4.3.19 Advanced Korean Hand Therapy Workshop: Improving Health through Acupuncture Energy Balance Lawrence Li, MD, MPH and Dan Lobash, Ph.D., L.Ac. AANP Annual Conference June 10 - 11, 2004 Objectives: Following this presentation, the participant will be able to: 1. Review Basic Correspondence experience by participants; Q & A 2. Apply new correspondence points for the internal organs (Mu points) 3. Understand the concept of energy circulation and balance in health and the role of lifestyle and Traditional Chinese Medicine diagnostic and therapeutic approaches to improve energy balance. 4. Demonstrate the following diagnostic skills: a. O-ring muscle testing (applied kinesiology) to determine appropriate treatments. b. Identify which acupuncture body meridians are involved for musculoskeletal problems. Describe their location on the hand under the KHT system. 5. Demonstrate the following treatments: a. Sedation and Tonification of meridians using pellet bandaids. b. Upper, Middle & Lower Heater patterns c. Gender patterns d. Eight extraordinary meridians to balance posture and energetics e. Five element theory for the Three Constitutional Treatments (Spleen, Kidney or Large Intestine excess) to balance overall energy. 6. Be able to use KHT formulas to apply press pellets to address common internal medicine problems. • Sinus/Nose/Ear • Digestive • Women’s Health • Anxiety/Depression: Energetic Valium All participants should have taken the Basic KHT Workshop as there will be no review of this material. Correspondence Therapy Enhancements 1. Add Mu or Shu points (organ balance) Figure 1 Table 1: Mu points for Yang, Yin, Kidney excess syndromes Organ Point Liver Spleen Large Intestine N19 F19 E22 Bladder Stomach A3 A12 2. Add an energetic Heater pattern To improve energy balance in the chest, abdomen or pelvis Fig. 2: Upper, Middle & Lower Heater patterns Table 2: Three Heaters (Triple Warmer) Heater KHT points Organs Symptoms Upper A12, 16, 18, 20 Circulation, Respiration: Heart, Lung Chest pain/tightness, Cough, Dyspnea, Dysphagia Middle A8, 12, 16 Digestive: Gall Bladder, Liver, Spleen, Stomach Nausea, loss of appetite, indigestion, motion sickness Lower A1, 3, 8, 12 Reproduction, Elimination Low Energy, constant illness, LBP, lower GI/GU problems, decreased libido, urinary difficulties Traditional Chinese Medicine TCM considers the patient as a microcosm of the universe, subject to the influences of the environment and internal harmony. Patients are subject to the interplay of external factors such as wind, heat, dryness, dampness and cold which act on the elemental qualities of the human body such as wood, fire, earth, metal and water. Internal factors such as anxiety, sadness, anger, and elation also influence health as well as the interplay between the classic polar stations of yin and yang. TCM has a different anatomical and physiological construct which is internally logical and consistent but different from the Western model. To explain TCM in Western terms is difficult, but to explain TCM from an Eastern philosophical standpoint is easy. Ultimately, a Western practitioner must accept acupuncture as a scientifically validated treatment without fully understanding its mechanism of action. Many drugs in the Western pharmacopeia work clinically but are without adequate physiological Lawrence B. Li, MD, MPH & Dan Lobash, Ph.D. AANP Annual Conference June 10 –11, 2004 3 Advanced KHT Workshop: Improving Health through Acupuncture Energy Balance 4.3.19 explanations as to their effectiveness. Aspirin was used for more than 100 years before its mechanism of action was recently elucidated, and this scientific achievement was awarded the Nobel prize. Energy Circulation Life energy, or Qi (“chee”) must circulate throughout the body and in the anatomical territory of each of the internal organs. Qi is said to normally flow along meridians, which are theoretical channels to carry and distribute Qi. The meridians divide the body into six sagital territories of influence. Blockages in the flow of Qi are said to cause disease much like blockages of blood flow can cause damage downstream. KHT Treatment of Energy Imbalance: Overview 1. Five Element Theory —> Three Constitutions: Excess Kidney, Large Intestine or Spleen • Determine by Muscle Testing or Pulse Taking (hard; 6 months skill) • Balance with pellet bandaids or rings 2. Micromeridian: Balance through Sedation or Tonification of Energy Flow 3. Eight Extraordinary Meridians: composite superhighway: Balance posture, energetics Yin - Yang Cycle Figure 3 Figure 4 Everything flows in cycles. Every organ interacts with other organs. Problems seldom