Chữa bệnh là một nghệ thuật. Nó không chỉ là xét nghiệm và phẫu thuật và thuốc. Là một bác sĩ trong 26 năm, tôi đã điều trị cho hàng nghìn bệnh nhân mắc các bệnh mãn tính và đau mãn tính, và từ lâu, tôi nhận ra rằng có nhiều thứ để chữa bệnh hơn so với các loại thuốc thông thường. Bởi vì nhiều bệnh nhân của tôi không chữa lành bằng các kỹ thuật y tế thông thường, tôi đã tìm kiếm các phương pháp khác có thể cải thiện tình trạng bệnh của họ. Tôi đã đánh giá và thử nhiều kỹ thuật thay thế, loại bỏ những kỹ thuật không hiệu quả và kết hợp những kỹ thuật có lợi. Kết quả là, ngay cả những bệnh nhân được cho biết rằng không thể làm gì để giúp họ thấy rằng tình trạng của họ trên thực tế đã cải thiện, và đôi khi, thậm chí còn được giải quyết. Trong tất cả các kỹ thuật thay thế mà tôi đã sử dụng, một kỹ thuật đứng trên tất cả các kỹ thuật còn lại: Châm cứu. Trong tất cả các phương pháp được sử dụng, cả phương pháp thay thế và phương pháp thông thường, châm cứu có thể điều trị nhiều tình trạng bệnh hơn và mang lại lợi ích cho bệnh nhân hơn bất kỳ phương pháp điều trị nào khác. Lần đầu tiên tôi nhận ra giá trị của châm cứu khi tôi bị đánh tennis cùi chỏ. Mặc dù điều trị thông thường, nó đã kéo dài hơn một năm và hạn chế khả năng sử dụng cánh tay thuận của tôi cho bất kỳ hoạt động nào. Chỉ sau một lần điều trị bằng châm cứu, cơn đau đã biến mất và tôi có thể trở lại mọi hoạt động của mình. Tôi đã rất ấn tượng để nói rằng ít nhất. Sau kinh nghiệm đó, tôi đã thuê một y tá đã học châm cứu từ một số giáo viên khác nhau. Chưa bao giờ tham gia một khóa học chính thức nào, anh ấy đã điều chỉnh các kỹ thuật khác nhau và tự phát triển. Mặc dù bây giờ tôi biết rằng kỹ thuật của ông ấy rất khác so với châm cứu thông thường, nhưng chúng rất hiệu quả. Tôi vẫn nhớ cái ngày anh ấy điều trị cho một cầu thủ bóng rổ đại học vừa phẫu thuật lưng và đang bị đau dây thần kinh tọa cấp tính ở chân. Huấn luyện viên của anh ấy cần anh ấy chơi trong một trận đấu quan trọng đêm đó, nhưng tôi đã nghi ngờ khi anh ấy bước vào phòng khám của tôi khom người, tập tễnh và hầu như không thể đi lại, ít chơi bóng rổ hơn. Vậy mà sau khi châm cứu, anh đã hết đau và chơi gần hết trận. Anh quay lại châm cứu thêm hai lần nữa và cơn đau không bao giờ tái phát. Đó là lúc tôi quyết định mình cần phải học kỹ thuật tuyệt vời này và tham gia một khóa học dành cho các bác sĩ. Nhưng tôi đã thất vọng. Việc đào tạo châm cứu cho các bác sĩ ở nước này kém hơn nhiều so với đào tạo ở Trung Quốc và các nước khác, hoặc trong các chương trình đào tạo chính quy cho những người không phải là bác sĩ. Tôi đã phải mở rộng khóa đào tạo của mình bằng cách đọc sách châm cứu và tham gia các khóa học khác, đồng thời thu thập càng nhiều kiến thức càng tốt từ các chuyên gia châm cứu khác, điều này đã giúp ích rất nhiều. Tôi nhanh chóng phát hiện ra rằng có nhiều loại châm cứu khác nhau. Có một loại hình mà tôi đã học ban đầu, châm cứu y tế, phần lớn dựa trên chẩn đoán của phương Tây và sử dụng một bộ điểm tiêu chuẩn. Có châm cứu cổ truyền của Trung Quốc, mà tôi cũng đã kết hợp sau khi tập luyện nhiều hơn, sử dụng lưỡi và mạch chẩn đoán, cũng như thử nghiệm giác hơi, đo nhiệt độ cơ thể và các kỹ thuật khác. Có châm cứu nhĩ thất, Điều trị bằng Hiến pháp Hàn Quốc, Liệu pháp Kinh lạc Nhật Bản, và Năng lượng Pháp. Cũng có những người châm cứu sử dụng ba mươi đến bốn mươi cây kim một lần, và một số người cho người về nhà với kim vẫn còn nguyên. Tôi thấy rằng một số loại này hiệu quả hơn và một số ít có lợi hơn. Nhiều bệnh nhân đến với tôi đã không cải thiện với các loại châm cứu khác nhưng đã làm với tôi. Nhưng cũng có những bệnh nhân của tôi không cải thiện và tôi tự hỏi liệu các hình thức khác có giúp họ không. Chắc chắn không phải ai cũng cải thiện nhờ châm cứu, nhưng tôi chắc chắn không nắm giữ chìa khóa duy nhất. Đó là khi tôi bắt đầu thực hành với Tiến sĩ Jim Maher, tác giả của cuốn sách này. Bác sĩ Maher đã được đào tạo chuyên sâu về nhiều loại châm cứu và mang đến cho bệnh nhân của tôi vô số kiến thức và lợi ích. Tôi đã học hỏi và áp dụng nhiều điều tôi học được từ anh ấy và nó đã giúp được nhiều bệnh nhân hơn. Nhưng có một hình thức châm cứu được sử dụng bởi Tiến sĩ Maher hoàn toàn không giống với bất kỳ hình thức châm cứu nào mà tôi đã học. Đó là một hình thức mà ông đã học được ở Đài Loan, đã được mang từ Trung Quốc sang đó và được phát triển thêm bởi Sư phụ Tùng. Nó khá khác biệt ở chỗ nó sử dụng một chẩn đoán đơn giản và ít điểm điều trị hơn, thường nằm xa khu vực bệnh lý. Quan trọng hơn, nó là một hình thức thậm chí còn hiệu quả hơn bất kỳ hình thức nào khác mà tôi đã sử dụng. Sử dụng hình thức này, bệnh nhân của chúng tôi đã cải thiện nhiều hơn. Tôi là bác sĩ sử dụng kết hợp thuốc thay thế thuốc thông thường; các phương pháp tiếp cận. Điều này cho phép bệnh nhân của tôi được hưởng lợi từ cả hai loại thuốc tốt nhất. Nguyên tắc tương tự cũng được Tiến sĩ Maher sử dụng trong hệ thống châm cứu. Bằng cách sử dụng kết hợp châm cứu truyền thống của Trung Quốc và các kỹ thuật của bác sĩ Tung, bệnh nhân của chúng tôi được hưởng lợi từ cả hai phương pháp châm cứu tốt nhất. Thật không may, tôi gặp khó khăn khi học cách tiếp cận của Tiến sĩ Tung trực tiếp từ Tiến sĩ Maher do hạn chế về thời gian. Trớ trêu thay, vì sự thành công của việc này công nghệ
Trang 1Compiled, Collated, and Translated by
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James H Maher, D.C., O.M.D., Dipl Ac.(NCCAOM).
