A manual of acupuncture pdf

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A Manual of Acupuncture is the primary acupuncture point resource used in colleges and universities throughout the world. Originally a textbook, it is now also. This is the latest Android mobile app version of the foremost points textbook in the Western world - A Manual of Acupuncture by Peter Deadman & Mazin. Detailed lists and definition of acupuncture points are provided in several textbooks [][][][]. Deadman et al., in their book, A Manual of Acupuncture.

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Peter Deadman BAC The treatment utilises either Chinese herbal medicine or acupuncture, or a.. I The Treatment of Pai. A Manual of Acupuncture - Peter Deadman - Ebook download as PDF File .pdf), Text File .txt) or read book online. A Manual of Acupuncture - Peter - Ebook download as PDF File . pdf), Text File .txt) or read book online.

Tianzhu BL Bursting eye pain. ST for Stomach diseases. Zusanli ST is the foremost point on the body for harmonising the Stomach and fortifying the Spleen and is indicated for every kind of Stomach or Spleen disease. The Journal of Chinese Medicine. Finally we would like to stress that we have generally The point actions avoided adding indications to points when these are not In general, it can be said that the ascribing of actions to listed in classical or modern Chinese texts.

This book is deeply rooted in the classical tradition of Chinese acupuncture. The practice of acupuncture has grown spectacularly in the Western world over the last three or four decades. During the early period of this expansion there was scanty source material available. China was firmly closed to access by students of Chinese medicine, few textbooks were available in translation, and even fewer translators were skilled in the difficult task of rendering the terminology of Chinese medicine into other languages.

As a result of these difficulties it was not easy to gain an understanding of the genuine and varied classical traditions of acupuncture, and there was inevitably a great deal of misunderstanding and much necessary invention to fill the gaps.

In addition to these factors, acupuncture is a forgiving and extremely flexible science. The insertion of a needle into the body in order to contact the qi will usually produce some changes, whichever the points selected.

In current practice throughout the world, there is enormous variety in point selection. Within modern and classical Chinese traditions there is also enormous variation in understanding and predicting the effects of needling different points, and a great variety of ways of treating different diseases.

Lire la suite. Lien permanent Deadman Peter Acupuncture. Lidui ST Xingjian LIV-2 is the principal acupuncture point to clear Liver fire affecting any part of the body. Shaoze SI Yinbai SP Dadun LIV-1 for sudden Heart pain. Among the five shupoints they reflect the closest correspondence of classical shu-point theory. Zuqiaoyin GB for pain of the lateral costal region with cough and inability to catch the breath. Dadu SP-2 clears heat and damp-heat from the Spleen.

Shaochong HE-9 for Heart pain and pain of the chest and lateral costal region. The ying-spring points clear heat The ying-spring points without exception have an important effect on clearingheat from their respective zangfu or channel.

Laogong P-8 is a powerful point to clear heat from the ying and blood levels and from the Pericardium during febrile diseases. The ying-spring points 'ying' means 'spring' are all located on the hands or feet and are the second or penultimate points of their respective channel.

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Zhongchong P-9 for Heart pain. The shu-stream points of the six yin channels are also the yuan-source point of their respective channel. The ying-spring points treat diseases of the yang channels and diseases of the zang with the shu-stream point As far as acting on the yang channels is concerned. This is partly determined. Taiyuan LU-9 is an essential point to tonify both Lung qi and yin. Daling P-7 clears pathogenic factors from the Pericardium during the course of febrile diseases and strongly calms the spirit when disturbed by heat.

In the light of traditional and modern clinical use. Sanjian L. Heart pathogen". Taichong LIV-3 is indicated for any pattern of the Liver zang whether deficient or excess. In comparison with the jing-well points. The shu-stream points of the three arm yin are all located at the flexure of the wrist.

Point categories The ying-spring points treat changes i n the complexion As far as changes in the complexion are concerned. This fully bears out the classical perspective that the shustream points treat disorders of the zang. Pain of the Lung and Heart: Swelling of the inside of the throat: With reference to the combination of the ying-spring and shu-stream points referred to above. Disorders of the zang The shu-stream points of the yin channels have to be viewed separately from the shu-stream points of the yang channels as their range of actions is quite different.

