Advanced Korean Hand Therapy Workshop:

Improving Health through Acupuncture Energy Balance

Lawrence Li, MD, MPH and Dan Lobash, Ph.D., L.Ac.
AANP Annual Conference June 10 - 11, 2004

Objectives: Following this presentation, the participant will be able to:

1. Review Basic Correspondence experience by participants; Q & A
2. Apply new correspondence points for the internal organs (Mu points)
3. Understand the concept of energy circulation and balance in health and the role of lifestyle and
Traditional Chinese Medicine diagnostic and therapeutic approaches to improve energy balance.
4. Demonstrate the following diagnostic skills:
a. O-ring muscle testing (applied kinesiology) to determine appropriate treatments.
b. Identify which acupuncture body meridians are involved for musculoskeletal problems.
Describe their location on the hand under the KHT system.
5. Demonstrate the following treatments:
a. Sedation and Tonification of meridians using pellet bandaids.
b. Upper, Middle & Lower Heater patterns
c. Gender patterns
d. Eight extraordinary meridians to balance posture and energetics
e. Five element theory for the Three Constitutional Treatments (Spleen, Kidney or Large Intestine
excess) to balance overall energy.
6. Be able to use KHT formulas to apply press pellets to address common internal medicine problems.
• Sinus/Nose/Ear • Women’s Health
• Digestive • Anxiety/Depression: Energetic Valium

All participants should have taken the Basic KHT Workshop as there will be no review of this material.

Correspondence Therapy Enhancements

1. Add Mu or Shu points (organ balance)

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 Table 1: Mu points for Yang, Yin,
Kidney excess syndromes
Organ Point
Liver N19
Spleen F19
Large Intestine E22
Bladder A3
Stomach A12

Figure 1
2. Add an energetic Heater pattern Fig. 2: Upper, Middle & Lower Heater patterns
To improve energy balance in the
chest, abdomen or pelvis

Table 2: Three Heaters (Triple Warmer)

Heater KHT points Organs Symptoms
Upper A12, 16, 18, 20 Circulation, Respiration: Chest pain/tightness, Cough,
Heart, Lung Dyspnea, Dysphagia
Middle A8, 12, 16 Digestive: Gall Bladder, Nausea, loss of appetite,
Liver, Spleen, Stomach indigestion, motion sickness
Lower A1, 3, 8, 12 Reproduction, Elimination Low Energy, constant illness, LBP,
lower GI/GU problems, decreased
libido, urinary difficulties

Traditional Chinese Medicine

TCM considers the patient as a microcosm of the universe, subject to the influences of the environment
and internal harmony. Patients are subject to the interplay of external factors such as wind, heat, dryness,
dampness and cold which act on the elemental qualities of the human body such as wood, fire, earth,
metal and water. Internal factors such as anxiety, sadness, anger, and elation also influence health as
well as the interplay between the classic polar stations of yin and yang.

TCM has a different anatomical and physiological construct which is internally logical and consistent but
different from the Western model. To explain TCM in Western terms is difficult, but to explain TCM
from an Eastern philosophical standpoint is easy. Ultimately, a Western practitioner must accept
acupuncture as a scientifically validated treatment without fully understanding its mechanism of action.
Many drugs in the Western pharmacopeia work clinically but are without adequate physiological
Lawrence B. Li, MD, MPH & Dan Lobash, Ph.D. AANP Annual Conference June 10 –11, 2004 3
Advanced KHT Workshop: Improving Health through Acupuncture Energy Balance

explanations as to their effectiveness. Aspirin was used for more than 100 years before its mechanism of
action was recently elucidated, and this scientific achievement was awarded the Nobel prize.

Energy Circulation
Life energy, or Qi (“chee”) must circulate throughout the body and in the anatomical territory of each of
the internal organs. Qi is said to normally flow along meridians, which are theoretical channels to carry
and distribute Qi. The meridians divide the body into six sagital territories of influence. Blockages in the
flow of Qi are said to cause disease much like blockages of blood flow can cause damage downstream.

KHT Treatment of Energy Imbalance: Overview

1. Five Element Theory —> Three Constitutions: Excess Kidney, Large Intestine or Spleen
• Determine by Muscle Testing or Pulse Taking (hard; 6 months skill)
• Balance with pellet bandaids or rings
2. Micromeridian: Balance through Sedation or Tonification of Energy Flow
3. Eight Extraordinary Meridians: composite superhighway: Balance posture, energetics
Yin - Yang Cycle
Figure 3 Figure 4

Everything flows in cycles. Every organ interacts with other organs. Problems seldom occur in isolation.

