Introduction to treatment Colin Chan. Topics to be covered: A.Therapeutic Effects 针灸治疗作用...

Introduction to treatmentIntroduction to treatment

Colin Chan

Topics to be covered:

A. Therapeutic Effects 针灸治疗作用

B. Diagnostic Principles 诊断原则

C. Treatment Principles 治疗原则

D. Prescription Principles 处方原则

E. Methods of Acupoints Selection 选穴方法

F. Curative Effects of Treatments 治疗效果

G. Applications of Special Acupoints 特定穴的应用

H. Case Analysis 案例分析

Principles of Treatment

Copy right: Colin Chan

A. Therapeutic Effects

1. Regulating Yin and Yang ( 调整阴阳 )

a) Concept of Yin Yang:

Positive

Negative

b) Balance of Yin Yang:

c) Implications of Imbalance of Yin Yang:

Yin 理想的平衡 Yang

Perfect BalanceCold 寒 Hot 热

Too much Yin

Too little Yang

Too much Yang

Too little Yin

2. Reinforcing Healthy Qi and Dispelling Evil Qi ( 扶正祛邪 )

a) Concepts of Healthy Qi and Evil Qi.

<Su Wen> 素问：

“正气内存，邪不可干”

“邪之所凑，其气必虚”

For evil qi to encroach, the healthy qi of the body

must be deficient.

When the healthy qi is strong enough, the evil qi

cannot intervene the body.

2. Reinforcing Healthy Qi and Dispelling Evil Qi ( 扶正祛邪 )

b) Methods of treatment

i. Selections of Acupoints.

• Along the diseased meridian.

• Interiorly & Exteriorly related meridians.

• Back-shu & Yuan source points.

• Mother & Son channels.

ii. Manipulation Methods

• Reinforcing/Dispelling.

• Moxibustion, Cupping, Scraping.

3. Clear Channel Blockage ( 疏通经络 )

B. Diagnostic Principles

1. Channel Examination ( 经络诊察 )

Colour: Reddish

Bluish

Darkish purple

Shape: Pimples

Blisters

Touch: Palpation, nodes, lumps,

masses, depression, pain,

numbness, temperature.

2. Acupoints Examination ( 腧穴诊察 )

Acupoints 穴位：

Shape: Nodes ， masses

Touch ： Depression, looseness

Reactions: Pain, aching, comfort

e.g. Feishu BL13 : Lung disorder.

Xinshu BL15 : Heart disorder.

Ashi Points: Pain, aching.

3. Syndrome Differentiationof Channels ( 经络辩证 )

a) From location of diseases 从病位辩经脉

e.g. Headache

Large Intestine channel.

Bladder channel.

Gall Bladder channel.

Stomach channel.

b) From symptoms of diseases 从症状辨经脉

e.g. Cough: Lung channel.

Indigestion: Stomach channel.

Constipation: Large Intestine channel.

Depression: Liver channel.

c) From location and symptoms of diseases 从病位与症状辨经脉

e.g. Obesity: Conception Vessel.

Stomach channel.

Spleen channel.

Incontinent: Bladder channel.

Kidney channel.

Conseption Vessel.

Governor Vessel.

d) From organ systesms 从脏腑辨经脉

Kidney 肾

Heart 心

Liver 肝

Spleen 脾 Lung 肺

e) From Yin Yang systems

Deficiency/Excess Syndrome ： Yin Yang

Kidney 肾

Heart 心

Liver 肝

Spleen 脾 Lung 肺

C. Treatment Principles

a) Reinforce Healthy Qi and Dispel Evil Qi 扶正祛邪

Example 1:

Influenza: Wing-Heat Syndrome.

Fever, aversion to wind, headache, sorethroat, nasal obstruction, cough with yellow sputum.

reddish tongue with yellow fur and floating and rapid pulse.

Points: Hegu (LI4), Dazhui (GV14),

Fengchi (GB20), Fengmen (BL12 ）

Lieque (LU7) ， Chize (LU5),

Yingxiang (LI 20)

b) Replenish Deficiency and Clear Surplus 补虚泻实

Example 1:

Allergic Rhinitis : Asthenia of lung and Spleen

Frequent sneezing, nasal obstruction, thin nasal discharge, aggravation when cold or overstrain, lassitude, low voice,

spontaneous sweating, aversion to cold, loose stool, emaciation & lethargic.

light color bulgy tongue with white & greasy fur and weak pulse.

