Internal Medicine Disorders

INTERNAL
MEDICINE
DISORDERS
PRESENTED BY- M. K. SASTRY
ABDOMINAL PAIN
Abdominal pain is usually defined in Traditional Chinese Medicine as a
symptom manifesting as pain in the abdominal region. Causes are usually
explained by both exterior infection and interior disorder of the organs. The
etiological factors contributing to abdominal pain in terms of Chinese medicine
are Cold, Heat, Deficiency and Excess. This section will discuss abdominal pain
pattern differentiation both internal and external, excluding abdominal pain
caused by OB-GYN and surgical problems.
ETIOLOGY
External Pathogenic Infection
In TCM it is believed that Cold, Dampness, Heat, and Summer-Heat can
invade the abdomen, leading to dysfunction of the Spleen and Stomach.
These elements may obstruct the normal movement of the Qi and
metabolism causing irregular functions of the lower digestive tract.
Improper food intake
Most abdominal pain is usually caused by improper food intake, which results
in the abnormal movement of Qi. Improper food intake can also severely
impact the Spleen Yang Qi and its functions in digestive activities.
Abnormal emotional stress
Although certain levels of stress to the body can be maintained without
symptoms, excessive emotional activity may result in abdominal pain.
According to TCM the Liver controls the flowing of the Qi, and there is a belief
that any kind of abnormal or excessive emotional activity will affect the Liver.
For instance, anger may trigger the Liver to attack the Spleen or Stomach. The
Stomach may respond by failing to descend the Qi, while the Spleen may fail
in ascending, both resulting in Abdominal Pain.
Yang Qi Deficiency
The digested material will not be transported or transformed due to a
deficiency of Spleen Yang. Under such circumstances, water retention can
occur, as well as a deficiency of Qi and Blood. This makes it difficult to warm
and nourish interior organs in balance and the symptom of pain will
manifest.
DIAGNOSIS
According to TCM pathological theory, the diagnosis of abdominal pain should focus
on the quality of the pain. Is the pain accompanied by cold, hot, excess, or deficient
symptoms? Pain could be caused by Qi, Blood, and Zang Fu problems. To further
explain, the different qualities of pain can be diagnosed with simple definitions. For
instance, Excess abdominal pain worsens with pressure to the region, whereas pressure
soothes pain in Deficient abdominal pains. Pain that starts acts up when the stomach is
full is excess in nature, while deficient pain usually begins with hunger. Pain that is
reduced by heat is of the Cold nature, and pain reduced by cold is due to Heat.
The location of the pain is also important in explaining the causes and reasons of
pain. For example, if the pain appears in the lower abdomen and is related to both
sides of the hypochondriac region, it is a Liver and Gallbladder problem. If the pain is
mostly located around the umbilicus and lower abdomen, the Spleen, Stomach,
Intestines, Kidney, or Bladder usually is the cause. The following is a list of common
causes of abdominal pain with symptoms to better help identify and diagnose
abdominal pain.
Abdominal pain due to Cold Pathogenic Influence
The patient will experience acute abdominal pain, which is relieved by
warmth and pressure. The pain is usually associated with loose stools,
diarrhea, borborygmus, clear urine, cold limbs, fever as well as an aversion to
cold that may be seen in some cases. The tongue is usually pale with a white
greasy coating, and pulse is deep and tight.
Abdominal pain due to Food Stagnation

There are usually sensations of distending pain in the abdominal region, which
are relieved by bowel movements. Usually the pain is worse with pressure
and associated with vomiting. Irregular, hot, and sticky stools will be seen if
Food Stagnation turns to Heat. The tongue will be red with a yellowish greasy
coating, and the pulse will be fast and slippery.
Abdominal pain due to Yang Qi Deficiency
The patient will have chronic intermittent abdominal pain that is relieved by
pressure and warmth. The symptoms are usually associated with loose stools,
a pale complexion, fatigue and a sore and weak sensation in the lower back
and knees that may be accompanied with Cold. The tongue will be swollen
with teeth marks and a white coating, and the pulse is thin, deep, and slow.
Blood Stagnation
The patient will experience a bloated sensation accompanied with moving or
fixed pain in the abdominal region. The pain will usually be relieved by
belching and aggravated by anger or other sudden and drastic emotional
changes. The patient will have a dark tongue with a white coating and a wiry
or choppy pulse.
TREATMENT AND PRESCRIPTIONS
As with all other pains that are caused by blockage of Qi flow, the main
treatment method in TCM for abdominal pain is by moving the stagnation. The
following basic methods apply to the most common manifestations of abdominal
pain.
Abdominal Pain due to Cold Pathogenic Influence

Treatment Principle: Expel the Cold and Regulate the Qi
Point Prescription: CV-12, ST-36, SP-15, SP-4, and LI-4. Treat once every
other day for 3 treatments as a course.
Technique: Insert 1cun # 32 needles into SP-4 and LI-4 with a twist
reducing needle technique. Insert a 1.5 cun. # 32 needle into CV-12, ST-36
and SP-15 with a twisting even movement needle technique and apply moxa
wool to the handle of the needles for 3-5 cones.
Additional points:
Diarrhea and cold extremities: moxibustion on CV-8 with salt.
Abdominal Pain due to Food Stagnation
Treatment Principle: Resolve the Food stagnation and Release the pain.
Point Prescription: CV-10, ST-20, ST-25, and LI-11. Treat once every other day
for 3 treatments as a course.
Technique: Insert 1.5 cun # 30 needles into CV-10 perpendicularly 1 cun deep
with a twisting reducing needle technique. Insert 1.5 cun # 32 needles into ST-
20, ST-25 and LI-11 with an even movement needle technique. Retain all
needles for 20 minutes.
Additional points:
Thirst: ST-44
Sour regurgitation: GB-34.
Abdominal pain due to Yang Deficiency
Treatment Principle: Reinforcing the Spleen and Warming the Kidney thus
releasing the pain.
Point Prescription: BL-20, BL-23, LV-13, and CV-4. Treat once every other day, 5
treatments as a course.
Technique: Insert 1.5 cun # 32 needles into BL-20 and BL-23 perpendicularly,
1-1.2 cun deep with lifting and thrusting reinforcing needle technique, apply
moxa wool on the handle of needles for 3 cones. Insert 1 cun # 32 needles
into LV-13 with twisting reinforcing needle technique. Apply indirect
moxibustion with Fu Zi cake on CV-4 for 5 cones.
Additional points:
Loose stool: ST-35 and SP-6.
Abdominal pain due to Blood Stagnation
Treatment Principle: Regulate the Qi and Move the Blood.
Point Prescription: LI-4, SP-10, CV-6, ST-28, BL-17, and BL-24. Treat once every
other day for 5 treatments as a course.
Technique: Insert 1.5 cun # 30 needles into BL-17 and BL-24 with a twisting
even movement technique and apply moxa wool to the handles of the
needles for 3 cones. Insert 1 cun # 30 needles into LI-4 and SP-6 with a
twisting reducing needle technique. Retain the needles for 20 minutes.
Additional points:
Hypochondriac pain: LV-14.
Upper abdominal pain: CV-12, CV-6, and CV-10.
ADJUNCTIVE THERAPIES
It is important to note at this point of the text that often the use of adjunctive
therapies is very helpful in treatment of the patient. Many other types of
therapies can be used in this case for the treatment of abdominal pains. Most
commonly used ones are described in detail below to ensure correct applications
and future reference.
Ear Acupuncture
Points: Large intestine, Small intestine, Stomach, Spleen, Shen Men, and
Sympathetic.
Select 2 to 3 points for each treatment and insert 0.5 cun # 34 acupuncture
needles with a medium-level stimulation technique. Retain the needles for 30
minutes.
Treat once daily, for 5 treatments as a course. Another method is to apply
press-balls or inter-dermal needles in these points in the ear in the same
fashion regularly after body acupuncture treatment.
Moxibustion
Points: CV-4, CV-8 and ST-25.
Apply indirect moxibustion with salt or ginger on CV-8 and a Fu Zi cake on CV-4
for 3 to 5 cones for Yang deficiency abdominal pain. Apply direct non-scarring
moxibustion on ST-25 for 6 cones to treat abdominal pain due to Cold
Pathogenic Invasion.
Treat once daily with 3 treatments as course.
Gua Sha
Treatment area: Along the Stomach meridian parallel to the navel. Apply
medium stimulation Gua Sha until the skin turns a purple color or the pain is
reduced. This is especially good for treating abdominal pain with fever.
Treat once daily for 2 treatments as a course.
Cupping technique
Points: CV-8.
Apply a fire cup on the CV-8 for three minutes to treat abdominal pain due to
stagnation of Qi and Blood.
Treat once daily, 2 treatments as a course.
Scalp Acupuncture
Treatment zone: Middle line of the vertex, lateral line 2 and lateral line 3
of the forehead.
Insert 1.5 cun # 30 needles transversely 1 cun deep at a 30-degree angle
with a fast twisting needle technique. Retain the needles for 30 minutes
to one hour.
TRADITIONAL PRESCRIPTIONS AND TECHNIQUES
For the pain located above navel: CV-10 and ST-24
Insert 1.5 cun #30 needles into CV-10 and ST-24 with a twisting reducing
needle technique and apply moxa wool on the handles of the needles 3
times.
Treat once every other day for 3-5 treatments as course.
For pain around the navel (Deficiency Cold in the Small Intestine): CV-8 (Zhen Jiu
Jia Yi Jing)
Apply 3 cones of indirect moxibustion with salt and ginger, or use a moxa
pole on CV-8 for 20 minutes. Treat once or twice a day, 3 to 5 treatments as
course.
For pain located on both sides of the navel: SP-15 and ST-25.
Insert 1.5 cun #32 needles into SP-15 and ST-25 with a twisting even
movement needle technique and apply moxa wool on the handles of the
needles with 3 cones if the patient has Cold symptoms.
Treat once very other day, 3 to 5 treatments as a course.
For pain located on the lower abdomen: CV-6 and ST-27
Insert 1.5 cun #32 needles into CV-6 and ST-27 perpendicularly 1 to 1.2 cun
deep with a twisting even movement needle technique. Retain all needles for
20 minutes. One can also choose to apply moxa wool on the handles of
needles with 3 cones.
Treat once every other day, 3 treatments as a course.
For abdominal pain located around the navel: CV-9, ST-25, CV-7, and
ST-36 (Lei Jing Tu Yi)
Apply direct non-scarring moxibustion on those points with 7 cones.
For abdominal pain with borborygmus: ST-37 (Wei Shen Bao Jian)
Inset 1.5 cun #30 needles into ST-37 with the “Qing Long Bai Wei” (Green Dragon
Waves the Tail), which is one type of technique to move the Qi. Retain
needles for 30 minutes and treat once daily for 3 treatments as a course.
For abdominal pain on the both sides of the navel that travels up to the
epigastric region: ST-25 (Jiu Fa Mi Chuan)
Apply direct non-scarring moxibustion on ST-25 for 7 cones each
treatment.
Treat once daily for 3 treatments as course.
For abdominal pain with Heat and yellowish urine: KI-11 (Shen Jiu Jing Lun)
Insert 1.5 cun #30 needles into KI-11 with a lifting and thrusting reducing
needle technique.
For lower abdominal pain with Interior Cold: CV-6, BL-27, and LV-8
(Shen Jiu Jing Lun) Apply direct non-scarring moxibustion on CV-6,
BL-27, and LV-8 with 7 cones.
Treat once every other day for 2 treatments as course.
For lower abdominal pain with Heat and yellowish urine: KI-11 (Shen
Ying Jing)
Insert 1.5 cun #30 needles into Ki-11 with a lifting and thrusting reducing
needle technique.
For lower abdominal pain with Cold: CV-6, BL-27, and LV-8 (Shen Jiu Jing Lun)
Apply direct non-scarring moxibustion on CV-6, BL-27, and LV-8 for
7 cones.
Treat once or twice daily for 3 treatments as a course.
For acute abdominal pain: LU-7, CV-17, LV-1, LU-1, SI-1, LU-9, and SP-6 (Zhen Jiu
Da Cheng)
Insert 1 cun #30 needles into LV-1, SI-1, LU-9, LU-7, and SP-6 with a twisting
reducing needle technique; then insert a 1.5 cun #30 needles into CV-17 with
a twisting even movement needle technique. Retain all needles for 20
minutes.
For abdominal pain around the navel: LI-8 (Shen Yin Jing)
Insert 1 cun #30 needles into LI-8 perpendicularly 0.5 to 0.8 cun deep with a
lifting and thrusting reducing needle technique and “He Gu Ci” (one kind of
moving Qi and reducing pain technique). Retain the needles for 30 minutes.
Treat just for emergency cases.
For severe pain on the lower abdomen: CV-6, SP-6 (Zhen Jiu Zhai Ying Ji)
Insert 1.5 cun #30 needle into CV-6 perpendicularly 1 to 1.2 cun deep with a
lifting and thrusting even movement technique; then insert a 1.5 cun #30
needles into SP-6 obliquely upwards 1 cun deep at a 45 degree angle with a
twisting reducing needle technique. Retain all needles for 30 minutes.
For lower abdominal pain traveling to the genital region with a cold
sensation: CV-4, and BL-43 (De Xiao Fang)
Apply indirect moxibustion with ginger on CV-4 and BL-43 for 5 cones.
For bloating pain in the lower abdomen: LV-2, KI-2, ST-44, and LV-1 (Zhen
Jiu Fen Yuan)
Insert 1 cun #30 needles into all these points with a twisting reducing needle
technique. Retain all needles for 20 minutes.
For acute abdominal pain: SP-1 and LV-1 with direct non-scarring moxibustion for
14 cones. (Yu Long Ge)
For acute bloating pain in abdominal region: CV-15, CV-13 and CV-5. (Yu Long Ge)
Insert 1.5 cun #30 needles into CV-15, CV-13 and CV-5 perpendicularly 1 cun
deep with a twisting reducing needle technique. Retain the needles for 30
minutes.
ASTHMA
Asthma is an episodic allergic pulmonary disorder. It occurs when a foreign
antigen is present and contacts the respiratory system through inhalation or other
forms of contact. During the attack, patients have severe Dyspnea, which is due to
spasm of bronchial smooth muscles, swelling of the bronchial mucous and hyper
secretion of the respiratory tract leading to bronchial obstruction. In TCM, Asthma
is usually attributable to the categories of XIAO (bronchial wheezing) and CHUAN
(Dyspnea).
TREATMENT AND PRESCRIPTION
Asthma with Excess Cold
Treatment Principle: Expel the Cold and Relieve the asthma.
Point Prescription: LU-7, LU-5, BL-12, and BL-13.
Treat once daily during asthma attack, 5 treatments as a course
Technique: Insert 1.5 cun #32 needles into LU-7, and LU-5 with twisting
reducing needle technique, 1 cun #30 needles into BL-12, and BL-13 with
lifting and thrusting reducing needing technique. Apply fire cups on the BL-12
and BL-13 for 3 minutes.
Additional points for other associated symptoms:
Stuffy and running nose: ST-3 and Yin Tang Shoulder
and upper backaches: LI-7
Fever: SI-7
Heat-phlegm stagnation in the Lung
Treatment Principle: Clear the lungs and release asthma.
Point Prescription: LI-4, GV-14, ST-40, CV-17, LU-1, and LU-6.
Treat once every other day during asthma attack, 7 treatments as a course.
Technique: Insert a 1.5 cun #30 needle into GV-14 perpendicular 1 to 1.2 cun
deep with rubbing needle technique, leading the Qi down along the spinal
column without retaining the needle. Insert 1.5 cun #30 needles into LU-6
and ST-40 with lifting and thrusting reducing needle technique, and 1 cun #30
needles into LI-4 LU-1 CV-17 with twisting reducing needle technique. Retain
all needles for 20 minutes.
Severe asthma: BL-13 and LU-2 with cupping technique
Fever: LI-11 and SP-9
Deficiency type of asthma
Treatment Principle: Built up the body energy, resolve phlegm and calm
asthma.
Point Prescription: Ding chuan, BL-43, BL-13, and LU-9.
Treat once every other day for 10 treatments as a course.
Technique: Insert 1 cun #30 needles into BL-43 and BL-13 obliquely, 0.3 cun to
0.5 cun deep with the “Qi Ci” (one kind of traditional needle technique—three
needles on one point, one on the middle and other two beside) with waving
technique. Retain all needles for 10 minutes. Apply indirect moxibustion with
ginger for 3 cones on these two points after taking the needles out. Insert a 1
cun #32 needle into LU-9 with twisting reinforcing needle technique. Retain
the needles for 10 minutes.
Lung and Spleen deficiency: BL-20 and ST-36.
Lung and Kidney deficiency: BL-23 and KI-3.
Lung and Heart deficiency: PC-6 and HT-7 with even movement needle
technique. Apply direct non-scarring moxibustion on CV-4, CV-6, and GV-4
for 7 cones.
Ear acupuncture
Points: Pin chuan, Endocrine, Trachea, Sub cortex, Sympathetic
Insert 0.5 cun #34 ear acupuncture needles in these points, obliquely at a 30
degree angle with twisting reducing needle technique, and retain then for
30 minutes.
Treat once daily, 5 treatments as a course. Or use a press-ball instead of
needles as a supplemental treatment after the body-acupuncture treatment
and keeps them for 3 days in summer and 7 days in winter.
Moxibustion
Points: BL-13, BL-43, BL-20, and BL-23.
Apply direct moxibustion on these points in the summer (middle of July), for 5
cones to treat asthma of the chronic and deficient type.
Scalp Acupuncture
Treatments zone: Lateral line 1 of the forehead, middle line of the vertex, and
middle line of the forehead.
Insert 1.5 cun #30 needles into these lines with fast twisting needle technique
or withdrawing Qi technique. Retain all needles for 1 hour to treat acute
asthma attacks.
Treat once every other day, 3 to 5 treatments as a course.
Plum Blossom Needle
Treatment area: LU-10, the Lung meridian along the forearm, and the Stomach
meridian on the front of the neck.
Apply weak stimulation of the plum blossom needle until red marks appear
on the area to treat asthma of the deficient type.
Gua Sha
Treatment area: upper back—most often used for asthma due to Excess Heat.
Apply medium stimulation of Gua Sha on both sides of the upper back (BL
and GV meridians), until the red or purple marks appear.
Treat once a week, 3 testaments as a course.
Intra-dermal needle
Points: Ding Chuan, GV-14, BL-13, BL-43, BL-15, BL-20, LU-6, LU-9, and CV-17.
Insert intra-dermal needles into all these points subcutaneously, 0.3 cun deep
and secure with tape. Retain them for a week, to treat deficient asthma.
Treat once a week, 3 treatments as a course.
TRADITIONAL PRESCRIPTIONS AND TECHNIQUE
For asthma in deficiency type: LU-1, LU-2, LU-3, BL-13, and CV-20. (Zhen Jiu Jug
Ying)
Apply direct non-scarring moxibustion (the cone like wheat) on all these
point for 7 cones.
For chronic asthma appearing every winter: GV-14, GV-12, BL-13, and BL-
43.
Apply direct moxibustion on the GV-14, GV-12, BL-13, and BL-43 for 7 cones.
It’s best to treat in the summer (middle of July).
Treat once a week for 2 treatments as a course.
For chronic severe asthma: Governing vessel therapy. (Zhong Guo Zheng Jiu)
Apply indirect moxibustion with garlic on the Governing vessel. Put an herbal
powder (Ban Se Feng— approximately 15g) from GV-14 to GV-3. Then add the
mashed garlic on the herbal powder, 3 cm high and 5 cm wide, from the GV-14
to GV-3. Put the moxa wool on the garlic, 2 cm on the bottom to 2 cm high. Light
the moxa wool from the head (near GV-14), towards the tail (near GV-3) and the
middle (near GV-6) for three times.
Treat once a year, for 3 treatments as a course.
For acute asthma: ST-9 and BL-3.
Insert a 1.5 cun #30 needle into ST-9 perpendicular, 1-1.2 cun deep with twisting
even movement technique after get the Qi sensation. Insert 1 cun #30 needles
into BL-3 obliquely at a 30 degree angle in the downward direction, 0.5-0.8 cun
deep with a fast twisting technique for 3 minutes. Retain all needles for 20
minutes.
Treat only for acute asthma attack.
For chronic asthma: BL-13. (Zhen Jiu Zi Shen Jing)
Insert 1 cun #30 needles into BL-13 with twisting reinforcing needle
technique. Apply moxa-pole on the side of the point for 20 minutes.
For asthma with severe shortness of breath: CV-22, CV-21, CV-20, CV-17, ST-19,
LV-13, CV-6, and GV-9.
Apply direct non-scarring moxibustion for 7 cones on CV-6, GV-9, LV-13, and 5
cones on CV-22, CV-21, CV-20, CV-17, and ST-19.
For asthma with severe cough, phlegm and wheezing: KI-27, CV-22, CV-17, BL-13,
ST-36, CV-12, BL-43, CV-4, CV-6, and ST-18 (Zhen Jiu Da Cheng)
Apply direct non-scarring moxibustion on BL-13 and BL-43 for 7 cones. Insert 1
cun #32 needles into KI- 27, CV-22, CV-17, and ST-18 with twisting reinforcing
needle technique. Insert 1.5 cun #32 needles into CV-12, CV-4, CV-6, and ST-
36 with twisting reinforcing needle technique; apply moxa wool on the handle
of needles for 3 cones.
The following are all prescriptions from the Zi Zhen Jing:
For asthma with cough and shortness of breath: LU-2 and ST-9
For severe asthma with difficulty to lie down: CV-22 and CV-19
For asthma with stuffy sensation in the chest: BL-42 and LU-1
For asthma with rebellious of the Qi: CV-17 CV-21 used
For asthma with wheezing: LV-3
For asthma with wheezing: LV-3
Insert 1 cun #30 needles into LU-2 and ST-9 with twisting reducing needle
technique, and 1.5 cun #32 needles into CV-22 and CV-19 obliquely at a 30
degree angle 1 cun deep with twisting reducing needle technique. Insert 1
cun #30 needles into LU-1 and BL-42 perpendicular, 0.5 cun deep with
twisting reducing needle technique. Insert 1.5 cun #30 needles into CV-17
and CV-21 obliquely downwards 1 cun deep with fast twisting technique.
Insert 1.3 cun #32 needles into LV-3 perpendicular 1 cun deep with twisting
reducing needle technique.
Or apply direct non-scarring moxibustion on these points as above for 7 cones
during asthma in deficiency conditions.
For asthma due to Excess Heat: GV-14, CV-22, KI-27, ST-18, LU-7, and ST-40.
(Zhong Hua Zhen Jiu Xue)
Apply a reducing needle technique on the above points and direct non-scarring
moxibustion on CV-22, LU- 7, ST-18, CV-12, and ST-36 for 7 cones for asthma of
the deficient Cold type.
Insert a 1.5 cun #32 needle into CV-22 obliquely along anterior of trachea, 1
cun deep with twisting reducing needle technique, and 1 cun #30 needles into
KI-27, ST-18, LU-7, and ST-40 with twisting even movement needle technique.
Retain all needles for 20 minutes. Insert a 1.5 cun #30 needle into GV-14 with
rubbing technique (clockwise), without retaining the needle.
For asthma with acute chest and diaphragm pain: LU-7, GV-26, CV-22, BL-13, and
ST-36. (Zhen Jiu Da Quan)
Insert 1 cun #30 needles into BL-13 perpendicular, 0.5 to 0.8 cun deep with
twisting reducing needle technique and take the needle out without
retaining. Insert 1 cun #32 needles in LU-7, GV-26, CV-22, and ST-36 with
twisting reinforcing needle technique. Retain all needles for 20 minutes.
For patients who cannot lie down during an asthma attack: GV-10. (Jiu Fa Mi
Chuan)
Apply direct non-scarring moxibustion on GV-10 for 11 to 13 cones.
For children who cannot eat during an asthma attack: CV-21. (Jiu Jing)
Apply wheat grain size direct non-scarring moxibustion on CV-21 for 3 cones.
For asthma of the Cold type: BL-13, BL-43, and CV-22. (Zhang Shi Yi Tong)
Apply indirect moxibustion with Fu Zi cake on BL-13, BL-43, and CV-22
for 3 to 5 cones.
For patients who cannot lie down during an asthma attack: LV-14. (Yu
Long Jing)
For acute asthma attack: BL-12. (Yu long Jing)
For asthma with a stuffy sensation in the chest: LU-1 and CV-19. (Yu long
Jing)
Insert 1 cun #30 needles into LV-14, BL-12, LU-1, and CV-19 with reducing
twisting needle technique. Retain all needles for 30 minutes.
Treat once daily, 3 to 5 treatments as a course.
For asthma of the Cold type: CV-20, CV-6, CV-17, LV-14, and GV-9 (Jing
Yue Quan Shu)
Apply direct non-scarring moxibustion on these points for 3 cones.
For pediatric asthma with poor appetite: Si Fen (Zhong Guo Zhen Jiu)
Apply a three-edged needle with fast prinking on the Si fen point, 1 to 3 mm
deep, and squeeze out a little yellowish and white liquid.
For asthma with Kidney Qi deficiency: BL-43, BL-13, BL-5, Ding Chuan, BL-20, BL-
23, Ying Tang, LU-5, LU-10, KI-3, and ST-40.
Insert 1 cun #30 needles into BL-43, BL-13, BL-15, Ding Chuan, BL-20, and BL-
23 with Qi Ci (one needle on the middle and other two each side) for each
point, and apply the waving technique until red marks appear around the
needles. Retain the needles for 10 minutes. Insert 1 cun #32 needles into Ying
Tang, LU- 5, LU-10, KI-3, and ST-40 with twisting reinforcing needle technique.
Retain all needles for 15 minutes.
Treat twice a week, 7 treatments as a course.
For asthma with Kidney Qi deficiency: KI-1. (Qian Jin Fan)
Apply moxa-pole on KI-1 for 30 minutes every night before go to bed.
BELL’S PALSY— PERIPHERAL FACIAL PARALYSIS
The most common form of facial paralysis is idiopathic, i.e. Bell's palsy. The
incidence rate of this disorder is about 23 per 100,000 annually, or about 1 in 60
or 70 persons in a lifetime. The pathogenesis of the paralysis is still unknown. The
few autopsied cases of this disease have shown only nondescript changes in the
facial nerve and not inflammatory changes, as is commonly presumed. Thus so
far it is believed that this illness is a result of death in facial nerve endings. In the
traditional view Chinese medicine, it’s believed to be usually caused by Wind-OPI
invades the Yang Ming Meridian (Zhong Jin Lou-wind stroke in meridian).
CLINICAL MANIFESTATIONS
The onset of Bell's palsy is fairly abrupt, maximal weakness being attained by
48 hours as a general rule. Pain behind the ear may precede the paralysis for a day
or two. Taste sensation may be lost unilaterally, and hyperacusis may appear
within the first few days. In some cases there is mild cerebrospinal fluid (CSF)
lymphocytosis. Totally about 80 percent of patients recover within a few weeks or
months. Electromyography may be of value in distinguishing a temporary
conduction defect from a pathologic interruption in the continuity of nerve fibers.
Evidence of nerve failure after 10 days indicates that there has been axonal
degeneration and that there will be a long delay (3 months, as a rule) before
regeneration occurs and that is may be incomplete. The presence of incomplete
paralysis in the first week is the most favorable prognostic sign.
Treatment Principle: Promote the flow of the Qi and Blood, and Expel the Wind.
Point Prescription:
Wind Cold: ST-2, ST-4, ST-6, GB-14, and LI-4 with moxibustion.
Wind Heat: Tai Yang, SI-18, ST-6, ST-7, LI-11, and ST-44.
Techniques: There are three periods to treat peripheral facial paralysis in TCM:
1. Within 2 weeks of onset: In this case, apply more needles with superficial
insertion technique, meaning needle the local paralysis area with more
needles with a superficial insertion of less than 0.3 cun deep, with slight
twisting technique in order to move the flow of Qi and Blood, and expel
the Wind from the surface of the skin.
2. Between weeks 2 and 4: During this period insert needles into the points
with regular depth and technique in order to adjust, regulate, reinforce
and or reduce the Qi and Blood according to the TCM diagnosis.
3. After 4 weeks: At this time the technique of needling points through and
through is recommended, such as needling ST-4 through to ST-6. Electro-
acupuncture is also considered beneficial at this stage for the paralyzed
muscles.
Orbital wall pain: BL-2
Mastoid process pain: TW-17 and GB-12. Facial
numbness: LI-20 and CV-26.
Tastelessness: CV-23.
Ear Acupuncture
Points: Lung, Sympathetic, Face, Liver, Shen Men, and Eye.
Insert 0.5 cun #34 ear needles into these points obliquely at a 45 degree
angle with fast twisting needle technique. Retain all needles for 40 minutes.
Plum Blossom Needle

Points: GB-14, Tai Yang, ST-2, ST-4, ST-6, and LI-4 (all the points on the
diseased side).
Apply weak stimulation of plum blossom needle on these points for 5
minutes.
Treat once daily, 7treatments as a course.
Electro Acupuncture
Points: BL-14, BL-2, Tai Yang, ST-3, SI-18, ST-6, ST-7, and ST-4.
Select 2 or 3 groups of points during each treatment and apply a continuous
wave for 8-10 minutes to treat the facial paralysis over a four-week period.
Scalp Acupuncture
Treatment zone: Select the opposite side of the anterior line from the vertex
to the temple (lower-2/5), and the posterior line from the vertex to the
temple (lower-2/5).
Insert 1.5 cun #28 or #30 needles transversely at a 30-degree angle, 1 cun
deep with fast twisting technique. Retain all needles for 1 hour.
Moxibustion
Moxa-pole and warming needle technique
Apply during any period of the facial paralysis, or as a supplemental
treatment during or after the needle treatment.
Indirect moxibustion with ginger
Points: ST-6, ST-7, TW-17, GB-12, and Tai Yang.
Select 2-3 points during each treatment and apply indirect moxibustion
with ginger for 3 cones to treat facial paralysis due to Wind Cold.
Direct non-scarring moxibustion
Points: GB-14, SI-19, GB-2, SI-19, ST-7, ST-6, ST-4, and Tai Yang.
Select 3 to 4 points from above each treatment and apply direct non-
scarring moxibustion for 7 cones.
For facial paralysis due to Wind Cold: ST-7. (Wei Shen Bao Jian)
Apply direct non-scarring moxibustion on ST-7 for 14 cones.
Treat once daily, until the disease is gone.
For facial paralysis due to Wind Cold: ST-2, ST-4, and ST-9. (Ru
Men Shi Qing)
Apply direct non-scarring moxibustion on ST-2, ST-47, and ST-9 for 5
cones. Treat once every other day for 10 treatments as a course.
For facial paralysis due to Qi and Blood stagnation: ST-6, CV-26, LU-7, LU-9, LI-4,
LI-2, ST-4, and TW-23. (Shen Yin Jing)
Insert 1 cun #30 needles into LI-2, LI-4, LU-9, and LU-7 with twisting reinforcing
needle technique, and 1 cun #32 needles into ST-6, ST-4, CV-26, and TW-23
with twisting reducing needle technique. Retain all needles for 20 minutes, or
apply moxa wool on the handle of needles for 3 cones.
For facial paralysis due to Wind invasion: ST-4, ST-6, CV-26, LI-4, SI-19, CV-24, and
TW-17. (Zhen Jiu Da Cheng)
Insert 1 cun #28 needles into ST-4, ST-6, CV-26, and LI-4 with twisting reducing
needle technique. Retain all needles for 30 minutes.
Treat once every day, 7 treatments as a course.
For facial paralysis by Wind Invasion: CV-26, ST-4, ST-6, and LI-4. (Zhong Hua Zhen
Jiu Xue)
Insert 1.5 cun #30 needles into ST-6 and ST-4 with twisting reinforcing needle
technique and apply moxa wool on the handle of needles for 3 cones. Insert 1
cun #32 needle into CV-26 obliquely towards the disease area, 0.3 cun deep
with twisting even movement needle technique. Then insert a 1 cun #30
needle into LI-4 (on healthy side only) with twisting reinforcing needle
For the beginning stage of the facial paralysis (1 to 2 week duration): Qian Zhen,
GB-12, TW-17, ST-4, ST-6, ST-7, SI-18, TW-23, CV-26, CV-24, LI-20, GB-14, BL-2, ST-
2, Tai Yang, and GB-20.
Insert 1 cun #30 needles into Qian Zhen, GB-12, and TW-17 perpendicularly,
0.5 cun deep with lifting the thrusting reducing needle technique. Then insert
1 cun #32 needles into the rest of the points perpendicularly, 0.1 to 0.3 cun
deep with slight twisting technique. Retain all needles for 5 minutes.
For facial paralysis with deficiency of Qi and Blood: SI-18, ST-4, ST-6, Qian Zhen,
GB-12, Tai Yang, LI-4, and ST-36
Insert 1.5 cun #30 needles into ST-4 transversely, 1 to 1.2 cun deep towards the
ST-6 direction with twisting even movement needle technique, and a 1.5 cun
#30 needle into Tai Yang obliquely at a 60 degree angle towards ST-7 with
twisting reinforcing needle technique. Insert 1.5 cun #32 needles into SI-18,
Qian Zhen, GB-12, LI-4, and ST-36 with twisting even movement needle
technique. Retain all the needles for 30 minutes. Or apply moxa wool on the
handle of needles for 3 cones.
For facial paralysis due to Wind Invasion: GB-2, PC-5, Tai Yang, TW-21, LI-4, CV-
26, and CV-24. (Jing Yue Quan Shu)
Insert 1 cun #30 needles into LI-4, CV-26, and CV-24 with twisting reducing
needle technique. Retain all needles for 15 minutes. Apply direct non-scarring
moxibustion on GB-2, PC-5, Tai Yang, and TW-21 for 14 cones.
BERIBERI SYNDROME
Most cases of Beriberi are usually caused by malnutrition, which means the
patient most likely keeps to a narrow food selection or lacks vitamin B1 in their
diet. The lack of nutrients leads to attacks on the body by Damp stagnation in the
foot meridians, which is caused by a Spleen deficiency or Damp Pathogenic
Invasion. The main symptoms of Beriberi are sensations of weakness and edema
in the legs. In TCM it is called weak foot or swollen leg. In some severe cases
when the Beriberi attacks heart, the patient will feel heart palpitations, shortness
of breath, nausea and/or vomiting.
Damp-Beriberi
Treatment Principle: Move the Qi of the foot meridians Clear Heat and Resolve
Damp.
Point Prescription: ST-36, SP-6, GB-34, and the Ba Feng.
Technique: Insert 1.5 cun #32 needles into ST-36, SP-6, and GB-34
perpendicularly, 1-1.2 cun deep with lifting and thrusting even movement needle
technique. Apply moxa wool on the handle of the needles for 3 cones. Insert 1
cun #30 needles into the Ba Feng perpendicularly, 0.7 cun deep with lifting and
thrusting reducing needle technique.
Fever and aversion to cold: LI-4, GV-14, and TW-5.
Scanty urine: SP-9 and BL-60.
Dry-Beriberi
Treatment Principle: Nourish Blood and Yin and Move the Qi in the foot
meridians.
Point Prescription: ST-41, ST-32, KI-7, SP-10, KI-6, and GB-39.
Technique: Insert 1 cun #32 needles into ST-41, KI-6, KI-7, and GB-39
perpendicularly, 0.5 cun deep with twisting even movement needle technique. Then
insert 1.5 cun #30 needles into ST-32 and SP-10 perpendicularly, 1-1.2 cun deep with
twisting even movement needle technique. Retain all needles for 20 minutes.
Leg muscle spasm: BL-57.
Low back pain: BL-40.
Swollen and painful knee: Xi Yan and ST-33.
Beriberi invades the Heart
Treatment Principle: Subdue the Qi, Resolve the toxins and Harmonize the Heart
and Lung.
Point Prescription: LU-5, CV-17, PC-8, HT-7, ST-36, and KI-1.
Technique: Insert 1.5 cun #32 needles into LU-5 perpendicularly, 1 cun deep with
lifting and thrusting reducing needle technique, and a 1.5 cun #30 needle into
CV-17 obliquely, 1 cun deep at a 45 degree angle towards CV-16, with twisting
reducing needle technique. Insert 1 cun #32 needles into PC-8 and HT-7 with
twisting even movement needle technique, and 1.5 cun #32 needles into ST-36
with twisting even movement needle technique. Finally, insert 1 cun #34
needles into KI-1 perpendicularly, 0.3 cun deep with twisting even movement
Coma: GV-26.
Collapse of Yang: CV-6 and CV-4 with moxibustion.
Ear Acupuncture
Points: Toe, Ankle, Knee, Spleen, Kidney, Intestine and Shen Men.
Select 3-4 points from above each time, inserting 0.5 cun #32 ear needles
into these points obliquely, 0.3 cun deep at a 45 degree angle with twisting
even movement needle technique. Retain all needles for 40 minutes. Or
apply press-balls on these points after regular body acupuncture treatment.
Treat twice a week for 5 treatments as a course.
Scalp Acupuncture
Treatment zones: Lateral line 1 of vertex, Middle line of vertex, and anterior
oblique line from vertex to temple.
Insert 1.5 cun #30 needles into these lines transversely 1 cun deep at a 30
degree angle with fast twisting needle technique. Retain all needles for 30
minutes.
Treat once every week for 5 treatments as a course.
Moxibustion
Direct moxibustion: GB-31, GB-39, and KI-1.
Moxa pole: Ba Feng, BL-62, and BL-57.
Apply moxa-pole for 15 minutes.
Treat once every other day for 7 treatments as a
course.
Wrist and Ankle Acupuncture

Treatment area: Upper 2, Upper 5, Lower 2, and
Lower 5.
Insert 1.5 cun #30 needles into these areas transversely, 1-1.2 cun deep at
a 15-degree angle beneath the skin avoiding any sensation of the needle.
Bloodletting
Treatment points: Ba Feng, LV-1, GB-45, and BL-40.
Apply bloodletting technique on these points to squeeze 1-2 drops of
blood in each treatment.
For Beriberi with Damp-Cold: KI-6, LV-3, BL-40, and SP-6. (Zhen Jiu Da Quan)
Insert 1 cun #32 needles into SP-6, KI-6, and LV-3 with twisting even
movement needle technique. Apply bloodletting technique on BL-40, to
squeeze 2-3 drops of blood in each treatment.
For Dry Beriberi with a painful sensation in the knee, ankle and toes: KI-6, LV-7,
BL-60, GB-39, BL-40, SP-6, and GB-34. (Zhen Jiu Da Quan)
Insert 1.5 cun #32 needles into LV-7, GB-34, GB-39, and SP-6 perpendicularly, 1
cun deep with twisting even movement needle technique; insert 1 cun #32
needles into KI-6, BL-40, and BL-60 with twisting even movement needle
technique.
For Beriberi invading the Heart: PC-8, PC-5, and KI-1. (Qian Jing Fang)
Insert 1 cun #32 needles into PC-8 perpendicularly, 0.5 cun deep with twisting
reducing needle technique, and apply direct non-scarring moxibustion on PC-
5 for 11 cones. Apply indirect moxibustion with Fu Zi (aconite) cake on KI-1
for 5 cones.
For Beriberi with Damp-Heat: LV-4, GB-36, GB-31, and GB-39. (Zhen Jiu Zi Shen
Jing)
Insert 2 cun #30 needles into GB-31 perpendicularly 1.5 cun deep with
twisting reducing needle technique and 1.5 cun #30 needles into GB-36 and
GB-39 perpendicularly 1 cun deep with lifting and thrusting even movement
needle technique. Insert 1 cun #32 needles into LV-4 obliquely 0.5-0.8 cun
deep at a 60 degree angle towards the ST-41 direction with twisting even
movement needle technique. Retain all needles for 20 minutes.
For Beriberi with itching and pain: GB-31, ST-32, ST-36, LI-6, and GB-39. (Zhen Jiu Zi
Shen Jing)
Apply direct non-scarring moxibustion on GB-31 for 10 cones, and ST-32 ST-36
LI-6 and GB-39 for 7 cones.
For Dry Beriberi with a painful sensation in the knee, ankle and toes: KI-6, GB-33,
BL-60, BL-40, GB-34, SP-6, and GB-39. (Zhen Jiu Da Cheng)
Insert 1 cun #32 needles into KI-6 obliquely, 0.5 cun deep at a 60 degree angle
towards the ankle with twisting even movement needle technique. Next insert
1.5 cun #30 needles into GB-33, GB-34 and GB-39 perpendicularly, 1 cun deep
with twisting reducing needle technique. Finally insert 1 cun #30 needles into BL-
40 and SP-6 with twisting even movement needle technique. Retain all needles
for 20 minutes.
For Beriberi with interior fever: KI-6, LV-3, BL-40, and PC-6. (Zhen Jiu Gang Yao)
Insert 1 cun #32 needles into KI-6 and LV-3 with twisting reducing needle
technique, and 1 cun #34 needles into PC-6 perpendicularly, 0.5 cun deep
with twisting even movement needle technique. Apply bloodletting
technique on BL-40, in order to squeeze 2-3 drops of blood.
For Beriberi with a burning and painful sensation, with inability to walk: LV-1.
(Jiu Fa Mi Chuan)
Apply direct non-scarring moxibustion on LV-1 for 11-15 cones.
For Beriberi with swelling and a painful sensation on the foot: Ba Feng. (Wan
Bing Hui Chun)
Apply indirect moxibustion with garlic on the Ba Feng for 6 cones.
For Beriberi with Damp-Heat: SP-9, SP-6, LV-3, GB-44, ST-44, and GB-
31.
Insert 1.5 cun #30 needles into SP-9 perpendicularly, 1-1.2 cun
deep with “Tou Tian Lian Fa” (Cool Penetration of the Sky)
technique, and 1 cun #32 needles into SP-6, LV-3, GB-44, and ST-44
perpendicularly, 0.5 cun deep with twisting reducing needle
technique. Insert 2 cun #30 needles into GB-31 perpendicularly,
1.5 cun deep with twisting even movement needle technique.
For Beriberi invading the Heart: PC-6, CV-15, GB-34, SP-10, and SP-6.
Inset 1.5 cun #32 needles into PC-6 and CV-15 with twisting reducing needle
technique, and 1.5 cun #30 needles into GB-34, SP-10, and SP-6
perpendicularly, 1 cun deep with lifting and thrusting reducing needle
BI SYNDROME
In the acupuncture clinic Bi Syndrome refers to the symptoms of pain,
swelling, heaviness, distention and numb sensation in the muscles, joints,
vessels, bone, meridians, and even in the organs and other tissues. Bi syndrome
in Chinese Medicine is closely associated with other terms such as: “closing,”
“obstruction,” and “stagnation.” TCM thinks Bi syndrome is mainly caused by
deficiency of the Interior True Qi. In almost all cases this disorder can be
identified and grouped into two categories of causes. One is External Invasion
and the other is of internal origin.
External Invasion:
Wind, Cold, Heat and Damp Pathogenic Influences invade a deficient body and
stagnate in the meridians, joints, and muscles, even bone or organs causing Bi
syndrome. Most of the time Bi syndrome will happen when in patients with
weak body constitutions, or when they live or work for a long time in Damp
and Cold environments.
Organs Disorders:
Organ disorder types usually happen after suffering for a long time with Bi
syndrome. In TCM it is called severe Bi.
DIAGNOSIS
This disorder is so abundant in its variations of symptoms and treatment that it is
very hard to make the correct diagnosis without specific guidelines. In most
cases, the presence of Bi syndrome is limited to two major parts of the body. In
each of these two parts, the occurrence consists of a different set of symptoms
that requires different approaches to treatment.
Bi Syndromes in the meridians and collaterals
Wind Bi
This is one of the combination Bi syndromes, which means there are usually
more than two External Pathogenic Influences invading the meridian. The
hallmark symptoms are moving pain, which travels like wind, and the
associated signs are joints that are contracted and hard to extend, fever, and
aversion to cold. The tongue is normal with a thin white or a thin yellow
coating; the pulse is floating and wiry.
Pain Bi
This is a combination Bi syndrome with Cold being a much more influential
factor than the others. Symptoms of this type are usually severe pain and
ache, cold and sore sensation in the joints and muscles, which is intensified
by cold and reduced by rubbing the local area or by application of heat. The
tongue is pale with a thin white coating; the pulse is floating and tight.
Fixed Bi
Another combination Bi syndrome, the predominating factor being Dampness.
Hallmark symptoms include heaviness, soreness and achy sensation in the
joints, which is swollen and without color change. The pain is fixed in a
certain area, which is intensified by the weather changes. The tongue is
swollen with a white greasy coating; the pulse is floating and weak.
Heat Bi
This type of Bi Syndrome is usually comes from the 3 types above, caused by
prolonged stagnation of the Qi and Blood in the local area. The joints are
swollen and painful, there is limitation of movement with Heat symptoms,
such as a sore throat, dry mouth, fever (which does not change by the body
sweating), and scanty, reddish urination. The tongue is red with a yellow thick
greasy coating; the pulse is floating, weak, and fast.
Bi Syndromes in the Organs

There are five Bi syndromes in the classical book the Nei Jing. They are Pi Bi
(Skin Bi), Ji Bi (Muscle Bi), Mai Bi (Blood Vessel Bi), Jing Bi (Tendon Bi), and Gu Bi
(Bone Bi).
Pi Bi (Skin Bi) is related to the Lung and the main symptoms are numbness
and other strange sensations on the skin. It often takes place in the autumn
season.
Ji Bi (Muscle Bi) is related to the Spleen and the main symptoms are
weakness, and heavy and painful sensations in the four extremities or other
parts of the body, particularly related to the muscles. It often takes place in
the later of the summer.
Mai Bi (Blood Vessel Bi) is related to the Heart; the main symptoms are
tingling, cold or numbness and painful sensations on the arms, legs and tips
of the fingers and toes, blue colored lips, nails and tongue body. Often the
patient feels short of breath and heart palpitations. It usually takes place in
the summer.
Jing Bi (Tendon Bi), is related to the Liver and the main symptoms are
soreness and achy sensations when the tendons are moved, tendon
contraction, and impotence. It often takes place in the fall.
Gu Bi (Bone Bi) is related to the Kidney and the main symptoms are swelling
and stiffness, or painful sensations in or on the bone, associated with
frequent urination and poor memory. It often takes place in the winter.
Bi Syndromes in the meridians and collaterals
Treatment Principle: Move the Qi and Blood in the meridians, Expel the
Wind, Cold and Damp Pathogenic Influences, and/or Clear the Heat.
 The combination of Ah Shi points and distal points usually serves well as the
main points for the treatment of Bi syndrome due to Wind, Cold and
Dampness.
 Superficial needle insertion and plum blossom needle technique are usually
good to treat moving Bi.
 Long needles with a deep insertion technique, or retaining the needles for
a longer time period with moxibustion are good strategies to treat Pain Bi.
 Cupping technique, moxibustion, and the regular insertion of needles are
good strategies to treat Damp Bi.
 Bloodletting technique, plum blossom, and superficial needle insertion are
good to treat Heat Bi.
Point Prescription:
Main points: GV-14, LI-11, GB-31, and BL-62.
Technique: Insert a 1.5 cun #32 needle into GV-14 perpendicularly, 1 cun deep
with lifting and thrusting reinforcing needle technique and apply moxa wool on
the handle of the needle for 3 cones. Insert 1.5 cun #32 needles into LI- 11 and
GB-31 with twisting reducing needle technique, and 1 cun #32 needles into BL-62
obliquely towards the direction of the joint with twisting even movement needle
Additional points for associated symptoms:
Shoulder pain: LI-15, TW-14, and SI-10.
Elbow and arm pain: LI-4, TW-5, TW-10, and LU-5.
Wrist pain: LI-5, TW-5, TW-4, and SI-4.
Upper back pain: GV-26, GV-12, and GV-3.
Hip pain: GV-30, GB-29, and GB-39.
Thigh pain: BL-54, BL-36, and GB-34.
Knee pain: Xi Yan, ST-34, SP-9, and GB-33.
Ankle pain: BL-62, KI-6, GB-42, and BL-60.
Moving Bi: BL-10.
Pain Bi: BL-23 and CV-4
Fixed Bi: BL-20, ST-36, and SP-9.
Heat Bi: GV-14 and LI-11.
Bi Syndromes in the Organs

Treatment Principle: Regulate the Qi, Harmonize the Organs, and Expel the
Pathogenic Influence.
Point Prescription:
Pi Bi (Skin Bi)
Point Prescription: LU-5, LU-9, SP-6, CV-6, and Ah Shi points.
Technique: Insert 1 cun #32 needles into LU-5, LU-9, and SP-6 with twisting
even movement needle technique. Insert a 1.5 cun #32 needle into CV-6 with
twisting reinforcing needle technique, and apply moxa wool on the handle of
needle for 3 cones.
Apply medium stimulation of a plum blossom needle on the local Ah Shi areas,
and then apply fire cups there for 5 minutes. Or insert 1 cun #30 needles into the
local area with the “Yang Ci” technique. (This is one kind of ancient needle
technique—superficial insertion, one needle in the middle four others
surrounding it.) Or insert 3 cun #30 needles into the Ah Shi points transversely,
2.5 cun deep at a 15 degree angle with twisting reducing needle technique.
Ji Bi (Muscle Bi)
Point Prescription: LI-11, SP-9, SP-3, SP-10, BL-20, and Ah Shi points.
Technique: Insert 1.5 cun #30 needles into BL-20 perpendicularly, 1 cun deep
with lifting and thrusting reinforcing needle technique, and apply moxa wool on
the handle of the needles for 3 cones. Insert 1.5 cun #32 needles into LI-11, SP-
9, SP-10, and SP-3 with twisting reinforcing needle technique. Retain all needles
for 20 minutes.
Insert 1.5 cun #30 needles into local Ah Shi points with the “He Gu Ci” technique.
(This is one of the ancient needle techniques, using lifting and thrusting needle
technique towards different directions within the point.) Apply Electro-
acupuncture with a continuous wave for 20 minutes.
Mai Bi (Vessel Bi)
Point Prescription: BL-15, BL-17, BL-18, BL-20, HT-7, PC-6, SP-6, and Ah Shi points.
Technique: Insert 1.5 cun #30 needles into BL-15, BL-17, BL-18, and BL-20 with
the needles for three cones. Insert 1 cun #32 needles into HT-7 and PC-6 with
Insert 1 cun #30 needles into local Ah Shi points (especially blue vein areas) with
the “Bao Wen Ci” technique. (This is one of the ancient needle techniques, like
the bloodletting technique.) Do not retain the needles.
If the patient has severe Heart Bi symptoms, apply indirect moxibustion with salt
on CV-8, and moxa-pole on GV- 20, perform until the body temperature, pulse,
and heart beat return to normal.
Jing Bi (Tendon Bi)
Point Prescription: KI-3, LV-8, LV-3, LI-4, LI-10, ST-36, and Ah Shi points.
Technique: Insert 1 cun #30 needles into KI-3, LV-3, and LI-4 with
twisting reinforcing needle technique, along with 1.5 cun
needles into LI-11 and ST-36 with lifting and thrusting reinforcing
Insert 1.5 cun #30 or #28 needles into local Ah Shi points with the “Guan Ci”
technique. (Another of the ancient needle techniques, consisting of needles
inserted near the tendons).
Gu Bi (Bone Bi)
Point Prescription: KI-3, KI-10, CV-4, GV-14, GV-4, BL-23, and Ah Shi points.
Technique: Insert 1 cun #30 needles into KI-3 with twisting reinforcing needle
technique, 1.5 cun #30 needles into KI-10, CV-4, GV-14, GV-4, and BL-23 with
lifting and thrusting reinforcing needle technique. Apply moxa wool on the
handle of needles for 3 cones.
Insert 1.5 cun #30 needles into local Ah Shi points with the “Shu Ci” technique.
(Another of ancient needle techniques—insert the needle perpendicularly and
deeply in order to move the needle like it’s massaging the bone).
Moxibustion
Indirect moxibustion for Heat Bi syndrome (chronic rheumatoid arthritis)
Apply indirect moxibustion with garlic on the GV Meridian
Apply Ban Se Fen herb powder on the GV Meridian from GV-14 to GV-2,
and then put mashed garlic on the herb powder (about 2 pounds of
garlic) as much as 5 cm wide and 3 cm high in size. Apply moxa wool on
the garlic 2 cm wide on the bottom, and 3 cm high. Light it from GV-14,
GV-2, and GV-11 until all the moxa wool is burned.
Treat once every year for 3 treatments as a course.
Direct moxibustion for Cold and Damp Bi syndrome
Apply direct non-scarring moxibustion on local Ah Shi points and BL-11,
and GV-4 for 7 cones.
Scalp Acupuncture
Treatment zones: Middle line of forehead, Middle line of vertex, Upper Middle
line of occipital, Anterior and Posterior oblique line from vertex to temple.
Select 3 lines in each treatment; insert 1.5 cun #32 needles transversely 1 cun
deep with fast twisting needle technique. Retain all needles for 40 minutes, to
treat pain Bi syndrome.
Treatment area: Upper 2, Upper 5, Lower 4, and Lower 1.
Insert 1.5 cun #32 needles into these lines transversely, 1.2 cun deep with slow
insertion needle technique, and adjust the needles to avoid any sensation.
Retain all needles for 40 minutes to treat Wind and Damp Bi syndrome.
Cupping
Treatment area: Back
Apply fire cups on GV-14, BL-13, BL-43, and BL-20 for 5 minutes, to treat Wind
Bi syndrome. Apply moving cups along the Urinary Bladder meridian and the
Conception Vessel to treat Damp Bi syndrome.
Gua Sha
Treatment area: Chest, Back, Arms and Legs.
Apply medium stimulation of Gua Sha on the back, along inside of scapula,
until the Sha appears.
Apply weak simulation of Gua Sha technique on the PC-3 and BL-40 areas
for a few minutes until red marks appear.
Apply medium Gua Sha technique on the chest along the Kidney meridian
until Sha appears, to treat acute Wind Bi syndrome (acute arthritis).
Ear Acupuncture
Point Prescription: Lung, Heart, Kidney, Shoulder, Knee, Wrist, Ankle, Shen Men,
and Endocrine.
Select 3 points with Shen Men and Endocrine in each treatment; insert 0.5 cun
#32 ear needles into these points obliquely, 0.3 cun deep at a 30 degree angle,
with fast twisting needle technique. Retain all needles for 40 minutes. Or apply
press-balls on one side of the ear as a supplemental treatment after body
acupuncture.
TRADITIONAL PRESCRIPTIONS
For Acute Bi syndrome with pain: ST-9. (Ji Ling Zhong Yi Za Zi)
Insert 1 cun #30 needles into ST-9 perpendicularly, 0.3 to 0.5 cun deep with
twisting even movement needle technique. Retain needles 3 minutes.
For Bi syndrome with pain: ST-25, CV-9, and SP-6. (Zhen Jiu Chu Fang Ji Jing)
Insert 1.5 cun #30 needles into SP-6 obliquely towards the direction of meridian
flow, 1.2 cun deep with twisting even movement technique until the sensation
of the needle travels up to the thigh and lower abdomen region. Retain needles
for 20 minutes.
Insert 1.5 cun #30 needles into ST-25, and CV-9 perpendicularly, 0.8 to 1.2 cun
deep with twisting even movement technique. Retain all needles for 20 minutes.
For Bi syndrome on the toes, with difficulty and limited movement, associated
with dizziness and rebellious Qi: BL-58. (Zhen Jiu Zi Shen Jing)
Insert 1.5 cun #30 needles into BL-58 perpendicularly, 1 cun deep with lifting
and thrusting reducing needle technique until the sensation the needle travels
down to the heel. Retain the needles for 20 minutes. Or apply moxa wool on
the handle of needles for 3 to 4 cones.
For Moving Bi syndrome on the arms with painful and soreness: GB-21, LI-11, LI-
10, LI-9, LI-13, LU-8, and LI-8 (Zhen Jiu Da Cheng)
Insert 1.5 cun #30 needles into GB-21, LI-11, LI-10, and LI-9 perpendicularly,
with lifting and thrusting reinforcing needle technique. Retain all needles for
20 minutes. Insert 1.5 cun #30 needles into LI-13, LU-8, and LI-8
perpendicularly, 0.8 to 1 cun deep with twisting reducing technique. Retain all
needles for 20 minutes. Or apply moxa wool on the handle of the needles for
3 cones.
For Wind Bi syndrome: TW-10, LU-5, SI-8, BL-40, and GB-36. (Shen Yin Jing)
Insert 1.5 cun #30 needles into TW-10, LU-5, and ST-36 perpendicularly with
twisting reducing needle technique. Insert 1.5 cun #30 needles into SI-8
transversely against the meridian flow, 1.2 cun deep with even movement
twisting technique. Retain all needles for 30 minutes. Insert 1 cun #28 needles
into BL-40 with twisting reducing technique and opening of the acupuncture
whole when withdrawing the needles to make 1-2 drops of blood leak out.
For Wind Bi syndrome: CV-1, LU-9, TW-13, KI-3, and Ah Shi. (Shen Ji Zhong Lu)
Insert 1.5 cun #30 needles into CV-1 and TW-13 perpendicularly, 1 cun deep
with twisting even movement needle technique, and 1 cun #30 needles into
LU-9 and KI-3 with lifting the thrusting reinforcing needle technique. Retain all
needles for 20 minutes. Insert 1 cun #30 needles for the Ah Shi points, with
waving and enlarging the acupuncture whole technique, without retaining.
For Wind, Cold and Damp Bi syndrome:
Moxibustion: GB-30, BL-20, and BL-23. (Jiu Fa Mi Chuan)
Insert 1.5 cun #32 needles into GB-30, BL-20, and BL-23 perpendicularly, 1.2
cun deep with lifting the thrusting reinforcing needle technique, taking out
all needles after the patient feels the Qi sensation in the points. Apply
indirect moxibustion with ginger on these points for 5 cones.
For Wind Bi syndrome in the arms:
Moxibustion: LI-11, TW-5, LI-4, and TW-3. (Lei Jing Tu Yi)
Insert 1 cun #30 needles into LI-11, TW-5, LI-4, and TW-3 perpendicularly, 0.5
cun deep with even movement needle technique. Apply moxa wool on the
handle of the needles for 5 cones. Or apply direct moxibustion on these
points for 7 cones without needles.
For Wind Bi syndrome: GB-37, GB-33, BL-40, TW-10, LU-5, and SI-8. (Zhen Jiu
Fen Yuan)
Insert 1.5 cun #30 needles into GB-37, GB-33, and LU-5 perpendicularly, 1 cun
deep with lifting and thrusting reducing needle technique, and 1 cun #32
needles into BL-40, TW-10, and SI-8 with twisting even movement needle
The following are all from the Shen Yin Jing.
For Wind Bi syndrome with headache: BL-59.
Insert 1.5 cun #32 needles into BL-59 perpendicularly, 1 cun deep with
twisting reducing needle technique.
For Wind Bi syndrome with arm pain: TW-10.
Insert 1.5 cun #30 needles into TW-10 obliquely upwards at a 60-degree
angle with twisting reducing needle technique, and apply moxa wool on
the handle of needles for 3 cones.
For Wind Bi syndrome with shoulder and elbow pain: SI-9 and LU-5.
Insert 1.5 cun #32 needles into SI-9 and LU-5 perpendicularly, 1 cun deep
with the Qing Long Bai Wei (Green Dragon Waves its Tail) technique.
For Wind Bi syndrome with arm contraction: LI-11 and LI-4.
Insert 1 cun #32 needles into LI-11 and LI-4 perpendicularly, 0.5 cun
deep with twisting reinforcing needle technique.
Treat once every other day for 3 to 5 treatments as a course for all of the
above.
The following are all from the Yu Long Ge.

For Damp Bi syndrome: ST-40, LU-7, and ST-38.
Insert 1 cun #32 needles into LU-7 transversely, 0.8 cun deep at a 30
degree angle upwards with twisting reducing needle technique. Insert 1.5
cun #32 needles into ST-40 and ST-38 perpendicularly, 1.2 cun deep with
lifting and thrusting reducing needle technique, and apply moxa wool on
For Damp Bi syndrome with a sore and heavy sensation in the legs: SP-6 and
ST-38.
Insert 1.5 cun #32 needles into SP-6 with twisting reinforcing needle
technique, and 1.5 cun #30 needles into ST-38 with lifting and thrusting
reducing needle technique. Retain all needles for 30 minutes.
For Damp Bi syndrome with a tight sensation in the tendons: GB-39.
Insert 1.5 cun #32 needles into GB-39 perpendicularly, 1 cun deep with
twisting reinforcing needle technique, and apply moxa wool on the handle
of needles for 3 cones.
For Damp Bi syndrome with walking problems: SP-8.
Insert 1.5 cun #32 needles into SP-8 perpendicularly, 1 cun deep with
twisting reducing needle technique. Retain needles for 20 minutes.
For Damp Bi syndrome with numbness and heavy sensation in the whole
body: LV-4, BL-63, and GB-39.
Insert 1 cun #32 needles into LI-4 perpendicularly, 0.5 cun deep with
twisting reducing needle technique, and 1 cun #32 needles into GB-39
and BL-63 with twisting reinforcing needle technique. Apply moxa wool
on the handle of needles for 3 cones.
For Damp Bi syndrome with weakness in the lower extremities: LV-6 and
BL-40.
Insert 1.5 cun #32 needles into LV-6 transversely, 1 cun deep towards the
LV-5 direction with twisting reinforcing needle technique, and 1.5 cun
#30 needles into BL-40 with waving needle technique. Retain all needles
for 20 minutes.
Treat usually once every other day for 5 treatments as a course for all of the
above.
For Pain Bi in the four extremities: SP-4, LI-11, GB-31, TW-5, GB-34, SP-6, and LI-
10. (Zhen Jiu Da Cheng)
Insert 1.5 cun #32 needles into LI-10 and TW-5 with lifting and thrusting
reducing needle technique, and 1 cun #32 needles into SP-4 and SP-6 with
twisting reinforcing needle technique. Insert 1.5 cun #30 needles into LI-11
and GB-34 perpendicularly, 1 to 1.2 cun deep with Tou Tian Lian Fa (Cool
Penetration of the Sky) technique. Insert 2 cun #32 needles into GB-31 with
CHRONIC FATIGUE SYNDROME—XU LAO
Chronic fatigue syndrome has been known to affect most people at some
point in their lives. This disorder is not simply another manifestation of a specific
antigen reaction in the body. Rather insufficient Qi, Blood, Yin and Yang, or an
organ disorder characterizes this condition. In TCM, it is attributed to various
factors that are commonly linked to lifestyle and symptoms of other energy
consuming diseases.
Congenital problems
This pathology is due to a genetic problem causing weakness of the
Kidney Qi and Essence, or some diseases that occur in woman and babies
during pregnancy. It is not uncommon to have chronic fatigue syndrome
occur in a baby when he or she is born.
Over working
Over working and unhealthy emotional activities will cause chronic fatigue
syndrome. In TCM, it is said that “reading for a long time will exhaust the
Blood, lying down for a long time will exhaust the Qi, sitting a long time will
exhaust the muscles, standing a long time will hurt the bone and walking a
long time will easily damage the tendons.”
In daily life, if people are bothered by unhealthy emotional activities, they
may experience chronic fatigue as well. For instance, over-thinking will hurt
the Spleen Qi; anger will impair the Liver; sadness will damage the Lung Qi;
anxiety and depression will hurt the Heart Qi; and uncontrolled excessive
sexual activities will hurt the Kidney Essence.
Improper food intake
Improper eating habits easily impair the Stomach and Spleen. Therefore,
chronic fatigue syndrome will appear after a long-term deficiency of the
Spleen and Stomach.
After other severe diseases

Some severe diseases or injuries will seriously hurt the body energy, including
the Qi, Blood, Yin and Yang. After disease, if patients don’t get good rest and
recuperation, more illness can occur. Long-term deficiency syndromes will
lead to other organ problems.
DIAGNOSIS
Deficiency of Heart Blood and Spleen Qi
Symptoms include heart palpitations, insomnia with many dreams or even
nightmares, poor appetite, a bloated abdomen, lassitude, a pale complexion,
possible chronic bleeding, or even scanty menstruation in women. The
tongue is pale with a thin white coating; the pulse is thin and weak.
Lung and Stomach Yin Deficiency
Symptoms include a gradual weight loss, a dry mouth and throat, heat
sensation in the palms and soles, night sweats, tidal fever, a poor appetite,
dry heaves, and hiccupping, a dry cough or bloody phlegm and dry stool. The
tongue is red and dry without a coating; the pulse is thin and fast.
Deficiency of Spleen Yang
Symptoms include a poor appetite, lassitude, a chilly sensation in the limbs, a
pale complexion, a bloated abdomen with borborygmus, easing of symptoms
with warmth and pressure, watery diarrhea containing undigested food and
a large amount of clear leukorrhea in female patients. The tongue is pale with
a white coating; the pulse is weak and deep.
Deficiency of Kidney Yang
Symptoms include a pale complexion, a cold sensation inside and in the four
extremities, dawn or early morning diarrhea, a sore and cold sensation in
the low back and both knees, impotence in males and infertility in females.
The tongue is pale and swollen; the pulse is deep, thin and weak.
Deficiency of Yin in both the Liver and the Kidney
Symptoms include dizziness and vertigo, ringing in the ear, a dry mouth and
throat, a sore and achy sensation in the low back and hypochondriac region,
five-heart heat, a malar flush, and scanty menstruation in females. The
tongue is red without a coating; the pulse is thin and fast.
Deficiency of Heart Blood and Spleen Qi
Treatment Principle: Nourish the Heart Blood, and Reinforce the Spleen Qi.
Point Prescription: HT-7, CV-6, ST-36, SP-4, PC-6, BL-15, and BL-20.
Technique: Insert 1.5 cun #32 needles into BL-15 obliquely 1 cun deep towards
the spinal column, at a 60 degree angle with a twisting reinforcing needle
technique, and 1.5 cun #32 needles into BL-20 perpendicularly 1 cun deep with a
lifting and thrusting reinforcing needle technique. Apply moxa wool on the
handles of the needles for 3 cones. Insert 1 cun #34 needles into SP-4, PC-6, and
HT-7 perpendicularly, 0.3 to 0.4 cun deep with a twisting even movement needle
technique. Insert 1.5 cun #32 needles into CV-6 and ST-36 perpendicularly, 1 cun
deep with a twisting reinforcing needle technique, and apply moxa wool on the
handles of the needles for 3 cones.
Additional points for the treatment of other symptoms:
Heart palpitation: PC-7 and CV-14.
Severe blood deficiency: BL-17 and BL-18 with direct non-scarring
moxibustion for 7 cones.
For severe bleeding: SP-1 with direct non-scarring moxibustion for 9
cones.
Lung and Stomach Yin Deficiency

