Châm Cứu Đổng Thị Nâng cao Vol 2 - Sản Phụ Khoa

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

Advanced

Tong Style Acupuncture

Series:

Volume2

enabled this book to come to fruition

Advanced Tong Style Acupuncture:

OBSTETRICS

&

GYNECOLOGY

The Acupuncture of Master Tong Ching-Chang

and its Applications in Obstetrics & Gynecology

Compiled, Collated, and Translated by:

James H Maher, D.C., O.M.D., Dipl Ac (NCCAOM), Dipl T Ac (ITARA)

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

ISBN 0-9759096-7-3

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

Chapter 1: External Genitalia Chapter 2: Uterus

Chapter 3: Fallopian Tubes and Ovaries Chapter 4: Vaginal Discharge

vi vii

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, Li Kuo-Cheng, Young Wei-Chieh, 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 Society, 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 Prances 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 Meng Kai-Ru (Carolyn) for her painstaking efforts in producing the artwork and diagrams

Finally, Mo Chiaen-Yun (Jennifer) my wife, Meng Ru (Carolyn) my daughter, and Meng Jie (J.J.) my son for all their love, caring, and support without which my life means naught

Kai-Foreword

resource for those who already practice the Acupuncture of Master Tung and want to learn its application

in gynecology and obstetrics

I have personally met Dr Maher when he attended my seminar on "Master Tung's Acupuncture" given at the American College of Acupuncture and Oriental Medicine in Houston, TX on October 25,

2003 He introduced himself during a break and spoke with me regarding Tung's Acupuncture in Mandarin Chinese! Later he began to speak to me in Taiwanese, I was truly impressed with his gift of language and dialects! After the seminar, Dr Maher kept in touch with me, and he recently released his first book called Advanced Tung Style Acupuncture: The Dao Ma Needling Technique of Master Tung Ching-Chang, which is also a classic in that subject matter in English

In this book, as in his previous work, Dr Maher gathers and researches all the written literature in Chinese on Master Tung's Acupuncture and lists all the treatment protocols in the treatment of OB/GYN disorders

Since the majority of all patients are female, this book is indispensable and should be on every Acupuncturist's bookshelf Master Tung Ching-Chang was the greatest Acupuncturist in the last generation and literally had over 100 patients per day in which he saw in his small clinic

Master Tung arrived in Taiwan after the Communists took over in China in 1949 along with Chiang Kai-shek's Kuomintang party and began a successful practice in Taipei, Taiwan He was an Acupuncture practitioner in Taiwan for 26 years, and through out that time, he allegedly treated over 400,000 patients, with about a fourth of them treated at no charge For these humanitarian deeds, Master Tung was decorated with an award of "Representative of Fine People and Fine Deeds" in Taiwan

So great was Master Tung's reputation, that he was asked to visit Cambodia between 1971 and

1974 to treat Cambodian President Long Nuo, who suffered from hemiplegia

Master Tung was also decorated by President Chiang Kai-shek with an "Honor Certificate in the field of Chinese Medicine", which is an amazing accomplishment because initially the Nationalist Party was not responsive to Chinese Medicine

Master Tung's Acupuncture is truly a living treasure and storehouse of Chinese Medicine, untouched by modem TCM, and a glimpse into the family systems of Chinese Medicine as taught in

applied, and proven clinically with practical, quick, nd dramatic results It is also the foundation f the Acupuncture system that I call "Optimal Acupuncture"

Master Tung's Acupuncture is now a written legacy spurred on by writers like my own teacher,

Palden Carson and Wangden Carson, as well as Miriam Lee and fortunately, Dr Maher has joined that field of celebrated writers on Tung's Acupuncture Dr Maher has unselfishly shared all the known protocols for treating OB/GYN problems in a quick, easy to read and use format for the practicing professional!

