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Advanced Tung Style Acupuncture:

~~

The Acupuncture of Master Tung Ching-Chang and its Applications in Neurological Disorders.

~t

Compiled, Collated, and Translated by:

~u

James H. Maher, M.S., D.C., O.M.D., Dipl. Ac. (NCcAoM) Foreword by:

Mary Schrick, N.D., Ph.D. Director of Medical Services: The Full Circle Health Center Host: The Third Opinion Syndicated Radio Show

•

~

Advanced Tung Style Acupuncture Series: Volume 4

To my wife Mo Chiaen-Yun, whose love, s~pport, and encouragement enabled this entire series to come to fruition.

Advanced Tung Style Acupuncture:

~~

The Acupuncture of Master Tung Ching-Chang and its Applications in Neurological Disorders.

~t

Compiled, Collated, and Translated by:

~u

James H. Maher, M.S., D.C., O.M.D., Dipl. Ac. (NCcAoM) Foreword by:

Mary Schrick, N.D., Ph.D. Director of Medical Services: The Full Circle Health Center Host: The Third Opinion Syndicated Radio Show

•

~

Copyright: No portion of this publication, except for brief review, may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the copyright holder. Disclaimer: This book is intended as an educational reference for licensed healthcare practitioners only. Because professional training and expertise are essential for the safe and effective practice of acupuncture, this manual is not intended for use by the laity. All treatment suggestions made within this text must be employed by qualified practitioners only. All non-practitioner readers should consult with their health care provider regarding suggestions made within this manual. Great care has been taken to ensure the accuracy of the information contained within this reference and is presented for educational purposes only. The staff and authors of MCY, LC recognize that clinicians accessing this information will have varying levels of training and expertise; consequently, we accept no responsibility for the results obtained by the application of the information contained within this text. Nor are the staff and authors of MCY, LC liable for the safety and suitability of the treatment suggestions, either alone or in combination with others. Neither the author of this reference, nor MCY, LC can be held responsible for errors of fact, translation, or omission, nor for any consequences arising from the use or misuse of the information contained herein. The use of acupuncture during pregnancy, or while nursing, must only be performed by those qualified to provide such services.

ISBN-13: 978-0-9827197-0-1

v

Contents

Acknowledgements ...................................................................................................................................... vi Foreword..................................................................................................................................................... vii Introduction................................................................................................................................................ viii Legend...........................................................................................................................................................x Table of Contents ......................................................................................................................................... xi Prof. Dr. Ching-Chang Tung ..................................................................................................................... xvii Part 1: Neurologic Symptoms and Signs....................................................................................................... I Part 2: Neurologic Diseases ....................................................................................................................... 303 Part 3: Miscellaneous ................................................................................................................................. 461 Appendices: Point Index .................................................................................................................................................469 Disorder Index ............................................................................................................................................ 483 Bibliography............................................................................ :.................................................................. 495

VI

Acknowledgements This book, as with all worthwhile endeavors, would not have been possible without the inspiration, input, and assistance of many individuals. Yeshua, my redeemer and the 'boss of me'. Prof. Dr. Ching-Chang Tung for being the genius that he was. Drs. So Tin-Yao, Ted Kaptchuk, Andrew Gamble, and all the 'old' professors of the New England School of Acupuncture for helping me get my acupuncture 'feet wet' way back in the early 1980's. Drs. Hsiao Hung-Hsun, Hwang Wei-San, Chang Yung-Hsien, and He Ch'ao-Hsi my Taiwanese professors at the Tainan Provincial and China Medical Teaching Hospitals who taught me to demand more of myself for my patients than I ever thought possible. Drs. Lai Chin-Hsiung, Hu Ping-Ch'uan, Young Wei-Chieh, Wang Min-Chuan, Li Kuo-Cheng, and Meng Chieh for being so selfless and sharing their expertise with 'old hundred names'. Drs. Wangden Carson, Palden Carson, and Miriam Lee for first introducing the Tung Style of Acupuncture into the English speaking acupuncture community. Drs. C.K. Lo, Chairman, S.K. Tsui, Vice-Chairman, and Z.R. Sun, Clinical Director of the International Acupuncture Institute, Hong Kong/Shen Zhen, PRC for instilling in me the desire to translate Chinese works into English for the benefit of all. Drs. Paul Jaskoviak, John Chambers, and the Hon. Judge Charles J. Rogers for going to bat for me in the 'bottom of the ninth' when I was behind one to nothing. Drs. Edward R. Maher, Sr., James E. Bailey, and Laurence Altshuler for being physicians cut from a superior mold. My mother Mary Frances Maher, my sister Michaela F. Maher, and my brothers Dr. Edward R. Maher, Jr. and Maj. Joseph M. Maher for all their support these many long years. My patients over the last 20+ years for teaching me the things only a patient can teach a physician. My daughter, Carolyn, for her painstaking efforts in producing the artwork and diagrams. My friends, professors, and colleagues at the Oklahoma Center for Neuroscience, Graduate College of Medicine, University of Oklahoma Health Sciences Center: Drs. Beverley Greenwood-Van Meerveld, my mentor and Center Director; Robert W. Blair, Course Director- Medical Neuroscience; Daniel O'Donoghue, Daniel M~eill, Kyung W. Chung, Tarisai Dandajena, and J. White in the Department of Cell Biology for allowing me to participate in the Clinical Anatomy education of the next generation of Physician Assistants and Dentists; and finally, David Garrison for directing my research into the application of advanced imaging techniques in the investigation of the neurological mechanisms of acupuncture. Finally, Mo Chiaen-Yun (Jennifer) my wife, Carolyn my daughter, and J.J. my son for all their love, caring, and support without which my life means naught.

Vll

Foreword Advanced Tung Style Acupuncture: NEUROLOGY- The Acupuncture of Master Tung Ching-Chang and its Applications in Neurological Disorders is the fourth volume in a series of acupuncture reference texts complied, collated, and translated by Dr. James Maher. While many volumes of books and texts have been written in Chinese which could greatly help the western practitioner, few of us can read or understand Chinese. Most text books are dry and, without an understanding of the Chinese mindset, difficult at best for the Western practitioner to fully understand. I first came to meet Dr. Maher at the recommendation of James W. Hogin, D.O. in the Spring of 2008 when Dr. Hogin was interviewing Dr. Maher to work in the Brookview Medical Center in Oklahoma City. Simultaneously, Dr. Hogin was discussing the possibility of moving the Brookview Medical Center from OKC up to Edmond and merging it with the Full Circle Health Center. Dr. Hogin suggested that Dr. Maher and I meet to see if we might obviate the necessity of him having to move twice; Dr. Maher and I hit it off well and we were off and runnmg. The style of acupuncture employed by Dr. Maher, the Tung Style Acupuncture, is both unique and effective; therefore, translation of this style of acupuncture is extremely important. The information contained herein, as interpreted from the Chinese writings by Dr. Maher, will enable the practitioner of acupuncture to understand not only the correct acupuncture points used to treat a myriad of neurologic disorders with this style, but also gain an understanding of why these points are used. Fortunately, the Tung style acupuncture is efficacious and facile enough for both, those clinicians who are trained in Traditional Chinese Medicine, and those who are not. It has, indeed, been my privilege to work in a clinical setting with Dr Maher over the last two years. In so doing, I have personally seen a wide variety of neurological issues resolved under his application of the Tung style acupuncture. On a personal note, I must admit that I, too, have also benefited directly from this most effective style of acupuncture with some of my own personal medical needs. Dr Maher's attention to detail in practice and in translation will make this work an asset in your clinic and to your neurological patients as well.

Mary Schrick, N.D., Ph. D. Director of Medical Services: Full Circle Health Center Syndicated Radio Host: The Third Opinion Radio Program Edmond, Oklahoma

Vlll

Introduction This volume, the fourth in the Advanced Tung Style Acupuncture Series, was first suggested by one of the many acupuncture physicians whose patients had derived clinical benefit from data contained in the first three volumes. He stated emphatically, "You have to continue bring more of this most effective acupuncture to the English speaking acupuncture community- it's not easy to learn Chinese, and you're the only way we're going to get this information!" His request, coupled with the outpouring of support I was blessed with from those of you who purchased the earlier volumes, directly contributed to the inception of this text. Once I had resolved to undertake writing another volume (NOT an easy task, to say the least), the only real problem I had was in selecting the topic for Volume 4: Internal Medicine, Otorhinolaryngology, Anesthesiology/Pain Management, Orthopaedics, Neurology, Ophthalmology, et cetera? While I say that topic selection was a problem, it really wasn't quite as difficult as it might first appear. I had just spent the last 2+ years of my life pursuing a Master of Science Degree in Neuroscience from the Oklahoma Center for Neuroscience, the Graduate College of Medicine at the University of Oklahoma, Health Sciences Center in Oklahoma City, Oklahoma. I had returned to graduate school in an attempt to gain a deeper understanding of the anatomical substrate upon which acupuncture has its affect, namely the nervous system, and was presented with the opportunity to have many discussions concerning acupuncture and said anatomical substrate with the basic science faculty, the clinical faculty, and my fellow grad students. The most frequently posed question ran along these lines: "What can acupuncture do for this, or that, neurological disorder?" Which was followed by the corollary: "What are the mechanisms through which acupuncture achieves clinical success?" While I was readily able to provide answers to the former, the latter was far more difficult, and I would frequently retort, "That's the very reason I was back in school!" or "I was hoping that you'd help me find the answers to that very question!" Alas, graduate school was 'fun'. The treatments contained in this volume address many of the neurological disorders enquired about by my esteemed colleagues at the OCNS, and this volume is only a natural outcome of those queries. With respect to the neurological mechanisms of acupuncture: while I have achieved a much greater understanding of the human nervous system and a far greater appreciation for its complexity, 'the jury is still out' in this regard. Some of the advanced imaging techniques, especially functional Magnetic Resonance Imaging and Positron Emission Tomography show great promise in the elucidation of these neural mechanisms, however, funding for this research is rather difficult to obtain at this time and will just have to be 'put on the back burner' for now. As stated above, this fourth volume in the Advanced Tung Style Acupuncture Series is focused on the treatment of neurological disorders. The breadth of disorders addressed ranges from abscesses (cerebral), to cranial nerve disorders, to specific psychological disorders, and on to Zang4 Fu3 organ induced headaches. This reference text contains over 450 pages of treatment protocols for a myriad of commonly encountered neurological disorders which may provide insight into the treatment of your specific patients' needs. As is the case with the earlier volumes, the application of the information contained herein is predicated upon a base level of understanding of the acupuncture of Master Tung Ching-Chang as presented by Drs. Wei-Chieh Young, Palden Carson, Wang Min-Chuan, Robert Chu, Esther Su, Richard Tan, Miriam Lee, Susan Johnson, etc; this text is NOT a primer in Tung Style acupuncture.

IX

A new feature, as suggested by one of the acupuncture physicians who procured the earlier volumes, is an expanded 'disorder index'; this should facilitate locating specific disorders without having to pour through the entire table of contents - especially when minutes count. Within said index, I have attempted to render some of the arcane neurological lexicon into the vernacular all while maintaining the integrity of neurological parlance. Hopefully, this addition will render the text a little more 'user friendly'. As was the case in previous volumes, the information contained herein was culled from different Chinese language sources authored by various experts from Taiwan, and there ARE point location discrepancies. One should employ the point locations as delineated by the proposing authority for a particular treatment protocol addressing a specific disorder; this is to say that the points and their locations are those which should be employed for the proposed prescription. One should also employ the author(s) recommended needling technique(s) as well. ONE SHOULD REMEMBER, THERE ARE DISCREPANCIES (sometimes significant) AMONGST THE VARIOUS TAIWANESE AUTHORS, AND ONE SHOULD EMPLOY THE LOCATIONS AND NEEDLING TECHNIQUES SPECIFIC TO THE AUTHOR(S) PROVIDING THE PRESCRIPTION- THIS IS WHAT HE/SHE/THEY HAVE FOUND TO WORK FOR HIM/HER/THEM FOR THAT SPECIFIC DISORDER OR DISEASE! In conclusion, it is my sincerest desire that this volume, like the previous three, provide the busy acupuncture physician with some of the tools requisite to treating many of the more challenging disorders facing medicine today. It is in the treatment of neurological disorders where acupuncture truly shines and, in particular, where the Tung Style of Acupuncture eclipses all other techniques.

jim maher

PS: Further volumes are in the works and will address topics such as: Internal Medicine, Otorhinolaryngology, Ophthalmology, Anesthesiology and Pain Management, Orthopaedics, etc. Vol. 5, Anesthesiology and Pain Management, is projected to be completed some time in Autumn, 2010.

X

LEGEND The following legend helps to identify the appropriate point locations with the author(s) suggesting the point prescription. The transliteration is not the Pinyin used in the PRC, rather it is a system commonly employed on Taiwan, ROC by the Far Eastern Dictionary Company.

*

CCC=

liM ~ ~ Ch'en T'ing, Ch'en Nai-Li, and Chou Ting-Wen.

e CKS = l!mA . . . Dfl& Ch'en Hsiao-Ching, K'uang Yu-Chen, and ,S_u Shan-Yu.

+ HPC =~ Hu ~ing-Ch'uan. D

HCL = ~.

**

Q LCH =

J!.td ~ Hung Li-Yueh, Chou Han-Luan, and Lin Yu-Shan.

*Brit Lai Chin-Hsuing.

LKC = $Ill& Li Kuo-Cheng.

HSH =

~ ~ ~ Hsiao Yu-Ling, ,S_u Shan-Yu, and Huang Jui-Hsuing.

*MC = B •

Meng Chieh.

PRC State Administration of TCM locations.

XI

PART 1: NEUROLOGIC SYMPTOMS Ch 1: Headache Headache: Blood Vacuity (LKC) 1 Headache: Brain Disease Organic (LKC-1) 2 Headache: Brain Disease Organic (LKC-2) 2 Headache: Brain Disease Organic (LKC-3) 3 Headache: Brain Disease Organic (LKC-4) 3 Headache: Chronic Daily (LKC-1) 4 Headache: Chronic Daily (LKC-2) 6 Headache: Chronic Daily (LKC-3) 8 11 Headache: Cold/Flu Induced (HPC) Headache: Cold Common URI (LKC) 12 Headache: 'External Factors' (LKC) 13 Headache: 'External Pathogens' (LKC) 13 Headache: Fever (HPC) 14 Headache: Fever (LKC) 15 Headache: Frontal (CCC) 16 Headache: Frontal (HPC-1) 17 Headache: Frontal (HPC-2) 18 Headache: Frontal (LKC-1) 19 Headache: Frontal (LKC-2) 20 Headache: Frontal (LKC-3) 21 Headache: Frontal (LKC-4) 21 Headache: Frontal (LKC-5) 22 Headache: Frontal (LKC-6) 23 Headache: Frontal (LKC-7) 23 Headache: Frontal (MC) 24 Headache: Global (CCC) 25 Headache: Global (HPC) 25 Headache: Global (MC-1) 26 Headache: Global (MC-2) 27 Headache: Heart Disease (LKC) 28 Headache: Hypertensive (LKC) 30 Headache: Elevated Diastolic BP (LKC) 30 Headache: 'Head-Wind' (LKC) 31 Headache: 'Kidney-Depletion' (LKC) 31 Headache: Migraine (CCC) 32 Headache: Migraine (HPC-1) 33 Headache: Migraine (HPC-2) 34 Headache: Migraine (LKC-1) 35

Headache: Migraine (LKC-2) Headache: Migraine (LKC-3) Headache: Migraine (LKC-4) Headache: Migraine (LKC-5) Headache: Migraine (LKC-6) Headache: Migraine (LKC-7) Headache: Migraine (LKC-8) Headache: Migraine (LKC-9) Headache: Migraine (MC-1) Headache: Migraine (MC-2) Headache: Migraine (MC-3) Headache: Migraine (MC-4) Headache: Migraine (MC-5) Headache: Occipital (CCC-1) Headache: Occipital (CCC-2) Headache: Occipital (HPC) Headache: Occipital (LKC-1) Headache: Occipital (LKC-2) Headache: Occipital (LKC-3) Headache: Occipital (LKC-4) Headache: Occipital (LKC-5) Headache: Occipital (LKC-6) Headache: Occipital (LKC-7) Headache: Occipital (LKC-8) Headache: Occipital (MC) Headache: Post-traumatic (HPC) Headache: Qi Vacuity (LKC) Headache: Qi/Blood Dual Vacuity (LKC) Headache: Sinus (HPq Headache: Temporal (CCC) Headache: Temporal (HPC-1) Headache: Temporal (HPC-2) Headache: Temporal (LKC-1) Headache: Temporal (LKC-2) Headache: Temporal (LKC-3) Headache: Temporal (LKC-4) Headache: Temporal (LKC-5) Headache: Temporal (LKC-6) Headache: Temporal (LKC-7) Headache: Temporal (LKC-8) Headache: Temporal (LKC-9) Headache: Temporal (MC-1) Headache: Temporal (MC-2) Headache: Temporal (MC-3) Headache: Temporal (MC-4) Headache: Temporal (MC-5) Headache: Vertex (HPC-1) Headache: Vertex (HPC-2) Headache: Vertex (LKC-1)

35 36 37 38 38 39 40 41 42 42 43 44 45 46 47 48 49 49 50 50 51 52 53 54 56 57 58 58 59 60 61 62 63 64 64 65 66 66 67 68 69 70 71 72 73 73 74 75 76

Xll

Headache: Vertex (LKC-2) Headache: 'Zang-Fu' Induced (LKC-1) Headache: 'Zang-Fu' Induced (LKC-1) Headache: 'Zang-Fu' Induced (MC)

76 77 77 78

Ch 2: Cranial Nerve Disturbances Anosmia (HPC) Anosmia (LKC) Optic Neuritis (HPC) Blurred Vision (MC) Nyctalopia (MC) Diplopia (MC) Esotropia - Deficiency (MC) Esotropia- Excess (MC) Exotropia- Deficiency (MC) Exotropia -Excess (MC) Ophthalmodynia (MC) Trigeminal Neuralgia (HPC) Trigeminal Neuralgia (LKC-1) Trigeminal Neuralgia (LKC-2) Trigeminal Neuralgia (MC) Atypical Facial Pain (HPC) Atypical Facial Pain: Supraorbital (MC) Atypical Facial Pain: Nasal (MC) Glossodynia (MC) Facial Paresthesiae (MC) Facial Paresis (LKC-1) Facial Paresis (LKC-2) Facial Paralysis [Bell's Palsy] (CCC-1) Facial Paralysis [Bell's Palsy] (CCC-2) Facial Paralysis [Bell's Palsy] (CCC-3) Facial Paralysis [Bell's Palsy] (HPC) Facial Paralysis [Bell's Palsy] (LKC-1) Facial Paralysis [Bell's Palsy] (LKC-2) Facial Paralysis [Bell's Palsy] (MC-1) Facial Paralysis [Bell's Palsy] (MC-2) Supranuclear Facial Palsy (HPC) Supranuclear Facial Palsy (MC) Facial Tic (CCC) Facial Tic (MC) Xeropthalmia (HPC) Xeropthalmia (MC) Hypoacusis (HPC) Tinnitus Aurium (CCC) Tinnitus Aurium (HPC) Tinnitus Aurium (LKC-1)

79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 95 96 97 98 99 100 100 101 102 103 104 105 106 108 109 110 111 112 113 114 116 117 118

Tinnitus Aurium (LKC-2) Tinnitus Aurium (MC) Tinnitus: CentraVCerebri (LKC-1) Tinnitus: CentraVCerebri (LKC-2) Tinnitus: CentraVCerebri (LKC-3) Tinnitus: CentraVCerebri (LKC-4) Tinnitus: CentraVCerebri (LKC-5) Dysequilibrium (CCC-1) Dysequilibrium (CCC-2) Dysequilibrium (CCC-3) Dysequilibrium (HPC) Dysequilibrium (LKC-1) Dysequilibrium (LKC-2) Dysequilibrium (LKC-3) Dysequilibrium (LKC-4) Dysequilibrium (LKC-5) Dysequilibrium (LKC-6) Dysequilibrium (LKC-7) Dysequilibrium (LKC-8) Dysequilibrium (LKC-9) Dysequilibrium (LKC-10) Dysequilibrium (LKC-11) Dysequilibrium (LKC-12) Dysequilibrium (LKC-13) Dysequilibrium (LKC-14) Dysequilibrium (LKC-15) Dysequilibrium (LKC-16) Dysequilibrium (LKC-17) Dysequilibrium (LKC18) Dysequilibrium (LKC-19) Dysequilibrium (LKC-20) Dysequilibrium (LKC-21) Dysequilibrium (MC-1) Dysequilibrium (MC-2) Dysequilibrium (MC-3) Nystagmus (MC) Meniere's Disease (MC) Vertigo (CCC-1) Vertigo (CCC-2) Vertigo (HPC) Vertigo (LKC-1) Vertigo (LKC-2) Vertigo (LKC-3) Vertigo (LKC-4) Vertigo (LKC-5) Vertigo (LKC-6) Vertigo (LKC-7) Vertigo (LKC-8) Vertigo (LKC-9)

119

120 121 121

122 123

123 124

124 125

126 127 127 128 128 129 129 130 130 131 132 133 133 134 136 137 138 139 140 141 142

144 145 146 147 148 149 150 151 152 153 153 154 154 155 155 156 156 157

xiii

Vertigo (LKC-10) Vertigo (LKC-11) Vertigo (LKC-12) Vertigo (LKC-13) Vertigo (LKC-14) Vertigo (LKC-15) Vertigo (LKC-16) Vertigo (LKC-17) Vertigo (LKC-18) Vertigo (LKC-19) Vertigo (LKC-20) Vertigo (LKC-21) Vertigo (MC-1) Vertigo (MC-2) Vertigo (MC-3) Glossopharyngeal Neuralgia (HPC) Dysarthria (HPC) Dysarthria (LKC-1) Dysarthria (LKC-2) Wry Mouth/Eyes (CCC-1) Wry Mouth/Eyes (CCC-2) Wry Mouth/Eyes (MC-1) Wry Mouth/Eyes (MC-2) Wry Mouth/Eyes (HPC-1) Wry Mouth/Eyes (HPC-2)

158 158 159 160 160 161 162 164 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 182 184

Ch 3: Back Pain Low Back Pain (CCC-1) Low Back Pain (CCC-2) Low Back Pain (CCC-3) Low Back Pain (CCC-4) Low Back Pain (CCC-5) Low Back Pain (CCC-6) Low Back Pain (MC) Low Back Pain (HPC) Low Back Pain (LKC-1) Low Back Pain (LKC-2) Low Back Pain (LKC-3) Low Back Pain (LKC-4) Low Back Pain (LKC-5) Lumbar Spondylosis Deformans (HPC) Rachiodynia (CCC-1) Rachiodynia (CCC-2) Rachiodynia (CCC-3) Rachiodynia (MC) Ruptured Intervertebral Disc - Lx (MC) Sciatica (CCC-1)

185 185 186 186 187 187 188 190 191 192 192 193 193 194 196 196 197 198 200 201

Sciatica (CCC-2) Sciatica (CCC-3) Sciatica (CCC-4) Sciatica (CCC-5) Sciatica (CCC-6) Sciatica (CCC-7) Sciatica (CCC-8) Sciatica (CCC-9) Sciatica (CCC-10) Sciatica (CCC-11) Sciatica (HPC-1) Sciatica (HPC-2) Sciatica (LKC-1) Sciatica (LKC-2) Sciatica (LKC-3) Sciatica (LKC-4) Sciatica - Gallbladder Channel (MC) Sciatica -Bladder Channel (MC)

202 203 204 205 206 207 208 209 210 211 212 214 215 216 217 218 219 220

Ch 4: Neck Pain Cx Spondylosis Deformans (CCC-1) Cx Spondylosis Deformans (CCC-2) Cx Sprain/Strain (CCC) Cx Spondylosis Paresthesiae (HPC) Cervicodynia (HPC) Cervicodynia (MC) Degenerative Disk Disease: Cx (CCC-1) Degenerative Disk Disease: Cx (CCC-2) Herniated Nucleus Pulposus: Cx (MC)

221 222 223 224 226 227 228 229 230

Ch 5: Presyncope & Syncope Presyncope (CCC-1) Presyncope (CCC-2) Presyncope (LKC-1) Presyncope (LKC-2) Presyncope (LKC-3) Presyncope (LKC-4) Presyncope (LKC-5) Presyncope (LKC-6) Presyncope (LKC-7) Presyncope (LKC-8) Presyncope (LKC-9) Presyncope (LKC-10) Presyncope (LKC-11)

