MAIN POINTS OF TREATMENT OF MERIDIANS (JING LUO) Rose Mary Silva de Oliveira ETERF Technical School Physical Rehabilitation

Acupuncture Course - Technician L evel São Carlos - SP, September 17, 2004 MAIN POINTS OF TREATMENT OF MERIDIANS (JING LUO) The main points of systemic acupuncture treatment are those with special healing properties. They do not exist in isolation but within twelve meridians (Jing Lu o) regular and eight extra Jing Luo. Over and out of the meridians are located a bout a thousand Chinese points which when stimulated can tonify or sedate certai n organs or viscera and meridians. Between these points there are some with spec ific and important function, called command points and divided into several cate gories, the most important: 1. 2. 3. 4. 5. 6. 7. 8. Reinforcing points, sedation points, Twelve Points Yuan (Source); Fifteen Points LO (connection) or exit IQ; Twelve Points of Consent Dorsal (Shu); Twelve Point s of Consent Ventral (Mu) and Sixteen Points Alarm XI ( fissure). Old Five Point s SHU (Jin Ying, Shu, Jing and Ho / He), 66 points are determined by five factor s, very important for the balance of energy in the meridians. Besides these categories, there are still many other important points classified into the five elements, outside the meridian points, assembly points and specia l points. I - IMPORTANT POINTS AND SPECIAL FEATURES OF TONING POINT: This is the point about Mother to the five elements represented in each Regular Meridian and its stimulus causes the increase of energy in Southern and function of each organ. POINT OF SEDATION: This is the point Son with relation to the five elements represented in each Reg ular Meridian and its stimulus causes the decrease of energy in Southern and fun ction of each organ. (Table 01) Sedation Methods of Reinforcing and points of th e five elements in each meridian: The tone tones the child's mother. Sedation of the child, the mother silk. The dominant tone of calms dominated. Table 01: POINTS OF TONING AND SEDATION IN EACH MERIDIAN (JING LUO) JING LUO Ton Lung POINT: Earth Sed P9: P5 Ton Water: Earth IG11 INDICATION Asthma, cough, pu lmonary tuberculosis, chest pain and breasts, tonsillitis, sore arm . Cough, che st pain, neck pain, wrist pain. Large intestine Pain in the elbow, shoulder and knee, arm paralysis, hemiplegia, fever, hyperten sion, tonsillitis, pleuritis, dermatitis, eczema, gum disease, tuberculosis, pne umonia, conjunctivitis, Sed: IG2 Water IG4-Yuan dysmenorrhea, rheumatism epistaxis, toothache, tonsillitis, pharyngitis, bursiti s in the shoulder and foot. Headache and teeth, tonsillitis, rhinitis, laryngiti s, epistaxis, asthma, bronchitis, facial palsy, arm and shoulder pain, flu, hypo hidrosis, insomnia, nervousness, tinnitus or hearing disorders, scabies. Frontal headache, dizziness, swelling of the face, abdominal distention, constipation,

diarrhea, sprained ankle, leg and foot asleep. Gingivitis, tonsillitis, hepatiti s, facial paralysis, epistaxis, rhinitis. Too many dreams, manic behavior. Bloat ing, abdominal cramps, back pain, gastroenteritis, indigestion, constipation, ti redness of the body. Abdominal distension, borborygmus, dyspepsia, vomiting, dia rrhea, constipation, jaundice, hemorrhoids, pain in the ankle. Palpitations, che st pain, neck pain, seizures, coma. Angina pectoris, neurasterna, psychoneurosis , anxiety, palpitations, headache and dizziness, epilepsy, insomnia, ecterícia, pain in the armpit, neck pain, wrist pain conjunctivitis, pterygium, epistaxis, neck stiffness and pain, occipitalgia, pain back, numbness in the finger of the hand, leg pain, tinnitus, deafness, epilepsy, night sweats, and malaria. Headach e, dizziness, toothache, gingivitis, sore shoulder, arm, forearm and hand on the ulnar side. Sick of the fetus, calving difficulty, allergy skin or hives, itchy skin, headaches and leg pain, manic