AH 130

The Acupressure Connection I

Instructor

Deb Parziale, M.S., R.N., C.A.P.

Registered Nurse
Professor, Nursing
Certified Acupressure Practitioner
 COURSE OVERVIEW
The Acupressure Connection I

Course #: AH 130 Units 1

Title: The Acupressure Connection I

Course Description:

This course presents the fundamental concepts of acupressure. Students give

acupressure treatments to self and others to relieve pain and to promote relaxation and
healing. Additional holistic health practices are addressed, including therapeutic touch,
relaxation techniques, meditation, exercise, and nutrition.

This course is open to anyone who is interested in living a healthier lifestyle and
assisting others to do the same. Registered Nurses and Licensed Vocational Nurses will
receive sixteen continuing education hours.

Student Outcomes:

The student will:

1. Practice using a variety of holistic health techniques including acupressure, therapeutic

touch, meditation, guided imagery, exercise and nutrition to develop a healthy life style.
2. Practice a variety of centering techniques to prepare self for giving an acupressure
treatment.
3. Demonstrate an ability to correctly give acupressure treatments to self and others based
on understanding the theoretical framework.

4. Develop a personal wellness plan incorporating health techniques the student has found
effective for self.

List of Required Text/Special Materials:

Acupressure Connection I Syllabus (on-line)

Gach, Michael, (1990) Acupressures’ Potent Points A Guide to Self-Care for Common
Ailments. New York: Bantam Books.

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Course Content:

1. Acupressure
a. History
b. Purpose and Benefits
c. Concept of Energy
d. Meridians, Channels/Vessels
e. Concept of healing versus cure
f. Preparing to give an acupressure treatment: centering, intent, environment
g. Types of Pressure Points: types, activation techniques, location
h. Treatment Patterns for a variety of health concerns
2. Holistic Health Practices
a. Relaxation
b. Breathing
c. Meditation/ Guided Imagery
d. Exercise/Posture
e. Nutrition
f. Therapeutic Touch

Evaluation: Credit/No Credit

1. Class attendance and participation/performance:

a. Give acupressure treatments to self and others with completion of written
treatment assessments.
2. Satisfactory completion of the following:
a. All homework assignments.
b. Acupressure self treatment with completion of written treatment assessments.
c. Acupressure treatment of others with completion of written treatment
assessments.
d. Experimentation with the use of a variety of holistic health practices and
maintains a journal focusing on own responses.
e. Take-home final exam.
f. Develops a personal wellness plan incorporating holistic health practices the
student finds effective for self.

Acupressure Assignments - Week 1:

Self Treatment: Use Acupressure’s Potent Points by Michael Gach
1. Complete a self assessment.
2. Choose one of the “Acupressure Points and Techniques for Specific
Ailments” on pages viii-ix. Do selected techniques each day during the week.
3. Complete “Self Treatment Information Sheet” located in your syllabus. Write a short
evaluation on your self-acupressure. Describe the changes you noticed after one full week
of self-acupressure, including changes in both your physical condition and in your overall
feeling of well-being.

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 ACUPRESSURE CONNECTION
SELF TREATMENT INFORMATION SHEET

Concern or problem:

Condition or situation that seems to make the problem worse:

Treatment Given: _______________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Evaluation of Treatment:

_____________________________________________________________________________

Questions during Treatment:

_____________________________________________________________________________

Name: ________________________________________________________________________

Signature:

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 ACUPRESSURE CONNECTION
CLIENT TREATMENT INFORMATION SHEET

Client’s Name: Age:

Date: Time:

Concern or problem:

Condition or situation that seems to make the problem worse:

_____________________________________________________________________________

_____________________________________________________________________________

Treatment given:

Evaluation of Treatment:

_____________________________________________________________________________

_____________________________________________________________________________

Questions during Treatment:

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Name of Acupressurist: __________________________________________________________

Signature:

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 Acupressure
Acupressure is a powerful preventative, maintenance and healing technique that encourages a
person to use their body's own resources for healing. The whole body is treated - body, mind,
emotions, and spirit.

Acupressure is an ancient Chinese method of healing, which accesses the body's energy and
works to balance the energy to promote health and well being. Acupressure works with the
"universal life force" which is a natural force of energy that regulates all life and sustains all
living organisms, including plants, animals, and humans. When this life energy, or "chi",
becomes blocked, pain or other ailments such as muscle tension occur. By pressing on the
pressure points, the blocked energy is released to relieve symptoms. Acupressure relieves pain,
promotes deep relaxation, relieves muscular tension, increases blood and lymph circulation,
strengthens the immune system, and promotes physical, emotional and spiritual healing by
balancing the body's energy. The main goal is to open blocked pressure points so the energy can
flow freely throughout the body.

Acupressure shares the same points as acupuncture. Acupressure treatments are given by
applying gentle, firm finger pressure on selected points, whereas acupuncture uses needles.
Pressure points are minute, sensitive areas primarily in muscles and on bones through which
energy flows. Over 500 pressure points have been identified. There are acupressure points for
almost all ailments. Therapeutic touch and acupressure work with energy. Acupressure works
with energy within the body and therapeutic touch works with energy outside of the body.
Massage works with muscles. Reflexology works with nerves.

Health professionals view acupressure as an integrative healing technique used to supplement

traditional medical care. The National Institutes of Health (NIH) promotes the study of energy
therapies. The National Center for Complementary and Alternative Medicine, a part of the NIH,
(NCCAM, http://nccam.nih.gov) recognizes five areas of complementary/alternative medicine
(CAM): alternative medicine systems, mind-body interventions, biologically based therapies, and
energy therapies. NCCAM (2002) defines energy therapies as “healing that involves the use of
energy fields”. Two types of energy therapies are noted: “biofield – intended to affect energy
fields that purportedly surround and penetrate the human body” and “bioelectromagnetic-based –
involve the unconventional use of electromagnetic fields, such as pulsed fields, magnetic fields,
or alternating-current or direct-current fields” (p. 3) (Connor & Koithan, Beginnings, 2006)

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Acupressure began as a folk art in ancient China more than 5,000 years ago. Acupressure was
also practiced in India, Burma, Korea, Japan and Europe during that time.

Priests were spiritual leaders and doctors who ministered their healing arts to the wealthy
(affluent) ruling class. These healers were compensated to keep their clients alive and well. If a
client died, the healers paid with their life. Through trial and error, the healers discovered that
pressure applied at one point would not only relieve pain in that local area, but would also benefit
other remote parts of the body. Over time, the priests observed that pressing certain points helped
alleviate health problems.

The Chinese priest doctors believed sickness occurred when the body was out of balance. They
found that pressing on certain areas on the body resulted in a greater reaction that pressing on
other areas. These sensitive spots were called "pressure points". Applying pressure on these
points caused them to pulsate and to lose sensitivity, except when a pressure point was very sore.
The pulsation released energy. Applying pressure to the pressure points until they pulsated
caused the weak parts of the body to become stronger and the hot spots to cool to the same
temperature as other parts of the body. This technique was called "balancing the body". (Strom)

Acupressure developed first, then acupuncture using bamboo sticks, stone, or rock needles.
Acupuncture is a more exact science. Points must be located accurately. A Jesuit priest brought
acupressure to the US in 1929. (Strom) Yet this technique remained largely unknown until the
1970’s when a reporter traveling with President Nixon on his trip to China reported on his
experiences with pain relief by acupuncture following a surgical procedure. (Fontaine, 2005. p.
221)

Eastern Medicine focuses on prevention with a holistic approach. The key concepts of Chinese
Medicine are water, fire, metal, wood, earth. Western Medicine focuses on cure with
specialization and often resulting in fragmentation of care.

