Đang tải... (xem toàn văn)
Location: On the ulnar margin of the hand on the junction of the red and white skin, 2.5 cun distal to the wrist joint crease, 0.5 cun proximal to Hou Xi (S.I.3); and 1.5 cun distal to the wrist joint crease, 1 cun proximal to Wan Shun Yi (22.08); on the Small Intestine channel on the Small Intestine channel Functions: Enriches the Kidneys and disinhibits urine, frees the Kidneys and settles pain Indications: Headache, back pain (especially due to Kidney vacuity), fatigue, nephritis, pain and fatigue of the whole body, dizziness (due to Kidney depletion), sciatica, edema of the limbs; epistaxis（Wan Shun Yi 22.08 only); hip pain (Wan Shun Er 22.09) Needle: 0.51.0 perpendicular insertion
Tung’s Acupuncture for Respiratory Conditions (Ireland 2019) www.asianmedicine.org Distant Point Needling Tung’s Acupuncture Treatment of Respiratory Disorders 董氏針灸肺臟處方學 HENRY MCCANN, DAOM, LAC 馬爾博 中 醫 博 士 ! “Hence, those who know well how to use the needles [i.e., the superior acupuncturist], from the yin they pull the yang and from they yang they pull the yin With the right they treat the left and with the left they treat the right.” ! Yin Yang Ying Xiang Da Lun, SW5; tr Unschuld, 2011, vol I, p.120 故善用鍼者，從陰引陽，從陽引陰，以右治左，以左治右 Principle 《述而》 子曰：不憤不啟，不悱不發, 舉一隅不以三隅反，則不復也。 The Master said, "I not open up the truth to one who is not eager to get knowledge, nor help out any one who is not anxious to explain himself When I have presented one corner of a subject to any one, and he cannot from it learn the other three, I not repeat my lesson.” Analects Chapter © Dr Henry McCann, 2019 All right reserved, copying prohibited Principle 理 理：治玉也。 Tung’s Acupuncture for Respiratory Conditions (Ireland 2019) Tung Family Acupuncture ! Family lineage dating back to Han Dynasty* ! Passed down from father to eldest son ! Incorporates unique set of extra points, as well as 14 channel points Master Tung Ching Chang ! Treated patients with father as young man ! Joined KMT Army to fight the Japanese and then Communists ! Unable to finish formal education due to chaotic times © Dr Henry McCann, 2019 All right reserved, copying prohibited www.asianmedicine.org Master Tung Ching Chang ! Last member of the Tung family to practice acupuncture ! Born in 1916, Ping Du Cty., Shandong Province, ROC Master Tung Ching Chang ! 1949 fled to Taiwan with Chiang Kai Shek’s army ! Treated fellow soldiers while enlisted ! Retired from military in early 1960’s and opened his first clinic in Taipei Tung’s Acupuncture for Respiratory Conditions (Ireland 2019) Master Tung Ching Chang ! While in Taipei became well known for his effective treatment; many patients came as referrals from other Chinese medical practitioners ! Treated over 300,000 patients in his career ! Treated Pres Lon Nol of Cambodia Master Tung Ching Chang ! Eventually directly trained 73 students, memorialized on his burial epitaph ! Denied a license in Taiwan as a Chinese doctor ! Died of stomach cancer in 1975 shortly after closing his clinic for good © Dr Henry McCann, 2019 All right reserved, copying prohibited www.asianmedicine.org Cultural Renaissance Movement 文化復興運動 ! Begun in 1966 by Chiang Kai Shek in opposition to Cultural Revolution in the PRC ! Touched Tung deeply and made him decide to take students; first student was Lin Ju Chu in 1962 ! 1973 agreed to the publication of a book on his acupuncture in Chinese; written with Yuan Guo Ben Characteristics of Tung’s Acupuncture 簡 – (jiǎn) Simple 易 – (yì) Easy 效 – (xiào) Effective Wang CM, Yi L Clinical Study of Master Tung’s Acupuncture Paper presented at the WFAS International Acupuncture 2010 Conference Tung’s Acupuncture for Respiratory Conditions (Ireland 2019) www.asianmedicine.org Tung’s Points Characteristics of Tung’s Acupuncture ! Pre-TCM classical acupuncture systemExtensive use of unique extra points ! Almost exclusive use of distal point treatment; points needled mostly contralaterally ! Minimal number of needles per treatment (usually < needles) ! Use of special point combination and stimulation techniques, including bleeding ! “Orthodox channel extra points” 正經奇穴 ! Distributed over entire body ! Organized by zone of distribution; have an original Chinese name and a modern numbering