behavior in head and neck pain, neck stiffn ess, back pain, leg pain, pain in the ophthalmo-frontal conjunctivitis, hemorrho ids, epilepsy. Swelling of the limbs, edema, ascites, hipertranspiração night, b ack pain, nephritis, orchitis, urethritis. Parietal headache, metatarsalgia, diz ziness, vertigo, coma, seizures, infantile, manic behavior (phobia), insomnia, n ephritis, uremia, diabetes. Foot pain, laryngitis, nocturnal hypertension, prost atitis, genital disorders, impotence, irregular menstruation, tetanus in newborn , cystitis, diabetes mellitus. Angina pectoris, fever, pericarditis, apolexis, c oma, pain Stomach Ton: Fire Sed E41: E45 Metal Spleen Pancreas Ton: BP2 Fire Sed: BP5 Ton Metal: Wood Sed C9: C7-Yuan Ton Earth: ID3 Wood Heart Small intestine Sed: ID8 Earth Bladder Ton: Metal Sed B67: B65 Wood Kidney Ton: R7 Metal Sed: R1 R2 Wood Fire Pericardium Ton: PC9 Sed Fire: PC7-Yuan Earth TikiWiki calms the heart and mind and pacifies the heart, insomnia, anxiety, dep ression, chest tightness, palpitations, heart pain, dermatitis on the palm, wris t arthritis, halitosis, palmar Tinnitus, deafness, headache, sore throat, mumps , braquialgia, back pain, numbness in the hand and fingers. Elbow pain, furuncul osis arm, lymphadenitis, headache, neck pain, deafness, sore throat Triple Burner Ton: TA3 Wood Sed: TA10 Well Heavenly Earth Gall bladder Ton: VB43 Water Sed: VB38 Ton Fire: Water Sed F8: F2 Fire

Tinnitus, vertigo, deafness, chest pain, intercostal pain migraine, muscle spasm , sesação cold in the lumbar region in urogenital infections, ptosis of the uter us, genital itching in the aria, suprapubic pain, pain in the groin, frigidity, knee periarthritis Menorrhagia , irregular menstruation, pain in the genitalia, urethritis, enuresis, hypertrophied prostate, hypertension, conjunctivitis, inso mnia, epilepsy, sciatica. Liver Table 02: TREATMENT BY FIVE ELEMENTS ORGAN Lungs Large Intestine Stomach Spleen Heart Small Intestine Bladder Pancreas Hypoactive Ton: P9 / Sed BP3: P10 / Ton C 8: IG11/E36 Sed: IG5 / Ton ID5: E41/ID5 Sed: E43/VB41 Ton: BP2/C8 Sed: BP1/F1 To n: C9/F1 Sed: C3/R10 Ton: ID3/VB41 Sed: ID2/B66 Ton: B67/IG1 Sed: Sed B54/E36 HY PERACTIVE: P5/R10 Ton: P10 / Sed C8: IG2/B66 Ton: IG5/ID5 Sed: E45/IG1 Ton: E43/ VB41 Sed: BP5/P8 Ton: BP1/F1 Sed: C7/BP3 Ton: C3/R10 Sed: ID8/E36 Ton: ID2 / Sed B66: B65/VB41 Ton: B543/E36 Rim Pricardio Triple Burner Gallbladder Liver Ton: R7/P8 Sed: R3/BP3 Ton: PC7/F1 Sed: PC3/R10 Ton: TA4/VB41 Sed: TA2/B66 Ton: VB43/B66 Sed: VB44/IG1 Ton: F8/R10 Sed: F4/P8 Sed: R1/F1 Ton: R3/BP3 Sed: PC7/BP3 Ton: PC3/R10 Sed: TA10/E36 Ton: TA2/B66 Sed: VB38/ID5 Ton: VB44/IG1 Sed: F2/C8 Ton: F4/P8 TWELVE POINTS YUAN SOURCE: It can produce both direct tone as sedation in Meridi an. They act by restoring the balance of power, avoiding excesses and filling ne eds. That is, stimulates the IQ, regulate the physiological functions of interna l organs, serving to improve them metabolism, because they increase the pathogen s. These points are near the wrist or ankle. Point "Yuan" means "origin" referri ng to the source of IQ, by which pathological changes of the Zang-Fu system beco me apparent. The twelve points Yuan deal with change of the internal organs. The point of the Yuan affected meridian is often combined with point Luo / Lo (conn ection) of the meridians. The twelve points Yuan (source) are in the category of five points Shu. Each meridian has its own YANG Yuan (source), located between the Shu-stream points and Jingnascente. The six meridians Yuan YIN have no point s, ie points and Yuan Shu-yin meridians of the stream are the same. Table 05: POINTS AND YUAN ALERTS Points P9 IG4 Indications Asthma cough, pulmona ry tuberculosis, chest pain and breasts, tonsillitis, sore arm. Headache and tee th, tonsillitis, rhinitis, laryngitis, epistaxis, asthma, bronchitis, facial pal sy, arm and