Foreword byLaurenceAltshuler,M.D
! Authorof Balanced Healing: Combining Modem Medicine
• withSafe & Effective Alternative Therapies
\
Trang 2A depiction of the digit lines used to locate the points in Region One-One The
viewing reference is down the long axis of a digit on the left hand, from distal to
proximal The reader is reminded that the lines are reversedonthe righthand; rememberthat the ‘Radial Line’ and ‘Digit Line A’ are both locatedon the radial side of the digit,and that all other linesarelocated withreference to this fact
‘Digit Lines A’ (radial) and ‘E’ (ulnar) are located at the demarcation of the
ventral and dorsal surfaces (‘red and white skin’) ‘Digit line C’ is along the ventral
midsagittal plane and the ‘Posterior Midsagittal Line’ is of course along the dorsalmidsagittal plane ‘Digit Line B’ (radial) islocated midway between ‘Digit Line A’ and
‘Digit Line C’; ‘Digit Line D’ (ulnar) is located midway between ‘Digit Line E’ and
‘Digit Line C’ The ‘Radial Line’ is located midway between ‘Digit Line A’ and the
‘Posterior Midsagittal Line’; the ‘Ulnar Line’ is located midway between ‘Digit LineE’
and the ‘Posterior Midsagittal Line’
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Trang 5of Master Tung Ching-Chang.
i£
James H Maher, D.C., O.M.D., Dipl Ac.(NCCAOM).
4
Trang 6Copyright: No portion of this pubhcation, except for brief review, may be reproduced,
mechanical,photocopying,recording, orotherwise, without theprior writtenpermission
Disclaimer: This book is intended as an educational reference for licensed healthcarepractitioners only Because professional training and expertise are essential for the safe
andeffective practice of acupuncture, this manual is not intended for use by the laity Alltreatment suggestionsmadewithinthis text must beemployed byqualified practitioners
suggestions made withinthismanual Great carehas been takentoensuretheaccuracy of
theinformationcontainedwithin thisreference and ispresentedfor educationalpurposes
information will have varying levels of training and expertise; consequently, weaccept
within this text Nor are the staff and authors of MCY, LC liable for the safety andsuitability of the treatment suggestions, either alone or in combination with others
the information contained herein The use of acupuncture during pregnancy or while
|
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Trang 7To mywifeMoChiaen-Yun, whoselove, support, andencouragement
enabled thisbook tocome tofruition.
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Trang 9a RegionOne-OnePoints ontheThumbs and Fingers
b RegionTwo-Two Pointsonthe Palm andDorsumof the Hand
d RegionFour-FourPointsonthe Brachium
f Region Six-SixPointson the Dorsum oftheFoot
g Region Seven-Seven Points on the Leg
i Region Nine-Nine Points ontheEar
j RegionTen-TenPointsonthe Head
k Region Eleven-ElevenPoints on the Back
108128
140170
198206214.225226229230233
.236237
Trang 102 ExtraPoints
3 Blood ‘Letting’
4 Reaction AreatoDao3 Ma3Group
6 Quick ReferenceDao3 Ma3Groups
7 DisordertoDao3 Ma3Group
281284
.308318
324.327
Bibliography
336339
Trang 11Acknowledgements
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inspiration, input,and assistance ofmanyindividuals
Yeshua,myredeemerand the‘bossofme’
Drs So Tin-Yao,Ted Kaptchuk,Andrew Gamble,and all the ‘old’professorsofthe New England School of Acupuncture forhelping me get my acupuncture ‘feet wet’way back intheearly 1980’s
Drs Hsiao Hung-Hsun, HwangWei-San,Chang Yung-Hsien, and He Ch’ao-Hsi
whotaught metodemandmoreofmyselfformy patients than I ever thought possible
forbeingsoselfless and sharingtheirexpertise with ‘oldhundrednames’
Drs Wangden Carson, Palden Carson, and MiriamLee for first introducing the
Tung Style of Acupuncturetothe West inEnglish
Drs C.K Lo, Chairman, S.K Tsui, Vice-Chairman and Z.R Sun, ClinicalDirector of the International Acupuncture Society, Hong Kong/Shen Zhen, PRC forinstilling in methedesiretotranslate Chineseworks intoEnglishforthebenefitofall
goingtobatforme inthe ‘bottomof the ninth’whenI wasbehindone to nothing
contained inthe text
Drs Edward R Maher, Sr., James E Bailey, and Laurence Altshuler for beingphysicians cutfromasuperior mold
My mother Mary Frances Maher,mysister MichaelaF.Maher, andmy brothers
years
My patients over thelast 20+yearsforteachingme the things onlyapatientcan
teachaphysician
My daughter Meng Kai-Ru (Carolyn)forherpainstakingeffortsinproducing the
daughter, and Meng Kai-Jie (J.J.)my son for all their love, caring, and support without
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Trang 13realized long ago that there is moretohealingthanconventional medicine hastooffer.
Because many of my patients did not heal through conventional medical
techniques, Ilookedelsewhereformethodsthatcould improve theirmedicalconditions.I
evaluated and tried numerous alternative techniques, discarding those that wereineffective andincorporatingthose that were beneficial As aresult,even those patientswho were told that nothing could be donetohelp them found that their conditions did in
factimprove,and sometimes,evenresolve
Acupuncture Of all the methods that are used, both alternative and conventional,
acupuncture is able to treat moremedicalconditions and benefit more patients than any
andI wasableto do return to allmyactivities Iwasimpressed, to say theleast
After that experience,I hired a nurse who had learnedacupuncture from severaldifferent teachers Havingnevertakena formalizedcourse,he adapted various techniques
and developed his own Although I now know that his techniques were very differentthan standard acupuncture, theywerevery effective.Istillrememberthe dayhe treated a
mostof the game He came back fortwomore acupuncturesessions, and thepain neverreturned
r Itwas thenthat IdecidedIneeded tolearn this greattechniqueandtookacourse
offered to doctors But I was disappointed The acupuncture trainingfor doctors in this
programsfor non-physicians I had to extendmytraining byreading acupuncture booksand taking other courses, and gleaned as much knowledge as I could from otheracupuncturists, which helpedtoalarge degree
I found out quickly that there were many different types of acupuncture There
Western diagnosis and using a standard set of points There was Traditional Chineseacupuncture, which I also incorporated after more training, using tongue and pulsediagnosis, as well as cupping, moxibustion, and other techniques There was auricularacupuncture, Korean Constitutional Treatment, Japanese Meridian Therapy, and French
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Trang 14I found that some of these types were more effective and some were less
beneficial Many patients came to me who had not improved with other types of
acupuncture, but I certainly didn’t hold the only key
That’s when I started practicing withDrJim Maher, the authorof this book Dr
Maher hadextensivetraining in manytypesof acupuncture and brought tomy patientsa
vastarrayof knowledgeand benefits.Ilearned and appliedmuchof what Ilearnedfrom
Tung.Itis quite different in thatituses asimplified diagnosis andfewertreatment points,often locatedfardistantto thearea of pathology More importantly, it isaform that was
even more effective than any other that I have used Using this form, our patientsimproved even more
I am adoctor who uses a combinationof alternativemedicine with conventional
;