Treatment Principle: Nourish Lung Yin, and Harmonize the Stomach.
Point Prescription: LU-9, ST-36, CV-4, LU-5, CV-12, BL-13, BL-43, BL-21, BL-
23, and GV-12.
Technique: Insert 1 cun #34 needles into LU-9, LU-5, ST-36 and CV-12
perpendicularly, 0.5 to 0.8 cun deep with a twisting reinforcing needle technique,
and a 1.5 cun #34 needle into CV-4 with a lifting and thrusting reinforcing needle
Insert 1.5 cun #34 needles into BL-21, BL-23 and GV-12 perpendicularly, 1 cun deep
with a twisting reinforcing needle technique, and 1 cun #32 needles into BL-13
perpendicularly, 0.6 cun deep with a lifting and thrusting reinforcing needle
technique. Insert 1 cun #32 needles into BL-43 perpendicularly, 0.3 cun to 0.5 cun
deep with the Qi Ci technique (one of the ancient needle techniques with one
needle in the middle and two other on each side) and a waving needle technique.
Additional points the treatment of other symptoms:
Dry cough: GV-14 and BL-12.
Interior heat: KI-2 and HT-6.
Constipation: ST-25 and BL-25.
Deficiency of Spleen Yang
Treatment Principle: Warm the Spleen and Kidney Yang, and promote water
metabolism.
Point Prescription: SP-4, ST-36, CV-6, CV-9, BL-20, BL-18, and GV-14.
Technique: Insert 1.5 cun #32 needles into BL-20, BL-18 and GV-14
perpendicularly, 1 cun deep with a lifting and thrusting reinforcing needle
technique, and apply moxa wool on the handles of the needles for 3 cones. Insert
1 cun #34 needles into SP-4 with a twisting reinforcing needle technique, and 1.5
cun #32 needles into ST-36 with a twisting reinforcing needle technique.
Apply indirect moxibustion with ginger on CV-6 and CV-9 for 5 cones.
Bloated abdomen: SP-15 and KI-13.
Vomiting: CV-17 and SP-18.
Water retention: BL-22 with direct non-scarring
moxibustion for 9 cones.
Deficiency of Kidney Yang
Treatment Principle: Warm the Kidney Yang.
Point Prescription: KI-3, ST-36, HT-7, CV-4, ST-28, BL-52, GV-4, and GV-14.
Technique: Insert 1 cun #34 needles into KI-3 and HT-7 perpendicularly, 0.3 to 0.4
cun deep with a twisting reinforcing needle technique. Insert 1.5 cun #32 needles
into ST-36 and ST-28 perpendicularly, with a lifting and thrusting reinforcing
needle technique, and apply moxa wool onto the handles of the needles for 3
cones. Apply indirect moxibustion with a Fu Zi (aconite) cake on CV-4 for 5 cones.
Then insert a 1.5 cun #32 needle into GV-14 perpendicularly, 1 cun deep with a
lifting and thrusting reinforcing needle technique, and apply moxa wool onto the
handle of the needle for 3 cones. Apply indirect moxibustion on GV-4 and BL-52
for 5 cones.
Seminal emission: HT-6 and LV-8.
Bed-wetting: CV-6 and BL-32.
Dawn diarrhea: SP-9 and KI-13.
Impotence: BL-23 and BL-32.
Edema: CV-9 and BL-22 with indirect moxibustion
with ginger for 5 cones.
Deficiency Yin of both the Liver and Kidney
Treatment Principle: Nourish Kidney Yin, and Reinforce the Liver.
Point Prescription: KI-3, LV-3, GV-20, CV-4, HT-4, ST-36, BL-23, BL-18, and BL-43.
Technique: Insert 1 cun #34 needles into KI-3, LV-3, and HT-4 perpendicularly, 0.3 to
0.5 cun deep with a twisting reinforcing needle technique, and 1.5 cun #32 needles
into ST-36 and CV-4 perpendicularly, 1 to 1.2 cun deep with a twisting reinforcing
needle technique.
Insert a 1 cun #32 needle into GV-20 obliquely, 0.7 cun deep at a 45 degree angle
towards the back with a lifting and thrusting even movement needle technique.
Retain all needles for 20 minutes. Insert 1.5 cun #32 needles into BL-18 and BL-23
perpendicularly, 1 cun deep with a twisting reinforcing needle technique, and 1.5
cun #32 needles into BL-43 transversely, 1 to 1.2 cun deep at a 30 degree angle
towards the BL-44 direction with a twisting reinforcing needle technique. Retain all
Headache: Tai Yang and Yin Tang.
Interior heat: HT-6 and KI-2.
Dizziness: Si Shen Cong and BL-10.
Muscle ache: SP-10, BL-17, and BL-18.
Seminal emission: KI-4and GV-4.
Ear Acupuncture
Point Prescription: Heart, Lung, Spleen, Kidney, Liver, Shen Men, Endocrine,
Sympathetic, Brain Stem, and Occipital.
Select 4 to 5 points each treatment, apply press-balls to these points and let
the patient press them 4 to 5 times daily. Or, insert 0.5 cun #34 ear
acupuncture needles into these points obliquely, 0.3 cun deep at a 40 degree
angle with a twisting reinforcing needle technique. Retain all needles for 30
minutes.
Moxibustion
Direct moxibustion: CV-6, GV-4, KI-6, GV-14, and BL-43.
Apply direct non-scarring moxibustion on CV-6 and KI-6 for 9 cones and 11
cones on GV-14, BL- 43 and GV-4.
Indirect moxibustion: CV-8, CV-4, GV-12, BL-23, and Shi Qi Zhui Xia.
Apply indirect moxibustion with “Rou Gui” cake (Rou Gui, Fang Feng,
Ding Xiang, and Bing Pian) on these points for 3 cones.
Moxa pole: GV-20, CV-4, CV-12, and KI-1.
Apply moxa-pole on KI-1 for 20 minutes, on CV-4 and CV-12 for 15
minutes, and on GV-20 for 10 minutes.
Gua Sha
Treatment area: Back and Chest.
Apply weak stimulation of Gua Sha technique on the upper back from GV-15
to GV-9 and BL-10 to BL-20 and BL-49 until a red color appears and a heat
sensation is produced. Apply weak stimulation of Gua Sha on the chest from
CV-21 to CV-17 and KI-27 to 21 until a red color appears.
Treat one or twice a week for 7 treatments as a course.
Plum Blossom Needle
Treatment area: BL-13, BL-15, BL-18, BL-43, BL-44, BL-45, BL-23, SP-6, and ST-36.
Apply medium stimulation of the Plum-blossom needle technique on all back
points for 5 to 7 minutes until a red color appears. Apply weak stimulation of
the Plum-blossom needle technique on SP-6 and ST-36 for 5 minutes.
Intradermal Needle
Point Prescription: BL-13, BL-43, GV-14, BL-20, BL-23, CV-6, SP-6, ST-36, and
CV-17.
Select 5 points from the above prescription each time, and apply intradermal
needles in the points selected and retain them for 5 days.
TRADITIONAL PRECRIPTIONS AND TECHNIQUES
For chronic fatigue with seminal emission: CV-4, KI-13, LV-4, and CV-2. (Zhen Jiu
Jia Yi Jing)
Insert 1.5 cun #34 needles into KI-13 and CV-4 perpendicularly, 1 to 1.2 cun
deep with a twisting reinforcing needle technique, and apply moxa wool
onto the handles of the needles for 3 cones. Apply direct non-scarring
moxibustion on KI-13 and LV-4 for 7 cones.
For chronic fatigue with shortness and breath: HT-7, LU-9, BL-13, BL-15, BL-43,
and CV-6.
Insert 1 cun #32 needles into HT-7 and LU-9 perpendicularly, 0.3 cun deep
with a twisting reinforcing needle technique. Apply indirect moxibustion with
Fu Zi (aconite) cake on CV-6 for 3 cones. Insert 1 cun #34 needles into BL-13
and BL-15 perpendicularly, 0.7 cun deep with a lifting and trusting reinforcing
needle technique, and apply direct non-scarring moxibustion on BL-43 for 7
cones.
For chronic fatigue with a hypo-active Shen: CV-4, BL-43, CV-15, KI-4, and ST-40.
(Qian Jin Fang)
Insert 1.5 cun #34 needles into ST-40 perpendicularly, 1 cun deep with a
twisting reducing needle technique, and 1 cun #32 needles into KI-4
perpendicularly, 0.3 cun to 0.5 cun deep with a twisting even movement
needle technique. Apply direct non-scarring moxibustion on CV-4, BL-43 and
CV-15 for 9 cones.
For chronic fatigue with deficiency of Blood and poor sleep: BL-13, BL-18, CV-12,
ST-36, and HT-6. (Shen Yin Jing)
Insert 1.5 cun #32 needles into ST-36 and CV-12 perpendicularly, 1 cun deep
with a twisting reinforcing needle technique, and apply moxa wool to the
Apply direct non-scarring moxibustion on BL-13, BL-18 and HT-6 for 9
cones.
For chronic fatigue with irregular menstruation: CV-6, CV-4, BL-17, BL-19, SP-10,
and LV-3. (Zhen Jiu Da Cheng)
Apply direct non-scarring moxibustion on BL-17 and BL-19 for 11 cones. Insert
1.5 cun #34 needles into CV-6 and SP-10 perpendicularly, 1 cun deep with a
twisting reinforcing needle technique, and 1 cun #34 needles into LV-3
perpendicularly, 0.5 cun deep with a twisting reinforcing needle technique.
Apply indirect moxibustion with ginger on CV-4 for 5 cones.
For chronic fatigue with weak urination: CV-3, ST-28, GV-4, BL-52, KI-3, SP-9, and
GV-20.
Apply direct non-scarring moxibustion on GV-4 and BL-52 for 9 cones. Insert
1.5 cun #34 needles into CV-3 and ST-28 perpendicularly, 1 cun deep with a
twisting reinforcing needle technique, apply moxa wool to the handles of the
needles for 3 cones. Insert 1 cun #34 needles into SP-9 and KI-3 with a
twisting even movement needle technique. Apply a moxa-pole on GV-20 for
20 minutes.
For chronic fatigue with loose stool: GV-14, CV-6, LV-13, BL-23, and BL-25. (Zi
Shen Jing)
Insert 2 cun #32 needles into BL-23 and BL-25 perpendicularly, 1.5 cun deep
with a twisting reinforcing needle technique, and apply moxa wool onto the
handles of the needles for 3 cones. Apply direct non- scarring moxibustion on
GV-14 for 11 cones. Insert a 1.5 cun #34 needle into CV-6 perpendicularly, 1
to 1.2 cun deep with an even movement needle technique until the sensation
of Qi travels from the point, and apply moxa wool onto the handle of the
needle for 3 cones. Apply direct non-scarring moxibustion on LV- 13 for 9
cones.
For chronic fatigue with impotence: GV-4, GV-14, GV-9, BL-54, CV-4, KI-3, and LV-
8.
Insert 1 cun #32 needles into GV-4, GV-14 and GV-9 perpendicularly, 0.7 cun
deep with a lifting and thrusting reinforcing needle technique until the
sensation of Qi travels along the spinal column, and apply moxa wool to the
handles of the needles for 3 cones. Insert 3 cun #32 needles into BL-54
obliquely, 2 to 2.5 cun deep at a 60 degree angle towards the genital region
with a twisting reinforcing needle technique until the sensation of the needle
travels to the front of the lower abdomen. Retain the needles for 20 minutes.
Insert 1 cun #32 needles into KI-3 and LV-8 perpendicularly, 0.5 cun deep
with a twisting reinforcing needle technique. Apply indirect moxibustion
with a Fu Zi (aconite) cake on CV-4 for 3 to 5 cones.
For chronic fatigue with a heavy sensation in the body: CV-9, LI-11, GV-14, SP-9,
and ST-40. (Zhen Jiu Da Quan)
Insert 1.5 cun #32 needles into LI-11, SP-9, ST-40 and GV-14 perpendicularly, 1
cun deep with Shao Shan Huo—Burning the Mountain, (one of the reinforcing
needle techniques) until a heat sensation is produced. Apply indirect
moxibustion with ginger on CV-9 for 3 cones.
For chronic fatigue with dizziness and vertigo: BL-62, KI-6, ST-36, CV-4, BL-11, GV-
14, BL-23, BL-18, and GV-20.
Insert 1.5 cun #34 needles into CV-4 and ST-36 perpendicularly, 1 to 1.2 cun deep
with a twisting reinforcing needle technique. Insert 1 cun #32 needles slowly into
KI-6 perpendicularly, 0.3 to 0.5 cun deep (slowly inserting the needle is one kind
of moving the Qi technique) slowly inserted into the point with a twisting and
pressing technique for around 3 minutes.
Insert a 1 cun #34 needle into GV-20 obliquely, 0.5 cun deep at a 45 degree
angle with a twisting reinforcing needle technique. Retain all the needles for
30 minutes.
Insert 1 cun #32 needles into BL-62 perpendicularly, 0.5 cun deep with a twisting
even movement needle technique. Insert 1.5 cun #32 needles into BL-18, BL-23
and GV-14 perpendicularly, 1 cun deep with a twisting reinforcing needle
technique and apply moxa wool onto the handles of the needles for 3 cones.
For chronic fatigue with insomnia and a tendency towards anger: SP-4, PC-6,
GB-41, LI-3, GV-24, GV-16, BL-10, BL-44, BL-18
Insert 1.5 cun #32 needles into BL-10 and BL-18 perpendicularly, 1 cun deep
with a twisting reinforcing needle technique, and a 1 cun #34 needle into GV-
16 perpendicularly, 0.6 cun deep with a lifting and thrusting even movement
needle technique.
Apply medium stimulation of the plum blossom needle technique on BL-44
for 3 minutes. Retain all needles for 10 minutes.
Insert 1 cun #34 needles into SP-4 and PC-6 perpendicularly, 0.3 to 0.5 cun
deep with a twisting even movement needle technique, and 1 cun #32
needles into LV-3, GV-41 and GV-24 with a twisting reducing needle
technique. Retain all the needles for 20 minutes.
COMMON COLD
The Common Cold is an infectious disease of the respiratory tract that can
affect almost everyone. Under years of observation and studies it is believed to
be viral in nature and remains dormant in the patient throughout his or her life
until moments of immune weakness. It is characterized by a stuffy nose,
rhinorrhea, cough, headache; aversion to cold, fever, and in severe cases will
transfer to a febrile disease.
In Traditional Chinese Medicine, the Common Cold is caused by External
Pathogenic Influences, such as Wind-Cold, Wind-Heat, or Wind-Damp and so
forth. Rather than having the emphasis placed on the treatment of related
symptoms, TCM uses the combination of herbs and acupuncture treatments to
prevent the outbreak and suppress the viral infection.
DIAGNOSIS
Excess types
Wind-Cold
A morbid condition due to Wind-Cold Pathogenic Invasion, the clinical
manifestations are severe aversion to cold, slight fever, absence of sweat,
headache, aching pain of extremities, stuffy nose with nasal discharge, cough
with thin sputum, a thin and whitish coating of the tongue, and a floating and
tight pulse.
Wind-Heat
Usually caused by a Wind-Heat Pathogenic Invasion, the clinical features are
high fever, slight aversion to cold, headache, sore throat with congestion,
expectoration of yellowish sputum, thirst with or without epitasis, a
reddened tongue with a thin and yellowish coating, along with a floating and
rapid pulse.
Summer Damp
This pathology usually occurs in cases of gastro-intestinal influenza, pertaining
to the syndrome of Exterior Cold and Interior Dampness, and is marked by
fever, aversion to cold, vomiting, diarrhea, a feeling of fullness and stuffiness
in the chest and hypochondriac region, a thick and greasy fur on the tongue,
and a floating and slippery pulse.
Deficiency types
Qi Deficiency
This is a condition due to the body’s general Qi deficiency, in which a
Pathogenic Influence attacks it. The clinical features are the usual common
cold symptoms with shortness of breath, tire to speak, lassitude, dizziness, a
pale and swollen tongue body with a white thin coating, and a floating and
weak pulse.
Blood Deficiency
This is a condition due to the body’s Blood deficiency, where a Pathogenic
Influence invades the body. The clinical features are the usual common cold
symptoms with a pale complexion, dizziness, heart palpitations, pale lips and
nails, a pale tongue body with a thin white coating, and a thin and weak pulse.
Yang Deficiency
A condition due to the body’s Yang Qi deficiency along with an invasion by a
Pathogenic Influence. The clinical manifestations are the usual common cold
symptoms with a pronounce cold sensation over the body and four
extremities, a pale complexion, a swollen and pale tongue body with a white
thin coating, and a deep and weak pulse.
Yin Deficiency
This is a syndrome due to the body’s Yin deficiency, which allows a Pathogenic
Influence to invade the body. The clinical manifestations are the usual
common cold symptoms with restlessness, thirst, dry throat, heat sensation in
the palms and soles, a red tongue, and a thin and fast pulse.
Excess types
Wind Cold syndrome
Treatment Principle: Release the Exterior and Expel the Wind-Cold.
Point Prescription: LU-7, LI-20, SI-7, BL-10, GV-20, and LI-4.
Technique: Insert 1.5 cun #30 needles into SI-7 and BL-10 with a lifting and
thrusting reducing needle technique. Retain all needles for 10 minutes.
Insert 1.5 cun #32 needles into LU-7, LI-4, and GV-20 with a lifting and
thrusting reducing needle technique, along with 1 cun #32 needles into LI-20,
transversely towards the extra point Bi Tong, 0.8 cun deep with a twisting
Severe headache: Yin Tang and Tai Yang.
Tender and achy sensation on the back: Apply fire cupping on BL-13, or a
moving cups from GV- 14 to GV-4 and stop on the area bilateral to T-3 and
retain for 5-7 minutes.
Wind Heat syndrome
Treatment Principle: Expel the Wind-Heat and move the stagnation of the
Lung Qi.
Point Prescription: LU-5, LU-10, LI-11, ST-44, GV-14, and TW-5.
Treat once daily 3 treatments as a course.
Technique: Insert a 1.5 cun #30 needle into GV-14 perpendicularly, 1.2 cun
deep with rubbing needle technique (rub the needle clockwise) and continue
until the sensation of the needle travels down along the spinal column.
Retain needle for 3 minutes.
Insert 1.5 cun #30 needles into LU-5, LI-11, and TW-5 with a lifting the
Apply bloodletting on LU-10 and ST-44 to make 1 to 2 drops of blood
before concluding treatment.
Severe sore throat: Use bloodletting technique on the LU-10.
Children with high fever or even in a coma: GV-26 and Shi Xuan with
enlarging and closing reducing technique, along with bloodletting
technique on Shi Xuan.
Summer Damp-Heat
Treatment Principle: Clear the Summer-Heat and Resolve the Damp, Expel
the Exterior and Harmonize the Interior.
Point Prescription: LU-6, LI-4, CV-12, ST-36, and TW-5.
Technique: Insert a 1.5 cun #30 needle into CV-12 perpendicularly, 0.8 to 1
cun deep with twisting even movement needle technique, and 1 cun #32
needles into LU-6, LI-4, ST-36, and TW-5 with a twisting reducing needle
High fever: GV-14
Heaviness or other Damp related signs: SP-9
Bloating abdomen and loose stool: ST-25
Deficiency types:
Treatment Principle: Build up the body’s Qi and Expel Pathogenic Influence.
Point Prescription: LU-5, LU-9, ST-40, SP-9, BL-13, BL-20, and GV-14.
Technique: Insert 1.5 cun #30 needles into BL-13, BL-20, and GV-14 with even
movement needle technique and apply moxa wool on the handle of needles
for 3 cones. Insert 1 cun #32 needles into LU-5, LU-9, ST- 40, and SP-9 with
Yang Qi Deficiency: ST-36 and BL-43 with moxibustion.
Yin and Blood Deficiency: BL-13, SP-10, and KI-6 with twisting reinforcing
technique.
Ear Acupuncture
Points: Lung, Trachea, Inner Nose, Tip of Ear, Stomach, Spleen, and Triple
Warmer.
Selecting 3 points in per treatment, insert 0.5 cun #34 ear acupuncture
needles into these points obliquely at a 30-degree angle with twisting
reducing needle technique. Retain the needles for 30 minutes.
Scalp Acupuncture
Treatment zone: Middle line of the vertex.
Insert a 1.5 cun #30 needle transversely at a 30 degree angle, 1 cun deep
backwards with fast twisting needle technique for 3 minutes. Retain the
needle for 1 hour.
Plum Blossom Needle
Treatment area: Upper back, and Forearm.
Apply medium stimulation of a plum blossom needle on the upper back from C-6
to T-7, along the GV and Bladder meridian until red marks appear. Apply weak
stimulation of a plum blossom needle on the forearm along the Lung meridian
from LU-5 to LU-9.
Gua Sha
Treatment area:
Chest: along the Stomach meridian and Conception vessel
Back: along the first and second line of the Bladder meridian
Neck: along the Stomach meridian
Forearms: along the three Hand Yin meridians, from elbow to wrist
Apply medium stimulation of Gua Sha on these areas, until dark red or purple
dots (Sha) appear, for the treatment of Cold with Damp-Heat.

Treatment area: Upper 1 and 2: both sides of the wrist.
Insert 1.5 cun #32 or #34 needles into these treatment zones subcutaneously,
1.2 cun deep, avoiding any sensation. Retain all needles for 40 minutes.
Moxibustion
Points: CV-6, GV-14, BL-13, and BL-43.
Apply indirect moxibustion with ginger on CV-6, CV-4, BL-13, and BL-43 for
three cones.
Moxa pole
Points: CV-8, BL-13, and BL-43.
Apply moxa pole on CV-8, BL-13, and BL-43 for 25 minutes, to treat Wind
Cold with Lung Qi deficiency.
Treat one or twice daily, 5 treatments as a course.
Cupping
Treatment area: Upper back.
Apply fire cups on GV-14, BL-13, and BL-43 for 3 to 5 minutes, or apply a moving
cup on the upper back along the Bladder meridian for 3 minutes until red marks
appear.
For Cold due to Wind Heat: GV-13, and BL-13. (Bai Zhen Fu)
Insert a 1.5 cun #30 needle into GV-13 perpendicularly, 1 cun deep with
rubbing technique (rub the needle count clockwise) until the sensation of the
needle travels. Insert 1 cun #30 needles into BL-13 with lifting and thrusting
For Cold due to Wind Cold Pathogenic Invasion, after intake of “Gui Zhi Tang”:
GB-20 and GV-16. (Shan Han Lun)
Insert 1.5 cun #30 needles into GB-20 perpendicularly, 1 to 1.2 cun deep with
twisting even movement needle technique, and a 1 cun #30 needle into GV-
16 with twisting reducing needle technique. Retain all needles for 15
minutes.
For Cold in the Tai Yang meridian; preventing transfer to the Yang Ming
meridian: ST-36 and LU-5. (Shan Han Lun)
Insert 1.5 cun #30 needles into LU-5 perpendicularly, 1.2 cun deep with lifting
and thrusting reducing needle technique, and 1.5 cun #32 needles into ST-36
with twisting reinforcing needle technique. Retain all needles for 20 minutes.
For Cold with fever and aversion to cold without sweat, headache, back
achiness, a and floating pulse: LI-4. (Zhen Jiu Zhai Ying Ji)
Insert 1 cun #30 needles into LI-4 perpendicularly, with twisting reducing
needle technique for 5 minutes, or until a heat sensation has appeared in the
body. Retain the needles for 15 minutes.
Treat one or twice daily for 3 treatments as a course.
For Cold due to Wind Cold Pathogenic Influence: LU-7, LI-20, SI-7, BL-12, GB-20,
and LI-11. (Zhen Jiu Cu Fang Da Quan)
Insert 1.5 cun #30 needles into GB-20 and BL-12 perpendicularly, 1 cun deep
with lifting and thrusting reducing technique; take the needles out when the
Qi travels. Insert 1 cun #30 needles into LU-7, LI-20, SI- 7, and LI-11with lifting
and thrusting reducing needle technique. Retain all needles for 10-15 minutes.
For Cold due to Wind Heat Pathogenic Influence: GV-4, LI-11, TW-5, LU-5, and
LU-10. (Zhen Jiu Da Cheng)
Insert a 1 or 1.5 cun #30 needle into GV-14 perpendicularly, 1 cun deep with
twisting reducing needle technique and take the needle out when the Qi
travels. Insert 1 cun #32 needles into LI-11, LU-5, and LU- 10 with twisting
Treat once every day, 3-4 treatments as a course.
For Excess of Cold: GV-14, GB-20, and BL-13. (Shen Yin Jing)
Let the patient drink a cup of hot water before treatment. Insert a 1.5 cun
#30 needle into GV-14 perpendicularly, 1.2 cun deep with rubbing (count-
clock wise) technique; let the sensation of the needle travel on the back.
twisting even movement technique, and 1 cun #32 needles into BL-13 with
waving needle technique. Retain all needles for 15 minutes.
Apply fire cups on GV-14 and BL-13 for 3 minutes after finishing the
acupuncture treatment.
For Cold due to Wind Heat Invasion: GV-16, GB-20, GV-14, LI-11, ST-36, TW-6, ST-
44, BL-41, and BL-42.
Insert 1.5 cun #30 needles into LI-11, ST-36, ST-44, and TW-6 with twisting
Insert 1 cun #30 needles into GV-16, GB-20, GV-14, BL-41, and BL-42 with a
waving technique until the red marks appear around the points. Retain all
For Excess of Cold: GB-20, LU-7, and TW-5. (Yi Zhong Jin Jian)
Insert 1.5 cun #32 needles into GB-20 perpendicular and obliquely towards
the direction of the nose, 1.2 cun deep with twisting even movement
technique. Insert 1 cun #32 needles transversely, 0.8 cun deep towards the
elbow with twisting reducing needle technique, and 1.5 cun #30 needles into
TW-5 perpendicularly, with lifting and thrusting reducing needle technique.
For Cold due to Wind Cold Pathogenic Invasion, with severe achy sensations on
the neck and upper back: GB-20, GV-14, LI-11, LI-4, LI-20, ST-40, Bi Tong, Yin Tang,
and Jia Ji C-5 to 7 (Xin Zhen Jiu Xue)
Insert 1.5 cun #30 needles into C-5 to C-7 Jia Ji, GB-20, and GV-14
perpendicularly, with twisting reducing needle technique. Retain all needles
for 5 to 7 minutes.
Insert 1.5 cun #32 needles into LI-11 and ST-40 with lifting and thrusting
reducing technique until a heat sensation appears under the points. Insert 1
cun #34 needles into LI-4, LI-20, Bi tong and Yin tang with twisting even
movement technique. Retain all needles for 10 minutes.
For Cold due to Wind Cold Pathogenic Invasion: GV-14, LU-7, and LI-4.
Insert 1.5 cun #30 needles into GV-14 perpendicularly, 1.2 cun deep with
rubbing needle technique. Take the needle out after the Qi sensation travels.
Insert 1 cun #32 needles into LU-7 and LI-4 with twisting reducing needle
For Excess of Cold: GV-23 and GV-22.
Insert 1.5 cun #28 or #30 needles into GV-23 subcutaneously at a 30 degree
angle, 1.2 cun deep, going through to GV-22 with a fast twisting technique,
until the patient feels a heat sensation. Retain all needles for 20 minutes.
For a cold with Lung Qi Deficiency: LU-6, BL-13, and LU-1. (Jia Yi Jing)
Insert 1 cun #30 needles in BL-13 with the Qi Ci technique (one needle in the
middle and other two on the side), waving the needles until the red marks
appear around the points. Retain the needles for 5 minutes.
Insert 1.5 cun #30 needles into LU-6 with a twisting even movement
technique. Retain needles for 15 minutes. Apply bloodletting technique on
LU-1.
For a cold with Qi Deficiency: GV-14, BL-13, BL-43, BL-15, BL-20, LU-5, ST-36, and
CV-6
Insert 1 cun #30 needles into GV-14, BL-13, BL-43, BL-15, and BL-20
perpendicularly, 0.5 cun deep with waving technique, until red marks appear
around the needles. Retain all needles for 10 minutes, or apply moxa pole on
GV-14, BL-13, and BL-43 during the retainment.
Insert 1.5 cun #32 needles into LU-5, ST-36, and CV-6 with a twisting
reinforcing needle technique, and apply moxa wool on the handle of needles
for 3 cones.
CONSTIPATION
The definition of constipation in Chinese and Western medicine is similar - the
stools are solid and difficult to evacuate and the bowel movements may only
come once in several days, even with the intake of medication such as laxatives.
In terms of TCM, constipation is caused by very different reasons than that of
Western medicine. As the diagnostics change, so do the treatments. In almost all
cases, constipation is believed to have four main causes:
Heat Stagnation in the Stomach and Intestines

Accumulation of Heat in the Stomach and Large Intestine is caused by
Yang body constitutions, or over consumption of alcohol, hot, spicy, or greasy
food. There are also times when fever or febrile disease can cause the Heat
to become stagnated in the intestine after the fever has abated, which
damages the Large Intestine lubricating function.
Stagnation of Qi by unhealthy emotions
Constipation is often caused by stagnation of Large Intestine Qi, due to over-
thinking, depression, anxiousness, or other unhealthy emotional
stimulation. Most of the time this kind of bowel movement is not hard in
quality, but hard to pass, sticky, and containing mucus in the stool, often with
tense muscle contractions in the rectum.
Qi and Blood Deficiency
This type of constipation most often occurs in patients of old age, or long
chronic terminal diseases. It also may occur after labor with deficiency body
constitutions. The Qi and Blood cannot nourish the intestine well and dryness
in the intestine cannot move the bowls (In TCM this is often described as “the
water can not move the boat”).
Yang Deficiency Interior Cold
This case is most often seen in old age patients, or those with extreme Yang
deficiency. In severe disease, the Interior Cold produces stagnation in the
Stomach and Large Intestine and the bowel are not able to move.
DIAGNOSIS
Heat Constipation
Symptoms include difficulty in passing the bowels, bloated abdomen, pain in
the lower abdomen upon pressure, Interior Heat with thirst, flushed face,
headache, yellow urine, and foul breathe. The tongue is red with a yellow-dry
coat, and the pulse is strong and slippery.
Constipation due to stagnation of Qi
Symptoms include difficultly in moving the bowels with stool that is not very
solid, bloating, distending pain in the abdomen and hypochondriac regions,
bitter taste in the mouth, blurry vision, sighing, and belching. The tongue is
purple with a red tip and edges, and a thin white coating. The pulse is wiry.
Qi and Blood Deficient Constipation
Symptoms include discomfort in the lower abdomen, a sensation of needing
to pass the stools without the ability to move them, low energy, spontaneous
sweating, shortness of breath, a pale complexion, heart palpitations,
dizziness, and a tongue that is pale with a thin white coat, and a pulse that is
thin and weak.
Constipation due to deficiency of Cold

Symptoms include bowels that are hard to pass, a prolapsed anus, abdominal
coldness and pain, pale complexion, frequent urination, cold extremities, and
a cold lower back with soreness and weakness. The tongue is pale with a
white coat and the pulse is deep and slow.
Heat Constipation
Treatment Principle: Clear the Heat, Nourishes the Body Fluids.
Point Prescription: LI-4, LI-11, ST-37, and SP-14.
Technique: Insert 1.5 cun #32 needles into SP-14 perpendicularly, 1.2 cun deep
with twisting reducing needle technique, and 1 cun #32 needles into LI-4, LI-11,
and ST-37 with lifting and thrusting reducing needle technique. Retain all
Additional points for treatment of associated symptoms:
Fever and thirst: HT-8 and CV-23.
Headache: Yin Tang.
Odor breath: CV-24.
Constipation due to stagnation of Qi
Treatment Principle: Soothe the Liver and Regulate the Qi.
Point Prescription: CV-12, GB-34, CV-6, and LV-2.
Technique: Insert 1 cun #30 needles into LV-2 with twisting reducing needle
technique, and 1.5 cun #30 needles into GB-34 with lifting and thrusting reducing
needle technique. Insert 1.5 cun #32 needles into CV-12 and CV-6
perpendicularly, 1.2 cun deep with twisting even movement needle technique.
Additional points for treatment of associated
symptoms: Hypochondriac pain: LV-13 and GB-24.
Bloated abdomen: SP-15.
Qi and Blood Deficient Constipation
Treatment Principle: Reinforce the Qi and Nourish the Blood.
Point Prescription: ST-36, SP-6, CV-4, BL-20, BL-21, and BL-25.
Technique: Insert 1.5 cun #32 needles into BL-20, BL-21, and BL-25 with twisting
reinforcing needle technique; apply moxa wool on the handle of needles for 3
cones. Insert 1.5 cun #32 needles into CV-4, ST-36, and SP-6 with twisting
reinforcing needle technique; apply moxa wool on the handle of needles for 3
cones.
Spontaneous or night sweating: HT-6.
Heart palpitation: PC-6.
Constipation due to Yang Deficiency Interior Cold
Treatment Principle: Reinforce the Kidney Yang and Move the bowels.
Point Prescription: CV-6, KI-6, CV-5, BL-23, and BL-26.
Technique: Apply indirect moxibustion with Fu Zi cake on BL-26 and CV-6 for 5
cones. Insert 1 cun #32 needles into KI-6 with a twisting reinforcing needle
technique, and 1.5 cun #32 needles into BL-23 and CV-5 with twisting reinforcing
needle technique, applying moxa wool on the handle of the needles for 3 cones.
Additional points for treatment of associated
symptoms: Prolapse of the anus: GV-1 and GV-20.
Low back pain: BL-40.
Ear Acupuncture
Points: Large Intestine and Rectum.
Insert 0.5 cun #34 needles into these points with fast and strong twisting
stimulation technique. Retain all needles for 30 minutes.
Moxibustion
Points: CV-8 and BL-25.
Apply indirect moxibustion with salt and ginger on CV-8 for 5 cones; then
apply direct non-scarring moxibustion on BL-25 for 6 cones.
Scalp Acupuncture
Treatment zone: Lateral line 2 of the forehead, Lateral line 3 of the forehead,
and Middle line of the vertex.
Insert 1.5 cun #30 needles into these lines transversely, 1 cun deep at a 30-
degree angle, with a lifting Qi technique. Retain all needles for 40 minutes.
The following are from the Zhen Jiu Zhi Zhen Jing:
For stagnation and hard to pass bowels: KI-4 and KI-18.
Insert 1 cun #32 needles into KI-4 with twisting even movement needle
technique. Apply moxa wool on the handle of needles for 3 cones. Insert
1.5 cun #30 needles into KI-18 perpendicularly, 1 cun deep with twisting
For dry stool due to deficiency: BL-43.
Insert 1 cun #30 needles into BL-43 with the Qi Ci technique and wave the
needles until red marks appear around the points. Retain the needles for
30 minutes with moxa-pole on the side.
For constipation with Heat in the lower abdominal region: KI-15
Insert 1.5 cun #30 needles into KI-15 with twisting reducing needle
technique. Retain the needles for 20 minutes.
For stagnation of the bowels in the abdomen: CV-8.
Apply indirect moxibustion with Ba Dou Rou cake (make the Ba Dou into a
cake) on CV-8 for 3 cones.
For constipation due to stagnation of Qi: TW-6 and ST-36. (Za Bing Xue Fa Ge)
Insert 1.5 cun #30 needles into TW-6 with lifting and thrusting reducing
needle technique, and 1.5 cun #32 needles into ST-36 with twisting
reinforcing needle technique. Apply moxa wool on the handle of needles
for 3 cones.
For constipation due to deficiency of Yin: KI-6 and TW-6. (Yu Long Ge)
Insert 1 cun #30 needles into KI-6 with twisting reinforcing needle
technique, and 1.5 cun #32 needles into TW-6 with lifting and thrusting
For constipation with a fullness sensation in the chest and abdomen: CV-5.
(Qian Jin Fang)
Apply direct non-scarring moxibustion on CV-5 for 11 cones. Apply 100
cones as a course.
For constipation with bloating in the abdomen: SP-2. (Qian Jin Fang)
Apply direct non-scarring moxibustion on SP-2 for 7 cones. The treatment
course follows the age.
For constipation with Yin deficiency: BL-25, TW-6, and ST-40. (Zhong Hua Zhen
Jiu Xue)
Insert 2 or 3 cun #30 needles into BL-25 perpendicularly, 1.5 to 2 cun deep
with twisting even movement needle technique, and 1.5 cun #32 needles
into TW-6 and ST-40 with twisting reinforcing needle technique. Retain all
needles for 20 minutes. Apply indirect moxibustion with Fu Zi (aconite)
cake on BL-25 for 3 cones if the patient is with Yang deficiency.
For constipation with an excess body constitution: TW-6, CV-12, ST-25, ST-36, LV-
1, and ST-44. (Zhong Hua Zhen Jiu Xue)
Insert 1.5 cun #32 needles into CV-12, ST-25, ST-36, and TW-6 with twisting
reducing needle technique, and 1 cun #32 needles into LV-1 and ST-44 with
For constipation with stagnation of Qi: TW-6, GV-1, and CV-6. (Zhong Hua Zhen
Jiu Xue)
Insert a 1.5 cun #30 needle into GV-1 perpendicularly, (the patient may lie
down on his or her side) with twisting even movement technique. Retain the
needle for 20 minutes. Insert 1.5 cun #32 needles into TW-6 and CV-6 with
twisting even movement technique. Retain the needles for 15 minutes.
For constipation with stagnation of Heat and Qi: GV-1, LV-1, and GB-34. (Za Bing
Xue Fa Ge)
Insert a 1.5 cun #30 needle into GV-1 with twisting reducing needle
technique. Retain the needle for 20 minutes. Insert 1 cun #30 needles into
LV-1 perpendicularly, 0.2 cun deep with twisting reducing needle technique,
and 1.5 cun #30 needles into GB-34 with twisting reducing needle technique.
For excess type constipation: ST-40, ST-28, BL-54, KI-4, BL-33, BL-57, and BL-25.
(Shen Yin Jing)
Insert 1.5 cun #32 needles into ST-40 and ST-28 perpendicularly, 1 cun deep
with lifting and trusting reducing needle technique, and 1 cun #30 needles
into KI-4 with twisting reducing needle technique. Retain all needles for 20
minutes.
Insert 1 or 2 cun #30 needles into BL-54, BL-33, BL-57, and BL-25 with
lifting and thrusting even movement needle technique. Retain all needles
for 10 minutes.
For constipation with stagnation of Qi: TW-6 and LV-5. (Zhen Jiu Da Cheng)
Insert 1 cun #32 needles into LV-5 transversely, 0.5 cun deep; just let the
needles float beneath the skin. Insert 1.5 cun #32 needles into TW-6 with
lifting the thrusting reducing needle technique. Retain all needles for 20
minutes.
For deficiency type of constipation: CV-6 and ST-36. (Zhen Jiu Zhai Ying Ji)
Insert 1.5 cun #30 needles into CV-6 and ST-36 perpendicularly, 1.2 cun deep
with twisting reinforcing needle technique, and apply moxa wool on the
handle of the needles for 3 to 5 cones.
For constipation with deficiency of Yin: SP-3 and KI-6. (Zhen Jiu Tu Yi)
Insert 1 cun #32 needles into SP-3 and KI-6 with twisting reinforcing
For constipation with stagnation of Qi: BL-57, LV-13, and BL-28. (Zhen Jiu
Gang Yao)
Insert 1.5 cun #30 needles for into BL-57 and BL-28 with twisting even
movement needle technique, and 1 cun #32 needles into LV-13 with twisting
reinforcing needle technique. Retain all needles for 20 minutes.
The following prescriptions are from the Zhen Jiu Ru Men.
For constipation with lower back pain: SP-3.
Insert 1 cun #32 needles into SP-3 perpendicularly, with medium
stimulation by twisting for 2 minutes. Retain all needles for 15 minutes.
For constipation with abdominal pain: KI-18 and BL-28.
Insert 3 cun #30 needles into BL-28 perpendicularly, 2 cun deep with
twisting even movement needle technique without retaining the needles,
and 1.5 cun #32 needles into KI-18 with twisting reducing needle
For constipation with abdominal pain: KI-16.
Insert 1.5 cun #32 needles into KI-16 with twisting reducing needle
technique and apply moxa wool on the handle of needles for 5 cones.
For constipation due to stagnation of Qi and Blood: LV-13, CV-15, SP-3, TW-6,
KI-6, and CV-8.
Insert 1 cun #30 needles into LV-13, CV-15, SP-3, TW-6, and KI-6 with
twisting even movement needle technique. Apply indirect moxibustion
with Ba Dou cake on CV-8 for 3 cones.
For constipation with the pain in the genital area: CV-1.
Insert a 1.5 cun #34 needle into CV-1, insert the needle perpendicularly
0.5 to 0.8 cun deep with twisting reducing needle technique and retain it
for 15 minutes.
Treat once every other day for 5 treatments as a course
For constipation with heat sensation in the lower abdominal region: KI-11
and BL-38. (Zhen Jiu Jing Lun)
Insert 1.5 cun #32 needles into BL-18 with twisting reducing needle
technique, and 1.5 cun #34 needles into KI-11 with reinforcing needle
For constipation with lower back pain: GV-2. (Zhen Jiu Jing Lun)
Apply direct non-scarring moxibustion on GV-2 for 7 to 9 cones.
COUGH
Cough refers to a symptom that is a resulted of a wide variety of lung
diseases such as: common cold, asthma, bronchitis, lung infection, allergies, and
pneumonia. Symptoms usually arise from dryness and irritation of the lung
passages. In TCM, the main pathological changes are seen as the lung failing in
ascending and descending Qi, or disruption causing rebellious Qi. There are two
types:
Exterior Pathogenic Influences

Any Pathological Influence may invade the lungs and cause cough when
the body has a Wei Qi deficiency, particularly Wind and Cold are two that
easily obstruct the movement of Lung Qi.
Internal Disorders
Both deficiency and excess symptoms of the lung can cause cough. Other
organs may as well, for instance: stagnation of the Liver Qi turning to Fire and
attacking the Lungs. Another commonly seen organ pathology of cough is that
of the Spleen failing in transportation and transformation, producing phlegm
that is then stored in the Lung. That is why in the Nei jing says: “Cough will be
caused by the Five Zang and the Six Fu, not only the Lungs.
DIAGNOSIS
In diagnosing cough, it is important to make note the time, quality, and
sound of the cough and all other symptoms related to it. The following
differentiations will help determine the pathology.
 Frequent cough, which is much more severe during the day than at night,
and is associated with a scratchy throat and loud sound, is caused by
Wind Cold or Wind Heat.
 Chronic cough with a low voice is often Qi Deficiency.
 Severe cough in the morning that is associated with a large amount of
phlegm, and is improved upon expectoration is usually due to
Dampness.
 Cough that appears in the afternoon or evening, with light sounds and
shortness of breath is often due to Lung Yin Deficiency.
 Cough that occurs whenever the patient lies down and that is associated
with asthma and shortness of breath is usually Lung Deficiency Cold.
 Cough that is worse after intake of greasy, oily, cold, or raw food, is related
to Damp-Phlegm.
 Cough that is triggered by emotional stimulation is often due to Liver Qi
stagnation or Liver Fire.
 Cough with a large amount of phlegm with a foul smell are symptoms of
Lung infection.
Observing the phlegm is also important in cough diagnosis.

 Cough with less phlegm, is caused by Dry Heat, Interior Fire, or Yin
deficiency.
 Cough with a large amount of phlegm is often seeing in Damp retention,
or Interior Deficiency Cold.
 White thin phlegm appears in cough that is caused by Wind Cold.
 Thick yellow phlegm is due to Heat stagnation in the Lung
 White sticky phlegm that is hard to expectorate is due to Yin Deficiency
Dry Heat.
 A large amount of phlegm that is thick with a foul smell, and has a sweet
taste is Damp-Phlegm.
 If the phlegm has a salty taste, this indicates Kidney Deficiency.
 Thick phlegm with blood is usually caused by a severe Lung infection.
Exterior Syndromes
Cough due to Wind Cold Pathogenic Influence
Symptoms include a strong cough, itchy throat, thin white sputum but with
uneven movement, aversion to cold, fever, little or no sweat, sore and achy
sensation throughout the whole body, headache, stuffy nose, and nasal
discharge. The tongue is pale with a thin white coating and the pulse is
floating and tight.
Cough due to Wind Heat Pathogenic Influence

Clinical features are severe cough with shortness of breath, sore throat, dry
mouth, thick sticky yellowish sputum that is hard to expectorate, headache,
fever, aversion to wind, very little sweating, and prounced thirst. The tongue
is red with a yellow coating and the pulse is floating and rapid.
Interior Syndromes
Cough due to stagnation of Damp-phlegm
This is caused by the Spleen failing in the transportation and transformation of
fluids, which leads to dampness stagnating in the Lung and the Lung failing in
descending the Qi. Symptoms include severe cough in the morning, with a
large amount of white thick sticky phlegm associated with a stuffy chest,
fullness in the epigastric area, poor appetite and lassitude, with difficulty to lie
down without the cough worsening. The tongue is swollen with a white
greasy coating and the pulse is slippery or floating and weak.
Cough due to Liver Fire
Emotional stress or anger over a long period of time causes Liver Qi
Stagnation, which then turns to Liver Fire that invades the Lung, preventing
dissension of Qi, thus causing cough. Symptoms include cough with sticky
phlegm that can often contain a small amount of blood, and is associated with
pain and fullness in the chest and hypochondriac region, red eyes, dry itchy
throat, and a bitter taste in the mouth. The tongue is red with a thin white
coating and the pulse is wiry and rapid.
Wind Cold
Treatment Principle: Expel the Wind Cold, Open the Lung, and Resolve Phlegm.
Point Prescription: LU-7, LI-4, BL-13, and TW-5.
Technique: Insert 1 cun #30 needles into BL-13 perpendicularly, 0.5-0.8 cun deep
with waving technique and apply moxa wool on the handle of the needles for 3
cones. Insert 1 cun #30 needles into LU-7, LI-4, and TW-5 with twisting reducing
needle technique. Retain the needles for 20 minutes.
Headache: GB-20 and GV-23.
Body achiness: BL-62 and LI-6.
Wind Heat
Treatment Principle: Expel the Wind Heat, Clear the Lung and Resolve the
Phlegm.
Point Prescription: LU-5, BL-13, LI-11, and GV-14.
Technique: Insert 1.5 cun #30 needles into BL-13 and GV-14 with lifting the
thrusting reducing needle technique, and apply a fire cup for 2 or 3 minutes after
taking the needles out. Insert 1.5 cun #30 needles into LI-11 and LU-5 with
Sore throat: Blood let LU-11.
Inability to sweat: LI-4.
Sweat with fever: ST-43 and KI-7.
Damp-Phlegm
Treatment Principle: Reinforce the Spleen and Lung, and Resolve the Phlegm.
Point Prescription: BL-13, BL-20, LU-9, SP-3, ST-40, and LI-4.
Technique: Insert 1 cun #30 needles into LU-9, SP-3, ST-40, and LI-4 with
Insert 1 cun #32 needles into BL-13 and BL-20 with lifting the thrusting
reinforcing needle technique and apply moxa wool on the handle of needles for
3 cones.
Fullness in the chest and epigastric region: ST-36 and PC-6.
Severe cough with asthma: Ding Chuan.
Liver Fire attacking the Lung
Treatment Principle: Soothe the Liver and subdue the Fire, Clear the Lung, and
Resolve Phlegm.
Point Prescription: BL-13, BL-18, LU-8, and LV-3.
Technique: Insert 1 cun #30 needles into BL-13 and BL-18 with twisting reducing
Insert 1 cun #32 needles into LV-3 and LU-8 with twisting reducing needle
Sore and itchy throat: KI-6.
Cough with bleeding: LU-6.
Moxibustion:
Points: BL-13, BL-12, LI-4, LU-7, and LU-9.
Apply direct non-scarring moxibustion for three cones on LI-4, LU-7, and
BL-13, and five cones on BL-12 and LU-9.
Points: CV-4, CV-12, and BL-23.
Used for chronic Kidney Deficiency and poor sleep with Damp cough. Apply
indirect moxibustion with ginger on these points for 3-5 cones.
Treat once every other day, for 5 treatments as a course.
Ear Acupuncture
Points: Liver, Shen Men, Lungs and Trachea.
Insert 0.5 cun ear needles into these points obliquely at a 60-degree angle,
with fast twisting needle technique. Retain all needles for 30 minutes. Or
apply press-balls on these points after regular acupuncture treatment.
Points: Spleen, Lung, Sub cortex, and Heart.
Apply press-balls on these points, and retain them for 3-5 days. Instruct
patients to press them three or four times daily.
Herbal Plaster
Treatment area: upper back.
Making “Ban Mao”(Chinese herb) powder the size of wheat, to put on the BL-
13, BL-43, and GV-12 for 12-20 hours. It will cause small blisters on the
points, which will be absorbed after few days (remember to keep the area
clean to prevent infection). It will help chronic and prolonged cough.
Treat once a month, 3 treatments as a course.
Scalp Acupuncture
Treatment zone: Lateral line 1 of the forehead, and Mid-line of the vertex.
Insert 1.5 cun #28 or #30 needles into these zones subcutaneous at a 30-
degree angle, 1 to 1.2 cun deep with fast twisting needle technique. Retain
the needles for 1 hour.
Treatment area: upper area1, area 3 and lower area 2 and area 5.
Insert 1.5 cun #30 needles transversely into these areas 1.2 cun deep without
any kind of sensation. Retain all needles there for 1 hour.
Treat once every other day, 5 treatments as a course
Gua Sha
Apply Gua Sha technique from BL-11 to BL-15 on both sides of the Bladder
meridian, until the red colored Sha appears on the skin. This technique is for
the treatment of Lung Qi and Yin Deficiency.
Cupping
Treatment points and area: CV-12, CV-17, CV-8, LU-1, BL-14, BL-13, BL-43, BL-
20, or the upper back.
For cough due to External Pathogenic Influences: Apply fire cups on LU-1
and CV-17 for 2 minutes, then on BL-14 and BL-43 for 3 minutes.
For cough with Spleen Deficiency: Apply fire cups on GV-14, BL-13, and
BL-20 for 5 minutes. Then apply cupping on CV-8 and CV-12 for 2
minutes.
For cough with Qi Deficiency: Apply moving cups from BL-11 to BL-15 and
BL-42 to BL-45 until red Sha appears on the skin.
All of the above courses are once every other day, for 7 treatments.
For cough with Heat-phlegm: BL-13, CV-17, LU-5, and KI-3. (Lei Jing Tu Yi)
Insert 1 cun #30 needles into BL-13 with waving technique and take the
needle out after the patient feels the Qi sensation. Apply fire cups for 3
minutes. Insert 1.5 cun #32 needles into CV-17, LU-5, and KI-3 with twisting
If with hot flashes and red complexion: TW-6 along with the above points
and needle technique.
For chronic cough: BL-13, ST-36, CV-17, ST-15, BL-12, and ST-12. (Zhen Jiu Da
Cheng)
Apply direct moxibustion on BL-13 and BL-12 for 7 cones. Insert 1 cun #30
needles into ST-36, CV-17, ST-15, and ST-12 with twisting reinforcing needle
For chronic cough: BL-13 and BL-43. (Zi Shen Jing)
Apply direct non-scarring moxibustion on BL-43 and BL-13 for 7 cones.
For cough with shortness of breath and difficulty lying down: LU-2. (Shen Yin
Jing)
Insert 1.5 cun #30 needles into LU-2 perpendicularly, 1 cun deep towards the
outside of the body with twisting reducing needle technique. Retain all
needles for 10 minutes while applying moxa pole beside the needles.
For cough due to Wind Cold: LU-10, GB-44, BL-19, LI-1, GV-24, BL-13, BL-15, BL-
18, LV-8, and LU-6. (Zhen Jiu Ju Ying)
Insert 1 cun #30 needles into BL-13, BL-15, BL-18, and BL-19 perpendicularly,
0.3-0.5 cun deep with waving technique until the red marks appear near each
point. Retain all needles for 10 minutes. Insert 1 cun #32 needles into LU-10,
GB-44, LV-8, LU-6, and GV24 with twisting even movement technique. Retain
the needles for 15 minutes. Apply bloodletting technique on LI-1.
For cough due to Liver Fire attacking the Lung: BL-13, LU-5, GB-34, and LV-3.
(Dan Qi Xig Fa)
Insert 1.5 cun #32 needles into LU-5 and GB-34 perpendicularly, 1-1.2 cun
deep with lifting the thrusting reducing needle technique, 1 cun #32 needles
into LV-3, obliquely at a 45 degree angle towards the upward direction, 0.5-
0.8 cun deep with twisting reinforcing technique. Retain all needles for 15
minutes. Insert 1 cun #30 needles into BL-13 with twisting even movement
technique without retaining needles.
Treat once every other day for7 treatments as a course.
For cough with shortness of breath: ST-12, CV-17, and CV-15. (Zi Shen Jing)
Insert a 1.5 cun #30 needle into CV-17 obliquely at a 60 degree angle, 1.2 cun
deep with twisting reducing needle technique, and 1 cun #32 needles into
ST-12 and CV-15 perpendicularly, 0.5-0.8 cun deep with twisting reinforcing
For cough with hot sticky phlegm: LU-10, LU-7, and SI-1.
Apply bloodletting technique on SI-1 and then insert 1 cun #32 needles into
LU-10 and LU-7 perpendicularly, 0.5 cun deep with twisting reducing needle
For cough with a large amount of phlegm: CV-22 and BL-13. (Shen Yin Jing)
Insert a 1.5 cun #32 needle into CV-22 obliquely at a 60 degree angle, 1-1.2
cun deep with twisting even movement technique until let sensation of the
needle travels to whole chest area. Retain the needle for 5 minutes. Insert 1
cun #30 needles into BL-13 with lifting and thrusting reinforcing needle
technique. Retain all needles for 5 more minutes.
For cough with rebellious Qi: CV-22 and PC-1. (Shen Yin Jing)
Insert a 1.5 cun #30 needle into CV-22 obliquely, anterior of trachea, 1.2 cun
deep with rubbing needle technique (counter clockwise). Insert 1 cun #30
needles into PC-1 with twisting reducing needle technique. Retain all needles
for 10 minutes.
For cough with chest pain and a stuffy sensation: LU-1, SI-2, and CV-23. (Shen Yin
Jing)
Insert 1 cun #30 needles into SI-2 with twisting even movement needle
technique, and 1 cun #30 needles into LU-1 and CV-23 with twisting reducing
For cough with hypochondriac pain: BL-18. (Shen Yin Jing)
For cough with insomnia: ST-12, SI-1, BL-15, and ST-14. (Yu Long Ge)
Apply bloodletting technique on SI-1. Insert 1 cun #32 needles into ST-12 and
ST-14 obliquely, 0.5 cun deep with twisting reinforcing needle technique.
Insert 1 cun #30 needles into BL-15 perpendicularly, 0.8 cun deep with lifting and
For chronic cough with deficiency of Qi: CV-22, KI-27, CV-20, ST-18, BL-12, BL-13,
GV-12, GV-9, and LU-7. (Jiu Fa Mi Chuan)
Apply direct non-scarring moxibustion for 7 cones on CV-22, and 3 cones on KI-
27, CV-20, and ST-18. Apply 14 cones on BL-12, BL-14, BL-13, GV-12, and GV-9.
Insert 1 cun #32 needles into LU-7 with twisting reinforcing needle technique.
For External cough and large amounts of phlegm: BL-11, BL-13, CV-22, LU-5, TW-
5, LU-8, and SP-6. (De Xiao Fang)
Insert 1 cun #30 needles into BL-11 and BL-13 perpendicularly, 0.5-0.8 cun
deep with twisting reinforcing needle technique and apply moxa wool on the
handles of the needles for 2 cones. Insert 1 cun #32 needles into CV-22, TW-
5, LU-5, LU-8, and SP-6 with twisting even movement technique. Retain all
For cough with fever and External Invasion: GB-12, BL-10, GB-20, GV-12, BL-11,
BL-2, BL-13, BL-17, BL-19, PC-3, LI-4, and CV-22
Insert 1 cun 30 # needles into GB-12, BL-10, BL-11, BL-12, BL-13, BL-19, BL-17,
GB-20, and GV-12 perpendicularly, 0.3-0.5 cun deep with twisting reducing
needle technique. Retain all needles for 5 minutes and then remove them
while enlarging the acupuncture hole. Insert 1 cun #32 needles into PC-3, LI-4,
and CV-22 perpendicularly, 0.5-0.8 cun deep with twisting reducing needle
For cough with red phlegm: HT-6, SI-5, KI-4, SI-2, LU-7, and Bai Lao.
Insert 1 cun #32 or #34 needles into HT-6, SI-15, KI-4, SI-2, and LU-7 with even
movement technique. Retain all needles for 15 minutes and then apply direct
non-scarring moxibustion on Bai Lao point for seven cones.
Treat once every other day for10 treatments as a course.
For cough with bleeding: BL-13 and LV-2. (Shen Jiu Jing Lun)
Insert 1.5 cun #32 needles into BL-13 obliquely at a 60-degree angle, towards
the spinal column, 0.8-1 cun deep with lifting and thrusting reinforcing
technique until the patient feels a warm sensation under the needles. Retain
all needles for 5 minutes. Apply direct non-scarring moxibustion on LV-2 for 7
cones.
For cough with deficiency of Qi: ST-36. (Mi Chuan)
Treat once every day for 10 treatments as a course.
For cough with shortness of breath and asthma:
Fire Cup: BL-13, BL-43, and GV-14.
Apply fire cups on the BL-13, BL-43, and GV-14. Retains all
cups for 5 minutes. Select 5 small size bamboo cups, boiling
them in a big pot with Bai Zhu, Ma Huang, Xi Xin, Ban Xia,
Bai Qian, Kuan Dong Hua, and Hong Hua for 40 minutes.
Then take the cups out and put them on the points. Retain
until they fall off automatically. This may be repeated 3-5
times.
DIABETES
In Traditional Chinese Medicine diabetes is known as Xiao Ke—Wasting and
Thirsting. This is a reference to the increase in drinking, eating and urinating
among patients with this disease. The causes of these symptoms are due to
either abnormal emotional activity, overeating of hot, spicy, or greasy foods,
overwork, or excessive sexual activities. A prolonged period of abnormal
emotional activity will eventually cause Heart Fire to rise and later damage the
Lungs’ Yin, causing a the desire to drink. Over-eating of hot, spicy, and/or greasy
foods will cause Heat to accumulate in the Stomach and Spleen, thus damaging
Stomach Yin, leading to overeating. By overworking or having an overly active
sexual life, the Kidney Yin can become deficient, resulting in the Kidney Qi failing
to control urination, yielding the frequent urination.
The following is an overview of the basic etiology of Diabetes.
Improper Food Intake
Most diabetes is caused by improper food intake, such as long-term excessive
consumption of greasy foods, which impacts the Spleen and Stomach Qi and
accumulates Heat that damages the Yin fluid of the Stomach and the whole
body.
Abnormal Emotional Activities
Long-term unhealthy emotional stimulation causes Qi stagnation to turn to
Fire, damaging the Lung and Stomach Yin.
Overworking
Diabetes from Kidney Yin deficiency is usually due to extreme exhaustion of
the body and depletion of the Yin energy from overwork or excessive sexual
activities. Deficient Fire rises to the Lungs and burns the Yin fluids.
The following are some pathological changes frequently observed in the clinic:
Yin deficiency as the root problem and Dry Heat as the branch
Most patients have both of these patterns during the process of the disease.
Dry Heat will impact Yin and deficiency of Yin makes Dry Heat worse as well.
These conditions commonly happen in the Kidney, Lung and Stomach, leading
patients to feel strong thirst and hunger, and experience frequent urination.
In the case of severe Dry Heat in the organs, other symptoms will arise such
as cataracts, deafness, and ringing in the ear. If the Dry Heat rises upward to
the head, it will cause a flushed complexion, headache, restlessness, nausea
and vomiting, even loss of consciousness or a stroke. This is severe Dry Heat
due to extreme Yin deficiency.
Deficiency of both Yang and Yin
Some long-term and chronic diabetic patients have both Yin and Yang
deficiency caused by chronic Yin deficiency leading to the Yang deficiency.
The main symptoms will be Cold edema with an extremely deficient body
constitution, and Interior Heat with a coatless red tongue.
DIAGNOSIS
Shang Xiao (Upper Warmer Lung Yin Deficiency)
Symptoms include a high blood sugar level, a dry mouth and throat, a
frequent desire to drink, an increased appetite, and frequent urination. The
tip of the tongue is red with a thin-yellow coat, and the pulse is flooding and
fast.
Zhong Xiao (Middle Warmer Stomach Yin Deficiency)
Symptoms include a high blood sugar level, a very ravenous appetite that's
difficult to satisfy, restlessness due to Interior Heat, sweating, a thin
constitution, dry stools and/or constipation. The tongue is red with a yellow-
dry coat and the pulse is slippery and fast.
Xia Xiao (Lower Warmer Kidney Yin Deficiency)
Symptoms include high blood sugar level, frequent urination, dry mouth and
tongue, associated with sore and weak sensation in the low back and knees,
easy to hunger but consumes very little, dizziness, blurry vision, and malar
flush. The tongue is red with little coating or without coat, and the pulse is
thin and rapid.
Long-term Kidney Yin Deficiency will eventually lead to Kidney Yang Deficiency,
which manifests as a dark complexion, dizziness, blurry vision, insomnia,
restlessness, aversion to cold, cold limbs, frequent urination with a large
quantity of flow, and impotence or amenorrhea in women’s cases. The tongue
is dark-pale in color and the pulse is deep, thin and weak.
Shang Xiao (Lung Yin Deficiency)
Treatment Principle: Clear the Upper Warmer Heat, and Promote the function of
the metabolism.
Point Prescription: HT-8, BL-15, LU-9, BL-13, and Yi Shu.
Technique: Insert a 1.5 cun #30 needle into Yi Shu perpendicularly, 1 cun deep
with a twisting reinforcing needle technique, and 1 cun #32 needles into BL-13
and BL-15 perpendicularly, 0.8 cun deep with a lifting and thrusting even
Insert 1 cun #32 needles into LU-9 and HT-8 perpendicularly, 0.3 to 0.5 cun deep
with a twisting reinforcing needle technique. Retain all needles for 15 minutes.
Dry mouth: CV-24.
Blurry vision: GV-23.
Dizziness: GB-38.
Zhong Xiao (Stomach Yin Deficiency)

Treatment Principle: Clear the Heat and
Regulate the Spleen and Stomach.
Point Prescription: ST-44, SP-6, BL-20, BL-21,
and Yi Shu.
Treat once every other day for 10
Technique: Insert a 1 cun #32 needle into Yi Shu perpendicularly, 0.5 to 0.8 cun
deep with a twisting reinforcing needle technique, and 1.5 cun #32 needles
into BL-20 and BL-21 with a lifting and thrusting reinforcing needle technique.
Insert 1 cun #30 needles into ST-44 perpendicularly, 0.5 cun deep with a twisting
reducing needle technique, and 1.5 cun #32 needles into SP-6 with a twisting
even movement needle technique. Retain all needles for 20 minutes.
Hunger: CV-12 and PC-6.
Poor sleep: ST-36 and HT-7.
Headache: ST-8, and Yin Tang.
Hot flushes: KI-6 and LI-11.
Xia Xiao (Kidney Yin deficiency)
Treatment Principle: Reinforce the Kidney and Liver Yin, and Subdue the Heat.
Point Prescription: KI-3, LV-3, BL-18, BL-23, and Yi Shu.
Technique: Insert 1 cun #32 needles into KI-3 perpendicularly, 0.5 cun deep
with a twisting reinforcing needle technique, and 1.5 cun #32 needles into LV-
3 obliquely, 1 cun deep at a 45 degree angle towards KI-1 with a twisting even
Insert 1.5 cun #32 needles into Yi Shu, BL-23, and BL-18 perpendicularly 1 cun
deep with a twisting reinforcing needle technique. Retain all needles for 15
minutes.
Yang Deficiency: GV-4 with direct non-scarring moxibustion for 5 cones.
Frequent urination: CV-4 and ST-28.
Low back pain: Yao Yan, BL-28, and BL-62.
Ear Acupuncture
Points: Pancreas, Endocrine, Kidney, San Jiao, Hunger point, Er Mi Gen, Shen
Men, and Liver.
Insert 0.5 cun #34 ear needles into these points obliquely, 0.3 cun deep at a
30 degree angle with a twisting reinforcing needle technique. Retain all
Moxibustion
Direct Moxibustion: CV-6, CV-12, BL-13, BL-20, and BL-23.
Apply direct non-scarring moxibustion on CV-6 and CV-12 for 7 cones, and
on BL-13, BL-20, and BL-23 for 9 to 11 cones.
Indirect Moxibustion: CV-4, Yi Shu, and BL-23.
Apply indirect moxibustion with ginger or a Fu Zi (aconite) cake on Yi Shu
and BL-23 for 5 cones and on CV-4 for 3 cones.
Plum-Blossom
Apply medium stimulation of the Plum-Blossom needle technique on the back
from T-7 to T-10, along the GV and BL meridians for 5 to 10 minutes.
For diabetes with Lung Yin Deficiency: CV-24, BL-49, TW-1, and KI-2. (Pu Ji Fang)
Insert 1 cun #30 needles into BL-49 perpendicularly, 0.3 to 0.5 cun deep with a
twisting and waving needle technique. Remove the needles after stimulation.
Insert a 1 cun #32 needle into CV-24 perpendicularly, 0.3 cun deep with a
twisting even movement needle technique, and 1 cun #32 needles into KI-2
perpendicularly, 0.5 cun deep with a twisting reducing needle technique.
Apply direct non-scarring moxibustion on TW-1 for 5 cones.
For diabetes with Lung and Kidney Yin Deficiency: GV-26, CV-24, Jing Jing, Yu Ye,
LI-11, PC-8, LV-3, LV-2, SP-5, KI-2, and KI-1 (Shen Yin Jing)
Insert 1 cun #32 needles into KI-1, KI-2, LV-2 and LV-3 perpendicularly, 0.5 cun
deep with a lifting and thrusting even movement needle technique, and 1
cun #30 needles into SP-5 and PC-8 with a twisting reducing needle
technique. Insert 1.5 cun #32 needles into LI-11 perpendicularly, 1 to 1.2 cun
deep with twisting even movement needle technique. Retain all needles for
20 minutes.
Insert 1 cun #34 needles into CV-24 and GB-26 perpendicularly, 0.3 cun
deep with a twisting even movement needle technique, and retain the
Insert 1 cun #30 needles into Jing Jing and Yu Ye obliquely, 0.5 to 0.8 cun
deep at a 30 degree angle towards the root of the tongue with a twisting
reducing needle technique, and take out the needles while enlarging the
needle hole to remove a few drops of blood.
For diabetes with lassitude: CV-24, KI-3, SI-7, TW-4, KI-6, BL-23, BL-26, and the
tip of the little finger. (Shen Jiu Jing Lun)
Insert 1 cun #32 needles into CV-24, KI-3, TW-4, SI-7, and KI-6 with a
Insert 1.5 cun #30 needles into BL-23 and BL-26 with a lifting and thrusting
reinforcing needle technique. Retain all needles for 10 minutes. Finally apply
direct non-scarring moxibustion to the tip of little finger for 5 cones.
For Yin Deficient diabetes: BL-13, BL-18, BL-20, BL-23, CV-24, CV-12, CV-4, LU-9,
SP-6, KI-2, and GV-4. (Zhong Guo Zhen Jiu Xue)
Insert 1 cun #30 needles into BL-13, BL-18, BL-20 and BL-23 perpendicularly,
0.5 to 0.8 cun deep with a twisting reinforcing needle technique. Apply moxa
pole on GV-4 for 15 minutes. Insert 1 cun #32 needles into LU-9, SP-6, and KI-
2 with a twisting even movement needle technique, and a 1.5 cun #32 needle
into CV-12 perpendicularly, 1 cun deep with a twisting reinforcing needle
technique. Apply moxa pole to CV-4 for 15 minutes.
For diabetes with Kidney Deficiency: CV-4. (Pian Que Xing Shu)
Apply direct moxibustion on CV-4 for 20 cones.
For diabetes with body heat and a yellowish color in the eyes: BL-49, GV-20, PC-
9, and LV-3. (Zhen Jiu Tu Yi)
Insert 1.5 cun #30 needles into BL-49 transversely, 1 cun deep towards BL-50
with a twisting reducing needle technique, and take out the needle after
the sensation travels. Apply moxa pole to GV-20 for 20 minutes, and direct
non-scarring moxibustion on PC-9 and LV-3 for 7 cones.
For Zhong Xiao diabetes with increased food intake with weight loss and pain
and stagnation in the abdomen: BL-20, LV-13, LI-14, SP-4, and CV-12 (Zhen Zhi
Zun Shen)
Insert 1 cun #32 needles into LV-13 and SP-4 perpendicularly, 0.5 cun deep
with a twisting even movement needle technique, and a 1.5 cun #32 needle
into CV-12 with a twisting reinforcing needle technique. Insert 1 cun #32
needles into LV-14 obliquely, 0.5 cun deep with a twisting reducing needle
technique. Retain all needles for 20 minutes. Apply direct non-scarring
moxibustion on BL-20 for 11 cones.
For Xia Xiao diabetes with Kidney Deficiency: BL-28, CV-6, CV-4, BL-23, and ST-36.
(Zhen Jiu Tu Yi)
handles of the needles for 3 cones. Insert 1.5 cun #34 needles into ST-36 with
a twisting reinforcing needle technique. Apply direct non-scarring
moxibustion on CV-4 and CV-6 for 11 cones.
For diabetes with Interior Heat: LU-7, BL-20, CV-12, KI-6, ST-36, TW-1, and LI-8.
(Zhen Jiu Feng Yuan)
Insert 1.5 cun #32 needles into LU-7 transversely, 1 cun deep at a 30 degree
angle heading upwards with a twisting reinforcing needle technique, and 1.5
cun #34 needles into CV-12 and ST-36 perpendicularly, 1 cun deep with a
lifting and thrusting even movement needle technique. Insert 1 cun #32
needles into LI-8 and KI-6 with a twisting reinforcing needle technique. Apply
direct non-scarring moxibustion on TW-1 and BL- 20 for 9 cones.
For diabetes with Interior Heat and Kidney Deficiency: Jing Jing, Yu Ye, GV-26, CV-
24, CV-6, and BL-23 (Zhen Jiu Da Cheng)
Insert 0.5 cun #32 needles into CV-24 and GV-26 perpendicularly, 0.3 cun deep
with a twisting even movement needle technique, and a 1.5 cun #32 needle
into CV-6 with a lifting and thrusting reinforcing needle technique. Apply
bloodletting with 1.5 cun #28 needles, into Jing Jing and Yu Ye, till 2 or 3 drops
of blood come out. Apply direct non-scarring moxibustion on BL-23 for 9
cones.
DIARRHEA
Diarrhea is a condition of increased daily bowel movements or a quality
change of the bowels, in which they become more watery or contain mucous. As
the symptoms increase, the bowel movements become unstable and involuntary.
Some western medical conditions that include diarrhea are acute and chronic
enteritis, intestinal TB, dysfunction of the intestine, and allergic colitis. In TCM,
this illness can be caused by an External Pathogenic Invasion, by Improper Food
Intake or from a dysfunction of the Zang Fu.
External Pathogenic Invasion
External Pathogenic Factors invade the body, particularly a Damp-Heat
that can impact the function of Stomach, intestines and Spleen, causing
diarrhea.
Over-eating, eating foods that are difficult to digest, or food allergies will all
obstruct the Spleen and Stomach Qi. As a result, diarrhea will occur due to
the Spleen Qi failing to ascend and the Stomach Qi failing to descend.
Emotional problems
Over-thinking, anger, stress, depression or anxiousness will stagnate Liver Qi,
which may in turn attack the Spleen and Stomach, causing deficiency of
Spleen Qi and diarrhea.
Spleen and Stomach Deficiency

Chronic diarrhea with undigested food is usually caused by weakness of the
Spleen and Stomach, failing to digest the food and water properly.
Insufficient Kidney Yang
Kidney Yang deficient diarrhea is watery and usually occurs in older patients,
or those with chronic diseases or some severe injury. Deficiency of Kidney
Yang cannot warm the Spleen, Stomach and Intestine, particularly in the early
morning when there is excess of Yang Qi.
DIAGNOSIS
Acute diarrhea
The hallmark signs and symptoms of acute diarrhea are urgent bowel
movements along with increased frequency and a decrease in urine output.
Damp-Cold Invasion
Symptoms include diarrhea associated with borborygmus, watery diarrhea
with undigested food, a preference for warm drinks and warms places, and a
pale tongue with a white greasy coating. In some severe cases the patient
may feel a cold sensation in the body and limbs, with profuse watery diarrhea
and a deep, thin or hidden pulse.
Damp-Heat Invasion
Symptoms include diarrhea associated with yellowish mucous, a burning
sensation in the anus, sometimes with red and scanty urination, a hot
sensation in the whole body, a preference for cold drinks and restlessness.
The tongue is red with a yellow greasy or dry coating and the pulse is fast,
floating, and weak. In severe cases, children patients may have convulsions or
even lose consciousness.
Chronic diarrhea
Most chronic diarrhea develops from an acute form that was not properly treated.
Spleen Deficiency
With this condition, the diarrhea changes to loose stool with undigested
food that is associated with a bloated abdomen and borborygmus, a pale or
shallow complexion, a poor appetite, and lassitude. The tongue is pale with
a white greasy coating and the pulse is slow, floating, and weak.
Liver Qi attacks the Spleen
This diarrhea will be related to emotional changes and is associated with
tenesmus, sighing, belching, distention, and distending pain sensation on the
hypochondriac and abdominal regions. The tip and edge of the tongue is red
with a white coating, and the pulse is wiry.
Kidney Yang Deficiency

