Châm cứu Đổng Thị Nâng cao vol 4 Khoa Thần kinh

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 mạchchẩn 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 trực tiếp cách tiếp cận của Tiến sĩ Tungtừ Tiến sĩ Maher do hạn chế về thời gian. Trớ trêu thay, vì sự thành công của việc nàykỹ thuật, chúng tôi bec

Advanced Tung Style Acupuncture:

The Acupuncture of Master Tung Ching-Chang and its

Applications in Neurological Disorders

~~

~t

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

Foreword by:

Mary Schrick, N.D., Ph.D

Director of Medical Services: The Full Circle Health Center

~

Advanced

Tung Style Acupuncture

Series:

Volume 4

enabled this entire series to come to fruition

Advanced Tung Style Acupuncture:

The Acupuncture of Master Tung Ching-Chang and its

Applications in Neurological Disorders

~~

~t

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

Foreword by:

Mary Schrick, N.D., Ph.D

Director of Medical Services: The Full Circle Health Center

~

stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission

of the copyright holder

Disclaimer: This book is intended as an educational reference for licensed healthcare practitioners only Because professional training and expertise are essential for the safe and effective practice of acupuncture, this manual is not intended for use by the laity All treatment suggestions made within this text must be employed by qualified practitioners only All non-practitioner readers should consult with their health care provider regarding suggestions made within this manual Great care has been taken to ensure the accuracy of the information contained within this reference and is presented for educational purposes only The staff and authors of MCY, LC recognize that clinicians accessing this information will have varying levels of training and expertise; consequently, we accept

no responsibility for the results obtained by the application of the information contained within this text Nor are the staff and authors of MCY, LC liable for the safety and suitability of the treatment suggestions, either alone or in combination with others Neither the author of this reference, nor MCY, LC can be held responsible for errors of fact, translation, or omission, nor for any consequences arising from the use or misuse of the information contained herein The use of acupuncture during pregnancy, or while nursing, must only be performed by those qualified to provide such services

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

Contents

Acknowledgements vi

Foreword vii

Introduction viii

Legend x

Table of Contents xi

Prof Dr Ching-Chang Tung xvii

Part 1: Neurologic Symptoms and Signs I Part 2: Neurologic Diseases 303

Part 3: Miscellaneous 461

Appendices: Point Index 469

Disorder Index 483

Bibliography : 495

Acknowledgements

This book, as with all worthwhile endeavors, would not have been possible without the inspiration, input, and assistance of many individuals

Yeshua, my redeemer and the 'boss of me'

Prof Dr Ching-Chang Tung for being the genius that he was

Drs So Tin-Yao, Ted Kaptchuk, Andrew Gamble, and all the 'old' professors of the New England School of Acupuncture for helping me get my acupuncture 'feet wet' way back in the early 1980's

Drs Hsiao Hung-Hsun, Hwang Wei-San, Chang Yung-Hsien, and He Ch'ao-Hsi my Taiwanese professors at the Tainan Provincial and China Medical Teaching Hospitals who taught me to demand more of myself for my patients than I ever thought possible

Drs Lai Chin-Hsiung, Hu Ping-Ch'uan, Young Wei-Chieh, Wang Min-Chuan, Li Kuo-Cheng, and Meng Chieh for being so selfless and sharing their expertise with 'old hundred names'

Drs Wangden Carson, Palden Carson, and Miriam Lee for first introducing the Tung Style of Acupuncture into the English speaking acupuncture community

Drs C.K Lo, Chairman, S.K Tsui, Vice-Chairman, and Z.R Sun, Clinical Director of the International Acupuncture Institute, Hong Kong/Shen Zhen, PRC for instilling in me the desire to translate Chinese works into English for the benefit of all

Drs Paul Jaskoviak, John Chambers, and the Hon Judge Charles J Rogers for going to bat for

me in the 'bottom of the ninth' when I was behind one to nothing

Drs Edward R Maher, Sr., James E Bailey, and Laurence Altshuler for being physicians cut from a superior mold

My mother Mary Frances Maher, my sister Michaela F Maher, and my brothers Dr Edward R Maher, Jr and Maj Joseph M Maher for all their support these many long years

My patients over the last 20+ years for teaching me the things only a patient can teach a physician

My daughter, Carolyn, for her painstaking efforts in producing the artwork and diagrams

My friends, professors, and colleagues at the Oklahoma Center for Neuroscience, Graduate College of Medicine, University of Oklahoma Health Sciences Center: Drs Beverley Greenwood-Van Meerveld, my mentor and Center Director; Robert W Blair, Course Director- Medical Neuroscience; Daniel O'Donoghue, Daniel M~eill, Kyung W Chung, Tarisai Dandajena, and J White in the Department of Cell Biology for allowing me to participate in the Clinical Anatomy education of the next generation of Physician Assistants and Dentists; and finally, David Garrison for directing my research into the application of advanced imaging techniques in the investigation of the neurological mechanisms

of acupuncture

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

Foreword

Ching-Chang and its Applications in Neurological Disorders is the fourth volume in a series of acupuncture reference texts complied, collated, and translated by Dr James Maher While many volumes of books and texts have been written in Chinese which could greatly help the western

understanding of the Chinese mindset, difficult at best for the Western practitioner to fully understand

I first came to meet Dr Maher at the recommendation of James W Hogin, D.O in the Spring of 2008 when Dr Hogin was interviewing Dr Maher to work in the Brookview Medical Center in Oklahoma City Simultaneously, Dr Hogin was discussing the possibility of moving the Brookview Medical Center from OKC up to Edmond and merging it with the Full Circle Health Center Dr Hogin suggested that Dr Maher and I meet to see if we might obviate the necessity of him having to move twice; Dr Maher and I hit it off well and we were off and runnmg

The style of acupuncture employed by Dr Maher, the Tung Style Acupuncture, is both unique and effective; therefore, translation of this style of acupuncture is extremely important The information contained herein, as interpreted from the Chinese writings by Dr Maher, will enable the practitioner of acupuncture to understand not only the correct acupuncture points used to treat a myriad of neurologic disorders with this style, but also gain an understanding of why these points are used Fortunately, the Tung style acupuncture is efficacious and facile enough for both, those clinicians who are trained in Traditional Chinese Medicine, and those who are not

two years In so doing, I have personally seen a wide variety of neurological issues resolved under his application of the Tung style acupuncture On a personal note, I must admit that I, too, have also benefited directly from this most effective style of acupuncture with some of my own personal medical needs Dr Maher's attention to detail in practice and in translation will make this work an asset in your clinic and to your neurological patients as well

Mary Schrick, N.D., Ph D

Director of Medical Services: Full Circle Health Center

Syndicated Radio Host: The Third Opinion Radio Program

Edmond, Oklahoma

of support I was blessed with from those of you who purchased the earlier volumes, directly contributed

to the inception of this text Once I had resolved to undertake writing another volume (NOT an easy task,

to say the least), the only real problem I had was in selecting the topic for Volume 4: Internal Medicine, Otorhinolaryngology, Anesthesiology/Pain Management, Orthopaedics, Neurology, Ophthalmology, et cetera?