231 231 232 233 233 234 236 237 237 238 239 240 241

XlV

Presyncope (LKC-12) Presyncope (LKC-13) Presyncope (LKC-14) Presyncope (MC) Syncope (MC-1) Syncope (MC-2)

242 244 245 246 247 248

Ch 6: Numbness & Paresthesiae Paresthesiae: Finger(s) (CCC) Paresthesiae: Fingers (HPC) Paresthesiae: Fingers (MC) Paresthesiae: Middle Finger (MC) Paresthesiae: Upper Extremity (MC) Paresthesiae: Crural (HPC) Paresthesiae: Crural (MC) Paresthesiae: Pedal (LKC-1) Paresthesiae: Pedal (LKC-2) Paresthesiae: Toes (HPC) Paresthesiae: Toes (LKC) Paresthesiae: Toes (MC) Paresthesiae: 3rd Toe (MC) Paresthesiae: Lower Extremity (MC)

249 250 252 253 254 255 256 258 260 262 263 264 265 266

Ch 7: Alterations in Consciousness Stupor (CCC) Coma(HPC) Coma (LKC-1) Coma (LKC-2) Coma (MC-1) Coma(MC-2) Stupor (MC-1) Stupor (MC-2) Stupor (MC-3)

267 268 270 272 273 274 276 278 280

Ch 8: Seizure Disorders & Epilepsy Seizure (HBQ) Seizure (CCC) Seizure (LGZ-1)

281 282 284

Seizure (LGZ-2) Seizure (LGZ-3) Seizure (MC) Epilepsy (CCC) Epilepsy (HBQ) Epilepsy (LKC-1) Epilepsy (LKC-2) Epilepsy (LKC-3) Epilepsy (MC)

286 286 287 288 290 291 291 292 294

Ch 9: The Floppy Infant Floppy Infant Syndrome (CCC-1) Floppy Infant Syndrome (CCC-2) Floppy Infant Syndrome (CCC-3) Floppy Infant Syndrome (CCC-4) Floppy Infant Syndrome (HPC) Floppy Infant Syndrome (LKC-1) Floppy Infant Syndrome (LKC-2) Floppy Infant Syndrome (MC)

295 296 297 298 299 300 301 302

PART 2: NEUROLOGIC DISEASES Ch 10: Infectious Diseases Cerebral Abscess (HBQ-1) Cerebral Abscess (HBQ-2) Meningitis: Cerebral (HPC) Meningitis: Spinal (HPC) Meningitis (LKC-1) Meningitis (LKC-2) Meningitis (LKC-3) Meningitis (LKC-4) Meningitis (LKC-5) Meningitis (LKC-6) Meningitis (LKC-7) Meningitis (MC-1) Meningitis (MC-2) Poliomyelitis (CCC-1) Poliomyelitis (CCC-2) Poliomyelitis (CCC-3) Poliomyelitis (CCC-4)

303 304 305 306 308 309 310 311 312 312 313 314 316 317 318 319 320

XV

Poliomyelitis (HPC) Poliomyelitis: (LKC)

321 322

Ch 11: Movement Disorders Choreoathetosis (MC) Clonus: Wrist (CCC) Clonus: Wrist - Deficiency (MC) Paralysis/Paresis: Carpopedal (CCC) Paralysis/Paresis: Upper Limb (CCC-1) Paralysis/Paresis: Upper Limb (CCC-2) Paralysis/Paresis: Fingers (LKC-1) Paralysis/Paresis: Fingers (LKC-2) Paralysis/Paresis: Fingers (LKC-3) Paralysis/Paresis: Fingers (LKC-4) Paralysis/Paresis: Fingers (LKC-5) Paralysis-Flaccid: Lower Limb (LKC-1) Paralysis-Flaccid: Lower Limb (LKC-2) Parkinson's Disease (MC) Parkinson Tremor: Carpopedal (MC) Torticollis: Neurogenic (CCC-1) Torticollis: Neurogenic (CCC-2) Torticollis: Myogenic (HPC-1) Torticollis: Myogenic (HPC-2) Torticollis (LKC-1) Torticollis (LKC-2) Torticollis (LKC-3) Torticollis (LKC-4) Torticollis (LKC-5) Torticollis (LKC-6) Torticollis (LKC-7) Torticollis (LKC-8) Torticollis (LKC-9) Torticollis (LKC-10) Torticollis (LKC-11) Torticollis (LKC-12) Torticollis: Myogenic (MC-1) Torticollis: Myogenic (MC-1) Tremor: Carpopedal (CCC) Tremor: Carpopedal (HPC) Tremor: Intention (MC) Tremor: Carpopedal (MC) Tremor: Neck/Head (LKC-1) Tremor: Neck/Head (LKC-2) Tremor: Neck/Head (LKC-3) Tremor: Neck/Head (LKC-4)

323 324 325 326 327 328 329 330 330 331 332 333 334 335 336 337 338 339 340 341 341 342 342 343 343 344 345 346 347 348 348 349 350 351 352 354 356 357 357 358 358

Ch 12: Stroke & Sequelae Aphasia: Broca's Motor/Express. (CCC) 359 Aphasia: Broca's Motor/Express. (HPC) 360 Aphasia: Broca's Motor/Express. (LKC-1)361 Aphasia: Broca's Motor/Express. (LKC-2) 362 Aphasia: Broca's Motor/Express. (MC-1) 363 Aphasia: Broca's Motor/Express. (MC-2) 364 Aphasia: Wernicke's Sensory/Recep.(MC) 366 Cerebral Hypoperfusion (HPC) 367 Cerebral Thrombus (HPC) 368 Cerebrovascular Accident (HPC) 370 Cerebrovascular Accident Seq. (CCC-1) 371 Cerebrovascular Accident Seq. (CCC-2) 372 Cerebral Thrombus (CCC-1) 372 Cerebral Thrombus (CCC-2) 373 Cerebral Thrombus (CCC-3) 374 Contracture: Carpopedal (LKC-1) 375 Contracture: Carpopedal (LKC-2) 376 Contracture: Hand (MC) 377 CVA Prophylaxis (LKC) 378 Dysphasia (HPC) 379 Dysphasia (LKC-1) 380 Dysphasia (LKC-2) 381 Dysphonia (LKC-1) 382 Dysphonia (LKC-2) 383 Hemiplegia/Hemiparesis (CCC-1) 384 Hemiplegia/Hemiparesis (CCC-2) 385 Hemiplegia/Hemiparesis (CCC-3) 386 Hemiplegia/Hemiparesis (CCC-4) 387 Hemiplegia/Hemiparesis (LKC-1) 388 390 Hemiplegia/Hemiparesis (LKC-2) Hemiplegia/Hemiparesis (LKC-3) 392 Hemiplegia (MC) 394 Transient Ischemic Attack (HPC) 396

Ch 13: Neoplasm Brain Tumor (CCC) Brain Tumor (LKC-1) Brain Tumor (LKC-2) Brain Tumor (LKC-3) Brain Tumor (LKC-4) Brain Tumor (LKC-5) Brain Tumor (LKC-6) Brain Tumor (MC) Brain Tumor (HPC)

397 398 399 400 401 402 403 404 406

XVI

Ch 14: Trauma Cerebral Concussion (HPC) Cerebral Concussion (LKC-1) Cerebral Concussion (LKC-2) Cerebral Edema (CCC) Hydrocephalus (CCC) Hydrocephalus: Post-traumatic (HPC) Hydrocephalus (LKC-1) Hydrocephalus (LKC-2) Hydrocephalus (LKC-3) Hydrocephalus (LKC-4) Hydrocephalus (MC-1) Hydrocephalus (MC-2)

407 408 409 410 411 412 413 414 415 416 417 418

Myalgic Encephalomyelitis (MC) Neurasthenia (HPC-1) Neurasthenia (HPC-2) Neurasthenia (LKC-1) Neurasthenia (LKC-2) Neurasthenia (LKC-3) Neurasthenia (LKC-4) Neurasthenia (LKC-5) Neurasthenia (LKC-6) Neurasthenia (LKC-7) Neurasthenia (MC) Neurosis (MC) Phobia (HPC) Psychosis (MC) Social Anxiety Disorder (HPC)

447 448 449 450 451 452 453 454 455 455 456 457 458 459 460

Ch 15: Sleen Disorders Insomnia (HPC-1) Insomnia (HPC-2) Insomnia (LKC-1) Insomnia (LKC-2) Insomnia (LKC-3) Insomnia (LKC-4) Insomnia (LKC-5) Insomnia (MC-1) Insomnia (MC-2) Pavor Nocturnus: Pediatric (CCC) Pavor Nocturnus: Pediatric (HPC) Sleep Terror (CCC) Sleep Terror (HPC)

419 420 421 422 424 426 428 429 430 431 432 433 434

Ch 16: Neuronsychiatric Disorders Amnestic Syndrome (HPC) Anxiety (HPC) Bipolar Disorder (HPC) Chronic Fatigue Syndrome (HPC-1) Chronic Fatigue Syndrome (HPC-2) Chronic Fatigue Syndrome (MC) Dementia (HPC) Generalized Anxiety Disorder (HPC) Hysteria (MC) Manic Depressive Psychosis (HPC) Myalgic Encephalomyelitis (HPC-1) Myalgic Encephalomyelitis (HPC-2)

435 436 437 438 439 440 441 442 443 444 445 446

PART 3: MISCELLANEOUS Ch 17: Miscellaneous Disorders Bruxism (MC) Cerebral Palsy (HPC) Charcot's Joint (HPC) Complex Regional Pain Syndr. UE (MC) Hydrocephalus: Infantile (HPC) Neuropathic Arthropathy (HPC) Reflex Sympathetic Dystrophy UE (MC) Shock (CCC)

461 462 463 464 465 466 467 468

APPENDICES: Point Index Disorder Index Bibliography

469 483 495

(]!roj. (J)r. Cfii1lfj-Ciia:ne ~U1liJ 1916,..,1975

PARTl: NEUROLO(;IC SYMPT()MS

1

Headache: Blood Vacuity (LKC) 1. DMG 33-03 'Heart Spirit Three Needles', Tong1 Guan 1, and Tong1 Tian 1 (LKC):

•

•

•

-

DMG 33-03 'Heart Spirit Three Needles': i. Xin 1 Ling2 Yi1 : This point lies on the anterior surface of the antebrachium in the interosseous space between the ulna and radius bones; i.e., on the Hand Jue2 Yin 1 Pericardium Channel, 1.5 cun proximal to the anterior distal transverse wrist crease; Needle perpendicularly 0.5 to 1.5 cun- one may penetrate through to the dorsum of the antebrachium or obliquely 30° from distal to proximal 1.5 cun for chest disorders and diseases of the head. {Heart Organ Branch Reaction Area} ii. Xin 1 Ling2 Er4 : This point lies on the anterior surface of the antebrachium in the interosseous space between the ulna and radius bones; i.e., on the Hand Jue 2 Yin 1 Pericardium Channel, 2.5 cun proximal to the anterior distal transverse wrist crease; Needle perpendicularly 0.5 to 1.5 cun- one may penetrate through to the dorsum of the antebrachium or obliquely 30° from distal to proximal 1.5 cun for chest disorders and diseases of the head. {Heart Organ Branch Reaction Area} iii. Xin 1 Ling2 San 1: This point lies on the anterior surface of the antebrachium in the interosseous space between the ulna and radius bones; i.e., on the Hand Jue2 Yin 1 Pericardium Channel, 3.5 cun proximal to the anterior distal transverse wrist crease; Needle perpendicularly 0.5 to 1.5 cun - one may penetrate through to the dorsum of the antebrachium or obliquely 30° from distal to proximal 1.5 cun for chest disorders and diseases of the head. {Heart Organ Branch Reaction Area} 1 Tong Guan 1: This point is located on the median plane (mid-sagittal plane) of the anterior thigh, 5.0 cun proximal to the center of the superior edge of the patella; Needle perpendicularly 0.5 to 1.5 cun. {Heart General Reaction Area} Tong1 Tian 1: This point is located on the median plane (mid-sagittal plane) of the anterior thigh, 9.0 cun proximal to the center of the superior edge of the patella; Needle perpendicularly 0.5 to 1.5 cun. {Heart General Reaction Area} (Tong 1 Tian 1 is located 4.0 cun immediately proximal to Tong 1 Guan 1 on the median plane (mid-sagittal plane) of t:pe t rior thigh.)

DMG 33-03 'Heart Spirit 3 N'

2 Headache: Brain Disease [Organic] (LKC-1) 1. Huo3 Ju 2, Huo3 San4 (LKC): • Huo3 Ju 2 : This point is located 1.0 cun proximal to Huo 3 Lian2 ; Needle (unilateral only) 0.5 to 1.0 cun perpendicular and inferior to the first metatarsal bone. {Heart Branch and Kidney Auxiliary Reaction Areas} CONTRAINDICATED IN PREGNANCY. (Huo3 Lian2 is located along the inferior border of the first metatarsal bone, on the medial side of the foot, 2.0 cun J'roximal to first the metatarsophalangeal joint - it is located 0.5 cun proximal to Sp-3WH .) • Huo3 San4 : This point is located 1.0 cun proximal to Huo 3 Ju2 ; Needle 0.5 to 1.0 cun perpendicular and inferior to the first metatarsal bone. {Heart Branch, Kidney Auxiliary, and Six Bowels Auxiliary Reaction Areas} CONTRAINDICATED IN PREGNANCY.

Headache: Brain Disease [Organic] (LKC-2) 1. Tu3 Ding3, Shui3 Ding3 (LKC): • Tu3 Ding3 : This point is located 0.5 cun distal to PC-3 WHO on the anterior surface of the proximal antebrachium; Needle perpendicularly 0.2 to 0.3 cun, 'letting' is particularly effective. {Heart and Liver Reaction Areas} • Shui3 Ding3 : This point is located 0.5 cun distal to Ht-3 WHO on the anterior surface ofthe proximal antebrachium; Needle perpendicularly 0.2 to 0.3 cun, 'letting' is particularly effective. {Heart and Liver Reaction Areas}

Ht-3

Shui3 Ding3

3 Headache: Brain Disease [Organic] (LKC-3)

1. Zheng4 Jin 1, Zheng4 Zong1 (LKC): •

•

Zheng4 Jin 1 : This point is located 3.5 cun proximal to the plantar surface of the heel, on the tendo calcaneus (Achilles tendon) of the posterior aspect of the distal leg; Needle perpendicularly 0.5 cun to 1.0 cun; insert to the tibia for best results. {General Vertebral and General Brain Reaction Areas} (Zheng4 Jin 1 is located midway between Bl-60WH0 and KI-3WH0 .) Zheng4 Zong1 : This point is located 2.0 cun proximal to Zheng4 Jin 1 on the tendo calcaneus (Achilles tendon) of the posterior aspect of the distal leg; Needle perpendicularly 0.5 cun to 1.0 cun; insert to the tibia for best results. {General Vertebral and General Brain Reaction Areas}

Headache: Brain Disease [Organic] (LKC-4) 1. Zheng4 Nao3 Yi1, Zheng4 Nao3 Er4 (LKC): • Zheng4 Nao3 Yi1: This point is located 4.5 cun proximal to the plantar surface of the heel on the tendo calcaneus (Achilles tendon) of the posterior aspect of the distal leg; Needle perpendicularly 1.0 to 2.0 cun- best results are obtained if the tip of the needle reaches the tibia. {Brain Reaction Area} (Zheng4 Nao3 Yi 1 is found midway between Zheng4 Jin 1 and Zheng4 Zong 1.) • Zheng4 Nao3 Er4 : This point is located 2.0 cun proximal to Zheng4 Nao3 Yi 1 on the tendo calcaneus (Achilles tendon) of the posterior aspect of the distal leg; Needle perpendicularly 1.0 to 2.0 cun- best results are obtained if the tip of the needle reaches the tibia. {Brain Reaction Area} (Zhent Nao3 Er4 is found midway between Zheng4 Zong 1 and Zheng Shi4 .)

4 Headache: Chronic, Daily Headaches (LKC-1) 1. First, 'Let' DMG 77-05 'Three Weights Three Needles', DMG 7-02 'Four Flowers Three Needles', Shi2 Ba1 Xing\ Wu3 Ling\ then needle DMG 77-05 'Three Weights Three Needles' (LKC): • DMG 77-05 'Three Weights Three Needles': i. Yi 1 Zhong4 : This point is located by coursing 3.0 cun proximal, then 1.0 cun anterior to the apex of (as viewed from posterior to anterior) the lateral malleolus; 'Let' with a prismatic needle then needle perpendicularly 1.0 to 2.0 cun. {Heart Branch, Lung Branch, and Spleen Reaction Areas} ii. Er4 Zhong4 : This point is located by coursing 2.0 cun proximal to Yi 1 Zhong4; 'Let' with a prismatic needle then needle perpendicularly 1.0 to 2.0 cun. {Heart Branch, Lunf Branch, and Spleen Reaction Areas} iii. San 1 Zhong :This point is located by coursing 2.0 cun proximal to Er4 Zhong4; 'Let' with a prismatic needle then needle perpendicularly 1.0 to 2.0 cun. {Heart Branch, Lung Branch, and Spleen Reaction Areas} • DMG 7-02 'Four Flowers Three Needles': i. Si4 Hua1 Shang4 : This point is located 3.0 cun distal to the lateral 'eye of the knee', immediatelJ' lateral (i.e. closely adherent) to the anterior tibial crest at the level of ST-36WH ; 'Let' with a prismatic needle. {Six Bowels, Lung Branch, and Heart Branch Reaction Areas} ii. Si4 Hua1 Zhong1 : This point is located 4.5 cun distal to Si4 Hua 1 Shang4; i.e., 7.5 cun distal to the lateral 'eye of the knee', immediately lateral and adherent to the anterior tibial crest; 'Let' with a prismatic needle. {Six Bowels, Heart Branch, Lung Branch, and Six Bowels Auxiliary Reaction Areas} iii. Si4 Hua 1 Xia4 : This point is located 5.0 cun distal to Si4 Hua 1 Zhong 1; i.e., 12.5 cun distal to the lateral 'eye of the knee', immediately lateral and adherent to the anterior tibial crest; 'Let' with a prismatic needle. {Six Bowels, Six Bowels Auxiliary, Lung Auxiliary, and Kidney Auxiliary Reaction Areas} 2 1 • Shi Ba Xing1 : This group of points is located on the dorsal surface of the neck as follows: The six midsagittal points are located along the nuchal ligament, between the posterior tubercle of cl and the spinous process of c2, and in the interspinous spaces between each of the subsequent cervical spinous processes i.e., between C2/C3, C3/C4, CJC 5, C5/C6, and CJC 7; the lateral points are located 1.0 cun lateral to the midsagittal plane on either side of the aforementioned interspinous levels; 'Let' (pinch the musculature between the thumb and index when letting). • Wu3 Ling3 : These points are found on five rostral-caudal lines located on the back and they should be 'let' rather than needled with filiform needles. The first row of 10 points is located on the Du Mai (Governing Vessel) in the interspinous spaces between: T2/T3, T3/T4, TJTs, Ts/T6, TJT1, T1/Ts, Ts/T9, T9/T10, TIO/Tu, and Tu/T12. The second row of8 points (per row) is located 3.0 cun lateral on either side of the Du Mai (Governing Vessel), commences from the level of the T2/T3, and includes points at the levels ofT3/T4, TJT5, T5/T6, TJT7, T7/T8, T8/T9, T9/T10. The third row of7 points (per row) is located 6.0 cun lateral on either side of the Du Mai (Governing Vessel), commences from the level of the T2/T3, and includes points at the levels ofT3/T4, TJTs, Ts/T6, TJT1, T1/Ts, and Tg/T9. (In this case, use those points on the first and second rows.)

5

Headache: Chronic, Daily Headaches (LKC-1)

'Let' +Needle DMG 77-05

'Let' DMG 77-02 '4 Flowers 3 N'

'Let' Wu3 Ling3 NO PNEUMOTHORAX

6

Headache: Chronic, Daily Headaches (LKC-2) 1. First, 'Let' DMG 77-05 'Three Weights Three Needles', DMG 7-02 'Four Flowers Three Needles', Shi2 Ba1 Xing1, Wu3 Ling3, then needle DMG 77-09 'Leg Spine Three Needles' (LKC):

•

Let' DMG 77-05 'Three Weights Three Needles': i. Yi1 Zhong4: This point is located by coursing 3.0 cun proximal, then 1.0 cun anterior to the apex of (as viewed from posterior to anterior) the lateral malleolus; 'Let' with a prismatic needle. {Heart Branch, Lung Branch, and Spleen Reaction Areas} ii. Er4 Zhong4 : This point is located by coursing 2.0 cun proximal to Yi 1 Zhong4; 'Let' with a prismatic needle. {Heart Branch, Lung Branch, and Spleen Reaction Areas} iii. San 1 Zhong4 : This point is located by coursing 2.0 cun proximal to Er4 Zhong4; "Let' with a prismatic needle. {Heart Branch, Lung Branch, and Spleen Reaction Areas}

•

•

•

•

DMG 7-02 'Four Flowers Three Needles': i. Si4 Hua1 Shang4 : This point is located 3.0 cun distal to the lateral 'eye of the knee', immediatel6' lateral (i.e. closely adherent) to the anterior tibial crest at the level of ST-36WH ; 'Let' with a prismatic needle. {Six Bowels, Lung Branch, and Heart Branch Reaction Areas} ii. Si4 Hua1 Zhong1 : This point is located 4.5 cun distal to Si4 Hua 1 Shang4 ; i.e., 7.5 cun distal to the lateral 'eye of the knee', immediately lateral and adherent to the anterior tibial crest; 'Let' with a prismatic needle. {Six Bowels, Heart Branch, Lung Branch, and Six Bowels Auxiliary Reaction Areas} iii. Si4 Hua1 Xia 4 : This point is located 5.0 cun distal to Si4 Hua 1 Zhong 1; i.e., 12.5 cun distal to the lateral 'eye of the knee', immediately lateral and adherent to the anterior tibial crest; 'Let' with a prismatic needle. {Six Bowels, Six Bowels Auxiliary, Lung Auxiliary, and Kidney Auxiliary Reaction Areas} Shi2 Ba1 Xing1 : This group of points is located on the dorsal surface of the neck as follows: The six midsagittal points are located along the nuchal ligament, between the posterior tubercle of cl and the spinous process of c2, and in the interspinous spaces between each of the subsequent cervical spinous processes i.e., between C 2/C3, C3/C4, CJCs, Cs/C6, and CdC7; the lateral points are located 1.0 cun lateral to the midsagittal plane on either side of the aforementioned interspinous levels; 'Let' (pinch the musculature between the thumb and index when letting). Wu3 Ling3 : These points are found on five rostral-caudal lines located on the back and they should be 'let' rather than needled with filiform needles. The first row of 10 points is located on the Du Mai (Governing Vessel) in the interspinous spaces between: T2/T3, T 3/T4, TJT s, T siT6, TdT 7, T 1/Ts, T siT9, T9/T w, TwiT 11, and T niT 12· The second row of 8 points (per row) is located 3.0 cun lateral on either side of the Du Mai (Governing Vessel), commences from the level of the T 2/T3, and includes points at the levels ofT3/T4, TJTs, Ts!T6, TdT1, T1/Ts, Ts/T9, T9/Tw. The third row of7 points (per row) is located 6.0 cun lateral on either side ofthe Du Mai (Governing Vessel), commences from the level of the T2/T3, and includes points at the levels ofT3/T4, T4/Ts, Ts!T6, TdT1, T1/Ts, and Ts/T9. (In this case, use those points on the first and second rows.)