approaches.This allows my patientsto benefitfrom the bestof both types of medicine
Thesame principle is used byDr Maher within thesystemof acupuncture By using a
technique, we became too busy treating patients to allow me the time to be taught Dr
Tung’ssystemby Dr.Maher.That is why this book issoimportanttome...andI hopeto
many others
I
Dr Maher has compiled and translatedanumber of Chinesetextson Dr.Tung’sacupuncture style into the single text your are presently reading In this text he has
practiceof acupuncture
From my many years of practice, I know that medical knowledge never stands stilland
canalwaysbeexpanded andimprovedupon Acupunctureis nodifferent thananyother
medical approach inthisregard.Dr Maher’s comprehensive work elucidatingDr.Tung’ssystem has expandedandimprovedthepracticeof acupuncture
It has been my pleasure to work with and learn from Dr.Maher personally and
now others can do the same I have a deep appreciation of his knowledge and his
dedication to his profession and beliefs, and this book reflects his passion for helpingpatientstruly heal.Hopefully,thereadercanalso share this passionandhelpmanyothersbecomehealthier
Trang 15Introduction
book If you are looking for a new paraphrasing of the Five Phase (Five Element)
for new rendering of the Five Shu, Antique Point, Lower He-Sea, Front-MuBack-Shu,
Xi-Cleft, Yuan-Primary, Luo-Connecting, orEightConfluent,etc styles of acupuncture,again, you have picked up the wrong book If, however, you are looking for a simple,
The book you are currently reading is, to the best of my knowledge, only the
fourth to appear in the English language concerning Master Tung’s Acupuncture Dr.Carson published the first English work on Tung Style Acupuncture in 1973 in a text
entitled Tung’s Acupuncture; he followed with a reworking of said text in 1988 and
republished it as Tung’s OrthodoxAcupuncture Dr Miriam Lee’s work in English,
Master Tong’sAcupuncture:AnAncient Alternative Style in Modem ClinicalPractice,
caughtonand gainedmany advocatesduetoits clinicalefficacy;with each passing year,
more and more acupuncturists are using Master Tung’s Style of Acupuncture.Unfortunately,manyof thepractitionerswho utilizeMaster Tung’s Styleof Acupuncture
light on the concepts, theories, and principles of Master Tung’s Acupuncture byintroducing a technique frequently appliedbyDr Tung, namely hisDao3 Ma3Technique
improve upon his already most effective style of acupuncture To those who areunfamiliarwithMasterTung’s extraordinary points,sufficeittosay that his techniqueis:1) an EXTREMLY effectivemethod usingveryfew points, 2)atradition, much likeDr
the PRCstate mandated,herbalist driven acupuncture,3)primarily reliant upon needling
and blood ‘letting’ and NOT moxibustion, cupping, gua1 sha1, etc., 4) considered by
manytobearisingstarintheglobal acupuncture community,and 5)reportedbysometo
application, and greatefficacy
Thebook you arenowreading originally beganasasimple list of points whichI
hadbeenusingasDirectorof AcupunctureandOriental Medical Services attheBalanced
Trang 16In December of 2001, I returned to Taiwan to spend Christmas with my wife,
Alternative Therapies Seattle, Harbor Press, December 2003, was to cover the entire
acupuncture caseload in my absence This, as I quickly learned upon my return, had
posed somewhat of a problem for Dr Altshuler The problem succinctly stated was as
attempted to useessentially thesame pointsand treatmentprinciplesthatIhadbeen using
simply becausehe wasunfamiliar withMaster Tung’s Style of Acupuncture WhileDr
Altshuler doesafine job with his training in ‘Medical Acupuncture’ (ala: Acupuncture:
A Comprehensive Text, trans O’Connor and Bensky, Eastland Press), he was a bit
perplexed about the origin of the pointsIhad been using andwasintriguedto learn more;
ergo,theinception of the ‘fist’
simple ‘list’ of Dao3 Ma3 points was useless to anyone unfamiliar withMaster Tung’s
and appear here, in English, for the first time Because I used western anatomical
terminologyto locate thepoints (stemsfromhaving taughtgross anatomyfor anumber
of years on boththeundergraduate and doctorallevels),I deemed it necessarytoinclude
a companion picture for each of the Dao3 Ma3 groups While inclusion of the names,
ineffectual Furthermore, inclusion of needle manipulation/depth, without incorporating
groups (This is not to say that every group contained therein is used in a single
Ma3group The ‘Notes’ sectionis usedto discuss discrepancies in theChinese literature
onthesubjectand todiscuss specific idiosyncrasiesandnuances ofthe constituentpoints
Ergo, the ‘fist’ had rapidly becomea‘book’!
Structureof the book:
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was again of little value; this is because
The reader will find a brief description of each chapter and appendix below; particular
attention should be paidtothissection,because it providesa‘birds-eye view’of the ‘lay
of the land’
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Trang 17Chapters:
This chapter introduces the reader to the Dao3 Ma3 technique of Master TungChing-Chang Itis designedto providethebackgroundnecessaryto apply thetechnique
safely and effectively Discussions include: properties, effectiveness, needlingconfigurations, insertion sequencing, needling depths, group selection,
techniquesfortheDao3 Ma3groups
and clinical
This chapter introduces the specific Dao3 Ma3 groups on a regional basis Thediscussionof eachDao3 Ma3groupwithinagiven region isbrokendownasfollows:
; A) Number ‘Name’: These represent the number and the name assigned to any
given Dao3 Ma3 group I have adopted a numerical approach to Dao3 Ma3 group
nomenclature to facilitate bookkeeping, and because most of the English readingacupuncture community does not read Chinese The first two digits represent theanatomical region where the group is found, and the second two digits represent the
specificgroup within said anatomicalregion An attempted has been made to
Dao3 Ma3groups in relationtothenames of the constituent points withinagiven group
11-15 ‘GynecologyThreeNeedles’:
The ‘11’ indicates that thisDao3 Ma3 groupis found in anatomical Region One
withinthat anatomical region
ergo, ‘gynecology’ The fact that this Dao3 Ma3 group is used to address a myriad of
Needles’ arisesfrom the fact that theDao3 Ma3technique, in its most refinedform, uses
B)Compositionof theDao3 Ma3group:Thisinforms the reader ofwhattheDao3 Ma3groupcomprises.Thisis generallyaPinyinrenderingofthe constituent pointsorthepoint(s)ononeofthe14Channels.Oneshouldalsonoteafteragiven Pinyin renderinga
‘(parenthesis)’ that contains either an ‘ML####’, ‘NA’, ‘RT p.##’, or ‘OB X-XX-##’
The ‘ML’ represents Dr.Miriam Lee and the ‘####’ is the assignednumber in her text:
Master Tong’s Acupuncture:An Ancient Alternative Style in Modem ClinicalPractice,Blue PoppyPress [Asa side note, if one is referencingtheCarson texts simply remove
‘not available’; thisessentially means that the pointwas not found in any other Englishlanguage textandappearshere,inEnglish,forthe first time An ‘RT p.##’representsDr.Richard Tan with the ‘p.##’ representing thepage number on which the point may befound in his text entitled:Twelveand TwelveinAcupuncture, Second Edition, by Richard
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Trang 18C) Point Location: This section provides ageneral anatomical description of the
location of the Dao3 Ma3 group.It is followed by an anatomically specific location for
