Richard Tan OMD LAc -Twelve and Twelve in Acupuncture (1996)

First in a Series

• ADVANCED PRINCIPLES AND TECHNIQUES Second Edition

~welve an~ ~welve

in Acupuncture Unique Point Applications and Case Studies for Effective Pain Treatment

RICHARD TAN, O.M.D., L.Ac. and STEPHEN RUSH, L.Ac.

Efwelve

an~

Efwelve

in Acupuncture ADVANCED PRINCIPLES AND TECHNIQUES Second Edition

RICHARD TAN, O.M.D., L.Ac.

and STEPHEN RUSH, L.Ac.

SAN DIEGO, CALIFORNIA

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Copyright© 1991 by Richard Tan, O.M.D., L.Ac. All rights reserved. No part of this book may be used or reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, except in the section "Case Treatment Matrix" and the "Feedback Form," without prior written permission of the publisher. For information contact Richard Tan, O.M.D., L.Ac. 4550 Kearny Villa Rd., Ste. 107, San Diego, CA 92123 Fax:(619)277-9037 Editors: Pam Gay, Cheryl Warnke, Keith Robbins Design and Typography: Cheryl Warnke Fonts: Times Roman, Gazelle First Edition-March 1991 Second Edition-August 1996 Printed in San Diego, California.

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Acknowle~gments

This book represents the first step in the fulfillment of a dream of a series of practical, timely, and lasting acupuncture texts. I would like to express my thanks to everyone who helped me with the initial project. This book also represents the special encouragement and collaboration of my longtime friend and fellow practitioner Steve Rush, who co-authored this text. My heartfelt thanks to my father, who initiated me into he practice of acupuncture, and to my mother for her solid encouragement every step of the way. Special hanks to Pamela Gay, for her persistent efforts with editing and keeping us organized. I would also like to thank Cheryl Warnke for contributing her skills in typesetting and design. My love and appreciation to my wife and three sons for their patience, strength, and understanding while I was working on this extra task of writing the book. My greatest appreciation is to the needles and herbs, and the dynamic healing system in all of us.

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Contents

Preface.................................................................................... iii Acknowledgments.................................................................. vi Introduction ................ ............................................ .... .. ... .... .. 1 How to Use This Book.......................................................... 7 The Twelve Extra Points-Functions and Locations............ 13 TheTwelveRegularMeridianPoints-UniqueApplications .. 29 Five Case Studies of Ling Ku, Da Bai, Zong Bai Combination Case 1: The Cane Man .. ... ... ... ... .. .. ... .. .. .. .. .. .. .. .. ... ... ... ... .. .. . 38 Case 2: The Limiting Low Back ....................................... 41 Case 3: The Overworked Knee ......... ........................ ........ 44 Case 4: Teen-Aged Sciatica .............................................. 46 Case 5: Elbow with Shooting Pain ... .. .. .. .. ... ... ... .. ... ... ... .. ... 48 Three Case Studies of Chung Tze-Chung Hsien Combination Case 1: The Scoliosis Housewife ...................................... 52 Case 2: Twice Rear-Ended Computer Operator ................ 55 Case 3: The Once-Treated Retired Mom .. .... .................... 57 Six Case Studies Involving Mu Huo, So Jing Dian, Gan Men and Yen Huang Case 1: Stroke Fingers .. .. ... .. .. .. .. .. .. .. ... .. .. .. .. ... ... .. .. ... .... .. .. .. 60 Case 2: The Wheelchair Patient ....................... .... ............. 62 Case 3: A Once-Treated Pain in the Neck ......................... 64 Case 4: TMJ Syndrome and Accompanying Neck Pain ... 66 Case 5: Chronic Hepatitis.................................................. 68 Case 6: The Yellow Housewife......................................... 70 Three Case Studies Involving Mu Guan and Gu Guan Case 1: The Travel Agent with Sore Hands ...................... 74 Case 2: Banker with Bone Swelling .................................. 77 Case 3: The Writer's Heel Spur ........................................ 80 Regular Meridian Point Case Studies Case 1: Involving San Jiao 2, Lady with Tired Blood .. .. .. 84 Case 2: Involving Pericardium 3, A Pain in the Thumb ... 86