Taibai SP-3 strongly fortifies Spleen qi and yang. Shenrnen HE-7 tonifies and nourishes the Heart in all kinds of deficiency. The shu-stream points of the yin channels are the primary points for tonifying and harmonising their respective zang. The shu-stream points of the other nine channels are all located proximal to the metacarpo-phalangeal or metatarso-phalangealjoints.

The shu-stream points of the yang channels. Houxi SI-3 and Pianli L. SimilarlyQiangu SI Pain of the Liver and Heart: Qiangu SI However the use of the ying-spring points in this way has little application in clinical practice.

Oppression of the Heart: Ceaseless laughter: Houxi SI-3 is a vital point for regulating disorders of the taiyang channel and the Governing vessel. Yangxi L. Shenrnen HE Shangqiu SP Shugu BL Diseases manifesting intermittently This is rather difficult to elucidate from examining the traditional indications.

Fuliu KID The classic intermittent disease. This is a clear reference to painful obstruction. Diseases manifesting in the patient's voice This kind of indication is frequently found for the jingriver points: Taixi KID The jing-river points 'jing' means'to pass through' are situated at or proximal to the wrist and ankle joints. Point categories Disorders of the yang channels The shu-stream points of the yin channels.

As far as the yang shu-stream points are concerned. Yanggu SI Houxi SI Zhigou SJ Jiexi ST Stomach heat with raving. Zulinqi GB has a particularly strong action on dispersing stagnation of Liver qi throughout the shaoyang channel.

Xiangu ST There is some evidence. Cough and dyspnoea. Zhongzhu SJ-3is important for disorders of shaoyang channel. Yangfu GB Jianshi P Jingqu LU Xiangu ST is frequently used in current practice for general aching due to wind. Heaviness of the body and pain of the joints According to the Classic of Difficulties shu-stream points are indicated for "heaviness of the body and pain of the joints".

Kunlun BL Theoretically one would expect this observation to apply primarily to the yin channels whose shu-stream points pertain to earth. With the exception of Taibai SP-3 pain of the knee and thigh. Point categories Shangqiu SP Accordingto the classical sources discussed above. Zhongfeng LIV Small Intestine and Sanjiao the three fu whose channel pathways lie on the upper limb each have a lower he-sea point on the leg.

Weiyang BL is indicated for distention and fullness of the lower abdomen and constipation. Quchi L. Diseases of the sinews and bones Several of the jing-river points have an important action on the sinews and bones. Chize LU -5 is indicated for vomiting.

Tianjing SJ is indicated for vomiting pus and blood. Yingu KID is indicated for diarrhoea. Shangjuxu ST is an essential point for regulating the intestines and clearing damp-heat and is much used for all intestinal diseases.

Yanglingquan GB is especially indicated for vomiting due to shaoyang pattern or jaundice. Weizhong BL is indicated for sudden turmoil disorder with abdominal pain. Lingdao HE The he-sea points 'he' means 'to unite' of all the twelve channels are situated close to the elbow or knee joints. Quze P-3 is indicated for diarrhoea.

Zusanli ST is the foremost point on the body for harmonising the Stomach and fortifying the Spleen and is indicated for every kind of Stomach or Spleen disease. Counterflow qi and diarrhoea. Yinlingquan SP-9 is an important point for lack of appetite. This reflects the principal that as the channels reach the elbow or knee. Ququan LIV-8 is indicated for diarrhoea containing undigested food and diarrhoea containing blood and pus.

Shaohai HE-3 is indicated for vomiting of foamy watery saliva. In addition to the twelve he-sea points. Weizhong BL This has been understood to describe the method of selecting points to tonify or reduce a channel or zangfu according to the generating sequence of the five phases. Quze P Even the yang hesea points of the Large and Small Intestines on the upper limb have relatively little action on the fu. Diseases of the skin Certain of the he-sea points are indicated for skin disorders.

Ququan LIV Tianjing SJ Shangjuxu ST lower he-sea point of the Large Intestine is one of the most important distal points for treating disorders of the intestines. Each phase is the 'child' of the one preceding it and the 'mother' of the one following it. The complete list of these mother and child points is as follows: Shaochong HE Weiyang BL the lower he-sea point of the Sanjiao acts on the qi transforming action of the Bladder and is an important point in the treatment of retention of urine or difficult urination.

