac a!ec distension Constipation Aime de frais Craint la pression 4ouleur aprls le repas 4ouleur forte 4ouleur fi0e #ouls -hi *plein+ 'aladie ancienne 4ouleur de lJestomac sans distension -elles molles Aime le chaud Aime la pression

8ide *plutmt de type froid+

7a boisson augmente la douleur 4ouleur modWrWe 4ouleur mobile #ouls Iu *!ide+

DP DiffFrencier a0ec le =i et le san* Sta*nation de =i 4ouleur de lJestomac a!ec distension 7a distension domine sur la douleur 4ouleur sans localisation fi0e 4ouleur .ui !a et .ui !ient *non permanente+ A la palpation, il nJy a pas de masse 4ouleur pongiti!e 4ouleur forte, mar.uWe 4ouleur a!ec une localisation fi0e 7angue !iolacWe A la palpation, il y a une masse

Stase de san*

ConsF>uences et a**ra0ations possibles des *rands syndromes ). 7a coagulation peut se transformer en chaleur ,. 7a stagnation dJaliments peut gWnWrer de lJhumiditW chaleur /. 7a surpression du 8i peut se transformer en feu ou bien induire une stase de sang, !oir une stagnation dJaliments ou une production de mucositWs Ces trois premilres aggra!ations peu!ent donner lieu [ une intrication de froid et de chaleur. ). 7a stagnation de 8i et la stase de sang peu!ent induire des masses abdominales *tumeurs, splWnomWgalie, hWpatomWgalie, spasme de lJestomacP+ ,. -i la chaleur de lJestomac se transmet dans le sang, si la stase de sang ancienne blesse les 7uo, si la rate ne retient pas le sang, cela peut induire : selles sanglantes, hWmatWmlse. -i les saignements sont important, le 8i sui!ant le sang, il y a collapsus de 8i .ui se manifeste brus.uement par : transpiration spontanWe et importante, membres froids, pouls Wei *tWnu+.

DIA!NOSTIC DI44ERENTIE Q T$ERAPEUTI=UE

7' 4roid per0ers en0ahissant lLestomac $iFrarchisation des symptOmes ). Accls soudain de douleur sW!lre dans lJWpigastre, amWlioration par la chaleur et aggra!ation par lJe0position au froid, atteinte soudaine et rWcente ,. Absence de soif, prWfWrence pour les boissons chaudes, membres froids /. 6nduit lingual fin et blanc, pouls Bin *serrW+ ou Iian *en corde+ #our pou!oir poser le diagnostic il faut a!oir les groupes ) K , ou ) K / Principes thFrapeuti>ues

- TiWdir lDestomac - 4isperser le froid - Wgulariser le 8i et arroter la douleur Acupuncture R mo-ibustion 6C A *&ei :uan+ AssociWs, ces points rWgularisent le 8i du foyer mWdian. ' ), *>hong Wan+ A!ec application de mo0ibustion, ' ), *>hong Wan+ peut Wgalement tiWdir le centre et disperser le froid. 6 /A *>u -an 7i+ Combinant lJe0tWrieur et lJintWrieur, associWs, ces points peu!ent t / *Tai (ai+ stimuler le 9ang de la rate et disperser le froid. *mo0ibustion+ "odifications 6n cas dJoppression de lJestomac, inappWtence, Wructations et enduit lingual gras, a1outer t < *:ong -un+ et ' )) *Bian 7i+. 6n cas de !omissements, appli.uer une mo0ibustion sur ' )/ *-hang Wan+. 6n cas de corps froid et fil!re, a1outer :% < *5e :u+ et :% )) *8u Chi+. 6n cas de plWnitude et oppression de lJestomac, nausWe ou !omissements et enduit lingual fin, blanc et gras, a1outer ' )/ *-hang Wan+ et t < *:ong -un+. PharmacopFe 3L >% 7% >5$&: WA& modifiWe *#ilule de radi0 Aconiti Carmichaeli pour rWgulariser le centre+ plus 7%A&: 3L WA& *#ilule de rhi"oma Alpiniae et rhi"oma Cyperi+ 3L >% *radi0 Aconiti Carmichaeli #raeparata+ Ag, :A& B%A&: *rhi"oma >ingiberis e0siccata+ Ag, :A$ 7%A&: B%A&: *rhi"oma Alpiniae+ Fg, I%A&: 3L *rhi"oma Cyperi+ Fg. (A% >5L *rhi"oma Atractylodis Albae+ ),g, >5% :A& CA$ *radi0 :lycyrrhi"ae praeparata+ Ag, 4A&: -56& *radi0 Codonopsitis+ Fg, "odifications 6n cas de froid sW!lre, a1outer WL >5L 9L *fructus 6!odiae+ /g et -56&: B%A&: *rhi"oma >ingiberis ecens+ Ag. 6n cas de !omissements, a1outer -56&: B%A&: *rhi"oma >ingiberis ecens+ Fg. 6n cas de douleur en coup de poignard, a1outer 4A& -56& *radi0 -al!iae 'iltiorrhi"ae+ )=g. 6n cas dJatta.ue de froid e0terne, a1outer >% -L 96 *folium #erillae+ Fg, C$&: (A% *bulbus Allii 3istulosi+ Ag, *wen+ 4A& 4$L C5% *semen -o1ae praeparatum+ Fg et -56&: B%A&: *rhi"oma >ingiberis ecens+ Ag, et supprimer (A% >5L *rhi"oma Atractylodis Albae+. 6n cas de distension Wpigastri.ue, a1outer 'L I%A&: *radi0 -aussureae+ Fg et *chao+ C56& #% *epicarpium Citri eticulatae+ Fg. 6n cas de froid se transformant en chaleur a!ec sensation de brnlure dans lJestomac, gont amer dans la bouche et bouche slche, remplacer 3L >% 7% >5$&: WA& par (A& I%A I%6 I%& TA&: *4Wcoction de tuber #inelliae pour drainer lJWpigastre+ : *1iang "hi+ (A& I%A *tuber #inelliae+ Fg, :A& B%A&: *rhi"oma >ingiberis e0siccata+ Fg, 4A&: -56& *radi0 Codonopsitis+ Fg, 5LA&: 8%& *radi0 -cutellariae+ /g, 5LA&: 7%A& *rhi"oma Coptidis+ /g, 4A >A$ *fructus >i"yphi Bu1ubae+ E fruits et >5% :A& CA$ *radi0 :lycyrrhi"ae praeparata+ Ag. Augmenter la posologie de 5LA&: 8%& *radi0 -cutellariae+ et de 5LA&: 7%A& *rhi"oma Coptidis+ en fonction de la sW!WritW de la chaleur.

&' Accumulation et sta*nation dLaliments $iFrarchisation des symptOmes ). douleur Wpigastri.ue a!ec distension et plWnitude de lJestomac .ui nJapprWcie pas la pression, Wructations putrides et rWgurgitations acides, parfois !omissements dJaliments non digWrWs calmant la douleur, inappWtence ,. constipation ou selles difficiles [ W!acuer, flatus malodorants .ui soulagent temporairement /. enduit lingual Wpais et gras Q pouls 5ua *glissant+. #our pou!oir poser le diagnostic il faut a!oir les groupes ) K , ou ) K / Principes thFrapeuti>ues 4issiper les aliments et W!acuer la stagnation 5armoniser lDestomac et arroter la douleur Acupuncture R mo-ibustion 6C A *&ei :uan+ AssociWs, ces points liblrent la circulation du 8i de lJestomac et des 6 ,E *Tian -hu+ intestins et harmonisent le centre. 6 /A *>u -an 7i+ AssociWs, ces points dissipent les aliments et W!acuent la stagnation. 6 ,) *7iang 'en+ ' ,) *Iuan Bi+ #oint dJe0pWrience pour la stagnation dJaliments. "odifications -i la douleur persiste aprls la puncture des points ci-dessus, a1outer 6 /< *7iang 8iu+. 6n cas dJenduit lingual 1aune et de constipation, a1outer 6 <) *Bie Ii+ et 6 /? *-hang Bu Iu+. 6n cas de distension, plWnitude et douleur Wpigastri.ues sW!lres, refusant la pression, a1outer ' ), *>hong Wan+ et ' A *8i 5ai+. 6n cas de sensation de blocage et plWnitude de lJestomac, inappWtence et selles molles, a1outer t A *-an 9in Biao+ et t < *:ong -un+. PharmacopFe (A$ 56 WA& modifiWe *#ilule pour prWser!er lJharmonie+ *chao+ -5A& >5A *fructus Crataegi+ Fg, *chao+ 'A% 9A *fructus 5ordei germinatus+ Fg, *chao+ -56& 8L *'assa 3ermentata+ Fg, 7A% 3L >% *semen aphani+ Fg, >5% @6 *fructus Citri Aurantii+ Ag, (%&: 7A&: *semen Arecae+ Fg, 'L I%A&: *radi0 -aussureae+ Fg, *chao+ C56& #% *epicarpium Citri eticulatae+ Fg, 3L 7%&: *sclerotium #oriae+ Fg, 7%A& 8%A$ *fructus 3orsythiae+ Ag, "odifications 6n cas de distension, plWnitude et douleur Wpigastri.ues sW!lres, a1outer >5% -5% *fructus Citri Aurantii %mmaturus+ Fg et *1iang "hi+ 5$L #$ *corte0 'agnoliae+ Fg. 6n cas de constipation, a1outer *sheng+ 4A 5LA&: *radi0 hei+ /-Fg. 6n cas de stagnation dJaliments se transformant en chaleur, a!ec constipation, gont amer dans la bouche et soif, a1outer 5LA&: 8%& *radi0 -cutellariae+ Ag, augmenter la posologie de 7%A&

8%A$ *fructus 3orsythiae+ 1us.uJ[ Fg et a1outer 4A 5LA&: *radi0 hei+ /-Ag. 6n cas de stagnation dJaliments chroni.ue a!ec !ide du 8i de la rate, remplacer (A$ 56 WA& par >5% >5L WA& *#ilule de fructus Citri Aurantii %mmaturus et rhi"oma Atractylodis Albae+ : >5% -5% *fructus Citri Aurantii %mmaturus+ ),g et (A% >5L *rhi"oma Atractylodis Albae+ )EE=g. )' =i du foie en0ahissant lLestomac $iFrarchisation des symptOmes ). 4istension, douleur et plWnitude Wpigastri.ues irradiant !ers les hypochondres ,. douleur aggra!We en cas de troubles Wmotionnels et amWliorWe par les Wructations, oppression de la poitrine, Wructations frW.uentes, soupirs frW.uents, ho.uet, constipation /. enduit lingual fin et blanc, pouls Iian *en corde+ #our pou!oir poser le diagnostic il faut a!oir les groupes ) K , ou ) K / Principes thFrapeuti>ues 4isperser le foie et rWgulariser le 8i 5armoniser lJestomac et arroter la douleur Acupuncture R mo-ibustion 3 )< *8i 'en+ AssociWs, ces points dispersent le foie et rWgularisent le 8i. H( /< *9ang 7ing 8uan+ H( /< peut Wgalement W!iter .ue la surpression se transforme en feu. 6C A *&ei :uan+ AssociWs, ces points harmonisent lJestomac et arrotent la douleur. ' ), *>hong Wan+ 6 /A *>u -an 7i+ "odifications 6n cas de !omissements sW!lres et dJWructations frW.uentes, a1outer 6 /< *7iang 8iu+ et 3 / *Tai Chong+. 6n cas de douleur a!ec inappWtence et symptmmes dJaccumulation dJaliments, a1outer ' ,) *Iuan Bi+ et t < *:ong -un+. 6n cas de gont amer dans la bouche, !omissements acides, malaise Wpigastri.ue *Cao >a+ et enduit lingual 1aune, a1outer 3 , *Iing Bian+ et 6 << *&ei Ting+. 6n cas de distension et douleur Wpigastri.ues chroni.ues et rWcurrentes, lassitude mentale et man.ue de force, enduit lingual fin et pouls Iian *en corde+, a1outer H ,= *#i -hu+ et H )G *:an -hu+ pour rWgulariser le foie et la rate. PharmacopFe C5A% 5L -5L :A& -A& modifiWe *#oudre de radi0 (upleuri pour drainer le foie+ C5A% 5L *radi0 (upleuri+ Ag, >5% -5% *fructus Citri Aurantii %mmaturus+ Fg, C56& #% *epicarpium Citri eticulatae+ Fg, I%A&: 3L *rhi"oma Cyperi+ Fg, (A% -5A$ 9A$ *radi0 #aeoniae Albae+ Fg, C5LA& I%$&: *radi0 7igustici Wallichii+ Ag, :A& CA$ *radi0 :lycyrrhi"ae+ /g. "odifications

 6n cas distension et douleur Wpigastri.ues sW!lres, a1outer *chao 1iao+ C5LA& 7%A& >% *fructus 'eliae Toosendan+ Fg et *cu "hi+ 9A& 5L -L$ *rhi"oma Corydalis+ ),g. 6n cas de distension Wpigastri.ue sW!lre, a1outer 8%&: #% *pericarpium Citri eticulatae Hiride+ Ag et 3$ -5$L *fructus Citri -arcodactylis+ Fg. 6n cas de douleur spasmodi.ue, augmenter la posologie de (A% -5A$ 9A$ *radi0 #aeoniae Albae+ et :A& CA$ *radi0 :lycyrrhi"ae+ 1us.uJ[ ),g. 6n cas de surpression du foie se transformant en feu, a!ec gont amer dans la bouche, gorge slche, sensation de brnlure dans lJestomac et langue rouge a!ec un enduit 1aune, a1outer *sheng+ >5% >% *fructus :ardeniae+ Fg et 'L 4A& #% *corte0 'outan radicis+ Fg. 6n cas de !ide du sang du foie concomitant, a1outer *1iu "hi+ 4A&: :L% *radi0 Angelicae -inensis+ Fg et -5L 4% 5LA&: *radi0 ehmanniae praeparata+ Fg. 6n cas de !ide du 8i de la rate concomitant, a1outer *fu chao+ (A% >5L *rhi"oma Atractylodis Albae+ Fg, 3L 7%&: *sclerotium #oriae+ Fg et *mi "hi+ 4A&: -56& *radi0 Codonopsitis+ Fg. 4ans certains cas, il y a stagnation du 8i de lJWpigastre sans surpression du foie. 4ans ce cas, les principau0 symptmmes sont : distension, douleur et plWnitude Wpigastri.ue, douleur mobile sans localisation fi0e, Wructations, rWgurgitations acides, inappWtence, nausWe, !omissements, borborygmes et constipation. %l nJy a pas de symptmmes spWcifi.ues de lJorgane foie. 4ans ce cas, nous pou!ons utiliser ' ), *>hong Wan+, 6C A *&ei :uan+, t < *:ong -un+ et :% < *5e :u+ pour lJacupuncture et #A% 8% 9%& *(oisson carminati!e+ comme formule de pharmacopWe. -es ingrWdients sont : 'L I%A&: *radi0 -aussureae+ Ag, I%A&: 3L *rhi"oma Cyperi+ Ag, *1iang "hi+ 5$L #$ *corte0 'agnoliae+ Ag, *chao+ C56& #% *epicarpium Citri eticulatae+ Ag, >5% @6 *fructus Citri Aurantii+ Ag, WL 9A$ *radi0 7inderae+ /g, 5L$ I%A&: *herba Agastaches+ Ag et >6 I%6 *rhi"oma Alismatis+ /g. ,' Surpression de chaleur dans le foie et lLestomac $iFrarchisation des symptOmes ). 4ouleur brnlante dans lJWpigastre, aggra!We par la pression, la douleur apparaqt par crise ,. 'au!aise haleine, Wructations fWtides, rWgurgitations acides, malaise Wpigastri.ue *Cao >a+, bouche slche, gont amer dans la bouche, soif, dysphorie agitation, irritabilitW, crainte de la chaleur et prWfWrence pour la fraqcheur /. 7angue rouge, enduit lingual 1aune Q pouls Iian *en corde+, -huo *rapide+. #our pou!oir poser le diagnostic il faut a!oir les groupes ) K , ou ) K / Principes thFrapeuti>ues Clarifier lJestomac et drainer la chaleur 4isperser le foie et rWgulariser le 8i Acupuncture R mo-ibustion 6C A *&ei :uan+ AssociWs, ces points rWgularisent le 8i, harmonisent lJestomac et ' ), *>hong Wan+ arrotent la douleur. H( /< *9ang 7ing 8uan+ AssociWs, ces points clarifient lJestomac et drainent la chaleur. 6 << *&ei Ting+ 6 /A *>u -an 7i+ "odifications 6n cas dJWructations frW.uentes, a1outer ' )/ *-hang Wan+ et 3 / *Tai Chong+. 6n cas de douleur a!ec distension et plWnitude Wpigastri.ues, Wructations fWtides et enduit lingual

Wpais et gras, a1outer ' ,) *Iuan Bi+ ou 6 ,) *7iang 'en+. 6n cas de constipation et dJenduit lingual Wpais, sec et 1aune, a1outer 6 ,E *Tian -hu+ et t A *-an 9in Biao+. 6n cas dJhWmatWmlse de sang frais, langue rouge a!ec un enduit 1aune et pouls Iian *en corde+ ou -huo *rapide+, a1outer 6C ? *4a 7ing+ et n ) *9ong 8uan+. 6n cas de langue rouge a!ec enduit 1aune et pouls Ii *fin+, -huo *rapide+, a1outer t A *-an 9in Biao+ et n / *Tai Ii+. PharmacopFe >L$ B%& WA& modifiWe *#ilule du mWtal de gauche+ *sheng+ 5LA&: 7%A& *rhi"oma Coptidis+ Ag, *"hi+ WL >5L 9L *fructus 6!odiae+ )g, >5% >% *fructus :ardeniae+ Fg, 'L 4A& #% *corte0 'outan radicis+ Ag, C56& #% *epicarpium Citri eticulatae+ Ag, 9L B%& *radi0 Curcumae+ Ag, (A% -5A$ 9A$ *radi0 #aeoniae Albae+ Fg, >56 (6% 'L *bulbus 3ritillariae Thunbergii+ Ag, :A& CA$ *radi0 :lycyrrhi"ae+ Ag. "odifications 6n cas de soif sW!lre, a1outer T%A& 5LA 36& *radi0 Trichosanthis+ Ag et 7L :6& *rhi"oma #hragmitis+ Ag. 6n cas de constipation, a1outer *sheng+ 4A 5LA&: *radi0 hei+ Ag. 6n cas de douleur sW!lre, a1outer *chao 1iao+ C5LA& 7%A& >% *fructus 'eliae Toosendan+ Ag et 9A& 5L -L$ *rhi"oma Corydalis+ Fg. .' Stase de san* $iFrarchisation des symptOmes ). 4ouleur Wpigastri.ue fi0e, en coup de poignard ou coupante, aggra!We la nuit, aggra!We par la pression et lJingestion de nourriture Q douleur ancienne ,. parfois hWmatWmlse Q parfois selles sanglantes /. 7angue !iolacWe a!ec parfois des taches de stase Q pouls -e *rugueu0+. #our pou!oir poser le diagnostic il faut a!oir les groupes ) K , ou ) K / Principes thFrapeuti>ues Acti!er le sang et transformer la stase 5armoniser lJestomac et arroter la douleur Acupuncture R mo-ibustion H )? *:e -hu+ AssociWs, ces points acti!ent le sang et transforment la stase. H ,) *Wei -hu+ t )= *Iue 5ai+ ' ), *>hong Wan+ AssociWs, ces points rWgularisent la dynami.ue du 8i du foyer mWdian 6 /A *>u -an 7i+ et arrotent la douleur. "odifications

 6n cas de douleur sW!lre, a1outer ' )/ *-hang Wan+ et ' )= *Iia Wan+. 6n cas de teint i!oire, lassitude mentale, man.ue de force et pouls Ii *fin+, uo *faible+, symptmmes suggWrant un !ide de 8i et de sang dn au0 saignements, a1outer ' A *8i 5ai+, t A *-an 9in Biao+. PharmacopFe -5% I%A$ -A& modifiWe *#oudre pour Wclater de rire+ plus 4A& -56& 9%& *(oisson de radi0 -al!iae 'iltiorrhi"ae+ *cu "hi+ WL 7%&: >5% *e0crementum Trogopteri+ )=g, *sheng+ #L 5LA&: *pollen Typhae+ )=g, 4A& -56& *radi0 -al!iae 'iltiorrhi"ae+ )=g, TA& I%A&: *lignum -antali Albi+ /g, -5A 6& *fructus Amomi Hillosi+ Ag, (A% -5A$ 9A$ *radi0 #aeoniae Albae+ )=g, >5% :A& CA$ *radi0 :lycyrrhi"ae praeparata+ )=g. "odifications 6n cas dJhWmatWmlse, a1outer (A% B% *rhi"oma (letillae+ /g *en poudre, [ a!aler a!ec la dWcoction chaude+ et -A& 8% *radi0 #seudoginseng+ /g *en poudre, [ a!aler a!ec la dWcoction chaude+. 6n cas de selles sanglantes, a1outer 8%A& CA$ :6& *radi0 ubiae+ Fg et -A& 8% *radi0 #seudoginseng+ /g *en poudre, [ a!aler a!ec la dWcoction chaude+. 6n cas de !ide de 8i, a1outer *mi "hi+ 5LA&: 8% *radi0 Astragali+ )Eg et *fu chao+ (A% >5L *rhi"oma Atractylodis Albae+ Fg. &e pas utiliser 4A&: -56& *radi0 Codonopsitis+ ici car il est contre-indi.uW a!ec WL 7%&: >5% *e0crementum Trogopteri+. 6n cas de distension et douleur, remplacer -5A 6& *fructus Amomi Hillosi+ par 'L I%A&: *radi0 -aussureae+ Fg. /' $umiditF chaleur obstruant le centre $iFrarchisation des symptOmes ). douleur de lJWpigastre, syndrome Cao >a, sensation de brnlure ou de chaleur dan slJestomac, bouche amlre et slche, soif sans en!ie de boire ,. cWphalWe a!ec sensation de tote en!eloppWe, sensation de corps et de membres lourds, inappWtence, nausWes, urines foncWes, selles difficiles [ W!acuer ou selles ppteuses et malodorantes, dermatose sur le !isage sur le tra1et du 9ang 'ing /. enduit 1aune et gras, pouls 5ua *glissant+ et -huo *rapide+ #our pou!oir poser le diagnostic il faut a!oir les groupes ) K , ou ) K / Principes thFrapeuti>ues clarifier la chaleur et transformer lJhumiditW rWgulariser le 8i et harmoniser lJestomac Acupuncture R mo-ibustion ' ), *>hong Wan+ AssociWs, ces points clarifier la chaleur dans le 9ang 'ing 6 << *&ei Ting+ et transforment lJhumiditW t F *9in 7ing 8uan+ 6C A *&ei :uan+ %l rWgularise le 8i et harmonise lJestomac

PharmacopFe 8%&: >5$&: TA&: *dWcoction pour clarifier le centre+ adi0 -cutellariae (aicalensis *5uang 8in+ Ag 3ructus :ardeniae Basminoidis *>hi >i+ Fg hi"oma #inelliae Ternatae *(an Iia+ Ag -clerotium #oriae Cocos *3u 7ing+ Fg 3ructus Cardamomi *(ai 4ou @ou+ Ag #ericarpium Citri eticulatae *Chen #i+ Fg adi0 :lycyrrhi"ae *:an Cao+ Ag "odifications -i la chaleur domine et induit de la constipation, a1outer adi0 6t hi"oma hei *4a 5uang+ /Ag, 3ructus %mmaturus Citri Aurantii *>hi -hi+ A-Fg. -i la distension de lJestomac est sW!lre ou accompagnWe dJune distension de lJabdomen, a1outer Corte0 'agnoliae $fficinalis *5ou #o+, Fg, #ericarpium Arecae Catechu *4a 3u #i+, Fg. -Jil y a une intrication de froid et de chaleur, de !ide et de plWnitude, remplacer la formule par : (A& I%A I%6 I%& TA&: *4Wcoction de tuber #inelliae pour drainer lJWpigastre+ : *1iang "hi+ (A& I%A *tuber #inelliae+ Fg, :A& B%A&: *rhi"oma >ingiberis e0siccata+ Ag, 4A&: -56& *radi0 Codonopsitis+ Fg, 5LA&: 8%& *radi0 -cutellariae+ /g, 5LA&: 7%A& *rhi"oma Coptidis+ /g, 4A >A$ *fructus >i"yphi Bu1ubae+ E fruits et >5% :A& CA$ *radi0 :lycyrrhi"ae praeparata+ Ag. 1' 4roid 0ide de la rate et de lLestomac $iFrarchisation des symptOmes ). 4ouleur Wpigastri.ue sourde mais chroni.ue .ui perdure, .ui traqne, amWliorWe par la pression et la chaleur et aprls lJingestion de nourriture, mais aggra!We [ lJeffort ou par le froid ou par la fatigue ou par un !entre !ide ,. Homissements occasionnels de li.uides clairs Q inappWtence Q lassitude mentale Q fatigue et man.ue de force Q mains et pieds froids Q selles molles /. 7angue pple parfois Wpaisse, enduit blanc Q pouls Iu *!ide+, uo *faible+. #our pou!oir poser le diagnostic il faut a!oir les groupes ) K , ou ) K / Principes thFrapeuti>ues TiWdir le centre enforcer la rate 5armoniser lJestomac Arroter la douleur Acupuncture R mo-ibustion H ,= *#i -hu+ Combinaison de points (ei -hu-transport du dos et 'u-collecteur. H ,) *Wei -hu+ AssociWs, a!ec application de mo0ibustion, ces points peu!ent tiWdir et ' ), *>hong Wan+ disperser le froid per!ers, tonifier la rate et harmoniser lJestomac. 6C A *&ei :uan+ AssociWs, ces points peu!ent rWgulariser le 8i et arroter la douleur. 6 /A *>u -an 7i+ "odifications

6n cas de !omissements de li.uides clairs, a1outer t F *9in 7ing 8uan+. 6n cas de rWgurgitations acides, a1outer H( /< *9ang 7ing 8uan+. 6n cas douleur froide dans lJWpigastre, a1outer 6 ,) *7iang 'en+. 6n cas de douleur Wpigastri.ue sW!lre, man.ue de chaleur dans les membres, enduit lingual gras et blanc et pouls Iian *en corde+, Ii *fin+, a1outer ' )/ *-hang Wan+ et ' )= *Iia Wan+ pour tiWdir le centre.

PharmacopFe 5LA&: 8% B%A& >5$&: TA&: modifiWe *4Wcoction de radi0 Astragali pour renforcer le centre+ 5LA&: 8% *radi0 Astragali+ )Eg, >5% :A& CA$ *radi0 :lycyrrhi"ae praeparata+ Ag, 4A >A$ *fructus >i"yphi Bu1ubae+ A fruits, 3L 7%&: *sclerotium #oriae+ Ag, 9% TA&: *-accharum :ranorum+ ,Eg, *chao+ :L% >5% *ramulus Cinnamomi+ Ag, (% C56&: 8%6 *fructus Cubebae+ Ag. -56&: B%A&: *rhi"oma >ingiberis ecens+ Ag, (A% -5A$ 9A$ *radi0 #aeoniae Albae+ Fg, *1iang "hi+ (A& I%A *tuber #inelliae+ Fg, "odifications 6n cas de douleur Wpigastri.ue sW!lre, a1outer 7%A&: 3L WA& *#ilules de rhi"oma Alpiniae et rhi"oma Cyperi+, soit :A$ 7%A&: B%A&: *rhi"oma Alpiniae+ Fg et I%A&: 3L *rhi"oma Cyperi+ Ag. 6n cas de froid !ide sW!lre, a1outer :A& B%A&: *rhi"oma >ingiberis e0siccata+ Ag. 6n cas de !ide de 8i sW!lre, a1outer 4A&: -56& *radi0 Codonopsitis+ Fg. 6n cas de !omissements de li.uides clairs, a1outer C56& #% *epicarpium Citri eticulatae+ Fg et ILA& 3L 5LA *flos %nulae+ Fg. 6n cas de !omissements acides, supprimer 9% TA&: *-accharum :ranorum+ et a1outer WL >5L 9L *fructus 6!odiae+ /g et 5LA&: 7%A& *rhi"oma Coptidis+ /g. 2' Insuffisance du +in de lLestomac $iFrarchisation des symptOmes ). 4ouleur brnlante dans lJWpigastre sourde ou lWglre Q faim sans en!ie de manger ,. (ouche et gorge slches Q amaigrissement ou maigreur Q parfois soif Q constipation a!ec selles slches Q inappWtence Q dysphorie chaleur des cin. cjur /. 7angue rouge a!ec peu dJenduit ou parfois langue complltement pelWe Q pouls Ii *fin+, -huo *rapide+. #our pou!oir poser le diagnostic il faut a!oir les groupes ) K , ou ) K / Principes thFrapeuti>ues &ourrir le 9in Tonifier lJestomac Acupuncture R mo-ibustion H ,= *#i -hu+ AssociWs, ces points renforcent la rate et tonifient lJestomac. H ,) *Wei -hu+

' ), *>hong Wan+ 6 /A *>u -an 7i+ AssociWs, ces points nourrissent le 9in et tonifient lJestomac. n ? *3u 7iu+ "odifications 6n cas de lassitude mentale, souffle court, !ertiges et faiblesse des membres, a1outer ' A *8i 5ai+ pour augmenter le 8i. 6n cas de faim sans dWsir de manger, a1outer ' )) *Bian 7i+. 6n cas de nausWes, a1outer ' )/ *-hang Wan+. 6n cas de ho.uet, a1outer 6C A *&ei :uan+. 6n cas dJhWmatWmlse, a1outer H )? *:e -hu+. 6n cas de selles sanglantes, a1outer t )= *Iue 5ai+. Remar>ue #our ce syndrome particulier, lJacupuncture est moins efficace .ue pour les autres syndromes de ce trouble. %l faut donc la combiner a!ec la pharmacopWe PharmacopFe 9% W6% TA&: modifiWe *4Wcoction pour nourrir lJestomac+ 'A% '6& 4$&: *tuber $phiopogonis+ Fg, &A& -5A -56& *radi0 Adenophorae+ Fg, 9L >5L *rhi"oma #olygonati+ Fg, -56&: 4% 5LA&: *radi0 ehmanniae+ ),g, (A% -5A$ 9A$ *radi0 #aeoniae Albae+ Fg, >5% :A& CA$ *radi0 :lycyrrhi"ae praeparata+ Fg. "odifications 6n cas de li.uides lWsWs, a!ec soif sW!lre, a1outer T%A& 5LA 36& *radi0 Trichosanthis+ Fg. 6n cas de selles slches, a1outer ILA& -56& *radi0 -crophulariae+ Fg et :LA 7$L 6& *semen Trichosanthis+ Fg. 6n cas de !ide de 8i concomitant, a1outer -5A& 9A$ *radi0 4ioscoreae+ Fg et *sheng+ 4A&: -56& *radi0 Codonopsitis+ Fg. 6n cas de douleur sW!lre de lJestomac, augmenter la posologie de (A% -5A$ 9A$ *radi0 #aeoniae Albae+ et >5% :A& CA$ *radi0 :lycyrrhi"ae praeparata+ 1us.uJ[ ),g. 6n cas de stase de sang concomitante, a!ec douleur coupante ou en coup de poignard, a1outer 4A& -56& *radi0 -al!iae 'iltiorrhi"ae+ Fg et TA$ 6& *semen #ersicae+ Fg.

Remar>ues
). 7Jacupuncture et la mo0ibustion sont des thWrapies trls efficaces pour la douleur Wpigastri.ue, mome .uand cette douleur est associWe a!ec ce .ue la mWdecine occidentale diagnosti.ue comme X ulclre de lJestomac Y. ,. Comme lJestomac, associW [ la rate, est responsable de la transformation des aliments, beaucoup de troubles de lJWpigastre comme Wei Tong, sont dus [ une diWtWti.ue erronWe. #ar consW.uent, il est important de dWcou!rir toutes les mau!aises habitudes alimentaires des patients et de les conseiller pour trou!er une nutrition plus harmonieuse. 7es principales erreurs diWtWti.ues identifiWes par la mWdecine chinoise sont : Trop manger peut causer une stagnation dJaliments.

 Lne consommation e0cessi!e dJaliments sucrWs, gras et de laitages peut causer de lJhumiditW et une stagnation dJaliments. Lne consommation e0cessi!e dJalcool, dJaliments rmtis, frits, chauds, WpicWs peut causer une chaleur de lJestomac. Lne consommation e0cessi!e dJaliments froids ou crus peut causer un froid de lJestomac. 'anger la nuit peut causer un !ide du 9in de lJestomac. 'anger frW.uemment a!ant .ue le dernier repas ait WtW digWrW *grignotage+ peut causer de la stagnation dJaliments. 'anger [ des heures irrWgulilres, ne pas mpcher correctement, manger dans un en!ironnement bruyant, stressant ou a!aler rapidement peut causer une stagnation de 8i ou un !ide du 8i de lJestomac. 'anger aprls un boule!ersement Wmotionnel peut causer une stagnation du 8i de lJestomac ou une dysharmonie foie-estomac. 6n plus de ces mau!aises habitudes alimentaires, nous pou!ons a1outer la consommation de polluants et contaminants modernes dans les aliments et lJeau, tels .ue les conser!ateurs, additifs, insecticides, herbicides, engrais chimi.ues, colorants, hormones, antibioti.ues, e0hausteurs de gonts, stabilisants, etc. Lne autre cause trls commune de douleur de lJestomac est une consommation frW.uente, importante ou durable de certains mWdicaments occidentau0, tels .ue la cortisone, les antihistamini.ues, lJaspirine, les antibioti.ues et les anti-inflammatoires. Chacun dJeu0 [ sa manilre peut lWser le 8i de lJestomac. #ar e0emple, les antibioti.ues sont classWs comme Wtant de nature froide. #ar consW.uent, ils peu!ent lWser le 8i de la rate et de lJestomac de la mome manilre .uJune administration e0cessi!e de 5uang 7ian *rhi"oma Coptidis+ pourrait le faire. 7es antihistamini.ues sont similaires au0 remldes chinois pour libWrer la surface. Aussi un usage e0cessif de ceu0-ci peut lWser et consumer les li.uides de lJestomac. 7Jaspirine est un remlde .ui acti!e le sang. LtilisWe en e0cls, elle peut atta.uer et consumer le 8i, le sang et les li.uides du corps. 6nfin, il ne faut pas oublier les causes Wmotionnelles .uoi sont aussi sou!ent [ lJorigine des douleurs de lJestomac. 7es Wmotions les plus inductrice de Wei Tong sont la collre, les soucis, la peur.

Cas clini>ue typi>ue

5omme, <A ans. 4ouleur Wpigastri.ue depuis si0 ans et .ui sJest fortement aggra!We il y a un mois. X Llclre gastroduodWnal Y est le diagnostic posW par la mWdecine occidentale. 4iffWrents traitements molWculaires sont par!enus [ attWnuer la douleur mais nJempochent pas de re!enir. 4epuis un mois la douleur a empirW [ la fa!eur dJun e0cls de tra!ail. 7Jabsorption de nourriture soulage la douleur. 6lle est de manilre gWnWrale amWliorWe par la chaleur mais aggra!We par le froid, distension et sensation de plWnitude de lJestomac, sensation de faim, de tiraillement de brnlure dans lJestomac, bouche amlre, urines foncWes, fatigue, inappWtence, enduit 1aune et gras dans le centre de la langue, pouls Ii *fin+ et Iian *en corde+. DonneE I &om de la maladie ` 4iagnostic diffWrentiel ` 'Wcanisme pathologi.ue ` #rincipes thWrapeuti.ues ` Traitements en acupuncture et en pharmacopWe `

"Ftodo de dia*nostico por un punto de acupuntura Gnico Du ?ue 6hen Duan 4a

Por Philippe Sionneau TraducciHn del francFsI "aria Casero Romero 6s normal decir en el curso base de acupuntura .ue una de las funciones de los puntos es el ser!ir de diagnostico. AsR, cada cambio de color, de te0tura, de humedad de la piel alrededor de un punto y tambiWn su sensibilidad incluso el dolor producido a la presiZn son signos !alorables por el acupuntor e0perimentado. 4e hecho, todo punto puede ser!ir como complemento del diagnostico. -in embargo, algunos puntos tiene mas fama .ue otros, por e1emplo: - 4' F *>hi 9ang+ si es doloroso a la presiZn es a menudo signo de problemas cardiacos coronarios. -i es intenso es de naturale"a 9ang *estancamiento de -angre de Cora"Zn, acumulaciZn de mucosidades, blo.ueo del 9ang del pecho por estancamiento de 3rRo...+, si el dolor es mas moderado y sordo, no e0iste ning]n problema cardiaco particular, e0iste una crisis de naturale"a 9in *HacRo de 8i o de 9ang de Cora"Zn....+. - # ) *>hong 3u+. -i este punto es muy doloroso a la mRnima presiZn, es signo de desordenes pulmonares gra!es tales como tuberculosis. - 6l punto fuera del meridiano Wei Chang Iue *literalmente punto de estZmago y de los intestinos+ locali"ado alrededor de ) centRmetro deba1o de ' )? *4an >hong+, si es doloroso es signo de problemas digesti!os. 7a reacciZn a la presiZn nos permite ser mUs precisos en cuanto a la certe"a del dese.uilibrio. -i despuWs de la presiZn el paciente nos indica .ue el punto estU dolorido, el dese.uilibrio es probable, si la presiZn produce en el paciente un gesto inmediato .ue declara la !i!acidad de la sensaciZn, el dese.uilibrio es casi seguro, si la presiZn pro!oca un grito o una fuerte reacciZn, el dese.uilibrio gastrointestinal es seguro. - ' ,, *Tian Tu+ si es muy sensible a la presiZn puede ser, e!entualmente, .ue se prepara un embara"o. - 'Us conocido es el punto fuera de meridiano 7an Wei Iue .ue si es doloroso, confirma o re!ela una apendicitis *aguda o crZnica+. -e !uel!e entonces un punto indiscutible del tratamiento. - Ln poco menos conocido pero tambiWn impresionante, 4an &an Iue locali"ado alrededor de un cun ba1o H( /< *9ang 7ing 8uan+ *atenciZn su locali"aciZn es !ariable, es la presiZn dolorosa la .ue precisa su sitio real+, .ue cuando es doloroso es signo de colecistitis o de litiasis biliar. -e con!ierte tambiWn en un punto lla!e del tratamiento. - 5 )< *8i 'en+ es un punto de diagnZstico importante por.ue puede ayudar a descubrir una hepatitis. &o hay .ue ser negligente con esto, ya .ue actualmente e0iste la multiplicaciZn de las hepatitis (, C, 2no A, no (, no C2..., con la resistencia del !irus y el riesgo de contaminaciZn en todos los actos de acupuntura. Todo cambio de color o de te0tura de la piel alrededor del punto, la apariciZn de endurecimiento, de dermatosis, sobre 5 )< *8i 'en+ o el dolor a la presiZn debe alentar al paciente a hacerse un reconocimiento mUs a fondo y sobre todo anUlisis para saber la tasa de ::T y de transaminasas, tambiWn debe hacerlo si se .ue1a de cansancio, de pesade" o dolor ba1o el costado derecho, de indigestiZn de alimentos demasiado grasos... y .ue el pulso es Iian *en cuerda+ y Ii *fino+. - %4 )) *Tian >ong+ si es doloroso es signo, bien entendido del (i del omZplato o del hombro, pero puede igualmente re!elar una colecistitis aguda y mas interesante, una colecistitis crZnica silenciosa. Como para Wei Chang Iue, la reacciZn del paciente *del simple dolor, al grito hasta la transpiraciZn

espontUnea .ue pro!oca la presiZn+ confirmarU la certe"a del daSo. - 4' ,G *9in Biao+ *al ni!el de la encRa superior, ba1o el freno del labio+ cuando cambia de color o de forma, es casi siempre signo de una enfermedad anal: fRstula, fisura, hemorroide, inflamaciZn..... 7a naturale"a de los cambios denotan la gra!edad y;o la naturale"a del daSo. 4' ,G *9in Biao+ se con!ierte en un punto indiscutible *entendiendo .ue sangrUndolo+ para el tratamiento y especialmente para el de las hemorroides. #ero, la obser!aciZn atenta .ue proporciona la prUctica nos puede lle!ar a]n mUs le1os en el arte del diagnZstico chino. 7os 2puntos de diagnZstico2 pueden ayudarnos a reunir numeroso signos sutiles. 4aremos nue!os e1emplos tRpicos para concretar nuestro propZsito. 4e todas formas hay .ue tener claro .ue no se trata de dar informaciones e0hausti!as, ni limitati!as si no las .ue pueden ilustrar lo .ue cada uno puede obser!ar con !igilancia, paciencia y tiempo.

AsK5 E )/ ;6u San i< es un punto de dia*nHstico para mas de un tratamientoI

- Cuando es sensible o doloroso a la presiZn, es a menudo seSal de problemas en el sistema digesti!o *ba"o, estZmago, intestinos+. - 4espuWs de la inserciZn de la agu1a y durante la manipulaciZn, si la sensaciZn de 8i *4e 8i+ es moderada y lenta, es a menudo signo de un sRndrome de 3rRo o de HacRo y los efectos de la punciZn serUn lentos. - 4espuWs de la inserciZn de la agu1a y durante la manipulaciZn, si la sensaciZn de 8i *4e 8i+ es !i!a y rUpida, es a menudo un signo de sRndrome de Calor o de #lenitud y los efectos de la punciZn serUn rUpidos. - 4espuWs de la inserciZn de la agu1a y durante la manipulaciZn, si la sensaciZn de 8i *4e 8i+ es nula, es a menudo un signo de gran HacRo o de una enfermedad gra!e. - 4espuWs de la punciZn, si la sensaciZn de 8i llega rUpidamente, es a menudo signo de un buen pronZstico. - -i la inserciZn se hace en un m]sculo blando, es a menudo signo de sRndrome de HacRo. - -i la inserciZn se hace en un m]sculo muy blando, como si la agu1a se hundiera en un .ueso de so1a, la agu1a no estU oprimida *su1eta+ es a menudo un signo de gran HacRo, incluso de un mal pronZstico. 6l efecto de la punciZn serU muy lento, incluso ine0istente. - -i la inserciZn se hace en un m]sculo tenso, difRcil de penetrar como si la agu1a fuera rugosa y .ue se ha agarrado a la carne, es a menudo signo de sRndrome de #lenitud. - 6n caso de debilidad constitucional o de una persona mayor, la sensaciZn de 8i es lenta, moderada despuWs de la inserciZn de la agu1a. - 6n caso de constituciZn fuerte o de una persona 1o!en, la sensaciZn de 8i es !i!a y rUpida, despuWs de la inserciZn de la agu1a. - Con la mo0ibustiZn, si la sensaciZn de calor llega lentamente, es a menudo signo de sRndrome de 3rRo.

- Con la mo0ibustiZn, si la sensaciZn de calor lle!a rUpidamente, es a menudo sigo de sRndrome de Calor. - Cuando la agu1a estU ya insertada, si tiende a hundirse espontUneamente en la carne, pro!ocando lo .ue se denomina 2la agu1a aspirada2 *Ii >hen+, es a menudo seSal de 3rRo y de HacRo. - Cuando la agu1a estU ya insertada, si tiende a salirse espontUneamente, pro!ocando lo .ue se denomina 2agu1a empu1ada2 *4ing >hen+, es a menudo signo de Calor o de #lenitud. #odemos constatar .ue el acto terapWutico se con!ierte, Wl mismo, en un complemento del diagnZstico 2en directo2 y .ue hay .ue aprender a integrar con los otros cuatro tiempos de e0amen.

Prose*uimos nuestra ilustraciHn con E &. ;Tian Shu< >ue es tambiFn un punto de dia*nostico toda0Ka mas e0idente'
-i es sensible o doloroso a la presiZn, casi siempre indica problemas intestinales. -i la presiZn aporta un dolor o agra!a un dolor se trata de una #lenitud, si la presiZn ali!ia un dolor o aporta una me1orRa, se trata de un HacRo. -i la persona prefiere calor en esta "ona, se trata de un sRndrome de 3rRo, si prefiere frRo en el mismo lugar se trata de un sRndrome de Calor. -i despuWs de la inserciZn de la agu1a, la sensaciZn de 8i es moderada y llega lentamente, es signo de 3rRo y de HacRo, si es !i!a y llega rUpidamente es signo de Calor y #lenitud. -i la inserciZn se hace en carne dura, difRcil de penetrar, es signo de #lenitud, si se hace en carne flo1a fUcil de penetrar, es signo de HacRo. -i con la mo0ibustiZn la sensaciZn de calor se siente con lentitud, es sRntoma de 3rRo, si se siente rUpidamente es sRntoma de Calor. 4espuWs de la inserciZn de la agu1a, se mue!e sola, es signo de plenitud *el mas frecuente del estancamiento de 8i+.

Siempre con la misma lH*ica E &7 ; ian* "en< *ran punto del Estoma*o y en particular del estancamiento de los alimentos5 nos puede aportar informaciones complementariasI
-i es doloroso a la presiZn, esto significa .ue casi siempre e0iste un dese.uilibrio de 6stomago y en particular un estancamiento de alimentos. -i a la palpaciZn la "ona estU mas frRa .ue el resto del abdomen se trata de un sRndrome de tipo 3rRo. -i a la palpaciZn la "ona estU mas caliente .ue el resto del abdomen se trata de un sRndrome de tipo de Calor. Cuando la agu1a esta puesta en el punto, si tiende a meterse espontUneamente, pro!ocando lo .ue se llama 2la agu1a aspirada2 *Ii >hen+, es signo a menudo de 3rRo - HacRo. Cuando la agu1a estU puesta en el punto, si tiende a salirse, pro!ocando lo .ue se llama 2la agu1a .ue empu1ada2 *4ing >hen+, es signo a menudo de Calor - #lenitud.

Este mismo tipo de fenHmenos y de obser0aciones es frecuente en R" 7& ;6hon* Can< donde podemos aplicar el mismo raEonamientoI
6n caso de aumentar el dolor a la presiZn, se trata de un sRndrome de #lenitud. 6n caso de disminuir el dolor a la presiZn, se trata de un sRndrome de HacRo. 6n caso de miedo al frRo en la "ona del punto, se trata de un sRndrome de 3rRo. 6n caso de .ue el problema me1ore por una aplicaciZn de calor, se trata de un sRndrome de 3rRo. 6n caso de tener miedo al calor en la "ona del punto, se trata de un sRndrome de Calor. 6n caso de me1orar el problema por una aplicaciZn de frRo, se trata de un sRndrome de Calor.

Otro eJemplo concretoI R" ) ;6hon* :i< es un punto de dia*nostico >ue nos indica el estado de la 8eJi*a'
-i el paciente empeora por un miedo a la presiZn sobre ' / *>hong Bi+ se trata de un sRndrome de #lenitud de He1iga. -i el paciente se me1ora o le gusta la presiZn sobre ' / *>hong Bi+ se trata de un sRndrome de !acRo de He1iga. -i la presiZn pro!oca la salida de algunas gotas de orina, se trata de un HacRo de la He1iga. -i el paciente teme al frRo en esta "ona y le gusta .ue le pongan calor, se trata de un sRndrome de 3rRo de la He1iga. -i el paciente teme al calor en esta "ona y le gusta .ue le pongan frRo o tenerlo fresco se trata de un sRndrome de Calor de la He1iga. 5emos !isto aparecer signos clRnicos como reacciZn a la acupuntura y a la mo0ibustiZn, pero la naturale"a de la sangrRa puede ser igualmente un elemento de anUlisis. #or e1emplo, 8 ,@ ;Cei 6hon*<5 *ran punto por e-celencia de la san*rKa5 nos puede dar informaciHn sobre diferentes aspectosI -i la sangre fluye fUcilmente, su color es ro1o !i!o y su consistencia es normal, el #er!erso estU poco profundo y la enfermedad es ligera. -i la sangre fluye con dificultad, su color es ro1o oscuro y su consistencia espesa, el #er!erso es abundante y la enfermedad es mas gra!e. -i la sangre es ro1a pUlida, su consistencia fina, fluida, la sangrRa poco abundante, la constituciZn del paciente es dWbil, es una enfermedad de tipo HacRo. -i la sangre es p]rpura oscura, su consistencia espesa 2pega1osa2, la sangrRa abundante, es signo de Calor en la -angre y;o de Calor TZ0ico. -i la sangre es oscura en el cuadro de una lumbalgia, es signo de un estancamiento de -angre. 7a mo0ibustiZn sobre ciertos puntos puede tambiWn darnos indicaciones sobre el estado del paciente. 6sto es particularmente e!idente sobre el punto ' G *-hen 8ue+. 7a sensaciZn de calor obtenida de la mo0ibustiZn de R" 2 ;Shen =ue< puede ser una indicaciHn suplementaria en cuanto a la naturaleEa del dese>uilibrioI 6n caso de e0ceso de 9ang 8i, la sensaciZn de calor llega rUpidamente. 6n caso de #lenitud de 9in 3rRo, la sensaciZn de calor llega lenta y moderadamente. 6n caso de acumulaciZn e0trema de 9in 3rRo, de agotamiento del Herdadero 9ang, en los casos de enfermedades gra!es o de gran HacRo, a !eces la sensaciZn de calor es ine0istente. 6l diagnZstico chino es muy diferente al de la medicina occidental. -i este ]ltimo es importante por los datos anatZmicos y fisiolZgicos 2materialmente2 obser!ables, el de la 'TC se interesa mayormente por todo lo contrario a la decoraciZn, a la trama subyacente in!isible, inaudible, impalpable, .ue es nuestro

cuerpo energWtico. Todo esto es para e0plicar .ue algunos de estos e1emplos de 2puntos de diagnostico2 son la demostraciZn de .ue el .ue practica la acupuntura debe de estar atento a las grandes leyes taoRstas *yinyang, cinco mo!imientos, 8i--hen-Bing, etc.+, .ue e0presan en cada cosa, en cada acto, en cada ser, en el mismo y .ue cuando son bien comprendidos interiormente y no solo intelectualmente son obser!ables en todas partes, re!elUndose entonces como un ]til e0tremadamente poderoso. 6s por esta ra"Zn .ue el diagnostico chino es en realidad muy difRcil de practicar. #ues supone .ue la persona .ue lo practica ha asimilado en si mismo, en lo mas profundo de cada una de sus cWlulas los grandes principios taoRstas en los .ue la representaciZn del mundo y del ser humano es mas interna .ue e0terna, mas esotWrica .ue e0otWrica. 6s en la combinaciZn de las fuer"as de las dos medicinas 2esotWrica2 y 2e0otWrica2 .ue la humanidad, espero, llegarU a conseguir su salud de una manera mUs efica".

San 6hen 4a
Por Philippe Sionneau TraducciHn del francFsI "aria Casero Romero

IntroducciHn
#ara tratar las enfermedades psR.uicas, el 4r. :ao 7i -han, con una e0periencia de mUs de /= aSos, utili"a un mWtodo personal para apaciguar a sus pacientes. 7o llama el mWtodo de las tres pacificaciones *o tres apaciguamientos+. 7o emplea para tratar todo tipo de desZrdenes psR.uicas tales como el insomnio, la pWrdida de memoria, la agitaciZn, los espantos, las psicosis *4ian o @uang+, etc. 7as tres pacificaciones corresponden a situaciones diferentes pero tambiWn a ni!eles diferentes de gra!edad.

7PEl mFtodo de pacificaciHn li*era

7os puntos principales son: H )= *Tian >hu+, C ? *-hen 'en+, 6 /A *>u -an 7i+ 3unciones: armoni"ar el estZmago, calmar el -hen, apaciguar la in!ersiZn. %ndicaciones: insomnio, !Wrtigos, confusiZn mental. $bser!aciones: esta fZrmula estU particularmente adaptada para el insomnio acompaSado de trastornos digesti!os. H )= *Tian >hu+ es dispersado, los otros puntos estimulados con el mWtodo de tonificaciZn;dispersiZn e.uilibrado.

&P El mFtodo de pacificaciHn media

7os puntos principales son: punto pulmZn, -hen 'en de la ore1a, %: ,= *9ing Iiang+, C ? *-hen 'en+, 6 /A *>u -an 7i+. 3unciones: clarifica el pulmZn, armoni"a el estZmago, calma el -hen y tran.uili"a. %ndicaciones: interrupciZn del tabaco, insomnio, tics faciales, enfer- medades psR.uicas. $bser!aciones: -eg]n :ao 7i -hen si hay calor en #ulmZn y estZmago, el -hen;cora"Zn no estU calmado a causa de este calor. 6sto produce agitaciZn;disforia y otrso desZrdenes psR.uicos. Todos los puntos son estimulados con el mWtodo de tonificaciZn;dispersiZn e.uilibrada.

)P El mFtodo de pacificaciHn 0i*orosa

7os puntos principales son :%: < *5e :u+, 5 / *Tai Chong+, ' A *8i 5ai+, ( )= *Iue 5ai+, 4an >hong * ' )?+, H )? *:e -hu+, ' ,< *Cheng Biang+, 4' )A *3eng 3u+, 9in Tang *5' ,=+, 4' G *Bin -uo+. 4unciones egula 9ing y Wei, armoni"a el 8i y la sangre, apacigua y calma fuertemente el -hen. Indicaciones 4olores, insomnio, 4ian *#sicosis depresi!a+, @uang *manRa+. Obser0aciones 4ispersar todos los puntos. "odificaciones A partir de estas tres fZrmulas da acupuntura, :ao 7i -han aSade otros puntos en funciZn de los sRntomas o las causas de los desZrdenes psR.uicos. 7a seleccciZn se produce seg]n los cinco parUmetros siguientes teniendo en cuenta la situaciZn del paciente: 7P Tratar la emociHn dominante -i el desorden toca al hRgado con la cZlera, utili"ar: 5 / *Tai Chong+ y H )G *:an -hu+. -i el desorden toca el cora"Zn con el e0ceso de alegrRa, risas *e0citaciZn, agitaciZn ner!iosa+ utili"ar: C ? *-hen 'en+ ? H )E *Iin -hu+. -i el desorden toca al ba"o con preocupaciones, utili"ar: ( / *Tai (ai+ y H ,= *#i -hu+. -i el desorden toca el pulmZn con triste"a, utili"ar: # F *Tai 9uan+ y H )/ *3ei -hu+. -i el desorden toca los riSones con miedo, utili"ar: / *Tai Ii+ y H ,/ *-hen -hu+. Anotaremos .ue :ao 7i -han preconi"a la utilil"aciZn del punto 9uan-3uente y (ei -hu-Transporte del dorso .ue tienen una acciZn directa sobre el Zrgano >ang .ue acoge los cinco espRritus .ue son el origen de las cinco emociones. &P Tratar los trastornos de la conciencia -i la enfermedad estU locali"ada a ni!el de la cabe"a, del cerebro, si hay transtornos de la consciencia, de confusiZn mental, utili"ar: 4' ,= *(ai 5ui+ y -i -hen Cong *5' /)+. 6stos puntos calman el -hen, abren los orificios, clarifican la cabe"a, despierta el cerebro. )P Tratar el calor -i la causa de los desZrdenes emocionales es el fuego, en particular el calor interno acumulado en los >ang 3u, utili"ar: -hi Iuan *5' ),+, #C / *8u >e+ y H <= *Wei >hong+. -angrar los -hi Iuan, despuWs punturar #C / *8u >e+ y H <= *Wei >hong+ y al final de la sesiZn hacer salir algunas gotas de sangre de estos dos puntos. 6l calor por naturale"a agita, e0cita, estimula el -hen produciendo asR di!ersos transtornos

emocionales. #ara apaciguar el -hen en estos casos, hay .ue clarificar el calor lo .ue automUticamente calma el -hen. Buntos, estos puntos abren los orificios, despiertan el -hen, clarifican el calor, eliminan la disforia, refrescan la sangre, calman el hRgado, clarifican el cora"Zn, calman el -hen y armoni"an el 9in y el 9ang. -i el sangrado de los puntos -hi Iuan es considerada demasiado desagradable, es posible hacerlo sZlo en C F *-hao Chong+ y #C F *>hong Chong+. ,P Tratar las mucosidades turbias -i la causa de los desZrdenes emocionales son las mucosidades .ue turbian el cora"Zn, utili"ar: ' ), *>hong Wan+, 6 /A *>u -an 7i+, #C E *Bian -hi+, ( < *:ong -un+ y 6 <= *3eng 7ong+. 7as mucosidades obstruyen los orificios del cora"Zn y generan confusiZn mental, transtornos mentales y de comportamiento. 4isol!er las mucosidades debe ser el principio terapWutico cla!e. Buntos, estos puntos disuel!en las mucosidades, abren los orificios, calman el -hen. .P Tratar el dolor -i la causa de los desZrdenes emocionales es el dolor .ue agita el -hen, utili"ar #C ? *4a 7ing+, #C E *Bian -hi+. 6l dolor es seg]n :ao 7i -han una causa frecuente de insomnio y de desZrdenes emocionales. 6n estos casos, estos puntos ayudan a calmar el dolor *acciZn sedati!a+ y por lo tanto a calmar el -hen. $bser!aciones: es necesario anotar .ue el grupo ), puede perfectamente constituir una fZrmula de base para tratar los desZrdenes emocionales !inculados a las cinco emociones .ue se me1ora con los grupos ,, /, < y e!entualmente E.

es formules modernes I Syndrome de la mFnopause

GynF'ologie Contrairement [ ce .ue !oudraient faire croire certains, la mWdecine chinoise demeure une tradition !i!ante et acti!e. 6n effet, il e0iste un !Writable courant dDinno!ation, de crWati!itW .ui sDappuie le plus sou!ent sur les donnWes traditionnelles pour mieu0 comprendre et sDadapter [ nos besoins dDhomme modernes. Ces praticiens, ces chercheurs, ont mis au point un grand nombre de nou!elles formules .ui grpce [ leur efficacitW ont et pourront rendre ser!ice [ nombreu0 patients. Ce .ui suit tente dDotre un tWmoignage de la manilre dont les Chinois utilisent leur mWdecine traditionnelle dans notre Wpo.ue moderne. Ainsi, les prescriptions prWsentWes dans cette sWrie dDarticles sont basWes sur lDe0pWrience clini.ue de mWdecins contemporains et ont toutes fait leur preu!e en prati.ue. 6lles sont [ la pointe de la recherche mWdicale chinoise et reconnues comme telles. #our Wcrire ces articles, 1e me suis particulilrement inspirW de deu0 li!res. 7e premier sDintitule 2 >hong 9i >hi 7iao Iian 4ai &an (ing Bi Cheng 2 *synthlse des traitements de mWdecine chinoise pour les maladies difficiles de notre Wpo.ue moderne+ Wcrit notamment par >hang en. Comme son titre lDW!o.ue, il prWsente une synthlse intelligente sur le pou!oir thWrapeuti.ue dont dispose la mWdecine chinoise pour traiter les pathologies 2 modernes 2. A la fin de cha.ue trouble WtudiW, sont prWsentWs des formules dDin!ention rWcente .ui ont prou!W leur efficacitW. CDest ce type de li!re .ui me fait penser .ue la mWdecine chinoise nDa 1amais WtW aussi performante. 7e deu0ilme ou!rage de rWfWrence est 2 -hi 9ong >hong 9i Iiao 9an Iin 3ang 4a 8uan 2 *traitW prati.ue des nou!elles formules efficaces en mWdecine chinoise+ de notamment 9ang Bing 5ai. %l sDagit dDune compilation dDarticles tirWs des

meilleures re!ues mWdicales chinoises .ui prWsentent rWgulilrement les tra!au0 et les rWsultats clini.ues de cWllbres praticiens. Be nDai ni in!entW ni modifiW aucune formule et toute sont rWputWes efficientes. 7es commentaires sont parfois inspirWs par les articles eu0 mome, mais le plus sou!ent sont personnels. Car gWnWralement les e0plications des re!ues mWdicales chinoises me paraissaient 2 trop chinoises 2 ou trop insuffisantes pour .ue le lecteur occidental saisisse le mWcanisme subtil ou lDintWrot des formules. 6n outre, 1Dai !oulu dans cette section e0primer mes idWes, mon e0pWrience concernant la prati.ue de la pharmacopWe chinoise.