' Case 3: With Pericardium 7 & 6, A Twist in the Kitchen .... 89 Case 4: Pericardium 9, 11-Year-OldwithaSoreThroat .... 91 Case 5: Involving Heart 4, Hairdresser's Neck Pain ......... 92 Case 6: Involving Heart 4, OneTreatmentSurfer'sNeck .. 94 Case 7: Involving Heart 5, TwistedHipintheBasement ... 96 Case 8: With Small Intestine 4, Boy with Invasion of Summer Heat in the Eyes ........................................ 98 Case 9: Pericardium 6, Tom Knee from Karate Class ...... 100 Case 10: Pericardium 6 & Liver 3, Dance Teacher with Arthritic Knees .................................................. 102 Case 11: With Large Intestine 11, Steve's Knees ............. 104 Case 12: With Large Intestine 11, The Bicyclist's Knee .. 106 Three Case Studies Involving Large Intestine 12, 13 and 14 Case 1: The Dentist with Extreme Back Pain ................... 110 Case 2: The Woman Waking Up with Spine Pain ............ 112 Case 3: Large Intestine 14, TheHighPressureSalesman ... 114 Case Treatment Matrix .......................................................... 117 Some Final Considerations .................................................... 123 Feedback Form ...................................................................... 125 Conclusion ............................................................................. 127 Bibliography .......................................................................... 129 Index 1-Point Description and Case Studies ..................... 131 Index 2-Symptoms/Conditions ........................................... 132 Appendix 1: Regular Meridian Points-Locations ............... 133 Other Books by Richard Tan ................................................. 135 Order Form ............................................................................ 137

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1're{ace

After being involved with the practice and profession of acupuncture in the United States for several years, I am surprised to fmd that so many American practitioners encounter so much trouble in the treatment of pain. Many practitioners do not realize that acupuncture is often capable of relieving pain within seconds, if proper point selection and needle technique are employed. For some reason, in the United States there seems to be a great deal of literature available concerning acupuncture for a variety of chronic, emotional, and stress-related problems. Yet there is very little material being published that addresses effective methods and strategies for the treatment of what acupuncture is most noted for in the Orient-its treatment of pain. My primary motive in writing this book is to enable the reader to become familiar with some very powerful techniques for pain treatment-the most essential and traditional application of acupuncture. A widespread belief concerning acupuncture that I have encountered is the concept that the patient must "believe in iii

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Twelve and Twelve in Acupuncture

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it" or be "willing to give up their pain" before acupuncture can be effective. While the significance of mental and emotional factors in the overall healing process has been well documented, I must take exception to the notion that it is relevant to acupuncture's pain-relieving function. In fact, I actually prefer patients who are openly skeptical concerning the treatment of acupuncture. I feel that their feedback relating to the effectiveness of the treatment is more reliable than if they are influenced by a belief system telling them that it should work-thus raising the possibility of placebo or trance-phenomena effects. When applied correctly, the points and techniques of this book will be effective-regardless of the patient's mindset. Also, I feel that our profession's reputation with other medical professionals will be enhanced by an increase in our collective ability to effectively treat pain of a non-psychosomatic origin. Some of the twelve extra points discussed in this book are from the notes of Master Tong Jing Tsang. Dr. Tong, a brilliant acupuncturist known for his abilities in pain treatment, has largely remained unknown to non-Chinese practitioners. I have retained the names that the late Dr. Tong used in referring to these points; even though, in the past, some of these points were named differently by other doctors. A written anatomical description of each point location is provided, along with a graphic illustration for each of the extra points. Steve and I have structured and indexed this book into the style of a "workbook" or reference book, in order to enhance its ease of use in a clinical situation. Please refer to the "How to Use This Book" section for further details. It is our intention that the case study format we have