While I say that topic selection was a problem, it really wasn't quite as difficult as it might first appear I had just spent the last 2+ years of my life pursuing a Master of Science Degree in Neuroscience from the Oklahoma Center for Neuroscience, the Graduate College of Medicine at the University of Oklahoma, Health Sciences Center in Oklahoma City, Oklahoma I had returned to graduate school in an attempt to gain a deeper understanding of the anatomical substrate upon which acupuncture has its affect, namely the nervous system, and was presented with the opportunity to have many discussions concerning acupuncture and said anatomical substrate with the basic science faculty, the clinical faculty, and my fellow grad students

The most frequently posed question ran along these lines: "What can acupuncture do for this, or that, neurological disorder?" Which was followed by the corollary: "What are the mechanisms through which acupuncture achieves clinical success?" While I was readily able to provide answers to the former, the latter was far more difficult, and I would frequently retort, "That's the very reason I was back in school!" or "I was hoping that you'd help me find the answers to that very question!" Alas, graduate school was 'fun'

The treatments contained in this volume address many of the neurological disorders enquired about by my esteemed colleagues at the OCNS, and this volume is only a natural outcome of those queries With respect to the neurological mechanisms of acupuncture: while I have achieved a much greater understanding of the human nervous system and a far greater appreciation for its complexity, 'the jury is still out' in this regard Some of the advanced imaging techniques, especially functional Magnetic Resonance Imaging and Positron Emission Tomography show great promise in the elucidation

of these neural mechanisms, however, funding for this research is rather difficult to obtain at this time and will just have to be 'put on the back burner' for now

As stated above, this fourth volume in the Advanced Tung Style Acupuncture Series is focused

on the treatment of neurological disorders The breadth of disorders addressed ranges from abscesses (cerebral), to cranial nerve disorders, to specific psychological disorders, and on to Zang4 Fu3 organ induced headaches This reference text contains over 450 pages of treatment protocols for a myriad of commonly encountered neurological disorders which may provide insight into the treatment of your specific patients' needs As is the case with the earlier volumes, the application of the information contained herein is predicated upon a base level of understanding of the acupuncture of Master Tung Ching-Chang as presented by Drs Wei-Chieh Young, Palden Carson, Wang Min-Chuan, Robert Chu, Esther Su, Richard Tan, Miriam Lee, Susan Johnson, etc; this text is NOT a primer in Tung Style acupuncture

A new feature, as suggested by one of the acupuncture physicians who procured the earlier volumes, is an expanded 'disorder index'; this should facilitate locating specific disorders without having to pour through the entire table of contents - especially when minutes count Within said index, I have attempted to render some of the arcane neurological lexicon into the vernacular all while maintaining the integrity of neurological parlance Hopefully, this addition will render the text a little more 'user friendly'

As was the case in previous volumes, the information contained herein was culled from different Chinese language sources authored by various experts from Taiwan, and there ARE point location discrepancies One should employ the point locations as delineated by the proposing authority for a particular treatment protocol addressing a specific disorder; this is to say that the points and their locations are those which should be employed for the proposed prescription One should also employ the author(s) recommended needling technique(s) as well ONE SHOULD REMEMBER, THERE ARE DISCREPANCIES (sometimes significant) AMONGST THE VARIOUS TAIWANESE AUTHORS, AND ONE SHOULD EMPLOY THE LOCATIONS AND NEEDLING TECHNIQUES SPECIFIC TO THE AUTHOR(S) PROVIDING THE PRESCRIPTION- THIS IS WHAT HE/SHE/THEY HAVE FOUND TO WORK FOR HIM/HER/THEM FOR THAT SPECIFIC DISORDER OR DISEASE!

In conclusion, it is my sincerest desire that this volume, like the previous three, provide the busy acupuncture physician with some of the tools requisite to treating many of the more challenging disorders facing medicine today It is in the treatment of neurological disorders where acupuncture truly shines and, in particular, where the Tung Style of Acupuncture eclipses all other techniques

jim maher

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

LEGEND

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

* CCC= liM ~ ~ Ch'en T'ing, Ch'en Nai-Li, and Chou Ting-Wen

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

+ HPC = ~ Hu ~ing-Ch'uan

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

Q LCH = *Brit Lai Chin-Hsuing

PART 1:

NEUROLOGIC

SYMPTOMS

Ch 1: Headache

Headache: Brain Disease Organic (LKC-1) 2

Headache: Brain Disease Organic (LKC-2) 2

Headache: Brain Disease Organic (LKC-3) 3

Headache: Brain Disease Organic (LKC-4) 3

Headache: Vertex (LKC-2) 76

Atypical Facial Pain: Supraorbital (MC) 95

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

Vertigo (CCC-2) Vertigo (HPC) Vertigo (LKC-1) Vertigo (LKC-2) Vertigo (LKC-3) Vertigo (LKC-4) Vertigo (LKC-5) Vertigo (LKC-6) Vertigo (LKC-7) Vertigo (LKC-8) Vertigo (LKC-9)

Cx Spondylosis Paresthesiae (HPC) 224

Degenerative Disk Disease: Cx (CCC-1) 228 Low Back Pain (CCC-1) 185 Degenerative Disk Disease: Cx (CCC-2) 229

Paresthesiae: Middle Finger (MC) 253 Floppy Infant Syndrome (CCC-3) 297 Paresthesiae: Upper Extremity (MC) 254 Floppy Infant Syndrome (CCC-4) 298