Shenmen HE For example to tonify the Heart fire select the Heart channel point that belongs to the mother phase wood i. Yingu KID However Quchi L. Taiyuan LU-9 mother is the principal point on the Lung channel to tonify any Lung deficiency. Ququan LIV-8 all strongly drain dampness and damp-heat from the fu or extraordinary fu in the lower jiao.

As far as a wider action on the fu is concerned. Point categories Diseases of the f i As we have seen above. Yanglingquan GB and Zusanli ST are the most important points on their respective channels for treating disorders of their related fu Gall Bladder and Stomach.

On the lower limb. As far as the Small Intestine channel is concerned. Xingjian LIV-2 child is an important point to reduce excess in the form of fire. The xi-cleft points in general are indicated in the treatment of acute conditions and pain. Zhongchong P-9 mother has no discernible action on tonifying the Pericardium or Heart zang or the Pericardium channel.

As with the Small Intestine channel. The term 'xi' implies a cleft. These points could in no sense. It was traditionally indicated for attack by exterior pathogenic wind-heat or wind-dryness giving rise to febrile dis-. Zhongzhu SJ-3 mother has no discernible action on tonifying any aspect of the Sanjiao function or channel. These theoretical concepts are clearly demonstrated by the clinical applications of these points: Kongzui LU-6 is an important point both for acute diseases of the Lung and for disorders of blood.

Dadu SP-2 mother. Although emphasised by some practitioners as a point to tonify the Liver yin and blood. Shaochong HE-9 mother was. Shenmen HE-7 child is able to regulate all patterns of disharmony of the Heart zang. Other points. Ququan LIV-8 mother is primarily used to clear damp-heat from the lower jiao and to resolve blood stasis in the uterus. As emphasised throughout this text. Point categories tonifying effect is on the flow of qi and blood in the upper limb. Fuliu KID-7 mother is an important point to strengthen the Kidney's function of dominating body fluids and regulating urination.

Shangqiu SP-5 child is an important point to clear exterior or interior dampness deriving from Spleen deficiency. It is also indicated for hot reckless bleeding in the upper jiao manifesting as nosebleed. Ximen P-4 the xi-cleft point of the Pericardium channel is more used for acute Heart pain. Yangjiao GB is the xi-cleft point of the Yang Linking vessel but has few relevant indications. Fuyang BL is the xi-cleft point of the Yang Motility vessel but has few relevant indications.

The Classic of Diflcultiesl6 says: Yinxi HE-6 is indicated for severe and unbearable Heart pain due to blood stasis. Zhongdu LIV-6 is indicated for stasis of blood in the uterus. TaiyuanLU-9for the Lung. Diji SP-8 has an important action on resolving blood stasis in the uterus and lower abdomen and is indicated in the treatment of dysmenorrhoea especially when acute.

Daling P-7 for the Heart. Shuiquan KID-5 is indicated for a variety of menstrual disorders such as amenorrhoea. In modem clinical practice the principal use of this point is in the treatment of acute cough.

In modern clinical practice it is also used for acute epigastric pain. Wenliu L. Yanglao SI-6 is indicated for pain of the shoulder. The Sanjiao is the envoy of the original qi. Point categories ease. Taixi KID3 for the Kidney. Ximen P-4 is the primary point for treating acute stasis of blood in the chest and Heart. Jinmen BL is indicated for sudden onset of shan disorder. In current practice. Zhubin KID-9 is the xi-cleft point of the Yin Linking vessel and is traditionally indicated for acute and severe mental disorders such as madness.

Taichong LN-3 for the Liver. Taibai SP-3for the Spleen. Liangqiu ST is unique among the xi-cleft points of the twelve channels in being located proximal to the knee or elbow. It is also used as a distal point for acute contraction and sprain of the lumbar region. Jiaoxin KID-8 is the xi-cleft point of the Yin Motility vessel and is indicated for irregular menstruation. Huizong SJ-7 has no relevant indications and seems to have been little used in classical practice.

The Stomach channel passes through the breast and nipple.