Points: Hegu (LI 4), Yingxiang (LI 20),

Fenglong (ST40), Zusanli (ST36),

Chize (LU 5), Sanyinjiao (SP 6),

Pishu (BL 20), Feishu (BL 13),

Yintang (EX- HN3).

c) Clear heatiness and warm coldness 清热温寒

Example 1:

Influzenza : Wind Cold Syncrome: Warm Coldness.

Wind Heat Syndrome: Clear Heatiness.

Points: Fengchi (GB20), Lieque (LU7), Hegu (LI 4),Yingxiang (LI 20).

Wind-Cold: Fengmen (BL12), Zhizheng (SI 7).

Wind-Heat: Chize (LU5), Yuji (LU10).

2. Treatment on Fundamental ( 治病求本 )

Example: Chronic Gastritis

Liver Depression & Qi Stagnation Syndrome

Symptoms:

Recurrent fullness, oppression and pain in the middle and upper abdomen, anorexia, dyspepsia, belching and sighing rib-side migratory pain, aggravated when depressed or rib emotional upset.

Red tongue with thin and yellow fur, taut and rapid pulse.

Liver 肝

Spleen 脾

Points: Zhongwan (CV12), Guanyuan (CV4), Zusanli(ST36),

Tianshu (ST25 ） Pishu (BL20), Weishu (BL21),

Sanyinjiao (SP6), Daheng (sp15)

Taichong (LR3), Xingjian LR2), Zhangmen (LR13),

Ganshu (BL18).

3. Triple Customisation ( 三因制宜 )

a) By Timing

Spring & Summer (Yang Qi increases)

Autumn & Winter (Yin Qi increases)

Midnight-Noon Ebb-flow Rule

b) By Places

Geographical features: Territories, Climates, Hibitat.

c) By Person

Age, Gender, Body Constitution, Race.

4. Localised and Hoslistic ( 局部与整体 )

Example: Lumbago: ( 腰痛）

Obstruction by pathogenic cold & dampness.

Stagnation of qi and blood.

Deficiency of kidney essence.

D. Prescription Principles

1. Acute vs Chronic ( 标本缓急 )

Example: Acute fever caused by Wind-Heat or Summer Heat:

Points: Dazhui GV 14, Quchi LI 11, Guanchong (TE 1).

2. Reinforce vs Reduce ( 扶正祛邪 )

Deficiency: Reinforce

Excess: Reduce

Example: Constipation (Deficency or Excess)

Principle Points: Zhongwan (CV 12), Tianshu (ST 25), Zhigou (TE 6), Shangjiuxu (ST 37).

Sthenia cases 实秘 : Add…..

Quchi (LI11), Neiting (ST 44).

Asthenia cases 虚秘 : Add….

Qihai (CV6), Zusanli (ST36), Pishu (BL 20).

3. Positive vs Negative Treatment ( 正治反治 )

Hot symptoms: Excess Yang

Positive Treatment: Reduce/Dispel (the excessive yang).

Negative Treatment: Replenish (the deficient yin).

4. Triple Customisations ( 三因制宜 )

• Timing: Seasonal differences; time in a day.

• Location: North vs South; cold vs hot.

• Individual: Age, gender, race etc.

To Be Continued…

5. Therapeutic properties of acupoints

• Local and Adjacent effects.

Example: Eye problems: BL 1 Jingming, ST 2 Sibai, GB 1 Tongziliao.

• Remote effects.

Example: LI 4 Hegu: Head and facial problems.

• Special effects.

Examples: GV 14 Dazhui: Fever.

GV 26 Shuigou: Unconsciousness, stroke.

E. Methods of acupoint selections

1. Basis of selection ( 选穴 )

a) Proximal Acupoints 近部取穴 .• Local Acupoints (局部取穴 ).

• Adjacent Acupoints (临近取穴 ).

b) Distant Acupoints 远部取穴• Acupoints below elbows and knees.

• Flow of Meridians and colaterals.