Paralysis/Paresis: Upper Limb (CCC-1)

Paralysis/Paresis: Upper Limb (CCC-2)

Paralysis-Flaccid: Lower Limb (LKC-1)

Paralysis-Flaccid: Lower Limb (LKC-2)

Ch 12: Stroke & Sequelae

Aphasia: Broca's Motor/Express (CCC) 359 Aphasia: Broca's Motor/Express (HPC) 360 Aphasia: Broca's Motor/Express (LKC-1)361 Aphasia: Broca's Motor/Express (LKC-2) 362 Aphasia: Broca's Motor/Express (MC-1) 363 Aphasia: Broca's Motor/Express (MC-2) 364 Aphasia: Wernicke's Sensory/Recep.(MC) 366

Ch 14: Trauma Myalgic Encephalomyelitis (MC) Neurasthenia (HPC-1) 447 448

APPENDICES:

Chronic Fatigue Syndrome (HPC-1) 438

Chronic Fatigue Syndrome (HPC-2) 439

Chronic Fatigue Syndrome (MC) 440

Manic Depressive Psychosis (HPC) 444

Myalgic Encephalomyelitis (HPC-1) 445

Myalgic Encephalomyelitis (HPC-2) 446

(]!roj (J)r Cfii1lfj-Ciia:ne ~U1liJ

1916, ,1975

PARTl:

NEUROLO(;IC SYMPT()MS

Headache: Blood Vacuity (LKC)

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

i Xin1 Ling2 Yi1: This point lies on the anterior surface of the antebrachium in the interosseous space between the ulna and radius bones; i.e., on the Hand Jue2 Yin 1 Pericardium Channel, 1.5 cun proximal to the anterior distal transverse

wrist crease; Needle perpendicularly 0.5 to 1.5 cun- one may penetrate through

to the dorsum of the antebrachium or obliquely 30° from distal to proximal 1.5

cun for chest disorders and diseases of the head {Heart Organ Branch Reaction

Area}

ii Xin1 Ling2 Er4 : This point lies on the anterior surface of the antebrachium in the interosseous space between the ulna and radius bones; i.e., on the Hand Jue2 Yin1 Pericardium Channel, 2.5 cun proximal to the anterior distal transverse

wrist crease; Needle perpendicularly 0.5 to 1.5 cun- one may penetrate through

to the dorsum of the antebrachium or obliquely 30° from distal to proximal 1.5

cun for chest disorders and diseases of the head {Heart Organ Branch Reaction

Area}

iii Xin1 Ling2 San1: This point lies on the anterior surface of the antebrachium in the interosseous space between the ulna and radius bones; i.e., on the Hand Jue2 Yin1 Pericardium Channel, 3.5 cun proximal to the anterior distal transverse

wrist crease; Needle perpendicularly 0.5 to 1.5 cun - one may penetrate through

to the dorsum of the antebrachium or obliquely 30° from distal to proximal 1.5

cun for chest disorders and diseases of the head {Heart Organ Branch Reaction

Area}

anterior thigh, 5.0 cun proximal to the center of the superior edge of the patella; Needle perpendicularly 0.5 to 1.5 cun {Heart General Reaction Area}

anterior thigh, 9.0 cun proximal to the center of the superior edge of the patella; Needle

perpendicularly 0.5 to 1.5 cun {Heart General Reaction Area} (Tong1 Tian1 is located 4.0 cun immediately proximal to Tong1 Guan1 on the median plane (mid-sagittal plane)

of t:pe t rior thigh.)

-

-DMG 33-03 'Heart Spirit 3 N'

Headache: Brain Disease [Organic] (LKC-1)

1 Huo3 Ju2, Huo3 San4 (LKC):

• Huo3 Ju2: This point is located 1.0 cun proximal to Huo3 Lian2 ; Needle (unilateral only) 0.5 to 1.0 cun perpendicular and inferior to the first metatarsal bone {Heart Branch and Kidney Auxiliary Reaction Areas} CONTRAINDICATED IN PREGNANCY (Huo3 Lian2 is located along the inferior border of the first metatarsal bone, on the medial side

of the foot, 2.0 cun J'roximal to first the metatarsophalangeal joint - it is located 0.5 cun proximal to Sp-3WH )

• Huo3 San4 : This point is located 1.0 cun proximal to Huo3 Ju2; Needle 0.5 to 1.0 cun

perpendicular and inferior to the first metatarsal bone {Heart Branch, Kidney Auxiliary, and Six Bowels Auxiliary Reaction Areas} CONTRAINDICATED IN PREGNANCY

Headache: Brain Disease [Organic] (LKC-2)

1 Tu3 Ding3, Shui3 Ding3 (LKC):

• Tu3 Ding3: This point is located 0.5 cun distal to PC-3 WHO on the anterior surface of the

proximal antebrachium; Needle perpendicularly 0.2 to 0.3 cun, 'letting' is particularly

effective {Heart and Liver Reaction Areas}

• Shui3 Ding3: This point is located 0.5 cun distal to Ht-3 WHO on the anterior surface ofthe

proximal antebrachium; Needle perpendicularly 0.2 to 0.3 cun, 'letting' is particularly

effective {Heart and Liver Reaction Areas}

Ht-3 Shui3 Ding3

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

1 Zheng4 Jin1, Zheng4 Zong1 (LKC):

• Zheng4 Jin1: This point is located 3.5 cun proximal to the plantar

surface of the heel, on the tendo calcaneus (Achilles tendon) of the

posterior aspect of the distal leg; Needle perpendicularly 0.5 cun to

1.0 cun; insert to the tibia for best results {General Vertebral and

General Brain Reaction Areas} (Zheng4 Jin1 is located midway

between Bl-60WH0 and KI-3WH0 )

• Zheng4 Zong1: This point is located 2.0 cun proximal to Zheng4

Jin 1 on the tendo calcaneus (Achilles tendon) of the posterior

aspect of the distal leg; Needle perpendicularly 0.5 cun to 1.0 cun;

insert to the tibia for best results {General Vertebral and General

Brain Reaction Areas}

Headache: Brain Disease [Organic] (LKC-4)

1 Zheng4 Nao3 Yi1, Zheng4 Nao3 Er4 (LKC):

• Zheng4 Nao3 Yi1: This point is located 4.5 cun proximal to the

plantar surface of the heel on the tendo calcaneus (Achilles

tendon) of the posterior aspect of the distal leg; Needle

perpendicularly 1.0 to 2.0 cun- best results are obtained if the

tip of the needle reaches the tibia {Brain Reaction Area}

(Zheng4 Nao3 Yi1 is found midway between Zheng4 Jin1 and

Zheng4 Zong1.)