4u !en* +in ;%oisson pour la mFnopause<

In*rFdients I adi0 ehmanniae *-heng 4i+, )Eg, adi0 7ithospermi -eu Arnebiae *>i Cao+, )Eg, amulus 7oranthi -eu Hisci *-ang Bi -heng+, )Eg, amulus Lncariae Cum Lncis *:ou Teng+, )Eg, *sheng+ 3ructus :erminatus 5ordei Hulgaris *'ai 9a+, )Eg, 5erba 6pimedii *9in 9ang 5uo+, )=g, adi0 Angelicae -inensis *4ang :ui+, )=g, hi"oma Cyperi otundi *Iiang 3u+, )=g "ode dSemploi I 4Wcoction. 3aire deu0 dWcoctions par 1our a!ec les momes substances. 4onctions I tonifie le 9in et le 9ang des reins disperse le foie et abaisse le 9ang nourrit le sang et clarifie la chaleur !ide

Indications I syndrome de la mWnopause due [ un !ide du 9in et du 9ang des reins, un !ide du sang du foie, une surpression du foie et une chaleur !ide. "odifications I 6n cas de transpiration sW!l re, a1outer -emen 7e!is Tritici Aesti!i *3u Iiao 'ai+, /=g. 6n cas de fatigue, a1outer adi0 Codonopsitis #ilosulae *4ang -hen+, ),g. 6n cas dDinsomnie, a1outer *chao+ -emen >i"yphi -pinosae *-uan >ao en+, )Eg. 6n cas de bouffWes de chaleur, a1outer hi"oma Anemarrhenae Asphodeloidis *>hi 'u+, ),g.

Commentaire I Cette formule apparemment simple est en fait trls compllte et [ la pointe de la prati.ue moderne de la mWdecine chinoise. 4Jabord un constat : la mWnopause est le plus sou!ent un syndrome comple0e ob se mWlangent )- un !ide du 9in et du 9ang des reins, lJun pou!ant engendrer ou aggra!er lJautre, ,- un !ide du sang du foie *induit par la mWnopause+ .ui fa!orise une surpression du foie. 7a consW.uence de ces deu0 dWsW.uilibres est dJinduire une montWe du 9ang du foie et;ou une chaleur !ide. (ien W!idemment, il est e0tromement habituel pour le pas dire constant .ue le tout soit compli.uW par un !ide de rate.

$r, cette prescription rWpond [ tout ra en mome temps mais pas nJimporte comment. Ainsi, -heng 4i et -ang Bi -heng nourrissent le 9in des reins. &ous aurions pu utiliser -hu 4i [ la place de -heng 4i. $ui, mais le syndrome de la mWnopause sJaccompagne de manifestations de chaleur .ue -heng 4i prend mieu0 en charge tout en nourrissant les reins. -ang Bi -heng .uant [ lui se retrou!e trls sou!ent dans les formules modernes .ui traitent les troubles menstruels dus au !ide des reins confirmant ici son action hormonale. 4e plus, il traite lJhypertension artWrielle et les douleurs rhumatismales, deu0 phWnomlnes .ui ne sont pas rares dans cette pWriode. %l e0iste des di"aines de substances mWdicinales .ui tiWdissent le 9ang des reins. $ui, mais 9in 9ang 5uo est un remlde clW pour les troubles des gonades et de la mWnopause dus [ un !ide du 9ang des reins. Comme son complre 9in, -ang Bi -heng, il traite aussi lJhypertension et les douleurs rhumatismales. Iiang 3u disperse le foie et Wlimine la surpression. #our.uoi ne pas a!oir plutmt utilisW le fameu0 adi0 (upleuri *Chai 5u+ ` 4June part parce .ue celui-ci posslde une nature trop ascendante pour un dWsW.uilibre ou le 9ang et la chaleur montent dW1[ trop et dJautre part parce .ue Iiang 3u a une action rWgulatrice sur les rlgles beaucoup plus mar.uW. 6n effet, Iiang 3u demeure lJun des remldes ma1eurs pour rWgulariser les rlgles, cJest-[-dire ici harmoniser le cycle et rWgler les hormones fWminines, en cas de surpression du foie. 4ang :ui lui aussi, comme le prWcWdent, est un remlde incontournable pour rWgulariser les menstruations, mais lors.uJil faut nourrir le sang. 6n outre, il tonifie le sang du foie pour prW!enir la surpression du foie. 6nfin 4ang :ui acti!e le sang et disperse les stases .ui sont tou1ours probables durant cette pWriode [ cause de lJaffaiblissement ponctuel du 9in et du sang. >i Cao est traditionnellement utilisW pour rafraqchir le sang en cas de troubles dermatologi.ues. %ci, il est surtout utilisW pour traiter les bouffWes de chaleur. 6n effet, lJobser!ation clini.ue a pu mettre en a!ant son efficacitW pour traiter ces symptmmes, en mome temps .uJil a une lWglre action hypotensi!e. :ou Teng, lui, clarifie le foie *la surpression peut facilement se transformer en chaleur+ et abaisse le 9ang, ce .ui permet de mieu0 contrmler les phWnomlnes dJirritabilitW et de bouffWes de chaleur. 6nfin, 'ai 9a renforce les fonctions de transformation;transport de la rate pour fa!oriser la production du Bing du ciel postWrieur. 7[ encore de nombreuses substances auraient pu otre prescrites, mais 'ai 9a posslde deu0 a!antages : )- il fa!orise la digestion et lJassimilation des !WgWtau0, ce .ui est particulilrement intWressant en cas dJutilisation prolongWe de remldes toni.ues et riches comme -heng 4i, prW!enant ainsi .uel.ues effets secondaires digestifs. ,- selon les donnWes modernes, il posslde une action de rWgulation hormonale che" la femme. -Jil permet de couper le lait de la femme allaitante sans douleur, il semble aussi N couper les rlgles M sans douleur *au moment de la mWnopause+. ares sont les femmes .ui ne sont pas amWliorWes par cette formule bienfaisante.

6hen :iu Du ?ue iao 4a El mFtodo de punto Gnico en los clDsicos de la acupuntura
Por Philippe Sionneau TraducciHn del francFsI "aria Casero Romero

IntroducciHn
4esde siempre los acupuntores han reparado en los puntos .ue tenRan una acciZn mUs fuerte

.ue otros en el tratamiento de una enfermedad particular. 6stas obser!aciones clRnicas pro!ocaron la utili"aciZn de un solo punto siempre y cuando Wste fuera poderoso y suficiente para regular un determinado dese.uilibrio. 6sto dio origen a lo .ue hoy llamamos X mWtodo terapWutico de acupuntura y mo0ibustiZn para un punto ]nico Y *>hen Biu 4u >hong >hi 7iao+. #odrRa resumirse por: X una enfermedad: un punto Y. 6stas agu1as X mUgicas Y *>hen 7ing+ son utili"adas actualmente por los acupuntores chinos contemporUneos. 7as han sacado de su propia e0periencia clRnica pero tambiWn de la lectura atenta de los clUsicos. AsR, el &ei Bing -u Wen, el >hen Biu Bia 9i Bing, el >hen Biu 4a 8uan, el >hen Biu Bu 9ing, el >hen Biu 4a Cheng, por citar sZlo a los clUsicos de acupuntura mUs conocidos en $ccidente, abundan de e1emplos de la utili"aciZn de este mWtodo de punto ]nico. &o digo .ue este procedimiento sea el me1or o el mUs esencial, sin embargo, e0isten diferentes caminos tradicionales para aplicar la acupuntura y el mWtodo de punto ]nico es sZlo uno de ellos. 7o ]nico .ue me parece importante de retener es .ue los acupuntores de la antigdedad o de nuestra Wpoca moderna subrayaron la eficacia de ciertos puntos y, en definiti!a, como facultati!o, es lo .ue mUs me importa. 5e seleccionado para esta presentaciZn dos tipos de fuentes: los te0tos clUsicos y la e0periencia clRnica de acupuntores contemporUneos. 6ste artRculo constituye la segunda parte de esta e0posiciZn: las aplicaciones contemporUneas. 4esde luego, todo esto es sZlo una ilustraciZn y no pretende ser e0hausti!a.

El mFtodo del punto Gnico en los clDsicos de la acupuntura

4e1aremos a cada uno el descubrir la lZgica acupuntural .ue hay detrUs de la elecciZn de los puntos en los clUsicos. -e trata a menudo de elecciZn .ue sale de la anatomRa y de la fisiologRa dinUmicos y relacionales de los meridianos *y no sZlo de los meridianos regulares+, de la ley del 9in y del 9ang y de los cinco mo!imientos y de las propiedades empRricas de los puntos seg]n estos tratados clUsicos. 5e intentado elegir algunas aplicaciones de puntos .ue se salRan un poco de lo normal *sin ir a lo 2sensacional2+. #ara e!itar hacer pesado el te0to, sZlo me he limitado a siete clUsicos y die" citas por clUsico. AdemUs, no he precisado los capRtulos de donde han sido sacados los puntos. 'e pongo a disposiciZn de las personas .ue leen chino para darles las referencias e0actas. 6s necesario tener en cuenta .ue he adaptado un poco el te0to al traducirlo con la finalidad de hacer estos tratados antiguos mUs legibles y comprensibles. 7P "Ftodo de tratamiento para un punto Gnico del $uan* Di Nei :in* Su Cen ;Cuestiones esenciales del libro interno del emperador amarillo T U &@@ aVos a' :C'< #ara la respiraciZn asmUtica, coger ( ) *9in (ai+. #ara los o1os ro1os y dolorosos, coger A *>hao 5ai+. #ara el lagrimeo, coger H )= *Tian >hu+. #ara el dolor de cora"Zn, coger 4' G *Bin -uo+. #ara la enfermedad de 4ian *psicosis depresi!a+, coger 4' ) *Chang 8iang+. #ara la rigide" de la espalda y de la columna !ertebral, coger 4' ) *Chang 8iang+. #ara el dolor muscular, coger 6 /A *>u -an 7i+. #ara el dolor en el con1unto del cuerpo coger ( ,) *4a (ao+. #ara el calor de la palma de la mano, coger # ? *7ie 8ue+ #ara el dolor y adormecimiento del !ientre, *petit bassin+, coger H <= *Wei >hong+.

&P "Ftodo de tratamiento para un punto Gnico del 6hen :iu :ia +i :in* ; ibro del A%C de la acupuntura y de la mo-ibustion de $uan* 4u "i P &.3 d' :C'< #ara el hipersomnio, coger %: , *6r Bian+. #ara la tos con dolor de hipocondrios, coger H( << *>u 8iao 9in+. #ara la locura, la di!agaciZn !erbal, la cZlera, coger ' )< *Bu 8ue+. #ara la fiebre y los escalofrRos y cefalea como si la cabe"a se fendait, coger 6 G *Tou Wei+. #ara el dolor del hombro .ue se irradia hacia la nuca, coger 6 ), *8ue #en+. #ara el cuerpo pesado y los huesos dolorosos, coger ( / *Tai (ai+. #ara el miedo, la triste"a y la falta de alegrRa, cara caliente, sed, coger 5 , *Iing Bian+. #ara los borborigmos acompaSados de dolor, coger %: ? *Wen 7iu+. #ara la lumbalgia con dificultad de e0pulsar las heces, coger H // *>hong 7iao+. #ara las hemorroides dolorosas, coger H , *>an >hu+.

)P "Ftodo de tratamiento para un punto Gnico del Shen* :i 6on* u ;ColecciHn *eneral de la sabia asistencia P manual oficial de acupuntura de la escuela de medicina imperial en la dinastKa Son* entre 7777P7771< #ara la tos con dolor en los dos hipocondrios, coger 5 / *Tai Chong+. #ara la tos con dolor en el hipocondrio derecho, coger ( / *Tai (ai+. #ara la tos con dolor en lumbares y espalda, coger ( / *Tai Ii+. #our la tou0 a!ec douleur cardia.ue, prendre C ? *-hen 'en+. #ara la tos con flatulencias, coger %4 G *Iiao 5ai+. #ara la tos con pWrdida de orina, coger H <= *Wei >hong+. #ara la tos con !Zmitos, coger 6 /A *>u -an 7i+. #ara la tos con !Zmitos de lR.uidos amargos, coger H( /< *9ang 7ing 8uan+. #ara el dolor pungiti!o en el pecho, coger, 6 <= *3eng 7ong+. #ara un (i del pecho .ue irradia hacia la espalda, coger #er E *Bian -hi+.

,P "Ftodo de tratamiento para un punto Gnico del 6hen :iu 6i Shen* :in* ; ibro de e-periencias en acupuntura y mo-ibustion de Can* 6hi 6hon* P 7&&@< #ara la triste"a y el miedo, coger C < *7ing 4ao+. #ara el dolor coupante en los intestinos, coger )? *-hang 8u+. #ara la dilataciZn de los cinco etipos def hemorroides, coger H E< *>hi (ian+. #ara las heces irregulares, coger H <? *5un 'en+. #ara las micciones difRciles con !ientre *petit bassin+ dilatado,coger ' , *8u :u+. #ara la anuria, coger 5 G *8u 8uan+ o 5 , *Iing Bian+. #ara el HacRo de los >ang 3u, coger ' A *8i 5ai+. #ara el agotamiento con adelga"amiento con espermatorrea, coger H </ :ao 5uang -hu+. #ara una polifagia y delgade" del cuerpo, coger H ,= *#i -hu+. #ara los cinco 7in *estrangurias+, coger ? *3u 7iu+ o ' / *>hong Bi+ o ' , *8u :u+.

.P "Ftodo de tratamiento para un punto Gnico del 6hen :iu Da =uan ;Somme de acupuntura y mo-ibustion de ?u 4en* P7,)3< #ara la rigide" de la nuca, coger ' ,< *Cheng Biang+.

#ara la ictericia, coger %4 < *Wan :u+. #ara el dolor de detrUs del talZn, coger H A) *#u Can+. #ara los cinco dedos .ue no se despliegan, coger -B / *>hong >hu+. #ara el (a"o frRo y el dolor de estZmago, coger ( < *:ong -un+. #ara las piernas y las rodillas hinchadas, coger H A? *>hi 9in+. #ara el dolor del abdomen en la "ona del ombligo, coger ( )= *9in :u+. #ara el dolor de dientes, coger / *Tai Ii+. #ara los dos hombros difRciles de emplear, coger H( ,) *Bian Bing+. #ara el dolor de cora"Zn y las manos temblorosas, coger C / *-hao 5ai+.

/P "Ftodo de tratamiento para un punto Gnico del 6hen :iu :u +in* ;Rassemblement de flores de la acupuntura y mo-ibustion de !ao Cu P 7.&3< #ara el parto difRcil, coger A *>hao 5ai+. #ara las heces con sangre, coger # ? *7ie 8ue+. #ara el hombro frRo, coger H A, *-hen 'ai+. #ara la transpiraciZn nocturna incesante, coger %4/ *5ou Ii+. #ara el entumecimiento, dolor y la falta de fuer"a en las manos y los pies, coger -B E *Wai :uan+. #ara la mano y el pie .ue no pueden ser ele!ados despuWs de un >ong 3eng *A. H. C.+, coger H( <) *>u 7in 8i+. #ara el arro" y los cereales .ue no son transformados, coger #er A *&ei :uan+. #ara los nue!e tipos de dolores cardRacos, coger ( < *:ong -un+. 1P "Ftodo de tratamiento para un punto Gnico del 6hen :iu Da Chen* ;!randes F-itos de la acupuntura y de la mo-ibustion de +an* :i 6hou P 7/@7< #ara el e0ceso de refle0iZn, coger 4' ,= *(ai 5ui+. #ara las pesadillas, coger ( E *-hang 8iu+. #ara las heces y la orina .ue no circulan, coger ' ), *>hong Wan+. #ara el edema de la cara, coger 6 <E *7i 4ui+. #ara los pies frRos como el hielo, coger H ,/ *-hen -hu+. #ara el dolor lumbar .ue impide la posiciZn !ertical, coger H EF *3u 9ang+. #ara la te" ro1a con tos calor, coger -B A *>hi :ou+. #ara el cuerpo caliente *fiebre+ con transpiraciZn, coger ( , *4a 4u+. #ara los senos hinchados y dolorosos, coger H( <) *>u 7in 8i+. #ara las dos piernas .ue estUn como el hielo, coger 6 // *9in -hi+.

Spleen 4lo(chart Lsed with permission from >ang 3u -yndromes, (y 'c4onald and #enner.

The i0er The 2-imple 8uestions2 says in chapter G that 2The +iver is li0e an armyGs general from !hom the strategy is #erive#H& 4unctions

). ,. /. <. E. A.

-tores (lood. 6nsures the smooth flow of 8i. Controls the sinews. 'anifests in the nails. $pens into the eyes. 5ouses the 6thereal -oul.

i0er Patholo*ies ?U %OT$ ?U and S$I 4EATURES S$I 7%H 3% 6 37A %&: L# 4A'#-56AT %& 7%H;:( $EAT 7%H 9%& IL 7%H 9%& IL W%T5 7%H 9A&: %-%&: 6IT 6'6 56AT :6&6 AT6W%&4 7%H 9A&: T A&-3$ '- %&T$ W%&4 NEIT$ER $EAT NOR CO D CO D Patholo*y 4lo(chart Click on the following image for a flowchart of 7i!er #athologies. 7%H (7$$4 IL 7%H (7$$4 IL :6&6 AT6- W%&4 7%H 8% -TA:&AT%$&

C$74 -TA:&AT%$& %& T56 7%H C5A&&67

The #idney The kidneyDs are the foundation for all the 9in and 9ang energies of the body. 4unctions

). ,. /. <. E. A. ?. G.

-tore 6ssence and go!ern birth, growth, reproduction and de!elopment #roduce marrow, fill up the brain and control bones. :o!ern Water Control the reception of 8i $pen into the ears 'anifest in the hair Control the two lower orifices 5ouse Will #ower.

#idney Patholo*ies ?U $EAT NEIT$ER $EAT NOR CO D CO D Patholo*y 4lo(chart @% 9%& IL @% B%&: %&-L33%C%6&T @% 9A&: IL %OT$ ?U and S$I 4EATURES @% 9%& IL W%T5 3% 6 37A %&: S$I

Click on the following image for a flowchart of @idney #athologies.

The #idney The kidneyDs are the foundation for all the 9in and 9ang energies of the body. 4unctions

). ,. /. <. E. A. ?. G.

-tore 6ssence and go!ern birth, growth, reproduction and de!elopment #roduce marrow, fill up the brain and control bones. :o!ern Water Control the reception of 8i $pen into the ears 'anifest in the hair Control the two lower orifices 5ouse Will #ower.

#idney Patholo*ies ?U $EAT NEIT$ER $EAT NOR CO D CO D Patholo*y 4lo(chart @% 9%& IL @% B%&: %&-L33%C%6&T @% 9A&: IL %OT$ ?U and S$I 4EATURES @% 9%& IL W%T5 3% 6 37A %&: S$I

Click on the following image for a flowchart of @idney #athologies.

The un* 2The -imple 8uestions2 in chapter G says that 2The +ungs are li0e a Minister from !hom poli'ies are issue#2. 4unctions

). ,. /. <. E. A. ?.

:o!ern 8i and respiration Control channels and blood !essels Control dispersing and descending egular water passages Control skin and hair $pen into the nose 5ouse the Corporeal -oul.

un* Patholo*ies ?U $EAT NEIT$ER $EAT NOR CO D CO D Patholo*y 4lo(chart 7L 9%& IL S$I Cind W%&4-56AT ATTAC@- 7L Phle*m #576:'-56AT C$&:6-T- 7L

7L 8% IL W%&4-4 9&6-- ATTAC@- 7L *'ay be cold+ *'ay be 5eat or Cold+ 7L 8% IL W%&4-C$74 ATTAC@- 7L #576:'-4A'# $(-T LCT- 7L

The $eart The heart is considered the be the most important of all the internal organs with is main functions of go!erning blood and blood !essels and housing the mind. 4unctions

). ,. /. <. E. A.

:o!erns (lood. Controls the (lood !essels. 'anifests in the comple0ion. 5ouses the mind. $pens into the tongue. Controls sweat.

$eart Patholo*ies ?U S$I Phle*m $EAT 5T 9%& IL 5T (7$$4 IL 5T 8% IL 5T 9A&: IL 5T 3% 6 37A %&: L# #576:'-3% 6 4%-TL (- 5T #576:' C$&3L-6- 5T $ %3%C6 5T (7$$4 -TA:&AT%$& #576:' $(-T LCT- 5T $ %3%C6

NEIT$ER $EAT NOR CO D

CO D Patholo*y 4lo(chart

The Pericardium The 2-piritual A0is2 in chapter ?) says 2The -eart is the Ruler of the I Yin Jrgans an# K Yang organs$ it is the resi#en'e of the Min# an# it is so tough that no pathogeni' fa'tor 'an ta0e hol# in it& 2f the -eart is atta'0e# "y a pathogeni' fa'tor$ the Min# suffers$ !hi'h 'an lea# to #eath& 2f a pathogeni' fa'tor #oes atta'0 the -eart it !ill "e #eviate# to atta'0 the Peri'ar#ium instea#& /or this reason$ the -eart 'hannel has no Stream Transporting Point2. The 2-imple 8uestions2 in chapter G says 2The Peri'ar#ium is the am"assa#or an# from it Loy an# happiness #erive2. 4unctions

). :o!erns (lood *with the heart+

,. 5ouses the 'ind *with the heart+ The Stomach The -tomach is the origin of all 8i and blood produced after birth *#ost-5ea!en 8i+. 4unctions

). ,. /. <.

Controls the 2 otting and ipening2 of food. Controls the transportation of food essences. Controls the descending of 8i. $rigin of fluids' Patholo*ies ;Detailed<

Stomach

Click on any of the following -tomach #athologies for detailed information. IL 56AT &6%T56 56AT &$ C$74 -T$'AC5 9%& IL (oth IL and -5% -5% -T$'AC5 3% 6 (7A>%&: 3$$4 -TA:&AT%$& %& -T$'AC5 -T$'AC5 8% IL (7$$4 -TA:&AT%$& %& -T$'AC5 6T6&T%$& $3 37L%4 C$74 #6&6T AT6%& -T$'AC5 A&4 %&T6-T%&6-T$'AC5 4L6 T$

C$74

-T$'AC5 9A&: IL

C$74 -T$'AC5 IL W%T5 -TA:&AT%$& $3 C$74 Patholo*y 4lo(chart

Stomach +in ?u ;Deficiency< Lsed with permission from >ang 3u -yndromes, (y 'c4onald and #enner. s 6tiology s Clinical 'anifestations s Complications s Associated Western Conditions s 4ifferential 4iagnosis s Treatment #rinciple s Common Acupuncture #oints s Common 5erbal 3ormulae Etiolo*y 60ternal #er!erse 5eat that has not been cleared from -T damages -T 9in. Chronic disease damages -T 9in. 60cessi!e or prolonged !omiting damages -T 9in. -# and -T 4amp-5eat damage -T 9in. Clinical "anifestations Symptoms especially e0ident upon (a9in*I Hague epigastric pain 'outh and throat dry but with no desire to drink Symptoms e0ident at any timeI &o appetite or %rritability with low grade fe!er 3amished but with no desire to eat 'aybe dry retching or Abdominal distention after meals 5iccoughs 4ry stools T: ed

C: 7ittle and dry #: Thready and rapid Complications -T 9in Iu fre.uently occurs with -# 9in Iu, especially after prolonged !omiting with diarrhea, because !omiting depletes -T 3luids while diarrhea drains -# 3luids. Associated Cestern Conditions Chronic gastritis Con!alescent stage of a febrile disease 4iabetes mellitus :astric neurosis Differential Dia*nosis -T 9in Iu and -# 9in Iu are !ery similar. When -# 9in Iu occurs together with -T 9in Iu there is: s 3amished but with no desire to eat s 6maciation s 3atigue and physical weakness These symptoms occur because -# rules the flesh *emaciation+, the four limbs *fatigue and weakness+ and appetite *no desire to eat+. %f -# 9in Iu occurs with no in!ol!ement of -T 9in Iu, there is no dry retching, hiccoughs *-T 8i Contra!ention+ or epigastric pain *-T pain+. -T 9in Iu may be differentiated from -T 3ire (la"ing by the following: ST +in ?uI Hague epigastric pain 4ry mouth but no thirst &o appetite or 3amished with no desire to eat 4ry retching T: ed C: 7ittle and dry #: Thready and rapid 6pigastric burning heat and pain Treatment Principle &ourish 9in and &ourish -T. Common Acupuncture Points L(,) *Weishu+ - (ack--hu point for -T. 6&), *>hongwan+ - 3ront-'u point for -T. @%/ *Tai0i+ - 9uan--ource point of the @% channel: reinforces @% 9in which is the source of all 9in of the body - for dry mouth. -#A *-anyin1iao+ - 'eeting point of the Three 7eg 9in channels. -T/A *>usanli+ 7ower 5e--ea point of the -T channel: regulates -# ; -T. Common $erbal 4ormulae -ha -hen 'ai 'en 4ong Tang ; 4ecoction of :lehnia ; Adenophora and $phiopogonis 9i Wei Tang plus or minus ; (enefit the -tomach 4ecoction with !ariations ST 4ire %laEin* 6pigastric burning and pain :reat thirst for cold drinks 5ungers easily and eats a lot Homiting sour fluid :ingi!itis, bad breath T: ed C: Thick, yellow and dry #: -lippery, big, -hi and rapid

The 4i0e Anti>ue ;Transportin*< Points 3i!e points per channel, important in fi!e element applications. 7ocated between the elbow and fingertips or knees and toes.

6lement *9in+

Wood 3ire Bing 9ing

6arth -hu

'etal Water 'etal Water Wood 3ire 6lement Bing 5e Bing 9ing -hu Bing i!er -ea 7LG -#E 5T< @%? #CE 7%H< 7LE -#F 5T/ @%)= #C/ 7%HG *9ang+ C$ -T -% L( -B :( Well -pring -tream C$) -T<E -%) L(A? -B) :(<< C$, -T<< -%, L(AA -B, :(</ C$/ -T</ -%/ L(AE -B/ :(<)

6arth 5e

Well -pring -tream 7LF -#/ 5T? @%/ #C? 7%H/

i!er -ea C$E -T<) -%E L(A= -BA :(/G C$)) -T/A -%G L(<= -B)= :(/<

7L 7L)) 7L)= -# -#) -#, 5T 5TF 5TG @% @%) @%/ #C #CF #CG 7%H 7%H) 7%H, :in*PCell Points

The point at !hi'h the 1i emanates& 'eridians start at Bing-Well points. They are located on the fingers and toes of the four e0tremities. Bing means DwellD. %ndications are to re!iew consciousness, fullness in the chest *below the heart+ mental disorders related to the 9in organs and disease of the 9ang. +in*PSprin* Points The point at !hi'h the 1i gli#es& These points are located distal to the metacarpophalangeal 1oints or metatarsophalangeal 1oints and are used for febrile diseases. %n the 9in meridians, the 9ing--pring point belonds to the 3ire 6lement. This means that it may be !ery useful in the treatment of releasing heat from its related meridian or organ system. Also used for heat in body, changes in colour, disease of 9ang channels, disease of the >ang. ShuPStream Points The point at !hi'h the 1i pours through& The -hu--tream point in 9in organs is also what we refer to as 9uan--ource points. This means that the stimulation of this point is able to build strength and energy in its related meridian or organ system. These points are located pro0imal to the metacarpophalangeal 1oints or metatarsophalangeal 1oints and are used for disorders related to hea!iness in the body, painful 1oint conditions and disease which attacks intermittently. :in*PRi0er Points The point at !hi'h the 1i flo!s& These points are located around the 1oints of the wrists or ankles and are used for cough and asthma due to pathogenic cold and heat, chills and fe!er, disease manifesting as changes in the persons !oice, disease of sinews and bones. $ePSea Points The merge of rivers Loining an# emptying into the sea& These points are located around the 1oints of the elbows or knees. These points are indicated for per!erse *counterflow+ 8i flow such as diarrhea. Also used for disease of the stomach and disorders resulting from irregular eating or drinking, disease of the skin *9ang 5e--ea points only+. ?iPCleft Points

Where the 8i and (lood gather more deeply. +uan Source Points $riginal 8i surfaces and lingers.
ST)/ ;Stomach )/< P Acupuncture Point Information

Chinese En*lish

Name: Name: 7eg

>usanli Three

7i

ocation: / cun below 4ubi *-T/E+, one finger-breadth from the anterior crest of the tibia. NatureI 7ower 5e--ea point of the -tomach Channel, )st of 'a 4an 9angDs Twel!e -tars, treat abdominally with >usanli *upper and lower adbomen+: 3our 4ominant #oints -ong. 4unctionsI -trengthens the -pleen, 5armoni"es the -pleen and -tomach, 5armoni"es the intestines and clears food stagnation, makes contra!ecting 8i descend and stops !omiting, regulates 8i and (lood, reinforces Iu conditions generally, eliminates 4ampness, transforms #hlegm, pre!ents disease *enhances immune function+, breaks up blood stagnation in the chest. Primary IndicationsI %ndigestion, abdominal distension;pain, borborygmus, constipation, knee and shin ache *(i syndrome+. Tertiary IndicationsI -tomach pain, gastric ulcer, !omiting, diarrhea, dysentry, cholera, hemiplegia, paralysis *Wei syndrome+, mastitis;breast abcess, Iu emaciation;fatigue, mental disorders *psychosis, neuraesthenia+, di""iness;!ertigo, edema, foot swelling;limb swelling, ascites, lin syndrome *dysuria+, urinary incontinence, hypertension;hypotension, epilepsy, cough;asthma, eye disorders, tinnitus, headache, fe!er, poor appetite, pain, low back pain, tonsillitis *throat (i+, fullness in chest;ribs and abdomen, appendicitis, health enhancement, heart pain. Other IndicationsI 'ute, all mouth problems, bitter taste in mouth, swelling of lower 1aw, torticollis, ateriosclerosis, cannot swallow food, 9in problems in stomach, childhood nutritional impairment, hiccough, inflammation of abdomen, small intestine, intestinal tuberculosis, sensations of strong heat in abdomen, 1aundice, acute pancreatitis, anaemia, renal (i syndrome, diseases of reproducti!e system, post-partum syncope, shock, hernia, allergies. ReferencesI This information is from the book Acupuncture #oint 4ynamics and has been used with permission from the author Bohn 'c4onald. 8ie( other points on the Stomach channelI
*-T), -T,, -T/, -T<, -TE, -TA, -T?, -TG, -TF, -T)=, -T)), -T),, -T)/, -T)<, -T)E, -T)A, -T)?, -T)G, -T)F, -T,=, -T,), -T,,, -T,/, -T,<, -T,E, -T,A, -T,?, -T,G, -T,F, -T/=, -T/), -T/,, -T//, -T/<, -T/E, -T/A, -T/?, -T/G, -T/F, -T<=, -T<), -T<,, -T</, -T<<, -T<E+ The !all %ladder The 2-imple 8uestions2 says in chapter G that 2The Gall Bla##er is the upright offi'ial that ta0es #e'isionsH&

4unctions

). -tores and e0cretes bile. ,. Controls 1udgement. /. Controls the sinews

!all %ladder Patholo*ies ?U $EAT CO D Patholo*y 4lo(chart :( IL 56AT S$I 4A'#-56AT %& 7%H;:(

The Urinary %ladder The 2-imple 8uestions2 says in chapter G that 2 The Bla##er is li0e a #istri't offi'ial$ it stores the flui#s so that they 'an "e e%'rete# "y its a'tion of 1i transformationH& 4unctions

). emo!es water by 8i transformation.

Urinary %ladder Patholo*ies ?U $EAT CO D L( 8% IL *@i 8i &ot Consolidated+ S$I 4A'#-56AT %& L(

Patholo*y 4lo(chart

The Colon ; ar*e Intestine< The main function of the colon is to recei!e food and drink from the small intestine. 4unctions

). ecei!e food and drink from the small intestine.

Colon Patholo*ies ?U S$I C$7$& 56AT C$7$& -5% *5eat @nots the %ntestinal #assage+ $EAT 463%C%6&C9 $3 37L%4 %& T56 C$7$& 4A'#-56AT %& C$7$& %&T6-T%&A7 A(-C6-*Appendicitis+ C$7$& IL W%T5 -7%##6 9 # $7A#-6 CO D C$7$& C$74 *Cold @nots the Colon

C$74-4A'# %& T56 C$7$& *Cold-4amp 4istressing the -#+

The Small Intestine The 2-imple 8uestions2 says in chapter G that 2 The Small 2ntestine is the offi'ial in 'harge of re'eiving$ "eing fille# an# transforming2. 4unctions

). Controls recei!ing and transforming. ,. -eperates fluids.

Small Intestine Patholo*ies ?U $EAT CO D -% IL C$74 *-# 9ang Iu+ S$I -% -5% 56AT -% 8% #A%&

The San :iao ;Triple $eater< -an Biao is officially one of the A 9ang organs although there has been much debate as to whether it is an actual organ or a function. The functions of the -an Biao will be shown from three different !iewpoints. 4unctions ;as a +an* or*an< The 2-imple 8uestions2 in chapter G says 2The Triple Burner is the offi'ial in 'harge of irrigation an# it 'ontrols the !ater passages2.

). 6nsuring the free passage *making things go through+

4unctions ;as an a0enue for ori*inal =i< The Classic of 4ifficulties states that the $riginal 8i resides in the lower abdomen, between the two @idneys, it spreads to the E 9in and A 9ang organs !ia the Triple (urner, it then enters the ), primary channels and emerges at the 9uan -ource points. 4unctions ;As three di0isions of the body< The Lpper (urner is like a mist The 2-piritual A0is2 in chapter /= says 2The )pper Burner opens out!ar#s$ sprea#s the I tastes of the foo# essen'es$ perva#es the s0in$ fills the "o#y$ moistens the s0in an# it is li0e mist2. The 'iddle (urner is like a maceration chamber The 2-piritual A0is2 in chapter )G says 2The Mi##le Burner is situate# in the Stoma'h&&& it re'eives 1i$ e%pels the !astes$ steams the "o#y flui#s$ transforms the refine# essen'es of foo# an# 'onne'ts up!ar#s !ith the +ungs 2. The 7ower (urner is like a ditch. The 2-piritual A0is2 in chapter )G says 2/oo# an# #rin0 first enter the stoma'h$ the !aste pro#u'ts go to the large intestine in the +o!er Burner !hi'h oozes #o!n!ar#s$ se'retes the flui#s an# transmits them to the "la##erH .

!host Points :host #oints *:ui0ue+ listed by -un -i-'iao in the book 8ian Bin 9ao 3ang *#rescriptions worth a Thousand :old 4ucats+ for the treatment of psychosis *4iankuang+ and epilepsy *4ian0ian+. En*lish Name :host #alace :host Con!incing :host 3ortress :host 5eart :host oad :host #illow :host (ed :host City :host Ca!e :host 5all Point 4L,A 7L)) -#) #C? L(A, 4L)A -TA 6&,< #CG 4L,/

:host 5idden :host $fficial

6&) C$))

The Contraindicated ;4orbidden< Points The following points ha!e been traditionally considered forbidden to use during the nine months of gestation *pregnancy+ with any techni.ue. This is due to their o0ytocic effect *ability to induce labor by stimulating contractions of the muscles of the uterus+. 4orbidden Point C$< -#A :(,) L(/) L(/, L(// L(/< L(A= L(A? @%A 4urther readin*I 4ale A. The contraindicated *forbidden+ points of acupuncture for needling,

Tam $ealin* and Ton* Ren Therapy for Arthritis

-ubmitted by yyhtstaff on 3ri, =/;=<;,=)) - )):,<am The areas and points listed below are those that are commonly found blocked in people with arthritis.

While there are some clinical differences between rheumatoid and osteo arthritis, our treatments generally are the same. We direct the treatment primarily towards the auto-immune aspects which we feel are an important aspect of all types of arthritis. The system focuses on the scalp and 5uatuo1ia1i points along the spine. 9ou may use acupuncture, massage and;or the tong ren to focus on the following areas for healing. 3or details about the system consider reading Tong en Therapy: (eyond Acupuncture. A full list of conditions with treatment points is a!ailable in A 7a"y (umDs 5ealing: Tong en Therapy Cross eference - both are a!ailable in our book store: "ain PointsI C? - 5uatuo area - #arathyroid :land, calcium metabolism, circulation into arms, hands. T) - 5uatuo area - (one 'arrow, circulation into arms, hands. T, - 5uatuo area - Thymus :land T/ - 5uatuo area - 7ung;7ymph -ystem *Collecti!ely T), T,, and T/ balance the immune system, useful for all immune and auto-immune based conditions+ L( A - regular the pituitary and hypothalamus Ashi, 2$uch2 points - where the person e0periences the most discomfort :( ,= - Clear wind from the head, open circulation to and from the brain @4 ,A - $pen circulation in the chest, promote acti!ity of T), T,, T/ huatuo points Secondary PointsI T? - 5uatuo area - -pleen and Abdominal (lood Hessels - used for any condition that tra!els within or is in!ol!ed with the blood, circulation in the lower body. :H ,, - mo!ement issues, resol!e 2wind2 in the body from a TC' perspecti!e. -T ), - stimulate subcla!ian artery - circulation on the shoulders, arms, wrist and hands. T5 E - regular muscle;tendon;1oint problems in the body, more helpful for arthritis in the upper body. :( /< - regulate muscle;tendon;1oint problems in the body, !ery helpful for arthritis in the lower body.

Tong en Therapy is a form of energy healing de!eloped by the prominent (oston area acupuncturist and healer, 'aster Tom Tam. Tong en was originally de!eloped to aid in the treatment of cancer, but has been e0tended to treat a broad range of conditions. Tong en classes are now offered around the world. The clinical success of Tong en Therapy is due in part to the precise and scientific focus on particular areas of the body for a particular condition. The Tam 5ealing -ystem utili"es information from both western and eastern medicine as well as a !ast amount of clinical e0perience to de!elop these treatment protocols.

5ome u Acupuncture #oints u 'eridians u L(

;U%< Urinary %ladder "eridian P Point 4unctions Chart

9ou may click on a specific acupuncture point for more detailed information including the location, functions, precautions and the chinese and english names. #oints L( ) L( , L( ? L( )= L( )) L( ), L( )/ L( )< L( )E L( )A L( )? L( )G L( )F L( ,= L( ,) L( ,, L( ,/ L( ,< L( ,E L( ,A L( ,? L( ,G L( /= 3unctions eye problems from e0cess, wind a;or heat, pain, swelling, blurred !ision sinus issues, allergiesC red, itchy eyesC headache restore 8i flow with the headC nose issues, congestion, sinusitis sea of 8iC window of the skyC stiff neck v shoulders hui meeting of the bonesC sea of (loodC bone a;or 1oint disorders, arthritisC upper respiratory infections, cold, fluC tonify bone marrow, anemia wind disordersC tonify wei .i 7L -huC lung disorders, cough, asthma, -$(C body fluids, skin disordersC grief, sadness #C -huC heart issues, palpitations, an0ietyC 1ue yin, 7H 8i stagnation effecting chest 5T -huC heart a;or spirit issues, insomniaC night sweats from deficient 8i or 9in :H -huC hot skin disorders, acne, boils 4iaphragm -huC hui meeting of the (loodC nourish (lood, four flowers w;L( )FC menstrual issues from deficient (loodC skin issues, red, itchy 7H -huC 7H organ issues, hepatitis, 1aundiceC eye issues, dryness, rednessC emotional imbalances, angerC subcostal a;or hypochondriac tension;pain :( -huC shao yang le!el diseases, alternating fe!er v chillsC 7H;:( damp-heat issues, hepatitis, 1aundiceC nourish (lood, four flowers w;L( )?C pain along the sides of the body -# -huC spleen issues, digestion, prolapse, reckless bleeding -T -huC stomach issues, food stagnation, !omiting, accumulations T5 -huC water disorders esp. between middle and lower 1iaos, bloating, urinary retention @4 -huC male se0ual issues, impotenceC female se0ual and reproducti!e issues, infertilityC @4 9ang deficiencyC breathing issues, @4 grasp the 8iC acute;chronic low back painC ear issues, tinnitus, deafness -ea of 8i -huC back pain 7% -huC back pain w;constipation a;or periodC intestinal issues, constipation, diarrhea 9uan 8i -torage -huC low back pain -% -huC -% damp-heat issues, diarrhea, dysentaryC damp-heat urinary issues, painful urination, cystitis L( -huC urinary bladder issues, painful, dark urination, incontinence, fre.uent urinationC rid dampness in the body through urination w;-# F White ing -huC gynecological issues from @4 8i;9in deficiency, !aginal discharge, menstrual issues

L( /) one of the eight liaoC genito-urinary, lower back, sacrum issues, sciatica, lumbosacral pain one of the eight liaoC used most oftenC induce labor, ease labor painC menstrual issues, blood L( /, stagnation, discharges L( // one of the eight liaoC genito-urinary, intestinal issues L( /< one of the eight liaoC genital and intestinal issues L( /E hemorrhoidsC coccy0 trauma, de!iation, pain L( /A low back painC tonify elderly patients, weak legs L( /F lower he sea of T5C damp-heat in the lower 1iao, difficult urinationC urinary incontinence he seaC lower he sea of L(C lumbar command pointC acute low back issuesC skin diseases, red, L( <= itchy, inflammedC mo!es fluids, lower body edema L( <, reinforce L( )/ 7L -hu, cough, asthmaC drains heat from the E "ang Hital egion -huC tonify weakness and deficiency, fatigue, chronic illness, difficult to cure L( </ diseasesC deficient 7L issues, asthma L( << reinforce L( )E 5T -hu, spirit disorders, insomnia L( <? reinforce L( )G 7H -huC local back, chest, rib pain L( <F reinforce L( ,= -# -huC disperse dampness;damp-heat, wasting v thirsting disorder reinforce L( ,/ @4 -huC tonify @4 Bing, 9in, 9ang, incontinence, infertility, impotenceC local L( E, low back pain L( E< sciatica, lumbosacral painC E 7in painful urinary dysfunction L( E? hemorrhoids from e0cess or deficiencyC local calf painC heel and foot pain luo connectingC release the e0terior, neck pain and stiffnessC chronic low back painC 2e0cess L( EG abo!e, deficiency below2, weak low back with stiff neck L( EF 0i cleftC resol!e .i stagnation effecting mobilityC lateral ankle sprain 1ing ri!erC headacheC chronic low back pain, pain along L( channelC induce labor, e0pel L( A= placenta yang .iao master, couple with :H master *-% /+C insomniaC wind in head;face, stroke, facial L( A, paralysisC wind-cold, chills and fe!erC w;-% / low back pain L( A? 1ing wellC clear stagnation from opposite end of channel, !erte0 headacheC ad1ust breech fetus

Tam $ealin* and Ton* Ren Therapy for Cerebral Palsy

-ubmitted by Chad 4upuis on 3ri, =);=?;,=)) - /:)Gpm Tong en Therapy is a form of energy healing de!eloped by the prominent (oston area acupuncturist and healer, 'aster Tom Tam. Tong en was originally de!eloped to aid in the treatment of cancer, but has been e0tended to treat a broad range of conditions. Tong en classes are now offered around the world. The clinical success of Tong en Therapy is due in part to the precise and scientific focus on particular

areas of the body for a particular condition. The Tam 5ealing -ystem utili"es information from both western and eastern medicine as well as a !ast amount of clinical e0perience to de!elop these treatment protocols. The areas and points listed below are those that are commonly found blocked in people with cerebral palsy. The system focuses on the scalp and 5uatuo1ia1i points along the spine. 9ou may use acupuncture, massage and;or the tong ren to focus on the following areas for healing. 3or details about the system consider reading Tong en Therapy: (eyond Acupuncture. A full list of conditions with treatment points is a!ailable in A 7a"y (umDs 5ealing: Tong en Therapy Cross eference - both are a!ailable in our book store: "ain PointsI T) - bone marrow, immunity T, - thymus gland, immunity C) - effect ner!es to motor corte0, de!elopment and communication between head and body C, - effect ner!es to frontal lobe, de!elopment and communication between head and body T5 )A - sky window point, foster circulation to brain, de!elopmental issues 7% )? - sky window point, foster circulation to brain, de!elopmental issues Secondary PointsI :H )F - used to help balance hormonal related issues as well as subconscious patterns :H ,= - motor corte0 area of the brain, coordination, de!elopment Tiandong - sky window point, impro!e the circulation between the head and the body L( F - medulla area, control circulation, blood pressure, de!elopment

Tam $ealin* and Ton* Ren Therapy for Endometriosis

Tong en Therapy is a form of energy healing de!eloped by the prominent (oston area acupuncturist and healer, 'aster Tom Tam. Tong en was originally de!eloped to aid in the treatment of cancer, but has been e0tended to treat a broad range of conditions. Tong en classes are now offered around the world. The clinical success of Tong en Therapy is due in part to the precise and scientific focus on particular areas of the body for a particular condition. The Tam 5ealing -ystem utili"es information from both western and eastern medicine as well as a !ast amount of clinical e0perience to de!elop these treatment protocols. The areas and points listed below are those that are commonly found blocked in people with endometriosis. The system focuses on the scalp and 5uatuo1ia1i points along the spine. 9ou may use acupuncture, massage and;or the tong ren to focus on the following areas for healing. 3or details about the system consider reading the Tom Tam 5ealing -ystem te0t. A full list of conditions with treatment points is a!ailable in A 7a"y (umDs 5ealing: Tong en Therapy Cross eference - both are a!ailable in our book store: "ain PointsI T? *both, or side most sore, usually right+ - effect the abdominal blood !essels for blood circulation;stasis issues.

7) *both, or side most sore+ - 6ffect the adrenals, !aginal circulation and se0 organs. 7/ *both, or side most sore+ - 6ffect the function of the o!aries. CH < Secondary PointsI -# A - Tonify o!erall .i and blood in the body. :H ,, 6ffect unconscious brain acti!ity

The !ertebrae are separated into the cer!ical *2C2 - neck+, thoracic *2T2 - upper back+, lumbar *272 lower back+, and sacral *2-2 - sacrum+ regions. (elow you will find the location and functions of the huatuo 1ia1i points as we use them within our system: Cer0ical 8ertebrae ;Nec9< C) - eTop of the 5eadf C, - e3oreheadf C/ - e6ye, -inus, 6arf C< - e'outh, Cheek Chinf CE - e7aryn0, #haryn0f CA - eThyroid :landf C? - e#arathyroid :landf Thoracic 8ertebrae ;Upper and "id %ac9< T) - eWindpipe, (one 'arrowf T, - e(ronchus, Thymus :landf T/ - e7ung, 7ymphf T< - e(reast, -weat :land, 5air 3olliclef TE - e5eart *7+, #ericardium * +f TA - e4iaphragmf T? - e-pleen *7+, Abdominal (lood Hessel * +f TG - e6sophagus *7+, #ancreas * +f TF - e-tomach *7+, 7i!er * +f T)= - e:all (ladder *7+, (ile 4uct * +f T)) - e-mall %ntestinef T), - eTrans!erse Colonf umbar 8ertebrae ; o( %ac9< 7) - eAdrenal :land, Testis, Haginaf 7, - e@idney, -eminal Hesicle, Lterusf 7/ - e#rostate, $!aryf 7< - e7arge %ntestinef 7E - e4escending Colonf Sacral Area -) - eLreterf -, - eLrinary (ladderf -/ - e60ternal :enitalsf -< - eLrinary Tractf -E - e ectumf

Tam $ealin* and Ton* Ren Therapy for O0arian Cancer

-ubmitted by yyhtstaff on 3ri, =,;,E;,=)) - F:=,am Tong en Therapy is a form of energy healing de!eloped by the prominent (oston area acupuncturist and healer, 'aster Tom Tam. Tong en was originally de!eloped to aid in the treatment of cancer, but has been e0tended to facilitate healing within a broad range of conditions. Tong en classes are now offered around the world. The clinical success of Tong en Therapy is due in part to the precise and scientific focus on particular areas of the body for a particular condition. The Tam 5ealing -ystem utili"es information from both western and eastern medicine as well as a !ast amount of clinical e0perience to de!elop these treatment protocols. The areas and points listed below are those that are commonly found blocked in people with o!arian cancer. The system largely uses the scalp and 5uatuo1ia1i points along the spine. 9ou may use acupuncture, massage and;or the tong ren to focus on the following areas for healing. 3or details about the system consider reading the Tom Tam 5ealing -ystem te0t. A full list of conditions with treatment points is a!ailable in A 7a"y (umDs 5ealing: Tong en Therapy Cross eference - both are a!ailable in our book store: "ain PointsI T? 5uatuo - -pleen *7+, Abdominal (lood Hessels * + - used for any condition that in!ol!es the blood, circulation in the lower abdomen;legs, and many immune related issues. 7/ 5uatuo - #rostate *'en+, $!aries *Women+ - any physical organ problems, urinary problems, fertility, cancers, etc. CH A - 6mpirical point for tonifying energy in the lower and middle warmers *digestion, se0ual, and eliminations systems+. Secondary PointsI T5 )A - sky window point - used to promote proper circulation to and from the body, nourishment of the brain for proper function, aids the effect of scalp points. :H ,, - used in TC' to subdue li!er wind and resol!e spasms, we use the point to regulate acti!ity within the frontal fontanel for stress related responses and unconscious patterns of thought contributing to disease. L( F *both, or side most sore+ - effect the cerebellum *muscle control;coordination+. -# A - tonify the yin and blood of the body, useful in this case for its tonifying actions on the o!aries and other aspects of the reproducti!e system.

4i0e Phase Treatments P Dia*nosis and Treatment P Step One

-ubmitted by yyhtstaff on -at, =A;)=;,==A - ),:,)pm

-tep one of the 3i!e #hase Treatment #rotocol is to choose and treat the primary sho *deficiency;imbalance+. The side chosen for initial needlin* should generally be done based on a preponderance of symptoms on one side - treating the 2healthier2 side, or, lacking that, based on gender - the left side for men and the right side for women. 3or student;practitioner use the following #43 charts may be helpful *basic, ad!anced %, ad!anced %%+ 3or treatment use W7 or smaller needles, retaining them for appro0imately 7@ minutes. 4i0e Phase Treatment Protocols and Point Selections @idney -ho "ain Treatment Points: *@4 ? v 7L E or 7L G+ Ad0anced #idney Patterns: @idney 4eficiency Cold @idney 4eficiency 5eat 7ung -ho "ain Treatment Points: *7L F v -# /+ Ad0anced un* Patterns: 7ung 4eficiency Cold 7ung 4eficiency 5eat 7i!er -ho "ain Treatment Points: *7H G v @4 )=+ Ad0anced i0er Patterns: 7i!er 4eficiency Cold 7i!er 4eficiency 5eat -pleen -ho "ain Treatment Points: *-# / v #C ?+ Ad0anced Spleen Patterns: -pleen 4eficiency Cold -pleen 4eficiency 5eat -pleen 4eficiency with -T;7%;-% 60cess -pleen 4eficiency with 7H 60cess -pleen 4eficiency with 7H 60cess 5eat

:apanese Acupuncture P #idney Sho P 4i0e Phase "eridian Therapy Treatment

-ubmitted by yyhtstaff on -at, =A;)=;,==A - A:EEpm This page contains the abdominal presentation, treatment points and associated signs and symptoms for the @idney -ho 3i!e #hase treatment. 3or a description of the o!erall treatment protocol see our 3i!e #hase treatment information page.

4i0e Phase P #idney Sho Pattern

Treatment PointsI @4 ? 7L E or 7L G Possible SecondariesI 6arth Controls Water and Water Controls 3ire Spleen E-cess or Deficiency - -# / The 5eart 'eridian is not treated. . Element Theory Associations: Color: (lack -mell: otten 3la!or: -alty -ound: :roaning 6motion: 3ear, -urprise

Common Symptoms

4e!elopmental %ssues (one %ssues @nee a;or Ankle #ain 5ead 5air %ssues 5earing #roblems 60cessi!e 3ear

Pulse Dia*nosis in TC" Acupuncture Theory

-ubmitted by Chad 4upuis on -at, =A;,<;,==A - E:/Apm $ne of the most common .uestions that people ask about acupuncture is: 2Why does my acupuncturist check my pulse`2 #ulse and tongue diagnosis are two of the more important diagnostic tools in Chinese medicine. They are both used to deri!e a TC' diagnosis for your condition which is used to plan your treatment. $f the diagnostic tools, pulse diagnosis is one of the more important tools used in Chinese and Bapanese acupuncture and herbal medicine. While tongue diagnosis pro!ides !aluable clinical information, the pulse can be used to gain a deep understanding of the patient on many le!els. 2'astering2 pulse diagnosis is difficult without the guidance of a skilled teacher. 6!en at basic le!els, howe!er, the pulse pro!ides immediate and specific information that can help clarify contradictory diagnostic information and symptomology. Common #ulse 7ocations and elated 'eridians Alternati!e 'eridian elationships #ulse 7e!els #ulse 4escriptions, 8ualities and Clinical -ignificance 4escription of a 5ealthy *2&ormal2+ #ulse %nfluential 3actors -ources Acupuncture Theory elated esources 4iscuss Acupuncture Theory

Common Pulse ocations and Related "eridians

eft Crist Ri*ht Crist Cun *inch+ - )st position 5T ; -% 7L ; 7% :uan *barr+ - ,nd position 7H ; :( -# ; -T Chi *foot+ - /rd position @4 ; L( #C ; T5 ocation of the Pulse: The :uan *-econd+ #osition is found opposite the styloid process of the radius, the Cun #osition is found between the :uan #osition and the wrist and the Chi position is found at a point e.ual the distance between :uan and Cun.