DMG 77-09 'Leg Spine Three Needles': i. Zheng4 Jin 1 : This point is located 3.5 cun proximal to the plantar surface of the heel, on the tendo calcaneus (Achilles tendon) of the posterior aspect of the

7 distal leg; Needle perpendicularly 0.5 cun to 1.0 cun; insert to the tibia for best results. {General Vertebral and General Brain Reaction Areas} (Zheng4 Jin 1 is located midwa{between Bl-60WH0 and KI-3WH 0 .) ii. Zheng4 Zong : This point is located 2.0 cun proximal to Zheng4 Jin 1 on the tendo calcaneus (Achilles tendon) of the posterior aspect of the distal leg; Needle perpendicularly 0.5 cun to 1.0 cun; insert to the tibia for best results. {General Vertebral and General Brain Reaction Areas} iii. Zheng4 Shi4 : This point is located 2.0 cun proximal to Zheng4 Zong 1, i.e. 4.0 cun proximal to Zheng4 Jin 1 on the tendo calcaneus (Achilles tendon) of the posterior aspect of the distal leg; Needle perpendicularly 0.5 cun to 1.0 cun; insert to the tibia for best results. {Lung Branch and Vertebral Reaction Areas}

'Let' DMG 77-02 '4 Flowers 3 N'

'Let' DMG 77-05 '3 Weights 3 N' heng4

Shi4

DMG77-09

'Let' Wu3 Ling3 NO PNEUMOTHORAX

8 Headache: Chronic, Daily Headaches (LKC-3)

1. First, 'Let' DMG 77-05 'Three Weights Three Needles', DMG 77-02 'Four Flowers Three Needles', Shi2 Ba1 Xing\ Wu3 Ling3, then needle DMG 33-03 'Heart Spirit Three Needles', Shen 4 Guan\ Ling2 Gu3, and Da4 Bai2 (LKC): • DMG 77-05 'Three Weights Three Needles': i. Yi1 Zhong4 : This point is located by coursing 3.0 cun proximal, then 1.0 cun anterior to the apex of (as viewed from posterior to anterior) the lateral malleolus; 'Let' with a prismatic needle. {Heart Branch, Lung Branch, and Spleen Reaction Areas} ii. Er4 Zhong 4 : This point is located by coursing 2.0 cun proximal to Yi 1 Zhong4; 'Let' with a prismatic needle. {Heart Branch, Lung Branch, and Spleen Reaction Areas} iii. San1 Zhong4 : This point is located by coursing 2.0 cun proximal to Er4 Zhong4; 'Let' with a prismatic needle. {Heart Branch, Lung Branch, and Spleen Reaction Areas} • DMG 77-02 'Four Flowers Three Needles': i. Si4 Hua1 Shang4: This point is located 3.0 cun distal to the lateral 'eye of the knee', immediatelJ' lateral (i.e. closely adherent) to the anterior tibial crest at the level of ST-36WH ; 'Let' with a prismatic needle. {Six Bowels, Lung Branch, and Heart Branch Reaction Areas} ii. Si4 Hua 1 Zhong1 : This point is located 4.5 cun distal to Si4 Hua 1 Shang4; i.e., 7.5 cun distal to the lateral 'eye of the knee', immediately lateral and adherent to the anterior tibial crest; 'Let' with a prismatic needle. {Six Bowels, Heart Branch, Lung Branch, and Six Bowels Auxiliary Reaction Areas} iii. Si4 Hua 1 Xia4 : This point is located 5.0 cun distal to Si4 Hua 1 Zhong1; i.e., 12.5 cun distal to the lateral 'eye ofthe knee', immediately lateral and adherent to the anterior tibial crest; 'Let' with a prismatic needle. {Six Bowels, Six Bowels Auxiliary, Lung Auxiliary, and Kidney Auxiliary Reaction Areas} • Shi2 Ba1 Xing 1: This group of points is located on the dorsal surface of the neck as follows: The six midsagittal points are located along the nuchal ligament, between the posterior tubercle of cl and the spinous process of c2, and in the interspinous spaces between each of the subsequent cervical spinous processes i.e., between C2/C3, C3/C4, CJC 5, Cs/C6, and CJC 7 ; the lateral points are located 1.0 cun lateral to the midsagittal plane on either side of the aforementioned interspinous levels; 'Let' (pinch the musculature between the thumb and index when letting). • Wu3 Ling3 : These points are found on five rostral-caudal lines located on the back and they should be 'let' rather than needled with filiform needles. The first row of 10 points is located on the Du Mai (Governing Vessel) in the interspinous spaces between: T2/T3, T3/T4, T4/Ts, Ts/T6, TJT1, T1/Ts, Tg/T9, T9/T10, Tw!Tu, and Tu/T12. The second row of 8 points (per row) is located 3.0 cun lateral on either side of the Du Mai (Governing Vessel), commences from the level of the T2/T3, and includes points at the levels ofT3/T4, TJTs, Ts/T6, TJT7, T1/Ts, Tg/T9, T9/T10. The third row of7 points (per row) is located 6.0 cun lateral on either side of the Du Mai (Governing Vessel), commences from the level of the T2/T3, and includes points at the levels ofT3/T4, TJTs, Ts/T6, TJT7, T1/Ts, and Ts/T9. (In this case, use those points on the first and second rows.) • DMG 33-03 'Heart Spirit Three Needles': i. Xin 1 Ling2 Yi1 : This point lies on the anterior surface of the antebrachium in the interosseous space between the ulna and radius bones; i.e., on the Hand Jue2

9

•

•

•

Yin 1 Pericardium Channel, 1.5 cun proximal to the anterior distal transverse wrist crease; Needle obliquely 30° from distal to proximal 1.5 cun for chest disorders and diseases of the head. {Heart Organ Branch Reaction Area} ii. Xin 1 Ling2 Er4 : This point lies on the anterior surface of the antebrachium in the interosseous space between the ulna and radius bones; i.e., on the Hand Jue2 Yin 1 Pericardium Channel, 2.5 cun proximal to the anterior distal transverse wrist crease; obliquely 30° from distal to proximal 1.5 cun for chest disorders and diseases of the head. {Heart Organ Branch Reaction Area} iii. Xin 1 Lin~ San1: This point lies on the anterior surface of the antebrachium in the interosseous space between the ulna and radius bones; i.e., on the Hand Jue 2 Yin 1 Pericardium Channel, 3.5 cun proximal to the anterior distal transverse wrist crease; obliquely 30° from distal to proximal 1.5 cun for chest disorders and diseases of the head. {Heart Organ Branch Reaction Area} 4 Shen Guan1 : This point is located 1.5 cun distal to Tian 1 Huang2 on the medial side of the proximal leg; Needle 0.5 to 2.0 cun. {Six Bowel Reaction Area} {Tian 1 Huang2 is located 1.0 cun distal to Sp-9WH0 , on the medial aspect of the proximal leg, between the medial border of the tibia and the medial head of the gastrocnemius muscle, ergo, Shen4 Guan 1 is located 2.5 cun distal to Sp-9 WHO.) Ling2 Gu3 : This point is located on the dorsum of the hand, immediately distal to the articulation of the bases of the 1st and 2nd metacarpal bones - have the patient make a loose fist to facilitate locating the point. Needle 1.0 to 2.0 cun; i.e., one may needle through to connect with Zhong4 Xian 1. CONTRAINDICATED IN PREGNANCY. {Lung Branch, Heart, and Kidney Reaction Areas} Da4 Bai2 : This point is located 1.0 cun distal to Lint Gu3 • Needle perpendicularly 0.5 to 1.5 cun (one may needle through to Chong ze). CONTRAINDICATED IN PREGNANCY. {Lung Branch Reaction Area}

'Let' DMG 77-0S '3 Weights 3 N'

'Let' DMG 77-02 '4 Flowers 3 N'

10 Headache: Chronic, Daily Headaches (LKC-3)

'Let' Wu3 Ling3 NO PNEUMOTHORAX

~(/

~.'···'···~:. \ I

-

1

-

Ling2 San1 1 Ling2 Er4 1 Ling2 Yi1

-

DMG 33-03 'Heart Spirit 3 N'

11

Headache: Cold/Flu Induced (HPC) 1. DMG 33-13 'Bowel Division Three Needles', Di4 Zong1, Ling1 Gul, LI-4wu0 , 'Let' the 'Cold/Flu' points on the back (HPC): • DMG 33-13 'Bowel Division Three Needles': i. Fu3 Ge1 Er4: This point is located on the posterolateral surface of the proximal antebrachium, 0.8 cun distal to LI-11 WHO; Needle 0.5 to 0.8 cun. {Heart and Lung Branch Reaction Areas} ii. Fu3 Ge1 Yi1 : This point is located 0.8 cun anterior to Fu3 Ge2 Er4 ; Needle 0.5 to 0.8 cun. {Heart and Lung Branch Reaction Areas} iii. Fu3 Ge1 San 1: This point is located 0.8 cun posterior to Fu3 Ge2 Er4; Needle 0.5 to 0.8 cun. {Heart and Lung Branch Reaction Areas} 4 • Di Zong1: This point is located with the palm of the hand on the epigastrium - it is found in the furrow between the lonf head of the biceps brachii and the humerus, 3.0 cun immediately proximal to Ren2 Zong ; Needle bilaterally, 1.0 cun for less serious diseases and 2.0 cun for more serious diseases. {Heart Branch Reaction Area} Ren2 Zong 1 is located in the furrow between the humerus and biceps brachii muscle, 3.0 cun immediately proximal to the anterior transverse cubital crease, with the palm placed on the epigastrium. • Ling1 Gu3 : This point is found on the dorsum of the hand, immediately distal to the articulation of the bases of the 1st and 2nd metacarpal bones - this point communicates with the palmar point Chong2 Xian 1; Needle 1.5 to 2.0 cun, i.e. needle through to connect with Zhong4 Xian 1• {Lung Branch Reaction Area} CONTRAINDICATED IN PREGNANCY. • LI-4WH0 : With the thumb and index finger extended and stretched apart, this point can be found slightly to the index finger side of the area between the 1st and 2nd metacarpal bones. Needle straight insertion, 0.5 to 1.0 unit. NEEDLING THIS POINT ON PREGNANT WOMEN WHO HAVB HISTORIES OF MISCARRIAGE IS DISCOURAGED. • 'Cold/Flu' points of the back: This set of7 points is located on the back as follows: The first three are on the Du 1 Mai4 in the interspinous spaces between C7/Tl, T3/T4, and T5ff6; the remaining 4 points are located 2.2 cun lateral to the interspinous spaces on either side of the Du 1 Mai4 at the T3ff4, and T5ff6 levels. 'Let' these points with a prismatic needle.

DMG 33-13 'Bowel Division 3 N'

'Let' 'Cold/Flu' Points

12 Headache: Cold - Common URI Induced (LKC) 1. Ling2 Gu3 , Da4 Bai2, 'let' Shi2 Ba 1 Xing1 (LKC): • Shi2 Ba1 Xing1: This group of points is located on the dorsal surface of the neck as follows: The six midsagittal points are located along the nuchal ligament, between the posterior tubercle of C 1 and the spinous process of C2, and in the interspinous spaces between each of the subsequent cervical spinous processes i.e., between C2/C3, C3/C4, CJC 5, C5/C6, and CJC1; the lateral points are located 1.0 cun lateral to the midsagittal plane on either side of the aforementioned interspinous levels; 'Let' (pinch the musculature between the thumb and index when letting). • Ling2 Gu3 : This point is located on the dorsum of the hand, immediately distal to the articulation of the bases of the 1st and 2nd metacarpal bones - have the patient make a loose fist to facilitate locating the point. Needle 1.0 to 2.0 cun; i.e., one may needle through to connect with Zhong4 Xian 1• CONTRAINDICATED IN PREGNANCY. {Lung Branch, Heart, and Kidney Reaction Areas} • Da4 Bai2 : This point is located 1.0 cun distal to Ling2 Gu3. Needle perpendicularly 0.5 to 1.5 cun (one may needle through to Chong2 Xian 1). {Lung Branch Reaction Area}

13 Headache: 'External Factors/Pathogens' Induced (LKC) 1. 'Let' Zong3 Shu\ E~ Shan;4, Er3 Zhong\ Er3 Xia\ the needle DMG 99-01 'Spirit Ear Three Needles' and Ling2 Gu (LKC): • Zong3 Shu 1: This ~ntis located on the posterior mid-sagittal plane of the head, 0.8 cun inferior to GV-17 °; Needle perpendicularly 0.3 to 0.5 cun or 'let'. {Dan1 Tian2 Reaction Area} • Er3 Shang4: This point is located at the superior-most point on the external border of the helix; 'Let' with a prismatic needle. {Lung and Heart Reaction Areas} • Er3 Zhong1 : This point is located at the superior-to-inferior midpoint on the external border ofthe helix; 'Let' with a prismatic needle. {Lung and Heart Reaction Areas} • Er3 Xia 4 : This point is located at the inferior-most point on the external border of the pinna (ear lobe); 'Let' with a prismatic needle. {Lung and Heart Reaction Areas} • DMG 99-01 'Spirit Ear Three Needles': i. Shen2 Er3 Shang4 : This point is located at the level of the superior extrem~ of the 'groove for lowering blood pressure'; the medial-lateral location is 113 the distance from the margin of the helix to the attachment of the auricle on the skull; Needle obliquely from superior to inferior 0.1 to 0.3 cun. {Lung and Liver Reaction Areas} ii. Shen2 Er3 Zhong1: This point is located 0.2 cun medial to the center of the dorsal surface of the auricle; Needle obliquely from superior to inferior 0.1 to 0.3 cun. {Lung and Liver Reaction Areas} iii. Shen 2 Er3 Xia4 : This point is located at the level of the inferior extremity of the 'groove for lowering blood pressure'; the medial-lateral location is 113rd the distance from the margin of the helix to the attachment of the auricle on the skull; Needle obliquely from superior to inferior 0.1 to 0.3 cun. {Lung and Liver Reaction Areas} • Ling2 Gu3 : This point is located on the dorsum of the hand, immediately distal to the articulation of the bases of the 1st and 2nd metacarpal bones - have the patient make a loose fist to facilitate locating the point. Needle 1.0 to 2.0 cun; i.e., one may needle through to connect with Zhong4 Xian 1. CONTRAINDICATED IN PREGNANCY. {Lung Branch, Heart, and Kidney Reaction Areas}

DMG99-01

14 Headache: Fever (HPC) 1. DMG 22-06 'Control Three Needles' (HPC): • DMG 22-06 'Control Three Needles': i. Ling2 Gu3 : This point is found on the dorsum ofthe hand, immediately distal to the articulation of the bases of the 1st and 200 metacarpals - this point communicates with the palmar point Zhong4 Xian 1; Needle 1.5 to 2.0 cun, i.e. needle through to connect with Zhong4 Xian 1. {Lung Branch Reaction Area} CONTRAINDICATED IN PREGNANCY. ii. Da4 Bai2: This point is located on the dorsum of the hand in the depression located between the first and second metacarpals, 1.2 cun distal to Ling2 Gu3; Needle 0.4 to 0.6 cun. {Lung Branch Reaction Area} CONTRAINDICATED IN PREGNANCY. iii. Zhong4 Kui2: This point is located in the depression at the junction of the shaft and head of the second metacarpal bone (at the level of the border of the 'red and white skin'); Needle 0.4 to 0.5 cun. {Lung Branch Reaction Area} (Commencing at the base of the second metacarpal in the first dorsal interosseous space, slide distally along the radial shaft of the second metacarpal until one encounters the junction of the shaft and the head of this metacarpal.)

DMG 22-06 'Control3 N'

15

Headache: Fever (LKC)

1. 'Let' Wu3 Ling3 then needle Zhong4 Kue (LKC): • Wu3 Ling3 : These points are found on five rostral-caudal lines located on the back and

•

-

they should be 'let' rather than needled with filiform needles. The first row of 10 points is located on the Du Mai (Governing Vessel) in the interspinous spaces between: T 2/T3, T3/T4, T~s, Ts/T6, TJT1, T1/Ts, Tsffg, T9/T10, T10/Tn, and Tufftz. The second row of8 points (per row) is located 3.0 cun lateral on either side of the Du Mai (Governing Vessel), commences from the level of the T2/T3, and includes points at the levels ofT3/T4, T~ 5 , T5/T6, TJI'1, T1/Ts, T 8/Tg, T9/T10. The third row of7 points (per row) is located 6.0 cun lateral on either side of the Du Mai (Governing Vessel), commences from the level of the T z/T 3, and includes points at the levels ofT3/T4, T~ s, T s/T6, T JT 7, T 7/Ts, and Ts/T9· (In this case, use those points on the first and second rows.) Zhong4 Kui2 : This point is located in the depression at the junction of the shaft and the head of the 2nd metacarpal bone. Commencing at the base of the 2nd metacarpal bone in the 1st dorsal interosseous space, slide distally along its radial shaft until you encounter the junction of the shaft and the head of this metacarpal; Needle, closely adherent to the 2nd metacarpal bone, 0.2 to 0.5 cun or 'let'. {Heart and Lung Branch Reaction Areas}

·~--::;;;;;.· -u-~ ~~ ....· . ~~1-r

~~

16 Headache: Frontal (CCC)

1. DMG 33-03 'Heart Spirit Three Needles' (CCC): • DMG 33-03 'Heart Spirit Three Needles': i. Xin 1 Ling2 Yi1: This point lies on the anterior surface of the antebrachium in the interosseous space between the ulna and radius bones, i.e., on the Hand Jue2 Yin 1 Pericardium Channel, 1.5 cun proximal to the anterior distal transverse wrist crease; Needle 0.5 to 1.5 cun or even through to the dorsum. {Heart Organ Branch Reaction Area} ii. Xin 1 Ling2 Er4 : This point lies on the anterior surface of the antebrachium in the interosseous space between the ulna and radius bones, i.e., on the Hand Jue2 Yin 1 Pericardium Channel, 2.5 cun proximal to the anterior distal transverse wrist crease; Needle 0.5 to 1.5 cun or even through to the dorsum. {Heart Organ Branch Reaction Area} iii. Xin 1 Ling2 San1: This point lies on the anterior surface of the antebrachium in the interosseous space between the ulna and radius bones, i.e., on the Hand Jue2 Yin 1 Pericardium Channel, 3.5 cun proximal to the anterior distal transverse wrist crease; Needle 0.5 to 1.5 cun or even through to the dorsum. {Heart Organ Branch Reaction Area}

DMG 33-03 'Heart Spirit 3 N'

17

Headache: Frontal (HPC-1) 1. Ling1 Gu\ LI-4WH0 , Qian1 Tou1, 'Let' the 'Frontal' region of the lower extremity. First, 'let' the 'Frontal' region of the lower extremity, then needle the other points with filiform needles. Treat until the symptoms are completely resolved (HPC): • Lin~ Gu3 : This point is found on the dorsum of the hand, immediately distal to the

•

•

articulation of the bases of the 1st and 200 metacarpal bones - this point communicates with the palmar point Chong2 Xian 1; Needle 1.5 to 2.0 cun, i.e. needle through to connect with Zhong4 Xian 1• {Lung Branch Reaction Area} CONTRAINDICATED IN PREGNANCY. LI-4WH0 : With the thumb and index finger extended and stretched apart, this point can be found slightly to the index finger side of the area between the 1st and 200 metacarpal bones. Needle straight insertion, 0.5 to 1.0 unit. NEEDLING THIS POINT ON PREGNANT WOMEN WHO HAVE HISTORIES OF MISCARRIAGE IS DISCOURAGED. Qian1 Tou1 : This point is located on the dorsum of the hand, 0.4 cun radial (lateral) to the center of the interphalangeal skin crease between the proximal phalanx and middle phalanx of the 2nd digit; Needle 0.1 to 0.3 cun.

L2nd

'Let' 'Frontal' Region

18 Headache: Frontal (HPC-2)

1. Qian1 Too1, Ling1 Go3, Da4 Bai1, 'Let' the 'Frontal' region on the foot, Si4 Fo3 Yi\ Si4 Fo3 Er4, and Shang4 Li3 (HPC): • Qian1 Too1 : This point is located on the dorsum of the hand, 0.4 cun radial (lateral) to the center of the interphalangeal skin crease between the proximal phalanx and middle phalanx of the 2nd digit; Needle 0.1 to 0.3 cun. • Ling1 Go3 : This point is found on the dorsum of the hand, immediately distal to the articulation of the bases of the 1st and 2nd metacarpal bones - this point communicates with the palmar point Chong2 Xian 1; Needle 1.5 to 2.0 cun, i.e. needle through to connect with Zhong4 Xian 1• {Lung Branch Reaction Area} CONTRAINDICATED IN

PREGNANCY. •

• • •

Da4 Bai1 : This point is located on the dorsum of the hand in the depression located between the first and second metacarpals, 1.2 cun distal to Ling2 Gu3 ; Needle 0.4 to 0.6 cun. {Lung Branch Reaction Area} CONTRAINDICATED IN PREGNANCY. Si4 Fo3 Yi1: This point is located 0.2 cun superior to the superior apex of each eyebrow; Needle subcutaneously 0.1 to 0.2 cun. {Lung Branch Reaction Area} Si4 Fo3 Er4 : This point is located 0.2 cun superior to the medial-to-lateral center of each eyebrow; Needle subcutaneously 0.1 to 0.2 cun. {Lung Branch Reaction Area} Shang4 Li3 : These points are located 0.2 cun superior to the medial extremities of the eyebrows; Needle subcutaneously 0.1 to 0.2 cun. {Lung Branch and Eye Reaction Areas}

'· i , • ·r.".! i . I j, \ ! .

.

?:I

!

L2nd

!j

'Let' 'Frontal' Region

Si4 Fo3 Yi1 Si4 Fo3 Er4

Si4 Fu3 Yi1 Si4 Fo3 Er4

19 Headache: Frontal (LKC-1) 1. 'Let' Zhen4 Jing4 then needle DMG 33-03 'Heart Spirit Three Needles' (LKC): • Zhen4 Jing4 : This point lies on the Governing Vessel, 0.5 cun superior to a point located midway between the medial extremities of the eyebrows; Needle perpendicularly 0.1 to 0.2 cun, or from superior to inferior 0.2 to 0.5 cun. {Brain and Heart Reaction Areas} • DMG 33-03 'Heart Spirit Three Needles': i. Xin 1 Ling2 Yi1: This point lies on the anterior surface of the antebrachium in the interosseous space between the ulna and radius bones; i.e., on the Hand Jue2 Yin 1 Pericardium Channel, 1.5 cun proximal to the anterior distal transverse wrist crease; Needle obliquely 30° from distal to proximal 1.5 cun for diseases of the head. {Heart Organ Branch Reaction Area} ii. Xin 1 Lin~ Er4 : This point lies on the anterior surface of the antebrachium in the interosseous space between the ulna and radius bones; i.e., on the Hand Jue2 Yin 1 Pericardium Channel, 2.5 cun proximal to the anterior distal transverse wrist crease; Needle obliquely 30° from distal to proximal 1.5 cun for diseases of the head. {Heart Organ Branch Reaction Area} iii. Xin 1 Ling2 San1 : This point lies on the anterior surface of the antebrachium in the interosseous space between the ulna and radius bones; i.e., on the Hand Jue 2 Yin 1 Pericardium Channel, 3.5 cun proximal to the anterior distal transverse wrist crease; Needle obliquely 30° from distal to proximal 1.5 cun for diseases of the head. {Heart Organ Branch Reaction Area}