each of the constituent points Western anatomical terminology has been used and
assumes alldescriptors in relation towesternanatomicalposition Distancesare given in
Translations for the names of theconstituent points have also been included in
sakeof consistency, thesame translationhas beenassumed Incaseswhereapoint may
be found in O’Connor and Bensky’stext, their translation has, likewise, been adopted
When a point appears in English for the first time, it was translated using Nigel
Wiseman’s English-Chinese Chinese-English Dictionary of Chinese Medicine, 1996,
Hunan ScienceandTechnology Press, whereverpossible
D) Reaction Area: This term has been adopted for the sake of maintaining a
areas’ representthe anatomical andphysiological(inbothwestern biomedical and TCM
-neurophysiological perspective, the Dao3 Ma3 groups exert far-reaching afferent and
efferent influences on the peripheral and central nervous systems By profoundly
influencing the neuraxis, this technique affectsthe actual anatomy, physiology, and the
pathophysiology of the organ(s) in question The reader is directed to a text entitled
Wang,and J.Fallon, 2001 Q-puncture, Inc.for an intriguing discussion of acupuncture
andthenervous system
source listed the majority of the clinical indications in western biomedical terms (asdid
Master Tung) Because of this, the dictionaries consulted were western biomedical in
scope and included: the Chinese-English Medical Dictionary, 1995, People’s Health
terminology),theChinese-English MedicalLexicon,1995, Tianjin College of Traditional
R.O.C In therare instances where an indication was givenin TCM terminology, Nigel
Wiseman’s English-Chinese Chinese-English Dictionary of Chinese Medicine, 1996,
Hunan Science and Technology Press, Chang Sha City, P.R.C was employed In
instances where Wiseman’s dictionary did not contain a specific term, the
Chinese-English MedicalDictionary, 1995, People’sHealth Press, Beijing, P.R.C., the
Hubei College of Traditional ChineseMedicine, Science Press, P.R.C., or the
Trang 19English Bilingual Glossary of Traditional Chinese Medicine, 1993, Science Press,
F) Method of Manipulation: In this section needling depths, angles of insertion,blood ‘letting’,andcontraindications arediscussed
G) Illustrative Combination: This section was designed to exemplify thecombination of various Dao3 Ma3 groups in the treatment a given disorder It is not
groupsincludedinthis section)
H)Notes:This section contains a potpourriof clinical gems, point discrepancies
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This chapter presents therapeutic suggestions for a multitude of disorders The
disorder ought to be used in a single treatment One need select only one or two Dao3 Ma3 groups for needling and perhaps ‘let’ an indicated region or two as the treatmentprotocol on any single visit
Thischapter coverstreatmentprotocols forover450 disordersdrawnfromamong
the following areas and specialties: Head; Stroke; Ophthalmology; Otology; Oral;
Rhinology; Face; Laryngology; Orthopaedics(General);Neck, Back&Shoulders;Upper
Andriatics; Pediatrics; Dermatology;and Miscellaneous
Appendices:
Thisappendix providesthe essentials of Master Tung’spalmardiagnosis Itis anextremely important diagnostic tool inMasterTung’s Acupunctureand plays an integralrole in selectinga Dao3 Ma3group fortreatment
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This appendix provides the locations of points that are mentioned in the
therapeutics chapterbutnot discussed inthemainbodyof thetext
Thisappendix providestheessentialsof blood‘letting’inMaster Tung’sStyleof
Appendix4:ReactionAreastoDao3 Ma3group:
This appendix is designed to provide a quick and easy reference of the various
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Trang 20This appendix is designed to provide an introduction to Mandarin pronunciation
and the concept of ‘tones’ This pronunciationguide isnecessitatedby virtue of the fact
thatthe individual names of theconstituent points are simply Pinyinrenderings of their
Appendix 6:Quick ReferenceDao3 Ma3Groups
This appendix provides a quick and easy reference for those trained in
contemporary TCM Medical Colleges who wish to employ TCM Channel-Collateral
the appropriate Dao3 Ma3 Group(s) predicated upon the channel(s) and/or organ(s)
implicated
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Appendix7:Disorderto Dao3 Ma3Group
This appendix is simply an index of disorders and the Dao3 Ma3 group(s)
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19
Trang 24Upon hearing theterm Traditional Chinese Medicine(TCM), many acupuncture
practitioners trainedin Chinese medical collegesin the west, conjure uptheimage of a
unified medical practice with thousands upon thousands of years of continuous history
Theycan‘see’ LiShi-Zhen taking the pulse ofa localMandarin, ‘taste’thebitternessof
Huang2 Lian2 alongside Shen-Nong, ‘hear’ the clang of themortar and pestle as ZhangZhong-Jingpreparesan herbalprescription, ‘feel’the coldmetal astheyruntheirfingers
down theHand Tai4 Yin1Lung Channel of oneof WangWei-Yi’sBronze Figures, and
Medicine has existed for millennia as one continuous, unified form of medicine
A similarly exclusive policy toward Western Medicine is evident in China as
early as 1914, when the minister of education-responsible for such matters - made the
following declaration to a group of traditional practitioners seeking official recognition for their medicine: “I have decided to abolish Chinese medicine and to use no more Chinese remedies as well.” This shocking revelation must have convinced the
traditionalists of the true dimensions of their present situation, and it did not remain
without repercussions First, it was now necessary to close ranks and face the opponent
united; second, it was imperative, following the loss of ties to Confucianism, so frequently invoked in past centuries, to forge a new conceptual alliance For this, several
courses lay open.
Initially, the external threat reduced the internal spectrum of competing Chinese interpretations of the classics When the first voices were raised in defense of the
indigenous medical tradition, the increasingly obvious lack of direction exhibited by
Chinese medical practitioners since the Sung-Chin-Yuan period, apparent in the steadily growing number of competing and frequently antagonistic doctrines, seemed suddenly forgotten The great diversity of individual efforts to reconcile insights from personal
experience with the ancient theories of yinyang and the Five Phases, as well as with other
older views about the structure of the body, disappeared behind the illusion of a so-called Chinese medicine (chung-i), supposedly well-defined and with theory easily converted into practice This term thus lumped together the basic principles and therapeutic techniques of the medicine of systematic correspondence, practical drug therapy as recorded in prescription literature and in the purely pharmaceutical pen-ts’ao works, as well as certain other pragmatic techniques, such as the traditional treatment of injuries.
This situation, in turn, has given rise to the historically misleading impression that these
diverse elements, like the concepts and practices of Western medicine, constituted a
unified, coherentsystem.1
single, unified, and coherent system, but they were also on the verge of officialextinction!