Preface I

v

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included will not only be informative, but also enjoyable to read. It should be noted that while the extra point functions are not entirely our original findings, many of the new regular channel point functions are. These case studies have been selected to be representative of the hundreds of cases we have compiled in our research of these points and their applications. I have been involved in the study of Traditional Chinese Medicine for over 20 years, and I have been fortunate enough to have studied from several true masters. This book represents some of the best part of my knowledge in the treatment of disorders involving pain.

Richard Tan, O.M.D., L.Ac.

AUTHORS'

NoTE TO THE SECOND EDITION

Over the past five years we have had the gratifying opportunity to reach many practitioners in our field with ideas via this, our first book. Twelve and Twelve in Acupuncture has enabled us to present effective distal point acupuncture techniques to practitioners across the U.S. and abroad. It is our hope that as a result the clinical efficacy of everyone who has tried these methods in practice has been upgraded. Since the publication of our second book, Twenty-Four More in Acupuncture in 1994, we have received even more positive feedback from readers who appreciate our endeavor to fill a

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Twelve and Twelve in Acupuncture ..

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niche in the acupuncture literature for material focusing on effective technique frrst, and philosophical theory second. In the dozens of acupuncture seminars that Dr. Tan has conducted around the country in these past few years, he has also stressed the importance of our work's clinical effectiveness by demonstrating (whenever it was allowed) his techniques upon patients provided by those attending. The simple experience of witnessing the distal points quickly relieving pain, restoring range of motion, and returning sensation to numb or paralyzed body areas has impressed observers more than any lecture or written material ever could have. At this point in time, we are readying ourselves for the process of fulfilling a promise that we made to our readers in 1991. The philosophical and theoretical foundations of Dr. Tan's work are from many sources, and he has synthesized them into a few highly efficient approaches, the exposition of which will be the focus of our third book, due by the end of 1997. Please note that aside from "cleaning up" the copy, this second printing is identical to the first edition, except for the addition of one new appendix of point locations added for the "regular" channel points. Once again, we would like to offer our thanks and appreciation to all of our readers who have expressed their support of our efforts over these last five years. Please stay tuned. The best is yet to come.

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1ntr£'~ucti£'n

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As most of us in the profession know, acupuncture dates back some 2,000-plus years in Chinese history, yet is considered a new modality here in the West. Such are the quirks of history, that if not for the experience of James Reston on the Nixon China tour, interest in acupuncture might not have been kindled at all. As a result, many similar and even more impressive reports of acupuncture began to reach our culture. Stories of seemingly miraculous cures and surgical anesthesia were circulated. Thus, acupuncture had arrived to stay in the United States. However, a problem regarding acupuncture quickly surfaced. In several scientific studies and clinical trials conducted in the United States, it failed to work with a consistently high rate of efficacy. Such preliminary results, as we also know, were seized upon by conserva tive medical authorities as "evidence" by which many attempted to prove that acupuncture was in fact little more than an elaborate placebo. One assumption commonly adopted by such thinkers equates the concept of "scientific" with complex high-tech gadgetry; an equation which the traditional tools of Chinese Medicine obviously cannot fit into. 1

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Twelve and Twelve in Acupuncture