With acupressure, a holistic and systems approach is used. The body has many systems: nervous,
circulatory, immune, etc. Acupressure works with the energy system. It is important to view the
body as a whole with many systems working together to keep it healthy. If one system is not
working correctly, all the other systems are affected. If a person experiences symptoms, it is
considered an expression of the state of the whole body. A tension headache may originate in the

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shoulder and neck area. Acupressure can relieve the local headache, reestablish the body's
balance, and help to prevent problems in other areas of the body.

Acupressure is a preventative, maintenance and healing technique. This course is an introduction

into an ancient and very effective healing art that uses the body's own resources for healing.
Acupressure does not cure. It promotes healing. The acupressure method focused on is “Jin Shin
Do” which is Japanese healing technique. The phrase means “The Way of the Compassionate
Spirit”. This acupressure method was brought to America by Mary Burmeister after World War
II, following her study with a Japanese master practitioner for many years. (Fontaine, 2005. p.
222). Jim Shin Do is practiced by placing fingers over clothing on the acupressure points.
Opening the points creates a sense of “letting go” and promotes balance, harmony and a deep
sense of relaxation. . (Fontaine, 2005. p. 228)

What is energy?
Ancient healers were aware of the natural forces of energy that regulate all life. There is a
"universal life force" (energy) that sustains all living organisms, including plants, animals, and
humans. This universal life force exists in our environment, permeates everything, and guides
evolution. It creates and nourishes the human spirit and gives us energy and life. This universal
life force (energy) is called chi in China, ki in Japan, and prana in India. (D. Kreiger).

Many conditions affect chi within the human body: inherited physical traits, amounts and quality
of food and rest, stress, trauma, and injuries. Physical, psychosocial, and spiritual problems may
occur with extreme imbalances of chi. In health, the life energy flows freely in, through, and out
of the organism in a balanced manner, nourishing all the organs of the body. In disease, the flow
of energy is obstructed, disordered, and/or depleted. Acupressure helps to unblock obstructed
energy flow and restore depleted energy.

Life energy responds to our thoughts and feelings. Negative or disharmonious thoughts will
cause a disruption in chi. Western medicine recognizes the role of the mind in causing illness.
Effectiveness of treatments is only limited by the desire of the recipient to be healed and create
harmony and balance in their lives.

"Illness is an opportunity to grow and change, to heal with the past, to learn to live, and to
embrace what we really want." (Finding the Healer Within)

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Energy Exercise:

1 Sit comfortably with both feet flat on the floor. Rub your hands together. Place your hands
so the palms face each other, holding elbows away from the body. The arms should not be
resting on the lap. Bring your palms as close together as you can without having them
touch each other, about one-fourth inch apart.
2. Slowly separate the hands by about two inches and slowly return them to the original
position.
3. Separate your hand by about four inches and slowly return them to the original position.
4. Separate your hands by about eight inches and slowly return them to the original position.
You may begin to feel a build up of pressure between your hands.
5. Again separate your hands by about eight inches and bring them to about two inches apart
and note any feeling that you may be having. It could feel warm, cold, tingly, or heavy.
6 Repeat the last step slowly and concentrate on the feeling between the palms of your hands.
Some people do not feel anything at first. With practice, you will begin feeling the energy.
Trust what you feel and do not take on what others say they feel. Not everyone feels the
same thing. Learn to trust your own reality.

Chi is divided into different aspects according to function. The most fundamental of these
divisions is the yin/yang polarity. Yin has to do with the maintenance and structure of matter,
while yang is related to movement and activity. Yin and Yang are complementary opposites.
(Teeguarden)

Yin Yang
night day
dark light
cold hot
winter, fall summer, spring
receptive active
blue, green, purple red, yellow, orange
internal external
feminine masculine

Yin and yang are related to the light and dark side of a mountain throughout the course of a day.
There is no absolute, permanent dark side of a mountain, just as there is no absolute, permanent
yin or yang. The east side of the mountain is light at sunrise and dark at sunset. At noon the only
dark side is in the shadow. The west is dark at sunrise and light at sunset. At night the light is

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from the moon and stars. This is represented in the yin/yang symbol. Just as dark and light exist
relative to each other, so do yin and yang. (Teeguardin)

Cure vs. Healing

Cure: The goal of doctors is to promote recovery or relief from a disease; to eliminate or to
permanently alleviate a harmful or troublesome condition. (Webster’s Dictionary)

Healing
The verb “to heal" comes from the Anglo-Saxon word haelan, which means "to make whole" or
to restore health or high level wellness. The only way someone heals is by choice. To say to
someone "I am a healer" means only that you have the ability to heal yourself.

Client choice: Again, the only way a person heals is by choice. It is what a person does for
himself. The client must heal himself. Healing is a deeply personal inner process of becoming
whole again. The ability to heal, or to restore wholeness, is an innate capacity or tendency in all-
living organisms.

Facilitators: We are facilitators (healers). The client must heal himself. The healer facilitates
the process of healing by helping the client help himself. Restoring wholeness means helping
each client open up and tap an inner reservoir of peace, insight, and strength that is available to
all. Permission is implied when a person seeks treatment.

Intention is everything: Always perceive the client as a well, whole, and complete person in
good health, capable of making his own decisions and carrying out the consequences of those
decisions.

Do not claim you can cure someone. There are no panaceas or quacks.
Doing acupressure as taught in this class cannot harm the human body.

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Benefits of Acupressure

Acupressure has many benefits. The major benefits are listed below:

1. Promotes deep relaxation and reduces stress and anxiety

Relaxation deepens respirations, which brings more oxygen to the body for healing. Sometimes
when the client relaxes, he may feel tired. Encourage him to go home and nap after the treatment.
Acupressure reduces stress hormones and lowers blood pressure.

2. Relieves or reduces pain by stimulating endorphin release

When acupressure points are stimulated, pain relieving neurochemicals called endorphins are
released. Pain is relieved in the affected area.

3. Releases muscle tension, stiffness, and spasm, relaxes muscles

Fatigue, trauma, stress, poor circulation, diet, and lack of exercise may cause tension, which
tends to concentrate around acupressure points. When a muscle is chronically tense or is in
spasm, the muscle fibers contract (and secrete lactic acid). As an acupressure point is pressed, the
muscles elongate and relax.

4. Increases circulation of blood and lymph fluids

Increased circulation brings oxygen and nutrients to affected areas. This promotes healing and
leads to a stronger resistance against illness.

5. Strengthens the immune system

6. Restores emotional balance

When energy, blood, and oxygen circulate effectively, there is a greater sense of harmony, health,
and well being. When life energy is balanced, the person is more relaxed and less anxious, is less
depressed and less irritable, sleeps better, has improved posture, and becomes happier.
Loneliness is lessened. When the emotions are balanced, the physical body has a greater potential
for healing itself and the person is more apt to turn outward to a world of adventure. Body image
is strengthened.

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Additional benefits:

1. No harmful side effects - Acupressure does not cause harm

2. No danger, no manipulation, no invasive techniques
3. May eliminate the need for medications which can have side effects
4. Does not mask a disease
5. Client does not have to remove his clothes

Main Purpose of Acupressure

The main purpose of acupressure is to open up blocked pressure points so the energy of the
body can flow freely along natural energy lines in the body. (Strom) The goal is to promote
balance, to correct imbalances, and work toward homeostasis and optimum wellness

Example: Pain is often the result of blocked pressure points.

Back pain is a result of an energy build up around blocked pressure points instead of flowing
freely through the area. This is analogous to a mountain with water flowing down its side. If there
is a damn, the flow of water is blocked and backs up, just like the energy.

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 Therapeutic Touch
Definition: Therapeutic Touch, a contemporary interpretation of several ancient healing
practices, is a consciously directed process of energy exchange during which the practitioner uses
the hands as a focus to facilitate healing. (Nurse Healers - Professional Associates, Inc., 1992)

Therapeutic Touch (TT) works with the universal life force (chi). Acupressure works with
energy within the body; TT works with energy outside of the body. Therapeutic touch is derived
from the ancient practice of laying on of the hands although the practitioner doesn't actually
touch the recipient.