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Trang 25r" 5
Historically, the various forms of indigenous medicine practiced throughout
presently purported to have been Frequently, a given therapeutic method, with its
accompanying doctrine(s), was practiced by a specific family in a given geographical
area Said therapeuticmethod, with all itsdoctrines and nuances,wasmoreoften than not
handed down from father toson.Moxibustion Techniques, for example, were practiced
by the ‘Moxibustion Family’, Needle Techniques by the ‘Needle Family’, HerbalTherapy by the ‘Herb Family’, Bone-Setting by the ‘Bone-Setting Family’, and so on
family’s gong-fu techniques, were kept as strictly guarded familial secrets In such an
Not until the now famous 1958 dictumwhereMao Ze-Dong professed,“Chinese
actually bom In an effort, in part, to offer the entire Chinese population a system of
wherebytherewould beasynthesisoracombinationof the positive elements ofWestern
andChinesemedicine,alongMarxist lines,ofa“new medicine”2-ergo, the beginnings
The Chinese political climate in the 1950’s and1960’s was such that few, if any,would everdarequestionanedictfromMaoZe-Dong withoutfear of profound political
or even‘health’consequences Itis nota hardreachforustoenvision inthis ‘doasoneis
told’ climate those who were appointed the task of collecting the varied traditional
proclivity Whether this was done consciously or merely as an exercise in ‘selfpreservation’ isirrelevant,thefactremains;Chinese acupuncture,thatwhich is taught in
Asaconsequence of compilingthis ‘NewMedicine’in the People’sRepublicof
stylesof indigenous medicine, wereexcluded;acupuncture was no exception Themass
production of these ‘cut from the same mold’ herbal-acupuncturists from the ‘NewMedicine’ medical colleges has produced a relative glut of these herbal-acupuncturists
(PRCState MandatedTCMAcupuncturists)aswellasthe widespread acceptance of thatparticularstyleof acupuncture.While thismass production of theherbal-acupuncturistshas beenbeneficialin providingfor thehealthcareneedsofChina’s masses, ithas hadan
unfortunateconsequence- an everincreasingnumberofthese familial styles is becomingextinct inthePRC
When one ventures to other locales where significant numbers of Chinese have
emigratedoverthe centuries,oneismore likelyto encounterthemore ‘traditional’ forms
of acupuncture, i.e those handed down from father to son Acupuncture styles, incountries such as Japan, Korea, Malaysia, Singapore, Vietnam, and Taiwan, were not
Trang 26synthesisof the PRC State Mandated TCM acupuncture under MaoZe-Dong Many of
rather thrive, and have earned widespread approbation in their respective communities
One of these traditional, familial forms of acupuncture is the Tung Family Style of
acupuncture, which wasintroduced into Taiwan by Prof.Dr Tung Ching-Chang
Accordingtohispersonal account,Dr Tung wasbom in1916intoa middleclass
acupuncturefamily in PingDu County,ShanDongProvince,China At theageof 18, he
opened his own acupuncture clinic in Ping Du County where he accepted patients
with Japan, Dr Tung entered into military service in theKMTarmy where he treateda
war, he returned to Shan Dong Province and opened another acupuncture clinic in Qing
Dao City.Withinafewyears,amid increasing hostilities with the communistsunderMao
Ze-Dong, Dr Tung returned to the KMTarmy for further military service In 1949, he
followed General Chiang Kai-Shek in the retreat of the KMT army to Taiwan and
eventually separated from the army in 1953 Dr Tung lived in Taipei City where he
acupuncturecareer, treatedin excess of400,000people; itisestimatedhe treated 100,000
of these without fee His patients included many ranking KMT officials, high ranking
officersin theKMTarmy, and such notablesasPresidentand MadameChiang Kai-Shek,
ThisTung Family Style of Acupuncture differs from TCM acupuncture interms
of points, methods, models, doctrines, etc The title of Dr Tung’s seminal text Tung
helpprovideuswith some insight into what his family’s styleofacupuncture is all about
onthe14 RegularChannels, themajority arenotthesameasthe360+ pointsfoundinthe
PRC State Mandated TCMacupuncture The majority of points employed by Dr Tung
are distinct from those used in any other form of ‘traditional’ acupuncture; where his
ancestorscameuponthese pointsremainsyet a mystery
Acupuncture are needling and blood ‘letting’; Dr Tung didnot, forthe mostpart,discuss
burning moxa on hisacupuncture points.When needling an acupuncture point, twisting
the needles to ‘Obtain Qi’ (De2 Qi4) was paramount for Dr Tung, not whether one
doctrines are straightforward and can besummarized asfollows: ‘the more you obtain
At present, there are two textson theTungFamily Style of Acupuncture readily
availableto theEnglish reading community:1)Master Tong's Acupuncture: AnAncient
Alternative Style in Modem ClinicalPractice,Miriam Lee, O.M.D., Blue Poppy Press,
Trang 27As stated above, Dr.Tung’s acupuncture doctrine is as straightforward as: ‘the
more youobtain the Qi, thefasteryour results will be’.Dr.Tung’sDao3 Ma3Techniqueemploys three needles in a therapeutic ‘region’ to magnify the De2 Qi4 response byseveral orders of magnitude By increasing the magnitude of theDe2 Qi4 response, one
a rapid, successful clinical outcome These topics will be discussed in greater detail
One of the common complaints often heard from those trained in ‘Medical
Acupuncture’(ala Acupuncture: A Comprehensive Text-Bensky +O’Connor,Eastland
methods because of the lack of training in TCM Most physicians, osteopaths,chiropractors, podiatrists, nurses, and physical therapists who use acupuncture are NOT
trained in TCM and take issue with terms such as ‘Kidney Not Securing the Essence’,
‘Replete Fire in theLiverChannel’,or ‘Yin Vacuity,Effulgent Fire’ Thebeauty of the
Tung Family Styleof Acupunctureforthis group of clinicians isthat,for themost part,
Dr Tung did NOT employ this type of terminology when discussing his treatmentprotocols Dr Tung’s suggested therapeutics includes terminology such as congestive
I am not espousing one group of clinicians over another with respect to the
questions of whoshould, or should not, be allowed to practice acupuncture; thatis an
issuefor thelegislatures and courts todecide WhatIam attempting to do istocontinue
community one of thetechniques frequently employed by Dr Tung in his exceedinglyefficacious Tung Family Style of Acupuncture
A)The significance of theDao3 Ma3techniqueofDr.Tung Ching-Chang:
Dr Tung Ching-Chang was a link between the ancient past and thefuture The
far-reaching, and profoundDao3 Ma3Systemof Acupuncture Therapeutics Hisstylehashad
themwere organizedintoand used asDao3 Ma3groups.Hisrationalefor doing thiswas
using only oneortwo needles to treatit(bi4 zheng4)didnot provide the clinicalefficacy
he sought.He concluded thatone ortwo needles simply did not providethe therapeuticpunch needed to address these recalcitrant problems, thus he developed histhree needle
Dao3 Ma3technique
TheDao3 Ma3System utilizes three needles in different configurations (namely:
ofdisordersandis flexibleenoughtoadapt tovirtuallyanyclinical situation.TheseDao3 Ma3groupsare, byand large, composed of the ‘extraordinary’ points used by Dr Tung,
p*
26
Trang 28thoughone will occasionally encounter Dao3 Ma3 groupingsof pointsfoundin the PRC