This manifests as watery diarrhea with undigested food, occurring in the early
morning, sometimes referred to as “dawn diarrhea.” It is associated with
moving gas, cramping and bloating in the lower abdomen, and a cold and sore
sensation in the body, particularly in the lower back and legs. The tongue is
pale with a wet thin white coating, and the pulse is deep and thin.
Acute diarrhea
Treatment Principle: Regulate the Qi of the Stomach and Intestines.
Technique: Insert 1.5 cun #30 needles into ST-25, SP-9, ST-37, and ST-39
perpendicularly, 1 cun deep with a twisting reducing needle technique and 1 cun
#32 needles into LI-4 with a twisting even movement technique.
Fever: ST-44, LI-1, and SI-1 with a bloodletting technique.
Cold limbs with a hidden pulse: CV-8 indirect moxibustion with salt and ginger
for 7 cones.
Chronic diarrhea
Treatment Principle: Reinforce the Spleen, Soothe the Liver, and Warm the
Kidney Yang.
Point Prescription: CV-12, ST-25, and ST-36.
Technique: Insert 1.5 cun #32 needles into CV-12, ST-25, and ST-36 with a lifting
and thrusting reinforcing needle technique, and apply moxa wool to the handles
of the needles for 3 cones.
Spleen Deficiency: BL-20 and BL-26.
Liver Qi Stagnation: BL-18 and LV-2.
Kidney Deficiency: BL-23 and GV-4.
Scalp Acupuncture
Treatment zone: Lateral line 3 of the forehead, middle line of the vertex, and
lateral line 2 of the forehead.
Insert 1.5 cun #30 needles into all these treatment lines transversely at a 30-
degree angle, with a lifting Qi technique. Retain all needles for 30 minutes.
Ear Acupuncture
Point Prescription: Small and Large Intestine, Spleen, Liver, Stomach, Kidney,
Shenmen, and Sympathetic.
Select 3 points from above for each treatment. Insert 0.5 cun #32 ear
needles with a fast twisting needle technique. Retain all needles for 30
minutes.
Moxibustion
Points: BL-23, BL-52, and GV-4.
Apply indirect moxibustion with an aconite cake on BL-23, BL-52, and GV-4
for 3 cones, to treat diarrhea of a deficiency type.
Points: ST-36, CV-6, ST-25, and SP-4.
Apply direct moxibustion on ST-36, CV-6, ST-25, and SP-4 for 7 cones for
diarrhea due to deficiency of Kidney and Spleen.
Points: CV-6, CV-12, and ST-25.
Apply moxa-pole on CV-6, CV-12 and ST-25 for 30 minutes for watery
diarrhea due to Damp- Cold.
Treat 2 or 3 times daily for 5 treatments as a course.
Gua Sha
Treatment area: abdomen and back.
Apply medium-strength stimulation of Gua Sha on the abdominal area on
both sides from ST-21 to ST-28, until the Sha (red or purple sand-like dots)
appear. On the following day, apply the same technique on the back from
GV-14 to GV-10 and BL-18 to BL-22 until Sha appears. This technique is
used in the treatment of diarrhea due to Damp-Heat.
Hand Acupuncture
Point Prescription: Stomach, Lao Gong, and Large Intestine.
Insert 1 cun #32 needles in these points perpendicularly, 0.3 cun deep
with a twisting even movement technique. Retain all needles for 30
minutes for acute diarrhea.
Cupping
Treatment area: CV-8, ST-25 and Back.
Apply fire cups on CV-8 and ST-25 for 5 minutes for diarrhea due to Damp-
Cold or deficiency of the Spleen and Kidney.
Treat twice daily for 7 treatments as a course.
Treatment area: Back.
Apply a moving cup on the back, moving it up and down from BL-15 to BL-
32 until Sha appears.
Nose Acupuncture
Point Prescription: Stomach, Small intestine, Large Intestine and Spleen.
Insert 0.5 cun #34 needles into these points perpendicularly, 0.3 cun deep
with a twisting even movement needle technique until the patient feels a
numb sensation. Retain all needles for 30 minutes.
For diarrhea due to Cold that is worse in the winter and associated with pain
and bloating in the abdominal and navel regions: ST-37 (Ling Shu: Chapter Xie Qi
Zang Fu Bing Xing)
Insert 1.5 cun #30 needles into ST-37 perpendicularly, 1.2 cun deep with a
lifting and thrusting reinforcing needle technique, and apply moxa wool onto
the handles of the needles for 5 cones.
For diarrhea alternating with loose stools, caused by Spleen Deficiency: LV-3, CV-
8, and SP-6. (Shen Yin Jing)
Insert 1.5 cun #32 needles into LV-3 and SP-6 perpendicularly, 0.8 to 1 cun
deep with a twisting reinforcing needle technique. Apply indirect moxibustion
with salt (and a piece of ginger) on CV-8 for 3 cones.
For diarrhea containing undigested food: LV-8, and LI-9. (Shen Yin Jing)
Insert 1.5 cun #32 needles into LI-8 and LI-9 with a twisting reinforcing
For severe watery diarrhea: CV-12, and BL-23. (Zhen Jiu Feng Yuan)
Insert 1.5 cun #30 needles into BL-23 perpendicularly, 1 to 1.2 cun deep with a
lifting and thrusting reinforcing needle technique and remove the needles
after Qi appears. Apply indirect moxibustion with Fu Zi (aconite) cake on BL-23
for 5 cones. Then insert a 1.5 cun #32 needles in CV-12 obliquely at a 45-
degree angle, towards CV-11, 1.2 cun deep with a clockwise rubbing
technique. Retain needles for 20 minutes and apply moxa-pole on the side.
For diarrhea due to deficient Interior Cold: CV-4, CV-3, ST-25, SP-6, CV-12, ST-
21, and CV-6. (Shen Jiu Jing Lun) Select 3 points from the above
prescription; and apply indirect moxibustion with ginger for 5 cones. Treat
once daily for 5 treatments as a course.
For Kidney Deficient diarrhea in seniors: CV-8, CV-4, BL-20, BL-25 (Shen Jiu Jing
Lun)
Apply direct non-scarring moxibustion on BL-20 and BL-25 for 9 cones, and
apply indirect moxibustion with Fu Zi (aconite) cake on CV-8 and CV-4 for 3
cones.
For diarrhea in children: BL-21, CV-9, ST-25, and CV-8. (Lei Jing Tu Yi)
Apply moxa-pole for 20 minutes on BL-21 and 15 minutes on CV-9, ST-25, and
CV-8.
Treat one or twice a day for 5 to 7 treatments as a course.
For diarrhea due to improper food intake: SP-9, KI-2, ST-37, and LV-3. (Yi Xue
Gang Mu)
Insert 1.5 cun #30 needles into SP-9 and ST-37 with a twisting reducing
needle technique and 1 cun #32 needles into KI-2 and LV-3 with a twisting
For turbulent acute watery diarrhea: SP-2, BL-60, LV-14, SP-9, and CV-12. (Zhen
Jiu Ji Chen)
Insert 1 cun #30 needles into SP-2 and BL-60 with a twisting reducing needle
technique and 1.5 cun #32 needles into LV-14 transversely at a 30 degree
angle, 1 cun deep with a twisting even movement needle technique. Insert
1.5 cun #32 needles into SP-9 and CV-12 perpendicularly, with a twisting even
For watery diarrhea accompanied by thirst and abdominal water retention: GV-
14. (Bao Ming Ji)
Apply direct non-scarring moxibustion on GV-14 for 11 cones.
Treat one or twice a day for 5 treatments as a course.
For watery diarrhea with Kidney Deficiency: BL-23 and BL-32. (Shen
Yin Jing)
reinforcing needle technique, and apply moxa wool on the handles of the
needles for 3 cones.
For severe watery diarrhea with Interior Cold: BL-23 and CV-12. (Zhen Jiu Feng
Yuan)
Apply indirect moxibustion with ginger on CV-12 for 5 cones. Insert 1.5 cun
#30 needles into BL-23 with a lifting and thrusting reinforcing needle
technique, and apply moxa-wool to the handles for 3 cones.
Treat one or twice and day for 5 treatments as a course.
For watery brown diarrhea: GB-25, CV-9, ST-36, KI-2, SP-9, BL-60, GV-1, BL-25, BL-
23, LV-13, and CV-6. (Ru Men Shi Qin)
Apply indirect moxibustion with ginger on CV-9 and CV-6 for 5 cones. Insert a
1.5 cun #32 needle into GV-1 perpendicularly, 1 cun deep with a twisting
reducing needle technique, and 1 cun #30 needles into GB-25, BL-60, KI-2, ST-
36, LV-13, and SP-9 with a twisting reinforcing needle technique. Retain all
Insert 1.5-cun #32 needles into BL-23 and BL-25 with a lifting and thrusting
reinforcing needle technique, and apply moxa wool to the needle handles for
3 cones.
For diarrhea due to deficiency of the Spleen: LV-3, CV-8, and SP-6. (Shen Yin Jing)
Insert 1.5 cun #32 needles into SP-6 and LV-3 obliquely, in an upward direction
at a 60-degree angle, with a twisting even movement needle technique. Apply
indirect moxibustion with salt (a piece of ginger) on CV-8 for 7 cones.
For diarrhea due to a Wind-Cold invasion, associated with cold painful
sensations in the abdominal region: LU-7, ST-25, CV-12, CV-4, and SP-6 (Zhen Jiu
Da Cheng)
Insert 1 cun #32 needles into LU-7 and SP-6 with a twisting reducing needle
technique and 1.5 cun #32 needles into ST-25 and CV-12 with a twisting even
movement technique. Apply indirect moxibustion with ginger on CV-4 for 11
cones.
For chronic loose stool or diarrhea due to deficiency of the Spleen and Kidney:
GV-20, ST-25, CV-12, and CV-6. (Wan Bing Hui Chun)
Apply a moxa pole on GV-20 for 30 minutes. Insert 1.5 cun #32 needles into
ST-25, CV-12 and CV-6 with a twisting reinforcing needle technique, and apply
moxa wool to the needle handles for 3 cones.
For frequent, watery diarrhea due to improper food intake or infection: ST-44,
ST-25, and SP-6. (Zhen Jiu Bian Yong)
Insert 1 cun #30 needles into ST-44 and SP-6 with a twisting reducing needle
technique and 1.5 cun #30 needles into ST-25 with a twisting reducing
For senile patients with deficient diarrhea and a cold cramping sensation
around the naval and abdominal region, associated with undigested food:
CV-6, ST-36, SP-6, and GB-38. (Wei Shen Bao Jian)
Apply direct non-scarring moxibustion on CV-6 for 20 cones and on ST-36, SP-
6, and GB-38 for 5 cones.
For chronic diarrhea in babies: ST-8 and BL-21. (Lei Jing Tu Yi)
Apply moxa-pole on ST-8 for 15 minutes and on BL-21 for 10 minutes.
Treat two or three times daily for 10 treatments as a course.
DIZZINESS AND VERTIGO
Vertigo refers to a feeling of dizziness, something reminiscent of motion
sickness or the sensation of being in a spinning room. However, there is a clear
distinction between the two in TCM. Dizziness refers to a state where the person
feels him or herself spinning in a stable environment. Vertigo refers to the
opposite where the person is stable and experiencing the environment spinning.
This is usually associated with nausea, vomiting, spontaneous sweating,
headaches and lassitude. In TCM, the category of dizziness and vertigo is called
“Xuan Yun”, which is generally caused by Wind, deficiency and Phlegm. Some
western medical views on this sensation are usually attributed to side affects of
drugs, hypertension, anemia, neurasthenia, Meniere’s syndrome, arteriosclerosis,
or even brain tumors. In TCM, dizziness and vertigo are attributed to the
following:
Liver Yang Rising
Most dizziness and vertigo is caused by a deficiency of Liver and Kidney Yin,
leading the Yang to rise up with Wind and Phlegm, disrupting the Brain
Palace.
Liver Fire
This syndrome is generally caused by stagnation of Qi due to long-term,
unhealthy emotional stimulation that turns into Fire that rises up with
Interior Wind and bothers the head.
Qi and Blood Deficiency
Generally, dizziness and vertigo caused by deficiency of Blood occurs after a
long-term or chronic disease, or a loss of a large amount of blood in which
the blood cannot nourish the brain well.
Kidney Jing Deficiency
This occurs with older people or those who are overly tired, excessively
sexually active, or chronically ill. They may experience symptoms of Kidney
Jing Deficiency because the Kidneys’ stored essence (Jing) produces the
marrow, and the brain is considered to be the Sea of Marrow in TCM theory.
Therefore, a lack of Jing can influence the brain and cause dizziness and
vertigo.
Phlegm stagnation
Damp Invasion or weakness of the Stomach and Spleen will cause an
accumulation of Phlegm that stagnates in the middle warmer, obstructing the
clear Qi sent up to the brain, causing dizziness and vertigo
DIAGNOSIS
Deficiency type
Dizziness caused by deficiency will be aggravated by fatigue and poor sleep,
and is usually associated with a pale complexion, heart palpitations, insomnia,
soreness and weakness in the lower back, and occasional ringing in the ear.
The tongue is pale and swollen with a white coating and the pulse is thin and
weak. In this case, there will be no sensation of the room spinning.
Excess type
This type occurs with frequent dizziness and vertigo, with more of the room
spinning sensation than dizziness. It is associated with a heavy and painful
sensation in the head, a tendency towards anger and restlessness, distention
and a stuffy sensation in the chest and hypochondriac region, nausea,
vomiting with phlegm, and a poor appetite. The tongue is red with a thick
yellowish coating and the pulse is wiry or fast and slippery.
Deficiency type
Treatment Principle: Reinforce the Qi and Blood and Reduce the dizziness.
Point Prescription: GV-20, GB-20, BL-17, BL-23, and ST-36.
Technique: Insert 1 cun #32 needles into GV-20 and GB-20 with a twisting
reinforcing needle technique and 1.5 cun #30 needles into BL-17, BL-23, and ST-
36 with a twisting even movement needle technique. Apply moxa wool to the
handle of the needles for 3 to 5 cones. Apply moxa-pole to GV-20 for 10 minutes.
Heart palpitations: PC-6.
Insomnia: HT-7.
Ringing ear: SI-19.
Excess type
Treatment Principle: Soothe the Liver, Subdue the Yang, Harmonize the Stomach,
and Resolve the Phlegm.
Point Prescription: CV-12, SP-9, LV-2, KI-5, and Yin Tang.
Technique: Insert 1 cun #32 needles into LV-2 and Yin Tang
with a twisting reducing needle technique and 1 cun
#34needles into KI-3 with a twisting reinforcing needle
technique. Insert 1.5 cun #32 needles into CV-12 and SP-9
with a lifting and thrusting reducing needle technique. Retain
Hypochondriac pain: GB-34.
Headache: ST-8 and GV-20.
Nausea: PC-6 and ST-36.
Ear Acupuncture
Point Prescription: Heart, Liver, Spleen, Stomach, Kidney, Brain point,
Occiput, Shen Men, Sympathetic, and Endocrine.
Select 3 to 4 points from the above in each treatment. Insert 0.5 cun #34 ear
needles into these points obliquely, 0.3 cun deep at a 45 degree angle, with a
fast twisting needle technique. Retain all needles for 40 minutes. Or, apply
press-ball on these points (one side only) and leave for 3 to 5 days.
Scalp Acupuncture
Treatment zone: Middle line of the vertex, middle line of the forehead,
anterior oblique line of the temple, and posterior oblique line of the temple.
Insert 1 cun #30 needles into these lines transversely, 0.8 cun deep at a 30
degree angle with a fast twisting needle technique. Retain all needles for 30
minutes.
Cupping
Treatment area: Back, Chest, and Abdomen.
Apply fire cups on the back near GV-14, SI-12, BL-11 and BL-44 (palpate before
cupping on the back, Ah Shi points will be found near these points when the
patient has dizziness and vertigo). Retain the cups for 3 minutes. Apply fire
cups on CV-17 and ST-25. Retain the cups for 5 minutes.
Treat once daily for 3 treatments as a course, along with other therapy.
Moxibustion
Moxa pole
Apply moxa pole on CV-6, CV-4, GV-20, GV-4, and BL-23 for 30 minutes to
treat dizziness and vertigo of the deficiency type.
Indirect moxibustion: CV-6, BL-18, BL-20, BL-23, GV-14, BL-43, and BL-48.
Select 3 to 4 points from the above prescription and apply indirect
moxibustion with ginger or Fu Zi (aconite) cake on these points for 3 to 5
cones for deficient dizziness and vertigo.
Direct moxibustion: SI-1, SP-1, LI-1, ST-44, BL-62, GV-14, CV-17, GV-4, and BL-32.
Select 5 points from the above prescription and apply direct non-scarring
moxibustion on these points for 7 cones, to treat dizziness and vertigo for
both deficiency and excess types.
Foot Acupuncture
Point Prescription: Kidney, Liver, Heart, Inner Nei Ting, Inner Tai Cong, and
Head.
Select 3 points each treatment from the above prescription and insert 1 cun #32
needles into these points perpendicularly, 0.3 cun to 0.5 cun deep with a
twisting reinforcing needle technique to treat dizziness and vertigo for both
excess and deficiency types. Or apply direct non-scarring moxibustion on these
points for 7 cones.
Insert 1.5 cun #32 needles into these lines transversely, 1.3 cun deep at a 15
degree angle and gently adjust the direction and depth of the needles until no
sensation appears near the needles. Retain all needles for 40 minutes to treat
dizziness and vertigo for both deficiency and excess types.
Gua Sha
Treatment area: Back, Chest, Legs, and Arms. (Only select one treatment area
daily.)
Apply a medium-strength Gua Sha technique on the interior of the scapula and
middle back from GV-14 to GV-7 until the Sha appears. Apply a mild-strength
Gua Sha technique on the chest from CV-19 to CV-15 until Sha appears. Apply a
medium-strength Gua Sha technique to the interior side of elbow and the BL-40
area until a red color appears.
Bloodletting
Point: LV-1, PC-3, LI-1, Tip of ear, and Tai Yang.
Apply a bloodletting technique on these points with a lancet or a 1 cun #26
needle to treat dizziness and vertigo of the excess type.
The following prescriptions are from the Yu Long Jing.
For vertigo with a sensation of a spinning room: GV-16.
Insert a 1.5 cun #30needle into GV-16 perpendicularly 1 cun deep towards the
chin with a twisting reducing needle technique. Retain the needle for 20
minutes.
For vertigo and dizziness with vomiting and a stuffy sensation in the chest: GV-
25 and BL-6.
Insert 1.5 cun #32 needles into GV-25 and BL-6 transversely towards the
back 1 to 1.2 cun deep with a twisting reducing needle technique. Retain all
For vertigo and dizziness with a ringing ear, red complexion, and being too tired
to speak: BL-2, ST-36, LI-4, and GB-20.
Insert 1 cun #32 needles into BL-2 obliquely, 0.5 cun to 0.8 cun deep towards
the point Yu Yao with a twisting reducing needle technique and 1.5 cun #32
needles into ST-36 perpendicularly, 1 cun deep with a lifting and thrusting
reducing needle technique. Insert 1 cun #32 needles into LI-4 with a twisting
Insert a 1.5 cun #32 needle into GB-20 perpendicularly, 1 cun deep towards
the nose with a twisting reducing needle technique. Retain the needles for
10 minutes.
Treat once every other day for 5 treatments as a course for the above
techniques.
For dizziness and vertigo with a heavy sensation in the head and a stuffy nose:
GV-20.
Insert a 1 cun #30 needle into GV-20 transversely, 0.5 to 0.8 cun deep at a 30
degree angle, towards the nose with a fast twisting needle technique for 3
minutes.
For dizziness and vertigo with a stiff neck and upper back: GV-16.
Insert a 1.5 cun #32needle into GV-16 perpendicularly 1 cun deep towards the
chin with a twisting reducing needle technique.
For dizziness and vertigo with blurry eyes: BL-66
For dizziness and vertigo with a painful sensation in the eyebrows: BL-18 and
LU-3.
Insert 1 cun #30 needles into BL-18 and LU-3 perpendicularly 0.5 cun deep
with a twisting reinforcing needle technique.
For dizziness and vertigo with red eyes and a headache: TW-2 and BL-2.
Insert 1 cun #32 needles into TW-2 perpendicularly, 0.3 cun deep with a
twisting reducing needle technique and 1 cun #32 needles into BL-2 obliquely,
0.5 cun deep towards the BL-1 direction with a twisting even movement
For dizziness and vertigo with a headache and tearing: GV-25.
Insert a 1 cun #30 needle in GV-25 perpendicularly, 0.3 cun deep with the Qi
Ci technique (three needles on one point, one is in the middle and two other
needles on the sides).
The following prescriptions are from their stated sources.
For dizziness and vertigo with Interior Heat and Phlegm: GV-23, GB-20, and BL-
10. (Zhen Jiu Ju Ying)
Insert a 1.5 cun #30 needle into GV-23 transversely, 1 cun deep at a 30 degree
angle, towards the back with a fast twisting needle technique and 1.5 cun #32
needles into GB-20 and BL-10 perpendicularly, with a lifting and thrusting
For dizziness and vertigo with Interior Phlegm and lassitude: TW-5, LV-1, BL-18,
and GV-20. (Zhen Jiu Da Quan)
Apply direct non-scarring moxibustion to LV-1 for 9 cones. Insert 1.5 cun #30
needles into TW-5 with the Qing Long Bai Wei—Green Dragon Waves its Tail
needle technique, and 1 cun #32 needles into BL-18 perpendicularly, 0.8 cun
deep with a twisting reinforcing needle technique. Apply moxa wool to the
handles for 3 cones. Insert a 1 cun #30 needle into GV-20 obliquely, 0.8 cun
deep at a 45 degree angle, towards the back with a fast twisting needle
technique.
For dizziness and vertigo with a heavy sensation in the head: BL-67, BL-8, GV-16,
TW-2, and TW-23. (Shen Yin Jing)
Apply direct non-scarring moxibustion to BL-67 for 7 cones and then insert 1.5
cun #32 needles into BL-18 obliquely, towards the spinal column 1 cun deep
with a twisting reinforcing needle technique. Insert a 1.5 cun #32 needle into
GV-16 perpendicularly, 1 cun deep towards the chin with a twisting reducing
Insert 1 cun #32 needles into TW-2 with a twisting even movement needle
technique and 1 cun #32 needles into TW-23 perpendicularly, 0.3 to 0.5
cun deep with a twisting reducing needle technique.
For dizziness and vertigo with the sensation that the room is spinning: BL-13, BL-
23, and LI-4. (Zhen Jiu Quan Shu)
Insert 1.5 cun #32 needles into LI-4 perpendicularly, 1 cun deep with a
twisting reducing needle technique, and 1 cun #32 needles into BL-13 and BL-
23 with a twisting reinforcing needle technique.
For dizziness and vertigo due to Wind: GB-42, TW-4, SI-4, and BL-2. (Shen Yin Jing)
Insert 1 cun #32 needles into GB-42, TW-4 and SI-4 perpendicularly, 0.3 cun
deep with a twisting reducing needle technique, and 1 cun #32 needles into
BL-2 obliquely, 0.5 cun deep at a 30 degree angle towards Yu Yao with a
For dizziness and vertigo due to Wind Invasion: GV-20 and GV-17. (Yi Shuo)
Apply a bloodletting technique at GV-20 and GV-17 for 2 to 3 drops of blood.
Treat once daily for 1 to 2 treatments as a course.
For dizziness and vertigo with Phlegm and eyebrow pain: ST-40, LV-3,
LI-4, GV-16, GB-20, and SI-19
Insert 1.5 cun #32 needles into GB-20 and GV-16 perpendicularly, 1
cun deep towards the chin with a lifting and thrusting reducing
Insert 1.5 cun #32 needles into ST-40 perpendicularly, 1 cun deep with a
twisting reinforcing needle technique, and apply moxa wool to the handles
for 3 cones. Insert 1 cun #32 needles into LV-3 and LI-4 with a twisting
reducing needle technique and 1.5 cun #32 needles into SI-19 with a twisting
DYSENTERY
Dysentery is a common intestinal infection that most frequently occurs during
summer and fall. TCM believes it is caused by improper food intake with an
External Pathogenic Invasion, which in combination can obstruct the function of
the Large Intestine. The patient’s main symptoms will be of frequent diarrhea
with tenesmus. When pathogenic infections injure the Large Intestine Qi it will
cause purulent mucous in bowels, and if the infection injures the Blood, a red
color will be appear. Usually there are two categories of differentiating
Dysentery:
Contaminated Food
Most infections of dysentery are due to contaminated food, which
impacts the Stomach and Intestine Qi movement.
External Invasion
Dampness and Heat invade the intestine directly and stagnate food
transport. When this infection of dysentery occurs it usually causes
bleeding, mucus, and watery diarrhea.
DIAGNOSIS
Dysentery due to Damp-Heat
Dysentery due to pathogenic Damp-Heat is characterized by abdominal pain,
tenesmus, a bloody stool with mucous, a burning sensation of the anus, and
scanty deep-colored urine. In the beginning of this disease, the patient will
have aversion to cold then fever with restlessness and thirst. A yellowish
greasy coating will be apparent on the tongue and the pulse will be slippery
and rapid.
Fulminate Dysentery
Dysentery due to severe pathogenic invasion is characterized by frequent
bowel movement with a purulent and bloody mucous, and foul smell. The
associated signs are severe abdominal pain, tenesmus, high fever, thirsty, and
even convulsion or coma. The tongue is dark red with a yellow greasy coating
and the pulse is thin and fast.
Fasting Dysentery
Dysentery due to pathogenic Damp-Heat, which travels up attacks the
Stomach causes anorexia and an inability to eat, vomiting upon eating and
drinking, stuffy sensation in the chest, and sticky bloody and purulent
mucous in the bowels. The associated signs are high fever and lassitude. The
tongue is red with a yellow greasy coating and the pulse is floating, weak,
and fast.
Cold-Damp Dysentery
Dysentery characterized by passage of a whitish, thin purulent stool, absence
of fever, distending or distress in the epigastric region, dull pain in the
abdomen, tenesmus, listlessness, absence of thirst, poor appetite, clear
urine, slight fever, and tastelessness are associated with Cold-Damp Invasion.
The tongue will be pale with a white greasy coating and the pulse will be
slow.
Recurrent Dysentery
Recurrent Dysentery is characterized by a long-term and repeated occurrence
that appears with a purulent and bloody stool, tenesmus, and continuation
of slight symptoms in between attacks. There are two types seen in TCM,
Yang Deficiency and Yin Deficiency. The Yang Deficient patient will have a pale
complexion, loose stool with a poor appetite, pale tongue, thin white
coating, and a slow pulse. The Yin Deficient patient will have a low-grade
fever, listlessness, thirst, dry throat, stool that is sticky with bloody mucous, a
red tongue without coating, and a thin and fast pulse.
Treatment Principle: Clear Heat, Resolve Damp, and Regulate the Qi and Blood.
Point Prescription: LI-4, ST-25, and ST-37.
Technique: Insert 1 cun #32 needles into LI-4 perpendicularly, 0.7 cun deep with
twisting reducing needle technique, and 1.5 cun #30 needles into ST-37
perpendicularly, 1.2 cun deep with twisting reducing needle technique. Insert 2
cun #30 needles into ST-25 perpendicularly, 1.5 cun deep with lifting and
thrusting reducing needle technique.
Fulminate Dysentery: GV-14 and Shi Xuan with bloodletting technique.
Fasting Dysentery: CV-12 and PC-6.
Cold-Damp Dysentery: SP-9 and CV-6.
Recurrent Dysentery: BL-20 and BL-23 with moxibustion for Yang deficiency,
and KI-6 and SP-10 for Yin Deficiency.
Ear Acupuncture
Point Prescription: Large Intestine, Small Intestine, Stomach, Rectum, Shen
Men, Spleen, and Kidney.
Select 2-3 points during each treatment. Insert 0.5 cun #32 ear needles
obliquely, 0.3 cun deep at a 45 degree angle with strong twisting needle
technique for acute type of dysentery, and weak twisting needle technique
for deficiency type of dysentery. Retain all needles for 40 minutes.
Scalp Acupuncture
Treatment zones: Middle line of vertex, Middle line of forehead, and Lateral
line 2 and 3 of the forehead.
Insert 1.5 cun #32 needles into Middle line of vertex and Middle line of
forehead transversely, 1 cun deep at a 30 degree angle backwards with a
lifting and thrusting reducing needle technique. Insert 1 cun #30 needles into
Lateral line 2 and 3 of the forehead transversely, 0.8 cun deep at a 30 degree
angle towards the face with fast twisting needle technique. Retain all needles
for 40 minutes.
Moxibustion
(For the treatment of deficient type dysentery, Cold or loss of a amount of
body fluid.)
Direct moxibustion: CV-6, ST-25, ST-37, SP-4, BL-20, and BL-25.
Apply direct non-scarring moxibustion on these points for 11 cones in
each treatment.
Indirect moxibustion: CV-8, CV-4, ST-25, GV-4, and BL-25.
Apply indirect moxibustion with salt on CV-8 for 5 cones, and with ginger
on ST-25 and CV-4 for 5 cones.
Apply indirect moxibustion with ginger on GV-4 and BL-25 for 5 cones.
Moxa pole: GV-20, CV-6, ST-25, CV-12, BL-20, and BL-40.
Apply moxa-pole for 10 minutes on each point.
Treat once daily for 5 treatments as a course, or with other therapy
together.
Bloodletting
Treatment area: PC-3 and BL-40.
(For the treatment of dysentery due to Heat.)
Apply bloodletting technique on PC-3 (looking for purple or blue veins) to
squeeze 2-3 drops of blood. Then apply again on BL-40 to squeeze 5
drops of blood.
Treat once every other day for 2 treatments as a course, or with other
therapy together.
For general dysentery: LI-4, ST-36, and BL-29. (Za Bing Xue Fa Ge)
Insert 3 cun #30 needles into BL-29 perpendicularly, 2 cun deep with twisting
reducing needle technique. Retain needles for 10 minutes.
Insert 1.5 cun #30 needles into ST-36 perpendicularly, 1.2 cun deep with
lifting and thrusting reinforcing needle technique, and 1 cun #32 needles into
LI-4 with twisting even movement needle technique. Retain all needles for
30 minutes.
For dysentery with bloody stool: ST-44, ST-25, SP-1, CV-6, PC-6, and KI-6. (Zhen Jiu
Da Cheng)
Insert 1 cun #32 needles into ST-44 and KI-6 perpendicularly, 0.5 cun deep
with twisting reducing needle technique, and 2 cun #30 needles into ST-25
perpendicularly, 1.5 cun deep with twisting reducing needle technique. Insert
1.5 cun #32 needle into CV-6 perpendicularly, 1.2 cun deep with twisting even
movement needle technique, and 1 cun #34 needles into PC-6 obliquely, 0.6
cun deep at a 60 degree angle upwards with twisting even movement needle
technique. Apply direct non-scarring moxibustion on SP-1 for 9 cones.
For dysentery with purulent stool: TW-5, SP-1, ST-25, and BL-62. (Zhen Jiu Da
Cheng)
Insert 1.5 cun #30 needles into TW-5 and ST-25 perpendicularly, 1 to 1.2 cun
deep with twisting reducing needle technique, 1 cun #32 needles into BL-62
obliquely, 0.5 cun deep at a 45 degree angle towards upwards with twisting
even movement needle technique. Apply direct non-scarring moxibustion on
SP-1 for 10 cones.
For dysentery with bloody and purulent stool: CV-1 and GV-4. (Shen Jiu Jing Lun)
Insert a 1.5 cun #32 needle into CV-1 perpendicularly, 1 cun deep with
twisting reducing needle technique, and 1.5 cun #30 needles into GV-4
perpendicularly, 1 cun deep with twisting even movement needle technique.
Apply moxa wool on the handle of needle for 3 cones.
For tenesmus during dysentery: CV-11, ST-25, and KI-6. (Shen Jiu Jing Lun)
Insert 1.5 cun #32 needles into CV-11 and ST-25 perpendicularly, 1 cun deep
with twisting even movement needle technique, and 1 cun #32 needles into
KI-6 obliquely, 0.5 cun deep at a 60 degree angle with twisting even
For chronic dysentery: BL-20, ST-25, BL-22, BL-25, ST-36, and SP-6. (Shen Jiu Jing
Lun)
Apply direct non-scarring moxibustion on SP-6, ST-36, and ST-25 for 9 cones.
Apply indirect moxibustion with ginger or Fu Zi (aconite) cake on BL-20, BL-
22, and BL-25 for 5 cones.
For dysentery due to Damp-Heat: LI-4, ST-25, ST-37, LI-11, ST-44, and CV-12.
(Zhen Jiu Chu Fang Xue)
Insert 1.5 cun #32 needles into ST-25, ST-37, LI-11, and CV-12 with lifting and
thrusting reducing needle technique, and 1 cun #32 needles into LI-4 and ST-
44 with twisting reducing needle technique. Retain all needles for 20
minutes.
For dysentery due to Cold-Damp: CV-12, ST-25, BL-25, CV-6, ST-36, and SP-4.
Insert 1 cun #32 needles into SP-4 perpendicularly, 0.5 cun deep with twisting
reinforcing needle technique, and 1.5 cun #30 needles into ST-36 with lifting
and thrusting reinforcing needle technique. Insert 1.5 cun #32 needles into
CV-12, ST-25, and CV-6 perpendicularly, 1 cun deep with twisting even
movement needle technique. Apply moxa wool on the handle of needles for 5
cones. Insert 3 cun #30 needles into BL-25 perpendicularly, 2-2.5 cun deep
with twisting reducing needle technique and retain the needles for 10
minutes.
For fasting dysentery: CV-12, BL-21, BL-20, ST-44, LV-13, and PC-6. (Zhen Jiu Chu
Fang Xue)
with twisting reducing needle technique. Retain all needles for 15 minutes.
twisting even movement needle technique, and 1 cun #34 needles into ST-
44 and PC-6 perpendicularly, 0.5 cun deep with twisting even movement
needle technique. Apply direct non-scarring moxibustion on LV-13 for 9
cones.
For chronic dysentery: LI-4, ST-36, SP-9, CV-12, CV-4, CV-8, and CV-3. (Yi Xue Gang
Mu)
Insert 1 cun #32 needles into LI-4 perpendicularly, 0.6 cun deep with twisting
even movement needle technique, and 1.5 cun #32 needles into ST-36 and
SP-9 with twisting reinforcing needle technique. Insert 1.5 cun #34 needles
into CV-12 and CV-3 perpendicularly, 1.2 cun deep with twisting even
movement needle technique. Apply indirect moxibustion with salt on CV-8 for
5 cones. Apply indirect moxibustion with ginger on CV-4 for 3 cones.
For dysentery with abdominal pain: LU-7, ST-44, ST-25, and SP-6. (Zhen Jiu Da
Chuan)
Insert 1.5 cun #32 needles into LU-7 transversely, 1 cun deep at a 15 degree
angle upwards with twisting even movement needle technique, and 1.5 cun
#32 needles into ST-44 and SP-6 perpendicularly, 1 cun deep with twisting
reducing needle technique. Insert 2 cun #30 needles into ST-25
perpendicularly, 1.5-1.7 cun deep with twisting reducing needle technique.
For dysentery with tenesmus and purulent watery stool: KI-7 and BL-25. (Zhen
Jiu Da Chuan)
Insert 3 cun #30 needles into BL-25 perpendicularly, 2 cun deep with lifting
and thrusting reducing needle technique, and 1.5 cun #32 needles into KI-7
perpendicularly, 1 cun deep with twisting reinforcing needle technique.
For dysentery with prolapsed of anus: GV-2 and BL-57. (Zhen Jiu Da Chuan)
twisting even movement needle technique, and apply moxa wool on the
handle of the needles for 3 cones. Apply moxa-pole on GV-2 for 20 minutes.
For dysentery with Qi deficiency and tenesmus: SP-4, CV-11, LV-13, and KI-7. (Lei
Jing Tu Yi)
Insert 1 cun #32 needles into SP-4 perpendicularly, 0.5 cun deep with twisting
reinforcing needle technique, and 1.5 cun #32 needles into CV-11 and KI-7
with twisting even movement needle technique. Apply direct non-scarring
moxibustion on LV-13 for 11 cones.
For dysentery with constant fever, purulent, and bloody stool: ST-25, BL-20, SP-3,
LI-3, LU-5, ST-41, and LI-8 (Cai Ai Bian Yi)
Insert 1 cun #32 needles into LI-3, LI-8, ST-41, and SP-3 with twisting even
movement needle technique, and 1.5 cun #30 needles into LU-5 with lifting
and thrusting reducing needle technique. Next insert 2 cun #30 needles into
ST-25 perpendicularly, 1.7 cun deep with twisting reducing needle technique.
Insert 1.5 cun #30 needles into BL-20 perpendicular 1.2 cun deep with
twisting even movement needle technique and apply moxa wool on the
handle of the needles for 3 cones.
For chronic dysentery due to deficiency of Yang: CV-6, CV-12, ST-28, GB-27, and
SP-6. (Zhen Jiu Ju Ying)
Insert 1.5 cun #32 needles into SP-6 obliquely, 1.2 cun deep at a 60 degree
angle upwards with twisting even movement needle technique, and 1.5 cun
#34 needles into ST-28 and CV-12 perpendicularly, 1.2 cun deep with twisting
reinforcing needle technique. Apply indirect moxibustion with Fu Zi (aconite)
cake on CV-6 GB-27 for 5 cones.
EDEMA
Edema refers to water retention within the body, which may accumulate and
stagnate in the muscles, skin, head, limbs, organs, or anywhere in the body. There
are two types known in TCM, Yin Water and Yang Water retention, which include
local and/or whole body edema caused by the Heart, Kidney or malnutrition
problems. This stagnation of water in the body can cause a variety of symptoms
based on the nature of its causes. These symptoms can vary from local pains,
aches, tremors, and even fever. Of the different causes identified in TCM there
are five major categories based on its symptoms and location:
Wind Invasion causing the Lung to fail in its ascending and descending
function
A Wind Invasion obstructs the pathway of water, impacting the Lung. This is
often the cause of most acute edema. In this case, the water retention usually
occurs on the surface of the body, particularly in the upper body and face. It is
known in Chinese as Feng Shui—Wind Water.
Dampness and toxicity invade the Lung and Spleen
Some skin edema is caused by Heat toxin (such as some eczema or other
dermatological disorders). Infections that invade from the outside of the body
and move to the inside to the organs usually invade the Lung and Spleen. The
Spleen fails in transporting and transforming and the Lung fails in ascending
and descending, resulting in whole body edema.
Stagnation of the Spleen

Often, Spleen stagnation is caused by either Dampness invading from the
environment or from an improper food intake that damages the Spleen Qi. As
a result, edema will appear on the surface of the body after a long period of
Spleen stagnation and failure in transporting and transforming.
Damp-Heat Stagnation
This refers to an accumulation of water in the body that turns to Heat and
stagnates in the San Jiao meridian, causing edema.
Kidney Qi Deficiency
Most kinds of deficiency edema are caused by deficiency of the Kidney,
which fails in water metabolism. Edema will appear in the body, particularly
in the lower half.
DIAGNOSIS
Yang Water
Symptoms of Yang Water retention include water retention that starts in the
head and face and then travels over the whole body, above the waist being
more severe than below and is characterized by a depressed hollow that
recovers quickly after being pressed. The signs associated with it are: fever, an
aversion to cold and an achy sensation in the back and limbs. With a Wind-
Cold Invasion, the patient will have a pale tongue with a thin white coating
and the pulse will be tight and floating. With a Wind-Heat Invasion, the patient
will have a sore throat with a red tongue and a yellow coating and the pulse
will be floating and fast.
Yin Water
Symptoms of Yin Water include water retention that starts from the foot and
travels upward. Below the waist is more severe than above, with a depressing
hollow that recovers slowly. Other associated symptoms include darkened skin
and scanty urine. In Spleen deficient patients, there is an accompanying
bloated abdomen, loose stools, and lassitude. The tongue is pale with a white
greasy coating and the pulse is slow and weak. In Kidney deficient patients,
the edema is accompanied by a sore, cold, and weak sensation in the low
back and limbs, lassitude, a pale tongue with a white coating, and a deep and
weak pulse.
Advanced stage of Edema
Usually, this stage is related to kidney damage. Water retention could be
throughout the whole body, particularly in the abdomen and chest,
associated with scanty urination or even no urine, shortness of breath, heart
palpitations, nausea, vomiting, loss of consciousness, and/or nose and
bleeding gums. This is called Water-toxin attacking the Heart and Lung in
TCM.
Yang Water
Treatment Principle: Expel the Wind and Promote water metabolism.
Point Prescription: BL-13, BL-22, LI-6, SP-9, and LI-4.
Technique: Insert 1.5 cun #32 needles into BL-13 obliquely, towards the spine 1
cun deep with a lifting and thrusting reducing needle technique and then insert
1.5 cun #30 needles into BL-22 perpendicularly, 1 cun deep with the Zi Wu Dao
Jiu technique. (This is one combination of needle technique. See Section 3 for
details.) Retain all needles for 10 minutes.
Insert 1 cun #32 needles into LI-6 and LI-4 with a twisting reducing needle
technique and 1.5 cun #30 needles into SP-9 with a lifting and thrusting reducing
Sore throat: LU-11 with a bloodletting technique.
Facial swelling: GV-26.
Yin Water
Treatment Principle: Reinforce the Spleen, Warm the Kidney, Build up the Yang
Qi, and Move the water.
Point Prescription: BL-20, BL-23, CV-9, CV-6, KI-3, and ST-36.
Technique: Insert 1.5 cun #32 needles into BL-20 and BL-23 with a lifting and
thrusting reinforcing needle technique, and apply moxa wool on the needle
handles for 3 cones. Insert a 1.5 cun #32 needle into CV-6 perpendicularly, 1.2
cun deep with a twisting reinforcing needle technique and 1.5 cun #32 needles
into KI-3 and ST-36 with a twisting reinforcing needle technique. Apply
moxibustion with ginger on CV-9 for 5 to 7 cones.
Bloated abdomen: CV-12.
Loose stool: ST-25.
Interior Cold: CV-8 and CV-4 indirect
moxibustion with salt and Fu Zi (aconite) cake
for 5 to7 cones.
Ear Acupuncture
Point Prescription: Kidney, Spleen, Heart,
Helix, and Endocrine.
30 degree angle, with a fast twisting needle technique. Retain all needles
for 40 minutes.
Scalp Acupuncture
Treatment zones: Middle line of the forehead and vertex, lateral line 1 and 2
of the forehead.
Insert 1 cun #32 needles into the middle line of the forehead, the lateral line 1
and 2 of the forehead transversely towards the face, 0.5 to 0.8 cun deep at a
30 degree angle, with a fast twisting needle technique. Insert a 1.5 cun #32
needle into the middle line of the vertex transversely, 1 cun deep at a 30
degree angle towards the back with a lifting the Qi technique. Retain all
needles for 40 minutes
Moxibustion
Point Prescription: CV-9, CV-12, CV-6, SP-3, Wai Huai Jian, BL-22, BL-20, and
BL-32.
Apply direct non-scarring moxibustion on SP-3, Wai Huai Jian, CV-12 and BL-
32 for 9 cones. Or apply indirect moxibustion with ginger on CV-9, CV-6, BL-
22 and BL-20 for 5 cones.
Foot Acupuncture
Points: San Jiao, Small intestine, Kidney, and Spleen.
Insert 1 cun #32 needles into these points perpendicularly, 0.3 cun deep with
minutes.
Wrist and ankle Acupuncture
degree angle, with a slow insertion needle technique to avoid any needle
sensation. Retain the needles for 40 minutes.
Gua Sha
Treatment area: Back, Chest, Abdomen, BL-39, and PC-3.
Apply medium stimulation of Gua Sha technique on the upper back from BL-
41 to BL-45, and on the chest from CV-21 to CV-16, until the red color and
purple dots—Sha appears. Apply mild stimulation of Gua Sha on the abdomen
along both sides of the Stomach meridian, BL-39, and the PC-3 area, until red
marks appear.
Treat once a week for 3 treatments as a course
Cupping
Treatment area: Mid-back, CV-8, and ST-25.
Apply fire cups on the mid-back near BL-22, BL-50, and BL-47 and retain the
cups for 3 minutes. Then apply cups on CV-8 and ST-25. Retain the cups for 5
minutes.
TRADITIONAL PRESCRIPITONS AND TECHNIQUE
For edema on the face and eyes with a high fever: KI-6, GV-26, LI-4, ST-36, GB-15,
LI-11, and SP-6. (Zhen Jiu Da Cheng)
Insert a 1 cun #32 needle into GV-26 perpendicularly, 0.3 cun deep with a
twisting even movement needle technique and 1 cun #32 needles into GB-15
transversely, 0.5 cun deep towards the face at a 30 degree angle with a fast
twisting needle technique. Insert 1.5 cun #30 needles into ST-36, LI-11, SP-6,
and LI-4 with a twisting even movement needle technique. Insert 1 cun #30
needles into KI-6 obliquely, towards the center of the ankle with a twisting
reinforcing needle technique.
For edema accompanied by a bloated belly: GV-26 and CV-9. (Gu Jin Yi An)
Insert 1 a cun #32 needle into GV-26 perpendicularly, 0.3 cun deep with a
twisting reducing needle technique. Apply indirect moxibustion with
ginger on CV-9 for 7 cones.
For edema of the Yin Water type: CV-9, CV-6, BL-20, BL-23, ST-36, SP-6, and
BL-39 (Zhen Jiu Chu Fang Ji Jing)
Insert 1.5 cun #30 needles into BL-20, BL-23 and BL-39 perpendicularly, 1 to
1.2 cun deep with a twisting reinforcing needle technique, and apply moxa
wool on the needle handles for 3 cones. Insert 1.5 cun #32 needles onto CV-
9, CV-6, ST-36, and SP-9 with a twisting reinforcing needle technique. Apply
moxa wool on the handles for 5 cones.
Additional point for other associated symptoms:
Upper extremity edema: LI-6.
Lower extremity edema: SP-9.
Foot edema: GB-42.
Loose stools: ST-25.
For edema around the belly: SP-9 and CV-9. (Bai Zhen
Fu)
Insert 1.5 cun #30 needles into SP-9, 1 to 1.2 cun deep with a lifting and
thrusting reducing needle technique, and apply moxa wool on the handles for
3 cones. Apply indirect moxibustion with ginger on CV- 9 for 7 cones.
For edema in the lower body: CV-9 and KI-6. (Zha Bing Xue Fa Ge)
Apply direct non-scarring moxibustion on CV-9 and KI-6 for 9 cones.
Acupuncture and Moxibustion—A Clinical Desk Reference
For edema in the whole body: GV-26, BL-21, LI-4, CV-5, ST-36, KI-7, LV-8, and KI-
Insert 1.5 cun #30 needles into BL-21 perpendicularly, 1 cun deep with a lifting
and thrusting reducing needle technique, and apply moxa wool on the
handles for 3 cones. Insert 1 cun #32 needles into GV-26 and LI-4 with a
twisting even movement needle technique. Insert 1.5 cun #32 needles into
CV-5, ST-36, KI-7, LV-8, and KI-14 perpendicularly, 1 cun deep with a twisting
even movement needle technique. Apply moxa wool on the handles for 3
cones.
For edema in the belly: BL-20, CV-9, and BL-18. (Jing Yue Quan Shu)
Apply direct moxibustion on BL-20 and BL-18 for 9 cones. Apply indirect
moxibustion with Gan Sui and Da Ji (Chinese herbs) on CV-9 for 5 cones.
For edema on the head and face: SP-4, GV-26, ST-40, ST-43, LU-7, GV-23, GB-34,
and GB-17. (Shen Yin Jing)
Insert 1 cun #32 needles into GV-26, SP-4 and ST-43 with a twisting reducing
needle technique and 1.5 cun #32 needles into LU-7, GV-23, and GB-17
transversely, at a 30 degree angle 1 cun deep with a twisting even movement
needle technique. Insert 1.5 cun #30 needles into GB-34 and ST-40 with a
lifting and thrusting reducing needle technique. Retain all needles for 30
minutes.
For edema on the head and face: GB-12, SI-18, GV-24, BL-45, GB-16, GB-20, and
LI-4. (Zhen Jiu Quan Shu)
Insert 1.5 cun #32 needles into GB-12, GB-20, and GB-16 with a twisting
reducing needle technique and 1.5 cun #30 needles into BL-45 transversely,
towards BL-46, 1 cun deep at a 30 degree angle with a twisting reducing
Insert 1 cun #32 needles into SI-18, GV-24, and LI-4 with a twisting even
For pediatric edema with a swollen belly and limbs: One cun above the navel.
(Ming Tang Jiu Jing)
Apply direct non-scarring moxibustion one cun above the navel for 7 cones.
The following four prescriptions are from the Zhen Jiu Chu Fang Ji Jing.
For edema with heaviness and a swollen body: ST-22.
For edema with asthma and difficulty lying down: LU-3 and
SP-9.
Insert 1.5 cun #30 needles into LU-3 and SP-9 perpendicularly, 1 cun deep
with a lifting and thrusting reducing needle technique. Retain all needles for
20 minutes.
For edema beneath the skin: CV-7 and ST-36.
Insert 1.5 cun #32 needles into CV-7 and ST-36 perpendicularly 1.2 cun
deep with a twisting even movement needle technique, and apply moxa
wool on the handles for 3 cones.
For edema with a bloated belly: CV-9, ST-33, LV-1, SP-8, LV-8, and KI-14. (Zhen
Jiu Chu Fang Ji Jing)
Apply direct non-scarring moxibustion on CV-9, ST-33, and LV-1 for 7 cones.
Insert 1.5 cun #32 needles into LV-8, KI-14, and SP-8 with a twisting
reinforcing needle technique. Apply moxa wool on the handle of needles for 3
cones.
For edema with heaviness in the body: LV-3, LI-4, ST-44, and LV-1. (De Xiao Fang)
Apply direct non-scarring moxibustion on LI-4, LV-1, and ST-44 for 7 cones,
and on LV-3 for 10 cones.
For edema in the face and head: LU-1, PC-5, and LI-4. (Zhen Jiu Jing Lun)
Insert 1.5 cun #32 needles into LU-1 obliquely, towards the shoulder 1 cun
deep with a twisting even movement needle technique and 1 cun #34 needles
into PC-5 and LI-4 with a lifting and thrusting reducing needle technique.
For edema in the legs with difficulty walking: LV-3 and BL-58. (Zhen Jiu Jing Lun)
Apply direct non-scarring moxibustion on LV-3 and BL-58 for 7 cones.
For edema in the lower body: CV-8 and KI-7. (Shen Yin Jing)
Apply indirect moxibustion with salt on CV-8 for 5 cones. Insert 1.5 cun #32
needles into KI-7 perpendicularly, 1 cun deep with a lifting and thrusting
reducing needle technique, and apply moxa wool on the handles for 3 cones.
For edema in the body and head: BL-20 and Sui Zhong. (De Xiao Fang)
Apply direct non-scarring moxibustion on BL-20 for 10 cones, and on Shui
Zhong point (the point on the black and white skin boarder, directly straight
down from the inside of the ankle) for 7 cones.
EPIGASTRIC PAIN
Epigastric pain usually refers to sensations of pain and pressure in the
epigastric region of the abdomen. This type of pain is usually primarily located in
the digestive tract traveling downwards. In Traditional Chinese Medicine,
epigastric pain includes acute or chronic gastritis, stomach and duodenal ulcer,
and gastro neurosis. The etiological factors contributing to epigastric pain are:
Cold invading the Stomach
The nature of Cold dominates contraction. When the Cold invades the
Stomach, it will impact the Stomach Qi and cause pain.
Most epigastric pain is due to excessive eating of cold, hot, spicy, or
greasy foods, causing stagnation of food in the Stomach or accumulation of
Heat in the Stomach.
Unhealthy Emotional Activities
Stagnation of Liver Qi occurs from unhealthy emotional stimulation, which
attacks the Stomach and causes pain.
Deficiency of Spleen and Stomach

Long-term or chronic diseases or weakness in the body constitution will cause
Stomach and Spleen Yang deficiency. This makes it hard to digest food after
eating, causing pain. Sometimes deficiency of the Qi will cause the Blood to
stagnate and hurt the Luo meridian of the Stomach, causing severe pain and
bleeding symptoms in both the upper and lower GI tract.
DIAGNOSIS
Excess type
Pain due to a Cold Invasion
Symptoms include acute epigastric pain that is relieved by warmth and
aggravated by cold with a desire for warm drinks. The tongue is pale with a
thin white tongue coating and the pulse is floating and wiry.
Pain due to Food Stagnation

Symptoms include epigastric pain, fullness and distention, acid regurgitation,
vomiting of undigested food, and pain that is relieved after vomiting or a
bowel movement. The tongue is red with a thick, greasy coating and the pulse
is slippery.
Pain due to Stagnation of Liver Qi attacking the Stomach
Symptoms include epigastric distention and pain that extends to the
hypochondriac region, sighing, belching, and irregular bowel movements with
alternating constipation and diarrhea. The tongue is swollen with white
tongue coating and the pulse is wiry.
Pain due to Liver and Stomach Heat
Symptoms include epigastric burning and pain, restlessness, a tendency
towards anger, acid regurgitation and a dry, bitter taster in the mouth. The
tongue is red with yellowish coating and the pulse is fast and wiry.
Pain due to Blood Stagnation
Symptoms include a fixed, sharp pain in the epigastric region that is made
worse with pressure and is aggravated by food, hematemesis, and black
stools. The tongue is purple with black dots and a thin white coating and the
pulse is thin and choppy.
Deficiency type
Pain with Stomach Yin Deficiency
Symptoms include chronic epigastric pain and discomfort and a dry mouth,
throat, and stools. The tongue is red with no coating and the pulse is thin and
fast.
Pain with Stomach and Spleen Deficient Cold

Symptoms include chronic epigastric pain that is reduced with pressure and
warmth, aggravated by hunger and associated with vomiting of clear fluids, a
poor appetite, lassitude, cold hands and feet, and loose stools. The tongue is
pale with a white coating and the pulse is slow and weak.
Excess type
Treatment Principle: Expel the Cold, Warm the middle warmer, Clear the Heat,
Resolve the stagnation, Regulate the Qi, and Soothe the Liver.
Point Prescription: CV-12, ST-36, PC-6, SP-4, and LV-2.
Technique: Insert 1.5 cun #32 needles into CV-12 and ST-36 perpendicularly, 1 to
1.2 cun deep with a twisting reducing needle technique and 1 cun #30 needles
into PC-6, SP-4, and LV-2 with a twisting reducing needle technique. Retain all
needles for 20 minutes. Or, apply moxa wool to the handles of the needle for 3
cones on CV- 12, if the patient has a Cold Invasion.
Severe pain: ST-34.
Hypochondriac pain: GB-34.
Thirst: CV-24 and KI-6.
Restlessness: LV-3 and GV-20.
Black stool: SP-10 and SP-6.
Deficiency type
Treatment Principle: Reinforce the Spleen-Stomach
Qi, Warm the Yang, Expel the Cold, and Nourish the
Yin.
Point Prescription: BL-21, BL-20, CV-12, LV-13, ST-
36, PC-6, and SP-6.
course.
Technique: Insert 1.5 cun #30 needles into BL-21 and BL-20 with a lifting and
thrusting reinforcing needle technique. Retain all needles for 5 minutes and then
remove them.
Insert 1 cun #32 needles into CV-12, LV-13, ST-36, PC-6, and SP-6 with a twisting
Bitter taste in the mouth: HT-8.
Burning sensation in the epigastric region: KI-3.
Black stool: LV-8 and SP-6.
Vomiting of blood: BL-17.
Scalp Acupuncture
Treatment zone: Lateral line 2 of the forehead, Lateral line 3 of the forehead,
and Middle line of the vertex.
Insert 1.5 cun #30 needles into these lines transversely, at a 30 degree angle
with a fast twisting needle technique until the pain releases. Retain all
needles for 1 to 2 hours.
Treat once daily for3 treatments as a course.
Ear Acupuncture
Points: Spleen, Stomach, Liver Sympathetic, Shen Men, and Sub cortex.
Select 2 to 3 points each treatment. Insert 0.5 cun #32 ear needles into these
points with a twisting reducing needle technique until the pain is reduced.
Retain all needles for 30 to 50 minutes.
Moxibustion
Points: CV-12 and CV-9.
Apply indirect moxibustion with salt on CV-8, and indirect moxibustion with
ginger on CV-12 for 3 cones to treat epigastric pain with a Spleen deficiency.
Nose Acupuncture
Points: Heart, Stomach, and Lung.
Insert 0.5 cun #32 needles for these points perpendicularly, 0.2 cun deep
with a twisting even movement technique. Retain all needles for 30 minutes.
The pain usually disappears after 5 to 10 minutes.
Gua Sha
Treatment area: Mid-back and the Stomach meridian on the chest and
epigastric region.
Apply medium stimulation of the Gua Sha (until the skin color changes to dark
red) along the meridian to treat epigastric pain due to stagnation of Heat.
Treat once daily for 2 treatments as a course
TRADITIONAL PRESCRIPTONS AND TECHNIQUE
For epigastric pain with a Cold Invasion: BL-17, BL-20, BL-21, PC-6, GB-37, and
GB-40. (Shen Yin Jing)
For acute Stomach pain with vomiting of cold clear water: LU-9, LU-10, ST-36,
and ST-18. (Shen Yin Jing)
Apply direct non-scarring moxibustion on LU-9, LU-10, ST-36 and ST-18 for 7
cones.
For chronic epigastric pain due to deficiency of Spleen and Kidney: BL-17, BL-
21, and BL-23. (Shen Yin Jing)
Insert 1.5 cun #32 needles into BL-17, BL-21 and BL-23 perpendicularly, 1 cun
deep with a twisting reinforcing needle technique and apply moxa wool to
the handle of the needles for 3 cones.
For pain due to stagnation of the intake of cold food: CV-12, CV-13, and ST-36.
(Zhen Jiu Da Cheng)
Insert 1.5 cun #30 needles into ST-36 and CV-1 perpendicularly, with the Shao
Shan Huo needle technique, until a heat sensation is produced under the
needles. Insert a 1.5 cun #32 needle into CV-14 with a twisting reducing
needle technique. Apply moxa wool to the handles of the needles for 3
cones.
For Stomach pain due to Deficiency Cold of the Spleen: ST-44, CV-12, CV-6, and
SP-4. (Zhen Jiu Da Quan)
Insert 1 cun #32 needles into ST-44 and SP-4 with a twisting reinforcing
needle technique and 1.5 cun #30 needles into CV-6 and CV-12 with a
twisting reinforcing needle technique. Apply moxa wool to the handles of the
For Stomach pain due to stagnation of food accompanied by vomiting and acid
regurgitation: GB-24, CV-12, BL-20, and BL-21 (Lei Jing Tu Yi)
then apply the moxa-pole at GB-24 and CV-12 for 20 minutes.
For epigastric pain due to stagnation of the Liver Qi, which then attacks the
Stomach: CV-12, ST-36, LV-13, GB-34, and PC-6.
Insert 1.5 cun #32 needles into PC-6, GB-34, and ST-36 with a twisting
reducing needle technique, 1 cun #32 needles into CV-12 and LV-13 with a
For epigastric pain due to food stagnation: CV-12, KI-18, and BL-21. (Zhen Jiu
Gang Yao)
Insert 1.5 cun #30 needles into BL-21 with a lifting and thrusting reducing
needle technique and remove it after a Qi sensation is achieved. Insert 1
cun #32 needles into CV-12 and KI-18 with a twisting reducing needle
For epigastric pain: ST-36. (Pi Wei Lun)
For Stomach pain with food stagnation and acid regurgitation: LV-13 and GB-
22. (Pi Wei Lun)
Insert 1.5 cun #30 needles into ST-36 perpendicularly 1 cun deep with a
lifting and thrusting reducing needle technique and 1 cun #32 needles into
LV-13 and GB-22 with a twisting reducing needle technique. Retain all
For epigastric pain due to stagnation with Heat: GB-39. (Shen Yin Jing)
Insert 1.5 cun #30 needles into GB-39 perpendicularly, 1 cun deep with a
For Stomach pain due to Cold Phlegm: BL-17. (Shen Yin Jing)
Insert 1 cun #30 needles into BL-17 perpendicularly 0.5 to 0.8 cun deep with
a twisting reinforcing needle technique and apply moxa wool to the handles
For epigastric pain with poor appetite: PC-6, LU-10, and ST-36. (Shen Yin Jing)
Insert 1 cun #32 needles into PC-6 and LU-10 with a twisting even movement
technique and 1.5 cun #30 needles into ST-36 with a lifting and thrusting
For epigastric pain with poor appetite: CV-12 and CV-13. (Jiu Fa Mi Chuan)
For epigastric pain with vomiting: CV-10 and BL-19. (Jiu Fa Mi Chuan)
For epigastric pain with borborygmus: LV-3. (Jiu Fa Mi Chuan)
Apply direct non-scarring moxibustion for 7 cones on CV-12 and CV-13. Apply
indirect moxibustion with ginger on CV-10 and BL-19 for 3 cones. Insert 1
cun #32 needles into LV-3 with a twisting reducing needle technique and
apply moxa wool to the handles of the needles for 3 cones.
For epigastric pain due to stagnation of Qi: GV-6.
Insert a 1.5 cun #28 needle into GV-6 perpendicularly, 1cun deep with the
Long Hu Jiao Zhan—Dragon and Tiger Battle technique. Retain the needles
for 10 minutes.
For acute epigastric pain: LI-4, LV-3, and CV-12.
Insert 1 cun #30 needles into LI-4 perpendicularly, 0.5 cun deep with a
twisting reducing needle technique and 1.5 cun #32 needles into LV-3
obliquely upwards at a 60 degree angle 1 cun deep with an even movement
needle technique. Insert 1.5 cun #32 needles into CV-12 with a twisting even
movement needle technique and apply moxa wool to the handles of the
needle for 3 cones.
EPILEPSY
Epilepsy is defined as paroxysmal and temporary disturbances of the brain
characterized by loss of consciousness, muscle tics or other abnormal sensations
and emotional behaviors. This is usually due to trauma to the brain or blood
clogging the brain arteries.
Clinical manifestations of the disease vary greatly. Epilepsy may be present in
forms of grand mal, petit mal or infantile spasms. The grand mal is characterized
by a sudden loss of consciousness and a general titanic spasm with sensations of
apnea, cyanosis and foam from the mouth, usually lasting for 1-5 minutes. The
patients may then fall into a sleep and become conscious a few hours later. The
petit mal is characterized by a sudden and brief loss of consciousness without
auras or muscle tics, accompanied by interruptions of speech and action, usually
persisting for 2-10 seconds. The patient usually comes to consciousness rapidly.
Infantile spasms are the lightest of the three usually characterized by involuntary
spasms of muscles and head and does not always lead to loss of consciousness.
In TCM, epilepsy is caused by stagnation of Phlegm and Fire, which makes Qi
flow disturbed in the brain. This stagnation may result in dysfunctions in the brain
and is generally characterized into three different causal groups.
Emotional impact
Severe fear and scary scenes cause some types of epilepsy. Fear makes the
Qi sink and fright makes the Qi disturbed. Abnormal Qi movement will
impact other organs such as the Liver and Kidney, making it difficult for the
Yin to harmonize the Yang well. The separated Yang will ascend with Wind
and Phlegm and impact the Heart Shen, causing epilepsy.
Innate causes
Most of the time, innate epilepsy is caused by the mother‘s severe emotional
state or severe depression and anxiety during pregnancy, or by fetal brain
injury during the labor.
Brain injury
Some trauma-induced epilepsy belongs to this category. Stagnation of Blood
leads to Qi stagnation in the brain, causing epilepsy.
DIAGNOSIS
Although the three groups of epilepsy vary in how each is viewed and how it
relates the initial causes to its nature, in TCM the clinical diagnosis of epilepsy
is usually based on the immediate symptoms and stresses.
Epilepsy Induced by Terror

Sudden panic results in confusion with loss of self- control, accompanied
by fright, alarm or restlessness with an alternating flushed and sallow
complexion, a red tongue with a white coating and a wiry and rapid or
slippery pulse.
Epilepsy due to Accumulation of Phlegm
This occurs as convulsing of the extremities during a fit of epilepsy with
unconsciousness or vertigo, a headache and abdominal pain, strider
produced by phlegm in the throat, salivation, a yellow face, a thick coating
on the tongue, and a slippery and rapid pulse.
Epilepsy due to Blood Stasis

With a history of injury during birth or trauma, epilepsy can often manifest
as a paroxysmal localized headache, occasional vomiting, paroxysmal
convulsions of the whole body or half the body or a localized attacked
region with a dark purple tongue with black dots, the pulse is choppy, thin,
and thread like.
Excess type of Epilepsy
Treatment Principle: Subdue the Wind and Fire, Resolve the Phlegm and Calm
the Shen.
Point Prescription: GV-12, GB-13, CV-15, ST-40, and LV-3.
with a twisting rubbing needle technique (rub the needle counterclockwise)
and take out of needle after sensation of the Qi travels down the spinal column.
Insert 1.5 #32 needles into GB-13 obliquely, 1 cun deep at a 45 degree angle
towards the back a with fast twisting needle technique and a 1.5 cun #30
needle into CV-15 perpendicularly, 1 cun deep with a twisting reducing needle
technique. Insert 1.5 cun #30 needles into ST-40 with a lifting and thrusting
reducing needle technique and 1.5 cun #32 needles into LV-3 obliquely, 1 cun
deep at a 60 degree angle towards KI-1 with a twisting even movement needle
During epilepsy: GV-26, ST-6, and HT-7.
Technique: Insert a 1-cun #28 needle into GV-26 obliquely, 0.3 to 0.5 cun
deep at a 60 degree angle in an upward direction with a fast twisting needle
technique until the patient wakes up. Insert 1.5 cun #30 needles into ST-6
perpendicularly, 1 cun deep with a twisting reducing needle technique and 1
cun #32 needles into HT-7 with a twisting even movement needle technique.
Epilepsy during the night
Point Prescription: KI-6.
Technique: Insert 1 cun #32 needles obliquely, 0.8 cun deep at a 45 degree
angle upwards with a twisting even movement needle technique for 2
minutes, and retain the needles with other points together.
Epilepsy during the day
Point Prescription: BL-62.
Technique: Insert 1 cun #30 needles into BL-62 perpendicularly, 0.5 cun to 0.8
cun deep with a twisting reducing needle technique for 2 minutes and retain
the needles with other points together.
Aches and weakness throughout the whole body: Yao Qi, GV-20, and GB-
20.
Deficient type of Epilepsy
Treatment Principle: Reinforce the Heart and Spleen, Calm the mind, and
Resolve Phlegm.
Point Prescription: HT-5, ST-40, BL-23, GB-34, SP-6, and GV-8.
Technique: Insert 1.5 cun #30 needles into BL-23 and GV-8 perpendicularly, 1 to
1.2 cun deep with a lifting and thrusting reinforcing needle technique, and
apply moxa wool to the handles of the needles for 3 cones. Insert 1 cun #32
needles into HT-5 perpendicularly, 0.8 cun deep with a twisting reinforcing
needle technique and 1.5 cun #32 needles into ST-40, GB-34, and SP-6 with a
In a coma during epilepsy: KI-1, GV-26, and CV-6, combined with direct
moxibustion.
Technique: Insert 1 cun #30 needles into KI-1 and GV-26 perpendicularly,
0.5 to 0.8 cun deep with a fast twisting needle technique until the patient
wakes up. Apply direct moxibustion on CV-6 for 9 cones.
Latent Epilepsy
Point Prescription: CV-12, ST-36, and GV-20.
Technique: Insert a 1.5 cun #32 needle into GV-20 transversely, 1 cun deep at a
30 degree angle towards the back with a lifting and thrusting reinforcing
needle technique. Insert 1.5 cun #32 needles into CV-12 and ST-36
perpendicularly, 1 cun deep with a twisting reinforcing needle technique. Apply
moxa wool to the handles of the needles for 3 cones.
Ear Acupuncture
Point Prescription: Shen Men, Heart, Spleen, Kidney, and Liver.
45-degree angle with a fast twisting needle technique. Retain all needles for
40 minutes. Repeat the twisting technique every 5 minutes during the
needle retention.
Scalp Acupuncture
Treatment zones: Middle line and Lateral line 1 of the vertex; Middle line and
Lateral line 2 of the forehead.
degree angle with a lifting Qi technique. Retain all needles for 1 hour.
Bloodletting
Points: Shi Xuan, PC-3, GV-26, Tai Yang, and Yin Tang.
Apply a medium level stimulation of the bloodletting technique on these
points. Start from Shi Xuan and end on Yin Tang, removing 1 or 2 drops of
blood on each point.
Treat only during the epilepsy.
Gua Sha
Treatment area: Back, abdomen, and chest.
Apply medium stimulation of Gua Sha on the back from BL-11 to BL-20 until a
dark red color appears, on the chest along the CV meridian and Stomach
meridian, and then on the abdominal area along both sides of the Stomach
meridian from ST-22 to ST-28, until a purple color appears.
Hand Acupuncture
Points: Convulsion, Headache, and Stomach.
with a twisting reducing needle technique. Retain all needles for 10
minutes.
Electro-acupuncture
Points: GV-20, BL-5, and GV-24.
Insert 1.5 cun #30 needles into GV-20 and GV-24 transversely, 1 cun deep at a
30 degree angle towards the back with a twisting reducing needle technique
and 1 cun #32 needles into BL-5 transversely, towards the back, 0.8 cun deep
with a twisting even movement needle technique. Add 2 groups of Electro-
wires on the points, the negative side on GV-20 and GV-24, the positive sides
on BL-5 with fast waves for 20 minutes.
Nose Acupuncture
Points: Heart, Liver, Lung, and Stomach.
Insert 0.5 cun #32 needles into these points perpendicularly, 0.2 to 0.3 cun
deep with a fast twisting needle technique. Retain all needles for 20
minutes.
Foot Acupuncture
Points: Heart, Li Nei Ting, Nei Tai Chong, Kidney and Head.
Insert 1 cun #32 needles into these points perpendicularly, 0.3 to 0.5 cun
deep with fast twisting needle technique. Retain all needles for 30 minutes.
For epilepsy: BL-2, TW-10, SI-8, HT-7, BL-63, SP-5, LV-2, BL-66, BL-15, and SI-3.
(Shen Yin Jing)
Insert 1 cun #32 needles into BL-2 obliquely, 0.5 cun deep at a 45 degree
angle towards the BL-1 direction, with a twisting reducing needle technique.
Insert 1 cun #30 needles into TW-10, SI-8, HT-7, BL-63, SP-5, LV-2, and SI-3
with a twisting reducing needle technique. Apply a bloodletting technique on
BL-66, removing 2 drops of blood. Apply direct non-scarring moxibustion on
BL-15 for 11 cones.
For epilepsy: KI-1, BL-15, ST-36, CV-15, CV-12, LU-11, and CV-14. (Zhen Jiu Da
Cheng)
Insert 1.5 cun #32 needles into KI-1and BL-15 perpendicularly, 1 cun deep
handles of the needles for 3 cones. Insert 1.5 cun #32 needles into ST-36
with a lifting and thrusting reinforcing needle technique and 1.5 cun #30
needles into CV-14, CV-15, and CV-12 perpendicularly, 1 cun deep with a
twisting reducing needle technique. Apply moxa wool to the handles of the
needles for 3 cones. Apply a bloodletting technique on LU-11.
For epilepsy: CV-12. (Pian Que Xin Shu)
Apply direct non-scarring moxibustion on CV-12 for 15 cones.
For epilepsy: CV-15, SI-3, KI-1, GB-37, PC-5, CV-13, LV-3, and ST-36. (Yi Xue Gang
Mu)
Insert 1.5 cun #30 needles into CV-15 and CV-13 perpendicularly, 1 cun deep
with a twisting reducing needle technique and 1 cun #32 needles into SI-3,
KI-1, PC-5, and LV-3 with a twisting reinforcing needle technique. Insert 1.5
cun #32 needles into ST-36 and GB-37 with a lifting and thrusting reinforcing
For use during epilepsy: GV-26, GV-20, and PC-5. (Qian Jin Fang)
Insert a 1 cun #30 needle into GV-26 obliquely, 0.3 to 0.5 cun deep in an
upwards direction at a 45 degree angle with a fast twisting needle
technique and 1 cun #30 needles into PC-5 perpendicularly, 0.8 cun deep
with a lifting and thrusting reducing needle technique. Apply the moxa-pole
on GV-20 for 30 minutes.
For epilepsy: GV-12, GB-13, and CV-15. (Bai Zhen Fu)
Insert a 1.5 cun #30 needle into GV-12 perpendicularly, 1 cun deep with a
lifting and thrust reducing needle technique, and retain the needle for 5
minutes.
Insert a1.5 cun #30 needles into CV-15 perpendicularly, 1 cun deep with a
twisting reducing needle technique and 1 cun #32 needles into GB-13
obliquely, 0.5 cun deep at a 30 degree angle towards the back with a fast
For epilepsy: GV-16, GB-20, HT-5, PC-6, SP-6, and LV-3.
Insert 1.5 cun #32 needles into GV-16 and GB-20 perpendicularly, 1 cun
deep with a lifting and thrusting reducing needle technique. Retain all
Insert 1 cun #32 needles into HT-5, PC-6, and SP-6 with a twisting
reinforcing needle and 1 cun #30 needles into LV-3 with a twisting
For epilepsy: Yao Qi, GV-14, and SI-3.
Insert a 3 cun #30 needle into Yao Qi transversely, in an upward direction, 2
cun deep with a twisting reducing needle technique. Insert a 1.5 cun #30
needles into GV-14 perpendicularly, 1 to 1.2 cun deep with a lifting and
thrusting reducing needle technique and 1 cun #32 needles into SI-3 with a
twisting even movement needle technique. Retain all needles for 20
minutes.
For epilepsy: Si Shen Cong, GV-20, Yin Tang, BL-11, GV-12, BL-42, LV-3, and GV-2.
Insert 1.5 cun #30 needles into BL-11 and GV-12 perpendicularly, 1 cun deep
with a twisting reducing needle technique. Insert 1 cun #30 needles into BL-
42 obliquely, 0.5 cun deep at a 45 degree angle towards BL-43 with a
twisting reinforcing needle technique and a 1.5 cun #30 needle into GV-2
obliquely, 1 cun deep at a 45 degree angle towards GV-1 with a twisting
Insert 1 cun #30 needles into Si Shen Cong, Yin Tang, LV-3, and GV-20 with a
minutes.
For epilepsy: GV-1 and PC-5. (Zhong Guo Zhen Jiu Pei Xue)
Insert a 1.5 cun #32 needle into GV-1 perpendicularly, towards the head, 1.2
cun deep with a fast twisting needle technique until the sensation of the
needle travels up towards the head. Insert 1.5 cun #32 needles into PC-5
perpendicularly, 1 cun deep with a twisting reinforcing needle technique.
Retain the needles for 30 minutes.
For epilepsy: GV-8, GV-10, BL-18, BL-23, CV-17, and PC-6. (Zhong Guo Zhen Jiu)
Inset 1.5 cun #30 needles into GV-8, GV-10, BL-18 and BL-23 perpendicularly,
1 cun deep with a twisting reinforcing needle technique. Retain all needles
for 10 minutes.
Insert a 1.5 cun #32 needle into CV-17 obliquely, towards CV-16, 1.2 cun
deep at a 60 degree angle with a twisting reducing needle technique and 1
cun #32 needles into PC-6 with a twisting even movement needle
HEADACHE
Headaches are problematic symptoms that can affect almost everyone at
some point in his or her life. For thousands of years patients suffering from this
disorder complain of it as a contribution to other bodily dysfunctions. In TCM
the head is the confluence of all the Yang channels and the brain is known as the
Sea of Marrow, both being closely related to Kidney Essence. Thus the Kidney
Essence is a crucial element in treating headaches. Because of the various
different natures of headaches, the symptoms may be caused by either External
pathogens or internal injury. The following is a short list of common causes that
results in headaches.
Wind Damp Invasion
Wind Damp invades the meridians of the head and stagnates the Qi and
Blood flow, causing headache. Most of the time when the Exterior symptoms
are relieved, the headache will be gone. But when patients with deficient
body constitutions contract headache due to External Invasion, it often
causes stagnation inside of the head when the weather changes.
Liver Yang (Fire) Rising

Either due to Fire rising up caused by stagnation of the Liver Qi after long
term negative emotional stimulation or due to excessive Yang rising up by
deficiency of Kidney Yin, the result of Kidney “Water” unable to nourish Liver
“Wood.” Sometimes Interior Wind rising up can also cause headache.
Phlegm Stagnation
Interior pathogenic Phlegm stagnates in the meridian, failing to send clear
Yang Qi to the head, causing headache. In most cases, pathogenic Phlegm is
formed by improper food intake, accumulation of Dampness or by
deficiency of the Spleen, which fails in transportation and transformation.
Blood Deficiency
Lack of blood supply to the head, usually due to deficiency of Qi or after loss
of a large amount of blood, such as after being wounded or labor.
Blood Stagnation
Stagnation of Blood in the channels and collaterals of the head impact
circulation of both Qi and Blood and cause a fixed pain. Most time this type of
headache occurs after a long-term disease or injury.
DIAGNOSIS
Meridian Diagnosis
Yang Ming Involvement: pain in forehead and/or supra-orbital bone.
Shao yang Involvement: pain in the temple or migraine.
Jue yin Involvement: pain in the vertex.
Tai yang Involvement: pain in the back of the head.
This is characteristic of an acute headache involving the nape of the neck and
back of the head, which is intensified by exposure to Wind, suggesting
External disease due to invasion of pathogenic Wind and Cold.
A distending headache accompanied by a flushed complexion and
conjunctiva congestion is due to External attack of pathogenic Wind-Heat.
A heavy sensation in the head like being tightly bound by a towel,
accompanied by chilliness and fever, is caused by External attack of
pathogenic Wind and Dampness.
Headache due to Internal Injury
Liver Yang Rising
Throbbing sharp pain on the side of the head with dizziness and vertigo, hot
flushes, restlessness, easy to anger, red eyes and bitter taste in the mouth,
red tongue with yellow coating, and wiry pulse.
Stagnation of Damp-Phlegm
Tight bounded pain with a heavy sensation in the head, stuffy chest and
epigastria, nausea and vomiting with phlegm, loose stool, swollen tongue
with a white greasy coating, and slippery pulse.
Deficiency of Blood
Constant light chronic pain with dizziness reduced by rest and aggravated
by fatigue, lassitude, heart palpitations, pale complexion, a pale tongue,
and a thin and weak pulse.
Stagnation of Blood
A fixed sharp pain in the head with blurry vision and poor memory
characterizes this pattern. The tongue is purple and dark with a thin white
coating. The pulse is thin or choppy.
Treatment Principle: Expel the Pathogenic Influences and Relieve the pain.
Point Prescription: GB-20, ST-8, BL-7, LI-4, and TW-8.
Technique: Insert 1.5 cun #32 needles into GB-20 perpendicularly, 1.2 cun deep
with a twisting reducing needle technique and 1 cun #30 needles into ST-8, BL-
7, LI-4, and TW-8 with twisting reducing needle technique. Retain all needles
for 30 minutes.
Yang Ming headache: GV-23, Yin Tang, and GB-14.
Jue Yin headache: GV-20, GV-21, and Si Shen Cong.
Tai Yang headache: BL-10 and GV-19.
Shao Yang headache: GB-8 and Tai Yang.
Liver Yang Rising
Treatment Principle: Calm the Liver, Subdue Liver Yang, and Relieve the pain.
Point Prescription: GB-4, GB-5, LV-3, and KI-3.
Technique: Insert 1 cun #30 needles into LV-3 with lifting the thrusting reducing
needle technique, and 1 cun #32 needles into KI-3 with twisting reinforcing
needle technique. Insert 1.5 cun #32 needles into GB-4 and GB-5 transversely,
at a 30-degree angle, backward 1 cun deep with lifting Qi technique.
Reddish eyes: TW-1 with bloodletting.
Hot flashes: ST-44.
Damp-Phlegm
Treatment Principle: Resolve the Phlegm and Reduce the pain.
Point Prescription: CV-12, ST-40, GV-20, and Yin Tang.
Technique: Insert 1.5 cun #30 needles into ST-40 and CV-12 with twisting
reducing needle technique, and 1 cun #32 needles into GV-20 and Yin Tang, with
twisting even movement needle technique.