Delores Krieger, R.N., PH.D. (Biochemistry) and Dora Kunz developed Therapeutic Touch in
the 1970's. Dr. Krieger introduced TT as a graduate course at New York University in 1975. At
the same time, Dr. Krieger published the results of an experiment in the American Journal of
Nursing. This research demonstrated a significantly greater increase in the mean hemoglobin
level in a group of patients who received Therapeutic Touch compared to the control group of
patients who only received routine patient care. Therapeutic Touch has developed into a
recognized and accepted healing modality. Patients receiving TT require less pain medication,
describe greater pain reduction with and without analgesics, and report longer pain relief. Dr.
Krieger hypothesizes that TT affects the autonomic nervous system by dampening the
sympathetic response. Research has shown that TT can promote wound healing. Several
practitioners report that following a fracture treated with TT, bone callus formation is visible on
X-ray after two and a half weeks instead of the typical six weeks. It is hypothesized that TT
stimulates the immune system, resulting in accelerated healing. (Kreiger)

The field of human energy extends beyond the skin and is visible through Kirlian photography.
Therapeutic touch practitioners postulate that in a healthy person there is equilibrium between
internal and external energy. In illness, there is an imbalance in the energy field and a disruption
in the energy flow. When performing therapeutic touch, using the hands to consciously direct an
energy exchange facilitates healing. The healer is a conduit through which a healing universal
energy is directed toward the recipient. The experience usually increases the healer's feelings of
well being and is energizing and is not draining. The recipient experiences a sense of well being
and relaxation.

Irregularities in the energy field or aura can be felt as:

a. Changes in temperature; feelings of warmth or coolness.
b. Tingling or burning sensation.
c. Vibrating Sensation.
d. Heaviness or a thick feeling

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Therapeutic Touch Steps: centering, assessment, treatment, and evaluation.

1. Center yourself. Take three deep breaths (abdominal breaths). Relax, become calm and put
your attention on the way your hands feel and what they will feel.
2. Assessment: Place your hands about two to three inches away from the body to feel the
energy field and any irregularities best.
3. Treat through “unruffling”. First scan the client’s energy field. If you feel any irregularities,
wave your hand over area five or six times, and then shake out your hands. Again, assess the
area for any lingering irregularities. If the feeling is still there, just repeat the process until it
is gone. Always remember to shake your hands after each unruffling.
4. Evaluation includes reassessment with you hands and asking how the client feels.

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 Meridians

Acupressure treatments are given by applying gentle, firm finger pressure on selected points
along the meridians (patterns of energy flow). The word "meridian" comes from the French
translation of the Chinese word "Jing-Lou", meaning "net". A meridian is a continuous,
organized pathway of energy flowing up and down the body in a regulated pattern. It is divided
into 12 main bilateral interconnected channels within the body that circulate bioelectrical energy
throughout all parts of the body. Six of the main meridians are yang and six are yin, and there are
numerous minor channels forming a network of energy throughout the body. The meridians
connect the acupressure points. The 360 classic pressure points located along the meridians were
located and named by the Chinese over 5000 years ago. Today these same meridians and pressure
points are recognized and used all over the world with only minor variations. Most practitioners
focus on 150 points. The meridians regulate the flow of the universal life energy within the body
and connect body, mind and spirit. (Strom)

Lu Lung
LI Large Intestine
St Stomach
SP Spleen
H Heart
SI Small Intestine
B Bladder
K Kidney
P Pericardium
TW Triple Warmer
GB Gallbladder
Lv Liver

For a good diagram of the meridians and information on point location, refer to:

http://www.theamt.com/modules.php?name=News&file=article&sid=211

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Meridians

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 Pressure Points

Acupressure points are minute areas on the skin that conduct bioelectric impulses throughout the
body. A pressure point is a sensitive place in a muscle, between muscles, over a tendon, on a
joint or in a depressed portion of a bone. Just holding the sensitive area will usually cause the
sensitivity to disappear.

Research completed at the University of Tokyo by Katsusuke Serizawa, M.D. and others found
that acu-points or electrodermal points are localized areas (about 0.5 * 0.5 mm.) with markedly
decreased electrical resistance (about 1/100 of the surrounding area). Acu-points also had a
different temperature than surrounding skin areas and their temperature increased after
stimulation. Acu-points were found to have temperatures 0.5-1.0 degrees (Celcius) higher than
surrounding areas through thermography. (Teeguarden, A Complete Guide to Acupressure, p. 22)
Iona Teeguarden refers to acu-points as “pools of energy”.

Types of pressure points

Healthy – This point is sensitive or tender when first pressed. When a pulsation or throbbing
sensation is felt, the tenderness fades away.

Blocked – This point is very tender when pressed and remains tender even after the pulsation
first begins. As the pulsing continues, the sensitivity will lessen, allowing the healer to apply
increased pressure until the throbbing begins again. The throbbing indicates an increase in blood
circulation and a beginning of muscle relaxation. Blocked points generally require a number of
treatments before they become healthy.

Trigger – This is a sensitive point in a sore or injured muscle, which disappears when the muscle
is healed. A pressure point will remain even after the muscle is healed and relaxed. Treat a
trigger point in the same manner as a pressure point. (Strom)
* When a point is stimulated in the same area where pain or tension is felt it is called a local
point. The same point can also relieve pain in a part of the body that is distant to the point. This
is a trigger point. (Gach)
* A trigger point is an area of hyperirritablity in tissue such as myofasia (skeletal muscle and its
fascia). When compressed it is tender and may give rise to referred pain, but after stimulation,
e.g., with pressure, the pain may be relieved. Trigger points are often located near or in the same
place as acu-points. (McCaffery)

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Armored - Nature or the body builds a layer of hardened tissue around this point for protection,
which causes a blockage of energy flow along the meridian line. These points need to be treated
in the same way as a blocked point. When first pressed, there is either no feeling or intense pain.
When first treated, an armored point may become more painful. Once released, it will react like a
healthy point. Usually many treatments are needed to fully release armored points.

The Acupressure Connection

Acupressure focuses on balancing the energy flow to heal all aspects of our being, bio-psycho-
social-spiritual. The "Acupressure Connection" is established by holding two pressure points
until the points are balanced and a surge is felt. This occurs when the energy (not blood) pulses
become even, regular, steady, synchronized and balanced. If an area is painful, there is a blocked
pressure point. When this point is held until it pulsates (throbs), the pain will go away. If the
healer is on a pressure point and the client complains of pain or pressure in some other place in
his body, the healer must continue to apply gentle finger pressure on the same pressure point
until the client is comfortable. It is important to not get off the point; the pressure point may be
causing the pain. When the pressure point releases (pulses), the pain or discomfort in the distant
part of the body will be alleviated. (Strom)

The Acupressure Connection Method

1. A pressure point is a sensitive area located in a hollow area in the skin. You will know
when you have it because it “hurts so good”. (Strom) Acu-points are more sensitive to
pressure than the surrounding areas. The point will “talk to you”.
2. Use the index, middle, and ring fingers when treating pressure points. Avoid using the
thumb because the pulse in the thumb will interfere with the feeling of the energy
throbbing.
3. Apply steady even pressure on the pressure point. Avoid messaging the area. The point
releases (opens) when there is a softening, change in temperature (e.g., decrease in
warmth), or a throbbing (pulsating) sensation. Usually the receiver will note a change in
sensation.
4. Use a soft, even, clockwise movement or slowly move the pad of your finger back and
forth over the point if it is slow in opening.
5. The point is balanced when the pulse becomes steady, even, regular, synchronized, and
calm.