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The term 'source' is an honorary name for the Sanjiao. The relationship of Yinxi HE-6 to blood is also expressed via. Daling P-7 is gven as the yuan-source point of the Heart. They are usually the fourth point from the distal end of the channel. Each of the twelve primary channels has a luo-connecting channel which diverges from the primary channel at the luo-connecting point.

Their principal actions are to dispel various kinds of excess pathogenic factors and to treat disorders along the pathway of their respective channels. In clinical practice. Gongsun SP-4 is able to harmonise the function of the Stomach and intestines which are governed by the.

There is therefore considerable overlap in these two methods of classifying these points of the yin channels and we have seen in the discussion of the shu-stream points above that they are of fundamental importance in tonifying and regulating their respective zang. Lieque LU-7 is an important point in the treatment of headache.

Thus Hegu L. In terms of their importance and indications they are quite different from the yuansource points of the yin channels. They have a negligible tonifying effect and indeed have little ability to regulate their related fu. In addition there are three further luo-connectingpoints: Jiuwei REN for the Conception vessel. On the yin channels only. Pianli L. It is notable that in t h s passage.. The Spiritual Pivot in Chapter 1 states "When the five zang are diseased. The yuan-source points of the six fu were given in Chapter 2 of the Spiritual Pivot.

On the yang channels. The actions of the luo-connecting points may be summarised as: Fenglong ST is an essential point to assist the transformation of phlegm which accumulates when the Spleen's transportation and transformation function is impaired. Ligou LIV Both the Pericardium channel and its interiorly-exteriorly related Sanjiao channel descend through the upper.

Dazhong KID Tongli HE Fenglong ST Point categories Spleen and to treat both upper Stomach and lower Spleen abdominal pain. Neiguan P-6 is universally known for its ability to treat nausea and vomiting. Guangming GB is much used in the treatment of eye disorders due to disharmony of the Liver.

Neiguan P Chengqiang DU-1 is the luo-connecting point of the Governing vessel. Lieque LU Treating disorders in regions reached b y the luo-connecting channel Lieque LU Gall Bladder deficiency. Feiyang BL is able to treat Kidney deficiency and cold in the lower part of the body coldness and weakness of the legs. Gongsun SP Zhizheng SI Zhizheng SI-7 has a pronounced effect on regulating and calming the Heart spirit and is indicated for a wide range of psycho-emotional disorders. Dabao SP is the great luo-connecting point of the Spleen.

In addition to the luo-connecting points of the twelve primary channels there are three further luo-connecting points: Jiuwei REN is the luo-connecting point of the Conception vessel.

Taiyuan LU-9 and Pianli L. Hegu L. Dushu BL Governing Shu. It does. An examination of many classical point combinations shows that this method seems to have been little used or at least recorded through the centuries.

Shenmen HE-7 is the principal point on the Heart channel to calm and regulate the spirit. According to this theory. For example the back-shu point of the Heart xin is Xinshu BL The term 'shu' means to transport and the name of each of the back-shu points is made up of the name of its corresponding zang or fu. Shenshu BL Taichong LIV-3 is the primary point on the Liver channel to regulate these disharmonies of the Liver zang.

This is based on In addition there are a number of other back-shu points which are independent of the zangfu. Zhongfu LU The back-shu points also lie more or less opposite their corresponding front-mu points. Some modern texts also refer to the combined use of the yuan-source and luo-connecting point of the same yin channelin the case of chronicdiseases.

Since the root of this pattern is Lung deficiency. Taibai SP-3 is an important point to tonify the Spleen. However it is equally true that there are numerous classical indications for excess disorders among the back-shu points. Jueyinshu BL Weishu BL Stomach cold and feeble. Danshu BL Finally due to their location on the Bladder channel.

Point categories 43 Shu. To locate the point accurately. All lie on the anterior of the body except Jingmen GB which lies at the free end of the twelfth rib. Taken together with the general concept "In diseases of yin.

Shenshu BL for ear disorders. Xinshu BL Heart qi deficiency in children. I This passage continues by saying that the back-shu points are contraindicated to needling and should only be treated by moxibustion. The mu points are situated in the yin region.

Thus Ganshu BL is much used for eye disorders. Feishu BL Of the twelve points. Ganshu BL It is certainly true that the classical indications for these points include many examples of deficiency and cold. The finctions of the back-shu points The first mention of the back-shu points is in the Spiritual Pivotz2: The Classic of Diflcultiesz3said: Kidney deficiency deafness.

