1. Introduction to treatment Colin Chan

2. 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

3. A.Therapeutic Effects 1.Regulating Yin and Yang ( 调整阴阳 ) a)Concept of Yin Yang: Yang Positive North Sun Hot Day Dry Yin Negative South Moon Cold Night Wet Copy right: Colin Chan

4. A.Therapeutic Effects 1.Regulating Yin and Yang ( 调整阴阳 ) b)Balance of Yin Yang: Copy right: Colin Chan

5. A.Therapeutic Effects 1.Regulating Yin and Yang ( 调整阴阳 ) c)Implications of Imbalance of Yin Yang: Yin 理想的平衡 Yang Perfect Balance Cold 寒 Hot 热 Too much Yin Too little Yang Too much Yang Too little Yin Copy right: Colin Chan

6. A.Therapeutic Effects 2.Reinforcing Healthy Qi and Dispelling Evil Qi ( 扶正祛邪 ) a)Concepts of Healthy Qi and Evil Qi. 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. Copy right: Colin Chan

7. A.Therapeutic Effects 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. Copy right: Colin Chan

8. A.Therapeutic Effects 3.Clear Channel Blockage ( 疏通经络 )

9. 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.

10. B.Diagnostic Principles 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.

11. B.Diagnostic Principles 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.

12. B.Diagnostic Principles 3.Syndrome Differentiationof Channels ( 经络辩证 ) 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.

13. B.Diagnostic Principles 3.Syndrome Differentiationof Channels ( 经络辩证 ) 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.

14. B.Diagnostic Principles 3.Syndrome Differentiationof Channels ( 经络辩证 ) d)From organ systesms 从脏腑辨经脉 Kidney 肾 Heart 心 Liver 肝 Spleen 脾 Lung 肺

15. B.Diagnostic Principles 3.Syndrome Differentiationof Channels ( 经络辩证 ) e)From Yin Yang systems Deficiency/Excess Syndrome ： Yin Yang Kidney 肾 Heart 心 Liver 肝 Spleen 脾 Lung 肺

16. C.Treatment Principles 1.Regulating Yin and Yang ( 调整阴阳 ) 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)

17. C.Treatment Principles 1.Regulating Yin and Yang ( 调整阴阳 ) 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).

18. C.Treatment Principles 1.Regulating Yin and Yang ( 调整阴阳 ) 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).

19. C.Treatment Principles 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).

20. C.Treatment Principles 3.Triple Customisation ( 三因制宜 ) a)By Timing Spring & Summer (Yang Qi increases) Autumn & Winter (Yin Qi increases) Day: Midnight-Noon Ebb-flow Rule b)By Places Geographical features: Territories, Climates, Hibitat. c)By Person Age, Gender, Body Constitution, Race.

21. C.Treatment Principles 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.

22. 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).

23. D.Prescription Principles 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).

24. D.Prescription Principles 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).

25. D.Prescription Principles 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.

26. To Be Continued…

27. D.Prescription Principles 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.

28. 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.

29. E.Methods of acupoint selections 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

30. Example: Proximal & Distant Acupoints: Frozen shoulder Small Intestine Jianyu LI 15 Jianliao TE 14 Naoshu SI 10 Large IntestineTriple Enegizer Houxi SI 3 Waiguan TE5 Hegu LI 14 Proximal Distal

31. E.Methods of acupoint selections 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)

32. E.Methods of acupoint selections 2.Combination of acupoints ( 配穴 ) 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)

33. E.Methods of acupoint selections 2.Combination of acupoints ( 配穴 ) 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)

34. E.Methods of acupoint selections 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.

35. 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.

36. F.Curative effect of treatment 2.Selection of acupoints ( 用穴因素 ) Application of TCM theories Identification of symptoms and syndromes Understanding channels and acupoints

37. F.Curative effect of treatment 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.

38. So,which acupoint to use now ?

39. 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.

40. G.Application of Special Acupoints 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

41. G.Application of Special Acupoints 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

42. G.Application of Special Acupoints 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

43. Excess Syndrome: Dispel from the Son 实者泻其子 Example: Lung Excess Syndrome: Lung = Metal ； Son = Water Acupoint Choice: Chize (LU 5). G.Application of Special Acupoints 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).