Vomiting: PC-6.
Loose stool: ST-25.
Blood Deficiency
Treatment Principle: Reinforce the Qi and Blood and Reduce the pain.
Point Prescription: GV-23, SP-10, ST-36, SP-6, and CV-6.
Technique: Insert 1.5 cun #32 needles into SP-10, ST-36, SP-6, and CV-6 with
needles 3 cones. Insert 1 cun #30 needle into GV-23 with fast twisting needle

After headache released: BL-18, BL-20, BL-23, and CV-4 with moxibustion.
Blood Stagnation
Treatment Principle: Move the Qi, Resolve the stagnation of Blood, and Reduce
the pain.
Point Prescription: Ah Shi, LI-4, and SP-6.
Technique: Insert 1.5 cun #30 needles into Ah Shi points obliquely, at a 30 to
45-degree angle, with fast twisting needle technique until a heat sensation is
produced on the local area. Insert 1 cun #32 needles into LI-4 and SP-6 with
minutes.
Yang Ming headache: BL-2.
Shao Yang headache: Tai Yang.
Tai Yang headache: TW-18.
Jue Yin headache: Si Shen Cong.
Ear Acupuncture
Points: Occiput, Forehead, Sub cortex, and Shen Men
Insert 0.5 cun #32 ear needles into these points (one side only) with fast
twisting technique. Retain the needles for 30 minutes to treat chronic
headache. Or apply press-ball on these points and retain them for 5 days.
Scalp Acupuncture
Treatment zones:
Jue Yin headache
Middle line of vertex and forehead and lateral line 1 of the vertex.
Tai Yang headache
Middle line of forehead, upper middle line of the occiput, and upper
lateral line of the occiput.
Shao Yang headache
Anterior oblique line of the temple, posterior oblique line of the
temple, anterior oblique line from the vertex to the temple, and
posterior oblique line from the vertex to the temple.
Yang Ming headache
Middle line, lateral line 1, lateral line 2 of the forehead, and upper
middle line of the occiput.
Insert 1.5 cun #30 needles into the treatment lines selected with fast
twisting or withdrawing Qi technique. Retain all needles for 30 to 40
minutes, repeating stimulation every 5 minutes during retainment.
Plum Blossom
Points: Ah Shi, Tai Yang, and Yin Tang.
Apply a medium stimulation of plum blossom needle technique on these
points for 4 minutes, to treat headache due to Liver Yang Rising and Wind-
Heat.
Insert 1.5 cun #32 needles into this area transversely, 1.2 cun deep at a 15
degree angle without any needle technique and any sensation of the needle.
Retain all needles for 30 minutes
Bloodletting
Treatment area: Jing-well points, back of the ear, Tai Yang, GB-4, BL-40, and
PC-3.
Select 3 points in each treatment according to the diagnosis and apply
bloodletting technique on these points to squeeze 1 or 2 drops of blood, to
treat headache due to stagnation of Blood and Heat.
Gua Sha
Treatment area:
Bladder meridian on the upper back, Stomach meridian on the neck, LU-5 to
LU-8, and BL-40
Apply Gua Sha on these areas with medium stimulation until purple dots—Sha
appears, in the treatment of headache due to Wind-Heat.
Moxibustion
Points: LV-13, CV-4, BL-17, BL-18, LV-1, LV-8, GV-20, BL-7, and Ah Shi.
Indirect moxibustion with ginger
Apply direct moxibustion with ginger on LV-13 and CV-4 for 5 cones, and
BL-17 and BL-18 for 3 cones.
Apply direct non-scarring moxibustion on LV-1 and LV-8 for 5 cones.
Moxa-pole
Apply moxa-pole on GV-20, BL-7, and Ah Shi points for 30 minutes.
Intradermal Needles
Points: LI-4, TW-5, SI-13, BL-10, and BL-60.
Insert intradermal needles into these points and retain all needles for 2 to 3
days, to treat chronic headaches.
Treat once in three days for 2 treatments as a course.
For vertex headache due to Wind Invasion: GV-20, GV-19, and LI-4. (Zhen Jiu Da
Cheng)
Insert a 1.5 cun #30 needle into GV-20 or GV-19. (Use one point in each
treatment, obliquely at a 30- degree angle, towards the back, 1.2 cun deep
with lifting and thrusting reducing needle technique.) Insert 1 cun #30
needles into LI-4 with twisting reducing needle technique.
The treatment is once every other day, 3 treatments as a course.
For headache due to Wind Invasion: GV-23, GV-21, GV-20, SI-5, TW-1, BL-60,
and GB-43. (Shen Yin Jing)
Insert 1 cun #30 needles into BL-60, GB-43, and SI-5 perpendicularly, 0.5 cun
TW-1 with twisting reducing needle technique. Insert 1 cun #30 needles into
GV-23, GV-21, and GV-20 obliquely, backwards at a 45 degree angle, 0.5 to
0.8 cun deep with lifting Qi technique. Retain all needles for 30 minutes.
For temporal headache due to deficiency: GB-19, GB-20, LU-7, LU-9, LI-4, and
ST-41. (Shen Jiu Jin Lun)
Apply direct non-scarring moxibustion on LU-7, LU-9, LI-4, and ST-41 for 5
cones and moxa-pole on GB- 19 and GB-20 for 30 minutes.
For temporal headache due to Wind Invasion: SI-3, GB-15, TW-23, Tai Yang, LU-
7, and LI-4. (Zhen Jiu Da Chuan)
Insert 1 cun #32 needles into GB-15 and LU-7 transversely, 0.5 cun deep with
twisting reducing needle technique, and 1 cun #30 needles into SI-3, LI-4,
TW-23, and Tai Yang perpendicularly, 0.5 cun deep with twisting even
For headache with a painful sensation in the eyes and teeth with Interior
Deficiency Wind: GB-19 and GB-17 (Pian Que Xin Shu)
Apply direct non-scarring moxibustion on GB-19, for 21 cones (pain side
only). Apply direct non-scarring moxibustion on GB-17 for another 21 cones,
(healthy side only).
For headache with dizziness and vertigo: SI-17, BL-10, BL-60, CV-4, and TW-1.
(Pu Ji Fang)
Insert 1 cun #30 needles into SI-17, BL-10, and BL-60 with twisting reducing
needle technique, and 1 cun #32 needles into TW-1 with twisting even
movement needle technique. Insert a 1.5 cun #32 needle into CV-4 with
For headache due to stagnation of Blood: Ah Shi, ST-36, LU-7, CV-4, and GV-15.
(Yi Xue Gang Yao)
Insert 1 cun #30 needles into Ah Shi points with twisting reducing needle
technique until a heat sensation appears under the needles. Insert 1 cun
#32 needles into ST-36, LU-7, and GV-15 with twisting reducing needle
technique, and a 1.5 cun #32 needle into CV-4 with twisting reinforcing
needle technique and apply moxa wool on the handle of needles for 3 cones.
For frontal headache: GV-21 and ST-41. (Zhen Jiu Fen Yuan)
Insert 1 cun #30 needle into GV-21 obliquely, towards the front (nose
direction) obliquely at a 30 degree angle, 0.5 cun deep with twisting
reducing needle technique, and 1 cun #32 needles into ST-41 with lifting and
The following prescriptions are from the Cai Ai Bian Yi.
For headache with Tai Yang meridian syndrome and tight pulse: BL-8, BL-9, BL-
10, and BL-64.
Insert 1 cun #30 needles into BL-8 BL-9 BL-10 BL-64 with twisting reducing
needle technique. Retain all needles for 20 minutes; apply moxa pole on
side of BL-10 for 15 minutes.
For headache with Shao Yang meridian syndrome, fever, and aversion to cold:
GB-4 and GB-34.
lifting and thrusting reducing needle technique, and 1 cun #30 needles into
GB-4 with twisting reducing needle technique. Retain all needles for 15
minutes.
For headache with Yang Ming syndrome, spontaneous sweating, aversion to
cold, and a floating slow pulse: ST-5, ST-40, and ST-41
Insert 1 cun #32 needles into ST-5 and ST-41 with twisting even movement
needle technique, and 1.5 cun #30 needles into ST-40 with lifting and
For headache with Shao Yin syndrome and Interior Cold: KI-20.
Insert 1 cun #30 needles for KI-20 with twisting reinforcing needle technique
and apply moxa wool on the handle of needles for 3 cones. Or only apply
direct non-scarring moxibustion on KI-20 for 10 cones.
For vertex headache with Jue Yin syndrome and Interior Cold: LV-8.
Insert 1.5 cun #32 needles into LV-8 with lifting and thrusting reinforcing
needle technique, and apply moxa wool on the handle of needles for 5
cones.
For headache with a floating pulse: SI-4 and BL-64. (Zhen Jiu Ju Ying)
Insert 1 cun #30 needles into SI-4 with twisting reducing needle technique, 1
cun #32 needles into BL-64 with twisting reinforcing needle technique.
For headache with a long pulse: LI-4 and ST-42. (Zhen Jiu Ju Ying)
Insert 1 cun #30 needles into LI-4 with lifting and thrusting reducing needle
technique, and 1 cun #32 needles into ST-42 with twisting reinforcing
For headache with a wiry pulse: TW-4, GB-20, and CV-16. (Zhen Jiu Ju Ying)
Insert 1.5 cun #32 needles into GV-16 and GB-20 perpendicularly, 1 cun deep
with twisting reducing needle technique, and apply moxa wool on the
handle of the needles for 3 cones. Insert 1 cun #32 needles into TW-4 with
For headache with fever and aversion to cold: GV-26, GV-25, GV-7, SI-8, BL-56,
GB-34, LI-6, GB-12, and GV-4 (Zhen Jiu Yi Xue)
Insert 1 cun #30 needles into GV-26, GV-25, GV-7, and SI-8 with twisting
reducing needle technique, and 1.5 cun #32 needles into BL-56, GB-34, LI-6,
GB-12, and GV-4 with twisting reinforcing needle technique. Retain all
For headache due to Wind Cold: BL-19, BL-11, LI-4, and BL-2. (Zhen Jiu Yi Xue)
Insert 1 cun #30 needles into BL-19 and BL-11 perpendicularly, 0.5 to 0.8
cun deep with waving needle technique. Retain all needles for 5 minutes.
Insert 1 cun #32 needles into LI-4 and BL-2 with twisting reducing
needle technique. Retain all needles for 10 minutes
For headache with fever: TW-20, GV-4, ST-43, and TW-5. (Yi Xue Ru Men)
Insert 1 cun #32 needles into TW-20 GV-4 with twisting reinforcing needle
technique, 1.5 cun #32 needles into TW-5 with twisting even movement
technique. Apply bloodletting technique on ST-43.
For headache due to Phlegm stagnation: TW-4 and ST-40. (Zhen Jiu Quan Shu)
Insert 1 cun #32 needles into TW-4 with twisting reinforcing needle
technique, and 1.5 cun #30 needles into ST-40 with lifting and thrusting
For headache with Kidney Deficiency: CV-4, GV-20, GV-22, CV-6, BL-23, SI-3, LU-
9, and KI-3 (Zhen Jiu Quan Shu)
Apply direct non-scarring moxibustion on CV-4, GV-20, GV-22, and CV-6 for 9
cones. Insert 1 cun #32 needles into BL-23, SI-3, LU-9, and KI-3 with twisting
For headache due to Kidney Deficiency: TW-5, BL-23, GV-20, KI-3, and LU-7.
(Zhen Jiu Da Chuan)
Insert 1.5 cun #32 needles into BL-23 with lifting and thrusting reinforcing
needle technique, and apply moxa wool on the handles of the needles for 3
cones. Insert 1 cun #32 needles into TW-5, GV-20, KI-3, and LU-7 with
twisting even movement technique. Retain all needles for 30 minutes.
For vertex headache: TW-5, GV-23, GV-20, GB-19, KI-1, and LI-4. (Zhen Jiu Da
Quan)
Insert 1 cun #32 needles into KI-1, LI-4, and TW-5 with twisting reducing
needle technique, and 1 cun #30 needles into GV-23, GV-20, and GB-19 with
lifting and thrusting reinforcing needle technique. Retain all needles for 30
minutes.
For occipital headache with neck pain: SI-3, CV-24, GV-16, GB-20, and LI-4.
(Zhen Jiu Da Cheng)
Insert 1 cun #30 needles into CV-24 and GV-16 with twisting reducing
needle technique, and 1 cun #32 needles into SI-3, GB-20, and LI-4 with
lifting and thrusting even movement technique. Retain all needles for 30
minutes.
For headache due to stagnation of Blood: GV-20, Si Shen Cong, ST-44, BL-9, and
Tai Yang. (Zhen Jiu Fen Yuan)
Insert 1 cun #30 needles into ST-44, BL-9, and Tai Yang with twisting
Apply direct non-scarring moxibustion on GV-20 for 7 cones. Apply
bloodletting technique on Si Shen Cong.
HEART PALPITATIONS
Heart palpitations in Chinese Medicine are called Xin Ji and Zheng Zhong,
referring to an irregular heartbeat and shortness of breath accompanied by
feelings of anxiety. The causes for this disorder can be from a variety of
separate, or combinations of physical and/or emotional problems.
In Western Medicine, heart palpitations will appear in many cardiological
problems such as coronary heart disease, rheumatic heart disease, and angina.
In many emotional disorders, heart palpitations will also be a common
symptom. Of the major causes, the following are some of the most common in
terms of TCM.
Heart Blood Deficiency
This is the main cause of most heart palpitations. Because the Heart and the
Blood both house the Shen-Spirit, heart palpitations result from the Blood
failing to nourish the Shen. Most of the time, over-thinking or high stress can
induce such a situation.
Heart Qi Deficiency
In the clinic, this usually occurs along with Gallbladder Qi Deficiency and could
be caused by reasons such as those related to Qi Deficiency, excessive fear,
fright, anger, or other severe emotional stimulation that can damage the Heart
Qi. Accumulating water can turn to Phlegm with Fire attacking the Heart,
causing this pattern as well.
Heart Yang Deficiency
This is usually caused by long-term or chronic diseases, or in some cases
severe diseases that make the whole body Yang Qi deficient, leading to Heart
Yang Deficiency failing to warm the Heart meridian and organ, causing heart
palpitations.
Water retention in the Heart
This syndrome is usually due to Spleen and Kidney Yang Deficiency that fails
in promoting water metabolism. Water gets retained in the Heart and
disturbs the Heart Yang, causing heart palpitations.
Blood stagnation in the Heart
Most of the time this is caused by either Heart Yang Deficiency or an External
Invasion infecting the Heart organ directly, yielding stagnation of the Heart
Blood and Qi, leading to palpitations.
DIAGNOSIS
Heart palpitations due to Qi Deficiency
Heart palpitations, shortness of breath, being easily startled, sweaty palms, a
tired Shen, insomnia, a pale tongue with a thin white coating and a thin,
weak and fast pulse are the signs and symptoms in this pattern.
Heart palpitations due to Blood (Yin) Deficiency
Heart palpitations that are aggravated by tiredness and over-thinking, a pale
complexion, dizziness, blurry vision, shortness of breath, a pale tongue with
a white thin coating, and a thin and fast pulse are the signs and symptoms
of this pattern.
If the patient presents with a low-grade fever, there may be insomnia with
frequent dreams, a dry mouth, and ringing ears as well. The face will be
flushed instead of pale in this case. The tongue will be red and the pulse will
be thin and fast. These are signs that the patient’s condition is transforming
from Blood Deficiency to Yin Deficiency.
Heart palpitations due to Phlegm
Heart palpitations, restlessness, a stuffy chest, dizziness, insomnia with
frequent dreams and easy awakening, a bitter taste in the mouth, a cough
with thick, yellow, sticky phlegm, yellowish urine, uneven bowel movements,
a red tongue with a yellow, greasy coating, and a slippery and fast pulse are
the signs and symptoms of this pattern.
Heart palpitations due to Blood Stagnation
Heart palpitations, shortness of breath (with difficulty on expiration), chest
pain, a sallow complexion, a purple tongue, and purple nails and lips are the
signs and symptoms. In some severe cases, the body will be cold with cold
sweating and edema. The pulse is deep and fine and the tongue coating will
be wet.
TREATMENT AND PRESCRIPTONS
Heart palpitation due to Qi Deficiency
Treatment Principle: Reinforce the Qi and Calm the Heart.
Point Prescription: BL-15, CV-14, PC-5, and HT-7.
Technique: Insert 1 cun #32 needles into BL-15 with a twisting even movement
needle technique, and apply moxa wool to the handles of the needles for 3 to
5 cones. Insert a 1.5 cun #32 needle into GV-14 perpendicularly, 1 cun deep
handle of the needle for 3 cones. Insert 1 cun #34 needles into PC-5 and HT-7
Easily frightened: PC-7 and LI-11.
Spontaneous sweating: BL-43 and CV-6.
Heart palpitations from Blood (Yin) Deficiency
Treatment Principle: Nourish the Blood and Calm the Heart.
Point Prescription: BL-17, BL-20, HT-5, BL-44, and ST-36.
Technique: Insert 1 cun #32 needles into BL-17 and BL-20 perpendicularly, 0.5
cun deep with a twisting reinforcing needle technique. Insert 1 cun #30 needles
into BL-44 with the Qi Ci technique (One of the ancient needle techniques with
one needle in the middle and one on each side), waving the needles for a while
until a red color appears. Retain all the needles for 10 minutes.
Insert 1.5 cun #32 needles into ST-36 perpendicularly, 1 cun deep with a lifting
and thrusting reinforcing needle technique and 1 cun #34 needles into HT-5
obliquely, towards HT-7, 0.5 cun deep at a 60 degree angle with a twisting
Hot flashes: KI-3 and KI-10.
Ringing ear: TW-3 and KI-6.
Five hearts heat: PC-8 and KI-2.
Heart palpitations from Phlegm-Fire
Treatment Principle: Clear the Fire, Resolve the
Phlegm and Calm the Heart.
Point Prescription: HT-4, PC-4, BL-13, LU-5, and ST-
40.
Technique: Insert 1.5 cun #32 needles into LU-5 perpendicularly, 1 cun deep
with a lifting and thrusting reducing needle technique and 1 cun #32 needles
into HT-4 and PC-4 with a twisting even movement needle technique. Insert 1.5
cun #30 needles into ST-40 perpendicularly, 1 cun deep with a twisting reducing
Insert 1.5 cun #32 needles into BL-13 obliquely towards the spine at a 60-
degree angle, with a lifting and thrusting reducing needle technique. Retain
Insomnia: ST-45.
Constipation: BL-25.
Heart palpitations from Blood Stagnation
Treatment Principle: Resolve the Blood Stagnation and Calm the Heart.
Point Prescription: PC-3, HT-3, CV-6, and SP-10.
Technique: Insert 1.5 cun #32 needles into PC-3 and HT-3 perpendicularly, 1 cun
deep with a twisting reducing needle technique and 1.5 cun #30 needles into
SP-10 perpendicularly, 1 cun deep with a twisting reducing needle technique.
Insert a 2 cun #32 needle into CV-6 perpendicularly, 1.5 cun deep with a twisting
even movement needle technique, and apply moxa wool to the handle of
needle for 5 cones.
Weak pulse: PC-6 and LU-9.
Edema: CV-9 with indirect moxibustion with ginger for 5 cones.
Nose Acupuncture
Points: Heart, Lung, and Shan Gen.
with a fast twisting needle technique until a heat sensation is produced
under the needles, or the symptoms are gone.
Ear Acupuncture
Point Prescription: Shen Men, Sympathetic, Sub cortex, Heart, Stomach,
and Brain point.
Insert 0.5 cun #34 needles into these points obliquely, 0.3 cun deep at a30
degree angle, with a fast twisting needle technique. Retain all needles for 40
minutes.
Scalp Acupuncture
Treatment zones: Lateral line 1 and Lateral line 2 of the forehead, and the
Middle line of the vertex.
Insert 1 cun #32 needles into the Lateral line 1 and Lateral line 2, transversely
towards the eyes, 0.8 cun deep at a 30 degree angle with a fast twisting needle
technique. Insert 1.5 cun #32 needle into the Middle line of the vertex
transversely towards the back 1 cun deep with a fast twisting needle technique.
Foot Acupuncture
Points: Heart, Inner Nei Ting, and Kidney.
Insert 0.5 cun #32 needles into these points perpendicularly, 0.3 cun deep with a
twisting reinforcing needle technique, and apply moxa wool to the handles of
the needles for 3 cones.
Cupping
Treatment area: Chest, Back, and Arms.
Palpate the chest along the Stomach and CV meridians to find the Ah Shi points
(usually near CV-18 and ST-15). Apply fire cups on these Ah Shi points for 3
minutes. Apply fire cups around HT-3 for 3 minutes. Apply moving fire cups on
the upper back from BL-11 to BL-17 and retain cups on BL-14 for 5 minutes.
degree angle, and adjust the needles to get rid of any needle sensations.
Moxibustion
Direct moxibustion
Apply direct non-scarring moxibustion on PC-6, CV-15, BL-15, and BL-14
for 7 cones.
Indirect moxibustion
Apply indirect moxibustion with ginger on CV-4 and CV-6 for 5 cones.
Moxa pole
Apply moxa pole on BL-15 and CV-12 for 20 minutes.
For heart palpitations accompanied with fear: PC-3, TW-8, HT-4, HT-7, LU-10,
GV-20, ST-45, CV-14, and LV-13 (Shen Yin Jing)
Insert 1.5 cun #32 needles into PC-3 and TW-8 perpendicularly, 1 cun deep
with a twisting even movement needle technique and 1 cun #34 needles
into HT-4, LU-10, and HT-7 with a twisting reinforcing needle technique.
Insert 1 cun #32 needles into GV-20, CV-14, and LV-13 with a twisting even
Apply direct non-scarring moxibustion on ST-45 for 5
cones.
For heart palpitations due to deficiency of Heart Blood: PC-6, GV-20,
and HT-7. (Zhen Jiu Da Cheng)
There are two methods:
#1. Insert 1.5 cun #32 needles into PC-6 perpendicularly, with the sending the Qi
technique (Green Dragon Waves its Tail). Then insert 1 cun #34 needles into HT-
7 perpendicularly, 0.3 cun deep with twisting even movement needle
technique, and finally insert a 1 cun #32 needle into GV-20 with fast twisting
needle technique until the heaviness sensation appears near the needle.
#2.Insert 1.5 cun #32 needles into PC-6 and HT-7 perpendicularly, 1 cun deep with
a twisting reinforcing needle technique and a 1.5 cun #30 needle into GV-20
transversely, 1 cun deep at a 30 degree angle with a fast twisting needle
Treat once twice a week, for 5 treatments as a course.
For heart palpitations with fright: HT-6 and BL-15. (Zhen Jiu Da Quan)
Insert 1 cun #32 needles into HT-6 perpendicularly, 0.5 to 0.8 cun deep with
a twisting reducing needle technique. Insert 1.5 cun #30 needles into BL-15
obliquely, towards the spinal column, 1 cun deep with a lifting and thrusting
reducing needle technique, and apply moxa pole on the side of needle for
10 minutes.
For heart palpitations due to insufficiency of Heart Blood: HT-7, BL-20, and BL-
17 (Zhong Guo Zhen Jiu Chu Fang Xue)
Insert 1.5 cun #32 needles into BL-20 and BL-17 with a twisting reinforcing
needle technique, and apply moxa wool to the handles of the needles for 3
cones. Insert 1 cun #32 needles into HT-7 perpendicularly, 0.5 cun deep with
a twisting even movement needle technique. Retain the needles for 20
minutes.
For heart palpitations due to stagnation of Phlegm: BL-15, CV-14, ST-30, and
TW-6.
Insert 1.5 cun #32 needles into BL-15 obliquely, towards the spinal column, 1
cun deep at a 60-degree angle with a lifting and thrusting reducing needle
technique, and apply moxa wool to the handles of the needles for 2 cones.
Insert a 1.5 cun #30 needle into CV-14 perpendicularly, 1 cun deep with a
twisting even movement needle technique, and apply moxa wool to the
handles of the needles for 3 cones. Insert 1.5 cun #30 needles into ST-40 and
TW-6 with a lifting and thrusting reducing needle technique. Retain all
For heart palpitations due to deficiency of the Heart Qi: PC-6, ST-36, BL-14, and
BL-15.
Insert 1.5 cun #30 needles into BL-14 and BL-15 obliquely, towards the spinal
column, at a 60-degree angle with a lifting and thrusting reinforcing needle
Insert 1 cun #32 needles into PC-6 and ST-36 with a twisting reinforcing
For heart palpitations with deficiency of Qi: CV-4, CV-6, PC-6, and GV-20. (Jing
Mai Tu Kao)
Apply indirection moxibustion with ginger on CV-4 and CV-6 for 5 cones.
Insert 1.5 cun #32 needles into PC-6 and GV-20 with a twisting reinforcing
For heart palpitations with restlessness and a poor memory: GV-20. (Tong Ren
Zhen Jiu Tu Jing)
Insert 1.5 cun #30 needle into GV-20 transversely, 1 to 1.2 cun deep with a
twisting reinforcing needle technique, and apply moxa pole on the side for
15 minutes.
For heart palpitations with difficulty lying down: CV-6, CV-7, and ST-27. (Qian
Jing Fang)
Insert 1.5 cun #32 needles into CV-6 and CV-7 with a lifting and thrusting
even movement needle technique and 1.5 cun #30 needles into ST-27 with
minutes. Or apply moxa wool to the handles of the needles for 3 cones.
For heart palpitations with angina: PC-6, CV-17, CV-14, BL-14, and BL-17.
Insert 1.5 cun #30 needles into PC-6 obliquely, 1 to 1.2 cun deep towards PC-
5 at a 45-degree angle, with a twisting even movement needle technique
until the sensation of the Qi travels to the chest.
Insert a 1.5 cun #32 needles into CV-17 obliquely, 1 cun deep towards the
CV-16 direction with a lifting and thrusting reducing needle technique and a
1.5 cun #32 needle into CV-14 perpendicularly, 1 cun deep with a lifting and
thrusting reinforcing needle technique. Apply moxa wool to the handles of
the needles for 2 cones. Insert 1.5 cun #30 needles into BL-14 and BL-17
obliquely, towards the spinal column, 1 to 1.2 cun deep with a lifting and
For heart palpitations with chest pain and shortness of breath: PC-9, Shi Wang,
ST-45, PC-3, LU-4, and ST-36
Shi Wang is an extra point located in the middle of the root of the nail of the
middle finger.
Apply a bloodletting technique on PC-9, Shi Wang, and ST-45, and squeeze
out 2 drops of blood. Insert 1.5 cun #32 needles into PC-3 with the Long Hu
Jiao Zhan—Dragon and Tiger Battle technique and 1.5 cun #30 needles into
LU-4 and ST-36 with a twisting even movement needle technique. Retain all
HEMORRHOIDS
Generally, all small fleshy prominences that are found at the internal and
external areas of the anus are called hemorrhoids, piles or hemorrhoid lumps.
Hemorrhoids can be caused by a variety of reasons ranging from lack of good
hygiene to internal disorders. In TCM, hemorrhoids are caused by stagnation of
Qi and Blood in the local Luo meridians, which worsens with exhaustion or
excessive sitting. The combinations of treatments for this problem have proven
to be very successful.
DIAGNOSIS
Downward flow of Damp-Heat
Symptoms include distending pain and prolapse of the anus, hematochezia,
associated with itching and wetness locally in and around the anus, scanty
urination, thirst, and restlessness. The tongue is red with a yellow greasy
coating, and the pulse is rapid and slippery.
Yin Deficiency with Blood-Heat

Symptoms include pain around the anus with a large amount of blood in the
stools, accompanied by thirst, a desire to drink, constipation, dark urine, a
red tongue with a thin coating, and a rapid pulse.
Prolapse due to Insufficiency of the Spleen
Symptoms include a prolapsed internal hemorrhoid that is not able to
return back to its original position and is accompanied by a sallow
complexion, palpitations, and shortness of breath, weakness and fatigue, a
pale tongue with a thin white coating and a thin, weak pulse.
TREAMENT AND PRESCRIPTION
Downward flow of Damp-Heat
Treatment Principle: Clear the Heat and Resolve the Accumulation of the
Dampness.
Point Prescription: BL-32, GV-1, BL-35, BL-57, and Er Bai.
Technique: Insert 1 cun #32 needles into Er Bai perpendicularly 0.5 cun deep
with a lifting and thrusting reducing needle technique. Insert 3 cun #30 needles
into BL-32 and BL-35 perpendicularly, 2 cun deep with a twisting reducing
needle technique and 1.5 cun #32 needles into BL-57 and GV-1 perpendicularly,
1 cun deep with a twisting even movement needle technique. Retain all needles
for 30 minutes.
Painful and swollen anus: BL-54 and BL-2.
Hematochezia: SP-10 and BL-24.
Constipation: BL-25 and ST-37.
Yin Deficiency with Blood–Heat

Treatment Principle: Reinforce the Yin and Cool the
Blood.
Point Prescription: Er Bai, SP-1, GV-1, BL-57, BL-54, BL-
20, BL-23, GV-4, LI-11, SP-10, ST-25, and KI-7.
course.
Technique: Insert 1 cun #32 needles into Er Bai
perpendicularly, 0.7 cun deep with a twisting reducing
ST-25, LI-11 and KI-7 perpendicularly, 1 to 1.2 cun deep with a lifting and
thrusting reinforcing needle technique. Apply direct non-scarring moxibustion
on SP-1 for 11 cones. Insert a 1.5 cun #32 needle into GV-1 perpendicularly, 1 to
1.2 cun deep with a lifting and thrusting reducing needle technique and 3 cun
#30 needles into BL-54 perpendicularly, 2 to 2.5 cun deep with a twisting
reducing needle technique. Insert 1.5 cun #30 into BL-20, BL-23 and GV-4 with a
lifting and thrusting reinforcing needle technique and 1.5 cun #32 needles into
BL-57 with a lifting and thrusting reducing needle technique. Retain all needles
for 10 minutes.
Hematochezia: SP-3 and GV-28 with a bloodletting technique.
Constipation: ST-37 and BL-25.
Thirsty: KI-6 and CV-24.
Prolapse due to Insufficiency of the Spleen
Treatment Principle: Reinforce the Spleen Qi, and Relieve the hemorrhoid.
Point Prescription: GV-20, SP-4, CV-6, BL-24, BL-32, BL-13, BL-20, and Er Bai.
Technique: Insert 3 cun #30 needles into BL-24 and BL-32 perpendicularly, 2 cun
deep with a twisting reinforcing needle technique and 1.5 cun #32 needles into
BL-13 and BL-20 perpendicularly, 1 cun deep with a twisting reinforcing needle
technique. Apply moxa wool to the handle of the needles for 3 cones. Insert a
1.5 cun #32 needle into GV-20 transversely, 1 cun deep with a twisting even
movement needle technique, and apply moxa-pole on the side of the needle for
15 minutes.
Insert 1 cun #34 needles into SP-4 and Er Bai perpendicularly, 0.5 to 0.7 cun
deep with a twisting reinforcing needle technique. Insert a 1.5 cun #32 needle
into CV-6 perpendicularly, 1 cun deep with a twisting even movement needle
technique. Apply moxa wool to the handle of the needle for 3 cones.
Insomnia: HT-7.
Lassitude: CV-6 and ST-36.
ADJUNCTIVE THERAPY
Ear Acupuncture
Point Prescription: Rectum, Large intestine, and Shen Men
30 minutes. Or, apply press-balls on these points after body needle
treatment.
Scalp Acupuncture
Treatment zones: Middle line and Lateral line 1 of the vertex; Lateral line 3 of
the forehead.
degree angle with a lifting and thrusting reducing needle technique. Retain
Moxibustion
Direct moxibustion: SP-1, SP-4, GV-2, BL-32, and Er Bai.
Apply direct non-scarring moxibustion on SP-1 for 11 cones to stop the
bleeding of the hemorrhoids and on SP-4 and Er Bai for 7 cones. Apply
direct non- scarring moxibustion on BL- 32 and GV-2 for 9 cones.
Indirect moxibustion: CV-4, BL-25, and BL-33.
Apply indirect moxibustion with ginger on CV-4, BL-25 and BL-33 for 5
cones.
Moxa-pole: GV-20 and GV-2.
Apply moxa-pole on GV-20 and GV-2 for 20 minutes.
Use as a supplemental therapy along with other techniques.
Plum Blossom Needle
Treatment area: Sacrum, SP-4, and Er Bai.
Apply medium stimulation of a Plum blossom needle on the sacrum area,
particularly around GV-2, GV-3, BL-32 and BL-33, until a red color appears with
a little bleeding. Apply weak stimulation of the Plum blossom needle on SP-4
and Er Bai for 2 to 3 minutes, until a red color appears.
Gua Sha
Treatment area: Low back, sacrum, Lower abdomen, BL-40, and BL-57.
Apply medium stimulation of Gua Sha on the low back and sacrum along the
Bladder meridian and the GV meridian from BL-21 to BL-34 and GV-5 to GV-2,
until a red mark appears. Apply medium stimulation of Gua Sha on the low
abdomen from ST-28 to ST-30, until a red color appears. Apply medium
stimulation of the Gua Sha around BL-40 and BL-57 area until a red color with
black dots appears.
Pricking Therapy
Treatment area: GV-27, GV-2, and the Hemorrhoid points.
Hemorrhoid points (pimples) are found from T-7 to L-5 and the sacral area
with a red color. Prick them one by one, squeezing the mucous out. Apply a
pricking technique to GV-27 and GV-2, pricking out a little white-colored fluid.
The following prescriptions are from the Qian Jin Fang.
For hemorrhoids with severe pain: BL-58
Insert 1.5 cun #32 needles perpendicularly, 1 to 1.2 cun deep with a lifting
and thrusting reducing needle technique. Retain needles for 20 minutes.
For hemorrhoids with irregular bowel and tenesmus: KI-7
Insert 1.5 cun #32 needles into KI-7 perpendicularly, 1 cun deep with a
twisting even movement needle technique. Retain needles for 20 minutes.
For hemorrhoids with Interior Heat: PC-8
Insert 1 cun #32 needles into PC-8 perpendicularly, 0.7 cun deep with a
For hemorrhoids with a swollen sensation under the axilla: BL-36, BL-40, and
SI-5.
Insert 3 cun #30 needles into BL-36 perpendicularly, 2 to 2.5 cun deep with
a twisting even movement needle technique. Insert 1 cun #30 needles into
BL-40 and SI-5 perpendicularly, 0.5 cun deep with a twisting reducing
Treat once every other day for 5 treatments as a course for the above
prescriptions.
For hemorrhoids with lassitude: GV-2. (Zhen Jiu Zi Shen Jing)
Apply direct non-scarring moxibustion on GV-2 for 11 cones.
For hemorrhoids with bleeding: BL-23, GV-4, GV-1, SP-6, and BL-57. (Lei Jing Tu
Yi)
Insert 1.5 cun #32 needles into GV-1 perpendicularly, 1 cun deep with a
lifting and thrusting reducing needle technique and 1.5 cun #32 needles into
BL-23 perpendicularly, 1 cun deep with a twisting reinforcing needle
technique. Apply moxa wool to the handle of the needles for 3 cones. Apply
direct non-scarring moxibustion on GV-4 for 9 cones. Insert 1.5 cun #32
needles into SP-6 perpendicularly, 1 cun deep with a twisting even
movement needle technique and 1.5 cun #30 needles into BL-57
perpendicularly, 1 to 1.2 cun deep with a twisting reinforcing needle
For hemorrhoids with pain and swelling: BL-40, BL-58, GB-37, KI-7, LV-3, GB-43,
CV-6, and CV-1. (Zhen Jiu Da Cheng)
Insert 1.5 cun #30 needles into BL-40, BL-58, and GV-37 perpendicularly, 1
cun deep with a twisting reducing needle technique and 1 cun #32 needles
into LV-3, KI-7, and GB-43 with a twisting even movement needle technique.
Insert 1.5 cun #32 needles into CV-6 perpendicularly, 1 cun deep with a
twisting reinforcing needle technique and apply moxa wool to the handles of
the needles for 3 cones. Insert a 1.5 cun #32 needle into GV-1
perpendicularly, 1 cun deep with a twisting reducing needle technique.
For chronic hemorrhoids: SP-5, BL-57, and Er Bai. (Za Bing Ge)
Insert 1.5 cun #32 needles into BL-57 perpendicularly, 1 cun deep with a
SP-5 perpendicularly, 0.5 cun deep with a twisting even movement needle
technique. Insert 1.5 cun #30 needles into Er Bai perpendicularly, 1 cun
deep with a twisting reducing needle technique. Retain all needles for 20
minutes.
For hemorrhoids with deficient Qi: GV-20, GV-4, and BL-62. (Zhen Jiu Da Cheng)
Insert 1.5 cun #32 needle into GV-20 transversely, 1 cun deep at a 30-degree
angle towards GV-19 with a twisting reinforcing needle technique, and apply
a moxa pole on the side of the needle for 10 minutes.
Apply direct non-scarring moxibustion on GV-4 and BL-61 for 9 cones.
For hemorrhoids with swelling and bleeding: BL-29, BL-54, and BL-57. (Lei Jing
Tu Yi)
Insert 3 cun #30 needles into BL-29 and BL-54 perpendicularly, 2 to 2.5 cun
deep with a lifting and thrusting reducing needle technique and 1.5 cun #30
needles into BL-57 perpendicularly, 1 cun deep with a twisting reducing
For hemorrhoids from the downward flow of Damp-Heat: GV-1, BL-35, BL-57, Er
Bai, GV-20, and Ji Zhong.
Ji Zhong is an extra point located 0.5 cun bilateral to L-4.
Insert a 1.5 cun #30 needle into GV-1 with a twisting reducing needle
technique. Repeat the process every 3 to 5 minutes during the retaining
time of the needle. Insert 3 cun #30 needles into BL-35 and Ji Zhong
perpendicularly, with a twisting even movement technique and 1 cun #32
needles into GV-20 and Er Bai with a lifting and thrusting even movement
For hemorrhoids with deficient Yin and Blood-Heat: BL-35, BL-2, CV-6, LI-6, Shi Qi
Zhui, and Zhi Shu.
Zhi Shu is an extra point located 1 cun bilateral to GV-4.
Shi Qi Zhui is an extra point located below the 5th lumbar vertebre.
Insert 3 cun #30 needles into Zhi Shu and BL-35 perpendicularly, 2 cun deep
with a twisting even movement needle technique and 1.5 cun #30 needle
into Shi Qi Zhui perpendicularly, 1 cun deep with a twisting reducing needle
Insert a 1.5 cun #32 needle into CV-6 perpendicularly, 1.2 cun deep with a
twisting reinforcing technique and 1 cun #32 needles into LI-6 and BL-2
perpendicularly, with a twisting reducing needle. Retain all needles for 20
minutes.
For hemorrhoids with a downward flow of Damp-Heat and excess Yin Qiao: KI-
6, LU-7, and GV-1. (Zhen Jiu Ji Chen)
Insert a 1.5 cun #30 needle perpendicularly, into GV-1 one cun deep with a
twisting reducing needle technique and take out the needle without
retaining it. Insert 1 cun #32 needles into KI-6 perpendicularly,
0.5 cun deep with a twisting even movement needle technique until the
sensation of the Qi travels upwards.
Then insert 1.5 cun #34 needles into LU-7 transversely, 1 cun deep at a 15
degree angle with a twisting even movement needle technique. Retain all
For hemorrhoids with a downward flow of Damp-Heat and excess Yin Wei: PC-
6, KI-9, SP-4, and CV-1. (Zhen Jiu Ji Chen)
Insert a 1.5 cun #32 needle into CV-1 perpendicularly, 1-1.2 cun deep with a
twisting even movement technique and remove the needle after a
sensation of Qi is achieved. Insert 1 cun #32 needles into PC-6, KI-9, and SP-
4 with a twisting reducing needle technique. Retain all needles for 20
minutes.
For hemorrhoids with prolapse due to an insufficient Spleen: GV-20, CV-8, BL-
26, BL-46, BL-58, PC-8, and SP-3.
twisting reducing needle technique and 3 cun #30 needles into BL-26
perpendicularly, 2 cun deep with a twisting reinforcing needle technique.
Apply moxa wool to the handles of the needles for 3 cones. Apply direct non-
scarring moxibustion to BL- 46 for 7 cones. Insert a 1 cun #32 needle into
GV-20 transversely, 0.8 cun deep with a lifting and thrusting reinforcing
needle technique, and apply a moxa-pole on the side for 10 minutes.
Insert 1cun #32 needles into PC-8 and SP-3 perpendicularly, 0.5 cun deep
with a twisting even movement needle technique. Apply a moxa-pole on
CV-8 for 20 minutes.
HERPES ZOSTER
Herpes zoster is a kind of acute herpetic skin infection caused by the herpes
zoster virus. It characteristically has an acute onset with groups of blisters
crowdedly arranged in a zonal fashion along one side of nerve distribution. The
blisters may break and produce yellowish liquid and spread. It is accompanied
with nerve pain in the chest, waist and abdomen, or on the corner of the mouth
and genital area. Direct western treatment suggests the spread of the virus is
through nerve endings and prescribes anti-viral cream or nerve suppressing
agents. In TCM, the outbreak of the virus is seen as an internal and systemic
problem in the body.
Wind-Fire Invasion
Wind-Fire invades and stagnates in the surface of the skin of the Jue Yin
and Shao Yang meridians, creating Heat and causing herpes.
Heat-Toxin
External Heat toxins invade the body, particularly at the Hand Yang Ming and
Hand Tai Yin meridians, causing disharmony of Ying and Wei Qi, creating
Heat.
DIAGNOSIS
The skin will burn and feel painful and sensitive to the touch before the
herpes flare-ups. Then, groups of the herpes will appear on one side of the
body, near the genitals, or around the mouth. The pain will be much worse if it
occurs on the face and/or genitals. If herpes appears around the waist or the
hypochondriac region, patients will often also experience a bitter taste in the
mouth, a headache, dizziness and vertigo, a tendency towards anger,
restlessness, a red complexion, and scanty burning urine. The tongue will be red
with a yellow greasy coating and the pulse will be wiry and fast. This
presentation is called Wind-Fire stagnating in the Shao yang and Jue Yin
meridians.
When herpes mainly appears on the chest and face, it is often associated
with watery blisters, lassitude, a poor appetite and a bloated epigastric region.
The tongue will be swollen with a yellow greasy coating and the pulse will be
floating and fast. This is Damp Heat-toxin stagnating in the Hand Tai Yin and
Yang Ming meridians.
TREATMENT
Wind-Fire
Treatment Principle: Clear the Wind and Subdue the Fire.
Point Prescription: Local Ah shi points, LV-14, LV-8, GB-43, and TW-3.
Treat once every other day 5 treatments as a course.
Technique: Insert 1.5 cun #32 needles on the side with the herpes with the Qi
Ci technique, obliquely at a 30 to 45 degree angle towards the center of the
clump. (Moxa-pole can be applied to the area of herpes during the needle
retainment.) Insert 1 cun #30 needles in LV-14 obliquely, 0.5 cun deep with a
twisting reducing needle technique. Insert 1 cun #32 needles on GB-43 and
TW-3 perpendicularly, 0.5 cun deep with a lifting and thrusting reducing
needle technique and 1.5 cun #32 needles in LV-8 perpendicularly, 1 cun deep
with a waving technique. Retain all the needles for 20 minutes.
Restlessness: PC-5 and HT-7.
Pain on the skin: PC-6 and GB-37.
Bitter taste in the mouth: GB-34 and TW-6.
Damp-Heat Toxin
Treatment Principle: Clear the Heat and Resolve Damp.
Point Prescription: Local Ah shi points, ST-44, TW-5, SP-4, and GB-43.
Treat once every other day 5 treatments as a course.
Technique: Insert 1 cun #32 needles around the herpes perpendicularly, with a
twisting reducing needle technique and 1 cun #30 needles in ST-44, TW-5, SP-4,
and GB-43 with a lifting and thrusting reducing needle technique. Stimulate the
needles every 5 minutes during the 20 minutes of needle retention.
Fever: LI-4 and GV-14.
Pain: Bloodletting technique on LI-1 and LU-11.
Insomnia: PC-8 and CV-14.
Ear Acupuncture
Point Prescription: Liver and Shen Men
Apply 0.5 cun #32 ear needles in these two points bilaterally, with a fast
twisting needle technique for 5 minutes, and retain the all the needles for
15 minutes.
Scalp Acupuncture
Point Prescription: Middle 2/5 of the anterior line from the vertex to the
temple, Lateral line 2 of the vertex, and Lateral line 3 of the forehead.
Insert 1 cun #30 needles in all the treatment lines on the scalp with a lifting
and thrusting reducing needle technique, and retain the needles for 30
minutes.
Bloodletting
Points: LI-1, LU-11, LV-1, and ST-45.
Apply a bloodletting technique on these Jing well points, and squeeze 2-3
drops of blood from each point.
Treat once every other day 3 treatments as a course, or apply along with
other treatment techniques.
Point Prescription: Upper 2, Upper 5, Lower 4, and Lower 6.
Insert 1.5 cun #32 needles subcutaneously at a 10 to 15 degree angle from
the skin without any sensation, 1.2 cun deep, and retain the needles for 40
minutes.
Plum Blossom Needle
Points: local points.
Apply Plum blossom needling around the herpes with medium-level
stimulation, until a few drops of blood comes out.
Treat once daily for 3 treatments as a course. Most of the time, a moxa-pole
is used after plum blossom needle stimulation on herpes for approximately
20 minutes.
Moxibustion
Direct moxibustion: LI-1, LU-11, ST-44, and LV-1.
Moxa-pole: Local points.
Apply a moxa-pole on the local herpes area for 30 minutes, normally this is
performed after a plum blossom needle treatment.
For herpes with Dampness and Interior Heat: BL-18, LI-11, and GV-14. (Zhen Jiu
Pei Xue)
Insert 1.5 cun #32 needles into BL-18 with the Dragon and Tiger Battle needle
technique and a 1.5 cun #30 needle into GV-14 perpendicularly, 1 to 1.2 cun
deep with a rubbing needle technique. Retain all the needles for 15 minutes.
Insert 1.5 cun #30 needles into LI-11with a lifting and thrusting reducing
needle technique, and retain the needles for 20 minutes.
For herpes with Wind-heat and Fire: LI-11, LI-4, and ST-36. (Zhong Hua Pi Fu Ke
Zai Zhi)
Insert 1.5 cun #30 needles into ST-36 perpendicularly, 1 to 1.2 cun deep
with a waving needle technique, and then insert 1.5 cun #32 needles into
LI-11and LI-4 perpendicularly, 1 cun deep with a lifting and thrusting
reducing needle technique. Retain all the needles for 20 minutes.
For herpes with Damp-Heat: GV-12, LI-11, SP-9, SP-6 and plum blossom
needling.
Insert a 1.5 cun #30 needle into GV 12 perpendicularly, 1 cun deep with a
twisting reducing needle technique for 5 minutes, and take the needle out
without retaining it. Then, insert 1.5 cun #32 needles into LI-11, SP-9, and
SP-6 perpendicularly, 1 to 1.2 cun deep with a lifting and thrusting reducing
needle technique. Retain all the needles for 30 minutes.
Finally, apply the plum blossom needling to the local herpes area with
medium-level stimulation for 3-4 minutes.
For any kind of herpes:
Local points
Insert 1 cun #30 needles obliquely at a 20-30 degree angle from the
skin towards the center of herpes cluster, surrounding the herpes at a
0.5-cun distance from its edge.
Herpes above the waist: TW-6, TW-5, LI-4, and LI-11.
Herpes below the waist: LV-3 and SP-6. (Zhong Guo Zhen Jiu)
Insert 1.5 cun #32 needles into TW-6, TW-5, LI-11, and LI-4 with a
twisting reducing needle technique, or insert 1.5 cun #30 needles into
LV-3 and SP-6 with a lifting and thrusting reducing needle technique.
Retain all the needles for 20 minutes.
Treat once every other day for 5 treatments as a course for the above.
For herpes with Wind-Heat and severe pain: LI-1 and SP-1. (Guang Xi Zhong Yi)
Apply a bloodletting technique with bloodletting needles or #28 needles
perpendicularly, 0.1 cun deep, allowing it to bleed naturally bleeding
without squeezing until it stops.
For herpes with Damp-Heat and severe pain: She Yan Xue. (Jiang Su Zhong Yi)
She Yan Xue is an extra point on both sides of the dorsal part of the thumb
joint, between the pink and white skin.
Squeeze the point for a few minutes before treatment. Then, apply
bloodletting needles or 1 cun #28 needles into points and make 1 to 2
drops of yellowish liquid come out.
For herpes with Damp-Heat: BL-40, GV-14, GV-7, LI-4, and SP-6.
rubbing needle technique until the sensation of needle travels downwards in
the body. Insert a 1.5 cun #32 needle into GV-14 perpendicularly, 1 to 1.2
cun deep with a lifting and thrusting reducing needle technique. Apply a
bloodletting technique on BL-40, and retain all the needles for 15 minutes.
Insert 1 cun #32 needles into LI-4 and SP-6 with the White Tiger Shakes its
Head technique, and retain all the needles for 20 minutes.
HICCUP
Hiccup is a symptom of Stomach Qi rebellion and it can occur due to any kind
of reason that may lead the Qi to travel upward. In TCM, it is usually caused by
internal organ problems, such as rebellion of Stomach Qi, Liver Qi attacking the
Stomach, or Damp-Heat damaging the Stomach Yin. In the beginning stages of
the hiccup most symptoms are of an excess nature, but in the late stage of the
disorder most of the symptoms are deficient in nature. Examples of this include
spasm of the esophageal by cancer or chronic nerve spasm.
Rebellion of Stomach Qi
This pattern is commonly caused by improper food intake; such as intake
of allergic food, or overly cold, hot, and/or spicy food. All these cause the
Stomach to fail in descending the Qi, resulting in hiccup.
Liver Qi attacking the Stomach
This pattern occurs after long-term and negative emotional stimulation, which
causes the Stomach Qi to rise up instead of down.
Yin and Qi Deficiency

Deficiency of the Kidney and the Stomach Yin will cause Interior Heat that will
dry up the Stomach fluids, resulting in a deficient Heat or Fire rising. Or at
times, the Stomach may stagnate due to accumulation of Phlegm, which is
produced by chronic Spleen Qi Deficiency, which tends to occur in most
chronic hiccup patients.
DIAGNOSIS
Excess type of the Hiccup
Cold Stagnation
Symptoms include loud sounding hiccup, and preference for warm drinks
with a cold sensation and bloating in the epigastric region and limbs, poor
appetite, frequent urination, and loose stool. The tongue is pale with a white
greasy coat and the pulse is slow and tight.
Rebellious Stomach Fire

Symptoms include loud sounding hiccup, preference for cold drinks with a
bitter taste in the mouth, thirst, red complexion, constipation, and a
yellowish and scanty urination. The tongue is red with a yellow coat and the
pulse is fast and slippery.
Symptoms include hiccup that is worse during the day, as emotional changes
or sensitivity will be reduced during sleep and worse after waking up. The
hiccup in this case is associated with belching, sighing, stuffy and painful
sensations in the chest, epigastric, and hypochondriac region. The tongue is
dry with a white thin coat and the pulse is wiry.
Deficient type of the Hiccup

Spleen Yang Deficiency
Symptoms include a low sounding hiccup with shortness of breath and that
are associated with weak body constitutions, pale complexion, cold
sensations in the limbs, poor appetite, lassitude, and bloating in the
abdomen or hiccups with vomiting of phlegm. The tongue is swollen with a
wet coat and the pulse is thin and weak.
Stomach Yin Deficiency
Symptoms include continuous weak hiccups and are associated with a dry
mouth, dry throat, restlessness, red malar flush, and spontaneous sweating.
The tongue is red without a coat and the pulse is thin and fast.
TREATMENT AND PRESCRIPITONS
Excess type
Treatment Principle: Harmonize the Stomach and Subdue the Rebellious Qi.
Point Prescription: CV-12, PC-6, ST-40 and BL-17.
with lifting and thrusting reducing needle technique, and retain the needles
for 10 minutes. Insert 1.5 cun #30 needles into CV-12 and ST-40
perpendicularly, 1 cun deep with twisting reducing needle technique, and 1
cun #32 needles into PC-6 perpendicularly, 0.6 cun deep with twisting even
Additional points for other symptoms:
Stomach Cold: ST-21 with indirect moxibustion with ginger for 3 cones.
Stomach Fire: ST-43 and ST-44.
Liver Qi Stagnation: LV-3 and LV-13.
Deficient type
Treatment Principle: Nourishing the Stomach and Regulate the Qi.
Point Prescription: CV-6, BL-17, LV-13, and CV-17.
with twisting reinforcing needle technique, and apply moxa wool on the handle
of needles for 3 cones. Insert a 1.5 cun #30 needle into CV-17 obliquely, 1.2
cun deep at a 45 degree angle towards CV-16 with twisting reducing needle
technique. Insert 1 cun #32 needles into LV-13 perpendicularly, 0.7 cun deep
with twisting even movement needle technique, and a 1.5 cun #32 needle into
CV-6 with twisting reinforcing needle technique. Retain all needles for 20
minutes.
Yin Deficiency: KI-3 and GV-4.
Yang Deficiency: CV-4 with indirect moxibustion and Fu Zi (aconite) cake.
Ear Acupuncture
Points: Diaphragm, Sympathetic, Liver,
Stomach and Spleen.
45 degree angle with strong twisting needle technique. Retain all needles
for 30 minutes.
Scalp Acupuncture
Treatment zones: Lateral line 1 and 2 of the forehead and the Middle line of
the vertex.
Insert 1.5 cun #32 needle into these lines 1-1.2 cun deep at a 30 degree
angle downwards, with a fast twisting needle technique. Retain the
needles for 30 minutes to 1 hour.
Wrist and Ankle acupuncture
Treatment area: Upper 2, Upper 5 and Lower 5.
degree angle without any needle technique and avoiding any sort of
sensation. Retain the needles for 30 minutes.
Moxibustion
Direct moxibustion: BL-17, BL-15, CV-17, and CV-6.
Apply direct non-scarring moxibustion on these points for 7-9 cones.
Indirect moxibustion: CV-6, CV-13, and BL-20.
Apply indirect moxibustion with ginger on CV-6, CV-13, and
BL-20 for 5 cones.
Hand Acupuncture
Points: Stomach and Chest.
Insert 1 cun #32 needle into these two points perpendicularly, 0.2-0.3 cun
deep with twisting reducing needle technique. Retain the needles for 10
minutes.
Nose Acupuncture
Points: Liver, Gallbladder, and Stomach.
with twisting even movement needle technique until a heat sensation is
produced under the needle. Retain all needles for 15 minutes.
For hiccup due to deficiency of Yang: CV-17, LU-1, CV-12, LU-5, and CV-14. (Pu Ji
Fang)
Apply direct non-scarring moxibustion on CV-17, LU-1, and CV-12 for 10
cones, and on LU-5 and CV-14 for 7 cones.
For hiccup due to stagnation of the Stomach Qi: LV-14, CV-17, and CV-12. (Yi
Xue Gang Mu)
Apply direct non-scarring moxibustion on LV-14 and CV-17 for 11 cones,
and on CV-12 for 9 cones.
For hiccup due to stagnation Stomach Qi: CV-12, PC-6, and CV-22. (Zhen Jiu Chu
Fang Xue)
Insert a 1.5 cun #32 needle into CV-22 obliquely, 1.2 cun deep at a 45 degree
angle following the trachea, and apply a twisting reducing needle technique.
Insert 1 cun #32 needles into PC-6 and CV-12 perpendicularly, 0.5-0.7 cun
deep with twisting reducing needle technique. Retain all needles for 20
minutes.
For chronic hiccup: a point located between the black and white skin under
the nipple. (Wei Shen Bao Jian) Apply direct non-scarring moxibustion
on this point for 11 cones.
For hiccup due to stagnation of Liver Qi: CV-12, CV-17, and LV-14. (Zhen Jiu Ji
Chen)
Insert a 1.5 cun #32 needle into CV-17 obliquely, 1.2 cun deep at a 45 degree
angle towards CV-16, with a twisting reducing needle technique, and 1.5
cun #32 needles into LV-14 transversely, 1 cun deep at a 30 degree angle
towards CV-12, with a twisting reducing needle technique. Insert a 1.5 cun
#30 needle into CV-12 perpendicularly, 1 cun deep with twisting even
For hiccup after childbirth: LV-14. (Zhen Zhi Zun Sheng)
Apply direct non-scarring moxibustion for 7 cones.
For hiccup due to Stomach Cold: BL-20, BL-21, CV-12, ST-36, and SP-4. (Lei Jing
Tu Yi)
with twisting reinforcing needle technique, and apply moxa wool on the
handle of the needles for 3 cones. Insert 1.5 cun #34 needles into ST-36
perpendicularly, 1 cun deep with twisting even movement needle technique,
and apply indirect moxibustion with ginger on CV-12 for 5 cones. Finally
apply direct non-scarring moxibustion on SP-4 for 7 cones.
For hiccup due to Cold stagnation in the Stomach: CV-13, LV-13, BL-20, and PC-
6.
Insert 1.5 cun #30 needles into BL-20 perpendicularly, 1-1.2 cun deep with
Shao Shan Huo-Burning the Mountain technique and retain the needles for
10 minutes.
Insert 1 cun #32 needles into LV-13 and PC-6 perpendicularly, with twisting
reducing needle technique. Insert a 1.5 cun #32 needle into CV-13
perpendicularly, 1 cun deep with twisting even movement needle
technique, and apply moxa wool on the handle of needle for 2 cones.
For hiccup due to Stomach Fire: PC-6, LI-4, LU-7, BL-17, and ST-40.
Insert 1.5 cun #30 needles into BL-20 perpendicularly, 1 cun deep with lifting
and thrusting reducing needle technique, and retain the needles for 10
minutes.
Insert 1 cun #34 needles into PC-6, LI-4, and LU-7 with twisting reducing
needle technique, and 1.5 cun #30 needles into ST-40 with twisting reducing
For hiccup due to deficiency of Yang: CV-12, LV-14, CV-6, BL-17, BL-21, and BL-
23.
Insert a 1.5 cun #32 needle into CV-12 obliquely, 1.2 cun deep at a 60
degree angle towards CV-11, with twisting reinforcing needle technique,
and 1 cun #32 needles into LV-14 obliquely, 0.6 cun deep at a 45 degree
angle with twisting even movement needle technique. Apply indirect
moxibustion with ginger on CV-6 for 3 cones. Use a fire cup on LV-14 for 2
minutes after taking out the needles.
Insert 1.5 cun #32 needles into BL-17, BL-21, and BL-23 perpendicularly, 1
cun deep with twisting reinforcing needle technique, and apply moxa
wool on the handle of needles for 3 cones.
HIV
HIV is a very common viral infection that may prove to be terminal. The virus
directly attacks the human immune cells to leave the body weak and
defenseless against other infectious diseases. It is characterized by the infection
of the AIDS virus, which does belong to one kind of febrile disease in the TCM
category. Although HIV has only one cause, the patient can be differentiated
according to the clinical symptoms to better treat the patient’s problems.
DIAGNOSIS
Wind-Heat Invasion
Symptoms of this pattern include fever, sweating, muscle and joint aches
and soreness, easily fatigued, swollen lymph nodes, sore throat, nausea,
vomiting, headache, and diarrhea. The tongue is red with a white coat and
the pulse is floating and fast.
Qi Deficiency
This pattern includes fever, frequent diarrhea, weight loss, fatigue, shortness
of breath, dizziness or vertigo, heart palpitations, and insomnia. The tongue
is red tongue with a thin coat and the pulse is weak and floating.
Qi and Yin Deficiency
Associated signs and symptoms for this pattern are low-grade fever, night
sweats, five palm heat, swollen lymph nodes, frequent diarrhea, neuropathy,
subdued speech, dry throat and mouth, shortness and breath, heart
palpitations, insomnia, spontaneous sweating and night sweating, dry skin,
and loose stool. The tongue is red without a coating or with less coat than
normal and the pulse is thin, floating, and weak.
Heat-toxin
This type is usually seen in AIDS, where the patient has Kaposi’s sarcoma,
pathologic leanness, fever, anemia, swollen lymph nodes, and other systemic
infections, such as lung and urinary tract infections. Associated symptoms are
irritable bowel movement, scanty urine, dry skin, flushed complexion, dry
mouth, throat, thirst, dysphasia, and poor sleep. The tongue is purple or even
dark with a greasy coat and the pulse is fast and floating.
Wind-Heat
Treatment Principle: Expel the Wind, Clear Heat, and Open the Lung.
Point Prescription: LU-5, LU-6, LI-4, BL-13, GV-14, and ST-40.
Technique: Insert 1 cun #32 needles into BL-13 perpendicularly, 0.5 cun deep
with waving needle technique, and a 1.5 cun #32 needle into GV-14
perpendicularly, 1 cun deep with rubbing technique (rub the needle count
clockwise) until the sensation travels down along the spinal column. Retain all
Insert 1.5 cun #34 needles into LU-5 and LU-6 perpendicularly, 1 cun deep with
twisting even movement needle technique, and 1 cun #34 needles into LI-4
with twisting reinforcing needle technique. Insert 1.5 cun #32 needles into ST-
40 perpendicularly, 1 cun deep with lifting and thrusting reducing needle

Headache: GV-24 and Tai Yang.
Joint aches: BL-11, GB-20, and GB-39.
Diarrhea: ST-37 and ST-25.
Qi Deficiency
Treatment Principle: Reinforce the Qi and Promote the circulation.
Point Prescription: CV-6, LV-3, LI-4, LU-5, BL-13, BL-20, and GV-14.
Technique: Insert a 1.5 cun #34 needle into CV-6 perpendicularly, 1 cun deep
with twisting reinforcing needle technique and apply moxa wool on the handle
of the needle for 3 cones. Insert 1 cun #34 needles into LV-3, LI-4, and LU-5
with twisting even movement needle technique. Retain all needles for 20
minutes.
Insert 1.5 cun #32 needles into BL-20 and GV-14 perpendicularly, 1 cun deep
with twisting reinforcing needle technique, and 1 cun #34 needles into BL-13
perpendicularly, 0.6 cun deep with lifting and thrusting reinforcing needle
Diarrhea: ST-25 and SP-4 with moxibustion.
Depression: GV-20, Si Shen Cong, and HT-7.
Poor sleep: An Mian, ST-36, and HT-7.
Heart palpitations: PC-6, CV-14, and BL-15.