shoulder pain, flu, hypohidrosis, insomnia, nervousness, tinnitus or hearing disorders, scabies. Foot pain, toothache, gingivitis, anorexia, epileps y, puffy face gastralgia, abdominal distension, intestinal colic, indigestion, g astroenteritis, dysentery, hemorrhoids, arthritis in the foot, gout, lumbago. E42 BP3 C7 ID4 B64 R3 PC7 TA4 VB40 F3 Angina pectoris, neurasterna, psychoneurosis, anxiety, palpitations, headache an d dizziness, epilepsy, insomnia, ecterícia, pain in the armpit, neck pain, arthr itis pain in the wrist in the arm, hand and fingers, headaches and neck, stiff n eck, tinnitus, pterygium, fever and jaundice. Back pain and leg, dizziness, vert igo, epilepsy, headache, neck stiffness and pain in tooth pain, laryngitis, stom atitis, mastitis, impotence, dysmenorrhea, leg pain foot and ankle, cold shoulde rs, malaria, nephritis, metatarsalgia. Calms the heart and mind and pacifies the heart, insomnia, anxiety, depression, chest tightness, palpitations, heart pain

, dermatitis on the palm, wrist arthritis, halitosis, palmar hyperhidrosis. Wris t pain, excess hair in women, dry mouth, diabetes, malaria, vomiting during preg nancy. Pain and swelling in the ankle, pain along the path of the meridian, pter ygium dizziness headache pain in the external genitalia, prostate hypertrophy, h ernia, pain and distention in the costal margin, eye disorder, menorrhagia, mast itis. FIFTEEN POINTS LUO / LO (CONNECTION) LO These points are points of connection of two meridians, specially bound, ie, being a point where the Collateral begins t o connect pairs defined Regular Meridians,€connected internally and externally i n pairs. Stimulation of these points will be used to treat both meridians. Thus, establishing a system of circulation of Qi and Xue through these meridians, to warm and nourish the entire body. It also serves to vent excess energy and Merid ian. Associated with the Yuan can transfer energy to the body or viscera engaged . No connection between the LO of the Jing Luo (meridians) Yin and Yang, respect ively. LO points are located below the elbow or knee. The Luo / Lo 12 points bor n Jing Luo / Lo meridian of each distal to the elbows and knees, go to their mer idian bound (superficial and deep). ). Luo Ren Mai is born of Jiuwei (Ren / VC 1 5), is developed on the abdomen. Luo Du Mai born Changqiang (Du/VG1), is distrib uted in the head, with branches to Zu Tai Yang left and right. Great Pi Luo born Dabao (BP21), spreads in the axilla and flank. Are places where the IQ of the m eridians converge. Any damage to the LO will inhibit the movement of Qi and Xue, Qi stagnating and clotting the Xue. These points are frequently applied in the treatment of various chronic diseases involving internal injuries or pathologica l accumulation of substances, since the meridians are involved with acute condit ions and the Collateral with chronic diseases. In addition to the twelve meridia ns and the ordinary or regular meridians, Ren and Du Mai-Mai, that they each hav e their own point LO, Meridian Spleen-Pancreas LO has an extra point, the Great LO. With this we have a total of fifteen points LO. Functions • • • 15 Luo reinforce the relationship Meridians Yin / Yang, Biao / Li, Luo The Ren M ai, Du Mai and large Pi Luo Qi reinforce the relationship of the meridians of th e anterior, posterior and lateral; Addressing and Xue Qi, nourish organism. In t he body Luo, Luo 15 are larger. Luo Mai floating in the shallow part of the body is called "floating Luo," the branches are thinner Sun Luo - Luo-grandson, dist ributed in the body, are innumerable, its function is to distribute Qi Xue and n ourish the body. Table 6: INDICATIONS OF FIFTEEN POINT LUO / LO Point P7 C5 PC6 ID7 IG6 TA5 VB37 B58 E40 BP4 R4 F5 VC15 VG1 BP21 Excess Fever in the palm of the hand and wrist f ullness Chest Heart Trouble motor Toothache and deafness