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6. The pressure used should be firm and comfortable to the receiver. Ask the receiver if the
touch should be heavier or lighter.
7. Use firmer pressure in more muscular areas and lighter pressure in more sensitive areas,
such as on bone, near the eyes, on the inner arm, and along the spine. Use lighter touch
for infants and the frail elderly.
8. The Acupressure Connection method requires the use of two hands. One hand holds a
local point and the other hand holds a distal point at the same time. This encourages
energy flow. The two pressure points are held until the throbbing of the releasing points
becomes even, regular, steady, and synchronized. The rate, rhythm, and intensity of both
points become the same.
9. The giver and the receiver work as a team. The receiver must explain feelings
experienced throughout the treatment and communicate any discomforts.
10. If a point is painful, the giver lessens the pressure until the point begins to release. Then
more pressure can be applied. If an area is painful, the giver must continue to hold until it
pulses (throbs) and the pain will go away.
11. If the giver is on a pressure point and the receiver complains of pain, discomfort or
pressure in some other place in his body, the giver must continue to apply gentle finger
pressure on the same pressure point until receiver is comfortable. Do not get off the point
because it may be the blocked pressure point that is causing the pain. When the pressure
point releases, the pain will go away.
12. The release process is triggered by the process of applying steady pressure when tension
in the acu-point is felt by the giver. It is enhanced by having the recipient breath deeply,
slowly, and fully, while focusing attention to the area of tension and noting any feelings,
sensations or images that may arise.
13. Do not massage or rub injured muscles, use steady pressure.
14. Usually the receiver feels immediate relaxation and/or relief from pain at the end of the
treatment session. However, sometimes the receiver may not feel well for a day or two
after the first or second treatment. This is due to the many blocked pressure points. Once
the body integrates the new energy pattern, the receiver will feel better.
15. The giver must be comfortable giving the treatment. If your fingers get tired, use other
fingers to support them, switch fingers, lean your body weight into the point, or use the
knuckles for a back point. Shake out hands and continue the treatment.

Acupressure will change the concept you have of your body.

The secret of acupressure is PRACTICE and more PRACTICE.

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 Jin Shin Do Pressure Points

There are 45 basic Jin Shin Do bilateral pressure points. The Jin Shin Do points are numbered 1
through 45. Following each Jin Shin Do point is the meridian name and number and the
traditional Chinese name. In some instances two names are listed since different sources give
different names. Location and benefits are delineated. The location guides apply to both sides of
the body.

1. GB 14 - Yang White: One finger's width above the eyebrow, directly above the pupil when
the eyes look straight ahead. Hold gently.

Benefits: Eye strain, clear thinking, headaches, emotional balance, face and neck tension,
hypertension, sinusitis.

2. St 3 - Great Cheekbone, Facial Beauty: Lowest point under edge of the cheekbone
(zygomatic) directly down from center of eye, one thumb’s width from nostril.

Benefits: Clears nasal passages, use for sinusitis, colds, pressure in head, toothache.

3. St 13 - Qi Door: About one finger's width below the midpoint of the collarbone (clavicle), in
the space between the first and second ribs (first intercostal space).

Benefits: Coughing, breathing difficulties, shoulder tension

4. St 16 - Breast Window: Directly above the nipples, in the space between the 3rd and 4th rib
(third intercostal space); often a tender spot in women.

Benefits: Heart burn, chest tension, breathing difficulties, breast pain, lactation, breast
feeding, promotes optimistic spirit.

5. Lv 14 - Gate of Hope: Located at the junction of the ninth rib cartilage to the eighth rib.
Follow the bottom of the rib cage from tip of the breast bone (Xiphoid Process) to the first
indentation. Place your fingers under the rib cage and press upward toward the rib.

Benefits: Abdominal pain or cramps, burping, hiccoughs, snoring.

6. SP 13 - Home of the High Official, Rushing Door: In the groin, about one inch up from the
top of the pubic bone and four inches out from the midline; often a sensitive spot in men.
Hold firmly without a lot of pressure.

Benefits: Pelvic tension, groin pain, menstrual tension, abdominal pain or cramps,
indigestion, diarrhea, sexual tension and imbalances.

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7. SP 10 - Sea of Blood: With leg straight, place little finger at the top of the kneecap (patella)
and fingers pointing toward the inside of the thigh, the point is about where the middle finger
hits the muscle (vastus medialis). Pull up on the muscle and press toward the femur.

Benefits: Menstrual cramps (open #7 and opposite #6 together), perineal discomfort,

indigestion, helps to release the thighs and knees.

8. SP 9 - Yin Mound Spring, Shady Side of the Mountain: On inside of lower leg, in the hollow
below the head (top) of tibia (large leg bone). Press up toward the protrusion.

Benefits: Leg cramps, pain in knees, release low back pain, fluid retention (edema), varicose
veins.

9. K 6 - Illuminated Sea, Joyful Sleep: In a hollow space about one finger’s width below center
of the inner ankle bone. (inferior border of the medial malleolus).

Benefits: Stress point, pain in feet, swollen ankles, low energy, hypertension, insomnia.
(Relaxation Point)

10. SP 4 - Grandparent - Grandchild: On the inner side of the foot (big toe side), on the highest
part of the arch in the foot, press into the muscle in the indentation below (inferior to) the
first metatarsal-phalanges joint.

Benefits: Cold feet, foot cramps, swollen feet, indigestion, stomach aches, poor circulation,
hypochondria, worry, balance body energy

11. GB 41 - Foot before Weeping, Above tears: Slide finger up to the inverted "V" to end of web
between 4th toe and little toe (just below the junction of the fourth and fifth metatarsal
bones). Press toward the ankle.

Benefits: Pain or swelling in feet, hip pain, shoulder tension, headaches, side aches, sciatica.

12. B 62 - Extended Meridian, Calm Sleep: In a hollow space about one finger’s width directly
below the outer ankle bone (inferior border of the external malleolus), when the foot is flat on
the floor. Its position is similar to number 9.

Benefits: Pain in legs, buttock, or lower back, sciatica, insomnia, hypertension, headaches,
dizziness. (Relaxation Point)

13. GB 34 - Yang Mountain Spring, The Sunny Side of the Mountain: On outside of lower leg, in
hollow one finger in front of and two fingers below the head (top) of the outer leg bone.
(fibula – this is the smaller leg bone)

Benefits: Pain in knees and back; sciatica; muscle tension, aches, spasm, and strains;
headaches, stomach aches, constipation, shin splints, fear, extreme fright.

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14. GB 31 - Wind Market: On outside (lateral aspect) of thigh, at the end of middle finger as arm
hangs down, slightly to the back, about half way between the top of the thigh bone (femur)
and the knee.

Benefits: Negativity, releases outer thighs, knees, legs, hips and lower back.

15. B 48* (B 53 in new Chinese numbering system) - Womb and Vitals: In dimple of buttock,
about four inches below pelvic bone (iliac crest) and one inch from the widest part of the
sacrum. (in gluteus maximus muscle).

Benefits: Pain in abdomen, buttock, lower back, hip or pelvic area, used for hemorrhoids,
constipation, menstrual cramps, prostate or urinary problems.

16. B 47* (B 52 in new Chinese numbering system) - Ambitious Room, Sea of Vitality: About
three finger widths out from the spine at the level of the navel, level with the space between
the 2nd and 3rd lumbar vertebrae.

Benefits: Low back pain, fatigue, kidney problems, genital and urinary problems, abdominal
disorders, strengthens whole body. (Tonic Point)

17. B 42* (B 47 in new Chinese numbering system) - Soul Gate: About three finger widths out
from spine, two finger widths below the bottom point of the shoulder blade (inferior angle of
the scapula) in the intercostal space.

Benefits: Breathing difficulties, indigestion, stomach or side aches, liver or gallbladder

disorders, jet lag, difficulty swallowing.