Alternati0e "eridian Relationships Pulse ClassicI

eft Crist Cun *inch+ - )st position 5T ; -% :uan *barr+ - ,nd position 7H ; :( Chi *foot+ - /rd position @4 ; L( Ri*ht Crist 7L ; 7% -# ; -T 'ingmen ; 7ower (urner

!olden "irror of "edical TraditionsI

eft Crist Cun *inch+ - )st position 5T ; #C :uan *barr+ - ,nd position 7H ; :( Chi *foot+ - /rd position @4 ; 7% ; -% Ri*ht Crist 7L ; Chest -# ; -T #C ; T5

Alternati0e 0ie( used in ChinaI

eft Crist Cun *inch+ - )st position 5T :uan *barr+ - ,nd position 7H Chi *foot+ - /rd position @4 9in Ri*ht Crist 7L -# @4 9ang

Clinical si*nificance of the Pulse at 0aryin* le0els

superficial *skin le!el+ - generally shows e0ogenous pathogens middle - generally shows state of -T;-# 8i deep *bone le!el+ - generally shows internal conditions

Pulse Descriptions5 =ualities and Clinical Si*nificance

4esignation B" 'e+th) 4loatin* *superficial+ easily felt at the superficial le!el not as significant as you feel deeper e-ternal conditionTpatho*en K empty w yin a;or blood def K rapid w wind heat K tight;slow w wind cold interior conditionTobstruction K rapid w internal heat K slow w internal cold K slippery w internal damp;phlegm K empty w .i or yang def -ensation %ndications

Sin9in* *deep+

felt only at the deep le!el

B" Fre(uenc") Slo( cold condition aTor patho*enic factor less than < beats per breath *x A=bpm K floating w e0terior wind cold + K sinking;empty w yang def hot condition aTor patho*enic factor K floating w e0ternal wind heat more than E beats per breath * y K sinking w internal heat F=bpm + K full w e0cess heat K empty w empty heat

Rapid

B" 5ualit"6Sha+e) $esitant *choppy+ rough and une!en Slippery

Ti*ht Ciry

blood aTor Jin* sta*nation e-cess dampness, retention of food, pregnancy smooth with a !iscous sensation K rapid w damp heat K slow w cold damp obstruction tension with side to side mo!ements e-cess cold - interior or e0terior, commonly *thicker than a wiry pulse+ associated with pain tension with no side to side mo!ements *thinner than a tight 8T!% disharmony pulse+

By .i#th( %i* *e0cess, o!erflowing+ Thin *thready, fine+ By Strength( Empty *deficient+ 4ull *e0cess+ By +ength( Short on* By Rhythm( $urried *abrubt+ Intermittent #notted

broad but with distinct edges fine but with distinct edges

e-cess heat, commonly in -T or %ntestines blood aTor >i deficiency

wide but not strong, disappears with blood aTor >i deficiency slight pressure, forceless wide and strong, felt with strength at e-cess condition, often e0cess heat with all le!els rebellious 8i

not felt in all / positions felt beyond the / positions

>i deficiency e-cess5 heat, generally considered normal in absence of other .ualities

rapid with irregularly missed beats regularly skipped beats slow with irregularly missed beats

heat a*itatin* >i R blood heart disharmony, e0haustion of "ang .i cold obstruction, ht .i or yang deficiency,

general def of 8i, (lood a;or Bing

Description of a healthy ;XnormalX< pulse

The pulse should be felt in all F positions The .uality of the pulse should ha!e 2spirit2 and not collapse or feel hard or unyielding The rhythm should be e!en and balanced and regular beats of A=-F=bpm

4actors (hich influence the Pulse

A*e - the strength and .uality of the pulse will decline as a person ages. !ender - 'en are generally stronger on the left and Women are generally stronger on the right. Seasonal Influences: zz -pring - more wiry zz -ummer - stronger zz Winter - deeper

Point Cate*ories
4or complete information about a sin*le point5 clic9 on it (ithin the chart' 4or more information about a cate*ory5 clic9 on the Xdetailed theoryX lin9 Acupuncture Point Theoretical !roupin*sI 3i!e -hu #oints 3i!e 6lement #oints 7ower 5e -ea #oints Ii Cleft #oints 9uan -ource #oints 7uo Connecting #oints (ack -hu #oints 3ront 'u #oints 5ui 'eeting #oints 60traordinary Hessel 'aster Coupled #oints Command #oints 3our -eas #oints -ky Window #oints Thirteen :host #oints 6ntry 60it #oints -hokanten #oints Additional Theory elated esources DiscussionsI 4iscuss Acupuncture Theory

Acupuncture Point !roupin*s by TC" Theory

{ 4i0e Shu Points - detailed theory

Bing-well 9ing-spring -hu-stream Bing-ri!er 5e--ea *Wood+ *3ire+ *6arth+ *'etal+ *Water+ 7L 7L )) 7L )= 7L F 7L G 7L E #C #C F #C G #C ? #C E #C / 5T 5T F 5T G 5T ? 5T < 5T / -# -# ) -# , -# / -# E -# F 7H 7H ) 7H , 7H / 7H < 7H G @4 @4 ) @4 , @4 / @4 ? @4 )= Bing-well 9ing-spring -hu-stream Bing-ri!er 5e--ea 9ang 'eridians *'etal+ *Water+ *Wood+ *3ire+ *6arth+ 7% 7% ) 7% , 7% / 7% E 7% )) T5 T5 ) T5 , T5 / T5 A T5 )= -% -% ) -% , -% / -% E -% G -T -T <E -T << -T </ -T <) -T /A :( :( << :( </ :( <) :( /G :( /< L( L( A? L( AA L( AE L( A= L( <= 9in 'eridians { 4i0e Element Points - detailed theory 'other 7L F 7% )) -T <) -# , 5T F -% / L( A? @4 ? #C F T5 / :( </ 7H G Child 7L E 7% , -T <E -# E 5T ? -% G L( AE @4 ) #C ? T5 )= :( /G 7H ,

7ung *'etal+ 7arge %ntestine *'etal+ -tomach *6arth+ -pleen *6arth+ 5eart *3ire+ -mall %ntestine *3ire+ Lrinary (ladder *Water+ @idney *Water+ #ericardium *3ire+ Triple 5eater *3ire+ :all (ladder *Wood+ 7i!er *Wood+

{ o(er $e Sea Points of the / 4u ;+an*< Or*ans - detailed theory 7arge %ntestine Triple 5eater -mall %ntestine -T /? L( /F -T /F -9ang 'ing--hao 9ang-Tai 9ang-tomach :all (ladder Lrinary (ladder -T /A :( /< L( <=

{ ?iPCleft Points - detailed theory 7ung 7arge %ntestine -tomach -pleen 5eart -mall %ntestine 7L A Lrinary (ladder 7% ? @idney -T /< #ericardium -# G Triple 5eater 5T A :all (ladder -% A 7i!er L( A/ 9in 8iao Hessel @4 E 9ang 8iao Hessel #C < 9in Wei Hessel T5 ? 9ang Wei Hessel :( /A 7H A @4 G L( EF @4 F :( /E

{ +uan P Source Points - detailed theory 7ung 7arge %ntestine -tomach -pleen 5eart -mall %ntestine 7L F 7% < -T <, -# / 5T ? -% < Lrinary (ladder @idney #ericardium Triple 5eater :all (ladder 7i!er L( A< @4 / #C ? T5 < :( <= 7H /

{ uo P Connectin* Points - detailed theory 7ung 7arge %ntestine -tomach -pleen 5eart -mall %ntestine 7L ? 7% A -T <= -# < 5T E -% ? Lrinary (ladder @idney #ericardium Triple 5eater :all (ladder 7i!er L( EG @4 < #C A T5 E :( /? 7H E

{ %ac9 Shu Points - detailed theory 7ung 7arge %ntestine -tomach -pleen 5eart -mall %ntestine :o!erning Hessel 8ihai *-ea of 8i+ >honglu *Center (ack 'uscles+ L( )/ Lrinary (ladder L( ,E @idney L( ,) #ericardium L( ,= Triple 5eater L( )E :all (ladder L( ,? 7i!er L( )A 4iaphragm L( ,< :uanyuan *:ate of -ource+ L( ,F (aihuan *White ing+ L( ,G L( ,/ L( )< L( ,, L( )F L( )G L( )? L( ,A L( /=

:aohuang *Hital egion+

L( </

{ 4ront "u Points - detailed theory 7ung 7arge %ntestine -tomach -pleen 5eart -mall %ntestine 7L ) -T ,E CH ), 7H )/ CH )< CH < Lrinary (ladder @idney #ericardium Triple 5eater :all (ladder 7i!er CH / :( ,E CH )? CH E :( ,< 7H )<

{ $ui P "eetin* Points - detailed theory >ang 3u 8i (lood 7H )/ CH ), CH )? L( )? -inews Hessels (ones 'arrow :( /< 7L F L( )) :( /F

{ E-traordinary 8essel P "aster Coupled Points - detailed theory 60traordinary Hessel Conception Hessel :o!erning Hessel Chong Hessel 4ai Hessel 9in 8iao Hessel 9ang 8iao Hessel 9in Wei Hessel 9ang Wei Hessel { Command Points - detailed theory Abdomen 7umbar egion 5ead v #osterior &eck 3ace v 'outh 5eart, Chest v 6pigastrium 3ainting v Collapse -T /A L( <= 7L ? 7% < #C A :H ,A 'aster #oint 7L ? -% / -# < :( <) @4 A L( A, #C A T5 E Coupled #oint @4 A L( A, #C A T5 E 7L ? -% / -# < :( <)

{ The 4our Seas - detailed theory -ea of 8i -ea of (lood -ea of Water v :rain -ea of 'arrow -T F, CH )?, :H )E, :H )< L( )), -T /?, -T /F -T /= *upper point+, -T /A *lower point+ :H ,=, :H )A

{ Cindo( of the S9y Points - detailed theory 3rom 7ing -hu enying 3utu Tianyou Tian"hu Tianfu Ch. ,) -T F 7% )G T5 )A L( )= 7L / 3rom 7ing -hu Tiantu Tianchuang Tianrong 3engfu Tianchi Ch. , CH ,, -% )A -% )? :H )A #C )

{ Thirteen !host Points ;from Sun Si "iao< #oint &umber :H ,A :H ,/ :H )A CH ,< 7L )) 7% )) #C ? #C G -T A -# ) L( A, :uifeng *60tra #oint+ on the underside of the tongue, one cun from the tip of the midline 6ssentially CH ) originally described as 9umentou *60tra #oint - Women+ #oint &ame :host #alace :host 5all :host #illow :host 'arket :host 3aith :host 7eg :host 5eart :host Ca!e :host (ed :host 3ortress :host #ath :host -eal

:host -tore

;9in0iafeng *60tra #oint - 'en+ { Entry E-it Points - detailed theory The entry;e0it points that are not the first or the last points on the meridian are marked with an 2s2 and with the first or last point within parentheses. The entry;e0it points are also in red on the meridian flow diagram following the chart. 6ntry 7L ) 7% < s*7% )+ #C ) T5 ) 5T ) -% ) -# ) -T ) 7H ) :( ) @4 ) L( ) 60it 7L ? s*7L ))+ 7% ,= #C G s*#C F+ T5 ,, s*T5 ,/+ 5T F -% )F -# ,) -T <, s*-T <E+ 7H )< :( <) s*:( <<+ @4 ,, s*@4 ,?+ L( A?

U I PC T$ $T SI SP ST 8 !% #D U%

{ Sho9anten Points and the Nine Continent Pulses - detailed theory

#ulse 7ocation 4i!ision Upper Tai 9ang Tai 9ang "iddle T5 ,) -hao 9ang o(er -T , 9ang 'ing Upper 7L F Tai 9in "iddle 5T ? -hao 9in o(er 7% < Bue 9in Upper 7H / Tai 9in "iddle -T <, -hao 9in

-hokanten @4 ), -T ,E;@4 ,) -T ,? 7H )/ @4 )A 7H )<;@4 )F 7H )/ @4 )A

6ffected Area -ides of the 5ead 6yes v 6ars 'outh v Teeth 7ungs 5eart Chest 7i!er -pleen

Acupuncture for Abdominal Pain P Treatment Protocols

(elow you will find some of the more common tcm diagnoses and acupuncture treatment protocols for abdominal pain. There are many ways to treat this condition with 6astern 'edicine and our presentation is only one of many possible options. Etiolo*y R Patholo*yI ?innon* ;CA"< DifferentiationsI 4irect -tike of Cold to the %ntestines etention of 3ood Chronic lower abdominal pain due to -# 9ang 4eficiency "aciocia DifferentiationsI Cold 4amp 5eat etention of 3ood -tagnant 8i -tagnant (lood -# 9ang 4eficiency;6mpty Cold DifferentiationI Direct Stri9e of Cold to the Intestines *'aciocia Cold+ Si*ns R SymptomsI -udden onset, lower abdominal pain, patient feels cold, chills, diarrhea Tongue: White coat #ulse: 4eep, tight v slow *with dehydration the pulse may appear fast, but it is still a cold pathology+ Treatment PointsI ?innon* ;CA"< Point SelectionI CH ), - -T 'u CH G - w;salt mo0a, warms lower 1iao -T /A - tonify -T;-# -# < - clear -T e0cess "aciocia Point SelectionI -T ,E - warm lower 1iao -# )E - warm lower 1iao, esp. w;constipation -T ,? - warm lower 1iao CH )= - direct -T 8i downwards -# A - tonify -T;-# -T /A - tonify -T;-# 8alas9at*is Point SelectionI -T ,E - warm lower 1iao -T /? - reinforce -T ,E -T ,? - warm lower 1iao CH A - tonify 8i -# < - clear -T e0cess -# A - tonify -T;-# Retention of 4ood

 Si*ns R SymptomsI Constipation, abdominal fullness, burping, flatulence. Tongue: Thick, greasy coat #ulse: -lippery *indicates retention of food esp. w;thicker coat+ Treatment PointsI ?innon* ;CA"< Point SelectionI CH ), - -T 'u -T ,E - 7% 'u CH A - mo!es food;8i in the lower abdomen -T << - mo!es the stools *may not be necessary+ "aciocia Point SelectionI CH )= - mo!e food;8i downwards CH A - mo!e 8i in the lower abdomen -# )E - constipation -# )A - -T ,E possibly better -T ,? - pain in the lower abdomen T5 G - regulate the T5 and promote bowel mo!ements *not commonly used, T5 A for heat w;e0cess is more commonly used+ -T /A - tonify -T;-# L( ,E - 7% -hu L( ,? - -% -hu SP +an* Deficiency Si*ns R SymptomsI 4ull pain, better with the application of heat, fatigue Tongue: #ale #ulse: Weak Treatment PointsI ?innon* ;CA"< Point SelectionI L( ,= - -# -hu L( ,) - -T -hu -T /A - tonify -T;-# -# A - tonify -T;-# CH ), - -T 'u 7H )/ - -# 'u "aciocia Point SelectionI -T /A - tonify -T;-# -# A - tonify -T;-# CH A - tonify 8i L( ,= - -# -hu L( ,) - -T -hu Retention of 4ood Si*ns R SymptomsI 'ay effect either the -T or the intestines. Can be acute or chronic, depending on dietary habits. Lsually from o!erconsumption of food, o!ereating when tired a;or

contaminated food. #ersistient pain that is constant or colic-like, worse with pressure and eating, fullness and discomfort in the epigastric area, nausea, foul belching, !omiting of undigested food. 7% symptoms - constipation a;or flatulence. &o desire to eat. Tongue: Thick, greasy coat #ulse: 3ull, slippery *which can indicate, phlegm, damp a;or pregnancy as well as stagnation of food+ Treatment PrincipleI esol!e food stagnation. #romote digestion. Treatment PointsI 8alas9at*is Point SelectionI CH )= - direct 8i downwards 7H )/ - -# 'u, mo!es stuck food in the epigastric area -T /A - regulates -T 8i, tonifies 8i, can disperse e0cess abo!e, descends the -T 8i -T << - cools heat in the -T and conducts 8i downwards 7% )= - arm e.ui!alent of -T /A "aciocia Point SelectionI CH )/ - useful w;!omiting a;or nausea CH )= - directs 8i downwards -T ,) - e0cesses in the epigastric area, reinforces C! ), -T ,= -T << -T <E - -T fire, possibly effecting the mind *may not be necessary+ -T ,E - 7% 'u, epigastric pain, constipation -# < v #C A - 9in Wei Chong 'ai, mo!e e0cesses in the epigastric area Damp $eat *common clinically+ Si*ns R SymptomsI ChronDs 4isease, %(- patients may ha!e damp heat in the 7%. 7ower abdominal pain, loose, urgent stools w;strong odor, possibly with mucus a;or blood, burning anus. Tongue: :reasy, yellow coat #ulse: -lippery, fast Treatment PrincipleI Clear 5eat in the %ntestines. esol!e dampness. Treatment PointsI "aciocia Point SelectionI -T ,E - 7% 'u -T /? - regulate intestines L( ,E - 7% -hu

 -# A - tonify -T;-#, resol!e damp -# F - !ery good for dampness in the lower warmer w;-# A T5 A - cool heat 7% )) - cool heat CH )= - regulate 8i downwards CH A - possibly instead of CH )= Sta*nant =i Si*ns R SymptomsI esult of the 7H in!ading the -# #ain that is directly related to emotions, moodiness, irritability, belching, flatulence, borborygmus, lower abdominal bloating, alternating constipation and diarrhea Tongue: &ormal or slightly purplish #ulse: Wiry Treatment PrincipleI egulate the %ntestines. Tonify -#. 'o!e 8i in lower abdomen Treatment PointsI "aciocia Point SelectionI CH A :( /< - w;CH A for mo!ing 8i in the lower abdomen 7H / -# A - w;7H / to harmoni"e 7H v -# L( )G - 7H -hu #C A - useful with 7H 8i stagnation T5 A - mo!es intestines w;constipation Sta*nant %lood Si*ns R SymptomsI 'asses in the lower abdomen, dark comple0ion, dark stools possibly w;blood. Tongue: #urple #ulse: 4eep, choppy or firm Treatment PrincipleI 'o!e 8i;(lood in 7ower Abdomen. Treatment PointsI "aciocia Point Selection for Phle*m 4ire differentiationI 7H / - resol!e blood stagnation :( /< - resol!e blood stagnation T5 A - useful w;constipation -# A - mo!e 7H;-# 8i L( )? - 4iaphragm -hu -# )= - w;L( )? to mo!e (lood #ossibly 9in 8iao en 'ai, @4 A v 7L ? - mo!e (lood in the lower warmer

Acupuncture for Aller*ies P Treatment Protocols

(elow you will find some of the more common tcm diagnoses and acupuncture treatment protocols for allergies and related issues. There are many ways to treat this condition with 6astern 'edicine and our presentation is only one of many possible options. Etiolo*y R Patholo*yI Wind-Cold effecting the 7L Wind-5eat effecting the 7L When the patient is not in an acute stage you should treat the oot @4, 7L v :H 4eficiencies :eneral -peaking, according to :io!anni 'aciocia, a persons 2allergic2 reaction*s+ to certain substances correlates with a weakening of the bodyDs 4efensi!e 8i *Wei 8i+ system in the body due to 7L v @4 deficiences. DifferentiationI CindPCold effecting the 7L Si*ns R SymptomsI -imilar to general Wind-cold as it presents with the common cold, howe!er, there are more signs of an underlying @4 a;or 7L 4eficiency. #atient may ha!e: snee"ing, runny;stuffy nose *white discharge+, slight headache, no thirst, pale comple0ion. Treatment ProtocolI 60pel Wind-Cold estore the 4escending and 4ispersing 3unction of the 7L 8i Treatment PointsI 'ain #oints: L( ), - 'ain point for Wind 4isorders. :( ,= - 60pel Wind. :H ,/ - 60pel Wind from the &ose. L( )/ - 7L (ack -hu. 7L ? - estore the 4escending and 4ispersing 3unction of the 7L 8i. 7ocal #oints: Lse !arious local points for the sinus issues: 7% ,= a;or 9intang - good local points for sinus issues. CindP$eat effecting the 7L Si*ns R SymptomsI -imilar to general Wind-heat as it presents with the common cold, howe!er, there are more signs of an underlying @4 a;or 7L 4eficiency. #atient may ha!e: 3e!er and Chills w;3e!er predominating, slight sweating, runny nose w;yellow discharge, headaches, body aches, cough, itchy red eyes *heat+, sratchy throat *wind+. Treatment ProtocolI 60pel Wind-5eat estore the 4escending and 4ispersing 3unction of the 7L 8i.

 Treatment PointsI 'ain #oints: L( ), - 'ain point for Wind 4isorders. L( )/ - 7L (ack -hu. 7% < v 7% )) - used together to clear heat and mo!e the 7%. 7ocal #oints: 7% ,= a;or 9intang - good local points for sinus issues. :( ,= v L( , - used together for itchy eyes. Root Deficiencies of U5 #D R !8 When the patient is not e0periencing an acute phase you should try to tonify the @4 v 7L 4eficiencies and -trengthen the :H. #oints to Tonify the @idneys: @4 / - tonify @4. L( ,/ - @4 (ack -hu #oints to Tonify the 7ungs: L( )/ - 7L (ack -hu :H ), - tonify 7L, support L( )/. #oints to -trengthen the :o!erning Hessel: :H < v CH < - tonify :H. :H )< - mo0a to tonify :H. L( A, v -% / the 'aster v Coupled #oints of the 9ang 8iao 4u 'ai open the :H.

Acupuncture for Amenorrhea P Treatment Protocols

(elow you will find some of the more common tcm diagnoses and acupuncture treatment protocols for amenorrhea. There are many ways to treat this condition with 6astern 'edicine and our presentation is only one of many possible options. DifferentiationI E-cess Patholo*ies 8i v (lood -tagnation #hlegm;4amp $bstruction Deficient Patholo*ies 8i v (lood 4eficiency 5T;-# (lood 4eficiency 7H;@4 4eficiency -#;@4 9ang 4eficiency 5T;@4 9in 4eficiency =i R %lood Sta*nation P E-cess Condition Si*ns R SymptomsI 7ack of menstruation for /K months, abdominal masses, abdominal pain a;or

distention that is worse with pressure, may also ha!e hypochondriac a;or chest oppression Tongue: #urple or purple spots esp. along the 7H area #ulse: 4eep, tight Treatment PointsI ?innon* ;CA"< Point SelectionI CH / - e0cess in the lower abdomen -T ,F - mo!es stagnant (lood in the abdomen, empirical point for returning menstruation -# )= - mo!es (lood 7H / - resol!e 8i stagnation -# A - mo!e 8i;(lood in the lower abdomen 7% < - mo!e 8i;(lood in the lower abdomen %f palpable abdominal masses - @4 )< "aciocia Point SelectionI -# < w;#C A - yin wei chong mai CH A - mo!e 8i in the abdomen -T /= - regulate menstruation 7H / - resol!e 8i stagnation -# A - mo!e 8i;(lood in the lower abdomen %f palpable abdominal masses - @4 )< %f caused by shock - @4 A Phle*mTDamp Obstruction P E-cess Condition Si*ns R SymptomsI #atient is likely to be o!erweight, body feels hea!y, stuffy chest, nausea, !aginal discharges are likely if the lower heater is effected Tongue: -wollen w;greasy yellow coat especially in the rear #ulse: -lippery Treatment PointsI "aciocia Point SelectionI -# A - mo!e 8;(lood in the lower abdomen -# F - resol!e damp CH A - tonify;mo!e 8i in the abdomen -T ,G - clear damp in the lower abdomen T5 E w;:( <) - yang wei dai mai, resol!e dampness in the lower warmer L( ,, - T5 -hu, regulate water %f symptoms are effecting the middle warmer *i.e. stuffy chest, nausea+ - CH ),, CH F v -T <=, clear damp, tonify -T;-# =i R %lood Deficiency Si*ns R SymptomsI A gradual de!elopment of secondary amenorrhea where the cycle gets delayed more and more each month w;gradual decreases in (lood o!er time, fatigue, poor appetite, loose stools, dry skin, di""iness, may also effect the essence - sore back;knees, dry mouth, heat in the E palms, night sweats Tongue: Weak, possibly slow, Thin if essence is effected #ulse: #ale

 Treatment PointsI ?innon* ;CA"< Point SelectionI CH < - tonify 9in v (lood L( )G - 7H -hu L( ,= - -# -hu L( ,/ - @4 -hu -T /A - tonify 8i v (lood -# A - tonify -# %f essence is effected - @4 / or @4 A "aciocia Point SelectionI :H considers this w;stronger (lood deficient signs - blurred !ision, di""iness, numbness;tingling, poor memory, palpitations, insomnia - #ale v Thin Tongue and Thin #ulse L( )? - hui meeting of the (lood L( )G - 7H -hu 7H G - tonify 7H (lood -T /A - tonify 8i v (lood -# A - tonify -# @4 / - tonify @4 CH < - tonify @4 CH A - tonify 8i 3or strong emotional components - CH )? >igong Iue - regulate the uterus $TTSP %lood Deficiency Si*ns R SymptomsI A combination of 5T and (lood 4eficiency signs, palpitations, dream-disturbed sleep, poor memory, looses stools, poor appetite Tongue: #ale, possibly w;red tip #ulse: Thin Treatment PointsI "aciocia Point SelectionI -T /A - tonify -T;-# -# A - tonify -# CH ), - -T 'u, tonify -T;-# L( ,= - -# -hu L( )E - 5T -hu CH )< - 5T 'u 5T ? - calm spirit CH < - tonify @4, generate (lood 7H G - tonify 7H (lood 8T#D Deficiency Si*ns R SymptomsI @4 9ang w;7H (lood 4eficiency, fatigue, sore back;knees, di""iness, depression, lack of willpower Tongue: #ale

 #ulse: Weak Treatment PointsI "aciocia Point SelectionI 7L ? w;@4 A - yin .iao ren mai, useful w;deficient conditions 7H G - tonify 7H (lood -# A - tonify -# -T /A - tonify -T;-# L( )G - 7H -hu L( ,/ - @4 -hu L( E, - strengthen willpower CH < - tonify 8i @4 )/ - reinforce CH <, strengthens Lterus, useful in deficiency patterns CH )? v CH A - emotional causes, ancient chinese prescription SPT#D +an* Deficiency Si*ns R SymptomsI -ore back;knees, fatigue, digesti!e issues Tongue: -wollen, wet #ulse: 4eep, weak, tight Treatment PointsI "aciocia Point SelectionI CH ), - -T 'u, tonify -T;-# -T /A - tonify -T;-# -# A - tonify -T;-# L( ,= - -# -hu L( ,) - -T -hu @4 / - tonify @4 CH < - tonify @4 L( ,/ - @4 -hu L( E, - strengthen willpower CH )? v CH A - emotional causes, ancient chinese prescription >igong Iue - strengthen Lterus $TT#D +in Deficiency Si*ns R SymptomsI 6motional causes are likely, palpitations, insomnia, dream-disturbed sleep, night sweats, dry mouth, mallor flush, heat in the E palms Tongue: ed w;no coat #ulse: 3loating, empty Treatment PointsI "aciocia Point SelectionI 7L ? w;@4 A - yin .iao ren mai 5T ? - calm the spirit #C ? - clear heat from the 5T L( << - clear psycho-emotional manifestation of heat CH )E - chest oppression, descend the 8i CH )< - 5T 'u

 CH < - tonify 8i, (lood v 9in @4 / - tonify @4 -# A - tonify -#

Acupuncture for An-iety P Treatment Protocols

(elow you will find some of the more common tcm diagnoses and acupuncture treatment protocols for an0iety disorders. There are many ways to treat this condition with 6astern 'edicine and our presentation is only one of many possible options. DifferentiationI E-cess ConditionsI 5T 8i v (lood -tagnation #hlegm effecting the 5eart Deficient ConditionsI 9in 4eficiency - empty heat may rise and effect the shen 5T 8i v (lood 4eficiency - may arise after a prolonged illness 5T 9ang 4eficiency 5T 8i v (lood -tagnation - 60cess Si*ns R SymptomsI #anic attacks *sudden feeling of doom, rapid breathing, shortness of breath, palpitations, chest oppression+, insomnia, profuse dreams. Tongue: #ale w;dark spots #ulse: Weak, fine possibly irregular Treatment #oints: St' :ohn Treatment Points ;(ith modifications<I 7H / - harmoni"e 7H 7% < - four gates w;7H / abo!e -# )= - mo!e the (lood 5T ? - calm the spirit, possibly 5T G if in distress #C A - calm the spirit, rela0 the chest, possibly #C ? for a stronger effect L( )E - 5T -hu L( )? - 5ui meeting of the (lood #hlegm 6ffecting the 5eart - 60cess Si*ns R SymptomsI An0iety coupled with emotional depression and other signs of 7H stagnation *easily angered, tension, sighing+, insomnia, nightmares, di""iness, profuse thick phlegm. Tongue: :reasy yellow coat #ulse: -lippery, wiry Treatment #oints: St' :ohn Treatment Points ;(ith modifications<I 7H / - harmoni"e 7H

#C E - e0pel phlegm -T <= - resol!e phlegm CH ), - -T 'u CH )? - #C 'u 5T ? - calm spirit 9in 4eficiency Si*ns R SymptomsI An0iety originating with fear a;or dread, restlessness, palpitations, nightsweats, afternoon fe!ers, mallor flush, heat in the E palms, dry mouth a;or throat, di""iness, tinnitus. Tongue: ed possibly w;yellow coat #ulse: Thin, rapid, wiry Treatment #oints: St' :ohn Treatment Points ;(ith modifications<I 5T G - clear heat effecting the 5T #C ? - clear heat efffecting the 5T @4 / - tonify @4 v 5T yin -# A - tonify yin :( ,= - clear the head, di""iness, tinnitus L( )E - 5T -hu L( ,/ - @4 -hu 5T 8i v (lood 4eficiency Si*ns R SymptomsI #alpitations with e0ertion, shortness of breath, fatigue, di""iness, poor memory, insomnia, pale lustreless comple0ion. Tongue: #ale w;thin white coat #ulse: Thin, weak Treatment #oints: St' :ohn Treatment Points ;(ith modifications<I 5T ? - tonify 5T (lood v 9in, harmoni"e spirit #C A - calm the heart v spirit, regulate 5T 8i -# A - tonify -T;-# -T /A - tonify -T;-# L( )E - 5T -hu L( )? - hui meeting of the (lood L( ,= - -# -hu 5T 9ang 4eficiency 'ay arise as a further de!elopment of 5T 8i and (lood 4eficiency, palpitations worse after e0ertion, shortness of breath, chest tightness, a!ersion to cold, cold limbs, di""iness. Tongue: #ale #ulse: 4eep, thin, empty or 4eep, slow Treatment #oints: 8alas9ata*is Treatment PointsI 5T ? - calm the spirit

L( )E - 5T -hu L( ,/ - @4 -hu :H < - tonify 9ang CH < - tonify 9ang -T /A - tonify 8i

!eneral Si*ns and Symptoms of $eart =i Deficiency

!eneral Si*ns R SymptomsI #alpitations on e0ertion, spontaneous sweating, fatigue Ton*ueI #ale, possibly a midline crack down to the tip PulseI 6mpty

Conditions that may arise from $eart =i Deficiency

7isted below are western medical conditions and;or general symptoms that may arise from this particular TC' pattern. The condition page that they link to will ha!e the ma1ority of commonly related patterns for this specific condition. Pattern Related ConditionsTSymptoms Other Possible TC" Patterns Pattern Related Other Possible TC" Patterns ConditionsTSymptoms (lood -tagnation, 5eart 8i 4eficiency, @idney 8i 4eficiency, 7i!er (lood Anemia 4eficiency, -pleen 8i 4eficiency, -tomach 8i 4eficiency (lood -tagnation, 5eart 8i 4eficiency, 5eart 9ang 4eficiency, 5eart 9in Angina 4eficiency, #hlegm -tagnation (lood -tagnation, 5eart 8i 4eficiency, 5eart 9ang 4eficiency, 5eart 9in Arrhythmia 4eficiency, @idney 9ang 4eficiency, @idney 9in 4eficiency, 7i!er 9in *#alpitations+ 4eficiency, -pleen 8i 4eficiency, -pleen 9ang 4eficiency Cardiomyopathy (lood -tagnation, 5eart (lood -tagnation, 5eart 8i 4eficiency, 5eart 9ang *4ilated+ 4eficiency Congesti!e 5eart (lood -tagnation, 5eart 8i 4eficiency, 5eart 9ang 4eficiency, @idney 9ang 3ailure 4eficiency, 7ung 8i 4eficiency, #hlegm -tagnation (lood -tagnation, 5eart 8i 4eficiency, 5eart 9ang Collapse, 5eart 9ang Coronary Artery 4eficiency, 5eart 9in 4eficiency, 7ung 8i 4eficiency, 7ung 9in 4eficiency, 4isease -tomach 8i 4eficiency, -tomach 9in 4eficiency (lood -tagnation, 5eart 8i 4eficiency, 5eart 9in 4eficiency, @idney 8i 4iabetes Type %, 4eficiency, @idney 9ang 4eficiency, @idney 9in 4eficiency, 7ung 8i 4iabetes Type %% 4eficiency, 7ung 9in 4eficiency, -tomach 3ire, -tomach 8i 4eficiency, -tomach 9in 4eficiency 5eart 8i 4eficiency, @idney Bing 4eficiency, 7i!er 8i -tagnation, #hlegm 3orgetfulness -tagnation, -pleen 8i 4eficiency 5eart 8i 4eficiency, 5eart 9in 4eficiency, 7i!er Wind, 7ung 8i 4eficiency, 5eat -troke 7ung 9in 4eficiency, -hen 4isturbance, -tomach 8i 4eficiency, -tomach

Pattern Related ConditionsTSymptoms %mpotence *6rectile 4ysfunction+ %nsomnia 'yocardial %nfarction &eurasthenia #alpitations -ystemic 7upus 6rythematosus *-76+

Other Possible TC" Patterns 9in 4eficiency 5eart 8i 4eficiency, 7i!er and :allbladder 4amp 5eat, 7i!er 8i -tagnation, -pleen 8i 4eficiency 5eart 3ire, 5eart 8i 4eficiency, 7i!er and :allbladder 4amp 5eat, 7i!er 3ire, -pleen 8i 4eficiency (lood -tagnation, 5eart 8i 4eficiency, 5eart 9in 4eficiency 5eart 8i 4eficiency, 7i!er 3ire, 7i!er 8i -tagnation, -pleen 8i 4eficiency (lood -tagnation, 5eart 8i 4eficiency, 5eart 9ang 4eficiency, 5eart 9in 4eficiency 5eart (lood 4eficiency, 5eart 8i 4eficiency, 5eart 9in 4eficiency, @idney 9ang 4eficiency, 7i!er 8i -tagnation, 7ung 8i 4eficiency, 7ung 9in 4eficiency, -pleen 8i 4eficiency, -pleen 9ang 4eficiency, -tomach 8i 4eficiency, -tomach 9in 4eficiency

Acupuncture for Arthritis P Treatment Protocols

(elow you will find some of the more common tcm diagnoses and acupuncture treatment protocols for arthritis *also known as bi-syndromes in TC' theory+. There are many ways to treat this condition with 6astern 'edicine and our presentation is only one of many possible options. DifferentiationI Canderin* %i ;Cind< Si*ns R SymptomsI Wandering pain in one 1oint or se!eral at a time 7imitation of 'o!ement 3e!er and a!ersion to wind #ulse: 3loating and apid Tongue: Thin, white coating Treatment PointsI :H )< - eliminate wind and heat T5 A - dispels wind, stops pain :( /F - 1oint pain *Lse of e!en needling method+ Painful %i ;Cold< Si*ns R SymptomsI #ain is fi0ed and se!ere &o local redness or heat *swelling possible+ #ain worse in cold weather, better with heat 7imitation of mo!ement #ulse: Wiry or Tight Tongue: White coating

 Treatment PointsI -T /A v CH A - tonify 8i and eliminate cold 7% )) - promotes circulation of 8i and (lood, stops pain 4i-ed %i ;Damp< Si*ns R SymptomsI 5ea!iness of local area &umbness of skin and muscles 3i0ed pain and swelling #ain worse in damp weather #ulse: -lippery or soft Tongue: White greasy coating Treatment PointsI -# A - needle and mo0a to assist -pleen -# F - needle to eliminate damp %ony %iI Boint deformity due to phlegm obstructing the channels L( )) - meeting point of the bones :( /F - meeting point of the bone marrow -T <= - to resol!e phlegm 4ebrile %i ;$eat< Si*ns R SymptomsI #ainful 1oints, se!ere with heat, swelling 7ocal redness 7imitation of mo!ement 3e!er or thirst #ulse: -lippery, rapid Tongue: :reasy, yellow coating Treatment Points -T </ v 7% < - eliminate heat from 9ang 'ing *Lse reducing method+ Treatment Points for all Differentiations Accordin* to Affected Re*ionsI ShoulderI ocalI 7% )E, T5 )<, Bainneiling, -% F, -% )=, 7% )< DistalI 7% < - if 7% Channel in!ol!ed -% / - if -% Channel in!ol!ed T5 E - if T5 Channel in!ol!ed 7L F - if 7L Channel in!ol!ed -T /G - for acute pain with restricted mo!ement Elbo(I ocalI 7% )), -% G, T5 )= DistalI Same as Shoulder CristI ocalI T5 E, 7% E, -% <

 4in*ersI ocalI -% /, 7% /, (a0ie Nec9I ocalI :H )<, L( )=, :( ,=, 5uato1ia1i points for cer!ical !ertebrae DistalI -% /, :( /F, L( A= $ipI ocalI :( /=, :( ,F, L( E), -T /) DistalI :( /<, :( /F, :( <= #neeI ocalI 6yes of @nee, 5eding, -T /<, -# )=, :( /<, -# F, -T /A, L( <= An9leI ocalI -T <), -# E, :( <=, L( A=, @% / ToesI ocalI (afeng, -# <, L( AE

The &3 Pulses in Chinese "edicine ;TC"< Pulse Dia*nosis

The &ormal #ulse: reflects good 5eart 8i and (lood. %t should be calm, smooth, soft, but not too soft, and not slow, rapid, rough or hard. %t should be regular. %ts .uality should not change !ery often or easily. 4eep le!el and rear position should be felt clearly, indicating that the @idneys are healthy. &ote: 4ifferent sources !ary on both their naming con!entions and on the total number of standard pulse images. We ha!e tried to organi"e this information to include ,F pulse images and their !arious names.

The "ain Pulse Ima*es

3u 'ai *3loating, -uperficial+ 5ong 'ai *-urging, 3looding+ :e 'ai *7eathery, 4rumskin, Tympanic, 5ard+ @ou 'ai *5ollow or -callion -talk, :reen $nion+ u 'ai *-oft or -oggy+ -an 'ai *-cattered+ Iu 'ai *3orceless, 6mpty, 4eficient+ Chen 'ai *4eep+ 3u 'ai *5idden+

7ao 'ai *3irm, Confined+ uo 'ai *Weak+ Chi 'ai *-low+ 5uan 'ai *-lowed down, 'oderate, or ela0ed+ -e 'ai *Choppy, 5esitant+ Bie 'ai *@notted, (ound+ -hi 'ai *60cess, 3ull, eplete, 3orceful+ 5ua 'ai *-lippery, olling+ Bin 'ai *Tight, Tense+ Chang 'ai *7ong+ Iuan 'ai *Wiry, Taut+ Wei 'ai *'inute, 3aint, %ndistinct+ Ii 'ai *Thready, Thin+ 4uan 'ai *-hort+ 4ai 'ai * egularly %ntermittent+ -huo 'ai * apid+ Bi 'ai * acing, -wift, 5urried+ Cu 'ai * apid-%rregular, -kipping, Abrupt+ 4ong 'ai *'o!ing, Throbbing, -tirring+ 4a 'ai *7arge, (ig+

4u "ai ;4loatin*5 Superficial<

4escription: 7ocated in the e0terior. With the finger raised, it has a surplus, when pressing down it is insufficient, weak, or disappears. When pressure is released, it regains full strength.

%ndications: 60ternal in!asion, 9in Iu with 9ang floating upwards, 8i or 9ang Iu 6tiology: 'ainly an e0terior condition, syndromes due to Iu, or 9ang 8i loosing its root in the lower part of the body and floating to the upper regions.

$on* "ai ;Sur*in*5 4loodin*<

4escription: 3loating, large *i.e. wide+ comes on e0uberant, departs debilitated. 2Coming onto the shore with force and retreating without force2

%ndications: 60treme heatC if with thirst, high fe!er it can be 9angming heat or internal heat. %f surging and forceless, this is Iu surging. 6tiology: This pulse has been said to arri!e strong at the chi position and depart at the cun position, thus its wa!e like character. The 9ang is floating e0cess and upward, this is a manifestation of fire floating upward and water dr9ing internally*i.e. loss of blood, diarrhea+

!e "ai ; eathery5 Drums9in5 Tympanic5 $ard<

4escription: (owstring and large *wide+ with an empty centerC feels like the head of a drum. 3elt with light pressure. 3loating, large, and hard and resistant to pressure.

%ndications: 5emorrhage, -permatorrhea, Abortion, 60cessi!e 'enstrual 3low, Iu Cold 6tiology: The 8i becomes detached and floats to the e0terior, the healthy 8i is failing to store sperm and blood.

#ou "ai ;$ollo( or Scallion Stal95 !reen Onion<

4escription: 3loating, soft, large body, but empty in the center. 3orceless--large and weak. %ndications: 5emorrhage, 4amage of 9in, :reat (lood 7oss *se!ere diarrhea;hemorrhage+ 6tiology: There is failure to fill the !essels by insufficient 9ing and (lood causing 9ang 8i to detach and float to the surface. -ources disagree on the description of this pulse, some say that the beats around the middle le!el are palpable*i.e. light or hea!y pressure+ and the beats at the middle le!el are impalpable. (ob 3laws says that 2a pulse which is empty in the center is an e0treme floating pulse which not only gets weaker when one presses down but disappears altogether. %t only reappears again when pressure is released to the superficial le!el.2

Ru "ai ;Soft or So**y<

4escription: 3loating, fine, soft and fle0ible. Can be felt with light pressure but cannot be obtained by hea!y pressure. 23loating, thready, and soft2 27ike a silk thread in water2

%ndications: #rimarily means 4ampness, can be 9in Iu, (lood Iu, -pleen Iu 6tiology: The dampness is obstructing the !essels or the 8i and (lood are unable to fill the !essels gi!ing it its soft .uality. This is distinguished from other floating pulses, which tend to be large*i.e. wide+

San "ai ;Scattered<

4escription: 3loating, large *ie.wide+ and without rootC with light pressure it is easily irregular, becoming scattered and chaoticC with hea!y pressure it is impalpable.

%ndications: 4ispersion of 9uan 8i, @idney 9uan 8i Iu, se!ere deficiency and e0haustion of internal organ 8i 6tiology: This pulse is without root, without definite edges and boundaries, not characteri"ed as an irregular beat pulse, although it feels chaotic. %t is a further progression from the

@ou 'ai *5ollow+, being e!en weaker than the @ou 'ai. 27ike wind blowing hair or scattered lea!es2

?u "ai ;4orceless5 Empty5 Deficient<

4escription: :enerali"ed term for !arious types of forceless pulses or is described as a floating, large, slow, empty. deficient, soft, forceless pulse image.

%ndications: 8i and (lood Iu Can be damage by summerheat. 6tiology:

Chen "ai ;Deep<

4escription: 7ocated near the bone. Cannot be detected with light or moderate pressure but can be felt with hea!y pressure. *&ot to say it is impalpable at lighter pressure+

%ndications: %nterior patterns. %f deep and rapidw%nterior heat. %f deep and slowwinterior cold. %f deep and forcelessw8i and 9ang Iu %f deep and forcefulwe0cess of internal disease. 6tiology: #athogens in the interior are obstruction healthy flow of 8i and (lood.

4u "ai ;$idden<
4escription: 4ifficult to feel, under the sinews, not ob!ious, re.uires hea!y pressure to obtain. Almost to the bone. 4eeper than the deep pulse.

%ndications: -e!ere pain, e0treme stagnation,*of food or of pathogens+, syncope, last stage of an illness, coma, and lack of circulation. 6tiology:

ao "ai ;4irm5 Confined<

4escription: #ressed superficially or moderately, it does not respond, but can be obtained by hea!y pressure. 5ard, firm, not changeable, replete, large, bowstring, and long.

%ndications: %nternal cold, perhaps hernia, abdominal masses. Can also indicate wind epilepsy, infle0ibility, and cramping, hard accumulations hidden in the interior, running piglet and sudden !iolent counterflow. 6tiology: The pathogenic factors are steady, there is interior cold and decline of 9ang 8i

Ruo "ai ;Cea9<

4escription: 4eep, fine, soft like a thread. %ndications: -imultaneous 8i and (lood Iu 6tiology: (lood Iu results in failure to fill the !essels and 8i Iu results in its forcelessness.

Chi "ai ;Slo(<

4escription: (elow A= (#' or less than < beats per practitioners breath. %ndications: Cold syndromes. 3orceful and slowwaccumulation of coldC 3orceless and slowwcold from Iu -low and floatingwe0ternal cold. -low and deepwinterior cold. -low and choppywblood disease. -low and slipperyw8i disease. 6tiology: There is stagnation of 8i due to cold. There may be other factors as well, such as obstruction of blood due to accumulation of heat, this pulse must be forceful and e0cessi!e when palpated *i.e. 9angming+

$uan "ai ;Slo(ed do(n5 "oderate5 or Rela-ed<

4escription: As a ping mai, or normal pulse it is le!el and harmonious, rela0ed and forceful. As a bing mai or abnormal pulse it is rela0ed, loose, slack, on the !erge of slow. About A= (#'. The beats come and go slowly, feels !iscous, the rate is like normal but the slowness shows up at the end of a beat, before a slow pulse.

%ndications: -yndromes of 4amp, -#;-T Iu &ot enough 8i and (lood to fill the !essels. 6tiology: 'ay also be due to wind if floating and rela0ed. %f it is deep and rela0ed is is damp syndrome. %f large and rela0edwli!er wind internally, if rela0ed and weak it may signify heart 8i Iu

Se "ai ;Choppy5 $esitant<

4escription: -low, rela0ed, stagnant, difficult, fine, may stop and loose a beat but then reco!ers. %t is not smoothly flowing. %t feels like a knife scraping bamboo.

%ndications: Consumption of essence, (lood Iu, -tagnation of 8i, (lood -tagnation, #hlegm or food stagnation. %t can also be due to heart palpitations. 6tiology: (lood and essence failing to nourish the meridians. (lood is not flowing smoothly.

:ie "ai ;#notted5 %ound<

4escription: -low, rela0ed, stops at irregular inter!als.

%ndications: -tagnation of 8i due to e0cess 9in, (lood -tasis due to cold phlegm, (lood -tagnation. -ometimes abdominal masses, also indicates 5eart palpitations. 6tiology: 9in and 9ang out of balance due to e0cess 9in. *This represents an irregular beat or palpitation stemming from the !entricle of the 5eart+

Shi "ai ;E-cess5 4ull5 Replete5 4orceful<

4escription: (owstring, large, hard and replete pulse which has a surplus at all / le!els of cunkou. %ndications: 60cess condition where both pathogenic and anitpathogenic factors are strong. 6tiology: (lood !essels are full with both 8i and (lood

$ua "ai ;Slippery5 Rollin*<

4escription: Comes smoothly flowing and uninhibitedC feels smooth like pearls rolling in a dish. (eats come and go fluently and smoothly, feeling slick to the fingers.

%ndications: #hlegm retention, indigestion, e0cess heat. 'ay also indicate dampness. The 5ua 'ai is considered normal *ping mai+ for women during pregnancy or menstruation. 6tiology: The smooth and slick pulsation is caused by the accumulation of pathogens in the interior with sufficiency of 8i and (lood.

:in "ai ;Ti*ht5 Tense<

4escription: Tight, has strength, feels like a taut rope. 3eels like a stretched and twisted rope. %ndications: Cold or #ain. Lndigested food 6tiology: Caused by the contraction of tense !essels resulting from the conflict between cold and healthy 8i and the obstruction of 9ang 8i

Chan* "ai ; on*<

4escription: 7ong and can be felt beyond its location. 3elt past the cun position. %ndications: 60cess li!er 9ang, 9ang and 5eat 60cess in the %nterior, -trong #athogenic factors 6tiology: A long and smooth pulse can be normal *ping mai+ for some people, the long characteristic is usually present with wiry.

?uan "ai ;Ciry5 Taut<

4escription: 3eels straight, long and tense, like the feeling of pressing a tight string of a musical

instrument. Crisp and distinct edges, tends to re!eal itself when one slightly lets up on the pressure. %ndications: 7i!er and :all (ladder disease, !arious painful disorders, phlegm retention, malaria, abnormal circulation of 8i 6tiology: Tense !ascular 8i due to the li!er not gently performing its function, can also be due to the retention of a pathogen in the li!er. %f wiry, Thready and forceful-like feeling the edge of a knife is indicati!e of -tomach 8i e0haustion.

Cei "ai ;"inute5 4aint5 Indistinct<

4escription: %nsufficient, e0tremely fine, soft, barely palpable. %t may be felt and then sometimes it is lost. 260tremely Thready and soft2

%ndications: 4ecline of 9ang 8i. 9in, 9ang, 8i, and (lood 4eficiency. 6tiology: The 9ang 8i cannot push the blood in the !essels or the 9in;blood cannot fill the !essels.

?i "ai ;Thready5 Thin<

4escription: -oft, feels like a silken thread, weak, without strength but not scattered by pressure. %ndications: 8i and (lood Iu, !arious deficiency syndromes, disorders due to 4amp. 4oes not indicate weakness. 6tiology: %mpairment of 9ing (lood fails to make the !essels plentiful. 8i is too deficient to mo!e the blood. 'ay also occur due to compression of !essels by dampness.

Duan "ai ;Short<

4escription: 4oes not reach*i.e. fill longitudinally+ its location or range. Can be felt most clearly at the :uan position, more indistinct at the Cun and the Chi.

%ndications: -hort and forceful indicates 8i -tagnation, -hort and weak indicates 8i Iu 6tiology: 8i is failing to mo!e the (lood.

Dai "ai ;Re*ularly Intermittent<

4escription: Comparati!ely rela0ed and weak, stops at regular intermittent inter!als. These inter!als may be strikingly long.

%ndications: 4ecline of >ang 3u *organ+ 8i, Wind -yndromes, #ain, Terror, 3ear, Trauma.

6tiology: 3laws: 2#atients with this pulse ha!e ad!anced heart disease according to western medicine and should be immediately referred to a western doctor2

Shuo "ai ;Rapid<

4escription: Abo!e F= (%', or more than E beats per breath. %ndications: 5eat -yndromes. 3orceful and rapid w e0cess heat. Weak and rapid w 4eficiency 5eat. 6tiology: 5yperacti!ity of heat accelerating 8i and (lood. apid pulse may be weak when itDs 9in Iu due to a chronic disease resulting from interior deficient heat. apid pulse, when seen in cases of floating of 9ang Iu, must be large and weak with a sense of emptiness.

:i "ai ;Racin*5 S(ift5 $urried<

4escription: Hery rapid, o!er ),= (%', or ?-G beats per breath. %ndications: 60cess of 9ang and e0haustion of 9in, impending e0haustion of primary 8i Can also be due to 5eart #alpitations. 6tiology: 60haustion of 9in in the lower body and e0cess of 9ang in the upper parts. $ften accompanies high temperatures. -wift and wirywnot enough true 9in, o!erabundance of 9ang. -wift and forcefulw#rimary 9ang will be e0hausted. &ote: This can be normal for infants.

Cu "ai ;RapidPIrre*ular5 S9ippin*5 Abrupt<

4escription: apid and irregularly interrupted. %ndications: 60cess 5eat, 4omination of 9ang, 8i, (lood, #hlegm and 3ood -tagnation. This can be from an Atrial 3ibrillation. 6tiology: This is clinically !ery se!ere, 9in and 9ang are not in communication.

Don* "ai ;"o0in*5 Throbbin*5 Stirrin*<

4escription: -lippery, rapid, forceful, feels like a bean--strong and throbbing abruptly. 2Without head or tail2 This is most distinguished at the :uan position, and is a subcategory of the short pulse.

%ndications: #ain, 3right, -hock 6tiology: Conflict between 9in and 9ang, disturbance of ascending and descending, leading to

faster circulation of 8i and (lood which makes it appear smooth, rapid, and forceful yet palpable o!er a narrow region.

Da "ai ; ar*e5 %i*<

4escription: 7arge, fills up the fingertip, forceful. -imilar to the 5ong 'ai, but does not ha!e the wa!e-like shape

%ndications: Ad!ance of a disease due to domination of pathogenic factors and also 4eficiency -yndrome. 6tiology: %t is possible to differentiate e0uberance or decline of pathogenic factors and the health of the 8i according to whether 7arge pulse is forceful or weak

Chinese "edicine ;TC"< Pulse Indications P Summary Chart

60cess 60cess #hlegm 3ood #ain 5eat Cold -tagnation -tagnation -urging;5o ng 3orceful;-hi -lippery;5u a 7ong;Chang Wiry;Iuan apid;-hu apid irregular;Cu Tight;Bin Confined, 3irm;7ao 5idden;3u 'o!ing, Throbbing; 4ong egular

8i and 8i (lood 9in 9ang 60cess (lood 4ampness 'a Iu Iu Iu Iu #athogens -tagnation

%ntermittent; 4ai 5esitant, Choppy;-e @notted;Bie -hort;4uan Thready;Ii -oft, -oggy; u 'inute, %ndistinct;W ei -cattered;-a n 3orceless;I u Weak; uo 5ollow;@ou 4rumskin, Tympanic, 7eathery;:e

-wift, 5urried;Bi 7arge, (ig;4a 4eep;Chen -low;Chi -lowed 4own;5uan

3loating;3u

TC" Dia*nosis by Palpation ;Pulse Dia*nosis< P One of the , Pillars

4i!isions of the #ulse 7ocation of the adial #ulses The 'ethod of #ulse 4iagnosis 3actors %nfluencing #ulse

%n Western medicine, the pulse is only a minor diagnostic tool, it is, howe!er, !ery important in TC'. #ulse diagnosis gi!es information on ). The state of balance of the body as a whole, i.e. the state of the 8i, (lood, 9in and 9ang, and e!en the constitution. ,. The state of indi!idual $rgans *esp. 9in $rgans+. TC' practitioners feel the pulse and note the rate. They discern width or amplitude, length, how close it is to the surface, how deep and close to the bone, the strength, and other .ualities.

Di0isions of the Pulse

Three area of the #ulse: %nch or Cun: 4istal or 3ront *at wrist crease+ (ar or :uan: 'iddle *1ust medial to radial styloid process+ Cubit or Chi: #ro0imal or ear Three 7e!els of the #ulse: -uperficial: state of 8i and 9ang $rgans in general 'iddle: state of (lood 4eep: state of 9in and 9in $rgans $ -uperficial: the condition of the 60terior or of the Lpper (urner 'iddle: -tomach and -pleen diseases 4eep: %nterior diseases, esp. 7i!er and @idneys

ocation of the Radial Pulses

Three positions at each wrist, along the radial artery. The pulses are palpated at three positions, superficial, middle and deep. 'ost te0ts agree on the following: The pulse essentially reflects the state of 8i in the different burners of the -an Biao *triple burner+.

4istal:

Lpper (urner

'iddle: 'iddle (urner #ro0imal: 7ower (urner

The pulse positions mainly gi!e information regarding the 9in $rgans. %t is more difficult to assess the 9ang $rgans at indi!idual positions *we tend to assess the %ntestines in the 7ower (urner position+ %n pulse diagnosis, most important thing is to assess 5ealth of the 8i in general elationship of 9in and 9ang on the pulse elati!e states of 4eficiency and 60cess Whether an e0terior pathogen is present 6ach pulse position can reflect different phenomena in different situations. 3or e0ample: The 7ung pulse full can occur as a result of emotional problem *grief+ affecting 7ungs or from #hlegm in 7ungs or from an 60cess in 7arge %ntestine channel, such as a tooth abscess.

The "ethod of Pulse Dia*nosis

3eel pulses with the pads of the fingers *most sensiti!e part+ 5and must be rela0ed - neither tense nor flaccid, but fle0ible and maintained in the pulse-taking position with the minimum of effort. 60ercise: Tense the hand as much as possible. Then rela0 and let the hand droop. Then gradually, with as much attention as possible, put 1ust enough energy into your hand to lift the fingers. %magine your fingers are like the lea!es of a treeC if you wa!ed your arm your hand and fingers would float gently after your arm. This is the optimum condition of the hand for pulse taking, rela0ed, fle0ible but responsi!e. #lace the third *middle+ finger pad on the radial artery 1ust medial to the styloid process. The inde0 finger is then placed in the distal position at the wrist crease and the ring finger in the pro0imal position. &$T6: on a small person, the fingers will ha!e to be s.uee"ed close together but on a large person they may need to be spread out. Try to feel the radial artery pulse with all three fingers. Lse e.ual pressure on all three fingers and then release the pressure on the middle finger slightly to compensate for the styloid process. *The pressure of the radial artery on the styloid can produce an artificial pulse reading if the same amount of pressure is e0erted there. The pulse would then appear to be e0cessi!e in the middle position.+ When you can 1ust feel the radial artery, and ha!e ad1usted the pressure of your finger tips, release the pressure e.ually until you can BL-T feel the pulse. This is the superficial position. Then press as deeply as possible *maintaining the relati!e pressure le!els as before+ until you cut off the pulse altogether. elease the pressure until the pulse 1ust returns. This is the deep position. Timing: $ptimum time is early morning, when 9in is calm and 9ang has not yet arisen.

 #osition: #atientDs arm should be hori"ontal and not higher than le!el of heart. 'ost practitioners use a table and place patientDs wrists on a small cushion. 3inger #lacement: (est to keep all fingers in place as described abo!e, and only lift fingers slightly to feel different le!els. (reathing: #ractitioner must regulate his;her breathing in order to be more recepti!e. #atientDs pulse is traditionally correlated with the #ractitionerDs (reathing Cycle in order to determine if patientDs pulse is slow or rapid. *This was misinterpreted for a long time in the West+. &ormal pulse: Three beats or less: 'ore than fi!e beats: <-E beats per practitionerDs breath. -low #ulse apid #ulse

Also pulse can be counted using a watch according to following table: Age )-< <-)= )=-)A )A-/E /E-E= E=K F= or abo!e G< ?G;G= ?A ?,;?= AG ate

4actors that Influence a Pulse Readin*

The < -easons: #ulse is deeper in Winter, more superficial in summer. :ender: 'enDs pulses are naturally a little stronger. %n men, the 763T pulse is slightly stronger and in women the %:5T pulse is slightly stronger. $ccupation: those doing hea!y physical work should ha!e stronger pulse. #atient should not ha!e 1ust eaten a large meal *) hr. before $@+. $therwise, -tomach pulse will read !ery high and other $rgan readings may be depleted. Allow the patient to rest after arri!al at office. Allow )E minutes after urination, defecation or ingestion of li.uids. #ulse diagnosis should take place in a calm, restful en!ironment. -ilence should be maintained during procedure. Western medications can interfere with reading, as can hypertension, and structural anomalies

The Ele0en Treatment "ethods

-weating 2 eleasing the -urface2 'ethod Homiting 'ethod #urging *Iei+ 'ethod 5armoni"ing 'ethod

Warming 'ethod Clearing 'ethod same as Cold 'ethod *Clear 5eat+ Tonifying 'ethod - &ourishing 'ethod *(u 3a+ emo!e Congestion 'ethod Astringing 'ethod %n!igorating the (lood, emo!ing or (reaking (lood -tagnation 'ethod egulating the 8i 'ethod

7' S(eatin* XReleasin* the SurfaceX "ethod

A. 60terior-Cold-60cess patterns. 5erbs: -picy warm herbs to release the surface, such as :inger $ther: 4rink hot water and co!er with blankets when sleeping, hot bath or pri!ate sauna. Anything that causes the patient to sweat *without too much e0ertion+. (. 60terior-5eat-60cess patterns. This condition is the same as Wind-5eat in!asions or the Wen (ingDs Wei -tage of Warm 5eat. 5erbs: Cool herbs to release the surface *e.g., mint, honeysuckle, chrysanthiemum+. These herbs cause the skinDs pores to open slightly to e0pel the 6!il 8i, 1ust by sweating. C. Wind-Water pattern. Wind-Water, or 3eng -hui is a pattern with acute edema occurring *this is different from edema due to @idney disease patterns+. Causes include allergic reactions but also acute nephritis. This pattern can be seen in pediatric cases 5erbs: herbs that release the surface. -weating can clear out the edema. 4. -kin ashes of 60terior type pattern. -kin rashes such as measles, chicken po0, or allergic reactions, such as hi!es. 5erbs: spicy warm or cool herbs to release the surface.