elbow spasm Nasal obstr uction and back pain and head Sincope sore throat, abdominal pain and mania apho nia Agitation Prolapse uterinoe hernia abdominal pain back pain generalized rigi dity and incontinence Disabilities Dyspnea dislalia Turmoil Warts Cold teeth and chest fullness Difficulty motor elbow Epistaxis Wei Foot Syndrome in Edema and diarrhea sudden drop Lombalgia Itching genital itching, dizziness and abdominal heaviness in the head Generalized Weakness NOTE: In the treatment of chronic diseases or in states of profound changes in t he meridian, are used concurrently the points of the meridians and Yuan Lo coupl ed surface-deep in the relationship. In this case we use the Yuan point of the m eridian and point forward disorders Lo meridian coupled to it. Table 7: POINTS OF YUAN MERIDIANS OF AFFECTED AND YOU MERIDIANS COUPLER Affected Lung Meridian Large Intestine Stomach Spleen Pancreas Heart-Point YUAN P9 IG4 E 42 C7 IG6 PC7 BP3 BP4 E40 ID7 Point Coupled LO

Small Intestine Bladder Kidney Pericardium Triple Heater, Gall Bladder Liver ID4 B64 R3 PC7 TA4 VB40 F3 BP21 R4 B58 C5 F5 TA5 PC6 VB37 Note Meridian Spleen-Pancreas have another Great Point Lo Lo Ren-Mai (vasoconcep ção) is RM / VC 15 Point Lo-Du Mai (vasogovernador) is DM / VG 1 POINTS OF NOD NOD BACK AND BACK-SHU ASSENTIMENTOVENTRAL MU / MO-front Shu-back a re specific points on the back of the body, systems-related Zang-Fu, where the I Q is melted. Located on both sides of the spine, near the spinal ganglia, hence the name Shu-Dorsal. The Front-Mu are reflex points located in the thorax and ab domen, where the IQ of their systems Zang-Fu merge. The level of Mu points in th e abdominal region is the level of the Shu points in the back and both are locat ed on the same level of their systems Zang-Fu. Point Mu can belong or not to own meridian. It connects directly to the organ or viscera. Shu points are always i n the Bladder meridian (eg P is B13), each of which acts directly on the corresp onding organ. Its action is generally sedating. By applying the points Mu-Shu an d Front-back should take into account their characteristics Yin and Yang. IQ Poi nt Mu Shu and communicates directly with their respective systems Zang-Fu and co nstitute an important group of specific points.€Positive reactions such as tende rness and pain in these points are important for diagnosis and treatment of alte rations Zang-Fu, as the pathogenic factors can stay in pathologies resulting fro m both the Zang-Fu system as the body surface. • • • • • The principles of selec ting and Mu Shu points are (Table 8) in acute, often accompanied by fever, they use the Shu points, chronic diseases, they use the Mu points, excess energy they use the Shu points, falling energy use is the Mu points, at an advanced stage o f disease, may be used simultaneously and Mu Shu points. In this case, they use first-Shu points Back and then the Front-Mu points. Table 8: THE LINKS RELATED TO BACK-SHU Zang-Fu-MU FRONT AND CONSEQUENCES Body an d Bowels Lung Shu Point - B13 Indications: cough, pneumonia, asthma, Point Mu P1 Indications: cough, shortness of breath, dyspnea, asthma, Pericardium Heart dyspnea, bronchitis, tuberculosis, back pain, dermatitis, itching B14: chest pai n, intercostal neuralgia, toothache, hiccups, percardite, tingling and cold in t he distal region of menbros. B15: heart problems, nausea and vomiting, pain in p eitro, anxiety, epilepsy, schizophrenia, lack of memory. bronchitis, shoulder pain, tuberculosis, intercostal neuralgia. VC17: dyspnea, a sthma, chest tightness, hiccups, heart pain, thyroiditis, bronchitis. VC14: hear t pain, angina pectoris, acidity, vomiting, stomach pain, bloating, palpitations , neurotic behavior, poor memory, hematemesis. F14: pleuritis, hepatitis, chest pain, pain in the margin hipocondrial, malaria Liver Gall bladder B18: hepatitis, hepatomegaly, cirrhosis, cholecystitis, tendon problems and eye, back pain, diabetes negralgias, furunculosis, lymphadenitis, any problem in org an gental, schizophrenia. B19: hepatitis, cholecystitis, back pain, bitter mouth , poor appetite, nausea and vomiting, and tuberculosis. B20: anorexia, stomach p ain, peptic ulcer, thinness, hepatitis, cirrhosis, dyspepsia, regurgitation, chr