• Zheng4 Nao3 Er4: This point is located 2.0 cun proximal to

Zheng 4 Nao3 Yi 1 on the tendo calcaneus (Achilles tendon) of the

posterior aspect of the distal leg; Needle perpendicularly 1.0 to

2.0 cun- best results are obtained if the tip of the needle reaches

the tibia {Brain Reaction Area} (Zhent Nao3 Er4 is found

midway between Zheng4 Zong1 and Zheng Shi4.)

Headache: Chronic, Daily Headaches (LKC-1)

1 First, 'Let' DMG 77-05 'Three Weights Three Needles', DMG 7-02 'Four Flowers Three Needles', Shi2 Ba1 Xing\ Wu3 Ling\ then needle DMG 77-05 'Three Weights Three Needles' (LKC):

• DMG 77-05 'Three Weights Three Needles':

i Yi1 Zhong4: This point is located by coursing 3.0 cun proximal, then 1.0 cun

anterior to the apex of (as viewed from posterior to anterior) the lateral malleolus; 'Let' with a prismatic needle then needle perpendicularly 1.0 to 2.0

cun {Heart Branch, Lung Branch, and Spleen Reaction Areas}

ii Er4 Zhong4: This point is located by coursing 2.0 cun proximal to Yi1 Zhong4;

'Let' with a prismatic needle then needle perpendicularly 1.0 to 2.0 cun {Heart

Branch, Lunf Branch, and Spleen Reaction Areas}

iii San1 Zhong :This point is located by coursing 2.0 cun proximal to Er4 Zhong4;

'Let' with a prismatic needle then needle perpendicularly 1.0 to 2.0 cun {Heart

Branch, Lung Branch, and Spleen Reaction Areas}

• DMG 7-02 'Four Flowers Three Needles':

i Si4 Hua1 Shang4: This point is located 3.0 cun distal to the lateral 'eye of the

knee', immediatelJ' lateral (i.e closely adherent) to the anterior tibial crest at the level of ST-36WH ; 'Let' with a prismatic needle {Six Bowels, Lung Branch, and Heart Branch Reaction Areas}

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

• Shi2 Ba1 Xing1: This group of points is located on the dorsal surface of the neck as follows: The six midsagittal points are located along the nuchal ligament, between the posterior tubercle of cl and the spinous process of c2, and in the interspinous spaces between each of the subsequent cervical spinous processes i.e., between C2/C3, C3/C4,

CJC 5, C5/C6, and CJC 7; the lateral points are located 1.0 cun lateral to the midsagittal

plane on either side of the aforementioned interspinous levels; 'Let' (pinch the musculature between the thumb and index when letting)

• Wu3 Ling3: These points are found on five rostral-caudal lines located on the back and they should be 'let' rather than needled with filiform needles The first row of 10 points is located on the Du Mai (Governing Vessel) in the interspinous spaces between: T2/T3, T3/T4, TJTs, Ts/T6, TJT1, T1/Ts, Ts/T9, T9/T10, TIO/Tu, and Tu/T12 The second row of8

points (per row) is located 3.0 cun lateral on either side of the Du Mai (Governing

Vessel), commences from the level of the T 2/T 3, and includes points at the levels ofT 3/T 4, TJT5, T5/T6, TJT7, T7/T8, T8/T9, T9/T10 The third row of7 points (per row) is located 6.0

cun lateral on either side of the Du Mai (Governing Vessel), commences from the level of the T2/T3, and includes points at the levels ofT3/T4, TJTs, Ts/T6, TJT1, T1/Ts, and Tg/T9 (In this case, use those points on the first and second rows.)

Headache: Chronic, Daily Headaches (LKC-1)

Headache: Chronic, Daily Headaches (LKC-2)

1 First, 'Let' DMG 77-05 'Three Weights Three Needles', DMG 7-02 'Four Flowers Three

(LKC):

• Let' DMG 77-05 'Three Weights Three Needles':

i Yi1 Zhong4: This point is located by coursing 3.0 cun proximal, then 1.0 cun

anterior to the apex of (as viewed from posterior to anterior) the lateral malleolus; 'Let' with a prismatic needle {Heart Branch, Lung Branch, and Spleen Reaction Areas}

ii Er4 Zhong4: This point is located by coursing 2.0 cun proximal to Yi1 Zhong4; 'Let' with a prismatic needle {Heart Branch, Lung Branch, and Spleen Reaction Areas}

iii San1 Zhong4: This point is located by coursing 2.0 cun proximal to Er4 Zhong4;

"Let' with a prismatic needle {Heart Branch, Lung Branch, and Spleen Reaction Areas}

• DMG 7-02 'Four Flowers Three Needles':

i Si4 Hua1 Shang4: This point is located 3.0 cun distal to the lateral 'eye of the knee', immediatel6' lateral (i.e closely adherent) to the anterior tibial crest at the level of ST-36WH ; 'Let' with a prismatic needle {Six Bowels, Lung Branch, and Heart Branch Reaction Areas}

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

• Shi2 Ba1 Xing1: This group of points is located on the dorsal surface of the neck as follows: The six midsagittal points are located along the nuchal ligament, between the posterior tubercle of cl and the spinous process of c2, and in the interspinous spaces between each of the subsequent cervical spinous processes i.e., between C2/C3, C3/C4,

CJCs, Cs/C6, and CdC7; the lateral points are located 1.0 cun lateral to the midsagittal plane on either side of the aforementioned interspinous levels; 'Let' (pinch the musculature between the thumb and index when letting)

they should be 'let' rather than needled with filiform needles The first row of 10 points is located on the Du Mai (Governing Vessel) in the interspinous spaces between: T2/T3,

T 3/T 4, T JT s, T siT 6, T dT 7, T 1/T s, T siT 9, T 9/T w, TwiT 11, and T niT 12· The second row of 8 points (per row) is located 3.0 cun lateral on either side of the Du Mai (Governing Vessel), commences from the level of the T 2/T 3, and includes points at the levels ofT 3/T 4,

TJTs, Ts!T6, TdT1, T1/Ts, Ts/T9, T9/Tw The third row of7 points (per row) is located 6.0

cun lateral on either side ofthe Du Mai (Governing Vessel), commences from the level of the T2/T3, and includes points at the levels ofT3/T4, T4/Ts, Ts!T6, TdT1, T1/Ts, and Ts/T9 (In this case, use those points on the first and second rows.)

