Châm cứu Đổng Thị Nâng Cao Gây mê, quản lý đau

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.

The Acupuncture of Master Tung Ching-Chang and its

Applications in Pain Management

Compiled, Collated, and Translated by:

James H Maher, M.S., D.C., O.M.D., Ph.D., Dipl Ac

Foreword by:

Grigory Chernyak, M.D., DABMA

Assistant Clinical Professor of Anesthesiology

University of Oklahoma Health Sciences Center, College of Medicine

Anesthesiology and Pain Management Department

Veterans Administration Medical Center

Oklahoma City, Oklahoma

Advanced

Tung Style Acupuncture

Series:

Volume 5

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 oniy be performed by those qualified to provide such services

ISBN-13: 978-0-9827197-1-8

Contents

Acknowledgements vi

Foreword vii

Introduction .. ..... ... ... .. . . ... . . ... .. ... ..... ix

Legend xi

Table of Contents xiii

Prof Dr Ching-Chang Tung xvii

Upper Extremity . . ..... . 1

Lower Extremity ... . ... . . 64

Head/Face . ... . ... ... . ... .... . . . 138

Chest/Thorax .. . . ... . . ..... . . . ... 190

Vertebral Column .... . ..... . . .. 203

Appendices: Point Index ... . . ... . . 239

Pain Index . . . ....... . . 253

Bibliography . . . 261

Acknowledgements

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

Y eshua, 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 frrst 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; David Garrison for directing my research into the application of advanced imaging techniques in the investigation of the neurological mechanisms of acupuncture; and finally, Grigory Chemyak from the Department of Anesthesiology for being able to converse about acupuncture, both as an acupuncturist and as a biomedically trained physician

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

I first became interested in acupuncture when I was a medical student back in Russia some 25

years ago My interest with respect to Chinese medicine in general, and acupuncture in particular, has grown consistently ever since I have always been amazed and intrigued by the wisdom and depth of Chinese medicine; the notion that every human being is a part of the Universe and should function in harmony with the universe is, indeed, profound

Likewise, according to Chinese medicine, all organs and systems within the body should function in harmony with each other and in harmony with the mind Conventional, allopathic medicine, which focuses on understanding the individual organ and, therefore, delves deeper and deeper into the function and pathology of that individual organ, has lost this panoramic view Chinese medicine in general and acupuncture in particular, offers humanity the tools to bring us back in harmony within ourselves and within the Universe It achieves this harmony by gently tuning and regulating the invisible connecting network of energy pathways penetrating the entire body as one colossal, intricate web

Over time, I came to the realization that the manner in which acupuncture achieves what it does

in the body is simply to initiate the body's own self-healing processes; it does so by employing the internal mechanisms that we all possess but do not intellectually know how to self-engage

Having spent many years learning acupuncture from a number of different teachers in diverse countries around the globe, as well as having been involved in a number of acupuncture research projects, publishing these results in several major scientific journals, I have come to the realization that acupuncture is not merely a technique and a method of intervention, but rather a philosophy, an art, and

a science unto itself

Being an anesthesiologist and a Pain Management Specialist, I have found it clinically very effective integrating alternative medicine with conventional, allopathic medicine when addressing problems within my specialty I have come to understand the role and the limitations of each approach and this allows my patients to benefit from the best of both types of medicine

Throughout the history of mankind, healing the ailments humankind has not been undertaken merely as a business, but rather it has been the calling, the dedication, and the destiny for the physician Only physicians who were genuinely devoted and unequivocally committed to the art of healing were able to successfully help their patients

Dr Jim Maher, the author of this book, is definitely one of them Having known him for many years and having the honor of being his personal friend, I have had the opportunity to observe his skills

as a Doctor and the enthusiasm with which he studies and practices acupuncture In order to obtain his extensive training in acupuncture he opted to undertake the long and arduous route; he has spent even more time honing his acupuncture skills and has accumulated many years of very successful practice

Dr Maher began his studies in Chinese medicine in the early 80's at the New England School of Acupuncture, followed by nearly a decade between Mainland China, Hong Kong, and Taiwan learning various acupuncture styles in these countries Living overseas, Dr Maher mastered the Chinese language, and this has afforded him the ability to read and professionally translate original Chinese texts into his native English Being a translator of scientific literature myself, I know how important is to be a specialist in the area of science you are translating and specialists with these skills are extremely rare

different from the traditional 'TCM' acupuncture promulgated by the Peoples' Republic of China and taught in most Western Colleges of Acupuncture and Chinese Medicine This Tung style of acupuncture uses fewer treatment points than its TCM counterpart and these Tung points are often located very distant to the area of pathology or chief complaint; it typically demonstrates a very high degree of effectiveness when employed correctly

The information contained within this text was compiled and translated by Dr Maher from a number of different Chinese sources on Dr Tung's acupuncture The manner with which he has described and illustrated the methods of applying the Tung Style of Acupuncture in Pain Management was done so effectively, that virtually any acupuncture practitioner can learn from this text With this, his fifth volume in the Advanced Tung Style Acupuncture Series, Dr Maher continues to provide the global acupuncture community with yet another contribution to, and furtherance of, the practice of acupuncture

It is my desire that all practitioners who utilize acupuncture in a Pain Management setting will learn and benefit from Dr Maher's work I have learned, from my many years in the practice of Anesthesiology and Pain Management, that this knowledge can never stand still and must always be expanded and improved upon for the benefit of our patients

Having a deep appreciation for the breadth of his knowledge, the dedication to his patients and his profession, and the conviction of his beliefs, it is my pleasure to recommend this body of work to any acupuncture professional who wishes to enhance his/her clinical efficacy especially in the pain management setting