Zhen4 Jing4 ~*~

~~~

G 'Let'

DMG 33-03 'Heart Spirit 3 N'

20

Headache: Frontal (LKC-2) 1. 'Let' DMG 77-02 'Four Flowers Three Needles', Fu3 Chang2, and the affected areas- treat bilaterally (LKC): • DMG 77-02 'Four Flowers Three Needles': i. Si4 Hua1 Shang4 : This point is located 3.0 cun distal to the lateral 'eye of the

•

knee', immediatel6lateral (i.e. closely adherent) to the anterior tibial crest at the level of ST-36WH ; 'let' with a prismatic needle. {Six Bowels, Lung Branch, and Heart Branch Reaction Areas} ii. Si4 Hua1 Zhong1 : This point is located 4.5 cun distal to Si4 Hua 1 Shang4; i.e., 7.5 cun distal to the lateral 'eye of the knee', immediately lateral and adherent to the anterior tibial crest; 'let' with a prismatic needle. {Six Bowels, Heart Branch, Lung Branch, and Six Bowels Auxiliary Reaction Areas} iii. Si4 Hua 1 Xia 4 : This point is located 5.0 cun distal to Si4 Hua 1 Zhong1; i.e., 12.5 cun distal to the lateral 'eye of the knee', immediately lateral and adherent to the anterior tibial crest; 'let' with a prismatic needle. {Six Bowels, Six Bowels Auxiliary, Lung Auxiliary, and Kidney Auxiliary Reaction Areas} Fu3 Chang2 : This point is located 1.5 cun immediately distal to Si4 Hua 1 Xia4 on the anterior aspect of the distal leg; Needle perpendicularly 0.5 to 1.0 cun or 'let' with a prismatic needle. {Six Bowels, Lung Auxiliary, Kidney, and Heart Auxiliary Reaction Areas} (Fu3 Chang2 is located 14.0 cun distal to the lateral 'eye ofthe knee' immediately lateral and adherent to the anterior tibial crest.)

'Let' Affected Area(s)

'Let'

'Let'

21 Headache: Frontal (LKC-3) 1. Tong1 Xin\ Tong1 Ling2, Tong1 Guan 1 (LKC): • Tong 1 Xin1 : This point is located on the median plane (mid-sagittal plane) of the anterior thigh, 1.0 cun proximal to the center of the superior edge of the patella; Needle perpendicularly 0.5 to 0.8 cun or obliquely from inferior to superior 0.5 to 1.0 cun. {Heart General Reaction Area} • Tong 1 Ling2 : This point is located on the median plane (midsagittal plane) of the anterior thigh, 3.0 cun proximal to the center of the superior edge of the patella; Needle perpendicularly 0.5 to 0.8 cun or obliquely from inferior to superior 0.5 to 1.0 cun. {Heart General Reaction Area} (Tong 1 Ling2 is located 2.0 cun immediately proximal to Tong 1 Xin 1 on the median plane (mid-sagittal plane) of the anterior thigh.) • Tong 1 Guan 1 : This point is located on the median plane (midsagittal plane) of the anterior thigh, 5.0 cun proximal to the center of the superior edge of the patella; Needle perpendicularly 0.5 to 1.5 cun. {Heart General Reaction Area}

Headache: Frontal (LKC-4) 1. DMG 99-01 'Spirit Ear Three Needles', Jin 1 Er3 (LKC): • DMG 99-01 'Spirit Ear Three Needles': i. Shen 2 Er3 Shang4 : This point is located at the level of the superior extremity of the 'groove for lowering blood pressure'; the medial-lateral location is 1/3rd the distance from the margin of the helix to the attachment of the auricle on the skull; Needle obliquely from superior to inferior 0.1 to 0.3 cun. {Lung and Liver Reaction Areas} ii. Shen 2 Er3 Zhong1 : This point is located 0.2 cun medial to the center of the dorsal surface of the auricle; Needle obliquely from superior to inferior 0.1 to 0.3 cun. {Lung and Liver Reaction Areas} iii. Shen 2 Er3 Xia 4: This point is located at the level of the inferior extremity of the 'groove for lowering blood pressure'; the medial-lateral location is 1/3rd the distance from the margin of the helix to the attachment of the auricle on the skull; Needle obliquely from superior to inferior 0.1 to 0.3 cun. {Lung and Liver Reaction Areas} • Jin 1 Er3 : This point is located 0.2 cun superior to the transverse blood vessel found on the superior half of the dorsal surface of the auricle; Needle perpendicularly 0.1 to 0.2 cun. {Lung Reaction Area}

22 Headache: Frontal (LKC-5) 1. Zhong1 Bai2, Tai4 Yang2 Yi\ Tai4 Yang 2 Er\ San1 Huo3 , Zhong4 Kui2 (LKC): • Zhong1 Bai2 : This point is located on the dorsum of the hand, between the 4th and 5th metacarpal bones, 0.5 cun proximal to the metacarpophalangeal articulations; Needle 0.5 cun. {Kidney Branch Reaction Area} • Tai4 Yang2 Yi1 : This point is located at the proximal to distal center of Digit Line C on the anterior surface of the proximal phalanx of the 5th digit of the hand; Needle perpendicularly 0.2 to 0.3 cun or 'let'. {Liver and Gallbladder Reaction Areas} • Tai4 Yang2 Er4 : This point is located at the proximal to distal center of Digit Line Con the anterior surface of the middle phalanx of the 5th digit of the hand; Needle perpendicularly 0.2 to 0.3 cun or 'let'. {Liver and Gallbladder Reaction Areas} • San1 Huo3 : These three points are located on the palm of the hand, along the course of the shaft of the 3rd metacarpal bone. The central point is located at the proximal-distal midpoint of the shaft and the other two points are located 0.5 cun proximal and 0.5 cun distal to the central point; Needle perpendicularly 0.3 to 0.5 cun. {Heart Branch Reaction Area} • Zhong4 Kui2 : This point is located in the depression at the junction of the shaft and the head of the 2nd metacarpal bone. Commencing at the base of the 2nd metacarpal bone in the 1st dorsal interosseous space, slide distally along its radial shaft until you encounter the junction of the shaft and the head of this metacarpal; Needle, closely adherent to the 2nd metacarpal bone, 0.2 to 0.5 cun or 'let'. {Heart and Lung Branch Reaction Areas}

23 Headache: Frontal (LKC-6) 1. 'Let' Shang4 Li3, Si4 Fu3 Yi1, Si4 Fu3 Er4 (LKC): • Shang4 Li3 : This point is located 0.5 cun superior to the medial extremity of the eyebrow; 'let' with a prismatic needle. {El:, Face, and Temporal Reaction Areas} (Shang4 Le is located 0.5 cun superior to BL-2 °.) • Si4 Fu3 Yi1 : This point is located 0.5 cun superior to the lateral extremity of the eyebrow; 'let' with a prismatic needle. {Eye, Face, Temporal, and Lung Reaction Areas} (Si4 Fu3 Yi 1 is located 0.5 cun superior to TB-23 WHO) • Si4 Fu3 Er4 : This point is located 0.5 cun superior to the medial to lateral center of the eyebrow; Needle 0.1 to 0.2 cun or 'let' with a prismatic needle. {Eye, Face, and Temporal Reaction Areas}

'Let'

'Let'

'Let'

Headache: Frontal (LKC-7) 1. First, 'let' Zhen4 Jing\ then needle Tong1 Guan 1, Ling1 Gu\ Da4 Bai1 (LKC): Zhen~ Jing~ • Zhen4 Jing4 : This point lies on the Governing Vessel, 0.5 cun superior to a point located midway between the medial extremities ~*~ of the eyebrows; 'Let' with a prismatic needle. {Brain and Heart ~~~ Reaction Areas} • Tong1 Guan 1 : This point is located on the median plane (mid~ sagittal plane) of the anterior thigh, 5.0 cun proximal to the center of the superior edge of the patella; Needle perpendicularly 0.5 to 1.5 cun. {Heart General Reaction Area} • Ling1 Gu3 : This point is located on the dorsum of the hand, immediately distal to the articulation of the bases of the 1st and 2nd metacarpal bones - have the patient make a loose fist to facilitate locating the point. Needle 1.0 to 2.0 cun; i.e., one may needle through to connect with Zhong4 Xian 1. CONTRAINDICATED IN PREGNANCY. {Lung Branch, Heart, and Kidney Reaction Areas} • Da4 Bai1 : This point is located 1.0 cun distal to Ling2 Gu3 . Needle perpendicularly 0.5 to 1.5 cun (one may needle through to Chong2 Zi3). CONTRAINDICATED IN PREGNANCY. {Lung Branch Reaction Area}

·1 *

24

Headache: Frontal (MC) 1. Qian2 Tou 2, Wu3 Hu3 Si\ Huo3 Lian 2, Huo3 Ju 2, 'Let' the 'Frontal' region on the foot (MC): • Qian 2 Tou2 : This point is located on the dorsum of the hand, 0.4 cun radial (lateral) to the center of the interphalangeal skin crease between the proximal phalanx and middle phalanx ofthe 2nd digit; Needle 0.1 to 0.3 cun. • Wu3 Hu3 Si4 : This point is located on anterior digit line A of the proximal phalanx of the thumb, 0.2 cun proximal to Wu3 Hu3 San 1; Needle 0.2 to 0.4 cun. {Spleen Reaction Area} (Wu3 Hu3 San 1 is located in the center of anterior digit line A of the proximal phalanx of the thumb;) • Huo3 Lian2 : This point is located along the inferior border of the first metatarsal bone, on the medial side of the foot, 1.5 cun proximal to first the metatarsophalangeal joint; Needle (unilateral only) 0.5 to 0.8 cun perpendicular and inferior to the first metatarsal bone. {Heart Branch, Kidney Auxiliary Branch Reaction Areas} CONTRAINDICATED IN PREGNANCY. • Huo3 Ju 2 : This point is located 1.0 cun proximal to Huo 3 Lian2 ; Needle (unilateral only) 0.5 to 0.8 cun perpendicular and inferior to the first metatarsal bone. {Heart Branch, Kidney Auxiliary Branch Reaction Areas} CONTRAINDICATED IN PREGNANCY.

0

'Let' 'Frontal' Region

25 Headache: Global (CCC)

1. DMG 22-06 'Control Three Needles' (CCC): • DMG 22-06 'Control Three Needles': i. Ling1 Gu3 : This point is located on the dorsum of the hand, in an area known as the 'Hu3 Kou3 ', i.e., the region ai1 between the first and second metacarpal bones. The point is found in the depression at the articulation of the bases of the first and second metacarpal bones; Needle 0.5 to 1.5 cun. {Liver Branch, Heart, and Kidney Reaction Areas} ii. Da4 Bai1 : This point lies 1.0 cun distal to Ling2 Gu3 along the shaft of the 2nd metacarpal bone; Needle 0.5 to 1.5 cun. {Liver Branch, Heart, and Kidney Reaction Areas} iii. Zhong4 Kui1 : This point lies 1.0 cun distal to Da4 Bai2 along the shaft of the 2nd metacarpal bone (the point is located in the depression at the junction of the shaft and head of the second metacarpal bone; commencing at the base of the second metacarpal in the first dorsal interosseous space, slide distally along the radial shaft of the second metacarpal until one encounters the junction of the shaft and the head of this metacarpal); Needle, closely adherent to the 2nd metacarpal bone, 0.5 to 1.5 cun. {Liver Branch, Heart, and Kidney Reaction Areas} Headache: Global (HPC)

1. Ling1 Gu3, Da4 Bai1, LI-4WH0 , 'Let' the 'Frontal' region on the foot (HPC): • Ling1 Gu3 : This point is found on the dorsum of the hand, immediately distal to the articulation of the bases of the 1st and 2nd metacarpal bones - this point communicates with the palmar point Chong2 Xian 1; Needle 1.5 to 2.0 cun, i.e. needle through to connect with Zhong4 Xian 1• {Lung Branch Reaction Area} CONTRAINDICATED IN PREGNANCY. • Da4 Bai1 : This point is located on the dorsum of the hand in the depression located between the first and second metacarpals, 1.2 cun distal to Ling2 Gu3 ; Needle 0.4 to 0.6 cun. {Lung Branch Reaction Area} CONTRAINDICATED IN PREGNANCY. • LI-4WH0 : With the thumb and index finger extended and stretched apart, this point can be found slightly to the index finger side of the area between the 1st and 2nd metacarpal bones. Needle straight insertion, 0.5 to 1.0 unit. NEEDLING THIS POINT ON PREGNANT WOMEN WHO HAVE HISTORIES OF MISCARRIAGE IS DISCOURAGED.

'Let' 'Frontal' Region

26 Headache: Global (MC-1) 1. Shen4 Guan\ Ce4 San1 Li3, Ce4 Xia4 San1 Li3, Ling1 Gu3, Da4 Bai1 (MC): • Shen4 Guan 1 : This point is located 1.5 cun immediately distal to Tian1 Huani; Needle 0.5 to 1.0 cun. (Tian Huang2 is located in the depression immediately distal to the medial tibial condyle, and is 2.5 cun distal to the articular surface of the medial tibial condyle.) {Six Bowels Reaction Area} • Ce4 San1 Li3 : This point is located 1.5 cun lateral to Si4 Hua 1 Shang4; Needle 0.5 to 1.5 cun. {Lung Branch and Teeth Reaction Areas} (Si4 Hua 1 Shang4 is located in the depression between the origins of the tibialis anterior and extensor digitorum longus muscles, 3.0 cun distal to the lateral 'eye' of the knee, on the anterior aspect of the proximal leg.) • Ce4 Xia 4 San1 Li3 : This point is located 2.0 cun immediately distal to Ce4 San 1 Le; Needle 0.5 to 1.5 cun. {Lung Branch and Teeth Reaction Areas} • Ling1 Gu3 : This point is found on the dorsum of the hand, immediately distal to the articulation of the bases of the 1st and 2nd metacarpal bones - this point communicates with the palmar point Chong2 Xian 1; Needle 1.5 to 2.0 cun, i.e. needle through to connect with Chong2 Xian 1• {Lung Branch Reaction Area} CONTRAINDICATED IN

PREGNANCY. •

Da4 Bai1 : This point is located on the dorsum of the hand in the depression palpated at the junction of the shaft and head of the znd metacarpal bone; Needle 0.5 to 1.0 cun. {Lung Branch Reaction Area} CONTRAINDICATED IN PREGNANCY

27 Headache: Global (MC-2)

1. Ling2 Gu3, Ce4 San 1 Li3, Ce4 Xia 4 San 1 Li3, Shen4 Guan 1, 'Let' any visible veinules/ 'Black 4

3

Spots' in the area of Mu Ding and Tu3 Ding3 (MC): 2 • Ling Gu 3 : This point is found on the dorsum of the hand, immediately distal to the articulation of the bases of the 1st and 2nd metacarpal bones - this point communicates 2 1 with the palmar point Chong Xian ; Needle 1.5 to 2.0 cun, i.e. needle through to connect 2 1 with Chong Xian • {Lung Branch Reaction Area} CONTRAINDICATED IN

PREGNANCY •

• •

•

•

4

1

3

4

1

4

Ce San Li : This point is located 1.5 cun lateral to Si Hua Shang ; Needle 0.5 to 1.5 cun. {Lung Branch and Teeth Reaction Areas} (Si4 Hua 1 Shang4 is located in the depression between the origins of the tibialis anterior and extensor digitorum longus muscles, 3.0 cun distal to the lateral 'eye' of the knee, on the anterior aspect of the proximal leg.) 4 4 1 4 1 3 Ce Xia San Li3 : This point is located 2.0 cun immediately distal to Ce San Li ; Needle 0.5 to 1.5 cun. {Lung Branch and Teeth Reaction Areas} 4 1 1 2 Shen Guan : This point is located 1.5 cun immediately distal to Tian Huang ; Needle 0.5 to 1.0 cun. (Tian Huani is located in the depression immediately distal to the medial tibial condyle, and is 2.5 cun distal to the articular surface of the medial tibial condyle.) {Six Bowels Reaction Area} 4 Mu Ding3 : This point is located 0.5 cun distal to Lu-5WH0 on the anterior surface of the proximal antebrachium; Needle perpendicularly 0.2 to 0.3 cun, in this situation, however, 'letting' is particularly effective. {Heart and Liver Reaction Areas} Tu 3 Ding3 : This point is located 0.5 cun distal to PC-3 WHO on the anterior surface of the proximal antebrachium; Needle perpendicularly 0.2 to 0.3 cun, in this situation, however, 'letting' is particularly effective. {Heart and Liver Reaction Areas}

Tian 1

Shen

4

28 Headache: Heart Disease Concomitant (LKC) 1. First, 'let' Zhen4 Jin.t, then needle DMG 33-03 'Heart Spirit Three Needles', Tong1 Guan\ Tong1 Tian1, and Di Zong1 (LKC): • Zhen 4 Jing4 : This point lies on the Governing Vessel, 0.5 cun superior to a point located midway between the medial extremities of the eyebrows; 'Let'. {Brain and Heart Reaction Areas} • DMG 33-03 'Heart Spirit Three Needles': i. Xin 1 Ling2 Yi1 : This point lies on the anterior surface of the antebrachium in the interosseous space between the ulna and radius bones; i.e., on the Hand Jue2 Yin 1 Pericardium Channel, 1.5 cun proximal to the anterior distal transverse wrist crease; Needle obliquely 15° from distal to proximal for cardiac diseases. {Heart Organ Branch Reaction Area} ii. Xin 1 Lin~ Er4 : This point lies on the anterior surface of the antebrachium in the interosseous space between the ulna and radius bones; i.e., on the Hand Jue2 Yin 1 Pericardium Channel, 2.5 cun proximal to the anterior distal transverse wrist crease; Needle obliquely 15° from distal to proximal for cardiac diseases. {Heart Or~an Branch Reaction Area} iii. Xin 1 Ling San1 : This point lies on the anterior surface of the antebrachium in the interosseous space between the ulna and radius bones; i.e., on the Hand Jue2 Yin 1 Pericardium Channel, 3.5 cun proximal to the anterior distal transverse wrist crease; Needle obliquely 15° from distal to proximal for cardiac diseases. {Heart Organ Branch Reaction Area} 1 • Tong Guan 1 : This point is located on the median plane (mid-sagittal plane) of the anterior thigh, 5.0 cun proximal to the center of the superior edge of the patella; Needle perpendicularly 0.5 to 1.5 cun. {Heart General Reaction Area} • Tong1 Tian 1: This point is located on the median plane (mid-sagittal plane) of the anterior thigh, 9.0 cun proximal to the center of the superior edge of the patella; Needle perpendicularly 0.5 to 1.5 cun. {Heart General Reaction Area} (Tong 1 Tian1 is located 4.0 cun immediately proximal to Tong 1 Guan 1 on the median plane (mid-sagittal plane) of the anterior thigh.) • Di4 Zong1: This point is located 3.0 cun proximal to Ren2 Zong 1 on the anterolateral brachium; Needle perpendicularly 1.0 to 2.0 cun - shallow insertion for mild disorders and deep insertion for serious conditions; treat bilaterally. {Heart Branch Reaction Area} (Ren2 Zong1 is located on the Hand Tai4 Yin 1 Lung Channel, 3.5 cun superior to the transverse cubital crease when the hand is placed on the chest. It lies in the furrow formed by the long head of the biceps brachii muscle anteriorly and the brachialis muscle posteriorly.)

Zhen4 Jing4

"""*~ ~2._1~

.e 'Let'

29 Headache: Heart Disease Concomitant (LKC)

-

-

1

Ling2 San1 1 Ling2 Er4 1 Ling2 Yi1

-

DMG 33-03 'Heart Spirit 3 N'

30 Headache: Hypertensive (LKC) 1. DMG 55-02 'Three Sages' (LKC): • DMG 55-02 'Three Sages': i. San 1 Sheng4 Yi1 : This point is located 1.0 cun proximal to Ki-1 WHO on the median plane (mid-sagittal plane) of the plantar surface of the foot; Needle perpendicularly 0.5 to 1.0 cun. {Heart, Kidney Auxiliary, and Brain Reaction Areas} ii. San 1 Sheng4 Er4 : This point is located 2.0 cun proximal to Ki-1 WHO; Needle perpendicularly 0.5 to 1.0 cun. {Heart, Kidney Auxiliary, and Brain Reaction Areas} iii. San 1 Sheng4 San 1 : This point is located 3.0 cun proximal to Ki-1 WHO; Needle perpendicularly 0.5 to 1.0 cun. {Heart, Kidney Auxiliary, and Brain Reaction Areas}

DMG55-02

Headache: Hypertensive- Elevated Diastolic Blood Pressure (LKC)

1. 'Let' Shi2 Ba1 Xing1 (KCZ): • Shi2 Ba1 Xing1 : This group of points is located on the dorsal surface of the neck as follows: The six midsagittal points are located along the nuchal ligament, between the posterior tubercle of cl and the spinous process of c2, and in the interspinous spaces between each of the subsequent cervical spinous processes i.e., between C2/C3, C3/C4, CJC 5 , C5/C 6, and CJC 7 ; the lateral points are located 1.0 cun lateral to the midsagittal plane on either side of the aforementioned interspinous levels; 'Let' (pinch the musculature between the thumb and index when letting).

'Let'

31 Headache: Induced by 'Head-Wind' (LKC) 1. San 1 Feng1 (LKC): • San1 Feng1: These three points are located on the palm of the hand, between the 2nd and 3rd metacarpophalangeal joints, 0.25, 0.50, and 0.75 cun proximal to the margin of the interdigital crease between said digits; Needle perpendicularly 0.2 to 0.4 cun. {Heart and Lung Intersection Reaction Area and the Kidney Branch Reaction Area}

w-----,

u

" .)

Headache: 'Kidney-Depletion' (LKC) 1. Wan 4 Shun4 Yi\ Tong 1 Shen4, Sbui3 Jin\ Shui3 Tong1 (LKC): • Wan 4 Shun4 Yi1: This point is located 1.5 cun distal to the anterior distal transverse wrist crease, anterior to the 5th metacarpal bone, at the junction of the 'red and white skin'; Needle perpendicularly 0.5 to 1.0 cun. {Kidney Branch Reaction Area} • Tong 1 Shen4 : This point is located in the depression found at the superomedial angle of the patella; Needle perpendicularly 0.5 to 1.0 cun. {Kidney Reaction Area} • Shue Jin1 : This point is located 0.5 cun obliquely medial to Shui3 Tong 1; Needle perpendicularly 0.2 to 0.3 cun or obliquely from medial to lateral up to 0.5 cun. ~Kidney Reaction Area} {To locate this point, proceed to a point 0.5 cun medial to Shui Tong 1 and 0.5 cun directly inferior to the extraorallabial-cutaneous junction of the inferior lip.) • Shui3 Tong1 : This point is located 0.5 cun directly inferior to the extraoral labialcutaneous junction at the comer of the mouth; Needle perpendicularly 0.2 to 0.3 cun, obli ly from medial to lateral up to 0.5 cun, or 'let'. {Kidney Reaction Area}

!,

32

Headache: Migraine (CCC) 1. DMG 11-18 'Finger Earth Three Needles', DMG 77-05 'Three Weights Three Needles' (CCC): • DMG 11-18 'Finger Earth Three Needles': i. Zheng4 Tu3 Er4 : This point is located 0.3 cun radial from the midpoint on the dorsal surface of the middle phalanx of the 4th digit (ring fmger); Needle 0.1 to 0.2 cun. {Spleen Reaction Area} ii. Zheng4 Tu3 San1 : To locate this point, simply bisect the distance from Zheng4 Tu3 Er4 to the dorsal distal interphalangeal skin crease; Needle 0.1 to 0.2 cun. {Spleen Reaction Area} iii. Zheng4 Tu3 Yi1 : To locate this point, simply bisect the distance from Zheng4 Tu3 Er4 to the dorsal proximal interphalangeal skin crease; Needle 0.1 to 0.2 cun. {Spleen Reaction Area} • DMG 77-05 'Three Weights Three Needles': i. Yi 1 Zhong4: This point is located by coursing 3.0 cun proximal, then 1.0 cun anterior, to the apex (as viewed from posterior to anterior) of the lateral malleolus; Needle 1.0 to 2.0 cun. {Heart Branch, Lung Branch, and Spleen Reaction Areas} ii. Er4 Zhong4 : This point is located 2.0 cun immediately proximal to Yi 1 Zhong4 ; Needle 1.0 to 2.0 cun. {Heart Branch, Lung Branch, and Spleen Reaction Areas} (To locate this point, simply course 1.0 cun anterior, then 5.0 cun proximal, to the apex [as viewed from posterior to anterior] of the lateral malleolus.) iii. San1 Zhong4 : This point is located 2.0 cun proximal to Er4 Zhong4 ; Needle 1.0 to 2.0 cun. {Heart Branch, Lung Branch, and Spleen Reaction Areas} (To locate this point simply course 7.0 cun proximal, then 1.0 cun anterior, to the apex [as viewed from posterior to anterior] of the lateral malleolus.)

~

--==;

*

*