onic diarrhea, bloating. B21: gastralgia, peptic ulcer, gastric distension, disp epcia, anorexia, nausea and vomiting, regurgitation, borborygmus, thinness. B22: diabetes mellitus, anorexia, dyspepsia, indigestion, diarrhea, abdominal disten sion, borborygmus, ascites, body edema, oliguria, low back pain. B23: nephritis, urogenital infections, nocturnal enuresis, impotence, back pain, edema, diabete s mellitus, dysmenorrhea, neurasthenia. B25: low back pain, stomach ache, borbor ygmus, bloating, constipation or Darra. Spleen / Pancreas Stomach Triple Burner Kidney Large intestine Small intestine B27: desenteria, hematuria, enuresis adnexitis, prostatitis, hemorrhoids, joint pain ilio-sacral back pain VB24: pain in the rib margin, epigastric pain, acidity and vomiting, abdominal d istention, hepatitis, jaundice, hiccups F13: swelling of the spleen, abdominal d istension, biliary colic, pain in the side of the abdomen, borborygmus, indigest ion, diarrhea, emaciation. VC12: epigastric pain, abdominal distension, borboryg mus, intestinal pain, diarrhea, acid regurgitation, dyspepsia, vomiting, jaundic e. VC5: disorders of menstruation, spermatorrhea, problems in the genitals, post partum hemorrhage, dyspepsia, ascites, abdominal cramps, diuresis. VB25: any ki dney problems, back pain, pain in the pelvis and groin, intestinal colic, abdomi nal distension, oliguria and edema E25: acute or chronic gastroenteritis, dysent ery, diarrhea, allergic borborygmus, nausea and vomiting, abdominal distension, constipation, ascites, appendicitis, adnexitis, dysmenorrhea VC4: impotence mens truation disorder, spermatorrhea, bedwetting, problems of the organs of the pelv is, problems Bladder B28: a problem of the bladder, nocturnal enuresis, pain or infection of the geni tal organs, dysuria, or lumbosacral back pain, coldness of the limbs, constipati on. small intestine, abdominal pain, diarrhea VC3: impotence, spermatorrhea, irregul ar menstruation, amenorrhea, menstrual cramps, inflammation of the pelvic organs , disturbances of urination, bedwetting, bladder diseases. SIXTEEN POINT ALARM - XI URGE These points are places where the Meridian IQ is d eeply converged. XI means "space". When the energy meridians are disturbed, pres enting acute problems in the organs, is the place ("space" - Point XI - Alarm) t hat there is accumulation of IQ. So these points are given to treat the changes in their internal systems related, as well as the areas supplied by Meridian. Th us, in the treatment of serious diseases, mainly infectious in nature. They also function to relieve the acute pain of internal organs and to treat acute torsio n,€since these selected points of the meridians pass through the area involved. The combination of alarm points with eight points Influential (F13, VC12, VC17, B17, VB34, P9, B11, and VB39) enhances the therapeutic effect. The Twelve Meridi ans Ordinary Extraordinary and four each have their own point-Cleft XI. These po ints are located below the elbows and knees, except for E34 which is at the top of the knee. They are a group of important points in addition to the Five Points