• DMG 77-09 'Leg Spine Three Needles':

i Zheng4 Jin1: This point is located 3.5 cun proximal to the plantar surface of the heel, on the tendo calcaneus (Achilles tendon) of the posterior aspect of the

distal leg; Needle perpendicularly 0.5 cun to 1.0 cun; insert to the tibia for best

results {General Vertebral and General Brain Reaction Areas} (Zheng4 Jin1 is located midwa{between Bl-60WH0 and KI-3WH0 )

ii Zheng4 Zong : This point is located 2.0 cun proximal to Zheng4 Jin1 on the tendo calcaneus (Achilles tendon) of the posterior aspect of the distal leg;

Needle perpendicularly 0.5 cun to 1.0 cun; insert to the tibia for best results

{General Vertebral and General Brain Reaction Areas}

iii Zheng4 Shi4: This point is located 2.0 cun proximal to Zheng4 Zong1, i.e 4.0

cun proximal to Zheng4 Jin1 on the tendo calcaneus (Achilles tendon) of the

posterior aspect of the distal leg; Needle perpendicularly 0.5 cun to 1.0 cun;

insert to the tibia for best results {Lung Branch and Vertebral Reaction Areas}

heng4 Shi4

DMG77-09

'Let' Wu3 Ling3 NO PNEUMOTHORAX

Headache: Chronic, Daily Headaches (LKC-3)

1 First, 'Let' DMG 77-05 'Three Weights Three Needles', DMG 77-02 'Four Flowers Three Needles', Shi2 Ba1 Xing\ Wu3 Ling3, then needle DMG 33-03 'Heart Spirit Three Needles', Shen4 Guan\ Ling2 Gu3, and Da4 Bai2 (LKC):

• DMG 77-05 'Three Weights Three Needles':

i Yi1 Zhong4: This point is located by coursing 3.0 cun proximal, then 1.0 cun

anterior to the apex of (as viewed from posterior to anterior) the lateral malleolus; 'Let' with a prismatic needle {Heart Branch, Lung Branch, and Spleen Reaction Areas}

ii Er4 Zhong4 : This point is located by coursing 2.0 cun proximal to Yi1 Zhong4; 'Let' with a prismatic needle {Heart Branch, Lung Branch, and Spleen Reaction Areas}

iii San1 Zhong4: This point is located by coursing 2.0 cun proximal to Er4 Zhong4; 'Let' with a prismatic needle {Heart Branch, Lung Branch, and Spleen Reaction Areas}

• DMG 77-02 'Four Flowers Three Needles':

i Si4 Hua1 Shang4: This point is located 3.0 cun distal to the lateral 'eye of the knee', immediatelJ' lateral (i.e closely adherent) to the anterior tibial crest at the level of ST-36WH ; 'Let' with a prismatic needle {Six Bowels, Lung Branch, and Heart Branch Reaction Areas}

ii Si4 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 ofthe knee', immediately lateral and adherent to the anterior tibial crest; 'Let' with a prismatic needle {Six Bowels, Six Bowels Auxiliary, Lung Auxiliary, and Kidney Auxiliary Reaction Areas}

• Shi2 Ba1 Xing1: This group of points is located on the dorsal surface of the neck as follows: The six midsagittal points are located along the nuchal ligament, between the posterior tubercle of cl and the spinous process of c2, and in the interspinous spaces between each of the subsequent cervical spinous processes i.e., between C2/C3, C3/C4,

CJC 5, Cs/C6, and CJC 7; the lateral points are located 1.0 cun lateral to the midsagittal plane on either side of the aforementioned interspinous levels; 'Let' (pinch the musculature between the thumb and index when letting)

• Wu3 Ling3 : These points are found on five rostral-caudal lines located on the back and they should be 'let' rather than needled with filiform needles The first row of 10 points is located on the Du Mai (Governing Vessel) in the interspinous spaces between: T2/T3, T3/T4, T4/Ts, Ts/T6, TJT1, T1/Ts, Tg/T9, T9/T10, Tw!Tu, and Tu/T12 The second row of 8

points (per row) is located 3.0 cun lateral on either side of the Du Mai (Governing Vessel), commences from the level of the T 2/T 3, and includes points at the levels ofT 3/T 4, TJTs, Ts/T6, TJT7, T1/Ts, Tg/T9, T9/T10 The third row of7 points (per row) is located 6.0

cun lateral on either side of the Du Mai (Governing Vessel), commences from the level of the T2/T3, and includes points at the levels ofT3/T4, TJTs, Ts/T6, TJT7, T1/Ts, and Ts/T9 (In this case, use those points on the first and second rows.)

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

i Xin 1 Ling2 Yi1: This point lies on the anterior surface of the antebrachium in the interosseous space between the ulna and radius bones; i.e., on the Hand Jue2

Yin1 Pericardium Channel, 1.5 cun proximal to the anterior distal transverse wrist crease; Needle obliquely 30° from distal to proximal 1.5 cun for chest

disorders and diseases of the head {Heart Organ Branch Reaction Area}

ii Xin1 Ling2 Er4: This point lies on the anterior surface of the antebrachium in the interosseous space between the ulna and radius bones; i.e., on the Hand Jue2 Yin 1 Pericardium Channel, 2.5 cun proximal to the anterior distal transverse wrist crease; obliquely 30° from distal to proximal 1.5 cun for chest disorders

and diseases of the head {Heart Organ Branch Reaction Area}

iii Xin1 Lin~ San1: This point lies on the anterior surface of the antebrachium in the interosseous space between the ulna and radius bones; i.e., on the Hand Jue2 Yin1 Pericardium Channel, 3.5 cun proximal to the anterior distal transverse wrist crease; obliquely 30° from distal to proximal 1.5 cun for chest disorders

and diseases of the head {Heart Organ Branch Reaction Area}

• Shen4 Guan1: This point is located 1.5 cun distal to Tian1 Huang2 on the medial side of

the proximal leg; Needle 0.5 to 2.0 cun {Six Bowel Reaction Area} {Tian1 Huang2 is

located 1.0 cun distal to Sp-9WH0 , on the medial aspect of the proximal leg, between the medial border of the tibia and the medial head of the gastrocnemius muscle, ergo, Shen 4 Guan 1 is located 2.5 cun distal to Sp-9 WHO.)