The decision for Dr Maher to share in English a work of this breadth and depth, is to show his compassionate nature and of caring for ending suffering of fellow beings In my own IT ARA (International Tung's Acupuncture Research Association) we seek to preserve, educate, research, and pass

on the legacy of Master Tung's work through seminars, private trainings, and other mediums I personally recommend Dr Maher's work at my seminars and to all my students

As students and practitioners of Master Tung's Acupuncture, we can extend our knowledge of Chinese culture, history, Chinese Medical principles and practice to benefit mankind Since much of the

Style Acupuncture: Obstetrics and Gvnecology lays down a frrm foundation in application for one to use clinically on a daily basis It is hoped that the reader can use these points here and achieve amazing results in his or her practice, as these are the same points I use in my own practice daily with amazing results!

Robert Chu, MSOM, L.Ac., QME, Ph.D

Pasadena, CA

September 22, 2005

Author of:

Essential Master Tong's Acupuncture, A quick clinical reference for Acupuncturists

President and Founder of International Tung's Acupuncture Research Association

is, in fact, the only daughter of the chief of OBGYN services, and that her dysmenorrhea is all but debilitating; everyone on the OBGYN service has tried to help her but to no avail You make a mental note

to use that Tung acupuncture prescription which has worked so well for you, ever since you took your introductory Tung class way back in Chinese medical school This is one of your favorite prescriptions because it has yet to fail you- regardless of the TCM diagnosis; it consists of Mu Fu (66.02) and Fu Ke (11.24)

You begin your caseload which, unbeknownst to you, was filled to the breaking point by the end of last week (thanks to some savvy advertising by the medical center's chief administrator) When Lynn XYZ arrives at 10:45, virtually doubled over in pain, your ward is overflowing with patients, and many are even sitting on chairs in the hallway! You recall that she's been sent over by the medical centers' OBGYN service, and you really want to make a favorable impression on the chief It was the chief, after all, who was the toughest 'nut to crack' in you quest for the staff position Due to the heavy turnout, however, you only have time for a quick, to-the-point interview and a brief look at her tongue; all while simultaneously taking her pulses You think to yourself, "Oh, am I ever glad I have my trusty Mu Fu (66.02) and Fu Ke (11.24) dysmenorrhea prescription!" You apply your needles, De2 Qi4, cover her with a sheet, and set the timer for 20 minutes to remind you when you need to return and re-manipulate her needles

When you return to manipulate her needles, you ask how she's feeling (expecting her to say that her discomfort has diminished considerably) "Oh, not much different, that I can tell," she replies

"Strange, what's up with that?" you think to yourself as you work the needles After strongly manipulating the needles, you tell her that it might take a little more time only because she's had it for so long You reset the timer for another 20 minutes and make your way out to see the next patient

You return to Lynn's table to check on how she's doing just as your assistant is removing the last

of the needles "Well, how do you feel?" you ask, again expecting that surely she must be feeling some relief; after all, this prescription has ALWAYS worked for you in the past!

"It still feels like I've been punched in the gut!" she moans, much to your chagrin You tell her you want to see her again tomorrow morning and vow to yourself that you'll check out Dr Miriam's book to see if you've missed anything

When you return home later that afternoon, you grab your do g-eared copy of Dr Miriam' s book off the shelf, flip to the 'Treatment Formulary' in the back of the book, and look up 'dysmenorrhea' Yup, there they are, Mu Fu (66.02) and Fu Ke (11.24), the only points listed under 'dysmenorrhea' -the very points you used unsuccessfully this morning on Lynn XYZ! Now what? You flip to the index of the book, hoping beyond all hope to find some other suggested points under a 'dysmenorrhea' listing, but much to your disappointment, there's nothing, nada, zilch! Now, what do you do?!?