Grigory Chernyak, M.D., DABMA

Assistant Clinical Professor of Anesthesiology

University of Oklahoma Health Sciences Center

Anesthesiology and Pain Management Department

Veterans Administration Medical Center

Oklahoma City, Oklahoma

Introduction

This volume, the fifth in the Advanced Tung Style Acupuncture Series, was originally intended

to be a section contained within Volume 4, the Neurology text The actual physical size of Volume 4,

however, precluded the inclusion of this section; the book would simply have been much too cumbersome The penning of Volume 5, like that of Volume 4, was first suggested by one of the many acupuncture physicians whose patients had derived clinical benefit from data contained in the previous volumes He stated emphatically, "You have to continue bring more of this most effective acupuncture

to the English speaking acupuncture community- it's not easy to learn Chinese, and you're the only way we're going to get this information!" His request, coupled with the outpouring of support I was blessed with from those of you who purchased the earlier volumes, directly contributed to the inception

of these later texts

The topic of this section, now 'Volume', 'Anesthesiology/Pain Management' was predicated upon conversations I had had with a member of the Anesthesiology and Pain Management faculty at the College of Medicine of the University of Oklahoma Health Sciences Center in Oklahoma City, Oklahoma, where I earned my Master's in Neuroscience As a board certified anesthesiologist, Grigory Chernyak, M.D., DABMA has spent a considerable amount of time, travel, and personal finances in his career pursuing alternatives to the opioid management of pain conditions Dr Chernyak has spent an appreciable amount of time studying with some of the renowned acupuncturists in the People's Republic

of China, Japan, and the Republic of Korea He is, as of this writing, the sole academic physician practicing in Oklahoma with Diplomate status from the American Board of Medical Acupuncture and is

an expert in So Juk Acupuncture (Korean Hand & Foot Acupuncture) Dr Chernyak is an accomplished acupuncturist in his own rite and he has graciously assented to write the foreword for this volume I had the pleasure of having treated Dr Chernyak as a patient and we had his issues resolved in two treatments using the Tung Style of Acupuncture He was, to say the least, intrigued as well as interested in how this new form of acupuncture (to him, anyway!) might be used in the Pain Clinic This prompted me to begin the collection of pain management data from the Tung Style Acupuncture found in the Chinese literature

As stated above, this fifth volume in the Advanced Tung Style Acupuncture Series is focused strictly on the treatment of pain The treatment suggestions contained herein are directed towards usage

in a pain management setting, much like that employed by the busy anesthesiologist in the pain management clinic These protocols are meant to be employed in a 'cut to the chase' method of assessing the patient's specific needs and inserting needles to ameliorate the pain as rapidly as possible The current text contains over 250 treatment formulae for a wide variety of commonly encountered pain disorders These prescriptions are intended to provide insight into the treatment of your specific patients' needs As was 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

The 'disorder' index found in Volume 4 (suggested by a colleague who had procured the earlier texts) has proven a great success and, therefore, I have included an expanded 'pain index' in this volume This 'pain index' should facilitate locating specific treatment protocols without having to pour through the entire contents of the text; an exceedingly important feature, especially when minutes count Within said index, I have attempted to render some of the arcane anatomical lexicon into the vernacular, all while maintaining the integrity of anatomical parlance Hopefully, this addition will render the text a little more 'user friendly', as it has with Volume 4

Chinese language sources authored by various experts from Taiwan Please NOTE: 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) when provided ONE SHOULD REMEMBER, THERE ARE DISCREPANCIES (sometimes significant) AMONGST THE VARIOUS TAIWANESE

SPECIFIC TO THE AUTHOR(S) PROVIDING THE PRESCRIPTION - THIS IS WHAT HE/SHE!fHEY HAVE FOUND TO WORK FOR HIM/HER/THEM FOR THAT SPECIFIC PAIN DISORDER!

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

jim maher

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= IIJMIJ.JJJlt llllbt Ch'en T'ing, Ch'en Nai-Li, and Chou Ting-Wen

• CKS = � � iJII& Ch'en Hsiao-Ching, K'uang Yu-Chen, and�u Shan-Yu

+ HPC = i!iJM Hu �ng-Ch'uan

0 LCH = Mtit Lai Chin-Hsuing

Complex Regional Pain Syndrome (MC) 1 Hand (MC) [Unspecified) 48

Shoulder/Glenohumeral; Minor (XSII) 6 Hand (MC) [Lung-2) 54 Shoulder/Glenohumeral; Severe (XSII) 6 Hand (MC) [PC-1) 55

Arm/Brachialalgia (CCC) 8 Fingers/Dactylodynia; Index (MC) 59

Arm/Brachialalgia (MC) [LI-1) 10 Fingers/Dactylodynia; Interphalangeal

Arm!Brachialalgia (MC) [SJ) 14 Thumb; 2° to Minor Sprain/Strain (XSII) 62 Arm/Brachialalgia (MC) [SI-1) 15 Thumb; 2° to Severe Sprain/Strain (XSII) 63 Arm/Brachialalgia (MC) [SI-2) 16

Arm!Brachialalgia; 2° to Flexor Muscle Sciatic Distribution/Sciatica (CCC-3) 65

Arm!Brachialalgia; 2° to Extensor Muscle Sciatic Distribution/Sciatica (CCC-5) 66

Forearm/ Antebrachialalgia (CCC) 28 Sciatic Distribution/Sciatica (CCC-7) 67 Forearm/Antebrachialgia (MC) [Unspec.) 29 Sciatic Distribution/Sciatica (CCC-8) 68 Forearm/ Antebrachialgia (MC) [L.I.-1) 30 Sciatic Distribution/Sciatica (IIPC-1) 69 Forearm/Antebrachialgia (MC) [L.I.-2) 31 Sciatic Distribution/Sciatica (IIPC-2) 70 Forearm/ Antebrachialgia (MC) [SJ-1) 32 Sciatic Distribution/Sciatica- Foot Shao4 Forearm/Antebrachialgia (MC) [SJ-2) 33 Yang2 Gallbladder Channel (MC) 72 Forearm/Antebrachialgia (MC) [SI-1) 34 Sciatic Distribution/Sciatica - Foot Tai4

Forearm/ Ante brachialgia (MC) [SI-2) 35 Yang2 Bladder Channel (MC) 73 Forearm/ Antebrachialgia (MC) [Lung-1) 36 Thigh/Femoral; Medial (CCC) 74 Forearm/Antebrachialgia (MC) [Lung-2) 38 Thigh/Femoral; Medial (HPC) 75 Forearm/Antebrachialgia (MC) [PC) 40 Thigh/Femoral; Lateral (HPC) 76

Head/Face:

Head/Cephalalgia; Non-specific (CCC) 138 Head/Cephalalgia; Global (CCC) 138 Head/Cephalalgia; Non-specific (HPC) 138 Head/Cephalalgia; Global (HPC) 138 Head/Cephalalgia; Post-traumatic (HPC) 139 Head/Cephalalgia - Cold/Flu (HPC) 140 Head/Cephalalgia - Qi Vacuity (LKC) 141 Head/Cephalalgia - Qi/Biood Dual Vacuity,