• Ling2 Gu3: This point is located on the dorsum of the hand, immediately distal to the articulation of the bases of the 1st and 2nd metacarpal bones - have the patient make a

loose fist to facilitate locating the point Needle 1.0 to 2.0 cun; i.e., one may needle

through to connect with Zhong4 Xian1 CONTRAINDICATED IN PREGNANCY

{Lung Branch, Heart, and Kidney Reaction Areas}

• Da4 Bai2: This point is located 1.0 cun distal to Lint Gu3• Needle perpendicularly 0.5 to

1.5 cun (one may needle through to Chong ze) CONTRAINDICATED IN PREGNANCY {Lung Branch Reaction Area}

'Let' DMG 77-0S '3 Weights 3 N' 'Let' DMG 77-02 '4 Flowers 3 N'

Headache: Cold/Flu Induced (HPC)

• DMG 33-13 'Bowel Division Three Needles':

i Fu3 Ge 1 Er4: This point is located on the posterolateral surface of the proximal antebrachium, 0.8 cun distal to LI-11 WHO; Needle 0.5 to 0.8 cun {Heart and

Lung Branch Reaction Areas}

ii Fu3 Ge 1 Yi1: This point is located 0.8 cun anterior to Fu3 Ge2 Er4; Needle 0.5 to 0.8 cun {Heart and Lung Branch Reaction Areas}

iii Fu3 Ge 1 San1: This point is located 0.8 cun posterior to Fu3 Ge2 Er4; Needle 0.5

to 0.8 cun {Heart and Lung Branch Reaction Areas}

• Di4 Zong1: This point is located with the palm of the hand on the epigastrium - it is found in the furrow between the lonf head of the biceps brachii and the humerus, 3.0 cun

immediately proximal to Ren2 Zong ; Needle bilaterally, 1.0 cun for less serious diseases

and 2.0 cun for more serious diseases {Heart Branch Reaction Area} Ren2 Zong1 is located in the furrow between the humerus and biceps brachii muscle, 3.0 cun

immediately proximal to the anterior transverse cubital crease, with the palm placed on the epigastrium

• Ling1 Gu3 : This point is found on the dorsum of the hand, immediately distal to the articulation of the bases of the 1st and 2nd metacarpal bones - this point communicates with the palmar point Chong2 Xian 1; Needle 1.5 to 2.0 cun, i.e needle through to connect with Zhong4 Xian1• {Lung Branch Reaction Area} CONTRAINDICATED IN PREGNANCY

• LI-4WH0 : With the thumb and index finger extended and stretched apart, this point can be found slightly to the index finger side of the area between the 1st and 2nd metacarpal bones Needle straight insertion, 0.5 to 1.0 unit NEEDLING THIS POINT ON PREGNANT WOMEN WHO HA VB HISTORIES OF MISCARRIAGE IS DISCOURAGED

first three are on the Du1 Mai4 in the interspinous spaces between C7/Tl, T3/T4, and T5ff6; the remaining 4 points are located 2.2 cun lateral to the interspinous spaces on

either side of the Du1 Mai4 at the T3ff4, and T5ff6 levels 'Let' these points with a prismatic needle

Headache: Cold - Common URI Induced (LKC)

1 Ling2 Gu3, Da4 Bai2, 'let' Shi2 Ba1 Xing1 (LKC):

• Shi2 Ba1 Xing1: This group of points is located on the dorsal surface of the neck as follows: The six midsagittal points are located along the nuchal ligament, between the posterior tubercle of C1 and the spinous process of C2, and in the interspinous spaces between each of the subsequent cervical spinous processes i.e., between C2/C3, C3/C4,

CJC 5, C5/C6, and CJC1; the lateral points are located 1.0 cun lateral to the midsagittal

plane on either side of the aforementioned interspinous levels; 'Let' (pinch the musculature between the thumb and index when letting)

• Ling2 Gu3 : This point is located on the dorsum of the hand, immediately distal to the articulation of the bases of the 1st and 2nd metacarpal bones - have the patient make a

loose fist to facilitate locating the point Needle 1.0 to 2.0 cun; i.e., one may needle

through to connect with Zhong4 Xian1• CONTRAINDICATED IN PREGNANCY

{Lung Branch, Heart, and Kidney Reaction Areas}

• Da4 Bai2 : This point is located 1.0 cun distal to Ling2 Gu3 Needle perpendicularly 0.5 to 1.5 cun (one may needle through to Chong2 Xian1) {Lung Branch Reaction Area}

Headache: 'External Factors/Pathogens' Induced (LKC)

1 'Let' Zong3 Shu\ E~ Shan;4, Er3 Zhong\ Er3 Xia\ the needle DMG 99-01 'Spirit Ear Three Needles' and Ling2 Gu (LKC):

• Zong3 Shu1: This ~ntis located on the posterior mid-sagittal plane of the head, 0.8 cun

inferior to GV-17 °; Needle perpendicularly 0.3 to 0.5 cun or 'let' {Dan1 Tian2 Reaction Area}

• Er3 Shang4: This point is located at the superior-most point on the external border of the helix; 'Let' with a prismatic needle {Lung and Heart Reaction Areas}

• Er3 Zhong1: This point is located at the superior-to-inferior midpoint on the external border ofthe helix; 'Let' with a prismatic needle {Lung and Heart Reaction Areas}

• Er3 Xia4: This point is located at the inferior-most point on the external border of the pinna (ear lobe); 'Let' with a prismatic needle {Lung and Heart Reaction Areas}