18. B 38* ( B 43 in new Chinese numbering system) - Rich Vitals Correspondence, the Vitals
Diaphragm: on the inner aspect (medial) of the shoulder blade (scapula), half way between
the top and bottom edges of the scapula, in the space between the 4th and 5th thoracic
vertebra.

Benefits: Shoulder tension and stiffness, heart and respiratory problems, difficulty breathing,
cough, hyperacidity, insomnia, grief, anxiety, fatigue.

19. TW 15 - Heavenly Bone: Located in a hollow just above the top inner corner of the shoulder
blade (scapula), in the trapezius muscle.

Benefits: Shoulder, neck, arm, and elbow pain and tension. (Tonic Point)

20. GB 21 - Shoulder Weld: On top of shoulder, on front (superior) edge of trapezius muscle,
directly up from nipple line.

Benefits: Neck pain and stiffness, shoulder tension, anxiety, irritability, fatigue, headaches,
poor circulation, cold hands or feet.

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21. Extra point on GB meridian - Hundred Labors in the Neck: In the trapezius muscle half way
between the shoulder and base of the skull at the level of the third and fourth cervical
vertebrae.

Benefits: Neck pain and stiffness, releases muscles in vertebra, throat and neck problems.

22. GB 20 - Wind Pond, Gates of Consciousness: In hollow below the base of skull (occipital
bone) between the trapezius and sternocleidomastoid muscles. Press upward as the head is
tilted back.

Benefits: Neck pain and stiffness, dizziness, headaches, hypertension, insomnia,

indecisiveness, head colds, headache. (Relaxation Point)

23. SI 10 - Shoulder blade Associated, Shoulder Correspondence: located In the shoulder joint,
on the outside back edge of the shoulder blade (scapula) where it meets the upper arm bone
(humerus) about one or two finger widths below the bony ridge (acromion).

(SI 9 - Posterior 23: in back, below shoulder joint, go up into muscle).

Benefits: Neck stiffness, shoulder tension, pain in shoulder blades, pain, numbness or
tingling in arms, cold hands, hypertension.

24. LI 14 - Arm Bone: On the outside (lateral aspect) of upper arm, in the center of the lower
edge of the deltoid muscle in the upper arm.

Benefits: Pain, numbness, or swelling in upper arms, shoulder and neck, throat and tooth
problems.

25. LI 11 - Crooked Pond: On the outside (lateral aspect) of arm, at end of outside crease of
elbow, press into brachioradialis muscle.

Benefits: Elbow problems, flu, cold, constipation, hypertension (high blood pressure), and
depression. (Tonic Point)

26. TW 5 - Outer Frontier Gate: On the outside (lateral aspect) of arm, between the radius and
ulna, about three finger widths above the wrist crease.

Benefits: Wrist problems, tendonitis, carpal tunnel syndrome, fatigue, fear, temporal
headaches, pain in arm. (Tonic Point)

27. P 6 - Inner Frontier Gate: On the inside of the arm, between the radius and ulna, about three
finger widths above the wrist crease.

Benefits: Nausea, motion sickness, insomnia, tendonitis, carpal tunnel syndrome, dizziness,
emotional imbalance, diarrhea, emotional imbalances, circulatory problems.

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28. P 3 - Crooked Marsh: On the inside of the arm (little finger side, with palm up), in the elbow
crease, below the tendon of the biceps.

Benefits: Pain and stiffness in elbow, heart pain, circulation.

29. P 2 - Heavenly Fountain: On the inside of the upper arm, at the level of the base of the deltoid
muscle, about four fingers below the armpit (axillary fold), in biceps muscle. Place index
finger against the fold, the point is at the level of the fourth finger.

Benefits: Cardiac problems, cough, blurred vision, swelling in the axilla, pain in arm.

30. LU 1 - Middle Palace, Letting Go: On the upper, outer, portion of the chest, in the first
intercostal space (below the collarbone-clavicle), about six inches out from the sternum, on
the outside of the rib cage.

Benefits: Difficulty breathing, asthma, bronchitis, cough, chest tension or pain, emotional
holding, grief, skin disorders.
31. B 54* (B 40 in newer Chinese numbering system) - Commanding Middle: In the middle of
the (popliteal) crease in back of the knee.
Benefits: Knee problems, low back pain, hemorrhoids.
32. GB 29 - Dwelling in the Bone: On the outside of the hip, in the hollow midway between the
top of the hip bone (anterior iliac crest) and the protrusion on top of the thigh bone (peak of
greater trochanter of the femur).
Benefits: Pelvic and hip pain, temporal pain, low back pain, urinary problems.
33. SI 11 - Heavenly Ancestor: In center of the shoulder blade (scapula), about two or three
fingers below the bony ridge (scapular spine).

Benefits: Upper arm, upper back, and shoulder tension and pain.
34. LI 15 - Shoulder Bone Associated: In the front part of the arm joint, in the front (anterior)
hollow formed when the arm is raised over the head (on front outer end of trapezius muscle).
Benefits: Tendonitis and bursitis of the shoulder, difficulty raising the arm above the head.

35. LI 4 - Joining of the Valleys ("Hoku" is the Japanese name for this point): On the outside of
the hand, in the web between the thumb and index finger. Press into hollow against the
second metacarpal of the index finger. (Do not use during pregnancy).

Benefits: Headache, allergies, hay fever, sneezing, itching, constipation, depression.

36. Lu 10 - Fish Border: On the palm side of thumb, slide down to the middle of the long bone in
the thumb (first metacarpal bone), about three finger widths down from the wrist crease.

Benefits: Cough, dry throat, dizziness, difficulty breathing.

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37. B 1 - Eyes Bright: On the inner corner of the eye (inner canthus), press toward the bridge of
the nose.

Benefits: Eye problems, dizziness.

38. SP 15 - Great Horizontal: About one hand's width out from the navel, at the intersection of
the nipple line and the navel line.

Benefits: Abdominal pain and swelling, constipation.

39. St 30 - Rushing Qi: On the top outside corner of the pubic bone.

Benefits: Genital problems, abdominal pain, leg edema.

40. St 36 - Leg Three Miles: On the outside of the leg, about four finger widths below the lower
edge of the knee (patella) and one finger width out from the shin bone (tibia). (Do not use
during pregnancy)

Benefits: Stomach cramps, weak legs, indigestion. (Tonic point)

41. SP 6 - Three Yin Crossing: On the inside of the leg, four finger widths above the inside ankle
bone (medial malleolus), press notch on the posterior aspect of the shin bone (tibia). (Do not
use during pregnancy)

Benefits: Genital problems, painful menstruation, leg edema. (Tonic point)

42. Lv 3 - Supreme Rushing: In the notch at the end of the web between the big toe and the
second toe (where the metatarsal bones of the first and second toe meet).

Benefits: Difficulty walking, pain in feet.

43. K 1 - Bubbling Spring: On the sole of the foot, below the ball of the foot where the crease
crosses a line drawn between the second and third toes. (Do not use during pregnancy)

Benefits: Revival point, fainting, fatigue, pain in feet.

44. GB 39 - Suspended Bell: On the outside of the leg, about four finger widths above the outside
ankle bone (external malleolus), press notch on the posterior aspect of the outer leg bone
(fibula). (Similar to location of point 41 on inside of leg.)

Benefits: Migraines, Pain in legs and genital area.

45. B 57 - Mountain Receiving, Mountain Support: Midway: Between the knee crease (31) and
the heel, in the center of the bottom edge of the calf muscle (gastrocnemius) bulge.

Benefits: Leg cramps, low back pain, hemorrhoids.

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Central Channel Pressure Points
The Central Channel runs through the middle of the body. These channels consist of the
Governing Vessel (GV) and the Conception Vessel (CV). These two vessels have different
pressure point locations from the meridians.