PrecautionsI
Lse only when the when the diagnosis is an e0terior condition. %f the cause it interior, releasing the surface *sweating+ can only weaken the patient. The sweating will ha!e no affect on the disease as it is already deep. 'ust limit sweating to appropriate amount. %f there is too much sweating then the patient will display signs of feeling cold, ha!e a deficient pulse or e!en a rapid pulse from causing the yin to collapse. %f there is not enough sweating, the ailment will still be present. 4etermining the right amount will depend upon the practitionerDs clinic e0perience Contraindicated if the patient is already sweating, !omiting, bleeding or has diarrhea. These conditions will in1ury the patients body fluids. And releasing the surface will only in1ury it more Contraindicated if the patient is too young or too old. As strong sweating when the patientDs constitution is too weak may cause them to go into shock. e Top of #age f

&' 8omitin* "ethod

A. 3ood -tagnation due to o!ereating.

(. %ngestion of To0ins;#oisons. C. #hlegm obstructing airways 5erbs: %n this treatment methods, herbs that induce !omiting are used. -alty water can be used to 2tickle2 the throat. e Top of #age f

)' Pur*in* ;?ei< "ethod

There is a saying in an older Chinese medical te0t which states: 2:inseng has killed many people but nobody says it is because of :inseng. 4a 5uang has sa!ed many peopleDs li!es but nobody says it is because of 4a 5uang *purging+.2 4a 5uang is one of the primary herbs used for the purging method as it induces bowel mo!ements. The saying refers to people using :inseng inappropriately *e.g., self medication+ causing their deaths *a hero with a dark side+. Too much tonifying, or tonifying when it is inappropriate can kill, but people still like the idea of tonifying. $n the other hand few people gi!e 4a 5uang, or the purging method, credit for sa!ing many li!es. #eople donDt like purging so few people reali"e the importance of the #urging method *the unsung hero+. This method is used mainly to purge fire and clear heat A. 3e!er, headache, sweating, abdominal pain, bloating ana constipation. -trong and rapid pulse. ed Tongue body with yellow coat, This is pattern of internal, e0cess, heat. purging method can be used in this e0ample to clear heat. The heat will be e0pelled from the body through the bowel mo!ements. %f there is e!en more heat symptoms, then this treatment method can be combined with the Clear 5eat method. (. 5eat in the (lood. This pattern in!ol!es e0cess heat causing hemorrhages. 3or e0ample, heat in the upper body can result in nose bleeds *epista0is+, coughing up of blood *hemoptysis+, or !omiting of blood *hematemesis+. The purging method can be used to draw the heat down and out through the elimination. This method can effecti!ely stop bleeding e!en though the -top (leeding method isnDt used. C. 4amp-5eat 4iarrhea. The pattern is identified by foul odor elimination with small amounts of mucus *4ysentery+. There may be small amounts of blood. The patient cannot really finish eliminating so the #urging method is used to cleanse and clear the 4amp-5eat 6!il. 4. Turbid Water etention The #urging method can be used only for an 60cess condition *not for 4eficiency+. #urging draws the e0cess water out of the body through the bowel mo!ement. 6. Amenorrhea, or 4ysmenorrhea due to 8i;(lood -tagnation #urging can be used to break down 8i and;or (lood stagnation. After purging the menses will then resume. 3. 7ubricating #urging- 'ild. Thus method in!ol!es using herbs rich in oils *i.e., nuts, seeds+ which ser!e as a la0ati!es. This method is employed when using the cathartics is too harsh. #urging is e0tremely effecti!e for 9angming 3u -yndromesTTT

PrecautionsI
This method is contraindicated if the 6!il is on the 60terior. #urging will only cause the patient to lose body fluid and will not e0pel the 6!il. This method is contraindicated if the 6!il is between the %nterior and 60terior. Again because #urging treats interior e0cess conditions, this method is not effecti!e for patterns that are between the interior and e0terior for e0ample in -haoyang -yndromes. This method is contraindicated if the patient is too young or too old. This method is !ery ta0ing on the body so if they are already deficiency, purging can only cause more deficiency. This method is !ery much contraindicated during pregnancy. 'ay cause miscarriage. This method is also contraindicated during the menses. Can cause hea!ier bleeding. When using this method, restrict use to ) or , times. $therwise, too much purging will cause deficiency. e Top of #age f

,' $armoniEin* "ethod

A. Lsed for 5alf %nterior, 5alf 60terior *-haoyang+ -yndromes. 3or e0ample: common cold, flu, malaria where symptoms correspond with the -haoyang syndrome. 5erbs: spicy cool herbs to release the surface and also herbs to tonify the -pleen deficiency. (. Lsed for disharmony between the internal organs. 3or e0ample: in syndromes such as 7i!er in!ading the -pleen or -tomach, #remenstrual -yndrome, hepatitis, digesti!e function disorders, li!er function disorders, often for female disorders. C. Lsed as a last resort. %f none of the other treatment methods are effecti!e, you can resort to this method.

PrecautionsI
Take caution in correctly identifying that this condition is between the %nterior and 60terior. As this method is not ad!isable if the condition is on the e0terior or in the interior. Also take care not to be careless in 1ust using this method. As opposed to making a through diagnosis. e Top of #age f

.' Carmin* "ethod

A. Lsed to -a!e the 9ang in the case of 9ang Collapse. This methods brings back the 9ang in se!ere 9ang deficiency. %n 9ang Collapse the patient may ha!e the following symptoms: poor shen, cold touch *whole body+, pallor, cold sweat, slow-weak-irregular pulse. This is also described as the separation of 9in and 9ang *rather serious+. 5erbs: -trong 9ang tonifying herbs to sa!e the 9ang. -uch as @orean ginseng, or dried ginger. $ther: %n this circumstances, keep the patient warm *increase room temperature+. 'o0a acupuncture points: 4u-,= (aihui and -t-/A >usanli or use warm needle techni.ue. (. Also used to Tonify the 9ang in cases of 9ang 4eficiency. This is similar to condition A but less serious. 'ost common application is for 'iddle Biao Cold 4eficient patterns *-pleen and -tomach

affected+. -ymptoms include: cold diarrhea *diarrhea without heat signs+, cramping and pain in abdomen, undigested food in elimination, increase pain with ingestion of cold foods, low energy;fatigue, bloating, poor appetite, nausea and !omiting. 5erbs: warm, hot herbs to tonify the yang *e.g., ginger, peppers+. $ther: needle and mo0a en-), >hongwan and -t-/A >usanli. C. Lsed for Cold;-tagnation of Channel 8i. Cold and pain on specific parts of the body. 5erbs: 'ay use herb plaster or pepper oil in affect areas. $ther: Lse needle and mo0a on acupuncture points in the affected area. 4. Lsed to Warm @idney 9ang. %n conditions when the 27ife-:ate 3ire2 is not strong enough there may other associated patterns which complicate the 9ang deficiency. -uch as 2dirty water2 edema *due to @idney deficiency+, urinary dysfunction, or reproducti!e dysfunction. This method is used to tonify the @idney 9ang to treat associated symptoms. Can use @idney (ack--hu points or 4u channel points or @idney channel points.

PrecautionsI
'ake sure the patient has no hemorrhaging. 6specially due to e0cessi!e heat, but also due to 9in deficiency problems. Warming method will worsen the bleeding. 'ake sure the patient does not ha!e false cold symptoms. %n cases of e0treme heat, false symptoms may arise. 9ou must make sure this is not the case as the Warming method will worsen these cases. 3loating 9ang. The warming method i not appropriate because this is a heat *deficient+ problem. e Top of #age f

/' Clearin* "ethod same as Cold "ethod ;Clear $eat<'

A. Lsed to Clear 5eat specifically, and for deto0ification Lse for syndromes where there is 5eat and To0ins on the interior of the body *To0in is not e0actly the same as in Western 'edicine+. %ncludes conditions such as to0emia and septicemiaC -ymptoms include: fe!er, dermatitis, or bronchitis. 5erbs: honeysuckle, dandelion, chrysanthemumC their use is similar that that of Western medicineDs aspirin and antibiotics. (. Lsed to Treat 8i -tage Warm 5eat *Wen (ing+ or 9angming 5eat *-hang 5an 7un+. &ote that this is for 9angming channel conditions where the 2four (igDs2 are present *big fe!er, thirst, pulse, sweat+. $therwise if it is the 9angming 3u syndrome *constipation+ then use the #urging method. Acupuncture: 7%-)) 8uchi and other cooling points. $thers: apply ice to armpits, forehead. C. Lsed to treat 5eat in the (lood at the Wei, 8i and 9ing le!els. 3or symptoms such as skin rashes, fe!er *esp. nighttime fe!er+, and bleeding in some areas of the body. 4. Lsed to Clear 4amp 5eat. 3or e0ample, 7ower Biao 4amp 5eat will ha!e symptoms such as fe!er, red face , cloudy urine accompanied by burning sensation and urgency, diarrhea, red tongue with yellow greasy coating. 5erbs: to clear heat and dry dampness.

6. Lsed to Clear 4eficient 5eat *9in 4eficiency+ 4eficiency heat symptoms include| e: Tow grade fe!er, thirst, night sweating, malar flush, etc.. We use this method combined with 9in tonification.

PrecautionsI
'ake sure this is true heat as opposed to false heat and true cold. %f it is true cold do &$T use the Clearing 5eat method. 4o &$T use this method for too long. $therwise you may damage the 9ang 8i and will cause further complication to the disease pattern. e Top of #age f

1' Tonifyin* "ethod P Nourishin* "ethod ;%u 4a<

A. Lsed to Tonify 8i 3or 8i deficiency syndromes and related syndromes such as 8i -inking, etc.. Appropriate herbs include: 4ang -hen, ginseng, 5uang 8i. (. Lse to Tonify 9ang -imilar to tonifying 8i but including temperature thus also warming as well. 5erbs include: peppers, cinnamon bark, dry ginger, and treated ginseng. C. Lse to Tonify (lood Lsed for blood deficiency conditions the most ob!ious being anemia. 5owe!er tonifying blood may be appropriate for !arious menstrual dysfunctions so long is it is related to blood deficiency. Appropriate herbs include 4ang :u 4. Lse to Tonify 9in $ne aspect of 9in is body fluids. -o 9in deficiency shows up as dryness issues such as dry skin, mouth, eyes. (lood is also part of 9in as well. -o (lood deficiency pattern can progress into 9in deficiency. Appropriate herbs include American :inseng *Ii yang shen+ which can tonify body fluids as well.

PrecautionsI
4o not tonify when there is an e0terior disease present. The idea is that if you tonify *the interior+ while there is an e0terior 6!il, you run the risk of leading the 6!il into the interior. 4o not tonify when there is an e0cess 5eat pattern present. Tonifying when there is a fe!er will likely worsen the fe!er. 7ike adding fuel to a fire. 4o not tonify if there is an e0cess type pain. Again if you tonify when there is pain due to 8i stagnation it will increase the pain *like increasing the pressure without unblocking the obstruction+. There are cases where the patient may be so deficient, that they are unable to tolerate tonification methods. 3or e0ample, the -pleen is so weak that the digesti!e tract is unable to handle the stronger herbs. 3urthermore doing so may weaken them more *i.e., lower their appetite, etc+. This is analogous to feeding someone who has been star!ing for a long period. They would not be able to tolerate rich foods. -tart with simple foods and build up from there. Tonification must be done o!er longer periods compared to other treatment methods. Bust using it a few days will not be effecti!e. -o it is important to monitor the treatment as well as to a!oid abuse of tonification. Comparison with Western 'edicine: When to use Tonification.

). 5ormonal #roblems Appropriate for conditions such as deficient adrenal glands *AddisonDs diseases+ where the @idney is 9ang 4eficient. 5ypothyroidism is similar to 9ang deficiency. 5yperthyroidism is similar to 9in deficiency. ,. Asthma 3or asthma due to deficient @idney and 7ung it may be appropriate to tonify these organs. /. $rgan #rolapse Tonify the >hong 8i, 'iddle 8i and -pleen 8i for condition such as hernia *&$T always+, prolapsing uterus, rectum, etc.. <. (one 4iseases %ncluding arthritis, broken bones, osteoporosis *the @idneys control the bone so tonify the @idneys+. E. Tonify the 7ungs 8i to benefit the %mmune system. 3or conditions such as A%4-, 6pstein (arr Hirus. A. 'ay be appropriate for some types of Cancer *difficult to treat+. Tonify the >heng 8i but must also (reak -tagnation and 4issol!e #hlegm. ?. Anemia 'ay also be difficult to treat as it may be due to lack of marrow functionC if so then tonify the @idney and -pleen to treat this condition. $!erall the Tonification method is used fre.uently in the clinic, especially for people with chronic illnesses. e Top of #age f

2' Remo0e Con*estion "ethod

A. Lse to Treat 3ood -tagnation. Can be due to poor digestion or o!ereating causing bloating, nausea, !omiting, diarrhea. 3ood -tagnation herbs are used specifically for these conditions. (. Lse to Treat #hlegm Congestion This is not the same as the Western notion of phlegm. %t includes but is not limited to the sputum we e0pectorate. &odules, fatty tumors, swollen glands are consider phlegm under the skin. Acupuncture: Turtle needling techni.ue. C. Lse to 4rain 4ampness and Transform *4issol!e+ #hlegmC and also Clear 5eat. Where there is 4ampness present, the patient may feel !ery tired and hea!y. 4ampness can also be complicated by 5eat. And if it persists long enough can turn into phlegm. 60amples: 7ower Biao 4amp 5eat can look like a urinary tract infection *LT%+. 3or this condition you need to promote water *circulation and elimination+ and remo!e dampness. Lpper Biao 4ampness can manifest as 'eniereDs disease where there is !ertigo, di""iness due to 4amp congestion. Again this is treated by promoting water mo!ement and draining 4ampness.

PrecautionsI
emo!ing Congestion and #urging are methods used to treat 60cess conditions. %f the onset of

the condition is acute, use the #urging method not the emo!e Congestion method. emo!e Congestion is not as strong but nor is it as harsh as #urging. Contraindicated for 4eficiency conditions. e Top of #age f

3' Astrin*in* "ethod

A. Lsed to -top -weating *Astringe -weating+. 3or 8i 4eficient sweating also tonify 8i. 3or 9in 4eficient -weating also tonify the 9in. (. Lsed to -top Coughing *Astringe the 7ungs+ (y astringing the 7ung, this can stop chronic coughs. C. Lsed to -top 4iarrhea *Astringe the %ntestines+ Lse to stop chronic types of diarrhea, also can stop prolapse of the large intestines. 4. Lsed to -top Lrination *Astringe the (ladder+ Lse for bed wetting or too fre.uent urination *day or night+. 6. Lsed to -top -permatorrhea *Astringe the Bing+ Also for premature e1aculation. 3. Lsed to -top 7eukorrhea *Astringe the (elt Channel;4ai 'ai+ Also appropriate for e0cess menstrual bleeding. :. Lsed to -top 5emorrhage *Astringe the (lood+. Lsed for chronic bleeding conditions such as hemophilia

PrecautionsI
4o &$T use for acute 60cess condition. This both will lock in any e!ils so you must be sure there is no e0cess condition *such as heat, wind, etc..+. :enerally you would combine this treatment method with the Tonifying treatment method. The tonification treats the root of problem while -tringing treats the symptoms. e Top of #age f

7@' In0i*oratin* the %lood5 Remo0in* or %rea9in* %lood Sta*nation'

A. Lsed to egulate the 8i and Hitali"e the (lood. 8i is the leader of the (lood, so some kinds of (lood -tagnation are caused by 8i stagnation and congestion. 3or e0ample 7i!er 8i -tagnation produces #'- symptoms *painful menstruation+. This method is good for many female problems. (. Lsed to Warm the Channels and Hitali"e the (lood. (lood stagnation can be caused by Cold 6!il. $ne of the ob!ious symptoms of blood stagnation is sharp pain, pain that is somewhat alle!iated by warmth. 3or this condition, can use mo0a and acupuncture to treat as well. C. Lsed for certain kinds of Wind #roblems which cause (lood -tagnation. :enerally %nternal Wind is

caused by 60cess 5eat. 5owe!er, (lood stagnation can also cause %nternal Wind. 3or e0ample a stroke due to (lood stagnation can cause Wind symptoms *paralysis+, as can trauma. 4. Lsed to stop (leeding due to (lood -tagnation. (lood stagnation can cause (leeding. %n such cases, the -top (leed method does not work because of the stagnation. 3or e0ample, tissue left behind an abortion, or after deli!ery can cause uterine bleeding. 6. Lsed in Cancer conditions. (lood stagnation is considered one of the 6!ils that contribute to cancer. Cancers that ha!e blood stagnation .ualities *purple coloration, fi0ed stabbing pain, mass;tumor+ can be addressed using the treatment method.

PrecautionsI
4o &$T use this method during the patientDs period. This will cause e0cessi!e bleeding. 4o not use this during pregnancy. As you may cause bleeding and a miscarriage. 4o not use this method for long periods. $therwise you may break down the blood, affecting the 8i, resulting in deficiency patterns. e Top of #age f

77' Re*ulatin* the =i "ethod

A. Lsed for 8i -tagnation Lse herbs and acupuncture to mo!e the 8i to break up the stagnation. %n this pattern e0ercising can help too. (. Lse for ebellious 8i Can be used for 7ung or -tomach 8i rising up. %n both cases the 8i normally descends. When the 8i rebels, it ascends producing symptoms. %n the 7ungs you ha!e coughing, and in the -tomach you ha!e belching or !omiting. Lse herbs and acupuncture points that direct the 8i downwards.

PrecautionsI
egulating method may spread the 8i to much weakening the 8i. 'ay consider adding 8i tonifying method, or making sure that the patient is not too 8i deficient. Contraindicated when patient is 9in;(lood deficient. 5erbs that regulate the 8i are spicy and dry. This method will dry out the body aggra!ating the 9in;(lood deficiency.

un* Pattern Differentiation in Chinese "edicine

7ung 8i 4eficiency 7ung 9in 4eficiency 7ung 4ryness %n!asion of the 7ungs by Wind-Cold %n!asion of the 7ungs by Wind-5eat

%n!asion of the 7ungs by Wind-Water 4amp-#hlegm $bstructing the 7ungs #hlegm-5eat $bstructing the 7ungs #hlegm-3luids $bstructing the 7ungs

un* Patterns
Etiolo*y 7ung patterns can be of either 60cess or 4eficiency. With 4eficient patterns, 7ung 8i 4eficiency is more common than 7ung 9in 4eficiency. %n 60cess patterns, the 7ungs are usually in!aded by e0ternal pathogens, mostly Wind, Cold, and 5eat. Patho*ens Wind can combine with Cold or 5eat to form Wind-Cold and Wind-5eat. 60ogenous pathogenic factors commonly first attack the Wei 8i *defensi!e energy+ and e0terior of the body. This would result in e0terior condition, as the 7ungs ha!e not yet been affected. Common symptoms such as fe!er, chills, a!ersion to Cold, aching, snee"ing, and stuffy nose indicate the struggle between the (odyDs Wei 8i and the in!ading pathogen *such as e0ternal Wind 5eat+. As the condition worsens, the 7ungs can easily become in!ol!ed. 4ryness, both internal and e0ternal, can affect the lungs creating symptoms such as dry throat, cough, and dry skin *the 7ungs control the skin+. Although uncommon, 4ampness can combine with Wind causing an 60terior disorder with facial edema. Diet 60cessi!e consumption of Cold and raw *salads, dairy, etc.+ foods decreases the -pleenDs ability to transform and transport nutrients. When the -pleenDs ability is impaired, %nternal 4ampness and e!entually #hlegm accumulates in the (ody. %n Chinese 'edicine it is said that while the -pleen is the producer of #hlegm, the 7ungs are the container for #hlegm. Emotions (oth sadness and worry are associated with the 7ungs. Chronic sadness disperses 8i and causes 7ung 8i 4eficiency. Chronic worry knots or ties up the 8i causing -tagnation of 8i in the chest. ifestyle Acti!ities *or non acti!ities+ that restrict mo!ement of the chest and breathing such as being hunched o!er a desk in computer work, reading, or studying can deplete the 7ung 8i. 60cessi!e la"iness and lounging can also weaken 7ung 8i.

un* =i Deficiency
Si*ns
Weak breathing, shortness of breath on e0ertion The 7ungs go!ern respiration Weak cough

7ungs are too weak to send 8i downward Thin watery sputum 7ung 8i too weak to regulate water passages Weak !oice, lack of desire of speaking Weak >ong 8i -pontaneous sweating, easily sweats, daytime sweating 7ungs circulate Wei 8i which go!erns the opening and closing of skin pores A!ersion to Cold 7ungs and Wei 8i warm the skin and muscles (right white comple0ion 8i 4eficiency Weakened %mmunity Weak 7ung 8i is also closely tied to weak Wei 8i, which could lead to fre.uent colds.

Pulse
6mpty pulse

Ton*ue
#ale or normal tongue body

Etiolo*yTPatholo*y
Chronic 7ung problems may be hereditary, especially if a parent had 7ung tuberculosis. There may be trans!erse cracks in 7ung area and the 7ungDs pulse position may be more medial than normal. 60terior Wind Cold or Wind 5eat may remain in the body and e!entually cause 7ung 8i 4eficiency. There is often a chronic cough following an e0terior Wind Cold or Wind 5eat in!asion. This situation can be worsened when taking antibiotics for cold or flu, as they contain the Cold in the chest and interfere with 7ungDs dispersing v descending functions.

un* +in Deficiency

Si*ns
4ry cough or cough with sticky sputum 7ung 9in not nourishing 7ung 4ry mouth and throat, 5oarse !oice 4eficient fluids (lood tinged sputum 9in 4eficient 5eat burns the !essels 7o!er grade fe!er or heat sensation in the e!ening time, malar flush, night sweats, fi!e palm heat 9in 4eficiency producing empty heat %nsomnia 9in 4eficiency and 5eat disturb the -hen

Ton*ue
ed peeled tongue with cracks in the 7ung area %n early stage, tongue signs are not as pronounced

Pulse
6mpty, floating, and rapid pulse

Etiolo*y
). ,. /. <. 7ung 9in 4eficiency can de!elop from prolonged 7ung 8i 4eficiency. Can be due to -tomach 9in 4eficiency, which can be caused by irregular eating habits or diet. Can result from @idney 9in 4eficiency, which can be caused by chronic o!erwork. Can de!elop from 7ung 4ryness *from e0ternal or internal causes+

Treatment Principle
Tonify 7ung 9in, nourish (ody fluids clear 6mpty 5eat

Points
U 3 *Taiyuan+ -ource pointC can tonify 7ung 9in RENP71 *-han"hong+ Tonifies 8i and 7ung 9in % ,) *:aohuangshu+ Tonifies 7ung 9in, especially good in chronic cases % 7) *3eishu+ Tonifies 7ung 8i v 9in Du 7& *-hen"hu+ Tonifies 7ung 8i v 9in RENP, *:uanyuan+ Tonifies @idney 9in v conducts 6mpty 5eat downwards #I / *>haohai + Tonifies @idney 9in v benefits throat esp. good where throat is dry. Can combine 7L ? and @% A to tonify 7ung 8i and 7ung 9in, tonify @% 9in v benefit throat, reconnect 7ungs v @idneys RENP7& *>hongwan + Tonifies -tomach v nourishes fluids *-tomach is origin of fluids+ U 7@ *9u1i+ -edate to clear 6mpty 5eat from 7ungs

"ethod
Tonify all #oints e0cept 7L )= which is sedated. &o mo0a.

un* Dryness
7ung 4ryness is characteri"ed by signs of 4ryness with deficient fluids, but it is not yet of 9in 4eficiency. %t could be considered less se!ere and a precursor to 7ung 9in 4eficiency.

Si*ns
4ry cough, 4ry throat, 4ry mouth, 4ry skin Thirst 5oarse Hoice

Ton*ue
4ry, but not ed

Pulse
6mpty, especially in the 7ung position

Etiolo*yTPatholo*y
7ung 4ryness can be either 60terior or %nterior. 60terior 4ryness damages 7ung fluids, such as in long periods of dry and hot weather. %nternal 4ryness can occur from -tomach 9in 4eficiency *i.e. - from irregular eating times, irregular diet, etc.+.

Treatment Principle
'oisten the 7ungs and &ourish 3luids

Points
U 3 *Taiyuan+ 'oistens 7ungs RENP, *:uanyuan+ Tonify @idney 9in v nourishes fluids #I / *>haohai+ &ourishes 3luids, benefits throat Sp / *-an9in1iao+ &ourishes 3luids RENP7& *>hongwan+ Tonifies -tomach v nourishes 3luids

"ethod
Tonify all points

In0asion of un*s by Cind Cold

Si*ns
3e!er Wind Cold pathogen battles with Wei 8i A!ersion to Cold 60terior Cold impairs circulation of Wei 8i which cannot warm muscles $ccipital headache, whole head headache (ody aches 60terior Cold impairs circulation of Wei 8i which cannot warm muscles Cough, snee"ing, stuffy nose or runny nose with thin clear mucus, %tching throat 7ungs descending and dispersing ability is impaired

Ton*ue
Thin white tongue coating

Pulse
3loating pulse

Etiolo*yTPatholo*y
). 6n!ironmental Wind and Cold can enter the body *to superficial or deep le!els+ depending on the strength of bodyDs Wei 8i in relation to a pathogen. ,. Artificial sources of Wind Cold, such as air conditioning can also cause Wind Cold.

Treatment Principle
elease 60terior, disperse Cold, stimulate 7ung descending and dispersing function

Points
U 1 *7ie.ue+ 4isperses Wind Cold, releases 60terior, stimulates 7ung dispersing;descending % 7& *3engmen+ eleases 60terior, 60pels Wind *esp cupped+ 'o0a after needling. Du 7/ *3engfu+ 60pels wind

"ethod
sedationC mo0a applicable after needling.

In0asion of the un*s by Cind $eat

60terior pathogenic Wind combines with 5eat and in!ades 7ung 60terior portion *7ung 4efensi!e 8i

portion+

Si*ns
3e!er 60ternal Wind battles with Wei 8i A!ersion to Cold Wind obstructs Wei 8i circulation -ore throat, -wollen tonsils, thirst #athogenic 5eat drying body fluids cough, stuffy nose, runny nose with yellow mucus 60ternal pathogen disrupts descending and dispersing function of the 7ungs 5eadache and body aches -light sweating

Ton*ue
ed body on sides or tip, thin white or yellow coating

Pulse
3loating and rapid pulse

Etiolo*yTPatholo*y
60posure to Wind may turn to Wind 5eat in a person with a tendency toward 5eat. Wind 5eat may be caused by !irus or bacteria contracted through the nose and mouth. 60posure to en!ironmental wind and heat

Treatment Principle
elease 60terior, clear 5eat, stimulate 7ung descending and dispersing functions

Points
I , *5egu+ elease 60terior v clear 5eat I 77 *8uchi+ elease 60terior v clear 5eat u 77 *-haoshang+ Clears 7ung 5eat. 6sp good for sore throat Du 7, *4a"hui+ Clear heat % 7& *3engmen+ 60pel 60terior Wind Du 7/ *3engfu+ 60pel 60terior Wind !% &@ *3engchi+

60pel 60terior Wind

"ethod
-edate. &o mo0a. 7L-)) can be bled for sore throat

In0asion of the un*s by CindPCater

This is an 60terior in!asion of Wind-Cold and 4amp pathogens. %n addition to Wind-Cold signs, there are signs of 4ampness as well. (ecause the 7ungDs function of controlling Water passages is impaired, this results in facial edema.

Si*ns
-udden swelling of the face and eyes, which may spread to the whole body, scanty urination 7ungs are obstructed by Wind-Cold-4amp and can not properly send 3luids downward #ale urination, bright shiny comple0ion Wei 8i and 9ang mo!ement is impeded A!ersion to Wind %mpaired Wei 8i 3e!er 60terior pathogen struggling with the Wei 8i Cough and shortness of breath 7ung 8i not descending

Ton*ue
White slippery tongue coat

Pulse
3loating and slippery

Etiolo*yTPatholo*y
60posure to e0terior Wind-Cold and 4ampness

Treatment Principle
elease the 60terior, disperse Cold, resol!e 4ampness, restore 7ung descending function, open Water #assages

Points
UP1 *7ie.ue+ eleases 60terior, stimulates 7ung descending function - $pens Water passages IP/ *#ianli+ $pens 7ung Water passages

IP1 *Wenli+ Ii Cleft point of 7% channel, use for acute conditions IP, *5egu+ elease 60terior, opens Water #assages RENP3 *-huifen+ $pens Water #assages, resol!es edema % P7& *3engmen+ elease the 60terior, stimulate 7ung 8i to descend % P7) *3eishu+ elease the 60terior, stimulate 7ung 8i to descend

"ethod
-edate

DampPPhle*m Obstructin* the un*s

This is an 60cess %nterior Cold syndrome. While #hlegm is obstructing the 7ungs, the pattern usually arises from chronic -pleen 4eficiency with 4ampness that e!entually turns to #hlegm

Si*ns
Chronic cough with acute attacks #hlegm obstructing the descending function of the 7ung 8i #rofuse white phlegm that is easily e0pectorated #ale or pasty looking face -pleen and 9ang 8i 4eficiency of the 7ungs and -pleen *pale+ or presence of dampness *pasty+ -tuffiness in the chest #hlegm obstructing the chest 4yspnea #hlegm obstructing 7ung 8i -ymptoms are worse lying down

Ton*ue
Think sticky white coat

Pulse
-lippery pulse, or soggy and weak pulse

Etiolo*yTPatholo*y
4eficiency of -pleen 8i or -pleen 9ang 3re.uent or reoccurring in!asions of e0terior pathogenic factors will weaken the 7ungs and -pleen. This leads to formation of #hlegm. #hlegm ultimately settles in 7ungs. 60cessi!e consumption of greasy, cold, or raw foods leads to the formation of #hlegm

Treatment Principle
esol!e #hlegm, restore 7ung descending function

Points
U . *Chi"e+ 60pels #hlegm from 7ungs U 1 *7ie.ue+ -timulates 7ung descending function. -tops cough U 7 *>hongfu+ -tops cough v resol!es #hlegm Ren 71 *-han"hong+ -timulates 7ung descending function ST ,@ *3inagling+ esol!es #hlegm PERP/ *&eiguan+ $pens the chest and e0pels #hlegm Ren && *Tiantu+ 60pels #hlegm from throat v stimulates descending function of the 7ung Ren 7& *>hongwan+ Tonifies -pleen to resol!e #hlegm Ren 3 *-huifen + -timulates -pleen function of transformation;transportation v resol!es 4ampness % &@ *#ishu+ Tonifies -pleen to resol!e #hlegm % 7) *3eishu+ -timulates 7ung descending function

"ethod
Tonify (7-,= and 6&-),, -edate all other points.

Phle*mP$eat Obstructin* the un*s

This is an 60cess 5ot %nterior condition. 7ung #hlegm 5eat is often chronic. The pattern is similar to 4amp-#hlegm, but with the added component of 5eat.

Si*ns
Cough 7ung 8i not properly descending #rofuse yellow, green, or brownish, possibly foul smelling 4ue to #hlegm and 5eat -hortness of breath, Asthma, -tuffiness in the chest #hlegm obstructing descending 7ung 8i

Ton*ue
Thick sticky yellow coating

Pulse
-lippery, rapid, and full pulse

Etiolo*yTPatholo*y
). $!er-consumption of greasy and hot foods ,. -moking /. 60terior Wind 5eat can weaken 7ung 8i and lea!es pathogenic 5eat and #hlegm, which e!entually become chronic.

Treatment Principle
esol!e #hlegm, clear 5eat, stimulate 7ung descending function

Points
U . *Chi"e+ Clears 5eat v #hlegm from 7ungs U 1 *7ie.ue+ -tops coughC restores descending;dispersing U 7@ *9u1i+ Clears 7ung 5eat U 7 *>hongfu+ estores descending function, clears 7ung 5eat % 7) *3eishu+ -edate to clear 7ung 5eat I 77 *8uchi+ Clears heat Ren 7& *>hongwan+ esol!es #hlegm ST ,@ *3inagling+ esol!es #hlegm

"ethod
Lse e!en method on 6&-),. -edate all other points.

Phle*mP4luids Obstructin* the un*s

Chronic condition where !ery watery, dilute v frothy #hlegm *#hlegm-3luids+ obstructs 7ungs $nly seen in old;middle aged people.

Si*ns
Cough with frothy white and watery sputum 4yspnea 7ung 8i can not properly descend -plashing sounds in the chest Weak -pleen and #hlegm 3luids Homiting of frothy sputum Chills 9ang 4eficiency of -pleen and 7ungs

Ton*ue
#ale body with a thick sticky white coating

Pulse
-lippery weak or 3loating weak pulse

Treatment Principle
esol!e #hlegm and Tonify the -pleen and 7ung 8i

Points
U . *Chi"e+ Clears #hlegm from 7ungs U 3 *Taiyuan+ Tonifies 7ung 8i v resol!es #hlegm esp chronic Ren 71 *shan"hong+ Tonifies 7ung 8i v stimulates descending function % 7) *3eishu+ Tonifies 7ung 8i Ren 3 *-huifen+ esol!es dampness ST ,@ *3inagling+ esol!es #hlegm Ren 7& *>hongwan+ Tonifies the stomach to resol!e phlegm % ,) *:aohuangshu+ Tonifies 7ung 8iC 6-# good in chronic conditions ST )/ *>usanli+ Tonifies -pleen 8i

"ethod
-edate 7L-E, -T-<=, 6&-F. Tonify other points. 'o0a applicable.

Differentiation of Syndromes Accordin* to the / Channels

4ifferentiation of syndromes according to the A channels originally appeared in the Traditional Chinese 'edicine classic called the 2-hang 5an 7un2, which can be loosely translated as 2$n Cold 4amage2. %t was written by >hang >hong Bing in the late 5an 4ynasty, circa ,=-,== A.4. The original te0t was then di!ided into two te0ts, one being the 2-han 5an 7un2 which focused on e0ternal conditions, and the other being the 2Bin @ui 9ao 7ue2 which focuses on internal conditions. 'any of the herbal formulas from these two te0ts are not only !ery elegant, but still useful today. Tai 9ang *%nitial 9ang+ -yndromes Tai 9ang >hong 3eng -yndrome 3ebrile 4isease caused by Wind *60ternal 4eficiency+ Tai 9ang -hang 5an -yndrome 3ebrile 4isease caused by Cold *60ternal 60cess+ 9ang 'ing *:reater 9ang+ -yndromes 9ang 'ing Bing *Channel+ -yndrome 9ang 'ing 3u *$rgan+ -yndrome -hao 9ang *7esser 9ang+ -yndrome Tai 9in *%nitial 9in+ -yndrome -hao 9in *7esser 9in+ -yndrome 9ang 4eficient -hao 9in -yndrome 9in 4eficient -hao 9in -yndrome Bue 9in *:reater 9in+ -yndrome

Tai +an* ;Initial +an*< Syndromes

The Tai 9ang syndrome corresponds to the initial in!asion of the e0ternal Cold 6!il through the pores and interstices of the skin. :eneral symptoms: 5eadache and -tiff &eck Chills and 3e!er 3loating #ulse The stiff neck and headache will be located in the Tai 9ang *(ladder and -mall %ntestine Channel+ areas of the body. The floating *superficial+ pulse is located in the e0terior, and with the finger raised, it has a surplus, when pressing down it is insufficient, weak, or disappears. When pressure is released, it regains full strength. A fe!er ensues when the strong >heng *Lpright+ 8i of the body engages the Wind-Cold in!asion *Cold

6!il+ at the surface le!el of the body. Tai 9ang syndrome fe!ers are relati!ely mild because the in!ading cold is weak compared to the bodyDs Wei *4efensi!e+ 8i, as it is in the initial stage of entering the body. %f the cold e!il becomes stronger because the Wei *4efensi!e+ 8i is weak or easily depleted, the fe!er will increase as the pathogen penetrates deeper into the 9ang 'ing or -hao 9ang channels. The Tai 9ang fe!er is generally accompanied by chills, at least in the initial stages of the in!asion. &asal discharge and snee"ing are not included in the general symptoms for the Tai 9ang syndrome.

A' Tai +an* 6hon* 4en* Syndrome

3ebrile 4isease caused by Wind *60ternal 4eficiency+ -ymptoms: 3e!er - 3rom Wei *4efensi!e+ 8i fighting with the 6!il 8i 6asily #erspires - 3rom the inability of the body to keep the pores closed due of 7ung 8i 4eficiency - Also the bodys attempt to relie!e the fe!er and heat 5eadache - Cold type of headache with muscle tension around the neck. Chills A!ersion to Wind Ton*ueI The tongue body appears deficient *perhaps pale+, and the coating is normal: thin, white. PulseI 'oderate 3loating *superficial+ pulse. The pulse is moderate *as opposed to strong+ as this is a deficiency condition - the patient perspires easily. Conse.uently the pulse is not as rapid *as in an e0cess condition+. Shen ;Spirit<I The patient may appear tired and weak. Treatment 4ormulaI !ui 6hi Tan* *Cinnamon Twig 4ecoction+ 3unction: eleases the pathogenic influences from the muscle layer and harmoni"es the nutriti!e *9ing+ and defensi!e *Wei+ 8i. Contents: :ui >hi (ai -hao -heng Biang 4a >ao :an Cao

%' Tai +an* Shan* $an Syndrome

3ebrile 4isease caused by Cold *60ternal 60cess+

-ymptoms: 3e!er and Chills with a!ersion to Cold &o #erspiration - As this is an e0cess condition, the pores are closed and the skin is dry and tight 5eadache - %n the Tai 9ang Channel area *occipital region+ 7umbago Arthralgia :eneral aching Ton*ueI &ormal body with thin white coating PulseI 3loating and tight pulse. Treatment 4ormulaI "a $uan* Tan* *6phedra 4ecoction+ 3unction: eleases the 60terior Cold and arrests whee"ing. $pens the 7ung 8i and induces sweating. Contents: 'a 5uang :ui >hi Iing en :an Cao

Acupuncture #oints: *Appropriate for both e0ternal deficiency and e0ternal e0cess syndromes+ >hong 3eng and -hang 5an 7ie.ue *7L-?+ 3engchi *:(-,=+ Bian1ing *:(-,)+ 3eishu *(7-)/+ e Top of #age f

+an* "in* ;!reater +an*< Syndromes

As the pathogenic factor in!ades the interior of the body in the 9ang 'ing stage, both the >heng *Lpright+ 8i and the 6!il *Iie+ 8i are strong, turning the e0cess pathogen in to heat within the body. 9ang 'ing fe!ers are therefore more se!ere than fe!ers in the Tai 9ang stage. %n the 9ang 'ing -yndrome, there are no chills. There are two types of 9ang 'ing -yndromes, one that in!ol!es the channel, and the other in!ol!es the related >ang 3u *-tomach and 7arge %ntestine organs+. (oth of these syndromes can occur at the same time.

A' +an* "in* :in* ;Channel< Syndrome

-ymptoms *The 3our (igDs+: (ig fe!er - This indicates %nterior 60cess 5eat - This may be accompanied by mental restlessness or irritability if the 5eat affects the mind (ig sweat - %nterior 60cess 5eat is e!aporating fluids or forcing fluids out (ig thirst - 3rom consumption of body fluids and e0cess heat. - A preference for cold drinks (ig pulse. - -trong pathogenic and anti-pathogenic factors ed 3ace &o a!ersion to cold Ton*ueI ed (ody with Thick 9ellow Coat *or dry coating+. PulseI 60cess #ulse Treatment 4ormulaI %ai $u Tan* *White Tiger 4ecoction+ 3unction:Clears 8i -tage and 9ang 'ing Channel 5eatC 4rains -tomach 3ire, generates body fluids and alle!iates thirst. Contents: -hi :ao >hi 'u Bing 'i >hi :an Cao

%' +an* "in* 4u ;Or*an< Syndrome

-ymptoms: The 3our (igDs *As Abo!e+ Constant 3e!er, but more pronounced in the afternoon. Abdominal distention - The 9ang 'ing 3u *$rgan+ syndrome will also ha!e abdominal bloating or in more se!ere cases, abdominal masses. This is due to the heat drying the fluids, causing 8i -tagnation in the organs Constipation - The main distinguishing symptom of the $rgan *3u+ and Channel *Bing+ syndrome - 4ue to interior heat consuming fluids Tongue: Thick, 4ry, 9ellow Coat. #ulse: 60cess #ulse

Treatment 4ormulaI Da Chen* =i Tan* *'a1or $rder the 8i 4ecoction+ 3unction: Higorously purges the 5eat Accumulation *induces defecation+. Contents: 4a 5uang 'ang Iiao 5ou #o >hi -hi e Top of #age f

Shao +an* ; esser +an*< Syndrome

The Tai 9ang stage in!ol!es 6!il pathogens *Cold, Wind+ on the e0terior of the body which need to be released or 2sweated out.2 The 9ang 'ing stage in!ol!es pathogenic 5eat in the %nterior which need to be purged through the bowels. %n between these two stages is the -hao 9ang syndrome where the pathogen is between %nternal and 60ternal. Although the -hao 9ang symptoms include both chills and fe!er, these symptoms alternate from one to the other. The related channels of the -hao 9ang syndrome are the -an Biao, :allbladder, #ericardium, and 7i!er. -ymptoms: Alternating chills and fe!er - %t was belie!ed that fe!ers corresponded to the bodyDs >heng *Lpright or :ood+ 8i fighting and winning against the pathogenic 6!il 8i, and that Chills indicated that the bodyDs >heng 8i was losing the fight against the pathogenic 6!il 8i. (itter taste in mouth - %ndicates an e0cess :all (ladder condition, heat disrupting the flow of bile. (lurred !ision - The 7i!er, which opens to the eyes, is affected. &ausea, !omiting, bloating, poor appetite, and stomach ache. - An e0cess 7i!er condition can easily affect *attack+ the -pleen and -tomach, which go!ern the digesti!e system. #ain in the costal *hypochondriac+ region - The costal region is the region of the 7i!er so as the 'eridian flow is disturbed, so is this area. %rritability, 5eart He0ation, and irregular heart beat. - This corresponds to the #ericardium channel being affected. The #ericardium is closely related to the 5eart which controls the -hen *'ind+. - As the 5eat disturbs the #ericardium, the 5eart and thus the 'ind is also affected producing irritability *or e!en insomnia+. Ton*ueI -ides of the tongue are more red, mi0ed yellow and white coating *again reflecting the halfway characteristic of the -hao 9ang syndrome+. PulseI Wiry pulse.

Treatment 4ormulaI ?iao Chai $u Tan* *'inor (upleurum 4ecoction+ 3unction: 5armoni"es and releases -hao 9ang *lesser yang+ channel disorders. Contents: Chai 5u 5uang 8in en -hen (an Iia -heng Biang 4a >ao >hi :an Cao

Acupuncture #oints: Waiguan *-B-E+ 9ifeng *-B-)?+ 9angling.uan *:(-/<+ e Top of #age f

Tai +in ;Initial +in< Syndrome

The in!asion into the Tai 9in can occur from a chronic Tai 9ang syndrome progressing into the Tai 9in, inappropriate treatment of a Tai 9ang disease whcih forces it into the Tai 9in, or if the pathogen is strong enough, it can bypass the e0terior and immediately in!ade the Tai 9in stage. 3ood poisoning, for e0ample, can cause sudden diarrhea and Cold-4amp in the body *symptoms of Tai 9in syndrome+. %n all cases, the -pleen and -tomach >ang 3u will be deficient and there will be %nternal Cold and 4ampness present. -ymptoms: Abdominal 3ullness - 3rom the -pleen not being able to transform and transport. Abdominal #ain - As this is a deficient pain, it will be alle!iated by warmth and pressure. 4iarrhea, nausea, !omiting. - 4ampness affects nausea and diarrhea. - Also due to the 4ampness, the -tomach 8i may be obstructed from descending and may rebel producing !omiting. &o Thirst - &o interior 5eat Ton*ueI #ale with a white sticky coat. PulseI -low and weak pulse. ShenTSpiritI 7ow energy, fatigued.

Treatment 4ormulaI i 6hon* Can * egulate the 'iddle #ill+ 3unction: Warms the 'iddle Biao and strengthens the -pleen and -tomach. Contents: en -hen :an Biang (ai >hu >hi :an Cao Acupuncture #oints: >usanli *-t-/A+ 9inling.uan *-p-F+

NoteI Comparison of Tai +in and +an* "in* Abdominal Pain %n Tai 9in syndromes, the diarrhea and lack of thirst are both a product of Cold-4amp inside the body. %n 9ang 'ing syndromes, the constipation and strong thirst are both products of the %nternal 5eat. %n the 9ang 'ing syndrome, the abdominal pain is aggra!ated by pressure and heat because it is an e0cess condition. %n the Tai 9in syndrome, the abdominal pain is alle!iated by pressure and heat because it is a deficiency syndrome. -tarting with a common cold *Tai 9ang syndrome+, in!asions can progress into more complicated internal;e0ternal -hao 9ang conditions, as well as e0pressing into full 5eat conditions as the body mounts all itDs defenses against the in!ading Cold. %f the pathogenic factor is too strong, the fe!er will subside, and this is an ominous sign *accompanied by cold digesti!e problems+ that the situation is getting worse. This is already a serious situation, if allowed to progress further, the condition may be life threatening. e Top of #age f

Shao +in ; esser +in< Syndromes

-hao 9in syndrome affects the @idneys and the 5eart. There are two types of -hao 9in syndromes: $ne in!ol!es a deficiency of 9ang 8i and Cold, and the other in!ol!es a deficiency of 9in and 5eat. (oth in!ol!e a serious disruption of the bodyDs basic 9in and 9ang balance.

A' +an* Deficient Shao +in Syndrome

-ymptoms: A!ersion to Cold, Cold 7imbs. - The -hao 9in feeling of cold is colder than that of the Tai 9in syndrome. - The patient may lie curled up or prefer many blankets. - There is little thirst and the patient may prefer warm drinks.

 Tendency to sleep and 7istlessness. - 3rom 9ang 4eficiency. 4iarrhea with undigested food - Cold affecting the -pleen and @idney Clear Lrine with %ncreased Holume - 9ang deficiency leading to e0cess 9in &o 3e!er Ton*ueI #ale *Hery 4eficient+ with a thin white coat. PulseI 4eep, minute *!ery weak+ pulse. Treatment 4ormulaI Si Ni Tan* *3rigid 60tremities 4ecoction+ 3unction: escues de!astated 9ang, warms the 'iddle Biao, and stops the diarrhea. Contents: 3u >i :an Biang >hi :an Cao Acupuncture #oints: >usanli *-T-/A+ 8ihai * en-A+ (aihui *4u-,=+ to hold the 9ang

%' +in Deficient Shao +in Syndrome

-ymptoms: %nsomnia, irritability. - 3rom 3ire 3laring up from 4eficiency. The 9in is 4eficient so the 9ang can not be subdued at night. 4ry mouth and throat. - 9in 4eficiency implies deficiency of body fluids producing dry mouth and throat *or e!en skin and eyes+. -canty dark yellow urination. - 3rom consumption of 9in from 5eat &o 4esire to 4rink 3luids Ton*ueI 4ark ed body, ed Tip with little or no coating. PulseI Thin and rapid pulse. Treatment 4ormulaI $uan* ian E :iao Tan* *Coptis and Ass-5ide :elatine 4ecoction+ 3unction: &ourishes the 9in, causes the 4eficient 3ire to descend, eliminates irritability and

calms the -hen *-pirit+. Contents: 5uang 7ian 5uang 8in 6 Biao -hao 9ao Bi >i 5uang *egg yolk+ e Top of #age f

:ue +in ;!reater +in< Syndrome

Bue 9in is the last yin stage. -tarting with the initial Tai 9ang stage, we progress through the stages until the Bue 9in -tage. This syndrome is the last stage of disease caused by Cold 6!il. %t chief attribute is the weakness of the >heng 8i. -ymptoms: Alternating sensations of cold and heat. Appetite and thirst. - The patient will ha!e hunger but will not be able to eat. $nce the food is ingested, the patient will !omit it up. - %f a purgati!e is inappropriately prescribed, there will be continuous diarrhea. 3re.uent Lrination. Lncomfortable sensation as if air were ascending upwards from below the epigastrium or 5ot and painful feeling in the chest. - This sensation is described as 9ang separating from 9in. oundworms. - The -hang 5an 7un also describes this condition where parasites *roundworms+ may be !omited. Ton*ueI ed #apillae with -lippery and White Coat. PulseI 4eep, 5idden, Wiry Treatment 4ormulaI Cu "ei Can *'ume #ill+ 3unction: Warms the organs *intestines+, calms worms and stops chronic diarrhea. Contents: Chuan Biao Ii Iin :ui >hi 3u >i :an Biang 5uang 7ian

 5uang (ai en -hen 4ang :ui Wu 'ei At this stage of disease, the patient may be in shock. The 9ang 8i needs to be re!itali"ed or the patient may die. oundworms may migrate to another part of the :% tract that is more suitable if the gastrointestinal tract en!ironment is altered from illness. They may mo!e into and lodge themsel!es in the hepatopancreatic ampulla, producing e0treme colicky pain. %n this situation, the ingestion of a sour solution such as !inegar or Wu 'ei Wan, may alle!iate the pain.

!eneral Symptoms and Their "eanin* in TC"

Colors of the 4ace

- ed *60cess or Iu 5eat+ Whole 3ace Cheeks, Tidal 3e!er, &ight -weats - #ale *Cold or 7oss of (lood+ #ale White (right White with #uffy and (loated Appearance Withered White - 9ellow *4amp or Iu+ (ody, 3ace, 6yes, and -kin (right $range -moky 4ark #ale 9ellow *&ot (right+ Baundice 9ang Baundice *4amp 5eat+ 9in Baundice *Cold 4amp or 7ong Term -tagnation+ (lood and 8i Iu 9in 60cess or 9ang Iu 9ang 8i Iu 5eat from 60ternal 6!il or 5yperacti!ity of >ang 3u *60cess+ %nternal 5eat *Iu+

(lood Iu

- (lue *Cold, #ain, (lood -tagnation, Con!ulsions+ #ale with (lue Tinge and -e!ere #ain in 60cess 9in and Cold the 6pigastrium and Abdomen -tagnation of 5eart (lood (luish #urple 3ace and 7ips with %ntermittent #ain (ehind the -ternum or #recordial egion (luish #urple 3ace and 7ips with 5igh 3e!er and Hiolent 'o!ement of 7imbs in Children 4ark :ray *(lood -tagnation and @idney Iu+ #ale and 4ark with 7umbar -oreness and Cold 3eet @idney 9ang Iu %nfantile Con!ulsion

!eneral Deficiency and E-cess of +in and +an*

=uality ofI E-cess +an* P Acute ;E-cess $eat Condition< +in ?u P Chronic ;Deficient $eat Condition< E-cess +in P Acute ;E-cess ColdTDampness Condition< -low. +an* ?u P Chronic ;Deficient Cold Condition<

Pulse NormalI "oderate

apid, -trong.

apid, Weak. - Could (e Thinner ed (ody, Thin;&o Coat &otes: 7ight 'ild 5eat;-low (oiling 5eat. 'ap Coating *#artial #eel: $nly #art $f Tongue 5as Coat+.

-low, Weak.

Ton*ue ed (ody, 9ellow NormalI Coat Pin9T i*ht Red &otes: 9ellow 4ue To 5eat (urning (ody 3luids.

#ale;#ink $r #urplish;(luish (ody.

#ale (ody, Thin;White Coat *&ormal+, 3laccid.

- #oss. Thick Coat - #oss. Teeth 'arks $!er - #oss. -wollen 'onths $r 9ears &otes: Thickness 4ue To &otes: 60cess (ody &ot 60cess $r 3luids. Additi!e Cold, 'ore $f A Iu Cold. 5as &othing To 4o W;9in 3luids. Water 'etabolism -lows, Causing Chronic Water etention #roblem. #ale.

4ace

ed. - #oss. 4ryness

$nly Cheeks ed. #ale. - #oss. 4ryness ed, 4ry. &otes: 4ryness 4ue To - #oss. -wollen 6dema Around 6yes.

Eyes

ed. &otes: %f %nflammation %s

4ark Circles. &otes: 4ark Circles 4ue

%n!ol!ed There Will 3luid Iu, And (e (urning -ensation. 5eat 60cess. Any (urning -ensation %s Lsually Associated W;5eat. S9in ed, %nflamed. - #oss. -kin ashes &otes: %f #atient -weats, %t Will (e A #rofuse -weat. 4ry -kin. $ily -kin, (ody $dor, #ale.

To -low;#oor Circulation. @idney %n!ol!ed: @idney 8i Iu, $r @idney 9ang Iu. -pontaneous -weat W;Wo 60ertion.

- #oss. ash, (ut &o #uss $r - #oss. ashes Wounds W;#uss %f There %s &otes: 4oor %s 4ampness $pen, 3unctional 9ang 6nergy Iu, -o -weat 7eaks - #oss. -weat, (ut $ut. $nly %n 7ate - #oss. Cysts, Afternoon, $r At 'asts, 6dema 4ue &ight To 3atty Tissue -tagnation - #oss. 3i!e #alm &otes: 5eat %f There %s -weat, %t Will (e :reasy And $ily. 4ampness Tries To #rotect The 6!il (y #ulling %t 4own, %nhibiting -weat 3rom (enefiting 3e!er Condition.

un*s

-trong;7oud Cough W;#hlegm.

Weak;4ry Cough. #rofuse Thick White;Clear - #oss. Aftermath #hlegm. - #oss. 9ellow, :reen, $f %llness $r (rown #hlegm. %ndicates %nfectious &otes: 4isease -mokers Cough. - #oss. (lood

-hortness $f (reath, 4ifficulty (reathing, $r Weak -hallow (reathing. &otes: Asthma 5as (oth 7ung And @idney Iu. Weak 5eart And 7ow 3unctional 6nergy, 7ots $f 5eart #roblems.

$eart

Hery apid;-trong (eat. &otes: -timulants -uch As

apid;Weak (eat. Hery #oor (lood Circulation. - #oss. 4iscomfort;#ain - #oss. 5eart #ain

Coffee v Cigarettes Are 60cess 9ang Additi!es %nto The -ystem.

Around The 5eart - Congestion: (lood Clots 4ue To (lood -tagnation &otes: 5eart 3ailure #re!alent. When There %s -tagnation There %s #ain, &o -tagnation, &o #ain. Angina.

- #oss. -kipping 5eart ates - #oss. Cardiac #ain, And Cardiac 3ailure

Appetite

5igh. &otes:

5ungry, (ut Can &ot 6at.

Hery 7ow Appetite. &otes:

Hery 7ow Appetite, &o 6nergy To 6at;4igest.

#atient 'ay 6at A 7ot, - #oss. :as, (loating, (ut 4o &ot :ain Abdominal #ain, Weight &ausea, Homiting, 4iarrhea &otes: 4eficient 3luids *%nsufficient To 4igest 3ood+. Thirst

Cra!e 3oods That - #oss. Lndigested Create 4ampness, 3ood %n -tool -uch As aw $r :reasy 3oods, 'akes #atient 3eel Comfortable. Could (e Cause $f %llness.

5igh Thirst, 7ikes Thirsty, -ips Cool 'ight;'ight &ot 5igh 8uantity $f Cold 4rinks, (ut Can 5a!e 7ow Thirst. 4rinks. &ot 4rink Hery 'uch. (loating, -tool Will (e 4ry, W;4ifficult (owel 'o!ement, 60tending #ain, -harp #ain, 4oes &ot 7ike #ressure, 4oes &ot 7ike 5eat. 4ry 5ard -tool *Chronic+. 4ull, Achy Abdominal #ain, W;A 7ittle (urning -ensation. 7ikes #ressure, 4oes &ot 7ike 5eat. -ticky -tool W;'ucus, #oorly 3ormed. Abdominal #ain. 4oes &ot 7ike #ressure. 7ikes 5eat.

7ow Thirst, 7ikes Warm Water.

Di*estion

Weak;-low 4igestion. 'ild, 4ull, Achy Abdominal #ain. 7ikes 5eat, 7ikes #ressure. - #oss. 6arly 'orning 4iarrhea.

- #oss. (urning 4iarrhea Associated W;4amp 5eat $r 3rom 60treme 5eat -tagnation. Truly A Constipation Condition Where $nly 3luids Can (e #assed *Appears To (e 4iarrhea+, (ut -olids Are &ot #assed &otes: 4o &ot :i!e #atients Warm Water $r -picy 3oods. #idney T %ladder ;Cater "etabolism< 4ark, -cant, 9ellow -cant, 7ight Lrine, -trong Lrinary 9ellow Lrine, Track %nflammation 7ow :rade LT%. *LT%+. - #oss. Chronic - #oss. 60tending;-harp #ain &otes: LT% -ymptoms: Lrgency, 3re.uency, And (urning -ensation.

- #oss. 4iarrhea

7owest 6n!ironmental 9ang.

Copious Lrination, Copious, Clear, 7ight;Whitish 3re.uent, Lsually Colored. &ight Lrination. - #oss. Cloudy $r W;#uss 4ue To 4ampness - #oss. 3eeling $f &ot (eing 3inished, 4ue To 7ack $f 3unctional 6nergy &otes: @idney 9ang 4eficiency #roblem. #rone To -T4Ds, 9east, %nfections, Warts, Cysts. 7ow -e0 4ri!e, CanDt #erform. - #oss. %nfertility, #remature 61aculation, &octurnal 6missions, 7ow -perm Count

Reproduction

-trong;60cess -e0 4ri!e

-lightly 5igher -e0 4ri!e, (ut Tires 6asily *5ard Time - #oss. 5igh Chance $f Contracting %llness #erforming+. *3atigue, #%4Ds, -T4Ds, #rostatitis+ - #oss. Haginal 4ryness - #oss. 5ormone %mbalance Hery ed Color, -hort (rown $r 4ark Cycle.

"enses NormalI

4ark #urplish, 7ong #eriod $r

7ong Cycle, Thin, $r 7ight Colored,

Re*ular5 No P"S5 No Cramps5 No Clots5 No Spottin*

- #oss. 6arly 'enstruation *E To ? 4ays+ &otes: (lood %s 6ither 4ried Lp %n A -hort Cycle, $r 5ea!y 4ue To #ushing 3orce $f 5eat.

ed, -canty.

&o #eriod 4ue To 4elayed 60cess 3luids $r 'enstruation. Cold especti!ely - #oss. -kipping - #oss. (lood Cycle *&o Cycle+ Clots

Sleep

4oes &ot 7ike To Trouble 3alling -leep, Toss And Turn, Asleep, estless. -ymptoms Worse At &ight. &otes: - #oss. 4ay Time &aps, 6asier To Coffee %s A :ood 3all Asleep 60ample $f 60cess 3unctional 6nergy Added To The -ystem. &otes: (lood 4eficiency.

Wants To -leep, :roggy After -leep. &otes: Clear 9ang :ets #ulled 4own (y 4ampness.

Wants To -leep A 7ot, 7ikes To Take &aps, And Always 3eels (etter After -leep.

Ener*y

5igh 7e!el $f 6nergy, estless, (ut $ften 3eel Tired, estless. 60hausted. Tired, 7ethargic w;no (ut Cannot -leep. 'oti!ation. Angry, An0ious, Agitated, estless All The Time. Angry And An0ious, (ut 7ess 6nergy (ehind The 6motion. Clinical, 'ental, $r &eurological 4isorders. &otes: Two Types $f 'ental %llness. #hlegm 'isting The 5eart: &ot -ocial, 5ide %n A Corner. #hlegm 5eat Attacks;%n!ades The 5eart.

Weak, 4ue To &o 3unctional 6nergy, True Weakness. -ad, 4epressed, &o 'oti!ation, Cannot %nteract, Afraid, 7ow -elf 6steem.

Emotions

Speech

7oud, apid, Talks A 7ot.

-peaks 8uickly, -low -peech, -low And Weak. (ut &ot 7oud $r 5ea!y $r 'ainly 9es $r &o -trong. #hlegmy Hoice, Answers. -peech 4isorders, 6sp. W;Tongue -welling. 7ow :rade 3e!er, Cold, -ensiti!e To Hery Cold, E #alm 5eat Cold. -ensiti!e To Cold. *Also called E Center 5eat+.

%ody Temperature

5ot, 5igh 3e!er, -ensiti!e To 5eat.