1. Basis of selection ( 选穴 )

c) Symptomatic Acupoints

• High fever: Dazhui (GV 14); Quchi (LI 11)

• Insomnia: Shenmen (HT 7); Neiguan (PC6)

• Stiff Neck: Fengchi (GB20), Houxi (SI 3)

d) Syndrome Differentiation

• Migraine: Hyperactivity of Liver Yang

In addition to Proximal, distal-Proximal

May also use : Xingjian LR2, Taichong LR 3

Example: Proximal & Distant Acupoints: Frozen shoulder

Small Intestine

Jianyu LI 15

Jianliao TE 14

Naoshu SI 10

Large Intestine Triple Enegizer

Houxi SI 3

Waiguan TE5

Hegu LI 14

Proximal

Distal

2. Combination of acupoints ( 配穴 )

a) Proximal and Distal combination

• Migraine:

Proximal acupoints: Taiyang (EX-HN5), Touwei (ST8), Shuaigu (GB8)

Distal acuponits: Houxi （ SI 3),Zhongzhu (TE3)

b) Upper and Lower combination

• Gastric Disorder: Neiguan (PC 6), Zusanli (ST 36)

• Toothache: Hegu (LI 4), Neiting ( ST 44)

c) Front and back combination

• Gastritis:

Front acupoints: Zhongwan (CV12), Tianshu (ST25)

Back acuponits: Pishu (BL 20), Weishu (BL 21)

d) Left and Right Acupoints

• Left Facial Paralysis:

Left acupoints: Jiache (ST6), Dicang (ST 4)

Right acupoints: Hegu (LI 4)

e) Exteriorly and Interiorly channel related combination

• Cough (wind-heat type):

Lung channel acupoints: Chize (LU 5)

Large Intestine channel acuponits: Hegu (LI 4), Quchi (LI 11)

f) Syndrome related combination

• Chronic Gastritis: Liver Depression & Qi Stagnation Syndrome

Zhongwan (CV12), Tianshu (ST25), Zusanli(ST36), Daheng (SP15),

Pishu (BL20), Weishu (BL21)

Taichong (LR3), Zhangmen (LR13), Ganshu(BL18)

3. Midnight-Noon Ebb-Flowing Rule ( 子午流注法 )

• A combination of :

i. Syndrome identification.

ii. Active time periods for meridians.

iii. Mother-Son pairing relationship.

iv. Reinforcing or reducing manipulation.

F. Curative effect of treatment

1. Use of Therapeutic Methods 治法因素

• Acupuncture

Filiform needle, 3-Edged needle, Electro-acupuncture, Ear acupuncture.

• Moxibustion

Moxa cone, moxa role.

• Other methods

Cupping, Prickling, Scaping.

2. Selection of acupoints ( 用穴因素 )

• Application of TCM theories

• Identification of symptoms and syndromes

• Understanding channels and acupoints

3. Methods of Administration ( 操作因素 )

• Constitutional Differentiation

• Concentration ( 治神 )

i. Preparation.

ii. Insertion.

iii. Manipulation.

iv. Observation.

v. Arrival of Qi.

So,which

acupoint

to use now ?

G. Application of Special Acupoints

1. Concept

a) Five Transport acupoints (Five Shu points).

• Below the elbow and knee.

i. Jing-Well.

ii. Ying-Spring.

iii. Shu-Stream.

iv. Jing-River.

v. He-Sea.

• Transport Points and 5 Elements

i. Layout: Yin Meridians: Jin – Wood.

ii. Yang Mrridians: Jin – Metal.

1. Concept

b) Identification of the 5 transport points of the YIN channels.

Channel Jing (Wood) Ying (Fire) Shu (Earth) Jing (Metal) He (Water)

Lung Shaoshang LU 11 Yuji LU 10 Taiyuan LU 9 Jingqu LU 8 Chize LU 5

Pericarium Zhongchong PC 9 Laogong PC8 Daling PC 7 Jianshi PC 5 Quze PC 3

Heart Shaochong HT 9 Shaofu HT 8 Shenmen HT 7 Lingdao HT 4 Shaohai HT 3

Spleen Yinbai SP 1 Dadu SP 2 Taibai SP 3 Shangqiu SP 5 Yinglinquan SP 9

Liver Dadun LR 1 Xingjian LR 2 Taichong LR 3 Zhongfenf LR 4 Ququan LR 8

Kidney Yongquan KI 1 Rangu KI 2 Taixi KI 3 Fuliu KI 7 Yingu KI 10

1. Concept

b) Identification of the 5 transport points of the YANG channels.