Zheng4 Tu3 San1 Zheng4 Tu3 Er4 Zheng4 Tu3 Yi1

~~*

San 1 Zhong4 Er4 Zhong4

DMG 11-18 'Finger Earth 3 N'

DMG 77-05 '3 Weights 3 N'

33 Headache: Migraine (HPC-1) 1. Qi1 Li3, Zhong1 Jiu 3 Li3, Pian 1 Tou 2, Ling2 Gu3, Da4 Bai2, 'Let' the 'Temporal' region on the lower extremity (HPC): • Qi1 Li3 : This point is found along the coronal plane of the lateral thigh, 7.0 cun proximal to the transverse popliteal crease; Needle 0.8 to 1.0 cun, Dr. Hu recommends retaining the needle for 30 minutes. {Lung Branch Reaction Area} • Zhong1 Jiu3 Li3 : This point is located in the center of the midline (coronal plane) on the lateral thigh (@ 9.0 cun proximal to the transverse popliteal crease); Needle 0.8 to 1.5 cun. {Lung Branch and Limb Resiliency Reaction Areas} • Pian1 Tou2 : This point is located on the dorsum of the hand, 0.4 cun ulnar (medial) to the center of the interphalangeal skin crease between the proximal phalanx and middle phalanx of the 4th digit; Needle 0.1 to 0.3 cun. • Ling2 Gu3 : This point is found on the dorsum of the hand, immediately distal to the articulation of the bases of the 1st and 200 metacarpal bones - this point communicates with the palmar point Chong2 Xian 1; Needle 1.5 to 2.0 cun, i.e. needle through to connect with Zhong4 Xian 1• {Lung Branch Reaction Area} CONTRAINDICATED IN •

PREGNANCY. Da4 Bai2 : This point is located on the dorsum of the hand in the depression located between the first and second metacarpals, 1.2 cun distal to Ling2 Gu3 ; Needle 0.4 to 0.6 cun. {Lung Branch Reaction Area} CONTRAINDICATED IN PREGNANCY.

'Let' Lateral 'Temporal' Region

'Let' Medial 'Temporal' Region

34 Headache: Migraine (HPC-2) 1. Ling2 Gu3, Da4 Bae, Pian1 Tou2, 'Let' the 'Temporal' region of the lower extremity; if one 'Lets' the affected region of the head, results will be realized more rapidly. One should first 'Let' the aforementioned areas, and then apply filiform needles to the other points; treat every other day. It may take 3 to 5 treatments to resolve the underlying root of the problem (HPC): • Ling2 Gu3: This point is found on the dorsum of the hand, immediately distal to the articulation of the bases of the 1st and 2nd metacarpal bones - this point communicates with the palmar point Chong2 Xian 1; Needle 1.5 to 2.0 cun, i.e. needle through to connect with Zhong4 Xian 1• {Lung Branch Reaction Area} CONTRAINDICATED IN PREGNANCY. • Da4 Bai2: This point is located on the dorsum of the hand in the depression located between the first and second metacarpals, 1.2 cun distal to Ling2 Gu3 ; Needle 0.4 to 0.6 cun. {Lung Branch Reaction Area} CONTRAINDICATED IN PREGNANCY. • Pian 1 Tou2 : This point is located on the dorsum of the hand, 0.4 cun ulnar (medial) to the center of the interphalangeal skin crease between the proximal phalanx and middle phalanx ofthe 4th digit; Needle 0.1 to 0.3 cun.

'Let' 'Temporal' Region

'Let' Lateral 'Temporal' Region

'Let' Medial 'Temporal' Region

35

Headache: Migraine (LKC-1) 1. Tai4 Yang2 Yi\ Tai4 Yang2 Er\ Shui3 Yao\ Zhong4 Kui2 (LKC): • Tai4 Yang2 Yi1 : This point is located at the proximal to distal center of Digit Line C on the anterior surface of the proximal phalanx of the 5th digit of the hand; Needle perpendicularly 0.2 to 0.3 cun or 'let'. {Liver and Gallbladder Reaction Areas} • Tai4 Yang2 Er4 : This point is located at the proximal to distal center of Digit Line C on the anterior surface of the middle phalanx of the 5th digit of the hand; Needle perpendicularly 0.2 to 0.3 cun or 'let'. {Liver and Gallbladder Reaction Areas} • Shui3 Yao 1: These 3 points are located on the dorsum of the 2nd phalanx of the 5th digit of the hand, at the proximal to distal center of the Ulnar, Posterior Mid-sagittal, and Radial lines; Needle perpendicularly 0.1 to 0.2 cun. {Kidney Reaction Area} • Zhong4 Kui2 : This point is located in the depression at the junction of the shaft and the head ofthe 2nd metacarpal bone; Needle, closely adherent to the 2nd metacarpal bone, 0.2 to 0.5 cun or 'let'. {Heart and Lung Branch Reaction Areas}

Headache: Migraine (LKC-2) 1. Liu 4 Wan 2, Men 2 Jin 1, Huo3 Ying4 (LKC): • Liu 4 Wan 2: This point is found on the dorsum of the foot between the 4th and 5th metatarsal bones, 0.5 cun proximal to the metatarsophalangeal joints; Needle with a 36 Gauge needle 0.3 to 0.5 cun- CONTRAINDICATED IN PATIENTS WITH

PULMONARY DISEASES. EXCESSIVE ASTHMA, PHLEGM, OR WHO ARE WEAK/FRAIL. {Lung Branch and •

•

Kidney Branch} Men 2 Jin 1 : This point is located between the 2nd and 3rd Huo metatarsal bones, immediately distal to the dorsal venous arch on the dorsum of the foot; i.e., the point is in a depression immediately distal to the articulation of the bases of the 2nd and 3rd metatarsals; Needle 0.5 cun. {Duodenum, Stomach Branch, and Uterus Reaction Areas} Huo3 Ying4: This point is located on the dorsum of the foot between the 1st and 2nd metatarsal bones, 0.5 cun proximal to the metatarsophalangeal joints. Needle perpendicular 0.3 to 0.5 cun. {Liver Auxiliary and Heart Reaction Areas}

CONTRAINDICATED IN PREGNANCY; MOXABUSTION CONTRAINDICATED.

36 Headache: Migraine (LKC-3) 1. 'Let' locally as well as Er3 Bei4 then needle Xin 1 Ling2 Yi1, DMG 77-07 'Seven Tigers Three Needles', and TB-5WH0 through to PC-6WH0 (LKC): • Er3 Bei4 : This point is located 0.4 cun medial to Shen2 Er3 Shang4 on the dorsum of the ear; 'Let' with a prismatic needle - one may also needle perpendicularly 0.1 to 0.2 cun. {Lung Reaction Area} (Shen2 Er3 Shang4 is located on the dorsum of the ear at the level of the superior extremity of the groove for lowering blood pressure; the medial-lateral location is 113 the distance from the margin of the helix/groove for lowering blood pressure to the attachment of the auricle on the skull.) • Xin 1 Ling2 Yi1 : This point lies on the anterior surface of the antebrachium in the interosseous space between the ulna and radius bones; i.e., on the Hand Jue2 Yin 1 Pericardium Channel, 1.5 cun proximal to the anterior distal transverse wrist crease; Needle obliquely 30° from distal to proximal 1.5 cun for chest disorders and diseases of the head; obliquely 45° from proximal to distal for disorders of the hands/feet. {Heart Organ Branch Reaction Area} • DMG 77-07 'Seven Tigers Three Needles': i. Qi1 Hu3 Yi1: This point is located by proceeding 1.5 cun posterior to the apex (as viewed from posterior to anterior) of the lateral malleolus, then proximally 2.0 cun; Needle perpendicularly 0.5 to 1.0 cun. {Thoracic Cage Reaction Area} ii. Qi1 Hu3 Er2 : This point is located by proceeding 1.5 cun posterior to the apex (as viewed from posterior to anterior) of the lateral malleolus, then proximally 4.0 cun; Needle perpendicularly 0.5 to 1.0 cun. {Thoracic Cage Reaction Area} (Qi 1 Hu3 E~ is located 2.0 cun immediately proximal to Qi 1 Hu3 Yi 1.) iii. Qi1 Hu3 San1 : This point is located by proceeding 1.5 cun posterior to the apex (as viewed from posterior to anterior) of the lateral malleolus, then proximally 6.0 cun; Needle perpendicularly 0.5 to 1.0 cun. {Thoracic Cage Reaction Area} (Qi 1 Hu3 San 1 is located 2.0 cun immediately proximal to Qi 1 Hu3 E~.) • TB-5WH0 : On the dorsal side of the forearm and on the line connecting TB-4WH0 and the ~t e olecranon, 2.0 cun proximal to the dorsal crease of the wrist, etween the radius ,-...__..,PYid u

-

-

DMG 77-07 '7 Tigers 3 N'

37

Headache: Migraine (LKC-4) 1. 'Let' Zhou1 Huo3 and Zhou 1 Ling2 then needle Ling2 Gu3 and Xin 1 Ling2 Yi1 (LKC): • Zhou1 Huo3 : This point is located in the scalp on the lateral aspect of the head, 1.5 cun superior to the apex of the ear; 'let'. {Heart Reaction Area} • Zhou 1 Lin~2 : This point is located on the posterior aspect of the head, 1.5 cun lateral to Zhou 1 Shui Yi 1; 'let'. {Brain and Kidney Reaction Areas} (Zhou 1 Shui 3 Yi 1 is located in the center of the apex of the external occipital protuberance on the posterior aspect of the head.) • Ling2 Gu3 : This point is located on the dorsum of the hand, immediately distal to the articulation of the bases of the 1st and 2nd metacarpal bones - have the patient make a loose fist to facilitate locating the point. Needle 1.0 to 2.0 cun; i.e., one may needle through to connect with Zhong4 Xian 1• CONTRAINDICATED IN PREGNANCY. {Lung Branch, Heart, and Kidney Reaction Areas} • Xin 1 Ling2 Yi1: This point lies on the anterior surface of the antebrachium in the interosseous space between the ulna and radius bones; i.e., on the Hand Jue2 Yin 1 Pericardium Channel, 1.5 cun proximal to the anterior distal transverse wrist crease; Needle perpendicularly 0.5 to 1.5 cun - one may penetrate through to the dorsum of the antebrachium or obliquely 30° from distal to proximal 1.5 cun for chest disorders and diseases of the head. {Heart Organ Branch Reaction Area}

'Let'

38

Headache: Migraine (LKC-5) 1. 'Let' Er3 Bei4 then needle Zu 3 Jie3 (LKC): • Er3 Bei4 : This point is located 0.4 cun medial to Shen2 E~ Shang4 on the dorsum of the ear; 'Let' with a prismatic needle - one may also needle perpendicularlr 0.1 to 0.2 cun. {Lung Reaction Area} (Shen Er3 Shang4 is located on the dorsum of the ear at the level of the superior extremity of the groove for lowering blood pressure; the medial-lateral location is 113 the distance from the margin of the helix/groove for lowering blood pressure to the attachment of the auricle on the skull.) • Zu 2 Jie3 : This point is located by proceeding 1.0 cun proximal, and then 0.3 cun medial, to the superolateral comer of the patella; Needle perpendicularly 0.3 to 0.5 cun. {Heart Sensitivity Reaction Area}

Headache: Migraine (LKC-6) 1. First, 'Let' in the involved area, then needle DMG 77-05 'Three Weights Three Needles' (LKC): • DMG 77-05 'Three Weights Three Needles': i. Yi1 Zhong4: This point is located by coursing 3.0 cun proximal, then 1.0 cun anterior to the apex of (as viewed from posterior to anterior) the lateral malleolus; Needle perpendicularly 1.0 to 2.0 cun. {Heart Branch, Lung Branch, and Spleen Reaction Areas} ii. Er4 Zhong4 : This point is located by coursing 2.0 cun proximal to Yi 1 Zhong4 ; Needle perpendicularly 1.0 to 2.0 cun. {Heart Branch, Lung Branch, and Spleen Reaction Areas} iii. San 1 Zhong4 : This point is located by coursing 2.0 cun proximal to Er4 Zhong4 ; Needle perpendicularly 1.0 to 2.0 cun. {Heart Branch, Lung Branch, and Spleen Reaction Areas}

DMG77-05

39

Headache: Migraine (LKC-7) 1. First, 'Let' in the involved area, then needle Ling1 Gu3, Da4 Bai1, and Zhong1 Jiu3 Li3 (LKC): • Ling1 Gu3 : This point is located on the dorsum of the hand, immediately distal to the articulation of the bases of the 1st and 200 metacarpal bones - have the patient make a loose fist to facilitate locating the point. Needle 1.0 to 2.0 cun; i.e., one may needle through to connect with Zhong4 Xian 1. CONTRAINDICATED IN PREGNANCY. {Lung Branch, Heart, and Kidney Reaction Areas} • Da4 Bai1 : This point is located 1.0 cun distal to Lint Gu3• Needle perpendicularly 0.5 to 1.5 cun (one may needle through to Chong ze). CONTRAINDICATED IN PREGNANCY. {Lung Branch Reaction Area} • Zhong1 Jiu3 Li3 : This point is located midway between Xia4 Jiu3 Li 3 and Shang4 Jiu3 Li3 on the lateral aspect of the thigh; Needle perpendicularly 0.8 to 3.0 cun. {L~ Reaction Area} (Xia4 Jiu Li 3 is described as being located 0.5 cun lateral to GB-31 °; Shang4 Jiu3 Li3 is described as being located 0.5 cun lateral and 0.5 cun distal to Si4 Ma3 Zhong 1 - Shang4 Jiu3 Lemay be located by proceeding 7.0 cun proximal, then 0.5 cun lateral, to the supeorlateral angle of the patella.)

'Let' Involved Area

40

Headache: Migraine (LKC-8) 1. 'Let' in the involved area as well as DMG 7-02 'Four Flowers Three Needles', DMG 77-05 'Three Weights Three Needles', and Shi2 Ba1 Xing 1 (LKC): • DMG 7-02 'Four Flowers Three Needles': i. Si4 Hua1 Shang4 : This point is located 3.0 cun distal to the lateral 'eye of the knee', immediate\i lateral (i.e. closely adherent) to the anterior tibial crest at the level of ST-36WH ; 'Let' with a prismatic needle. {Six Bowels, Lung Branch, and Heart Branch Reaction Areas} ii. Si4 Hua 1 Zhong1: This point is located 4.5 cun distal to Si4 Hua 1 Shang4; i.e., 7.5 cun distal to the lateral 'eye of the knee', immediately lateral and adherent to the anterior tibial crest; 'Let' with a prismatic needle. {Six Bowels, Heart Branch, Lung Branch, and Six Bowels Auxiliary Reaction Areas} iii. Si4 Hua1 Xia4 : This point is located 5.0 cun distal to Si4 Hua 1 Zhong1; i.e., 12.5 cun distal to the lateral 'eye ofthe knee', immediately lateral and adherent to the anterior tibial crest; 'Let' with a prismatic needle. {Six Bowels, Six Bowels Auxiliary, Lung Auxiliary, and Kidney Auxiliary Reaction Areas} • DMG 77-05 'Three Weights Three Needles': i. Yi1 Zhong4 : This point is located by coursing 3.0 cun proximal, then 1.0 cun anterior to the apex of (as viewed from posterior to anterior) the lateral malleolus; 'Let' with a prismatic needle. {Heart Branch, Lung Branch, and Spleen Reaction Areas} ii. Er4 Zhong4 : This point is located by coursing 2.0 cun proximal to Yi 1 Zhong4 ; 'Let' with a prismatic needle. {Heart Branch, Lung Branch, and Spleen Reaction Areas} iii. San 1 Zhong4 : This point is located by coursing 2.0 cun proximal to Er4 Zhong4; 'Let' with a prismatic needle. {Heart Branch, Lung Branch, and Spleen Reaction Areas} • Shi2 Ba1 Xing1 : This group of points is located on the dorsal surface of the neck as follows: The six midsagittal points are located along the nuchal ligament, between the posterior tubercle of C 1 and the spinous process of C2, and in the interspinous spaces between each of the subsequent cervical spinous processes i.e., between Cz/C3, C3/C4, C4/C 5, C5/C 6, and CdC7 ; the lateral points are located 1.0 cun lateral to the midsagittal plane on either side of the aforementioned interspinous levels; 'Let' (pinch the musculature between the thumb and index when letting).

'Let' Involved Area

41 Headache: Migraine (LKC-8)

'Let'

'Let' DMG 77-05 '3 Weights 3 N'

'Let' DMG 77-02 '4 Flowers 3 N'

Headache: Migraine (LKC-9) 1. 'Let' Shi1 Ba1 Xing1 (LKC): • Shi1 Ba1 Xing1: This group of points is located on the dorsal surface of the neck as follows: The six midsagittal points are located along the nuchal ligament, between the posterior tubercle of Ct and the spinous process of C2, and in the interspinous spaces between each of the subsequent cervical spinous processes i.e., between C2/C 3, C3/C4, CJC 5, C5/C6, and C~C7; the lateral points are located 1.0 cun lateral to the midsagittal plane on either side of the aforementioned interspinous levels; 'Let' (pinch the musculature between the thumb and index when letting).

'Let'

42 Headache: Migraine (MC-1)

1. Jian 1 Zhongt, Jian 4 Zhongt, Xia4 Jiu3 Le (MC): • Jian 1 Zhong1: This thpoint is locatedf h2.5 cun 1 immediately dista to e exact center o t e space t; between the acromion process and the head of the humerus (locate with arm hanging naturally down by the side); Needle 0.5 to 1.0 cun. {Heart Branch Reaction Area} • Jian 4 Zhong1: This point is located 2.0 cun immediately distal to Jian 1 Zhong 1; Needle 1.0 to 2.0 cun. {Heart Branch Reaction Area} • Xia 4 Jiu 3 Li3 : This point is located 1.5 cun immediately posterior to Zhong 1 Jiu 3 Li3; Needle 0.8 to 1.5 cun. {Back and Lower Extremity Reaction Areas} (Zhong 1 Jiu3 Li3 is located in the center of the midline (coronal plane) on the lateral thigh,@ 9.0 cun proximal to the transverse popliteal crease.)

J1
, . articulation of the bases of the firs~ and second metacarpal . ·' .~ ai1 bones; Needle 0.5 to 1.5 cun. {Ltver Branch, Heart, and I•~. ~~ . ~.·. \.. Kidney Reaction Areas} t._\ 4 2 2 3 ii. Da Bai : This point lies 1.0 cun distal to Ling Gu along !; n.. ··. ui the. shaft of the 2nd metac~al bone; N~edle 0.5 to 1.5 cun. 9, ~ {Ltver Branch, Heart, and Kidney Reaction Areas} ~· iii. Zhong4 Kui2 : This point lies 1.0 cun distal to Da Bai2 along ... 00 the shaft of the 2 metacarpal bone (the point is located in the depression at the junction of the shaft and head of the !J second metacarpal bone); Needle, closely adherent to the 2nd metacarpal bone, 0.5 to 1.5 cun. {Liver Branch, Heart, and Kidney Reaction Areas}

.,tf l

Low Back Pain (CCC-2)

1. DMG 33-11 'Hold Three Fires' (CCC): • DMG 33-11 'Hold Three Fires': i. Huo3 Chuan4 : This point is located 2.5 cun proximal to TB-4WH0 on the Hand Shao4 Yani Triple Burner Channel, in the interosseous space between the ulna and radius bones, on the posterior surface of the ...._ antebrachium; Needle perpendicularly 0.5 to 1.5 cun. {Lung Branch and Heart Auxiliary Reaction Areas} ii. Huo3 Ling2: This point is located 4.5 cun proximal to TB-4WHO on the Hand Shao4 Yang2 Triple Burner Channel, in the interosseous space between the ulna and radius bones, on the posterior surface of the antebrachium; Needle perpendicularly 0.5 to 1.5 cun. {Lung Branch and Heart Auxiliary Reaction Areas} iii. Huo3 Shan1: This point is located 6.0 cun proximal to TB-4 WHO on the Hand Shao4 Yang2 Triple Burner Channel, in the interosseous space between the ulna and radius bones, on the posterior surface of the antebrachium; Needle perpendicularly 0.5 to 1.5 cun. {Lung Branch and Heart Auxiliary Reaction Areas}

-

-

186

Low Back Pain (CCC-3) 1. DMG 33-09 'Posterior Antebrachial Scholar Three Needles' (CCC): • DMG 33-09 'Posterior Antebrachial Scholar Three Needles': i. Shang4 Shi4 : This point is located on the dorsum of the antebrachium 1.0 cun proximal to the level of SI-

DMG 33-09

6WH0. It lies immediately radial to the ulna bone, J; __ between the tendons of the extensor carpi ulnaris muscle (ulnar) and the extensor digiti minimi muscle , (radial) (One can readily locate the extensor digiti minimi muscle by extending and flexing the 5th digit; needle immediately ulnar to this muscle); Needle ~; perpendicularly 1.0 to 1.5 cun. {Heart and Kidney Reaction Areas} ii. Zhong1 Shi4 : This point is located on the dorsum of 1 the antebrachium 2.0 cun proximal to Shang4 Shi4 . It lies immediately radial to the ulna bone between the 1, tendons of the extensor carpi ulnaris muscle (ulnar) and the extensor digiti minimi muscle (radial); Needle perpendicularly 1.0 to 1.5 cun. {Heart and Kidney Reaction Areas} iii. Xia 4 Shi4 : This point is located on the dorsum of the antebrachium 2.0 cun proximal to Zhong 1 Shi4 (i.e., 4.0 cun proximal to Shang4 Shi4). It lies immediately radial to the ulna bone between the tendons of the extensor carpi ulnaris muscle (ulnar) and the extensor digiti minimi muscle (radial); Needle perpendicularly 1.0 to 1.5 cun. {Heart and Kidney Reaction Areas}

Low Back Pain (CCC-4) [2° to Insufficient Lung Function] 1. DMG 88-03 'Thigh Team of Four Horses' (CCC): • DMG 88-03 'Thifh Team of Four Horses': i. Si4 Ma Xia4 : This point is located 5.5 cun proximal to the superolateral angle of the patella; Needle 1.0 to 3.0 cun. {General Lung and Liver Branch Reaction Areas} (To locate this point, commence at the center of the superior edge of the patella, course laterally 1.0 cun to arrive at the superolateral angle of the patella, and then proceed proximally 5.5 cun to arrive at Si4 Ma3 Xia4 .) ii. Si4 Ma3 Zhong1: This point is located 2.0 cun proximal to Si4 Ma3 Xia ; Needle 1.0 to 3.0 cun. {General Lung and Liver Branch Reaction Areas} iii. Si4 Ma3 Shang4 : This point is located 2.0 cun proximal to Si4 Ma3 Zhong 1; Needle 1.0 to 3.0 cun. {General Lung and Liver Branch Reaction Areas}

DMG88-03

187

Low Back Pain (CCC-5) [2° to Kidney Depletion] 1. DMG 77-12 'Lower Three Emperors' (CCC): • DMG 77-12 'Lower Three Emperors': i. Tian 1 Huang2: With the knee flexed, this point is located 1.0 cun distal to Sp-9WH0 , on the medial aspect of the leg, between the medial border of the tibia and the medial head of the gastrocnemius muscle; Needle 0.5 to 2.0 cun. {Kidney, Six Bowels, and Heart Branch Reaction Areas} ii. Di4 Huani: This point is located 4.0 cun proximal to Ren2 Huani; Needle 1.0 to 2.0 cun. {Kidney, Six Bowels, and Heart Branch Reaction Areas } (Di4 Huang2 lies 7.5 cun proximal to the apex (as viewed from posterior to anterior) of the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel.) iii. Ren 2 Huang2 : This point is located 3.5 cun proximal to the apex (as viewed from posterior to anterior) of the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel; Needle 0.5 to 2.0 cun. {Kidney, Six Bowels, and Heart Branch Reaction Are~ (Ren2 Huang2 is located 0.5 cun proxima/to Sp-6 °.) DMG77-12 Low Back Pain (CCC-6) [2° to Kidney Depletion] 1. DMG 88-01 'Passing Through the Kidney Three Needles' (CCC): • DMG 88-01 'Passing Through the Kidney Three Needles': i. Tong1 Shen4 : This point is located in the depression found immediately proximal and medial to the superomedial angle of the patella. To locate the point, draw a transverse line tangent to the superior margin of the patella and a vertical line tangent to the medial margin of the patella - where the two lines intersect is the location of the point; Needle 0.5 to 1.0 cun. {Kidney Reaction Area} ii. Tong1 Wei4: This point is located 2.0 cun immediately proximal to Tong 1 Shen4; Needle 0.5 to 1.0 cun. {Kidney Reaction Area} iii. Tong1 Bei4: This point is located 4.0 cun immediately proximal to Tong 1 Shen4 ; Needle 0.5 to 1.0 cun. {Kidney Reaction Area}

DMG88-01

188 Low Back Pain (MC)