Tam $ealin* and Ton* Ren Therapy for Tinnitus ;Rin*in* in the Ears<
-ubmitted by yyhtstaff on -at, =/;),;,=)) - ?:<<am (elow you will find the Tam 5ealing -ystem points for people with tinnitus and other ear problems. These points are used within Tong en Therapy, a form of energy healing, de!eloped by the prominent (oston area acupuncturist and healer, 'aster Tom Tam. (ut they may also be used with acupuncture, massage, and other techni.ues by practitioners of acupuncture and other systems of healing. $riginally de!eloped to aid in the treatment of cancer, the Tam 5ealing -ystem has been e0tended to treat a broad range of conditions. Tong en classes are now offered around the world. The clinical success of Tong en Therapy is due in part to the precise and scientific focus on particular areas of the body for a particular condition. The Tam 5ealing -ystem utili"es information from both western and eastern medicine as well as a !ast amount of clinical e0perience to de!elop these treatment protocols. The areas and points listed below are those that are commonly found blocked in people with (ellDs #alsy. The system focuses on the scalp and 5uatuo1ia1i points along the spine. 9ou may use acupuncture, massage and;or the tong ren to focus on the following areas for healing. 3or details about the system consider reading Tong en Therapy: (eyond Acupuncture. A full list of conditions with treatment points is a!ailable in A 7a"y (umDs 5ealing: Tong en Therapy Cross eference - both are a!ailable in our book store: "ain PointsI C/ - (alance the ner!es which facilitate control of the eyes, sinus, and ears -% )A - sky window point, impro!e the circulation between the head and the body 7% )G - sky window - impro!e the circulation between the head and the body Ashi *2$uch2+ #oint - treat the areas which are most sensiti!e in the face Secondary PointsI T5 E - clears stagnation and foster circulation on the lateral and posterior aspects of the head, !ision problems, headaches, ear problems Taiyang - 2e0tra2 point which clears stagnation and aids circulation in the temporal region, eyes

and ears :( ,= - clears e0cess energy in the head which leads to pressure, ringing, headaches, etc.

Acupuncture for DiEEiness and 8erti*o P Treatment Protocols

(elow you will find some of the more common tcm diagnoses and acupuncture treatment protocols for balance disorders such as di""iness and !ertigo. There are many ways to treat this condition with 6astern 'edicine and our presentation is only one of many possible options. 4i""iness may be e0perienced internally with uncomfortable sensations possibly with loss of balance. Hertigo may be e0perienced as an e0ternal imbalance where ob1ects may seem to mo!e around the patient while they themsel!es feel still. Etiolo*y R Patholo*yI DifferentiationI E-cess ConditionsI 7H 9ang;3ire :enerating Wind - 'ay arise from emotional issues a;or @4 9in deficiency. #hlegm-4amp etention - Arises from -T;-# weakness Deficient ConditionsI 8i v (lood 4eficiency - 'ay arise from long term illness a;or -T;-# weakness @4 Bing 4eficiency - Lsually arises from old age but may come from e0treme e0haustion 8 +an*T4ire !eneratin* Cind P E-cess Si*ns R SymptomsI 4i""iness, red face, irritability, tremors;tics possible. Tongue: ed w;thin yellow coat #ulse: Wiry, rapid or possibly slippery Treatment PointsI 8alas9ata*is Point Selection ;(ith additions<I 7H , - 7H fire, could use 7H / if less heat signs :( ,= - descend 8i, clear head :H ,= - descend 8i :( /< - 7H;:( fire -# A - tonify 9in Phle*mPDamp Retention P E-cess Si*ns R SymptomsI 4i""iness with sensation of hea!iness, fullness of the chest a;or epigastric region, nausea, !omiting, profuse sputum, no appetite. Tongue: :reasy w;yellow or white coat #ulse: -lippery Treatment PointsI 8alas9ata*is Point Selection ;(ith additions<I

 CH ), - -T -hu -T <= - resol!e phlegm -T G - resol!e phlegm in the head L( ,= - -# -hu L( ,) - -T -hu :H ,= - clear the head =i R %lood Deficiency Si*ns R SymptomsI 4i""iness that is worse with e0ertion a;or mo!ement, pale a;or dull comple0ion, lassitude, palpitations, insomnia, poor appetite. Tongue: #ale #ulse: Thin, weak Treatment PointsI 8alas9ata*is Point Selection ;(ith additions<I -T /A - tonify -T;-# -# A - tonify -T;-# CH A - if more .i deficient, CH < if more blood deficient L( ,= - -# -hu L( )? - hui meeting of the (lood :H ,= - raise the 8i to the head #D :in* Deficiency Si*ns R SymptomsI Chronic di""iness with feeling of emptiness in the head, poor memory, tinnitus, sore low back a;or knees, seminal emissions. Tongue: ed #ulse: Thin Treatment PointsI 8alas9ata*is Point Selection ;(ith modifications<I @4 / - tonify @4 CH < - tonify 8i L( ,/ - @4 -hu :( /F - hui meeting of the marrow :H ,= - raise the 8i to the head

Acupuncture for Eye and 8ision Problems P Treatment Protocols

(elow you will find some of the more common tcm diagnoses and acupuncture treatment protocols for eye and !ision issues. There are many ways to treat this condition with 6astern 'edicine and our presentation is only one of many possible options. Etiolo*y R Patholo*yI 60terior - wind-heat, acute, chronic eye problems usually present with 7H e0cess or @4

v 7H together %nterior - from e0cess or deficiency 6ye -ymptoms are roughly the same for both etiologies - congestion, swelling, pain, photophobia, e0cessi!e tearing, itchy eyes, sticky discharge DifferentiationI E-terior CindP$eat Si*ns R SymptomsI 6ye symptoms, fe!er Tongue: Thin, white *poss. yellow+ coat, red tip #ulse: 3loating, rapid Treatment PointsI L( ,, :( ,=, Taiyang, 7% < - general points Wind-heat - T5 E or 7% )), possibly :H )< - clear heat Interior 8T!% Risin* Si*ns R SymptomsI 6ye symptoms, red eyes, irritability, bitter taste in mouth, constipation Tongue: ed w;yellow coat #ulse: wiry Treatment PointsI L( ,, :( ,=, Taiyang, 7% < - general points 7H 3ire - 7H ,, possibly :( </ Could use 9ang 8iao *L( A,;-% /+ for heat w;e0cess in the eyes or 9in 8iao *@4 A;7L ?+ for dry eyes

Acupuncture for 4emale Infertility P Treatment Protocols

(elow you will find some of the more common tcm diagnoses and acupuncture treatment protocols for female fertility issues. There are many ways to treat this condition with 6astern 'edicine and our presentation is only one of many possible options. Note)When treating infertility cases it is imperati!e that the male partner recei!e a sperm analysis. egardless, it may be beneficial for both partners to recei!e regular treatments. Etiolo*y R Patholo*yI Etiolo*yI Constitutional 4eficiency - women with congenital @4 deficiencies which may ha!e arisen from being born prematurely or ha!ing had an unhealthy mother. 60cessi!e -e0ual Acti!ity - particularly around puberty, but also in women who ha!e had multiple child births a;or chronic deficiencies of Bing and (lood - can lead to malnourishment of the (ao 'ai and Lterus. Cold a;or 4amp - may arise from @4 9ang 4eficiency or chronic e0posures to cold;damp during menstruation - can disrupt the Lterus. -tagnations of 8i a;or (lood, possibly with #hlegm;damp - can block the Lterus.

 DifferentiationI E-cess Patholo*ies Cold in the Lterus (lood -tagnation w;#hlegm *blocked fallopian tubes fall under this differentiation+ Deficient Patholo*ies @4 9ang 4eficiency @4 9in 4eficiency (lood 4eficiency Cold in the Uterus P E-cess Condition Si*ns R SymptomsI #atient will likely appear pale, delayed menstruation w;dark dilute flow, pain a;or coldness of the lower abdomen which impro!es with the application of heat, a!ersion to cold, cold limbs, may also ha!e weak back;knees a;or profuse clear urination Tongue: #ale #ulse: 4eep, slow Treatment PointsI 8alas9ata*is Point SelectionI CH E - T5 'u, warm the uterus CH , - warm the Lterus CH < - tonify 8i :H < - tonify 9ang @4 / - tonify @4 "aciocia Point SelectionI CH , - warm the Lterus CH < - tonify 8i :H < - tonify 9ang @4 ? - tonify @4 9ang L( ,/ - @4 -hu %lood Sta*nation (TPhle*m P E-cess Condition Si*ns R SymptomsI #atient is likely to be o!erweight, irregular menstruation w;clotting, delayed most likely, chest a;or hypochondriac distention, irritability, palpitation, di""iness, profuse sticky leukorrhea. Tongue: White greasy coat w;purple spots #ulse: 4eep, wiry Treatment PointsI 8alas9ata*is Point SelectionI CH / - resol!e damp in lower abdomen -T /= - regulate menstruation @4 )/ - important point for infertility, influence chong mai -T <= - resol!e phlegm -# A - tonify -#, mo!e lower abdomen %f discharge - -# F %f profuse leukorrhea - L( /,

 %f hesitant flow - -# G Chest;hypochondriac distention - 7H / w;#C A "aciocia Point SelectionI 'aciocia differentiates this as 4amp in the 7ower 5eater CH / - resol!e damp in lower abdomen >igong Iue - infertility -T ,G - e0ces damp in the lower warmer -# F - resol!e damp -# A - tonify -# CH F - mo!e stagnant water 7L ? w;@4 A - yin .iao ren mai -T /= - regulate menstruation @4 )< - influence chong mai L( /, - mo!e e0cesses in the lower warmer T5 E w;:( <) - yang wei dai mai Treatment for %loc9ed 4allopian Tubes Lse electrical stimulation from positi!e CH < to negati!e L( /, #D +an* Deficiency Si*ns R SymptomsI %rregular menstruation w;scanty pinkish (lood, weak back a;or knees, fatigue, di""iness. Tongue: Thin white coat #ulse: 4eep, thin, particularly weak in the @4 position Treatment PointsI 8alas9ata*is Point SelectionI This is a general treatment for @4 4eficiency *i.e. not strongly 9in or 9ang+ L( ,/ - @4 -hu @4 )/ - important point for infertility, influence the chong mai @4 , - fire point, usually used to disperse empty fire rising causing sore throat, here it is used w;mo0a to strengthen and warm the Lterus @4 / - tonify @4 CH < - tonify 8i, (lood and 9in %f di""iness a;or tinnitus - T5 )? %f weak back a;or knees - @4 )= "aciocia Point SelectionI @4 )/ - important point for infertility, influence the chong mai @4 / - tonify @4 L( ,/ - @4 -hu L( E, - tonify psycho-emotional aspects of the @4 @4 A w;7L ? - yin .iao ren mai CH G - strongly tonify 9ang CH < - tonify 9ang :H < - tonify 9ang #D +in Deficiency Si*ns R SymptomsI

 %rregular menstruation, sore back, constipation, mallor flush, night sweats, heat in the E palms, insomnia, dry throat, di""iness, !ertigo Tongue: ed w;no coat #ulse: 3loating, empty, rapid Treatment PointsI "aciocia Point SelectionI CH < - tonify 9in CH ? - influence chong mai @4 / - tonify @4 @4 )/ - important point for infertility - influence chong mai 7L ? w;@4 A - yin .iao ren mai -# A - tonify 9in L( E, - strengthen willpower %lood Deficiency Si*ns R SymptomsI 4elayed menstruation w;scanty, pinkish flow, emaciation, sallow comple0ion, fatigue, di""iness, may also ha!e palpitations a;or insomnia if 5T (lood is deficient Tongue: #ale, possibly swollen #ulse: 4eep, thin, weak Treatment PointsI 8alas9ata*is Point SelectionI CH < - tonify 9in v (lood @4 )/ - important point for infertility, influence the chong mai >igong Iue - infertility -# A - tonify -# -T /A - tonify -T;-# L( )G - 7H -hu L( ,= - -# -hu %f signs of hot (lood - -# )= %f insomnia;palpitations - 5T ? %f di""iness - :H ,= "aciocia Point SelectionI -ame #oints as abo!e plus the following L( ,/ - @4 -hu L( )? - hui meeting of the (lood, instead of L( )G abo!e

Acupuncture for !laucoma P Treatment Protocols

(elow you will find some of the more common tcm diagnoses and acupuncture treatment protocols for glaucoma. There are many ways to treat this condition with 6astern 'edicine and our presentation is only one of many possible options.

 Etiolo*y R Patholo*yI %n glaucoma fluid is not draining properly from the canal of Canal of -chlemm which builds up pressure. Hision begins to fail, loss of small areas of peripheral !ision *blind spots+. 4uring acute attacks, blurred !ision or halos around lights is possible. @4 9in 4eficiency which leads to 7H 9ang ising and then to Wind rising to the head DifferentiationI #D +in Deficiency, leads to 7H 9ang ising which leads to Wind Si*ns R SymptomsI Tongue: ed w;no coat #ulse: Thin, rapid Treatments PointsI :( ), L( , - local point :( ,= - e0tinguish wind in eyes 7% < - command for head and face L( )G - 7H -hu @4 / - tonify @4 9in -# A - / leg yin, tonify -#, soften 7H, nourish @4 Consider: L( A, - e0cess from eyes a;or @4 A - nourish upper body, dry throat, dry eyes

Acupuncture for !laucoma P Treatment Protocols

(elow you will find some of the more common tcm diagnoses and acupuncture treatment protocols for glaucoma. There are many ways to treat this condition with 6astern 'edicine and our presentation is only one of many possible options. Etiolo*y R Patholo*yI %n glaucoma fluid is not draining properly from the canal of Canal of -chlemm which builds up pressure. Hision begins to fail, loss of small areas of peripheral !ision *blind spots+. 4uring acute attacks, blurred !ision or halos around lights is possible. @4 9in 4eficiency which leads to 7H 9ang ising and then to Wind rising to the head DifferentiationI #D +in Deficiency, leads to 7H 9ang ising which leads to Wind Si*ns R SymptomsI Tongue: ed w;no coat #ulse: Thin, rapid Treatments PointsI :( ), L( , - local point :( ,= - e0tinguish wind in eyes 7% < - command for head and face L( )G - 7H -hu @4 / - tonify @4 9in

 -# A - / leg yin, tonify -#, soften 7H, nourish @4 Consider: L( A, - e0cess from eyes a;or @4 A - nourish upper body, dry throat, dry eyes

!8 &@ Acupuncture Point P %ai $ui P !o0ernin* 8essel "eridian

Chinese Name (ai 5ui En*lish Name 5undred Con!ergences 7ocation: E cun posterior to the A57. #oint Associations: -ea of 'arrow #oint *with :H )A+ %ntersecting #oint of the :o!erning Hessel, Lrinary (ladder, :all (ladder, Triple 5eater v 7i!er Channels Actions v 6ffects: 'ain point for headache, di""iness, eye pain and redness, irritability, hypertension from e0cess yang in the upper body, often occuring with patterns of e0cess 7i!er yang or 7i!er fire. Combine with lower body points such as 7H ,, 7H /, @4 ), :( /<, :( <). 'ain point for internal wind which has some o!erlapping indications with the abo!e entry, for headaches, di""iness, !isual di""iness, tinnitus, !erte0 pain, windstroke, sei"ures. 'ain point for prolapse, anal, uterine, !aginalC main point for hemorrhoids. Tong en;Tam 5ealing -ystem: Lsed to effect the association area *related to emotions, memory, beha!ior+, useful for low energy, yang energy imbalances, parkinsonDs, al"heimerDs, motor control issues. :o!erning Hessel 'eridian #oints ;&2<: ), ,, /, <, E, A, ?, G, F, )=, )), ),, )/, )<, )E, )A, )?, )G, )F, ,=, ,), ,,, ,/, ,<, ,E, ,A, ,?, ,G

Acupuncture for Insomnia P Treatment Protocols

(elow you will find some of the more common tcm diagnoses and acupuncture treatment protocols for insomnia and related sleeping disorders. There are many ways to treat this condition with 6astern 'edicine and our presentation is only one of many possible options. DifferentiationI E-cess ConditionsI

7H 3ire #hlegm 5eat Deficient ConditionsI -# 8i v 5eart (lood 4eficiency @4 9in 4eficiency 5T v :( 4eficiency

8 4ire - 60cess Si*ns R SymptomsI %nsomnia, usually somewhat chronic, with o!erall signs of 7H 5eat - irritability, e0cessi!e anger, possibly sub costal pain and;or bitter taste in mouth. Tongue: ed w;yellow coat #ulse: Wiry Treatment #oints: 8alas9ata*is Point SelectionI 7H , - drain li!er heat #C ? - regulate the shen 5T ? - regulate the shen :( << - dream disturbed sleep L( )G - li!er shu Anmian - e0tra point for insomnia;sleep issues Phle*m $eat - 60cess Si*ns R SymptomsI %nsomnia with phlegm signs - sensation of fullness in the chest, poor digestion;appetite, di""iness, nausea along with heat signs such as a bitter taste in the mouth. Tongue: :reasy coating that is yellow *heat+ or white *deficiency+ #ulse:-lippery Treatment #oints: 8alas9ata*is Point SelectionI CH ), - tonify spleen -T /A - tonify 8i -T <= - resol!e phlegm -T <E - clear heat, calm mind 5T ? - regulate shen :H ,= - clear head Anmian - e0tra point for insomnia;sleep issues SP =i R $eart %lood Deficiency Si*ns R SymptomsI %nsomnia, usually with dreams, along with deficiency signs such as poor appetite, poor memory, fatigue a;or palpitations. Tongue: #ale w;thin white coat #ulse:Thin, weak Treatment #oints: 8alas9ata*is Point SelectionI

 -# A - tonify spleen -T /A - tonify 8i 5T ? - regulate shen L( )E - heart shu L( ,= - spleen shu Anmian - e0tra point for insomnia;sleep issues ?innon* ;CA"< Point Selection ;(ith modifications<I -# ) - mo0a with small cones, dream-disturbed sleep -# A - tonify spleen 5T ? - regulate shen L( )E - heart shu L( ,= - spleen shu Anmian - e0tra point for insomnia;sleep issues #D +in Deficiency Si*ns R SymptomsI %nsomnia with difficulty falling asleep a;or waking often along with 9in deficiency signs - heat in the fi!e hearts *hands, feet, chest+, palpitations, night sweats, di""iness a;or poor memory. #ossibly with @4 deficiency signs such as sore lower back a;or knees. Tongue: ed w;little or no coat #ulse: apid, thin Treatment #oints: 8alas9ata*is Point SelectionI @4 / - tonify yin @4 A - tonify yin 5T ? - regulate shen #C ? - regulate shen -% / - night sweats, calm mind - possibly w;5T A *instead of 5T ?+ for strong night sweats Anmian - e0tra point for insomnia;sleep issues $eart R !all %ladder Deficiency Si*ns R SymptomsI %nsomnia with an o!erall timid;shy nature - easily frightened, inability to make decisions, etc. Tongue: &o specific tongue, possibly pale w;teethmarks #ulse:Wiry, thin Treatment #oints: 8alas9ata*is Point SelectionI 5T ? - tonify heart -# A - tonify spleen :( << - regulate :(, calm mind L( )E - heart shu L( )G - li!er shu L( )F - gall bladder shu Anmian - e0tra point for insomnia;sleep issues

Acupuncture for "eniereSs Disease

(elow you will find some of the more common tcm diagnoses and acupuncture treatment protocols for meniereDs disease *or idiopathic endolymphatic hydrops+. There are many ways to treat this condition with 6astern 'edicine and our presentation is only one of many possible options. Etiolo*y R Patholo*yI #hlegm-4amp obstructing the middle heater and suppressing the clear yang from rising to the head 7H 9ang ising from emotions a;or @4 9in 4eficiency which leads to wind effecting the head DifferentiationI Phle*mPDamp Si*ns R SymptomsI Hertigo, nausea, !omiting Tongue: :reasy white coat #ulse: -lippery Treatment #oints: :( ,=, 7H /, T5 )? v -% )F - general points #C A - nausea, !omiting -T <= - resol!e phlegm -T /A v CH ), - tonify -# 8 +an* Risin* Si*ns R SymptomsI 4i""iness, headache, blurred !ision, hearing loss Tongue: ed, possibly stiff #ulse: apid, wiry Treatment #oints: :( ,=, 7H /, T5 )? v -% )F - general points Could use 7H , instead of 7H / L( )G - 7H 'u @4 / - tonify @4 9intang - di""iness

Acupuncture for Uterine %leedin* P Treatment Protocols

(elow you will find some of the more common tcm diagnoses and acupuncture treatment protocols for uterine bleeding and general menstrual issues. There are many ways to treat this condition with 6astern 'edicine and our presentation is only one of many possible options. Etiolo*y R Patholo*yI DifferentiationI

 E-cess TypesI 5eat in the (lood - may arise from a constitutional yang e0cess, e0cessi!e consumption of alcohol;hot natured foods. Accumulation of 5eat - may arise from 7H constraint a;or e0cess. 4amp 5eat - effecting the lower 1iao which in1ures the (ao 'ai *uterine channel+. (lood -tagnation - causing reckless bleeding. :eneral Iinnong *CA'+ Treatment #oints for all 60cess Conditions: CH /, -# )=, -# ), 7H G, 7% )), 5T G, 7H / Deficiency TypesI -# 8i 4eficiency - may arise from constitutional -# deficiencies, stress a;or poor diet. @4 9ang 4eficiency - leading to problems storing the (lood and dysfunctions in the Chong and en channels. @4 9in 4eficiency - leading to disruptions in the flow of Bing and (lood due to weak 3ire. :eneral Iinnong *CA'+ Treatment #oints for all 4eficiency Conditions: :H ,=, CH <, -T /A, -# A, -# ), T5 < $eat in the %lood P E-cess Si*ns R SymptomsI 5ea!y, thick bleeding w;deep red color, strong odor, dry mouth w;desire to drink, irritability *but not the same as with 7H 9ang+. Tongue: ed w;yellow coat #ulse: -lippery, rapid Treatment PointsI 8alas9ata*is Point SelectionI CH A - tonify -# 8i -# A - tonify -# 8i -# ) - empirical point for uterine bleeding -# )= - mo!e and clear heat from the (lood @4 E - clear heat "aciocia Point SelectionI -# < w;#C A - yin wei chong mai 7% )) - clear heat -# )= - clear heat, mo!e (lood -# G - mo!es 8i v (lood, uterine bleeding -# ) - empirical point for uterine bleeding @4 E - clear heat @4 , - clear heat 7H / - mo!e 7H 8i 7H E - damp heat in the lower 1iao @4 < - stop bleeding, luo connecting point 7H ) - menstrual bleeding from e0cess or deficiency Accumulation of $eat P E-cess Si*ns R SymptomsI Costal;5ypochondriac distention, sighing, .uick temper.

 Tongue: ed w;thin yellow coat #ulse: Wiry, rapid Treatment PointsI 8alas9ata*is Point SelectionI CH A - tonify -# 8i -# A - tonify -# 8i -# ) - empirical point for uterine bleeding 7H / - mo!e 7H 8i T5 A - clear costal area 7H ) - empirical point for bleeding "aciocia Point SelectionI 'aciocia differentiates this as 7H 8i -tagnation leading to 5eat, conse.uently he uses more points that mo!e the 7H :( /< w;7H / - mo!e the 7H 8i 7H ) - empirical point for bleeding 7H )< w;L( )G - 7H 'u;-hu combination T5 A w;#C A - clear the costal area :H ,< - descend 9ang e0cesses :( )/ - descend 8i -# G - uterine bleeding, mo!e 8i v (lood CH A - tonify 8i 7% )) - clear heat -# )= - clear heat and mo!e (lood Damp $eat P E-cess Si*ns R SymptomsI #rofuse or chronic lingering bleeding of dark red (lood that is not thick, thin;whitish *occ. green+ leukorrhea, genital itching a;or pain. Tongue: 9ellow greasy coat #ulse: apid, possibly a little slippery Treatment PointsI 8alas9ata*is Point SelectionI CH A - tonify -# 8i -# A - tonify -# 8i -# ) - empirical point for uterine bleeding CH / - clear damp in the lower 1iao -# F - resol!e damp %lood Sta*nation P E-cess Si*ns R SymptomsI Abdominal pain that is worse with pressure, blood clots which relie!e pressure after passing. Tongue: 4eep red w;little coat or slightly purplish #ulse: 4eep, choppy Treatment PointsI 8alas9ata*is Point SelectionI CH A - tonify -# 8i

-# A - tonify -# 8i -# ) - empirical point for uterine bleeding -# G - mo!e 8i and (lood, uterine bleeding -T /= - local point for mo!ing (lood -# ), - local point for mo!ing (lood SP =i Deficiency P Deficient Si*ns R SymptomsI #rofuse or lingering bleeding of light red (lood, lassitude, -$(, poor appetite. Tongue: -wollen body w;teeth marks, thin white coat #ulse: Thin, weak Treatment PointsI 8alas9ata*is Point SelectionI CH < - tonify 8i -# A - tonify -# L( ,/ - @4 -hu @4 G - uterine bleeding, 0i cleft, could use -# ) instead CH A - tonify 8i L( ,= - -# -hu L( )? - hui meeting of the (lood, tonify (lood -T /A - tonify 8i "aciocia Point SelectionI CH A - tonify 8i CH ), - -T 'u, tonify -# -T /A - tonify 8i -# A - tonify -# L( ,= - -# -hu L( ,) - -T -hu :H ,= - tonify lower 1iao;uterus -# G - uterine bleeding, mo!e 8i v (lood #D +an* Deficiency P Deficient Si*ns R SymptomsI #rofuse or lingering bleeding w;light red color, abdominal pain better w;application of heat, cold limbs, loose stools possible. Tongue: #ale #ulse: 4eep, thin Treatment PointsI 8alas9ata*is Point SelectionI CH < - tonify 8i -# A - tonify -# L( ,/ - @4 -hu @4 G - uterine bleeding, 0i cleft, could use -# ) instead CH A - tonify 8i :H < - tonify 9ang @4 ? - tonify @4 9ang

 "aciocia Point SelectionI CH A - tonify 8i L( ,/ - @4 -hu CH < - tonify 8i -T /= - regulate the uterus @4 ? - tonify @4 9ang -T /A - tonify -T;-# -# A - tonify -# @4 )/ - local for abdominal;gynecological issues #D +in Deficiency P Deficient Si*ns R SymptomsI -canty or lingering bleeding of bright red (lood, di""iness, tinnitus *less likely+, heat in the E palms, sore back a;or knees. Tongue: ed w;scanty coat #ulse: 3ine, rapid Treatment PointsI 8alas9ata*is Point SelectionI - tonify 8CH <i -# A - tonify -# L( ,/ - @4 -hu @4 G - uterine bleeding, 0i cleft, could use -# ) instead @4 , - ying spring, clear heat @4 )= - clear damp-heat in the lower 1iao "aciocia Point SelectionI CH A - tonify 8i L( ,/ - @4 -hu CH < - tonify 8i @4 / - tonify @4 9in -T /A - tonify -T;-# -# A - tonify -# @4 , - ying spring, clear heat @4 )/ - local for abdominal;gynecological issues @4 )= - clear damp-heat in the lower 1iao 7L ? w;@4 A - yin .iao ren mai, tonify 9in

Acupuncture for T": P Treatment Protocols

(elow you will find some of the more common tcm diagnoses and acupuncture treatment protocols for T'B and related temporomandibular disorders. There are many ways to treat this condition with 6astern 'edicine and our presentation is only one of many possible options. Etiolo*y R Patholo*yI Can be a local problem from trauma, arthritis in the 1oint, lots of dental work *from keeping mouth open+, stress related tension *usually presents with (ru0ism+

 Tension in the occipital;atlas, upper cer!ical area can lead to T'B T5, -%, :( v -T Channels in!ol!ed Treatment PointsI ocal PointsI -T A, -T ? - help rela0 masseter muscle :( / Taiyang Distal PointsI 7% < - command face;1aw T5 E v :( <) - 'aster;Couple of the 9ang Wei 'ai, mo!es 8i in the ear araa -% / or -% ) - secondary %f constrained 7H 8i *emotional causes+: 7H /, 7% < - four gates v :( /< - supplements 7H /

Acupuncture for Tri*eminal Neural*ia P Treatment Protocols

(elow you will find some of the more common tcm diagnoses and acupuncture treatment protocols for trigeminal neuralgia. There are many ways to treat this condition with 6astern 'edicine and our presentation is only one of many possible options. The trigeminal ner!e has / branches which come out around the taiyang area of the face. %n trigeminal neuralgia the pain can be .uite se!ere with an electrical or burning sensation Etiolo*y R Patholo*yI ). 60terior - Wind-Cold %n!asion ,. %nterior - 7H;-T 3ire /. %nterior - 9in 4eficiency w;empty fire rising DifferentiationI ). CindPCold In0asion Si*ns R SymptomsI Acute onset, se!ere pain for a few seconds to a few minutes se!eral times;day 60terior signs, runny nose, tearing Tongue: Thin white coat #ulse: Tight, floating Treatment PointsI *see below+ ,. 8TST 4ire Si*ns R SymptomsI -e!ere pain w;irritability %nternal heat signs, thirst, constipation Tongue: 9ellow, dry coat #ulse: Wiry Treatment PointsI *see below+

/. +in Deficiency (Tempty heat risin* Si*ns R SymptomsI #ain is more insidious, gradual, comes and goes, mallar flush, soreness in lumbar area Tongue: ed w;no coat #ulse: Thin, fast Treatment PointsI *see below+ <. Treatment PointsI 3or pain in the supraorbital region: 7ocal: Taiyang :( )< L( , 4istal: T5 E 7% < 3or pain in the ma0illary region: 7ocal: -T , -% )G 7% ,= 4istal: 7% < 3or pain in the mandibular region: 7ocal: -T A -T ? 60tra point ) cun lateral to CH ,< 4istal: 7% < Wind-Cold Add :( ,= 7H;-T 3ire Add 7H /, possibly 7H , -T << 9in 4eficiency Add @4 A -# A

Acupuncture Point I P Dia*ram )A P The Stomach "eridian of 4ootP+an*min* ;ST< &

Acupuncture Point I Dia*ram 7 P The un* "eridian of $andPTaiyin ; U<

Acupuncture Point I Dia*ram & P The ar*e Intestine "eridian of $andP+an*min* ; I<

Acupuncture Point I Dia*ram ) P The Stomach "eridian of 4ootP+an*min* ;ST<

Acupuncture Point I Dia*ram , P The Spleen "eridian of 4ootPTaiyin ;SP< Part 7

Acupuncture Point I Dia*ram . P The $eart "eridian of $andPShaoyin ;$T<

Acupuncture Point I Dia*ram / P The Small intestine "eridian of $andPTaiyan* ;SI<

Acupuncture Point I Dia*ram 1 P The %ladder "eridian of 4ootPTaiyan* ;% < Part 7

Acupuncture #oint % 4iagram ?A - The (ladder 'eridian of 3oot-Taiyang *(7+ #art ,

Acupuncture Point I Dia*ram 2A P The #idney "eridian of 4ootPShaoyin ;#I< Part &

Acupuncture Point I Dia*ram 3 P The Pericardium "eridian of $andP:ueyin ;PC<

Acupuncture Point I Dia*ram 7@ P The SanJiao ;Triple Ener*iEer< "eridian of $andPShaoyan* ;S:5 TE<

COMMONLY USED MERIDIAN POINTS This is Chapter 3 from R. C. Schafer, DC, PhD, ICC!s "est#se$$i%& "oo'( )App$ie* Ph+siotherap+ i% Chiropractic,
The fo$$o-i%& materia$s are pro.i*e* as a ser.ice to o/r professio%. There is %o char&e for i%*i.i*/a$s to cop+ a%* fi$e these materia$s. 0o-e.er, the+ ca%%ot "e so$* or /se* i% a%+ &ro/p or commercia$ .e%t/re -itho/t -ritte% permissio% from ACA#ress.

A$$ of Dr. Schafer!s "oo's are %o- a.ai$a"$e o% CDs, -ith a$$ procee*s "ei%& *o%ate* to chiropractic research. P$ease re.ie- the complete list of a!ailable books'

The Theoretical Basis of Meridian Therapy

Theoretical Concepts The Nonneural Theories The Neural Theories The Cutaneovisceral Reflex The Viscerocutaneous Reflex Segmental and Intersegmental Effects Near and Distant Effects The Gate Control Theory and Its Clinical Significance Scientific Evidence Empirical Evidence Standard ethods of Stimulation Site !ocation !ocating "oints

Meridian Trigger points and Their Palpation

#ac$ground "reparation Types and Characteristics of %cupuncture "oints Electrical %nalysis The &uman Inch

Major Points: Locations, Primary Indications, and Precautions

The The The The The The The The The The The The Lung Meridian Large Intestine Meridian Stomach Meridian Spleen Meridian Heart Meridian Small Intestine Meridian Urinary Bladder Meridian idney Meridian Heart !onstrictor Meridian Triple Heater Meridian "all#ladder Meridian Li$er Meridian

The !onception %essel Meridian The "o$erning %essel Meridian &larm Points Master Points &ssociation Points Closing Remar$s

'eferences

Chapter

3(

Commo%$+

Use*

Meri*ia%

Poi%ts

This chapter delineates a few of the many theories attempting to explain the mechanisms of acupuncture point (acupoint) stimulation and

meridian therapy. Stimulation of specific points on the body as a mechanism for pain control has achieved great interest in this country in recent years. The majority of studies center on stimulating endorphin production in the body. ( See Ta"$e 3.1). Antidotal and clinical evidence as well as patient records from Oriental cultures point to numerous cases where specific point stimulation has affected visceral and functional disease processes. n the context of physiologic therapeutics! the location! primary indications! and precautions associated with the major points (ie! those most commonly used) are reviewed.

Ta"$e 3.1.

Iso$ate* Pepti*es of the E%*orphi% S/perfami$+

. "eptides of the pro# opiamelanocortin series A. Opioid peptides $endorphin

. %$terminally extended en&ephalins 'ynorphin $neoendorphin

$endorphin $endorphin (. )onopioids *S+ *S+ *S+, . -n&ephalins *et.$en&ephalin /eu.$en&ephalin *et.#Arg0#"he1$en&ephalin After 4ields 5236 ###############################

$neoendorphin 2. Others 3yotorphin 'ermophin %asei#morphin

(oth 7estern and -astern cultures developed systems for treating specific points on the body. t is hoped that future generations will be able to integrate the best of traditional 7estern and Oriental medicine into a single health#care delivery system for all people. 516

The Theoretica$ 4asis of Meri*ia% Therap+

4orms of stimulation to specific sites on the s&in have been used for at least ,888 years. +owever! it is only in the last 9. years that comprehensive studies of acupuncture as an alternative therapy have been seriously underta&en in this country. The fact that meridian therapy has a beneficial effect on the control of disease processes seems evident today on the basis of empiric evidence and clinical studies.
Theoretica$ Co%cepts

Although it generally matters little to patients as to why they get well under a certain therapy! they do! however! expect that the doctor rendering that therapy has an acceptable explanation and understanding of the biologic mechanisms that are probably involved. That is! the patient has a natural tendency to believe that their doctor selects a particular procedure of treatment for their condition on the basis of his or her &nowledge of the nature of their problem! and the &nowledge of the underlying principles behind a particular method of therapy. Also! since the study and effective application of meridian therapy re:uire some basic &nowledge of its theoretical scientific basis! the need for this explanation is established. n the case of meridian therapy! a number of theories have been advanced that generally fall under the headings of ;)eural; or ;)onneural; concepts. These

concepts attempt to explain the scientific basis for the biologic effects of meridian therapy in terms of our present understanding of human anatomy and physiology. Although scientific verification of the concept of ;vital energy; as a physiologic probability and the ;meridian; system as an anatomical fact have yet to be conclusive! verification for some of the effects of meridian therapy does exist on the basis of these concepts. 5 56
The No%%e/ra$ Theories

One of the most commonly mentioned nonneural concepts attempts to explain the meridian system by proposing an elaborate conducting system of what is referred to as ;(ong +an 'ucts and %orpuscles.; This theory! put forth by a )orth 3orean physiologist and acupuncturist! 3im (ong +an! is a histologic description of elongated tubular cells lying deep in the s&in. +an also thin&s that a ;uni:ue; fluid circulates through these channels! which contains a high concentration of ribonucleic and other amino acids. +an believes that this fluid travels slowly through the meridians! completing a cycle each 9< hours. 5 3, 26 +an=s theory! however impressive as it might be! has for all practical purposes been refuted by other investigators. 3ellner has shown that some of this theory is based on artifacts occurring in preparation of the histologic slides! and other attempts at duplicating the wor& of +an reveal that he was probably describing the lymphatic channels of the body. 56, 76 2arious other theories have attempted to explain acupuncture and the existence of the meridians. 536 4or example! magnetic fields! :uantum mechanics! contraction waves of s&eletal muscles! discharging of electrical potentials! and the release of histamine and epinephrine by stimulation of points have all been put forth as possible mechanisms. Others have li&ened the pinpric& in the body to the electrical discharge of a condenser. At one time! 4elix *ann proposed a theory based on the lateral line system in fish. These theories! along with others! have now been dismissed in favor of one of the neurologic explanations. One of the most recent theories has been postulated by 3oyo Ta&ase in >apan who concluded that the so#called ?i energy circulating through a ;meridian; in acupuncture therapy is actually extravascular sodium. 5 86 +is studies involved the use of radioisotopes.
The Ne/ra$ Theories

t is generally conceded that the mechanisms of many effects of acupuncture are similar to but not identical to those of the nervous system. There are many :uestions! however! that remain unanswered. 5 96 7hen an acupuncture point is stimulated! it has been observed that the patient will often experience a change in seconds and this change fre:uently occurs at the opposite end and contralateral side of the body from the point stimulated. The exact mechanism of this action is not yet fully understood! although certain aspects appear to be based on established neurophysiologic concepts. This

indicates that some type of nerve conduction occurs! as nerve fibers transmit impulses at an extremely rapid rate through their pathways. Such a rapid speed of conduction excludes the blood and lymphatic systems as possible mediators of this response.
T0E CUTANEO:ISCERAL RE LE;

Acupuncture is founded on the premise that stimulation of the s&in has an effect on distant internal organs and functional mechanisms of the body. 2arious experimental data tend to support the involvement of a cutaneovisceral reflex. 51<=136 "roof for the existence of such a reflex has strong scientific support. n a series of experiments! 3unt@ and +a@elwood stimulated the s&in on the bac& of rabbits and rats and noted changes in various parts of the gastrointestinal tract that were related to the dermatomal segment stimulated. 512=176 n Aermany! 7ernoe stimulated a small segment of the s&in of fish and amphibians with silver nitrate and! after a delay of several months! demonstrated vasoconstriction of the part of the intestine dermatomally related. 5136 After these experiments! he deduced that vasodilation was mediated by a spinal reflex and that vasoconstriction was mediated by a postganglionic sympathetic reflex. Travell and Bin@ler found that complete and prolonged relief resulted when trigger points on the front of the chests of patients with angina pectoris or acute myocardial infarction were infiltrated with procaine or cooled with ethyl chloride. 5186 Thus! the cutaneovisceral reflex is of prime importance in acupuncture. t is strongly believed that! by its mediation! an acupuncture needle placed in the correct part of the s&in is able to influence the related organ or diseased part of the body. )ew hypotheses are being brought forth rapidly. 4or example! it has been established for years that the ear is a hologram of the body as a whole! and this is the basis of auriculotherapy. +owever! 'ale has recently proposed an elaborate hypothesis that most any part of the body is a hologram of the body as a whole. 5196
T0E :ISCEROCUTANEOUS RE LE;

)ext! an explanation of how a visceral problem can relate to areas of the s&in should be given. One method is by postulating the viscerocutaneous reflex. The importance of such a reflex rests in two primary areasC (D) diagnosis and (9) lowering the threshold of stimulation re:uired in treatment with acupuncture. 5 5<6 2arious researchers have attempted to show that visceral problems may refer to the s&in and give rise to trigger points! acupuncture points! andEor subluxations. 551=536 'iagnostically! certain superficial areas have long been &nown to relate to an underlying visceral condition such as pain at *c(urney=s point in appendicitis! in the left arm in angina pectoris! and of the right shoulder in

gallbladder disease. t is often noted clinically that a disease in an internal organ will produce pain! tenderness! hyperesthesia! or hypesthesia! etc! in some area of s&in. The viscerocutaneous reflex is thought to be mediated by un&nown pathways of the sympathetic chain. 5526 The 0ea*#Mc>e%?ie Se%sor+ @o%e! as described by >udovich and (ates! shows how visceral pain can radiate to certain parts of the s&in. A familiar example is cardiac ischemia with radiating pain to the left arm. 556, 576 n this context! 7ernoe stimulated the rectum of a decapitated plaice electrically and found that the s&in became pale. +e also stimulated areas of the gastrointestinal tract of the eel and cod and noted that in each case the s&in became lighter over an area of several dermatomal segments. 5536 t can therefore be readily appreciated that a visceral problem can exhibit in a specific dermatomal segment via a viscerocutaneous reflex and that the stimulation of the s&in can have a distinct effect on a related visceral area via a cutaneovisceral reflex.

SEAMENTAL

AND

INTERSEAMENTAL

ECTS

*ost of the reflexes used to explain the effects of acupuncture are segmental and follow specified dermatomal patterns. 558=3<6 Others! however! are intersegmental. 4or instance! stimulation of acupuncture points of the foot has been shown to affect organs over D8 dermatomes away. 5 31, 356 A possible explanation of this phenomenon is via the long reflex of Sherrington. 5 33, 326 n contrast! those reflexes that fit into the dermatomes are segmental reflexes! often referred to as Sherrington=s short reflexes. The scratch reflex of a dog is a good example of an intersegmental cutaneomotor reflex.
NEAR AND DISTANT E ECTS

One of the most perplexing problems is that some of the effects of acupuncture cannot be explained neurologically by either segmental or intersegmental mechanisms. 4or example! the effects of stimulating the acupuncture points of the head cannot be readily explained. +owever! some research has shown that a distinct reflex may probably exist between the nose and the heart or between the turbinates and the sexual organs. 536, 376 Some scientific explanation for this is therefore li&ely. The scientific proof for these reflexes is important! but it does not fully or even ade:uately explain exactly what happens according to the empiric results obtained. The %hinese for many years have attempted an explanation in the philosophical terms of Taoism with reference to FinEFang (law of opposites) and to the circulation of biologic energy (life force! ?i 5pronounced chi6).

T0E

AATE

CONTROL

T0EORY

AND

ITS

CLINICAL

SIANI ICANCE

The next consideration is the more recent Gate Theory, as described in %hapter 9.

Although this theory! originally set forth by *el@ac& and 7all! has been amended to some extent! it is basically the same as originally proposed! and it would be well to summari@e it here. 5 33=396 The gate theory holds that the large myelinated nerve fibers of the s&in have an inhibitory effect! when stimulated! on the small pain#evo&ing fibers that enter the same segment of the cord. 52<6 The large! rapid#conducting! alpha and beta fibers of the s&in conduct impulses via the dorsal columns to the brainstem and from there to the cerebral cortex. Small diameter! slow#conducting % fibers convey protopathic or pathologic and traumatic pain signals of the small fibers that arise from the deeper tissues of the body. f this were not so! the body would be in a constant state of pain. The stimuli from the dermis specifically produce inhibition in the cells of the substantia gelatinosa of Bolando! which is found in the dorsal horn of the spinal cord. t is believed that the dermal stimulus depolari@es the cells here! which renders them incapable of receiving and transmitting pain signals. Thus! painful stimuli are bloc&ed (ie! the ;gate; is closed)! according to *el@ac& and 7all. f! however! the small fiber system is excessively stimulated by some disease process! the small fiber system then gains dominance and the patient perceives pain. t is then said that the pain gate has been opened by the increased stimulation from the small fibers of the deep somatic and visceral tissues. This theory has many practical applications in clinical practice. 4or example! let us suppose that the ;gates; are open and the patient is in severe pain. 7hat can be done to relieve this sufferingG Studies have shown that the inhibitory effects are enhanced when the large diameter fibers of the s&in are sufficiently stimulated and the pain gate in the dorsal horn may be closed. n addition! these fast# conducting fibers may also arouse inhibitory responses in the brainstem that produce a downward projection of impulses to various levels of the spinal cord that further inhibit the transmission of pain signals that would normally progress to the brain. 5216 t is by way of this system of inhibitory projections that the full value (ie! relief from pain) can be reali@ed. Surgical research on patients with intractable pain has shown that the implantation of a dorsal column stimulator (ie! T-)S) can often completely bloc& the transmission of painful or protopathic impulses. 5 25, 236
SCIENTI IC E:IDENCE

*eridian therapy with needles! moxa! electrical stimulation! or by means of other modalities most li&ely wor& by such a mechanismH vi@! by bloc&ing pain signals in or to the brain by projecting inhibitory impulses to the thalamus andEor cerebral cortex and ultimately to the cord! and finally! by bloc&ing noxious stimuli through the pathophysiologic reflex and thus producing muscular relaxation. Therefore! it should be noted that acupuncture is veiled in empiric evidence. Obviously! then! current scientific proof for acupuncture explains in part much of what happens when acupoints are stimulated.

Although the *el@ac&#7all theory explains how pain pathways can be bloc&ed! it does not ade:uately explain any possible locali@ed tissue changes that are &nown to occur. (y extension of this theory! however! local tissue changes may be postulated on the basis of locali@ed vascular changesH ie! improvement in the local microcirculation. 5226 Becent studies! several without a credible basis! have been advocated. n 4rance! -%A readings on heart patients showed improvement after acupuncture treatments. 5266 n Bussia! a sensitive stethoscope supposedly noted different sounds over acupoints. The Bussians also noted a difference in the s&in temperature over acupuncture points. *uch research still needs to be performed. t appears to be that there are demonstrable entities called acupuncture points! but scientific verification for chartable meridians connecting these points is still wanting at this writing. +owever! according to a DIJ. paper from Bussia referring to research being conducted at the 'epartment of )eurology of the 3iev nstitute for "hysicians! *acheret and his associates have shown the existence of complex functional relationships between various parts of the human body and the internal organs. Their findings appear to support the existence of ;channels; that are identical to those that the Orientals call meridians. ;The Kbody channels= in their peripheral lin& are connected with somatic and vegetative conductors running both independently in the form of nerve trun&s! and li&e plexuses that get around the vessels and the muscles and reach the Kroot= spinal cells and truncus sympathicus nodes from which the corresponding segmental associations pass to the internal organs.; According to these researchers! the channels in their central lin& constitute the conductive pathways of the spinal cord and the brain. 5 276
EMPIRIC E:IDENCE

The volume of recently ac:uired empiric evidence cannot be denied. To mention just a few for example! 4ields has shown that acupuncture! through the stimulation of endorphins! is an effective modality in the treatment of pain! behavior modification! relief of the symptoms of drug withdrawal! and stimulating the autoimmune system. 5236 After treating just one point for acute dysmenorrhea in D8 patients! Slagos&i found complete effectiveness in the resolution of the pain syndrome. 5 286 Tseung and 2a@harov describe case after case of musculos&eletal disorders! anxiety and depression! growth problems! primary infertility! impotence! induction of labor! episcleritis! chronic asthmatic bronchitis! and can&er sores (aphthous stomatitis) that responded to acupuncture after failing to respond under 7estern medical treatment. 5 29, 6<6 3it@inger! a medical doctor! believes that even if acupuncture may achieve good! even spectacular! results by itself! he recommends combining it with neural therapy (electrical)! manipulative therapy (chiropractic)! and other standard physiotherapeutic modalities when vertebrogenic disorders are treated. +e states that ;%ombining acupuncture with manipulative therapy for a bloc&age is not only feasible! but also in some cases! the only correct procedure to achieve a

therapeutic brea&through.; 5616 Shafsha& compared the effectiveness of electroacupuncture to that of standard physiotherapy in the treatment of tension myositisC I,.,L responded completely to electroacupuncture and I8.IL recovered completely in response to physiotherapy. 5 656 7hile acupuncture per se has not been as effective in treating disorders of a purely psychic nature! it has been in relieving physiologic disturbances. Odell reports that when it is used in conjunction with hypnosis and visuali@ation techni:ues! it has shown to be a consistent and invaluable tool in a behavioral reprogramming techni:ue. 5636

Meri*ia% Tri&&er poi%ts a%* Their Pa$patio%

Sta%*ar*

Metho*s

of

Stim/$atio%

Acupuncture points are commonly stimulated by several methodsC D. 9. ,. <. .. 0. Msing ,8#! ,9#! or ,<#gauge! DE9 to D#DE9#inch stainless steel needles that are carefully inserted at specific preselected sites for durations ranging from a few seconds to 98 minutes or more. Msing electrical stimulation with any modality designed for this purpose. Msing a specially designed blunt instrument (teishin). Msing finger or thumb pressure. Msing a helium neon or infrared laser (controversial). Msing tiny beads sometimes called acupatches or acu-aids.

Other methods of stimulation include use of moxa (a herb that is burned near or on the s&in)! spar&s from a hand#held device! and microcurrent stimulators! to name a few. 7hen low#volt electric modalities are used in stimulating acupoints! it is generally believed that a fre:uency of approximately . pulses per second (pps) is ideal for maximal endorphin release. The intensity of current! using a small diameter electrode! should be as high as the patient can comfortably tolerate. Stimulating the most painful trigger point contralateral to the patientNs pain (eg! elbow) while the patient moves the involved part has been found effective in rapidly alleviating musculos&eletal pain.
n summary! when acupuncture sites are stimulated by means of low#volt electric current! several factors should be &ept in mindC D. 9. ,. <. The exact site of the point or of its contralateral partner must be stimulated. A small diameter electrode must be used. The correct fre:uency must be selected. The correct duration must be determined.

t should be noted that many of these factors are also important when other methods are used.
Site Locatio%

Acupuncture points are usually tender to the touch and located in palpable depressions under the s&in. Although most pertinent sites are usually tender! there are many situations where a lac& of normal tenderness at a site may also be diagnostic. As previously described! recent evidence suggests that acupuncture wor&s by means of an extravascular transport mechanism. This means that the points will be located at a certain depth below the s&in surface. Some research studies indicate that stimulation primarily affects the nervi vasorum (autonomic fibers congruent with the blood vessels)! and this further lends credence to inserting the needle to a specific depth.
Locati%& Poi%ts

Of prime importance in meridianEtrigger point therapy are the proper palpation and locali@ation of the acupoint. (ut first! a specific definition of a meridian point should be attempted. 4elix *ann states that in all diseases! physical or mental! tender areas are present at certain points on the surface of the body O points that disappear when the illness is cured. +e calls these sites acupuncture points. n %hinese literature! we find descriptions of over a thousand of these points. The more common ,0. points are located on certain fixed lines or pathways called meridians. t is our opinion that an acupuncture point is! in many instances! identical to the trigger point described by Travell or the concepts described by *atsumoto and +iyodo in their writings. n locating important acupoints for treatment and meridian dysfunction! one techni:ue involves systemic palpation (ie! of alarm points) of the body at predetermined sites. These points will be described later in this chapter.
4AC>AROUND

The palpating hands of the examiner contain sensitive nerve endings that are :uite perceptive to changes in tissue tone! temperature! texture! surface humidity! etc. The fingertips are particularly well supplied with touch and pressure receptors! while the dorsal surface of the hand is especially endowed with heat receptors. 4or these reasons! both the fingertips and the bac& of the hand should be used during the evaluation procedure. As examiners gain experience in point location! they will find it increasingly easier to locate critical sites. Acupoints will often be found that are spontaneously tender. 4or instance! a patient with appendicitis will point to *c(urney=s point as being ex:uisitely painful. ndividuals with headaches often relate a spontaneously tender area on the nuchal line of the occiput. n other cases! areas will be painful only when pressure is applied. *any of the points above the an&les and in the hand and wrist belong to this category. A third type of acupoint is not tender even when

moderate pressure is applied. *any acupuncture points are of this type.

PREPARATION

n searching for the acupuncture point! the patient must first be positioned in a comfortable position. The patient should be disrobed in such a fashion that the points are readily accessible to palpation. %are must be ta&en in all cases to preserve the modesty of the patient. As during the routine physical examination! it is generally best to have the patient undress and then robed in a gown that ties in the bac&. The waist band of the patient should be loosened for comfort and to afford free access to points of the lumbar! sacral! and lower abdominal areas. *ost examiners find it convenient to begin the examination with the patient seated on a low stool! and then transfer the patient to a comfortable cushioned table for examination in the prone and supine positions. "rior to searching for acupuncture points! the doctor should remove any jewelry that might scratch or irritate a patient. "ersonal hygiene! as always! is of utmost importance. The examiner=s hands should be thoroughly washed before and after each examination.

TYPES

AND

C0ARACTERISTICS

ACUPUNCTURE

POINTS

Several types of acupuncture points or lesions might be discoveredC

D.

i"rositic %o*/$es. *ost commonly! the fibrositic nodule will be the point located. This area feels li&e a small node or mass of tissue several millimeters in diameter. t will be tender to pressure and often spontaneously painful. t is similar to the fibrositic rheumatoid nodules often located at the bac& of the nec&! in the shoulders! or in the lumbar area.

9. I%*/rate* areas. n many instances! a hard (indurated) area will be found. nstead of a nodule! the palpator might feel a locali@ed area of tense muscle fibers in a muscle. ,. Atrophic areas. n other cases! the acupuncture point might be characteri@ed as a locali@ed swollen and discolored area or an atrophied area of tissue.

ELECTRIC

ANALYSIS

The examiner might be unable to locate acupuncture points by palpation. n these cases! it may be of value to ma&e use of one of the many electric devices available for their detection. These instruments measure s&in resistance to an electric current! showing areas where the resistance is altered. Once a point is locali@ed! whether manually or with an electric device! it should be carefully mar&ed with a s&in pencil or felt#tipped pen and then charted in the patient=s

records so that a comparison can be made from one visit to another.

I% Bapa%, Na'ata%i mappe* o/t areas of a$tere* s'i% resista%ce i%to path-a+s that corre$ate -ith meri*ia%s. 0e treats the most a$tere* poi%ts. This s+stem is ca$$e* R+o*ora'/ mea%s good electroconduction

C62D

-hich, -he% tra%s$ate*, system

The fact that an acupuncture point exhibits altered electrical resistance allows an examiner to determine specific sites by using any instrument that measures (objectively with an ohmmeter or subjectively by the intensity of the sound made by an instrument) s&in resistance at an isolated point. t is presently thought that sites that are reactive (ie! involved in a complaint)! especially when we are dealing with a musculos&eletal complaint! are more conductive than surrounding tissue. These points are usually more tender and conduct current more readily (less resistance to an electric current). These points give a higher reading on an ohmmeter and produce a louder sound. %hinese physicians refer to these sites as ah shi (ouch) pointsH American physicians usually call them as trigger points. f the correct site is chosen for stimulation! the most common reaction will be hyperemia (histamine reaction) around the point stimulated. Also noted! especially when needles are used! will be a sensation of tingling or numbness radiating or referred distally from the site stimulated. This sensation is called the deqi (also spelled tae chi). 5666 A lac& of hyperemia or de:i appears to correlate with poor results! thus indicating that the proper site was not treated. n DIJ<! studies conducted by F . *. Sin showed that acupuncture stimulation not only gave good symptomatic relief in inflammatory disease but also suppressed the underlying progress of the disease. 5676
The 0/ma% I%ch

(esides palpation and measuring electrical resistance! charted acupuncture points can be located by using a topographic system of anatomical measurement. The unit of measure is called the human inch, tsun, or cun, and the system of measurement uses the patient=s own anatomical proportions to establish the parameters to be used in (D) locating points and (9) determining the depth of needle insertion. The human inch for a particular patient can be determined by measuring the distance between the patient=s two joint creases of the volar surface of the middle phalanx of the middle finger when it is flexed. t can also be determined by measuring the width of the patient=s thumb. -ither hand can be used unless one thumb has been deformed by trauma or disease. Once the human inch is &nown! various portions of the patient=s body may be measured lengthwise or transversely and that measurement may be divided into

a certain number of human inches. (ecause a human inch is a proportional measurement for a specific individual! the number of cuns on a body part (eg! a forearm or leg) is approximately the same whether the patient is young or old! tall or short! or lean or obese. 5 666 The only exception to this is where obvious growth! surgical! or pathologic asymmetries are present (eg! disproportionate limb#trun& dwarfism).

MaEor Poi%ts( Locatio%s, Primar+ I%*icatio%s, a%* Preca/tio%s

As the result of millions of observations of patient responses over several centuries! Oriental physicians have charted over ,88 major points on the body and have attributed certain related functions to these locations. As a general rule! however! it is thought that any locali@ed point in an area of musculos&eletal pain can be stimulated to inhibit pain in that location. n DIJ<! "eter -c&man! *'! "h'! developed a schematic model of the general effects of acupuncture. 5636 n the following sections! we will attempt to describe the most common sites of stimulation and the indications for treatment as cited by various authorities. 7e must state une:uivocally! however! that little or no scientific verification has been done in the 7est to substantiate these projected effects. Thus! the reader is cautioned to use every possible diagnostic tool available necessary to evaluate the patient=s complaints and to use this chapter as a reference to those sites used by Oriental physicians. The complete validity of the effects described must await further research substantiation.

Poi%ts o% the L/%& Meri*ia%

The maEor poi%ts o% the $/%& FLUG meri*ia% are LU#1 a%* LU#3.

LU#1

Locatio%. The site of this point (Phongfu) is found on the anterior lateral aspect of the chest. Msing your finger! palpate below the clavicle and see& a tender spot in the space between the first and second rib! approximately 0 cun lateral to the anterior midline of the chest. I%*icatio%s. This point is the alarm point for the lung meridian! thus it may be tender in any condition related to the lung meridian. This site is primarily used for chronic respiratory complaints because it is the major point influencing the lungs. Stimulation may also be made at this site for shoulder disorders! especially those exhibiting painful adduction.

LU#3
Locatio%. This point (/ie:ue) may be found just lateral to the radial artery at a spot D.. cun from the transverse crease on the volar aspect of the wrist! proximal to the styloid process of the radius. A slight depression mar&s the site of /M#1. I%*icatio%s. According to some authorities! this is one of the seven master points of the body. ts primary indication is in the reduction of locali@ed edema of musculos&eletal origin.

Poi%ts o% the Lar&e I%testi%e Meri*ia%

The maEor poi%ts o% the $ar&e i%testi%e FLIG meri*ia% are LI#2, LI#11, a%* LI#5<.

LI#2
Locatio%. 7hen the thumb and index finger are brought together! such as when ma&ing a fist! this point is fre:uently located at the highest spot on the domed muscle bulge between the thumb and index finger. *ore specifically! the point is half way between the proximal and distal aspects of the 9nd metacarpal! just lateral to its radial side.

I%*icatio%s. This point (+o&u or +egu) is another master point. *any authorities feel it is the most powerful acupoint of the upper body. t has been studied most extensively and is stimulated more often than any other site of the body. -xtensive research has established a connection between stimulation of this site and alleviation of pain in the upper extremity and anterior nec& or head. Stimulation of this site with electrodes attached to inserted needles is used to bring about anesthesia in the lower jaw or scalp prior to dental wor& or during certain surgical procedures. 7hen it is used in combination with the most tender trigger point (Ah shi)! pain in the upper extremity and anterior nec& or head can be alleviated. 7e have also found that prolonged stimulation at this site (eg! over D. minutes with needles) will trigger evacuation of the bowels in a patient who is constipated and promote drainage of body fluids. 7hen used in combination with other sites! / #< may also influence other conditions. 4or exampleC LI#2 LI#2 LI#2
Preca/tio%s(

H H H

LI#11 ST#37 SP#7

O O O

dermatologic gastrointestinal gynecologic

complaints complaints complaints.