Later commentators. However it is probably true that most practitioners use the back-shu points of the zang more frequently than those of the fu. Lung atrophy. Pishu BL Spleen qi cold. They are however indicated in some instances for disorders of the sense organs which pertain to the zangfu.

F In current clinical practice. Qimen LIV front-mu point of the Liver. The Classic of DificultiesZ6says: What is true. With the exception of the three points mentioned above that do lie on their corresponding channel Zhongfu LU These points especially Tianshu ST The Classic of DificultiesZ5says: Zhongji REN The Classic of the Pulse was the first text to list the front-mu points as a group.

For this reason. The term 'mu' means to gather or to collect. Few generalisations can therefore be made about the clinical application of these points.

Bladder and Stomach. The Standards of Patterns and Treatments states "The essence of the five zang is all transported from the Spleen". Of the remaining nine.

Thus for example. Zhongwan REN is both the hui-meeting point of the fu and the front-mu point of the Stomach. Zhangmen LIV is therefore an important point to tonify the Spleen itself as well as all the zang and the body as a whole. The first is that they are likely to become tender in response to disharmony of their respective zang and fu. As the origin of the post-natal qi.

The second is that they are commonly combined in treatment. Zhangmen LIV is both the hui-meeting point of the zang and the front-mu point of the Spleen. There are few early classical references to these points. The Essential Questions for example says: There are two other aspects of the back-shu and front-mu points that can be mentioned. To treat this use the front-mu and the back-shu of the Gall Bladder".

The qi will flow upwards giving rise to a bitter taste in the mouth. Point categories 44 the Lung. Nor does it seem correct to say that the front-mu points are more used for yang diseases manifesting as acute. Geshu BL is the hui-meeting point of blood and is the single most important acupuncture point for the treatment of any disorder arising from blood heat. Neiguan P-6 is probably the single most important point for the treatment of pain of the Heart and chest.

Dazhu BL is the hui-meeting point of bone and is indicated for various bone diseases and rigidity and pain of the neck. Heart pain will result". By opening and regulating the flow of qi in the Conception vessel. Located in the centre of the chest. In modern clinical practice it is used when painful obstruction penetrates deeply into the bones and joints causing deformity known as bony painful obstruction.

Yanglingquan GB is the hui-meeting point of the sinews and has long been considered the main point to influence the sinews throughout the body. When the gathering qi is deficient and fails to circulate the blood. The term abdominal urgency refers to a sensation of acute cramping abdominal pain. Taiyuan LU-9 is an important point to harmonise the relationship between the gathering zong qi and the blood flowing in the vessels.

Taiyuan LU-9 is the hui-meeting point of the pulse and vessels. It is able to benefit the sinews and bones and is indicated for a wide range of disorders characterised by weakness.

Zhaohai KID-6 is an important point for chronic throat disorders. Shanzhong REN has a strong effect on the gathering zong qi which in turn regulates both the Lung functions of dominating qi and controlling respiration and speech. Other traditional indications for this extraordinary channel include chest pain and fullness and pain of the lateral costal region.

Xuanzhong GB is the hui-meeting point of marrow. To activate their respective extraordinay channel Lieque LU-7 the Conception vessel The Conception vessel ascends along the anterior midline of the body and is closely related to the uterus and the genito-urinary organs.

Taiyuan LU-9 is further indicated for disorders of the blood vessels in general such as vomiting. Lieque LU-7 is able to treat such symptoms as retention of the lochia and dead foetus. This ancient classification gives symptoms of disorder of the four seas as follows: The sea of qi The points associated with the sea of qi are Renying ST Shanzhong REN When the sea of qi is insufficient. Zusanli ST for disorders of the abdomen. The Spiritual Pivot says "When the sea of qi is in excess there is fullness in the chest.

Yanglingquan GB In the upper it is conveyed to Dazhu BL The four command points. Despite this passage it is worth noting that such indications are not found in subsequent discussions of these three points.