occur in isolation. Lawrence B. Li, MD, MPH & Dan Lobash, Ph.D. AANP Annual Conference June 10 –11, 2004 4 Advanced KHT Workshop: Improving Health through Acupuncture Energy Balance 4.3.19 Five Element Cycle Figure 5 Y ANG (outer circle) Gall Bladder Small Intestine / Triple Heater Stomach Large Intestine Bladder Y IN (inner circle) Liver Heart / Pericardium Spleen Lung Kidney Table 3: Five Elements characteristics Table 3 Meridian Excess - Deficiency Dynamic Energy balance • Illness, injury • Diet, Activity, Herbs, Acupuncture • One change creates many changes; meridian relationships Figure 6: S EE – S AW Increase/Decrease Yin <—> Decrease/Increase Yang Chinese Body Acupuncture Map Table 4 Internal organ names NOT necessarily correlated with organ disease. 12 Meridians (6 pairs) each side of the body Italicized = Key Diagnostic meridians in KHT Yin meridians flow out to fingers, in from toes. Yang meridians flow in from fingers, out to toes. Organ Liver Heart Spleen Lungs Kidney Season Spring Summer Harvest Fall Winter Element Wind Heat Damp Dryness Cold Paired Yang organ Gallbladder Small Intestine Stomach Large Intestine Bladder Emotion Anxiety Joy Thought Sadness Fear Y ANG ORGAN Y IN O RGAN Large Intestine Lung Stomach Spleen Bladder Kidney Lawrence B. Li, MD, MPH & Dan Lobash, Ph.D. AANP Annual Conference June 10 –11, 2004 5 Advanced KHT Workshop: Improving Health through Acupuncture Energy Balance 4.3.19 Fig. 8: Chinese Body Acupuncture Map, Front & Back views Lawrence B. Li, MD, MPH & Dan Lobash, Ph.D. AANP Annual Conference June 10 –11, 2004 6 Advanced KHT Workshop: Improving Health through Acupuncture Energy Balance 4.3.19 Fig. 9: Chinese Body Acupuncture Map, side view + head Lawrence B. Li, MD, MPH & Dan Lobash, Ph.D. AANP Annual Conference June 10 –11, 2004 7 Advanced KHT Workshop: Improving Health through Acupuncture Energy Balance 4.3.19 Fig. 10 : Korean Hand Therapy Micromeridian map TH Triple Heater SI Small Intestine LI Large Intestine GB Gall Bladder BL Bladder KI Kidney LU Lung PC Pericardium HT Heart LR Liver SP Spleen ST Stomach Palm of Left hand Back of Right hand Meridians flow one way in the direction of the arrow. Tonification: encourage movement in SAME direction as meridian Sedation: Encourage movement in OPPOSITE direction as meridian Lawrence B. Li, MD, MPH & Dan Lobash, Ph.D. AANP Annual Conference June 10 –11, 2004 8 Advanced KHT Workshop: Improving Health through Acupuncture Energy Balance 4.3.19 O PTIONS T O IMPROVE RESULTS BEYOND C ORRESPONDENCE T HERAPY : KHT pellets create directional flow , from Aluminum (Silver) negative —> Brass (Gold) positive 1. TONIFY the weaker meridian: apply pellets in the same direction as the meridian flow. Usually this is a Yin Organ. Example: Tonify LUNG: Apply aluminum pellet on PIP, brass pellet on DIP on C meridian 2. SEDATE a meridian: apply pellets in the opposite direction to the meridian flow. Usually this is a Yang organ. Example: Sedate Large Intestine: Apply aluminum pellet on PIP, brass pellet on DIP on D meridian Table 5: Chinese & KHT Acupuncture Meridian Pairings (Tai = Great, Xiao = Small, Ming = Bright) Energy Axis Yin organ Abbrev. KHT Energy Axis Yang organ Abbrev. KHT Conception Vessel (Ren) CV A Governing Vessel GV B Lung (arm) LU C Large Intestine LI D Tai Yin Spleen (leg) SP F Yang Ming Stomach ST E Heart HT G Small Intestine SI H Xiao Yin Kidney KI J Tai Yang Bladder BL I Pericardium (Master Heart) PC (MH) K Triple Warmer (San Jiao, Triple Heater) See Table 2 TW (SJ, TH) L Jue Yin Liver LR N Xiao Yang Gallbladder GB M 3. Creating energetic movement across a meridian pair or an energy axis e.g., Meridian pair: Tonify LUNG: Apply a brass pellet at C9, aluminum pellet at D2 4. Tonify the Gender pattern (improves energy balance) Female: A1, 4, 6, 8, 12 A4 corresponds to the uterus Male: A1 , 3, 6, 8, 12 A3 corresponds to the bladder and prostate 5. Eight Extraordinary meridians (8 EM) for Treating Excess Large Intestine, Spleen & Kidney Energy Excellent for creating global improvement in energy balance, improving posture Lawrence B. Li, MD, MPH & Dan Lobash, Ph.D. AANP Annual Conference June 10 –11, 2004 9 Advanced KHT Workshop: Improving Health through Acupuncture Energy Balance 4.3.19 Table 6: Eight Extraordinary Meridians Tongue findings • Red perimeter signifies Liver energy excess; common in the Spring. Irritability, resentment/anger, ligament problems • Scalloped tongue edge (tooth edema marks) = Spleen imbalance. Excessive introspection • Red tip = Heart overactive, poor recent sleep. Overactive emotions, mania Fig. 11: Liver excess tongue Excess Meridian + gold - silver Large Intestine Yin F4 K9 Large