• DMG 99-01 'Spirit Ear Three Needles':

i Shen2 Er3 Shang4: This point is located at the level of the superior extrem~ of the 'groove for lowering blood pressure'; the medial-lateral location is 113 the distance from the margin of the helix to the attachment of the auricle on the skull; Needle obliquely from superior to inferior 0.1 to 0.3 cun {Lung and Liver Reaction Areas}

ii Shen2 Er3 Zhong1: This point is located 0.2 cun medial to the center of the dorsal surface of the auricle; Needle obliquely from superior to inferior 0.1 to 0.3 cun {Lung and Liver Reaction Areas}

iii Shen2 Er3 Xia4: This point is located at the level of the inferior extremity of the 'groove for lowering blood pressure'; the medial-lateral location is 113rd the distance from the margin of the helix to the attachment of the auricle on the skull; Needle obliquely from superior to inferior 0.1 to 0.3 cun {Lung and Liver Reaction Areas}

• Ling2 Gu3 : This point is located on the dorsum of the hand, immediately distal to the articulation of the bases of the 1st and 2nd metacarpal bones - have the patient make a loose fist to facilitate locating the point Needle 1.0 to 2.0 cun; i.e., one may needle through to connect with Zhong4 Xian1 CONTRAINDICATED IN PREGNANCY

{Lung Branch, Heart, and Kidney Reaction Areas}

DMG99-01

Headache: Fever (HPC)

1 DMG 22-06 'Control Three Needles' (HPC):

• DMG 22-06 'Control Three Needles':

i Ling2 Gu3 : This point is found on the dorsum ofthe hand, immediately distal to the articulation of the bases of the 1st and 200 metacarpals - this point communicates with the palmar point Zhong4 Xian1; Needle 1.5 to 2.0 cun, i.e

needle through to connect with Zhong4 Xian1 {Lung Branch Reaction Area}

CONTRAINDICATED IN PREGNANCY

ii Da4 Bai2: This point is located on the dorsum of the hand in the depression

located between the first and second metacarpals, 1.2 cun distal to Ling2 Gu3;

Needle 0.4 to 0.6 cun {Lung Branch Reaction Area} CONTRAINDICATED

IN PREGNANCY

iii Zhong4 Kui2: This point is located in the depression at the junction of the shaft and head of the second metacarpal bone (at the level of the border of the 'red

and white skin'); Needle 0.4 to 0.5 cun {Lung Branch Reaction Area}

(Commencing at the base of the second metacarpal in the first dorsal interosseous space, slide distally along the radial shaft of the second metacarpal until one encounters the junction of the shaft and the head of this metacarpal.)

DMG 22-06 'Control3 N'

Headache: Fever (LKC)

1 'Let' Wu3 Ling3 then needle Zhong4 Kue (LKC):

• Wu3 Ling3: These points are found on five rostral-caudal lines located on the back and they should be 'let' rather than needled with filiform needles The first row of 10 points is located on the Du Mai (Governing Vessel) in the interspinous spaces between: T2/T3, T3/T4, T~s, Ts/T6, TJT1, T1/Ts, Tsffg, T9/T10, T10/Tn, and Tufftz The second row of8 points (per row) is located 3.0 cun lateral on either side of the Du Mai (Governing Vessel), commences from the level of the T2/T3, and includes points at the levels ofT3/T4, T~ 5 , T5/T6, TJI'1, T1/Ts, T 8 /Tg, T9/T10 The third row of7 points (per row) is located 6.0

cun lateral on either side of the Du Mai (Governing Vessel), commences from the level of the T z/T 3, and includes points at the levels ofT 3/T 4, T ~ s, T s/T 6, T JT 7, T 7/T s, and T s/T 9· (In this case, use those points on the first and second rows.)

• Zhong4 Kui2: This point is located in the depression at the junction of the shaft and the head of the 2nd metacarpal bone Commencing at the base of the 2nd metacarpal bone in the 1st dorsal interosseous space, slide distally along its radial shaft until you encounter the junction of the shaft and the head of this metacarpal; Needle, closely adherent to the 2nd metacarpal bone, 0.2 to 0.5 cun or 'let' {Heart and Lung Branch Reaction Areas}

1-r

~~

Headache: Frontal (CCC)

1 DMG 33-03 'Heart Spirit Three Needles' (CCC):

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

i Xin1 Ling2 Yi1: This point lies on the anterior surface of the antebrachium in the interosseous space between the ulna and radius bones, i.e., on the Hand Jue2 Yin 1 Pericardium Channel, 1.5 cun proximal to the anterior distal transverse

wrist crease; Needle 0.5 to 1.5 cun or even through to the dorsum {Heart Organ

Branch Reaction Area}

ii Xin1 Ling2 Er4: This point lies on the anterior surface of the antebrachium in the interosseous space between the ulna and radius bones, i.e., on the Hand Jue2 Yin 1 Pericardium Channel, 2.5 cun proximal to the anterior distal transverse

wrist crease; Needle 0.5 to 1.5 cun or even through to the dorsum {Heart Organ

Branch Reaction Area}

iii Xin1 Ling2 San1: This point lies on the anterior surface of the antebrachium in the interosseous space between the ulna and radius bones, i.e., on the Hand Jue2 Yin 1 Pericardium Channel, 3.5 cun proximal to the anterior distal transverse

wrist crease; Needle 0.5 to 1.5 cun or even through to the dorsum {Heart Organ

Branch Reaction Area}

DMG 33-03 'Heart Spirit 3 N'

Headache: Frontal (HPC-1)

'let' the 'Frontal' region of the lower extremity, then needle the other points with filiform needles Treat until the symptoms are completely resolved (HPC):

• Lin~ Gu3: This point is found on the dorsum of the hand, immediately distal to the articulation of the bases of the 1st and 200 metacarpal bones - this point communicates with the palmar point Chong2 Xian1; Needle 1.5 to 2.0 cun, i.e needle through to connect

with Zhong4 Xian1• {Lung Branch Reaction Area} CONTRAINDICATED IN PREGNANCY

• LI-4WH0 : With the thumb and index finger extended and stretched apart, this point can be found slightly to the index finger side of the area between the 1st and 200 metacarpal bones Needle straight insertion, 0.5 to 1.0 unit NEEDLING THIS POINT ON PREGNANT WOMEN WHO HAVE HISTORIES OF MISCARRIAGE IS DISCOURAGED

• Qian1 Tou1: This point is located on the dorsum of the hand, 0.4 cun radial (lateral) to

the center of the interphalangeal skin crease between the proximal phalanx and middle phalanx of the 2nd digit; Needle 0.1 to 0.3 cun