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Lawrence B. Li, MD, MPH & Dan Lobash, Ph.D. AANP Annual Conference June 10 –11, 2004 4
Advanced KHT Workshop: Improving Health through Acupuncture Energy Balance

Five Element Cycle Figure 5

YANG (outer circle) YIN (inner circle)

Gall Bladder Liver

Small Intestine / Heart / Pericardium

Triple Heater

Stomach Spleen

Large Intestine Lung

Bladder Kidney

Table 3: Five Elements characteristics

Table 3
Organ Liver Heart Spleen Lungs Kidney
Season Spring Summer Harvest Fall Winter
Element Wind Heat Damp Dryness Cold
Paired Gallbladder Small Stomach Large Bladder
Yang organ Intestine Intestine
Emotion Anxiety Joy Thought Sadness Fear
Figure 6: SEE – SAW
Meridian Excess - Deficiency
Dynamic Energy balance
• Illness, injury
• Diet, Activity, Herbs, Acupuncture
• One change creates many changes; meridian relationships

Increase/Decrease Yin <—>

Decrease/Increase Yang

Chinese Body Acupuncture Map Table 4

Internal organ names NOT necessarily correlated with organ disease. YANG ORGAN YIN ORGAN
12 Meridians (6 pairs) each side of the body Large Intestine Lung
Italicized = Key Diagnostic meridians in KHT Stomach Spleen
Yin meridians flow out to fingers, in from toes.
Bladder Kidney
Yang meridians flow in from fingers, out to toes.

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Lawrence B. Li, MD, MPH & Dan Lobash, Ph.D. AANP Annual Conference June 10 –11, 2004 5
Advanced KHT Workshop: Improving Health through Acupuncture Energy Balance

Fig. 8: Chinese Body Acupuncture Map, Front & Back views

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Lawrence B. Li, MD, MPH & Dan Lobash, Ph.D. AANP Annual Conference June 10 –11, 2004 6
Advanced KHT Workshop: Improving Health through Acupuncture Energy Balance

Fig. 9: Chinese Body Acupuncture Map, side view + head

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 TH Triple Heater
Fig. 10:

LU Lung SI Small Intestine

PC Pericardium LI Large Intestine
HT Heart
GB Gall Bladder
LR Liver BL Bladder
SP Spleen KI Kidney
ST Stomach
Lawrence B. Li, MD, MPH & Dan Lobash, Ph.D.

4.3.19
Korean Hand Therapy Micromeridian map
Advanced KHT Workshop: Improving Health through Acupuncture Energy Balance
AANP Annual Conference
June 10 –11, 2004

Back of Right hand

Palm of Left hand Meridians flow one way in the direction of the arrow.
Tonification: encourage movement in SAME direction as meridian
7

Sedation: Encourage movement in OPPOSITE direction as meridian

Lawrence B. Li, MD, MPH & Dan Lobash, Ph.D. AANP Annual Conference June 10 –11, 2004 8
Advanced KHT Workshop: Improving Health through Acupuncture Energy Balance

OPTIONS TO IMPROVE RESULTS BEYOND CORRESPONDENCE THERAPY:

KHT pellets create directional flow, from Aluminum (Silver) negative —> Brass (Gold) positive
1. TONIFY the weaker meridian: apply pellets in the same direction as the meridian flow.
Usually this is a Yin Organ.
Example: Tonify LUNG: Apply aluminum pellet on PIP, brass pellet on DIP on C meridian
2. SEDATE a meridian: apply pellets in the opposite direction to the meridian flow.
Usually this is a Yang organ.
Example: Sedate Large Intestine: Apply aluminum pellet on PIP, brass pellet on DIP on D meridian

Table 5: Chinese & KHT Acupuncture Meridian Pairings (Tai = Great, Xiao = Small, Ming = Bright)
Energy Yin organ Abbrev. KHT Energy Yang organ Abbrev. KHT
Axis Axis
Conception CV A Governing Vessel GV B
Vessel (Ren)
Lung (arm) LU C Large Intestine LI D
Tai Yin Yang Ming
Spleen (leg) SP F Stomach ST E
Heart HT G Small Intestine SI H
Xiao Yin Tai Yang
Kidney KI J Bladder BL I
Pericardium PC K Triple Warmer TW L
(Master Heart) (MH) (San Jiao, Triple Heater) (SJ, TH)
Jue Yin Xiao Yang
See Table 2
Liver LR N Gallbladder GB M
3. Creating energetic movement across a meridian pair or an energy axis
e.g., Meridian pair: Tonify LUNG: Apply a brass pellet at C9, aluminum pellet at D2

4. Tonify the Gender pattern (improves energy balance)

Female: A1, 4, 6, 8, 12 A4 corresponds to the uterus
Male: A1, 3, 6, 8, 12 A3 corresponds to the bladder and prostate