1. Hou 4 Zhui\ Shou3 Ying\ Yu 4 Ying\ Huo3 San\ DMG 77-09 'Leg Spine Three Needles', Zhou 1 Shui3, 'Let' the 'Occipital' region of the lower extremity (MC): • Hou 4 Zhui1 : This point is located on the posterior aspect of the brachium, on the Hand Shao4 Yang2 Triple Burner Channel, 2.5 cun proximal to the transverse cubital crease; Needle 0.3 to 0.5 cun. {Liver Auxiliary, Heart Auxiliary Branch Confluent, and Vertebral Reaction Areas} • Shou3 Ying1 : This point is located on the posterior aspect of the brachium on the Hand Shao4 Yang2 Triple Burner Channel, 4.5 cun proximal to the transverse cubital crease; Needle 0.3 to 0.5 cun. {Liver Auxiliary, Heart Auxiliary Branch Confluent, and Vertebral Reaction Areas} • Yu4 Ying1: This point is located on the posterior aspect of the brachium on the Hand Shao4 Yang2 Triple Burner Channel, 6.5 cun proximal to the transverse cubital crease; Needle obliquely and close to the humerus 0.5 to 1.5 cun. {Liver Auxiliary, Heart Auxiliary Branch Confluent, Vertebral, and Kidney Branch Reaction Areas} • Huo3 San4 : This point is located 1.0 cun proximal to Huo3 Ju2 (i.e. 2.0 cun proximal to Huo3 Lian2); Needle (unilateral only) 0.5 to 0.8 cun perpendicular and inferior to the first metatarsal bone. {Heart Branch, Kidney Auxilia.I] Branch Reaction Areas} CONTRAINDICATED IN PREGNANCY. (Huo3 Lian is located along the inferior border of the first metatarsal bone, on the medial side of the foot, 1.5 cun proximal to first the metatarsophalangeal joint) • DMG 77-09 'Leg Spine Three Needles': i. Zheng4 Jin 1: This point is located 3.5 cun proximal to the plantar surface of the heel, on the tendo calcaneus (Achilles tendon) of the JWsterior aspect of the distal leg; it lies midway between Bl-60 WHO and K.I-3 °; Needle 0.5 to 0.8 cun - insert to the tibia for best results. {General Vertebral and General Brain Reaction Areas} ii. Zheng4 Zong1: This point is located 2.0 cun proximal to Zheng4 Jin 1 (i.e., 5.5 cun proximal to the plantar surface of the heel, on the tendo calcaneus (Achilles tendon) of the posterior aspect of the distal leg); Needle 0.5 to 0.8 cun- insert to the tibia for best results. {General Vertebral and General Brain Reaction Areas} iii. Zheng4 Shi4 : This point is located 4.0 cun proximal to Zheng4 Jin 1 (i.e., 7.5 cun proximal to the plantar surface of the heel, on the tendo calcaneus (Achilles tendon) of the posterior aspect of the distal leg); Needle 0.5 to 1.0 cun - insert to the tibia for best results. {Lung Branch and General Vertebral Reaction Areas} 1 • Zhou Shui3 : This two point group is found on the midsagittal plane of the posterior aspect of the head. The first point is located at the apex of the external occipital protuberance and the second point is located 0.8 cun superior to the first; Needle 0.1 to 0.3 cun. {Kidney Reaction Area}

189

Low Back Pain (MC)

'Let' 'Occipital' Region DMG 77-09 'Leg Spine 3 N'

190 Low Back Pain (HPC) 1. Yun1 Bai1, Le Bai1, Zhong1 Bai, Shen4 Guan\ ST-36WH0 , 'Let' the affected area. Treat every other day and within one week the low back pain should be clearly improved continue treatment until the back pain is completely resolved (HPC): • Yun1 Bai1 : This point is found 2.0 cun obliquely anterior and distal to Bei 1 Mian4; Needle 0.3 to 0.5 cun. {Six Bowels and Lung Auxiliary Branch Reaction Areas} (Bei 1 Mian4 is found in the large depression immediately lateral (distal) to the acromion process ofthe scapula when the arm is abducted to 90°.) • Li3 Bai1 : This point is located 2.0 cun distal and slightly dorsal to Yun2 Bai2; Needle 0.3 to 0.5 cun. {Kidney Auxiliary and Lung Branch Reaction Areas} • Zhong1 Bai1 : This point is located on the dorsum of the hand, between the 4th and 5th metacarpal bones, 0.5 cun proximal to the metacarpophalangeal articulations- have the patient make a fist to help facilitate locating this point; Needle 0.3 to 0.5 cun. {Kidney Branch Reaction Area} • Shen4 Guan 1: This point lies 1.5 cun immediately distal to Tian 1 Huani. Needle 0.5 to 1.0 cun. (Tian1 Huang2 is located in the depression found immediately distal to the medial tibial condyle, and lies 2.5 cun distal to the articular surface of the medial tibial condyle.) {Six Bowels Reaction Area} • ST-36WH0 : On the anterolateral side of the leg, 3.0 cun below ST-35WH0 , one fmger breadth (middle finger) from the anterior crest of the tibia; Needle perpendicularly 1- 1.5 cun.

'Let' Lumbar Region

191

Low Back Pain (LKC-1) [2° to Kidney Depletion] 1. Needle DMG 22-05 'Control the Spine Three Needles', Ling2 Gu3 (LKC): • DMG 22-05 'Control the Spine Three Needles': i. Wan4 Shun4 Yi1: This point is located 1.5 cun distal to the anterior distal transverse wrist crease, anterior to the 5th metacarpal bone at the junction of the palmar and dorsal ('red and white') skin; the point lies 1.5 cun proximal to SI3WHO; Needle perpendicularly 0.5 to 1.0 cun keeping the shaft of the needles in proximity to the anterior surface of the 5th metacarpal bone. {Kidney Branch Reaction Area} ii. Wan 4 Shun4 Er4 : This point is located 2.5 cun distal to the anterior distal transverse wrist crease, anterior to the 5th metacarpal bone at the junction of the palmar and dorsal ('red and white') skin; the point lies 0.5 cun proximal to SI3WHO; Needle perpendicularly 0.5 to 1.0 cun keeping the shaft of the needles in proximity to the anterior surface of the 5th metacarpal bone. {Kidney Branch Reaction Area} iii. Wan 4 Shun4 San1 : This point is located 3.5 cun distal to the anterior distal transverse wrist crease, anterior to the 5th metacarpal bone at the junction of the palmar and dorsal ('red and white') skin; the point lies 0.5 cun distal to SI-3 WHO; Needle perpendicularly 0.5 to 1.0 cun keeping the shaft of the needles in proximity to the anterior surface of the 5th metacarpal bone. {Kidney Branch Reaction Area} 2 • Ling Gu3 : This point is located on the dorsum of the hand, immediately distal to the articulation of the bases of the 1st and 2nd metacarpal bones - have the patient make a loose fist to facilitate locating the point. Needle 1.0 to 2.0 cun; i.e., one may needle through to connect with Zhong4 Xian 1• CONTRAINDICATED IN PREGNANCY. {Lung Branch, Heart, and Kidney Reaction Areas}

DMG 22-05 'Control Spine 3 N'

192

Low Back Pain (LKC-2) [2° to Kidney Depletion] 1. Needle Ma3 Jin 1 Shui3, Ma3 Kuai4 Shui3 (LKC): • Ma3 Jin 1 Shui3 : This point is located by palpating for a depression along the inferior margin of the zygomatic bone at the medial-to-laterallevel of the lateral angle/margin of the orbit; from the aforementioned depression, course laterally 0.4 cun to arrive at Ma3 Jin 1 Shue; Needle 0.1 to 0.3 cun. {Kidn~ and Lung Auxiliary Reaction Areas} (This point is essentially 0.4 cun lateral to SI-18 °.) • Ma3 Kuai4 Shui3 : This point is located 0.4 cun immediately inferior to Ma3 Jin 1 Shui 3 ; Needle 0.1 to 0.3 cun. {Kidney and Bladder Reaction Areas}

Low Back Pain (LKC-3) [2° to Kidney Depletion] 1. Needle Shui3 Jin 1, Shoe Tong1 (LKC): • Shui3 Jin 1 : This point is located 0.5 cun obliquely medial to Shue Tong 1; Needle obliquely from medial to lateral up to 0.5 cun. {Kidney Reaction Area} (To locate this point, proceed to a point 0.5 cun medial to Shue Tong 1 and 0.5 cun directly inferior to the extraorallabial-cutaneous junction of the inferior lip.) • Shui3 Tong 1: This point is located 0.5 cun directly inferior to the extraoral labialcutaneous junction at the comer of the mouth; Needle obliquely from medial to lateral up to 0.5 cun, or 'let'. {Kidney Reaction Area}

193 Low Back Pain (LKC-4) [2° to Kidney Depletion]

1. Needle Zhong1 Bai2, Xia 4 Bai2 (LKC): •

•

Zhong1 Bai2: This point is located on the dorsum of the hand, between the 4th and 5th metacarpal bones, 0.5 cun proximal to the metacarpophalangeal articulations; Needle 0.5 cun. {Kidney Branch Reaction Area} Xia 4 Bai2: This joint is located on the dorsum of the hand between the 4th and 5 metacarpal bones, 1.5 cun proximal to the metacarpophalangeal joints; Needle 0.3 to 0.8 cun. {Liver and Kidney Intersection Reaction Areas}

Low Back Pain (LKC-5) [2° to Kidney Depletion]

1. 'Let' Wu3 Ling3, Shui3 Zhong\ Shui3 Fu3, San1 Jiang1 (LKC): •

•

• •

Wu3 Ling3: These points are found on five rostralcaudal lines located on the back and they should be 'let' rather than needled with filiform needles. The first row of 10 points is located on the Du Mai (Governing Vessel) in the interspinous spaces between: T2!f3, T3!f4, TJTs, Ts!f6, T~1. T1ffs, Tsff9, T9!f10, T10ffu, and T 11 ff12. The second row of 8 points (per row) is located 3.0 cun lateral on either side of the Du Mai (Governing Vessel), commences from the level ofthe T2!f3, and includes points at the levels of T3!f4, TJT s, Tsff6. T~ 7, T1!fs, Tsff9, T9!f 10· The third row of 7 points (per row) is located 6.0 cun lateral on either side of the Du Mai (Governing Vessel), commences from the level of the T2!f3, and includes points at the levels of T 3!f4, TJT 5, T5!f6, T~ 7 , T7!f8, and T8!f9. (In this case, use those points on the first and second rows.) Shui3 Zhong 1: These two points are located 1.5 cun lateral to the interspinous space between L1 and L2. 'Let' with a prismatic needle. {General Kidney Reaction Area} Shui3 Fu3 : These two points are located 1.5 cun lateral to either side ofthe interspinous space between the L2 and L3 spinous processes. 'Let' with a prismatic needle. {General Kidney Reaction Area} San1 Jiang1: This group is located on the dorsal surface of the lower back as follows: The six midsagittal points are located along the vertebral column, in the interspinous spaces between L 1/L2, L2/L3, L3/L4, L~s. LsiSt. and S1/S2; the lateral points are located 3.0 cun lateral to the midsagittal plane on either side of the aforementioned interspinous levels; 'Let' with a prismatic needle. {Results will be improved if one can 'let' the 'Malign Blood', then needle Shen4 Guan 1 -i.e., 2.5 cun distal to Sp-9WH0 }

*

194 Lumbar Spondylosis Deformans (HPC) 1. Ming1 Huang1, Sben4 Guan\ Tong1 Shen4, Wan 4 Sbun4 Yi\ Wan4 Sbun4 Er4, Zbong 1 Bai1, 'Let' the affected regions of the low back (HPC): • Ming1 Huang1 : This point is located in the exact center of the coronal plane on the medial aspect of the thigh; Needle 1.5 to 2.5 cun. {General Liver and General Heart Reaction Areas; shallow needling accesses the Kidney Auxiliary Reaction Area, midlevel needling accesses the Liver Reaction Area, and deep needling accesses the Heart Reaction Area} • Shen4 Guan 1: This point lies 1.5 cun immediately distal to Tian 1 Huang2• Needle 0.5 to 1.0 cun. (Tian1 Huani is located in the depression found immediately distal to the medial tibial condyle, and lies 2.5 cun distal to the articular surface of the medial tibial condyle.) {Six Bowels Reaction Area} • Tong 1 Shen4 : This point is located in the depression found at the superomedial angle of the patella; Needle 0.3 to 0.5 cun. {Kidney Reaction Area} • Wan 4 Shun4 Yi1: This point is located 2.5 cun distal to the anterior, distal transverse wrist crease, anterior to the 5th metacarpal bone; Needle 0.2 to 0.4 cun. {Kidney Branch Reaction Area} • Wan 4 Shun4 Er4 : This point is located 1.5 cun distal to the anterior, distal transverse wrist crease, anterior to the 5th metacarpal bone; Needle 0.2 to 0.4 cun. {Kidney Branch Reaction Area} • Zhong1 Bai1 : This point is located on the dorsum of the hand, between the 4th and 5th metacarpal bones, 0.5 cun proximal to the metacarpophalangeal articulations- have the patient make a fist to help facilitate locating this point; Needle 0.3 to 0.5 cun. {Kidney Branch Reaction Area}

195

Lumbar Spondylosis Deformans

'Let' Affected Low Back Region

I

/

196

Rachiodynia (CCC-1) 1. DMG 11-17 'Finger Spine Three Needles' (CCC): • DMG 11-17 'Finger Spine Three Needles': i. Fei4 Xin1 Er : This point is located at the midpoint of the posterior midsagittal line on the dorsal surface of the middle phalanx of the middle finger - to determine the midpoint of the posterior midsagittal digit line on the middle phalanx, bisect the distance from the dorsal proximal interphalangeal skin crease to the dorsal distal interphalangeal skin crease along the course of said line; Needle from proximal to distal 0.1 to 0.2 cun. {Heart and Lung Branch Reaction Areas} ii. Fei4 Xin 1 San1 : To locate this point, simply bisect the distance Fei4 Xin 1 E~ to the dorsal distal interphalangeal skin crease along the course of the posterior midsagittal line; Needle from proximal to distal 0.1 to 0.2 cun. {Heart and Lung Branch Reaction Areas} iii. Fei4 Xin 1 Yi1 : To locate this point, simply bisect the distance R 3rd from Fei4 Xin 1 E~ to the dorsal proximal interphalangeal skin DMG 11 _17 crease along the course of the posterior midsagittal digit line; Needle from proximal to distal 0.1 to 0.2 cun. {Heart and Lung Branch Reaction Areas}

Rachiodynia (CCC-2) 1. DMG 77-09 'Leg Spine Three Needles' (CCC): • DMG 77-09 'Le.p Spine Three Needles': i. Zheng Jin1 : This point is located 3.5 cun proximal to the plantar surface of the heel, on the tendo calcaneus {Achilles tendon) of the posterior aspect of the distal leg; Needle 0.5 to 1.0 cun. {Lung Branch and General Vertebral Reaction Areas} ii. Zheng4 Zong1 : This point is located 2.0 cun proximal to Zheng4 Jin 1 on the tendo calcaneus (Achilles tendon) of the posterior aspect of the distal leg; Needle 0.5 to 1.0 cun. {Lung Branch and General Vertebral Reaction Areas} iii. Zheng4 Shi4 : This point is located 4.0 cun proximal to Zheng4 Jin 1 on the tendo calcaneus (Achilles tendon) of the posterior aspect of the distal leg; Needle 0.5 to 1.0 cun. {Lung Branch and General Vertebral Reaction Areas}

DMG77-09

197

Rachiodynia (CCC-3)

1. DMG 44-01 'Straight Spine Three Needles' (CCC): • DMG 44-01 'Strai§ht Spine Three Needles': i. Zheng4 Ji Yi1: This point is located along the lateral supracondylar ridge of the humerus 2.0 cun proximal to the anterior transverse cubital crease; Needle perpendicularly 0.5 to 1.0 cun or obliquely from distal to proximal 1.0 to 1.5 cun. {Liver Auxiliary, Heart Auxiliary, and Vertebral Reaction Areas} ii. Zheng4 Ji3 Er4 : This point is located along the lateral supracondylar ridge of the humerus 2.0 cun proximal to Zheng4 Yi\ i.e., 4.0 cun proximal to the anterior transverse cubital crease; Needle perpendicularly 0.5 to 1.0 cun or obliquely from distal to proximal 1.0 to 1.5 cun. {Liver Auxiliary, Heart Auxiliary, and Vertebral Reaction Areas} iii. Zheng4 Je San1 : This point is located alon~ the lateral supracondylar ridge of the humerus 2.0 cun proximal to Zheng4 Ji Er4 , i.e., 6.0 cun proximal to the anterior transverse cubital crease; Needle perpendicularly 0.5 to 1.0 cun or obliquely from distal to proximal 1.0 to 1.5 cun. {Liver Auxiliary, Heart Auxiliary, and Vertebral Reaction Areas}

1e

DMG 44-01 'Straight Spine 3 N'

198 Rachiodynia (MC)

1. DMG 77-09 'Leg Spine Three Needles', Shui3 Xiang\ Shoe Xian 1, Hoo3 Qoan2, DMG 1010-02 'Head Three Meetings', Ma3 Koai4 Shoi3, Shoi3 Tong1 , 'Let' the Occipital region of the lower extremity (MC): • DMG 77-09 'Le.;. Spine Three Needles': i. Zheng Jin 1: This point is located 3.5 cun proximal to the plantar surface of the heel, on the tendo calcaneus (Achilles tendon) of the JWsterior aspect of the distal leg; it lies midway between Bl-60WH0 and KI-3 °; Needle 0.5 to 0.8 cun - insert to the tibia for best results. {General Vertebral and General Brain Reaction Areas} ii. Zheng4 Zong1 : This point is located 2.0 cun proximal to Zheng4 Jin 1 (i.e., 5.5 cun proximal to the plantar surface of the heel, on the tendo calcaneus (Achilles tendon) of the posterior aspect of the distal leg); Needle 0.5 to 0.8 cun- insert to the tibia for best results. {General Vertebral and General Brain Reaction Areas} iii. Zheng4 Shi4 : This point is located 4.0 cun proximal to Zheng4 Jin 1 (i.e., 7.5 cun proximal to the plantar surface of the heel, on the tendo calcaneus (Achilles tendon) of the posterior aspect of the distal leg); Needle 0.5 to 1.0 cun - insert to the tibia for best results. {Lung Branch and General Vertebral Reaction Areas} • Shoe Xiang1: This point is located in the depression immediately anterior to the Achilles tendon, 2.0 cun posterior to the apex (as viewed from posterior to anterior) of the medial malleolus, on the medial side of the ankle; Needle 0.3 to 0.5 cun - one may even needle to penetrate through to the lateral side along the anterior border of the Achilles tendon. {Kidney Branch and Brain Reaction Areas} • Shoi3 Xian 1 : This point is located 2.0 cun distal to Shui3 Xiang4 • It may be found by coursing 2.0 cun posterior to the apex (as viewed from posterior to anterior) of the medial malleolus, and then 2.0 cun immediately distal; Needle 0.5 cun. {Kidney Branch and Brain Reaction Areas} • Hoo3 Qoan 2 : This point is located on the coronal plane of the medial aspect of the thigh, 4.5 cun distal to Ming2 Huang2; Needle 1.5 to 2.0 cun. {Liver, Gallbladder, Heart Branch, and Vertebral Reaction Areas} (Ming2 Huang2 is located in the exact center of the coronal plane on the medial aspect of the thigh) • DMG 1010-02 'Head Three Meetings': i. Zheng4 Hoi4: This point is located at the midpoint of the midsagittal plane of the head; Needle 0.1 to 0.3 cun. {General Brain Reaction Area} (To locate this point draw a line connecting the apex of each ear to the midsagittal plane of the head) ii. Qian 2 Hoi4: This point is located 1.5 cun immediately anterior to Zheng4 Hui4; Needle 0.1 to 0.3 cun. {Brain Auxiliary Reaction Area} (Zheng4 Hui4 is located at the midpoint of the midsagittal plane of the head.) iii. Hoo 4 Hoi4 : This point is located 1.6 cun immediately posterior to Zheng4 Hui4 ; Needle 0.1 to 0.3 cun. {General Brain and Vertebral Reaction Areas} (Zheng4 Hui4 is located at the midpoint of the midsagittal plane of the head.) • Ma3 Koai4 Shoi3 : point is 0.4 cun immediately inferior to Ma3 Jin 1 Shue approximately at the most caudal level of the nose; Needle 0.1 to 0.3 cun. {Kidney and Bladder Reaction Areas} (Ma3 Jin 1 Shue is found on the face in the depression located along the inferior border of the zygomatic bone at the medial-to-lateral level of the lateral canthus)

199 •

Shui3 Tong1 : This point is located 0.4 cun directly inferior to the extraoral labial cutaneous junction at the comer of the mouth; Needle obliquely from medial to lateral 0.1 to 0.5 cun. {Kidney Reaction Area}

I

'

l

I I j

I DMG 77-09 'Leg Spine 3 N'

DMG 1010-02 'Head 3 Meetings' 'Let' Occipital Region

200

Ruptured Intervertebral Disc/Herniated Nucleus Pulposus -Lumbar (MC) 1. Hou 4 Zhui\ Shou3 Ying\ Yu 4 Ying\ DMG 77-09 'Leg Spine Three Needles', 'Let' the 'Lumbar' region of the back (MC): • Hou 4 Zhui1: This point is located on the posterior aspect of the brachium, on the Hand Shao4 Yang2 Triple Burner Channel, 2.5 cun proximal to the transverse cubital crease; Needle 0.3 to 0.5 cun. {Liver Auxiliary, Heart Auxiliary Branch Confluent, and Vertebral Reaction Areas} • Shou3 Ying1 : This point is located on the posterior ~spect of the brachium on the Hand Shao4 Yang2 Triple Burner Channel, 4.5 cun proximal to the transverse cubital crease; Needle 0.3 to 0.5 cun. {Liver Auxiliary, Heart Auxiliary Branch Confluent, and Vertebral Reaction Areas} • Yu 4 Ying1 : This point is located on the posterior aspect of the brachium on the Hand Shao4 Yang2 Triple Burner Channel, 6.5 cun proximal to the transverse cubital crease; Needle obliquely and close to the humerus 0.5 to 1.5 cun. {Liver Auxiliary, Heart Auxiliary Branch Confluent, Vertebral, and Kidney Branch Reaction Areas} • DMG 77-09 'Leg Spine Three Needles': i. Zheng4 Jin 1: This point is located 3.5 cun proximal to the plantar surface of the heel, on the tendo calcaneus (Achilles tendon) of the ~sterior aspect of the distal leg; it lies midway between Bl-60WH0 and KI-3 °; Needle 0.5 to 0.8 cun - insert to the tibia for best results. {General Vertebral and General Brain Reaction Areas} ii. Zheng4 Zong 1: This point is located 2.0 cun proximal to Zheng4 Jin 1 (i.e., 5.5 cun proximal to the plantar surface of the heel, on the tendo calcaneus (Achilles tendon) of the posterior aspect of the distal leg); Needle 0.5 to 0.8 cun - insert to the tibia for best results. {General Vertebral and General Brain Reaction Areas} iii. Zheng4 Shi4 : This point is located 4.0 cun proximal to Zheng4 Jin 1 (i.e., 7.5 cun proximal to the plantar surface of the heel, on the tendo calcaneus (Achilles ".-' ~tend,'···· ) ~fthe posterior aspect of the distal leg); Needle 0.5 to 1.0 cu~- insert bta for best results. {Lung Branch and General Vertebral Reaction Areas} .

~

~)

.

r\ r \Ying~ '

'

'Let' 'Lumbar' Region

.

.

201

Sciatica (CCC-1) [Languid Heart-Lung Function Induced] 1. DMG 22-02 'Palm Three Passes', 'Let' the affected area(s) (CCC): • DMG 22-02 'Palm Three Passes': i. Zhong1 Guan 1: This point is located 0.5 cun distal to the center of the anterior distal transverse crease of the wrist; Needle 0.3 to 0.5 cun. {Kidney and Lung Branch Reaction Areas} (To locate the point, measure 0.5 cun distal to PC7WHo.)

Gu3

-

Guan 1:

This point is located 0.5 cun radial to Zhong 1 Guan 1; Needle 0.3 to 0.5 cun. {Kidney and Lung Branch Reaction Areas} iii. Mu 4 Guan 1 : This point is located 0.5 cun ulnar to Zhong 1 Guan 1; Needle 0.3 to 0.5 cun. {Kidney, Liver, and Gallbladder Reaction Areas} ii.

r

PC-7

DMG 22-02 'Palm 3 Passes'

'Let' Affected Area(s)

202 Sciatica (CCC-2) [Heart-Brain Induced]

1. DMG 22-03 'Hand Release Three Needles', 'Let' the affected area(s) (CCC): •