Head/Cephalalgia 2° to Hypertension

Head/Cephalalgia; Global (MC) 149

Appendices:

Point Index Pain Index Bibliography

239

253

26 1

(]!roj (J)r Cfii1lfj-Ciia:ne �U1liJ

1916, ,1975

1 Alternate DMG 88-05 'Thigh Nine Miles Three Needles' with DMG 88-11 'Thigh 579 Miles

• DMG 88-05 'Thifh Nine Miles Three Needles':

i Zhong1 Jiu Li3: This point is located in the center of the midline (coronal plane) on the lateral thigh(@ 9 cun proximal to the transverse popliteal crease); Needle 0.8 to 1.5 cun {Lung Branch and Limb Resiliency Reaction Areas}

ii Shang4 Jiu3 Li3: This point is located 1.5 cun anterior to Zhong1 Jiu3 Le on the lateral thigh; Needle 0.8 to 1.5 cun {Heart and Kidney Reaction Areas}

iii Xia4 Jiu3 Li3: This point is located 1.5 cun posterior to Zhong1 Jiu3 Le on the lateral thigh; Needle 0.8 to 1.5 cun {Thoracic and Lower Extremity Reaction Areas}

• DMG 88-11 'Thigh 579 Miles Three Needles':

i Wu3 Li3: This point is found along the coronal plane of the lateral thigh, 5 cun

proximal to the transverse popliteal crease; Needle 0.8 to 1.0 cun {Lung Branch Reaction Area}

ii Qi1 Li3: This point is found along the coronal plane of the lateral thigh, 7 cun

proximal to the transverse popliteal crease; Needle 0.8 to 1.0 cun {Lung Branch Reaction Area}

iii Jiu3 Li3: This point is located in the center of the midline (coronal plane) on the lateral thigh (@ 9 cun proximal to the transverse popliteal crease); Needle 0.8 to

1.5 cun {Lung Branch and Limb Resiliency Reaction Areas}

* * Xi 4

DMG 88-05 'Thigh 9 Miles 3 N' DMG 88-11 'Thigh 579 Miles 3 N'

1 DMG 77-07 'Seven Tigers Three Needles' (CCC):

• DMG 77-07 'Seven Tigers Three Needles':

i Qi1 Hu3 Yi1: This point is located by proceeding 1.5 cun posterior to the apex (as viewed from posterior to anterior) of the lateral malleolus then 2.0 cun

immediately proximal to the level of the apex of the lateral malleolus; Needle 0.5 to 1.0 cun {Thoracic

immediately proximal to Qi1 Hu3 Er\ i.e 6 cun

proximal to the level of the apex of the lateral malleolus;

Needle 0.5 to 1.0 cun {Thoracic Cage Reaction Area}

Pain: Shoulder Blade/Scapulalgia (CCC)

1 DMG 77-07 'Seven Tigers Three Needles' (CCC):

• DMG 77-07 'Seven Tigers Three Needles':

i Qi1 Hu3 Yi1: This point is located by proceeding 1.5 cun posterior to the apex (as viewed from posterior to anterior) of the lateral malleolus then 2.0 cun

immediately proximal to the level of the apex of the lateral malleolus; Needle 0.5 to 1.0 cun {Thoracic

iii Qi1 Hu3 San1: This point is located 2.0 cun

immediately proximal to Qi1 Hu3 Er4, i.e 6 cun

proximal to the level of the apex of the lateral malleolus;

Needle 0.5 to 1.0 cun {Thoracic Cage Reaction Area}

DMG77-07

DMG77-07

1 DMG 88-07 'Upper Three Yellow', Lini Gu3, Fan3 Hou4 Jue2 (HPC):

• DMG 88-07 'Upper Three Yellow':

i Ming2 Huani: This point is located in the exact center of the coronal plane on the medial aspect of the thigh; Needle 1 5 to 2.5 cun {General Liver and General Heart Reaction Areas; shallow needling accesses the Kidney Auxiliary Reaction Area, mid-level needling accesses the Liver Reaction Area, and deep needling accesses the Heart Reaction Area}

ii Tian1 Huang2: This point is located 3.0 cun immediately proximal to Mini

Huang2; Needle 1 5 to 2.5 cun {General Gallbladder, Heart Branch and Liver Branch Reaction Areas}

iii Qe Huang2: This point is located 3 cun immediately distal to Ming2 Huang2; Needle 1 5 to 2.0 cun {General Gallbladder, Heart Branch and Liver Branch Reaction Areas}

• Ling2 Gu3: This point is found on the dorsum of the hand, immediately distal to the articulation of the bases of the 1st and 2nd metacarpal bones - this point communicates with the palmar point Choni Xian 1 ; Needle 1 5 to 2.0 cun, i.e needle through to connect

PREGNANCY

• Fan3 Hou4 Jue2: This point is located, with the hand in a loose fist, on the dorsum of the hand, 1 0 cun distal to Lini Gu3 along the shaft of the first metacarpal (the point is located in the depression found at the junction of the shaft and the head of the first metacarpal bone); Needle 0.4 to 0.6 cun - retain the needle for 30 minutes {Lung Reaction Area} (Ling2 Gu3 is located on the dorsum of the hand, immediately distal to the articulation of the bases of the 1st and 2nd metacarpal bones.)

¥

Tian Huang2

DMG 88-07 'Upper 3 Yellow'

Lini Gu3 Fan3 Hou4 Jue2

1 Xin1 Xi1, DMG 77-07 'Seven Tigers Three Needles', Xin1 Men2, 'Let' affected region of scapula (MC):

• Xin1 Xi1: This 2 point hand grouping is located on the dorsum of the middle phalanx

of the 3rd digit, one on either side of the bone (one on the radial line and one on the ulnar line), at the proximal-distal midpoint of the phalanx; Needle 0.5 f en (i.e 0.05

cun ) {Vertebral and Heart Organ Branch Reaction Areas}

• DMG 77-07 'Seven Tigers Three Needles':

i Qi1 Hu3 Yi1: This point is found on a line which is 1 5 cun posterior to the apex (as viewed from posterior to anterior) of the lateral malleolus and is located 2.0

cun superior to the level of the aforementioned apex; Needle 0.5 to 0.8 cun

{Thoracic Cage Reaction Area}

ii Qi1 Hu3 Er4: This point is found on the line delineated above and is located 2.0

cun proximal to Qi1 Hu3 Yi1; Needle 0.5 to 0.8 cun {Thoracic Cage Reaction Area}

iii Qi1 Hu3 San1: This point is found on the line delineated above and is located 4.0 cun proximal to Qi1 Hu3 Yi1; Needle 0.5 to 0.8 cun {Thoracic Cage Reaction Area}