Yet, acupuncture can fit into and fulfill one of the basic requirements of scientific protocol; simply put, it is a phenomenon whose effects are consistently reproducible when it is correctly applied. It is now apparent that early clinical trials conducted in this country were often carried out with less than even a rudimentary knowledge of Traditional Chinese Medical treatment principles and point selection strategies. That any positive results at all were generated by these studies is quite surprising, and even encouraging when viewed within this context. The ball is now in our court. As practitioners of Traditional Chinese Medicine, we can disprove current misconceptions by virtue of the fact that acupuncture does work, and it works quickly, effectively, and even dramatically, and is remarkably free from side effects. The tradition of Chinese Medicine encompasses a medical practice with vast practical experience and many valid therapeutics which, coincidentally, often succeed where Western medicine does not. Traditionally, acupuncture's forte in the Orient has been a means to rapidly reduce or eliminate pain. There, a good doctor is expected to be able to produce relief from pain with each treatment, in many cases often within seconds of inserting the needles and obtaining the Qi sensation. Many new possible applications for acupuncture are being discovered and are gaining valuable publicity for our profession. However, acupuncturists should also continue, for the sake of consistency, to improve their effectiveness in pain treatment. Also, acupuncturists need not perceive themselves as practicing in competition with other medical professionals, but rather as complementing their specialties

Introduction

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3

in a synergistic way. Currently, many Western authorities on TCM stress the idea that an understanding of its theory must be interpreted within the context of a poetic, symbolic, intuitive system. While the poetry and beauty of Chinese medical philosophy is admirable and significant, in the opinion of the authors, it is not accurate to depict this aspect as the singular or dominant mode of its thought. In fact, we believe that the basic underlying system behind the flowery images of Chinese Medicine and all other fields of traditional Chinese thought is a system of highly logical binary mathematical concepts which are expressed collectively as the I Ching, also known as the Book of Changes. Faced with a lack of information concerning this deeper structure and its relationship to the more superficial poetic structure, many modem authors understandably feel the need to explain Chinese medical philosophy via what amounts to the only model available to them. It is our intention to address this issue of "philosophical deficit" in future publications. The scope of this acupuncture text is concerned with achieving a high degree of clinical effectiveness in the treatment of pain. We, as practitioners of acupuncture, are sharing our knowledge and expertise by listing these unique points and their indications for use. This unique method complies with the traditional standards of excellence that acupuncture has come to be noted for in China. With this book's detailing of the practical application of this special method of acupuncture, we endeavor to markedly improve clinical proficiency in these areas for all

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Twelve and Twelve in Acupuncture

practitioners who implement it. The points and techniques for effective treatment contained herein will prove to be a valuable asset to the repertoire of all who practice them. There are several advantages inherent in this method that differ from the more conventional style of acupuncture. First, an effort is made to minimize the number of needles used. Generally, fewer than six needles are used in a typical acupuncture treatment. This is most often welcome to patients who fear the "pincushion" effect of current treatment styles. Second, the area of pain or injury is almost never directly needled. Distal points are usually selected. This relieves the patient's, as well as the practitioner's, anxieties and concerns about further trauma being introduced to an already injured or sensitive area. Third, another benefit of distal treatment is that it leaves the painful area needle-free; the area is then left open for massage or manipulation while needles are in place. If, for example, a patient is being treated for knee pain, he might be asked to move his knee through its range of motion while distal points are being stimulated. The resulting effect is often quite powerful for removing blocked Qi. Fourth, this method also lends itself to a greater degree of flexibility. Several treatment routes are available to the practitioner in order to help move beyond therapeutic plateaus that often arise during the course of a series of treatments. Last, and perhaps the most significant and attractive feature

Introduction I

5

of this method, is that beneficial healing results occur very quickly. In most cases, these results occur almost simultaneously with the Qi sensation: a final feature most encouraging to the patient and TCM practitioner alike.

Stephen Rush, 1991

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£(his ~ook Considerable care and attention has been taken in structuring this book for the purpose of being "user-friendly" by the practitioner in the clinic. Two sets of indices have been provided, which will speed access to the information within. "Index 1" lists the points discussed and all the references to them throughout the book. "Index 2" lists symptoms and conditions discussed in the case studies and elsewhere. In addition, in order to maximize the potential for positive results from this book, a few other considerations need to be discussed:

1. Point Locations A. 12 Extra Points To the best of our knowledge, this is the first time that most, if not all, of the extra points in this book have been published in the English language. It is our hope that the written point locations will be thoroughly clarified by the accompanying illustrations of them. In addition, as is indicated in the case of some of this group of points, the importance of utilizing the 'Ah Shi,' or sensitive spot method, through probing the 7

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Twelve and Twelve in Acupuncture

region of the point's location for the exact point of maximal energetic sensitivity, must be emphasized. In many cases, the proper 'Ah Shi' location can be the main factor that determines a treatment's effectiveness-especially where we have so indicated.