Enter the book you are holding in your hands! The reference text you are reading was written with the intent of filling a need outlined in the aforementioned scenario; namely, providing an additional source

of prescriptions for the busy Tung-Style acupuncturist

What this book is:

This, my second volume in the Advanced Tung Style Acupuncture Series, is solely concerned with

Style Acupuncture' because it, like the first in this series, implies that the user has already had a course in Master Tung's Acupuncture (e.g., that presented by Drs Wei-Chieh Young, Palden Carson, Robert Chu, Esther Su, Richard Tan, Miriam Lee, Susan Johnson, etc.) This text is not intended for use by the tyro, but rather as a reference by those who already have a working knowledge of Master Tung' s Acupuncture

This text presents 522 pages of over 400 prescriptions culled from the Chinese language Tung Acupuncture literature in my personal library- more than 15 different sources were referenced (several currently out of print) From these Chinese language sources, I have compiled, collated, and translated all the OB/GYN prescriptions proffered by the 'experts' and applied accompanying diagrams for each disorder/disease to facilitate their application Included are author-specific point locations, needling instructions, contraindications and, when available, clinical comments, herbal suggestions, lifestyle modifications, etc all derived from the author(s) own personal clinical experiences with Master Tung's Acupuncture

What this book is not:

This text is NOT an introductory text in the acupuncture of Master Tung Ching-Chang! Nor is it a primer on the TCM theories governing obstetrics and gynecology - there are an ample number of texts on the market concerning both these topics

How the book is arranged:

The main body of the text is divided into 2 parts - Part I: Gynecology and Part II: Obstetrics, which are further sub-divided as follows:

Part 1: Gynecology (subdivided into 4 Sections)

Chapter 1: External Genitalia

Chapter 2: Uterus

Chapter 3: Fallopian Tubes and Ovaries

Chapter 4: Vaginal Discharge

Individual Disorder/Disease Entries:

Located at the center of the top of the page is the name of the disorder/disease followed by a set of parentheses; e.g., 'Mamrnillitis (HCL-1)' [from Part I, Section 3, Disorders of the Breast, p 357] Within the parentheses is a series of letters and perhaps a number The letters represent the author(s) and the

Li-Yueh, Chou Han-Luan, and Lin Yu-Shan and the '1' represents a first prescription presented by them for mammillitis These numbers have NOTHING to do with 'superiority' of the prescription (personally, I prefer to use the least number of points to get the job done), and merely reflect how prolific the author(s) is (are)

Under the disorder/disease name will be the points suggested by the author(s), which are to be used

in the 'first step' In our example, Drs Hunf' Chou, and Lin suggest DMG 88-03 'Thigh Team of Four Horses' with Shuang1 Long2 Yi1 and Shuang Long2 Er4 The author(s) specific locations for the suggested points are then presented and THESE are the locations that should be used for THIS 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! Subsequent to the 'first step', there may or may not be a 'second step', which would be listed next

Subsequent to the 'steps' outlined above, 'point specific diagram(s)' illustrating the author(s) specific point location(s) is/are provided In our 'Mamrnillitis (HCL-1)' example, 'step two' is to 'let' the Heart-Lung Region on the back (consult the Dao Ma text for more details on 'letting') The corresponding anatomical diagrams illustrating these suggested point locations then follow The desired consequence of this text is simply to provide the busy acupuncturist with the ability (once he/she has become facile with the various point locations) to look up a given disorder, consult the accompanying diagram(s), and go treat the patient! I sincerely hope that these steps may all be accomplished merely in the matter of moments!

A word on locating DMG 11-15 'Gynecology 3 Needles':

The verbiage describing the location of these five points is rather complex To facilitate locating these points, simply follow the steps outlined below:

Step 1: Locate the ulnar digit line on the proximal phalanx of the thumb

Ulnar to radial view of the RIGHT thumb

Step 2: Locate the dorsal interphalangeal skin crease (DISC) and the dorsal metacarpophalangeal skin crease (DMSC) along the ulnar digit line

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

0 LCH =-~~it: Lai Chin-Hsuing

When one notes multiple authors listed under a given disease/disorder heading, it merely reflects that both (or several) authors (groups) have suggested the same prescription for that malady By way of example, 'Red-White Vaginal Discharge' (CCC-5; HCL; MC) on p 320 was suggested by three different

Meng Chieh Unless the point locations differed amongst the various authors, only one entry was made and all author(s) (groups) were cited as suggesting that prescription