• Xin1 Men2: This point is on the Hand Tai4 Yang2 Small Intestine Channel and is located with the palm of the hand placed on the epigastrium - the point is in a depression palpated 1.5 cun distal to the proximal extremity of the olecranon process

of the ulna bone; Needle unilaterally only 0.4 to 0.7 cun {Heart Branch Reaction Area}

DMG 77-07 '7 Tigers 3 N'

-[50 Years Shoulder]

i Jian1 Feng1: This point is located 0.5 cun distal

/,.�-;;J�[':;;�

to the center of the space between the acromion r lt

-process of the scapula and the head of the humerus (i.e., 0.5 cun distal to LI-15WH0);

Needle 0.5 to 2.0 cun {Extremity Branch and Heart Auxiliary Reaction Areas}

ii Jian1 Zhong1: This point is located 2.0 cun

distal to Jian1 Feng1 on the Hand Yang2 Ming2 Large Intestine Channel (i.e., 2.5 cun distal to

LI-15WH0); Needle 0.5 to 2.0 cun {Extremity

I

Branch and Heart Auxiliary Reaction Areas}

iii Jian4 Zhon�1: This point is located 2.0 cun

i Jian4 Zhon;1: This point is located 2.0 cun

;1

distal to Jian Zhong1 (i.e 5.0 15 WHO on the Hand Y ani cun Mindistal to LI-i Large / ,, Intestine Channel); Needle perpendicular insertion 0.5 to 1 5 cun or oblique insertion

from proximal to distal 1 5 cun to 2.0 cun

{Heart Branch, Lung Branch, Liver Branch,

Kidney Auxiliary Reaction Areas}

ii Li3 Bai2: This point is located 2.0 cun anterior

to Jian4 Zhong on the same transverse plane;

Needle perpendicular insertion 0.5 to 1 5 cun

or oblique insertion from proximal to distal

1 Needle the contralateral Jian1 Ning2 (angle from proximal to distal)- have the patient move

the shoulder through its ROM's to 'Lead the Qi' through the

affected regions (XSH):

• Jian1 Ning2: This point is located on the dorsum of

the hand at the radial side of the articulation of the 2nd metacarpal bone with the proximal phalanx of the index finger; Needle (angled from proximal to distal) closely adherent to the 2nd metacarpophalangeal joint 0.2 to 0.3 cun {Heart and Lung Branch Reaction Areas}

Pain: Shoulder/Glenohumeral; Severe (XSH)

1 First, 'let' the involved areas of the shoulder, then needle

contralateral Si4 Zhi1, Shen4 Guan1, DMG 77-06 'Lateral Three

Passes' - have the patient move the shoulder through its ROM's to

• Si4 Zhi1: This point is located 4.5 cun proximal to the medial

malleolus along the medial border of the tibia; Needle, obliquely 30° from distal to proximal, 0.6 to 1.2 cun

CONTRAINDICATED IN PREGNANCY {Heart Branch, Four Extremities, and Kidney Branch Reaction Areas}

• 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-9 WHO)

• DMG 77-06 'Lateral Three Passes:

i Wai4 San1 Guan1 Er4: This point is located on the lateral aspect of the leg at the midpoint of a line extending from the proximal extremity of the head of the fibula to the apex (as viewed from posterior to anterior) of the lateral malleolus; Needle 1 0 to � Let

1.5 cun {Lung Reaction Area}

bisecting the distance from Wai4 San 1 Guan 1 Er 4

to the apex (as viewed from posterior to anterior)

of the lateral malleolus along the course of the aforementioned line; Needle 1 0 to 1 5 cun {Lung

Reaction Area}

- iii Wai4 San 1 Guan 1 San 1: Locate this point by

bisecting the distance from Wai4 San1 Guan1 Er4

to the proximal extremity of the head of the fibula along the course of the aforementioned line;

Needle 1 0 to 1 5 cun {Lung Reaction Area}

1 DMG 44-03 'Shoulder Center Vertical Three Needles' (CCC):

i Jian1 Feng1: This point is located 0.5 cun di�tal

/,����r=.;�Q

to the center of the space between the acromton ( l•

-process of the scapula and the head of the humerus (i.e., 0.5 cun distal to LI-15WH0);

Needle 0.5 to 2.0 cun {Extremity Branch and Heart Auxiliary Reaction Areas}

ii Jian1 Zhong1: This point is located 2.0 cun

distal to Jian1 Feng1 on the Hand Yang2 Ming2 Large Intestine Channel (i.e., 2.5 cun distal to LI-15WH0); Needle 0.5 to 2.0 cun {Extremity Branch and Heart Auxiliary Reaction Areas}

iii Jian4 ZhonT1: This point is located 2.0 cun

distal to Jian Zhong1 on the Hand Yang2 Ming2 Large Intestine Channel; Needle 0.5 to 2.0 cun

{Extremity Branch and Heart Auxiliary Reaction Areas}

Pain: Shoulder to Brachium (CCC-2)

i Jian4 Zhon1( This point is located 2.0 cun

distal to Jian Zhong1 (i.e 5.0 cun distal to

LI-15 WHO on the Hand Y ani Mini Large Intestine Channel); Needle perpendicular insertion 0.5 to 1 5 cun or oblique insertion from proximal to distal 1 5 cun to 2.0 cun

{Heart Branch, Lung Branch, Liver Branch, Kidney Auxiliary Reaction Areas}

ii Li3 Bai1: This point is located 2.0 cun anterior

to Jian4 Zhong on the same transverse plane;

Needle perpendicular insertion 0.5 to 1 5 cun

or oblique insertion from proximal to distal

1 5 cun to 2.0 cun {Heart Branch, Lung Branch, Liver Branch, Kidney Auxiliary Reaction Areas}

1 DMG 77-06 'Lateral Three Passes' (CCC):

• DMG 77-06 'Lateral Three Passes':

i Wai4 San1 Guan1 Er4: This point is located on the lateral aspect of the leg at the midpoint of a line extending from the proximal extremity of the head of the fibula to the apex (as viewed from posterior to anterior) of the lateral malleolus; Needle 1 0 to 1 5 cun {Lung Reaction Area}

ii Wai4 San1 Guan1 Yi1: Locate this point by bisecting the distance from Wai4 San1 Guan1 Er4 to the apex (as viewed from posterior to anterior) of the lateral malleolus along the course of the aforementioned line; Needle 1 0 to 1 5 cun