Treatment Principle: Reinforce the Qi and Nourish Yin.
Point Prescription: CV-4, ST-36, KI-3, LV-8, BL-43, BL-20,
and BL-23.
Treat once or twice a week for 10 treatments as a
course.
Technique: Insert 1.5 cun #34 needles into CV-4 and ST-36 perpendicularly, 1 cun
deep with twisting reinforcing needle technique, and 1 cun #34 needles into KI-
3 and LV-8 with lifting and thrusting reinforcing needle technique. Next insert 1
cun #32 needles into BL-43 with waving technique, and 1.5 cun #32 needles into
BL-20 and BL-23 perpendicularly, 1 to 1.2 cun deep with twisting reinforcing
Fever: HT-6, KI-2, and GV-14.
Diarrhea: BL-20 and BL-25.
Muscle and joint aches: SP-10, BL-17, BL-20, and LI-11.
Headache: KI-1, GV-20, and LI-4.
Swollen lymph nodes: ST-40, LU-5, and TW-4.
Heat-toxin
Treatment Principle: Clear Heat, Resolve the Damp, and Reinforce the Qi.
Point Prescription: SP-6, LI-4, TW-5, ST-40, LI-11, GV-20, GV-14, BL-40, and BL-62.
with twisting even movement needle technique, and repeat the process every 3
minutes during the 15 minutes of needle retainment. Insert 1 cun #30 needles
into SP-6, LI-4, TW-5, LI-11, and BL-62 perpendicularly, 0.5 cun deep with lifting
and thrusting reducing needle technique, and 1.5 cun #32 needles into ST-40
with twisting reducing needle technique. Insert a 1.5 cun #32 needle into GV-20
transversely, 1 cun deep at a 30 degree angle towards the back with a twisting
Fever: HT-5, KI-6, and GV-12.
Headache: GB-20, Tai Yang, and Si Shen Cong.
Skin Ulcer: SP-10 and BL-17.
Insomnia: An Mian and HT-7.
Diarrhea : ST-25 and ST-37.
Ear Acupuncture
Points: Lung, Stomach, Spleen, Liver, Kidney, Endocrine, Sub cortex, Shen
Men, Small intestine, and Sympathetic.
Select 3 to 4 points from above in each treatment. Insert 0.5 cun #34
needles into these points obliquely, 0.3 cun deep with twisting even
Scalp Acupuncture
Treatment zones: Middle line of vertex, Lateral line 1 and 2 of the forehead,
Lateral line 1 of vertex, and the Posterior oblique line from the vertex to
temple.
Insert 1 cun #32 needles into these lines transversely, 0.7 cun deep at a 30-
degree angle with twisting even movement needle technique. Retain all
Insert 1.5 cun #32 needles slowly into these points transversely, 1.2 cun deep
without any needle technique, and adjust the needle to avoid any sensation
of needles. Retain all needles for 40 minutes.
Gua Sha
Treatment area: Back and Chest.
Apply medium-level stimulation of Gua Sha on the back from GV-14 to GV-6,
and BL-11 to BL-20, until a dark red color appears. Apply weak stimulation on
the chest from CV-21 to CV-17, and KI-27 to KI-22, until dark red or purple
color appears.
Moxibustion
Direct non-scarring moxibustion: SP-3, LV-1, CV-6, BL-23, and GV-4.
Apply direct non-scarring moxibustion on SP-3 and LV-1 for 9 cones, on CV-
6, BL-23, and GV-4 for 7 cones, to treat HIV with Qi and Yang deficiency.
Indirect moxibustion: CV-8, ST-25, CV-4, and BL-20.
Apply indirect moxibustion with ginger on CV-8, ST-25, and CV-4 for 3
cones, on BL-20 for 5 cones, to treat HIV with water retention.
Moxa pole: GV-20, KI-1, and CV-4.
Apply moxa-pole on GV-20, KI-1, and CV-4 for 15 minutes, to treat HIV
with lassitude and insomnia.
Plum Blossom
Treatment area: SP-4, LU-5, BL-40, GV-3, BL-43, Back, and Neck.
Apply weak stimulation of a Plum blossom needle on SP-4, LU-5, BL-40, GV-3,
and BL-43. Apply medium-level stimulation on the upper back along the GV
and BL meridian for 3 minutes until a red color appears. Apply weak
stimulation on the neck along the ST meridian until a red color appears.
Foot Acupuncture
Points: Heart, Kidney Liver, Stomach, and Head.
Insert 1 cun #32 needles into these points perpendicularly, 0.3 cun deep
with twisting even movement technique. Retain all needles for 40 minutes.
EXPERIENTIAL PRESCRIPTIONS AND TECHNIQUES
For HIV with stagnation of Blood: GV-14, LI-11, ST-44, and Tai Yang. (Zhen Jiu
Xue)
Insert a 1.5 cun #32 needle into GV-14 perpendicularly, 1 cun deep with
rubbing technique (rub the needle clockwise) until the sensation of Qi travels
down along the GV meridian. Insert 1.5 cun #32 needles into LI-11
perpendicularly, 1 cun deep with Long Hu Jiao Zhan-Dragon and Tiger Battle
technique, one combination needle technique, until the sensation of the Qi
travels. Inset 1 cun #32 needles into ST-44, and Tai Yang perpendicularly, 0.5
cun deep with twisting reducing needle technique. Retain all needles for 20
minutes.
For HIV with deficiency of Qi and Yin: ST-36, SP-9, BL-13, BL-20, and GV-14.
Insert 1.5 cun #32 needles into GV-14 and BL-20 perpendicularly, 1 cun deep
with twisting reinforcing needle technique, and 1 cun #32 needles into BL-13
with twisting reinforcing needle technique. Apply moxa wool on the handle
of needles for 3 cones. Insert 1.5 cun #32 needles into ST-36 and SP-9
perpendicularly, 1 cun deep with lifting and thrusting reinforcing needle
For HIV due to Heat-toxin: LV-2, LI-11, SP-9, ST-40, GV-14, GV-12, BL-32, and BL-
22.
Insert 2 cun #32 needles into BL-32 perpendicularly, 1.5 cun deep with lifting
and thrusting reducing needle technique, and 1.5 cun #32 needles into BL-
22, GV-12, and GV-14 with lifting and thrusting reducing needle technique.
Insert 1.5 cun #32 needles into LI-11, SP-9, and ST-40 perpendicularly, 1 to
1.2 cun deep with lifting and thrusting even movement technique, and 1 cun
#32 needles into LV-2 with twisting even movement needle technique. Retain
For HIV due to deficiency of Qi: CV-12, ST-36, SP-4, PC-6, GV-20, BL-20, and BL-
21.
Insert 1 cun #34 needles into SP-4 and PC-6 perpendicularly, 0.3 to 0.5 cun
deep with twisting even movement needle technique, and a 1.5 cun #32
needle into GV-20 transversely, 1 cun deep at a 30 degree angle backwards
with twisting even movement needle technique. Insert 1.5 cun #34 needles
into ST-36 and CV-12 perpendicularly, 1 cun deep with twisting reinforcing
needle technique, and apply moxa wool on the handle of the needles for 3
cones. Insert 1.5 cun #32 needles into BL-20 and BL-21 perpendicularly, 1 cun
deep with lifting and thrusting reinforcing needle technique, apply moxa
wool on the handle of needles for 2 cones.
For HIV with deficiency of Qi and Blood: KI-3, LV-3, KI-7, CV-4, LI-11, BL-23, BL-
20, and BL-13.
Insert 1.5 cun #32 needles into LI-11, CV-4, and KI-7 perpendicularly, 1 cun
deep with twisting reinforcing needle technique, and 1 cun #34 needles into
KI-3 and LV-3 with twisting reinforcing needle technique.
Insert 1 cun #34 needles into BL-23, BL-20, and BL-13 perpendicularly, 0.6
cun deep with lifting and thrusting reinforcing needle technique, and
For HIV with poor appetite and loose stool: CV-12, LV-13, CV-6, SP-4, LU-5, BL-
17, and BL-25.
Insert 1.5 cun #32 needles into CV-12 and LV-13 perpendicularly, 1 cun deep
with twisting reinforcing needle technique, and 1 cun #34 needles into LU-5
and SP-4 with twisting even movement needle technique. Apply indirect
moxibustion with ginger on CV-6 for 3 cones. Insert 1.5 cun #32 needles into
BL-17 and BL-25 perpendicularly, 1 cun deep with twisting reinforcing needle
For HIV with skin problems: GV-20, LI-11, ST-36, and BL-40.
Insert 1.5 cun #30 needles into GV-20 transversely, 1 cun deep with a lifting
Qi technique, and 1.5 cun #32 needles into LI-11, and ST-36 perpendicularly,
1 to 1.2 cun deep with lifting and thrusting reducing needle technique.
Apply bloodletting on BL-40, to squeeze 2 to 3 drops of blood.
For HIV with skin problems: GB-21, BL-40, GB-41, LV-2, and HT-3.
Insert 1.5 cun #30 needles into GB-21 obliquely, 1 cun deep towards the ST-
12 direction with twisting reducing needle technique, and 1 cun #32
needles into GB-41, LV-2, and HT-3 with twisting even movement needle
Apply bloodletting on BL-40, to squeeze 2 to 3 drops of blood.
HYPOCHONDRIAC PAIN
Hypochondriac pain refers to pain on one or both sides of the hypochondriac
regions, the area of the Liver and Gall Bladder meridians and organs. In the Nei
Jing it states, “When the disease is in the Liver and Gall Bladder, pain and
discomfort will occur in the hypochondriac region.” Physiologically, the Liver
controls the flow of Qi and likes freedom of movement. Any kind of emotional
problem can cause stagnation of the Liver Qi and can lead to stagnation of Blood
in the hypochondriac region. In TCM, the causes attributed to hypochondriac pain
are many. Here are the main diffentiations:
Liver Qi Stagnation
This is caused by any kind of emotional problem that causes stagnation of
Qi in the Liver and Gallbladder meridians near the hypochondriac region.
Blood Stagnation
This can be due to long-term stagnation of Qi, or by traumatic injury in the
local area, which worsens the stagnation and the pain in the hypochondriac
region.
Liver and Gall Bladder Damp-Heat

Such can occur from a Damp invasion or internal Damp retention from the
Spleen failing in its transportation and transformation. After a while, the
stagnation of Dampness will turn into Heat that attacks the local meridians
and the Liver and Gall Bladder organs. This results in the Liver’s failure to
control the smooth flow of Qi, causing pain in the hypochondriac region.
Liver Yin Deficiency
Chronic diseases or over-tiredness can easily make Liver Yin or Blood
insufficient and unable to nourish the Liver organ and meridians. This can lead
to a chronic painful sensation in the hypochondriac region.
In modern medicine, it includes many diseases, including intercostals
neuralgia, acute and chronic hepatitis, cholecystitis, gallbladder stones and
other infective diseases.
DIAGNOSIS
The critical technique in diagnosing hypochondriac pain is in identifying the

Exterior or Interior symptoms. Most times, Exterior symptoms are caused by
Damp-Heat stagnation appearing as a fever with aversion to cold, jaundice,
nausea, vomiting, a floating pulse, and a red tongue with a yellow greasy
coating. With interior symptoms, the pain starts more slowly. There is no fever
or aversion to cold, and is associated with Liver Qi and Blood stagnation
symptoms or Liver Yin Deficiency symptoms. The quality of the pain will help to
determine the syndrome:
 Qi Stagnation pain often has distention and distending pain that comes
and goes.
 Damp-Heat related pain is most often fixed and aggravated by
pressure, making it hard to turn over in bed.
 Yin and Blood Deficiency is light pain that is aggravated by fatigue
and reduced by rest.
 Blood Stagnation pain is sharp and of fixed location that worsens at
night with possible lumps in local areas.
Hypochondriac pain due to stagnation of the Liver

This is characterized by a distending pain that could alternative between the
right or left side of the hypochondriac region, often related with emotional
changes and associated with a stuffy chest, sighing, acid regurgitation, easily
irritated or angered, and poor sleep. The tongue is pale with a white thin
coating, and the pulse is tight and wiry.
Hypochondriac pain due to Invasion of Damp-Heat
In this case there will be a burning, painful sensation on the right side of the
hypochondriac region that is associated with a fever and aversion to cold, a
bitter taste in the mouth, restlessness, and nausea and vomiting with a
reaction to greasy and oily food when the patient is having an acute flare up.
The tongue is red with a thick yellowish coating and the pulse is fast and
wiry.
Hypochondriac pain due to Stagnation of Blood

This pattern is characterized by a fixed pain located on the side of
hypochondriac region that has an injury or history of chronic pain that is
associated with a distending sensation and possible lumps in the
hypochondriac area. The tongue is dark or has black or purple dots and a
thin white coating, and the pulse is wiry or thin and choppy.
Hypochondriac pain due to Yin Deficiency
In this case there is a constant bloating pain or heaviness and swollen
sensation that moves around the hypochondriac area. It is usually
aggravated by tiredness or changes in body position. There will be a pale
complexion, a malar flush, a low grader fever, spontaneous sweats, dizziness
and vertigo, blurry vision and heart palpitations. The tongue is red with little
coating or less coating, and the pulse is thin and fast.
Hypochondriac pain due to stagnation of Liver
Treatment Principle: Soothe the Liver and Move the Qi.
Point Prescription: BL-18, CV-16, LV-14, and GB-43.
course.
Technique: Insert 1.5 cun #32 needles into BL-18 with a lifting and thrusting
reducing needle technique, and remove the needle without retaining it. Insert 1
cun #30 needles into CV-16 and LV-14 with twisting even movement needle
technique, and 1 cun #32 needles into GB-43 with twisting reducing needle
techniques. Retain all needles for 20 minutes.
Acid regurgitation: BL-21 and GB-34.
Poor sleep: HT-7 and An Mian.
Hypochondriac pain due to Invasion of Damp-Heat
Treatment Principle: Clear Heat and Resolve Dampness.
Point Prescription: LV-14, GB-24, TW-6, GB-34, and LV-3.
Technique: Insert 1.5 cun #32 needles into TW-6 and GB-34 perpendicularly,
with a lifting and thrusting reducing needle technique and 1 cun #30 needles
into LV-14, GB-24, and LV-3 with a twisting even movement technique. Retain
High fever: GV-14.
Nausea or vomiting: CV-12 and ST-36.
Restlessness: PC-4.
Hypochondriac pain due to Stagnation of Blood
Treatment Principle: Move the Blood, Regulate Qi and Release the pain.
Point Prescription: SP-21, GB-25, LV-2, BL-17, and SP-6.
Technique: Insert a 1 cun #30 needle into SP-21 perpendicularly, 0.3 cun deep
with a Qi Ci needle technique and wave the needle for a while without retaining
it. Apply a fire cup for 2 minutes on SP-21 after taking out the needles. Insert a
1.5 cun #30 needle into BL-17 obliquely, towards the spinal column 0.8 to 1 cun
deep with a twisting even movement needle technique and apply moxa wool to
the handle of needle for 3 cones.
Insert 1 cun #30 needles into GB-25, LV-2, and SP-6 with a twisting needle
Severe pain: LI-4, LV-3, and local injury Ah Shi points
Hypochondriac pain due to Yin Deficiency
Treatment Principle: Nourish the Yin and Blood and Release the pain.
Point Prescription: HT-6, BL-15, SP-10, and SP-6.
Technique: Insert 1 cun #32 needles into BL-15 with a twisting
Apply a fire cup on BL-15 for 2 minutes after taking out the needles. Insert 1
cun #32 needles into HT-6, SP-10, and SP-6 with a twisting reinforcing needle
Tidal fever: BL-43.
Dizziness: GV-20 with moxa-pole for 20 minutes.
Ear Acupuncture
Points: Liver, Gallbladder, Shen Men, and Chest.
Insert 0.5 cun #32 ear needles into these points obliquely, at a 45-degree
angle with a strong stimulation technique on the diseased side. Retain all
Plum Blossom
Treatment area: Local Ah shi points (around the hypochondriac region on the
painful side), and the mid- back (near T-7 to T-9).
Apply a medium-level stimulation technique of a plum blossom needle on
the local painful areas for 5 minutes, followed by a fire cup for 2 minutes
after stimulation. Apply medium-level stimulation for 3 minutes on the
middle back (near T-7 to T-9).
Scalp Acupuncture
Treatment zones: Upper lateral line of the occipital, and the anterior line
from the vertex to the temple.
Insert 1.5 cun #30 needles into these two zones transversely, 1 cun deep at a
30 minutes.
Moxibustion
Point: LV-13.
Apply direct non-scarring moxibustion on LV-13 for 14 cones. Or, apply
moxa pole on LV-13 for 30 minutes.
Bloodletting
Point: Ah Shi points
Palpate to find areas of stagnation in the hypochondriac region, (tender
points or lumps will be found there). Apply bloodletting techniques on local
Ah Shi points and take 1 or 2 drops of blood. Apply a fire cup on the area for
1 minute.
For hypochondriac pain due to stagnation of Qi and Blood: TW-6. (Nei Jing)
Insert a 1.5 cun #30 needle into TW-6 (same side as the pain area)
perpendicularly, 1 cun deep with the Bai Hu Yao Tou-White Tiger shakes its
Head technique. Retain the needle for 30 minutes.
For hypochondriac pain with chest pains: SP-21. (Shen Yin Jing)
Insert a 1 cun #30 needle into SP-21 perpendicularly, 0.3 cun with the Qi Ci
technique. Retain the needle for 20 minutes and apply a fire cup after
removing the needle.
For traveling pain in the hypochondriac and chest area: GB-30 and BL-67. (Shen
Yin Jing)
Insert a 3 cun #30 needle into GB-30 with a twisting reducing needle
technique and a 0.5 cun #32 needle into BL-67 with a twisting even
movement technique. Retain all needles for 30 minutes.
For distended and sharp pain in the hypochondriac and chest regions: SP-3
(Shen Yin Jing)
Insert a 1 cun #32 needle into SP-3 perpendicularly, 0.5 cun deep with a
twisting reinforcing needle technique. Retain the needles for 30 minutes.
For hypochondriac pain due to stagnation of Qi and Heat: TW-10, PC-5, PC-7,
ST-36, SP-3, GB-42, and GB-37. (Shen Yin Jing)
Insert 1 cun #30 needles into TW-10, PC-5, PC-7, and SP-3 with a twisting
even movement needle technique, and 1.5 cun #32 needles into ST-36, GB-
42, and GB-37 with a reinforcing needle technique. Retain all needles for
30 minutes.
For hypochondriac pain with chest pain: LV-14, LV-13, GB-42, LV-2, and KI-1.
(Zhen Jiu Zhai Yin Ji)
Insert a 1 cun #32 needles into KI-1 perpendicularly, 0.5 to 0.8 cun deep with
a twisting reinforcing needle technique. Apply moxa wool on the handles of
the needles for 3 cones. Insert 1 cun #30 needles into LV- 13, LV-14, GB-42,
and LV-2 with a twisting reducing needle technique.
For hypochondriac pain due to stagnation of Qi, influencing one’s ability to
cough, speak, and move: TW-6 and BL-40 (Yu Long Jing)
Insert a 1 cun #28 needle into BL-40 with a twisting technique and enlarge
the acupuncture hole method in order to release a few drops of blood after
taking out the needles. Insert a 1.5 cun #30 needle into TW-6 with a lifting
and thrusting reducing needle technique.
For hypochondriac pain due to stagnation of Liver Qi and Blood: BL-29, BL-17,
GB-44, TW-4, and TW-19. (Pu Ji Fang)
Insert 1.5 cun #30 needles into BL-29 and BL-17 with a reinforcing needle
technique, and apply moxa wool on the handles of the needles for 3 cones.
Insert 1 cun #32 needles into GB-44, TW-19, and TW-4 with a twisting
For hypochondriac pain with deficiency of True Qi: CV-6, CV-4, LV-14, and GB-
44. (Shen Yin Jing)
Apply direct non-scarring moxibustion on LV-14 and GB-44 for 11 cones, and
apply indirect moxibustion with Fu Zi (aconite) cake on CV-4 and CV-6 for 9
cones.
For hypochondriac pain due to deficiency of Liver Blood and stagnation of Qi:
CV-13, LV-3, and LV-8. (Cai Ai Bian Yi)
Insert a 1.5 cun #32 needle into CV-13 obliquely at a 45 degree angle towards
the painful area with a twisting reducing needle technique. Insert 1 cun #30
needles into LV-3 and LV-8 with a twisting reinforcing needle technique.
For acute hypochondriac pain: BL-18, BL-20, and BL-52. (Zhen Jiu Da Quan)
even movement needle technique and 1 cun #30 needles into BL-52 with a
minutes.
For hypochondriac pain related to the lower back: BL-23. (Zhen Jiu Da Quan)
Insert a 1.5 cun #30 needle into BL-23 perpendicularly, 1 to 1.2 cun deep
with a twisting reinforcing needle technique, and apply moxa wool on the
handle of the needles for 3 cones.
For severe hypochondriac pain traveling to the chest and upper epigastric
region: SP-4, GB-34, LV-13, and GB-39. (Zhen Jiu Da Quan)
Insert 1.5 cun #30 needles into GB-34 and GB-39 with a lifting and thrusting
reducing needle technique, and 1 cun #32 needles into SP-4 and LV-13 with
a twisting reinforcing needle technique.
For hypochondriac pain and difficulty lying down: BL-19 and LV-13. (Zhen Jiu Da
Quan)
Insert a 1.5 cun #30 needle into BL-19 with a lifting and thrusting reducing
needle technique and a 1.5 cun #30 needle into LV-13 with a twisting
Apply a fire cup on LV-13 after removing the needles for 1 minute.
For hypochondriac pain worsened by cough: GB-44. (Zhen Jiu Da Quan)
Apply direct non-scarring moxibustion on GB-44 for 7 cones.
For hypochondriac pain with shortness of breath and heart palpitations: LU-5
and SI-1. (Zhen Jiu Da Quan)
Insert a 1.5 cun #32 needle into LU-5 with a twisting reducing needle
technique and a 1 cun #32 needle into SI-1 with a twisting reducing needle
For hypochondriac pain with fever: TW-6, GB-34, and GB-42. (Zhen Jiu Quan
Shu)
Insert 1.5 cun #30 needles into TW-6 and GB-34 perpendicularly, 1.2 cun
deep with the Bai Hu Yao Tou-White Tiger shakes its Head technique and 1
cun #32 needles into GB-42 with a twisting reducing needle technique.
IMPOTENCE
This disorder can be attributed to a wide variety of causes, either physical or
psychological. It can affect men all over the world and is a disorder that can be
treated in most cases. Impotence is defined as the inability to achieve or
maintain penile erection and is classified into two categories in Traditional
Chinese medicine. In most cases patients suffer symptoms of either a deficient or
excess nature.
Emotional stimulation
Depression, anxiousness and other long-term unhealthy emotions will
stagnate Liver Qi and damage the Yin and Blood of both the Liver and the
Kidney, causing impotence.
Damp-Heat
Damp-Heat accumulation usually occurs after improper food intake, or in
cases of Spleen and Stomach Deficiency, which transfer to the Lower Jiao
and invade the Liver meridians.
Kidney Deficiency
Excessive sexual activity or over work will make the Kidney Qi and Yang
deficient resulting in impotence.
DIAGNOSIS
Deficiency type
In this case there is impotence with an inability to achieve penile erection
with occasional bouts of seminal emission, dizziness, ringing ears,
accompanied by heart palpitations, shortness of breath, pale complexion,
lassitude, weakness and sore sensations in the lower back and knees,
chilliness, cold limbs, pale tongue, and a thin weak pulse.
Excess type
In this case there is impotence with an inability to maintain penile erection,
an odorous smell in the genital region, swollen legs, yellowish or red urine
accompanied by a burning sensation, a red tongue with a yellow greasy
coating, and a fast and slippery pulse.
Deficiency type of Impotence
Treatment Principle: Warm the Kidney Yang and Resolve the Impotence.
Point Prescription: BL-23, CV-4, KI-3, GV-4, and GV-20.
Technique: Insert 1.5 cun #30 needles into BL-23 and GV-4 perpendicularly, 1
cun deep with twisting reinforcing needle technique, and apply moxa wool on
the handle of the needles for 5 cones. Insert 1.5 cun or 3 cun needles into CV-4
perpendicularly, 1 to 2 cun deep with a moving Qi technique until the sensation
of the needle travels down to the penis, and apply moxa wool on the handle of
the needle for 3 cones. Insert 1 cun #32 needles into KI-3 and GV-20 with
twisting reinforcing needle technique.
Dizziness and vertigo: SP-6 and LV-8.
Backache: BL-32 and BL-52.
Insomnia: HT-7 and CV-15.
Frequent urination: SP-9 and TW-6.
Excess type of Impotence
Treatment Principle: Resolve Damp-Heat, Promote urination and Resolve the
Impotence.
Point Prescription: CV-3, ST-28, SP-9, SP-6, BL-32, BL-54, and BL-40.
Technique: Insert 1.5 or 3 cun #30 needles into CV-3 and ST-28 perpendicularly,
1 to 2 cun deep with lifting and thrusting reducing needle technique until the
sensation of the needle travels down to the tip of the penis. Insert 1.5 cun #32
needles into SP-9 and SP-6 with twisting reducing needle technique. Retain all
Insert 3 cun 30 # needles into BL-32 and BL-54 perpendicularly, 2 cun deep
with lifting and thrusting reducing needle technique, and 1 cun #32 needles
into BL-40 with twisting reducing needle technique. Retain all needles for 10
minutes.
Fever: LI-11, GV-14, and LV-3.
Spontaneous sweating: HT-6, ST-36, and BL-15.
Headache: LI-4, LV-3, and Yin Tang.
Moxibustion
Direct moxibustion: CV-4, SP-6, GV-4, and BL-23.
Apply direct non-scarring moxibustion on CV-4 and SP-6 for 11 cones, and
on GV-4 and BL-23 for 7 cones to treat impotence due to Kidney
Deficiency.
Indirect moxibustion: CV-4 and ST-28.
Apply indirect moxibustion with Fu Zi (aconite) cake on CV-4 and ST-28
for 5 cones to treat impotence due to Kidney Deficiency.
Treat is once every other day for 7 to 10 treatments as a course.
Moxa-pole: CV-3, SP-9, and LV-3.
Apply moxa-pole on CV-3, SP-9, and LV-3 for 20 minutes to treat
impotence due to Damp-Heat.
Treat once daily for 5 to 7 treatments as a course.
Ear Acupuncture
Points: Kidney, Liver, Heart, Shen Men, Sub cortex, and Brain.
Select 2 or 3 points from above for the use of each treatment. Insert 0.5
cun #32 ear needles into these points obliquely, 0.3 cun deep at a 30-
degree angle with fast twisting technique. Retain all needles for 40
minutes.
For impotence due to Kidney Deficiency: GV-4, BL-23, CV-6, and KI-2. (Lei Jing Tu
Yi)
Insert 1.5 cun #32 needles into BL-23 with lifting and thrusting reinforcing
cones. Apply direct non-scarring moxibustion on GV-4 for 9 cones. Insert 1
cun #32 needles into KI-2 perpendicularly, 0.5 cun deep with twisting even
movement needle technique. Insert 1.5 or 2 cun #32 needle into CV-6
perpendicularly, with twisting even movement needle technique until the Qi
travels down to the penis and apply moxa wool on the handle of the needle
for 3 cones.
For impotence due to deficiency of Ming Men Fire: GV-20, BL-17, BL-20, BL-23,
GV-4, GV-3, CV-4, and CV-3. (Zhong Guo Zhen Jiu)
Apply moxa-pole on these points for 15 minutes.
For impotence due to Yang Deficiency: BL-23, CV-4, BL-18, SP-6, LV-3, CV-2, and
KI-1. (Cai Ai Xin Bian)
Apply direct non-scarring moxibustion on BL-23, CV-4, BL-18, SP-6, and LV-3
for 3 cones, and then on CV-2 for 7 cones, and finally on KI-1 for 5 cones.
For impotence due to stress: CV-4, SP-6, BL-18, BL-23, and ST-36.
with lifting and thrusting reinforcing needle technique, and apply moxa wool
on the handle of needles for 3 cones. Insert 1.5 cun #32 needles into CV-4
and ST-36 with twisting even movement needle technique. Retain all needles
for 20 minutes. Apply intradermal needles on SP-6.
For impotence due to Kidney Yang Deficiency: KI-10, SP-6, ST-30, CV-2, and BL-
43. (Yu Long Jing)
Insert 1 cun #32 needles into KI-10 perpendicularly, 0.5 cun deep with
twisting reinforcing needle technique, and apply moxa wool on the handles
of the needles for 3 cones. Insert 1.5 cun #32 needles into ST-30 and CV-2
perpendicularly, 1 cun deep with twisting even movement needle technique,
and 1.5 cun #30 needles into SP-6 with lifting and thrusting reducing needle
technique. Retain all needles for 20 minutes. Apply direct non-scarring
For impotence with a painful sensation in the testicles: KI-2, LV-3, CV-7, and ST-
29. (Shen Yin Jing)
Insert 1 cun #32 needles into KI-2 and LV-3 with twisting reinforcing needle
technique. Insert 1.5 cun #30 needles into ST-29 and CV-7 perpendicularly, 1
to 1.2 cun deep with lifting and thrusting reducing needle technique. Apply
moxa wool on the handle of needles for 3 cones.
For impotence due to Damp-Heat: CV-3, SP-6, BL-22, BL-20, BL-32, and TW-5.
(Zhen Jiu Chu Fang Xue)
Insert 1.5 cun #30 needles into TW-5 and SP-6 with lifting and thrusting
reducing needle technique. Insert a 3 cun #32 needle into CV-3
perpendicularly, 2 cun deep with twisting reducing needle technique, and
apply moxa wool on the handle of needle for 3 cones. Insert 1.5 cun #30
needles into BL-20 and BL-22 with twisting even movement needle
technique, and 3 cun #30 needles into BL-32 with twisting reducing needle
For impotence due to deficiency of Yang: KI-12, HT-7, SP-6, GV-20, BL-52, GV-4,
BL-15, and BL-18. (Tong Xuan Zhi Yao Fu)
Insert 1 cun #34 needles into HT-7 with twisting even movement needle
technique, and 1.5 cun #32 needles into SP-6 obliquely, 1 cun deep at a 60
degree angle towards SP-7 with lifting and thrusting reinforcing needle
technique. Insert a 1 cun #32 needle into GV-20 transversely, 0.5 cun to 0.8
cun deep at a 30 degree angle towards backwards with twisting reinforcing
needle technique. Insert 1.5 cun #32 needles into KI-12 perpendicularly, 1
cun deep with twisting reinforcing needle technique, and apply moxa wool
on the handle of needles for 3 cones.
For impotence due to Damp-Heat: LV-4, KI-12, SP-9, and LI-11.
Insert 1 cun #30 needles into LV-4 with twisting reducing needle technique,
and 1.5 cun #32 needles into KI-12, SP-9, and LI-11with lifting and thrusting
For impotence caused by stress: LI-5, TW-4, LV-4, CV-6, CV-17, BL-43, BL-45, and
BL-52.
Insert 1 cun #32 needles into LI-5, TW-4, and LV-4 perpendicularly, with
twisting reducing needle technique. Insert a 1.5 cun #30 needle into CV-6
perpendicularly, 1 cun to 1.2 cun deep with twisting even movement needle
technique, and a 1.5 cun #32 needle into CV-17 obliquely, 1 cun deep
towards the CV-16 direction with twisting reducing needle technique.
Apply direct non-scarring moxibustion on BL-43, BL-45, and BL-52 for 8
cones.
For impotence due to deficiency and stagnation of the Qi: CV-4, SP-6, GV-4, and
BL-28.
Insert 1.5 cun #32 needles into SP-6 perpendicularly 1 cun deep with twisting
perpendicularly, 2 to 2.5 cun deep with twisting reinforcing needle
technique until the sensation of the needle travels to the tip of the penis.
Apply moxa wool on the handle of needle for 3 cones. Insert 3 cun #30
needles into BL-28 perpendicularly, 2 to 2.5 cun deep with twisting even
movement needle technique until the sensation of the needle travels away
from the body, and a 1.5 cun #32 needle into GV-4 perpendicularly, 0.8 to 1
cun deep with twisting reinforcing needle technique. Apply moxa wool on
INSOMNIA
Insomnia refers to a major clinical case. Every year millions of people around
the world suffer from insomnia, a disorder characterized by inability to sleep,
with fatigue, and restlessness. Although the symptoms are usually universal in
all patients, insomnia can vary greatly in severity. Some patients may only suffer
for a night, others for days if not weeks. In some severe cases, a patient may not
even be able to sleep at all.
In Traditional Chinese Medicine, insomnia is viewed as being caused by an
imbalance of Yin and Yang and a disturbance of the Shen. This may take the form
of a disharmony between the Heart Fire and Kidney Water, or a Heart Blood
Deficiency, or a Kidney Jing Deficiency, or Liver Fire with Damp stagnation by the
Spleen. Some sleep problems are caused by fever, cough, and pain. Treatment in
that case should focus on the primary disease, with insomnia acquiring only a
supplemental treatment.
DIAGNOSIS
Deficiency of Heart and Spleen
Difficulty falling asleep with many dreams or nightmares, easily waking up
with heart palpitations associated with poor memory, spontaneous or night
sweating, pale complexion, lassitude, a full sensation in the epigastric
region, and loose stool are all tell-tale signs of this condition. The tongue is
pale with a thin white coat, and the pulse is thin and weak.
Imbalance between Heart-Fire and Kidney-Water (Xin Shen Bu Jiao)
Difficulty falling asleep and very easily waking up, associated with
restlessness, five heart heat, fear, night sweating, dry throat and mouth,
dizziness and ringing ear, poor memory, lassitude, a sore and weak
sensation in the low back and both legs are indications of this disharmony.
The tongue is red with no coat, and the pulse is thin and fast.
Disharmony of Stomach
Signs of this situation are difficulty falling asleep or superficial sleep
associated with discomfort and bloating in the epigastric region, even
vomiting with phlegm, dizziness, and vertigo. The tongue is red with a yellow
thick coat, and the pulse is slippery.
Liver fire Rising

Difficulty falling asleep and easily waking up associated with headache,
tendency to anger, restlessness, red eyes and ringing ears, and a bitter taste
in the mouth are typical indications. The tongue is red with a thin yellow
coat and the pulse is wiry and fast.
TREATMENT AND PRESCRIPTONS
Deficiency of Heart and Spleen
Treatment Principle: Reinforce the Qi and Nourish the Blood.
Point Prescription: BL-20, BL-15, HT-7, and SP-6.
Technique: Insert 1.5 cun #32 needles into BL-20 and BL-15 perpendicularly, 1
cun deep with a twisting reinforcing needle technique, and apply moxa wool on
the handles of needles for 3 cones. Insert 1 cun #32 needles into HT-7 and SP-6
Nightmares: BL-42 and BL-43.
Poor memory: BL-52 and GV-20 with a moxa pole for 20 minutes
Imbalance between Heart-Fire and Kidney-Water
Treatment Principle: Nourish the Yin and Subdue the Fire.
Point Prescription: PC-7, KI-3, HT-7, and LV-3.
Technique: Insert 1 cun #32 needles into PC-7 and HT-7 with a twisting reducing
needle technique. Insert 1 cun #32 needles into KI-3 and LV-3 with a twisting
reinforcing needle technique, or apply moxa wool on the handles of needles for
3 cones.
Dizziness and vertigo: GB-20.
Ringing ear: SI-19.
Seminal emission: BL-52.
Disharmony of Stomach
Treatment Principle: Harmonize the Stomach and Resolve the Phlegm.
Point Prescription: CV-12, ST-40, ST-45, and SP-1.
Technique: Apply bloodletting techniques on ST-45 and SP-1. Then insert a 1.5
cun #32 needle into CV-12 perpendicularly, 1 cun deep with a twisting
reducing needle technique and 1.5 cun #30 needles into ST-40 with a twisting
Nausea and vomiting: PC-6.
Dizziness: Yin Tang and LI-4.
Liver Fire Rising
Treatment Principle: Sooth the Liver and Subdue the Fire.
Point Prescription: LV-2, GB-45, GB-20, and HT-7.
Technique: Insert 1.5 cun #32 needles into GB-20 perpendicularly, 1 cun deep
towards the nose with a lifting and thrusting reducing needle technique without
retaining and then insert 1 cun #32 needles into LV-2 and HT-7 with a twisting
even movement needle technique. Retain all needles for 20 minutes. Apply a
bloodletting technique on GB- 45 before the treatment is over.
Ringing ear: TW-17 and TW-3.
Headache and red eyes: Tai Yang and TW-4.
Ear Acupuncture
Points: Sub cortex, Heart, and Spleen, Brain point, and Endocrine.
45-degree angle with fast twisting needle technique until a heat sensation is
produced in the ear. Retain all needles for 40 minutes. Or apply press-balls
on these points as a supplemental treatment, and retain them for 3 days.
Scalp Acupuncture
Treatment zone: Middle line and Lateral line 1 of the vertex, Lateral line 3 of
the forehead, and Anterior line of the temple.
Insert 1 cun #32 needles into these lines transversely, 0.8 cun deep with
fast twisting needle technique. Retain all needles for 40 minutes.
Moxibustion
Moxa pole: GV-20 and KI-1.
Apply moxa pole on GV-20 and KI-1 for 20 minutes before going to bed.
Moxa cone: LV-3, KI-2, and HT-7.
Apply direct non-scarring moxibustion on LV-3, KI-2, and HT-7
for 6 cones.
Foot Acupuncture
Points: Nei Tai Cong, Heart, and Kidney.
with a twisting reducing needle technique, and apply moxa pole on the side
for 15 minutes.
Cupping
Treatment area: Back and CV-12.
Apply cups on BL-15, BL-43, BL-23, GV-4, and CV-12 and retain all cups for 3
minutes, or apply moving cups on the back and move it up and down along
BL meridian.
TRADITIONAL PRESCRIPITONS AND TECHNIQUES
For insomnia with difficulty falling asleep: GV-24, CV-5, and ST-27. (Zhen Jiu Xue
Jian Bian)
Insert 1.5 cun #32 needle into GV-24 transversely, 1 cun deep at a 30 degree
angle towards the back with a twisting even movement needle technique
and 1.5 cun #32 needles into CV-5 and ST-27 perpendicularly, 1.2 cun deep
For insomnia with light sleep: SP-4. (Zhen Jiu Xue Jian Bian)
Insert 1 cun #32 needles into SP-4, 0.3 to 0.5 cun deep with a twisting
reinforcing needle technique, and apply moxa wool on the handles of
For insomnia due to a Heat sensation in the chest: KI-1. (Zhen Jiu Xue Jian
Bian)
Insert 1 cun #32 needles into KI-1 perpendicularly, 0.5 cun deep with a
twisting reinforcing needle technique, and apply moxa wool on the
For insomnia due to fright: CV-5. (Zhen Jiu Jia Yi Jing)
Insert a 1.5 cun #32 needle into CV-5 perpendicularly, 1.2 cun deep with a
lifting and thrusting reinforcing needle technique, and apply moxa wool on
the handle of the needle for 3 cones.
For insomnia and easily waking up: BL-38. (Zhen Jiu Jia Yi Jing)
Insert 1 cun #32 needles into BL-38 with a twisting reducing needle
technique, and apply moxa pole on the side for 20 minutes.
For insomnia with heart palpitations and poor memory: PC-6, TW-2, BL-43, ST-
41, and HT-7. (Shen Jiu Jing Lun)
Insert 1 cun #32 needles into TW-2 and HT-7 perpendicularly, 0.3 cun deep
with a twisting even movement needle technique. Apply direct non-scarring
moxibustion on PC-6, ST-41, and BL-43 for 9 cones.
For insomnia due to insufficient Heart Blood: CV-12, CV-6, SP-6, GV-20, and HT-
5. (Zhen Jiu Xue Jian Bian)
Insert a 1 cun #32 needle into GV-20 obliquely at a 45-degree angle, 0.5
cun deep with a twisting reinforcing needle technique. Insert 1.5 cun #32
needles into CV-12 and CV-6 with a twisting even movement needle
technique. Insert 1 cun #32 needles into SP-6 and HT-5 with a twisting
For insomnia due to interior Fire with a burning sensation in the chest: HT-5,
PC-6, and SP-6. (Zhen Jiu Xue Jian Bian)
Insert 1.5 cun #32 needles into SP-6 perpendicularly, 1 cun deep with a lifting
and thrusting reducing needle technique. Insert 1 cun #32 needles into HT-5
and PC-6 with a twisting reducing needle technique. Retain all needles for 20
minutes.
For insomnia: ST-30, LV-13, SP-1, LU-3, BL-13, GV-14, SP-6, and SP-9. (Shen Yin
Jing)
Insert 1.5 cun #32 needles into ST-30, SP-9, and SP-6 perpendicularly, 1 cun
deep with a twisting reinforcing needle technique. Insert 1 cun #32 needles
into LV-13 and LU-3 with a twisting reducing needle technique. Retain all
twisting reducing needle technique and 1 cun #30 needles into BL-13
perpendicularly, 0.5 cun deep with a twisting even movement needle
technique. Apply direct non-scarring moxibustion on SP-1 for 9 cones.
For insomnia due to Blood Deficiency and stagnation of Liver Qi: BL-45
and CV-5. (Zhen Jiu Chu Fang Xue)
Apply direct non-scarring moxibustion on BL-45 for 9 cones and on CV-
5 for 5 cones.
For insomnia: HT-7, BL-15, and SP-6. (Zhen Jiu Chu Fang Xue)
Insert 1 cun #30 needles into BL-15 perpendicularly, 0.5 to 0.8 cun deep
with a lifting and thrusting reinforcing needle technique, and remove the
needles after the Qi travels. Insert 1 cun #32 needles into HT-7
technique and 1.5 cun #32 needles into SP-6 perpendicularly, 1 cun deep
with a lifting and thrusting reinforcing needle technique. Retain all needles
for 20 minutes.
For insomnia due to Liver Yang Rising: GV-14, GB-20, HT-7, and LV-3. (Zhen Jiu
Pei Xue Liao Fa)
Insert a 1.5 cun #32needle into GV-14 perpendicularly, 1 cun deep with a
rubbing needle technique (rub the needle counter clockwise) until the
sensation of the needle travels. Insert a 1.5 cun #32 needle into GB- 20
perpendicularly, 1 cun deep towards the direction of the nose with a twisting
Insert a 1 cun #32 needles into HT-7 with a twisting even movement needle
technique, and insert a 1 cun #30 needle into LV-3 with a twisting reducing
needle technique.
Treat once every other day in the afternoon for 5 treatments as a course.
For insomnia: Tip of ear, Shen Men, Heart, Liver, Spleen, and Sub cortex.
Select one ear only, rub the tip of the ear until it looks red and apply a
bloodletting technique on it to squeeze out 2 to 3 drops of blood. Apply
press-balls on the other points.
Treat twice a week (switch ears each treatment) for 4 treatments as a
course.
For insomnia due to Liver Fire: LV-2, GB-34, LV-13, and GV-20.
Insert a 1 cun #32 needle into LV-2 perpendicularly, 0.3 cun deep with a
twisting reducing needle technique, and apply moxa wool on the handle of
the needle for 2 cones. Insert a 1.5 cun #30 needle into GB-34
perpendicularly, 1.2 cun deep with a lifting and thrusting reducing needle
technique and a 1 cun #32 needle into LV-13 with a twisting even movement
needle technique. Insert a 1.5 cun #32 needle into GV-20 with a lifting Qi
For insomnia due to Yin Deficiency: HT-4, KI-1, CV-14, and BL-23.
Insert 1 cun #32 needles into HT-4 perpendicularly, 0.5 cun deep with a
twisting reducing needle technique and 1 cun #32 needles into KI-1
twisting reducing needle technique and a 1.5 cun #32 needle into BL-23 with
a lifting and thrusting reinforcing needle technique.
Retain all needles for 30 minutes, and apply moxa pole on KI-1 for 15
minutes.
LIN SYNDROME—STRANGURIA
Lin syndrome or stranguria refers to irregular urination that is slow and
painful. In TCM it is usually caused by urinary tract infections, kidney stones or
dysfunction of the organs. Dysfunctions of the urinary tract organs such as Kidney
and Urinary Bladder Qi Deficiency or Spleen and Kidney Deficiency may be a
major cause. Frequent scanty urination with burning, pain, or distension in the
genital area during urination is the main symptom, and is included some western
medicine diseases, such as acute cystitis, acute pyelonephritis, and chronic
pyelonephritis.
Damp-Heat
Both a Damp-Heat Invasion or Damp-Heat produced by a Spleen
Deficiency can impact the Urinary Bladder, causing Lin syndrome with Heat
and a burning sensation.
Kidney and Spleen Deficiency
A deficiency of the Kidney and the Spleen fails in transforming the essence of
the food and water, resulting in cloudy, unclean urine.
Kidney Qi Deficiency
Most of the time, this will happen in older people. Deficiency of the Kidney Qi
makes it hard to move and pass the urine, causing urinary incontinence.
Interior Heat
Long-term accumulation of heat will burn or damage the blood Luo meridians,
causing urination with pain and bleeding.
DIAGNOSIS
Stranguria with Heat
Symptoms include uneven and frequent urination that is yellowish in color
with a scanty amount of fluid, burning sensations upon urination, lower
abdominal bloating and distention, a red tongue with a greasy yellow
coating and a floating and fast pulse. Fever and aversion to cold, bitter taste,
and constipation may occur in some cases.
Stranguria with Stones (Uropsammus)
This manifests as acute pain in the urinary tract and lower abdomen upon
urination. The flow of the urine may be interrupted, depending upon
positional changes of the body, with a yellowish or red urinary color, and
white or yellow tongue coating and a wiry and tight pulse. If the stone is
located in the upper urinary tract, the patient might present with severe
lower back or abdominal pain, a pale complexion, nausea, vomiting and cold
sweats.
Stranguria with Blood (Hematuria)

This is acute, frequent, red urination with sensations of heat and burning
pain, lower abdominal bloating and distention, a red tongue with a yellow
greasy coating and a thin and fast pulse.
Stranguria with Qi Stagnation (Urinary Incontinence)
Symptoms include distension and bloating in the genital region, difficulty in
emptying the urinary bladder or intermittent urinary flow with symptoms of
Qi deficiency (such as lassitude, low energy, shortness of breath that is
aggravated by activity, a pale tongue and a thin and weak pulse).
Stranguria with Cloudy and Turbid Urine (Galacturia)

This syndrome is described as cloudy and turbid urine mixed with blood or
clots and associated with uneven urination, a dry mouth, a red tongue
with a greasy white coating and a floating and weak pulse.
Treatment Principle: Regulate the Urinary Bladder Qi, Clear Heat and Promote
urination and Reduce pain.
Point Prescription: BL-28, CV-3, SP-9, LV-3, and KI-3.
Technique: Insert 1.5 or 2 cun #30 needles into BL-28 with a lifting and thrusting
even movement needle technique, and retain the needles for 10 minutes.
Insert 1.5 cun #32 needles into CV-3 and SP-9 perpendicularly, 1 cun deep with
a lifting and thrusting reducing needle technique and 1 cun #32 needles into
LV-3 and KI-3 with a twisting even movement needle technique. Retain all
Fever: LI-4 and TW-5.
Urinary stones: BL-39 and KI-2.
Blood in the urine: SP-10 and SP-6.
Deficiency with difficulty emptying the Bladder: CV-6 and ST-28 with
moxibustion.
Cloudy and Turbid Urine (Galacturia): BL-24 and GV-20 with moxibustion.
Electro-acupuncture
Points: BL-23 and SP-6.
(For any kind of painful urination, or with stones)
Apply Electro-acupuncture with slow-fast waves with the negative side (black
color) connecting to BL-23 and the positive side to SP-6 for 20 minutes to
treat any kind of painful urination with stones.
Ear Acupuncture
Points: Urinary Bladder, Kidney, Occipital, and Sympathetic.
Insert 0.5 cun ear needles in these points with a twisting even movement
needle technique.
Retain all needles for 1 hour.
Or, apply press-ball to these points, pressing each point 1 to 2 minutes each
time, 5 times daily. It is better to press them 20 minutes after drinking near
250cc of water. Retain the balls in the ear for 3 days.
Scalp Acupuncture
Treatment zones: Middle line and Lateral line 1 of the vertex, and Lateral line 3
of the forehead.
degree angle with a lifting the Qi technique. Retain all needles for 30 to 40
minutes.
Bloodletting
Treatment points: BL-40, BL-67, and KI-4.
Used for painful urination with Heat.
To treat painful urination with Heat, look for purple veins near these points,
and apply a bloodletting technique and expel 2 drops of blood from each
point.
Moxibustion
(For Qi or Yang Deficiency)
Direct moxibustion: CV-4, SP-4, BL-32, and GV-4.
Apply direct non-scarring moxibustion on CV-4 and SP-4 for 7 cones, and BL-
32 and GV-4 for 9 cones.
Indirect moxibustion: CV-8, ST-28, and CV-3.
Apply indirect moxibustion with ginger on CV-8, ST-28, and CV-3 for 3 cones.
Moxa pole: GV-20, SP-6, and CV-3.
Apply moxa-pole on GV-20 for 15 minutes and on SP-6 and CV-3 for 20
minutes.
For stranguria with Heat: CV-4 and ST-30. (Dong Yuan Shi Shu)
Insert a 1.5 cun #32 needle into CV-4 perpendicularly, 1 to 1.2 cun deep
with a lifting and thrusting reducing needle technique and 1.5 cun #32
needles into ST-30 with a twisting even movement needle technique.
For stranguria with Heat: KI-7 and CV-3. (Zhen Jiu Da Quan)
Insert 1.5 cun #30 needles into KI-7 perpendicularly, 1 cun deep with a
lifting and thrusting even movement needle technique and a 2 cun #30
needle into CV-3 with a twisting reducing needle technique. Retain all
For stranguria with bleeding: BL-32. (Zhen Jiu Da Quan)
Insert 3 cun #30 needles into BL-32 obliquely towards the front of the
genitals, 2 cun deep with a twisting reducing needle technique or with
Electro-stimulation for 20 minutes.
For blood in the urine with pain: KI-6, KI-10, KI-1, and SP-6. (Zhen Jiu Da Quan)
Insert 1 cun #32 needles into KI-1 obliquely towards LV-3 with a twisting
even movement needle technique. Retain the needles for 10 minutes.
Insert 1 cun #32 needles into KI-6 with a twisting reinforcing needle
technique and 1.5 cun #32 needles into KI-10 and SP-6 with a twisting even
movement technique.
For urinary incontinence: KI-8, KI-1, CV-5, and GB-34. (Shen Yin Jing)
Insert 1.5 cun #30 needles into KI-8 perpendicularly, 1 cun deep with a lifting
and thrusting reducing needle technique and 1 cun #32 needles into KI-1
with a twisting reducing needle technique. Insert 1.5 cun #30 needles into
CV-5 and GB-34 with a twisting even movement needle technique.
For stranguria with stones: CV-4 and LV-1. (Zhen Jiu Zi Shen Jing)
Apply direct non-scarring moxibustion on CV-4 and LV-1 for 7 cones.
Treat once daily 30 cones as a course.
For stranguria: LU-7, LV-4, BL-17, BL-19, BL-20, BL-23, and CV-6. (Shen Jiu Jin
Lun)
Apply direct non-scarring moxibustion on BL-17, BL-19, BL-20, and BL-23 for
5 cones and on LU-7, LV-4 and CV-6 for 7 cones.
For stranguria: KI-7, BL-39, LV-1, ST-30, LV-4, GV-1, BL-28, CV-3, KI-2, LV-3, SP-11,
BL-52, BL-33, CV-6, and ST-36. (Zhen Jiu Zhi Zhi)
Insert 1.5 cun #32 needles into KI-7, ST-36, CV-6, LV-3, ST-30, and SP-11
perpendicularly, 1 cun deep with a twisting even movement needle
technique and a 1 cun #32 needles into GV-1 perpendicularly, 0.8 cun deep
with a twisting reducing needle technique.
Insert 1 cun #30 needles into LV-4 and KI-2 with a twisting reducing needle
technique.
Insert a 3 cun #32 needle into CV-3 perpendicularly, 2 cun deep with a
twisting reducing needle technique, and apply moxibustion to the handles
Insert 1.5 cun #30 needles into BL-39, BL-52, BL-33, and BL-28
perpendicularly, 1 to 1.2 cun deep with a lifting and thrusting reducing
Apply direct non-scarring moxibustion on LV-1 for 7 cones.
For stranguria: KI-10, CV-4, SP-6, and SP-9. (Zhen Jiu Da Cheng)
Insert 1 cun #32 needles into KI-10 and SP-6 with a twisting reducing needle
technique and 1.5 cun #32 needles into CV-4 and SP-9 with a lifting and
thrusting even movement needle technique.
For stranguria with Heat: ST-25, CV-4, CV-12, LV-1, SP-6, and BL-40. (Yi Xue
Gang Yao)
Insert 1.5 cun #32 needles into ST-25, CV-4, and CV-12 with a twisting
reducing needle technique. Retain the needles for 20 minutes. After
removing all of the needles, apply a bloodletting technique on LV-1, SP-6
and BL-40.
For stranguria with a Blood and Qi Deficiency: BL-17, BL-19, BL-20, BL-23, CV-6,
CV-4, LV-1, PC-5, SP-10, KI-7. (Lei Jing Tu Yi)
Insert 1 cun #30 needles into BL-17, BL-19, BL-20, and BL-23 perpendicularly,
0.5 cun to 0.8 cun deep with a twisting reinforcing needle technique, and
apply moxa wool to the handles of the needles for 3 cones. Insert 1.5 cun
#32 needles into CV-6 and CV-4 with a twisting reinforcing needle technique,
and 1.5 cun #32 needles into PC-5, KI-7, and SP-10 with a twisting reinforcing
needle technique. Retain all needles for 20 minutes. Apply direct non-
scarring moxibustion on LV-1 for 5 cones.
For stranguria with incontinence, Kidney Qi Deficiency, pain that travels to
ST-30, and that is aggravated with exhaustion or after sexual activity: SP-6,
BL-23, and KI-11. (Zhen Jiu Bian Yi)
Insert 1.5 cun #32 needles into BL-23 perpendicularly, 1 to 1.2 cun deep with
a lifting and thrusting reinforcing needle technique, and apply moxa wool to
the handles of the needles for 3 to 5 cones. Insert 1.5 cun #30 needles SP-6
and KI-11 obliquely upward, 1 cun deep at a 60-degree angle, with a twisting
even movement technique. Retain all the needles for 30 minutes.
For stranguria with stone: CV-4, KI-13, LV-1, and SP-6. (Zhen Jiu Bian Yi)
Apply direct non-scarring moxibustion on CV-4, KI-13 and LV-1 for 7 to 9
cones. Insert 1.5 cun #32 needles into SP-6 with a twisting reducing needle
For stranguria with blood: KI-7, CV-4, and BL-32. (Zhen Jiu Da Chuan)
Insert 1.5 to 3 cun #30 needles into BL-32 obliquely towards the genitals, 1
to 2 cun deep with a twisting reducing needle technique, retain the needles
for 30 minutes or use an Electro-stimulation machine for 20 minutes on
slow-fast waves. Insert 1.5 cun #32 needles into KI-7 and CV-4 with a lifting
and thrusting reinforcing needle technique. Retain all needles for 30
minutes.
For stranguria after bleeding has stopped but with a continuing painful
sensation in the genital region: KI-6, KI-10, and SP-6. (Zhen Jiu Da Chuan)
Insert 1 cun #30 needles into KI-6, KI-10, and SP-6 with a twisting reinforcing
needle technique, and apply moxa wool to the handles of the needles for 5
cones.
For urination with a burning sensation: KI-7.
Insert 1.5 cun #30 needles into KI-7 obliquely towards SP-9, 1 to 1.2 cun
deep at a 60-degree angle, with a lifting and thrusting reducing needle
technique. Retain needles for 30 minutes.
For a burning and bloated sensation in the lower abdominal region with
difficulty urinating: ST-30.
Insert 1.5 cun #32 needles in ST-30 perpendicularly, 1 to 1.2 cun deep with
a twisting reducing needle technique, and retain the needles for 20
minutes.
For stranguria with dribbling and difficulty emptying the bladder: Wai Huai
Jian (an extra point located on the outermost tip of the lateral malleolus) SP-9,
and KI-13. (Shen Yin Jing)
Apply direct non-scarring moxibustion on Wai Huai Jian for 9 to 11 cones.
Insert 1.5 cun #32 needles into SP-9 and KI-13 with a twisting reinforcing
For stranguria with bloating in the lower abdomen and difficulty passing
urine: CV-8. (Dan Xi Xin Fa)
Apply indirect moxibustion with warm salt (warm the salt before using it) on
CV-8 for 7 cones.
LOW BACK PAIN
External injury and internal injury are two main reasons for lower back pain in
TCM. External injury refers to any trauma, accident, or External Invasion of the
meridians that will lead to stagnation of Blood and Qi in the local meridians,
collaterals, muscles, and tendons. Internal injury means low back pain due to
internal causes, such as Kidney Deficiency, which fails in nourishing the back,
urinary stones, or Blood Stagnation in the Intestines or other organs.
Cold-Damp Invasion
External Cold-Damp invades the meridians of the back when a patient
sweats or stays in a damp environment for a long period of time.
Back Injury
Low back pain due to any kind of physical movement, sprain of the
back muscles, tendons and/or meridians, leading to stagnation of Blood
and Qi.
Kidney Deficiency
In Traditional Chinese Medicine, the low back is the house of the Kidney and
that is why any kind of Kidney problem will cause low back pain, particularly
in Kidney Jing Deficiency, Qi Deficiency or even Kidney Yin and Yang
Deficiency. This pattern is common in senior citizens with a Kidney Deficient
history
DIAGNOSIS
Cold-Damp Invasion
Symptoms of lower back pain due to this pattern include soreness and a
heavy and tender sensation in the low back with inability to bend or move.
Sometimes the pain may travel down to the hip, buttocks, and popliteal
fossa. The pain will be aggravated by weather changes, with a swollen
tongue and a white greasy coat, along with a deep and weak pulse.
Kidney Deficiency
Long-time or chronic lower back pain is usually the hallmark sign of Kidney
Deficiency syndrome. Lassitude, a cold sensation in the four extremities,
impotence, pale tongue with white coating, and a deep, thin and weak pulse
indicated Kidney Yang Deficiency syndrome. Long-time or chronic low back
pain with restlessness, Interior Heat, yellowish urine, and a red cracked
tongue without coating, thin and rapid pulse indicated Kidney Yin Deficiency
syndrome.
Back Injury
In this case, patients will usually have a history of a fixed sharp pain; inability
to move the back, and pain that is aggravated by tiredness or low energy.
There may be purple veins near the BL-40 area and the tongue will have
black or purple dots. The pulse is wiry or choppy.
Cold-Damp Invasion
Treatment Principle: Expel the Cold and Resolve the Damp, and Warm the
meridians.
Point Prescription: GV-3, BL-23, BL-40, and BL-10.
Technique: Insert a 1.5 cun #30 needle into GV-3 perpendicularly, 1.2 cun deep
with the Long Hu Jiao Zhan-Dragon and Tiger Battle technique, and apply moxa
wool on the handle of the needle for 3 cones. Insert 1.5 cun #32 needles into
BL-10 and BL-23 perpendicularly, 1 cun deep with lifting and thrusting even
movement technique, and apply moxa wool on the handle of needles for 3
cones. Apply bloodletting on BL-40 after finishing all the points in the
treatment.
Severe back pain: BL-62 and BL-37.
With Cold and Damp Invasion: BL-10 and LU-5.
Kidney Deficiency
Treatment Principle: Reinforcing the Kidney Yin or Yang and Relieve the pain.
Point Prescription: GV-4, BL-52, KI-3, and CV-6.
Technique: Insert a 1.5 cun #32 needle into CV-6 perpendicularly, 1.2 cun deep
with twisting reinforcing needle technique, and 1 cun #32 needles into KI-3 with
twisting reinforcing needle technique. Apply moxa wool on the handle of
needles for 2 cones. Insert a 1.5 cun #32 needle into GV-4 with twisting
reinforcing needle technique, and apply indirect moxibustion with Fu Zi
(aconite) cake on BL-52 for 3 cones.
Insomnia: BL-15 and HT-7.
Impotence: CV-4, SP-6, and BL-23.
Kidney Yang Deficiency: Use reinforcing needle
technique and moxibustion.
Kidney Yin Deficiency: Use reinforcing needle technique without
moxibustion when the patient has low- grade fever or Interior Heat.
Injury (Blood Stagnation)
Treatment Principle: Resolve the Blood Stasis, Move the Qi, and Relieve the
pain.
Point Prescription: BL-17, BL-32, Ah Shi, GV-26, and SI-3.
Technique: Insert a 1 cun #32 needle into GV-26 obliquely, 0.3 cun deep at a 60-
degree angle towards the nose with twisting even movement needle technique
for 1 minute, and then 1 cun #32 needles into SI-3 with twisting reducing
needle technique. Meanwhile let patient move the back for a while until the
symptoms are reduced. Insert 1.5 cun #30 needles into Ah Shi points with lifting
and thrusting reducing needle technique, and apply a fire cup on it after
removing the needles. Insert 1.5 cun #32 needles into BL-17 and BL-32 with
Severe pain: bloodletting technique on the BL-40.
Blood Deficiency: SP-6 and SP-10.
Ear Acupuncture
Points: Shen Men, Sub cortex, Spinal column, Thigh, Back, Kidney, Liver,
Heart, and Helix.
Select 3 points from the above in each treatment, inserting 0.5 cun #32
needles into theses points obliquely, 0.3 cun deep at a 45-degree angle, with
fast twisting needle technique for 2 minutes. Retain all needles for 40
minutes. It is better for the patient to perform back movement during the
retainment of the needles.
Scalp Acupuncture
Treatment zones: Upper Middle Line and Upper Lateral Line of the occiput,
Middle Line and Lateral Line 1 of the vertex, and the Anterior Oblique Line
from the vertex to the temple.
Select 3 treatment lines from above in each treatment, inserting 1.5 cun
#30 needles into these lines transversely, 1 cun deep at a 30-degree angle,
with lifting Qi technique for acute injury and fast twisting needle
technique for chronic injury. Retain all needles for 1 hour.
Hand Acupuncture
Point Prescription: Back pain point and Spinal column.
Insert 1 cun #32 needles into the Back Pain point perpendicularly, 0.3 to
0.5 cun deep with twisting reducing needle technique, and 1 cun #34
needles into the Spinal column points with twisting even movement
Foot Acupuncture
Point Prescription: Inner Tai Cong and Kidney,
Insert 1 cun #32 needles into these points perpendicularly, 0.3 cun deep
with twisting reducing needle technique. Or apply direct non-scarring
moxibustion on these points for 7 cones.
Insert 1.5 cun #32 needles into these areas transversely, 1.2 cun deep at a
15-degree angle, with slow insertion technique and adjust to prevent any
sensation of the needle.
Nose Acupuncture
Point Prescription: Shan Gen, Kidney, and Lung.
Insert 0.5 cun #34 needles perpendicularly, 0.3 cun deep with twisting
Moxibustion
Points: GV-4, BL-23, CV-6, BL-62, BL-11, CV-4, GV-20, and Ah Shi.
Apply direct non-scarring moxibustion on GV-4, BL-23, CV-6, BL-62, and BL-11
for 7 cones.
Apply indirect moxibustion with ginger or Fu Zi (aconite) cake on CV-4, GV-4,
Shi Qi Zhui Xia, and Ah Shi point(s) for 3 cones.
Moxa pole
Apply moxa-pole on GV-20 and the Ah Shi for 15 minutes. Or apply the Lei
Huo Zhen-one kind of big moxa pole with herbs inside) on the Ah Shi points
for 7 cones.
Cupping
Apply fire cups on BL-25, Shi Qi Zhui Xia, and BL-23 and retain them for 5
minutes. Or apply a fire- moving cup on the back and move up and down along
BL and GV meridians for 5 minutes, retaining the cup on the Ah Shi point for 3
minutes.
Apply several water cups on the back along BL meridian (boiling several bamboo
cups in the big pot with the following herbs: Chuan Wu, Cao Wu, Fang Feng,
Hong Hua, Du Huo, Qiang Huo, Hai Feng Teng, and Hu Zhang). Retain the cups
until they fall when cooling off.
Treat once daily for 2 treatments as a course, or use with other technique
together.
Bloodletting
Point: BL-40, PC-3, GV-3, and Ah Shi.
Select one of these points and local Ah Shi points and apply bloodletting to
squeeze 2 drop of blood.
Apply a Pi Zhen-one of the ancient 9 needles or a Feng Zhen-another of the
ancient 9 needles, called three edged needle on the Ah Shi point, to make
several drops of blood come out and add a fire cup on it. Retain the cup for 2
minutes.
Treat once every other day for 2 treatments as a course, or use with other
technique together.
Gua Sha
Treatment area: Sacrum, BL-40, LU-5, BL-18, and ST-5.
Apply Gua Sha on these areas with medium-level stimulation, until Sha
appears. (purple or black dots)
For low back pain by injury: LU-5, LI-11, LI-4, LI-10, SP-9, LV-3, ST-36, CV-5, and
BL-40. (Shen Yin Jing)
Insert 1.5 cun #30 needles into LU-5 perpendicularly, 1 to 1.2 cun deep with
lifting and thrusting reducing needle technique, scraping the handle of
needles for 3 minutes. Insert 1.5 cun #32 needles into LI-11, LI-10, SP-9, ST-
36, CV-5, and LI-4 with twisting even movement needle technique. Retain all
BL-40 will be used when the patient has deficiency of Qi and Blood.
For low back pain by injury: GB-41, BL-23, BL-40, and GV-6. (Zhen Jiu Da Quan)
Apply bloodletting technique on BL-40 (have the patient stand facing a wall
with their hands braced on the wall, heels lifted up slightly) in order to expel
2 or 3 drops of blood. After finishing the bloodletting, have the patient lie
down on the treatment table and insert 1 cun #30 needles into BL-23 and GV-
6 with twisting reinforcing needle technique. Then insert 1.5 cun #32 needles
into GB-41 with twisting reducing needle technique as well. Retain all
For low back pain due to stagnation of Blood: BL-40 and BL-23. (Dan Xi Xin Fa)
Apply bloodletting on BL-40 (looking for purple floating veins near the
point) for few drops of blood. Apply indirect moxibustion with ginger on
BL-23 for 5 cones.
For low back pain with Kidney Deficiency: GV-6 and BL-23. (Lei Jing Tu Yi)
Apply direct non-scarring moxibustion on GV-6 BL-23 for 7 cones.
For low back pain due to injury: LU-5, BL-40, GV-26, GB-34, BL-64, BL-62, and
BL-34. (Yi Xue Gang Mu)
Insert 1.5 cun #30 needles into LU-5 with lifting and thrusting reducing
needle technique, and a 1 cun #34 needle into GV-26 obliquely, 0.3 cun
deep at a 60-degree angle towards the nose.
Insert 1 cun #30 needles into BL-40, BL-64, and BL-62 with twisting reducing
needle technique, and 1.5 cun #30 needles into GB-34 and BL-34 with
minutes.
For low back pain with Blood Stagnation: BL-40, BL-23, and BL-62. (Zhen Jiu Ju
Ying)
apply bloodletting on BL-40.
For low back pain due to Kidney Deficiency: BL-23, BL-29, and GV-2. (Wei Shen
Bao Jian)
Apply direct non-scarring moxibustion on BL-23, BL-29, and GV-2 for 9 cones.