Channel Jing (Metal) Ying (Water) Shu (Wood) Jing (Fire) He (Earth)

L. Intest Shangyang LI 1 Erjian LI 2 Sanjian LI 3 Yangxi LI 4 Quchi LI 11

Tri Enege. Guanchong TE 1 Yemen TE 2 Zhongzhu TE 3 Zhigou TE 6 Tianjing TE 10

S. Intest Shaozhe SI 1 Qiangu SI 2 Houxi SI 3 Yangu SI 5 Xiaohai SI 8

Stomach Lidui ST 45 Neiting ST 44 Xiangu ST 43 Jiexi ST 41 Zusanli ST 36

Gall Bladder Zuqiaoyin GB 44 Xiaxi GB 43 Zulingqi GB 41 Yangfu GB 38 Yanglinquan GB 34

Bladder Zhiyin BL 67 Zutonggu BL 66 Shugu BL 65 Kunlun BL 60 Weizong BL 40

1. Concept

c) Application of the 5 transport points.

Jing- Well: Emergencies e.g. Coma, Alleviating pain and inflammation.

Ying-Spring: Relieve heatiness.

Shu-Stream: Relieve pain, clear water retention.

Jing-River: Cough & Asthma (exogenous pathogen).

He-Sea: Fu-Organs disorders.

Example: Zusanli: Stomach disorder; Quchi: Large intestine disorder

Excess Syndrome:

Dispel from the Son 实者泻其子

Example: Lung Excess Syndrome: Lung = Metal ； Son = Water

Acupoint Choice: Chize (LU 5).

1. Concept

d) The Mother and Son Relationship.

Deficiency Syndrome:

Reinforce on the Mother 虚者补其母

Example: Lung Excess Syndrome: Lung = Metal ； Mother = Earth

Acupoint Choice: Taiyuan (LU 9).

1. Concept

e) Midnight-Noon Ebb-Flowing Rule.

Channel Lung L. Int Stmh Spleen Heart S. Int Blad Kidney Peric T E Gall B Liver

Active 3-5am 5-7 7-9 9-11 11-1pm 1-3 3-5 5-7 7-9 9-11 11-1am 1-3

Reduce Chize Erjian Lidui Shangqiu Shenmen Xiaohai Shugu Yongquan Daling Tianjing Yangfu Xingjian

SON Wter Wter Metl Metl Erth Erth Wood Wood Erth Erth Fire Fire

Re- Shao Zhong Zhong

inforce Taiyuan Quchi Jiexi Dadu chong Houxi Zhiyin Fuliu chong zhu Xiaxi Ququan

Mother Erth Erth Fire Fire Wood Wood Metl Metl Wood Wood Wter Wter

Element Metl Erth Fire Wter Fire Wood

2. Concept

a) Yuan-Source acupoints

i. Closely related to Triple energizer & Primorial Qi ( 元气） of Zang Fu.

ii. Points where Primorial Qi of Zang-Fu is infused.

iii. Locations where the disorder of Zang-Fu organs are manifested.

iv. Located in the vicinity of wrists and ankles.

v. Yang Meridian: After Shu-Acupoints.

vi. Yin Meridian: Shu-Acupoint.

2. Concept

b) Yuan-Source acupoints of the YIN channels

Channels ***Yuan-Source points (Shu-Stream points

Lung LU 9 Taiyuan

Pericardium PC 7 Daling

Heart HT 7 Shenmen

Spleen SP 3 Taibai

Liver LR 3 Taichong

Kidney KI 3 Taixi

***The Yuan-Source points of the YIN channels are also the Shu-Stream points.

2. Concept

c) Yuan-Source acupoints of the YANG channels

Channels *Yuan-Source points

Large Intestine LI 4 Hegu

Triple Energizer TE 4 Yangchi

Small Intestine SI 4 Wangu

Stomach ST 42 Chongyang

Gall Bladder GB 40 Qiuxu

Bladder BL 64 Jinggu

*The Yuan-Source points of the YANG channels are located after the Shu-Stream points.

• Distributed from 12 regular channel, the conception and governor vessels.

• One acupoint for each channel, plus one major Luo-connecting acupoint for spleen.

• Connect relating channel internally & externally.

• Located below elbows and knees.