B. Meridian or Regular Points We utilize the nomenclature of the Chinese Acupuncture and Moxibustion (Beijing), a virtually universal text in California and elsewhere, so that the reader may easily access its excellent written and pictorial descriptions of the meridian point locations.

2. Qi Sensation It has been our finding that in order to obtain the results described, it is necessary that a sensation be obtained by stimulation of the specific points. Whether the medium is acupuncture, electro-acupuncture, electrical stimulation such as Pomeranz's Code-A-Tron, TENS, or pressure, this rule holds true. The degree of stimulation can be significant without being truly painful. Of course, individuals will vary according to many factors in the degree of stimulus required. Some of the factors will include: age, degree of pain being treated, the age of the injury or disorder being treated, and the variation in sensitivity of the points themselves. The age of the patient, if very advanced, is a cause for extra care in obtaining a good, but not excessive stimulus. The same care should also be taken in cases where the patient is weakened by constitution, or a long disease process. Often, the higher the level of pain the patient is experiencing, the stronger the stimulus required. Also, the more recent or acute condition will elicit a stronger Qi sensation.

How to Use This Book I

9

The practitioner will discover with experience which of these points are generally apt to produce these stronger sensations. It should be noted here, however, that the points Ling Ku and Da Bai can be counted upon to be very sensitive, and generate a very strong sensation when needled or stimulated correctly. Initially, the practitioner should exercise some care with new points in order to avoid overstimulation of them. Overstimulation can be unpleasant and frightening to the patient, and in extreme cases, can even cause fainting.

3. Treatment Frequency As you will notice from reading the case studies, the frequency of the treatment, in most cases, is two to three times per week. As symptoms diminish, it is possible to decrease the frequency accordingly. It is to be expected that a degree of the symptom, especially if it is pain, will reassert itself in the interval between the treatments. The time between treatments themselves should not be so great that the symptom reverts to its pre-treatment level.

4. Patient Cautions Due to the fact that rapid pain relief is a consistent phenomenon with these points, it should be emphasized here that the practitioner must urge the patient to continue 'babying' the body; and increase motion and activity gradually, under the practitioner's direction.

5. Aggravation It should be noted that in approximately 10 to 15% of the cases we have treated (and the case studies are only a small representative sample of them), an aggravation of the

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Twelve and Twelve in Acupuncture

symptoms will occur in the frrst 24 hours following a treatment. The patient should be reassured in this event that it is a good sign; the aggravation will subside within 24 to 48 additional hours, leaving the symptoms significantly improved. 6. Numbness or Pain

It is important to emphasize that these points will have a powerful effect on the corresponding areas they treat, whether the problem involves pain, numbness, or any other abnormality in the region. They function in a much greater capacity than that of a simple pain-killer. 7. Reader Advice Last, the authors wish to strongly encourage you to read the entire case studies section with extra care, as much valuable additional information is contained within it. In conclusion, this book has been structured in 'workbook' style to facilitate its use by anyone who utilizes meridian or acupoint therapy. Chiropractors, osteopaths, bodyworkers, and certainly acupuncturists should find it easy to use in their daily practice. The authors consider this to be the frrst book of a series; as such, it constitutes the first segment of a 'work in progress.' That progress would be greatly aided by feedback given to us concerning any of the subject matter. We are continuously researching new treatment modalities, points, and concepts, with the goal of consolidating many ideas and methods into a new, more efficient, and versatile theory. Towards this end, please be aware of the "Feedback Form" provided at the back of this book. We welcome your questions, comments, and suggestions.