{Lung Reaction Area}

iii Wai4 San1 Guan1 San1: Locate this point by bisecting the distance from Wai4 San 1 Guan 1 El to the proximal extremity of the head of the fibula along the course of the aforementioned line; Needle 1.0 to 1 5 cun {Lung Reaction Area}

DMG77-06

Pain: Arm/Brachialalgia (CCC)

• DMG 44-08 'Shoulder Posterior Oblique Three Needles':

i Jian1 Feng1: This point is located 0.5 cun

) i:i=!l ;

distal to the center of the space between the ( �

acromion process and the head of the humerus (i.e 0.5 cun distal to LI-15WH0);

Needle perpendicular insertion 1 0 to 1 5

cun or oblique insertion from proximal to distal 1 5 to 2.0 cun {Liver Auxiliary, Heart Branch, Kidney Auxiliary, Reaction Areas}

ii Shang4 Qu1: This point is located on the posterolateral aspect of the proximal brachium 2.0 cun directly posterior to Jian1 Zhong1 and on the same transverse plane;

Needle perpendicular insertion 1 0 to 1 5

cun or oblique insertion from proximal to distal 1 5 to 2.0 cun {Liver Auxiliary, Heart Branch, Kidney Auxiliary, Reaction Areas}

'

< I

I

�� r, \ DMG 44-08

(Jian1 Zhong1 is located on the lateral aspect of the proximal brachium 3 cun

distal to LI-15WH0 on the Hand Yang2 Ming2 Large Intestine Channel.)

iii Pian1 Jian1: This point is located on the posterolateral aspect of the proximal brachium at the midpoint of a line connecting Jian1 Feng1 with Shang4 Qu1; Needle perpendicular insertion 1 0 to 1 5 cun or oblique insertion from proximal

to distal 1 5 to 2.0 cun {Liver Auxiliary, Heart Branch, Kidney Auxiliary, Reaction Areas}

1 DMG 88-07 'Upper Three Yellow', Di4 Zong1, 'Let' the affected regions of the brachium (HPC):

• DMG 88-07 'Upper Three Yellow':

i Mini Huang2: This point is located in the exact center of the coronal plane on the medial aspect of the thigh; Needle 1 5 to 2.5 cun {General Liver and General Heart Reaction Areas; shallow needling accesses the Kidney Auxiliary Reaction Area, mid-level needling accesses the Liver Reaction Area, and deep needling accesses the Heart Reaction Area}

ii Tian1 Huani: This point is located 3.0 cun immediately proximal to Ming2 Huang2; Needle 1 5 to 2.5 cun {General Gallbladder, Heart Branch and Liver Branch Reaction Areas}

iii Qi2 Huani: This point is located 3 cun immediately distal to Mini Huani; Needle 1 5 to 2.0 cun {General Gallbladder, Heart Branch and Liver 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 long head of the biceps brachii and the humerus, 3 cun

immediately proximal to Ren2 Zong1; 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 cun immediately proximal to the anterior transverse cubital crease, with the palm placed on the epigastrium

'Let' Brachial Region DMG 88-07 'Upper 3 Yellow'

Y ang2 Ming2 Distribution Large Intestine Channel - 1

1 Contralateral - DMG 88-03 'Thigh Team of Four Horses'; Ipsilateral - DMG 88-07 'Upper Three Yellow' and Ling2 Gu3 (MC):

• DMG 88-03 'Thigh Team of Four Horses':

i Si4 Ma3 Zhong1: This point is located by placing the palms of the hands (elbows fully extended) on the lateral thighs while standing erect From where the tips of the middle fmgers touch the thighs, proceed 3.0 cun anteriorly to arrive at Si4 Ma3 Zhong1; Needle 0.8 to 2.5 cun {General Lung and Liver Branch Reaction Areas}

ii Si4 Ma3 Shang4: This point is located 2.0 cun immediately proximal to Si4 Ma3 Zhong1; Needle 0.8 to 2.5 cun {General Lung and Liver Branch Reaction Areas} (Si4 Ma3 Zhong' is located by placing the palms of the hands (elbows fully extended) on the lateral thighs while standing erect From where the tips of the middle fingers touch the thighs, proceed 3 cun anteriorly to arrive at Si4 Ma3 Zhong1)

iii Si4 Ma3 Xia4: This point is located 2.0 cun immediately distal to Si4 Ma3 Zhong1; Needle 0.8 to 2.5 cun {General Lung and Liver Branch Reaction Areas} (Si4 Ma3 Zhong' is located by placing the palms of the hands (elbows fully extended) on the lateral thighs while standing erect From where the tips of the middle fingers touch the thighs, proceed 3 cun anteriorly to arrive at Si4 Ma3 Zhong1)

• DMG 88-07 'Upper Three Yellow':

i Ming2 Huang2: This point is located in the exact center of the coronal plane on the medial aspect of the thigh; Needle 1 5 to 2.5 cun {General Liver and General Heart Reaction Areas; shallow needling accesses the Kidney Auxiliary Reaction Area, mid-level needling accesses the Liver Reaction Area, and deep needling accesses the Heart Reaction Area}

ii Tian1 Huang2: This point is located 3.0 cun immediately proximal to Ming2 Huang2; Needle 1 5 to 2.5 cun {General Gallbladder, Heart Branch and Liver Branch Reaction Areas}

iii Qi2 Huang2: This point is located 3 cun immediately distal to Ming2 Huang2; Needle 1 5 to 2.0 cun {General Gallbladder, Heart Branch and Liver Branch Reaction Areas}

• Ling2 Gu3: This point is found on the dorsum of the hand, immediately distal to the articulation of the bases of the 1st and 2nd metacarpal bones - this point communicates with the palmar point Chong2 Xian 1; Needle 1 5 to 2.0 cun, i.e needle through to connect with Chong2 Xian 1• {Lung Branch Reaction Area} CONTRAINDICATED IN PREGNANCY

Y ang2 Mini Distribution Large Intestine Channel - 1

Si4 Ma3 Shang4 Si4 Ma3 Zhong1 Si4 Ma3 Xia4

DMG 88-03 'Thigh Team of 4 Horses'