5. Eight Extraordinary meridians (8 EM)

for Treating Excess Large Intestine, Spleen & Kidney Energy
Excellent for creating global improvement in energy balance, improving posture

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Lawrence B. Li, MD, MPH & Dan Lobash, Ph.D. AANP Annual Conference June 10 –11, 2004 9
Advanced KHT Workshop: Improving Health through Acupuncture Energy Balance

Table 6: Eight Extraordinary Meridians

Excess Meridian + - Large Intestine Excess:
gold silver Tend to be thin, athletic
Large Intestine Yin F4 K9 Symptoms: constipation,
Large Intestine Yang H2 I38 hyperacidity, low back pain,
Spleen Yin C8 J2 herniated disk, lower jaw toothache,
Spleen Yang L4 M31 nasal congestion, dry cough, tennis
elbow, deltoid pain, feels stressed —
tired

Spleen Excess:
Tend to be overweight
Symptoms: Diabetes, pancreatitis,
malabsorption, anemia, nausea,
hypoacidity, stroke, oversleep,
overly instrospective
Kidney Yin J2 C8
Kidney Yin K9 F4 Kidney Excess:
Kidney Yang M31 L4 No particular physical stereotype
Kidney Yang I38 H2 Symptoms: Gynecological problems,
kidney stones, nephritis,decreased
hearing, tinnitus, dry inflamed
throat, allergies, cold hands & feet,
hypotension, spinal arthritis, sooty
comlexion, fearful, anxious

Tongue findings
• Red perimeter signifies Liver energy excess;
common in the Spring. Irritability,
resentment/anger, ligament problems

• Scalloped tongue edge (tooth edema marks) =

Spleen imbalance. Excessive introspection

• Red tip = Heart overactive, poor recent sleep.

Overactive emotions, mania

Fig. 11: Liver excess tongue

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Lawrence B. Li, MD, MPH & Dan Lobash, Ph.D. AANP Annual Conference June 10 –11, 2004 10
Advanced KHT Workshop: Improving Health through Acupuncture Energy Balance

Muscle Testing (Applied Kinesiology)

History:
• Research by George Goodheart. Benign
physical stimuli (e.g., nutritional
supplements) would increase the strength of
certain indicator muscles. Inimical stimuli
would cause those muscles to weaken
suddenly.
• John Diamond, M.D.: Indicator muscles
would strengthen or weaken in the presence
of positive or negative emotional and
intellectual stimuli, as well as physical
stimuli. Books: Diamond, J. Your Body
Fig. 12: O-ring test
Doesn't Lie:How to Increase Your Life
Energy Through Behavioral Kinesiology.
New York: Warner Books, Inc.; 1979.
Behavioral Kinesiology. New York: Harper
& Row; 1979.
• David Hawkins: comprehensive analysis of
the emotional and spiritual development of
individuals, societies, and humanity in
general. Important book: Hawkins, David R.
Power versus Force: An Anatomy of
Consciousness. Sedona, AZ: Veritas
Publishing; 1998.

Potential uses:
Distinguish Truthful from False statements
• Identify which Constitutional pattern to use.
• Identify improvement in acupuncture
energetic balance
• Beneficial/Harmful Foods, Supplements,
Medications; Dosing
Fig. 13: O-ring test with gauge

Acupuncture does not resolve all cases.

Reconsider the following:
a. Anatomic Diagnosis
b. Etiology
c. Ergonomics
d. Stress Management
(increases tension, decreases sleep)
e. Other therapies

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AANP Advanced KHT Workshop July 2-3, 2003 11
Lawrence Li, M.D. & Dan Lobash, Ph.D.

This table is for advanced practitioners

Table 7: Individual Organ with Reactive points and 8 Extraordinary Meridian Patterns
Organ Pulse* Site Reactive points Syndrome +8em -8em
Brass Al
Yin
Liver 1Rs Leg N18, E22, A12 Kidney J2 C8
Yang F4 K9
Kidney 2Rs J23, I19 Kidney K2 C8
K9 F4
Spleen 3Rs F19, N17, A3, A16, A18, C1 Yin C8 J2
Pericardium 1Rr Arm Yang F4 K9
Heart 2Rr A18,16, A3, E22 Yin C8 J2
Yang F4 K9
Lung 3Rr C1, A3, N1, F19, J23, I10 Yin C8 J2
Kidney J2 C8
K9 F4
Yang
GB 1Cs Leg N17, C1, F19, I10 Yin L4 M31
BL 2Cs S2, A3 Yang H2 I38
Yin L4 M31
ST 3Cs A12 (CV 12), (T8) Kidney M31 L4
I38 H2
Yang H2 I38
TH 1Cr Arm Kidney H2 I38
L4 M31
SI 2Cr A4-5, Du channel Kidney H2 I38
M31 L4
LI 3Cr E22, A16, N18 Yang H2 I38
Yin L4 M31
*C = Carotid, R = Radial; r = rough, s = smooth

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AANP Advanced KHT Workshop July 2-3, 2003 12
Lawrence Li, M.D. & Dan Lobash, Ph.D.