2. Concept

d) Luo-Connecting acupoints

2. Concept

e) Yuan-Source and Luo-Connecting acupoints of the 12 regular channels

Channel Yuan-Source Acupoints Luo-Connecting Acupoints

Lung LU 9 Taiyuan LU 7 Lieque

Pericardium PC 7 Daling PC 6 Neiguan

Heart HT 7 Shenmen HT 5 Tongli

Spleen SP 3 Taibai SP 4 Gongsun / SP 21 Dabao

Liver LR 3 Taichong LR 5 Ligou

Kidney KI 3 Taixi KI 4 Dazhong

Large Intestine LI 4 Hegu LI 6 Pianli

Triple Energizer TE 4 Yangchi TE 5 Waiguan

Small Intestine SI 5 Yanggu SI 7 Zhizheng

Stomach ST 42 Chongyang ST 40 Fenglong

Gall Bladder GB 40 Qiuxu GB 37 Guangming

Bladder BL 64 Shugu BL 58 Feiyang

• Yuan Acupoints: Zang-Fu Disorder.

• Luo Acupoints: Diseases of collaterals chronic diseases of the zang-fu organs.

• Yuan-Luo Compatibility:

i. Primary selection: Yuan acupoint of the affected channel.

ii. Secondary selection: Luo acupoint of the connected channel.

2. Concept

f) Applications of Yuan-Source and Luo-Connecting acupoints

• Each Zang and Fu has one Shu and Mu acupoint respectively.

• Areas where visceral qi infuses.

• Front-Mu: Located on the chest and abdomen abdomen.

• Back-Shu: Located on the back.

3. Concept

a) Back-Shu and Front-Mu acupoints

Channel Back-Shu Acupoints Front-Mu Acupoints

Lung BL 13 Feishu LU 1 Zhongfu

Pericardium BL 14 Jueyinshu CV 17 Tanzhong

Heart BL 15 Xinshue CV 15 Juque

Spleen BL 20 Pishu LR 13 Zhangmen

Liver BL 18 Ganshu LR 14 Qimen

Kidney BL 23 Shenshu GB 24 Jingmen

Large Intestine BL 25 Dachangshu ST 25 Tianshu

Triple Energizer BL 22 Sanjiaoshu CV 5 Shimen

Small Intestine BL 27 Xiaochangshu Cv 4 Guanyuan

Stomach BL 21 Weishu CV 12 Zhongwan

Gall Bladder BL 19 Danshu GB 24 Riyue

Bladder BL 28 Panguangshu CV 3 Zhongji

3. Concept

b) Back-Shu and Front-Mu acupoints of the 12 regular channels

• Primarily for Zang-Fu organ diseases.

i. Back Shu can be used for diseases relating to the Zang-fu systems.

e.g. BL 18 Ganshu: Eye or tendon disorders

BL 23 Shenshu: Kidney disorders, deafness, tinnitus.

3. Concept

c) Application of Back-Shu and Front-Mu acupoints

To Be Continued…

• Six acupoints of the 3 Yang channels of the hand and the 3 Yang channels of the foot that is located on the 3 yang channels of foot.

• Congregation of qi from 6 Fu at these points.

4. Concept

a) Lower He-Sea acupoints

Channel He-Sea Acupoints Lower He-Sea Acupoints

Large Intestine LI 11 Quchi ST 37 Shangjuxu

Triple Energizer TE 10 Tianjing BL 41 Weiyang

Small Intestine SI 8 Xiaohai ST 39 Xiajuxu

Stomach ST 36 Zusanli ST 36 Zusanli

Gall Bladder GB 34 Yanglinquan GB 34 Yanglinquan

Bladder BL 40 Weizhong BL 40 Weizhong

4. Concept

b) Lower He-Sea acupoints of the 6 Yang channels (3 hand and 3 foot).

• Closely related to 6-Fu organs

• Used for treating diseases relating to the 6-Fu organs.

• e.g. : ST 36 Zusanli for epigastric pain

ST 37 Shangjuxu for diarrhea

4. Concept

c) Application of Lower He-Sea acupoints

• Eight acupoints where the essence of

Zang, Fu, Qi, Xue, Tendon, Vessels,

Bone and Marrow accumulates respectively.

• Located at different parts of the body along different channels.

5. Concept

a) Eight Influential acupoints

5. Concept

b) Identification of the Eight Influential acupoints

Element Influential acupoints Channels

Zang LR 13 Zangmen Liver

Fu CV 12 Zhongwan Conception

Qi CV 17 Tanzhong Conception

Xue BL 17 Geshu Bladder

Tendon GB 34 Yanglinquan Gall Bladder

Pulse and Vessel LU 9 Taiyuan Lung

Bone BL 11 Dazhu Bladder

Marrow GB 39 Xuanzhong Gall B;adder

5. Concept

c) Applications of the Eight Influential acupoints

• Use for treating diseases relating to the essence of the corresponding organs or tissues.