DMG 22-03 'Hand Release Three Needles': i. Shou3 Jie3 Yi1: This point is located by instructing the patient to make a fist with the palm supinated. The point is found where the tip of the 5th digit touches the palm of the hand between the 4th and 5th metacarpal bones. In general, this will be on the distal transverse palmar crease 1.0 cun proximal to the anterior metacarpophalangeal skin crease (the point is located at HT-8WH0 ); Needle 0.2 to 0.8 cun. {Five Viscera Sensory Afferent (GVA?) reaction areas} ii. Shou3 Jie3 Er4 : This point is located between the 4th and 5th metacarpal bones, 0.5 cun proximal to Shou3 Jie3 Yi 1; Needle 0.2 to 0.8 cun. {Five Viscera Senso7 Afferent (GVA?) reaction areas} iii. Shang Gao 1 : This point is located between the 4th and 5th metacarpal bones, 0.5 cun proximal to Shou3 Jie3 Er4 (i.e., 1.0 cun proximal to Shou3 Jie3 Yi 1); Needle 0.2 to 0.8 cun. {Five Viscera Sensory Afferent (GVA?) reaction areas}

Shant Gao 1 Shoo Jie3 Er4 Shou3 Jie3 Yi1

DMG 22-03 'Hand Release 3 N' 'Let' Affected Area(s)

203

Sciatica (CCC-3) [Insufficient Heart-Lung Function Induced] 1. DMG 22-06 'Control Three Needles', DMG 11-17 'Finger Spine Three Needles', 'Let' the affected area(s) (CCC): • DMG 22-06 'Control Three Needles': i. Ling2 Gu3: This point is located on the dorsum of the hand, in an area known as the 'Hu3 Kou3 ', i.e., the region between the first and second metacarpal bones. The point is found in the depression at the articulation of the bases of the first and second metacarpal bones; Needle 0.5 to 1.5 cun. {Liver Branch, Heart, and Kidney Reaction Areas} ii. Da4 Bai2 : This point lies 1.0 cun distal to Ling2 Gu3 along the shaft of the 2nd metacarpal bone; Needle 0.5 to 1.5 cun. {Liver Branch, Heart, and Kidney Reaction Areas} iii. Zhong4 Kui2 : This point lies 1.0 cun distal to Da4 Bai2 along the shaft of the 2nd metacarpal bone (the point is located in the depression at the junction of the shaft and head of the second metacarpal bone; Needle, closely adherent to the 2nd metacarpal bone, 0.5 to 1.5 cun. {Liver Branch, Heart, and Kidney Reaction Areas}

•

DMG 11-17 'Finyer Spine Three Needles': i. Fei4 Xin Er2: This point is located at the midpoint of the posterior midsagittal line on the dorsal surface of the middle phalanx of the middle finger - to determine the midpoint of the posterior midsagittal digit line on the middle phalanx, bisect the distance from the dorsal proximal interphalangeal skin crease to the dorsal distal interphalangeal skin crease along the course of said line; Needle from proximal to distal 0.1 to 0.2 cun. {Heart and Lung Branch Reaction Areas} ii. Fei4 Xin1 San1 : To locate this point, simply bisect the distance Fei4 Xin 1 to the dorsal distal interphalangeal skin crease along the course of the posterior midsagittal line; Needle from proximal to distal 0.1 to 0.2 cun. {Heart and Lung Branch Reaction Areas} iii. Fei4 Xin1 Yi 1: To locate this point, simply bisect the distance from Fei4 Xin 1 to the dorsal proximal interphalangeal skin crease along the course of the posterior midsagittal digit line; Needle from proximal to distal 0.1 to 0.2 cun. {Heart and Lung Branch Reaction Areas}

Er

Er

I ei4 Xin 1 San1 ei4 Xin 1 Er2 . ei4 Xin 1 Yi1

RJrd

DMG 22-06 'Control3 N'

'Let' Affected Area(s)

DMG 11-17

204 Sciatica (CCC-4) [Loss of Regulation of Kidney Function Induced] 1. DMG 22-05 'Control the Spine Three Needles', 'Let' the affected area(s) (CCC):

•

DMG 22-05 'Control the Spine Three Needles': i. Wan 4 Shun4 Yi 1: This point is located 1.5 cun distal to the anterior distal transverse wrist crease, anterior to the 5th metacarpal bone at the junction of the palmar and dorsal ('red and white') skin; the point lies 1.5 cun proximal to SI3WHO; Needle perpendicularly 0.5 to 1.0 cun keeping the shaft of the needles in proximity to the anterior surface of the 5th metacarpal bone. {Kidney Branch Reaction Area} ii. Wan4 Shun 4 Er4 : This point is located 2.5 cun distal to the anterior distal transverse wrist crease, anterior to the 5th metacarpal bone at the junction of the palmar and dorsal ('red and white') skin; the point lies 0.5 cun proximal to SI3WHO; Needle perpendicularly 0.5 to 1.0 cun keeping the shaft of the needles in proximity to the anterior surface of the 5th metacarpal bone. {Kidney Branch Reaction Area} iii. Wan 4 Shun4 San1 : This point is located 3.5 cun distal to the anterior distal transverse wrist crease, anterior to the 5th metacarpal bone at the junction of the palmar and dorsal ('red and white') skin; the point lies 0.5 cun distal to SI-3 WHO; Needle perpendicularly 0.5 to 1.0 cun keeping the shaft of the needles in proximity to the anterior surface of the 5th metacarpal bone. {Kidney Branch Reaction Area}

-Wan4"sbun:{Sa 1 . Wab4 ~~J;iEr4

DMG 22-05 'Control Spine 3 N'

'Let' Affected Area(s)

205 Sciatica (CCC-5) [Lung Disease Induced] 1. DMG 22-01 'Palm Knee Three Needles', 'Let' the affected area(s) (CCC): • DMG 22-01 'Palm Knee Three Needles': i. Tu3 Shui3 Er4 : This point is located 1.0 cun proximal to the depression found at the junction of the shaft and head of the 1st metacarpal bone, on the border of the 'red and white' skin of the thenar eminence. An alternative method of locating this point is to bisect the length of the 1st metacarpal bone along the border of the 'red and white' skin of the thenar eminence; Needle 0.5 to 1.5 cun closely adherent to the metacarpal bone. {Spleen Branch and Kidney Branch Reaction Areas} (This point is one and the same as LU -10 WHO) ii. Tu3 Shui3 Yi1: This point is found 0.5 cun distal to Tu3 Shue Er4 on the border of the 'red and white' skin of the thenar eminence; Needle 0.5 to 1.5 cun closely adherent to the metacarpal bone. {Spleen Branch and Kidney Branch Reaction Areas} iii. Tu3 Shui3 San1 : This point is found 0.5 cun proximal to Tu3 Shue Er4 on the border of the 'red and white' skin of the thenar eminence; Needle 0.5 to 1.5 cun closely adherent to the metacarpal bone. {Spleen Branch and Kidney Branch Reaction Areas}

!--

Tu3 Shui3 Tu3 Shue Er4 Tu 3 Shue Yi1

DMG 22-01 'Palm Knee 3 N' 'Let' Affected Area(s)

206

Sciatica (CCC-6) [Unspecified]

1. DMG 33-11 'Hold Three Fires', DMG 44-07 'Shoulder Anterior Oblique Three Needles', 'Let' the affected area(s) (CCC): • DMG 33-11 'Hold Three Fires': i. Huo3 Chuan4: This point is located 2.5 cun proximal to TB-4WHO on the Hand Shao4 Yani Triple Burner Channel, in the interosseous space between the ulna and radius bones, on the posterior surface of the antebrachium; Needle perpendicularly 0.5 to 1.5 cun. {Lung Branch and Heart Auxiliary Reaction Areas} ii. Huo3 Ling2 : This point is located 4.5 cun proximal to TB-4WH0 on the Hand Shao4 Yang2 Triple Burner Channel; Needle perpendicularly 0.5 to 1.5 cun. {Lung Branch and Heart Auxiliary Reaction Areas} iii. Huo3 Shan1: This point is located 6.0 cun proximal to TB-4WH0 on the Hand Shao4 Yani Triple Burner Channel; Needle perpendicularly 0.5 to 1.5 cun. {Lung Branch and Heart Auxiliary Reaction Areas}

•

DMG 44-07 'Shoulder Anterior Oblique Three Needles': i. Jian1 Feng1 : This point is located 0.5 cun distal to the center of the space between the acromion process and the head of the humerus (i.e., 0.5 cun distal to LI-15WH0 ); Needle perpendicularly 0.3 to 2.0 cun or oblique insertion from proximal to distal 0.5 to 2.0 cun. {Six Bowel and Lung Auxiliary Reaction Areas} ii. Yun2 Bai2 : This point is located on the anterolateral aspect of the proximal brachium, 2.0 cun immediately anterior to, and on the same transverse plane as, Jian 1 Zhong 1; Needle perpendicularly 0.3 to 2.0 cun or oblique insertion from proximal to distal 0.5 to 2.0 cun. {Six Bowels and Lung Auxiliary Reaction Areas} (Jian 1 Zhong 1 is located on the lateral aspect of the proximal brachium, 2.5 cun immediately distal to LI-15WH0 on the Hand Yang2 Ming2 Large Intestine Channel.) iii. Shen2 Jian 1: This point is located on the anterolateral aspect of the rroximal brachium at the midpoint of a line connecting Jian 1 Feng1 with Yun2 Bai ; Needle perpendicularly 0.3 to 2.0 cun or oblique insertion from proximal to distal 0.5 to 2.0 cun. {Lung Branch and H~Branch Reaction Areas}

j

I DMG 33-11 'Hold 3 Fires'

'Let' Affected Area(s)

DMG 44-07 'Shld Ant Oblique 3 N'

207 Sciatica (CCC-7) [Unspecified] 1. DMG 44-01 'Straight Spine Three Needles', DMG 88-08 'Pacify the Spine Three Needles', 'Let' the affected area(s) (CCC): • DMG 44-01 'Strai3ht Spine Three Needles': i. Zheng4 Ji Yi1: This point is located along the lateral supracondylar ridge of the humerus 2.0 cun proximal to the anterior transverse cubital crease; Needle perpendicularly 0.5 to 1.0 cun or obliquely from distal to proximal 1.0 to 1.5 cun. {Liver Auxiliary, Heart Auxiliary, and Vertebral Reaction Areas} ii. Zheng4 Ji3 Er4 : This point is located along the lateral supracondylar ridge of the humerus 2.0 cun proximal to Zheng4 Je Yi 1; Needle perpendicularly 0.5 to 1.0 cun or obliquely from distal to proximal 1.0 to 1.5 cun. {Liver Auxiliary, Heart Auxiliary, and Vertebral Reaction Areas} iii. Zheng4 Ji3 San1: This point is located along the lateral supracondylar ridge of the humerus 2.0 cun proximal to Zheng4 Ji3 Er4 ; Needle perpendicularly 0.5 to 1.0 cun or obliquely from distal to proximal 1.0 to 1.5 cun. {Liver Auxiliary, Heart Auxiliary, and Vertebral Reaction Areas} • DMG 88-08 'Pacify the Spine Three Needles' (select 3 . \.$ points): i. An 1 Ji3 Yi1: (#1) This point is located along the gluteal fold 0.5 cun medial to Bl-36WH0 ; Needle 2.0 to 2.5 cun. {Kidney and Vertebral Reaction Areas} ii. An 1 Ji3 Er4 : (#2) This point is located al~ the gluteal fold 1.0 cun medial to An 1 Ji 3 Yi 1, i.e., 1.5 cun medial to Bl-36 °; Needle 2.0 to 2.5 cun. {Kidney and Vertebral Reaction Areas} 1 Ji3 San1: (#3) This point is located along the gluteal iii. An ,fold 2.0 cun medial to An Ji3 Yi 1, i.e.,2.5 cun medial to Bl36WH0; Needle 2.0 to 2.5 cun. {Kidney and Vertebral Reaction Areas} iv. An 1 Ji3 Si4: (#4) This foint is located along the gluteal fold 1.0 cun lateral to An Je Yi\ i.e.,0.5 cun lateral to Bl36WH0; Needle 2.0 to 2.5 cun. {Kidney and Vertebral 6 Reaction Areas} l v. An 1 Ji3 Wu3 : (#5) This point is located along the gluteal fold 2.0 cun lateral to An Je Yi 1, i.e., 1.5 cun lateral to Bl36WH0; Needle 2.0 to 2.5 cun. {Kidney and Vertebral Reaction Areas} vi. An1 Ji3 Liu4 : (#6) This point is located along the gluteal fold 3.0 cun lateral to An Ji3 Yi 1, i.e.,2.5 cun lateral to Bl36WH0; Needle 2.0 to 2.5 cun. {Kidney and Vertebral Reaction Areas}

1

'Let

208 Sciatica (CCC-8) [Insufficient Heart Function Induced] 1. DMG 33-09 'Posterior Antebrachial Scholar Three Needles', 'Let' the affected area(s) (CCC): • DMG 33-09 'Posterior Antebrachial Scholar Three Needles': i. Shang4 Shi4 : This point is located on the dorsum of the antebrachium 1.0 cun proximal to the level of SI-6WH0 . It lies immediately radial to the ulna bone, between the tendons of the extensor carpi ulnaris muscle (ulnar) and the extensor digiti minimi muscle (radial) (One can readily locate the extensor digiti minimi muscle by extending and flexing the 5th digit; needle immediately ulnar to this muscle); Needle perpendicularly 1.0 to 1.5 cun. {Heart and Kidney Reaction Areas} ii. Zhong1 Shi4 : This point is located on the dorsum of the antebrachium 2.0 cun proximal to Shang4 Shi4 • It lies immediately radial to the ulna bone between the tendons of the extensor carpi ulnaris muscle (ulnar) and the extensor digiti minimi muscle (radial); Needle perpendicularly 1.0 to 1.5 cun. {Heart and Kidney Reaction Areas} iii. Xia4 Shi4 : This point is located on the dorsum of the antebrachium 2.0 cun proximal to Zhong 1 Shi4 (i.e., 4.0 cun proximal to Shang4 Shi4). It lies immediately radial to the ulna bone between the tendons of the extensor carpi ulnaris muscle (ulnar) and the extensor digiti minimi muscle (radial); Needle perpendicularly 1.0 to 1.5 cun. {Heart and Kidney Reaction Areas}

I

DMG 33-09 'Post Antebrachial Scholar 3 N'

'Let' Affected Area(s)

209 Sciatica (CCC-9) [Defective Liver and Lung Function Induced]

1. DMG 44-04 'Shoulder Inferior Transverse Three Needles', 'Let' the affected area(s) (CCC): • DMG 44-04 'Shoulder Inferior Transverse Three Needles': i. Jian 4 Zhong1 : This point is located 2.0 cun distal to Jian 1 Zhong1 (i.e., 4.5 cun distal to LI-15WH0 on the Hand Yang2 Ming2 Large Intestine Channel); Needle perpendicular insertion 0.5 to 1.5 cun or oblique insertion from proximal to distal 1.5 cun to 2.0 cun. {Heart Branch, Lung Branch, Liver Branch, Kidney Auxiliay Reaction Areas} ii. Li3 Bai : This point is located 2.0 cun anterior to Jian4 Zhong 1 on the same transverse plane; Needle perpendicular insertion 0.5 to 1.5 cun or oblique insertion from proximal to distal 1.5 cun to 2.0 cun. {Heart Branch, Lung Branch, Liver Branch, Kidney Auxiliary Reaction Areas} iii. Xia4 Qu1 : This point is located 2.0 cun posterior to Jian4 Zhong 1 on the same transverse plane; Needle perpendicular insertion 0.5 to 1.5 cun or oblique insertion from proximal to distal 1.5 cun to 2.0 cun. {Heart Branch, Lung Branch, Liver Branch, Kidney Auxiliary Reaction Areas}

I

'Let' Affected Area(s) DMG 44-04 'Shoulder Inf Transverse 3 N'

210

Sciatica (CCC-10) [Lumbar] 1. DMG 66-04 'Metatarsal Lumbar Three Needles'- have the patient slowly perform low back range of motion exercises with needles in place (CCC): • DMG 66-04 'Metatarsal Lumbar Three Needles': i. Huo3 Ying4: This point is located on the dorsum of the foot, between the 1st and 2nd metatarsal bones, 0.5 cun proximal to LV-2WH0 ; Needle 0.3 cun CONTRAINDICATED IN PREGNANCY; MOXABUSTION CONTRAINDICATED. {Liver Auxiliary and Heart Reaction Areas} ii. Liu4 Wan 2 : This point is located on the dorsum of the foot between the 4th and 5th metatarsal bones, 0.5 cun proximal to GB-43 WHO; Needle with a 36 Gauge needle 0.3 to 0.5 cun- CONTRAINDICATED IN PATIENTS WITH ASTHMA, PULMONARY DISEASES, EXCESSIVE PHLEGM, OR WHO ARE WEAK/FRAIL. {Lung Branch and Kidney Branch} iii. Men2 Jin 1 Xia 4 : This point is located on the dorsum of the between the 2nd and 3rd metatarsal bones, 0.5 cun proximal to ST-44WHO; Needle 0.3 to 0.5 cun. {Duodenum, Uterus, and Stomach Branch Reaction Areas}

DMG 66-04 'Metatarsal Lumbar 3 N'

211 Sciatica (CCC-11) (2° to Defective Liver Function] 1. DMG 33-05 'Hold Liver Spirit Three Needles' (CCC): • DMG 33-05 'Hold Liver Spirit Three Needles': i. Gan1 Ling2 Yi1: This point is located 3.0 cun proximal to the anterior distal transverse wrist crease on the line drawn proximally from the base of the proximal phalanx of the 4th digit (ring finger) to a point midway between HT3WHO and PC-3 WHO (fingers adducted) Needle perpendicularly 0.5 to 1.5 cun or obli~uely from distal to proximal2.0 cun. {Liver and Kidney Reaction Areas} ii. Gao Ling2 Er4: This point is located 3.0 cun proximal to Gan 1 Ling2 Yi 1 on the line drawn proximally from the base of the proximal phalanx of the 4th digit (ring finger) to a point midway between HT-3WH0 and PC-3WH0 (fingers adducted). iii. Gan 1 Ling2 San1: This point is located 3.0 cun proximal to Gan 1 Ling2 Er4 (i.e., 6.0 cun proximal to Gan 1 Ling2 Yi 1) on the line drawn proximally from the base of theJfoximal phalanx of the 4th digit (ring finger) to a point midway between HT-3 and PC-3WH0 (fmgers adducted).

°

-

DMG 33-05 'Hold Liver Spirit 3 N'

212 Sciatica (HPC-1) 1. Ling2 Gu\ Zhong1 Bai2, Da4 Bai2, Shang4 Qu\ Xia 4 Qu\ Yun 2 Bai2, 'Let' the affected regions of the lower extremity (HPC): • Ling2 Gu3 : This point is found on the dorsum of the hand, immediately distal to the articulation of the bases of the 1st and 200 metacarpal bones - this point communicates with the palmar point Chong2 Xian 1; Needle 1.5 to 2.0 cun, i.e. needle through to connect with Zhong4 Xian 1• {Lung Branch Reaction Area} CONTRAINDICATED IN

•

•

•

•

•

PREGNANCY. Zhong1 Bai2 : This point is located on the dorsum of the hand, between the 4th and 5th metacarpal bones, 0.5 cun proximal to the metacarpophalangeal articulations - have the patient make a fist to help facilitate locating this point; Needle 0.3 to 0.5 cun. {Kidney Branch Reaction Area} Da4 Bai2 : This point is located on the dorsum of the hand in the depression located between the first and second metacarpals, 1.2 cun distal to Ling2 Gu3; Needle 0.4 to 0.6 cun. {Lung Branch Reaction Area} CONTRAINDICATED IN PREGNANCY. Shang4 Qu 1 : This point is located on the proximal brachium, 1.0 cun posterior to Jian 1 Zhong 1; Needle 0.6 to 1.5 cun. {Kidney Branch and Liver Auxiliary Reaction Areas} (Jian 1 Zhong1 is located on the proximal brachium, at the anterior-posterior midpoint of the deltoid muscle, 2.5 cun distal to the lateral edge of the acromion process.) Xia4 Qu 1 : This point is located 1.0 cun medial to Hou4 Zhi 1; Needle 0.6 to 1.0 cun. {Lunp Branch and Liver Branch Reaction Areas} (Hou4 Zhi 1 is located on the Hand Shao Yang2 San Jiao channel, 4.0 cun distal to TB-14 WHO [i.e. 1.0 cun distal to TB13WH0 and 2.0 cun proximal to TB-12WH0]) Yun 2 Bae: This point is found 2.0 cun obliquely anterior and distal to Bei 1 Mian4; Needle 0.3 to 0.5 cun. {Six Bowels and Lung Auxiliary Branch Reaction Areas} (Bei 1 Mian4 is found in the large depression immediately lateral (distal) to the acromion process of the scapula when the arm is abducted to 90°.)

213 Sciatica (HPC-1)

!

ll

" ) J

i

\

'Let' affected regions

214

Sciatica (HPC-2) 1. Ling2 Gu3, Da4 Bai2, Zhong1 Bai2, Jian 1 Zhong1, Shang4 Qu\ Xia4 Qu\ 'Let' along the course of the sciatic nerve to the inferior end of the 'Occipital' area of the lower extremity. Treat every other day (HPC): • Ling2 Gu3 : This point is found on the dorsum of the hand, immediately distal to the articulation of the bases of the 1st and 2nd metacarpal bones - this point communicates with the palmar point Chong2 Xian 1; Needle 1.5 to 2.0 cun, i.e. needle through to connect with Zhong4 Xian 1• {Lung Branch Reaction Area} CONTRAINDICATED IN PREGNANCY. • Da4 Bai2: This point is located on the dorsum of the hand in the depression located between the first and second metacarpals, 1.2 cun distal to Ling2 Gu3 ; Needle 0.4 to 0.6 cun. {Lung Branch Reaction Area} CONTRAINDICATED IN PREGNANCY. • Zhong1 Bai2 : This point is located on the dorsum of the hand, between the 4th and 5th metacarpal bones, 0.5 cun proximal to the metacarpophalangeal articulations- have the patient make a fist to help facilitate locating this point; Needle 0.3 to 0.5 cun. {Kidney Branch Reaction Area} • Jian 1 Zhong1 : This point is located on the proximal brachium, at the anterior-posterior midpoint of the deltoid muscle, 2.5 cun distal to the lateral edge of the acromion process; Needle 0.5 to 1.0 cun. {Heart Branch Reaction Area} • Shang4 Qu 1: This point is located on the proximal brachium, 1.0 cun posterior to Jian 1 Zhong 1; Needle 0.6 to 1.5 cun. {Kidney Branch and Liver Auxiliary Reaction Areas} • Xia 4 Qu 1 : This point is located 1.0 cun medial to Hou4 Zhi 1; Needle 0.6 to 1.0 cun. {Lunf Branch and Liver Branch Reaction Areas} (Hou4 Zhi 1 is located on the Hand Shao Yang2 San Jiao channel, 4.0 cun distal to TB-14WH0 [i.e. 1.0 cun distal to TB13WH0 and 2. un proximal to TB-12WH0])

215 Sciatica (LKC-1) 1. Needle Ling1 Gu3, Da4 Bai1, Zhong1 Bai1, 'let' Wu3 Ling3 and the affected region(s) of the lower extremity (LKC): • Lin~ Gu3 : This point is located on the dorsum of the hand, immediately distal to the

•

•

•

articulation of the bases of the 1st and 2nd metacarpal bones - have the patient make a loose fist to facilitate locating the point. Needle 1.0 to 2.0 cun; i.e., one may needle through to connect with Zhong4 Xian1• CONTRAINDICATED IN PREGNANCY. {Lung Branch, Heart, and Kidney Reaction Areas} Da4 Bai1 : This point is located 1.0 cun distal to Lint Gu3. Needle perpendicularly 0.5 to 1.5 cun (one may needle through to Chong Zi 3). CONTRAINDICATED IN PREGNANCY. {Lung Branch Reaction Area} Zhong1 Bai1: This point is located on the dorsum of the hand, between the 4th and 5th metacarpal bones, 0.5 cun proximal to the metacarpophalangeal articulations; Needle 0.5 cun. {Kidney Branch Reaction Area} Wu3 Ling3: These points are found on five rostral-caudal lines located on the back and they should be 'let' rather than needled with filiform needles. The first row of 10 points is located on the Du Mai (Governing Vessel) in the interspinous spaces between: T2!f3, T3!f4, T~s, Tsff6, T~1, T1ffs, Tg/fg, Tg/fto, Ttoffn, and Tnfft2· The second row of8 points (per row) is located 3.0 cun lateral on either side of the Du Mai (Governing Vessel), commences from the level of the T2/f3, and includes points at the levels ofT3/f4, T~s, Tsff6, T~1, T1ffs, Ts/fg, Tgffto. The third row of7 points (per row) is located 6.0 cun lateral on either side of the Du Mai (Governing Vessel), commences from the level of the T2ff3, and includes points at the levels ofT3!f4, T~s, Tsff6, T~1, T1ffs, and Tsffg. (In this case, use those points on the first and second rows.)

'Let' Wu 3 Ling3 NO PNEUMOTHORAX

'Let' Affected Region(s)

216

Sciatica (LKC-2) 1. Needle Xia 4 Bai1, Wan4 Shun4 Yi\ 'let' Wu3 Ling3 and the affected region(s) of the lower extremity (LKC): • Xia4 Bai1 : This point is located on the dorsum of the hand between the 4th and 5th metacarpal bones, 1.5 cun proximal to the metacarpophalangeal joints; Needle 0.3 to 0.8 cun. {Liver and Kidney Intersection Reaction Areas} (This point is 1.0 cun proximal to Zhong 1 Bai2.) • Wan 4 Shun4 Yi1 : This point is located 1.5 cun distal to the anterior distal transverse wrist crease, anterior to the 5th metacarpal bone, at the junction of the 'red and white skin'; Needle perpendicularly 0.2 to 1.0 cun. {Kidney Branch Reaction Area} • Wu3 Ling3 : These points are found on five rostral-caudal lines located on the back and they should be 'let' rather than needled with filiform needles. The first row of 10 points is located on the Du Mai (Governing Vessel) in the interspinous spaces between: T2/T 3, T3/T4, TJT 5, T5rr6, TJT1, T1ffs, Tsff 9, T9ff w, Twff 11, and T11/T12- The second row of 8 points (per row) is located 3.0 cun lateral on either side of the Du Mai (Governing Vessel), commences from the level of the T2ff 3, and includes points at the levels ofT3ff 4, TJT5, T5rr6, TJI'1, T7ff 8, Tsff9, T9/T 10 . The third row of7 points (per row) is located 6.0 cun lateral on either side of the Du Mai (Governing Vessel), commences from the level of the T2ff3, and includes points at the levels ofT3ff4, TJT 5, T5rr6, TJT 7, T1/Ts, and TsiT9· (In this case, use those points on the first and second rows.)