For low back pain due to stagnation of Qi and Blood: GB-21, GB-30, ST-33, ST-
36, BL-40, BL-57, GB-38, BL-62, BL-23, and GV-2 (Zhen Jiu Ju Ying)
Insert 1.5 cun #30 needles into BL-57, GB-38, and BL-62 with twisting
reducing needle technique, and 1.5 cun #32 needles into BL-23 and GV-2
with twisting reinforcing needle technique. Retain all needles for 20
minutes.
Apply indirect moxibustion with ginger on GB-21, GB-30, ST-33, ST-36, and
BL-40 for 3 cones.
For low back pain due to Deficiency of the Kidney: KI-7. (Tian Yuan Tai Yi Ge)
Insert 1.5 cun #30 needles into KI-7 perpendicularly, 1 cun deep with the Zi
Wu Dao Jiu—one of the combined needle techniques and retain the
For low back pain due to Deficiency of the Kidney: BL-23, BL-40, KI-3, and BL-
30. (Zhen Jiu Da Cheng)
Insert 1 cun #30 needles into BL-23 and KI-3 with twisting reinforcing needle
technique, and 1.5 cun #32 needles into BL-30 with lifting and thrusting
even movement needle technique. Apply moxa-pole on BL-40 for 15
minutes.
The following prescriptions are from the Yi Xue Gang Mu.
For low back pain that suddenly gets worse, where the patient can’t move: BL-
62.
Insert 1 cun #30 needles into BL-62 obliquely, 0.5 cun deep at a 60-degree
angle upward with twisting reducing needle technique. Retain needles for
20 minutes.
For low back pain with stiffness in spinal column: BL-23 and GV-4.
Apply direct non-scarring moxibustion on BL-23 and GV-4 for 9 cones.
For low back pain located in the interior of the spinal column: BL-52 and LV-
2.
Insert 1 cun #32 needles into LV-2 perpendicularly, 0.5 cun deep with
twisting even movement needle technique. Apply moxa-pole on BL-52 for
15 minutes.
For low back pain that travels to the upper back: LI-4.
Insert 1.5 cun #32 needles into LI-4 perpendicularly, 1 cun deep with
twisting reducing needle technique. Retain needles for 20 minutes.
For low back pain that travels to the lower body: BL-62 and KI-7.
Insert 1.5 cun #32 needles into KI-7 perpendicularly, 1 cun deep with twisting
reinforcing needle technique, and 1 cun #32 needles into BL-62
perpendicularly, 0.5 cun deep with twisting even movement needle
For severe low back pain in the whole low back area: GB-40, LI-4, and BL-62.
Inset 1 cun #32 needles into GB-40, BL-62, and LI-4 with twisting
Treat one or twice a week for 5 treatments as a course for all of the
above.
The following prescriptions are from the Qian Jin Fang.
For low back pain with stiff muscles: GV-11, GV-6, GV-2, GV-1, BL-11, BL-17, CV-
9, BL-20, BL-26, and BL-27.
Insert 1 cun #30 needles into GV-11, GV-6, GV-2, and GV-1 perpendicularly
with twisting reinforcing needle technique, and 1.5 cun #32 needles into BL-
11, BL-17, BL-20, BL-26, and BL-27 with twisting even movement needle
of needle for 3 cones.
For low back pain and aversion to cold: BL-34, BL-53, and BL-39.
Insert 1.5 cun #30 needles into BL-34, BL-53, and BL-39 perpendicularly, 1.2
cun deep with twisting reducing needle technique, and apply moxa wool on
For low back pain with a stiff and tender sensation in the interior of the spinal
column: BL-52 and BL-63.
Insert 1 cun #32 needles into BL-63 perpendicularly, 0.3 cun to 0.5 cun deep
with twisting reducing needle technique, and apply direct non-scarring
The following prescriptions are from the Zhen Jiu Zi Shen Jing.
For low back pain due to Cold-Damp: GV-2, BL-26, ST-30, BL-31, BL-34, and GB-
29.
Insert a 1 cun #30 needle into GV-2 with twisting reducing needle technique
and take it out when a heavy or heat sensation is produced. Then apply a
fire cup there for 2 minutes.
Insert 1.5 cun #32 needles into BL-26, BL-31, and BL-34 with twisting
reducing needle technique, and 3 cun #30 needles into GB-29 with twisting
even movement needle technique.
twisting reinforcing needle technique. Retain needles for 10 minutes.
For low back pain with inability to move: ST-36, ST-33, GB-38, and LV-5.
Insert 1.5 cun #32 needles into ST-36, ST-33, and GB-38 with lifting and
thrusting even movement needle technique, and 1 cun #32 needles into LV-
5 transversely, 0.5 cun deep with twisting reducing needle technique. Retain
Treat one daily 2 treatments as a course.
For low back pain due to stagnation of Qi: LU-5.
Insert 1.5 cun #32 needles into LU-5 perpendicularly, 1 to 1.5 cun deep with
twisting, lifting and thrusting reducing needle technique. Continue the
needle technique every 5 minutes during the 30 minutes of retainment.
Treatment can be performed with other points at the same time as well.
For low back pain with muscle weakness and lassitude: GB-20.
Insert 1 cun #32 needles into GB-20 perpendicularly, 0.5 cun deep with
twisting reducing needle technique. Retain the needles for 10 minutes.
Treatment may be performed with other points at the same time as well.
For low back pain due to injury: LV-13, BL-40, and BL-62. (Lei Jing Tu Yi)
Apply bloodletting technique on BL-40 to make 2 drops of blood come out.
Insert 1 cun #32 needles into LV-13 with twisting reducing needle technique.
Retain needles for 20 minutes.
Apply direct non-scarring moxibustion on BL-62 for 7 cones.
For low back pain with deficiency of the Kidney: GV-2 and CV-6. (Zhen Jiu Zhai
Ying Ji)
Apply indirect moxibustion with Fu Zi (aconite) cake on CV-6 for 5 cones, as
well as a moxa-pole on GV-2 for 15 minutes.
For acute low back injury: GV-26.
Let the patient sit on the desk and hang the feet without any support on
the back. Insert a 1 cun #32 needle into GV-26 obliquely, towards the nose
at a 60 degree angle with Que Zuo-Sparrow Pecking technique. Meanwhile
encourage the patient to do back movement during the 5 minutes the
needle is retained.
Treat only once when there is acute pain or add with another prescription.
For acute low back injury: LU-5 and GB-34.
Let the patient sit on a desk and hang the feet without any support on the
back. Insert a 3 cun #30 needle into GB-34 (injured sided only)
perpendicularly, 2 cun deep towards the SP-9 direction, until a radiating
sensation appears, helping the patient move the back (back and forth).
Retain the needle for 3 minutes.
Insert 1.5 cun #32 needles into LU-5 (patient sitting in a chair)
technique and retain the needles for 20 minutes.
Treat only once during the acute phase, or with another prescription.
For acute low back injury: BL-1.
Insert 1 cun #32 needles into BL-1 perpendicularly, 0.5 to 0.8 cun deep with
twisting reinforcing needle technique, and retain the needles for 20
minutes.
Treat only once during the acute phase, or with another therapy.
PULMONARY TUBERCULOSIS
TCM considers Pulmonary Tuberculosis as one of the most serious and
infectious diseases. It easily infects persons with weak body constitutions. In the
ancient times, TCM practitioners thought it was caused by two reasons: weak
body constitutions and infection by TB bacteria, which means that if the body is
healthy, people should not contract this disease. In the process of the disease,
they thought TB bacteria infected the Lung and damage the Lung Yin first (drying
the Lung), causing the Lung to fail in its function of ascending and descending.
Cough then appears by rebellious Lung Qi, phlegm forms by Interior Deficient
Fire, and then chest pain and hemoptysis due to the injury of the Lung meridian
circulation. In some cases the disease can develop quickly and have dangerous
results.
DIAGNOSIS
Acute Stage
Symptoms include cough, fatigue, anorexia, weight loss, and light
hemoptysis with phlegm. The tongue is red with a thin coating and the
pulse is floating and fast.
Chronic Stage
Symptoms include severe and frequent dry cough with little phlegm or
hemoptysis, malar flush and red dry lips, tidal fever in the afternoon, dry
mouth and throat, night sweating, insomnia, chest pain, and spermatorrhea
will appear in male patients, cessation of menstruation in females. The
tongue is red without coating and the pulse is thin and fast.
Severe or Late Stage
Symptoms include hemoptysis in large amount, difficulty breathing, edema in
the lower extremities, poor appetite, loose stool, heart palpitations in some
cases, and spontaneous cold sweating with an irregular pulse and other
symptoms of exhausted Yang.
Treatment Principle: Reinforcing Lung Yin and Qi and Resolve the cough.
Point Prescription: LU-9, BL-13, BL-43, ST-36, SP-6, and KI-3.
Technique: Insert 1 cun #32 needles into BL-43 perpendicularly with the Qi Ci-
one ancient needle technique, where one needle is in the middle and two
others are inserted beside it. Wave the needles until red marks appear. Insert 1
cun #30 needles into BL-13 perpendicularly, 0.7 cun deep with lifting and
thrusting reinforcing needle technique.
Insert 1 cun #32 needles into LU-9 and KI-3 perpendicularly, 0.3 cun deep with
twisting reinforcing needle technique, and 1.5 cun #32 needles into ST-36 and
SP-6 perpendicularly, 1 cun deep with twisting even movement needle
Cough with more phlegm: LU-5.
Tidal fever: LU-10.
Hemoptysis: LU-6.
Night sweating: HT-6.
Dry throat: KI-6.
Emission: BL-52.
Cold limbs: CV-4 with moxibustion.
Ear Acupuncture
Point Prescription: Lung, Spleen, Kidney,
Endocrine, and Shen Men.
Insert 0.5 cun #32 ear needles obliquely, 0.3 cun deep at a 45-degree angle
minutes.
Moxibustion
(Used for patients without Yin Deficient signs.)
Direct moxibustion: GV-12 and BL-43.
Apply direct non-scarring moxibustion on GV-12 and BL-43 for 9 cones.
Indirect moxibustion: CV-6, CV-12, BL-13, and BL-23.
Apply indirect moxibustion with Fu Zi (aconite) cake on CV-6 and CV-12 for
5 cones, and on BL-13 and BL-23 for 3 cones.
Gua Sha
Treatment area: Back and Arm.
Apply medium-level Gua Sha on the upper back from GV-14 to GV-9 and
from BL-42 to BL-44 until red marks appear. Then apply weak stimulation
Gua Sha on the arm near the LU-5 area until a red color appears.
Plum Blossom
Points: SP-6, SP-9, LU-5, LU-9, BL-13, BL-43, and BL-20.
Apply weak stimulation of plum blossom needle technique on SP-6, SP-9, LU-
5, and LU-9 until a red color appears. Then apply medium stimulation of
plum blossom needle technique on BL-13, BL-43, and BL-20 until a red color
with a little blood appears.
For pulmonary TB with cough and hemoptysis: Bai Lao, BL-13, CV-12, and ST-36.
(Zhen Jiu Da Cheng)
Insert 1.5 cun #32 needles into Bai Lao perpendicularly, 1-1.2 cun deep with
the Shao Shan Huo-Burning on the Mountain technique until a heat
sensation is produced under the needle. Insert 1 cun #32 needles into BL-13
perpendicularly, 0.8 cun deep with lifting and thrusting even movement
needle technique until the sensation of the needle travels down along the
spinal column. Retain all needles for 15 minutes.
Insert 1.5 cun #32 needles into CV-12 and ST-36 with twisting reinforcing
For pulmonary TB with tidal fever and night sweating: Four Flowers points. (Yi
Xue Zhen Chuan)
Apply direct non-scarring moxibustion on the Four Flowers points for 9 to 11
cones.
For pulmonary TB with chronic cough: BL-13 and GV-12. (Jiu Fa Mi Chuan)
Apply direct non-scarring moxibustion on BL-13 and CV-12 for 9 cones.
For pulmonary TB with phlegm and hemoptysis: LU-10, LU-5, PC-5, HT-7, LU-9,
PC-8, LV-8, KI-3, KI-2, LV-3, BL-13, BL-18, and BL-20. (Zhen Yin Jing)
Insert 1 cun #32 needles into LU-10, PC-5, HT-7, LU-9, PC-8, KI-3, LV-3, and KI-
2 with twisting reinforcing needle technique. Insert 1.5 cun #32 needles into
LU-5 and LV-8 with lifting and thrusting even movement needle technique.
Apply direct non-scarring moxibustion on BL-13 for 20 cones, and on BL-18
and BL-20 for 3 cones.
For pulmonary TB with deficient body constitution: CV-4. (Pian Que Xin Shu)
Apply direct moxibustion on CV-4 for 15 to 20 cones in each treatment, until
accumulate to 500 cones as a course.
For pulmonary TB with hemoptysis: LU-7, LU-9, LU-5, ST-36, and GV-13.
Insert a 1.5 cun #30 needle into GV-13 perpendicularly, 1-1.2 cun deep with
twisting reinforcing needle technique until the sensation of the needle travels
down along the spinal column. Take out the needle and then apply a fire cup on
the point for 3 minutes. Insert 1.5 cun #32 needles into LU-7 transversely
upward 1 cun deep at a 15-degree angle with twisting even movement needle
technique. Insert 1.5 cun #32 needles into ST-36 and LU-5 perpendicularly, 1
cun deep with twisting reinforcing needle technique, and 1 cun #34 needles
into LU-9 with twisting reinforcing needle technique. Retain all needles for 20
minutes.
For pulmonary TB with cough and shortness of breath: BL-42 and Qu Lao. (Qu
Lao is an extra point located three cun above SP-21.)
Insert 1 cun #30 needles into BL-42 perpendicular 0.3-0.5 cun deep with
twisting reducing needle technique. Apply direct non-scarring moxibustion
on Qu Lao for 7 cones.
For pulmonary TB with Interior Heat and deficiency of Yin and Qi: KI-1, CV-17,
GV-20, BL-43, ST-36, and CV-12. (Zhen Jiu Da Cheng)
Insert a 1.5 cun #32 needle into CV-17 obliquely, 1-1.2 cun deep downward
at a 60-degree angle with twisting even movement needle technique, and
1.5 cun #34 needles into CV-12, ST-36, and GV-20 with twisting reinforcing
Insert 1.5 cun #32 needles into BL-43 obliquely, 1 cun deep at a 30-degree
angle towards the BL-44 direction with twisting reinforcing needle
technique, and 1 cun #32 needles into KI-1 perpendicularly, 0.6 cun deep
with twisting even movement needle technique.
For pulmonary TB with chronic cough and interior fever: BL-15, BL-18, BL-14,
BL-22, and San Zhui Gu Shang. (Lei Jing Tu Yi)
San Zhui Gu Shang is an extra point located between T-2 and T-3.
Insert a 1.5 cun #30 needle into San Zhui Gu Shang perpendicularly, 1 cun
deep with twisting reducing needle technique until the sensation of the
needle travels from the needle. Insert 1 cun #32 needles into BL- 15, BL-14,
and BL-18 perpendicularly, 0.5-0.8 cun deep with lifting and thrusting
reinforcing needle technique, and 1.5 cun #32 needles into BL-22
perpendicularly, 1-1.2 cun deep with twisting even movement needle
Treat one every other day for 5 treatments as a course.
For pulmonary TB with deficiency of Qi and Yang: CV-4, LU-1, and BL-23.
Apply direct non-scarring moxibustion on LU-1 for 11 cones. Apply indirect
moxibustion with Fu Zi (aconite) cake on CV-4 for 7 cones, and on BL-23
for 5 cones.
For pulmonary TB with night sweating and Interior Heat: HT-6, BL-42, BL-43,
GV-9, and KI-3.
Insert 1 cun #30 needles into BL-42 and BL-43 perpendicularly with the Qi
Ci method and waving technique until a red color appears around the
needle. Insert a 1.5 cun #32 needle into GV-9 perpendicularly, 1 cun deep
with twisting reinforcing needle technique.
Insert 1 cun #32 needles into HT-6 and KI-3 perpendicularly, 0.3 cun deep
minutes.
For pulmonary TB with Yin Deficiency: GV-13, GV-4, BL-13, and BL-23.
Apply a 1.5 cun #32 needle for GV-13 perpendicularly, inserting the needle 1
to 1.2 cun deep with twisting reducing needle technique. Insert 1 cun #32
needles in GV-4, BL-13, and BL-23 with lifting and thrusting reinforcing
needle technique and retain all needles for 20 minutes.
For pulmonary TB with Qi and Yin Deficiency: LU-3, LU-5, ST-36, CV-6, BL-3, BL-
13, and BL-23.
Insert 1 cun #32 needles into BL-3 transversely, 0.5 cun deep at a 30-degree
angle towards the BL-2 direction with twisting even movement needle
technique. Insert 1.5 cun #32 needles into LU-3, ST-36, and LU-5
Insert a 1.5 cun #34 needle into CV-6 perpendicularly, 1-1.2 cun deep with
minutes.
Insert 1 cun #32 needles into BL-13 perpendicularly, 0.5 cun deep with lifting
and thrusting even movement needle technique, and 1.5 cun #32 needles
into BL-23 with lifting and thrusting reinforcing needle technique. Retain all
Treat twice a week for 7 treatments as course.
MADNESS AND INSANITY
There is no single word for Psychology within Traditional Chinese Medicine.
There are however, two words used in TCM to describe mental disorders with
abnormal behavior. One is called Dian, which means mental patients
characterized by catatonia-a Yin type of mental disorder when the patient is in a
catatonic state of none movement. The other is Kuang, which refers to madness
and insanity-a Yang type of mental disorder opposite to Dian. In this disorder
patients are characterized by mania and excessive behavior and emotional
fluctuations. They are both part of mental disorders. Dian and Kuang in TCM
involve the Heart Shen being misted or obstructed by stagnation of phlegm and
Qi, or the accumulation of Phlegm-Fire disturbing the Yang Ming meridians. As a
result, the Heart fails in controlling the Shen and mental disorders form.
Dian-Catatonia
This is most often due to long-term severe and harmful emotional
stimulation, which impacts the Heart Shen. Or, it could also be caused by
Interior Phlegm stagnation misting the Heart Shen.
Kuang-Mania
This is typically an acute syndrome, when compared with Dian and is due to
Phlegm-Fire and Liver Fire Rising and bothering the Shen.
Within TCM pathology, Dian is considered to be a Yin type of mental disorder,

which is caused by stagnation of Phlegm and Qi and Kuang is a Yang type of
mental disorder, which is caused by rising Phlegm-Fire as was previously noted.
However, in the clinic these two types of mental disorders could transform into
others under certain circumstances.
DIAGNOSIS
Dian-Catatonia
This mental disorder is characterized by abnormal behavior, mental
depression, a trance, a tendency towards suspicion and delusion, abnormal
crying, sadness, and movements. The tongue is red with a greasy coating
and the pulse is slippery. As there is an inclination towards Qi and Blood
Deficiency, the patient will often have insomnia, be easily frightened, and
have a dull affect, a poor appetite, and a pale complexion. In this case the
tongue is pale with a thin white coat and the pulse is thin and wiry.
Kuang-Mania
The patient will have a flushed complexion, dysphoria, anger and paraphasia,
may even run around nude, and suffer from insomnia. The tongue is red with
a yellow dry or greasy coating and the pulse is fast and slippery. Long-term it
will damage the Yin from the stagnation of Fire and the patient will have
restlessness, be easily frightened, and suffer poor sleep. The tongue in this
case will be red without a coat and the pulse will be thin and fast.
Dian-Catatonia
Treatment Principle: Regulate the Qi, Resolve the Phlegm, and Calm the Heart’s
Shen.
Point Prescription: HT-7, PC-7, Yin Tang, CV-17, ST-40, and SP-6.
Technique: Insert 1 cun #32 needles into HT-7 and PC-7 perpendicularly, 0.5 cun
deep with a twisting reducing needle technique and 1.5 cun #32 needles into Yin
Tang transversely, 1 cun deep at a 30-degree angle towards the nose with a
twisting reducing needle technique. Insert a 1.5 cun #30 needle into CV-17
obliquely towards CV-16 with a lifting and thrusting reducing needle technique
and 1.5 cun #32 needles into SP-6 and ST-40 with a lifting and thrusting
reinforcing needle technique. Retain all needles for 30 minutes, and repeat the
needle technique every 5 minutes.
Blurry eyes: BL-1 and BL-2.
Ringing ear: SI-19.
Crying and sadness: LU-9 and LU-1.
Kuang—Madness and Insanity
Treatment Principle: Subdue the Liver Fire, Calm the Heart, and Resolve the
Phlegm.
Point Prescription: PC-8, GV-26, CV-13, KI-4, and LV-2.
Technique: Insert a 1 cun #28 needle into GV-26 perpendicularly, 0.3 cun deep
with a fast twisting needle technique and 1 cun #30 needles into PC-8, LV-2, KI-4
perpendicularly, 0.5 cun deep with a twisting, lifting and thrusting reducing
needle technique. Insert a 1.5 cun #32 needle into CV-13 with a twisting even
movement needle technique. Retain all needles for 30 minutes, and repeat the
needle technique every 5 minutes.
Severe Heat: GV-14 and GV-20.
Severe madness: LV-3 and TW-6.
Insomnia: Yin Tang and An Mian.
Ear Acupuncture
Points: Heat, Sub cortex, Kidney, Forehead, Occipital, and Shen Men.
45-degree angle with a fast twisting needle technique for Kuang (madness)
and with a twisting reinforcing needle technique for Dian (stupemania
/catatonia). Retain all needles for 30 minutes. Or, apply Electro-stimulation
on Sub cortex and Kidney with fast-slow waves for 30 minutes.
Scalp Acupuncture
Treatment zones: Middle line of the forehead and vertex, Upper Middle line
of the occipital, Lateral line 3 of the forehead, and Anterior line of the
temple.
degree angle with a fast twisting reducing needle technique. Retain all
needles for 40 minutes, and repeat the needle technique every 10 minutes.
Nose Acupuncture
Points: Heart, Kidney, Lung, and Gall Bladder.
with a fast twisting needle technique. Retain all needles for 20 minutes.
Foot Acupuncture
Points: Li Nei Ting, Liver, Heart, Head, and Small intestine.
Insert 1 cun #32 needles into these points perpendicularly, 0.3 to 0.5 cun
minutes, and repeat the needle technique every 5 minutes.
Moxibustion
Direct non-scarring moxibustion:
Apply direct non-scarring moxibustion on Gui Ku (“Ghost Crying” point,
located on the dorsal top of the inter-phalange articulation of the thumb),
KI-1, and LI-11 for 7 cones.
Indirect moxibustion:
Apply indirect moxibustion with ginger or a Fu Zi (aconite) cake on CV-4,
GV-4, GV-14, and BL- 45 for 3 cones.
Moxa pole:
Apply a moxa pole to GV-20 and KI-1 for 20 minutes.
Treat once daily for 7 treatments as a course. Usually this is performed
along with other therapeutic techniques.
Gua Sha
Treatment area: Chest, Back, and Leg.
Apply medium stimulation of Gua Sha on the chest along the CV, Stomach,
and Kidney meridians until a dark red or purple color appears. Apply medium
stimulation on the back from GV-14 to GV-7 and BL-41 to BL-46 until a dark
red or purple color appears. Apply medium stimulation around BL-40 until a
dark red color appears.
Bloodletting
Prescription 1: PC-3, PC-9, HT-9, LU-11, LI-1, and Yin Tang.
Prescription 2: LV-1, BL-67, SP-1, BL-40, Tai Yang, and the Tip of the ear.
Apply bloodletting techniques on these points, squeezing out 1 or 2 drops
of blood.
Treat once daily, changing the prescription every day for 5 treatments as a
course.
For Dian: GV-23, GV-20, GB-20, LI-11, LU-5, TW-4, SI-4, ST-41, BL-62, BL-60, SP-5,
KI-2, BL-66, and BL-57. (Shen Yin Jing)
Insert 1 cun #28 or #30 needles for all these points perpendicularly, 0.3 cun
deep with a twisting reducing needle technique. Remove the needles
without retaining, and try to enlarge the holes as the needles come out.
Apply a moxa pole on GV-20 for 30 minutes.
For Dian when the patient doesn’t like to see people: Gui Ku (extra point).
(Wan Bing Hui Chun)
Gui Ku—the Ghost Crying point is located on the dorsal top of the inter-
phalange articulation of the thumb. Tie the two thumbs together with a
rope, and then apply direct moxibustion on Gui Ku for 7 cones.
For Kuang: SI-8, PC-5, HT-7, LI-4, SI-3, KI-7, and TW-24. (Shen Yin Jing)
Insert 1.5 cun #32 needles into SI-8 obliquely, 1 cun deep at a 40-degree
angle towards SI-7 with a twisting reducing needle technique and 1 cun #32
needles into HT-7, LI-4, and SI-3 with a twisting reducing needle technique.
Insert 1.5 cun #30 needles into KI-7 with a lifting and thrusting reinforcing
needle technique and 1 cun #30 needles into TW-24 perpendicularly, 0.5 cun
deep with a twisting reducing needle technique.
For Kuang when the patient doesn’t recognize family members: CV-14. (Zhen
Jiu Da Cheng)
lifting and thrusting reducing needle technique, and retain the needle for 15
minutes. Repeat the needle technique every 5 minutes during the
retainment.
For Kuang with severe heart palpitations: PC-6, HT-9, BL-15, CV-12, and Shi
Xuan. (Zhen Jiu Da Cheng)
Insert 1.5 cun #32 needles into PC-6 obliquely, 1 cun deep at a 60-degree
angle upwards with a twisting even movement needle technique and a 1.5
cun #30 needle into CV-12 perpendicularly, 1 cun deep with a lifting and
thrusting reducing needle technique. Insert 1.5 cun #30 needles into BL-15
obliquely, 1 cun deep at a 60-degree angle towards the spinal column
direction with a lifting and thrusting reducing needle technique, and retain
the needles for 10 minutes. Apply a bloodletting technique on HT-9 and Shi
Xuan, squeezing out 1 or 2 drops of blood out of each point.
For both Dian and Kuang in the stage of attack: the Thirteen Ghost points
for Dian and Kuang. (Qian Jin Fang) GV-26, LU-11, SP-1, PC-7, BL-62, GV-16,
ST-6, CV-24, PC-8 GV-23, CV-1, LI-11, and Hai Quan.
Insert 1 cun #28 needles into GV-26, LU-11, BL-62, CV-24, and CV-1
perpendicularly, 0.3 cun deep with a fast twisting needle technique and 1
cun #30 needles into SP-1, GV-16, PC-8, and GV-23 perpendicularly, 0.2 cun
deep with an even movement needle technique. Insert 1 cun #30 needles
into ST-6 and PC-7 perpendicularly, 0.5 cun deep with a twisting reducing
needle technique, and 1 cun #28 fire-needles into LI-11 perpendicularly, 0.5
cun deep. Apply a bloodletting technique on Hai Quan (extra points: Jing Jing
and Yu Ye), and squeeze out a few drops of blood.
Treat just in this circumstance.
For Kuang: LI-11, GB-39, Bai Lao, and KI-1. (Zhen Jiu Da Cheng)
Insert 1.5 cun #28 needles into LI-11 with a twisting, lifting and thrusting
reducing needle technique and 1.5 cun #32 needles into GB-39 with a
Insert 1.5 cun #30 needles into Bai Lao perpendicularly, 1 to 1.2 cun deep
with a lifting and thrusting reinforcing needle technique and 1 cun #32
needles into KI-1 perpendicularly, 0.5 cun deep with a twisting even
For Dian: BL-58 and ST-24. (Pu Ji Fang)
Insert 1.5 cun #30 needles into BL-58 with a twisting even movement needle
technique, and retain needles for 10 minutes. Insert 1.5 cun #32 needles
into ST-24 perpendicularly 1 cun deep with a lifting and thrusting reducing
needle technique. Apply moxa wool to the handles of the needles for 3
cones.
For Kuang with violence: CV-14 and BL-15. (Pian Que Xing Shu)
Apply direct moxibustion on BL-15 for 5 cones. Apply direct non-scarring
moxibustion on CV-14 for 12 cones.
For Dian: GV-12 and GB-13. (Bai Zhen Fu)
Insert a 1.5 cun #30 needle into GV-12 perpendicularly, 1 cun deep with the
Long Hu Jiao Zhan—Dragon and Tiger Battle technique, and retain the
needle for 10 minutes. Insert 1.5 cun #32 needles into GB-13 transversely, 1
cun deep towards BL-15 with a fast twisting needle technique. Retain the
For Kuang: GV-20, KI-10, PC-5, ST-36, and KI-7. (Shen Jiu Jing Lun)
Apply a moxa-pole on GV-20 for 20 minutes. Apply direct non-scarring
moxibustion on KI-10 and KI-7 for 7 cones. Insert 1.5 cun #32 needles into
PC-5 and ST-36 perpendicularly, 1 cun deep with a lifting and thrusting
reducing needle technique, and apply moxa wool to the handles of the
For Kuang where the patient wants to kill people: PC-5, GV-12, and SI-3. (Shen
Yin Jing)
rubbing technique (rub the needle counter-clockwise) until the sensation of
the needle travels down along the spinal column. Insert 1.5 cun #32 needles
into SI-3 perpendicularly, 1.2 cun deep towards PC-8 direction with a
twisting reducing needle technique, and insert 1.5 cun #30 needles into PC-5
perpendicularly, 1 cun deep with a twisting reducing needle technique.
For Kuang with divagation: KI-9, LI-9, BL-60, and CV-14. (Shen Jiu Jing Lun)
twisting reducing needle technique, and apply moxa wool to the handles of
the needles for 2 cones. Insert 1.5 cun #32 needles into KI-9 and LI-9 with a
BL-60 with a twisting reducing needle technique. Retain all needles for 20
minutes.
For Kuang with unconsciousness: LI-11, GV-26, KI-1, and LI-4. (Zhen Jiu Yi Xue)
Insert 1 cun #30 needles into KI-1 and GV-26 with a fast twisting needle
technique and 1.5 cun #30 needles into LI-11 and LI-4 with a lifting and
thrusting reducing needle technique, until the patient wakes up.
Treat just in this circumstance.
For Dian: ST-23, PC-9, HT-7, CV-13, GV-12, KI-4, ST-41, and GB-38. (Cai Ai Bian Yi)
Insert 1.5 cun #30 needles into ST-23, CV-13, GB-38, and GV-12
Apply direct non-scarring moxibustion on PC-9 and KI-4 for 7 cones. Insert 1
cun #32 needles into HT-7 and ST-41 with a twisting reducing needle
technique.
For Dian: KI-6, LV-8, CV-6, PC-6, GV-14, BL-18, and BL-13.
Insert a 1.5 cun #30 needle into GV-14 perpendicularly, 1 to 1.2 cun deep
with a rubbing needle technique (rub the needle counter-clockwise) until
the sensation of the needle travels down along the spinal column. Insert 1.5
cun #32 needles into BL-13 and BL-18 obliquely, 1 cun deep at a 60-degree
angle towards the spinal column with a lifting and thrusting reinforcing
needle technique.
Insert 1 cun #32 needles into KI-6, LV-8, and PC-6 with a twisting even
movement needle technique and a 1.5 cun #32 needle into CV-6 with a
For Kuang: Bai Lao, GV-14, GV-16, GB-20, GV-15, GB-12, BL-42, GV-9, CV-15, LV-
3, LI-4, and Yin Tang.
Insert 1.5 cun #32 needles into Bai Lao, GV-14, GV-16, GB-20, GV-15, GB-12,
and GV-9 perpendicularly, 1 cun deep with a twisting reducing needle
technique and 1 cun #30 needles into BL-42 with a twisting even movement
Insert 1 cun #30 needles into LV-3 and LI-4 with a lifting and thrusting
reducing needle technique and a 1.5 cun #32 needle into CV-15
perpendicularly, 1 cun deep with a twisting reducing needle technique. Insert
a 1 cun #32 needle into Yin Tang obliquely, 0.5 cun deep with a twisting even
movement needle technique.
MALARIA
Malaria is a common infectious disease that has proven to be fatal without
treatment. During modern times, great achievements have been made in terms
of battling this disease. This disease is parasitic in nature and is most common in
warm humid climates. As western medicine and TCM describes, malaria is an
infectious disease of the blood caused by the malarial mosquito (plasmodium).
TCM also refers to it as Malaria Evil Qi.
DIAGNOSIS
Symptoms of malaria start with chills, achy sensation in the whole body,
muscle spasm and shaking, and then a high fever appears that is associated
with headache, flushed complexion, thirst, the fever abating after profuse
sweating. If in the type of Damp-Phlegm, the patient will feel a stuffy sensation
in the chest and epigastric region and will be associated with nausea or vomiting
or cough. If the malaria invades interior body organs, the symptoms will be
characterized by high fever and unconsciousness, even convulsion.
The chronic malaria patient usually has a deficient body constitution and has
associated signs such as a pale complexion, poor appetite, fatigue, and a mass in
the abdomen. Usually the symptoms occur at the same time every day, or every
other day, and the pulse is wiry and tight, the tongue red with thin yellow
coating. Upon a blood test the plasmodium (malarial parasite) can be found.
TREATMENT AND PRESCRIPITON
Treatment Principle: Harmonizing Shao Yang, and Resolve the malaria.

Point Prescription: GV-14, SI-3, TW-2, and LI-11.
Treat 1 or 2 hours before malaria starts 10 treatments as a course.
Technique: Insert 1.5 cun #30 needle into GV-14 perpendicularly, 1-1.2 cun deep
with rubbing needle technique, (rub the needle count clockwise) until the
sensation of the Qi travels down along the spinal column. Insert 1 cun #32
needles into SI-3 and TW-2 perpendicularly, 0.5 cun deep with twisting reducing
needle technique, and 1.5 cun #30 needles into LI-11 perpendicularly, 1.2 cun
deep with lifting and thrusting reducing needle technique.
Fever: Shi Xuan with bloodletting technique.
Damp-phlegm: BL-13 and ST-40.
Convulsion: PC-6 and GV-26.
Chronic malaria: BL-20, BL-21, and ST-36.
Mass in the abdomen: LV-13 and Pi Gen.
Ear Acupuncture
Points: Sub cortex, Endocrine, Liver, Spleen, and Sympathetic.
45-degree angle with twisting reducing needle technique. Retain all needles
for 40 minutes.
Treat one hour before malaria happened for 5 treatments as a course.
Scalp Acupuncture
Treatment zones: Anterior oblique line from the vertex to the temple,
Middle line and Lateral line 2 of the forehead.
degree angle with fast twisting needle technique. Retain all needles for 30
minutes.
Treat one hour before malaria happened for 5 treatments as a course.
Moxibustion
Direct moxibustion: GV-12, BL-17, LV-13, and PC-5.
Apply direct non-scarring moxibustion on GV-12 and BL-17 for 11 cones,
and on LV-3 and PC-5 for 7 cones.
Indirect moxibustion: CV-12, CV-6, BL-20, and GV-14.
Apply indirect moxibustion with ginger on BL-20 and GV-14 for 5 cones,
and on CV-12 and CV-6 for 3 cones.
Gua Sha
Treatment area: Mid-back, LV-13, and SP-9.
Apply medium-level Gua Sha on the mid-back area from BL-15 and GV-12 to
BL-20 and GV-6 until a dark red color appears. Apply weak Gua Sha on LV-13
and SP-9 area until a red color appears.
For malaria with high fever: GV-14, GV-13, and LI-4. (Zhen Jiu Da Cheng)
Insert 1.5 cun #30 needles into GV-14 and GV-13 perpendicularly, 1-1.2 cun
LI-4 perpendicularly, 0.5 cun deep with twisting even movement needle
Treat 2 hours before onset of malarial symptoms for 7 treatments as a
course.
For malaria with high fever: GV-14, PC-5, SI-3, and KI-7. (Zhen Jiu Chu Fang Xue)
Insert 1.5 cun #28 needle into GV-14 perpendicularly, 1-1.2 cun deep with
rubbing technique (rub the needle count clockwise) until the sensation of
the Qi travels down along the spinal column and then take out the needle.
Insert 1 cun #30 needles into PC-5 and SI-3 perpendicularly, 0.5-0.8 cun deep
with twisting reinforcing needle technique, 1 cun #32 needles into KI-7
perpendicular 0.5-0.8 cun deep with twisting reinforcing needle technique.
Treat once a day for 5 treatments as a course.
For malaria with more cold (chills) then fever: SP-4, SI-3, LI-11, and PC-8. (Zhen
Jiu Da Quan)
Insert 1 cun #30 needles into SP-4 obliquely, 0.5-0.8 cun deep towards the
KI-1 direction with twisting reducing needle technique, and 1 cun #32
needles into SI-3 and PC-8 perpendicularly, 0.5 cun deep with twisting even
movement needle technique. Insert 1.5 cun #30 needles into LI-11
perpendicularly, 1-1.2 cun deep with lifting and thrusting reducing needle
technique.
Retain all needles above for 20 minutes.
Treat once every day 2 hours before the onset of malarial symptoms for 5
For malaria with more fever then cold (chills): SP-4, LI-11, GB-39, and Bai Lao.
(Zhen Jiu Da Quan)
Insert 1.5 cun #30 needles into Bai Lao perpendicularly, 1-1.2 cun deep with
lifting and thrusting reinforcing needle technique, and take the needle out
after the patient feels the sensation of the Qi traveling towards GV-14. Insert
1 cun #32 needles into LI-11, SP-4, and GB-39 with twisting reducing needle
Treat 2 hours before the onset of malarial symptoms for 7 treatments as a
course.
For malaria with frequent cold (more chills then fever): KI-4, SI-3, LI-11, and Bai
Lao. (Zhen Jiu Da Cheng)
Insert 1 cun #32 needles into KI-4 and SI-3 perpendicularly, 0.5 cun deep
with twisting even movement needle technique, and 1.5 cun #30 needles
into LI-11 and Bai Lao perpendicularly, 1-1.2 cun deep with lifting and
thrusting reducing reinforcing needle technique.
course.
For malaria with fever: CV-12 and GV-14. (Shen Yin Jing)
Insert 1.5 cun #28 needle into GV-14 perpendicularly, 1-1.2 cun deep with
rubbing technique until the sensation of the Qi travels from the point, then
take the needle out. Insert a 1.5 cun #32 needle into CV-12 perpendicularly,
1-1.2 cun deep with slow and fast reinforcing needle technique.
For chronic malaria: LV-13 and BL-20. (Lei Jing Tu Yi)

Apply direct non-scarring moxibustion on LV-13 for 11 cones and on BL-20
for 9 cones.
The following are from the Yi Xue Ru Men.
For malaria with foot Tai Yang meridian symptoms—back pain and headache
and the cold originating from the back: BL-40.
Apply bloodletting technique on BL-40, to squeeze 2-3 drops of blood in each
treatment.
For malaria with foot Shao Yang meridian symptoms—fever and alternating
cold associated with heart palpitations, and profuse sweating: GB-43.
Insert 1.5 cun #32 needles into GB-43 obliquely, 1 cun deep towards GB-42
For malaria with foot Yang Ming symptoms—cold starting first then high fever
and profuse sweating: ST-42.
Inset 1 cun #30 needles into ST-42 perpendicularly, 0.3 cun deep with
For malaria with foot Tai Yin symptoms—depression, poor appetite, cold
alternating with fever, and vomiting: SP-4.
Insert 1.5 cun #32 needles into SP-4 perpendicularly, 1 cun deep towards
KI-1 with twisting reinforcing needle technique.
For malaria with foot Shao Yin meridian symptoms—frequent vomiting and
more frequent cold sensations then fever: KI-3.
Insert 1 cun #32 needles into KI-3 perpendicularly, 0.5 cun deep with
For malaria with foot Jue Yin meridian symptoms—bloated low abdomen
and retention of urine: LV-3.
Insert 1.5 cun #32 needles into LV-3 obliquely, 1 cun deep towards KI-1 with
lifting and thrusting reducing needle technique.
For malaria with fever and alternating cold: PC-5. (Qian Jin Fang)
Smash fresh “Han Lian Cao” and put it on PC-5. Cover it with plaster until a
blister appears. Treat once a week for 3 treatments as a course.
For malaria with fever and alternating cold: GV-20, LU-8, and SI-2. (Shen Yin
Jing)
Insert a 1 cun #30 needle into GV-20 obliquely, 0.5-0.8 cun deep at a 45-
degree angle towards GV-19 with twisting reducing needle technique, and 1
cun #30 needles into LU-8 and SI-2 perpendicularly, 0.5 cun deep with
Treat 2 hours before onset of malarial symptoms for 5 treatments as a
course.
For malaria with fever and nausea or vomiting: LI-4, SP-4, LI-11, GV-14, and GV-
Insert 1 cun #32 needles into LI-4 and SP-4 perpendicularly, 0.5-0.8 cun deep
with twisting reinforcing needle technique, and 1.5 cun #30 needles into LI-
11, 1-1.2 cun deep with lifting and thrusting reducing needle technique.
Insert 1.5 cun #32 needles into GV-14 and GV-12 perpendicularly, 1 cun deep
with twisting even movement needle technique and take out the needles
after the sensation of the Qi travels along spinal column, and apply direct
non-scarring moxibustion on these two points for 9 cones.
course.
The following is from the Zhen Jiu Da Quan.
Malaria with Heart symptoms: heart palpitation, restlessness, more cold then
fever: HT-7, SP-4, BL-15, and Bai Lao.
Insert 1 cun #32 needles into HT-7 and SP-4 perpendicularly, 0.5 cun deep
with twisting reinforcing needle technique. Retain all needles for 20 minutes.
Insert 1.5 cun #30 needles into Bai Lao perpendicularly, 1 cun deep with
twisting even movement needle technique, and 1 cun #32 needles into BL-15
perpendicularly, 0.5-0.8 cun deep with lifting and thrusting reinforcing
Malaria with Liver symptoms: pale complexion, sighing, fever and aversion to
cold: LV-4, SP-4, BL-18, and GB-39.
of needles for 3 cones. Insert 1 cun #32 needles into SP-4, LV-4, and GB-39
Malaria with Spleen symptoms: abdominal pain, borborygmus, diarrhea or poor
appetite: SP-4, BL-20, ST-36, SI-3, GV-12, and BL-43
Insert 1.5 cun #32 needles into BL-20 perpendicularly, 1-1.2 cun deep with
lifting and thrusting reinforcing needle technique. Apply direct non-scarring
moxibustion on BL-43 for 9 cones. Insert 1 cun #32 needles into SP-4 and SI-
3 perpendicularly, 0.5 cun deep with twisting even movement needle
technique, and 1.5 cun #32 needles into ST-36 and CV-12 with twisting
Malaria with Lung symptoms: interior cold sensations in the whole body, chills,
and pale complexion: LU-7, SP-4, BL-13, and LI-4
Insert 1 cun #32 needles into SP-4 and LI-4 perpendicularly, 0.5 cun deep
with twisting even movement needle technique, and 1 cun #34 needles
into LU-7 obliquely, 0.5 cun deep at a 30-degree angle towards LU-5 with
Apply direct non- scarring moxibustion on BL-13 for 9 cones.
Malaria with Kidney symptoms: painful sensations in the low back and spinal
column as well as constipation: SP-4, KI-5, BL-23, and BL-62
Insert 1 cun #32 needles into SP-4 and KI-5 perpendicularly, 0.3-0.5 cun deep
minutes. Insert 1.5 cun #32 needles into BL-23 perpendicularly, 1-1.2 cun
deep with lifting and thrusting reinforcing needle technique and apply moxa
wool on the handle of needles for 3 cones. Insert 1 cun #32 needles into BL-
62 with twisting even movement needle technique.
Malaria with Stomach symptoms: poor appetite with hunger, bloating in the
epigastric region: SP-4, ST-45, BL-21, and SP-2
Insert 1 cun #32 needles into SP-4 and SP-2 with twisting even movement
needle technique. Apply bloodletting technique on ST-45 and squeeze 1
drop of blood out. Insert 1.5 cun #30 needles into BL-21 perpendicularly, 1-
1.2 cun deep with lifting and thrusting reducing needle technique.
Retain needles for 5 minutes.
Malaria with Gall Bladder symptoms: aversion to cold, restlessness, and
nightmares: SP-4, GB-42, BL-19, and LV-14
Insert 1 cun #32 needles into SP-4 and GB-42 perpendicularly, 0.5 cun deep
with twisting reducing needle technique, and 1 cun #30 needles into LV-14
technique. Retain all needles for 15 minutes. Insert 1.5 cun #30 needles into
BL-19 perpendicularly, 1 cun deep with twisting reinforcing needle technique,
and apply moxa wool on the handle of needles for 3- 5 cones.
MULTIPLE SCLEROSIS
Multiple Sclerosis belongs to the Wei and Jing syndrome category in TCM. The
cause could be either Exterior Invasion, such as Wind-Heat or Damp-Heat or
interior reasons, such as stagnation of Blood and Qi, Spleen Qi Deficiency or
Kidney Yin and Yang Deficiency. This disorder is incredibly common among
patients of all race, age, and gender. It is usually caused from demyelination of
the nervous cells in the Central Nervous System.
DIAGNOSIS
Liver Yang Rising

This pattern is marked by weak sensations in one of more extremities,
painful sensation in the eyes, particularly when the eyes move, associated
with headache, red eyes, restlessness and insomnia, easy to anger, ringing
in the ear, bloating in the abdomen, and bitter taste in the mouth. The
tongue is red with a yellow coat and the pulse is wiry and fast.
Liver Blood Deficiency
This signs associated with this pattern are weak and numb sensations in the
limbs, face, and body, as well as double vision, ataxia, and paralysis in some
severe cases. Secondary symptoms are dizziness and vertigo, lassitude, pale
complexion, trembling, insomnia, heart palpitations, and dry skin, mouth,
and eyes. The tongue is pale with a thin coat and the pulse is thin and weak.
Damp Heat
In this case, numbness, weak and swollen sensations in one or more limbs,
sensory disturbance particularly in the legs, ataxia, and paralysis in some
severe cases are the main symptoms. Other associated symptoms include
heaviness and achy sensations in the whole body, stuffy chest with phlegm,
bloated abdomen, loose and sticky stool, scanty and yellowish urine,
headache, vertigo and insomnia in some cases. The tongue is swollen with a
yellow or a white greasy coat and the pulse is slippery and fast.
Liver Yang Rising
Treatment Principle: Subdue Liver Fire and Move the stagnation of Qi and
Blood.
Point Prescription: LV-3, GV-20, LI-4, GB-34, and TW-5.
Technique: Insert 1 cun #32 needles into LV-3, 0.5 to 0.8 cun deep at an oblique
45-degree angle towards KI-1 with twisting reinforcing needle technique, as well
as 1 cun #32 needles into LI-4 and TW-5 perpendicularly, 0.7 cun deep with
lifting and thrusting reducing needle technique. Insert 1.5 cun #30 needles into
GB-34 perpendicularly, 1 to 1.2 cun deep towards SP-9 with lifting and thrusting
reinforcing needle technique, and a 1.5 cun #30 needle into GV-20 transversely,
1 cun deep at a 30-degree angle backwards with a lifting Qi technique. Retain all
Headache: Ah Shi and GB-4.
Eye pain: LV-8, LV-5, and Tai Yang.
Trembling in the limbs: GB-20, GB-31, and BL-12.
Liver Blood Deficiency
Treatment Principle: Nourish Liver Blood and Subdue Interior Wind.
Point Prescription: GB-20, KI-3, LV-8, BL-18, BL-17, BL-20, and BL-23.
Technique: Insert 1 cun #30 needles into BL-18, BL-17, BL-20, and BL-23
perpendicularly, 0.8 cun deep with lifting and thrusting reinforcing needle
technique until the sensation of Qi spreads from the points, and apply moxa
wool on the handle of the needles for 3 cones. Insert 1 cun #32 needles into KI-
3 and LV-8 perpendicularly, 0.5 cun deep with twisting reinforcing needle
technique. Insert a 1.5 cun #32 needle into GV-20 transversely, 1 cun deep at a
30- degree angle backwards with a twisting reinforcing needle technique. Retain
Blurry eyes: GB-38, LI-4, and Qiu Hou.
Trembling: GV-14 and GV-20.
Heart palpitation: PC-6 and HT-7.
Numbness in the limbs: LI-11, SP-9, Ba Feng, and
Ba Xie.
Damp-Heat
Treatment Principle: Clear the Heat, Resolve Damp, and Move the Qi and Blood.
Point Prescription: CV-3, ST-25, LI-11, SP-9, BL-20, BL-13, GV-14, and BL-28.
Technique: Insert a 3 cun #32 needle into CV-3 perpendicularly, 2 cun deep with
twisting reducing needle technique, and 1.5 cun #32 needles into ST-25
technique. Insert 1.5 cun #30 needles into LI-11 and SP-9 perpendicularly, 1 to
1.2 cun deep with lifting and thrusting reducing needle technique. Retain all
Insert a 1.5 cun #30 needle into GV-14 perpendicularly, 1 to 1.2 cun deep with
rubbing technique (rub the needle count clockwise) until the sensation of the Qi
travels down along the spinal column. Insert 1 cun #32 needles into BL-13 with
twisting even movement needle technique, and 1.5 cun #30 needles into BL-28
and BL-20 perpendicularly with lifting and thrusting reinforcing needle
technique.

Vertigo: ST-40, CV-17, and BL-13.
Heavy sensation in the body: TW-5 and GB-34.
Aches and pains in the limbs: LI-4 and LV-3.
Ear Acupuncture
Points: Brain stem, Heart, Sub cortex, Shen
Men, Neck, and Spine.
Insert 0.5 cun #34 ear needles into these points obliquely, 0.3 cun deep with fast
twisting needle technique, or apply Electro-stimulation with fast frequency
waves on the needles for 20 minutes. Or apply press-balls on the ear as a
supplemental treatment with other body needles together.
Scalp Acupuncture
Treatment zone: Middle line and Lateral line 1 of the vertex, Upper middle
line of the occiput, and the Oblique anterior line from the vertex to temple.
Insert 1.5 cun #30 needles into these lines transversely, 1 cun deep with fast
twisting needle technique for 3 to 5 minutes. Retain all needles for 40 minutes.
Gua Sha
Treatment area: Back, Abdomen, and Leg.
Apply medium-level Gua Sha on the upper back form GV-15 to GB-21 bilaterally,
and then GV-14 to GV- 7 and BL-11 to BL-18 until a purple color appears. Apply
a weak stimulation level of Gua Sha on the leg near the GB-40 area until a red
color appears.
Plum Blossom
Points: GV-14, BL-11, BL-43, GV-4, CV-21, CV-17, and SP-6.
Apply medium-level stimulation of Plum blossom needle on GV-14, BL-11, BL-43,
and GV-4 for 5 minutes. Apply weak simulation on CV-21, CV-17, and SP-6 for 5
minutes.
Cupping
Water cups: BL-13, BL-15, BL-18, BL-23, BL-43, GV-14, and GB-21.
Apply water cups, one of the cupping techniques where bamboo cups are
boiled in the big pot with Chinese herbs and then the hot cups are taken out
and put on these points until they fall off on their own. This is used to treat
MS with deficiency of Yin or Yang.
Fire cups: GV-14, BL-43, GV-4, GV-9, BL-52, and Shi Qi Zhui Xia.
Apply fire cups on these points for 5 minutes to treat MS with stagnation of
Heat.
Moving cups: Back.
Apply moving cups on the back from GV-14 to GV-9 and BL-11 to BL-20 until a
dark red color appears. This is used to treat MS with deficiency.
PRESCRIPTION AND TECHNIQUE EXPRERIENCE
For MS with deficiency of Qi: CV-6, ST-36, GV-14, BL-13, GB-20, and BL-58.
angle towards the spinal column with twisting reinforcing needle technique.
Insert 1.5 cun #30 needles into GV-14 and GB-20 perpendicularly, 1 cun deep
with twisting reinforcing needle technique, and 1.5 cun #34 needles into BL-
58 perpendicularly, 1 cun deep with twisting even movement needle
technique.
Insert 1.5 cun #32 needles into CV-6 and ST-36 perpendicularly, 1 to 1.2 cun
deep with twisting reinforcing needle technique and apply moxa wool on
the handle of the needles for 3 cones.
For MS with Damp-Heat: ST-25, SP-9, LI-11, GV-12, GV-9, GV-3, and BL-32.
lifting and thrusting reducing needle technique, and 1.5 cun #30 needles into
SP-9 and LI-11 perpendicularly, 1.2 cun deep with lifting and thrusting
Insert 1.5 cun #30 needles into GV-12, GV-9, and GV-3 perpendicularly, 1 cun
deep with twisting even movement needle technique, and 2 cun #32 needles
into BL-32 perpendicularly, 1.7 cun deep with lifting and thrusting reducing
For MS with paralysis of limbs: LI-11, TW-5, ST-36, GB-39, CV-6, GV-14, GV-7,
and GV-4.
Insert 1.5 cun #30 needles into LI-11, TW-5, ST-36, and GB-39
perpendicularly, 1 to 1.2 cun deep with twisting even movement needle
technique and apply electro-acupuncture with intermittent waves, the main
points being LI-11 and ST-36 for 25 minutes. Insert a 1.5 cun #32 needle into
CV-6 perpendicularly, 1 cun deep with twisting reinforcing needle technique,
and apply moxa wool on the handle of needle for 3 cones. Insert 1.5 cun
#32 needles into GV-14, GV-7, and GV-4 perpendicularly, 1 to 1.2 cun deep
with twisting even movement needle technique until the sensation of Qi
travels. Retain all the needles for 10 minutes.
For MS with paralysis of limbs: LV-3, LI-4, SP-6, PC-5, SP-9, LU-5, CV-4, BL-13, BL-
20, and BL-18.
Insert 1 cun #32 needles into LI-4, LV-3, PC-5, and SP-6 perpendicularly, 0.6
cun deep with the Zi Wu Dao Jiu (one combination needle technique)
technique. Insert 1.5 cun #32 needles into SP-9, LU-5, and CV-4
perpendicularly, 1 cun deep with lifting and thrusting reinforcing needle
technique and apply moxa wool on the handle of the needles for 3 cones.
Insert 1.5 cun #32 needles into BL-13, BL-20, and BL-18 with twisting
reinforcing needle technique. Apply moxa wool on the handle of the needles
for 3 cones.
For MS with deficiency of Blood and Yin: KI-6, LV-3, LV-8, HT-7, PC-4, SP-10, BL-
17, BL-18, BL-20, BL-23.
Insert 1 cun #32 needles into KI-6, HT-7, and LV-8 perpendicularly, 0.7 cun
deep with twisting reinforcing needle technique, and 1.5 cun #34 needles
into LV-3 obliquely, 1 cun deep at a 45-degree angle towards KI-1 with
twisting reinforcing needle technique. Insert 1.5 cun #32 needles into PC-4
and SP-10 perpendicularly, with twisting even movement needle technique.
Insert 1.5 cun #34 needles into BL-17, BL-18, BL-20, and BL-23
For MS with deficiency of Blood and Yin: SP-6, ST-36, CV-4, LV-13, GV-14, BL-43,
GV-8, and GV-4.
Insert 1.5 cun #32 needles into GV-14, GV-8, and GV-4 perpendicularly, 1 cun
deep with twisting reinforcing needle technique. Insert 1 cun #32 needles
into BL-43 with the Qi Ci technique—one ancient needle technique where
one needle is in the middle and the other two are beside it. Then apply
waving technique until a red color appears. Retain all needles for 15 minutes.
Insert 1.5 cun #34 needles into SP-6, ST-36, CV-4, and LV-13 perpendicularly, 1
cun deep with twisting reinforcing needle technique. Retain all needles for
20 minutes.
For MS with speech problems: CV-23, GV-20, HT-5, SP-4, LU-2, BL-11, and Bai
Lao.
Insert 1.5 cun #32 needles into CV-23 obliquely, 1.2 cun deep at a 45-degree
angle towards the root of the tongue with the Qi Ci needle technique (see
explanation in the previous prescription). Insert 1 cun #32 needles into SP-4
and LU-2 perpendicularly, 0.7 cun deep with twisting reducing needle
technique, and a 1.5 cun #30 needle into GV-20 transversely, 1 cun deep at a
30-degree angle with fast twisting needle technique. Retain all needles for
20 minutes.
Insert 1.5 cun #32 needles into BL-11 and Bai Lao perpendicularly, 1.2 cun
deep with lifting and thrusting reinforcing needle technique. Retain all
For MS with Liver and Kidney Deficiency: CV-4, GV-4, GV-8, GV-12, GV-14, BL-18,
BL-23, KI-3, and LV-8.
Insert 1.5 cun #32 needles into GV-12, GV-14, GV-8, and GV-4
perpendicularly, 1 cun deep with twisting reducing needle technique, and
1.5 cun #30 needles into BL-18 and BL-23 perpendicularly, 1 cun deep with
lifting and thrusting reducing needle technique. Apply moxa wool on the
handle of the needles for 3 cones. Insert 1.5 cun #32 needles into CV-4 and
LV-8 perpendicularly, 1 cun deep with twisting reinforcing needle technique,
and 1 cun #32 needles into KI-3 with twisting reinforcing needle technique.
Apply moxa wool on the handle of the needles for 3 cones.
For MS with Interior Deficiency Wind: LV-3, LI-4, LV-8, SP-10, BL-17, BL-18, BL-
23, GB-20, and BL-10.
Insert 1.5 cun #32 needles into GB-20 perpendicularly, 1 to 1.2 cun deep
towards the chin with lifting and thrusting reducing needle technique, and
1.5 cun #34 needles into BL-10 perpendicularly, 1 cun deep with twisting
even movement needle technique. Insert 1.5 cun #34 needles into BL-17, BL-
18, and BL-23 perpendicularly, 1 cun deep with lifting and thrusting
Insert 1 cun #30 needles into LV-3 and LI-4 perpendicularly, with lifting and
thrusting reducing needle technique, and 1.5 cun #34 needles into LV-8 and
SP-10 with twisting reinforcing needle technique. Retain all needles for 20
minutes.
For MS with stagnation of Qi and Blood: CV-6, ST-36, LI-11, GV-20, SP-6, BL-43,
GV-4, and BL-18.
Insert 1.5 cun #32 needles into GV-4 and BL-18 perpendicularly, 1 to 1.2 cun
deep with lifting and thrusting reinforcing needle technique. Insert 1.5 cun
#32 needles into BL-43 obliquely, 1 cun deep at a 40-degree angle towards
BL-44 with twisting reinforcing needle technique, and apply moxa-pole on
the side of the needles for 15 minutes. Insert 1.5 cun #32 needles into CV-6,
ST-36, and SP-6 perpendicularly, 1 cun deep with twisting reinforcing needle
technique, and a 1 cun #32 needle into GV-20 transversely, 0.7 cun deep with
lifting and thrusting reinforcing needle technique.
For MS with stagnation of Qi and Blood: GV-14, GV-9, BL-43, BL-13, LI-11, SP-9,
and CV-4.
Apply indirect moxibustion with ginger on the GV-14, GV-9, BL-13, and BL-43
for 3 cones. Insert 1.5 cun #32 needles into SP-9 and LI-11 perpendicularly, 1
to 1.2 cun deep with lifting and thrusting reinforcing needle technique. Apply
direct non-scarring moxibustion on CV-4 for 9 cones.
NECK PAIN
Neck pain is a common symptom seen in the acupuncture clinic. This
syndrome does not necessitate a disorder, infection, or illness like most other
common clinical symptoms. However, it can be caused by all of them. Although
it has many causes, in TCM neck pain basically refers to the stagnation of the Qi
and Blood in the meridians.
DIAGNOSIS
Stiff Neck
Stiff neck most commonly occurs in adults due to improper sleep position or
pillow placement under the head, or at times may be related to Cold
Invasion.
Improper Sleep Position
Pain and stiffness, or tightness usually occurring in the morning in the local
area, particularly in the scapular and nape region are the signs of this
pattern. Unilateral pain of the neck or upper back often severely restricts
neck motion and causes the head to tilt towards the painful side. The patient
must move the entire body instead of rotating the neck to the side. The
tongue is usually normal and the pulse is tight or wiry.
Wind Cold Invasion
When the neck stiffness and pain are caused by a Wind Cold Invasion, the
patient will have accompanying symptoms associated with External Invasion
such as aversion to cold and wind, headache, and possibly slight fever. The
tongue is pale with a thin white coating and the pulse is floating and fast.
Neck Injury
In this case, the patient presents with a history of injury-either acute or
chronic. A constant dull pain or discomfort sensation in the neck and
shoulder can be transferred to the arm or fingers. At times the patient will
experience weakness and/or atrophy in either a single muscle or a specific
muscle group. Other symptoms may include dizziness and vertigo.
Acute Injury
The patient complains of constant, fixed pain in a specific area of the neck
after obvious injury. The discomfort may travel down to the arm or up to
the eyes, ears, throat or side of the scalp. The injured muscles may be
swollen and contracted. In severe cases X-ray will show structural changes
in the cervical column. The patient can barely move the neck without
pain and may also experience nausea and dizziness. The tongue is red on
the tip and edges with a white coating, and the pulse is wiry or weak and
rapid.
Chronic Injury
In this case, the patient has no obvious injury history. The neck symptoms
may have been caused by overuse and improper posture at work or by
degenerative changes. Both lead to stagnation of the Qi and Blood in the
local neck meridians. The neck may feel stiff and/or constant dull ache or
numbness with a shooting sensation to the shoulders and arms may be
present. Coughing, bowel movement or sudden neck movements
aggravate the pain. Other possible symptoms include dizziness, vertigo,
tinnitus, ear pain, or myoatrophy in the upper extremities. The tongue is
slightly swollen with teeth-marks, and the pulse is weak or tight.
Stiff Neck
Treatment Principle: Move the Qi and Blood and Reduce the pain.
Point Prescription: Luo Zhen, SI-3, GB-39, and Ah Shi.
Technique: Reducing needle technique and moxibustion.
Use 1 cun #32 needles for Luo Zhen, SI-3, and GB-39 on the painful side of the
body. Insert the needles perpendicularly, 0.5-0.8 cun deep with twisting
reducing needle technique while the patient moves the stiff neck area, then
retain the needles for 10 minutes after the pain has reduced. Use a 1.5 cun #30
needle for local Ah Shi points with warming needle technique using 3 cones or
by applying Moxa-pole (only on the Ah Shi points) for 15 minutes.
Headache due to Wind Cold: LI-4 and TW-5.
Scapular area pain: LI-15 and SI-12.
Upper back pain: BL-11 and SI-13.
Neck Injury
Acute Injury
Treatment Principle: Move the Qi and Resolve the
Blood Stagnation.
Point Prescription: GV-24, GV-17, SI-3, TW-5, BL-62,
plus Moxa pole.
Treat once every day for 2 treatments as a
course.
Technique: Reducing needle technique and
Insert 1.5 cun #30 needles into GV-24 and GV-17 against the flow of the
meridian with lifting and thrusting, twisting, and even movement technique
until the needle moves easier in the point, and then instruct the patient to
move the neck while obtaining Qi. Next insert 1 cun #32 needles into SI-3,
TW-5, GB-34, and BL-62 with lifting and thrusting reducing needle
technique.
Apply moxa-pole to the local Ah Shi points for 15 minutes.
Severe pain with nausea: PC-6 and ST-36 with warming needle
technique. Shoulder and upper back pain: GB-21, GV-12, and SI-12.
Chronic Injury
Treatment Principle: Move the Qi and Blood and Reduce the pain and muscle
spasms.
Point Prescription: Xiang Cong Ci (GB-12, GB-20, GV-16, GV-15, GV-17, 2
needles between GB-12 and GB-20 and 2 needles between GB-20 and GV-16,
total of 15 needles)
Technique: Reinforcing needle technique and moxibustion.
Use 1.5 cun #30 or #32 needles for all points and needle perpendicularly, 1 to
1.2 cun deep with even movement technique. Retain needles for 20 minutes.
Plum Blossom
Treatment area: Ah Shi point, and Upper
back.
Apply weak stimulation with a Plum Blossom
needle on the painful and spasm area for 3
minutes. Next apply medium stimulation to
Ah Shi points of the shoulder and upper
back for 2 minutes. Then use cupping on
the local area and retain them for 2 minutes.
Treat once every day for 2-3 treatments.
Ear Acupuncture
Points: Shen men, Sub cortex, Cervical vertebrae, Upper back, and
Sympathetic.
Insert 0.5 cun #32 needles obliquely at a 60-degree angle within the skin to a
depth of 0.3 cun, applying twisting reducing technique for 2-3 minutes.
Meanwhile instruct the patient to move the neck until the pain is reduced,
then retaining all needles for 1 hour.
Treat once every day for 2-3 treatments.
Moxibustion
(For stiff neck due to External Invasion and cervical vertebra degenerative
changes)
Use indirect moxibustion with ginger on GV-14 and BL-10 for 3-5 cones in
each treatment. Then use cups on other Ah Shi points for 1 minute after the
moxa therapy.
Scalp Acupuncture
Treatment zones: Middle line of vertex and forehead, Lateral line one of the
vertex, and the Upper lateral occipital line.
degree angle with fast twisting needle technique and retain all needles for
30 minutes.
Gua Sha
Treatment area: Upper back and Nape.
Apply weak stimulation of the Gua Sha on the nape area along the BL and GV
meridians until red marks appear. Then apply medium-level stimulation on
the upper back from GV-14 to GV-10 and from BL-11 to BL-17 and GB-21
until dark red marks appear.
Cupping
Points: GV-14, GB-21, BL-11, and SI-12.
Apply fire cups on these points for 5 minutes.
For severely restricted range of motion of the neck due to pain related to the
shoulder and upper back: GV-14. (Lei Jin Tu Yi)
twisting reducing needle technique or the Long Hu Jiao Zhan—Dragon and
Tiger Battle technique. Next, lift the needle up to just beneath the skin and
let the patient move the neck. This is considered one movement. Generally
2-3 movements will be required.
For neck pain and aversion to cold with shoulder and arm pain: SI-3. (Tong
Xuan Zhi Yao Fu)
Insert 1 cun #30 or #32 needles into SI-3 on the painful side, with lifting and
thrusting reducing needle technique. After obtaining the Qi sensation, retain
the needles for 15 minutes or until the neck pain is reduced.
For neck pain with Cold Damp Invasion, or stagnation in the meridians due to
Qi and Blood Deficiency: GB-39 and Ah Shi. (Qian Jing Fang)
Apply direct non-scarring moxibustion on GB-39 for 10 cones. Treat once a day
for 5 treatments as a course. Alternately, use a 1 cun #30 needle for GB-39 on
the painful side. Insert the needle obliquely at a 45-60 degree angle, 0.8 cun
deep with twisting reducing technique until the Qi moves upwards. Next, use
fire cups on the local Ah Shi points. Retain the needle for 20 minutes.
Treat once a day for 2-3 treatments as a course.
For acute neck pain severely restricting movement: SI-1, SI-2, SI-3, SI-5, SI-8,
GB-12, BL-62, and BL-2. (Qian Jing Fang)
Insert 1 cun #30 needles perpendicularly into SI-1, SI-2, SI-3, SI-5, and SI-8
with even movement technique while the patient moves the neck. Then
insert 1 cun #32 needles for BL-62, GB-12, and BL-2 with twisting reducing
Treat once a day for 3 treatments as a course.
The following prescriptions are from the Zi Shen Jin.

For stiff neck with restricted front to back motion: BL-64 and BL-11.
For stiff neck with restricted right or left motion: BL-42, GB-21, SI-3, and TW-16.
For a contracted muscles on the nape of the neck: BL-10.
For nape, shoulder, and upper back pain: TW-8.
For each treatment above, the practitioner should use only three points from
the above listing. Example: BL-64, GB-21, and TW-8 are chosen. Insert 1 cun
#30 needles about 0.5 cun deep with twisting even movement technique
until the Qi sensation is obtained. Retain the needles for 20 minutes. Treat
once every day for 3 treatments as a course.
For neck pain with tight muscles on the midline of the upper back: CV-24, GV-
16, and SI-3. (Yi Xue Gang Mu)
Insert 1 cun #30needle into SI-3 with twisting reducing needle technique
while the patient moves the neck. Retain this needle. Next insert 1 cun #28or
#30 needles for CV-24 and GV-16 to 0.3 cun deep. Using two hands
simultaneously stimulate the front and back of head with twisting even
movement technique. Retain the needles for 15 minutes, twisting the
needles every 5 minutes.
The following two prescriptions are from the Ling Shu
For neck pain with restricted forward and backward motion: Foot Tai Yang
meridian.
For neck pain with restricted right and left motion: Hand Tai Yang meridian.
Palpate the meridian and choose 2-3 points-both local and distal. Insert 1 or
1.5 cun #30 needles into distal points using even movement needle
technique, and use 1 or 1.5 cun #30 needles for the local points with
warming needle technique for 3-4 cones.
Treat once every day for 2-3 treatments as a course.
For chronic neck injury with dizziness and dull pain in the muscles: GB-39, GB-
34, CV-6, TW-5, BL-3, SI-13, GB-20, GB-21, and Jia Ji (C1-7)
For Jia Ji, GB-20, GB-21, and SI-13 use 1 cun #30 needles inserted
perpendicularly, 0.5-0.8 cun deep with twisting reinforcing needle technique
and retain for 10 minutes. For GB-39, GB-34, TW-5, BL-3, and CV- 6, use 1.5
cun #32 needles with twisting even movement needle technique.
OBESITY
In modern civilized society it is very common to see people who are over
weight. Most of the current research shows it may be related to the daily habits
of certain lifestyles and the diet of the culture, as well as unhealthy emotional
activity. In TCM theory it is related to the following factors:
Unhealthy Eating Habits

Over eating and uncontrolled eating makes for over-retainment of
nutritious substances in the body leading to obesity. It may also occur in
individuals who have an addiction to some special food, particularly junk
food, or greasy oily food that leads to obesity due to fat accumulation.
Unhealthy Emotional Activity
When patients with depression, anxiety, stress or other unhealthy emotional
stimulation that they are not able to control well, they may increase their
food intake in order to release these negative emotions. For example, when
someone quits smoking, the can put on over 20 or 30lbs while dealing with
negative emotions that are brought about do to the detoxification.
Liver and Gallbladder Qi Stagnation

Unhealthy emotional or other physical reasons, which make the Liver and
Gallbladder Qi stagnate can cause the secretion of bile to be decreased,
slowing the digestion of food in the intestines and stomach. The body then
over absorbs the stagnate food causing obesity.
Chronic Qi and Yin Deficiency will lead to decreased body metabolism and as a
result, edema will appear and stagnate the whole body metabolism, leading
to weight gain.
Blood Stagnation
Infection, bleeding, trauma or other problems can disrupt digestion leading to
obesity. For example, after pancreatitis, the swollen and stagnate pancreas
decreases secretion of trypsase.
DIAGNOSIS
Over weight with frequent desire for food and difficulty controlling food and
drink addictions. Associated signs and symptoms are bloating in the
abdominal region, irregular bowel movement, heart palpitations, and
shortness of breath aggravated after physical activity. The tongue is swollen
with a greasy coating and the pulse is slippery and weak.
Unhealthy Emotional Activity

Over weight with unhealthy emotional activities, such as anxiousness,
depression, stress or restlessness, or being in the process of withdrawing
from cigarettes and other drugs. Symptoms associated with this pattern are
a stuffy sensation in chest, epigastric, and hypochondriac region, irritable
bowel movement, borborygmus, and belching, sighing, dream disturbed
sleep, and morning fatigue. The tongue is dark with thick coating and the
pulse is wiry or tight.