Huantiao GB Zusanli ST Weizhong BL for disorders of the lumbar region and back. Point categories The points. Neiting ST These points can be used to treat any kind of disorder in these regions. Chengshan BL Hegu L.. These are known as the sea of qi. Later generations added two more points to this grouping thus known as the Six Command Points: Neiguan P-6 for disorders of the chest and lateral costal region Renzhong DU for resuscitation. Lieque LU-7 for disorders of the head and nape. When the sea of blood is in excess.

This passage from Chapter 2 of the Spiritual Pivot does not refer to this grouping as window of heaven points and offers no explanation or clinical or diagnostic application. The sea of marrow The Spiritual Pivot says "Its point above is the top of the head. Sudden loss of voice with fishbone [i. The 'top of the head' is taken to be Baihui DU This is because the original passage. It is said to arise suddenly at a time of change and transformation in the course of an illness.

The qi of speech of the three yang originates in the lower and emanates in the upper. Inversion qi may be complicated by disharmony of yin and yang. According to the Spiritual Pivot "when the sea of water and grain is in excess.

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The evidence for all ten points to be classified as window of heaven points is therefore very unclear. There is no further discussion of the significance of this grouping in this chapter. Replacing Tianrong SI by Tianchong GB-9 would be more logical since each of the six yang channels would then be represented.

These are the five regions of the window of heaven". Sudden deafness with excess of qi. This passage first discusses Tiantu REN In Chapter 2. When there is inversion qi [i. Fengfu DU and Tianchi P Liver and Lung struggle against each other. Sudden and severe thirst. Sudden twitching. Tianrong SI If it affects the Stomach there will be hiccup. It is interesting.

Renying ST-9 is indicated for wheezing. Tianding L. Tianzhu BL is indicated for dizziness. Point categories also include this character. Tianzong SIthat are not included in this list. If it ascends to the head there may be headache and dizziness.

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Since stagnation of qi in the neck region is a major part of the pathogenesis of scrofula or goitre. Tianfu LU-3 is indicated for when Liver fire attacks the Lung causing an upsurge of reckless hot bleeding from the mouth and nose. When these observations are put together. Fengfu DU is indicated for stirring of interior wind which gives rise to headache. Disharmony between the qi of the body and the head. Whilst this may seem self-evident.

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Fengfu DU Guizhen Ghost Pillow i. Renzhong DU Guishi Ghost Market i. There is a tendency among some commentators. Shangxing DU The thirteen ghost points are: Guigong Ghost Palace i.

However many points which are named in this way have few or no psycho-emotional disorders. Tianfu LU-3 Nosebleed. Guitang Ghost Hall i. Guixin Ghost Faith i. Point categories Window of heaven points Effect on emotional disorders Window of heaven points Effect on goitre. Chengqiang REN They are listed. Tianjing Scientific Publications. This appears to be a modern name and it is difficult to find any reference to this method of point combination in older sources.

Guichuang Ghost's Bed i. The Classic of Difficulties 74th Difficulty says that in late summer the shu-stream points should be needled. The Classic of Difficulties 74th Difficulty says that in spring the jing-well points should be needled.

Daling P Spiritual Pivot Chapter Classic of Difficulties 69th Difficulty. The Classic of Dijjiculties 74th Difficulty says that in summer the ying-spring points should be needled.

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Classic of Difficulties 68th Difficulty. Pacific View Press. Guilei Ghost Fortress i. Classic of Dificulties 67th Difficulty. Classic of Difficulties 66th Difficulty. Classic of Difficulties 67th Difficulty. Ruzhong ST These are Hegu L. Guicu Ghost Cave i. Haiquan Extra below the tongue. Essetztial Questions Chapter 5. Classic of Difficulties 45th Difficulty.

Historically however. Classic of Difficulties 64th Difficulty. Spiritual Pivot Chapter 1. Quoted in Clzinese Acupuizcture and Moxibustion. Point categories Guitui Ghost Leg i. Guixin Ghost Heart i. Guilu Ghost Path i. Foreign Languages Press. For charts of the meeting points. Classic of Difficulties 29th Difficulty. These points are thus able to influence more than one channel.

Yongquan KID Yellow Emperor's I m e r Classic. It was not until the 10th century classic Necessities of a Frontier Official. The Classic of Difficulties 74th Difficulty says that in autumn the jing-river points should be needled. Guifeng Ghost Seal i. Laogong P Yellow Emperor's Inner Classic. Spiritual Pivot Chapter 4. The Classic of Difficulties 74th Difficulty says that in winter the he-sea points should be needled.