system (e.g., Ling Gu 22.05) ! Not associated with channels, but rather “reflex areas” 神經 ! Literally, concept “nerves”; these are Tung’s original channel ! Each zone functions similar to a microsystem Zone Characteristics Point Distribution Zone Location Number of Points Fingers 27 (55) Palm and dorsal hand 11 (22) Forearm Upper Arm Plantar aspect of foot Dorsal Foot Leg/Calf 28 (2) Thigh 32 (12) Ear 10 Head 25 (2) Ventral and Dorsal Trunk 160+ VT and DT © Dr Henry McCann, 2019 All right reserved, copying prohibited 16 17 (9) 6 ! Certain zones have special characteristics ! Finger, hands, head treat more acute conditions and get faster symptom relief ! Leg and thigh (especially thigh) treat more chronic and recalcitrant conditions ! Trunk points are mostly bled, not needled Tung’s Acupuncture for Respiratory Conditions (Ireland 2019) www.asianmedicine.org Point Locations Points of the dorsal trunk from McCann & Ross, 2014 Point Indications 33.04 Huo Chuan (Fire Threaded) cun proximal to the wrist on the dorsal forearm on the San Jiao channel, overlaps with Zhi Gou (SJ-6) Palpitations, forearm pain, carpal tunnel syndrome, constipation 33.05 Huo Ling (Fire Mound) cun proximal to the wrist, cun proximal to Huo Chuan (33.04) on the dorsal forearm on the San Jiao channel Chest pain or sense of chest oppression, pain of the arm or forearm, sciatica 33.06 Huo Shan (Fire Mountain) 6.5 cun proximal to the wrist, 1.5 cun proximal to Huo Ling (33.05) on the dorsal forearm on the San Jiao channel Chest pain, pain in the forearm or hand, sciatica 33.07 Hua Fu Hai (Fire Bowel Ocean) 8.5 cun proximal to the wrist, cun proximal to Huo Shan (33.06) on the muscular prominence of the dorsal forearm, on the San Jiao channel, close to Shou San Li (L.I.-10) Cough, asthma, common cold, rhinitis, dyspnea, anemia, dizziness, blurry vision, eye strain, sciatica, aching of legs and low back 33.08 Shou Wu Jin (Arm Five Metal) 6.5 cun proximal to the wrist, on the ulnar side of the dorsal forearm, 0.5 cun ulnar to the San Jiao channel and to Huo Shan (33.06), between the San Jiao and Small Intestine channels Sciatica, abdominal pain, calf pain, leg pain, pain or numbness of the feet and calves due to spinal problems 33.09 Shou Qian Jin (Arm 1000 Metal) 1.5 cun proximal to Shou Wu Jin (33.08), on the ulnar side of the dorsal forearm, 0.5 cun ulnar to the San Jiao channel, between the San Jiao and Small Intestine channels Sciatica, abdominal pain, calf pain, leg pain, pain or numbness of the feet and calves due to spinal problems As one can see, Tung uses Western terminology ! “After 1929 when Chinese physicians decided to move their medicine into the domain of state to gain for it equality before the law, a new strategy was needed … An initial suggestion put forward by the newly established Institute of National Medicine under the directorship of Lu Yuanlei was to accomplish this integration by abolishing Chinese medical disease terms altogether and replace them with biomedical nosologies.” Scheid, V Patterns, syndromes, types: who should we be and what should we do? Eur J Oriental Med 11: 2014 © Dr Henry McCann, 2019 All right reserved, copying prohibited In his own writing Tung himself said that he used western disease terms for the purpose of modernizing and popularizing his system, and promoting an aspect of traditional Chinese culture 爰用現代語文。撰述本書。旨在發揚國粹。 Tung CC 董氏鍼灸正經奇穴學 [Tung Lineage Acupuncture Study of Orthodox Channel Curious Points] Privately published notes, 1968 Tung’s Acupuncture for Respiratory Conditions (Ireland 2019) www.asianmedicine.org Acupuncture Location Needling Core Theory 理論 ? Indication Results Black box: causal chains are unknown A model is required which links acupoints and their effects in a reliable way Analysis… But with which Model ? The model of Tung’s Acupuncture is based on classical references to the harmonic interaction of man and universe ! Zhi Zhen Yao Da Lun (Su Wen Ch 74) ! 天地之大紀，人神之通應也。 ! Tian di zhi da ji, ren shen zhi tong ying ye ! Heaven and earth are the great principle, man’s shen-spirit penetrates and reflects it © Dr Henry McCann, 2019 All right reserved, copying prohibited Tung’s Acupuncture for Respiratory Conditions (Ireland 2019) Classical References to Point Functions ! Si Qi Yi Ri Fen Wei Si Shi (Ling Shu Ch 44) ! 