The Governing Vessel (GV) runs up the spine. It is considered the yang aspect of the Central
Channel and is referred to as the “Great Father Flow” in Chinese literature.
The Conception Vessel (CV) runs along the median line on the front of the body. It is
considered the yin aspect of this channel and is referred to as the “Great Mother Flow”.

The Governing Vessel (GV) Pressure Points:

GV 1 - Long Strength: Top of coccyx, at end of crease between the buttocks.

Benefits: Hemorrhoids, prolapse of the anus, diarrhea, scrotal eczema, impotence, inducing labor.

GV 3 - Between fourth and fifth lumbar vertebra, at the same height as the iliac crest of the hip.

Benefits: Regulates the Kidney Chi, strengthens the spinal column, low back pain, impotence,
chronic enteritis, irregular menstruation.

GV 4 – Gate of Life: Between the second and third lumbar vertebra, opposite the navel, and at
approximately the same level as JSD #16.

Benefits: Low back pain, sciatic pain, premature ejaculation, endometritis, pelvic inflammatory
disease, nephritis.

GV 9 – Utmost Yang: Between the seventh eight thoracic vertebra, level with the base of the
scapula.

Benefits: Thoracic back pain, cough, asthma, bronchitis, cholecystitis, hepatitis.

GV 12 – Body Pillar: Between the third and fourth thoracic vertebra, one vertebra higher than
JSD #18.

Benefits: Low back pain, cough, asthma, bronchitis, convulsions, hysteria.

GV 14 – Big Hammer or Reunion of Yang: Between seventh cervical and first thoracic vertebra.

Benefits: Fever, mental stress, shoulder pain, eczema, bronchitis, asthma.(Tonic Point)

GV 16 – Wind Palace: In center point of base of skull, press up under the skull.

Benefits: Clears the mind, headache, neck strain, dizziness, hysteria.

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GV 20 – One Hundred Meeting Point: Top of head, where the midpoint of the crown of the head
meets an imaginary line connecting the high points of both ears.

Benefits: Refreshes the mind, headache, dizziness, hysteria, insomnia, syncope (fainting),
prolaspe of anus and uterus.

GV 24.5 - Third Eye: Between eyebrows.

Benefits: Headache, dizziness, insomnia, nose and eye problems. (Tonic Point)

The Conception Vessel (CV) pressure Points:

CV 22 – Celestial Chimney or Heaven Rushing: press in and down at the center of the
suprasternal fossa ( sternal notch), in the indentation at the top of the sternum.

Benefits: Dry and sore throat, cough, asthma, bronchitis, hiccough.

CV 17 – Sea of Tranquility: In center of sternum, between the nipples.

Benefits: Relieves heart and lung pain and disease, dyspnea (difficulty breathing). (Relaxation
Point)

CV 12 – Middle Duct: Midway between bottom of sternum and navel.

Benefits: Abdominal pain and distention, diarrhea, nausea, vomiting, indigestion.

CV 6 – Sea of Chi or Hara (Japanese name): Midway between the navel and pubic bone.

Benefits: Abdominal pain and distention, urinary and menstrual problems, impotence.

CV 2 – Curved Bone: Top of pubic bone.

Benefits: Cystitis, Genital and urinary problems of both sexes.

* There is a new Chinese numbering system. The older version is used to avoid confusion with
most published resources.

References:
Chen, Eachou. (1995). Cross-sectional anatomy of acupoints points. Hong Kong, Addison Wesley Longman China
Limited.
Gach, Michael (1995) Basic acupressure the extraordinary channels & points. Berkeley, CA: Acupressure
Institute.
Strom, Ival. (1986). Acupressure connection workbook I, USA.
Teeguarden, Iona. (1978). Acupressure way of health: jin shin do. Tokyo, Japan Publications, Inc.
Teeguarden, Iona. (1996). A Complete Guide to Acupressure. New York, Japan Publications, Inc.

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 Acupressure Session Guidelines
Acupressurist:
Begin by centering self. A well centered person is calm and quiet within. Put aside own concerns
and give your full attention to the client. Be a good listener. Be empathetic. Never give advice.

Practice contagious calmness.

People catch feelings.
Attitudes are caught, not taught.
Avoid vicarious stress - picking up on stress from others.

Balancing or centering self:

The acupressurist must be centered and comfortable at all times. A giver who is not centered or
uncomfortable, cannot give a good treatment and may experience the following reactions
following the session:
Headache
Nausea
Fatigue or a spacey feeling
Absorption of the client's energy

Ways to become centered:

Maintain long slow, deep breaths before, during, and after the session.
Count to 5 on inhalation and to 5 on exhalation.
As you breathe, imagine energy flowing into your body and out your fingers into the receiver's
body. You are a conduit of the universal life force (energy).
Read a poem, pray, listen to soft healing music.
Quietly draw within one's self and hold a good thought.
Visualize a grounding cord growing from your tailbone down to the center of the earth.
Visualize yourself surrounded by a field of white or golden light.

Scan your body. If tension is noted, breathe, stretch, and reposition self.
Keep feet flat on floor with toes spread apart. If your feet hurt, the energy in your body is not
flowing freely. Rub you feet on the floor to stimulate energy flow. Energy flows through the body
and out of the feet so it’s important to keep the feet "open".

Practice so you can center yourself in just a few seconds.

Following the session:

Wash your hands with cool water.
Drink plenty of water.
Do some stretching exercises.
Continue to breathe.

Intent:
Intention is everything. Always perceive the receiver or client in good health, as a well, whole
and complete person capable of making his own decisions and carrying the consequences of
those decisions. The healer must have a real desire to help people to help themselves. Help the
client to realize he can solve his own problems in his own way and in his own time.

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Client:

The client must ask for and be open to a treatment or healing. The acupressurist cannot heal
someone. Instead the acupressurist assists the client to heal self.

Ask the client what is wanted from the session. This will allow the acupressurist to focus the
session to the client's expectations.

Remind the client that the acupressure session will not provide a medical diagnosis or treatment
of any disease. If a medical condition exists, advise the client to see a licensed medical doctor.

Ask the client to eat lightly, three to four hours prior to the session. Energy has difficulty flowing
through a full stomach.

Create a healing environment:

Maintain a comfortable room temperature. When a client relaxes, body temperature may drop.
Have a cozy blanket available.
Use mild, indirect lighting.
Play soft, healing music if desired by the client. Let the client choose the type of music.
Give treatment on pad, table, chair, or bed.

Ask the client to dress comfortably, preferably in clothes with over 50% natural fibers such as
cotton. Jeans are not recommended since it is difficult to feel the pressure points through the
heavy material. Ask the client to remove shoes, belts, jackets, jewelry, eye glasses, and contact
lens.

Ask the client not to wear a watch or cell phone as each can block energy flow.

Ask the client not to cross legs or feet during treatment since this can block energy flow.

Explain all procedures to client before beginning session and as the session proceeds.

Ask client to find pressure points in sensitive places, i.e. CV 2, 6

Work with your client as a team. Encourage client to tell you if the pressure point is painful or is
causing other symptoms such as tingling, pressure, a gagging sensation, etc. Stay on the point
until these feelings have passed. Therapeutic touch may also be helpful in alleviating these
symptoms.

Encourage the patient to take slow, deep breaths throughout the session.
Count to 5 on inhalation and to 5 on exhalation.

Encourage the client to allow time to rest and relax after the treatment.

Teach the client ways to continue on the quest for health and wellness.

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 Holistic (Whole) Health

DEFINITION: Holistic Health is a concept of health practice in which wellness is achieved and
maintained by the integration and balancing of the body, mind, emotions, and spirit.

Holistic means whole, every part of “us”- body, mind, spirit, emotions, environment, heredity,
needs, desires, dreams, education, race, infant and childhood environment. In other words,
everything about us.