State Mandated TCMacupuncture (Dr.TungDIDmakeuse ofthe other‘traditional’365
channel points) Because 60% of the 700+ ‘extraordinary’ points utilized by Dr Tung
were organized into Dao3 Ma3 groups, one can see just how important and clinically
effective thisneedlingtechnique wasforDr.Tung
B)Theeffectivenessof theDao3 Ma3Technique:
‘traditional’Chinese medical thought
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1.Promotesfree flow within theSan1Jiao1:
Because this technique employs three needles simultaneously, it very
the San1 Jiao1therebyincreases thebreadthof treatmenttoaffect allbowels and viscera
Affecting all bowels and viscera, unlike TCMacupunctureemployingoneortwoneedles
to address only one bowel/viscus at a time, enhances the overall efficacy of each
acupuncturetreatment
2 Holistic:
The etiology of many complex disorders is not simply due to a
pathological change inasingle bowelorviscus Predicateduponthe holistic relationship
the otherstosome degree.BecausetheDao3 Ma3technique‘frees’ theSan1 Jiao1thereby
affecting all bowels and viscera simultaneously, it is particularly holistic This is
especially true because the Dao3 Ma3 technique treats, adjusts, and regulates the
circulatory, respiratory, digestive, reproductive, excretory, endocrine, etc systems
simultaneously This in turn brings to bear thefull power of acupuncture byexpanding
thescope ofsystemstreated andenhancing the overall clinical efficacy
3 Strong therapeutic effect:
Dr Tung’s Dao3 Ma3 system utilizes three needles to bring about itstherapeutic effects This treatment method expands the comprehensiveness of an
acupuncturesession beyond one bowel, one viscus, or even one areafor that matter It
directs treatment at the whole body and coordinates the functions of all the bowels and
viscera simultaneously Clinically, because this technique employs three needles in a
given region, it increases the overall De2 Qi4 sensation and achieves the desired
therapeutic resultsmuchmorequickly
i:
27
Trang 294 Regional emphasis:
that it does not placeaheavy emphasis on the system of ‘channels + collaterals’ in pointselection; rather, emphasisis directed toward a regional approachto point selection In
Dr.Tung’s acupuncture, the body is compartmentalized into 10 major regions, andeach
Ma3groups,and the body is compartmentalized approximately as follows:
Palmand dorsumofhand=Region Two-Two
Antebrachium=RegionThree-Three
Dorsum of foot and ankle=RegionSix-Six
Thigh=Region Eight-Eight
Ear=Region Nine—Nine
FaceandHead =Region Ten-Ten
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Dr Tungfurther lumped the back, neck, chest, andabdomen intotheir own
assigned the neck and back to Region Eleven -Eleven and the chest and abdomen to
RegionTwelve-Twelve
5.Simplified needlingtechnique:
Dr Tung did not discuss TCM needling techniques such as ‘flicking’,
or‘supplementation’ ParamountforDr Tungwas twistingthe needlestostrengthenthe
Dr.Tungfelt‘supplementation’,‘draining’,orother needlingtechniques rendered
varied considerably due to a general lack of an integrated, unified, clear, and concisetheory of acupuncture therapeutics; furthermore, he was of the opinion that when
executing these manifold needling techniques, the actual clinical picture was often so
complex (especiallyhereinthe west) thatitwasdifficulttocorrelate thediverse theories
‘pulling’,etc needling methods Rather,one need be primarilyconcerned withobtaining
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Trang 30these structures is virtually nil This is not to say that points on the back, chest, or
abdomen are not employed in Dr Tung’s Acupuncture - they are, but points in these
areas are moreoften ‘let’ (‘bled’) with a three-edged needle rather than needled with a
filiform needle When points in these areasare needled with afiliform needle, they are
oftenneedledsubcutaneouslyfrom medialtolateral
D)Dr Tung’sDao3 Ma3Systemvs.theQi2 Ci4 Needling Method:
Concerning Qi2 Ci4 (‘One-Either-Side’ needling - one of twelve needling
needling method calls for inserting one needle in the ‘center’ and one needleon either
sideof the first,for atotalof threeneedles This method is employed to treat ‘Cold-Qi’
which has only penetrated the superficies of the body Predicateduponthe above,onecan
readily see that thescope of the Qi2 Ci4 needling method is rather limited.The Qi2 Ci4
Zhen1,etc), are used to treat small areasaffected by ‘Cold’ and ‘Impediment’ patterns,
i.e ‘Cold-Impediment’ These methods are, for the most part, used to treat ‘muscular
rheumatism’and joint painof the‘Wind-Damp’ type,traumasuchas sprainsand strains,
and tendonitis.Whenutilizing these methods, the needles are insertedor appliedlocally;
Tung’sDao3 Ma3Systemlike the methodsdescribed above makes useof three needles,
several significant differences exist to distinguish Dr Tung’s Dao3 Ma3 System from
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1 Distancesbetweenconstituentpoints:
Dao3 Ma3System:Thethree needles aregenerallyappliedtositeslocated
at a distancefrom the affected area (see#3 below) Because of thisfact, the distances
method primarily addresses sore-achy types of pain, especially due to ‘Impediment’
patterns
Dao3 Ma3System: In addition to addressing the sore-achy types of pain
due to ‘Impediment’ patterns, this system also addresses pathological changes in the
bowels and viscera E.g.: for pathological changes in the liver, use88-07 ‘Upper Three
Yellow’;for pathological changes in the heartuse 33-03‘HeartSpiritThreeNeedles’;for
pathologicalchangesinthekidneyuse77-12 ‘LowerThreeEmperors’,etc
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Trang 313 Location oftreatmentpoints:
the principal needle inserted at the center of the ‘lesion’ The two adjunct needles areinsertedoneither sideof theprincipalneedle,alsoatthe site of the affected tissue
Dao3 Ma3System:Themajorityof Dao3 Ma3groups selectedfortreatmentare located some distance from the tissue, bowel, or viscus being treated Dr Tung’s
Dao3 Ma3Systemoften applies an ‘Up-Down-Right-Left BalancingMethod’ whenselectingspecificDao3 Ma3groupsfor treatment.Conveyingthe gist of this ‘Up - Down
-Right-Left Balancing Method’ismost readily achieved by example:
Iftheright hand has pain, selectaDao3 Ma3group onthe leftfoot
If therightfoot has pain,selectaDao3 Ma3group onthe left hand
If theleft leghaspain, selectaDao3 Ma3group ontherightantebrachium
E)Needling Configurations in Dr Tung’sDao3 Ma3System:
There are three primary needling configurations employed in Dr Tung’s Dao3 Ma3 System, namely: ‘Three Continuous Needles’, ‘Three Transverse Needles’, and
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Thisconfiguration is most often used to treat the bowels and viscera and thus regulate
on the basis of working in concert on a rostral-caudal, caudal-rostral basis,e.g 88-07
‘Upper Three Yellow’ to treat the liver and77-12 ‘Lower Three Emperor’ to treat thekidneys
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Channel A: r-
Thisconfigurationis most often used fortreating aches andpains insomespecific body
part AppropriateDao3 Ma3groupselection is determinedonthe basisof the‘Up-Down
-Right-Left Balancing Method’,e.g 22-02 ‘Palm Three Passes’ onthe righthand totreat plantar fasciitis of theleftfoot
30
Trang 32THREETRANSVERSE NEEDLES.