黃帝曰：願聞四時之氣。岐伯曰：春生，夏長，秋收， 冬藏，是氣之常也。人亦應之。 ! Huang Di asked: I hope to hear about the Qi of the four seasons Qi Bo replied: spring engenders, summer flourishes, autumn harvests, winter stores This is the constant of Qi Man also responds to this movement www.asianmedicine.org Classical References to Point Functions ! Zhen Jiu Da Cheng Volume V (Quoting Nan Jing Ch 65, 74) ! 又曰：春刺井，井者東方春也。萬物之始生，故言井。冬 刺合，合者北方冬也，陽氣入藏，故言合。 ! It is also said: in spring needle the well point The well [belongs to] the east and spring, the beginning of life for the ten thousand things; thus it is called the well In winter, needle the uniting point The uniting [belongs to] the north and winter, when yang qi enters storage; thus it is called uniting " Yang JZ, Wilcox L (trans.) The Great Compendium of Acupuncture and Moxibustion: Zhen Jiu Da Cheng Vol IX Portland, OR: The Chinese Medicine Database, 2010 Man and Nature are in Harmony Guiding Principle: Correspondence “Heaven, Earth and Humanity [are] in Harmony” ! Tian Di Ren He 天地人合 (天地人和 tian di ren he) ! Man is a Microcosm or Hologram of the natural Interpretation: world ! In the body we have numerous Taiji Holograms (Taiji Quanxi 太極全息） According to Chinese philosophy man is a microcosm or hologram of the natural world with structural and functional characteristics corresponding to those of its immediate environment and nature, as well as to those of the universe " Quan Xi = Microsystem/Hologram Yang L 周易与中医学 [The Zhou Changes and Chinese Medicine] Beijing: Beijing Science Technology Publishing House, 1999 © Dr Henry McCann, 2019 All right reserved, copying prohibited On a smaller scale, analogous rules of correspondence can be observed within the human organism: parts of the body can be viewed as microsystems or holograms representing the whole Likewise, channels and tissues have various correspondences This provides us with a reliable tool for point selection Tung’s Acupuncture for Respiratory Conditions (Ireland 2019) www.asianmedicine.org Rules of Diagnosis and Treatment ! Holographic Correspondence ! Identifying diseased locations of the body to choose treatment location ! Channel Correspondence ! ! Large Taiji ! ! ! Identify diseased channels to choose treatment channels ! Tissue Correspondence ! Holographic Correspondence Identify diseased Zang-Fu and tissues to choose point location and needling methods McCann H, Ross H-G Practical Atlas of Tung’s Acupuncture Munich: Müller and Steinicke, 2012 Shubs J The foundations of channel theory Journal of Chinese Medicine 100 Oct 2012:53-61 Young WC Lectures on Tung’s Acupuncture: Therapeutics Rowland Heights, CA: American Chinese Medical Culture Center, 2008 Wang M 董氏奇穴精要整理 Shenyang: Liaoning Science and Technology Publishing House, 2011 Body mapped out onto large regions of the body Limb to limb, trunk to limb Elbow and knee are pivot points " Originally described in martial arts and Qigong classics ! Medium Taiji ! ! ! Body mapped out onto distal extremities Five Shu points make a microsystem Wrist and ankle are pivot points (i.e., location of Shu-stream pt.) ! Small Taiji ! ! Body mapped out onto small structure, such as long bones Ear, hand or scalp acupuncture are examples of this mapping Tung’s Correspondence of the extremities [Large Taiji] Tung’s Correspondence of arm and Leg [Large Taiji] Projection Arm ! Leg Correspondence © Dr Henry McCann, 2019 All right reserved, copying prohibited Projection Arm ! Leg Inverse Correspondence Projection arm ! arm Correspondence Projection leg ! leg correspondence Projection arm ! arm Inverse correspondence Projection leg ! leg Inverse Correspondence Tung’s Acupuncture for Respiratory Conditions (Ireland 2019) Large Taiji: Correspondence between head, trunk and extremities www.asianmedicine.org Correspondence between head, trunk & distal parts of the extremities [Medium Taiji] Top of the head Knee-navel-elbow level Genital area Small Taiji Small Taiji ! Most completely described by Zhang Yingqing, developer of ECIWO theory in early 1970s (prior to publication of any material on Tung’s acupuncture correspondences) ! Similar time period of other microsystem development such as Korean hand acupuncture