How to Use This Book I

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Also, we are in the process of organizing a series of lectures and clinical workshop-demonstrations for professionals, that will cover and expand upon this book's material. Interested parties may contact us for information concerning times and locations at the address or fax number provided on the "Feedback Form" on page 125. Although we consider ourselves to be lifelong students of the healing arts, we have confidence in the effectiveness of the information we are sharing with you in this book. And, we look forward to the possibility of sharing more with you in the future.

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Please note that for this second edition, an appendix containing the point locations for the twelve regular channel points listed in this book can be found beginning on page 133.

Efhe Efwelve

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1'oints-Lfunctions an~ Locations

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Twelve and Twelve in Acupuncture

LINGKU

LOCATION-In the depression, just distal to the junction of the first and second metacarpal bones. Approximately 0.5 cun proximal to Large Intestine 4 (Hegu), on theYang Ming line. NEEDLING INFORMATION-Needle perpendicularly, 0.5 to 0.9 cun in depth. INDICATIONS • Sciatica Used with Da Bai and also Zong Bai on occasion. Effective for lateral part of leg, and low back pain. L 4-5 type sciatica. May also be effective in combination with SI3 (Hou Xi). Use contralaterally to symptom. • Shooting-type pains throughout the body Pains which originate in one area or site, and project or shoot down a limb, energetic channel, or to another part of the body. For example, neck pain extending down the trapezius, and most dermatome-related pains, are treatable with Ling Ku. Needle contralaterally. • Pain in the elbow joint Needle on the same side as the pain. • Headache, head area symptoms Can be used in combination with Large Intestine 4 or 3, or used alone for head area symptoms, bilaterally or contralaterally. • Painful and/orfrequent urination Needle the point bilaterally. CONTRAINDICATION-Not for use on pregnant women.

Twelve Extra Points-Functions and Locations

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Ling Ku is a powerful point that shares with its neighbor, Hegu, the characteristic of having many and varied functions. It possesses a strong 'Qi regulating' effect, which can explain, in part, its variety of indications. The 'Teh-Qi' sensation produced by needling Ling Ku can be quite intense. Ling Ku has also been used in certain cancer-related point prescriptions. CASE STUDIES-Pages: 38, 41, 44, 46, 48, 52, 55, 60, 86, 96, 102, 110, 114

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LingKu

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Twelve and Twelve in Acupuncture

DABAI

LOCATION-About 0.5 cun proximal to LI3 (Sanjian), on the Yang Ming line. NEEDLING INFORMATION-Needle perpendicularly, under the bone, 0.3 to 0.7 cun in depth. INDICATIONS • For children with high fever or asthma Bleed the point bilaterally. • Use with Ling Ku for sciatica See "Ling Ku" information. CASE STUDIESPages: 38,41,44,46 !

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DaBai

Twelve Extra Points-Functions and Locations I

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17

ZHONGBAI

LOCATION-About 0.5 cun proximal to San Jiao 3 (Zhongzhu), on the Shao Yang line. NEEDLING INFORMATION-Needle perpendicularly, 0.3 to 0.5 cun deep. INDICATIONS • Low back pain in L2-3 area Especially if aggravated by standing up from a sitting position. Needle contralaterally if pain is one-sided. • Edema Especially in the limbs. Needle bilaterally. Zong Bai is often included in the Ling Ku-Da Bai combination for treatment of sciatica. CASE STUDIESPages:38,41,44,46

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Zong Bai

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Twelve and Twelve in Acupuncture