Example:

i. Stomach & Large Intestine diseases: Zhongwan CV12 (Fu Influential acupoint).

ii. Pain in legs and arms, Hemiparalysis: Yanglingquan GB34 (Tendon influential acupoint).

• Sites where Qi and Blood in the channels converges and flows the deepest.

i. 12 points on the 12 main meridians.

ii. 4 points on the Yin Link Yang Link, Yin Heel and Yang Heel vessels.

6. Concept

a) Xi-Cleft acupoints

6. Concept

b) Identification of the Xi-Cleft acupoints

Channel Xi-Cleft acupoints Channels Xi-Cleft acupoints

Lung LU 6 Kongzui Large Intestine LI 7 Wenliu

Pericardium PC 4 Ximen Triple Energizer TE 7 Huizhong

Heart HT 6 Yinxi Small Intestine SI 6 Yanglao

Spleen SP 8 Diji Stomach ST 34 Liangqiu

Liver LR 6 Zhongdu Gall Bladder GB 36 Waiqiu

Kidney KI 5 Shuiquan Bladder BL 63 Jinmen

Yin Link KI 9 Zhubin Yang Link GB 35 Yangjiao

Yin Heel KI 8 Jiaoxin Yang Heel BL 59 Fuyang

6. Concept

c) Applications of the Xi-Cleft acupoints

• Use for treating acute, painful diseases

Example:

i. Acute stomachache: ST 34 Liangqiu.

ii. Hemoptysis: LU 6 Kongzui.

• Points where the 12 regular channels are connected with the 8 extra vessels.

• Located around the wrists or ankles.

• There are 4 pairs,

Each pair consists of 1 point each from hand and foot.

7. Concept

a) Eight Confluent acupoints

7. Concept

b) Identification of the 8 confluent acupoints

Confluent acupoint Channel Area of treatment

PC 6 Neiguan + SP 4 Gongsun PC + SP + TF + Yin L Heart, chest, stomach

SI 3 Houxi + BL 62 Shenmai SI + BL + GV + Yang H Inner cathus, ear, neck, shoulder, back

TE 5 Waiguan + GB 41 Zulinqi TE + GB + Belt + Yang L Outer canthus, cheek, neck, shoulder

LU 7 Lieque + KI 6 Zhaohai LU + KI + CV + Yin H Throat, chest, lung, diaphragm

• Broad applications

i. Diseases along the main channels.

ii. Diseases relating to the extra-ordinary channels.

Example: Stomach disorder: Gongsun (SP4) & Neiguan (PC6)

Ear diseases: Zulinqi GB 41 & Waiguan TE 5

7. Concept

c) Applications of the 8 confluent acupoints

• Points where 2 or more meridians intersect

• There are about 100 crossing acupoints.

• Most are distributed on the trunk, head and face.

8. Concept

a) Crossing acupoints

• Use for disorders of multi- channels.

Example: Conception vessel & 3 yin meridians of foot: CV 3 Zhongji, CV 4 Guanyuan

Spleen, Liver and Kidney channels: SP 6 Sanyinjiao

8. Concept

b) Applications of the crossing acupoints

• Ear resembles an inverted fetus

• Auricular acupoints corresponds to different parts of the human body.

i. Upper part of the ear: Limbs

ii. Middle part of the ear: Internal organs

iii. Lower part of the ear: Head & face

9. Concept

a) Auricle acupoints

9. Concept

b) Identification of Auricle acupoints

No A. Acup No. A. Acup

1 Shenmen 11 Appendix

2 Genital 12 L. Intestine

3 Bladder 13 Mouth

4 Kidney 14 Esophagus

5 Gall Bladder 15 Cardia

6 Pancreas 16 Spleen

7 Liver 17 Lung

8 Stomach 18 Heart

9 Duodenum 19 Trachea

10 S. Intestine 20 Laryngopharynx

9. Concept

b) Identification of Auricle acupoints

No A. Acup No. A. Acup

21 Triple Energizer 31 Anus

22 Brain 32 Toe and Heel

23 Endocraine 33 Knee

24 Tooth 34 Spleen

25 Tongue 35 Fingers

26 Eye 36 Wrist

27 Cheek 37 Vertebra/Abdomen

28 Inner Ear 38 Elbow

29 Tonsil 39 Shoulder

30 External Genital 40 Thoracic Vertebra

No A. Acup

41 Shoulder jt.

42 Clavicle

43 Neck/ Clavicle vertebra

44 Forehead

45 External nose

46 Ureter

• Use for disorders of the related parts of

the body or organs.