3 Three Triangular Needles: In this configuration, the needles are arranged
‘conducting’ needle, is inserted at the apex of a triangle in a channel immediately
encountered in Dr Tung’sDao3 Ma3System,but may be used withPRC state mandatedacupuncture points to treat local aches and pains, e.g 77-04 ‘Knee Three Needles’ toaddress disorders of the knee
Two needles in ChannelA,withathird (the‘conducting’needle)inachannel
immediatelynext toit(Channel B),thereby forminga ‘TRIANGLE’ofneedles
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Trang 33F)Insertion sequence:
Dr Tung’s Dao3 Ma3 System employs three needles in any given Dao3 Ma3
group Because optimization of the clinical efficacy of these three needles is highlydesirable, adiscussionof insertion sequenceis necessary IntheDao3 Ma3system there
Principal Point First’, ‘Needling According to the Flow of Qi in the Channel’, and
1.Principal Point First:Inthis insertionsequence,one needles the centralpoint
Dao3 Ma3 group The second point needled is the ‘proximal’* point (here ‘proximal’*means the point closest to the involved tissue, structure, or organ), and the third point
syndromes and ‘Impediment’ patterns, itmayalso be usedforpathological changes in,as
wellas prophylaxisfor, the bowels and viscera of the entirebody
Theprincipal pointisneedledfirst,followedby the‘proximal’*
point,andfinallythe ‘distal’*pointof theDao3 Ma3group
*‘Proximal’in this instancedoes NOT necessarily mean
‘nearest the trunk or point of origin’; rather, it means
‘near’ or closely ‘neighboring’ the structure, bowel, or
viscera being addressed ‘Distal’ in this instance does
NOT necessarily mean ‘situated further away from the
center of the body or further from the point of origin’;
By way of example, using 77-12 ‘Lower Three
Emperors’ to treat peripheral neuropathy affecting the
foot:Ren2 Huang2, while in anatomicalterms is themost
distal pointof thisDao3 Ma3group, it isthepoint closest
point to the foot Tian1 Huang1, while in anatomical
it is the point most distant to the foot Thus, employing
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Trang 3477-12 ‘Lower Three Emperors’to treat peripheral neuropathy affecting thefoot with the
‘Principal Point Needled First’ sequencing method,one would first needleDi4 Huang2,
followed byRen2 Huang2,and finally needleTian1 Huang2.
2 Accordingto Flow of Qi in the Channel: In this insertionsequence, needle
(PC-4 in our example below) Thesecondpoint needled is the central point of the Dao3
Ma3 group (PC-5”130), and the final needle is inserted into the point furthest from the
‘origin’ of the channel (PC-7WH0) [conversely, closest to the terminus of thechannel]
Whilethis needle insertion sequenceis most often used for pathological changes in the
bowels and viscera of the entire body, it may also be used in pain syndromes and
‘Impediment’ patternsaswell
1
THEFLOW OFQI4INTHECHANNEL
Thefirst needleisplaced intheDao3 Ma3point closest to the originof thechannel
(PC-4who),thesecond is placed inthe ‘middle’Dao3 Ma3point(PC-5WH0),andthethird
PC-4 PC-5
-d
3 Nearest, Furthest,then Central: In this insertion sequence, first needle the
point of the selected Dao3 Ma3 group in proximity to (‘Nearest’) the involved tissue,
needles simultaneously This insertion sequence is suitable for any and all clinical
situations by virtue of the fact that the De2 Qi4 sensation obtained via this insertion
sequence is the strongest of thethree sequences discussed(I employ this sequencemost
often)
I3
Inserttheneedles inthefollowingmanner:
‘Nearest’ first, ‘Furthest’ second, and ‘Central’ last
)
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Trang 35penetration anddifferentdepthsof needle penetration.
1 Identicaldepths:Inthiscategory,each needleof the selectedDao3 Ma3group
is inserted to the same depth of penetration, regardless of the insertion sequence This
categoryisprimarilyused toadjustandregulate pathologicalchanges of the entirebody
constituent point to constituent point These distance variances, coupled with identicaldepths of needle penetration, consequently alter the primary therapeutic focus of each
constituent point within that group Each constituent point, when needled to the samedepth of penetration,canbe saidtopossessitsown ‘zone’of primary therapeutic benefit
combined techniques powerfully ‘open’(tong1)eachof the threeburners(San1 Jiao1).As
aconsequenceofsimultaneously‘opening’(tong1)eachof the three burners(San1 Jiao1),
oneconcurrentlytreatsthe pathological changes of the entire body Ergo, needlingtothe
samedepth of penetration, coupled with needling accordingtotheflowof Qiinaspecific
Dao3 Ma3group, greatlyaffects the entire body
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Dao3 Ma3group areinserted to differentdepths, not only will the bowels/visceraaffected
fordifferingthedepthsofneedle penetration:
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appropriatedepth necessarytoaffect the desired bowel, viscus, orstructure The
34
Trang 36second needle, regardedasanassistant to theprincipalneedle,is inserted into theauxiliary point to a more shallow depth than the principal
needle, regarded as the pathogen expelling (Qu1 Xie2 ‘dispel evils’) needle, is
inserted to a depth more shallow than the principal needle but deeper than the
auxiliary needle This method not only treats the desired bowel, viscus, orbody
part, but also assists in therecovery of the interrelated bowels, viscera, or bodyparts Thismethod also servesto expeland eliminate the ‘disease-Qi’ (Xie2 Qi4
condition
needle The third
depththan the‘principal’point Finally, needle the‘dispel pathogen’ point(furthest from
the ‘auxiliary’ point
b)Method Two:Thefirst needle is inserted into the ‘principal’ point to
an appropriate depth to treat the disorder The second needle isinserted into the
assistantor‘auxiliary’ pointtoa shallower depth than the‘principal’ needle.The
third needle isinserted intothe‘pathogen dispelling’pointtoadepth deeper thanthe ‘principal’ needle As stated above, needles inserted to different depths in agiven Dao3 Ma3 group affect the primary indications and regions treated by that
Dao3 Ma3group Couple this with the factthat the distancesbetween each of the
constituent needlesand the affected loci differfrom pointtopointwithin agiven
Dao3 Ma3 group, one can, by varying the depths of penetration, focus the
therapeuticeffects of thepointsof a givenDao3 Ma3grouponone specific bowel,
points of a given Dao3 Ma3 group, multiplies the clinical effectiveness of that
Dao3 Ma3group byanorderof magnitude
35
Trang 37DIFFERENT DEPTHS: METHOD TWO
Q Q
Away from
the disorder.
Toward the disorder.
r
'Dispel Pathogens' 'Principal' 'Auxiliary'
needle the ‘auxiliary’ point to a shallower depth than the ‘principal’ point and finally,needle the ‘dispel pathogen’ point deepest of all
H)Needlesusedin Dr Tung’sDao3 Ma3System:
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1) Regional approach to needle length- the following are simply guidelines;
RegionOne-One: On the fingers andthumbs- 5fenneedle
RegionTwo-Two:On the hands-5fenneedle
RegionThree-Three: On the antebrachium-1.0 ~ 1.5 cun needle
RegionFour-Four:Onthebrachium-1.0 ~1.5cunneedle
RegionSix-Six: Dorsumof foot and ankle- 5fen ~ 1cunneedle
Region Seven-Seven:Anatomicleg-1.5~2.5 cun needle
Region Eight-Eight:Thigh-1.5~3.0 cun needle
RegionTen-Ten:Head- 5fen ~ 1cunneedle
RegionEleven-Eleven: Back-1.0~1.5cunneedle
Region Twelve-Twelve:Chest andabdomen-1.0 1.5cunneedle
r—
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2)Needle Angulation
As a generalization,the majorityofpoints utilized inDr Tung’sDao3 Ma3
System call for needle insertions perpendicular to the overlying skin Should it be
specificbowel, viscus,or diseased locus,one mayanglethe needles toward said bowel,
diseased locus As a rule, points on the scalp should beinserted subcutaneously at anangle of less than 15°. Points on the back, chest, and abdomen are generally ‘let’;
subcutaneously,frommedialto lateral, atan angle of lessthan15°.
p
: /\
36
Trang 38I)Regionaldistancesbetween constituent points.