Common Disease-Problem Treatment Patterns and Major Treatment Points and Patterns
a. Sinus/Nose/Ear

Correspondence points

Upper Heater

Meridians
• LU/LI
• SP/ST: allergies

b. Digestive

Correspondence points

Middle Heater

Meridians
• LU/LI
• SP/ST:

c. Menstrual

Correspondence points: Women’s

Pattern/Lower Heater

Meridian: SP-6 (F6)

d. Anxiety/Depression:

Energetic Valium:
A14, G5, K10, J3, I38, N4

GV20 (A33)

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AANP Advanced KHT Workshop July 2-3, 2003 13
Lawrence Li, M.D. & Dan Lobash, Ph.D.

Resources
Lawrence Li, MD, MPH; spiritLL@earthlink.net
Community Health Centers of the Central Coast 805-938-9200, fax 805-938-0920
2801 Santa Maria Way, Suite A, Santa Maria, CA 93455

Dan Lobash, Ph.D., L.Ac. KHTdan@aol.com

KHT Systems (877) 244-4325 phone, fax; www.KHTSystems.com; KHThealth@aol.com
P.O. Box 5309, Hemet, CA 92544. KHT supplies, charts, training videotapes.
Seminars: $250 for level I weekend course.

American Academy of Medical Acupuncture; 800-521-2262; to find MD’s that provide acupuncture
www.medicalacupuncture.org
National Certification Commission for Acupuncture and Oriental Medicine; www.nccaom.org;
to find qualified acupuncturists (Dipl. Ac.) and Chinese herbalists (Dipl. C.H.)

KHT References
1. “KHT Health and Well Being Through Koryo Hand Therapy.” Dan Lobash, 1996, $42 manual that
teaches hand micromeridian and point location, Correspondence Therapy, and several hand pellet
prescriptions for a variety of conditions.
2. Dale RA. The systems, holograms and theory of micro-acupuncture.
Am J Acupunct 1999;27(3-4):207-42.
3. Hida K. Critical evaluation of Koryo Sooji Chim (Korean hand acupuncture) diagnosis by application
of the Bi-Digital O-Ring Test. Acupunct Electrother Res 1986;11(3-4):251-7.
4. Jodorkovsky R. Hand acupuncture. Phys Med Rehabil Clin N Am 1999;10(3):563-71.
5. Jodorkovsky R. Hand acupuncture experience in pediatric patients.
Medical Acupuncture 1999;11(1):25-28.
6. Jodorkovsky R. Hand acupuncture treatment for chronic asthma in children. Medical Acupuncture
2000;12(2):52.
7. Jodorkovsky R. Treatment of Primary Nocturnal Enuresis with Hand Therapy: A Randomized,
Double-Blind, Placebo-Controlled Trial. Medical Acupuncture 2003;14(2):28-31.
8. Schlager A. Korean hand acupuncture in the treatment of chronic hiccups [letter] [see comments].
Am J Gastroenterol 1998;93(11):2312-3.
9. Schlager A, Boehler M, Puhringer F. Korean hand acupressure reduces postoperative vomiting in
children after strabismus surgery. Br J Anaesth 2000;85(2):267-70.

Bibliography
1) Beinfield H, Korngold E. Between Heaven and Earth: A Guide to Chinese Medicine. New York:
Random House, Inc., 1991. Good introduction to TCM and herbs; extensive five phases personality.
2) Gunn CC. The Gunn Approach to the Treatment of Chronic Pain. Intramuscular Stimulation for
Myofascial Pain of Radiculopathic Origin. Second ed. New York: Churchill Livingstone; 1996.
3) Helms, JM. An overview of medical acupuncture. Alt Therapies 1998. Vol 4 (3): 35-45.
4) Kaptchuk TJ. The Web that has no Weaver: Understanding Chinese Medicine. New York: Congdon
& Weed, Inc., 1983. Easy point of entry to understand contemporary expression of TCM from a
practitioner’s perspective.
5) Travell JG, Simons DG. Myofascial Pain and Dysfunction: The Trigger Point Manual. Baltimore:
Williams & Wilkins, 1992. vol 2.

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