DMG 88-07 'Upper 3 YeUow'

Y ang2 Ming2 Distribution Large Intestine Channel -2

1 Contralateral - DMG 44-02 'Brachial Three Ancestors'; Ipsilateral - DMG 88-06 'Thigh Spleen Three Needles' and Ling2 Gu3 (MC):

• DMG 44-02 'Brachial Three Ancestors':

i Ren2 Zong1: This point is located with the palm of the hand positioned on the epigastrium and is found on the anterolateral aspect of the brachium, in the furrow formed by the long head of the biceps brachii muscle anteriorly and the brachialis muscle posteriorly, 3.0 cun proximal to the transverse cubital crease; Needle 0.5 to 1 2 cun {Lung Auxiliary, Heart Branch, and Liver Auxiliary Branch Reaction Areas}

ii Di4 Zong1: This point is located in the aforementioned furrow, 3.0 cun proximal Ren2 Zong1, i.e 6.0 cun proximal to the transverse cubital crease, on the anterolateral aspect of the brachium; Needle 1 0 to 2.0 cun {Heart Branch Reaction Area}

iii Tian1 Zong1: This point is located in the aforementioned furrow, 3.0 cun

proximal Di4 Zong1, i.e 9.0 cun proximal to the transverse cubital crease, on the anterolateral aspect of the brachium; Needle 1 0 to 1 5 cun {Six Fu3 Reaction Area}

• DMG 88-06 'Thigh Spleen Three Needles' (Select three points):

i Tu3 Chang1 Yi1: This point is located 2.0 cun medial to Tong1 Shen4; Needle perpendicularly 1 5 to 2.0 cun {General Spleen, Liver, and Gallbladder Reaction Areas} (Tong1Shen4 is located in the depression found immediately proximal and medial to the superomedial angle of the patella To locate the point, draw a transverse line tangent to the superior margin of the patella and a vertical line tangent to the medial margin of the patella - where the two lines intersect is the location of the point.)

ii Tu3 Chang1 Er4: This point is located 2.0 cun proximal to Tu3 Chang1 Yi1; Needle perpendicularly 1 5 to 2.0 cun {General Spleen, Liver, and Gallbladder Reaction Areas}

iii Tu3 Chang1 San1: This point is located 2.0 cun proximal to Tu3 Chang1 Er4; Needle perpendicularly 1 5 to 2.0 cun {General Spleen, Liver, and Gallbladder Reaction Areas}

iv Tu3 Chang1 Si4: This point is located 2.0 cun proximal to Tu3 Chang1 San1; Needle perpendicularly 1 5 to 2.0 cun {General Spleen, Liver, and Gallbladder Reaction Areas}

v Tu3 Chang1 Wu3: This point is located 2.0 cun proximal to Tu3 Chang1 Si4; Needle perpendicularly 1 5 to 2.0 cun {General Spleen, Liver, and Gallbladder Reaction Areas}

• Lin i 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 Xian1; Needle 1 5 to 2.0 cun, i.e needle through to connect

PREGNANCY

Y ang2 Mini Distribution Large Intestine Channel -2

DMG 44-02 'Brachial 3 Ancestors'

Tu3 Chang1 Wu3 Tu3 Chang1 Si4 * Tu3 Chang1 San1 Tu3 Chang1 Er4 Tu3 Chang1 Yi1

DMG 88-06 'Thigh Spleen 3 Needles'

Shao4 Yang2 Distribution San Jiao1 Channel

1 Contralateral - DMG 88-11 'Thigh 579 Miles Three Needles'; Ipsilateral - DMG 88-01 'Passing Through the Kidney Three Needles' and Zhong1 Bai1 (MC):

• DMG 88-11 'Thigh 579 Miles Three Needles':

i Wu3 Li3: This point is found along the coronal plane of the lateral thigh, 5.0 cun

proximal to the transverse popliteal crease; Needle 0.8 to 1 0 cun {Lung Branch Reaction Area}

ii Qi1 Li3: This point is found along the coronal plane of the lateral thigh, 7.0 cun

proximal to the transverse popliteal crease; Needle 0.8 to 1 0 cun {Lung Branch Reaction Area}

iii Jiu3 Li3: This point is located in the center of the midline (coronal plane) on the lateral thigh (@ 9.0 cun proximal to the transverse popliteal crease); Needle 0.8

to 1 5 cun {Lung Branch and Limb Resiliency Reaction Areas}

• DMG 88-01 'Passing Through the Kidney Three Needles':

i Tong1 Shen4: This point is located in the depression found at the superomedial angle of the patella; Needle 0.3 to 0.5 cun {Kidney Reaction Area}

ii Tong1 Wei : This point is located 2.0 cun immediately proximal to the depression found at the superomedial angle of the patella (i.e Tong1 Shen4); Needle 0.5 to 1 0 cun {Kidney Reaction Area}

iii Tong1 Bei4: This point is located 4.0 cun immediately proximal to the depression found at the superomedial angle of the patella (i.e Tong1 Shen4); Needle 0.5 to 1 0 cun {Kidney Reaction Area}

• Zhong1 Bai1: This point is located on the dorsum of the hand, between the 4th and 5th metacarpal bones, 0.5 cun proximal to the metacarpophalangeal articulations - have the patient make a fist to help facilitate locating this point; Needle 0.3 to 0.5 cun {Heart, Spleen, and Kidney Branch Reaction Areas}

Tai4 Yang2 Distribution Small Intestine Channel - 1

1 Contralateral - DMG 88-12 'Thigh Three Fires Three Needles'; Ipsilateral - DMG 88-01 'Passing Through the Kidney Three Needles', Wan4 Shun4 Yi1 (MC):

• DMG 88-12 'Thigh Three Fires Three Needles':

i Huo3 Fu3: This point is located on the posterior thigh, 3.0 cun inferior to the center of the transverse gluteal fold (i.e., 3.0 cun distal to BL-36WH0); Needle

1 0 to 2.5 cun {Vertebral, Brain, Heart Branch, and Kidney Branch Reaction Areas}

ii Huo3 Liani: This point is located on the posterior thigh, 7.0 cun inferior to the center of the transverse gluteal fold (i.e., 4.0 cun distal to Huo3 Fu3); Needle 1 0

to 2.5 cun {Vertebral, Brain, Heart Branch, and Kidney Branch Reaction Areas}

iii Huo3 Chang1: This point is located on the posterior thigh, 4.0 cun superior to the center of the transverse popliteal crease (this point is 3.0 cun distal to Huo3 Liang2); Needle 1 0 to 2.5 cun {Vertebral, Brain, Heart Branch, and Kidney Branch Reaction Areas}