Menstrual Low Abdm Heat/Distention (CKS) 90

SECT 2 Disorders Reproductive Organs Cervicitis (CKS-1) 154

Low Back Pain- Uterine Leiomyoma (HPC) 172

Chapter 2 The Uterus: Metrorrhagia (CKS) 197

Fallopian Tube (Ovarian) Induced Pain (MC) 253

Low Back Pain- 2° to Ovarian Cysts (HPC) 256

Chapter 4 Vaginal Discharge:

Abnormal Vaginal Discharge (CKS Group 1) 306 Abnormal Vaginal Discharge (CKS Group 2) 308

Leukorrhea (HPC)[2°Trichomon Vaginitis] 316

'Red-White Vaginal Discharge' (CCC-5; MC) 320

'Red-White' Vaginal Discharge (HCL-3;LKC)323

'Red-White Vaginal Discharge' (LKC-5;HCL)331

'Red-White Vaginal Discharge' (LKC-6;HCL)332

SECT 3 Disorders of the Breast

Postmenopausal Osteoporosis(Vrtbral)(CKS) 388 Emotional Concomitants - Menopause (CKS) 390

SECT 5 Miscellaneous

Abdominal Mass - Palpable: Colon CA (HPC)391 Abdm Mass -Palpable: Leiomyoma (HPC) 392 Abdm Mass - Palpable: Ovarian CA (HPC) 393 Abdm Mass - Palpable: Ovarian Cyst (HPC) 394

Emaciation (HPC) [Abnrml Elevated BMR] 405

Lentigines (CKS) (Cosmetic induced lentigo) 422

Venereal Disease (HCL) (Not Specified) 440

Habitual Spontaneous Abortion (HCL; CKS) 461

SECT 2 Postpartum Disorders

Agalactorrhea (CKS-1) Agalactorrhea (CKS-2) 'Postpartum Blood Dizziness' (CKS) Postpartum Cystitis (CKS)

Postpartum Enuresis (CKS) Postpartum Frequent Micturition (CKS) Postpartum Low Back Pain (CKS) Postpartum Sacrococcygodynia (CKS) Postpartum Vulvovaginitis (CKS) Postpartum Urinary Retention (CKS) Postpartum Uterus Failure (CKS) Puerperal Mastitis (CKS)

Puerperal Metritis (CKS) Puerperal 'Wind' Syndrome (CKS) Puerperal 'Wind' Syndrome (CCC) Puerperal 'Wind' Syndrome (HCL) Puerperal 'Wind' Syndrome (LCH) Puerperal 'Wind' Syndrome (LKC) Retained Lochia (CKS)

Retained Placenta (CKS) Retained Placenta (HCL) Retained Placenta (LCH) Retained Placenta (LKC)

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PART 1 -· GYNECOLOGY

Section 1:

Menstrual Disorders

Amenorrhea (CKS-1) [The following should be used in cases of amenorrhea due to 'Blood Stagnation'.]

1 'Let' the 'Sciatic Region' (CKS):

• Sciatic Region: These 5 sets of bilaterally paired points are located as follows:

Amenorrhea (CKS-2)

11-15 'Gynecology Three Needles', and DMG 88-10 'Three Sisters Three Needles' (CKS):

• DMG 88-07 'Upper Three Yellow':

midline (coronal plane) on the medial aspect of the thigh Needle 3.0 cun

{Superficially the Heart, mid-level the Liver, and deep the Kidney General Reaction Areas}

ii Qi2 Huan~: This point is located 3.0 cun distal to Ming2 Huang2 on the midline

(coronal plane) of the medial aspect of the thigh Needle 3.0 cun {Gall Bladder

General and Liver Branch Reaction Areas}

iii Tian1 Huan~: This point is located 3.0 cun proximal to Ming2 Huang2 on the

midline (coronal plane) of the medial aspect of the thigh Needle 3.0 cun

{Superficially the Heart, mid-level the Liver, and deep the Kidney General Reaction Areas}