As this is a hi&h$+ se%siti.e poi%t, a*.erse reactio%s ha.e "ee% recor*e* -ith this site, the most freI/e%t of -hich is s+%cope. Thus! if the patient complains of wea&ness! faintness! or nausea during therapy! the treatment should be discontinued. This site is also contraindicated during pregnancy! except to promote labor or medical abortion.

LI#11
Locatio%. The location of this point (?uchi) is located just distal to the lateral end of the transverse crease of the elbow joint when the arm is flexed on the forearm. This point is fre:uently tender. I%*icatio%s. This point is treated for pains associated with lateral epicondylitis (eg! ;tennis elbow; syndrome) and is a special point used in the treatment of acute torticollis. Some studies have also indicated that! when stimulated bilaterally! it may lower blood pressure and affect the motor aspects of the nervous system. Msed in conjunction with / #<! it may be useful in the management of dermatologic and allergic nasorespiratory complaints.

LI#5<
Locatio%. This point (Fingxiang) is found at the nasolabial groove on the side of the nasal ala. I%*icatio%s. Stimulation of this site promotes drainage of the nasal sinuses and may be effective in combination with other focal sites in the treatment of facial paralysis.

Poi%ts o% the Stomach Meri*ia%

The maEor poi%ts o% the stomach FSTG meri*ia% are ST#5, ST#3, ST#56, a%* ST#37.

ST#5
Locatio%. This point (Sibai) is found just below the orbit of the eye at the site of the infraorbital foramen. I%*icatio%s. Stimulation at this site promotes drainage of the maxillary sinuses and is another site that may be used in patients with facial paralysis. Areat care m/st "e ta'e% to a.oi* "r/isi%& the se%siti.e tiss/es i% this area. njury may readily lead to subcutaneous hemorrhage (ie! a ;blac& eye;).
Preca/tio%s(

ST#3
Locatio%. This point (Qiaguan) is found in the depression of the inferior border of the @ygomatic arch! just in front of the condyloid process of the mandible. "alpation of this point should be made when the patientNs mouth is closed.

I%*icatio%s. Stimulation of this point is effective for patientNs experiencing painful T*> dysfunction and may be effective for patients with facial nerve palsy.

ST#56
Locatio%. This point (Tianshu) is located at the level of the umbilicus! 9 O, cun lateral to the midsagittal line! at the border of the rectus abdominis muscle. I%*icatio%s. This point is the alarm point for the large intestine. t appears that therapy here is effective in treating many gastrointestinal disorders. t is often treated in conjunction with %2#< and %2#D9.

ST#37
Locatio%. This point is found in a depression that is , cun below the plateau of the tibia! located between and slightly distal to the tibiofibular articulation. The depression is located about one finger=s width lateral to the anterior crest of the tibia. I%*icatio%s. This point ('usanli) is another of the seven master points of the body! and many authorities feel it is the most powerful acupoint of the lower body. t is thought to be the major body point for systemic tonification. (ecause of its location! it is also used in the treatment of conditions locali@ed in the lateral aspect of the &nee joint. Several studies have related this point to the cellular elements of the bloodH thus! it has been indicated by some to be effective in the treatment of anemia and to increase the white cell count in patients with infections. Stimulation of this point is often used in conjunction with / #< (thought to be the most powerful acupoint of the upper body) in the treatment of chronic gastrointestinal complaints.

Poi%ts o% the Sp$ee% Meri*ia%

The maEor poi%ts o% the sp$ee% FSPG meri*ia% are SP#7 a%* SP#9.

SP#7
Locatio%. This point (Sanyinjiao) is found on the medial aspect of the an&le on the lower calf. t can be located by placing the lateral aspect of an an&le on the opposite flexed &nee (as in the familiar male seated position) and placing the little finger of your hand (flexed &nee side) on the medial malleolus of the exposed an&le so that the thumb points toward your flexed and rotated &nee. The point is located , cun up the medial aspect of the calf! proximal to the medial malleolus. The point is located just posterior to the border of the tibia. I%*icatio%s. This point is called the crossroads of the three Yin meridians of the leg because the spleen! liver! and &idney meridians transverse at this site. 'ue to this fact! the point has multiple indications. As one of the seven master points! it is often used in the treatment of patients with gynecologic disorders! especially irregular or painful menstrual complaints and male sexual dysfunctions. t is also referred to as the master of the circulatory system as it affects various vascular conditions such as patients with cold extremities or those that bruise easily.

SP#9
Locatio%. This point (Finling:uan) is located on the medial aspect of the &nee joint! just below the lower border of the medial condyle of the proximal tibia. I%*icatio%s. This point is primarily stimulated in the treatment of patients with osteoarthritis of the &nee or sprains of the medial collateral ligaments.

Poi%ts o% the 0eart Meri*ia%

There are t-o maEor poi%ts o% the heart F0TG meri*ia%( 0T#3 a%* 0T#3.

0T#3
Locatio%. This point (Shaohai) is located when the patientNs elbow is flexed. t is between the medial end of the transverse antecubital crease and the medial epicondyle of the humerus. "alpation reveals an extremely tender point. I%*icatio%s. This point is treated in medial epicondylitis (eg! golferNs elbow) or other disorders of the medial aspect of the elbow. Some authorities report success in treating this point in patients with angina# li&e symptoms.

0T#3
Locatio%. This acupoint (Shenmen) is located on the ulnar surface of the anterior wrist! just proximal to the pisiform bone. -xact locali@ation places this point in a depression located just to the radial side of the flexor carpi ulnaris tendon! just medial to the ulnar artery. I%*icatio%s. This specific point is stimulated in an attempt to relieve patients with symptoms of nervousness! irritability! anxiety! depression! hypertension! insomnia! and abnormal forgetfulness.

Poi%ts o% the Sma$$ I%testi%e Meri*ia%

The maEor poi%ts o% the sma$$ i%testi%e FSIG meri*ia% are SI#3, SI#9, a%* SI#19.

SI#3

Locatio%. To locate this point (+ouxi)! ma&e a tight fist and note the small triangular bulge on medial aspect of the supinated hand. The point is located at the end of the transverse crease just proximal to the head of the .th metacarpophalangeal joint. I%*icatio%s. This point is treated when patients have pain in the contralateral lower bac& region and in patients suffering with various types of arthritis.

SI#9
Locatio%. To locate the exact site of this point (jian@hen)! have the patient hold their relaxed arm at the side. n this position! the point is located D cun above the top of the posterior axillary fold. I%*icatio%s. This point is stimulated whenever a patient complains of pain when reaching or putting their arm behind their bac& (extension plus internal rotation) or when a patient exhibits signs of degenerative joint disease of the shoulder joint.

SI#19
Locatio%. This point (Tinggong) can be found by placing an index finger just anterior to the tragus of the ear and palpating for the gap between the tragus and the temporomandibular joint when the patient opens the mouth. I%*icatio%s. This site is stimulated in various disorders of the ear such as earache! hearing loss! or tinnitus. Care m/st "e ta'e% -he% /si%& a %ee*$i%& proce*/re to a.oi* maEor %er.e a%* .asc/$ar str/ct/res i% this area.
Preca/tio%s(

Poi%ts o% the Uri%ar+ 4$a**er Meri*ia%

The maEor poi%ts o% the "$a**er F4LG meri*ia% are 4L#1<, 4L#53J56, 4L# 31, 4L#61, 4L#62, 4L#63, a%* 4L#7<.

A large portion of the bladder meridian is composed of points called as association or associated points. These points! which will be described later in this chapter! are located along the medial most aspect of this meridian. They appear to be related to specific viscera in a manner similar to that described in *eric Analysis where specific spinal segments are related to specific organs. C

4L#1<
Locatio%. This point (Tian@hu) is located two finger widths lateral to the midline below the occiput in the suboccipital musculature just lateral from the border of the trape@ius muscle. I%*icatio%s. This site is thought of as the atlas of acupuncture. Stimulation here is believed to have profound effects on the autonomic nervous system. ts stimulation may also relieve patients with thoracic outlet syndromes! and perhaps! suboccipital headaches! suboccipital myalgia and tenderness! or torticollis.

4L#53, 4L#52, a%* 4L#56

Locatio%. These three points (Shenshu! ?ihaishu! and 'achangshu) are found two finger widths lateral to the midpoints of the spinous processes of /9O/,! /,O/<! and /<O/.! respectively! in the intervertebral depressions between the thoracic transverse processes or lumbar mamillary processes. I%*icatio%s. Stimulation of these points is made in patients with low# bac& pain! usually bilaterally! and sometimes combined with stimulation of A(#,8 andEor other points. The choice of specific stimulation in this area depends on the determined level of spinal involvement.

4L#31
Locatio%. This point (Shangliao) is found in the depression of the first sacral foramen.

I%*icatio%s. This is an important point in the treatment of 2' syndromes! lumbar sprains and strains! and other afflictions of the lower bac&. Some reports of experiments with male animals indicate that treatment of this point may elevate sperm :uantity.

4L#61
Locatio%. This point (Finmen) is found in the longitudinal midline of the posterior thigh! halfway between the gluteal and popliteal creases. I%*icatio%s. This is an important point in the treatment of low#bac& pain! especially when there is sciatic radiation to the thigh.

4L#62
Locatio%. This posterior point (7ei@hong) is located on the transverse crease of the posterior &nee! in the center of the popliteal space. I%*icatio%s. Stimulation of this point is made in patients with arthritis of the &nee or sciatic pain that radiates to the &nee. f needling is conducted! it is best to slightly flex the joint so that tension will be removed from the popliteal tissues. %are must be ta&en not to pierce one of the many vascular structures in this area.
Preca/tio%s(

4L#63
Locatio%. This point (%hengshan) is found halfway down the bac& of the calf! at the longitudinal midpoint between the &nee and the an&le joints! at the split of the gastrocnemius muscle. I%*icatio%s. Stimulation of this point is indicated in cases of sciatica that manifest pain radiating to the calf.

4L#7<
Locatio%. This point (3unlun) is found on the external side of the an&le! at a level of the midpoint of the lateral malleolus longitudinally and

halfway between transversely.

the

Achilles

tendon

and

the

lateral

malleolus

I%*icatio%s. This site has been found to be of value in patients with generali@ed body pain! foot problems! and sciatic#li&e pains that radiate from the lower bac& to the an&le.

Poi%ts o% the >i*%e+ Meri*ia%

The maEor poi%ts of the 'i*%e+ F>IG meri*ia% are >I#1, >I#5, a%* >I#53.

>I#1
Locatio%. This point (Fong:uan) is found on the plantar surface of the foot in a depression at the junction of the anterior and middle third of the sole! between the 9nd and ,rd metatarsophalangeal joints. I%*icatio%s. Although one of the most tender acupuncture sites of the body! this point is one of the best sites to stimulate when a patient has problems related to the feet. t is also stimulated in patients with dry s&in and complaints of impotence.

>I#5
Locatio%. This point (Bangu) is found just anterior and inferior to the medial malleolus of the an&le. f an imaginary line is drawn from the midpoint of the foot (midpoint between the front and bac&)! the point can be located in a depression at the anterior#inferior border of the navicular bone. I%*icatio%s. Stimulation of this point is often made when patients show signs of excessively moist s&in (ie! hyperhidrosis).

>I#53
Locatio%. The site of this point (Shufu) is found in the depression between the Dst rib and the lower border of the clavicle! just lateral to the manubrium of the sternum. I%*icatio%s. This point is often referred to as the ;reset button; by &inesiologists. *anual stimulation of this site is thought to temporarily balance the meridians or to ;reset; them before muscle testing or chec&ing for overall energy balance in the meridians.

Poi%ts o% the 0eart Co%strictor Meri*ia%

There is only one major point of the heart constrictor (+%) meridian! 0C#7. t should be noted that this meridian is also referred to just as fre:uently by many authorities as the pericardium (") or circulationEsex (%S or %Q) meridian.

0C#7
Locatio%. This point ()eiguan) is found on the anterior surface of the forearm! directly in the midline! 9 cun from the largest transverse crease of the wrist. I%*icatio%s. Stimulation of this point is indicated for patients presenting with thoracic pain (eg! rib pain! intercostal neuralgia! postherpetic neuralgia! thoracic strainEsprain! and painful disorders of the lungs). Some authorities have reported that stimulation of this site may stop singultus (hiccups)! although we have yet to have our first success using this point for hiccups.

Poi%ts o% the Trip$e 0eater Meri*ia%

The maEor poi%ts o% the trip$e heater FT0G meri*ia% are T0#6 a%* T0#13.

T0#6
Locatio%. This point (7aiguan) is positioned on the dorsum of the wrist! exactly in the center! at a point two cun proximal from the flexure crease of the wrist. t is located directly opposite to +%#0. I%*icatio%s. This site is the major point of energy balance in the body. Stimulation of this point is thought to e:uali@e the autonomic nervous system.

T0#13
Locatio%. This point (Fifeng) is found posterior to the earlobe in the depression located between the mastoid bone and the angle of the mandible. I%*icatio%s. The indications for stimulating T+#D1 are hearing loss! tinnitus! and earache. f needling is performed! i%sertio% to a *epth &reater tha% 1#1K5 c/% is a"so$/te$+ for"i**e%.
Preca/tio%s(

Poi%ts o% the Aa$$"$a**er Meri*ia%

The maEor poi%ts o% the &a$$"$a**er FA4G meri*ia% are A4#5<, A4#51, a%* A4#32.

A4#5<

Locatio%. This point (4engchi) is found just inferior and medial to the mastoid process! in a depression (usually tender) that is located between the sternocleidomastoideus and the trape@ius muscles. I%*icatio%s. This site! one of the seven master points! influences the autonomic nervous system. t is also an excellent point to stimulate in patients with suboccipital headaches. 7hen needling! the line of insertion is directed toward the opposite eye. 'eep insertion of a needle greater than D#DE9 cun may trigger adverse effectsH thus! such depth is forbidden.
Preca/tio%s(

A4#51
Locatio%. The site of this point (>ianjing) is located midway between the spine and the acromion of the shoulder. 7ith the patient seated! hands folded in the lap! head forward! run your palpating finger from the tip of the acromion halfway up toward the spine! splitting the trape@ius down the middle. The site will be found as a tender depression at the halfway point. I%*icatio%s. This is probably the best point there is to stimulate patients with muscle spasm in the upper half of the body. Perpe%*ic/$ar %ee*$e i%sertio%s are *isco/ra&e*. nsertion should be at an angle directed toward the midline. 'o not exceed a depth of D cun! as the apex of the lung might be punctured.
Preca/tio%s(

A4#32
Locatio%. This point (Fangling:uan) is found in a depression located anteroinferiorly to the head of the fibula. I%*icatio%s. This point appears to be the best site on the body to influence patients with muscle spasm! especially spasm in the lower half of the body. The point may also be stimulated in patients with pain on the lateral aspect of the thigh andEor leg.

Poi%ts o% the Li.er Meri*ia%

The

maEor

poi%t

o%

the

$i.er

FL:G

meri*ia%

is

L:#3.

L:#3
Locatio%. This point (Taichong) is found on the dorsum of the foot between the Dst and 9nd metatarsals! approximately 9 cun from the margin of the web between the toes. I%*icatio%s. This point is often stimulated in an attempt to detoxify the body and for the treatment of patients with neurologic complaints. Some evidence indicates that it is one of the best points on the body for treating patients with migraine.

Poi%ts o% the Co%ceptio% :esse$ Meri*ia%

There are two unilateral meridians on the bodyC one on the anterior midline that bisects the chin! navel! and pubis (the conception vessel or Ben meridian)! and one on the posterior midline that cuts through the spinous processes (the governing vessel or 'u meridian). There are t-o maEor poi%ts o% the co%ceptio% .esse$ FC:G, C:#2 a%* C:#8.

C:#2
Locatio%. This point (Auanyuan) is located in the anterior midline! , cun below the navel. I%*icatio%s. Stimulation of this point is thought to affect patients with pelvic disorders (eg! menstrual pain! gastroenteritis! polyuria! etc). Treatment may also be given to this point to generally relax the patient.

C:#8
Locatio%. This point (Shenjue) is found in the center of the navel. I%*icatio%s. This is a Lfor"i**e%L poi%t that sho/$* %e.er "e %ee*$e*.

Poi%ts o% the Ao.er%i%& :esse$ Meri*ia%

The maEor poi%ts o% the &o.er%i%& .esse$ FA:G meri*ia% are A:#3, A:#12, A:#17, A:#5<, a%* A:#57.

A:#3
Locatio%. This point (Faoyangguan) is found between the spinous processes of /< and /.. I%*icatio%s. This point is a good point to treat for low#bac& pain.

A:#12 Locatio%. This point ('a@hui) is found between the spinous processes of %1 and TD. I%*icatio%s. This point is used in the treatment of thoracic outlet syndromes! nec& pain! and shoulder pain. t is referred to as a reunion point because it interconnects with other meridians and often ta&es on the functions of those meridians.

A:#17 Locatio%. This point (4engfu) is found directly in the midline just below the external occipital protuberance! at the base of the occiput.

I%*icatio%s. Stimulation of this point is used in the treatment of suboccipital headaches. Some studies have indicated a relationship between this point and the endocrines.

A:#5< Locatio%. This point ((aihui) is located in the midsagittal line of the scalp! on a line drawn between the apex of both ears. I%*icatio%s. Belationships have been drawn between this point and treatment of patients with hemorrhoids and hypertension.

A:#57 Locatio%. The site of this point is found at the philtrum! in the angle formed by the nose and the upper lip. I%*icatio%s. 4irm manual stimulation of this point is indicated in patients who feel faint.

A$arm Poi%ts

As previously described briefly! there are several reflex points for the meridians that are located on the anterior surface of the body. Spontaneous pain! pain on pressure! or excessive electropermeability at one of these points may indicate that some disorder is present in the associated meridian. 4or example! it is empirically claimed that spontaneous pain at /M#D indicates a problem in the lung meridian! whose alarm point is /M#D. All alarm (*u) points are located on the ventral surface of the thorax and the abdomen! and each point is associated with one of the D9 main meridians and its function. Six of the meridian alarm points are located on the conception vessel meridian! thus they are unilateral. The other six alarm points are bilateral! giving a total of DJ alarm points in all.

t is thought by Oriental physicians that tenderness or pain elicited by light pressure on or spontaneous pain at any of these points indicates that the meridian has excessive energy (%hi). Tenderness only on heavy pressure indicates that there is a deficiency of %hi. Aenerally! the alarm points are associated with the Fin types of diseasesH vi@! those diseases associated with cold! depression! and wea&ness. Ta"$e 3.5 $ists the a$arm poi%ts for the 15 meri*ia%s a%* &i.es the a%atomica$ $ocatio% of each.

Ta"$e 3.5. A$arm Poi%ts of the 4o*+

"eridian

Alarm Point

ocation

4ILATERAL POINTS
7ung 7i!er :allbladder -pleen @idney 7arge intestine UP7 8P7, !%P&, 8P7) !%P&. STP&. ) cun below cla!icle, lateral interspace of ,nd }/rd ribs $n !ertical nipple line, between Ath}?th ribs $n !ertical nipple line, between ?th}Gth ribs Anterior tip of ))th rib Anterior tip of ),th rib , cun lateral to na!el

MIDLINE POINTS
5eart constrictor 5eart -tomach Triple heater -mall intestine C8P71 C8P7, C8P7& C8P. C8P, 'idsternal, nipple le!el, /;<ths down from episternal notch A cun abo!e na!el, 1ust below 0iphoid process < cun abo!e na!el, epigastrium, midway between the 0iphoid process and na!el , cun below na!el / cun below na!el

(ladder

C8P)

< cun below na!el

Master Poi%ts
The seven master points are the primary points of the body! and! according to some authorities! they are used more fre:uently than other points. Aenerally! they will all be tender to the touch and the effects from stimulating them are usually pronounced. These points! in review! areC

LI() SP(+ BL(.) LU(/

ST(*+ "B(,L%(*

Associatio% Poi%ts
Associated points were briefly described with the bladder meridian. An association point (or associated point! as it is sometimes called) is a reflex site for an affiliated meridian. Aenerally! it allegedly becomes tender when the meridian=s %hi is abnormally disturbed. All meridians have an associated point. This point is located along the bac& on the

medial course of the bladder meridian! D#DE9 cun from the spinous processes! on either side of the vertebral column. That is! all association points may be found approximately two finger widths lateral to the midline of the spine. There are also associated points that do not correspond with a specific meridian. See Table ,.,.

Ta"$e 3.3. Associate* Poi%ts

"eridian /M +% +T A2 /2 A( S" ST T+ 3 / S (/

Association Point 4L 13 4L 12 4L 16 4L 17 4L 18 4L 19 4L 5< 4L 51 4L 55 4L 53 4L 56 4L 53 4L 58

ocation )-);, cun lateral to spinous processes, between T/ and T< )-);, cun lateral to spinous processes, between T< and TE )-);, cun lateral to spinous processes, between TE and TA )-);, cun lateral to spinous processes, between TA and T? )-);, cun lateral to spinous processes, between TF and T)= )-);, cun lateral to spinous processes, between T)= and T)) )-);, cun lateral to spinous processes, between T)) and T), )-);, cun lateral to spinous processes, between T), and 7) )-);, cun lateral to spinous processes, between 7) and 7, )-);, cun lateral to spinous processes, between 7, and 7/ )-);, cun lateral to spinous processes, between 7< and 7E At the le!el of the -) foramen At the le!el of the -, foramen

n this context! a special point to be noted is 3 #91. This point is located on the anterior surface of the body and supposedly acts as an associated point for the entire series. t is sometimes referred to as the ;home of all associated points.; Some authorities contend that these association points! when tender! are the best points to treat for tonification or sedation of the affiliated meridian because of a lesser possibility of an adverse reaction or side effects. The associated points have certain characteristics in contrast to the alarm points! according to 4elix *annC D. %lassically! they are points of sedation. Sedation of an association point in turn causes sedation of the meridian preceding it and the meridian that follows it. This is typically the reverse of what occurs when alarm points are stimulated. 9. These points! because of their general calming effect! are used in Fang diseases such as those associated with fever andEor overexcitation. ,. Association points also serve well as points of tonification.

<. %hinese osteopathy uses these points in the correction of minor displacements of the vertebrae.

C$osi%& Remar's
Although needling procedures are fre:uently described in this chapter! the s&illful use of penetrating techni:ues re:uires speciali@ed instruction beyond the scope of this discourse. +owever! this information as presented will be of extreme value when non#needling techni:ues (eg! electric stimulation) are used in adjunctive therapeutics.

Refere%ces

D. >ayasuriya AC *edicina alternative strategy for the integration of healing methods.

nternational >ournal of %hinese *edicine! 9(D)C1$D<! *arch DIJ.. 9. >as&ovia& "AC Manual of Meridian Therapy. /ombard! /! )ational %ollege of %hiropractic! DI1I! pp D8$D.. ,. +an 3(C On the Kyungra !ystem. "yongyang! 3orea! 4oreign /anguage "ublishing +ouse! DI0<. <. *ann 4C "cupuncture, The "ncient #hinese "rt of $ealing and $o% &t 'or s !cientifically. )ew For&! 2intage (oo&s! DI1D! p .. .. *ann 4C "apers presented to the nternational Acupuncture %onference in 2ienna and Aerman Acupuncture %onference in 7eisbaden. 0. 2annerson >4C A neurological explanation of acupuncture. (igest of #hiropractic )conomics, *archEApril! pp 99$9J! DI1<. 1. *ann 4C Acupuncture! The "ncient #hinese "rt of $ealing and $o% &t 'or s !cientifically. )ew For&! 2intage (oo&s! DI1D! p .. J. Ta&ase 3C Bevolutionary new pain theory and acupuncture treatment procedure based on new theory of acupuncture mechanism. "merican *ournal of "cupuncture, DD(<)C,8.$,9J! October$'ecember DIJ,. I. +u F! ?i FC The "henomena of energy circulated in the meridian system. &nternational *ournal of #hinese Medicine, D(<)C1$D<! 'ecember DIJ<. D8. Sato AC Spinal and medullary reflex components of the somato# sympathetic reflex discharges evo&ed by stimulation of the group 2 somatic afferents. +rain ,esearch, .DC,81$,DJ! DI1,. DD. 3unert 7C 4unctional disorders of internal organs due to vertebral lesions. #i-a !ymposium, D,(,)! DI0.. D9. %oote >+! et alC Beflex discharges into thoracic white rami elicited by somatic and visceral afferent excitation. *ournal of .hysiology, 989CD<D$D.I! DI0I. D,. 'ittmar -C %utaneo#visceral neural pathways. *ournal of .hysical Medicine ((ritish)! D.C98J! DI.9. D<. 3unt@ A! +a@elwood /AC %irculatory reactions in the gastrointestinal tract elicited by local cutaneous stimulation.

"merican $eart *ournal, 98C1<,$1<I! DI<8. D.. 3unt@ AC Anatomic and physiologic properties of cutaneo#visceral vasomotor reflex arcs. *ournal of /europhysiology, JC<9D$<9I! DI<,. D0. Bichins %A! (ri@@ee 3C -ffect of locali@ed cutaneous stimulation on circulation in duodenal arterioles and capillary beds. *ournal of /europhysiology, D9CD,D$D,0! DI<I. D1. *ann 4C "cupuncture, The "ncient #hinese "rt of $ealing and $o% &t 'or s Scientifically. )ew For&! 2intage (oo&s! DI1D! p 1. DJ. Travell >! Bin@ler S+C Belief of cardiac pain by local bloc& of somatic trigger areas. .roceedings of the !ociety for )xperimental +iology and Medicine, 0,C<J8$<J9! DI<0. DI. 'ale BAC The principles and systems of micro#acupuncture. &nternational *ournal of #hinese Medicine, D(<)CD.$<9! 'ecember DIJ<. 98. *ann 4C "cupuncture, The "ncient #hinese "rt of $ealing and $o% &t 'or s !cientifically. )ew For&! 2intage (oo&s! DI1D! pp J$I. 9D. Mssher )TC The viscerospinal syndromeC a new concept of visceromotor and sensory changes in relation to deranged spinal structures. "nnals of &nternal Medicine, DI<8! pp <91$<,9. 99. 7eiss S! 'avis 'C The significance of the afferent impulses from the s&in in the mechanism of visceral painH s&in infiltration as a useful therapeutic measure. "merican *ournal of Medical !cience, D10C.D1! DI9J. 9,. Autstein BC A review of myodysneuria (fibrositis). "merican .ractitioner and (igest of Treatment, 0C.18$.11! DI... 9<. *ann 4C "cupuncture, The "ncient #hinese "rt of $ealing and $o% &t 'or s !cientifically. )ew For&! 2intage (oo&s! DI1D! pp J$I. 9.. *atsumoto TC "cupuncture for .hysicians. Springfield! /! %harles %. Thomas! DI1<! pp DI$98. 90. "ennell B>! +euser A'C The 0$o% to0 !eminar of "cupuncture. ndependence! *O! "% ! DI1,! pp 9.$,8. 91. *ann 4C "cupuncture, The "ncient #hinese "rt of $ealing and $o% &t 'or s !cientifically. )ew For&! 2intage (oo&s! DI1D! pp J$I.

9J.

bid.

9I. 3eegan >>! Aarrett 4'C The segmental distribution of the cutaneous nerves in the limbs of man. "natomical ,ecord, D89C<8I$<,I! DI<J. ,8. Sherrington %SC The &ntegrative "ction of the /ervous !ystem. )ew For&! Scribner! DI80. Rele0ance of the +NSA cranial ner0e points The cranial ner!e points are highly acti!e acupuncture points on the frontal scalp. Lsing these points, disorders of the corresponding meridians and the cranial ner!es can be treated. 3or e0ample, the lung cranial ner!e point, the glossopharyngeal point is used for the treatment of the swallowing disorders after stroke as well as pulmonary disorders of different origin. (ased on the 9&-A-9in basic point A, ), cranial ner!e points are located in a row in the dorsal direction up to 4u'ai,= for appro0imately AG cm. 3or the practical use, the cranial ner!e points are identified by the adbdominal or neck palpation techni.ue. The painful abdominal or neck points show the way to the corresponding cranial ner!e points. After correct acupuncture of the rele!ant cranial ner!e points, the pain intensity of the abdominal or neck sites should be reduced, similar to the 9psylon points. -imilar to the other 9&-A points, the cranial ner!e points display small treatment areas, which are identified using careful palpitation. Acupuncture is then performed at the point with the highest pain intensity. -imilar to the basic, brain and 9psilon points, a careful palpitation is necessary and important for the locali"ation of the cranial ner!e points. The known 9psilon and cranial ner!e points can be used alone and in combination. %t is important that the treated acupuncture point is reported as painful by the patient. A site which is not painful should not be treated. The cranial ner!e points ha!e shown to be !ery suitable for treatment of motor and other neurological symptoms.

Rele0ance of the +NSA cranial ner0e points

The cranial ner!e points are highly acti!e acupuncture points on the frontal scalp. Lsing these points, disorders of the corresponding meridians and the cranial ner!es can be treated. 3or e0ample, the lung cranial ner!e point, the glossopharyngeal point is used for the treatment of the swallowing disorders after stroke as well as pulmonary disorders of different origin. (ased on the 9&-A-9in basic point A, ), cranial ner!e points are located in a row in the dorsal direction up to 4u'ai,= for appro0imately AG cm. 3or the practical use, the cranial ner!e points are identified by the adbdominal or neck palpation techni.ue. The painful abdominal or neck points show the way to the corresponding cranial ner!e points. After correct acupuncture of the rele!ant cranial ner!e points, the pain intensity of the abdominal or neck sites should be reduced, similar to the 9psylon points. -imilar to the other 9&-A points, the cranial ner!e points display small treatment areas, which are identified using careful palpitation. Acupuncture is then performed at the point with the highest pain intensity. -imilar to the basic, brain and 9psilon points, a careful palpitation is necessary and important for the locali"ation of the cranial ner!e points. The known 9psilon and cranial ner!e points can be used alone and in combination. %t is important that the treated acupuncture point is reported as painful by the patient. A site which is not painful should not be treated. The cranial ner!e points ha!e shown to be !ery suitable for treatment of motor and other neurological symptoms.

%n the 9amamoto &ew Chest Acupuncture pain is treated ipsilaterally, hemiparesis contralterally. Hery effecti!e is especially the treatment of distubances of the locomotor system.

)' On the safety of acupuncture in the Thoracic re*ion

&umerous references to side effects caused by acupuncture treatment can be found in medline. The in!estigation presented here was moti!ated in particular by reports of pneumothora0 after acupuncture. After an autopsy on a corpse, the depth of !arious acupuncture needles penetrated into the thora0 was in!estigated. The study was performed on a female corpse. 3or unknown reasons, the patient had been sub1ected to resuscitation and due to this measure had suffered a series of fractured ribs on the righthand side. %ssue in!estigated: %s it possible to apply acupuncture treatment safely in the thoracic region,

in particular intercostally` $bser!ations: Acupuncture in the thoracic region in!ol!es a greater or lesser degree of risk depending on the thickness of the subcutaneous fatty tissue. The longer the needle, the greater is the risk. %n !iew of the fact that in some places the intercostals muscles are only , to / mm thick, the ribs themsel!es in the present case are / to < mm thick and the skin is ) to , mm thick, in the case of a slim or cachectic person an acupuncture needle ) cm in length can potentially lead to pneumothora0 if applied intercostally. %n order to ensure the greatest possible safety in acupuncture, it is necessary to choose needles that are as short and thin as possible and to apply them tangentially at the flattest possible angle. Additional safety can be achie!ed by mo!ing the tip of the needle towards the rib or corpus sterni. %f, as for e0ample in the case of thoracic 9amamoto &ew Chest Acupuncture, the needles are to remain in position in the patient so that further physiotherapy measures can be applied, then they must be secured by a good adhesi!e plaster. %t appears safest to apply the needles abo!e the ribs and only abo!e the 0iphoid process, the corpus and manubrium sterni.

4i*ure 2' Acupuncture needles of !arious lengths. %n comparison: The depth of penetration into the subcutaneous fatty tissue can be seen. #enetration depth of the needles with respecti!e lengths of )=, )E and ,E mm in relation to skin and subcutaneous tissue. Conclusions: The safety of acupuncture in the front thoracic region depends on the length of the needle and the angle at which the needle is inserted. The greatest possible safety can be achie!ed by applying short, thin needles abo!e the ribs or towards the ribs or the corpus sterni.

4i*ure 3' %ntercostal acupuncture with < different types and lengths of needles

4i*ure 7@' These acupuncture needles penetrating through the intercostal muscles and into the thora0.

4i*ure 77' The thickness of the ribs and the intercostal muscles

4i*ure 7&' The rib is < mm thick

,' Effecti0eness and clinical applications

,'7' 4unctional "a*netic Resonance Ima*in* ;f"RI<
With the aid of functional magnetic resonance imaging *f' %+, it was possible to demonstrate the good effecti!eness of 9&-A for stroke patients. %n this study, a new metal-free acupuncture needle de!eloped by the author was applied. (enefits associated with 9&-A ha!e been shown in studies in patients after stroke, in patients with musculoskeletal pain and in emergency medicine. %n the Western world stroke is still the leading cause of disability in adults, often in the form of hemiparesis. The goal of the in!estigation introduced here was to correlate the effect of 9&-A in hemiparetic stroke patients to cortical acti!ation !isuali"ed in f' %. The neurological correlates of 9&-A were studied in )? patients with ischaemic stroke in the right hemisphere suffering from residual paresis of the left hand and in )F healthy !olunteers. A new acupuncture needle for magnetic resonance imaging de!eloped by -chockert was used in this study. -imilar to the principle of an indwelling !enous cannula, the needle is positioned in the acupoint, the steel cylinder remo!ed, and the remaining plastic part is fi0ed in the acupoint by a plaster. The si"e of the plastic part remaining in the acupoint corresponds appro0imately to an acupuncture needle of the dimensions =./= 0 /= mm *-chockert et al., ,=)=+. According to the ethical !ote all participants ha!e signed a consent before the treatment. The f' % study was performed in a ).E tesla #hilips ' % system *T /=== ms, T6 E= ms, 3A F= ~+ in a bo0-car design. #atients were treated lying down and were instructed !ia !ideo goggles to open or close their left hand. The f' % paradigm was: fi!e conditions with ),= sec duration each: /sec closing of the fist, ,sec opening of the fist, /= sec break. Three runs of f' % were performed: no acupuncture, sham acupuncture *patient is blinded: acupressure without insertion of a needle+, real acupuncture. The data were analy"ed using an -#', e!aluation program. All patients and !olunteers were first sub1ected to sham acupuncture and then to 9&-A. The sham acupuncture consisted of a single application of pressure by a finger nail in the centre of an imaginary line between T6,/ and :()<. %n the genuine 9&-A, needles were applied to the 9in points of the (asal :anglia, Cerebellum, and (asic point C. $f the )? in!estigated patients, only fi!e could be e!aluated due to motion artefacts. $n account of inhomogeneous lesions no group analysis was performed as cortical acti!ation was different in each patient. :enerally, in contrast to the sham acupuncture, genuine acupuncture was accompanied by significant cortical acti!ation in the motor, premotor and supplemental motor corte0. 6ight of )? patients felt sub1ecti!ely better after the 9&-A. The patients e0perienced a reduction of spasm and an impro!ement of the mo!ement of the paralysed upper e0tremities. The E patients from whom the data were e!aluated all showed sub1ecti!ely clinical benefit after the 9&-A treatment. 4ata from )/ healthy !olunteers could be analysed without artefacts. %n these sub1ects it was possible to perform a group analysis. %n contrast to the patients, the !olunteers displayed a decrease in cortical acti!ation during 9&-A. Without acupuncture: Cortical acti!ation was shown in the motor corte0, cingulate gyrus and occipital lobe. -ham acupuncture: Cortical acti!ation identical to that in sub1ects without acupuncture. :enuine acupuncture: &o acti!ation in the cingulate gyrus. The cingulate gyrus is part of the limbic system, a multimodal area with important afferent and efferent connections which is in!ol!ed in planning of comple0 and difficult mo!ements. Theoretically, a lack of acti!ation in the cingulate gyrus could be a training effect or the result of selecti!e inhibition of this area by 9&-A. Without acupuncture or with sham acupuncture cortical acti!ation was obser!ed close to the region of the !erte0 of the scalp, where :H,= is situated. This acti!ation is not seen after genuine acupuncture. -o it is concei!able that this is a specific 9&-A effect. The effects look promising but could be the result of generalised stimulation. The reliability of the data analysis must also be !erified. The design of the study shows methodological deficits. 3or studies in the future the documentation has to be done

e!en more thoroughly with ob1ecti!e methods of measurement. The following practical problems were seen during the conduct of this study: #atients were lying down still in the scanner for about one hour. This was !ery tiring and difficult for the patients. %n addition, it is concei!able that patients had ma1or concentration problems during the third block *genuine acupuncture+. We assume the results of this study could potentially support the use of 9&-A as an ad1uncti!e measure in stroke rehabilitation. %n !iew of the fact that eight patients felt sub1ecti!ely better after the treatment and in !iew of the changes in the cortical acti!ations in the motor, premotor and supplemental motor corte0 we assume that this benefit 1ustifies the hypothesis that the 9&-A treatment itself had this positi!e influence and is the cause of the positi!e effects described by the patients. As stroke is the leading cause of disability in the western world we assume that it is 1ustified to suggest further larger controlled clinical trials and f' % studies with more participants to in!estigate the phenomenon we ha!e seen in this in!estigation *-chockert et al., ,=)=+.

,'&' +NSA in PETPCT

,'&'7' +NSA acti0ates cortical nocicepti0e and motor centers in patients (ith chronic pain of the locomotory system The clinical application of 9amamoto &ew -calp Acupuncture *9&-A+ often shows immediate and long lasting effects in patients with locomotor disturbances such as pain syndromes, chronic stroke and #arkinsonDs disease. 5owe!er, little is known about the underlying mechanisms of 9&-A. The aim of the study was to in!estigate potential areas of the central ner!ous system influenced by 9&-A in the treatment of such patients. To this end, changes in the cerebral glucose metabolism were measured by #6T-CT. We measured three sub1ects that were treated with 9&-A for chronic pain syndromes in their lower e0tremities. 6ach patient was measured twice. The first measurement ser!ed as a baseline scan to assess the basic brain acti!ity of the patient. The second measurement was ac.uired four to fi!e days later, and the patient was treated with 9&-A shortly before the beginning of the scan. #oints were selected indi!idually after 9&-A neck diagnosis. A !isual analogue scale *=-)=+ was used to assess pain reduction. 6ach sub1ectDs #6T data were spatially coregistered to correct for differences in head position between the two scans. Conse.uently, the data were normali"ed to a template brain and smoothed with a ), mm isotropic kernel in order to account for anatomical differences between the sub1ects. 3inally, demeaning was applied to correct for global changes of signal intensity. All these steps were carried out using -#' G *Wellcome Trust Center for &euroimaging, 7ondon+ and 3-7 <.) *3' %(, $0ford+, respecti!ely. After these pre-processing steps, data from the two measurements could be directly compared to each other. An increase in glucose metabolism *and thus of cortical acti!ity+ of more than )=O was considered significant. An a!erage pain reduction of <.< ,.? points was achie!ed with 9&-A. #6T data showed increased acti!ity in the following cortical and subcortical areas: thalamus, lateral frontal- und dorsolateral prefrontal corte0 *47#3C+, insula, medial and !entromedial prefrontal corte0, posterior cingulate corte0 *#CC+, cerebellum, basal ganglia and peria.ueductal grey *#A:+. The reported acti!ations could all be assigned to either the nocicepti!e *thalamus, insula, 47#3C, #A:+, motor *cerebellum, basal ganglia+ or attention networks *#CC, lateral frontal cortices+. As changes in the le!el of attention were not monitored in this study, they cannot be ruled out. Thus we do not consider the obser!ed acti!ations in the attention network *#CC, lateral frontal cortices+ a direct effect of 9&-A. The a!erage reduction in pain scale score and corresponding change in nociception system acti!ation can be considered a direct effect of acupuncture. As HA- !alues were lower under 9&-A as compared to baseline, these acti!ations cannot simply be a result of the painful needle manipulation. The acti!ation of the motor system, especially in the basal ganglia, offers a possible

e0planation for the efficacy of 9&-A in general locomotor disorders. %n this conte0t, it is interesting to note that the 9&-A point Nbasal gangliaM was used for treatment in two of the three sub1ects.

4i*ure 7)'
:roup results of the #6T measurement. Contrast: -can with 9&-A needles in place y (aseline scan. $nly signal changes of )=O and more are shown.

,')' +NSA in emer*ency medicine

4ue to the good effecti!eness of 9&-A, especially since 9&-A takes effect !ery rapidly, % would like to propose that 9&-A and other acupuncture methods could be applied as supporti!e measures both in emergency medicine and by the emergency ser!ices. 9&-A has already been successfully employed by the emergency ser!ices. Acupuncture has also been used in military applications. There is thus an urgent need for further e0tensi!e studies on the application of acupuncture by the emergency ser!ices *Chen el al., ,=)=+. ,')'7' +NSA in emer*ency medicine Q a case report Harious acupuncture methods are successfully applied in emergency medicine throughout the world and ha!e also been studied scientifically. % myself regularly apply acupuncture in my daily practice and in emergency medical work. %n the case history described here, % would like to present 9&-A and show that % ha!e employed 9&-A to support emergency medical measures during pregnancy. The patient herself described 9&-A as e0tremely effecti!e and soothing. $n ,/ April ,==?, an emergency call was passed on to the rescue !ehicle from the control centre at )F:)E concerning a pregnant patient who was e0periencing se!ere back pain, dyspnoea and pain in the thora0. %n a thorough physical e0amination of the <)-year-old patient an auscultation re!ealed that all sections of the lungs were free without any rattling noise or spasticity, after the immediate administration of o0ygen the o0ygen saturation was FF O, blood pressure was )E=;F= and pulse )==. An 6C: did not show any pathological abnormalities. After a !enous cannula had been inserted into the bend of the left arm and lactated ingerJs solution had been administered to the patient, a decision was taken to apply 9amamoto &ew -calp Acupuncture as an analgesic. Lpon closer .uestioning, the patient said that she had se!ere thoracic and back pain, and that the back pain, which did not radiate into the legs, was the most problematic for her. -he said she had not felt well all day, but she did not want to take any painkillers. The patient agreed to be treated by acupuncture as pain therapy. According to the current procedures for 9&-A, a neck diagnosis was first applied. The neck diagnosis led to the identification of the correct acupuncture points for this patient. The following G points were applied: basic points A right and left, basic points 4 and 6 right, parietally situated 9 point kidney and brain points cerebrum, cerebellum and basalganglia. All needles ha!e been inserted for about E milimeters into the scalp. Then the pressure sensiti!ity in the neck disappeared. There has been no stimulation or rotation of the needles in this treatment. The patient had already been treated by acupuncture on pre!ious occasions and also e0perienced rapid relief of her symptoms by the scalp acupuncture applied under emergency conditions. Lpon arri!al in hospital, the patient had a complete relief from her symptoms. %n his book on acupuncture in emergency medicine that appeared in )FF<, ichard Lmlauf describes the points for body acupuncture and the points of !arious microsystems for their use in difficult and life-threatening illnesses. 5e considers these methods !ery efficacious and recommends their

application. Acupuncture could be of great benefit in emergency medicine, especially for analgesic purposes since acupuncture may also be regarded as e!idence-based medicine. -ince the :6 AC study this is particularly true of the treatment of knee and back pain. Although acupuncture research is under way throughout the world and acupuncture is also used in the emergency ser!ices, acupuncture cannot yet be described as e!idence-based emergency medicine *6(6'+. 7ike many other measures in complementary medicine, acupuncture offers a !aluable, efficient and reliable ad1u!ant therapy option for all e0isting orthodo0 emergency treatments. (oth for ethical and .uite particularly for cost-sa!ing reasons, the application of acupuncture and complementary medicine could also establish a permanent place in emergency medicine. 7arger clinical trials are warranted to in!estigate the 9&-A effects in emergency patients. %n recent years, % ha!e applied 9&-A as a supporti!e measure or as a sole therapy for the relief of pain in a wide range of cases, for e0ample acute renal colic and also for dyspnoea caused by asthma, in the emergency rescue ser!ice and also for emergency public health ser!ices. 9&-A makes it possible to pro!ide efficient therapy by applying needles to 1ust a few points. The international literature describes a wide range of applications of !arious forms of acupuncture Q also including acupressure Q for use in emergency medicine, but also side effects due to body acupuncture that has not been applied correctly. As yet there are no articles on 9&-A for emergency medicine in the international literature. % would like to encourage a discussion on increasingly including 9&-A and other acupuncture methods in emergency public health ser!ices and also in emergency medical ser!ices as a complement to and in support of orthodo0 medicine. This will re.uire e0tensi!e studies on the application of acupuncture by the emergency ser!ices. % hope for the sake of all affected emergency patients that acupuncture will be increasingly applied as an ad1u!ant and supporti!e method in the emergency ser!ices.

3igure )<. #atient ready for transport: patient treated by 6C:, o0ygen and 9&-A. The patient e0perienced relief from all symptoms after treatment with 1ust G needles.

.' Conclusion
Working with 9&-A is !ery encouraging and satisfying due to the fre.uently occurring immediate effects and lightning effects. 9&-A finds widespread acceptance amongst patients.

YAMAMOTO NEW SCALP ACUPUNCTURE (YNSA) RAFTIS CHIN AND CHEEK ACUPUNCTURE (RCCA) SYSTEMS USED IN COMPUTER CONTROLLED ACUPUNCTURE
from Aristarchos Raftis, MD PhD 1. INTRODUCTION:

Dr. Toshikatsu Yamamoto of Nishinan, Japan, founded and deve oped a ne! form of a"upun"ture in 1#$% !hi e !orkin& in a sma hospita in 'outh Japan (Nishinan). It !as first reported at the *+th annua meetin& of the Japanese 'o"iet, of R,odoraku in Osaka, Japan, in 1#$-. To distin&uish his method from the ear ier Chinese '"a p a"upun"ture, he added the !ord N./ after his name. This mi"ro a"upun"ture s,stem is different from traditiona Chinese a"upun"ture and Chinese s"a p a"upun"ture. It is 0oth a dia&nosti" and intera"tive treatment s,stem in re ievin& 0oth somati" and vis"era pain pro0 ems, as !e as 0a an"in& 1i.

2i&. 1 Approximate po itio! o" t#e YNSA$ RCCA omatotop % A!terior Yi!& po terior Ya!'& (i'#t() (o*er i! po itio! a!+ ma((er

YN'3 provides a sophisti"ated ne"k and a0domen dia&nosti" method deve oped 0, Dr. Yamamoto verif,in& the Yin or Yan& and the eft or ri&ht sideness of the meridian and 0od, d,sfun"tion. It provides an immediate feed0a"k after "orre"t , p a"in& the a"upun"ture need es or other transa"tiona stimu ation pro"edures su"h as s4" in5e"tion of norma sa ine, 6, o"aine, e e"tri"a stimu ation, o"a pressure or a7er ener&,. This "onstant inter"han&e 0et!een the pro0in& ph,si"ian and feed0a"k from the patient8s 0od, ena0 es the pra"titioner to dia&nose and treat a !ide variet, of " ini"a pro0 ems. The ne"k and a0domen dia&nosis is a pa pator, ps,"homotor ski that is 0est tau&ht 0, an e6perien"ed trained ph,si"ian or provider to a student. This is !here resu ts "an 0e seen and perfe"t pra"ti"e makes for a""urate dia&nosis and effe"tive treatment. The o"ation of YN'3 is 9uite different from that of the "hinese s"a p a"upun"ture. YN'3 shou d 0e " assified as a somati" representation or mi"ros,stem "ompara0 e to the other !e kno!n mi"ros,stems, su"h as .ar, :outh, Nose, ;and and 2oot a"upun"ture. The YN'3 0asi" somatotope is o"ated main , a on& the fronta hair ine or at east !here the hair ine shou d 0e. YN'3 < Ypsi on points or interna or&an points are o"ated in the tempora re&ion. The YN'3 somatotope is present in a fronta (Yin) position and a&ain is a mirror ima&e on the posterior s"a p. 3 further deve opment of the YN'3 !as dis"overed 0, the 3ITN34YN'3 =erman, (3ns0a"h Institute for trans"rania neuroa"upun"ture). The 3ITN34YN'3 =erman, dis"overed that the "hin and "heek somatotopes e6ist in 0oth the Yin and Yan& form.

This !as the o&i"a "ontinuation of the YN'3 s,stem. >3'IC ?RINCI?@.' O2 ;.3D 3CU?UNCTUR. /IT; .:?;3'I' TO YN'3 RCC3: The human head as the 0od,As most "entra overa "ontro in& s,stem, o&i"a , houses the most po!erfu too s that "an "ontro a fun"tions of the or&anism. The fo o!in& forms of a"upun"ture have 0een identified unti no!.

2i&. *a B *0 a% Ear a,-p-!,t-re (C#i!e e a!+ Fre!,#) .% No e a,-p-!,t-re ,% Mo-t# a,-p-!,t-re +% YNSA (Yamamoto Ne* S,a(p A,-p-!,t-re) e% RCCA (Ra"ti C#i! a!+ C#ee/ A,-p-!,t-re

YN'3: The 0asi" YN'3 somatotope is o"ated 0i atera on the forehead in the YIN position and a mirror ike ref e"tion of this anterior somatotope "an 0e found, 0i atera , on the o""ipita s"a p in the Y3N= position. The o&i"a "ontinuation of the YN'3 somatotopes is the ne! , dis"overed RCC3 somatotope !hi"h 0asi"a , is a mirror ima&e of the YN'3 from "rania to "ouda .

2i&. - B C Yi!'0Ya!'0Repre e!tatio! o" t#e YNSA a,-p-!,t-re ) tem ("rom t#e YNSA0Po ter 1223)

The YN'3 points are divided into the fo o!in& four &roups: ). ,. /. <. # 0asi" pointsD Eineti" 3pparatus C sensor, pointsD sensor, or&ans 1* Ypsi on pointsD um0ar or&an - 0asi" 0rain pointsD "ere0rum4"ere0e um and 0asa &an& ia

3 fourth 0rain point "an a so 0e found in the "rossin& area of the other > ?, representin& the >R3IN 'T.:: 2ive of the YIN 0asi" points (3>CD.) are o"ated on the forehead on either side of the mid ine a on& the natura hair ine. The 0asi" points . are o"ated a0ove 0oth e,e0ro!s. One e6"eption is the 0asi" point 2 point !hi"h is o"ated 0ehind the ears over the mastoid pro"ess.

2i&. +

The t!o ne! , dis"overed 0asi" points ; and I are "omp imentar, or as e6tra @um0ar points and are situated "auda of the > and C points. 3 these kineti" (motor) points (3>CD.=;I) are ref e"ted 0i atera , in the o""ipita area as Y3N= points. The YIN sensor, points (e,e,nose,mouth) are o"ated 0i atera , on the forehead a0out 1"m atera to the mid ine,0e o! the 0asi" point 3.

One YIN sensor, point (ear) is situated on an o0 i9ue ine 0e o! the 0asi" C point. 3 sensor, points are a so o"ated 0i atera , in the o""ipita Y3N= re&ion. The 1* YIN Y?'I@ON points (Y points) Y1F Y1* are o"ated in a re ative , sma area in the tempora YIN re&ion !ith a "orrespondin& posterior Y3N= representation. Ypsi on points not on , have anterior and posterior representation, 0ut a so have "rania and "auda representation to "reate !eak and stron& YIN and Y3N= areas.

2i&. G

The three YIN >R3IN ?OINT' are o"ated on the mid ine and at 0oth sides of the mid ine 0ein& a "ontinuation of the 0asi" point 3 in a posterior dire"tionH (fi&ure -) /hi"h one of the Y points !ou d 0e uti i7ed !ou d depend primari , on the 30domina and Ne"k dia&nosis. (2i&ure $ and I) The points of the YN'3 somatotope itse f "an 0e pa pated or sometimes their position "an even 0e seen on e6amination due to superfi"ia patho o&i" "han&es in the presen"e of disease.

2i&. $

The YIN somatotope is the most fre9uent , used, 0ut o""asiona , it is essentia to insert a need e in the o""ipita Y3N= somatotope. .ven 0, the same patient !ith the same "omp aint, the a"tive YN'3 point ma, var, in different treatment sessions. 2or this reason the modified YN'3 30domina and YN'3 Ne"k dia&nosis are a !a,s most important to "arr, throu&h.

2i&. I

It is ver, important to a !a,s "he"k the Ne"k and 30domina dia&nosti" area 0efore treatin& an, patient. This !a, ,ou "an assure e6"e ent resu ts. It is ne"essar, to 0a an"e the s,stem ever, time in order for the 0od, to respond favora0 ,. *. C3'. R.?ORT' 2RO: T;. 3N'>3C; N.URO3CU?UNCTUR. (3ITN3) IN'TITUT. 2OR TR3N'CR3NI3@

3t the 3ITN3 !e have 0een primari , usin& the YN'3 method. /ith this most usefu and interestin& approa"h to medi"a a"upun"ture, !e have uti i7ed modern, hi&h te"h dia&nosti" s,stems in order to dia&nose and do"ument ph,sio o&i"a "han&es. This approa"h a o!s us to s"ientifi"a , do"ument and further e6p ore trans"rania phenomena. In this "hapter !e !i present a sma num0er of " ini"a "ases !hi"h have 0een e6" usive , treated at 3ITN3. 2or interested readers !e !ou d ike to su&&est our internet address !here su"h "ases "an 0e further studied: http:JJ!!!.,nsa.or& CASE 1 'u""ess of the YN'3 :ethod in the Treatment of Dermato o&i"a ?ro0 ems su"h as Therap,4Resistant @e& U "ers (/ound ;ea in& Distur0an"es)

2i&. 341 4e'i!!i!' o" treatme!t

2i&. 34* T*o *ee/ a"ter .e'i!!i!' o" treatme!t

3 +%4,ear o d fema e patient sufferin& from therap, resistant !ound hea in& distur0an"es (u "us "ruris) for the past 1 K ,ears su0se9uent to vari"ose sur&er,. 'he "omp ains of severe pain in the !ound area (figure A-1).

2i&. 34- Fo-r *ee/ a"ter .e'i!!i!' o" treatme!t

2i&. 34C Ei'#t *ee/ a"ter .e'i!!i!' o" treatme!t

?atient !as 0eein& treated !ith the YN'3 method on a dai , 0asis usin& a "om0ination of 0asi" and Y4points. CASE 2 YN'34medi"a treatment 0, Opti"us 3troph, !ith & au"oma "ondition

2i&. >41 4 >4-

3 $- ,ear o d patient !as referred 0, her neuro o&ist. ;er dia&nosis !as opti"us atroph, !ith & au"oma "ondition. ;er eft e,e !as !orse than the ri&ht one. The neuro o&ist !as interested !hether the ne! +NSA4method "ou d he p this "ondition. 3 photo&raph of the retro4o"u ar anatom, of 0oth e,es !ith "o or4dopp er po!er mode s,stem (spe"ia te"hni"a devi"e from the "ompan, ESAOTE %IO"EDICA =erman, (3UC)) indi"ates that the supp , of 0 ood to the e,es (and mu"h more to the eft e,e)

!as ver, restri"ted (fi&ure >41). 3fter medi"a treatment !ith the +NSA4methode ('ensor,point 3, >rainpoint, kidne, on 0oth sides: dra!in& >41) the patient immediate , reported improvement of her e,esi&ht. 'he reported that she "ou d per"eive "o ors and fi&ures mu"h 0etter than prior to her treatment. Thirt, minutes fo o!in& medi"a treatment the ne! photo&raph sho!s no essential improvement of the supp , !ith 0 ood of 0oth e,es (fi&ure >4*). 'i6t, minutes fo o!in& medi"a treatment, a third photo&raph taken sho!s an essential improvement of the supp , !ith 0 ood to 0oth e,es and espe"ia , on the eft side (fi&ure >4-). 2o o!in& !eek , treatments for four !eeks the visua improvements that !ere ori&ina , reported have sta0i i7ed. The patient "ontinues to report depth of visua fie d, more intense "o or vision and sharper ima&es. 2rom the medi"a point of vie! the "han&e !as the resu t of an improvement of the 0 ood supp , to 0oth e,es. This is evident on the fo o!in& ima&es do"umented throu&h a spe"ia u trasoni" "o or dopp er devi"e in the po!ermode s,stem ( ESAOTE %IO"EDICA !ermany AU ,). These ima&es demonstrate ho! the mi"ro "ir"u ator, s,stem of 0oth e,es improves fo o!in& ea"h treatment !ith YN'3 method. CASE 3 YN'3 Inf uen"e in the Treatment of Retino"horoiditis, eft side, 'e"ondar, = au"oma, Retina '"arin&, eft side, Resistant To6op asmosis (prenata To6op asmosis Infe"tion of the :other) 3 *#4,ear o d patient !ho has 0een sufferin& from e,e disease in the form of a resistant retino"horoiditis on the eft side, "ondition su0se9uent to un" ear to6op asmosis (suspe"ted prenata to6op asmosis infe"tion of the mother) has 0een repeated treated 0, neuro o&ists and ophtha mo o&ists for a num0er of ,ears. 3t the time of a routine visit of the patient to our pra"ti"e for reasons of a "ommon "o d the patient !as 9uestioned as to the present state of his e,esi&ht. 3t this time the patient !as sufferin& from an a"ute inf ammation 0out and had 0een takin& "ortisone medi"ation sin"e a num0er of !eeks as !e as various other t,pes of drops.