Over weight with distension, stuffy sensation in the hypochondriac and chest
region, bloating abdomen, hypochondriac pain, cholecystitis, irritability,
tendency to anger, poor sleep with nightmare, irregular sweating. In some
woman cases irregular menstruation will common appear, and PMS. The
tongue is red and swollen in the edge with thick coating; pulse is wiry or
slippery.
Over weight with deficiency, such as lassitude, shortness of breath, heart
palpitations particularly after physical activities, edema, and body aches.
These main symptoms are associated with dizziness, blurry vision, poor
memory, and concentration difficulty in work and study. The tongue is red
with white thin coating or a greasy coating and the pulse is weak and fast.
Blood Stagnation
The main symptom is obesity with swollen organs or associated with past
trauma/injury. Associated signs and symptoms are fixed pain, heavy
sensation throughout the body, irregular bowel movement, dark
complexion, even purple lips, and nails. The tongue is dark or purple in color
with a thin white coating and the pulse is choppy or wiry.
Treatment Principle: Harmonize the Stomach and Spleen, and Calm the mind.
Point Prescription: ST-34, SP-6, CV-12, LU-7, GV-20, and HT-7.
Technique: Insert 1.5 cun #32 needles into ST-34 perpendicularly, 1 to 1.2 cun
deep with lifting and thrusting reducing needle technique, and insert 1 cun #32
needles into SP-6 with twisting reinforcing needle technique. Then insert a 1.5
cun #32 needle into CV-12 perpendicularly with twisting reducing needle
technique and 1 cun #34 needles into LU-7 obliquely, upwards against the flow
of the meridian with twisting even movement needle technique. Finally apply 1
cun #32 needles on GV-20 and HT-7 with twisting reinforcing needle technique.
Stomach Heat: ST-44 and LI-3.
Frequent desire of food in the mouth: CV-23 and SP-4.
Anxious feeling: ST-9, GV-23, and PC-6.
Unhealthy Emotions
Treatment Principle: Soothe the Liver, Calm the mind, and move the Qi.
Point Prescription: LI-4, LV-3, LU-5, ST-36, SP-7, and Yin Tang.
Technique: Applying 1.5 cun #32 needles for LV-3 obliquely towards KI-1
direction, 1 cun deep with the Sparrow pecking technique, and 1 cun #34
needles into LI-4 with lifting and thrusting reducing needle technique. Then
insert 1.5 cun #32 needles into LU-5, SP-7, and ST-36 perpendicularly, 1 to 1.2
cun deep with waving needle technique. Finally insert a 1 cun #34 needle into
Yin Tang obliquely, towards the tip of nose with twisting reinforcing needle
Insomnia: GV-20, HT-7, and An Mian.
Headache: Tai Yang, GB-8, GV-23, and BL-10.
Anxiousness: PC-6, CV-14, BL-13, and BL-42.
Depression: GV-14, BL-11, BL-43, and BL-23.
Nausea: CV-12, PC-5, and BL-20.
Treatment Principle: Move the stagnation of Qi and Promote metabolism.
Point Prescription: GB-34, LV-2, LV-13, CV-13, BL-18, BL-19, and BL-23.
Technique: Insert 1.5 cun #30 needles into GB-34, CV-13, and LV-13
perpendicularly with twisting reducing needle technique, and 1 cun #34 needles
into LV-2 with twisting reducing needle technique. Than apply 1.5 cun #32
needles for BL-18, BL-19, and BL-23 perpendicularly with bending needle
technique making the sensation of needles travel along the BL meridian.
Irritable bowel movement: ST-25 and TW-6.
Restlessness and insomnia: HT-7 and GB-44.
Headache: GB-13, ST-8, and Yin Tang.
Bloating abdomen: CV-6 and CV-12.
Treatment Principle: Reinforce Qi and Yin, Promote the circulation of Qi and
Blood.
Point Prescription: SP-6, KI-6, LU-9, TW-4, CV-6, ST-28, and LU-1.
Treat once twice a week for 10 treatments as a course.
Technique: Insert 1 cun #32 needles into SP-6 obliquely towards the SP-7
direction with twisting reinforcing needle technique, along with 1 cun #30
needles into KI-6 perpendicularly, 0.2-0.3 cun deep with Moving the Qi
technique. Then insert 1 cun #32 needles into LU-9 and TW-4 perpendicularly,
0.3 to 0.4 cun deep with twisting even movement needle technique, and insert
a 1.5 cun #30 needle into CV-6 and ST-28 with lifting and thrusting even
movement technique. Finally apply 1.5 cun #32 needles into LU-1 obliquely
towards the shoulder direction at a 60- degree angle to the skin, 1 cun deep with
rubbing needle technique.
Restlessness: CV-14 and GV-23.
Shortness of breath and heart palpitations: PC-6 and ST-36.
Edema: CV-9 and BL-22 indirect moxibustion with ginger for 5 cones.
Irritable bowel movement: TW-6, LV-3, and ST-25.
Blood Stagnation
Treatment Principle: Promote Blood circulation, Resolve the stagnation, and
Reinforcing the Qi.
Point Prescription: SP-4, LI-4, LV-8, TW-5, CV-6, and CV-19.
Treat once twice a week, for 10 treatments as a course.
Technique: Insert 1.5 cun #32 needles into SP-4 perpendicularly, 1 to 1.2 cun
deep with the White Tiger shakes its Head technique, and 1 cun #32 needles
into LI-4, LV-8, and TW-5 perpendicularly, 0.5 to 0.8 cun deep with twisting
reducing needle technique. Then insert a 1.5 cun or 3 cun (depending on the
patient’s size) needle in CV-6 perpendicularly, 1.2 cun deep with lifting and
thrusting reducing needle technique. Finally apply a 1.5 cun #32 needle on CV-
19 obliquely towards CV-18, 1 cun deep with the Inserting the Qi technique.
Additional point for other symptoms:
Edema: SP-9, LI-11, and LV-13.
Insomnia: GV-20, An Mian, and HT-7.
Leg pain: LV-3, Ba Feng, and ST-34.
Bloating abdomen: CV-6 and CV-12.
Shortness of breath: CV-17, PC-6, and PC-8.
Ear Acupuncture
Points: Liver, Stomach, Shen Men, Endocrine, Heart, and Brain stem.
Select 3-4 points in each treatment, applying 0.5 cun #34 ear needles for
these points, obliquely at a 60- degree angle to the skin with a fast twisting
technique (over 200times/min) and retain all needles for 1 hour.
Treat once every other day for 10 treatments as a course. Every treatment
can use only one side of ear.
Intradermal Needles
Points: SP-4, LU-7, PC-6, BL-13, GV-14, and GV-8.
Apply intradermal needles in these points, and retain them for 1 week in
winter and 2-3 days in summer, 5 treatments as a course.
Cupping
Treatment area: CV-8, ST-28, and upper and mid-back.
Apply fire cups on CV-8 and ST-28 for 5 minutes, then use moving cups both
sides of the BL meridian from BL-11 to BL-20 until red marks appear on the
meridian.
Bloodletting
Points: LV-1, ST-45, LI-1, SI-1, PC-3, BL-40, and Tai Yang.
Select 2 to 3 points in each treatment, applying bloodletting technique and
squeeze 3-4 drops of blood from each point.
Foot Acupuncture
Points: Li Nei Ting, Liver, Stomach, Intestine, and Head.
Before the needle treatment, massage these points to warm up the foot and
reduced the pain threshold. Then apply 0.5 cun #34 needles for these points
perpendicularly, 0.3 to 0.4 cun deep with twisting even movement needle
Treat twice a week, for 10 treatments as a course.
(Or apply acu-pressure technique instead of needles if patient is adverse to
needle treatment.)
Scalp Acupuncture
Treatment zone: Lateral line 3 of forehead, and Middle and Lateral line 2 of
the vertex.
Insert 1.5 cun #32 needles into these treatment zones obliquely, at 45-degree
to the skin with a withdrawing Qi technique and retain the all the needles
for 50 minutes.
TRADITIONAL PRECRIPTONS AND TECHNIQUES
For over weight due to disharmony of the Stomach and Spleen: ST-34 and SP-6.
(Zhen Jiu Zi Shen Jing)
Insert 1.5 cun #30 needles into ST-34 perpendicularly, 1 to 1.2 cun deep with
lifting and thrusting reducing needle technique, and then insert 1 cun #32
needles into SP-6 with twisting reinforcing needle technique. Retain all the
For over weight due to water retention: TW-4, SP-5, LV-8, PC-3, and ST-25.
Insert 1 cun #30 needles into TW-4 and SP-5 perpendicularly, 0.3 cun deep
only with the Inserting Qi technique until the sensation of needle travels
from the points. Then insert 1 cun #32 needles into LV-8 and PC-3
perpendicularly with the Zi Wu Dao Jiu—Mortar and Pestle technique. Finally
insert 1.5 cun #32 needles into ST-25 perpendicularly, 1.2 cun deep with
lifting and thrusting reducing needle technique.
For over weight due to phlegm stagnation: ST-40, LV-13, TW-6, and CV-17. (Bai
Zhen Fu)
Insert 1.5 cun #30 needles into ST-40, TW-6, and LV-13 perpendicularly, 1
cun deep with the Zi Wu Dao Jiu needle technique. Then insert a 1.5 cun
#32 needle into CV-17 obliquely towards CV-16 with rubbing technique.
For over weight due to a Stomach and Spleen disharmony: LI-10, ST-36, LV-3,
and SP-8. (Biao You Fu)
Insert 1 cun #32 needles into LI-10 perpendicularly with twisting reducing
needle technique and 1.5 cun #30 needles into ST-36 with lifting and
thrusting even movement needle technique. Then insert 1.5 cun #32 needles
into SP-8 perpendicularly with lifting and thrusting reinforcing needle
technique, and 1 cun #34 needles into LV-3 with even movement twisting
needle technique.
For over weight with Blood Stagnation: SP-10, SP-6, ST-40, BL-17, BL-19, and BL-
23.
Insert 1.5 cun #30 needles into SP-10 and SP-6 with the White Tiger shakes its
Head technique, and insert 1.5 cun #32 needles into ST-40 perpendicularly, 1
cun deep with twisting even movement technique. Retain the needles for 15
minutes.
Then insert 1.5 cun #32 needles into BL-17, BL-19, and BL-23
perpendicularly, 1 cun deep with lifting and thrusting even movement and
waving technique until red marks appear near the points. Retain all the
For over weight due to Liver and Gallbladder Qi Stagnation: LV-4, GB-43, LV-14,
LV-13, ST-25, BL-18, BL-15, and BL-19 (Zhong Guo Zhen Jiu)
Insert 1 cun #32 needles into LV-4 and GV-43 with twisting even movement
needle technique and 1.5 cun #32 needles into ST-25 with lifting and
thrusting reducing needle technique. Then insert 1.5 cun #32 needles
perpendicularly into LV-13 about one cun deep, and transversely insert into
LV-14 along the edge of the rib, applying electric stimulation with irregular
waves for 20 minutes. Finally insert 1 cun #30 needles into BL-15, BL-18, and
BL-19 with waving technique retaining all the needles on the back for 10
minutes.
For over weight due to stagnation of the Liver Qi: GV-14, BL-11, BL-10, BL-43,
BL-45, BL-23, LV-3, CV-14, ST-25, and Yin Tang
Apply 1.5 cun #32 needles on GV-14, BL-11, and BL-10 perpendicularly, 1 cun
deep with twisting even movement needle technique, and then insert 1 cun
#32 needles into BL-43, BL-45, and BL-23 perpendicularly, 0.3 to 0.4 cun
deep with waving technique. Retain all the needles for 10 minutes. Then
insert 1 cun #32 needles into LV-3, CV-14, and Yin Tang with twisting even
movement technique, and 1.5 cun #32 needles into ST-25 with lifting and
thrusting reducing needle technique. Retain all the needles for 15 minutes.
For over weight due to food addiction: CV-24, CV-21, LI-14, TW-10, ST-34, and
SP-6. (Zhe Jiang Zhong Yi Zha Zhi)
Insert 1.5 cun #32 needles into LI-14, ST-34, TW-10, and SP-6
perpendicularly, 1 cun deep with twisting reducing needle technique. Then
insert a 1 cun #32 needle into CV-21 obliquely downwards with fast twisting
needle technique. Finally insert a 1 cun #32 needle into CV-24
For over weight complaints with edema: LI-4, LV-3, SP-9, LI-11, TW-14, LI-15,
GB-29, ST-25, and GV-13.
Insert 1.5 cun #30 needles into SP-9, LI-11, TW-14, and LI-15 with the Zi Wu
Dao Jiu technique, and 1 cun #34 needles into LI-4 and LV-3 with twisting
even movement needle technique. Then insert 1.5 cun #32 needles into GB-
29 and ST-25 perpendicularly, 1.2 cun deep with the Zi Wu Dao Jiu needle
Insert a 1.5 cun #30 needle into GV-13 with twisting reducing needle
technique and take out the needle when the sensation of the Qi travels.
For over weight due to food addiction: BL-10, BL-20, BL-43, BL-49, GV-9, LU-5,
LV-8, CV-19, and CV-23.
Insert 1 cun #32 needles into BL-10, BL-20, and GV-9 perpendicularly, 0.5 cun
deep with waving needle technique, and 1 cun #32 needles into BL-43 and
BL-49 perpendicularly, 0.3 cun deep with the Qi Ci technique. Retain all the
Then insert 1 cun #30 needles into LU-5, LV-8, and CV-19 with twisting even
movement needle technique, finally applying a 1 cun #32 needle into CV-23
with Flying needle technique until the saliva increases. Retain all the needles
for 20 minutes.
PROCTOPTOSIA—ANAL PROLAPSE
Proctoptosia refers to prolapse of the anus. This is a very serious yet common
disorder in which the patient’s rectum actually falls out of the anus. In TCM anal
prolapse is caused by Middle Warmer Qi Deficiency, usually after chronic
diarrhea, or another chronic diseases. It most commonly occurs in senile
patients, children, or women after labor.
DIAGNOSIS
Deficiency type
The patient will feel a swollen and burning sensation after bowel movement
with little prolapses, particularly when tired or experiencing emotional
difficulty. As the disease develops, the symptoms worsen, often with severe
prolapse that is hard retract and associated signs such as pale complexion,
lassitude, heart palpitations, and dizziness. The tongue is pale with a thin
white coating and the pulse is thin, floating, and weak.
Excess type
Symptoms usually appear after acute hemorrhoids or frequent diarrhea with
tenesmus and a painful and burning sensation in the local area. The tongue
is red with a thin yellow coating and the pulse is fast and wiry.
Deficiency type
Treatment Principle: Reinforce the Lung and Spleen Qi.
Point Prescription: GV-20, GV-1, LU-9, SP-3, BL-20, BL-13, BL-24, and CV-6.
Technique: Insert 1.5 cun #30 needles into GV-1 perpendicularly, 1 cun deep
with twisting reinforcing needle technique, and a 1.5 cun #32 needle into GV-1
obliquely, 1 cun deep at a 45-degree angle towards GV-19 direction with lifting
and thrusting reinforcing needle technique. Insert 1 cun #34 needles into LU-9
and SP-3 perpendicularly, 0.3-0.5 cun deep with twisting reinforcing needle
technique and apply moxa-pole on CV-6 for 20 minutes. Insert 1 cun #32
needles into BL-13 perpendicularly, 0.5-0.8 cun deep with twisting even
movement needle technique, and 1.5 cun #32 needles into BL-20 and BL-24
perpendicularly, 1-1.2 cun deep with twisting reinforcing needle technique and
Heart palpitation: PC-6 and ST-36.
Dizziness: KI-3 and LV-8.
Excess type
Treatment Principle: Clear the Heat and Resolve
the Damp.
Point Prescription: GV-1, BL-25, BL-32, BL-40, ST-25,
ST-40, and SP-6.
course.
Technique: Insert a 1.5 cun #30 needle into GV-1 perpendicularly, 1-1.2 cun
deep with lifting and thrusting reducing needle technique, and take the needle
out after the Qi travels near the anus area. Insert 1.5 cun #30 needles into BL-
25, BL-32, and BL-40 with twisting reducing needle technique.
Insert 1.5 cun #32 needles into ST-25, ST-40, and SP-6 with twisting reducing
Fever: LI-11.
Severe prolapse: GV-20 and TW-6.
Painful and itching sensation on the anus: LV-2 and SP-2.
Pricking Technique
Treatment area: Low back
Look for some dots in red or black color, 1-1.5 cun bilateral from L-3 to S-2,
apply a pricking technique with a three-edge needle, to squeeze out some
yellowish liquid.
Treat once every week for 3 treatments as a course
Ear Acupuncture
Points: Rectum, Sub cortex, Shen Men, and Large intestine.
45-degree angle with twisting even movement needle technique. Retain all
Scalp Acupuncture
Treatment zones: Middle and Lateral line of the vertex.
Insert 1.5 cun #30 needles into these lines transversely, 1 cun deep with
minutes.
Cupping
Treatment area: Low back and Lower abdomen.
Apply fire moving cups on the low back from L-2 to S-4 along the BL and GV
meridians up and down until red marks appear, then apply fire cups on CV-6
and ST-25 for 3 minutes.
Moxibustion
Direct moxibustion: SP-3, LI-3, GV-2, and GV-3.
Apply direct non-scarring moxibustion on SP-3 and LI-3 for 5 cones, and
on GV-2 and GV-3 for 11 cones.
Indirect moxibustion: GV-2, CV-6, and ST-28.
Apply indirect moxibustion with Fu Zi (aconite) cake on GV-2 for 5 cones
and on CV-6 and ST-28 for 3 cones.
Moxa-pole: GV-20, ST-37, and GV-1.
Apply moxa pole on these points for 15 minutes.
For Proctoptosia with cold sensation in the abdomen: PC-6, GV-20, GV-4, GV-1,
and BL-57. (Zhen Jiu Da Quan)
twisting reducing needle technique and take the needle out after the
sensation of the Qi travels to the anus. Insert 1.5 cun #32 needles into BL-57
perpendicularly, 1 cun deep with twisting reinforcing needle technique. Apply
direct non-scarring moxibustion on GV-4 for 9 cones. Insert 1.5 cun #32
needles into PC-6 perpendicularly, 1 cun deep with twisting even movement
cones. Insert a 1 cun #30 needle into GV-20 obliquely, 0.5-0.8 cun deep
towards GV-19 direction with twisting reinforcing needle technique, and
apply moxa-pole on the side of point for 15 minutes.
For Proctoptosia with cold-watery diarrhea: CV-9. (Lei Jing Tu Yi)
Apply direct non-scarring moxibustion on CV-9 for 20 cones.
Treat twice a week for 5 treatments (100 cones) as a course.
For Proctoptosia with deficiency of Qi and Blood: CV-8, GV-1, and ST-9. (Zhen Jiu
Feng Yuan)
Apply indirect moxibustion with ginger on CV-8 for 5 cones, direct non-
scarring moxibustion on CV-9 for 10 cones and apply moxa-pole on GV-1 for
20 minutes.
For Proctoptosia with chronic severe hemorrhoids: GV-20, GV-1, Er Bai, and Jing
Gong. (Zhen Jiu Da Cheng)
Insert 1 cun #32 needles perpendicularly, 0.5-0.8 cun deep with twisting
reducing needle technique into Er Bai and Jing Gong—an extra point located
3 cun bilateral from CV-3, often called Zi Gong in women, but called Jing
Gong for men. Insert a 1.5 cun #32 needle into GV-20 transversely, 1 cun
deep at a 30-degree angle towards GV-19 with twisting reinforcing needle
technique, and a 1.5 cun #32 needle into GV-1 perpendicularly, 1 cun deep
with twisting even movement needle technique, applying moxa-pole on the
side for 20 minutes.
For paedatric proctoptosia: GV-20, GV-2, and CV-8. (Zhen Jiu Zi Shen Jing)
Apply moxa-pole on GV-20 for 15 minutes and apply direct non-scarring
moxibustion on GV-2 for 3 cones. Then apply indirect moxibustion with salt
and ginger on CV-8 for 3 cones.
For Proctoptosia with deficiency of the Qi: GV-20, SP-4, ST-30, BL-38, and GV-2.
(Zhen Jiu Da Quan)
Insert 1.5 cun #32 needles into BL-38 perpendicularly, 1.2 cun deep with
twisting reducing needle technique, and apply direct non-scarring
moxibustion on GV-2 for 11 cones. Insert 1.5 cun #32 needle into GV-20
obliquely, 1 cun deep at a 45-degree angle and apply moxa-pole on the side
for 10 minutes. Insert 1.5 cun #32 needles into ST-30 perpendicularly, 1 cun
deep with twisting reinforcing needle technique, 1 cun #34 needles into SP-4
perpendicularly, 0.5 cun deep with even movement needle technique and
For Proctoptosia with deficiency of the Kidney: GV-4, BL-57, BL-20, BL-23, and
Yao Yan. (Lei Jing Tu Yi)
Insert 1.5 cun #32 needles into BL-20, BL-23, and BL-57 perpendicularly, 1
cun deep with twisting reinforcing needle technique, and apply direct non-
scarring moxibustion on GV-4 and Yao Yan for 9 cones.
For Proctoptosia with watery diarrhea and deficiency of Qi: CV-4, CV-8, ST-25,
BL-32, BL-57, and GV-14. (Qian Jing Fang)
Insert 1.5 cun #32 needles into ST-25 perpendicularly, 1-1.2 cun deep with
twisting even movement needle technique and apply moxa wool on the
handle of needles for 3 cones. Apply indirect moxibustion with salt and
ginger on CV-8 for 5 cones, and with ginger on CV-4 for 5 cones. Insert 2 cun
#30 needles into BL-32 perpendicularly, 1.8 cun deep with twisting
reinforcing needle technique, and apply moxa wool on the handle of the
needles for 3 cones. Insert 1.5 cun #32 needles into BL-57 and GV-14 with
For Proctoptosia with deficiency of Qi: LU-5, SP-8, BL-58, and BL-54.
Insert 1 cun #34 needles into LU-5 perpendicularly, 0.5-0.8 cun deep with
twisting reinforcing needle technique, and 1.5 cun #32 needles into SP-8
Insert 3 cun #30 needles into BL-54 obliquely, 2.5 cun deep at a 70-degree
towards front genital region with twisting even movement needle technique
and apply moxa wool on the handle of needles for 3 cones.
Insert 1 cun #32 needles into BL-58 with lifting and thrusting reinforcing
needle technique.
For Proctoptosia with Damp-Heat: BL-25, BL-40, BL-22, SP-6, SP-9, and ST-25.
Insert 2 cun #30 needles into BL-25 perpendicularly, 1.5-1.8 cun deep with
twisting reducing needle technique, and 1 cun #30 needles into BL-40 with
the open-close acupuncture whole reducing needle technique. Insert 1.5 cun
#32 needles into BL-22 perpendicularly, 1 cun deep with twisting reinforcing
Insert 1.5 cun #32 needles into SP-6 and SP-9 perpendicularly with lifting and
thrusting reducing needle technique, and 1.5 cun #30 needles into ST-25
perpendicularly with twisting even movement needle technique. Retain all
SHOULDER PAIN
Shoulder pain is a chronic, inflammatory, and possibly degenerative disease
of the shoulder joint capsule and the surrounding soft tissues. It is principally
due to exposure to Cold, trauma, and chronic strain of the shoulder. In
Traditional Chinese Medicine, shoulder pain is classified as a Bi syndrome—
meaning that a Wind-Cold-Damp Pathogenic Influence has caused the shoulder
pain.
DIAGNOSIS
In diagnosing shoulder pain, the key factor is distinguishing which Pathogenic
Influence is most dominant.
• If Wind is predominant the tendons will mainly be affected manifesting as
tendonitis. The pain may travel up from the shoulder to the upper back
and nape area, or travel down to the arm and fingers.
• If Cold is predominant, the bone will be affected with the main symptom
being a severe, deep, cold pain in the shoulder that is aggravated by cold
and reduced by warmth.
• If Dampness is predominant, the muscle is mostly affected. The shoulder
pain in this case will be a more constant dull pain and the local muscle will
be swollen and painful to the touch.
Later stage shoulder pain is referred to as frozen shoulder in TCM. In these
cases there is severe stagnation in the joint. Pain in the shoulder radiates to the
neck and back, worsens at night, and is aggravated by movement of the
shoulder. Active and passive movements of the shoulder joint in all directions
are greatly limited, especially abduction, lateral rotation and backward
extension.
Wind-Cold-Damp Invasion
Treatment Principle: Expel the Wind, Cold, and Damp, and Reduce the pain.
Point Prescription: LI-15, SI-9, TW-14, LI-11, and TW-5.
The treatment is once every other day for 5 to 7 treatments as a course.
Technique: Insert 1.5 cun #30 needles into LI-15, SI-9, and TW-14, puncturing
perpendicularly in the direction of HT-1 (towards the inside of the shoulder
joint) 1.2 cun deep with lifting and thrusting reducing needle technique or with
Long Hu Jiao Zhan—Dragon and Tiger Battle technique. Retain the needles for
20 minutes. Alternately use warming needle technique for 3 cones after the
patient feels the Qi and a warm sensation in the shoulder joint. Use 1 cun #30
needles for LI-11 and TW-5 with twisting even movement technique then retain
Anterior shoulder pain: LU-5 and LU-9.
Posterior shoulder pain: SI-3 and SI-8.
Qi and Blood Deficiency: CV-6 and ST-36.
Scalp Acupuncture
Treatment zones: Anterior oblique line from the vertex to temple and Lateral
line 1 of the vertex. (healthy side)
Insert 1.5 cun #30 needles into these lines transversely, 1-1.2 cun deep with
lifting and thrusting reducing needle technique, meanwhile let the patient
move the painful arm as large an amplitude as possible. Retain all needles
for 40 minutes.
Ear Acupuncture
Points: Shoulder, Shoulder joint, Clavicle, Ah shi points, and Sub cortex.
Select 2-3 points during each treatment. Insert 0.5 cun #32 needles obliquely
at a 60-degree angle using fast twisting technique. Have the patient move
the stiff shoulder joint during needle insertion, and then retain the needles
for 20 minutes.
Cupping
Points: Ah Shi points.
First quickly puncture the point using a blood letting needle or three edge
needle and expel 2-3 drops of blood, then apply a fire cup on this area for 1
minute.
Electro-Acupuncture
Point: Ah Shi points.
Look for two Ah Shi points on the local shoulder joint: the primary painful
point is found as the patient moves the shoulder and the another one will be
found by the practitioner’s palpation. Insert 1.5 cun 30 # needles into the
points perpendicularly, 0.8-1.2 cun deep with twisting even movement
technique. Attach the negative end of the wire to the primary point.
Stimulate using dense disperse wave pattern for 20 minutes.
DIAGNOSIS AND TREATMENT OF SHOULDER PAIN
ACCORDING TO MERIDIAN DISTRIBUTION
Yang Ming Type
Shoulder pain located in the LI-15 and LI-16 area. Patient can barely abduct
the arm.
Point Prescription: Main points are ST-38 through to BL-57.
Supplemental points include LI-15 through to HT-1, SI-4, TW-14, and LI-11.
Technique: Insert a 3 cun #30 needle perpendicularly into ST-38 toward BL-57 to
a depth of 2-2.5 cun with lifting and thrusting or twisting reducing needle
technique. Meanwhile have the patient move the shoulder joint until a warm
sensation on the palm is felt. Then insert a 2 cun or 3 cun #30 needle into LI-15
perpendicularly towards HT-1 with twisting reducing needle technique. Retain
Use 1 cun #30 needles for SI-4, TW-14, and LI-11 inserting with twisting even
movement technique. Retain the needles for 20 minutes after the patient feels
the Qi sensation.
Tai Yang Type
Shoulder pain that occurs in the posterior aspect of the shoulder joint,
usually with the motion of crossover adduction. The patient will have difficulty
crossing the affected arm over to touch the other shoulder.
Point Prescription: Main points are SI-6 towards PC-6 or SI-3 towards PC-8,
and BL-58 towards BL-62.
Supplemental points include SI-13, SI-10, and SI-9.
The treatment is once every other day for 7 treatments as a course.
Technique: Insert a 1 cun #32 needle into SI-6 0.3-0.5 cun deep perpendicularly
towards PC-6 with twisting reducing technique. Meanwhile have the patient
move the shoulder. Retain the needle for 20 minutes.
Then insert a 3 cun #30 needle into BL-58 subcutaneously towards BL-62 to a 2
cun depth without any technique. Next insert 1.5 cun #30 needles into SI-13, SI-
10, and SI-9 perpendicularly to a depth of 1.2 cun using twisting even
movement technique and retain the needles for 20 minutes after patient feels
the Qi sensation.
Shao Yang Type
Shoulder pain located mainly on the lateral aspect of the shoulder with
lateral or outward rotation of the arm being the most difficult.
Point Prescription: Main points are TW-5 through to PC-6, and GB-34.
Supplemental points include TW-14, TW-1, GB-20, and GB-21.
Technique: Insert a 1.5 cun #30 needle into TW-5 perpendicularly towards PC-6
to a depth of 1 cun with twisting even movement technique while the patient
moves the shoulder joint. Retain the needle for 20 minutes. Next insert a 1.5
cun #30 needle into GB-34 towards SP-9 to a depth of 1.2 cun with lifting and
thrusting reducing needle technique. Then, insert 1.5 cun #32 needles into TW-
14, TW-13, GB-20, and GB-21, puncturing 0.8-1.2 cun deep with twisting
Tai Yin Type
Shoulder pain with a dull achy sensation on the anterior and lateral aspects
of shoulder. The patient cannot lift the arm and move it backwards.
Point Prescription: Main points are LU-7 through to LU-9, and SP-8.
Supplemental points include Jian Nei Ling, LU-1, and LU-5.
Treatment is once every other day for 7 treatments as a course.
Technique: Insert 1.5 cun #30 needle into LU-7 subcutaneously towards LU-9 to
a depth of 0.8-1.2 cun with twisting reinforcing needle technique. Next insert a
1 cun #30 needle for SP-8 using twisting reinforcing technique. Then insert 1.5
cun #30 needles into Jian Nei Ling, LU-5, and LU-1 perpendicularly with twisting
even movement technique. Retain all needles for 30 minutes.
Jue Yin Type
Shoulder pain located at the lower anterior area of the shoulder near Jian
Nei Ling point. The arm has difficulty moving forward.
Point Prescription: Main points are PC-6 and LV-3.
Supplemental points are Jian Gen and PC-2
course.
Technique: Insert 1 cun #32 needles into PC-6 and LV-3 perpendicularly, 0.5 cun
deep with twisting reinforcing needle technique. Insert 1.5 cun #30 needles for
Jian Gen and PC-2 with even movement needle technique. Retain all needles for
30 minutes.
For severe shoulder pain: LI-15, TW-10, LI-11, SI-5, TW-1. (Shen Yin Jin)
Insert 1.5 cun #30 needle into LI-15 perpendicularly, 1.2 cun deep with Long
Hu Jiao Zhan—Dragon and Tiger Battle technique for 3 sets. Then withdraw
the needle beneath the skin let the patient move the shoulder. Re-insert the
needle and repeat the procedure for another 3 sets. Apply moxa wool on the
handle of the needle for 3 cones. Retain the needle for 20 minutes. Insert 1
cun 30 # needles into TW-10, LI-11, and SI-5 perpendicularly, about 0.5 cun
deep with lifting the thrusting reducing needle technique. Retain the
needles for 20 minutes. Puncture TW-1 using a 0.5 cun #26 needle and expel
1-2 drops of blood, then close the point.
The following techniques are from the Zhen Zhi Zun Shen.
For shoulder and arm pain when raising the shoulder/arm close to the head:
LI-15 and SI-4.
For shoulder and arm soreness with a heavy sensation: TW-6, TW-1, and SI-12.
For shoulder pain related to the neck, scapula and arm: KI-1.
For a shoulder that is difficult to move: LI-16.
Insert 1.5 cun #30 needles into local points with lifting thrusting reducing
needle technique or twisting reducing technique. Insert 1 cun #30 needles
into distal points with twisting even movement technique or the Qing Long
Bai Wei—Green Dragon Waves its Tail technique in order to move the Qi.
For swelling, pain, and burning sensation in the shoulder and upper back
region: TW-14, BL-12, BL-11, and TW-3. (Zhen Jiu Da Cheng)
Insert 1.5 cun #28 needles into TW-14, BL-12, and BL-11 perpendicularly, 0.8-
1.2 cun deep with twisting reducing needle technique. Insert 1 cun #30
needles into TW-3 obliquely towards TW-4 with twisting even movement
The treatment is twice a week for 7 treatments as a course.
For pain and heaviness in the shoulder which inhibits the raising motion of the
arm: LI-11and TW-14. (Zi Shen Jin)
Insert a 1.5 cun #30 needle into LI-11 with lifting and thrusting reducing
technique while the patient moves the shoulder. Next insert a 1.5 cun #28
needle into TW-14 with the Long Hu Jiao Zhan—Dragon and Tiger battle
Treatment is once every day for 7 treatments as a course.
For sensations of bone fracture in the shoulder: SI-6 and BL-10. (Qian Jing Fan)
Insert a 1.5 cun #30 needle into BL-10 perpendicularly, 1 cun deep with
rubbing technique until the Qi travels down to the shoulder. Then insert a 1
cun #30 needle for SI-6 perpendicularly, 0.5 cun deep with twisting reducing
technique. Retain the all the needles for 30 minutes. Apply a fire cup on the
local pain area for 2 minutes after the treatment.
For frozen shoulder: Jian Nei Ling and ST-38.
Insert 1.5 cun #32 needles into ST-38 obliquely, 1-1.2 cun deep at a 60-degree
angle towards BL-57 with twisting even movement needle technique,
meanwhile let patient move the painful shoulder in a large movement as
possible for 3 to 5 minutes. Insert 2 or 3 cun #30 needle into Jian Nei Ling
perpendicularly, 1.5-2 cun deep with twisting even movement needle
technique, and apply moxa wool on the handle of the needles for 5 cones.
For shoulder pain with Qi Deficiency: GB-34, ST-36, CV-6, LI-15, SI-10, and TW-
14.
Insert 1.5 cun #32 needles into CV-6, GB-34, and ST-36 perpendicularly, 1-1.2
cun deep with twisting reinforcing needle technique and apply moxa-wool on
the handle of needles for 3 cones. Insert 1 cun #32 needles into LI-15, SI-10,
and TW-14 perpendicularly, 0.5-0.8 cun deep with twisting even movement
STOP SMOKING
Cigarettes are very addictive and hard to stop. During withdrawal many
people could have serious physical symptoms such as headache, bloating
abdomen, restlessness, nausea, etc. However, most people suffer from some
psychological disorders such as anxiety, depression, stress, restlessness, or even
fitful dreams in which they are smoking! Acupuncture and moxibustion
treatment can help both physiological and psychological ways. The main
symptoms of withdrawal may manifest as many different clinical diagnostics. The
following are the most common.
DIAGNOSIS
Qi Stagnation
Induced by withdrawal, particularly in patients’ predisposed to Liver Qi
Stagnation. The main signs and symptoms are: achy and stiffness sensations
in some parts of body or extremities, sighing, belching, distention and
distending sensation in the chest, hypochondriac and abdominal region,
irritable bowel movement with cramping or bloating sensations, and a bitter
taste in the mouth. The tongue is swollen and pulse is wiry.
Weakness of the Heart Shen
Clinical manifestations of this pattern are heart palpitations and insomnia,
along with an irregular lifestyle. Associated signs are slight temple or vertex
headache, blurry vision, difficulty to focus, and restlessness. The tip and edge
of the tongue will be red with thin while coating, and the pulse will be
slippery or weak.
Yin Deficiency
The main symptoms will be hot flushes, red complexion, pale lips, dizziness
and vertigo, heart palpitations with night sweating and low-grade fever, and
hands or body tremors. Associated signs are nausea, loose stool, nightmares
or insomnia. The tongue is pale with less or no coating and the pulse is tight
and deep or irregular.
Along with the prescriptions below, the practitioner should make sure
patients really want to quit smoking and teach them how to avoid
smoking desires before beginning any treatment.
Qi Stagnation
Treatment Principle: Move the Qi stagnation and Calm the mind.
Point Prescription: GV-20, LV-13, CV-6, LU-7, LV-5, SP-4, and TW-6.
Technique: Insert 1 cun #32 needles into LV-13, CV-6, SP-4, and TW-6
perpendicularly with lifting and thrusting even movement technique, and then
insert 1 cun #34 needles into LU-7 obliquely in the upward direction against
the meridian flow, with twisting reducing needle technique. Finally insert a 1
cun #30 needle into GV-20 obliquely towards GV-19, 0.5 cun deep with
withdrawing Qi technique. Retain all the needles for 15 minutes.
Restlessness: Yin Tang and HT-7.
Joint and muscle aches: GB-34 and BL-11.
Weakness of the Heart Shen
Treatment Principle: Regulate Heart Qi and Calm
the Shen.
Point Prescription: LV-3, LI-4, CV-14, CV-6, GV-23,
GB-13, and Tian Mei—located between LI-5 and
LU-7.
Technique: Insert 1 cun #30 needles into GV-23 and GB-13 perpendicularly, 0.3
cun deep with fast twisting technique (twist needles over 200 times/min), then
insert 1.5 cun #32 needles into LI-4, LV-3, CV-14 and CV-6 perpendicularly, 1 to
1.2 cun deep with lifting and thrusting even movement needle technique. Finally
slow twisting technique until the sensation travels up to the arms or the patient
feels an increase in saliva secretion. Retain all the needles for 20 minutes.
Nightmares: BL-42, BL-44, BL-10, and An Mian.
Headache: GB-4 and Tai Yang.
Poor memory: GV-26.
Yin Deficiency
Treatment Principle: Reinforce Blood and Calm the mind.
Point Prescription: BL-15, BL-13, BL-23, GV-11, KI-7, HT-5, and GV-23.
Technique: Insert 1 cun #32 needles into BL-15, BL-13, BL-23, and GV-11 with
waving needle technique until the Qi spreads around the local area or red marks
appear near the point, retaining all the needles for 10 minutes. Then insert 1.5
cun #32 needles into KI-7 and HT-5 perpendicularly with twisting reinforcing
needle technique, and insert a 1 cun #30 needle into GV-23 obliquely towards
GV-22 with a withdrawing Qi technique.
Hot flushes: Four flowers.
Bloating abdomen: ST-36 and CV-6.
Muscle tenderness and shaking: LV-8 and LI-11.
Ear Acupuncture
Points: Mouth, Lung, Heart, Shoulder, Shen Men, Sympathetic, and Liver.
Select 3 points in each treatment, inserting 0.5 cun #34 ear needles into
these three points obliquely, at a 45-degree with fast twisting needle
technique and retain all the needles for 45 minutes.
(Or apply press-balls on these points and keep for a week in the winter and 3
days in the summer. Let patients press the balls 3 times daily or whenever
they feel the smoking desire.)
Scalp Acupuncture
Treatment zone: Mid-line and Lateral line 2 of the vertex, and the Upper
middle line of the occiput.
Apply 1 cun #32 needles for these lines, inserting the needles obliquely at a
60-degree angle with lifting and trusting even movement needle technique
every 10 minutes during the 45-60 minutes retention times.
Plum Blossom
Treatment areas: Chest (from CV-17 to CV-21), Forearm (from LU-5 to LU-7),
Upper Back (from BL-11 to BL-15), and SI- 11
Apply plum blossom needling from the chest to forearm and upper back with
medium stimulation technique, until red marks appear with one or two drops
of blood in each area.
Treat twice a week, 3 treatments as a course, most of the time this will be
combined with another therapy.
Intradermal
Points: LU-7, BL-13, BL-15, and GB-39.
Apply intradermal needles for these points and retain the needles for 3 days in
the summer and 5 days in the winter.
Gua Sha
Treatment area: PC-3, BL-40, HT-1, and ST-9.
Apply Gua Sha starting from PC-3, then BL-40, then HT-1, and finally ST-9 as
the last point with any kind of oil to smooth the skin.
Treat once a week for 2 treatments as s course—most commonly combined
with another therapy.
Treatment lines: Upper 1 and 6; Lower 2 and 5.
Insert 1.5 cun #34 needles into these lines with transverse insertion technique
without any needle technique or any sensation. Retain all the needles for 45
minutes.
Nose Acupuncture
Points: Lung, Liver, and Large Intestine.
Insert 0.5 cun #34 needles into these points perpendicularly, 0.1-0.2 cun deep
with twisting even movement needle technique and retain all the needles for
20 minutes.
EFFECTIVE PRESCRIPTIONS AND TECHNIQUES
For stopping smoking: Tian Mei—extra point (located between LU-7 and LI-4).
(TCM Magazine)
Have the patient hold their breath and apply 1 cun #30 needles
technique, and have them then take a slow and long exhalation when the
have felt the sensation of the needle—which in most cases travels upwards
or directly to the mouth causing increased saliva. Then instruct the patient
to do some breathing movement during the treatment in order to help the
lung function. The patient will not like the taste of cigarettes after the
treatment.
Treat once daily, for 5 treatments as a course. Or apply with other points
together.
For severe desire to smoke: PC-6, Yin Tang, GV-20, LU-7, LI-4, and ST-36. (Zhe
Jing TCM Magazine)
Insert one cun #34 needles into Yin Tang obliquely towards the nose, and a 1
cun #32 needle into GV-20 obliquely towards GV-19 with fast twisting needle
technique. Then insert 1 cun #32 needles into PC-6, LI-4, and ST-36
perpendicularly with waving technique and 1 cun #34 needles into LU-7
obliquely upwards. Retain all the needles for 30 minutes.
For stopping smoking: GV-20 and HT-7 with ear points Shen Men and Lung
(Acupuncture Magazine)
Insert a 1.5 cun #32 needle into GV-20 obliquely towards GV-19 1 cun deep
with withdrawing Qi technique and then needle HT-7 with 1 cun #34
needles. Retain all the needles for 25 minutes. Add press- balls on the ear
points for 7 days in winter and 4 days in the summer and let the patients
press them 3-4 times a day, particularly when they desire to smoke.
For stopping smoking: Ear points: Shen Men and Lung. (Zhen Jiu Chu Fang Ji
Jing)
Apply 0.5 cun #34 ear needles obliquely into Shen Men and the Lung point
one side with fast twisting needle technique until a warm sensation
appears, and then add electro-stimulation on these two points with high
frequency waves for 20 minutes. Before the patient finishes treatment, put
press-balls on the other side—same points. Retain them for 7 days.
For stopping smoking with anxiousness: GV-20, CV-14, CV-6, HT-7, GB-39, and
Tian Mei.
Insert 1 cun #30 needles into Tian Mei perpendicularly with twisting even
movement needle technique, and apply a 1 cun #30 needle on GV-20
perpendicularly with fast twisting needle technique. Then insert 1 cun #32
needles into CV-14, HT-7, and GB-39 perpendicularly with twisting even
movement needle technique. Retain all the needles for 30 minutes.
For stopping smoking: Ear points: Shoulder, Mouth, Lung and Shen Men.
Apply press-balls on these ear points and tell the patient to remember where
is the points are so that they can press them 1-2 minutes on each point 3-4
times a day, especially when they have desire to smoke.
For smoking desires: TW-4, KI-6, CV-23, GV-23, and LU-7.
Insert 1 cun #30 needles into KI-6 with the Leading the Qi technique, until
the patient feels the sensation of the needle traveling to the whole leg or
lower abdominal region. Than apply 1 cun #34 needles into TW- 4, CV-23,
and LU-7 with twisting reinforcing needle technique. Finally insert 1 cun #30
needles into GV-23 perpendicularly with the Qi Ci technique. Retain all the
SUMMER HEAT STROKE
Summer Heat Stroke implies basically what the name suggests. This sudden
disorder occurs very frequently in warm conditions and can often be fatal if not
treated. Summer Heat Stroke is an acute syndrome characterized by dizziness,
headache, and body aches. Summer Heat Stroke also causes a sensation of heat
with no sweating, nausea, vomiting, a floating and weak pulse, and a white
greasy tongue coating. In severe cases, there may be a coma with profuse cold
sweating, an extremely cold body and four extremities, and a tiny and weak
pulse. In TCM, Summer Heat Stroke is attributed to two reasons.
Summer Heat Invasion
A deficient body constitution is more likely to catch a Summer Heat
Pathogenic Invasion, which stagnates in the surface of the body between the
muscle and the skin layers, and holds the heat inside of the body. When the
heat pathogen invades the Pericardium, it will cause a stroke and
unconsciousness.
Over-heating
Heat and Dampness invade the internal body and the movement of the Wei
Qi becomes stagnated, pushing the blood inside and causing dizziness and
vomiting.
DIAGNOSIS
Light Summer Heat Stroke
This syndrome is due to stagnation of a Summer Heat Pathogenic Influence
and Dampness in the muscle and skin layers. Symptoms include dizziness,
headache, a hot sensation inside the body with little or no sweating, nausea
or vomiting, thirst, and lassitude. The tongue is red with a white greasy
coating and the pulse is floating, weak, and fast.
Severe Summer Heat Stroke
This syndrome is due to a Summer Heat Pathogenic Influence invading the
Pericardium. Symptoms including a high fever with no sweating, a hot or
burning sensation on the surface of the skin, a red complexion and eyes, dry
lips, a dry mouth, extreme thirst, even unconsciousness, restlessness, and
muscle tics or convulsions. The tongue is dry with a yellow coating and the
pulse is flooding and fast.
If a Summer Heat Pathogenic Influence damages the Qi and Yin of the
body, the patient will have profuse sweating with a pale complexion,
shortness of breath, coldness in the four extremities, and possible coma.
TREATMENT AND PRESCRIPITON
Light Summer Heat Stroke
Treatment Principle: Expel the Exogenous Summer Heat, Harmonize the Middle
Burner, and Resolve the Damp.
Point Prescription: GV-14, LI-4, ST-43, PC-6, and ST-36.
Treat once, preventatively.
Technique: Insert a 1.5 cun #32 needle into GV-14 perpendicularly, 1 to 1.2 cun
deep with a twisting reducing needle technique, and remove the needle after
the sensation travels down along the spinal column. Insert 1.5 cun #32 needles
into LI-4, ST-43, and ST-36 with a twisting reducing needle technique and 1 cun
#32 needles into PC-6 obliquely, 0.5 cun deep towards PC-5 with a twisting even
movement needle technique. Retain all needles for 30 minutes. Repeat the
needling technique every 5 minutes to move the Qi during needle retention.
Headache: ST-8 and Yin Tang.
Vomiting: CV-12 and SP-9.
Severe Summer Heat Stroke
Treatment Principle: Clear the Summer Heat, Calm the Heart, and Reduce the
fever.
Point Prescription: GV-20, GV-26, Shi Xuan, PC-3, BL-40, and LI-11.
Treat once only.
Technique: Apply a bloodletting technique on Shi Xuan, PC-3, and BL-40 with
bloodletting needles. Insert a 1.5 cun #30 needle into GV-20 obliquely, 1 cun
deep towards the back with a lifting Qi technique, and a 1 cun #32 needle into
GV-26 perpendicularly, 0.3 cun deep with a twisting reducing needle technique.
Insert 1.5 cun #30 needles into LI-11 with Tou Tian Lian Fa—Cool Penetration of
the Sky needle technique. Retain all needles for 30 minutes. Repeat the needling
technique every 5 minutes during needle retention.
Muscle spasm or tics: GB-34.
Cold limbs with profuse sweating and a fine pulse: CV-4 and CV-6 with
moxibustion, and HT-6 and LU-9 with needles.
Ear Acupuncture
Point Prescription: Tip of the ear, Shen Men, Adrenal gland, Heart, and
Occipital.
Insert 0.5 cun #32 ear needles into Shen Men, Adrenal gland, Heart, and
Occipital obliquely, 0.3 cun deep at a 30-degree angle with a fast twisting
needle technique. Retain all needles for 20 minutes. Apply a bloodletting
technique to the tip of the ear.
Treat once.
Gua Sha
Treatment area: Back, Neck, Chest, Elbow, and Knee.
Apply medium-level stimulation of Gua Sha near PC-6 and the BL-40 area
until purple or black dots (Sha) appear. Apply medium-level stimulation of
Gua Sha on the upper back along the Bladder meridian, the neck along the
Stomach meridian, and the Chest along the Conception vessel until purple or
black dots appear.
Treat once.
Cupping
Treatment area: Upper back and Abdomen.
Apply fire cups to the upper back near GV-14, BL-13, BL-15, and SI-12 and
retain all cups for 5 minutes. Or, apply a sliding cup on the upper back until
purple dots (Sha) appear and retain a cup on GV-14 for 3 minutes. Apply a
fire cup on CV-8 for 3 minutes.
Treat once.
Scalp Acupuncture
Treatment zones: Middle line of the vertex, Lateral line 3 of the forehead,
Anterior line of the temple, and the Posterior line of the temple.
Insert 1.5 cun #32 needles into these lines transversely 1 cun deep at a 30-
minutes.
Treat once.
For Summer Heat Stroke with a coma: GV-20, GV-26, HT-7, PC-9, PC-3, and BL-
40. (Zhen Jiu Chu Fang Xue)
Apply bloodletting techniques to PC-9, BL-40, and PC-3 and squeeze out 2 to
3 drops of blood. Insert a 1 cun #30 needle into GV-26 perpendicularly, 0.3
cun deep with a twisting reducing needle technique until the patient wakes
up. Insert a 1.5 cun #30 needle into GV-20 transversely, 1.2 cun deep at a 30-
degree angle with a lifting the Qi technique and 1 cun #32 needles into HT-7
with a twisting reinforcing needle technique. Retain all needles for 30
minutes.
Treat once.
For Summer Heat Stroke with a headache, dizziness, nausea, and
consciousness: PC-6, LI-4, ST-36, and LI-11.
Insert 1.5 cun #30 needles into LI-11, LI-4, and ST-36 perpendicularly, 1 cun
deep with a lifting and thrusting reducing needle technique and 1 cun #32
needles into PC-6 perpendicularly, 0.5 cun deep with a twisting even
Treat once.
For Summer Heat Stroke with consciousness: CV-9, GV-14, PC-7, and BL-40.
(Zhen Jiu Da Cheng)
Insert a 1.5 cun #30 needle into GV-14 perpendicularly, 1.2 cun deep with a
twisting even movement needle technique until the sensation of the Qi
travels downwards. Insert 1 cun #32 needles into PC-7 obliquely towards PC-
8 with a twisting even movement needle technique and 1 cun #30 needles
into BL-40 and enlarge the acupuncture hole technique to make 1 to 2 drops
of blood escape when removing the needle. Apply direct non-scarring
Treat once.
For Summer Heat Stroke with a coma: GV-26, CV-12, CV-6, LI-11, LI-4, PC-9, ST
36, and ST-44. (Zhen Jiu Feng Yuan)
Apply bloodletting techniques on PC-9 and ST-44, and squeeze out 2 to 3
drops of blood. Insert a 1 cun #30 needle into GV-26 perpendicularly, 0.3 cun
deep with a twisting reducing needle technique until the patient wakes up.
Insert 1.5 cun #32 needles into CV-6 and CV-12 perpendicularly, 1.2 cun deep
with a twisting even movement needle technique and 1.5 cun #30 needles
into LI-11 and ST-36 with a lifting and thrusting reinforcing needle technique.
Insert 1 cun #32 needles into LI-4 with a twisting reducing needle technique.
Treat once.
For Summer Heat Stroke with consciousness: CV-15 and CV-12. (Zhen Jiu Gang
Yao)
Insert 1.5 cun #32 needle into CV-12 perpendicularly, 1.2 cun deep with a
lifting and thrusting reducing needle technique and a 1.5 cun #30 needle into
CV-15 perpendicularly, 1 cun deep with a twisting reducing needle
technique. Retain the needles for 15 minutes, and repeat this process every
3 minutes.
Treat once.
For Summer Heat Stroke with a coma and profuse cold sweats: CV-12, LV-13,
CV-6, BL-11, GV-4, GV-23, PC-7, LU-5, SP-3, KI-7, and LV-8. (Cai Ai Bian Yi)
Apply indirect moxibustion with ginger on CV-6, LV-13, and CV-12 until the
sweating stops. Insert 1.5 cun #32 needles into LU-5, LV-8, and KI-7
technique and 1 cun #32 needles into SP-3, GV-23, and PC-7 with a twisting
even movement needle technique. Retain all needles for 20 minutes. Apply
direct non-scarring moxibustion on BL-11 and GV-4 for 7 cones.
Treat once.
For Summer Heat Stroke with a coma: GV-26, CV-24, LI-4, ST-44, GV-20, CV-3,
CV-6, PC-9, LV-2, LI-11, and SI-1. (Zhen Jiu Da Cheng)
Apply bloodletting techniques to SI-1 and PC-9 and squeeze out 2 to 3 drops
of blood. Insert 1 cun #30 needles into GV-26 and CV-24 perpendicularly, 0.3
cun deep with a fast twisting technique until the patient wakes up. Insert 1
cun #30 needles into LV-2, ST-44, and LI-4 with a lifting and thrusting
reducing needle technique and 1.5 cun #32 needles into LI-11, GV-20, CV-3,
and CV-6 with a twisting even movement needle technique. Retain all
Treat once just for in case.
For Summer Heat Stroke with a body fever: LI-11 and BL-40. (Qian Zha Jian Xiao
Fang)
Insert 1.5 cun #30 needles into LI-11 perpendicularly, 1.2 cun deep with the
Tou Tian Lian Fa—Cool Penetration of the Sky needle technique, one of the
combination needle techniques to reduce Heat. Apply a bloodletting
technique on BL-40 and squeeze out 5 drops of blood.
Treat once.
For Summer Heat Stroke with a body fever and retention of urine: LU-7, KI-10,
CV-12, BL-40, CV-6, SP-9, and Bai Lao. (Zhen Jiu Da Quan)
Insert 1.5 cun #32 needles into Bai Lao and KI-10 perpendicularly, 1 cun deep
with a lifting and thrusting reinforcing needle technique. Apply a bloodletting
technique on BL-40 and squeeze out 4 to 5 drops of blood. Insert 1.5 cun #32
needles into LU-7 transversely, 1 cun deep at a 15-degree angle towards LI-11
with a twisting reducing needle technique and 1.5 cun #32 needles into CV-
12, CV-6, and SP-9 with a twisting even movement needle technique. Retain
Treat once.
For Summer Heat Stroke with a high fever, vomiting, and profuse diarrhea: LU-
7, BL-40, CV-12, LI-11, ST-36, LI-4, and Shi Xuan. (Zhen Jiu Da Quan)
Apply bloodletting techniques on BL-40 and Shi Xuan. Insert 1.5 cun #32
needles into LU-7 transversely, 1 cun deep at a 15-degree angle towards LI-11
with a twisting reducing needle technique and 1.5 cun #30 needles into LI-
11 and LI-4 perpendicularly, 1 cun deep with a lifting and thrusting reducing
needle technique. Insert 1.5 cun #32 needles into ST-36 and CV-12 with a
Retain all needles for 15 to 20 minutes.
Treat once.
For Summer Heat Stroke with fever, nausea, and cold sweats: CV-6, LI-11, and
SP-9.
Insert 1.5 cun #30 needles into LI-11 and SP-9 with a lifting and thrusting
perpendicularly, 1.5 cun deep with a twisting reinforcing needle technique,
and apply moxa wool to the handle of the needle for 3 cones.
Treat once.
TRIGEMINAL NEURALGIA
Trigeminal Neuralgia is a painful disorder caused by demyelinating lesions of
nerves (in this case the Trigeminal nerves). This disorder causes painful attacks,
shocks, and even paralysis of facial muscles. Trigeminal Neuralgia is in the
category of “facial pain” in Traditional Chinese Medicine, which means pain
caused by any reason on the facial area. In TCM theory, most facial pain is due
to Wind Pathogenic Influence and stagnation of Qi and Blood.
Wind Cold Pathogenic Influence
Wind Cold invades the Yang Ming meridians on the face, obstructing the
circulation of the Qi and Blood thus causing pain.
Wind Heat Pathogenic Influence

Wind Heat invades the meridians and causes water retention, which
obstructs the movement of the Qi and Blood in the meridians.
DIAGNOSIS
Wind Cold
Symptoms include electric shocks, burning and sharp pain sensations on the
face that are triggered suddenly due to touching some special points during
washing, brushing, dressing, or eating, and will be reduced after few minutes
by rubbing or pressing. The pain will be aggravated by cold and reduced by
heat, associated with a clear watery runny nose. The tongue is pale with a
thin white coat and the pulse is floating and tight.
Wind Heat
Symptoms including electric shocks, burning and sharp pain on the face
triggered suddenly by touching some special points when the patient
washes, brushes, dresses or eats. Most of the symptoms appear after fever
and will be reduced after a few minutes of rubbing or pressing. Associated
signs are burning or hot sensations in the local pain area, tearing, and red
eyes. The tongue is red with a yellow greasy coat and the pulse is floating
and fast.
Trigeminal neuralgia due to Wind-Cold
Treatment Principle: Expel the Wind-Cold and Reduce the pain.
Point Prescription: GB-20, LI-4, ST-3, ST-7, and Tai Yang.
Technique: Insert 1.5 cun #30 needles into GB-20 perpendicularly, 1-1.2 cun
needles into LI-4 perpendicularly, 0.5 cun deep with twisting reducing needle
technique. Insert 1 cun #32 needles into Tai Yang (painful side) perpendicularly,
0.5 cun deep with twisting reducing needle technique, and 1 cun #32 needles
into ST-3 and ST-7 (painful side of the face) with twisting even movement needle
technique until the sensation of the needles travels from the points. Retain all
Pain on the forehead: TW-23 and BL-2.
Pain in the maxillary area: LI-11 and SI-18.
Pain in the mandibular area: CV-23 and TW-17.
Trigeminal neuralgia due to Wind-Heat

Treatment Principle: Expel the Wind-Heat and Reduce
the pain.
Point Prescription: LI-11, LI-3, ST-6, and SP-9.
course.
Technique: Insert 1.5 cun #30 needles into LI-11
perpendicularly, 1.2 cun deep with lifting and thrusting
reducing needle technique, and 1 cun #32 needles into
Insert 1.5 cun #32 needles into SP-9 perpendicularly, 1 cun deep with twisting
reducing needle technique, and 1 cun #30 needle into ST-6 (painful side of the
face) perpendicularly, 0.5 cun with twisting reducing needle technique. Apply
bloodletting technique on the Tai Yang (painful side only).
Pain on the forehead: GB-15 and ST-8.
Pain in the maxillary area: ST-7 and ST-2.
Pain in mandibular area: Jia Chen Jiang and ST-4.
Ear Acupuncture
Points: Face, Maxillary, Forehead, Mandibular and Shen Men.
40 minutes.
Clinicians may also apply press-balls or intradermal needles on the ear after
regular body acupuncture treatment.
Scalp Acupuncture
Treatment zones: Anterior oblique line from vertex to temple, Lateral line 3
and 1 of the forehead.
Insert 1.5 cun #30 needles into the lower 2/5 of the anterior oblique line
from vertex to temple transversely, 1.2 cun deep with lifting and thrusting
reducing needle technique. Insert 1.5 cun #32 needles into other two lines
transversely, 1 cun deep with twisting reducing needle technique. Retain all
Hand Acupuncture
Points: Eyes, Forehead, and Migraine.
minutes.
Bloodletting
Treatment area: Tai Yang, SI-19, TW-17, CV-23, and LI-20 (painful side of the
face).
Apply bloodletting technique on these points, to squeeze 2-3 drops of blood
from each point.
Gua Sha
Treatment area: Upper back, TW-17, and GB-14 (painful side of the face).
Apply medium stimulation of Gua Sha on the TW-17 and GB-14 areas until
red marks appear. Then apply strong stimulation on the upper back near the
inside of the scapula from BL-42 to BL-44 until a dark red color appears.
Plum Blossom
Treatment area: Tai Yang, ST-7, GB-3, and SI-18 (painful side of the face).
Apply medium stimulation of Plum blossom needle technique on Tai Yang, ST-
7, GB-3 and SI-18 until the skin color turns red.
Cupping
Treatment area: Tai Yang, ST-6, and GB-12 (painful side of the face).
Apply fire cups on Tai Yang, ST-6, and GB-12 for 3 to 5 minutes after plum
blossom needling or regular acupuncture treatment.
Electro-Acupuncture
Points: Tai Yang, ST-6, SI-18, and Jia Chen Jiang (painful side of the face).
Jia Chen Jiang is an extra point located one cun bilateral from CV-24.
Insert a 1.5 cun #32 needle into Tai Yang obliquely, 1.2 cun deep at a 60-
degree angle towards ST-7 with twisting even movement needle technique.
Insert a 1 cun #32 needle into ST-6 perpendicularly, 0.7 cun deep with
twisting even movement needle technique until the sensation of the needle
travels. Insert a 1.5 cun #32 needle into SI-18 perpendicularly, 1 cun deep
with twisting reducing needle technique, and a 1 cun #30 needle into Jia
Chen Jiang obliquely, 0.7 cun deep at a 45-degree angle towards ST-6 with
twisting reducing needle technique until the sensation of the needle travels.
Then put the negative side of the wire on Tai Yang and SI-18, and the positive
side of the wire on ST-6 and Jia Chen Jiang with irregular waves for 20
minutes.
Moxibustion
Direct moxibustion: Tai Yang, SI-18, Jia Chen Jiang, and GB-14.
Jia Chen Jiang is an extra point located one cun bilateral from CV-24.
Moxa pole: Ah Shi, Tai Yang, GB-3, and LI-11.
Apply moxa-pole on these points for 15 minutes.
For Trigeminal neuralgia with severe pain: SI-18, ST-2, CV-24, TW-17-affected
side, LI-4, and LV-3.
Insert a 1.5 cun #32 needle into SI-18 perpendicularly, 1-1.2 cun deep with
twisting reducing needle technique, and a 1 cun #32 needle into ST-2
obliquely, 0.3-0.5 cun deep at a 30-degree angle towards Tai Yang with
twisting reducing needle technique. Insert a 1 cun #32 needle into CV-24
obliquely, 0.5 cun deep at a 45-degree angle towards Jia Chen Jiang with
twisting even movement needle technique. Insert 1 cun #30 needles into LI-4
and LV-3 perpendicularly with lifting and thrusting reducing needle
technique. Apply moxa-pole on TW-17 for 20 minutes.
For Trigeminal neuralgia due to Wind-Heat: LI-4, GB-20, LU-7, and ST-36.
Insert 1.5 cun #30 needles into GB-20 perpendicularly, 1 cun deep towards
the nose with twisting reducing needle technique, and 1 cun #32 needles
into LI-4 and ST-36 perpendicularly, 0.5-0.8 cun deep with twisting even
movement needle technique. Insert 1.5 cun #32 needles into LU-7
transversely, 1 cun deep at a 15-degree angle upwards with twisting reducing
For chronic Trigeminal neuralgia: ST-6, ST-7, TW-17, SI-18, BL-2, GB-14, Tai Yang,
ST-36, LI-4, and TW-5.
Insert 1 cun #32 needles into ST-6, ST-7, SI-18, BL-2, GB-14, and Tai Yang on
the affected side perpendicularly, 0.3 cun deep with twisting reinforcing
needle technique. Insert 1.5 cun #34 needles into ST-36, LI-4, and TW-5
perpendicularly, 1 cun deep and apply moxa wool on the handle of needles
for 3 cones. Apply moxa-pole on TW-17 for 20 minutes.
URINE RETENTION
Traditional Chinese Medicine considers that retention of urine may be due to
any of the following:
Kidney Deficiency
Deficiency of Kidney Qi fails in removing the urine in the bladder, or because
of a deficiency of Ming-Men Fire, weakening the Urinary Bladder Qi so that it
is unable to move the water/fluids.
Qi Deficiency
Zhong Qi Deficiency, particularly after labor or other severe physical activities,
makes the body energy weak and therefore it is hard to move the urine.
Damp-Heat Stagnation
Some infectious diseases or accumulation of Damp-Heat pathogenic factors
can transfer down to the Urinary Bladder and obstruct the movement of the
urine.
Injury
Any kind of injury including some surgery in the low abdominal region can
sometimes cause stagnation of Qi and Blood in the Urinary Bladder
meridians.
DIAGNOSIS
Deficiency syndrome
Retention of urine or dribbling urine due to Qi Deficiency causing such signs
and symptoms as bloating in the lower abdomen, pale complexion, very low
energy, lower back and knee soreness and weakness, no desire to speak,
loose stool, pale-swollen tongue with scalloped edges, and a weak and thin
pulse.
Excess syndrome
Retention of urine, lower abdominal bloating and pain, restlessness, thirst,
red tongue with a yellow greasy coating, and a fast pulse are characteristic
of this syndrome. Due to an infection or injury there may be additional
symptoms and a history of injury.
Deficiency syndrome
Treatment Principle: Warm the Spleen and Kidney Yang, and Regulate the Qi.
Point Prescription: KI-10, BL-23, BL-22, BL-24, BL-39, CV-6, and BL-20.
Technique: Insert 1.5 cun #32 needles into BL-23, BL-22, and BL-20
perpendicularly, 1-1.2 cun deep with lifting and thrusting reinforcing needle
technique. Insert 1 cun #34 needles into KI-10 and BL-39 with twisting
reinforcing needle technique. Insert 3 cun #30 needles into BL-24
perpendicularly, 2 cun deep with twisting even movement needle technique
and apply moxa wool on the handle of the needles for 3 cones. Apply indirect
moxibustion with ginger on CV-6 for 5 cones
Additional point for associated symptoms:
Restlessness: PC-6.
Insomnia: ST-36.
Excess syndrome
Treatment Principle: Clear Heat, Resolve
Damp, and Move the Qi.
Point Prescription: SP-6, SP-9, BL-28, and CV-
3.
Treat once daily for 3 treatments as a
course.
Technique: Insert a 1.5 cun #30 needle into CV-3 obliquely, 1 cun deep at a 45-
degree angle towards CV-2 with lifting and thrusting reducing needle technique,
and 1.5 cun #30 needles into SP-9 and SP-6 perpendicularly, 1 cun deep with
lifting and thrusting reducing needle technique. Repeat this process every 3
minutes during the 20 minutes of needle retention. Insert 3 cun #30 needles
Shortness of breath: LU-5 and LU-11 with bloodletting technique.
Ear Acupuncture
Points: Urinary Bladder, Kidney, and San Jiao.
40 minutes.
Scalp Acupuncture
Treatment zones: Lateral line 3 of the forehead, Lateral line 1 and Mid-line of
the vertex.
Insert 1 cun #30 needles into Lateral line 3 of the forehead transversely, 0.8
cun deep towards the Tai Yang direction with fast twisting needle technique.
Insert a 1.5 cun #32 needle into the other lines transversely, 1 cun deep with
minutes.