• DMG 77-12 'Lower Three Emperors':

of the proximal leg, between the medial border of the tibia and the medial head of

the gastrocnemius muscle Needle 0.5 to 1.5 cun {Kidney, Six Bowels, and Heart

Branch Reaction Areas}

posterior to anterior) the medial malleolus on the Foot Tai4 Yin1 Spleen Channel; i.e., Ren2 Huang2 is located 0.5 cun proximal to Sp-6WH0 Needle 0.6 to 1.5 cun CONTRAINDICATED IN PREGNANCY {Kidney Branch and Lung Branch Reaction Areas}

iii Di4 Huan~: This point is located 4.0 cun immediately proximal to Ren2 Huang2 •

Needle 1.0 to 2.0 cun {Kidney Reaction Area} (Di4 Huang2 is located 7.5 cun

proximal to the apex of (as viewed from posterior to anterior) the medial malleolus.)

• Lini 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

and Kidney Reaction Areas}

• DMG 11-15 'Gynecology Three Needles': These five points are uniformly located on the

phalanx of the thumb along said line, from the dorsal metacarpophalangeal skin crease to the dorsal interphalangeal skin crease, into thirds; then, further divide each resultant third in half This procedure sections the dorsal surface of the proximal phalanx of the thumb into sixths - commencing from the dorsal metacarpophalangeal skin crease and proceeding distally, each sixth represents one of the five points Needle (select three of the five points)

0.2 to 0.3 cun {Uterus and Six Bowels Reaction Areas}

• DMG 88-10 'Three Sisters Three Needles':

1 Jie3 Mei4 Yi1: This point is located by coursing 8 cun proximal to the superior edge

of the patella and 1 cun medial to the median (midsagittal) plane of the anterior

ii Jie Mei4 Er4 : This point is located 2.5 cun immediately superior to Jie3 Mei4 Yi1

on the proximal aspect of the anterior thigh Needle 1.5 to 3.0 cun {Six Bowels and

Kidney Branch Reaction Areas}

iii Jie3 Mei4 San1: This point is located 2.5 cun immediately superior to Jie3 Mei4 Er4

Kidney Branch Reaction Areas}

Amenorrhea (HPC)

• DMG 88-10 'Three Sisters Three Needles' (Hu's):

1 Jie3 Mei4 Yi1 (Hu's): This point is found on the anteromedial thigh It is located by

coursing 1 cun proximal and 3 cun medial to Tong1 Shan1• Needle 1.5 to 2.5 cun

median plane of the anterior thigh, 7 cun proximal to the center of the superior edge

of the patella Therefore, Jie3 Mei4 Yi1 (Hu's) is located 8 cun proximal and 3 cun

medial to the center of the superior edge of the patella.)

ii Jie3 Mei4 Er4 (Hu's): This point is located 2.5 cun immediately proximal to Jie3 Mei4 Yi1 (Hu's) Needle 1.5 to 2.5 cun {Six Bowels and Kidney Branch Reaction Areas}

iii Jie3 Mei4 San1 (Hu's): This point is located 2.5 cun immediately proximal to Jie3

Mei4 Er4 (Hu's) Needle 1.5 to 2.5 cun {Six Bowels and Kidney Branch Reaction Areas}

• Fu4 Ke1: This 2 point set is found on the dorsum of the proximal phalanx of the 1st digit

(thumb) on the Ulnar Line; i.e., 0.3 cun ulnar to the Posterior Midsagittal Line of the

thumb Divide the proximal phalanx of the thumb, from the dorsal metacarpophalangeal skin crease to the dorsal interphalangeal skin crease along the Ulnar Line, into thirds - the proximal point is located at the demarcation of the 1st and 2nd thirds and the distal point is located at the demarcation of the 2nd and final thirds Needle 0.2 to 0.3 cun -Dr Hu advises that needling the RIGHT side is more effective than the LEFT {Uterine Reaction Area}

DMG 88-10 '3 Sisters 3 Needles'

Amenorrhea (HCL)