by Tae Woo Yoo ! ECIWO describes that all small parts of the body are microsystems (全息), and all long bones can be microsystems ! Zhang YQ ECIWO and Its Applications to Medicine Jinan: Shandong Science and Technology Press, 1991 Zhang YQ ECIWO and Its Applications to Medicine Jinan: Shandong Science and Technology Press, 1991 © Dr Henry McCann, 2019 All right reserved, copying prohibited Tung’s Acupuncture for Respiratory Conditions (Ireland 2019) www.asianmedicine.org Small Taiji – Long Bones McCann H, Ross H-G Practical Atlas of Tung’s Acupuncture Munich: Müller and Steinicke, 2012 Channel Correspondence – Same Name Channels Zhang YQ ECIWO and Its Applications to Medicine Jinan: Shandong Science and Technology Press, 1991 Wu Zang Bie Tong 五臟別通: Branching Connections of the Five Zang [Su Wen & Yi Xue Ru Men] ! Branching connections describe Yin-Yang channels ! Taiyang tx Taiyang ! UB treats SI ! Shaoyang tx Shaoyang ! GB treats SJ ! Yangming tx Yangming ! St treats LI ! Taiyin tx Taiyin ! Sp treats Lu ! Shaoyin tx Shaoyin ! Kd treats Ht ! Jueyin tx Jueyin ! Lv treats Pc pairings (as opposed to Yin-Yin or Yang-Yang as described already) ! Described in many early classics such as the Yi Xue Ru Men (Entering the Gate of Medicine – Ming Dynasty); derived also from Su Wen Chapter ! Also known as Zang Fu Bie Tong 臟腑別通 (Yang) McCann H, Ross H-G Practical Atlas of Tung’s Acupuncture Munich: Müller and Steinicke, 2012 Young WC Lectures on Tung’s Acupuncture: Therapeutics Rowland Heights, CA: American Chinese Medical Culture Center, 2008 Wang M 董氏奇穴精要整理 Shenyang: Liaoning Science and Technology Publishing House, 2011 © Dr Henry McCann, 2019 All right reserved, copying prohibited 10 Tung’s Acupuncture for Respiratory Conditions (Ireland 2019) Huo Fu Hai 33.07 火腑海穴 ! Location: 8.5 cun proximal to the wrist, cun proximal to Huo Shan (33.06) on the muscular prominence of the lateral surface of the forearm, on the San Jiao channel, close to Shou San Li (L.I.-10) ! Functions: Expels wind and depurates the Lungs, supplements and benefits Kidney water (Heart and Lung Reaction Areas) ! Indications: Cough, asthma, common cold, rhinitis, dyspnea, anemia, dizziness, blurry vision, eye strain, sciatica, aching of legs and low back ! Needle: 0.5 – 1” perpendicular insertion Ren Shi 33.13 人士穴, Di Shi 33.14 地士穴, Tian Shi 33.15 天士穴 www.asianmedicine.org Ren Shi 33.13 人士穴, Di Shi 33.14 地士穴, Tian Shi 33.15 天士穴 ! Location: 4, 7, and 10 cun proximal to the wrist crease on the ulnar side of the radius of the anterior forearm (1) on the Pericardium channel or (2) on the Lung channel ! Functions: Courses the Heart and recitifes Qi, clears and diffuses the Lung Qi (Heart and Lung Reaction Areas) ! Indications: Ren: Asthma, coughing, pain in the palm or fingers, frozen shoulder, (upper) back pain, heart disease, palpitations; Di: Asthma, rhinitis, arm pain, common cold, dyspnea; Tian: Asthma, headache, common cold, chest pain ! Needle: 0.5 – 1” perpendicular insertion Qu Ling 33.16 曲陵穴, Fen Jin 44.01 分金穴 ! Location: Qu Ling: in the cubital fossa, lateral to the biceps brachii tendon on the Lung channel; overlaps Chi Ze (LU-5); Fen Jin: 1.5 cun proximal to Qu Ling ! Functions: Clears and diffuses Lung Qi, unobstructs the networks of the Heart (Heart and Lung Reaction Areas) ! Indications: Muscle spasm, digestive disorders, asthma, elbow joint pain, palpitations, common cold, rhinitis, laryngitis ! Needle: 0.3 – 0.5” perpendicular insertion, or prick to bleed © Dr Henry McCann, 2019 All right reserved, copying prohibited 18 Tung’s Acupuncture for Respiratory Conditions (Ireland 2019) Yi Zhong 77.05 一重穴, Er Zhong 77.06 二重穴, San Zhong 77.07 三重穴 www.asianmedicine.org Yi Zhong 77.05 一重穴, Er Zhong 77.06 二重穴, San Zhong 77.07 三重穴 ! Location: Between Gallbladder and Stomach channels;1 cun anterior to the fibula and 3, and cun proximal to the lateral malleolus ! Functions: Removes accumulations and clears stasis, breaks qi and moves blood (Heart, Lung and Spleen Reaction Areas) ! Indications: Hyperthyroidism, tonsillitis, deviation of the eye and mouth (facial hemiparesis), migraine, mastitis, fibrocystic breast disease, breast tumors, meningitis, liver disease, splenomegaly, rib-side pain, abdominal masses, brain