L2nd

'Let' 'Frontal' Region

• Ling1 Go3: This point is found on the dorsum of the hand, immediately distal to the articulation of the bases of the 1st and 2nd metacarpal bones - this point communicates with the palmar point Chong2 Xian1; Needle 1.5 to 2.0 cun, i.e needle through to connect with Zhong4 Xian1• {Lung Branch Reaction Area} CONTRAINDICATED IN PREGNANCY

• Da4 Bai1: This point is located on the dorsum of the hand in the depression located between the first and second metacarpals, 1.2 cun distal to Ling2 Gu3; Needle 0.4 to 0.6

cun {Lung Branch Reaction Area} CONTRAINDICATED IN PREGNANCY

• Si4 Fo3 Yi1: This point is located 0.2 cun superior to the superior apex of each eyebrow; Needle subcutaneously 0.1 to 0.2 cun {Lung Branch Reaction Area}

• Si4 Fo3 Er4 : This point is located 0.2 cun superior to the medial-to-lateral center of each eyebrow; Needle subcutaneously 0.1 to 0.2 cun {Lung Branch Reaction Area}

• Shang4 Li3 : These points are located 0.2 cun superior to the medial extremities of the eyebrows; Needle subcutaneously 0.1 to 0.2 cun {Lung Branch and Eye Reaction Areas}

Headache: Frontal (LKC-1)

1 'Let' Zhen4 Jing4 then needle DMG 33-03 'Heart Spirit Three Needles' (LKC):

• Zhen4 Jing4: This point lies on the Governing Vessel, 0.5 cun superior to a point located midway between the medial extremities of the eyebrows; Needle perpendicularly 0.1 to 0.2 cun, or from superior to inferior 0.2 to 0.5 cun {Brain and Heart Reaction Areas}

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

i Xin1 Ling2 Yi1: This point lies on the anterior surface of the antebrachium in the interosseous space between the ulna and radius bones; i.e., on the Hand Jue2 Yin1 Pericardium Channel, 1.5 cun proximal to the anterior distal transverse wrist crease; Needle obliquely 30° from distal to proximal 1.5 cun for diseases

of the head {Heart Organ Branch Reaction Area}

ii Xin1 Lin~ Er4: This point lies on the anterior surface of the antebrachium in the interosseous space between the ulna and radius bones; i.e., on the Hand Jue2 Yin1 Pericardium Channel, 2.5 cun proximal to the anterior distal transverse wrist crease; Needle obliquely 30° from distal to proximal 1.5 cun for diseases

of the head {Heart Organ Branch Reaction Area}

iii Xin1 Ling2 San1: This point lies on the anterior surface of the antebrachium in the interosseous space between the ulna and radius bones; i.e., on the Hand Jue2 Yin1 Pericardium Channel, 3.5 cun proximal to the anterior distal transverse wrist crease; Needle obliquely 30° from distal to proximal 1.5 cun for diseases

of the head {Heart Organ Branch Reaction Area}

Headache: Frontal (LKC-2)

1 'Let' DMG 77-02 'Four Flowers Three Needles', Fu3 Chang2, and the affected areas- treat bilaterally (LKC):

• DMG 77-02 'Four Flowers Three Needles':

i Si4 Hua1 Shang4: This point is located 3.0 cun distal to the lateral 'eye of the knee', immediatel6lateral (i.e closely adherent) to the anterior tibial crest at the level of ST-36WH ; 'let' with a prismatic needle {Six Bowels, Lung Branch, and Heart Branch Reaction Areas}

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

• Fu3 Chang2: This point is located 1.5 cun immediately distal to Si4 Hua1 Xia4 on the anterior aspect of the distal leg; Needle perpendicularly 0.5 to 1.0 cun or 'let' with a prismatic needle {Six Bowels, Lung Auxiliary, Kidney, and Heart Auxiliary Reaction Areas} (Fu3 Chang2is located 14.0 cun distal to the lateral 'eye ofthe knee' immediately lateral and adherent to the anterior tibial crest.)

'Let' Affected Area(s)

Headache: Frontal (LKC-3)

1 Tong1 Xin\ Tong1 Ling2, Tong1 Guan1 (LKC):

• Tong1 Xin1: This point is located on the median plane (mid-sagittal plane) of the anterior thigh, 1.0 cun proximal to the center of the superior edge of the patella; Needle

perpendicularly 0.5 to 0.8 cun or obliquely from inferior to

superior 0.5 to 1.0 cun {Heart General Reaction Area}

• Tong1 Ling2: This point is located on the median plane

(mid-sagittal plane) of the anterior thigh, 3.0 cun proximal to the

center of the superior edge of the patella; Needle perpendicularly

0.5 to 0.8 cun or obliquely from inferior to superior 0.5 to 1.0

cun {Heart General Reaction Area} (Tong1 Ling2 is located 2.0

cun immediately proximal to Tong1 Xin 1 on the median plane

(mid-sagittal plane) of the anterior thigh.)

• Tong1 Guan1: This point is located on the median plane

(mid-sagittal plane) of the anterior thigh, 5.0 cun proximal to the

center of the superior edge of the patella; Needle perpendicularly

0.5 to 1.5 cun {Heart General Reaction Area}

Headache: Frontal (LKC-4)

1 DMG 99-01 'Spirit Ear Three Needles', Jin1 Er3 (LKC):

• DMG 99-01 'Spirit Ear Three Needles':

i Shen2 Er3 Shang4 : This point is located at the level of the superior extremity of the 'groove for lowering blood pressure';

the medial-lateral location is 1/3rd the distance from the margin

of the helix to the attachment of the auricle on the skull; Needle obliquely from superior to inferior 0.1 to 0.3 cun {Lung and

Liver Reaction Areas}

ii Shen2 Er3 Zhong1: This point is located 0.2 cun medial to the

center of the dorsal surface of the auricle; Needle obliquely from superior to inferior 0.1 to 0.3 cun {Lung and Liver Reaction

Areas}

• Jin1 Er3: This point is located 0.2 cun superior to the transverse blood

vessel found on the superior half of the dorsal surface of the auricle;

Needle perpendicularly 0.1 to 0.2 cun {Lung Reaction Area}