As ageneralization, the distances between constituent points of Dao3 Ma3groupswithinagiven regioncanbe summarizedasfollows:
RegionTwo-Two: On the hands- 5fen.
RegionThree-Three:On theantebrachium-2.0-3.0cun.
Region Four-Four:On thebrachium-2.0~ 3.0 cun
RegionSeven-Seven: Anatomic leg-2.0-3.0cun
Region Nine-Nine: Ear-2~5fen.
RegionTwelve-Twelve:Chestand abdomen-2.0~4.0cun
J)Some disorders amenableto treatmentwithDr Tung’sDao3 Ma3System:
According to theclinical experiences handed down by Dr Tung, theDao3 Ma3Systemcan successfullytreat,aswellas preventtheonsetof,the following disorders:
InternalMedicine:Pneumonia, tracheitis, bronchitis,emphysema, cardiopathies,palpitations, angina pectoris, coronary arteriosclerosis, epigastralgia, splenomegaly,gastritis, gastric distention, acute enteritis, chronic enteritis, acute nephritis, chronic
nephritis,facialparalysis,diabetes, thyroid disorders,etc
pain,lower extremitypain,trauma,etc
Gynecology: Mastitis, menoxenia, dysmenorrhea, metritis, cervicitis, cervical
Jdysplasia, etc
Otorhinolaryngology/dental: Keratitis, conjunctivitis, hordeolum externum,
otitismedia, earache,tinnitusaurium, rhinitis,laryngitis,pharyngitis,tonsillitis,bleedinggums,toothache,etc
Miscellaneous: Endocrine disorders, contusions, acne, hypertension, CVA,sequela of CVA, etc
Selection of an appropriate Dao3 Ma3group for treatment is paramount and will
of course impact the clinical success orfailure of one’s acupuncture Chapter 3 of thepresent text on ‘Suggested Therapeutics’ provides Dao3 Ma3 group suggestions for a
cornucopia of clinical maladies The neophyte is urged to make use of these
recommendations until he/she becomes familiar enough with the technique to begin to
‘flyon one’sown’ WhileIhaveattemptedtocover an array of disorders insaidchapter,
it is impossible to provide for every single clinical entity that one may encounter
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Trang 3919
Situations will always arise where a paucity of suggestions exists on how to approachspecific problem.Belowareseveral tried and testedmethods bywhichtheclinician maychoseanappropriateDao3 Ma3groupto treataclinical entity not provided for inChapter3
1)‘Involved Locus Method’: In thismethod,one selects a Dao3 Ma3 groupon
thebasisof the location of the involvedtissue, i.e.theDao3 Ma3groupisatthe siteof the
lesion While this method is the leastrefined,itis indeed clinicallyeffective and ismost
suitedfor treating painat the involvedlocus
e.g.:
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1010-01 ‘HeadThree Needles’ to treatvertical headache
44-05‘ShoulderSuperiorTransverseThree Needles’ to treat shoulderpain
77-11 ‘PoplitealThree Needles’ to treat kneepain
1212-02 ‘StomachThreeNeedles’to treatstomach ache
A
n 2)‘Up-Down-Right-Left Balancing Method’: In thismethod,oneselectsa
group by employing the concept of ‘Yin - Yang Counteraction’, i.e one
illustrated by example
e.g.: 22-02‘Palm Three Passes’onthe right handto treat heel pain on the left foot
44-06 ‘ShoulderThree Needles’onthe left to treathip joint painonthe right
77-04 ‘KneeThree Needles’ on the right to treat lateralepicondylitis of the left
Dao3 Ma3
r
elbow
77-01‘AnkleThreeNeedles’onthe left to treata wristsprainonthe right
3)‘Reaction Area Method’: Inthis method,oneselectsagroup predicated upon
treating the organs,i.e.the bowelsand viscera
e.g.: Oneof the ‘Reaction Areas’ of 88-07 ‘Upper Three Yellow’ is the Liver Ergo,thisDao3 Ma3group maybeusedtotreat disorders ofthatorgan(i.e boththe TCMandtheWestern BiomedicalLiver)
Ergo, thisDao3 Ma3group maybe used to treat disordersof that organ(i.e both theTCM
andtheWesternBiomedical Kidney)
Oneof the ‘ReactionAreas’ of 88-03 ‘ThighTeamof Four Horses’ is the Lung.Ergo,thisDao3 Ma3groupmaybe used totreat dermatitis because ‘the Lungs Control the
One of the ‘ReactionAreas’ of 11-15 ‘GynecologyThreeNeedles’ isthe Uterus.Ergo,thisDao3 Ma3groupmaybe usedto treatmetritis
r
r-r
(
4) Accordingto the ‘Holographic Presentation Method’: Inthis method, one
specific Region chosen This method is most suited for treating disorders of specifichomologousstructures
Ex 22-05 ‘Control the SpineThreeNeedles’to treatthevertebralcolumn
A
38
Trang 4077-09 ‘Leg Spine Three Needles’ to treat the back.
88-10‘ThreeSistersThree Needles’to treatgenitourinarycomplaints
M)Technique:
By simply selecting and needling appropriate Dao3 Ma3 groups, one can realize
considerableclinicalsuccesses.There are, however,anumberof added techniques which
render thisacupuncture style second tonone
U
1) ‘Guiding the Movement of Qi’: This technique requires that the patient
slowly and deliberately move theaffectedstructure(s) while ‘under the needle’ The act
for example:
Havethepatientlieintheproneposition withhis/herleftupperextremity placed
on thetreatment tableby his/her side(thepalmis thus facingposteriorly) Needle22-02
patientthen dorsiflexes therightankle mortise,fans outthetoes,and holdsthatposition
for 3 ~ 5 seconds The alternating plantar flexion and dorsiflexion is performed for a
period of 5 to 10 minutes and upon completion of which one may apply needles,
electricity,and/oranInfratonicQGMtotherightfoot
2)‘Massaging to Lead theQi’:This technique requires that the patient slowly
for example:
J
:
Havethepatient lie in the supine position, apply needles, allontheleji,in 88-04
‘ThighThreeSprings’ andin one of either 77-05 ‘Three WeightsThree Needles’or
77-14 ‘Beside Three Miles Three Needles’ Instruct the patient to ‘roll’, ‘pinch’, and
‘massage’ the skin of the right side of the face for a period of 5 ~ 10 minutes Upon
completion of themassageone may apply needles,electricity, and/or anInfratonicQGM
to therightsideof theface