tumor, pain on the medial upper arm ! Needle: – 2” perpendicular insertion, or prick to bleed with three-edged needle Si Hua Shang 77.08 四花上穴 Si Hua Three Needles 四花三針 ! Location: cun distal to Xi Yan (ST-35); on the Stomach channel, located at Zu San Li (ST-36) ! Functions: Courses the Heart and clears the Lung, regulates the Spleen and Stomach (Heart and Lung Reaction Areas) ! Indications: Asthma, toothache, dizziness, palpitations, coronary artery disease, vomiting, sudden turmoil ! Needle: Shallow perpendicular needling for Lung problems, deeper needling for Heart problems © Dr Henry McCann, 2019 All right reserved, copying prohibited 19 Tung’s Acupuncture for Respiratory Conditions (Ireland 2019) Si Hua Zhong 77.09 四花中穴 ! Location: 4.5 cun distal to Si Hua Shang (77.08 = ST-36), on the Stomach channel, 0.5 cun proximal to Tiao Kou (ST-38) ! Functions: Courses the Heart and clears the Lung, regulates the Spleen and Stomach (Heart and Lung Reaction Areas) ! Indications: Asthma, coronary artery disease, carditis, arteriosclerosis, eye pain, pain in the heart or sensation of suffocation and discomfort, stomachache, swelling of the bones, frozen shoulder, index finger pain, elbow pain ! Needle: Shallow perpendicular needling for Lung problems, deeper needling for Heart problems Wai San Guan 77.27 外三關穴 www.asianmedicine.org Si Hua Xia 77.11 四花下穴 ! Location: cun distal to Si Hua Zhong 77.09 ! Functions: Rectifies the Spleen and harmonizes the Stomach (Heart, Lung and Six Fu Reaction Areas) ! Indications: Enteritis, stomach ache, dyspnea, edema, bruxism; treats bone spurs when needled against the bone ! Needle: 0.5 – 1” perpendicular insertion Wai San Guan 77.27 外三關穴 ! Location: point group; on the line connecting the head of the fibula and the lateral malleolus between mm peroneus brevis and extensor digitorum longus; at the 1/4, 1/2 and 3/4 junctions, on the Gallbladder channel ! Functions: Disperses stasis and scatters binds, diffuses the Qi and Blood (Lung Reaction Area) ! Indications: Tonsillitis, mumps, laryngitis, abscesses, tumors, fibrocystic breasts, pain in the shoulder and arm ! Needle: 0.5 – 1.5” perpendicular insertion © Dr Henry McCann, 2019 All right reserved, copying prohibited 20 Tung’s Acupuncture for Respiratory Conditions (Ireland 2019) Zu Si Ma 足駟馬 www.asianmedicine.org Zu Si Ma 足駟馬 ! Location: Si Ma Zhong 88.17 is located cun anterior to the point touched by the middle finger when the patient is standing with hands at their side (i.e., at Feng Shi GB-31), on the Stomach channel; Si Ma Shang 88.18 is located cun proximal to Si Ma Zhong; Si Ma Xia 88.19 is located cun distal to Si Ma Zhong (all on the Stomach channel, on the lateral margin of the femur) ! Functions: Frees and regulates the water passages, courses wind and resolves the exterior, regulates Lung (Lung and Liver Reaction Areas) ! Indications: Ribside pain, back pain, sciatica (due to weakness of Lung), chest pain, pulmonary tuberculosis, coughing, lung disorders in general, facial paralysis, conjunctivitis, asthma, pleurisy, breast pain, rhinitis, tinnitus, dermatological disorders, otitis, hemiplegia ! Needle: 1” – 2” perpendicular insertion Shui Tong 水通穴 1010.19 & Shui Jin 水金穴 1010.20 Shui Tong 水通穴 1010.19 & Shui Jin 水金穴 1010.20 ! Location: 0.4 cun inferior to the corner of the mouth (Shui Ting), and 0.4 cun obliquely medial (and a little inferior) to Shui Tong ! Functions: Benefits the Kidneys, secures the Root, warms the channels and frees the network vessels (Kidney Reaction Area) ! Indications: Low back pain, acute lumbar sprain, rheumatism, vertigo, dizziness, fatigue, dyspnea, asthma ! Needle: Oblique needling from medial to lateral to connect Shui Tong 1010.19 and Shui Jin 1010.20 © Dr Henry McCann, 2019 All right reserved, copying prohibited 21 Tung’s Acupuncture for Respiratory Conditions (Ireland 2019) www.asianmedicine.org POSTERIOR TRUNK ZONES Shui Tong 水通穴 1010.19 & Shui Jin 水金穴 1010.20 Back Heart and Lung Zone 後背心肺區 ! Location: ! On the posterior upper back from T1 down to the level of T5–6 ! Indications: ! Severe common cold, chills and fever, sudden turmoil (霍亂), chest pain, chest oppression, back pain, enlarged heart, nausea and vomiting from externally contracted disease evils, mental illness, bone spurs, coronary heart disease, shortness of breath, asthma, eye diseases, myocardial infarction © Dr Henry McCann, 2019 All right reserved, copying prohibited Lung Zone 肺區 ! Location: On the lateral leg It extends from the area lateral to Zu San Li (ST-36) down to about cun above the lateral malleolus ! Indications: ! Disorders of the lungs and upper jiao, including pneumonia, asthma, bronchitis, chronic obstructive pulmonary disorders, chest pain, pulmonary edema, dyspnea, arrhythmias, etc ! 