• DMG 88-10 'Three Sisters Three Needles':

i Jie 3 Mei 4 Yi 1: This point lies 1 cun medial and 1 cun

proximal to Tong1 Shan1• Needle 1.5 to 3.0 cun {Six

Shan1 is found on the median plane (midsagittal plane)

of the anterior thigh, 7 cun proximal to the center of the superior edge of the patella.)

ii Jie 3 Mei 4 Er 4: This point lies 2.5 cun immediately proximal to Jie3 Mei4 Yi 1• Needle 1.5 to 3.0 cun {Six

Mei4 Er4 is found 1 cun medial to the median plane (midsagittal plane) at a point 10.5 cun proximal to the center of the superior edge of the patella.)

proximal to Jie3 Mei4 Er4• Needle 1.5 to 2.5 cun {Six

Mei4 San1 is found 1 cun medial to the median plane (midsagittal plane) at a point 13 cun proximal to the center of the superior edge of the patella.)

Amenorrhea (LCH)

the palmar point Zhong4 Xian1• Needle 1.5 to 2.0 cun; i.e., needle through to connect with

1 'Let' San1 Jiang\ then needle Ling2 Gu3 and DMG 11-15 'Gynecology Three Needles' (LKC):

interspinous space, ~/L 3 interspinous space, L]i~ interspinous space, LJL5 interspinous space, Ls/S1 interspinous space, and S1/S2 interspinous space There are also 6 bilaterally

aforementioned midline points for a grand total of 18 points

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

and Kidney Reaction Areas}

phalanx of the thumb along said line, from the dorsal metacarpophalangeal skin crease to the dorsal interphalangeal skin crease, into thirds; then, further divide each resultant third in half This procedure sections the dorsal surface of the proximal phalanx of the thumb into sixths - commencing from the dorsal metacarpophalangeal skin crease and proceeding distally, each sixth represents one of the five points Needle (select three of the five points)

~~

I I

DMG 11-15 'Gynecology 3 Needles'

Dysmenorrhea (CCC-1; HCL)

Ulnar Digit Line of the dorsal surface on the 1st phalanx of the thumb Divide the proximal phalanx of the thumb along said line, from the dorsal metacarpophalangeal skin crease to the dorsal interphalangeal skin crease, into thirds; then, further divide each resultant third in half This procedure section~ the dorsal surface of the proximal phalanx of the thumb into sixths - commencing from the dorsal metacarpophalangeal skin crease and proceeding distally, each sixth represents one of the five points Needle (select three of the five points) 0.2 to 0.3 cun {Uterus and Six Bowels Reaction Areas}

• Men2 Jin1: This point is located between the 2nd and 3rd 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}

DMG 11-15 'Gynecology 3 Needles'

Dysmenorrhea (CCC-2)

• 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',

'Let' with a prismatic needle {Six Bowels, Lung Branch, and Heart Branch

ii Si4 Hua1 Zhong1: This point is located 4.5 cun distal to Si4 Hua1 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 Hua1 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}

DMG 77-02 '4 Flowers 3 Needles'

Dysmenorrhea (CCC-3)

• DMG 11-02 'Finger Three Yellow':

anterior surface of the proximal phalanx of the thumb To determine the exact center

of anterior Digit Line D on the proximal phalanx, bisect the distance from the anterior metacarpophalangeal skin crease to the anterior interphalangeal skin crease along the course of said line Needle 0.1 to 0.2 cun {Liver Branch Reaction Area}

Huang2 to the anterior interphalangeal skin crease along the course of anterior Digit Line D Needle 0.1 to 0.2 cun {Liver Branch Reaction Area}

iii Xia4 Huang2 : To locate this point, simply bisect the distance from Zhong1 Huang2

to the anterior metacarpophalangeal skin crease along the course of anterior Digit Line D Needle 0.1 to 0.2 cun {Liver Branch Reaction Area}

)., :-> , , ~.,

S ang 4 Huang 2 *

DMG 11-02 'Finger 3 Yellow'

Dysmenorrhea (CCC-4)

• DMG 22-06 'Control Three Needles':

i Zhong4 Kui2 : This point is located in the depression at the junction of the shaft and the head of the second metacarpal bone Commencing at the base of the second metacarpal bone in the first 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 {Heart Branch

per O'Connor and Bensky.)