1. Diet:
Carbohydrates: choose complex carbohydrates; preferably the starches in grains, legumes,
vegetables, and some fruit.
Proteins: choose proteins from low fat sources; i.e. fish, chicken and turkey with all skin
and fat removed.
Fat: less than 30% - Limit intake of saturated (hydrogenated) fats (i.e. meat, cheese, whole
milk) and oils (i.e. palm and coconut oil) to no more that 10%. Try to eliminate trans fats.
These contribute to high blood cholesterol levels. Use low fat diary products.
Avoid sugar and concentrated sweets; i.e. candy cake, pie brownies.

2. Exercise: Physical and mental. Do lots of stretching. Aerobic exercise for twenty minutes
at least three times a week is recommended. Learn to structure conscious thinking in a
positive way. Don’t let your mind ramble aimlessly.

3. Relaxation: Minute vacations - take three deep abdominal breaths and relax. Settle your
shoulders down on your body and pull them back. While breathing think, “Breathing in I
calm my body, breathing out I smile”. Other self-suggestions include “calm body, alert
mind” and on inhalation “calming” and on exhalation “releasing”.

4. Meditation: Meditation will relax the mind.

5. Breathing Correctly: Oxygen is a great healer. Learn to take deep abdominal breaths.
Pain and stress cause us to hold our breath or breathe shallowly. It is at these times we need
to breathe deeply and visualize healing energy and oxygen penetrating the painful area.

6. Posture: Improper posture over many years causes many of our pains and back problems.
Effective posture includes shoulders back and settled down on the body, an arch in the
lumbar area whether standing or sitting, the sacrum (tailbone) pointed down and under,
belly moving back, and feet pointed slightly outward. Avoid run over heels and carrying a
heavy backpack or purse on the shoulder. When carrying any object, be sure the weight is
equal on both sides of the body. Keep your body level whether sitting, standing, or
walking.

7. Sleep: Continuous sleep for 6 to 8 hours each day is recommended. A short nap once a
day is refreshing.

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 8. Love: Only as you truly love, respect and accept yourself can you turn outward and love,
respect and accept others as they are.

9. HUGS: Give and receive at least four hugs a day and tell someone every day “I love you”
and mean it.

10. Social: Only as we interact with people can we become a truly whole and complete person.
Learn to love and accept people as they are. We are all unfinished.

11. Positive Thinking: There is enough negativism in the world without adding to it. It is well
known in the scientific community that the body secretes different hormones for the
emotions that we experience. Feeling happy and a good laugh makes us strong, while hate
and anger weakens us. Feelings are “catching”. When we feel content, happy and
productive, others will follow us.

12. Goals and Purposes: It’s important to develop goals for ourselves and not for someone
else. Encourage others to follow their passion.

“Don’t ask yourself what the world needs. . . ask yourself what makes you come alive and
then go do that, because the world needs are people who have come alive.”
Howard Thurman, Theologian & Civil Rights Activist.

13. Hobbies: Everyone should have some type of an interest outside of their daily work to
provide relaxation.

14. Enthusiasm: This is a Greek word meaning from God. Zeal. This feeling comes from
pursuing rewarding experiences or from learning something new that interests us.

15. Avoid smoking, avoid drugs, and keep alcohol intake to a minimum.

16. Worry: Worry is like shoveling smoke, absolutely useless.

17. Spirituality: Living a healthy life, full of the love of living requires most to realize that
there is a power or force outside of us which is greater and stronger. Man has named this
power many things and has tried to cage it, use it and shape it without success, even though
it is manifested every where in the environment. Man has found that we have the ability to
use this greater power only within ourselves. The man who is aware of this great power and
who lives his life according to the rules of his creator, not man made rules, will reap untold
rewards.

Summary: Holistic living promotes positive attitudes, including love, compassion, harmony and
balance, responsibility for one’s decisions and actions, self-acceptance, forgiveness, healing,
growth and a sense of meaning and purpose to life.

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33
34
 Acupressure Relief

Constipation
Hold Triple Warmer 6 (About 3 inches above the wrist crease on the dorsum of forearm
between the radius and the ulna) with opposite 40 (On the outside of the leg, about four finger
widths below the lower edge of the knee and one finger width out from the shin bone – tibia)
Benefits: Constipation, abdominal distention, indigestion, nausea and vomiting

Cough
Hold both 3(s) together (About one finger’s width below the midpoint of the collarbone –
clavicle- in a space vertically above the nipple)
Hold CV 22 (Press in and down at the center of the sternal notch, in the indentation at the
top of the sternum) with Extra Point 17 “Ding Chuan” (Between and to the side of the seventh
cervical and first thoracic vertebra. Press toward the spinal column.)
Benefits: Cough, hiccough, sore throat, asthma, bronchitis, pneumonia

Difficult Breathing
Hold 30 (On the upper, outer, portion of the chest, in the first intercostals space below the
collarbone, six inches lateral to midline of sternum) with 36 (On palm side of thumb, slide down
to the middle of the long bone in the thumb, about three finger widths down from the wrist
crease)
Hold 30 (On the upper, outer, portion of the chest, in the first intercostals space below the
collarbone, six inches lateral to midline of sternum) with Bladder 13 (about one inch lateral to
the spinous process of the third thoracic vertebra)
Benefits: Asthma, bronchitis, cold, pneumonia, chest congestion

Edema
Hold 41 (On the inside of the leg, four finger widths above the inside ankle bone, press
notch on the posterior aspect of the shin bone-tibia) with 8 (On inside of leg, in the hollow below
the head of tibia, pressing up toward the protrusion)
Benefits: Fluid retention-edema, knee pain, leg cramps, irregular menstruation

Headache
Head and neck release.
Hold 22 on both sides. (In hollow below the base of skull between the trapezius and
sternocleidomastoid. Press upward as the head is tilted back.

Knee Pain
Hold 31 (In the middle of the crease in back of the knee), with 12 (In the hollow about one
half of a thumb width directly below the outer ankle bone when the foot is flat on the floor) until
the throbbing is even. Continue to hold 31 and press all painful points around the knee. Hold
until the pain goes away. Ask the client to bend the knee and indicate any areas with pain. Hold
that area with 31 until all pain is gone.
Benefit: Knee pain

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Lower Back Pain
Hold 16 (About three finger widths out from the spine at the level of the navel, level with
the space between the second and third lumbar vertebrae) with 31 (In the middle of the crease in
back of the knee), then 45 (Between the knee crease and the heel, in the center of the bottom
edge of the calf muscle bulge), then 12 (In the hollow about one half of a thumb width directly
below the outer ankle bone when the foot is flat on the floor)
Benefits: Low back pain; pain in legs, buttock, or lower back; insomnia; headache

Nausea and Vomiting

Hold Pericardium 5 (On the inside of the arm, between the radius and ulna, about four
finger widths above the wrist crease) with 27-Pericardium 6 (On the inside of the arm, between
the radius and ulna, about three finger widths above the wrist crease)
Hold 27 (On the inside of the arm, between the radius and ulna, about three finger widths
above the wrist crease) with 26 (On the outside-lateral aspect- of arm, between the radius and
ulna, about three finger widths above the wrist crease)
Benefits: Nausea and vomiting, motion sickness, stress, palpitation, light headed feeling

Pain
Hold 40 (On the outside of the leg, about four finger widths below the lower edge of the
knee and one finger width out from the shin bone (tibia) with opposite 35 (On the outside of the
hand, in the web between the thumb and index finger. Press into hollow against the second
metacarpal of the index finger. Press into hollow against the second metacarpal of the index
finger. Follow with neck release.
Benefits: Pain, colds, general weakness, headache, sinus pain, toothache.