CHUNGTZE

LOCATION-On the palmar surface, about 1 cun medial to the midpoint of the web-margin between the thumb and index finger, on a line drawn from this intersection to Pericardium 7 (Da Ling). 'Ah Shi' location is appropriate. NEEDLING INFORMATION-Needling perpendicularly, 0.3 to 0.5 cun deep. INDICATIONS • Upper back pain Occurring between the medial border of the scapula and spine. Needle contralaterally. Usually combined with Chung Hsien. • Asthma in children Needle bilaterally. Chung Tze is almost always used in conjunction with its companion point, Chung Hsien. CASE STUDIES-Pages: 52,55,57 ChungTze

Twelve Extra Points-Functions and Locations

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CHUNG HSIEN

LOCATION-Along same line as described in the location for Chung Tze; about 1.0 cun proximal or medial to Chung Tze. 'Ah Shi' location is appropriate. NEEDLING INFORMATION-Needle larly, approximately 0.3 to 0.5 cun in depth.

perpendicu-

INDICATIONS • Upper back pain Located between the spine and medial border of the scapula. Needle contralaterally in combination with Chung Tze. • Cough and pneumonia Needle bilaterally in combination with Chung Tze. • Asthma in children Needle bilaterally in combination with Chung Tze. .......-...;::: • Knee pain Needle contralaterally .

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CASE STUDIESPages: 52, 55, 57

Chung Tze

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___,__ Chung Hsien

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Twelve and Twelve in Acupuncture

MUHUO

LOCATION-In the center of the dorsal aspect of the distal interphalangeal joint of the middle finger. NEEDLING INFORMATION-Needle perpendicularly to a depth of up to 0.1 cun. INDICATIONS • For paralysis of all types Especially useful in onesided paralysis (hemiplegia). Needle contralaterally.

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The frrst treatment with Mu Huo should consist of continuous steady stimulus of the point for 5 minutes, then withdrawal of the needle. The second treatment should be given 5 days later, with the stimulus lasting 3 minutes. The third treatment should be administered after another 5 day interval, with the stimulus lasting only one minute. CASE STUDY: Page: 60

Twelve Extra Points-Functions and Locations I

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21

BAGUAN

LOCATION-In the notch formed just distal to the epicondyle of the proximal phalangeal bone of the middle finger, on either side of the bone. NEEDLING INFORMATION-Needle towards the epicondyle of the bone, with the shaft of the needle angled about 45 degrees from the middle fmger. Needle to a depth of 0.1-0.2 cun. Needle both sides of the bone. INDICATIONS

• Motor or sensory deficit in the lower limb Needle contralaterally. CASE STUDY-Page: 62

Ba Guan

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Twelve and Twelve in Acupuncture

SO JING DIAN

LOCATION-In the depression, approximately level with San Jiao 3 (Zhongzhu), between the third and fourth metacarpal bones. 'Ah Shi' location is appropriate. NEEDLING INFORMATION-Needle perpendicularly, 0.3 to 0.5 cun in depth. INDICATIONS

• Neck pain

Good for all types of neck pain, but especially effective for pain of the Shao Yang, Tai Yang, and Du channels. Needle contralaterally when pain is one-sided. CASE STUDIESPages:64,66

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Zong Bai

Twelve Extra Points-Functions and Locations I

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23

GANMEN

LOCATION-On the Tai Yang line, approximately 6 cun distal to Small Intestine 8 (Xiaohai). 'Ah Shi' location is appropriate. NEEDLING INFORMATION-Needle perpendicularly, 0.5 to 0.8 cun in depth. INDICATIONS ..

• Disease and dysfunction of the liver Can be applied

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either bilaterally or contralaterally. CASE STUDYPage:68

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Twelve and Twelve in Acupuncture

YENHUANG

LOCATION-In the center of the palmar aspect of the middle segment of the fifth fmger. NEEDLING INFORMATION-Needle perpendicularly, 0.1 to 0.2 cun in depth. INDICATIONS

• Yellowing of the conjunctiva; hepatitis; jaundice. CASE STUDY-Page: 70

Yen Huang _ __,___

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Twelve Extra Points-Functions and Locations I 25