SHU. The observation of the locations of these points helps in the diagnosis of acute, because in these cases become sensitive. Punching these points can regul ate the circulation of Qi and Xue in the affected areas. Point Alarm (Xi) is gen erally not located on the same meridian, becoming sensitive in cases of affectio n of the organ. They share general toning. Table 9 - THE SIXTEEN POINT ALARM XI-XI URGE Points Indications P6 bleeding hemo rrhoids, hemopitise, dyspnea IG7 Toothache, flu and hemorrhoids. E34 epigastric pain BP8 Acute Diarrhea C6 Heart, insomnia and mania. ID6 Blurred vision and Sum ba R5 B63 B59 F3 PC4 TA7 VB36 VB35 R8 R9 Infantile convulsions, sistrema Dysmenorrhea and uterine prolapse Heart, palpita tion and pain in the hypochondrium. Heart disease and enteritis Mania with emoti onal excitement and anxiety with depression and emotional Hernia uterine bleedin g Acute diarrhea, sciatica, lumbago and numbness Orquialgia, amenorrhea, and nig ht sweats, chest pain and paresis of lower extremities Relieves IQ pathogenic, h ernia and beriberi FIVE POINTS OF FORMER SHU (JIN, YING, SHU, AND JING HO / HE) These points are lo cated along the twelve regular meridians and are located distally of the elbows and knees, that is, between the elbow and the tip of your fingers, or between th e knee and the tip of the toes. They are called: Jin / Jing-East; Ying-Manacial; Shu-Stream, River and Jing-He / Ho-Mar. Comparing thus the flow of qi meridians to the volume of water flow in different parts of nature. Its functions are als o different. • Items Jin-Spring (well) treat the coma, syncope and shock. • The Ying-Manacial (stream) to treat acute febrile diseases. • The Jing-River treat s ore throats. • The Shu-Stream (stream) treat arthralgia or chronic inflammations . • The He-Sea (estuary) treat intestinal disorders. According to the book Nan-J ing, Jin is the point of diseases that have epigastric oppression. Point Ying is used to treat the acute phase of disease who have a fever, according to Li Ding . The Shu point deals with the pain or heaviness in the joints, neuralgia interm ittent and chronic inflammatory processes. The point is Jing dyspnea, cough, chi lls and fever; settle the imbalance in the function of the meridians. Point Ho t reats diarrhea, and for acute colitis is associated with the meridian of GI Ho ( GI 11) and Ho point lower than the same meridian (E 37), regulates the physiolog ical functions of Zang-Fu. In each a twelve regular meridians are the five shu p oints, according to tables 3 and 4: Table 3: POINTS OF THE FIVE ELEMENTS OF YIN Meridian Meridian Jin Ying Wood Fire Earth Shu Jing Lung Metal P8 P9 P11 P10 Pericardium PC5 PC9 PC8 PC7 Heart C9 C8 C7 C4 Spleen Pancreas BP1 BP2 BP3-BP5 Liver Kidneys F1 F2 F3 F4 R1 R2 R3 R7 Ho Water P5 PC3 BP9 C3 F8 R10 Table 4: POINTS OF THE FIVE ELEMENTS OF MERIDIANS Meridians YANG Jin Ying Metal Water Wood Shu Jing Fire Intestine IG1 IG2 IG3 IG5 Triple Burner TA1 TA2 TA3 TA6 Intestine Stomach ID5 ID3 ID1 ID2 E45 E44 E43 E41 Gallbladder VB44 VB43 VB41 VB 38 Bladder B67 B66 B65 B60 Land Ho IG11 TA10 ID8 E36 B54 VB34 II-DIAGNOSTICS DIAGNOSTICS BASED ON MERIDIANS / JING LUO diagnosis based on Jing Luo, is the us e of the theory of Jing Luo to guide the diagnosis. Jing Luo theory applied to t he diagnosis can be divided broadly into two aspects: • • First is to look for u nusual changes in skin surface, including changes in color, feel, appearance, te mperature and power quality. Second is using to systematise the Jing Luo symptom s, called for identifying the standard by Jing Luo. The basic principles of diag

nosis by Jing Luo are based. partitioning of the Jing Luo, its physiological fun ction and pathophysiological. Diagnosis through the Jing Luo was born and develo ped over the medical practice. SKIN MANIFESTATIONS reflections when the body is sick, some skin areas may have spots or areas with changing color, appearance, sensation, temperature or electr ical resistance, are called positive skin responses.