'Hu Kou3'; i.e., the region between the first and second metacarpal bones The point is found at the articulation of the bases of the first and second metacarpal bones, proximal to LI-4WH0 Needle 1.0 to 2.0 cun {Lung Branch, Heart, and

Kidney Reaction Areas}

iii Da4 Bai2 : This point may be found by first locating Ling2 Gu3 and Zhong4 Kui2; bisect the distance between these two points to locate Da4 Bai2, the point lies 1.0

cun distal to Ling2 Gu3• Needle 0.5 to 1.5 cun {Lung Branch Reaction Area}

DMG 22-06 'Control 3 Needles'

Dysmenorrhea (CKS-1) [The patient should refrain from eating/drinking ice-cold foodstuffs/beverages.]

1 Linlf Gu3, Si4 Hua1 Shang\ Men2 Jin1, DMG 11-15 'Gynecology Three Needles', and Ren2

Huanlf (CKS):

• Linlf 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

and Kidney Reaction Areas}

• Si4 Hua1 Shang4: This point is located 3 cun distal to the lateral eye of the knee, immediately lateral (closely adherent) to the tibia Needle 2 to 3 cun {Six Bowels, Lung

Branch, and Heart Branch Reaction Areas}

• Men2 Jin1: This point is located between the 2nd and 3rd 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}

Ulnar Digit Line of the dorsal surface on the 1st phalanx of the thumb Divide the proximal phalanx of the thumb along said line, from the dorsal metacarpophalangeal skin crease to the dorsal interphalangeal skin crease, into thirds; then, further divide each resultant third in half This procedure sections the dorsal surface of the proximal phalanx of the thumb into sixths - commencing from the dorsal metacarpophalangeal skin crease and proceeding distally, each sixth represents one of the five points Needle (select three of the five points)

0.2 to 0.3 cun {Uterus and Six Bowels Reaction Areas}

• Ren2 Huang2: This point is located 3.5 cun proximal to the apex of (as viewed from

posterior to anterior) the medial malleolus on the Foot Tai4 Yin1 Spleen Channel; i.e., Ren2

CONTRAINDICATED IN PREGNANCY {Kidney Branch and Lung Branch Reaction

DMG 11-15 'Gynecolo

Dysmenorrhea (CKS-2)

[Secondary to 'Heart-Spleen Vacuity']

[The patient should refrain from eating/drinking ice-cold products.]

(CKS):

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

and Kidney Reaction Areas}

• Si 4 Hua 1 Shang 4: This point is located 3 cun distal to the lateral eye of the knee, immediately lateral (closely adherent) to the tibia Needle 2 to 3 cun {Six Bowels, Lung Branch, and Heart Branch Reaction Areas}

• Men 2 Jin 1: This point is located between the 2nd and 3rd 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}

• DMG 11-15 'Gynecology Three Needles': These five points are uniformly located on the

Ulnar Digit Line of the dorsal surface on the 1st phalanx of the thumb Divide the proximal phalanx of the thumb along said line, from the dorsal metacarpophalangeal skin crease to the dorsal interphalangeal skin crease, into thirds; then, further divide each resultant third in half This procedure sections the dorsal surface of the proximal phalanx of the thumb into sixths - commencing from the dorsal metacarpophalangeal skin crease and proceeding distally, each sixth represents one of the five points Needle (select three of the five points)

posterior to anterior) the medial malleolus on the Foot Tai4 Yin1 Spleen Channel; i.e., Ren2

CONTRAINDICATED IN PREGNANCY {Kidney Branch and Lung Branch Reaction Areas}

• DMG 33-03 'Heart Spirit Three Needles':

interosseous space between the ulna and radius bones; i.e., on the Hand Jue2 Yin1

interosseous space between the ulna and radius bones; i.e., on the Hand Jue2 Yin1

iii Xin 1 Lin~ 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 Yin1

• DMG 88-10 'Three Sisters Three Needles':

i Jie 3 Mei 4 Yi 1: This point lies 1 cun medial and 1 cun proximal to Tong1 Shan1•