22 Tung’s Acupuncture for Respiratory Conditions (Ireland 2019) www.asianmedicine.org LUNG ZONE - MESOTHELIOMA LUNG ZONE - MESOTHELIOMA Heart Zone 心區, or Lower Leg Yang Ming Zone 小腿陽明區 Acupuncture Points ! Location: ! On the anterior lower leg from the knee down to just above the ankle over the leg Yang Ming channel ! Indications: ! Weakness of the Heart zang, cardiovascular disease, palpitations, chest pain, angina, arrhythmias, pulmonary edema, congestive heart failure, disorders of the eye due to Heart patterns, etc © Dr Henry McCann, 2019 All right reserved, copying prohibited 23 Tung’s Acupuncture for Respiratory Conditions (Ireland 2019) www.asianmedicine.org Acupuncture Points Tung’s rules simplified: from diagnosis to therapy Diseased Channels Diseased Tissues / Zang Fu Diseased areas Channel Correspondence Tissue / Zang Fu Correspondence Holographic Correspondence Potentially effective acupuncture points Huo Ying 火硬穴 66.03 Huo Ying 火硬穴 66.03 ! Location: On the dorsum of the foot; between the 1st and 2nd toes, 0.5 cun proximal to the MTP joints, on the Liver channel, overlapping Xing Jian LR-2; according to Li Guo Zhen this point is 0.5 cun proximal to Xing Jian LR-2 ! Functions: Frees and benefits the water passageways, strengthens the Heart and settles palpitations ! Indications: Syncope, myocardial infarction, palpitations; tumors of the uterus, uterine leiomyomas, retained placenta, inflammation of the uterus; chin pain, pain of the temporo-mandibular joint, grinding teeth (from stress), dizziness, enlargement of the bones ! Needle: 0.3 – 0.5” perpendicular insertion; or bleed small spider nevi in this area © Dr Henry McCann, 2019 All right reserved, copying prohibited 24 Tung’s Acupuncture for Respiratory Conditions (Ireland 2019) Huo Zhu 火主穴 66.04 www.asianmedicine.org Precision in Point Location ! Location: On the dorsum of the foot; between the 1st and 2nd toes, ! ! ! ! proximal to Huo Ying (66.03) at the metatarsal junction, on the Liver channel, overlaps with Tai Chong LR-3; according to Li Guo Zhen this point is 0.5 cun distal to Tai Chong LR-3 Functions: Frees and benefits the lower jiao, sooths the Liver and rectifies qi Indications: Emergency point for myocardial infarction, enlargement of the bones, headache, inflammation or tumors of the uterus, gastrointestinal diseases, liver diseases, neurasthenia, pain in the hands and feet Needle: 0.3 – 1” perpendicular insertion Notes: combined frequently with Huo Ying 66.03 as a Dao Ma group; combine with Ling Gu 22.05 for headache, pain in numerous areas of the body (upper and lower balance point combination) Precision in Point Location ! Are Huo Ying 66.03 and Huo Zhu 66.04 really different points from Xing Jian LR-2 and Tai Chong LR-3? No!!! Precision in Point Location ! “Acupuncture points are hard to locate on healthy individuals ! In the Zhen Jiu Zi Sheng Jing 針灸資生經 (written in the Song dynasty, c 1180) Tai Chong LR-3 is located either 1.5 or cun posterior to the “base joint” (MTP joint) of the big toe (在足大指本節後二 寸或寸半陷中). However, when Qi stagnates or pathological Qi invades from the outside, the point becomes depressed or protrudes Qi, which is invisible, is thus transformed into a ‘quality’ that can be palpated and distinguished This is what is known as an active point, which serves as both a point for diagnosis as well as treatment.” [Denmei, S.: Finding effective acupuncture points Eastland Press, 2003, p 5] ! “ the actual location of any point is not necessarily where that point is located by techniques of proportional measurement Rather, the point is the place where one can best get the Qi and facilitate the arrival of Qi It is not fixed.” [Wang Ju-Yi & J.D Roberson: Applied Channel Theory in