Shoulder Tension
Hold 20 (On top of shoulder, on front edge of trapezius muscle, directly up from nipple
line) with Small Intestine 12 on both sides (Center of the suprascapular fossa, in the depression
formed when the arm is lifted)
Benefits: Shoulder pain, stiff neck, arm pain or ache, unable to raise arm, anxiety, migraine

Stress/Insomnia
Hold 27 (On the inside of the arm, between the radius and ulna, about three finger widths
above the wrist crease) with opposite Bladder 10 (Between the first and second cervical vertebrae
behind the head about ½ inch from the midline)
Hold 27 (On the inside of the arm, between the radius and ulna, about three finger widths
above the wrist crease) with CV 17 (In center of sternum, between the nipples)
Hold 27 (On the inside of the arm, between the radius and ulna, about three finger widths
above the wrist crease) with Heart 7 (on the ulnar side on the arm at the wrist crease)
Head and neck release, then final balancing
Benefits: Anxiety, depression, insomnia, palpitations, chest pain

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 Technique To Balance Leg Lengths

1. Check leg length with the client lying on the abdomen. Use this technique if one leg is
longer than the other.

When checking for leg length, assess if the shorter leg has a long bone that is shorter than
the opposite leg. If so, this technique will not be effective.

2. TECHNIQUE

A. Begin the treatment on the same side of the body as the short leg.

B. Make contact in the epigastric area (upper abdomen) just below the xiphoid process.

Find the painful area, and apply as much pressure as the patient can tolerate. It does
not matter if you have crossed the midline.

C. There will be a painful area near #19. Just feel around this area until you feel the
painful spot. In doing this next step, do not cross over the spinal column.

D. Hold both areas at the same time until the points releases, i.e. the pain diminishes and
you feel a throbbing sensation.

E. Recheck the length of the legs. If the legs do not match, the problem is probably in the
back.

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38
39
 Examination of Acupressure Connection 1

Name Date

1. What is the main purpose of Acupressure Connection?

2. State three benefits of acupressure.

a.

b.
c.

3. Differentiate between a healthy pressure point, a blocked pressure point, and a trigger
point.

4. What fingers are used when giving an acupressure treatment? State your rationale.

5. When and where do you use:

a. Light pressure?

b. Circular motion?

c. Heavy pressure?

d. Press as hard as you can?

6. While giving an acupressure treatment, the client complains of pain in the pressure point
you are working on. How will you proceed? State your rationale.

40
7. While giving an acupressure treatment, the client complains of pain in a different part of
the body from where you are working. How will you proceed? State your rationale.

8. What is muscular pain as described by acupressure Therapy?

9. State three causes of muscular pain

a.

b.

c.

10. How does the final balancing pattern correlate with the Central Channel pressure points?

11. How often can a short or quick release be given?

12. How frequently can you give a long treatment pattern? State your rationale.

13. A client has been under the care of a physician and has been receiving Acupressure
treatments from you. He appears to be improving. What should you advise the client to
do concerning the physician’s care? State the rationale for your answer.

41
14. State the five basic steps of a long treatment pattern and give the purpose of each step.

15. State three physical problems and the acupressure points which will help to relieve these
problems.

42
 References
Acupressure
Calbert, Gach & Wilder. (1990). Acupressure for health professionals. Berkeley, CA:
Acupressure Institute.
Chen, Eachou (1998). Cross-sectional anatomy of acupoints. New York: Churchill Livingstone.
Cross, John. (2001). Acupressure & reflextherapy in the treatment of medical conditions. Boston:
Butterworth Heinemann.
Gach, Michael. (1990). Acupressure’s potent points a guide to self-care for common ailment.
New York: Bantam Books.
Gach. Michael and Marco Cardyn. (1981) Acu-yoga. New York: Japan Publications, Inc.
Gach. Michael. (1989) Arthritis relief at your fingertips. New York: Warner Books, Inc.
Gach. Michael.(1986) Greater energy at your fingertip., Berkeley: Celestial Arts.
Hickman, Bell & Preston. (2005) Acupressure and Postoperative Nausea and Vomiting, AANA
Journal, Vol. 73, No. 5, October 2005, pp. 379-384.
Jarmey, Chris & Tindall, John. (1991) Acupressure for common ailments. New York: Simon &
Schuster Inc.
Teeguarden, Iona. (1996) A complete guide to acupressure, New York: Japan Publications, Inc.
Teeguarden, Iona. (1978) Acupressure way of health: Jin Shin Do. New York: Japan
Publications, Inc.

Chinese Medicine
Beinfield, Harriet & Korngold, Efrem. (1991) Between heaven and earth—a guide to Chinese
Medicine. New York: The Ballantine Publishing Group.
Hass, Elson. (1981) Staying healthy with the seasons. Berkeley: Celestial Arts.
Kaptchuk, Ted. (1983) The web that has no weaver: Understanding Chinese Medicine. Chicago:
Congdont Weed, Inc.

Energy Medicine
Jonas, Crawford. (2003) Healing Intention and Energy Medicine Science, Research Methods an
Clinical Implications. New York: Churchill Livingstone.
Oschman James. (2000) Energy medicine the scientific basis. New York: Churchill Livingstone.
Connor, Melinda & Koithan, Mary. (2006) The Emerging Science of Energy Healing, American
Holistic Nursing Association Beginnings, 26 (1) Winter, p. 1, 26-27.
National Center for Complementary and Alternative Medicine (NCCAM). (2002). What is
complementary and alternative medicine (CAM)? Retrieved November 3, 2005, from
http://nccam.nih.gov/heath/whaatiscam/#1.

Healing Touch
Bailey, Alice. (1953). Esoteric healing. New York: Lucis Publishing Company.
Brennan, Barbara (1987 Hands of Light-A Guide to Healing Through the Human Energy Field.
New York:Bantam Books.
Mentgen, Janet & Scandrett-Hibdon, Sharon. (1996). Healing Touch-A Resource for Health Care
Professionals. Albany: Delmar Publishers.

43
Reflexology
Gillanders, Ann. (1995). The joy of reflexology. Boston: Little, Brown, and Company.
Mackereth, Peter & Tiran, Denise. (2002) Clinical Reflexology – A guide for health
professionals. New York: Churchill Livingstone.

Therapeutic Touch
Krieger, Delores (1993). Accepting Your Power to Heal. The Personal Practice of Therapeutic
Touch. New Mexico: Bear & Company.
Krieger, Delores. (1979). The Therapeutic Touch. New Jersey: Prentice-Hall, Inc.
Kunz, Dora van Gelder. (1991) The Personal Aura. Illinois: Quest Books.
Macrae, Janet (1996). Therapeutic Touch. A Practical Guide. New York: Alfred A. Knopf.

Other
Fontaine, Karen. (2005). Complementary & Alternative Therapies for Nursing Practice. 2cd ed.
New Jersey: Person/Prentice Hall.
Freeman & Lawlis. (2001) Mosby’s complementary & alternative medicine a research-based
approach. St. Louis: Mosby.
McCaffery, Margo & Pasero, Chris. (1999) Pain clinical manual. 2cd. ed., St. Louis: Mosby.
Micozzi, Marc. (2001). Fundamentals of complementary and alternative medicine, 2cd. ed., New
York: Churchill Livingstone.
Thompson, Diana. (2002) Hands heal communication, documentation, and insurance billing for
manual therapists. 2cd. ed., Philadelphia: Lippincott Williams & Wilkins.

44
 Course Evaluation

Course Name:
Date:

Yes No

1. I acquired new, useful knowledge from this course. 5 4 3 2 1

2. The course met stated objectives. 5 4 3 2 1

3. The information was clearly presented. 5 4 3 2 1

4. The instructor was knowledgeable about the subject. 5 4 3 2 1

5. The instructor encouraged class participation & experimental growth. 5 4 3 2 1

6. The instructor was able to respond to questions effectively. 5 4 3 2 1

7. The best thing about this course was:

8. One suggestion I’d make is:

9. How will you use what you learned in this course:

Please use the back of this paper for any further comments you would care to make.

Thank you

45
8889a/AH 130 46