€You can use the locations a nd nature of positive skin responses to support the diagnosis. Of course, this m ay not be the only data you need to add other information obtained from inspecti on, listening / smelling, interrogation and palpation for analysis, so it is pos sible to reach a correct diagnosis. The methods to look for the positive skin re sponses are: INSPECTION OF acupuncture point is a method that uses the vision to observe changes in color as well as the appearance of the meridian point or to diagnose diseases. The inspection should be performed under natural light with s ufficient intensity. The color changes Luo Mai may reflect the nature of: Xu, Ha n, Shih and Re of disharmony. The most obvious and visible locations to be obser ved are: thenar region, dorsal ear, lower eyelid. In general term, blue relates to cold, pain and Gan. Red relates to heat and Xin. Yellow relates to heat and P i. White relates to Shi (humidity) and Fei. Black relates to cold, and Xu Shen (Kidney). Deepening and invisibility of tion surfac e is cold and Xu Zheng. Suurgimento The red line in the body, with pain on palpa tion, represents warmth and Shih (Fullness). Palpation of acupuncture point palp ation this method is the path of the meridians, to detect points with positive s kin responses. Palpation method: to use the thumb and index finger to palpate th e meridians and points to locate the positive responses, the most common tricks are: • • • • Slipping softly, using the fingertip it follows along the path meri dian, combining rotary and sliding motion with little power to detect the superf icial skin responses. Massage: is similar to the slide, but with little harder t o detect the deeper skin responses. Stir: Using the tip of the thumb, with movem ents of the lateralization, following the path of the meridian, to detect the de eper skin responses. Pushing: Using fingertip, with appropriate force pushing al ong the path of the meridian, usually in the back injury. On examination, the patient must be relaxed in a comfortable position. The exami ner must apply the force evenly. POSITIVE SKIN RESPONSES The positive skin respo nses include objects of positive responses, changes in aspects of items and chan ges in sensitivity. • Objects of positive responses: the objects of positive res ponses are evidenced by palpation aspects, different volumes and consistency. Th e most common are: Nodules: they can be rounded, olive-shaped, flattened into sp indle-shaped egg. Of different sizes can be: big as a bean and small as a grain of rice. Usually it is the size of a grain or soy beans, with the smooth surface of varying consistency, mobility, small, usually located in the subcutaneous ti ssue. Strings: larger size can have pencils, children as sewing needles with a l ength from 0.5 to 10 cm, consistency firmer, elastic, usually are located in the subcutaneous tissue. Node sponge: soft consistency produces a palpable sense of a gas bubble, like a sponge. • • CHANGE OF APPEARANCE OF POINTS Sometimes it can be observed elevation at or surr ounding area, feel soft to palpation, or appears depressed, feeling hard on palp ation. SENSITIVITY CHANGES To palpate the meridians and points, the patient reports paresthesia or hyperest hesia. Usually the sites of positive changes can appear as pain, tenderness or n umbness of varying degree. LOCAL AND SEQUENCE palpation Generally, the whole bod y can be examined by palpation. But often palpate Du Mai, Hua Tuo Jia Ji, Shu Do rsal, Mu and Xi and He points lower limbs. Du Mai: presence of positive response s in Du, after exclusion of local disease, can diagnose disease Zang Fu Shu poin