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MUGUAN

LOCATION-Level with Gu Guan (see page 25), about 0.5 cun distal to the prominence of the pisiform bone. 'Ah Shi' location is appropriate. NEEDLING INFORMATION-Needle larly 0.2 to 0.5 cun in depth.

perpendicu-

INDICATIONS • Swollen joints; rheumatoid arthritis throughout the body; "bone swelling;" heel pain Needle contralaterally. Typically used with its companion Gu Guan. CASE STUDIES-Pages: 74, 77,80

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Twelve and Twelve in Acupuncture

GUGUAN

LOCATION-In the depression (about 0.5 cun) distal to the prominence of the scaphoid bone. 'Ah Shi' location is appropriate. NEEDLING INFORMATION-Needle larly 0.2 to 0.5 cun in depth.

perpendicu-

INDICATIONS

• Same as Mu Guan. CASE STUDIESPages:74, 77,80

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1'oints~nique Applications

Locations for these points are in Appendix I Page 133

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Twelve and Twelve in Acupuncture

SJ2 San Jiao 2 (Yemen)

INDICATIONS

• Used for tiredness of the eyes or a sensation of heaviness in the eyes This is indicated and is used especially when this symptom coincides with hepatitis. NEEDLING INFORMATION-Needle bilaterally. CASE STUDIES-Pages: 68, 84

•

P3 Pericardium 3 (Quze)

INDICATIONS

• Used for thumb pain. NEEDLING INFORMATION-Needle on the same side as the pain. CASE STUDY-Page: 86

Twelve Extra Points-Functions and Locations

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P7 Pericardium 7 (Daling)

INDICATIONS

• Used for sciatica

Especially on the posterior and medial aspect of the thigh. NEEDLING INFORMATION-Needle contralaterally. CASE STUDY-Page: 89

•

P9 Pericardium 9 (Zhongchong)

INDICATIONS

• Used for throat pain. NEEDLING INFORMATION-Needle bilaterally. CASE STUDY-Page: 91

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Twelve and Twelve in Acupuncture

HT4 Heart 4 (Lingdao)

INDICATIONS

• Used for pain in the neck and trapezius area. NEEDLING INFORMATION-Needle contralaterally. CASE STUDIES-Pages: 92, 94

•

HT5 Heart 5 (Tongli)

INDICATIONS

• Used for sciatic pain

More effective for sciatic pain of the posterior region of the thigh. NEEDLING INFORMATION-Needle contralaterally. CASE STUDY-Page: 96

Twelve Extra Points-Functions and Locations

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814 Small Intestine 4 (Wangu)

INDICATIONS • Used for treatment ofpain in the eye. NEEDLING INFORMATION-Needle contralaterally. CASE STUDY-Page: 98

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P6 Pericardium 6 (Neiguan)

INDICATIONS • Used for pain in the knee. NEEDLING INFORMATION-Needle contralaterally. CASE STUDIES-Pages: 89, 100, 102

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LI11 Large Intestine 11 (Quchi)

INDICATIONS • Used for pain in the knee. NEEDLING INFORMATION-Needle contralaterally. Use deep insertion, 1.5 to 2 cun. CASE STUDIES-Pages: 68, 100, 102, 104, 106

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LI12 & 13 Large Intestine 12 (Zhouliao) & 13 (Shouwuli)

LOCATION-At the level of Large Intestine 12 and 13, but a little bit posterior to their actual textbook location, more on the surface of the bone or even the posterior surface of the humerus. 'Ah Shi' location is appropriate here. INDICATIONS • Used for pain in or along the spine. NEEDLING INFORMATION-Needle contralaterally. CASE STUDIES-Pages: 110, 112

Twelve Extra Points-Functions and Locations

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35

LI14 Large Intestine 14(Binao)

INDICATIONS

• Used for dizziness related to high blood pressure or hypertension. NEEDLING INFORMATION-Needle bilaterally. CASE STUDY-Page: 114

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Case Stu~ies of I.ing 1