• DMG 88-01 'Passing Through the Kidney Three Needles':

i Tong1 Shen4: This point is located in the depression found at the superomedial angle of the patella; Needle 0.3 to 0.5 cun {Kidney Reaction Area}

ii Tong1 Wei : This point is located 2.0 cun immediately proximal to the depression found at the superomedial angle of the patella (i.e Tong1 Shen4); Needle 0.5 to 1 0 cun {Kidney Reaction Area}

iii Tong1 Bei4: This point is located 4.0 cun immediately proximal to the depression found at the superomedial angle of the patella (i.e Tong1 Shen4); Needle 0.5 to 1 0 cun {Kidney Reaction Area}

• Wan4 Shun4 Yi1: This point is located 2.5 cun distal to the anterior, distal transverse wrist crease, anterior to the 5th metacarpal bone; Needle 0.5 to 1 0 cun {Kidney Branch Reaction Area}

Tai4 Y ang2 Distribution Small Intestine Channel -2

1 Contralateral - DMG 88-12 'Thigh Three Fires Three Needles'; Ipsilateral - DMG 88-07 'Upper Three YeUow', Wan4 Shun4 Yi1 (MC):

• DMG 88-12 'Thigh Three Fires Three Needles':

i Huo3 Fu3: This point is located on the posterior thigh, 3.0 cun inferior to the center of the transverse gluteal fold (i.e., 3.0 cun distal to BL-36WH0); Needle

1 0 to 2.5 cun {Vertebral, Brain, Heart Branch, and Kidney Branch Reaction Areas}

ii Huo3 Liang1: This point is located on the posterior thigh, 7.0 cun inferior to the center of the transverse gluteal fold (i.e., 4.0 cun distal to Huo3 Fu\ Needle 1 0

to 2.5 cun {Vertebral, Brain, Heart Branch, and Kidney Branch Reaction Areas}

iii Huo3 Chang1: This point is located on the posterior thigh, 4.0 cun superior to the center of the transverse popliteal crease (this point is 3.0 cun distal to Huo3 Liang2); Needle 1 0 to 2.5 cun {Vertebral, Brain, Heart Branch, and Kidney Branch Reaction Areas}

• DMG 88-07 'Upper Three Yellow':

i Ming1 Huang1: This point is located in the exact center of the coronal plane on the medial aspect of the thigh; Needle 1 5 to 2.5 cun {General Liver and General Heart Reaction Areas; shallow needling accesses the Kidney Auxiliary Reaction Area, mid-level needling accesses the Liver Reaction Area, and deep needling accesses the Heart Reaction Area}

ii Tian1 Huan�: This point is located 3.0 cun immediately proximal to Ming2 Huang2; Needle 1 5 to 2.5 cun {General Gallbladder, Heart Branch and Liver Branch Reaction Areas}

iii Qi1 Huang1: This point is located 3 cun immediately distal to Ming2 Huang2; Needle 1 5 to 2.0 cun {General Gallbladder, Heart Branch and Liver Branch Reaction Areas}

• Wan4 Shun4 Yi1: This point is located 2.5 cun distal to the anterior, distal transverse wrist crease, anterior to the 5th metacarpal bone; Needle 0.5 to 1 0 cun {Kidney Branch Reaction Area}

Tai4 Yin 1 Distribution Lung Channel - 1

1 Contralateral - DMG 88-01 'Passing Through the Kidney Three Needles'; Ipsilateral

-DMG 88-12 'Thigh Three Fires Three Needles', Chon� Zi3 (MC):

• DMG 88-01 'Passing Through the Kidney Three Needles':

i Tong1 Shen4: This point is located in the depression found at the superomedial angle of the patella; Needle 0.3 to 0.5 cun {Kidney Reaction Area}

ii Tong1 Wei : This point is located 2.0 cun immediately proximal to the depression found at the superomedial angle of the patella (i.e Tong1 Shen4); Needle 0.5 to 1.0 cun {Kidney Reaction Area}

iii Tong1 Bei4: This point is located 4.0 cun immediately proximal to the depression found at the superomedial angle of the patella (i.e Tong1 Shen4); Needle 0.5 to 1 0 cun {Kidney Reaction Area}

i Huo3 Fu : This point is located on the posterior thigh, 3.0 cun inferior to the center of the transverse gluteal fold (i.e., 3.0 cun distal to BL-36WH0); Needle

1 0 to 2.5 cun {Vertebral, Brain, Heart Branch, and Kidney Branch Reaction Areas}

ii Huo3 Lian�: This point is located on the posterior thigh, 7.0 cun inferior to the center of the transverse gluteal fold (i.e., 4.0 cun distal to Huo3 Fu\ Needle 1 0

to 2.5 cun {Vertebral, Brain, Heart Branch, and Kidney Branch Reaction Areas}

iii Huo3 Chang1: This point is located on the posterior thigh, 4.0 cun superior to the center of the transverse popliteal crease (this point is 3.0 cun distal to Huo3 Liani); Needle 1 0 to 2.5 cun {Vertebral, Brain, Heart Branch, and Kidney Branch Reaction Areas}

• Chon� Zi3: This point is located on the thenar eminence of the palm of the hand, between the articulations of the 1st and 2nd metacarpal bones, 1 0 cun medial and proximal to the Hu3 Kou3; Needle 0.3 to 0.5 cun {Lung Branch Reaction Area}

f/ � �

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Tai4 Yin 1 Distribution Lung Channel - 2

1 Contralateral - DMG 44-03 'Shoulder Center Vertical Three Needles'; Ipsilateral - DMG 88-12 'Thigh Three Fires Three Needles', Chong1 Zi3 (MC):

• DMG 44-03 'Shoulder Center Vertical Three Needles':

i Jian1 Feng1: This point is located 0.5 cun distal to the center of the space between the acromion �ocess of the scapula and the head of the humerus (i.e., 0.5 cun distal to LI-15 °); Needle 0.5 to 1 0 cun {Extremity Branch and Heart Auxiliary Reaction Areas}

ii Jian1 Zhong1: This point is located on the proximal brachium, at the anterior­posterior midpoint of the deltoid muscle, 2.5 cun distal to the lateral edge of the acromion process; Needle 0.5 to 1 0 cun {Heart Branch Reaction Area}

iii Jian4 Zhon ; 1: This point is located on the proximal brachium, 2.0 cun distal to Jian1 Zhong ; Needle 0.5 to 1 0 cun {Extremity Branch and Heart Auxiliary Reaction Areas}