• Use for diagnosis of related diseases.

Example: Lung Acupoints for lung disorders.

9. Concept

c) Applications of the crossing acupoints

H. Case Study

1. Insomnia

a) Symptoms b) Analysis

i. dyphoria

ii. dizziness and tinnitis

iii. hot sensation

iv. dry mouth with scanty fluid

v. aching in loins and knees

vi. palpation

vii. amnesia

viii. seminal emission

ix. red tough, thin or no fur

x. thin and rapid pulse

Kidney 肾

Heart 心

Liver 肝

Spleen 脾 Lung 肺

d. Prescription

• Symptom: HT 7 Shenmen , BL 15 Xin Shu: (Reduce) to calm the “Spirit of the heart”.

• Syndrome: KI 3 Taixi, SP 6 Sanyinjiao, BL 23 Shenshu (Reinforce) to balance the Yin of the Kidney.

Inaddition: Auricular Acupoints: Shenmen, Heart, Kidney

H. Case Study

1. Insomnia

c) Syndrome Differentiation

• Excessive Heart (fire) due to deficiency in Yin of Kidney.

i. Sudden distortion of face

ii. Numbness of face

iii. Pain behind the ear

iv. Aversion to cold, fever

v. Thin and white tough

vi. Floating and tense or

vii. Floating and rapid pulse

H. Case Study

2. Peripheral Facial Paralysis (Acute)

a) Symptoms b) Analysis

Acute WIND attack superficial of face.

d. Prescription

• Symptom: ST 6 Jiache , ST 4 Dichang, GB 14 Yangbai, BL 2 Cuanzhu, LI 20 Yingxiang, GV 26 Shuigou: (Even)

• Syndrome: GB 20 Fengchi, Yifeng (TE 17), Hegu (Reduce) to expel wind pathogen.

H. Case Study

2. Peripheral Facial Paralysis (Acute)

c) Syndrome Differentiation

• Facial Stroke (channel type) due to Wind attack.

H. Case Study

2. Peripheral Facial Paralysis (Chronic)

e) Symptoms f) Analysis

i. Prolong duration of illness

ii. Stiffness of face

iii. Spasm of face

iv. Difficulty in opening eyes

v. Pale tough

vi. Thin pulse

Deficiency and Stagnation of Qi and Blood along the channels

h. Prescription

• Syndrome: CV 6 Qihai , CV 4 Guanyuan, ST 36 Zusanli (Reinforce and Moxibustion) to boost the constitution.

H. Case Study

2. Peripheral Facial Paralysis (Chronic)

g) Syndrome Differentiation

• Facial Stroke (channel type) due to Deficiency and Stagnation of Qi and Blood along the channels.

Introduction to treatment Colin Chan. Topics to be covered: A.Therapeutic Effects 针灸治疗作用...

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Bentham - Principles

Layout, principles

河北省医疗保障局文件 - ylbzj.hebei.gov.cnylbzj.hebei.gov.cn/cms/upload/0ed139d7-81be-44fc-b... · 第三章附则第十条定点医疗机构对考核结果有异议的，可在考核结果

医疗器械检验检测中心建设标准 - mohurd.gov.cnmohurd.gov.cn/wjfb/201802/W020180201053309.pdf · 第一章总则第一条为加强和规范医疗器械检验检测中心(院、所)的建设,提

Laser Principles

互联网医疗的 “十字路口” - Deloitte US · 一、互联网医疗的崛起互联网医疗起源于在线医疗。早在2000 年在线医疗就开始萌芽，大量医疗网站

Principles of Environmental Risk Assessment 环境风险评估的原则

Leadership Principles

Presentation Principles

Poliquin Principles

UT Principles

肺癌放疗新概念：瘤根靶向放疗

About Principles

Eng Principles

The Success Principles€¦ · อาจารย ขนิษฐา จารุกีรติ หัวข อที่บรรยาย • Leadership Principles • Principles

HACCP principles

Iso Principles