2i&. C4%

2indin&s and Treatment Course: 3fter a thorou&h dis"ussion !ith the patient re&ardin& the possi0i it, of inf uen"in& the ai ments !ith our Y'N3 treatment methods, !e

en&a&ed in the first treatment "ourse on 1G 2e0ruar, 1##I. 3fter the first need e pri"k the patient "ou d re"o&ni7e sharp and " ear "ontours !ith his eft e,e. The permanent dark fi m and shado! !ere no on&er so massive. The visua 40ein& improved in"reasin& ,.

tart 0 5 mi!-te (ater 0 67 mi!-te (ater

2i&. C41 4 C4-

Intensive treatment !as "arried out ever, se"ond to forth da, durin& the ne6t !eeks. The patientAs pro0 ems disappeared "omp ete , after C !eekAs of treatment. 3 "ontro e6amination 0, an ophtha mo o&ist "onfirmed a tota !ound hea in& of the retina s"arin&.

tart 0 5 mi!-te (ater 0 67 mi!-te (ater

2i&. C4C 4 CG

tart 0 5 mi!-te (ater 0 67 mi!-te (ater

2i&. C4$ 4 C4#

Durin& the treatment interva s !e "arried out a ne! t,pe of retro4o"u ar 0 ood "ir"u ation e6amination, deve oped 0, us, !ith "o or dopp er po!er mode s,stem. The 0 ood "ir"u ation re ationships of 0oth e,es !ere e6amined 0efore and after treatment, studied and re&istered. 2rom this pi"tures proof is &iven that the YN'3 treatment positive , inf uen"es the 0 ood "ir"u ation in the retro4o"u ar area and therefore a""e erates the hea in& pro"ess !ithin the e,e area.

tart 0 5 mi!-te (ater

2i&. C41% B C411

/ith these pi"tures and this simp e e6amp e !e !ant to arouse the interest of the neuro o&ists and ophtha mo o&ists and hope that at on& ast these "onsu tin& "o ea&ues !i a so make the attempt to think and !ork in this dire"tion. C3'. C ;earin& oss post Cere0ra Las"u ar 3""ident (CL3)

2i&. D1

3 $* ,ear o d fema e suffered sudden hearin& oss si6 !eeks prior to our e6amination in treatment. The patient !as treated from .NT4spe"ia ist !ith rheo o&i" IL4treatments !ith no su""ess. 3fter the ver, first five a"upun"ture neede s as used 0, the YN'34 method, the patient sudden , re"overed G%4I%M of her norma hearin&. 3n :RI e6amination done on the su0se9uent da, sho!ed " ear , an infar"tion in the >R3IN 'T.: affe"tin& primar , the a"usti" nerve.

2i&. D*

The patient !as "ontinued to 0e treated in our " ini" for the ne6t t!e ve !eeks !ith &ood sta0i isin& resu ts. C3'. + YN'3 inf uen"e in the treatment of post CL3 !ith eft hemiparesis and eft "o d foot. The fo o!in& +%4,ear4o d patient sufferin& from eft hemiparesis and eft "o d foot !as treated in Ni"hinan, :i,a7aki, Japan on O"to0er, -% th 1##$ 0, Dr. Yamamoto. ;er stroke o""ured t!o ,ears prior to this treatment. 3t -:-+ pm the first thermo&raphi" photo !as made.

2i&. .41 (.e"ore) B .4* (a"ter)

Noti"e the *%,GG CN on the efrt toes (ri&ht side of photo) and a sma amount of *C CN area in the instep of the eft foot (ri&ht side of photo). 3fter p a"in& t!o a"upun"ture need es in the patients s"a p, the first !as p a"ed in the ri&ht D4point to affe"t the eft e&. The se"ond !as p a"ed in the ri&ht >rainpoint4re&ion (Cere0rum for the eft e& effe"t). The need es !ere eft in p a"e for appro6imate , -% minutes. The patient aid in 0ed !ith no so"ks on, on , a 0 anket over her !ho e 0od,. 3fter the need es !ere removed she !a ked to the toi et and 0a"k a&ain. Then 1%41+ minutes ater at C:-- pm the fo o!in& thermo&raphi" photo !as made. /ith the t!o photos side 0, side ,ou "an "ompare the effe"t of YN'3 3"upun"ture

upon poor periphera "ir"u ation in a t!o ,ear a d stroke "ase. The eft hemiparesis resu ted in a "o d eft foot (ri&ht side of 0efore photo). The eft toes in"reased 1.+CN to *CN. The eft instep in"reased appro6imate , 1,% CN. The forefoot and the hindfoot in"reased appro6imate , 1,+CN. T!o a"upun"ture need es p a"ed in the "ontra atera side of the hemiparesis usin& Dr. Yamamoto8s s,stem (YN'3) is "apa0 e of stimu atin& in"reased periphera "ir"u ation in a * ,ear o d stroke "ase. C3'. G RCC34YN'3 inf uen"e in the treatment of a"ute and "hroni" >ron"hia 3sthma

2i&. 241

3 *G4,ear4o d !hite fema e seen in our " ini" durin& an a"ute asthma episode. The patient !as treated !ith the ne! RCC3 points on the "hin and the . points a""ordin& to the YN'34method. @un&4fun"tion4testin& !as done 0efore treatment and t!o minutes after treatment !as repeated. T!o minutes after need e insertion the patient !as " ini"a , free of ther asthma episode and "ou d 0reathe perfe"t , norma . No s.". or i.v. !ere used.

2i&. 24*a B 24*0 (light line 8 .e"ore treatme!t9 thick line 8 a"ter treatme!t)

2rom the a0ove sho!n un&4fun"tion4"urves it is " ear , demonstraded that the RCC34 YN'34',stem "an 0e most effe"tive in treatment of asthma desease.

Referen"es 3u&ustin :,'"hmiede L: Praxi (eit"a+e! Nat-r#ei(/-!+e%5%A-"(a'e%;-!'<o#a!!9 Ne,/ar -(m9 (122=) >usse .,>usse ?: A/-p-!/t-r0Fi.e(%=%A-"(%Ri,#ar+ P"(a-m9M>!,#e!9 (12?@) Chen Y,Den& @: E e!tia( o" Co!temporar) C#i!e e A,-p-!,t-i t A,(i!i,a(ex>eroem,e % . ies :: Pra'mati ,#e T#erapie +er A-Be!/ra!/#eite!% I!:Pot#ma!! R (Hr '%): A/-p-!/t-r0 Repetitori-m%5%A-"(%Hippo/rate 9St-tt'art9 (122=) 2inte mann L, :enOen ;=, 'ie&ers C4?: P#)tot#erapie Ma!-a(% Hippo/rate 9St-tt'art (1232) = edits"h J:: Re"(exCo!e! -!+ Somatotopie!%6%A-"(%W4D 4io(o'i ,#0Me+iCi!i ,#e Der(a' 'e %9S,#or!+or"9 (1233) ;er&et ;2: Ne-ro0 -!+ P#)tot#erapie ,#merC#a"ter "-!/tio!e((er Er/ra!/-!'e!% 4a!+ I& ? A-"(%Pa ,oe9Eie e!9(122@) Eampik =: PropF+e-ti/ +er A/-p-!/t-r%Hippo/rate 9St-tt'art9(1233) Eo ster >,.0e t4?aprotn, =: Leit"a+e! P#) iot#erapie%5%A-"(%;-!'io#a!!9Ne,/ar -(m&(122G) EPni& =,/an"ura I: Ei!">#r-!' i! +ie ,#i!e i,#e O#ra/-p-!/t-r%2%A-"(a'e Ha-'9Hei+e(.er'9 (1232) Eoeni& =, /an"ura I: Praxi -% T#eorie +er Ne-e! C#i!e i ,#e! A/-p-!/t-r&4a!+ III: O#r0 A/-p-!/t-r%Ma-+ri,#9Wie!9 (123?) @an&e =: A/-p-!/t-r +er O#rm- ,#e(%6%A-"(%W4D 4io(o'i ,#0Me+iCi!i,#e Der(a' 'e %:S,#or!+or"9 (123?) :ari"Oeh er /: Ne-e S,#F+e(a/-p-!/t-r !a,# Yamamoto$YNSA% I!%Pot#ma!! R (Hr '%): S) temati/ +er S,#merCa/-p-!/t-r%Hippo/rate 9St-tt'art (122G) :ari" Oeh er /,O&a ;?: Ne-e S,#F+e(a/-p-!/t-r !a,# Yamamoto (YNSA) I& Er-!+(a'e! -!+ ei!"a,#e A!*e!+-!' .ei pie(e% (Di+eo/a ette)& KDM9Mar.-r' 2G Q:ari"4Oeh er /,O&a ;?: Ne-e S,#F+e(a/-p-!/t-r !a,# Yamamoto (YNSA) III& Ei!">#r-!' i! +ie 4e#a!+(-!' mit +e! YPSI0LON0P-!/te!%(Di+eo/a ette)9KDM9 Mar.-r'9 (122G) No&ier ?:2: Pra/ti ,#e Ei!">#r-!' i! +ie A-ri/-(ot#erapie%Mai o!!e-He9Sai!te0R-""i!e9(12?3) O&a ;?: O#ra/-p-!/t-r I& Er-!+(a'e! -% pra/ti ,#e A!*e!+-!' 'e.iete +er O#ra/-p-!/t-r%(Di+eo/a ette)9 KDM9 Mar.-r'9 (122G) O&a ;?: O#ra/-p-!/t-r II& 4e#a!+(-!'/o!Cepte .ei #F-"i'e! Er/ra!/-!'e! +% 4e*e'-!' apparate % (Di+eo/a ette)9 KDM9 Mar.-r' (122G) O&a ;?: O#ra/-p-!/t-r III&4e#a!+(-!' Ho! "-!/tio!e((e! Er/ra!/-!'e!%(Di+eo/a ette)9 KDM9Mar.-r'9(122G) O&a ;?: O#ra/-p-!/t-r ID& A+<-Ha!te 4e#a!+(-!' mI'(i,#/eite! .ei A((er'ie!& .ei S-,#t -!+ .ei p ),#i ,#e! 4e"i!+(i,#/eit tIr-!'e!%(Di+eo/a ette) KDM9 Mar.-r'9(122G) O&a ;?: S,#F+e(a/-pre -r%I!:Ko( ter 4& E.e(t0Paprot!) E(Hr '%):Leit"a+e! P#) iot#erapie%5%A-""(%;-!'<o#a!!&Ne,/ar -(m& (122G) O&a ;?,. ies :,;er&et ;2: S,#merCe! +e 4e*e'-!' apparate %I!:Pot#ma!! R (Hr '%):S) temati/ +er S,#merCa/-p-!/t-r%Hippo/rate 9St-tt'art9(122G) O&a ;?,Eo ster >C: O#ra/-p-!/t-r0Er-!+(a'e!&Praxi & I!+i/atio!e!%KDM&Mar.-r' (122?) O&a ;?,Eo ster >C: Kompe!+i-m O#ra/-p-!/t-r Der e""e/tiHe We' Hom P-!/t C-m 4e#a!+(-!' /o!Cept%KDM9Mar.-r' (122?) O&a ;?, :ari"4Oeh er /: Ne-e S,#F+e(a/-p-!/t-r !a,# Yamamotot (YNSA) II&4e#a!+(-!' Ho! Er/ra!/-!'e! +e 4e*e'-!' apparate mit +e! 4SIS0P-!/te!% Di+eo/a ette)9 KDM9Mar.-r' 9(122G) O&a ;?,:ari"4Oeh er /: Ne-e S,#F+e(a/-p-!/t-r !a,# Yamamoto (YNSA) ID&4e#a!+(-!' Ho! Er/ra!/-!'e! +e 4e*e'-!' apparate -% "-!/tio!e((e! StIr-!'e! mit +e! YPSILON0 -% 4ASIS0P-!/te!% (Di+eo/a ette)9KDM9Mar.-r' (122G) ?as"oe4Eompendium: Pa ,oe9EieBe!9(122@) 1uan ': App(ie+ C#i!e e A,-p-!,t-re "or C(i!i,a( Pra,titio!er %S,ie!,e -% Te,#!o(o') Pre 9S#a!+o!'9(123@) Rau0er,Eops"h (>er&r.):@eonhardt ;, Ti mann >, TPndur, =, Ri es E (;rs&.) : A!atomie +e Me! ,#e& 4+%III%T#ieme9St-tt'art9(123?) Ru0a"h 3: PropF+e-ti/ +er O#ra/-p-!/t-r%Hippo/rate 9St-tt'art9(122@) RSdin&er ;: S,#merCe! .ei i!!ere! Er/ra!/-!'e!%I!:Pot#ma!! R(Hr '%):S) temati/ +er S,#merCa/-p-!/t-r%Hippo/rate 9St-tt'art9(122G) '"hirmohammadi R: De+eorei#e +er Ne-ra(t#erapie94+%10G%Pa ,oe9Eie e!9(122@) '"hre"ke >D,/erts"h =J: Le#r.-,# +er mo+er!e! -% /(a i,#e! A/-p-!/t-r%2%A-"(%W4D 4io(o'i ,#0 Me+iCi!i ,#e Der(a' 'e %9S,#or!+or"9(1232) Ti s"her ;,.der :: I!"i(tratio! t#erapie%5%A-"(%Hippo/rate 9St-tt'art9(1221) /an& TT,@i J@: A! i((- trate+ Hi tor) o" A,-p-!,t-re a!+ Moxi. tio!%C#i!a A,a+em) o" Tra+itio!a( C#i!e e Me+i,i!e94ei<i!'9(123?)

/eiO R2: Le#r.-,# +er P#)tot#erapie%?%A-"(%Hippo/rate 9St-tt'art9(1221) Yamamoto T: YNSA0Yamamoto NEW SCALP ACUPUTURE9 Spri!'er ;apa! P-.(i #i!' I!,%(1223) Yamamoto T, :ari"4Oeh er /: Yamamoto Ne-e S,#F+e(a/-p-!/t-r%C#-!0;o9Frei.-r' i%4r%9(1221)

spinal ner!e

Spinal ner0es pass throu*h the inter0ertebral canals

Connections of the spinal ner0e roots to the spinal cord

Insomnia
9intang CH)? #? 5T? @%A :H)A :(,= (7/G (7A,

The branches of a spinal ner0e

$ne of the most common and de!astating problems a person can e0perience is, without .uestion, insomnia. This problem has been the root cause of countless physical and emotional conditions. All of us at one time or another ha!e e0perienced the torture of not being able to sleep, or waking se!eral times during the night. $ften this is a short-li!ed e0perience, one or two nights of sleeplessness, then a return to normal sleep. 5owe!er there are millions of people worldwide who suffer from this most e0asperating problem most e!ery night. The night becomes a sheer hell and the ne0t day is no better. -leeping pills are dangerous, and often do not work when pain or an0iety is the cause of the problem. Acupuncture *acupressure+ is e0tremely beneficial for this condition, and should not only be considered, but recommended. The patient may apply firm pressure while mo!ing the finger in a circular motion to the points illustrated in the figures. This condition is helped considerably by acupressure. -hould you the practitioner stimulate these same points on the patient while in the office, your success will be counted in the !ery high F= percent range. $ne of the most significant healing techni.ues used for insomnia is to simply ha!e the patient breathe slowly and deeply, being sure to e0hale completely, for fi!e full minutes prior to lying down. This techni.ue rela0es the entire ner!ous system and is a great help in relie!ing insomnia by itself, let alone should you use the acupuncture points mentioned in this article. Those of you reading this with a background in acupuncture know the precise location of the points illustratedC those of you who donDt, simply go to the general area shown and stimulate the entire area to insure you donDt miss. $ne of the sure ways to not get the 1ob done properly is to make too much of an issue as to the 2e0act2 location of these points.

Acupuncture and Emotions :ohn A' Amaro 'Ac'5 Dipl'Ac';NCCAO"<5 DC

4.4. #almer stated the three causes of sublu0ation and thus disease: poisons, traumas, and autointo0ications. %n the long history of Asian healing, which we in the West usually only consider as being acupuncture, en!ironment and emotion are considered the most significant factors in the cause of disease. The $riental practitioner also recogni"es trauma, poisons, chemicals, parasites, and lifestyle *e.g., e0cessi!e se0 in the male+ as ma1or contributors to the ills of mankind. Acupuncture is only one of four ma1or contributors to health, the others being manipulation of the spine and 1oints *chiropractic+, nutritional therapy, and psychological well being. We in the ,=th century are constantly referring to our le!el of stress as we deal with routine matters in our day-to-day world. We make it sound as though we are the only ones who ha!e e!er e0perienced an0iety, fear, worry, grief, anger, and a host of emotions too numerous to mention in this article. $ne need only browse through any book on world history. %n any gi!en era, in any country, itDs e!ident that the people of those nations and times certainly e0perienced all, if not more, of the turmoil and emotions we are confronted with in our li!es today. %n recent years, the holistic practitioner has become !itally aware of the emotions as being a ma1or contributor to disease and dysfunction. We see more and more practitioners using such techni.ues as

&6T to balance the body and clear stagnated emotions. Whene!er we are confronted with a situation which will produce one of the fi!e main emotions -- fear, anger, o!ere0citement, worry, and grief -- the mental emotion is translated to the body as a chemical messenger, which is usually rendered harmless by the protectorate meridians of the body, which are the bodyDs first line of defense against both the ra!ages of the emotions as well as en!ironmental factors. -hould the protectorate meridians, referred to as the e0taordinary !essels, not be able to render harmless the negati!e factor due to a blockage, the pathology becomes apparent in the main meridian and thus produces symptomatology in the body. This symptomatology may be e0pressed by !irtually any condition. An o!ersimplified e0ample would be the gutters of a house blocked with lea!es. When the rain comes, the runoff from the roof cannot drain properly, causing flooding or leaking of water in the house, basement or lawn. The cure is to simply remo!e the lea!es from the gutter. The same is true of the e0traordinary !essels. %f they are flowing freely, negati!e emotions simply drain off, and e!en though we will mentally e0perience the emotion, it normally does not produce long lasting effects. 5owe!er, as you are well aware, often an emotion which was e0perienced years ago may surface as a full blown psychological or physical problem much later in a personDs life. This is ob!iously a sub1ect which is !ery comple0, and e!en though the remedy % am about to offer is seemingly !ery simple, it likewise is comple0, especially if you were to e0plore all of the ramifications and e0planations of its use. %n a nutshell, and % almost feel guilty making this !ery comple0 sub1ect so elementary, to clean your gutters, one stimulates the pairs of points known as :(<) and T5E, -)/ and (7A,, -#< and #A, 7L? and @%A. -timulate one point on one side of the body and its pair on the opposite side. This combination of points should be ideally repeated four times a year, primarily at the change of seasons. To do so will create a fa!orable balance situation which will allow most negati!e emotions as well as negati!e en!ironmental factors to roll off like water on a duckDs back. %n addition, there are se!eral points which ha!e a significant historical application which should also be considered if the patient is already suffering from emotional distress. % ,1 -- helps to release repressed fear and encourages feelings of strength resolution. #I/ -- this point may be used for stage fright or fears about any performance. P/ -- this point has historical applications for those who frighten !ery easily. !%&@ and a point opposite of cer!ical /-< -- these points are particularly beneficial for those with obsessi!e thought patterns and to rela0 mental tension. T$7. -- this point helps rela0 ner!ous tension associated with worry. ST )/ -- helps to reduce an0iety by strengthening the entire energetic and physical body. !%&7 -- this point is crucial to assisting feelings of irritation and general Duptightness.D % ,& -- helps to release repressed internali"ed anger. SP, -- traditionally used for anger and rage. U7 -- this is the great Dletting goD point used in grief or when the person has 1ust e0perienced the loss of a lo!ed one or another situation where grief and Dholding onD is a factor. % )2 -- helps to strengthen the body after the e0perience of grief.

!8&@P!8&/PC8/ -- are traditional points used for shock or o!erwhelming emotions. $T1 -- helps to balance and calm the heart meridian in!ol!ed in o!ere0citement. $T) -- the master point on the body for an0iety. % ha!e in past articles in 4ynamic Chiropractic illustrated all of the aforementioned acupoints in a fi!epart series 2The 'ost %mportant &otes of Acupuncture2 *-eptember ),, $ctober ,<, &o!ember ,), and 4ecember )F, )FF=, and Banuary )G, )FF)+. #lease refer to these issues for an illustrati!e listing of the meridians and acupoints of the body. 3or those of you who are new to 4ynamic Chiropractic, new to Asian healing, or who would 1ust like an illustrated copy of the abo!e mentioned acupoints, send a self-addressed stamped en!elope to my attention and % will see that you recei!e it. %n the meantime, begin using these acupoints with whate!er modality you ha!e for stimulation. 'y fa!orite for this techni.ue is a )mw 5e&e laser. This method of stimulation mimics mo0ibustion without all of the negati!es surrounding its use. 6lectronic stimulation produces fair to good results, and needle stimulation is often too abrasi!e for the patient. %f you do not ha!e any access to these modalities, finger pressure does a decent 1ob, but nothing compares to the laser in this application. #osted by 56A7T5 'A&A:6'6&T C6&T 6 at &o comments:

The #orean X4our PointX System

%n my last article 2Acupuncture 4iagnosis in a Chiropractic;'edical #ractice2 *4ynamic Chiropractic $ctober )G, )FFF+, % discussed the high technology acupuncture e0amination known as 2 yodoraku2 or 26lectro 'eridian imaging2 to determine the status of the meridian system. -ince pulse diagnosis as classically taught, only allows the practitioner to see a ma0imum of A to G patients a day, many practitioners of Traditional Chinese 'edicine *TC'+ ha!e begun to use modern diagnostic procedures along with classical acupuncture stimulation techni.ues. $f course one of the most important issues in clinical acupuncture is without .uestion the establishing of a proper diagnosis. This includes determining which of the ), meridians are in!ol!ed by either being too high in electro magnetic energy, too low or split between left and right sides of the body. $nce the status of the meridians are determined by 6lectro 'eridian %maging * yodoraku+ or by Traditional Chinese pulse diagnosis, it is imperati!e to balance the meridians to normalcy by toniflying the low meridians and sedating the high ones. %n 3i!e 6lement acupuncture, balancing between in!ol!ed meridians is classical and focuses on borrowing e0cessi!e energy to supply those meridians that are too low. Acupuncture has numerous approaches around the world to include !irtually e!ery Asian nation. 5owe!er, the @oreans appro0imately A== years ago, de!eloped one of the most significant techni.ues of balancing the meridians which is !irtually unknown to most acupuncturists e0cept those in @orea and e0treme northern China. The procedure is also !ery well known in the northern islands of Bapan. The techni.ue re.uires the use of four specific acupuncture points for each meridian that is shown to be either too high or too low. Whereas in Chinese acupuncture, the utili"ation of the single 2tonification2 or 2sedation2 point is all that is classically used. 6!en though simple tonification and sedation will suffice in most cases, for those stubborn conditions that are ha!ing great difficulty in establishing a balance, this @orean system is ideal. This techni.ue will balance meridians when other procedures will not.

The four steps for a XdeficientX meridian areI ). Tonify the 5orary point of the 'other organ ,. Tonify the 'other organs element point on the affected organ /. -edate the 5orary point of the controlling meridian *@$ cycle+ <. -edate the controlling organs element point on the affected organ The four steps for an Xe-cessi0eX meridian areI ). Tonify the 5orary point of the controlling organ *@$ cycle+ ,. Tonify the controlling organs element point on the affected organ /. -edate the 5orary point on the 2son2 organ <. -edate the son organs element point on the affected organ The fact of the matter is, once a meridian is determined to be too high or too low, rather than going through the procedure of figuring out which points to use, the points are always the same for each meridian either being too high or too low. 3ollow the pro!ided chart to achie!e some of the most spectacular clinical results you will e!er e0perience. When the following meridians are 2DE4ICIENT2 treat: "eridian UN! AR!E INTESTINE STO"AC$ SP EEN $EART S"A INTESTINE % ADDER #IDNE+ PERICARDIU" TRIP$EATER !A % ADDER T$&%39 -#/ 7LF -T/A 7%)) -%E -T<) 5TG -#, 7%H) 5TF :(<) -%/ 7%) (7A? 7LG @%? 7%H) #F :(<) T5/ (7AA :(</ -64AT6 5TG 7L)= -%E 7%E :(<) -T</ 7%H) -#) @%)= 5T/ (7AA -%, -T/A (7E< -#/ @%/ @%)= #/ (7AA T5, 7%) :(<< 7LG 7%H< -64AT6 @%)= 7LE (7AA 7%, 7%) -T<E 7LG -#E -#/ 5T? -T/A -%G :(<) (7AE

I8ER @%)= 7%HG When the following meridians are 2E?CESSI8E2 treat: "eridian UN! AR!E INTESTINE STO"AC$ SP EEN $EART S"A INTESTINE % ADDER T$&%39 5TG 7L)= -%E 7%E :(<) -T</ 7%H) -#) @%)= 5T/ (7AA :(<= -T/A (7E<

#IDNE+ PERICARDIU" TRIP$EATER !A % ADDER I8ER

-#/ @%/ @%)= #/ (7AA T5, 7%) :(<< 7LG 7%H<

7%H) @%) -#/ #? -T/A T5)= -%E :(/G 5TG 7%H,

Try balancing the in!ol!ed meridians you ha!e disco!ered with 6'% e!aluation with this ancient @orean approach. %t has few e.uals. % personally use it in the most difficult cases.

XChat points do you use forYYYYYX :ohn A' Amaro 'Ac'5 Dipl'Ac';NCCAO"<5 DC
Without hesitation the number one .uestion poised of me by doctors interested in the application of acupuncture and which has been consistent for more than a .uarter of a century is simply, 2What points do you use forttttttttt2. $f course this simplified approach to what many practitioners feel is the practice of acupuncture, is in reality a far cry from proper applications that deal with a host of theoretical and procedural process both ancient and modern. 6!en though this article will be read in e!ery corner of the globe, % speak especially to my American brethren who ha!ing been born Americans, feel we ha!e the birthright to change ancient rules at will. As a nation, we Americans seem to ha!e a way of minimi"ing e!erything to meet our way of life. We tend to make things easier and less complicated sometimes disregarding the howDs, whyDs and historical significance of matters of importance. 5owe!er, as the world becomes much smaller, it appears this is .uickly becoming a global trend. 'any health care practitioners who 2dabble2 with acupuncture thru simple stimulation of patterns of acupuncture points, often find themsel!es !ery frustrated when they achie!e outstanding results on one patient and no response on the ne0t two. This is usually attributed to the fact many practitioners commonly use only formulae or 2cookbook2 approaches e!en though acceptable are not specific for the indi!idual patient. %n e!ery sport, occupation or profession, many will become !ery in!ol!ed and considered good at what they do howe!er, few e!er reach the pinnacle of fame, fortune and success in that particular endea!or. There are always in e!ery field only a few who stand out abo!e mediocrity. %n the field of acupuncture, it behoo!es the practitioner to understand the reasoning behind the specific points on the meridian system and how and why they are used in a clinical practice. As opposed to the simple 2what points do you use fortttttt2. The medical;chiropractic professional in order to practice proper acupuncture needs an understanding of the principles of acupuncture, along with scientific correspondences and knowledge of special refle0 areas that are essential to its successful practice. Acupuncture does not ha!e to in!ol!e the myriad of myth, shamanism and folklore that abounds in many of the ancient principles of Traditional Chinese 'edicine *TC'+. %n actuality, TC' is 1ust one method of a large multi national system which includes, Bapan, @orea, Taiwan, -outh 6ast Asia, 'alaysia, not to mention e!ery country in 6urope which ha!e used acupuncture e0tensi!ely for centuries. 6uropean applications ha!e demystified many of acupunctureDs e0planations that are more compatible with Western scientific thought processes.

:i!en all of that, practitioners will continue to ask, 2What points are good forttt2. %n ichard ChengDs '.4., #h.4. book 2The -cience of Acupuncture Therapy2, many of these orthopedic;neurologic basic points and formulaeDs are discussed. These points ha!e been found to be !ery effecti!e in the ma1ority of cases based on neurologic e0planations rather than TC' thought processes. 4r. Cheng a personal friend of mine and faculty member of the %nternational Academy of 'edical Acupuncture is a neurophysiologist, internationally recogni"ed researcher and '.4. 5e was one of the principle researchers in the disco!ery of endorphins and enkephalins at the Lni!ersity of Toronto. 5is work has been published in numerous prestigious scientific 1ournals that earned him the first #h.4. in acupuncture research in &orth America. 3ollowing are specific points 4r. Chengs neurologic research has shown to be e0tremely effecti!e in pain control. The following points will only be listed by number as opposed to illustrated *4r. ChengDs book is illustrated+. -hould you not know the location of these powerful points, bring out your acupuncture chart or manne.uin and begin your re!iew. These are far too powerful for you not to use. % ha!e personally used them for years. The following represent 1ust a few from the book. Neural*ic headaches :H )E, TW )?, -T <, :( ), :( )<, -T ?, 7% ,=, (7,, (7 F Acupuncture points for nec9 pain :H )A, :H )E, :H )<, (7 )=, (7 )), :( ,=, :( ,), -% )E, -% )?, -T F Sciatica :( /=, (7 E< *L( <=+ Elbo( pain 7% )), 7% )=, #/, -% G Crist pain T5 <, 7% E $ip pain -p ),, (7 <F, (7 <G, :( /), 7%H )) #nee disorders -# F, -# )=, :( /<, 7%H ?, :( //, -T /E, @nee eye, -T /,, (7 E/, @% )= An9le pain @6 /, (7 A=, -T <) 4r. Cheng lists the following as the ))-master;ma1or points that should be learned in detail. 7% <, 5T ?, 7% )), :( ,=, # A, TW E, :H ,A, -T /A, -# A, -# )=, -56& '6& *6ar+

The o( %ac9 thru Asian Eyes

W#e! o!e ,o! i+er t#e "a,t .e i+e t#e ,ommo! ,o(+& more peop(e *or(+*i+e a!+ i! parti,-(ar ,o!temporar) We ter! !atio! & ee/ a +o,tor ,are "or (o*er .a,/ pai! t#a! t#e ,om.i!e+ tota( o" a(( ot#er #ea(t# ,o!+itio! % It *o-(+ t#e! ta!+ to rea o! i!,e t#e i((- tratio! #o*! #ere i! FIEURE A% are o.Hio- () ,(a i, (o,a( a,-p-!,t-re (meri+ia! a,-0

t#erap)) poi!t "o-!+ i! t#e (o* .a,/ re'io!& t#a! t#e e poi!t *o-(+ .e *it#o-t J-e tio! t#e mo t i'!i"i,a!t (o,a( poi!t "or t#e treatme!t o" t#e !-m.er o!e #ea(t# ,o!+itio! *or(+ *i+e% A reHie* o" t#e poi!t i! FIEURE A a!+ -ti(iCatio! o" <- t a "e* o" t#e o!e #o*!& *i(( e(i,it i!,re+i.(e ,(i!i,a( re po! e i! (o* .a,/ pai! i! t#e ma<orit) o" ,a e % T#ere are a++itio!a( poi!t *#i,# are (e'e!+ar) "or (o* .a,/ pai! *#i,# are !ot "o-!+ +ire,t() i! t#e (-m.ar re'io! #o*eHer to t#e Hetera! pra,titio!er a *e(( a t#e -!i!itiate+ t#e (o,a( poi!t i((- trate+ #ere *#e! tim-(ate+ .) a Hariet) o" p#) iot#erap) mea! or a,-p-!,t-re !ee+(e ,a! a!+ +o i((i,it impre iHe re po! e% T#e 'rap#i, o" t#e a,-p-!,t-re poi!t o" t#e (-m.ar re'io! (FIEURE A) i o!e *#i,# )o- *i(( +e"i!ite() *a!t to ,(ip a!+ aHe "or "-rt#er reHie*% T#e i!"ormatio! #ere i *a) to importa!t to +o ot#er*i e% Dirt-a(() eHer) poi!t i((- trate+ *i(( #aHe a pe,i"i, e""e,t o! (-m.a('ia& #o*eHer& 4L56& 4L5@& 4( 5?& 4L53& 4L@5 (=?)& DU (ED) 5& 6& =& a!+ @ are *e(( /!o*! "or t#eir -,,e i! (o* .a,/ pai!% T#e KDUL meri+ia! ot#er*i e /!o*! a EoHer!i!' De e( (ED i a mi+ (i!e pi!a( meri+ia! r-!!i!' "rom t#e peri!e-m oHer t#e pi!o- pro,e e ,o-r i!' oHer t#e #ea+ a!+ e!+i!' <- t -!+er t#e -pper (ip .et*ee! t#e "ro!t t*o teet#% O! t#i meri+ia! *e *i(( "i!+ ome o" t#e mo t po*er"-( a,-p-!,t-re poi!t o! t#e .o+) "or a Hariet) o" ,o!+itio! & ot#er t#a! t#e o.Hio- (o* .a,/ pai!% DU5 Expe( i!terior Wi!+& tre!'t#e! t#e (o* .a,/ a!+ ,a(m pa m a!+ ,o!H-( io! DU6 4e(o* t#e "o-rt# (-m.ar& to!i"ie Ya!'& a!+ tre!'t#e! t#e (o*er .a,/ a!+ (e' DU= Eate o" Li"e .e(o* t#e pi!o- o" t#e e,o!+ (-m.ar& !o-ri #e t#e ori'i!a( C#i& to!i"ie /i+!e) )a!'& /!o*! a t#e Mi!' Me!& Eate o" Dita(it)& tre!'t#e! t#e (o*er .a,/% DU @ 4e(o* t#e "ir t (-m.ar pi!o- & pai! a!+ ti""!e o" t#e (o* .a,/& +iarr#ea a!+ i!+i'e tio!% DUG 4e(o* t#e e(eHe!t# pi!o- & #i tori, area o" ,#iropra,ti, app(i,atio! a,,or+i!' to Pa(mer DU? 4e(o* t#e te!t# t#ora,i, pi!o- & epi'a tri, pai!& pai! a!+ ti""!e o" (-m.ar pi!e% DU3 4e(o* t#e !i!t# t#ora,i, pi!o- & expe( i!terior Wi!+ a!+ re(axe te!+o! & i!e* % A(( o" t#e a,-p-!,t-re poi!t .e'i!!i!' *it# 4L13 a!+ pro're i!' t#r- 4L 53 are 1%@ t -! or t*o "i!'er .rea+t# .i(atera( to t#e mi+(i!e ,orre po!+i!' to t#e DU (ED) meri+ia!% Ea,# o" t#e e poi!t are !ame+ a"ter t#eir pe,i"i, a o,iatio! t#- Ka o,iate+L ( #-) poi!t % T#e !ame o" t#e a o,iatio! are .) a..reHiatio! t#e !eop#)te *i(( <- t !ee+ to - e a (i'#t .it o" ima'i!atio! to -!+er ta!+ t#eir i'!i"i,a!,e% 4L12 .et*ee! T17 a!+ T11 i a o,iate+ *it# t#e E4 or KEa((.(a++erL% K!o*(e+'e o" t#e *or/i!' me,#a!i m o" t#e Ea((.(a++er meri+ia! "rom a! a,-0pra,ti, ta!+poi!t *i(( ope! -p a! e!tire() !e* *or(+ o" #ea(i!'% 4L12 pe,i"i,a(() re(axe t#e +iap#ra'm t#ere"ore it i - e+ "or ,#ro!i, #i,,o-'# or a!)time t#e +iap#ra'm i i!Ho(He+% It a( o i /!o*! to pa,i") t#e Stoma,#% For examp(e t#e LiHer a o,iate+ poi!t 4L 13 .et*ee! T20T17 #a a Her) tro!' i'!i"i,a!,e o! t#e e)e a *e(( a m- ,(e & te!+o! a!+ (i'ame!t % T#i poi!t moHe ta'!a!t C#i i! a++itio! to re o(Hi!' Damp Heat a!+ expe((i!' Wi!+% T#e t*o poi!t /!o*! a 4L 57 a!+ 4L51 pe,i"i,a(() a o,iate+ *it# t#e Sp(ee! a!+ Stoma,# re pe,tiHe() are ,(a i, poi!t to re o(He m- ,-(o0 /e(eta( ,o!+itio! a a re -(t o" Damp!e % T#e) are (o,ate+ oppo ite o" t#e (o*er pi!o- o" t#e 11t# a!+ 15t# t#ora,i, Herte.rae% T#i i a Her) #i tori, area o" t#e .o+) a it a(o!' *it# DU G a!+ DU? i t#e area D%D% Pa(mer re"erre+ to a KKi+!e)L p(a,e *#i,# *a a! area *#i,# *a a+<- te+ i! eHer) ,o!+itio! re'ar+(e o" *#at t#e +ia'!o i *a % It ,orre po!+ to t#e KEart#L e(eme!t i!

a,-p-!,t-re a!+ a! area o" extreme i'!i"i,a!,e% I ,a! .e o .o(+ a to a)& eHer) D%C% #o-(+ ,o! i+er ome t)pe o" tim-(- a,tio! o! t#i area o" poi!t o! eHer) patie!t *#o Hi it t#e o""i,e "or ,are% T#e poi!t /!o*! a 4L55 or a o,iate+ poi!t to t#e Trip(e Heater (Sa! ;iao) meri+ia! i a ,(a i, #ea(i!' poi!t% It i (o,ate+ t*o "i!'er .rea+t# oppo ite o" t#e (o*er .or+er o" t#e pi!o- o" t#e "ir t (-m.ar% T#i poi!t a(o!' *it# 4L 5@ (Lar'e I!te ti!e) a!+ 4L 5?(Sma(( I!te ti!e) *i(( #aHe tart(i!' e""e,t o! 'a troi!te ti!a( +) "-!,tio! to i!,(-+e ,o(iti & +iHerti,-(o i & C#ro#! et,% T#e Ki+!e) a o,iate+ poi!t !ame() 4L56 <- t oppo ite t#e (o*er pi!o- o" L5 i o!e o" t#e mo t /!o*! poi!t o! t#e .o+) it e""e,t t#e e!tire Ki+!e) !et*or/ to i!,(-+e .o!e& marro*& ear a!+ Ki+!e) e e!,e% It #a a Her) tro!' e""e,t o! (-m.ar pai!& ti!!it- & +iCCi!e & +ea"!e & e+ema a!+ a t#ma% It i a Her) i'!i"i,a!t poi!t% T#e (a t a o,iate+ poi!t i 4L53 oppo ite t#e e,o!+ a,ra( "orame!% It i extreme() i'!i"i,a!t "or re'-(ati!' t#e .(a++er& ope!i!' *ater pa a'e a""e,te+ .) t#e (o*er .-r!er o" t#e Trip(e Heater% It tre!'t#e! t#e .a,/ a!+ /!ee a!+ #a a Her) tro!' e""e,t o! pai! i! 'e!era(% It #a a Her) ,(o e i!terre(atio! #ip *it# t#e At(a Herte.rae% T#e 4L poi!t *#i,# are (o,ate+ a!ot#er 1%@ t -! (atera( to t#e a o,iate+ 4L poi!t or "o-r "i!'er .rea+t# "rom t#e DU (ED) are extreme() i'!i"i,a!t i! a! a,-p-!,t-re pra,ti,e% T#e e poi!t eem to .e oHer(oo/e+ "ar too o"te! i! +i""ere!,e to t#e o!e preHio- () +i ,- e+% T#e poi!t o" t#e e,o!+ ,#a!!e( #aHe t*o +i ti!,t !-m.eri!' eJ-e!,e *#i,# are -!iHer a(() a,,epte+& #o*eHer i! t#e US *e #aHe ee! a 'ra+-a( ta/e oHer o" t#e ) tem *#i,# .e'i! at t#e top poi!t o" t#e o-ter ,#a!!e( a 4L=1 a oppo e+ to 4L6G a /!o*! .) t*o 'e!eratio! o" pra,titio!er oHer t#e (a t 67 )ear % For ,o!He!ie!,e a/e I #aHe i+e!ti"ie+ t#e poi!t o" t#e (o*er .a,/ o-ter ,#a!!e( .) .ot# !-m.eri!' ) tem % T#e poi!t /!o*! a 4L@5 (=? o! o(+er ,#art )& i a Her) i'!i"i,a!t poi!t *#i,# i i! (i!e *it# 4L 56 a!+ DU = *#i,# i <- t -!+er t#e pi!o- o" t#e e,o!+ (-m.ar Herte.rae% It i /!o*! to tre!'t#e! t#e (o*er .a,/& tre!'t#e! t#e Ki+!e) a!+ a""e,t *i(( po*er& t#- it !ame M#i #i (Wi(( Po*er Room)% 4L@1 (=G) <- t a.oHe 4L@5 (=?) i /!o*! to re'-(ate t#e TH meri+ia! e! -ri!' moot# prea+i!' o" TH ,#i t#ro-'# t#e #eart a!+ -pper .-r!er% S-.(-xatio! at t#i poi!t i ,riti,a( to t#e "-!,tio! o" t#e .o+)% 4L =? (=5) at t#e (o*er .or+er o" t#e !i!t# t#ora,i, pi!o- & i i'!i"i,a!t i! t#at it re'-(ate t#e C#i o" t#e LiHer a!+ #a tro!' #ea(i!' "a,tor *it# t#e Sp(ee! a!+ Stoma,#% 4L =2 (==) i pe,i"i, to a""e,t t#e Sp(ee! a!+ /!o*! to tim-(ate .ot# memor) a!+ ,o!,e!tratio!% It i (o,ate+ <- t .e(o* t#e e(eHe!t# t#ora,i, pi!o- % 4L@6 (=3) i a! extreme() Hita( poi!t "or .(a++er "-!,tio! a ee! i! it !ame 4ao#-a!' (4(a++er Dita()% T#i poi!t i 6 t -! or "o-r "i!'er .rea+t# .i(atera( to t#e e,o!+ a,ra( "orame!% T#i poi!t i <- t oppo ite 4L 53 *#i,# i t#e a o,iate+ poi!t "or t#e 4(a++er%

Exami!e ,are"-(() t#e i((- tratio! a

#o*! i! FIEURE A% T#e e poi!t *#i,# #aHe -,#

pe,ta,-(ar i'!i"i,a!,e are omet#i!' t#at eHer) D%C% eHer) +a) are i! i!timate ,o!ta,t *it#% Appre,iati!' t#eir pre e!,e a!+ -!+er ta!+i!' t#eir importa!,e *i(( erHe t#e pra,titio!er a!+ patie!t Her) *e((% Ee!era( tim-(atio! *it# a me,#a!i,a( !o!0i!Ha iHe tim-(atio! +eHi,e /!o*! a a tei #ei!& a imp(e pieCo tim-(ator a!+ o" ,o-r e o!e o" t#e J-i,/e t& ea ie t a!+ mo t e""e,tiHe i a @m* G6@!m (a er pe! *#i,# i a! i+ea( *a) to tim-(ate a,-poi!t % T#e e are rea+i() aHai(a.(e a!+ Her) i!expe! iHe% O.Hio- () !ee+(e are a p#e!ome!a( *a) to tim-(ate poi!t 9 #o*eHer t#e meri+ia! a,-0pra,ti, approa,# -ti(iCi!' a #o t o" !o!0i!Ha iHe mea! i o" 'reat ,(i!i,a( i'!i"i,a!,e% Keep t#i 'rap#i, i! a ,o!He!ie!t (o,atio! to re"er to o"te!% I" )o- are t)pi,a(& )o- too *i(( ee ome pe,ta,-(ar re po! e . #osted by 56A7T5 'A&A:6'6&T C6&T 6 at &o comments:

The Treatment of Chronic Pain :ohn A' Amaro 'Ac'5 Dipl'Ac';NCCAO"<5 DC

The American public has been emotionally and physically traumati"ed due to announcements of the 34A concerning the de!astating health effects disco!ered in a number of prescription pain medications of the C$I-, inhibitors to include the most popular pain drugs on the market. With Hio00, (e0tra, Celebre0, Ale!e and &aprosyn being named in specific consumer health ad!isories and warnings to medical physicians to Nstop prescribingJ, millions of Americans who ha!e relied hea!ily on these drugs to ease their pain and affect their lifestyle are now wondering what their future holds and where can they go and what can they do to ease their chronic pain. Acupuncture is without .uestion one of the most powerful pain altering modalities in the world, its reputation for pain relief is known and respected internationally. %t may be successfully practiced with a !ariety of procedures other than needles to include laser, electronic and non-in!asi!e stimulation de!ices for those who are needle phobic and would not consider acupuncture otherwise. 7iterally millions of Americans suffering chronic pain are beginning to seek the care of those knowledgeable in the academics and techni.ues of acupuncture to help ease their pain and lessen their dependency on dangerous and cautioned prescription drugs. There are a !ariety of techni.ues, procedures, acu-points and philosophies surrounding acupuncture and pain relief worldwide. As a practitioner whose clinic has seen in e0cess of )== patients a day fi!e days a week, % ha!e had the opportunity to attend to a number of patients suffering a host of maladies, chronic pain howe!er may be the most common occurrence seen in a practitioners office. 5istorically, our clinic has a!eraged a F<O success rate of NcureJ to Nma1or clinical responseJ with chronic pain based on the patients response inde0. $nly /O of all pain patients ha!e reported less than satisfactory response in /< years of practice. %t is ob!ious, the following acu-points for pain are e0tremely effecti!e. The following illustrated acu- points are without .uestion some of my fa!orite for the successful treatment of chronic pain. This list does not constitute the totality of effecti!e points a!ailable to us as practitioners. There are many more effecti!e points not listed here, howe!er the following illustrations are my personal fa!orite points which ha!e elicited incredible clinical success in chronic pain. There will be many points illustrated in this paper which will be instantly recogni"ed and others which will make little sense, regardless, please use them e!en though space does not allow for detailed e0planation of each point.

'ost of these points ha!e been taught to me by some of the great 'asters of Acupuncture in a !ariety of Asian nations. To say this combination of acupoints is effecti!e for chronic pain would be an understatement. All illustrated points do not need to be stimulated on the same day if only needles are used. Ltili"ing a combination of both laser;electronic and needle on the following points is also e0tremely effecti!e. $therwise, all points may be stimulated for ),-)E seconds with either green E/Enm Emw laser or red A/Enm Emw laser. 'icro current electronic stimulation is also .uite effecti!e as a stand alone treatment. (est Wishes for your successful treatment of se!ere, and unrelenting pain syndromes. 7et me hear of your successes. #osted by 56A7T5 'A&A:6'6&T C6&T 6 at &o comments:

72 $ealin* Points of Acupuncture

)G healing points of acupuncture recogni"ed by 4r. alph 4ale. This is a list of points 4r. 4ale says can treat conditions affecting most parts of the body. ). ar*e Intestine , *5e-gu+ treats conditions of the face and head. 3re.uently used for toothaches. ,. un* 1 *7ie-.ue+ treats conditions of the neck. /. PPericardium / *&ei-guan+ treats conditions of the chest, including the heart, lungs and ribs. <. un* . *Chi-"e+ treats the respiratory system. E. ar*e Intestine 77 *8u-chi+ treats skin conditions and the arm. A. Triple Carmer . *Wai-guan+ treats the hand and conditions of the ear. ?. $eart 1 *-hen=men+ treats heart palpitations associated with an0iety. G. Stomach )/ *>u-san-li+ is the 'aster horary point and has an energi"ing effect. Treats the upper abdomen. F. Spleen / *-an-yin-1iao+ is the meeting place of the three yin meridians of the leg. Treats conditions of the lower abdomen and reproducti!e organs. )=.Urinary %ladder ., *Wei-"hong+ treats the lower back and leg. )).Urinary %ladder /@ *@un-lun+ treats the upper back, leg and foot. ),. i0er ) *Tai-chong+ treats the ner!ous system and conditions of the chest. )/.!all %ladder ), *9ang-ling-.uan+ treats the muscles and tendons primarly of the leg and knee. )<.Conception 8essel 7& *>hong-wan+ treats the upper abdomen.

)E.Conception 0essel / *8i-hai+ treats the lower abdomen and reproducti!e organs. )A.Urinary %ladder 77 *4a-shu+ treats the neck, shoulder, back and bone conditions. )?.Urinary %ladder 71 *:e-shu+ treats conditions affecting the blood, skin and heart. )G.!o0ernin* 8essel &/ * en-"hong+ is an emergency point for fainting and unconsciousness. Treats the lower back. These )G cardinal points treat a wide range of conditions throughout the body. They all respond fa!orably to acupressure, so are easy to teach to patients for use between !isits

"ASA:E PEDIZTRICO P 4[n*chK

4[n*chK es un punto de acupuntura .ue pertenece la meridiano de !esRcula biliar y .ue se

locali"a en la nuca. #ara los .ue tengUis mUs conocimientos anatomRa, en la depresiZn .ue se nota a la palpaciZn entre el esternocleidomastoideo y el trapecio. 6n acupuntura este punto 3ngchR *H(,=+ lo usamos mucho para tratar cer!icalgias, !Wrtigos y cefaleas. 6n masaJe pediDtrico chino se masa1ea con el dedo Rndice el Urea .ue comprende desde el punto 3ngchR *H(,=+ hasta el punto e0tra 9^'^ng:

AyudarD a tu bebF a conciliar el sueVo5 en molestias cer0icales y en el dolor de cabeEa'

"ASA:E PEDIZTRICO P Ti\nEh]

Ti\nEh]

en acupuntura corresponde con un punto del meridiano de la !e1iga, situado en la "ona

superior del cuello. 6n tuina infantil *masa1e chino+ es un punto lineal locali"ado en las !Wrtebras cer!icales, desde la C? hasta el inicio del cuero cabelludo:

-e utili"a la tFcnica de empuJe en ambas direcciones: Ascendente: 4e la C? hacia la C) para resfriados, mareos por debilidad o infecciones, insolaciZn o mareo por e0ceso de calor en !erano. 4escendente: 4el cuero cabelludo hacia C? en caso de !Zmitos. #ublicado por Amparo -anchis en &o hay comentarios:

"ASA:E PEDIZTRICO P +Kn*-i\n*

9Rng0i\ng se locali"a en el borde e0terior de las aletas nasales y es el ]ltimo punto de acupuntura del meridiano de %ntestino :rueso.

^til en casos de con*estiHn y taponamiento nasal'

RealiEar una frotaciHn circular5 rDpida y profunda ;.@P7@@ 0eces<' "asaJe pediDtrico P +IN!?IAN! ;0ideo<

"ASA:E PEDIZTRICO P RFnEh_n*

RFnEh_n*

se locali"a en el tercio superior del surco nasolabial.

6s uno de mis puntos de acupuntura fa!oritos cuando e0iste sensaciZn de mareo en los !ia1es o sientes repentinamente .ue puedes desmayarte por una disminuciZn repentina en la presiZn arterial. TambiWn se usa en caso de con!ulsiZn infantil y sRntomas de espasmo, fa!orece las !Wrtebras y la regiZn lumbar, y es otro de los puntos usados para tran.uili"ar y calmar el -hen *la mente+. (asta una presiHn con la uVa *sin daSar la piel+

Ayuda a recuperar la conciencia antes del des0anecimiento'

'A-AB6 #64%T %C$ - 9^ntUng

YM%tN%& se encuentra 1usto en el centro del entrece1o y es muy ]til para despeJar la
cabeEa y ali0iar el dolor5 descon*estionar la nariE y tran>uiliEar' -e usa en acupuntura y en tuina *masa1e chino+. #resiZn sua!e y progresi!a con el dedo pulgar o Rndice en casos de in.uietud e insomnio. Cla!ar la uSa, sin lesionar la piel, en casos de con!ulsiZn y espasmos.

4a0orecerD el sueVo de tu bebF

"ASA:E PEDIZTRICO P T`i +Dn*

T`i +Dn*

*9ang -upremo+ es un punto situado entre el canto e0terno del o1o y el final de la

ce1a *se nota una ligera depresiZn+. eali"ar frotaciZn sua!e con el dedo medio e Rndice o empu1e con el trayecto del arco. 3recuencia: E-)= !eces

En acupuntura y tuina ;masaJe chino< es muy usado para calmar el Shen ;la mente<5 en el tratamiento del dolor de cabeEa y en las enfermedades de los oJos'

'asa1e pediUtrico - TA% 9A&: *!ideo+

"ASA:E PEDIZTRICO P #AN! !ON! ;palacio ele0ado<

#an* !on* se sitGa sobre las ceJas5 directamente encima de las pupilas'

6n tuina pediUtrico *masa1e chino+, @ang :ong puede ali!iar las molestias oculares tales como dolor e inflamaciZn, ba1ar la fiebre por resfriados y calmar la cefalea. eali"ar un empuJe sua0e a ambos lados ;desde el centro de las ceJas hacia fuera<. 3recuencia: /=- E= !eces.

'asa1e pediUtrico - @A&:$&: *!ideo+ #ublicado por Amparo -anchis en &o hay comentarios:

"ASA:E PEDIZTRICO P Ti\n "Fn

Ti\n "Fn 6s un punto lineal situado desde el entrece1o hasta la raR" del pelo. -e usa para
dispersar el factor patZgeno e0terno .ue afecta a la cabe"a *fiebre5 dolor de cabeEa5 resfriados...+C TambiWn, puede inducir la sudoraciHn, y calmar el -hen *tran>uiliEa y relaJa+. eali"ar un suave em+u7e lineal con los pulgares desde el entrece1o hacia la raR" del cabello, alternando un dedo y otro.

3recuencia: 6ntre /=-E= !eces.