44. G.Application of Special Acupoints 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 Time 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

45. G.Application of Special Acupoints 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.

46. G.Application of Special Acupoints 2.Concept b)Yuan-Source acupoints of the YIN channels Channels***Yuan-Source points (Shu- Stream points LungLU 9 Taiyuan PericardiumPC 7 Daling HeartHT 7 Shenmen SpleenSP 3 Taibai LiverLR 3 Taichong KidneyKI 3 Taixi ***The Yuan-Source points of the YIN channels are also the Shu-Stream points.

47. G.Application of Special Acupoints 2.Concept c)Yuan-Source acupoints of the YANG channels Channels*Yuan-Source points Large IntestineLI 4 Hegu Triple EnergizerTE 4 Yangchi Small IntestineSI 4 Wangu StomachST 42 Chongyang Gall BladderGB 40 Qiuxu BladderBL 64 Jinggu *The Yuan-Source points of the YANG channels are located after the Shu-Stream points.

48. 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. G.Application of Special Acupoints 2.Concept d)Luo-Connecting acupoints

49. G.Application of Special Acupoints 2.Concept e)Yuan-Source and Luo-Connecting acupoints of the 12 regular channels ChannelYuan-Source AcupointsLuo-Connecting Acupoints LungLU 9 TaiyuanLU 7 Lieque PericardiumPC 7 DalingPC 6 Neiguan HeartHT 7 ShenmenHT 5 Tongli SpleenSP 3 Taibai SP 4 Gongsun / SP 21 Dabao LiverLR 3 TaichongLR 5 Ligou KidneyKI 3 TaixiKI 4 Dazhong Large IntestineLI 4 HeguLI 6 Pianli Triple EnergizerTE 4 YangchiTE 5 Waiguan Small IntestineSI 5 YangguSI 7 Zhizheng StomachST 42 ChongyangST 40 Fenglong Gall BladderGB 40 QiuxuGB 37 Guangming BladderBL 64 ShuguBL 58 Feiyang

50. 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. G.Application of Special Acupoints 2.Concept f)Applications of Yuan-Source and Luo-Connecting acupoints

51. 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. G.Application of Special Acupoints 3.Concept a)Back-Shu and Front-Mu acupoints

52. ChannelBack-Shu AcupointsFront-Mu Acupoints LungBL 13 FeishuLU 1 Zhongfu PericardiumBL 14 JueyinshuCV 17 Tanzhong HeartBL 15 XinshueCV 15 Juque SpleenBL 20 Pishu LR 13 Zhangmen LiverBL 18 GanshuLR 14 Qimen KidneyBL 23 ShenshuGB 24 Jingmen Large IntestineBL 25 DachangshuST 25 Tianshu Triple EnergizerBL 22 SanjiaoshuCV 5 Shimen Small IntestineBL 27 XiaochangshuCv 4 Guanyuan StomachBL 21 WeishuCV 12 Zhongwan Gall BladderBL 19 DanshuGB 24 Riyue BladderBL 28 PanguangshuCV 3 Zhongji G.Application of Special Acupoints 3.Concept b)Back-Shu and Front-Mu acupoints of the 12 regular channels

53. 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. G.Application of Special Acupoints 3.Concept c)Application of Back-Shu and Front-Mu acupoints

54. To Be Continued…

55. 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. G.Application of Special Acupoints 4.Concept a)Lower He-Sea acupoints

56. ChannelHe-Sea AcupointsLower He-Sea Acupoints Large IntestineLI 11 QuchiST 37 Shangjuxu Triple EnergizerTE 10 TianjingBL 41 Weiyang Small IntestineSI 8 XiaohaiST 39 Xiajuxu StomachST 36 ZusanliST 36 Zusanli Gall BladderGB 34 YanglinquanGB 34 Yanglinquan BladderBL 40 Weizhong BL 40 Weizhong G.Application of Special Acupoints 4.Concept b)Lower He-Sea acupoints of the 6 Yang channels (3 hand and 3 foot).