t corresponding to the same level. Hua Tuo Jia Ji: The positive responses of the points usually represent cervical diseases of the upper limbs, head and face. R epresent points of thoracic diseases of internal organs. Lumbo-sacral points rep resent diseases of lower limbs, small and large intestines, uterus, prostate and genito-urinary and reproductive systems. Shu, Mu and Xi: the positive responses represent diseases of Zang Fu match. He bottom: the positive responses of the s ix diseases represent Fu. There is a rule that exists between local nature of th e appearance of positive responses, place and nature of the disease, is still wa iting for a better future synthesis.€ELECTRICAL DETERMINATION OF POINT There is a certain electrical resistance on the body surface. When you're sick, the point s of the meridians may appear points or areas with low electrical resistance. Th e locations of any examination are: • • • Point Yuan: where changes may reflect the situations of l2 Shih Xu Jing Jing Mai Point: where changes has the same mea ning of the amendment of section Yuan. Shu: the amendment reflects the condition s of the Zang Fu. Broadly speaking, a double difference between the measured values of left and ri ght has diagnostic significance. Comparing the meridians, the balance over one t hird of the average value (more or less) may have diagnostic significance. Condu ctance is greater Shih (Excess) and smaller and Xu (Deficiency). DETERMINATION OF SENSITIVITY TO HEAT is a method of diagnosis by Jing Luo. Using incense burning or electric heat source, heats the points or bilateral Jing Shu , determining its heat tolerance, is measured in seconds. Compares the differenc e between the values obtained between right and left, to help diagnose the disea se. Generally, the difference between double values of law and the Left has diagnost ic value. The comparison between the meridians, the balance over one third of th e average value (more or less) may have diagnostic significance. Shih greater va lue and lower and Xu. OPERATING POINT OF HEADSET When you're sick, you can submit positive responses in the corresponding sites i n the pinna. Based on this fact, we can diagnose and guide treatment. The operat ing methods of ear points include: • • Inspecting the naked eye can often be see n through the disorder of pathological changes in appearance and color of the pi nna. Ear sensitive points: the achievement of palpation, one should apply a unif orm force, with mild and soft, moving slowly. Sensitive points are unbearable pa inful sensation from the inside out, with characteristic prick, pain, distension , burning, and paresthesia. The false-positive points have normal sensation of d ull pain, and pain on palpation superficial tolerable. It is necessary to distin guish the false from the true positive. When the painful area is relatively larg e, it should detect the most sensitive point. The pressure of the exam may be different based on the degree of sensitivity. Us ually the elderly perceive less and more children perceive, moreover, sex and oc cupation can also modify the sensitivity. Detection of electrical auricular poin t: at the clinic there are several devices varying specifications. Its basic pri nciple is based on the appearance of sites with reduced electrical resistance in the ear when one is sick. With these devices measure the change of electric int ensity. It is shown by number, sound or light apparatus to assist in diagnosis. You could say that the positive skin test responses to the understanding of the health status of individuals in the general deduction about the existence of a p articular disease, its location and nature. But it can not be the only data to s upport the diagnosis of disease III - BIBLIOGRAPHY DING, Li. Acupuncture, Meridian Theory and Acupuncture Points, Trad.Dra. Luciane M. D. Farber, Coord. CientíficoDr. Paul L. Farber - Sao Paulo Ltda ROCA. 1996.

Chapter 11, pp 53-64 WEN, Tom Sintan. Traditional Chinese acupuncture, Cultrix E ditora, São Paulo. 1989. Cap X, pp 207 217 Junying, Prof. Dr. Geng. Theory of Ji ng Luo - Meridian, Art Professor and Deputy Director of the Department of Acupun cture, University of Chinese Medicine and Pharmacology in Beijing. Internet p. u nknown. GOLA, Oswaldo José, Chinese Medicine, Experience and Learning