Insert 1.5 cun #32 needles into these lines transversely, 1.2 cun deep at a 5-
10 degree angle without any sensation and needle technique and retain the
Moxibustion
(For retention of urine due to deficiency)
Direct moxibustion: BL-66, BL-62, CV-4, and BL-33.
Apply direct non-scarring moxibustion on BL-66 and BL-62 for 9 cones,
then on CV-4 and BL-33 for 11 cones.
Indirect moxibustion: CV-3, CV-4, and BL-32
Apply indirect moxibustion with ginger or Fu Zi (aconite) cake on these
points for 5 cones. Treat once every other day for 5 treatments as a
course.
Moxa pole: Li Niao—an extra point found by measuring the distance from Yin
Tang to the tip of the nose, which distance is then measured from the navel
downwards in the direction of the genitals where the point Li Niao is located.
Apply moxa pole on this point for 15 minutes.
Electro-acupuncture
Point Prescription: GB-28 and ST-28.
Insert 1.5 cun #30 needles into GB-28 transversely, 1.2 cun deep at a 30-
degree angle towards ST-28 with twisting reducing needle technique. Insert 2
cun #32 needles into ST-28 perpendicularly, 1.5 cun deep with twisting even
movement needle technique. Apply electro-stimulation on these two points
with irregular waves, the negative side on GB-28.
Gua Sha
Treatment area: Low back and leg.
Apply medium-level stimulation of Gua Sha on the legs—along the inside of
the tibia bone (Yin meridians) until red marks appear, then on the low back
along the BL, and GV meridians from L-5 to S-5 until a dark red or even a
purple color appears.
Foot Acupuncture
Point Prescription: Kidney, Urinary Bladder, and Small intestine.
Insert 0.5 cun #32 needles into these points perpendicularly, 0.3-0.4 cun deep
minutes.
Salt Bag
(For retention of urine after labor or surgery)
Treatment area: CV-3
Warm 1 pound of salt in a pan and put it into a cloth bag. Then put the bad on
CV-3 within a temperature range the patient can accept. Leave it for 30
minutes.
For retention of urine due to stagnation of Qi: CV-6 and PC-7. (Zhen Jiu Da
Cheng)
Insert 1 cun #32 needles into PC-7 obliquely, 0.5 cun deep towards the PC-6
direction with twisting even movement needle technique. Insert a 1.5 cun
#30 needle into CV-6 perpendicularly, 1-1.2 cun deep with twisting rubbing
needle technique until the sensation of the Qi travels down to the Urinary
Bladder.
For retention of urine with a painful sensation under the navel: SP-9 and CV-4.
(Zhen Jiu Fen Yuan)
Insert 1.5 cun #30 needles into SP-9 perpendicularly, 1.2 cun deep with lifting
and thrusting reducing needle technique. Apply direct non-scarring
For retention of urine with rebellious Qi and shortness of breath: CV-8. (Bei Ji
Jiu Fa)
Apply indirect moxibustion with salt on CV-8 for 20 cones.
Treat until the urine moves.
For retention of urine due to injury and/or surgery: CV-3, BL-28, and SP-6. (Zhen
Jiu Chu Fang Xue)
Insert 3 cun #30 needles into BL-28 perpendicularly, 2.5 cun deep with
twisting reducing needle technique and apply moxa wool on the handle of
the needles for 3 cones. Insert 1.5 cun #32 needles into SP-6 obliquely, 1.2
cun deep at a 60-degree angle towards SP-7 with twisting even movement
needle technique, and a 1.5 cun #30 needle into CV-3 obliquely, 1 cun deep
towards CV-2 with twisting reducing needle technique. Apply moxa pole on
the side of CV-3 for 20 minutes.
For retention of urine with a painful sensation in the low abdomen: LV-8, LV-2,
and BL-54. (Zhen Jiu Zi Shen Jing)
Insert 1.5 cun #30 needles into LV-8 perpendicularly, 1 cun deep with
twisting reducing needle technique, and 1 cun #32 needles into LV-2
technique. Retain all needles for 20 minutes. Insert 3 cun #30 needles into
BL-54 obliquely, 2.5 cun deep at a 60-degree angle towards CV-2 with
twisting reducing needle technique, retain the needles for 10 minutes.
For retention of urine due to stagnation of Qi: CV-5, CV-4, and LV-13. (Yi Xue
Gang Yao)
Insert 1.5 cun #32 needles into CV-5 and CV-4 perpendicularly, 1 cun deep
with twisting even movement needle technique and apply moxa wool on
the handle of the needles for 3 cones. Insert 1 cun #32 needles into LV-13
technique.
For retention of urine due to stagnation of Damp-Heat: GV-20, CV-3, KI-1, and
CV-8. (Zhen Jiu Tu Y)
Insert a 1.5 cun #30 needle into GV-20 transversely, 1 cun deep towards GV-
19 with lifting and thrusting reducing needle technique, and a 1.5 cun #30
needle into CV-3 obliquely, 1 cun deep at a 45-degree angle towards CV-2
with lifting and thrusting reducing needle technique. Insert 1 cun #32
needles into KI-1 perpendicularly, 0.5 cun deep with twisting reinforcing
needle technique. Apply indirect moxibustion with Ba Dou cake on CV-8 for
7 cones.
For retention of urine with a bloating and painful sensation in the lower
abdominal region: KI-11, ST-27, LV-13, CV-5, BL-39, SP-7, KI-1, and ST-36 (Zhen
Zhi Zun Shen)
Insert 1.5 cun #32 needles into KI-11, ST-27, CV-5, and LV-13 perpendicularly,
1 cun deep with twisting even movement needle technique, and 1.5 cun #34
needles into ST-36 and SP-7 perpendicularly, 1 cun deep with lifting and
thrusting reinforcing needle technique. Insert 1 cun #34 needles into KI-1
technique, and 1.5 cun #30 needles into BL-39 with twisting reducing needle
For retention of urine with a painful sensation in the urinary tract: CV-1, LV-3,
LV-8, and LV-1. (Zhen Jiu Zhai Ying Ji)
twisting even movement needle technique, and 1.5 cun #32 needles into LV-
3 obliquely, 1 cun deep at a 45-degree angle towards KI-1 with twisting
reinforcing needle technique. Insert 1.5 cun #32 needles into LV-8
Apply direct non-scarring moxibustion on LV-1 for 11 cones.
For retention of urine with a painful and tight sensation in the lower
abdominal region: CV-5, BL-39, and KI-10.
Insert a 1.5 cun #32 needle into CV-5 perpendicularly, 1 cun deep with the
Long Hu Jia Zhan—Dragon and Tiger Battle technique. Insert 1 cun #30
needles into KI-10 and BL-39 with twisting even movement needle
For retention of urine due to paralysis: CV-3, LV-5, SP-7, BL-36, and BL-67.
Insert 1.5 cun #32 needles into SP-7 perpendicularly, 1.2 cun deep with
twisting even movement needle technique, and 1 cun #30 needles into LV-5
with twisting reinforcing needle technique. Insert 2 cun #30 needles into BL-
36 perpendicularly, 1.7 cun deep with lifting and thrusting reducing needle
technique. Insert a 1.5 cun #30 needle into CV-3 obliquely, 1 cun deep at a
45-degree angle towards CV-2 with twisting reducing needle technique and
apply moxa pole on the side for 15 minutes. Apply direct non-scarring
For retention of urine with a weak and slow Kidney pulse: KI-11, BL-64, KI-6,
and CV-4.
Insert 1.5 cun #32 needles perpendicularly, 1 cun deep with twisting
reinforcing needle technique and apply moxa wool on the handle of the
needles for 3 cones. Insert a 2 cun #30 needle into CV-4 obliquely, 1.5 cun
deep at a 45-degree angle towards CV-2 with twisting even movement
needle technique. Insert 1 cun #32 needles into BL-64 and KI-6
perpendicularly with twisting even movement needle technique. Retain all
For retention of urine with low back pain: ST-25 and CV-2.
Insert 1.5 cun #30 needle into CV-2 perpendicularly, 1 cun deep with twisting
reducing needle technique, and apply moxa wool on the handle of the
needle for 5 cones. Apply indirect moxibustion with “Fu Zi” (Aconite) cake on
ST-25 for 5 cones.
For retention of the urine with a cold sensation in the low abdomen: BL-28, CV-
4, SP-9, GB-39, and KI-10. (Zhen Jiu Quan Shu)
Insert 1.5 cun #32 needles into SP-9 with lifting and thrusting reducing needle
technique, and 1 cun #30 needles into GB-39 and KI-10 perpendicularly, 0.7
cun deep with twisting reinforcing needle technique. Apply indirect
moxibustion with ginger on CV-4 and BL-28 for 5 cones.
For retention of urine due to nerve injury: GV-3, BL-31, BL-32, CV-4, CV-3, and
LV-8.
twisting rubbing needle technique until the sensation of Qi travels. Insert 2
cun #30 needles into BL-31 and BL-32 perpendicularly, 1.7 cun deep with
minutes.
Insert 1.5 cun #30 needles into LV-8 perpendicularly, 1 cun deep with
twisting reducing needle technique. Insert 1.5 cun #30 needles into CV-4
and CV-3 with twisting even movement needle technique and apply moxa
wool on the handle of the needles for 3 cones.
For retention of urine due to stagnation of Damp-Heat: BL-28, BL-23, CV-4, SP-
9, and KI-1.
Insert 1.5 cun #30 needles into BL-23 and BL-28 perpendicularly, 1.2 cun
needles into KI-1 perpendicularly, 0.6 cun deep with twisting even
Insert 1.5 cun #32 needles into CV-4 and SP-9 perpendicularly with twisting
URTICARIA
Urticaria, also referred to as hives, are transient lesions that are round in
shape and arise due to many different reasons. Normally it is just described as a
kind of allergic skin disease with skin wheals as the main manifestation. The
clinical manifestations are the appearance of wheals over the skin with sudden
onset and rapid disappearance, leaving no trace after recovery. There is a
sensation of severe itching and burning heat on the affected region. It can attack
repeatedly and last for a long time.
External Wind Pathogenic Invasion

This pattern usually occurs in a patient with Wei Qi Deficiency, which allows
Wind-Cold to easily invade the skin and stagnated in the skin and muscles
turning to Heat, obstructing the Qi movement causing severe itching.
This pattern is an example of one type of allergic reaction to certain food
according to the different body constitutions, particularly some seafood or
bad quality food products from the sea. Sometimes drug allergies or other
allergies may cause this as well, such as alcohol or certain antibiotics.
DIAGNOSIS
External Wind Pathogenic Influence
There is severe pruritus, a burning sensation, and red wheals on the affected
part. The dermatographic test shows positive result, accompanied with a red
tongue with thin and yellow coating and a floating and rapid pulse.
Heat stagnation in the Stomach and Intestines

The patient has wheals of frequent recurrences that easily become chronic
and takes a long time to heal. It attacks when the patient is caught by cold;
usually the patient is has a weak body constitution, pale tongue with white
thin coating, and a thin and weak pulse.
External Wind Pathogenic Influence
Treatment Principle: Expel the Wind and Harmonize the Ying and Wei.
Point Prescription: LI-15, TW-4, GV-14, LU-10, and SP-6.
Technique: Insert 1.5 cun #32 needle into GV-14 perpendicularly, 1 to 1.2 cun
deep with lifting and thrusting reducing needle technique until the sensation of
the Qi travels down along the spinal column, and take out the needle without
retaining. Apply a fire cup on the point; retain it for 2 minutes. Insert 1 cun #32
needles into LI-15, TW-4, LU-10, and SP-6 perpendicularly, 0.5 cun deep with
twisting reducing needle technique.
Sore throat: LU-11 with bloodletting technique.
Fever: LI-11 and SP-9.
Heat stagnation in the Stomach and Intestines

Treatment Principle: Clear Heat and Harmonize the Ying
and Wei.
Point Prescription: LI-11, ST-36, SP-10, and LU-7.
course.
Technique: Insert 1.5 cun #30 needles into LI-11 perpendicularly, 1.2 cun deep
with lifting and thrusting reducing needle technique, 1.5 cun #32 needles into
ST-36 and SP-10 with twisting reducing needle technique. Insert 1 cun #32
needles into LU-7 transversely, 0.8 cun deep with twisting even movement
Abdominal pain: CV-11.
Diarrhea: ST-25.
Asthma: LU-5 and CV-17.
Ear Acupuncture
Point Prescription: Shen Men, Lung, Endocrine, Sub cortex, Urticaria, and
Shoulder.
45-degree angle with fast twisting needle technique. Retain all needles for 40
minutes. Or apply press-balls on these points and retain them for 3 days.
Scalp Acupuncture
Treatment zones: Middle line, Lateral line 1, and Lateral line 3 of the
forehead, and Lateral line 1 of the vertex.
Insert 1.5 cun #32 needles into these lines transversely, 1 cun deep with fast
Cupping
Treatment area: Back, ST-25, and CV-8.
Apply a fire cup on CV-8 and take it off after 1 minute, repeat this process for
7 to 10 times on CV-8, and apply fire cups on ST-25, retaining them for 5
minutes. Apply moving fire cups on the back along Bladder meridian from
BL-11 to BL-25 until a red color appears, and retain the cups on BL-25 for 3
minutes.
Gua Sha
Treatment area: PC-3, BL-40, and ST-25.
Apply medium-level stimulation of Gua Sha on the PC-3, BL-40, and ST-25
areas until a dark red color or dark purple color appears.
Plum Blossom
Treatment area: LU-6, SP-6, ST-40, Chest, and Back.
Apply medium stimulation of plum blossom needle technique on the chest
Conception vessel and Kidney meridian until the red color appears. Next
applying it on the back along BL-10, BL-11, BL-13, and BL-43 and inside of
the scapular area until the dark red color appears. Then apply medium
stimulation of plum blossom needle technique on LU-6, SP-6, and ST-40 for 3
minutes.
Bloodletting
Treatment area: BL-40, SI-12, BL-60, PC-3, and Tai Yang.
Looking for floating blue or purple tiny veins near the BL-40, SI-12, BL-60, and
PC-3 areas and apply bloodletting technique on them to squeeze out 1 or 2
drops of blood. Next apply bloodletting technique on Tai Yang just make 1
drop of blood.
Treat twice a week, 3 treatments as a course for treating Urticaria with blood
heat syndrome.
For Urticaria due to Wind-Heat: LI-11, PC-3, LI-4, LU-7, BL-13, LU-10, HT-7, and
PC-6. (Zhen Jiu Ji Chen)
angle towards the spinal column with lifting and thrusting reducing needle
technique, retaining the needles for 10 minutes. Insert 1.5 cun #30 needles
into LI-11 perpendicularly, 1.2 cun deep with lifting and thrusting reducing
needle technique, and 1 cun #32 needles into LI-4, HT-7, and PC-6 with
twisting even movement needle technique. Insert 1.5 cun #32 needles into
LU-7 transversely, 1 cun deep at a 15-degree angle with twisting reducing
needle technique. Apply bloodletting technique on PC-3 to squeeze 2 drops
of blood.
For Urticaria with Yang Ming Heat: SP-10, SP-6, LI-11, and LI-4. (Zhen Jiu Ju
Ying)
Insert 1.5 cun #30 needles into SP-10 and LI-11 perpendicularly with Tou Tian
Liang Fa—Cool Penetration of the Sky technique until a cool sensation
appears. Insert 1 cun #32 needles into SP-6 and LI-4 perpendicularly, 0.8 cun
deep with lifting and thrusting reducing needle technique. Retain all needles
for 30 minutes.
For Urticaria with yellowish liquid and fever: LI-11, GB-39, and BL-40. (Yu Long
Jing)
Insert 1.5 cun #30 needles into LI-11 perpendicularly, 1.2 cun deep with
twisting reducing needle technique, and 1 cun #32 needles into GB-39
perpendicularly, 0.7 cun deep with lifting and thrusting reducing needle
technique. Apply bloodletting technique on BL-40 to squeeze 3 drops of
blood.
For Urticaria due to stagnation of Heat: GB-31, SP-10, BL-17, BL-19, GV-14, and
LI-4.
Insert 2 cun #30 needles into GB-31 perpendicularly, 1.5 cun deep with
twisting reducing needle technique until the sensation of the needles travels
to the knee. Insert 1.5 cun #32 needles into SP-10 and LI-4 with twisting even
movement needle technique. Retain all needles for 20 minutes. Insert a 1.5
cun #32 needle into GV-14 perpendicularly, 1 cun deep with lifting and
thrusting reducing needle technique, and 1 cun #32 needles into BL-17 and
BL-19 perpendicularly, 0.7 cun deep with twisting even movement needle
technique, applying moxa wool on the handle of needles for 3 cones.
For Urticaria with deficiency of Blood: SP-6, ST-36, LI-4, LI-10, BL-20, and BL-23.
Apply indirect moxibustion with ginger on BL-20 and BL-23 for 5 cones.
Insert 1.5 cun #34 needles into ST-36 and LI-10 perpendicularly, 1 cun deep
with twisting reinforcing needle technique, and 1 cun #32 needles into SP-6
and LI-4 with twisting even movement needle technique. Retain all needles
for 20 minutes.
For Urticaria with Wind Heat: GB-20, BL-10, BL-13, LU-5, SP-9, and LI-4. (Yu
Long Jing)
Insert 1 cun #32 needles into GB-20 perpendicularly, 0.7 cun deep with lifting
and thrusting reducing needle technique, and 1 cun #30 needles into BL-10
and BL-13 with waving technique until the red color appears near the needle.
Retain all needles for 10 minutes. Insert 1.5 cun #32 needles into LU-5 and
SP-9 perpendicularly, 1 cun deep with lifting and thrusting reducing needle
technique, and 1 cun #32 needles into LI-4 with twisting even movement
For Urticaria with deficiency of the Qi: CV-6, ST-36, BL-13, BL-20, and GV-12.
Insert 1 cun #32 needles into BL-13, BL-20, and GV-12 perpendicularly, 0.6
cun deep with twisting reinforcing needle technique, applying moxa wool on
the handle of needles for 3 cones. Insert 1.5 cun #32 needles into ST-36
Apply indirect moxibustion with ginger on CV-6 for 3 cones.
For Urticaria with Wind-Heat: BL-67.
On the upper limbs: LI-11 and LI-4.
On the chest and abdomen: CV-12.
On back: BL-13 and BL-20.
Male: CV-6.
Female: SP-10.
External Wind Evil: BL-10 and BL-13.
Improper food intake: CV-12 and ST-36. (Zhong Ji Yi Kan)
Insert 1 cun #30 needles into BL-67 perpendicularly, 0.1 cun deep with
twisting even movement needle technique for 1 minute and remove the
needle. On the other points, use a twisting reducing needle technique
and retain them for 20 minutes.
For Urticaria with Blood Heat: GV-11, SP-10, and LI-11. (Zhen Jiu Chu Fang Xue)
Insert a 2 cun #30 needle into GV-11 transversely, 1.7 cun deep at a 15-
degree angle straight down towards GV-9 with twisting even movement
needle technique. Insert 1.5 cun #32 needles into SP-10 and LI-11
perpendicularly, 1.2 cun deep with lifting and thrusting reducing needle
VOMITING
Normally the Qi of the Stomach descends downwards to the intestines. If the
Stomach Qi ascends instead of descending, vomiting will occur. Vomiting is a
common symptom that happens in many diseases, such as acute or chronic
gastritis, gastric dilatation, gastro spasm, and gastro neurosis and other stomach
and intestinal diseases. Also vomiting can be occasional due to stomach problems
such as sudden coldness or alcohol overdose. In TCM, vomiting is mainly caused
by:
External Invasion
Physiologically, the Stomach Qi flows downwards to the intestines. When an
External Pathogenic Influence invades the Stomach, the Stomach Qi fails to
descend, causing vomiting.
Stagnation of food in the Stomach causes the Stomach to fail in descending
the Qi.
Phlegm Stagnation
Pathogenic phlegm, due to a Spleen deficiency failing in transporting and
transforming, can accumulate in the Stomach and block the Qi from
descending.

The Stomach fails in descending the Qi due to stagnation of Liver Qi from
severe emotional stimulation
DIAGNOSIS
Vomiting due to Improper Diet
The main symptoms include an oppressive fullness or even pain in the
epigastric region, eructation with a fetid odor and acid regurgitation,
distending pain that is relieved after vomiting, borborygmus, putrid and
offensive smelling stool, a thick and greasy tongue coating and a slippery and
excessive pulse.
Hyperactive Liver Qi attacking the Stomach
Vomiting due to an emotional upset usually occurs after eating and is
associated with restlessness, a tendency towards anger, distention or pain
near the chest and hypochondriac region, nausea, acid regurgitation, a thin
and white tongue coating and a wiry pulse.
Vomiting due to Phlegm stagnation in the Stomach
In this pattern, the vomiting is filled more with phlegm than food and is
accompanied by a desire for warm drinks, dizziness, a pale complexion, a
stuffy sensation in the chest region, lassitude, heart palpitations, dizziness
and vertigo. The tongue is pale with a white coat and the pulse is slippery or
weak and floating.
Vomiting due to an External Pathogenic Influence attacking the Stomach
Frequent vomiting with a fever, an aversion to the cold, a headache, stuffy
nose and backache are symptoms due to an External Pathogenic Influence
attacking the Stomach. The tongue is pale with a white thick coat and the
pulse is floating, fast or tight.
Vomiting due to Improper Diet
Treatment Principle: Move the Qi and Resolve the stagnation of food.
Point Prescription: CV-10, CV-21, ST-36, and SP-14.
Treat once daily for 2 treatments as a course
Technique: Insert 1.5 cun #30 needles into CV-10, ST-36, and SP-14
perpendicularly, 1 cun deep with a lifting and thrusting reducing needle
technique and a 1 cun #30 needle into CV-21 obliquely downwards, 0.8 cun
minutes.
Bloated abdomen: CV-6.
Hyperactive Liver Qi attacking the Stomach
Treatment Principle: Soothe the Liver, and Harmonize the Stomach.
Point Prescription: CV-13, GB-34, LV-3, ST-34, and HT-7.
Technique: Insert 1.5 cun #30 needles into GB-34 and ST-34 perpendicularly, 1
to 1.2 cun deep with a lifting and thrusting reducing needle technique and 1
cun #32 needles into CV-13, LV-3, and HT-7 with a twisting even movement
Hypochondriac pain: TW-6 and SP-21.
Headache: GV-20 and GB-4.
Vomiting due to Phlegm stagnation in the Stomach
Treatment Principle: Resolve Phlegm and Reinforce the Spleen.
Point Prescription: LV-13, SP-4, CV-12, and ST-40.
Technique: Insert 1.5 cun #30 needles into ST-40 and CV-12 with a twisting
reducing needle technique and apply moxa wool to the handles of the needles
for 3 cones. Insert 1 cun #32 needles into LV-13 and SP-4 with a twisting

Borborygmus: BL-20 and BL-25.
Water retention: SP-9 and LI-11.
Vomiting due to an External Pathogenic Influence attacking the Stomach
Treatment Principle: Expel the Exterior and Harmonize the Middle Warmer.
Point Prescription: GV-14, TW-5, LI-4, CV-12, SP-6, LV-3, and ST-44.
Technique: Insert a 1.5 cun #32 needle into GV-14 with a rubbing needle
technique and apply moxa wool to the handle for 2 cones. Insert 1 cun #32
needles into TW-5, LI-4, CV-12, SP-6, LV-3, and ST-44 with a twisting even
Dry vomiting: Use direct non-scarring moxibustion on PC-5 for 7 cones.
Dizziness and vertigo: GB-20.
Vomiting up yellowish fluids: GB-40.
Plum Blossom
Treatment area:
BL Meridian: From T-7 to T-12 on both sides of the Bladder meridian.
CV meridian: From CV-9 to CV-22.
ST meridian: From ST-9 to ST-25 along the meridian.
Apply medium stimulation of the plum blossom needle technique on these
areas for 5 minutes. Treat once daily for 2 treatments as a course.
Ear Acupuncture
Points: Stomach, Liver, Sympathetic, Sub cortex, and Shen men.
Insert 0.5 cun ear needles into these points obliquely at a 45-degree angle,
0.3 cun deep with a twisting reducing needle technique. Retain all needles
for 30 minutes.
Scalp Acupuncture
Treatment zones: Lateral line 1, 2, and 3 of the forehead, Middle line of the
vertex, and Lateral line 1 of the vertex.
Insert 1.5 cun #32 needles into these lines transversely at a 30-degree angle,
1 cun deep with a withdrawing Qi technique. Retain all needles for 1 hour.
Gua Sha
Treatment area: Chest—Conception Vessel, Abdomen—Stomach meridian,
Forearm—Pericardium meridian and Lung meridian, and Thigh near the
Spleen or Liver meridian.
Apply medium stimulation of Gua Sha until purple dots (Sha) appear.
Moxibustion
Apply indirect moxibustion with ginger on CV-12 and CV-6 for 5 cones to
treat vomiting due to a Cold External Pathogenic Influence invading the
Stomach.
Moxa-pole
Apply moxa-pole on LV-13, CV-17, and LV-3 for 20 minutes to treat
vomiting due to stagnation of the Liver Qi.
Apply direct non-scarring moxibustion on CV-4, CV-15, and CV-21 for 7
cones to treat vomiting due to phlegm.
For vomiting with a large amount of phlegm: SP-4, ST-40, CV-17, and Zhong Kui.
(Zhen Jiu Da Quan)
Apply direct non-scarring moxibustion for 5 cones on Zhong Kui—extra point
on the dorsal side of the middle finger, in the center of the proximal
interphalangeal joint. Insert 1 cun #32 needles into SP-4 and ST-40
technique and 1 cun #30 needle into CV-17 with a twisting reducing needle
For vomiting with more clear water and stagnant phlegm in the epigastric
region: SP-4, CV-15, ST-45, and CV-12. (Zhen Jiu Da Quan)
Insert 0.5 cun #30 needles into ST-45 perpendicularly, 0.1 cun deep with a
twisting even movement technique and 1 cun #32 needles into SP-4 with a
twisting reinforcing needle technique. Insert 1.5 cun #32 needles into CV-12
and CV-15 with a twisting reinforcing needle technique and apply moxa wool
on the handles of the needles for 3 cones. Or, apply indirect moxibustion
with ginger for 5 cones.
For vomiting due to rebellious Qi caused by stagnation of food with
borborygmus: LV-13, CV-10, ST-36, and CV-12. (Shen Yin Jing)
Apply indirect non-scarring moxibustion on CV-12 for 5 cones. Insert 1 cun
#32 needles into LV-13, CV- 10, and ST-36 with a twisting even movement
For vomiting with a fever and restlessness: CV-12, GV-14, PC-9, BL-19, and GB-
39. (Zhen Jiu Jin Yan Fang)
Apply a bloodletting technique on PC-9 with 0.5 cun #30 needle and get 1 or
2 drops of blood out. Insert 1.5 cun #32 needles into CV-12 and GB-39 with
an even-movement needle technique. Retain all needles for 10 minutes.
Insert 1.5 cun #30 needles into GV-14 and BL-19 perpendicularly, 0.8-1 cun
deep with a lifting and thrusting reducing needle technique. Retain all
needles for 10 minutes. Apply a fire cup on GV-14 for 3 minutes after
removing the needles.
For vomiting from rebellious of Qi: Main points: CV-12, PC-6, ST-36, and SP-4.
(Zhen Jiu Jing Yan Fang) Supplemental points
Heat type of vomiting: LI-4 and ST-44.
Cold type of vomiting: CV-13 and BL-21.
Phlegm type of vomiting: CV-17 and ST-40.
Improper food intake: CV-10 and CV-21.
Liver Qi attacking: GB-34 and LV-3.
Spleen and Stomach Deficiency: BL-20 and LV-13.
External Heat Pathogenic Influence: Jing Jing Yu Ye
(extra point under the tongue) and PC-8.
Insert 1 cun #32 needles into PC-6, ST-36, and SP-4 with a twisting even
movement technique and 1.5 cun #34 needle into CV-12 perpendicularly, 1-
1.2 cun deep with a twisting reducing needle technique. Retain all needles
for 20 minutes.
The following three prescriptions are from the Zi Shen Jing.

For vomiting due to stagnation of food and water in the Stomach: SP-5, KI-21,
and KI-20.
Insert 1 cun #32 needles into SP-5, KI-21, and KI-20 with a twisting reducing
needle technique. Retain all needles for 20 minutes. Apply a moxa-pole on
KI-21 and KI-20 for 10 minutes after removing the needles.
For vomiting due to an Exterior Pathogenic Influence: LU-11 and PC-8.
Apply a bloodletting technique on LU-11 first. Insert 1 cun #34 needles into
PC-8 with a twisting even movement needle technique. Retain all needles for
10 minutes.
For vomiting with a full sensation in the chest: KI-3 and KI-4.
Insert 1 cun #32 needles into KI-3 and KI-4 with a twisting reinforcing needle
For vomiting due to stagnation of food: CV-10, CV-12, and CV-13. (Pi Wei Lun)
Insert 1.5 cun #32 needles into CV-10, CV-12 and CV-13 perpendicularly, 1
cun deep with a twisting reducing needle technique until the sensation of
the needle spreads around the points. Retain all needles for 20 minutes.
The following three prescriptions are from the Shen Yin Jing.
For vomiting with difficulty swallowing: BL-17, CV-17, CV-15, BL-21, and CV-16.
Apply direct non-scarring moxibustion 5 cones on BL-17, CV-17, CV-15, BL-21,
and CV-16
For vomiting with a poor appetite: SP-1 and BL-15.
Insert 1 cun #32 needles into SP-1 and BL-15 with a twisting even movement
For vomiting from rebellious Qi: LV-13, CV-10, ST-36, and CV-12.
Insert 1.5 cun #32 needles into LV-13, CV-10, and ST-36 with a twisting
reducing needle technique, and apply a moxa-pole on CV-12 for 20 minutes.
For vomiting with stagnation of food and acid-regurgitation: GB-24, CV-12, BL-
20, and BL-21. (Lei Jin Tu Yi)
Apply direct non-scarring moxibustion on GB-24 for 7 cones and on CV-12,
BL-20, and BL-21 for 5 cones.
For vomiting with difficulty swallowing: BL-17, BL-21, and CV-15. (Shen Jiu Jing
Lun)
Apply direct non-scarring moxibustion on BL-17 for 11 cones, 7 cones on BL-
21, and CV-15.
For vomiting due to over-thinking and stagnation of Qi in the chest region: BL-
50. (De Xiao Fang)
Apply moxa-pole on BL-50 for 30 minutes.
For vomiting due to an Exterior Cold Pathogenic Influence: CV-17, CV-6, LU-5,
and ST-36. (Zhen Jiu Quan Shu)
Insert 1.5 cun needles into ST-36 perpendicularly, 1 cun deep with a twisting
reinforcing needle technique, and apply moxa wool to the handles of the
needles for 3 cones. Insert 1.5 cun #32 needles into CV-17, CV-6 and LU-5
with a twisting even movement needle technique. Retain all needles for 20
minutes.
For vomiting up large amounts of phlegm: SP-4, ST-40, CV-17, and Zhong Kui.
(Zhen Jiu Da Quan)
Insert 1 cun #32 needles into SP-4, ST-40, and CV-17 with a twisting reducing
needle technique, and apply direct non-scarring moxibustion on Zhong Kui
for 7 cones.
For vomiting due to Gall Bladder Heat with rebellious Qi: SP-6. (Zhen Jiu Ju Yin)
Insert 1.5 cun #30 needles into SP-6, 1 cun deep with a twisting reducing
needle technique and apply moxa wool to the handles for 5 cones.
For vomiting due to an Exterior Pathogenic Invasion transferred into the
interior organs, causing rebellious Qi: BL-14 and SP-6. (Zhen Jiu Ju Yin)
Insert 1.5 cun #30 needles into SP-6, 1 cun deep with a twisting reducing
needle technique and apply moxa wool to the handles for 5 cones.
Apply direct non-scarring moxibustion on BL-14 for 10 cones.
For vomiting due to excessive alcohol with large amounts of phlegm: CV-12,
CV-17, and GB-8. (Shen Jiu Jing Lun)
Insert 1.5 cun #32 needles into CV-12 and CV-17 with a twisting reducing
needle technique, and 1 cun #32 needles into GB-8 obliquely at a 45-degree
angle towards the back, 0.5 cun deep with a twisting even movement needle
technique. Retain the needles until the symptoms have changed.
For frequent vomiting: PC-7. (Shu Wen)
Insert 1 cun #32 needles into PC-7 perpendicularly, 0.3 cun deep with a
twisting reducing needle technique, and apply moxa wool to the handles for
5 cones.
The following prescriptions are from the De Xiao Fang.
For baby vomiting and diarrhea: TW-18.
Insert 0.5 cun #34 needles into TW-18 perpendicularly, 0.2 cun deep with a
twisting reducing needle technique and take the needle out immediately
without retaining.
For baby vomiting up milk: CV-16.
Apply a moxa-pole on CV-16 for 10 minutes.
For baby vomiting with a fever: ST-16, CV-14, CV-9, and
CV-7.
Apply a moxa-pole on ST-16, CV-14, CV-9, and CV-7
for 5 minutes.
WEI SYNDROME—FLACCIDITY PARALYSIS SYNDROME
Wei means dysfunction and atrophy of the body tissues in TCM. This disorder
of the muscle and skin can appear suddenly and cause the patient to lose large
amounts of muscle control. It refers to myoatrophy, skin atrophy, tendon atrophy,
bone atrophy, etc. and includes some Western Medicine diseases, such as
multiple neuritis, myasthenia gravis, and progressive myodystrophia. In TCM, Wei
syndrome is related to:
Excess Heat in the Lung and Stomach
The Lung fails in sending fluids (Jing Ye) to the skin while the Spleen and
Stomach fail in nourishing the muscles due to stagnation from Excess Heat.
Damp-Heat Invasion
A Damp Pathogenic Influence stagnating in the skin muscles and even in
the joints and meridians for a long time will turn into Heat, causing tendon
weakness and flaccidity.
Kidney and Liver Yin Deficiency
In TCM physiology, the Liver dominates tendons and the Kidney dominates
bone. Yin deficiency of the Liver and Kidney organs causes an inability to
nourish the tendons and bones, resulting in flaccid paralysis.
DIAGNOSIS
The main symptoms of the Wei Zhen are flaccid myoatrophy, weakness of the
muscle, and even paralysis. It could happen to a single limb, one side of the
body, or on all four extremities (most commonly on the lower extremities).
With mild symptoms, the patient will feel a weakness in the muscles. In severe
cases, there will be dysfunction or even paralysis of the muscles.
Beginning Stage of Wei Syndrome

Lung and Stomach Heat
Besides the main symptoms above, there will be an accompanying fever,
cough, restlessness, thirst, diarrhea and scanty urine with a burning
sensation. The tongue is red with a yellow coat and pulse is big and fast.
Damp-Heat Invasion
Associated symptoms include a sense of heaviness and soreness in the body,
a fever accompanied by sweating, turbid urination, and a stuffy chest. The
diseased limb is aggravated by hot and relieved by cold. The tongue is
swollen with a yellow greasy coat and the pulse is floating, weak, and fast.
Liver and Kidney Deficiency

Muscles slowly get worse without the presence of any Exterior symptoms
(such as fever, aversion to hot or cold.) The tongue and pulse are usually
normal in the beginning stages.
Late Stage of Wei Syndrome
Insufficiency of both the Liver and Kidney
This syndrome is associated with a pale complexion, soreness, and weakness
in the lower back and spinal column, dizziness and blurry vision, heart
palpitations, and spontaneous sweating. The tongue is red without a
coating, and the pulse is thin and weak.
Deficiency of both the Spleen and Stomach

This is associated with a sallow complexion, shortness of breath, a poor
appetite, and loose stools, all while the diseased limb atrophies along with
edema. The tongue is pale and swollen with a white coat, and the pulse is
floating and weak.
Treatment technique: Select points mainly from the Yang Ming-Tai Yin meridians
and foot Shao Yin and Jue Yin. Use a reducing needle technique.
Point Prescription: LI-15, LI-11, LI-4, ST-41, ST-31, ST-34, ST-36, and LI-5.
Treat once every other day for 7 to 10 treatments as a course.
Technique: Insert 1.5 cun #30 needles into LI-11, LI-15, ST-31, ST-34, and ST-36
with a twisting reinforcing needle technique and 1 cun #32 needles into LI-4, LI-
5, and ST-41 with a twisting reinforcing needle technique.
Lung Heat: LU-5 and BL-13.
Stomach Heat: ST-44 and CV-12.
Damp Heat: SP-9 and BL-20.
Liver and Kidney Deficiency: BL-23, BL-19, GB-
39, and GB-34.
Ear Acupuncture
Points: Brain, Sub cortex, Shen men, Spinal column, Spleen, and Liver.
Insert 0.5 cun #32 ear needles into these points obliquely, 0.3 cun deep with
a fast twisting needle technique. Retain all needles for 30 minutes. Or apply
press-balls on these points for 3 days.
Scalp Acupuncture
Treatment zone: Middle line of the vertex, anterior oblique line from the
vertex to the temple (opposite side of paralysis), posterior oblique line from
the vertex to the temple (opposite side of paralysis), lateral line 1 of the
vertex, and middle line of the forehead.
minutes.
Plum Blossom
Treatment area: Back and Arm and Leg Yang Ming meridians.
Apply medium stimulation of the plum blossom needle technique on BL-13,
BL-18, BL-20, and BL-21 for 5 minutes. Use sliding fire cups on these points
after the plum blossom needle treatment. Apply medium stimulation from
the plum blossom needle on the arms and legs along the Yang Ming
meridians for 5 to 7 minutes.
Cupping
Treatment area: Back, CV-8, ST-28, and LU-1.
Apply a sliding fire cup on the back along the BL and GV meridians, going up
and down several times until a dark red color appears. Retain the cup on GV-
14 or GV-3 for 5 minutes. Apply fire cups on CV-8 for 2 minutes and on ST-28
and LU-1 for 3 minutes.
The following four prescriptions are from the Chi Sui Xuan Zhu.
For Wei Syndrome with fever, red urine, lower body atrophy, and a red
complexion: BL-15, HT-9, SI-1, LU-9, BL-23, GB-30, and GB-34
Insert 1 cun #32 needles into LU-9 perpendicularly, 0.3 cun deep with a
twisting reinforcing needle technique and 1 cun #30 needles into BL-15
technique. Insert 1.5 cun #30 needles into BL-23 and GB-34 with a lifting and
thrusting reducing needle technique and 3 cun #30 needles into GB-30 with
a twisting reducing needle technique. Retain all needles for 30 minutes.
Apply a bloodletting technique on HT-9 and SI-1.
For Wei syndrome with tendon contractions and Liver Heat symptoms: BL-18,
BL-23, GB-34, LV-2, and KI-1.
Insert 1 cun #30 needles into BL-18 and BL-23 perpendicularly, 0.5 cun deep
with a twisting even movement needle technique and 1 cun #32 needles
into KI-1 with a twisting reinforcing needle technique. Retain all needles for
15 minutes. Insert 1.5 cun #32 needles into GB-34 with a lifting and thrusting
reducing needle technique and 1 cun #32 needles into LV-2 with a twisting
For Wei syndrome with muscular atrophy, thirst, and Spleen deficiency
symptoms: BL-20, SP-9, PC-6, CV-12, SP-6, and KI-7.
Insert 1.5 cun #30 needles into BL-20 perpendicularly, 1 cun deep with the
Shao Shan Huo—Burning Fire on the Mountain technique until a heat
sensation is produced under the needles and the then remove the needles
without retaining them. Insert 1.5 cun #32 needles into SP-9, SP-6, CV-12,
and KI-7 with a twisting even movement needle technique. Retain all needles
for 20 minutes.
For Wei syndrome with bone atrophy below the waist, a black complexion, and
Kidney deficient symptoms:BL-23, GB-30, GB-31, GB-34, GB-39, and KI-1
lifting and thrusting reinforcing needle technique and 3 cun #30 needles
into GB-30 with a twisting even movement needle technique.
Insert 1.5 cun #32 needles into GB-31, GB-34, and GB-39 perpendicularly, 1
cun deep with a lifting and thrusting reducing needle technique and 1 cun
#32 needles into KI-1 with a twisting reinforcing needle technique. Retain all
For Wei syndrome with a weak back, contracted muscle and tendon, and an
Interior Deficient fever: GV-2 and BL-34. (Qian Jing Fang)
For Wei syndrome with a fever: LI-11, TW-3, ST-36, GB-37, BL-62, and LI-4. (Zhen
Jiu Zhi Zhi)
Apply 1.5 cun #30 needles into LI-11 perpendicularly, 1 cun deep with the
Long Hu Jiao Zhan—Dragon and Tiger Battle technique and 1.5 cun #32
needles into ST-36 and GB-37 with a twisting reinforcing needle technique.
Insert 1 cun #32 needles into LI-4, TW-3, and BL-62 with a twisting reducing
For Wei syndrome due to Damp-Heat: GV-20, GV-16, LI-10, LV-2, GB-30, and
TW-11. (Zhen Jiu Ju Ying)
Apply 1.5 cun #30 needle into GV-20 transversely, 1 cun deep with a lifting
Qi technique and 1 cun #32 needle into GV-16 perpendicularly, 0.5 cun
deep with a twisting reducing needle technique. Insert 3 cun #30 needles
into GB-30 with a twisting reducing needle technique and 1 cun #32 needles
into LV-2 with a twisting even movement needle technique. Insert 1.5 cun
#30 needles into LI-10 and TW-11 perpendicularly, 1 cun deep with a lifting
and thrusting reducing needle technique. Retain all needles for 30 minutes.
For Wei syndrome with Kidney and Liver deficiency: ST-36, GV-14, BL-43, BL-23,
and LV-2. (Zhen Jiu Gang Yao)
Apply a bloodletting technique on LV-2 and insert 1.5 cun #32 needles into
ST-36 perpendicularly, 1 cun deep with a twisting reinforcing needle
Insert a 1.5 cun #32 needle into GV-14 perpendicularly, 1 to 1.2 cun deep
with a rubbing needle technique until sensation of the needle travels down
along the spinal column, and apply moxa wool to the handles of the needles
for 3 cones. Insert 1.5 cun #32 needles into BL-43 transversely at a 30-degree
angle, towards BL-44, 1 cun deep with a twisting reinforcing needle
technique and 1.5 cun #30 needles into BL-23 with a lifting and thrusting
For Wei syndrome due to deficiency of Qi: ST-36 and SP-6. (Jiu Fa Mi Chuan)
Apply direct non-scarring moxibustion on ST-36 for 11 cones, on SP-6 for 5
cones.
For Wei syndrome with Interior Heat: LI-4, TW-10, BL-23, GB-30, KI-2, and GB-
32. (Cai Ai Bian Yi)
Insert 1.5 cun #30 needles into TW-10 obliquely, 1 cun deep at a 45-degree
angle towards TW-13 with a twisting reducing needle technique and 1 cun
#32 needles into LI-4 and KI-2 with a twisting even movement needle
technique. Insert 3 cun #30 needles into GB-30 perpendicularly, 2.5 cun
deep with a twisting reducing needle technique and 1.5 cun #32 needles
into BL-23 and GB-32 with a twisting even movement needle technique.
Treat once every other day for 30 minutes as a course.
For Wei syndrome with numbness and a dull sensation on the hands and feet:
GB-42, LV-3, LI-11, PC-7, LI-4, LI-10, TW-2, and SP-9 (Zhen Jiu Da Quan)
Insert 1 cun #30 needles into GB-42 and LV-3 with a twisting reducing needle
technique and 1 cun #32 needles into LI-4, TW-2, and PC-7 with a twisting
reducing needle technique. Insert 1.5 cun #30 needles into LI-11, LI-10, and
SP-9 perpendicularly, 1 cun deep with a lifting and thrusting reducing needle
For Wei syndrome with paralysis of legs: GB-39 and GB-30. (Yu Long Jing)
Insert 1.5 cun #30 needles into GB-39 perpendicularly, 1 cun deep with the Zi
Wu Dao Jiu—Mortar and Pestle technique and 3 cun #30 needles into GB-30
with a twisting reducing needle technique. Apply Electro stimulation on these
two points, with the negative side on GB-30 and slow- fast waves for 30
minutes.
For Wei syndrome with paralysis of the legs: ST-36, SP-6, KI-7, and LV-3. (Zhen
Jiu Feng Yuan)
Insert 1.5 cun #32 needles into LV-3, 1 cun deep towards KI-1 with a twisting
even movement needle technique and 1.5 cun #30 needles into ST-36, SP-6,
and KI-7 perpendicularly, 1 cun deep with a twisting reinforcing needle
For Wei syndrome with profuse sweating: LI-10 and ST-30. (Pi Wei Lun)
Apply a bloodletting technique at LI-10 and ST-30 to treat Wei syndrome with
profuse sweating.
For Wei syndrome with sweating that is hard to stop: LI-9 and GB-40. (Pi Wei
Lun)
Insert 1.5 cun #32 needles into LI-9 perpendicularly, 1 cun deep with a
twisting reducing needle technique and 1 cun #30 needles into GB-40 with a
minutes.
Treat during the symptoms only.
WIND STROKE
Wind-stoke is a very dangerous and common disorder that affects many
patients in the clinic. Its onset is very quick and the symptoms are very
changeable. Similar to the nature of the Wind syndromes, main clinical
manifestations are sudden loss of consciousness and waking up with paralysis one
side of the body and face, most of the time with speech problems as well. TCM
thinks Wind-stroke is due to pathogenic Wind, Fire, and Dampness, Deficiency
and stagnation of Qi, stagnation of the Blood, and deficiency of the Yin.
Underlying disease mechanisms are deficiency of both Liver and Kidney Yin,
which lead the upper body to Excess and the lower body to Deficiency, causing
the rebellious Qi and stagnation of Blood in some parts of the meridians and
brain—leading to stroke.
Fire
Interior Fire refers to Liver and Heart Fire, which are caused by either long
term stagnation of Liver Qi, due to abnormal emotional activities, or by
Interior Heat, such as long term Yin Deficiency and long term stagnation of
Blood.
Phlegm
Phlegm is usually produced by over eating or long term improper food
intake, making the Spleen fail in transportation and transformation, and as a
result the stagnation of water forms into Phlegm being retained in the
middle warmer. After long-term stagnation it will turn to Heat and damage
the Yin of the body. It often travels and stagnates in some parts of the body,
even in the brain when accompanied by Liver Fire.
Wind
This refers to both Exterior Wind and Interior Wind. The Exterior Wind
means an External Pathogenic Influence has directly stagnated in some part
of the meridians or brain—causing stroke. And Interior Wind, which is caused
by either Liver Fire and long term stagnation of Liver Qi, or extreme Blood
and Yin Deficiency which will cause Phlegm and Blood Stasis to take up in
some part of the meridians and brain.
Rebellious Qi
This is due to abnormal emotional activities and/or long-term unhealthy
emotional stimulation, which make the Yin of the Liver and Heart deficient
causing rebellious Qi.
Blood stagnation
This is caused most often by Interior Heat and Fire, which dries the body
fluids, or deficiency of Qi failing to move the Blood.
Wind-Stroke involves pre-stroke symptoms such as dizziness, headache, or

abnormal sensation on the face and limb(s), and a feeling of restlessness.
During the stroke symptoms include those of all kinds of western medicine
CVA.
DIAGNOSIS
TCM divides Wind-stroke into two types, the more severe one with
unconsciousness is called stroke in the organs (Zhong Zang Fu) and the light
one without the process of the coma is called stroke in the meridians (Zhong
Jing Lou). After the appearance and duration of an acute stroke, all future
clinical manifestations are referred to as sequelea of the stroke.
Stroke in Meridians (Zhong Jing Lou)

Mild stroke, consciousness is maintained, although patients could have
hemiplegia and numb sensations on one side of the body—associated with
facial paralysis sometimes, stiff tongue, and ease to anger, along with a red
tongue with a yellow greasy coat, and wiry or slippery pulse.
Stroke with coma (Zhong Zang Fu)
This is a severe case of stroke, with sudden unconsciousness and coma.
There are two types noted in TCM:
Tense Type (Bi)
Unconsciousness, clenched hands and jaws, red complexion, labored
breathing with gurgling phlegm in the throat, constipation, and retention
of urine. The pulse is slippery and fast.
Flaccid Type (Tuo)

Deep coma with eyes, mouth, and hands flaccid and open, enuresis,
uncontrolled bowel movements, weak breathing, extremely cold
extremities, and pulse is hidden and weak.
Sequelea of Stroke
After an acute condition and the emergency has been stabilized, the patient
may still have facial paralysis, hemiplegia, pain and numbness in the hands
and feet, a red tongue with a yellow coating, and a pulse on the healthy side
of body that is wiry whereas the paralyzed side is weak—this is called
sequelea of stroke.
Stroke attacking the Meridians (Zhong Jing Lou)
Treatment Principle: Regulate Qi and Blood, and Dredge the meridians.
Point Prescription: LI-15, LI-11, LI-4, TW-5, GB-30, GB-34, ST-36, ST-41, and BL-
60. (Select the points on the diseased side only.)
Technique: Insert 1.5 cun #28 needles into LI-15, LI-11, GB-34, and ST-36 with
lifting and thrusting reinforcing needle technique. Insert 1 cun #30 needles for
LI-4, TW-5, ST-41, and BL-60 with twisting reducing needle technique and a 3
cun #30 needle for GB-30 with even movement technique. Retain all the
Upper limb paralysis: TW-14, TW-4, and SI-3.
Lower limb paralysis: GB-31 and GB-39.
Long time disease: GV-14, SI-1, GV-3, BL-30, PC-3, PC-7, LV-8, KI-3, Ba Xie,
and Ba Feng.
Speech problem: CV-23 and HT-5.
Numb sensations on the skin: Plum blossom needle with weak stimulation
in the affected areas.
Stroke with Coma (Zhong Zang Fu)
Tense Type (Bi)
Treatment Principle: Move the stagnation of Qi and Blood and Open the
orifices.
Point Prescription: GV-26, the 12 Jing-well points, LV-3, ST-40, and PC-8.
(Select points bilaterally.)
Treat only in emergency.
Technique: Insert 1 cun #30 needles for GV-26, LV-3, and PC-8 with strong
twisting needle technique and 1.5 cun #30 needles for ST-40 with lifting
and thrusting reducing needle technique. Perform bloodletting on the 12
Jing-well points after needle treatment.
After becoming conscious: Remove the needles above and add GV-20, Yin
Tang, GB-31, SP-6, and LI-4.
Clenched jaw: ST-6 and ST-4.
Difficulty swallowing: KI-6 and CV-22.
Speech problems: GV-15 and HT-5.
Flaccid Type (Tuo)
Treatment Principle: Recuperate depleted Yang and Rescuing the patient
from collapse.
Point Prescription: CV-4 and CV-8 with indirect moxibustion with salt,
continuing until the patient wakes up, and the temperature and the pulse
return to normal.
Spontaneous sweating: HT-6.
Snoring sleep: BL-62.
Uncontrolled urine: ST-28, SP-6, and ST-36.
Deficiency Yang: GV-4, BL-24, BL-23, and KI-1 with direct non-scarring
moxibustion until the body feels warm.
Sequelae of Stroke
Treatment Principle: Dredge the meridians and Move the Qi and Blood.
Point Prescription: CV-6, GV-14, GV-4, BL-23, GV-20, LI-11, and ST-36.
Technique: Insert 1.5 cun #32 needles into GV-14, GV-4, and BL-23 with twisting
reinforcing needle technique and apply moxa wool on the handle of the needles
for 3 cones. Insert 1.5 cun #30 needle into GV-20 backwards against meridian
flow, 1.2 cun deep with lifting Qi technique, and 1.5 cun #32 needles into CV-6,
LI-11, and ST-36 with lifting and thrusting reinforcing needle technique. Retain
all the needles for 30 minutes.
Facial paralysis: ST-4, ST-6, LI-4, Tai Yang, and TW-17.
Easy to anger: LV-3, TW-5, BL-43, and BL-45.
Ear Acupuncture
Point Prescription: Brain, Occipital, Shen men, Upper limb, Low limb,
Shoulder, Neck, Heart, Liver, Kidney, Sympathetic, Sub cortex. Selecting 3 to
5 points in each treatment, insert 0.5 cun #32 ear needles into these points
with fast twisting needle technique until a hot sensation is felt under the
needles. Retain the needles for 40 minutes.
Scalp Acupuncture
Point Prescription: Middle line of vertex, Anterior oblique line from the
vertex to temple, Posterior oblique line from vertex to temple, and Lateral
line 1 of the vertex. Selecting treatment zones on the healthy side with 1.5
cun #28 needles, begin the treatment. Insert the needles at the angle of 30-
degrees into the treatment zones with fast twisting needle technique. At the
same time, tell the patient to exercise one’s limbs actively. Retain the needles
for 2 hours.
Eye Acupuncture
Point Prescription: Upper warmer, Middle warmer, Lower warmer, Heart,
Liver, and Kidney.
Insert 0.5 cun #32 needles into these points obliquely or transversely, 0.2 cun
deep and retain the needles for 30 minutes after the patient feels the
sensation of the Qi.
Nose Acupuncture
Point Prescription: Heart, Liver, Gall bladder, Lung, and Kidney.
Insert 0.5 cun #32 needles into these points perpendicularly, 0.1 to 0.2 cun
deep with twisting reducing needle technique. Retain all the needles for 30
minutes.
Foot Acupuncture
Point Prescription: Li Nei Ting, Nei Tai Cong, San Jiao, Head, and Kidney.
Insert 1 cun #32 needles into these points perpendicularly, 0.5 cun to 0.8 cun
deep with twisting reducing needle technique. Retain all the needles for 20
minutes.
Treat once every other day, 5 to 7 treatments as a course.
Moxibustion
Use direct non-scarring moxibustion on GV-20, TW-4, LI-12, LI-15, and ST-36
for 11 cones.
Electro-Acupuncture
Apply fast-slow waves on the scalp and ear points for 20 minutes in each
treatment. And apply continues waves on the four extremities selecting
points according to the distribution of the muscles and nerves for 20
minutes.
Treat once very other day for 10 treatments as a course.
For stroke in both tense and flaccid types: GV-26, PC-9, KI-1, GV-20, CV-6, and
CV-4.
Additional points
Clenched jaw: ST-6.
Upper extremity paralysis: LI-15, TW-14, LI-11, and LI-4.
Weakness of the hand: SI-4 and SI-3.
Swollen hand: Shi Xuan.
Weakness of the shoulder: GV-14, LI-16, and SI-10.
Lower extremity paralysis: Shi Qi Zhui Xia, GB-30, Huan Zhong, BL-40,
BL-35, ST-36, and GB- 39.
Weakness in the leg: ST-32, He Ding, Xi Yan, and BL-57.
Weakness of the toes: Ba Feng and KI-3.
For tense type of stroke:
Insert 1 cun #28 needles into GV-26 obliquely upward, 0.5-0.8 cun deep with
fast twisting reducing needle technique (twist the needle over 200/per
minute). Insert 1 cun #28 needles into KI-1 perpendicularly, 0.8 cun deep
with twisting and lifting and thrusting reducing needle technique until the
patient wakes up. Use bloodletting technique on PC-9 with a three-edge
needle, squeezing out 3-5 drops of blood.
For flaccid type of stroke:
Insert a 1.5 cun #30 needle into GV-20 subcutaneously against the meridian
flow, 1.2 cun deep with fast twisting technique (twist the needle over
200/per minute). Insert 1 cun #28 needle into GV-20 obliquely upward, 0.5
cun deep with twisting reducing needle technique and keep doing the
needle technique every 3 minutes during the retaining of the needles. Apply
indirect moxibustion with salt on CV-4 and ginger on CV-6, until the patient
wakes up, and the pulse and body temperature recover.
Additional points for upper extremity paralysis:
Insert 1.5 cun #30 needles into ST-6 perpendicularly, 0.8-1 cun deep with the
Long Hu Jiao Zhan—Dragon and Tiger Battle technique, and retain the
needles for 30 minutes for clenched jaws. Insert 1.5 cun or 2 cun #30 needles
into LI-15 and TW-14 perpendicular towards HT-1 with twisting reinforcing
needle technique, and apply the moxa wool on the handle of the needles for
3 cones. Insert 1.5 cun #30 needles into LI-11 perpendicularly, 1.2 cun deep
with rubbing (twisting count clock wise) technique to let the sensation of the
needle travel down to the finger and retain the needles for 30 minutes. Insert
1 cun #32 needles into LI-4 with twisting reinforcing needle technique (or
insert 1.5 cun #32 needle go through to PC-8 with the same technique.
Additional points for weakness of the hand:
Insert 1.5 cun #32 needles into SI-3 perpendicularly, 0.8-1.2 cun deep with
twisting reinforcing needle technique. Insert 1 cun #30 needles into SI-4 with
twisting reducing needle technique. Retain all the needles for 30-40 minutes
or with Electro-stimulation on continuous wave.
Additional points for swollen hands:
Use a three-edge needle or 1 cun #26 needle on Shi Xuan making 2-3 drops
of blood.
Additional points for weakness of the shoulder:
Insert a 1.5 cun #30 needle into GV-14 perpendicularly, 1.2 cun deep with
rubbing needle technique (rub the needle clockwise after getting the Qi
sensation and until the sensation travels). Insert 1 cun #32 needles into LI-16
perpendicularly with twisting reinforcing needle technique. Insert 1.5 cun
#30 needles into SI-10 with lifting the thrusting reinforcing needle technique.
Additional points for lower extremity paralysis:
Insert 1.5 cun #30 needles into Shi Qi Zhui Xia, BL-40, ST-36, and GB-39
perpendicularly with twisting reinforcing needle technique. Insert 3 cun #30
needles into Huang Zhong, GB-30, and BL-35 perpendicularly, 2-2.5 cun deep
with twisting reducing needle technique. Retain all the needles for 40
minutes or with Electro-stimulation on continuous wave.
Additional points for weakness of the leg:
Insert 1.5 cun #30 needles into ST-32, He Ding, Xi Yan, and BL-57
perpendicularly with twisting reinforcing needle technique or with Electro-
stimulation on intermittent wave.
Additional points for weakness of the toes:
Insert 1 cun #30 needles into Ba Feng and KI-3 perpendicularly, 0.8 cun deep
with twisting reinforcing needle technique or apply moxa wool on the handle
Additional points for weakness of the leg:
Insert 1.5 cun #30 needles into ST-32, He Ding, Xi Yan, and BL-57
perpendicularly with twisting reinforcing needle technique or with Electro-
stimulation on intermittent wave.
Additional points for weakness of the toes:
Insert 1 cun #30 needles into Ba Feng and KI-3 perpendicularly, 0.8 cun deep
with twisting reinforcing needle technique or apply moxa wool on the handle
The following prescriptions are from the Zhen Jiu Da Cheng.

For wind stroke in a coma with clenched jaw and intense symptoms: LU-11, LI-
1, PC-9, SI-1, TW-1, and HT-1.
Use bloodletting technique on LU-11, LI-1, PC-9, SI-1, TW-1, and HT-1
squeezing out 2 to 3 drops of blood. The treatment is only used in
emergency.
For wind stroke with inner leg muscle spasms: SP-6.
Use direct moxibustion on SP-6 for 10 cones in each treatment, 40 cones as a
course.
For wind stroke with outer leg muscle spasms: GB-39.
Use direct moxibustion on GB-39 for 10 cones in each treatment, 30 cones as
a course.
For wind stoke with leg weakness: BL-60. (Zhen Jiu Da Cheng)
Insert 1.5 cun #32 needles into BL-60 with twisting reducing needle
For wind stroke in a coma with collapse of Yang, uncontrolled bowls and urine:
CV-8. (Jing Yue Quan Shu)
Indirect moxibustion with salt and ginger
Use salt (it’s better to dry it in the pot for a while) on CV-8, and a piece of
ginger above, and then apply large moxa-cones on it until the patient wakes
up.
For Sequelea of wind stroke: LI-4, LI-11, GB-21, GB-30, SP-10, SP-9, GB-34, ST-36,
GB-39, and BL-62. (Yu long Jing)
Insert 1.5 cun #32 needles into all these points on the healthy side of the
body with twisting reinforcing or lifting and thrusting reinforcing needle
technique. Retain all the needles for 10 minutes. Then insert 1.5 cun #30
needles into all these point on the disease side of the body for disease side
of body with lifting and thrusting reducing needle technique. Retain all the
For Sequelae of stroke with symptoms of arm contractions and difficulty
extending: LI-10 and SI-4. (Jiu Fa Mi Chuan)
Apply direct moxibustion on LI-10 and SI-4 for 20 cones each treatment.
For Sequelae of stroke patients who feel itching sensations and weak
sensations on the hands and feet: BL-62, TW-13, SI-4, LI-4, LV-2, GB-31, and GB-
34 (diseased side of the body) (Zhen Jiu Da Quan)
Insert 1 cun #30 needles into BL-62, SI-4, LI-4, and LV-2 with twisting
reducing needle technique, and 1.5 cun #32 needles into TW-13, GB-31, and
GB-34 with lifting and thrusting reducing needle technique.
Treat once twice a week, 5 treatments as a course.
For Sequelae of stroke:
Main points: PC-6, GV-26, and SP-6.
Supplemental points: HT-1, BL-40, LU-5, GB-20, GB-12, LI-4, and CV-23.
(Shanghai Zhong Yi Zha Zhi)
Insert 1 cun #32 needles into PC-6 perpendicularly, 0.8 cun deep with
twisting reducing needle technique and then into GV-26 obliquely towards
the nose, 0.3 to 0.5 cun deep with vibrating technique until the eyes get wet
or tear. Insert 1.5 cun #30 needles into SP-6 with lifting and thrusting
reinforcing needle technique. Retain the needles for 30 minutes.
Insert 1.5 cun #30 needles into HT-1, LU-5, BL-40, GB-20, GB-12, and CV-23
with lifting and thrusting reducing needle technique and 1 cun #32 needles
into LI-4 obliquely towards LI-3, 0.8 cun deep with twisting reducing needle
technique and retain all the needles with main points.
For Sequelae of stroke: GV-20, Paralysis I, Paralysis II, GV-26, and CV-23.
Insert 1.5 cun #30 needles into Paralysis I and II (Paralysis I is located
between HT-7 and HT-3 and Paralysis II is located 1.5 cun above GB-33)
perpendicularly, 1 to 1.2 cun deep with twisting even movement needle
technique. Insert 1 cun #32 needles into GV-20, GV-26, and CV-23 with
twisting reducing needle technique. Retain all the needles for 40 minutes.
For stroke with consciousness problems: GV-26, GV-24, GB-42, and LI-4. (Shen
Yin Jing)
Insert 1 cun #30 needles into GV-26 and GV-24 with twisting reducing needle
technique, and 1 cun #32 needles into GB-42 and LI-4 with twisting
For Sequelae of stroke with body and facial paralysis: Qian Zhen, ST-7, GV-20,
GB-30, LU-7, LI-11, GB-31, and LV-3. (Shi Yi De Xiao Fang)
Apply direct non-scarring moxibustion on Qian Zhen—an extra point located
1 cun anterior to the ear lobe, for 7 cones on the healthy side. Insert a 1.5
cun #32 needle into ST-7 on the diseased side of the body, perpendicularly 1
cun deep with twisting reducing needle technique. Insert 1.5 cun #30 needle
into GV-20 with fast twisting needle technique, 1.5 cun #32 needles into LU-
7, LI-11, GB-31, and LV-3 with twisting reducing needle technique on the
diseased side and twisting reinforcing needle technique on the healthy side
of the body. Insert a 3 cun #30 needle into GB-30 on the diseased side with
YU SYNDROME—EMOTIONAL DISORDER
Yu syndrome is one form of behavior and/or emotional change in a human
being. This psychological disorder is very hard to define due to its ambiguous
nature. The complexity of Yu syndrome is that it can describe symptoms of
anxiety, depression, and even mania. In TCM, Yu syndrome is attributed to
stagnation of Qi and can include severe stress, depression, anxiety, hysteria and
Zang Zao, which includes hysteria and other emotional problems related with
dysfunction of internal organs.
Beginning Stages
Most of Yu syndromes start with unhealthy emotional stimulation. It can
be excess joy, anger, grief, fear, sadness, fright, or over-thinking. All these
emotions will impact movement of the Qi, causing physical responses, such
as plum pit Qi, chest stuffiness, a headache, a bloated abdomen, insomnia,
dizziness, etc.
Later Stages
Long-term Yu syndrome will impact some organs internally, which is referred
to as Zang Zao in Chinese. When the patient has a Spleen Deficiency, the
main symptom is phlegm. With a Kidney Deficiency, the main symptom is
disharmony between the Heart Fire and Kidney Water. Stagnation of Qi
obstructs the Kidney Water from ascending to nourish the Heart Fire and the
Heart Fire from descending to warm the Kidney Water.
DIAGNOSIS
Plum Pit
Symptoms appear as dysphoria, depression, stress associated with a stuffy
feeling in the chest and the sensation of a foreign object being lodged in the
throat, like a plum-pit that is hard to expel or swallow (without influencing
eating and drinking), sighing, and an inclination towards paranoia. The tip
and edge of the tongue is red with a white greasy coat, and the pulse is wiry
or slippery.
DIAGNOSIS
Plum Pit
Symptoms appear as dysphoria, depression, stress associated with a stuffy
feeling in the chest and the sensation of a foreign object being lodged in the
throat, like a plum-pit that is hard to expel or swallow (without influencing
eating and drinking), sighing, and an inclination towards paranoia. The tip
and edge of the tongue is red with a white greasy coat, and the pulse is wiry
or slippery.
Zang Zao
This syndrome can resemble a trance, abnormal emotions with crying or
abnormal anger and laughter that is aggravated by any emotional
stimulation. The tongue is red with a white thin coating and the pulse is thin
and floating. There will be a tendency towards Heart and Spleen Blood
Deficiency. The patient can feel a bloating sensation on the epigastric and
abdominal region, a poor appetite, heart palpitations, insomnia, lassitude,
restlessness and may have a pale complexion. The tongue is pale with a thin
coat, and the pulse is thin and weak. With a Heart and Kidney Yin Deficiency,
the patient will feel more dizziness and vertigo, ringing ear, malar flushes,
heat sensation in the five hearts, a sore and weak sensation in the low back
and both legs and insomnia with dysphoria. The tongue is red without a coat
and pulse is thin and fast.
Plum Pit
Treatment Principle: Soothe the Liver, Move the stagnation of Qi, Clear the Fire
and Resolve the Phlegm.
Point Prescription: LV-3, CV-17, ST-40, LU-10, and HT-7.
Technique: Insert 1 cun #32 needles into LV-3, LU-10, and HT-7 perpendicularly,
0.3 cun to 0.5 cun deep with a twisting reducing needle technique. Insert 1.5
cun #30 needles into CV-17 obliquely, 1.2 cun deep at a 45-degree angle
downwards with a lifting and thrusting reducing needle technique and 1.5 cun
#32 needles into ST-40 with a twisting reducing needle technique. Retain all
Dry throat: LI-19 and LI-1.
Insomnia: ST-45 with direct non-scarring moxibustion for 8 cones.
Zang Zao
Treatment Principle: Reinforce the Qi and Yin, and Calm the Heart Shen.
Point Prescription: BL-17, KI-23, BL-15, PC-6, and SP-6.
Technique: Insert 1.5 cun #30 needles into BL-17 and BL-15 obliquely, 1 cun
deep towards the spinal column at a 60-degree angle with a lifting and thrusting
even movement needle technique, and apply moxa wool to the handles of the
needles for 3 cones. Insert 1 cun #32 needles into KI-23, PC-6, and SP-6
perpendicularly, 0.5 to 0.8 cun deep with a twisting even movement needle
In a trance: GV-26 and PC-9.
Trembling limbs: LV-3 and GB-34.
Stiff muscles: GV-20 and PC-7.
Locked jaw: LI-4 and ST-6.
Hiccup: CV-12 and ST-36.
Deafness: GB-2 and TW-3.
Aphonia: HT-5 and CV-23.
Ear Acupuncture
Points: Brain, Brain stem, Heart, Liver, Shen Men, and Endocrine.
Insert 0.5 cun #32 ear needles into these points obliquely, 0.3 cun deep at a 45-
degree angle with a twisting reducing needle technique. Retain all needles for
40 minutes. Or apply press-balls on one side of ear for 3 days.
Scalp Acupuncture
Treatment zones: Middle line of the vertex, lateral line 1 of the vertex, lateral
line 3 of the forehead, anterior line of the temple.
Insert 1.5 cun #30 needles into these lines transversely, 1 cun deep with a fast
twisting needle technique.
Insert 1.5 cun #32 needles into these areas transversely, 1.2 cun deep at a 15-
degree angle without any particular needling technique and avoid any sensation
of the needles. Retain all needles for 30 minutes to 1 hour.
Cupping
Points: CV-17, CV-12, BL-13, BL-15, and BL-20.
Apply fire cups on CV-17 and CV-12 for 3 minutes and on BL-13, BL-15, and BL-
20 for 5 minutes.
Treat once daily for 3 treatments as a course, or with other techniques together.
Moxibustion
Direct moxibustion: LV-1, SP-4, BL-23, and BL-18.
Apply direct non-scarring moxibustion on LV-1 and SP-4 for 5 cones and on
BL-23 and BL-18 for 9 cones.
Indirect moxibustion: CV-6, CV-12, and BL-43.
Apply indirect moxibustion with a Fu Zi (aconite) cake on CV-6 and CV-12 for
3 cones and on BL-43 for 5 cones.
Moxa pole: GV-20, KI-1, and CV-4.
Apply moxa-pole on GV-20 for 10 minutes, on KI-1 and CV-4 for 20 minutes.
For plum pit: PC-5 and SP-6. (Zhen Jiu Da Cheng)
Insert 1.5 cun #32 needles into PC-5 perpendicularly, 1 cun deep with a
twisting even movement needle technique and 1 cun #34 needles into SP-6
For Zang Zao with grief and crying: GV-20 and GV-26. (Shen Yin Jing)
twisting reinforcing needle technique. Apply a moxa-pole on GV-20 for 20
minutes.
For Zang Zao with a trance: GV-26, LI-4, and KI-1. (Bai Zhen Fu)
twisting even movement needle technique and 1 cun #32 needles into LI-4
and KI-1 with a twisting reducing needle technique. Retain all needles for 20
minutes.
For plum pit with Interior Heat: LV-13, TW-6, LV-2, SP-4, and CV-17. (Zhen Jiu Za
Zhi)
Insert 1 cun #32 needles into SP-4 and LV-2 perpendicularly, 0.5 cun deep
with a twisting even movement needle technique. Insert 1.5 cun #32 needles
into LV-13 and TW-6 perpendicularly, 1 cun deep with a twisting reducing
needle technique and 1.5 cun #30 needle into CV-17 obliquely, 1 cun deep
downwards at a 60-degree angle with a twisting even movement needle
For Zang Zao with a poor appetite and lassitude: CV-12, ST-25, LV-3, and Yin
Tang. (Bai Zhen Fu)
Insert 1 cun #34 needles into LV-3 and Yin Tang with a twisting even
movement needle technique. Insert 1.5 cun #32 needle into ST-25 and CV-12
perpendicularly, 1 to 1.2 cun deep with a lifting and thrusting reinforcing
needle technique, and apply moxa wool to the handles of the needle for 3
cones.
For Zang Zao with aphasia: HT-5, CV-22, ST-9, and LI-4. (Zhen Jiu Chu Fang Xue)
Insert 1 cun #30 needles into HT-5 and LI-4 perpendicularly, 0.8 cun deep
with a twisting reducing needle technique. Insert 1.5 cun #32 needle into CV-
22 obliquely, 1 cun deep at a 60-degree angle following the direction of the
trachea with a twisting even movement needle technique and 1.5 cun #32
needles into ST-9 perpendicularly, 1 cun deep with a twisting reinforcing
For Zang Zao with Yin Deficiency: KI-6, LV-8, HT-7, BL-23, GV-14, and Bai Lao.
Insert 1.5 cun #32 needles into GV-14 and Bai Lao perpendicularly, 1 cun
deep with a lifting and thrusting even movement needle technique and 1.5
cun #32 needles into BL-23 with a twisting reinforcing needle technique.
Retain all needles for 10 minutes. Insert 1 cun #32 needles into KI-6, LV-8,
and HT-7 perpendicularly, 0.5 cun deep with a twisting even movement
For plum pit with insomnia: SP-9, LI-11, CV-19, and An Mian.
Insert 1.5 cun #32 needles into SP-9 and LI-11 perpendicularly, 1 to 1.2 cun
deep with a lifting and thrusting reducing needle technique and 1.5 cun #34
needle into CV-19 transversely, 1 cun deep towards CV-18 with a twisting
even movement needle technique. Insert 1 cun #32 needles into An Mian
For plum pit with bad depression: BL-22, BL-18, BL-42, GV-12, LI-4, LV-3, CV-22,
and ST-28.
Insert 1.5 cun #30 needles into BL-22, BL-18, and GV-12 perpendicularly, 1
cun deep with a lifting and thrusting reducing needle technique and 1.5 cun
#32 needles into BL-42 obliquely, 1 cun deep at a 30-degree angle towards
BL-43 with a twisting reinforcing needle technique. Retain all needles for 15
minutes. Insert 1.5 cun #32 needle into CV-22 obliquely, 1 cun deep at a 60-
degree angle following the trachea with a rubbing needle technique (rub the
needle counter- clockwise) until the sensation of needle spreads over into
the chest. Insert 1 cun #34 needles into LV-3 and LI-4 with a twisting reducing
needle technique and 1.5 cun #32 needles into ST-28 with a twisting reducing
For Zang Zao with anxiety attacks: TW-4, LI-5, GB-41, SP-5, LV-8, LI-11, CV-17,
and GV-24.
Insert 1 cun #30 needles into TW-4, LI-5, GB-41, SP-5 perpendicularly, 0.3 to
0.5 cun deep with a twisting Dao Qi technique (one of the ancient needle
techniques using a slow twisting and lifting and thrusting until the Qi travels
along the meridian). Insert 1.5 cun #32 needles into LV-8, LI-11, and CV-17
with a lifting and thrusting even movement needle technique and 1.5 cun
#30 needle into GV-24 transversely, 1 cun deep towards the back at a 30-
minutes.
Thank
You - M. K. Sastry

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INTERNAL

Abdominal pain due to Food Stagnation

Abdominal Pain due to Cold Pathogenic Influence

Plum Blossom Needle

Wrist and Ankle Acupuncture

Bi Syndromes in the Organs

Bi Syndromes in the Organs

The following are all from the Yu Long Ge.

After other severe diseases

Lung and Stomach Yin Deficiency

Wrist and Ankle Acupuncture

Heat Stagnation in the Stomach and Intestines

Constipation due to deficiency of Cold

Exterior Pathogenic Influences

Observing the phlegm is also important in cough diagnosis.

Cough due to Wind Heat Pathogenic Influence

Zhong Xiao (Stomach Yin Deficiency)

Spleen and Stomach Deficiency

Kidney Yang Deficiency

Stagnation of the Spleen

Deficiency of Spleen and Stomach

Pain due to Food Stagnation

Pain with Stomach and Spleen Deficient Cold

Epilepsy Induced by Terror

Epilepsy due to Blood Stasis

Liver Yang (Fire) Rising

Additional points for associated symptoms:

Additional points for associated symptoms:

Yin Deficiency with Blood-Heat

Yin Deficiency with Blood–Heat

Yin and Qi Deficiency

Rebellious Stomach Fire

Deficient type of the Hiccup

Additional points for associated symptoms:

Qi and Yin Deficiency

Liver and Gall Bladder Damp-Heat

The critical technique in diagnosing hypochondriac pain is in identifying the

Hypochondriac pain due to stagnation of the Liver

Hypochondriac pain due to Stagnation of Blood

Liver fire Rising

Stranguria with Blood (Hematuria)

Stranguria with Cloudy and Turbid Urine (Galacturia)

Treat once every other day for 5 treatments as a course.

Within TCM pathology, Dian is considered to be a Yin type of mental disorder,

Treatment Principle: Harmonizing Shao Yang, and Resolve the malaria.

For chronic malaria: LV-13 and BL-20. (Lei Jing Tu Yi)

Liver Yang Rising

Additional points for associated symptoms:

The following prescriptions are from the Zi Shen Jin.

Unhealthy Eating Habits

Liver and Gallbladder Qi Stagnation

Unhealthy Emotional Activity

Liver and Gallbladder Qi Stagnation

Wind Heat Pathogenic Influence

Trigeminal neuralgia due to Wind-Heat

Wrist and Ankle Acupuncture

External Wind Pathogenic Invasion

Heat stagnation in the Stomach and Intestines

Heat stagnation in the Stomach and Intestines

Liver Qi attacking the Stomach

Additional points for associated symptoms:

The following three prescriptions are from the Zi Shen Jing.

Beginning Stage of Wei Syndrome

Liver and Kidney Deficiency