Shan1 is found on the median plane (midsagittal plane) of the anterior thigh, 7 cun

proximal to the center of the superior edge of the patella.)

ii Jie3 Mei4 Er4: This point lies 2.5 cun immediately proximal to Jie3 Mei4 Yi 1•

Needle 1.5 to 3.0 cun {Six Bowel and Kidney Branch Reaction Areas} (Ergo, Jie3

Mei4 Er4 is found 1 cun medial to the median plane (midsagittal plane) at a point

10.5 cun rroximal to the center of the superior edge of the patella.)

iii Jie3 Mei San1: This point lies 2.5 cun immediately proximal to Jie3 Mei4 Er4•

Needle 1.5 to 3.0 cun {Six Bowel and Kidney Branch Reaction Areas} (Ergo, Jie3 Mei4 San1 is found 1 cun medial to the median plane (midsagittal plane) at a point

13 cun proximal to the center of the superior edge of the patella.)

Dysmenorrhea (CKS-3)

[Secondary to 'Spleen-Kidney Vacuity']

[The patient should refrain from eating/drinking ice-cold products.]

Ulnar Digit Line of the dorsal surface on the 1st phalanx of the thumb Divide the proximal phalanx of the thumb along said line, from the dorsal metacarpophalangeal skin crease to the dorsal interphalangeal skin crease, into thirds; then, further divide each resultant third in half This procedure sections the dorsal surface of the proximal phalanx of the thumb into sixths - commencing from the dorsal metacarpophalangeal skin crease and proceeding distally, each sixth represents one of the five points Needle (select three of the five points)

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

and Kidney Reaction Areas}

• DMG 88-10 'Three Sisters Three Needles':

i Jie3 Mei4 Yi1: This point lies 1 cun medial and 1 cun proximal to Tong1 Shan1•

Shan1 is found on the median plane (midsagittal plane) of the anterior thigh, 7 cun

proximal to the center of the superior edge of the patella.)

ii Jie3 Mei4 Er4 : This point lies 2.5 cun immediately proximal to Jie3 Mei4 Yi 1•

Needle 1.5 to 3.0 cun {Six Bowel and Kidney Branch Reaction Areas} (Ergo, Jie3 Mei4 Er4 is found 1 cun medial to the median plane (midsagittal plane) at a point 10.5 cun rroximal to the center of the superior edge of the patella.)

iii Jie3 Mei San1: This point lies 2.5 cun immediately proximal to Jie3 Mei4 El Needle 1.5 to 3.0 cun {Six Bowel and Kidney Branch Reaction Areas} (Ergo, Jie3 Mei4 San1 is found 1 cun medial to the median plane (midsagittal plane) at a point

13 cun proximal to the center of the superior edge of the patella.)

• DMG 77-12 'Lower Three Emperors':

of the proximal leg, between the medial border of the tibia and the medial head of the gastrocnemius muscle Needle 0.5 to 1.5 cun {Kidney, Six Bowels, and Heart Branch Reaction Areas}

posterior to anterior) the medial malleolus on the Foot Tai4 Yin1 Spleen Channel; i.e., Ren2 Huang2 is located 0.5 cun proximal to Sp-6WH0 Needle 0.6 to 1.5 cun CONTRAINDICATED IN PREGNANCY {Kidney Branch and Lung Branch Reaction Areas}

Needle 1.0 to 2.0 cun {Kidney Reaction Area} (Di4 Huang2 is located 7.5 cun

proximal to the apex of (as viewed from posterior to anterior) the medial malleolus.)

Tian 1

Dysmenorrhea (CKS-3) [Secondary to 'Spleen-Kidney Vacuity']

DMG 11-15 'Gynecology 3 Needles'

DMG 77-12 'Lower 3 Emperors'

•

DMG 88-10 '3 Sisters 3Needles'