Chinese Medicine, Eastland Press, 2008, p 535] © Dr Henry McCann, 2019 All right reserved, copying prohibited 25 Tung’s Acupuncture for Respiratory Conditions (Ireland 2019) Acupuncture Points ! “ the actual location of any point is not necessarily where that point is located by techniques of proportional measurement Rather, the point is the place where one can best get the Qi and facilitate the arrival of Qi It is not fixed.” [Wang Ju-Yi & J.D Roberson: Applied Channel Theory in Chinese Medicine, Eastland Press, 2008, p 535] www.asianmedicine.org Precision in Point Location We need to palpate for the “live” or active point, even in Tung’s acupuncture… Point location is not fixed! い つぼ 生きた壺 Criteria for identifying Acupuncture Points which can be expected to be therapeutically useful Reactivity: on palpation with medium pressure potentially effective points or areas exhibit an enhanced sensitivity The manifestations are either pain or other unpleasant perceptions which cannot be elicited when moving away from the sensitive area Ling Shu 51 (Bei Shu, On Back Shu Points): “When locating points one presses the region to see if the patient feels sore or if the patient’s existing pain is relieved In this case the point has been located with accuracy.” Sometimes puffiness and unusual skin colorations are observable The location of effective points can differ from their TCM textbook location © Dr Henry McCann, 2019 All right reserved, copying prohibited 26 Tung’s Acupuncture for Respiratory Conditions (Ireland 2019) www.asianmedicine.org Common Cold 感冒 ! Ling Gu 22.05, Da Bai 22.04 LUNG 肺 ! Mu 11.07 ! Huo Fu Hai 33.07 ! Bleed ear apex ! Bleed Back Heart and Lung Zone ! Bleed Tao Dao (Du-13) and bilateral Po Hu (BL-42) ! ! i.e., Gan Mao San (Common Cold Three) 感冒三穴 Can apply direct moxa to these points for cold patterns ! Propensity to colds, or general aversion to cold/wind: ! moxa Huo Fu Hai 33.07 ! Ling Gu 22.05, Shen Guan 77.18, moxa Da Zhui DU14 Pneumonia 肺炎 ! Qu Ling 33.16 ! deep needle ! replete Lung pulse (why?) ! Chong Zi 22.01, Chong Xian 22.02, with Zu Si Ma ! Bleed San Zhong points or Si Hua Wai 77.14; needle Zu Si Ma ! Ling Gu 22.05, Da Bai 22.04, Shuang Chuan ! Bleed upper Back Heart and Lung Zone © Dr Henry McCann, 2019 All right reserved, copying prohibited Nasal Problems ! Lack of Sense of Smell ! Zu Si Ma Dao Ma group Gu 22.05, Da Bai 22.04, Zhen Jing 1010.08, Shang Li 1010.09 ! Blocked Sinuses ! Ling Gu 22.05, Da Bai 22.05, Jian Zhong 44.06 ! Dry Nose ! Zu Si Ma Dao Ma group, Jian Zhong 44.06 ! Allergic Rhinitis ! Mu 11.07 ! Ling 27 Tung’s Acupuncture for Respiratory Conditions (Ireland 2019) www.asianmedicine.org Jian Zhong 肩中穴 44.06 Jian Zhong 肩中穴 44.06 ! Location: On the midpoint (center) of the deltoid muscle, 2.5 – cun distal to Jian Yu (L.I.-15), on the Large Intestine channel, overlaps extra point Nao Shang (N-UE-14) ! Functions: Quickens the blood and expels stasis, frees the channels and quickens the network vessels ! Indications: Knee pain or injury, foot pain, hemiplegia, postpolio syndrome, coronary artery disease, epistaxis, pain in the shoulder and arm, skin diseases (especially in the neck region) ! Needle: 1” – 2” perpendicular insertion ! Notes: to treat whole body joint pain and inflammation, or wandering Bi pain, pair with Tong Guan 88.01, Tong Tian 88.03, and Shen Guan 77.18 Tracheal Discomfort 氣管不順 ! Bleed Five metals ! Needle Ling Gu 22.05, Da Bai 22.04, paired with Ren Shi 33.13, Di Shi 33.14, Tian Shi 33.15 © Dr Henry McCann, 2019 All right reserved, copying prohibited Jin Wu (Metal Five) 金五穴 ! Location: ! point group located on the sternal midline (Ren channel) The first point is located at the upper border of the manubrium, and each successive point is located on the midline cun inferior to the previous one ! Indications: ! Sudden turmoil (霍亂), ribside pain, indigestion, dyspnea, acute exterior heat conditions resulting in eruptions or rashes 28 Tung’s Acupuncture for Respiratory Conditions (Ireland 2019) Jin Wu (Metal Five) 金五穴 www.asianmedicine.org Cough 咳嗽 and Panting 氣喘 ! Shui Tong 1010.19, Shui Jin 1010.20 (can combine with Ling Gu 22.05) ! Qu Ling 33.16 (needle or bleed) ! Zu Si Ma Dao Ma group ! Ling Gu 22.05, Da Bai 22.04, Xin Chang 11.18 ! Bleed Lung zone, or area of Si Hua Wai 77.14 ! Bleed vessels at cubital fossa, Si Hua points; needle Da 11.01, Xiao Jian 11.02, Ce Jian ! Ren Shi 33.13, Di Shi 33.14, Tian Shi 33.15 ! Ling Gu 22.05, Da Bai 22.04, Nei Guan PC6 ! Huo Fu Hai 33.07 Shui Tong 水通穴 1010.19 & Shui Jin 水金穴 1010.20 Xin Chang 11.18 心常穴 ! Location: point group; evenly distributed on the palmar proximal phalanx of the middle finger between the PIP joint and the proximal digital crease along the ulnar margin of the phalangeal bone ! Functions: Regulates the Heart and quiets the Spirit, courses Heart Qi, clears the wrapper network vessels (Heart Reaction Area) ! Indications: Palpitations, rheumatic heart disease, coronary artery disease ! Needle: 0.2-0.3" insertion © Dr Henry McCann, 2019 All right reserved, copying prohibited 29 Tung’s Acupuncture for Respiratory Conditions (Ireland 2019) www.asianmedicine.org Xin Chang 11.18 心常穴 Bronchitis 支氣管炎 ! Ling Gu 22.05, Da Bai 22.04, Huo Fu Hai 33.07, Ren Shi 33.13, Di Shi 33.14, Tian Shi 33.15 ! Qu Ling 33.16 ! Shuang Chuan, Da Jian 11.01, Xiao Jian 11.02, Ce Jian ! Bleed Leg Yangming Zone Bronchial Asthma 支氣管喘息 Pulmonary Emphysema 肺氣腫 ! Shui Jin 1010.20, Shui Tong 1010.19 ! Bleed dark vessels near the cubital fossa, needle Da Jian 11.01, Xiao Jian 11.02, Ce Jian ! Bleed Jin Wu, Back Heart and Lung Zone ! (see other points for Cough and Panting) ! Ling Gu 22.05, Da Bai 22.04, Xin Chang 11.18 ! Ling Gu 22.05, Da Bai 22.04 with Chong Zi 22.01, Chong Xian 22.02; Da Jian 11.01, Xiao Jian 11.02 ! Ling Gu 22.05, Da Bai 22.04 with bleeding Leg Lung or Yangming Zones ! San Zhong points with Da Jian 11.01, Xiao Jian 11.02 © Dr Henry McCann, 2019 All right reserved, copying prohibited 30 Tung’s Acupuncture for Respiratory Conditions (Ireland 2019) Pulmonary Edema 肺水腫 ! Zu Si Ma with San Zhong points, Ling Gu 22.05, Da Bai 22.04 ! Congestive Heart Failure ! Jian Shi PC5, Zu San Tong, San Zhong points ! Shui Qu 66.09 (i.e., Zu Ling Qi GB41) Bronchiectasis 支氣管擴張 www.asianmedicine.org Pulmonary Tuberculosis 肺結核 ! Bleed area of San Zhong points, Leg Lung Zone, or Back Heart and Lung Zone; needle Ling Gu 22.05, Da Bai 22.04, Yu Ji LU10 References ! Hu BQ 董氏針灸全集驗證（上下冊）[A Complete Inventory of Tung’s ! Ling Gu 22.05, Da Bai 22.04 with Da Jian 11.01, Xiao Jian 11.02, Ce Jian ! Qu Ling 33.16 (needle or bleed) ! San Zhong points, or Si Hua Wai 77.14 (needle or bleed) ! Zu Si Ma Acupuncture, Vol and 2] Taipei: Zhi Yuan Bookstore, 1998. ! Hu BQ 董氏奇穴圖譜治療學 [Illustrated Study of Treatment by Tung’s Lineage Curious Points] Taipei: Zhi Yuan Bookstore, 1999. ! Li GZ 台灣董氏針灸倒馬針刺療法 [Taiwan’s Tung Lineage Dao Ma Needle Therapy] Taipei: Zhi Yuan Bookstore, 1999. ! Li GZ 台灣董氏針灸處方學 [Point Prescriptions from Taiwan’s Tung Lineage Acupuncture] Taipei: Zhi Yuan Bookstore, 2011 ! Unschuld P Tessenow H Huang Di Nei Jing Su Wen Berkeley: University of California Press, 2011. ! Wang M 董氏奇穴精要整理 Shenyang: Liaoning Science and Technology Publishing House, 2011 © Dr Henry McCann, 2019 All right reserved, copying prohibited 31 Tung’s Acupuncture for Respiratory Conditions (Ireland 2019) References ! Diagrams taken from or based on: " McCann H, Ross H-G Practical Atlas of Tung’s Acupuncture, 6th Ed Munich: Verlag, Müller and Steinicke, 2018 " McCann, H Pricking the Vessels: Bloodletting Therapy in Chinese Medicine London: Singing Dragon, 2014. www.asianmedicine.org Thank you for attending! Dr Henry McCann, DAOM, LAc, Dipl OM www.asianmedicine.org www.newjerseyacupuncture.com ! For more information, including expanded reference lists, please see these texts © Dr Henry McCann, 2019 All right reserved, copying prohibited 32 ... Dao Ma Point Group on second metacarpal (Zhang 掌 www.asianmedicine.org Chong Zi 重子穴 22.01, Chong Xian 重仙穴 22.02 ! Location: (Chong Zi) on the thenar eminence, about cun stands for ‘metacarpal’... Identifying diseased locations of the body to choose treatment location ! Channel Correspondence ! ! Large Taiji ! ! ! Identify diseased channels to choose treatment channels ! Tissue Correspondence... metatarsal junction, on the Liver channel, overlaps with Tai Chong LR-3; according to Li Guo Zhen this point is 0.5 cun distal to Tai Chong LR-3 Functions: Frees and benefits the lower jiao, sooths