• DMG 88-12 'Thigh Three Fires Three Needles':

i Huo3 Fu3: This point is located on the posterior thigh, 3.0 cun inferior to the center of the transverse gluteal fold (i.e., 3.0 cun distal to BL-36WH0); Needle

1 0 to 2.5 cun {Vertebral, Brain, Heart Branch, and Kidney Branch Reaction Areas}

ii Huo3 Liang1: This point is located on the posterior thigh, 7.0 cun inferior to the center of the transverse gluteal fold (i.e., 4.0 cun distal to Huo3 Fu3); Needle 1.0

to 2.5 cun {Vertebral, Brain, Heart Branch, and Kidney Branch Reaction Areas} iii Huo3 Chang1: This point is located on the posterior thigh, 4.0 cun superior to the center of the transverse popliteal crease (this point is 3.0 cun distal to Huo3 Liang2); Needle 1 0 to 2.5 cun {Vertebral, Brain, Heart Branch, and Kidney Branch Reaction Areas}

• Chong1 Zi3: This point is located on the thenar eminence of the palm of the hand, between the articulations of the 1st and 2nd metacarpal bones, 1 0 cun medial and proximal to the Hu3 Kou3; Needle 0.3 to 0.5 cun {Lung Branch Reaction Area

[Unspecified]

1 Ren2 Zong\ Shang4 Qu\ Shui3 Yu4, Zhong1 Jiu3 Li3, Min� Huan� (MC):

• Ren2 Zong1: This point is located in the furrow bordered anteriorly by the long head

of the biceps brachii muscle and posteriorly by the brachialis muscle, on the anterolateral surface of the brachium, along the Hand Tai4 Yin1 Lung Channel, 3.0

cun proximal to the transverse cubital crease - locate the point with the hand placed

on the epigastrium; Needle 0.5 to 1 2 cun {Lung Auxiliary, Heart Branch, and Liver Auxiliary Branch Reaction Areas}

• Shang4 Qu1: This point is located on the proximal brachium, 1 0 cun posterior to Jian1 Zhong1; Needle 0.6 to 1 5 cun {Kidney Branch and Liver Auxiliary Reaction Areas} (Jian 1 Zhong1 is located on the proximal brachium, at the anterior-posterior midpoint of the deltoid muscle, 2.5 cun distal to the space between the lateral edge of the acromion process and the head of the humerus.)

• Shui3 Yu4: This point is located on the proximal aspect of the brachium 2.0 cun

immediately posterior, and slightly inferior, to Bei1 Mian4; Needle 0.3 to 0.5 cun

{Kidney Branch Reaction Area} (Bei1 Mian4 is located in the center of the depression found immediately lateral to the acromion process when the arm is abducted to 90°)

• Zhong1 Jiu3 Li3: This point is located in the center of the midline (coronal plane) on the lateral thigh (@ 9 cun proximal to the transverse popliteal crease); Needle 0.8 to

1 5 cun {Lung Branch and Limb Resiliency Reaction Areas}

• Ming2 Huang2: This point is located in the exact center of the coronal plane on the medial aspect of the thigh; Needle 1 5 to 2.5 cun {General Liver and General Heart Reaction Areas; shallow needling accesses the Kidney Auxiliary Reaction Area, mid­level needling accesses the Liver Reaction Area, and deep needling accesses the Heart Reaction Area}

Jue2 Yin 1 Distribution Pericardium Channel - 1

1 Contralateral - DMG 88-07 'Upper Three Yellow'; Ipsilateral - DMG 88-03 'Thigh Team

of Four Horses', Xin1 Ling1 Yi1: (of DMG 33-03) (MC):

• DMG 88-07 'Upper Three Yellow':

i Ming1 Huang1: This point is located in the exact center of the coronal plane on the medial aspect of the thigh; Needle 1 5 to 2.5 cun {General Liver and General Heart Reaction Areas; shallow needling accesses the Kidney Auxiliary Reaction Area, mid-level needling accesses the Liver Reaction Area, and deep needling accesses the Heart Reaction Area}

ii Tian1 Huang1: This point is located 3.0 cun immediately proximal to Ming2 Huang2; Needle 1 5 to 2.5 cun {General Gallbladder, Heart Branch and Liver Branch Reaction Areas}

iii Qi1 Huang1: This point is located 3 cun immediately distal to Ming2 Huang2; Needle 1 5 to 2.0 cun {General Gallbladder, Heart Branch and Liver Branch Reaction Areas}

• DMG 88-03 'Thigh Team of Four Horses':

i Si4 Ma3 Zhong1: This point is located by placing the palms of the hands (elbows fully extended) on the lateral thighs while standing erect From where the tips of the middle fmgers touch the thighs, proceed 3.0 cun anteriorly to arrive at Si4 Ma3 Zhong1; Needle 0.8 to 2.5 cun {General Lung and Liver Branch Reaction Areas}

ii Si4 Ma3 Shang4: This point is located 2.0 cun immediately proximal to Si4 Ma3 Zhong1; Needle 0.8 to 2.5 cun {General Lung and Liver Branch Reaction Areas} (Si4 Ma3 Zhong1 is located by placing the palms of the hands (elbows fully extended) on the lateral thighs while standing erect From where the tips of the middle fingers touch the thighs, proceed 3 cun anteriorly to arrive at Si4 Ma3 Zhong1)

iii Si4 Ma3 Xia4: This point is located 2.0 cun immediately distal to Si4 Ma3 Zhong1; Needle 0.8 to 2.5 cun {General Lung and Liver Branch Reaction Areas} (Si4 Ma3 Zhong1 is located by placing the palms of the hands (elbows fully extended) on the lateral thighs while standing erect From where the tips of the middle fingers touch the thighs, proceed 3 cun anteriorly to arrive at Si4 Ma3 Zhong1)

• Xin1 Ling1 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 {Heart Organ Branch Reaction Area}

Jue2 Yin1 Distribution Pericardium Channel - I

DMG 88-07 'Upper 3 Yellow'

-DMG 88-03 'Thigh Team of 4 Horses'