57. 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 G.Application of Special Acupoints 4.Concept c)Application of Lower He-Sea acupoints

58. 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. G.Application of Special Acupoints 5.Concept a)Eight Influential acupoints

59. G.Application of Special Acupoints 5.Concept b)Identification of the Eight Influential acupoints ElementInfluential acupointsChannels ZangLR 13 ZangmenLiver FuCV 12 ZhongwanConception QiCV 17 TanzhongConception XueBL 17 Geshu Bladder TendonGB 34 YanglinquanGall Bladder Pulse and VesselLU 9 TaiyuanLung BoneBL 11 DazhuBladder MarrowGB 39 XuanzhongGall B;adder

60. G.Application of Special Acupoints 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).

61. 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. G.Application of Special Acupoints 6.Concept a)Xi-Cleft acupoints

62. G.Application of Special Acupoints 6.Concept b)Identification of the Xi-Cleft acupoints ChannelXi-Cleft acupoints ChannelsXi-Cleft acupoints LungLU 6 Kongzui Large IntestineLI 7 Wenliu PericardiumPC 4 Ximen Triple EnergizerTE 7 Huizhong HeartHT 6 Yinxi Small IntestineSI 6 Yanglao SpleenSP 8 Diji Stomach ST 34 Liangqiu LiverLR 6 Zhongdu Gall Bladder GB 36 Waiqiu KidneyKI 5 Shuiquan BladderBL 63 Jinmen Yin LinkKI 9 Zhubin Yang LinkGB 35 Yangjiao Yin HeelKI 8 Jiaoxin Yang HeelBL 59 Fuyang

63. G.Application of Special Acupoints 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.

64. 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. G.Application of Special Acupoints 7.Concept a)Eight Confluent acupoints

65. G.Application of Special 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 LHeart, chest, stomach SI 3 Houxi + BL 62 Shenmai SI + BL + GV + Yang HInner 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

66. 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 G.Application of Special Acupoints 7.Concept c)Applications of the 8 confluent acupoints

67. Points where 2 or more meridians intersect There are about 100 crossing acupoints. Most are distributed on the trunk, head and face. G.Application of Special Acupoints 8.Concept a)Crossing acupoints

68. 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 G.Application of Special Acupoints 8.Concept b)Applications of the crossing acupoints

69. 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 G.Application of Special Acupoints 9.Concept a)Auricle acupoints

70. G.Application of Special Acupoints 9.Concept b)Identification of Auricle acupoints NoA. AcupNo. A. Acup 1Shenmen11 Appendix 2Genital12 L. Intestine 3Bladder13 Mouth 4Kidney14 Esophagus 5Gall Bladder15 Cardia 6Pancreas16 Spleen 7Liver17 Lung 8Stomach18 Heart 9Duodenum19 Trachea 10S. Intestine20 Laryngopharynx

71. G.Application of Special Acupoints 9.Concept b)Identification of Auricle acupoints NoA. AcupNo. A. Acup 21Triple Energizer31 Anus 22Brain32 Toe and Heel 23Endocraine33 Knee 24Tooth34 Spleen 25Tongue35 Fingers 26Eye36 Wrist 27Cheek37 Vertebra/Abdomen 28Inner Ear38 Elbow 29Tonsil39 Shoulder 30External Genital40 Thoracic Vertebra NoA. Acup 41Shoulder jt. 42Clavicle 43Neck/ Clavicle vertebra 44Forehead 45External nose 46Ureter

72. Use for disorders of the related parts of the body or organs. Use for diagnosis of related diseases. Example: Lung Acupoints for lung disorders. G.Application of Special Acupoints 9.Concept c)Applications of the crossing acupoints

73. H.Case Study 1.Insomnia a)Symptomsb) 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

74. 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.

75. 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)Symptomsb) Analysis Acute WIND attack superficial of face.

76. 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.

77. H.Case Study 2.Peripheral Facial Paralysis (Chronic) e)Symptomsf) 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

78. 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.