t~

*.* *

' Wu 3 Ling3 NO PNEUMOTHO

{

j 'Let' Affected Region(s)

217

Sciatica (LKC-3) 1. Needle Er4 Jiao3 Ming1, Dan3, Xia4 Bai1, 'let' Wu3 Ling3 and the affected region(s) of the lower extremity (LKC): • Er4 Jiao3 Ming1 : This 2 point hand grouping is located on the dorsum of the midsagittal

•

•

•

plane of the proximal phalanx of the 3rd digit. The proximal point is at the demarcation of the proximal and middle thirds, and the distal point is at the demarcation of the middle and distal thirds, of the distance from the center of the proximal interphalangeal skin crease to the center of the metacarpophalangeal skin crease; Needle subcutaneously from proximal to distal 0.1 to 0.2 cun - one may also employ one needle and subcutaneously connect the two points. {Kidney Reaction Area} Dan3 : These two points are located on the dorsum of the proximal phalanx of the third digit of the hand. One point is 0.5 cun lateral to the midpoint of the Posterior Midsagittal Line, and the second point is 0.5 cun medial to the midpoint of the Posterior Midsagittal Line; Needle obliquely 0.2 to 0.3 cun toward the Posterior Midsagittal Line. {Gallbladder and Heart Auxiliary Reaction Areas} Xia 4 Bai1 : This point is located on the dorsum of the hand between the 4th and 5th metacarpal bones, 1.5 cun proximal to the metacarpophalangeal joints; Needle 0.3 to 0.8 cun. {Liver and Kidney Intersection Reaction Areas} (This point is 1.0 cun proximal to Zhong 1 Bae.) Wu3 Ling3 : These points are found on five rostral-caudal lines located on the back and they should be 'let' rather than needled with filiform needles. The first row of 10 points is located on the Du Mai (Governing Vessel) in the interspinous spaces between: Tz!f3, T3!f4, T~s, Ts!f6, T ~7, T1!fs, Ts!f9, Tg!f w, T w!f 11, and T u!f 12· The second row of 8 points (per row) is located 3.0 cun lateral on either side of the Du Mai (Governing Vessel), commences from the level of the T z!f 3, and includes points at the levels ofT3!f4, T~s. Ts!f6, T~1. T1/Ts, Ts/Tg, Tg/Tw. The third row of7 points (per row) is located 6.0 cun lateral on either side of the Du Mai (Governing Vessel), commences from the level of the Tz!f3, and includes points at the levels ofT3/T4, T~s. Ts!f6, T~1, T1/Ts, and Ts/Tg. (In this case, use those points on the first and second rows.)

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f:*

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*'" * *

'Let' Wu3 Ling3 NO PNEUMOTHORAX

'Let'

218

Sciatica (LKC-4) 1. Needle DMG 88-03 'Thigh Team of Four Horses', 'let' Wu3 Ling3 and the affected region(s) of the lower extremity (LKC): • DMG 88-03 'Thigh Team of Four Horses': i. Si4 Ma3 Xia 4 : This point is located 5.5 cun proximal to the superolateral angle of the patella; Needle 0.8 to 2.5 cun. {General Lung and Liver Branch Reaction Areas} (To locate this point, commence at the center of the superior edge ofthe patella, course laterally 1.0 cun to arrive at the superolateral angle of the patella, and then proceed proximally 5.5 cun to arrive at Si4 Ma3 Xia4.) ii. Si4 Ma3 Zhong1 : This point is located 2.0 cun proximal to Si4 Ma3 Xia4; Needle 0.8 to 2.5 cun. {General Lung and Liver Branch Reaction Areas} iii. Si4 Ma3 Shang4 : This point is located 2.0 cun proximal to Si4 Ma3 Zhong 1; Needle 0.8 to 2.5 cun. {General Lung and Liver Branch Reaction Areas} 3 • Wu Ling3 : These points are found on five rostral-caudal lines located on the back and they should be 'let' rather than needled with filiform needles. The first row of 10 points is located on the Du Mai (Governing Vessel) in the interspinous spaces between: T2!f3, T3/T4, T~s. Ts/T6, T~1. T1ffs, Ts/T9, T9/T10, T10ffu, and Tnfft2· The second row of 8 points (per row) is located 3.0 cun lateral on either side of the Du Mai (Governing Vessel), commences from the level of the T2!f3, and includes points at the levels ofT3!f4, T~s. Tsff6, T~1. T7ffs, Tg!f9, T9!f10. The third row of7 points (per row) is located 6.0 cun lateral on either side of the Du Mai (Governing Vessel), commences from the level of the T2ff3, and includes points at the levels ofT3!f4, TJT s, T sff6, T ~ 7, T1/Ts, and Tsff9· (In this case, use those points on the first and second rows.)

'Let' Wu3 Ling3 NO PNEUMOTHORAX

'Let' Affected Region(s) DMG88-03

219

Sciatica- Foot Shao4 Yang2 Gallbladder Channel (MC) 1. 'Let' the 'Occi~ital' region on the lower extremity then needle Ling2 Gu3, Da4 Bai2, Zhong1 Bai2, Fu4 Ding, Hou4 Zhi\ Shou3 Ying1, Shou 3 Wu3 Jin 1 all contralateral to the sciatica (MC):

•

• •

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Ling2 Gu3: This point is found on the dorsum of the hand, immediately distal to the articulation of the bases of the 1st and 200 metacarpal bones - this point communicates with the palmar point Chong2 Xian t; Needle 1.5 to 2.0 cun, i.e. needle through to connect with Chong2 Xiant. {Lung Branch Reaction Area} CONTRAINDICATED IN PREGNANCY. Da4 Bai2: This point is located on the dorsum of the hand in the depression palpated at the junction of the shaft and head of the 2nd metacarpal bone; Needle 0.5 to 1.0 cun. {Lung Branch Reaction Area} CONTRAINDICATED IN PREGNANCY Zhong1 Bai2 : This point is located on the dorsum of the hand, between the 4th and 5th metacarpal bones, 0.5 cun proximal to the metacarpophalangeal articulations - have the patient make a fist to help facilitate locating this point; Needle 0.3 to 0.5 cun. {Heart, Spleen, and Kidney Branch Reaction Areas} Fu 4 Ding3 : This point is located on the posterior aspect of the brachium, on the Hand Shao4 Yang2 Triple Burner Channel, 7.0 cun proximal to the transverse cubital crease; Needle 0.3 to 0.5 cun. {Liver Auxiliary Branch and Heart Branch Reaction Areas} Hou 4 Zhi1: This point is located on the posterior aspect of the brachium, on the Hand Shao4 Yang2 Triple Burner Channel, 8.0 cun proximal to the transverse cubital crease; Needle 0.3 to 0.7 cun. {Heart Branch Reaction Areas} Shou3 Ying1: This point is located on the posterior aspect of the brachium on the Hand Shao4 Yang2 Triple Burner Channel, 4.5 cun proximal to the transverse cubital crease; Needle 0.3 to 0.5 cun. {Liver Auxiliary, Heart Auxiliary Branch Confluent, and Vertebral Reaction Areas} Shou3 Wu3 Jin 1: This point is found with the palm on the epigastrium and is located 0.5 cun medial (ulnar) to Huo3 Shant; Needle 0.3 to 0.5 cun. (Huo3 Shant is located 6.5 cun ~oximal t6 TB-4WHO on the Hand Shao4 Y Triple Burner Channel, in the ' -~-~"~ ·- ace between the ulna and radius bones, on the posterior surface of the ~~w"·~{Liver Branch Reaction Area}

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220 Sciatica- Foot Tai4 Yang1 Bladder Channel (MC) 1. 'Let' the 'Occipital' region on the lower extremity then needle Ling1 Gu3, Da4 Bai1 , Zhong1

Bai1, Shang4 Qu\ Xia4 Qu\ Xin1 Men1 all contralateral to the sciatica (MC): • Ling1 Gu3 : This point is found on the dorsum of the hand, immediately distal to the articulation of the bases of the 1st and 200 metacarpal bones - this point communicates with the palmar point Chong2 Xian 1; Needle 1.5 to 2.0 cun, i.e. needle through to connect with Chong2 Xian 1• {Lung Branch Reaction Area} CONTRAINDICATED IN PREGNANCY. • Da4 Bai1: This point is located on the dorsum of the hand in the depression palpated at the junction of the shaft and head of the 2nd metacarpal bone; Needle 0.5 to 1.0 cun. {Lung Branch Reaction Area} CONTRAINDICATED IN PREGNANCY • Zhong1 Bai1 : This point is located on the dorsum of the hand, between the 4th and 5th metacarpal bones, 0.5 cun proximal to the metacarpophalangeal articulations - have the patient make a fist to help facilitate locating this point; Needle 0.3 to 0.5 cun. {Heart, Spleen, and Kidney Branch Reaction Areas} • Shang4 Qu1: This point is located on the proximal brachium, 1.0 cun posterior to Jian 1 Zhong 1; Needle 0.6 to 1.5 cun. {Kidney Branch and Liver Auxiliary Reaction Areas} (Jian 1 Zhong 1 is located on the proximal brachium, at the anterior-posterior midpoint of the deltoid muscle, 2.5 cun distal to the space between the lateral edge of the acromion process and the head of the humerus.) • Xia4 Qu 1: This point is located 1.0 cun medial to Hou4 Zhi 1; Needle 0.6 to 1.0 cun. {Lun,r Branch and Liver Branch Reaction Areas} (Hou4 Zhi 1 is located on the Hand Shao Yang2 San Jiao channel, 4.0 cun distal to SJ-14WH0 [i.e. 1.0 cun distal to SJ-13WH0 and 2.0 cun proximal to SJ-12WH0 ]) • Xin 1 Men1 : This point is on the Hand Tai4 Yang2 Small Intestine Channel and is located with the palm of the hand placed on the epigastrium - the point is in a depression palpated 1.5 cun distal to the proximal extremity of the olecranon process of the ulna bone; Needle unilaterally only 0.4 to 0.7 cun. {Heart Branch Reaction Area}

'Let'

221

Cervical Spondylosis Deformans (CCC-1) 1. DMG 11-17 'Finger Spine Three Needles', 'Let' the affected area (CCC): • DMG 11-17 'Fin~er Sfine Three Needles': i. Fei4 Xin Er : This point is located at the midpoint of the posterior midsagittal

line on the dorsal surface of the middle phalanx of the middle finger - to determine the midpoint of the posterior midsagittal digit line on the middle phalanx, bisect the distance from the dorsal proximal interphalangeal skin crease to the dorsal distal interphalangeal skin crease along the course of said line; Needle from proximal to distal 0.1 to 0.2 cun. {Heart and Lung Branch Reaction Areas} ii. Fei4 Xin 1 San 1: To locate this point, simply bisect the distance Fei4 Xin 1 E.-2 to the dorsal distal interphalangeal skin crease along the course of the posterior midsagittal line; Needle from proximal to distal 0.1 to 0.2 cun. {Heart and Lung Branch Reaction Areas} iii. Fei4 Xin 1 Yi1 : To locate this point, simply bisect the distance from Fei4 Xin 1 E.-2 to the dorsal proximal interphalangeal skin crease along the course of the posterior midsagittal digit line; Needle from proximal to distal 0.1 to 0.2 cun. {Heart and Lung Branch Reaction Areas}

R 3rd

DMG 11-17 'Finger Spine 3 N'

'Let' Affected Area(s)

222 Cervical Spondylosis Deformans (CCC-2) 1. DMG 22-05 'Control the Spine Three Needles', 'Let' the affected area (CCC): • DMG 22-05 'Control the Spine Three Needles': i. Wan 4 Shun4 Yi 1 : This point is located 1.5 cun distal to the anterior distal transverse wrist crease, anterior to the 5th metacarpal bone at the junction of the palmar and dorsal ('red and white') skin; the point lies 1.5 cun proximal to SI3WHO; Needle perpendicularly 0.5 to 1.0 cun keeping the shaft of the needles in proximity to the anterior surface of the 5th metacarpal bone. {Kidney Branch Reaction Area} ii. Wan 4 Shun 4 Er4 : This point is located 2.5 cun distal to the anterior distal transverse wrist crease, anterior to the 5th metacarpal bone at the junction of the palmar and dorsal ('red and white') skin; the point lies 0.5 cun proximal to SI3WHO; Needle perpendicularly 0.5 to 1.0 cun keeping the shaft of the needles in proximity to the anterior surface of the 5th metacarpal bone. {Kidney Branch Reaction Area} iii. Wan 4 Shun4 San 1 : This point is located 3.5 cun distal to the anterior distal transverse wrist crease, anterior to the 5th metacarpal bone at the junction of the palmar and dorsal ('red and white') skin; the point lies 0.5 cun distal to SI-3 wHo; Needle perpendicularly 0.5 to 1.0 cun keeping the shaft of the needles in proximity to the anterior surface of the 5th metacarpal bone. {Kidney Branch Reaction Area}

Wan4 Shun4 Er4 Wan 4 Shun 4 Yi 1 'Let' Affected Area(s)

DMG 22-05 'Control Spine 3 N'

223

Cervical Sprain/Strain (CCC) 1. DMG 77-07 'Seven Tigers Three Needles', DMG 77-12 'Lower Three Emperors'- have the

patient slowly move the neck through its range of motion to enhance the acupuncture (CCC):

•

•

DMG 77-07 'Seven Tigers Three Needles': i. Qi1 Hu3 Yi1 : This point is located by proceeding 1.5 cun posterior to the apex (as viewed from posterior to anterior) of the lateral malleolus then 2.0 cun immediately proximal to the level of the apex of the lateral malleolus; Needle 0.5 to 1.0 cun. {Thoracic Cage Reaction Area} ii. Qi1 Hu3 Er4 : This point is located 2.0 cun immediately proximal to Qi 1 Hu3 Yi 1, i.e., 4.0 cun proximal to the level of the apex ofthe lateral malleolus; Needle 0.5 to 1.0 cun. {Thoracic Cage Reaction Area} iii. Qi1 Hu3 San1 : This point is located 2.0 cun immediately proximal to Qi 1 Hu3 Er4 , i.e., 6.0 cun proximal to the level of the apex of the lateral malleolus; Needle 0.5 to 1.0 cun. {Thoracic Cage Reaction Area} DMG 77-12 'Lower Three Emperors': i. Tian1 Huang2 : With the knee flexed, this point is located 1.0 cun distal to Sp9WH0, on the medial aspect of the leg, between the medial border of the tibia and the medial head of the gastrocnemius muscle; Needle 0.5 to 2.0 cun. {Kidney, Six Bowels, and Heart Branch Reaction Areas} ii. Di4 Huang2 : This point is located 4 cun proximal to Ren2 Huani; Needle 1.0 to 2.0 cun. {Kidney, Six Bowels, and Heart Branch Reaction Areas } (Di4 Huang2 lies 7.5 cun proximal to the apex (as viewed from posterior to anterior) of the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel.) iii. Ren 2 Huang2: This point is located 3.5 cun proximal to the apex (as viewed from posterior to anterior) of the medial malleolus on the Foot Tai4 Yin 1 Spleen Channel; Needle 0.5 to 2.0 cun. {Kidney, Six Bowels, and Heart Branch Reaction Areas} (Ren2 Huang2 is located 0.5 cun proximal to Sp-6 WHO.)

DMG 77-07 '7 Tigers 3 N'

DMG 77-12 'Lower 3 Emperors'

224 Cervical Spondylosis Induced Paresthesiae: Fingers (HPC) 1. DMG 88-07 'Upper Three Yellow', Si4 Feng4 Yi1, Si4 Feng4 Er\ Si4 Feng4 San 1, Si4 Feng4 Shang4, Ba1 Feng1, 'Let' Wu3 Ling3 on the back (HPC): • DMG 88-07 'Upper Three Yellow': i. Ming2 Huang2: This point is located in the exact center of the coronal plane on the medial aspect of the thigh; Needle 1.5 to 2.5 cun. {General Liver and General Heart Reaction Areas; shallow needling accesses the Kidney Auxiliary Reaction Area, mid-level needling accesses the Liver Reaction Area, and deep needling accesses the Heart Reaction Area} ii. Tian1 Huang2 : This point is located 3.0 cun immediately proximal to Ming2 Huang2; Needle 1.5 to 2.5 cun. {General Gallbladder, Heart Branch and Liver Branch Reaction Areas} iii. Qi2 Huang2 : This point is located 3.0 cun immediately distal to Ming2 Huang2; Needle 1.5 to 2.0 cun. {General Gallbladder, Heart Branch and Liver Branch Reaction Areas} • Si4 Feng4 Yi1 : This point is located in the depression between the 4th and 5th metacarpophalangeal joints formed when the hand is placed in a fist; Needle 1.0 to 1.5 cun. {Kidney Reaction Area} • Si4 Feng4 Er4 : This point is located at the midpoint of the depression between the 3rd and 4th metacarpophalangeal articulations formed when the hand is placed in a fist; Needle 1.0 to 1.5 cun - retain the needle for 30 minutes. {Liver and Spleen Reaction Areas} • Si4 Feng4 San1 : This point is located at the midpoint of the depression between the 2nd and 3rd metacarpophalangeal articulations formed when the hand is placed in a fist; Needle 1.0 to 1.5 cun- retain the needle for 30 minutes. {Lung and Heart Intersection Reaction Area} • Si4 Feng4 Shang4 : This point is located in the depression between the 1st and 2nd metacarpophalangeal articulations -the point is in the exact center of the 'Hu3 Kou3 ' i.e. the 'tiger's mouth'; Needle 1.0 to 1.5 cun - retain the needle for 30 minutes. {Lung Branch Reaction Area} • Ba 1 Feng1 : These points are located 'on the dorsum of the foot, in the depressions between the webs of the toes, on both the left and right sides, eight points in all'; Needle 0.1 to 0.3 cun.

Ba1 Feng1

225 Cervical Spondylosis Induced Paresthesiae: Fingers (IIPC)

Si4 Feng4 Points

DMG 88-07 'Upper 3 Yellow'

'Let' Wu3 Ling3 NO PNEUMOTHORAX

226 Cervicodynia (HPC) 1. Fan3 Hou 4 Jue 2, Ling2 Gu3, Ren 2 Huang2, Ming2 Huang2, 'Let' the affected region of the neck (HPC): • Fan3 Hou 4 Jue 2: This point is located, with the hand in a loose fist, on the dorsum of the hand, 1.0 cun distal to Ling2 Gu3 along the shaft of the first metacarpal (the point is located in the depression found at the junction of the shaft and the head of the first metacarpal bone); Needle 0.4 to 0.6 cun - retain the needle for 30 minutes. {Lung Reaction Area} • Ling2 Gu3 : This point is found on the dorsum of the hand, immediately distal to the articulation of the bases of the 1st and 2nd metacarpal bones - this point communicates with the palmar point Chong2 Xian 1; Needle 1.5 to 2.0 cun, i.e. needle through to connect with Zhong4 Xian 1• {Lung Branch Reaction Area} CONTRAINDICATED IN PREGNANCY. • Ren 2 Huang2 : This point is located 3.0 cun proximal to the medial malleolus along the medial border of the tibia. Needle 0.6 to 1.2 cun. {Kidney Branch Reaction Area} CONTRAINDICATED IN PREGNANCY. • Ming2 Huang2: This point is located in the exact center of the coronal plane on the medial aspect of the thigh; Needle 1.5 to 2.5 cun. {General Liver and General Heart Reaction Areas; shallow needling accesses the Kidney Auxiliary Reaction Area, midlevel needling accesses the Liver Reaction Area, and deep needling accesses the Heart Reaction Area}

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227 Cervicodynia (MC) 1. Zheng4 Jin\ Zheng4 Zong 1, Zong1 Bai2, Wan4 Shun4 Yi1 (MC): • Zheng4 Jin 1: This point is located 3.5 cun proximal to the plantar surface of the heel, in the medial-lateral center of the tendo calcaneus (Achilles tendon) on the posterior aspect of the distal leg; Needle 0.5 to 0.8 cun - needling through the Achilles tendon enhances the clinical benefit. {General Vertebral and General Brain Reaction Areas} • Zheng4 Zong 1: This point is located 2.0 cun directly superior to Zheng4 Jin 1 on the posterior aspect of the distal leg; Needle 0.5 to 0.8 cun- needling through the Achilles tendon enhances the clinical benefit. {General Vertebral and General Brain Reaction Areas} • Zhong 1 Bai2 : This point is located on the dorsum of the hand, between the 4th and 5th metacarpal bones, 0.5 cun proximal to the metacarpophalangeal articulations- have the patient make a fist to help facilitate locating this point; Needle 0.3 to 0.5 cun. {Heart, Spleen, and Kidney Branch Reaction Areas} • Wan4 Shun4 Yi1 : This point is located 2.5 cun distal to the anterior, distal transverse wrist crease, anterior to the 5th metacarpal bone; Needle 0.5 to 1.0 cun. {Kidney Branch Reaction Area}

228

Degenerative Disk Disease: Cervical (CCC-1) 1. DMG 11-17 'Finger Spine Three Needles', DMG 22-0S 'Control the Spine Three Needles', 'Let' the affected region(s) of the neck (CCC): • DMG 11-17 'Finyer Spine Three Needles': i. Fei4 Xin Er: This point is located at the midpoint of the posterior midsagittal line on the dorsal surface of the middle phalanx of the middle finger - to determine the midpoint of the posterior midsagittal digit line on the middle phalanx, bisect the distance from the dorsal proximal interphalangeal skin crease to the dorsal distal interphalangeal skin crease along the course of said line; Needle from proximal to distal 0.1 to 0.2 cun. {Heart and Lung Branch Reaction Areas} ii. Fei4 Xin 1 San1 : To locate this point, simply bisect the distance Fei 4 Xin 1 to the dorsal distal interphalangeal skin crease along the course of the posterior midsagittal line; Needle from proximal to distal 0.1 to 0.2 cun. {Heart and Lung Branch Reaction Areas} iii. Fei4 Xin 1 Yi1: To locate this point, simply bisect the distance from Fei4 Xin 1 to the dorsal proximal interphalangeal skin crease along the course of the posterior midsagittal digit line; Needle from proximal to distal 0.1 to 0.2 cun. {Heart and Lung Branch Reaction Areas} • DMG 22-0S 'Control the Spine Three Needles': i. Wan 4 Shun4 Yi1 : This point is located 1.5 cun distal to the anterior distal transverse wrist crease, anterior to the 5th metacarpal bone at the junction of the palmar and dorsal ('red and white') skin; the point lies 1.5 cun proximal to SI-3 WHO; Needle perpendicularly 0.5 to 1.0 cun keeping the shaft of the needles in proximity to the anterior surface of the 5th metacarpal bone. {Kidney Branch Reaction Area} ii. Wan4 Shun4 Er4: This point is located 2.5 cun distal to the anterior distal transverse wrist crease, anterior to the 5th metacarpal bone at the junction of the palmar and dorsal ('red and white') skin; the point lies 0.5 cun proximal to SI-3 WHO; Needle perpendicularly 0.5 to 1.0 cun keeping the shaft of the needles in proximity to the anterior surface of the 5th metacarpal bone. {Kidney Branch Reaction Area} iii. Wan 4 Shun4 San1 : This point is located 3.5 cun distal to the anterior distal transverse wrist crease, anterior to the 5th metacarpal bone at the junction of the palmar and dorsal ('red and white') skin; the point lies 0.5 cun distal to SI-3 WHO; Needle perpendicularly 0.5 to 1.0 cun keeping t shaft of the needles in proximity to the anterior surface of the 5th metacarp ,. n { ·dn Branch Reaction Area}

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