Intestine Yang H2 I38 Spleen Yin C8 J2 Spleen Yang L4 M31 Kidney Yin J2 C8 Kidney Yin K9 F4 Kidney Yang M31 L4 Kidney Yang I38 H2 Large Intestine Excess: Tend to be thin, athletic Symptoms: constipation, hyperacidity, low back pain, herniated disk, lower jaw toothache, nasal congestion, dry cough, tennis elbow, deltoid pain, feels stressed — tired Spleen Excess : Tend to be overweight Symptoms: Diabetes, pancreatitis, malabsorption, anemia, nausea, hypoacidity, stroke, oversleep, overly instrospective Kidney Excess : No particular physical stereotype Symptoms: Gynecological problems, kidney stones, nephritis,decreased hearing, tinnitus, dry inflamed throat, allergies, cold hands & feet, hypotension, spinal arthritis, sooty comlexion, fearful, anxious Lawrence B. Li, MD, MPH & Dan Lobash, Ph.D. AANP Annual Conference June 10 –11, 2004 10 Advanced KHT Workshop: Improving Health through Acupuncture Energy Balance 4.3.19 Muscle Testing (Applied Kinesiology) History : • Research by George Goodheart. Benign physical stimuli (e.g., nutritional supplements) would increase the strength of certain indicator muscles. Inimical stimuli would cause those muscles to weaken suddenly. • John Diamond, M.D.: Indicator muscles would strengthen or weaken in the presence of positive or negative emotional and intellectual stimuli, as well as physical stimuli. Books: Diamond, J. Your Body Doesn't Lie:How to Increase Your Life Energy Through Behavioral Kinesiology. New York: Warner Books, Inc.; 1979. Behavioral Kinesiology. New York: Harper & Row; 1979. • David Hawkins: comprehensive analysis of the emotional and spiritual development of individuals, societies, and humanity in general. Important book: Hawkins, David R. Power versus Force: An Anatomy of Consciousness. Sedona, AZ: Veritas Publishing; 1998. Potential uses: Distinguish Truthful from False statements • Identify which Constitutional pattern to use. • Identify improvement in acupuncture energetic balance • Beneficial/Harmful Foods, Supplements, Medications; Dosing Acupuncture does not resolve all cases. Reconsider the following: a. Anatomic Diagnosis b. Etiology c. Ergonomics d. Stress Management (increases tension, decreases sleep) e. Other therapies Fig. 12: O-ring test Fig. 13: O-ring test with gauge [...]... American Academy of Medical Acupuncture; 800-521-2262; to find MD’s that provide acupuncture www.medicalacupuncture.org National Certification Commission for Acupuncture and Oriental Medicine; www.nccaom.org; to find qualified acupuncturists (Dipl Ac.) and Chinese herbalists (Dipl C.H.) KHT References 1 “KHT Health and Well Being Through Koryo Hand Therapy.” Dan Lobash, 1996, $42 manual that teaches hand... theory of micro -acupuncture Am J Acupunct 1999;27(3-4):207-42 3 Hida K Critical evaluation of Koryo Sooji Chim (Korean hand acupuncture) diagnosis by application of the Bi-Digital O-Ring Test Acupunct Electrother Res 1986;11(3-4):251-7 4 Jodorkovsky R Hand acupuncture Phys Med Rehabil Clin N Am 1999;10(3):563-71 5 Jodorkovsky R Hand acupuncture experience in pediatric patients Medical Acupuncture 1999;11(1):25-28... patients Medical Acupuncture 1999;11(1):25-28 6 Jodorkovsky R Hand acupuncture treatment for chronic asthma in children Medical Acupuncture 2000;12(2):52 7 Jodorkovsky R Treatment of Primary Nocturnal Enuresis with Hand Therapy: A Randomized, Double-Blind, Placebo-Controlled Trial Medical Acupuncture 2003;14(2):28-31 8 Schlager A Korean hand acupuncture in the treatment of chronic hiccups [letter] [see... spiritLL@earthlink.net Community Health Centers of the Central Coast 805-938-9200, fax 805-938-0920 2801 Santa Maria Way, Suite A, Santa Maria, CA 93455 Dan Lobash, Ph.D., L.Ac KHTdan@aol.com KHT Systems (877) 244-4325 phone, fax; www.KHTSystems.com; KHThealth@aol.com P.O Box 5309, Hemet, CA 92544 KHT supplies, charts, training videotapes Seminars: $250 for level I weekend course American Academy of Medical Acupuncture; ... Gunn Approach to the Treatment of Chronic Pain Intramuscular Stimulation for Myofascial Pain of Radiculopathic Origin Second ed New York: Churchill Livingstone; 1996 3) Helms, JM An overview of medical acupuncture Alt Therapies 1998 Vol 4 (3): 35-45 4) Kaptchuk TJ The Web that has no Weaver: Understanding Chinese Medicine New York: Congdon & Weed, Inc., 1983 Easy point of entry to understand contemporary . –11, 2004 5 Advanced KHT Workshop: Improving Health through Acupuncture Energy Balance 4.3.19 Fig. 8: Chinese Body Acupuncture Map, Front & Back views. –11, 2004 6 Advanced KHT Workshop: Improving Health through Acupuncture Energy Balance 4.3.19 Fig. 9: Chinese Body Acupuncture Map, side view + head Lawrence