The three qi referred to here are considered by most authorities to refer to the nutritive qi. Spiritual Pivot Chapter 6. Jiache ST Classic of Dqficulties 67th Difficulty.

Taichong LIV-3 is selected as a distal point for vertex headache because the internal pathway of the Liver channel ascends to the vertex to meet Baihui DU Indeed there is no point distal to the elbow or knee that does not have an effect on these regions.

The In the treatment of pain and disorders both of the zangfu and channels. Examples include: Xuehai SP The principal exceptionto the use of local points is in cases of acute pain or sprain when the practitioner might require the patient to mobilise the affected area during needling.

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Examination of the classical combinations found in this text in fact demonstrates that the use of local points has always been a fundamental principle of acupuncture. Zhongwan REN for nausea. The selection of distal points requires a good knowledge of the channels.

Shanzhong REN for tightness of the chest. Tinggong SI for diseases of the ears. So important are the distal points that it is said in relation to the theory of root ben and manifestation biao that the root is the lower and the manifestationis the upper. Points of the Stomach channel are frequently used to treat disturbance of the spirit. This is perhaps the most obvious method of point selection. Several distal points of the Liver channel. Yingxiang L. The primary principle of selecting distal points is to choose a point from the involved channel.

Points on the limbs the four origins. Binao L. Guilai ST for diseases of the uterus. The Ode to Elucidate Mysteries refers to the 'four origins and three ends'. Waiguan SJ-5 for diseases of the wrist joint. Jingming BL-1 for diseases of the eyes. The point Chengshan BL is much used for haemorrhoids due to the pathway of the Bladder divergent channel to the anus.

Local points are much used in treating disorders of the zangfu. Without exception. This is reflected in the Yellow Emperor's Inner Classic2which says "When the disease is above select [points] from below". Whilst also an important principle of point selection. There are numerous examples of this method in the classical combinations given in this text.

Baihui DU for oppression of the Heart. The six yang primary channels either begin or terminate on the face. The principle of drawing down excess by selecting points in the lower body is therefore widely used. Renzhong DU for stiffness. This Point selection methods basic theory helps to explain one of the apparent contraindications of acupuncture practice. Fengfu DU for numbness of the legs. Fubai GB for pain of the shoulder and arm.

Classic of Dificul ties3. Renying ST-9 for vomiting and lumbar pain. Since these fu lie in the lower jiao. Spiritual Pivot4. Feiyang BL treats disorders of the toes. Zhongwan REN Some distal points of the arm channels treat the middle jiao for example Neiguan P-6 but these are exceptions. Rinao L. The human body. Dicang ST-4 for atrophy disorder with inability to walk and swelling of the leg. Shuaigu GB-8 for incessant vomiting and cold in the Stomach. Points on the back principally the back-shu points are commonly selected to treat disorders of the front of the body.

Rugen ST Kongzui LU Xiajuxu ST Mingmen DU-4 for cold painful obstruction of the hands and feet. Among classical examples of this method. Rugen ST for swelling and pain of the arm. Liver and Kidney channels. This principle of contralateral needling is discussed in the Spiritual Pivot which says "Contralateral insertion. Zhongji REN-3 for exhaustion of the four limbs. Guanyuan REN-4 for tremor of the hands.

Zhangmen LIV for inability to raise the arm. Daheng SP for inability to raise and move the four limbs. Qihu ST Yaoyangguan DU-3 for inability to flex and extend the knee.

Daju ST for loss of use of the four limbs and hemiplegia. Guanyuan REN Zhangmen LIV Examples of empirical point applications include: Among classical applications of this method. Similarly suitable points may be divided into two alternating prescriptions. Examples are the Large Intestine primary channel which crosses to the opposite side of the face at Renzhong DU Another form of cross-needlingemphasised in acute painful disorders.

For example in cases of tennis elbow. It is frequently used in the treatment of atrophy disorder and hemiplegia when points are primarily selected from yangming channels. Lingtai DU is an empirical point in the treatment of carbuncles and furuncles and clove sores. In modern clinical practice.