Mu" 8til +ara $a7ar la 3ie$re " rela7ar9

'asa1e pediUtrico - T%A& '6& *!ideo+

Ca ICO DE

ACTANTE P masaJe pediDtrico chino

6ste punto de masa1e pediUtrico se llama Pi:in *meridiano del ba"o en los niSos+ y estU situado en el

lado radial del pulgarC -e frota *unidireccional+ desde la punta a la base durante ,-/ minutos con sua!idad y sin prisas. Si tu $e$: tiene con 3recuencia c-licos este masa7e +o%r4a ser 8til9

-alud, 'editaciZn y 'Us 46-#6 TA&4$ 7as ), 6strellas de 'arRa

!n este tiem+o es im+ortante, alinearse con los seres elementales, +ara +o%er reci$ir la lu* 3otonica me%iante $a2os %e sol, %es%e (ue este sale9 =ue ya esta instaurada la atmosfera de este planeta tierrab y con todos los seres de luE >ue estDn apoyDndonos para >ue esta ascencicn sea posible' Por eJemplo Esto se hace con re0erencia y amor5 mentalmente con el coraEHn'se debe realiEar en la maVana en la tarde y en la noche5 o sea antes del desayuno5 antes de la comida y antes de la cena' %uenos dKas5 madre cHsmica5 padre dios de luE5 de silencio5 sonido5 amor y perdHn' %uenos dKas b madre terrenal5 hermana diosa del a*ua5 hermana dios ;a<del aire5 del fue*o5 hermana diosa de la luna5 del sol5 diosas fibonachis5 hermanas diosa del rayo5 hermanas diosas de las 1 cualidades di0inas;1 arcan*eles<5 ustedes y yo somos uno5 uno en la unidad de nuestro madre padre dios de amor5 de silencio de sonido y de perdHnb ustedes y yo somos le*icn' Indenpendientemente5 se puede realiEar con el sol5 mirDndolo fiJamente por las maVanas cuando este sale5 atraer su atenciHn con un len*uaJe respetuoso y amoroso5 mentalb esto te permitirD hablarle para poderte a linear a lo >ue seria el fue*o' decirle como anteriormente se menciona5 e incluso pedir >ue te baVe con sus rayos de luE de sanaciHn y ni0el 0ibracional y ener*Ftico aumenten' TambiFn lo >ue ayudara mucho es alinearte a la luna5 un baVo de luna es importante para tu estado emocional5 >uienes estDn re*idos por este astro5 alinearse a ella5 hablDndole con de0ociHn5 con el coraEHn mentalmente y con re*ociJo en nuestro padre dios cuando esta sale5 llena espiritualmente de tran>uilidad yTo sanaciHn espiritual5 claro inhalando sua0emente o-i*eno y e-halando todo el biH-ido de carbono o la tensiHn acumulada' +O!A INTE!RA ' a CruE "utable de las Estrellas Q PRIORIDAD EN A%RI Este protocolo fue dado por un ami*o5 en todas sus operaciones5 en lKnea5 /5 25 7@ y 77 de abril de &@77' Un ami*o le pre*untH >uF protocolo se transmitirDn lo antes posible para ser 0i0ida5 especKficamente durante el mes de abril' Su obJeti0o es despertar las funciones totales de todas estas estrellas en la cabeEa y habilitar las cone-iones entre la cabeEa5 el coraEHn5 el canal de Fter y el sacro eso es todo circuitos y las redes de ener*Ka de ascensiHn' Esto promue0e la fusiHn de los dteres5 la fusiHn de tres chimeneas5 la fusiHn definiti0a de todas las estructuras5 para poner en acciHn las fuerEas de flotabilidad presentes en nuestras estructuras5 nuestro cuerpo de la esencia5 a 0i0ir este cuerpo eestado de ser a>uK comof otra parte g' ) E:ES5 CONECTANDO CADA UNO DE "ARIE & ESTRE AS

fueron presentados por un ami*o a tener hoy en dKa un papel fundamental en el proceso de traducciHn dimensionalI puntos finales5 llamado Stars5 suficiente para permitir >ue la CruE "utable5 y por lo tanto todos los circuitos' 7er eJeI PRO4UNDIDAD Q C ARIDAD Entre estas & Estrellas5 este eJe desarrolla impulso del alma5 la tensiHn de la intenciHn' Se*undo eJeI UNITE Q Entre estas & Estrellas5 este eJe desarrolla la capacidad de mantener la unidad' PRECISION

)er eJeI #IPRISPTI Q REPU SION Entre estas & Estrellas5 este eJe desarrolla la capacidad de identificarse con Cristo' $ay un cuarto eJeI 8isiHn Q AtracciHn no se aplica a>uK por>ue es ;al i*ual >ue el desarrollo de !ema !al*ani en su discurso del 7@ de abril< a una gdes0iaciHnf del eJe A T OD5 0inculada a una caracterKstica 8ISION ATRACCIaN e-terna del predominio de la dualidad en el triDn*ulo luciferino hemos 0inculado a una falsa luE ; i*ht obli>uFe<'

Puede encontrar detalles de las posiciones de los puntos de la misma secciHn Estrellas gprotocolosf baJo el tKtulo g7& Estrellas de "arKaf' ) CruE "utable lue*o aparecer5 mediante la combinaciHn de dos eJes' Estos se llaman mutable CruE frente a la CruE 4iJa de la RedenciHn ;desde la intersecciHn del eJe A POD y el eJe I"PIS<' De hecho5 se puede intercambiar con otros5 creando un conJunto de redes de luE 0ibratoria refiriFndose a la ar>uetKpica %uda $at CruE "utable es el primer resultado de la combinaciHn de la primera y tercera eJes

El se*undo CruE "utable se basa en la combinaciHn de los eJes primero y se*undo

a tercera CruE "utable pro0iene de la combinaciHn de las lKneas se*unda y tercera

E ECCIaN DE UN !IRO CRU6ADO Debe estar habilitado en el Cross & ) este posible poner en acciHn los tres eJes5 uno de ellos en cada cruE y por lo tanto5 reproduJo dos 0eces' El orden de la CruE o el orden de la cruE eJes es irrele0ante'

Eli*e dos de la CruE >ue nos sentimos mDs5 0ibratoriamente5 los puntos correspondientes a los eJes de las estrellas' Si usted no se siente a punto5 le da sHlo el eJe de lo*rar' o seleccionar CruE & >ue corresponde a lo >ue es5 para usted5 la propuesta mDs importante >ue ilustraI impulso del alma o el mantenimiento de la unidad o identificaciHn con Cristo' a punta de la estrella se pueden encontrar e-actamente o se encuentra en un Drea de alrededor de dos pul*adas alrededor del punto' 7 h posibilidadI ACTI8ACIaN DE A CRU6 A ONE El hecho de >ue la sola prDctica o ) depende sHlo de sus sentimientos' SiFntese5 sentado en una silla5 con las piernas en un Dn*ulo de 3@ i con los muslos5 con los oJos cerrados' a boca estD entreabierta5 la respiraciHn es nasal' Eli*e dos de la CruE5 es decir5 , eJes' Colocar con cuidado el dedo Kndice iE>uierdo en el borde de ser la estrella en el e-tremo del primer eJe de la CruE primera seleccionada y5 al mismo tiempo5 el dedo Kndice derecho en el punto de la estrella en el otro e-tremo de este mismo eJe' El si*uiente eJemplo muestra una ilustraciHn de un eJe5 a sabiendas de >ue hay , a la prDcticaI el primer eJe del eJe trans0ersal primero y se*undo de la CruE 7 i 7 i y & i eJe de la CruE y5 finalmente5 se*undo eJe de la CruE se*undos<

"anten*a esta posiciHn durante al menos 7@ minutos' Inmediatamente despuFs5 el dedo Kndice iE>uierdo sua0emente pre*untar acerca de la estrella de estar en el e-tremo del se*undo eJe de la CruE seleccionado primero y al mismo tiempo5 el dedo Kndice derecho en el punto de la estrella a la otra final del mismo eJe' "anten*a esta posiciHn durante al menos 7@ minutos' Se unen directamente a la acti0aciHn de la se*unda cruE ;eJe primero y se*undo5 como se describe anteriormente< o esperar para acti0ar la CruE se*undo5 un mD-imo de 7& horas'

Colocar con cuidado el dedo Kndice iE>uierdo en el borde de ser la estrella en el e-tremo del primer eJe de la CruE ele*ido se*undo5 y al mismo tiempo5 el dedo Kndice derecho en el punto de la estrella en el otro e-tremo de este mismo eJe' Colocar con cuidado el dedo Kndice iE>uierdo en el borde de ser la estrella en el e-tremo del se*undo eJe de la CruE se*unda seleccionado y5 al mismo tiempo5 el dedo Kndice derecho en el punto de la estrella en el otro e-tremo de este mismo eJe' No cruce los braEos' Esto implica >ue el Kndice iE>uierdo sur*e sHlo en los puntos de estrellas iE>uierda lado de la cabeEa y el dedo Kndice derecho en los puntos de las estrellas en el lado derecho de la cabeEa' Este protocolo completo5 es reproducir mD-imo de ) 0eces ;por eJemplo5 una 0eE al dKa5 ) dKas en una fila<' Se*unda posibilidadI ACTI8ACIaN DE A CRU6 CON ) PERSONAS El hecho de >ue la sola prDctica o ) depende sHlo de sus sentimientos' El >ue grecibef CruE eli*e &5 es decir5 , eJes y se comunica con otros dos' A>uel >ue gsef estableciH5 sentado en una silla5 con las piernas en un Dn*ulo de 3@ i con los muslos5 los oJos cerrados5 las manos sobre las piernas5 las palmas hacia el cielo' a boca estD entreabierta5 la respiraciHn es nasal' a primera persona pide dedo Kndice sua0emente a la iE>uierda en el borde de ser la estrella en el e-tremo del primer eJe de la CruE primera seleccionada y5 al mismo tiempo5 el dedo Kndice derecho en el punto de la estrella a la otra e-tremo del eJe mismo y mantiene esta posiciHn durante al menos 7@ minutos' a se*unda persona coloca cuidadosamente el dedo Kndice iE>uierdo en el borde de ser la estrella al final de la se*unda lKnea de la CruE primera seleccionada y5 al mismo tiempo5 el dedo Kndice derecho en el punto de la estrella a la otra e-tremo del eJe mismo y mantiene esta posiciHn durante al menos 7@ minutos' Estas dos personas se meten los dedos Juntos para formar el primer cruce' El eJemplo si*uiente muestra un eJemplo de una cruE5 sabiendo >ue no tiene >ue practicar &'

Se unen directamente a la acti0aciHn de la se*unda cruE o esperar para acti0ar la CruE se*undo5 un mD-imo de 7& horas' ) personas intercambian sus papeles para >ue todos grecibef una 0eE' Este protocolo completo5 es reproducir mD-imo de ) 0eces ;por eJemplo5 una 0eE al dKa5 ) dKas en una fila<' PARA INTE!RAR "ZS 4ZCI "ENTE OS CA"%IOS RE ACIONADOS CON A ACCIaN DE OS E E"ENTOS NIE8E5 en su discurso del 7 de no0iembre de &@7& ;elaborado baJo los gmensaJesf la partida de lectura< propusieron tres enfo>ues para facilitar estas inte*raciones5 se puede practicar como se siente' Cuando te sientes la llamada de un elemento5 en su cabeEa o en su cuerpo5 entonces se puede acompaVar5 de ) formas diferentes' Si tiene 0arios elementos a la 0eE acompaVar una >ue ya no estD presente5 la mDs dominante' gCual>uiera >ue sea la 0ibraciHn del elemento o elementos >ue son e-perimentados ;en la cabeEa y todo el cuerpo<5 deJe >ue simplemente actuar' No apunte5 no se podKa hacer' Pero Pcrear lo >ue necesitan para crear g' En presencia SiFntese o acuFstese ;braEos y piernas sin cruEar< y5 en la nie0e palabrasI gsimplemente >uedarse callado y deJar >ue lo abra5 tG5 ellos ;notaI los Ca0aliers5 Componentes< 0ino abrir g' la imposiciHn de manos sobre la cabeEa de triDn*ulos elementales Estas posturas fueron calificadas por un ami*o en la Unidad +o*a ;0er sus inter0enciones 715 72 y 73 de septiembre de &@7@ en los gmensaJes leKdosf y gUnidad +o*af en los protocolos f a la prDctica g<' $ay >ue hacer tres dedos ;pul*ar5 Kndice y medio de la mano mismo< en los puntos de triDn*ulo elemental correspondiente a la cabeEa5 siempre y cuando usted se siente'

os puntos se describen detalladamente en la gprDctica protocolos T 7& Estrellas de "arKaf Paso 7I centrar la atenciHn sobre la cabeEa de A y OD

A cabeEa o a frente a & milKmetros detrDs de la creaciHn de la raKE del pelo'

A P$A

OD de la cabeEa o 7 cm por encima de la raKE de la implantaciHn de pelo5 en la lKnea media del cuello' Paso &I Enfo>ue su atenciHn en $IC y NUNC cabeEa

O"E!A

I" Q A=Uj Q $IC Dos tra0eses de dedo por encima de la punta de la oreJa iE>uierda'

ES Q A$ORA Dos tra0eses de dedo por encima de la punta de la oreJa derecha'

NUNC

Paso )I centrar la atenciHn baJo los pies +5 como ami*o diJoI gUsted se sorprenderD al descubrir >ue todas las estructuras 8ibrales se pone en mo0imiento y permiten e-pandir la conciencia5 mDs allD de lo >ue era posible para ti5 hasta >ue en la actualidad g' as 7& estrellas son "arKa Publicado &) de a*osto &@7@ AS 7& ESTRE AS DE "ARjA

& representan el desplie*ue de los cha9ras de la cabeEa ;/ y 1< relacionados con la deconstrucciHn de la ilusiHn y el posible retorno a la Unidad' En efecto5 el tercer oJo5 antes limitado al frente5 ahora se e-tiende lateralmente hacia la parte posterior de la cabeEa y5 por tanto5 en uniHn con el sFptimo cha9ra5 la corona y lle0ar a la posibilidad de re*resar a la unidad' Dentro de este desplie*ue5 7& puntos se indi0idualiEan e-presando nue0as cone-iones y nue0as oportunidades psicoPespirituales' En cada punto corresponde a diferentes criteriosI 4unciHnI sin re0elar con precisiHn5 pero cuyo solo nombre e0oca ya UbicaciHnI al*unas referencias anatHmicas de su proyecciHn en la cabeEa' Punto de acupunturaI cada punto corresponde a un punto particular desarrollado por las enseVanEas de la ener*Ka tradicional EsI al*unos puntos estDn conectados5 por eJemplo5 las sKlabas sa*radas por raEones >ue toda0Ka no han sido desarrolladas especKficamente hasta la fecha' AcopladoI cada punto estD 0inculado con otro5 de forma simFtrica5 lo >ue permite la identificaciHn de otras funciones aGn no desarrollados especKficamente' Associated cristalI cristal de 0ibraciHn5 especKficos para cada estrella' "et resuenan con la 0ibraciHn de la estrella ;su utiliEaciHn se distribuye baJo la rGbrica gprotocolos T 4inaliEaciHn del Cuerpo estado de serf< Primaria triDn*ulo5 cada punto estD conectado a otros dos en un triDn*ulo' + , triDn*ulos representan los cuatro elementos $ermana asociada a este puntoI Estos 7& puntos se relacionan con cada una de las $ermanas de "arKa en los acontecimientos actuales >ue se acompaVan e ilustran la g0irtudf >ue lle0a cada $ermana

A continuaciHn5 encontrarD un resumen de la informaciHn >ue hemos recibido de los >ue nos apoyan en otros aspectos dimensionales ;actualiEado 7@ de octubre<' Nos enri>uecer otros suplementos >ue tendrKamos >ue recibir A P$A

UbicaciHnI la frente a & milKmetros posterior a la ubicaciHn de la raKE del pelo a acupuntura puntoI &, !obernador Ship PartidosI A AcopladoI OD Associated cristalI rodocrosita Primaria triDn*uloI 4UE!O ;punto mDs alto< $ermana asociada a este puntoI Ananda "ayi "a g"A f Q repulsiHn El gmalf es el nombre >ue se utiliEa en el fue*o prometeico' El nombre de la estrella5 a la luE de la 8erdad es gRepulsionf'

UbicaciHnI en el frente5 sobre el oJo derecho5 en el eJe de la pupila5 a medio camino entre la ceJa y la lKnea del cabello de la raKE Punto de AcupunturaI 7, 8esKcula %iliar5 a la derecha :unto con #iPRisPTi Associated cristalI esmeralda Primaria triDn*uloI 4IRE ;punta recta< $ermana asociada a este puntoI $ilde*arde 0on %in*en

PRECISION UbicaciHnI sien derecha5 la lKnea del cabello de raKE5 donde se aJusta el mGsculo de la mandKbula >ue se contrae cuando se siente la mandKbula inferior a acupuntura puntoI , 8esKcula %iliar5 a la derecha AcopladoI UNITE

Associated cristalI selenita Primaria triDn*uloI UAE ;anterior conseJo< $ermana asociada a este puntoI No se ha dado a conocer A$ORA O NUNC

UbicaciHnI & a tra0Fs de los dedos sobre la punta de la oreJa derecha a acupuntura AcopladoI I" puntoI 2 8esKcula %iliar5 a la derecha EsI kes

Associated cristalI peridot Primaria triDn*uloI UAE ;punto mDs alto< $ermana asociada a este puntoI No se ha dado a conocer PRO4UNDIDAD

ocaliEaciHnI hueco situado a & mm por encima de la lKnea del cabello raKE5 detrDs de la oreJa derecha a EsI P acupuntura puntoI 77 8esKcula %iliar5 a la derecha

AcopladoI C ARIT+ Associated cristalI 9unEita Primaria triDn*uloI UAE ;Pointe despuFs< $ermana asociada a este puntoI Sainte ThFrMse de isieu8ISION

ocaliEaciHnI lado hueco derecho del cuello en la base del occipucio a acupuntura puntoI &@ 8esKcula %iliar5 a la derecha EsI P :unto con g!OOD T atraccionesf Associated cristalI $iddenite Primaria triDn*uloI TIERRA ;punta recta< $ermana asociada a este puntoI NO E+ES O"E!A

UbicaciHnI 7 cm por encima de la raKE de la implantaciHn de pelo5 en la lKnea media del cuello a acupuntura puntoI 7/ !obernador Ship EsI OD AcopladoI A Cristal asociadaI sandKa Turmalina ;o rubFlite y 8erdelite< Primaria triDn*uloI TIERRA ;menor punta< $ermana asociada a este puntoI ANNE ;madre gor*Dnicof "ARIE< O8E T #IPRISPTI

UbicaciHnI lado hueco iE>uierdo del cuello en la base del occipucio Punto de AcupunturaI &@ 8esKcula %iliar5 a la iE>uierda Corresponde aI #iPRisPTi

:unto con g"A T Repulsionf Associated cristalI Cristal emuriano T 4uente Primaria triDn*uloI TIERRA ;e-tremo iE>uierdo< $ermana asociada a este puntoI +8ONNE $ermana Aimee "alestroit UNIDAD

ocaliEaciHnI hueco situado a & mm por encima de la lKnea del cabello raKE5 detrDs de la oreJa iE>uierda Punto de AcupunturaI 77 8esKcula %iliar5 a la iE>uierda EsI P AcopladoI PRECISION Associated cristalI Phantom cuarEo Primaria triDn*uloI AIR ;punta posterior< $ermana asociada a este puntoI !ema !al*ani A=Uj O $IC

UbicaciHnI & a tra0Fs de los dedos sobre el borde de la oreJa iE>uierda Punto AcupunturaI 2 8esKcula %iliar5 a la iE>uierda EsI I" AcopladoI IS Asociado cristalI octaFdrico fluorita ;aEul o 0erde< Primaria triDn*uloI AIR ;punto mDs alto< $ermana asociada a este puntoI No se ha re0elado hasta ahora C ARIDAD

u*arI Templo de la iE>uierda en la lKnea del cabello de raKE5 donde se aJusta el mGsculo de la mandKbula >ue se contrae cuando se siente la mandKbula inferior Punto de AcupunturaI , 8esKcula %iliar5 a la iE>uierda

EsI P AcopladoI PRO4UNDIDAD Associated cristalI a>ua aura cuarEo Primaria triDn*uloI AIR ;tip anterior< $ermana asociada a este puntoI SNOC g%UENOf Q AtracciHn g%uenof es el nombre utiliEado en el fue*o prometeico' El nombre de la estrella5 a la luE de la 8erdad es gatracciHnf'

UbicaciHnI en el frente5 sobre el oJo iE>uierdo5 en el eJe de la pupila5 a medio camino entre la ceJa y la lKnea del cabello de la raKE Punto de AcupunturaI 7, 8esKcula %iliar5 a la iE>uierda EsI P AcopladoI 8ISION Associated cristalI topacio imperial TriDn*ulo elementalI 4ue*o ;e-tremo iE>uierdo< $ermana asociada a este puntoI "ADRE TRIZN!U OS E E"ENTA ES

AS 7& ESTRE

AS ;0ista superior<

+o NIE8E' Aliento y el !ran EspKritu de la PaE sea con 0osotros' Acabo de aVadir a lo >ue te he dado los elementos y los Ca0aliers5 lo >ue le permite e-perimentar estos elementos y los Ca0aliers en ti y obtener TransmutaciHn' A continuaciHn5 los elementos de llamar5 y te llaman por la 0ibraciHn de la cabeEa' os Ca0aliers5 en el lu*ar de la Tierra donde se encuentre5 usted aparece' Se producen5 no sHlo para la Tierra5 pero5 por supuesto5 tambiFn en nosotros' En mi 0ida5 componentes me hablH y me hablH a los elementos5 no para controlar5 sino para compartir con ellos y 0i0ir5 tambiFn5 en cierto modo5 la comuniHn de los Elementos y la fusiHn de los elementos' Esta es precisamente la situaciHn >ue 0i0e esta noche' AcompaVado por el ArcDn*el Uriel5 los Ca0aliers 0an a interactuar con usted y transformar lo >ue deberKa ser' Elementos >ue5 este mes5 se combinan y se meEclanI por &5 ) o todos' $ay en ti5 en cierto modo5 muy simple ;mDs allD del aspecto fKsico de los elementos de acciHn en la Tierra donde se encuentra<5 sienten >ue su trabaJo en ti' + usted se sorprenderD de 0er y e-perimentar >ue se produce cuando un componente donde se encuentre5 la Eona de la cabeEa >ue 0a a ser acti0ado' Esta acti0aciHn permite a ambos5 y su resurrecciHn5 tanto la transmutaciHn del cuerpo y lo >ue estD mDs allD de este cuerpo de manifestaciHn5 cuando se une al !ran EspKritu' Componente5 & Elementos5 Elementos de ) o , artKculos estarD llamando a su puerta' Cada elemento se comunicarD con usted serD el mismo >ue usted mire a su alrededorI el aire Ca0alier le harD sentirse Air TriDn*ulo' El fue*o Ca0alier le harD sentir el TriDn*ulo de 4ue*o' Si el Aire y el 4ue*o Ca0alier trabaJo Juntos5 TriDn*ulo del Aire y 4ue*o concierto se manifestarD' o >ue llama a la puerta ;en la cabeEa y el EspKritu< debe abarcar muchos mDs palpable de lo >ue se ha e-perimentado hasta ahora'

+ cada elemento tiene una afinidad con este cuerpo de carne' El triDn*ulo de la tierra ;elemento tierra< se encuentra en la parte inferior del cuerpoI piernas5 pies y espalda' TriDn*ulo de Aire ;Air y Ca0alier< actGa sobre el Canal de "arian y su braEo iE>uierdo y en el pecho iE>uierdo' El A*ua Ca0alier ;y el elemento a*ua< estarD en el braEo derecho y el pecho en el lado derecho5 donde se encuentran las puertas >ue conoces NotaI as puertas correctas UNIDAD A y de la iE>uierda <' El Caballero de 4ue*o ;Elemento 4ue*o es el frente de la cabeEa5 representado por el 4ue*o TriDn*ulo< serD5 en el cuerpo5 tanto en el centro de hK*ado5 el baEo y el coraEHn' $uel*as elemento cuando la puerta de su cabeEa5 lo *olpeH5 tambiFn5 a la puerta del cuerpo con el fin de promo0er5 a su 0eE5 el coraEHn hacia arriba' e darD ;y darle< >ue impulsarD la ascensiHn del coraEHn aumentando' El aire estD a su iE>uierda' El a*ua es su derecho' Tierra y 4ue*o estD de 0uelta en el frente' Cuando el elemento y llamar a su puerta Ca0alier ;75 & o ) o ,<5 pre*Gntate a ti mismo y escuchar' Del mismo modo5 en mi pueblo5 escuchamos el 0iento por>ue tenKa al*o >ue decir'Escuchamos el rKo como la llu0ia5 debido a >ue tienen un mensaJe5 por>ue tenKan al*o >ue decir' $oy en dKa5 los , Jinetes decirte al*oI te llaman para completar su transformaciHn' 4usiHn y usted hace lo >ue eres y deJa >ue tu coraEHn aumentando5 por Gltimo5 mDs allD de la ilusiHn5 al !ran EspKritu' ue*o5 por supuesto5 al*unos 0eteranos han dado +o*as y5 en particular5 >ue se deJa actuar sobre los elementos ;NotaI 0Fase A 4RIEND 71 inter0enciones5 72 y 73 de septiembre de &@7@ baJo el tKtulo glectura de mensaJes gyf +o*a Unidad gen losf protocolos de prDctica g<' Pero a>uK5 hoy en dKa5 ya no es sHlo actGan sobre los elementos' Esto es la hostia en el cuerpo y no sHlo en la cabeEa o en el coraEHn5 para >ue se den cuenta de lo >ue hay >ue estar en tu cuerpo' Elementos de la Tierra5 y los Ca0aliers son un refleJo de las fuerEas >ue estDn incorporados en nuestra conciencia humana ;y5 kdHnde estamos5 tambiFn<5 al*o inima*inable' Debido a >ue los elementos son no sHlo la conciencia o la formaI son5 ante todo5 los motores y los acontecimientos creadores dimensiones' os elementos se utiliEan para ensamblar Dimensiones y "undos' + los elementos de la Tierra hoy en dKa5 0ienen y te dicen otra cosa >ue lo sabes' Ellos participan en la liberaciHn y su ele0aciHn' Uno de los elementos >ue en al*Gn momento ;hace mella en la cabeEa y se encuentra en el cuerpo<5 y sHlo te dan Justo intercambio' Cuando el elemento se presenta a usted5 manten*a la calma5 tambiFn'

SiFntese y usarlo si >uieres5 tus manos5 como fue e-plicado por un ami*o ;notaI 0er A 4RIEND 71 inter0enciones5 72 y 73 de septiembre de &@7@ en los gmensaJes leKdosf y g+o*a Unidadf en los gprotocolos de prDcticaf<' El uso5 tambiFn5 el producto de la tierraI minerales ;notaI 0er gprotocolos de prDctica T "ateriales de 4usiHnf<' O5 si lo prefiere5 puede utiliEar simplemente su presenciaI Sit' Cual>uier elemento o elementos de 0ibraciHn >ue se e-perimentan ;en la cabeEa y el cuerpo entero<5 deJar >ue simplemente actuar' No apunte5 no se podKa hacer' Pero 0amos a crear lo >ue necesitan para crear' Usted puede ayudar5 como he dicho5 los tres dedosI el dedo pul*ar5 Kndice y medio colocado en el elemento correspondiente de la cabeEa' TambiFn puede utiliEar los productos de la tierra ;minerales< >ue los coloca en el suelo5 donde te puedes sentar y re*istrar su interior' +5 si usted puede5 simplemente permanecer callado y deJar >ue lo abra5 tG5 ellos se abrieron' Cada elemento puede *olpear 0arias 0eces a sus puertas' as sensaciones fKsicas son muy claras y encontrarFis5 tambiFn5 >ue a 0eces hay 0arios elementos >ue 0ienen *olpeando en su cabeEa y aplaudir su cuerpo' Una 0eE mDs5 se sientan y se sientan en el elemento ;y #ni*ht< 0iene a ti y permanecer asK5 hasta >ue lo sientes' Por>ue entonces usted puede reducir en 0osotros5 la resistencia al !ran EspKritu' Usted permite a los Ca0aliers a disol0erla estF en 0osotros5 el cual se opone a su acciHn y la acciHn de la luE' Cuando tienes , $orsemen liberado de ciertas cosas5 usted serD profundamente diferente' Te sientes en ti y en tu manera de 0i0ir esta transformaciHn serD mDs li*ero y mDs fDcil' El Ca0alier es decir5 dHnde se encuentra5 es el mismo para todos los >ue estDn ;0i0a o no 0i0a en la con0ocatoria de la cabeEa Ca0alier<' Cuando lle*ue el momento de los , Jinetes5 de nue0o5 se sentirD los cuatro elementos de la cabeEa y lo >ue une a estos cuatro elementos en lo >ue se llama5 cruEo la CruE 4iJa de la cabeEa ;NotaI 0er la inter0enciHn de un ami*o 77 abril de &@77 en los gmensaJes leKdosf<' Use sus dedos' Usar los productos de los cristales de la Tierra' O simplemente su presencia' E-hortamos a Uriel' Depende de usted decidir lo >ue es meJor para usted' + sentarse en silencio y deJa >ue ha*a lo >ue estD sucediendo' Esto no es una meditaciHnI es simplemente una Presencia >ue os escucha a lo >ue los elementos tienen >ue decir5 y sobre todo el trabaJo >ue se 0a' Esto 0a para el aire refinar el "arian Canal' Para la Tierra5 >ue 0a a *enerar el fue*o del #undalini'

Esto amplificar la onda de la 8ida y CoraEHn de 4ue*o5 tambiFn' Para el fue*o5 lo harD esencialmente al alEa sobre el coraEHn y todo lo >ue ocurre en el pecho' + por Gltimo5 para el a*ua5 0a a cambiar radicalmente5 su humor5 su 0isiHn5 su forma de 0er y e>uilibrio' Cuando los , Jinetes lle*arDn Juntos en su cabeEa y dHnde se encuentra5 entonces el Fter serD 0isible de nue0o ;no sHlo como e0entos intermitentes<I se trata de los Fteres de fusiHn5 si los destellos de luE blanco >ue se 0e en el cielo o como es5 toda0Ka otros e0entos' Todo lo >ue aparecerD mDs claramente5 el momento en >ue facilitar el trabaJo de Ca0alier >ue lo llamH' os , elementos5 , Jinetes5 >ue los anti*uos llamaban5 creo $ayoth $a #odesh ;notaI consulte gSoporte T EspKritu DecodificaciHn del cuerpo< son supremos inteli*encias de luE puede ser de cual>uier forma y en cual>uier tamaVo 5 sin saber confinamiento' Se acaba de publicar los elementos de la tierra5 se habKa 0isto obli*ado5 como en su cuerpo' $a*a esto cuando te llaman o cuando percibes ese elemento puede ser Gtil' No hay nada complicado sobre estoI El fue*o purifica5 relaJa A*ua5 Aire comunica5 y transmutar la Tierra' Pero5 en *eneral5 todos ustedes5 hermanos y hermanas me escuchan ;>ue he leKdo<5 ya sabes ;por>ue eres sensible< >ue afecta al elemento de cabeEa5 ya >ue se desarrolla en el cuerpo tanto para el CoraEHn y hacia arriba5 al mismo tiempo5 a elementos libres de su cuerpo' No hay posibilidad de error debido a >ue el aire se encuentra en la parte superior iE>uierda de la cabeEa5 el a*ua es el adecuado5 el fue*o estD al frente y detrDs de la Tierra' + en el cuerpo es la misma' e di las e>ui0alencias ;NotaI 0Fase la inter0enciHn NIE8E 72 de octubre de &@7& en los gmensaJes leKdosf<' + cuando esto ocurreI posicionarse como ya he dicho5 la llamada ArcDn*el Uriel5 o lu*ar de cristales o colocar los dedos' 4acilitar la labor del Ca0alier y 0erD muy rDpidamente ;como dirKa la primera sesiHn y e-periencia< efecto' Todo esto es 0i0ir5 fa0orecido5 les recuerdo5 por la presencia del ArcDn*el Uriel5 cuyo propHsito es re0elar el Fter5 en cuanto a su ori*en y no era raro en la Tierra' a acciHn de los Ca0aliers es el mismo en la Tierra' $ay eJemplos a su alrededor5 todos los dKas5 en diferentes partes del mundo' Esto es sHlo el principio' Si*a los Elementos' Se acaba de despertar5 sin duda' Todo esto se lle0a a cabo fundamentalmente durante el mes se abre a>uK ;notaI el mes de no0iembre<5 pero tambiFn al momento del anuncio "ARIE' Recuerde >ue los elementos y los Ca0aliers son el %aile de la 8ida5 ClasificaciHn de los mundos y dimensiones' Son un ladrillo e indi0isible ;para , y . de ellos< toda la 0ida5 toda conciencia ;notaI el >uinto elemento es el Fter<' Ellos son el 0ehKculo de la fuente absoluta y' i0in* Elements5 su ocurrencia y la ComuniHn Combinar con ellos le darD al*o como nin*Gn otro en su comunicado'

Si necesita mDs informaciHn acerca de la conducta de estos elementos de acciHn5 ahora es tiempo para hacer pre*untas' es recuerdo5 mientras >ue usted piensa >ue la acciHn de los elementos es5 por supuesto5 pero el hecho de >ue usted trai*a su conciencia de sK mismos ;deJando el cuerpo en reposo y deJar >ue el trabaJo< es fundamental se trata simplemente de estar presente ;en presencia de URIE <5 ya sea con las manos o5 en su defecto5 del mundo mineral' e corresponde a usted para 0er >uF pasa5 >ue es 0i0ir5 cuando el Ca0alier *olpea la cabeEa' Pre*untaI 4ue*o y la Tierra se e-presan sHlo por los 0olcanes y los terremotosN Tierra es5 de hecho5 el mo0imiento de la tierra5 y especialmente la apertura de la Tierra' Tierra crece mDs rDpido y mDs rDpido' El fue*o no es sHlo el fue*o de los 0olcanes5 es tambiFn el fue*o del cielo5 la luE del cielo' El a*ua es tambiFn5 por supuesto5 sus interiores lK>uidos5 a los rKos5 a*ua de mar5 sino tambiFn el a*ua del cielo' El Aire ;Air Ca0alier< es5 en esencia5 pero el 0iento estD apoyando la Tierra cuando se mue0e' TambiFn se alimenta el incendio y tambiFn puede suministrar a*ua5 colocDndolo en donde es preferible' "uchos elementos de actuar Juntos ahora' Se encuentra5 ademDs5 en >ue como en la Tierra5 la acciHn es a menudo Junto con el a*ua del aire5 la acciHn de la luE es a menudo Junto con la acciHn de la Tierra5 y >ue muy Pronto5 los cuatro elementos5 como he dicho5 actuar conJuntamente y de comGn acuerdo5 en la Tierra como tG' $abrD una superposiciHn de estos cuatro elementos en los espacios de cada 0eE mDs *randes y diri*idos cada 0eE mDs el impacto de lo >ue es5 me parece5 como Comandante te diJe ;notaI "ic9all Omraam Am0anho0<5 el por debaJo de la lKnea del Ecuador y en la re*iHn del PacKfico' kCuDl serD el mDs increKble ;si no lo has 0i0ido5 sin embar*o5 en los comienEos< es la resonancia y el conJunto se producirD entre los Ca0aliers cerca de donde estDs5 y sus Ca0aliers cabeEaI es el mismo' Pre*untaI kEs posible >ue ya han sentido los Ca0aliers en nuestras cabeEasN SK' Esto es e-actamente lo >ue te diJe en los Gltimos dos inter0enciones ;edI 0er las inter0enciones NIE8E @7 de septiembre &@7& y 72 de octubre de &@7& en los gmensaJes leKdosf<' a diferencia es >ue ahora5 los Ca0aliers se implementarD simultDneamente5 de acuerdo con la correspondencia >ue he dado en su cuerpo' Pre*untaI kradioacti0idad es parte del Elemento de 4ue*oN No sHlo' a radiacti0idad ;natural como artificial< forEH el 4ue*o y la Tierra y Aire' El Gnico elemento >ue no estD presente allK es a*ua' El a*ua5 de hecho5 limitar la radiacti0idad'

Este es el caso5 creo >ue5 en su tecnolo*Ka5 por enfriamiento' $abrD otros artKculos >ue usted se darD cuenta' De nada sir0e >ue yo e-tenderlo5 si no se lo dirF' No importa en donde estFs5 hay dKas en los >ue se centran mDs en este elemento' $ay momentos >ue son esos elementos orientados' Pero entonces5 usted descubrirD por sK mismo' Pre*untaI kcuDl es la fusiHn de los cuatro elementos y el Fter5 >ue disuel0e el cuerpoN SK5 en su mayor parte' Cuestionar la naturaleEa de los elementos es el mismo en todos los ni0elesN a naturaleEa del elemento es el mismo de la fuente5 el Absoluto a su tamaVo cuando estD >uieto' Simplemente5 su e-presiHn es diferente5 la disposiciHn es diferente5 dependiendo del tamaVo' Pre*untaI AlineaciHn 73h es un momento ideal para contactar con los cuatro elementosN No' Es un tiempo para permitir la preparaciHn por el ArcDn*el Uriel' Elementos a llamar a su puerta cuando lle*ue el momento' No tienen nada >ue 0er5 de al*una manera su acciHn' Pre*untaI kPodemos llamar a los elementos fuera de los momentos en los >ue ha llamadoN Esto se terminH' Este es el sentido de mi inter0enciHn' Son ustedes los >ue se llaman a los elementos5 pero los elementos >ue necesita' Pre*untaI cuando los elementos de *olpear en la cabeEa >ue causa dolor intenso5 esto se debe a la resistencia o es esto normalN Ambos son posibles' No hay una respuesta' Pero cuando yo insistKa en el aspecto fKsico y la sensaciHn5 se puede ima*inar >ue este sentimiento es fuerte' Pre*untaI kpara posicionarse en relaciHn a los elementos5 debe tener en cuenta los puntos cardinalesN +a no es necesario' $ay una resonancia5 de hecho5 entre un punto y un elemento cardinal' Esto es conocido por todas las tradiciones de la Tierra' Pero hoy5 se pone en la silla5 es la combinaciHn de los dedos5 o la disposiciHn de su presencia5 o minerales5 >ue no es la orientaciHn predominante de los Elementos' Obser0o tambiFn >ue5 cuando habrD 0arios elementos5 podrDs localiEar fDcilmente5 >ue ya no estD presente' Esta es la >ue se debe deJar de trabaJar primero' Incluso si hay , elementos >ue se presenten5 siempre habrD uno >ue tendrD prioridad' Este es el >ue determina la acciHn >ue se estD realiEando y >ue determina5 tambiFn5 si usted usa sus dedos ;o posiciHn de los dedos< y la elecciHn de los minerales de la tierra ;si lo prefiere

NDR 7 En la prDctica sumario gcuando el elemento se presenta a ustedesf5 lue*o tres enfo>ues promue0en su acciHnI SiFntese5 recepciHn simple5 tran>uila' Pon*a sus dedos en la cabeEa trian*ular >ue se trate5 tal como se describe en los gProtocolos para la Unidad prDctica T +o*af' SiFntese en el centro de los cristales de mandalas5 como se describe en los gprotocolos de prDctica T Elementos de fusiHnf' NDR &I TriDn*ulos Primarias

NDR )I Puertas

OS , PI ARES DE CORA6ON Si usted es consciente de lo >ue sucede5 usted ;y no puede ser de otra manera5 debido a la intensidad de las percepciones 0ibratorias5 especialmente a Coronas Radiantes y especialmente la cabeEa<5 el simple hecho de lle0ar su conciencia5 abandonarD el elemento sorpresa5 el estado de Dnimo alterado elementos5 los elementos relacionados con una acti0idad mental o emocional' Si en lu*ar de reaccionar o deJar >ue sus pensamientos asumir en este momento5 usted piensa5 por eJemplo5 el ArcDn*el Uriel5 al instante presentarD su lado' Del mismo modo5 si usted cree >ue su cha9ra del coraEHn5 sin *anas de hacer nada5 el 4ue*o del CoraEHn o CoraEHn de 0ibraciHn aparecer por sK mismo5 sin nin*Gn esfuerEo' Esto refleJa5 sin lu*ar a dudas ;y traducir mDs<5 la realidad multidimensional >ue ha e-perimentado en mucho tiempo' Estos momentos crecer en duraciHn5 intensidad5 y como he dicho5 la precisiHn y la nitideE' No estD aprendiendo su prePascensiHn' A>uK estD su aclimataciHn al nue0o espacio 0ital no cerrado5 no limitati0o5 multidimensional' + la conclusiHn de mi inter0enciHn es la si*uienteI desde el momento en >ue e-iste ;>ue como tu alrededor< la sensaciHn de no estar Alinee la sensaciHn de estar en un estado de Dnimo >ue no es feliE5 la sensaciHn de tener >ue reaccionar a una parte de su 0ida5 la sensaciHn de tener >ue enfrentarse a un hermano o hermana >ue es en al*o diferente a lo >ue 0i0imos5 no debe obli*ar al uso de su habitual los medios de comunicaciHn sino >ue5 como prioridad5 le lle0arD a 0ol0er a conectar con el coraEHn5 los pies o el Canal de "arian Asistencia multidimensional' EliJa uno de los elementos >ue son los mDs accesibles y 0erDs por ti mismo5 lo >ue sucede en este momento5 lo >ue estD mDs allD de todas las e-pectati0as' Del mismo modo5 si usted se siente5 en este cuerpo5 anomalKas ;si5 por eJemplo5 la sensaciHn de fati*a5 una sensaciHn de estar fuera de su cuerpo5 o cual>uier otro dese>uilibrio<5 hiEo llame a uno de los elementos' +a sea directamente5 ya sea por los protocolos >ue han sido comunicados o de0uelto por la nie0e ;notaI 0er gprotocolos de prDctica T "ateriales de 4usiHnf<'

Esto le permitirD 0er el efecto5 mucho mDs rDpido5 uno de los temas de su problema actual'Esto se refiere tanto a los dese>uilibrios del cuerpo5 los dese>uilibrios ambientales5 lo >ue puede suceder en su conciencia' Por lo tanto5 usted aprenderD ;a tra0Fs de los cuatro elementos representan5 les recuerdo5 tambiFn5 sus cuatro cepas< para maneJar5 de al*una manera la conciencia5 con el fin de obtener5 directa ;no a tra0Fs de una aplicaciHn o acciHn5 en su tamaVo<5 donde se encuentre5 los elementos de acciHn multidimensionales en su 0ida' Por lo tanto ;y innumerables eJemplos< se enfrentan a una e-presiHn de enoJo o 4ue*o5 entonces5 >ue usted encontrarD >ue el estado de Dnimo del A*ua y el 4ue*o tipoP;en el medio ambiente como la dentro de una relaciHn o mDs personas< se con0ertirD profundamente casti*ado5 el momento en >ue piensas >ue tu elemento fue*o5 >ue5 les recuerdo5 por la percepciHn del tema5 en el una parte de la Corona Radiante de la cabeEa' Si usted 0i0e la llamada de uno o mDs elementos5 es decir5 si no eres tG >uien llamar5 pero si se te ocurre espontDneamente5 usted sabe >ue 0a a traer atenciHn a lo >ue hace >ue este elemento5' Si la re0elaciHn de su linaJe5 es una manifestaciHn corporal5 o una manifestaciHn sutil o mKstica5 o alrededor5 aprender a detectar muy fDcilmente y rDpidamente5 kcuDles son las acciones de los elementos5 usted' Esto le darD5 de nue0o5 una muy importante aprender a 0i0ir de 0iaJe multidimensional y e-plorar5 mDs allD de cual>uier prisiHn5 lo >ue su conciencia5 puede mostrar lo >ue puede crear y puede resol0erse por la Inteli*encia de la uE5 sin nin*Gn tipo de control' En este momento5 usted encontrarD >ue son los propios elementos >ue actGan en usted5 el momento en >ue se pusieron en resonancia a la Corona Radiante de la cabeEa y lue*o el cuerpo' a acciHn primaria estD directamente in0olucrado en la resoluciHn de todo lo >ue le puede pasar a usted y en usted' os , pilares de la cabeEa y el coraEHn os elementos tambiFn le permitirD e-plorar nue0as lKneas de dimensiones con *ran facilidad5 el hecho de >ue los elementos >ue se ponen en posiciHn de obser0ador inmediatamente5 aleJDndose de la persona >ue crees >ue es mucho ' Esto contribuirD a >ue muchos de ustedes ;de una manera diferente a la ola de la 8ida<5 para establecerse en lo >ue eres5 por toda la eternidad' A>uellos >ue realiEan esta ocasiHn5 mDs allD de la presencia Ultimate5 el Absoluto >ue sean5 no se 0erD afectada de nin*una manera por lo >ue ocurre en el cuerpo5 en estos pensamientos5 como en sus interacciones ambientales'

Esto le darD la sensaciHn de 0ol0er5 de 0erdad5 en tu casa y lo >ue eres5 la 8erdad' SHlo la mente ;en ocasiones en las >ue se mue0en mDs leJos< puede dudar de lo >ue se e-perimenta' Pero5 como su e-periencia y enfo>ue de los elementos5 entonces esta e-periencia reemplaEarD5 sin nin*una dificultad5 el e- 0i0ido' E-traVa sensaciHn de tener mGltiples identidades ;>ue estD en resonancia con las 0idas pasadas5 o el no 0i0e en relaciHn con este mundo< pasan a ser5 de al*una manera5 mDs tolerante y le ofrecen5 independientemente de cual>uier curiosidad e independientemente de cual>uier deseo de e-plorar sus propias 0idas pasadas o de su propia historia' Esta parte5 muy concretamente5 los mecanismos de liberaciHn5 por los elementos5 >ue estD en marcha' os in0ito a tener cuidado5 no tanto no los acontecimientos de este mundo5 tanto >ue te puede ocurrir5 pero sobre todo lo >ue ocurre a tra0Fs de la acciHn de los elementos' os cuatro pilares5 si los cuatro pilares de la cabeEa asociado con la CruE "utable al*o ;A>uK y Ahora5 Alfa y Ome*a<5 si los cuatro pilares del coraEHn5 se con0ertirD para usted5 de una se*unda naturaleEa independiente de sus propias decisiones5 sus propias decisiones5 oa sus propios intereses' Usted encontrarD esta manera mDs rDpida y clara' Eso es lo >ue le entre*o a ti5 y >ue en cierta medida es complementaria a lo >ue declarH y fue anunciado en los Gltimos dKas' TambiFn recuerde >ue la luE siempre serD mucho mDs inteli*ente >ue cual>uier cosa >ue puedas ima*inar o suponer' e darD este mes5 la oportunidad de comprobar si no lo estD ya5 la fluideE de la Dependencia5 la ey de Sincronicidad5 la ey de AtracciHn y mDs importante aGn5 k>uF es eso de ser un NiVo a ey del Uno5 un hiJo de la uE' !racias por su atenciHn' !racias por su comprensiHn' Si hay en ti5 y por lo >ue han e-presado pre*untas5 entonces yo serF feliE de aportar elementos adicionales5 si es necesario' Pre*untaI cuando tres triDn*ulos elementales de la cabeEa >ue ocurren al mismo tiempo5 es apropiado para llamar a la cuartaN as circunstancias5 hermanas5 son profundamente diferentes' +a sea >ue usted pone en un momento en >ue es usted >uien decide llamar a uno de los elementos' +a sea >ue usted llame a elementos de sK mismos' En este momento5 es decir5 en los momentos en los >ue uno de los tres elementos oelementos de llamar5 usted no tiene >ue trabaJar para ti mismo en cual>uier recurso adicional o complementaria' No tenemos mDs pre*untas5 *racias' $ermanos y hermanas en humanidad5 estamos 0i0iendo un momento de la ComuniHn5 en la uE AEul' +o di*o >ue la prH-ima 0eE y nos 0emos pronto' AdiHs' n Compartiendo el re*alo de la !racia '' '

NDR os cuatro pilares de la cabeEa asociados con la CruE "utable ;a>uK T ahora $IC y T NUNC5 Alpha T Ome*a A T OD<

os cuatro pilares del CoraEHn

PROTOCO OS DE PRZCTICA Q ActualiEaciHn @) de no0iembre &@7& o ImplementaciHn Coeur hacia arriba CoraEHn D EP O+IN! hacia arriba

obJeti0o Para facilitar el descenso del indi0iduo "er9abah de %indu al coraEHn' %indu se encuentra a unos ,@ centKmetros por encima de la cabeEa ;por encima del 1 i cha9ra y ER Point< Este protocolo fa0oreceI TransiciHn a la 8ida nue0os espacios de cada uno' a disoluciHn de la depredaciHn de lKneas personales' 4usiHn de dter y el cuerpo causal5 haciendo una >uKmica especial >ue consiste en obtener su dter ori*inal' PRINCIPIO Se detalla en la inter0enciHn de SRI AURO%INDO @, de octubre &@7& se encuentra en la secciHn g eer mensaJesf' En resumenI cuando el 0ehKculo ;llamado "er9abah interPdimensional indi0idual y colecti0o< se mue0e hacia el centro del coraEHn5 el centro del Centro es decir5 en el pecho5 los diferentes puntos de paso se pone en resonancia ;la posiciHn e-acta de estas puertas se muestra en la gprDctica protocolos T +o*a de la EternidadI Inte*raciHn Passa*esf<I A-is llamado PRO4UNDIDAD T PRECISION' A-is llamado ATRACCIaN T 8ISIaN A-is A TE"A

a implementaciHn de estos tres eJes5 y la estabiliEaciHn de los tres eJes5 es preferentemente por A-is inferior E?ACTITUD5 y la profundidad5 y un eJe situado li*eramente por encima ;pero resonancia UNIDAD A directamente con ellos< y Portes5 >ue es un Drea abierta5 >ue se encuentra debaJo de las a-ilas' :untos5 estos cuatro puertas y estos dos eJes5 realiEa confinamiento hotspots' 4usiHn de dter implica una forma de la reunificaciHn5 y el desplie*ue de estos / Puertas y estos tres eJes' 4inaliEaciHn de la AscensiHn5 la realiEaciHn de la Conciencia de Unidad5 o la ubicaciHn del Absoluto5 se 0erD facilitada por el trabaJo consciente en estos cuatro plie*uesI la in*le5 plie*ues a-ilares ;o hueco la a-ila<' Es en este ni0el donde se encuentran las cerraduras5 lla0es finales y puesta a punto final a tu nue0o cuerpo de la esencia5 su nue0o 0ehKculo de uE' 4acilitando asK el trabaJo de la tierra5 el trabaJo colecti0o de la "er9abah colecti0o y el colecti0o de la Tierra Anta9arana' AsK se dio cuenta de Fter 4usion y el 4usion T DisoluciHn del cuerpo causal' en la prDctica Este protocolo se e-tendiH 0idas5 de preferencia ;o sentado<5 los oJos cerrados5 en silencio durante ,. minutos5 despuFs de pre*untar dos cosasI Una tur>uesa en cada in*le Tur>uoise uno debaJo de cada a-ila Si la tur>uesa cuatro son del mismo ori*en *eo*rDfico ;China5 AriEona n< y apro-imadamente del mismo tamaVo' Para potenciar su acciHn5 es posible utiliEar5 Justo en el comienEo del proceso5 y "i9ael "ARIE'

os temores relacionados con ibFration shoc9 emocional de la humanidad

Este protocolo es la liberaciHn de los temores pro0ocados por el cho>ue emocional de la humanidad' Por lo tanto5 facilita la inte*raciHn de impacto ;total5 de prH-ima publicaciHn< a 0ida en las estructuras de ondas ;actual< de la persona' En este conte-toI os temores son los >ue fi*uran en la e-periencia actual de la persona ;y no las relacionadas con los adJuntos de colecti0os como se describe en la prDctica gprotocolos T ane-os de liberaciHn colecti0a<' El cho>ue de la humanidad es el ascenso de la ola de la 0ida5 a un ni0el inima*inable y desencadena estos temores' en la prDctica Este protocolo es imperati0o 0io acostado con los oJos cerrados5 en silencio durante ,. minutos5 despuFs de pre*untar dos cosasI 7 rutilo cuarEo en el se*undo cha9raI a medio camino entre el ombli*o y el lKmite superior del 0ello pGbico Uno en cada mano cuarEo rutilo 7 hematita en el primer cha9raI el pelo pGbico superior en el eJe del cuerpo $ematite uno debaJo de cada pie

El iaison Nue0a TriPUnidad con el CoraEHn NUE8A TRIPUNIDADI IN# CON E CORA6aN

Como "ichael diJo en su discurso el &3 de septiembreI g os apoyaremos con nuestra presencia dentro de sus estructuras5 la unificaciHn y la nue0a EucaristKa Cristo T "arKa y "i*uel5 acti0ar5 en ti5 en tu CoraEHn5 el triDn*ulo in0ertido formado entre el punto focal de su cha9ra del coraEHn5 el cha9ra del EspKritu llamado arrai*o y cha9ra raKE llamada del alma5 lo >ue permite preparar5 con facilidad de crecer en su Samadhi en su despertar en su realiEaciHn g' AsK >ue usted puede enfocar su conciencia en cada uno de estos tres puntosI 7' CoraEHn cha9ra &' cha9ra de enraiEamiento del EspKritu ;baJo la cla0Kcula iE>uierda en la lKnea de los peEones en el se*undo espacio intercostal o punto de acupuntura E7, iE>uierda< )' cha9ra de enraiEamiento del alma ;en la cla0Kcula derecha en la lKnea de los peEones en el se*undo espacio intercostal o punto de acupuntura E7, derecha<

Un protocolo para facilitar la inte*raciHn de la Nue0a TriPUnidad fue dado por un ami*o' Esta es la >uinta etapa del +o*a Celestial ;>ue se encuentra en este epK*rafe en el mismo tema<' Enlace con el coraEHn se ilustra como si*ueI Cuerpo 7@a estD conectado con I" T "i9all Cuerpo 77 estD conectado a los SI T "ARIE El cuerpo 7& estD conectado a A T CRISTO + O!A DE A ETERNIDADI INTE!RACIaN DE PASA:ES Para implementar la ola de la 8ida5 el Escudo AEul de la *racia por todo el cuerpo ;fKsico y sutil< Puedes encontrar todos los detalles en la inter0enciHn A"I!O @1 de mayo &@7&5 en la cuenta g eer mensaJesf'

Practi>ue sucesi0amente cada uno de los si*uientes tres posturas Alar*ado Con los oJos cerrados 7@ minutos5 sosteniendo cada postura ;este protocolo por lo tanto dura unos )@ minutos< En gsimplef recepti0idad En el si*uiente ordenI Paso 7I as manos apoyadas en el plie*ue de la in*le cada PRECISIONI En el centro de la in*le' A mano derecha por el eJe 0ertical del pubis PRO4UNDIDADI En el centro de la in*le' A tra0Fs de una mano a la iE>uierda del eJe 0ertical del pubis

Paso &I manos planas sobre los cha9ras del hK*ado y del baEo 8ISIONI hK*ado Cha9ra Q la mano por debaJo de la mama derecha ATRACCIaNI Cha9ra del baEo Q una mano por debaJo de la mama iE>uierda ;el cha9ra del baEo es elKptico posiciHn simFtrica del cha9ra del hK*ado es muy adecuado a>uK<

Paso )I manos sobre las raKces de los cha9ras del alma y del EspKritu

A I cha9ra de enraiEamiento del alma Q el lado derecho del pecho5 a tra0Fs de su mano sobre el peEHn5 en el se*undo espacio intercostal UNIDADI Cha9ra arrai*o del EspKritu Q el lado iE>uierdo del pecho5 a tra0Fs de su mano sobre el peEHn5 en el se*undo espacio intercostal

+O!A PARA A UNIDAD El yo*a es una prDctica en la Unidad ) pasos propuestos por el ami*o5 715 72 y 73 de septiembre de &@7@' as transcripciones de estas lKneas se encuentran en los gmensaJes leKdosf' A continuaciHn5 encontrarD un resumen y los dia*ramas correspondientes' Como diJo un ami*oI gEl +o*a de la Unidad es la forma en >ue estDn siendo ofrecidas5 entre*adas a despertarte a ti mismo5 usted se le0anta y pone de manifiesto todo lo >ue eresf n ' T n gDe hecho5 la peculiaridad de las Estrellas 7& es a resonar &P&5 )P) y ,P,5 lo >ue le permite despertar y plantear una serie de 0ibraciones5 una serie de cambios en su conciencia ordinaria5 lo >ue le permite alcanEar y establecer la cone-iHn con el ness Corps' "ediante el %indu o 4uente de Cristal5 podrDs 0er 0ibrar al unKsono con la unidad g' Para ubicar con mayor precisiHn estos puntos5 usted encontrarD los detalles de Star "arKa en los gProtocolos T as 7& Estrellas de "arKaf' No hay nin*Gn orden en particular o tiempo recomendado a se*uir para la inte*raciHn de estos tres pasos' Al i*ual >ue con cual>uier otra prDctica5 hay 8erdad >ue es tuyo5 no es el "aestro de la suya5 no hay discernimiento como el tuyo5 hay una f referencia gabsoluto relati0o en este mundoI su propia interioridad' AsK >ue si*a su intuiciHn5 sus sentimientos5 sincronicidades pone en su camino n y n su CoraEHn' El primer paso Como ami*o declarHI gEn su primera parte5 &P&5 los puntos mDs importantes estDn representadas por las sKlabas sa*radas A PODPIS e I" Estos cuatro puntos son los e-tremos de la CruE de uE na0e*ar por su color blanco'

a cabeEa y el coraEHn5 por lo >ue la CruE de uE necesario para restaurar la unidad cuatro elementos n T n AsK >ue el primer cruce es estabiliEar las cuatro estrellas llamado A PODPIS y la mensaJerKa instantDnea' RespiraciHn y usando su conciencia en estos cuatro puntos5 sealinean5 como he dicho5 su frecuencia 0ibratoria para despertar autFntico5 acti0ar y alinear las tres chimeneasI sacro5 el coraEHn y la cabeEa5 por lo >ue la fusiHn mKstica5 en ti5 Cristo5 "arKa y "ichael n' T n Para a>uellos de ustedes >ue no captarKan la 0ibraciHn de la CruE5 hay una manera muy simple5 por sK mismo5 utiliEando las palmas de las manos y la ener*Ka electroma*nFtica >ue se sienta en sus palmas5 para >ue el A PODPIS y la mensaJerKa instantDnea' Por lo tanto5 sHlo tiene >ue colocar su palma iE>uierda Si*uiente Al punto5 a . cm de distancia5 y la palma de la mano derecha a una distancia de unos . cm de diDmetro e-terior5 dDndose cuenta de la uniHn de Alfa y Ome*a5 deJando al descubierto el tamaVo >ue CristoP uE5 tambiFn llamada #iPRisPTi5 $iJo de la uE y el $iJo Ardiente del Sol' Entonces5 la respiraciHn y en silencio5 con las manos colocadas en estos lu*ares5 se desplaEarD palma de su mano iE>uierda sobre el borde de mensaJerKa instantDnea ;por encima de la oreJa iE>uierda<5 mientras >ue la palma de la mano derecha se coloca a pocos centKmetros al lado del punto IS' Por lo tanto5 se le permitirD a las dos principales circuitos de reunir cinco 0ibraciHn en uno5 permitiendo >ue las ener*Kas de a 4ontaine Crystal 0ertiendo en ti y conectar5 de forma permanente5 su estado de ser 0ehKculo' Por lo tanto5 el Alfa y la Ome*a unificador primero5 y lue*o el A>uK y Ahora5 usted se centra5 de forma permanente5 en la unidad de alineaciHn' Al darse cuenta de esto5 como todo lo >ue >uieras5 siempre >ue pueda5 sin hacer otra cosa >ue colocar las manos como diJe y respirar tran>uila y profundamente5 establecerD la rotaciHn y 0ibraciHn 7& Estrellas >ue e-iste en su cabeEa' Por lo tanto5 usted serD capaE de5 poco a poco5 para permitir una detrDs de otra5 todas sus estrellas y las puso5 se prepara para recibir la unidad triple en su conJunto ;Cristo5 "arKa y "i*uel' g< NDR El si*uiente dia*rama ilustra el principio de la posiciHn de ) Cross' a diferencia entre la CruE tres es como la posiciHn e-acta de las manos sobre las oreJas5 en la se*unda parteI Cruce CentralI mano iE>uierda al lado de mano I" y Justo al lado de IS' Anterior cruEI al lado de la mano iE>uierda y la mano derecha C ARIDAD lado PRECISION'

Posterior cruEI la mano iE>uierda al lado de UNITE y Justo al lado PRO4UNDIDAD'

PASO & Como ami*o diJoI gAhora 0amos a abordar la se*unda parte de esta Unidad +o*a5 utiliEando no mDs triDn*ulo CruE cuaternario pero T n n AsK5 TriDn*ulo de 4ue*o se hace en la parte delantera5 A 5 %ien T "al y de atracciHn T repulsiHn' TriDn*ulo aFreo consiste I"5 Claridad y Unidad' A*ua Trian*le a su derecha5 enP por encima de la oreJa derecha estD constituido por IS5 precisiHn y profundidad n' T n El TriDn*ulo OD >ue Fl5 apuntando hacia abaJo representa el sKmbolo de los pueblos de Sirius ;Sirio A5 Sirio % como como Sirius C< >ue es la fertiliEaciHn del EspKritu en el campo' Este triDn*ulo apuntando hacia abaJo5 se establece asK entre OD5 #iPRisPTi y 8isiHn g'

PASO )

Como ami*o diJoI gPor lo tanto5 OD A 5 de la periferia5 y A OD5 la periferia5 en un sentido y lue*o en el otro5 una y otra allD de la IlusiHn' salir del recinto5 lo >ue permite5 si tal es su 8ibraciHn y encontrar su coraEHn unificado5 rePcubierto ;por rePdesplie*ue de la 8erdad y la Unidad como #iPRisPTi5 $iJo de la uE y *rabaciHn el Sol< de su potencial5 su plena 0erdad de la eternidad n T OD A n Desde la iE>uierda5 a tra0Fs de mensaJerKa instantDnea5 y A OD a la derecha5 a tra0Fs del IS5 se 0uel0e a crear el 0Knculo in>uebrantable su eternidad y la 8erdad' coronar esto se manifiesta en el cuerpo5 la luE elFctrica5 la cual5 mediante la redistribuciHn de poder5 la fotHnica y Diamantina5 usted e-perimentarD el cuerpo de la *loria5 la Unidad y la 8erdad alto ' eJemplo5 para centrar su conciencia5 punto a punto5 >ue ele0arD los 7& canales y 0elas Pelucas5 re0elando la 8erdad5 lo >ue le permite confi*urar y todas las luces para entrar en la "orada de la Eternidad y bien0enida en su Templo despierto #iPRisPTi de nue0o' g

"andalas cristales Se sienta en la posiciHn de E*ipto ;como en los dia*ramas de abaJo<5 con los oJos cerrados5 durante ,. minutos5 el centro de un mandala consta de tres cristales colocados en el suelo5 en una forma trian*ular5 de unos .@ cm el eJe del cuerpo' En cuanto a la elecciHn del elemento5 sHlo tiene >ue se*uir sus sentimientos5 como se describiH anteriormente' Cada cristal es una estrella' os si*uientes dia*ramas5 en particular5 la 0ista desde arriba5 >ue muestra cHmo colocar estos cristalesI 4UE!O

Contra sK mismoI una rodocrosita En la parte trasera iE>uierda5I un topacio imperial En la parte trasera5 a la derechaI una esmeralda ;repulsiHn< AIR

;A < ;atracciHn<

A la iE>uierdaI un octaedro de fluorita aEul o Adelante5 a la derechaI a>ua aura de 8uelta a la derechaI a fantOle cuarEo ;UNITE< A!UA

0erde ;I" T ICI< cuarEo ;C ARIT+<

A la derechaI un peridoto ;IS T NUNC< Adelante5 a la iE>uierdaI un selenita ;PRECISIaN< AtrDs5 a la iE>uierdaI a #unEite ;DEPT$< TIERRA

AtrDsI una turmalina sandKa ;o asociaciHn simultDnea de turmalina rosa Q rubelita turmalina y 0erde Q 8erdelite ;OD< Adelante5 a la derechaI a $iddenite ;8ISION< Adelante5 hacia la iE>uierdaI una fuente de cristal T de cristal de roca o emuria sello de SalomHn en un cristal de roca o rodar sin punta ;#IPRISPTI< os cristales utiliEados para este protocolo son idFnticos a los utiliEados por otros dos protocolosI 4inaliEaciHn del Cuerpo de la esencia y de la ResurrecciHn del Cuerpo de ReconstrucciHn' El obJeti0o es siempre el mismo5 pero en realidad considerado como tres puntos de 0ista5 lo >ue e-plica las formas en ) diferentes de colocar los mismos 7& cristales'Promo0er la e-pansiHn de la conciencia de la Presencia Infinita' + de este modo facilitar el acercamiento de la "orada de la PaE Suprema' Este protocolo fue proporcionado por un ami*o durante su discurso el & de no0iembre de &@7&5 se encuentran los detalles en los gmensaJes leKdosf