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Advanced Needling 2
Quiz 2 Study Sheet
Date:
June 2009
This Study Guide covers classes 5, 6, and 7. Topics covered are Dr. Tans Balance Method, Dr. Tans
Five systems and Master Tong technique and points.
Dr. Tans Balance Method
Basics
Upon what is Dr. Tans method based?
TCM meridian theory and the contralateral needling principles of the Neijing.
What are the best clinical applications for this method?
Mostly for many types of pain and pain-like sensations (numb, tingle, itch, burn, cramp,
etc.), but can also be used for some internal diseases and skin diseases.
What are the 5 basic steps you employ in a Dr. Tan type treatment?
1. Diagnosis of the sick meridian
2. Choose one of the five systems to pick the meridian to be needled
3. Choose Mirror/Reverse Mirror (for limb problems) or Imaging Format (for trunk
problems)
4. Palpate chosen area for tenderness and ashi points.
5. Needle
How long are the needles retained and how often do you stimulate the needles?
Retention is 45 90 minutes, at least 1 stimulation
The Five Systems
Know the systems by the numbers rather than by the names.
In each system, you first identify the sick meridian and then pair it with the meridian you wish to
treat. The systems help you pick this meridian and each system has a formula you use to
determine the right one.
System 1 Chinese Anatomical Imaging
Pairs channels of the same Chinese name
Yin treats yin and yang treats yang.
Hand treats foot, foot treats hand
Needle contralateral side.
Example:
Hand Taiyang to Foot
Taiyang, contralateral.
Example:
Hand Shaoyang to Foot Shaoyin,
either side.
Yin/Water
Taiyin
Shaoyin
Jueyin
Example:
Problem on the ST channel (Foot
Yangming) would be treated by the
Spleen (Foot Taiyin)
Example:
KI channel prob (foot) LI
channel (hand), either side
depending on tenderness.
Yang ?
Yin
Yin
Upper/lower
Hand Foot
Which side
Contralateral
Yang
Yin
Hand
Foot
Same side
or either side
Yang
Yin
Hand
Hand
Contralateral
Yang
Yin
Hand
Foot
Contralateral
or either side
Hand
Foot
Contralateral
Shaoyin
System 2
i.e., Shaoyang
Shaoyin
System 3
i.e., Internal channel
channel
External
System 4
Clock opposites
System 5
Yin
Yin
Clock neighbors
Toe
Foot
Ankle
Lower Leg
Knee
Thigh
Hip
Reverse Mirroring
Still upper limb to lower limb, but spin one of em around using the knee or elbow as a pivot
point so that you are matching the finger to the top of the hip, elbow to knee, shoulder to ankle,
etc.
Finger
Hand
Wrist
Forearm
Elbow
Upper Arm
Shoulder
Top of hip
Hip
Hip joint
Thigh
Knee
Lower leg
Ankle
Imaging Format
Choose imaging for problems affecting the head and trunk.
Imaging matches the area of sickness on the head/trunk onto the four limbs of the
body. (Actually, imaging can be done anywhere auricular acupuncture is an
example of imaging)
Points on the limbs that reflect the sick portion of the head/trunk will often be tender,
weak or tight.
Overlay a leg or arm on the trunk from perineum to top of head with the elbow or
knee at the umbilicus/L2 area.
Like mirroring, there is imaging and reverse imaging.
Joints match up to joints. For example: wrist/ankle matches up to sacral area in
imaging or neck/neck joints in reverse imaging.
Imaging
Sick area
Testicle/anus
Genitals/coccyx/sacrum
Bladder/lumbo-sacral
Lower ab/lower back
Umbilicus/L2
Upper ab/rib cage/chest or
mid to upper back
Neck, jaw, base of skull
Top of head
Needled area
Finger/toe
Hand/foot
Wrist/ankle
Forearm/lower leg
Elbow/knee
Upper arm/upper leg
Sick area
Top of the head
Head/base of skull
Neck/neck joint
Upper ab, rib cage, chest,
mid/upper back
Umbilicus/L2
Lower ab/lower back
Genitals, coccyx, sacrum
Testicles, anus
Needled area
Finger/toe
Hand/foot
Wrist/ankle
Forearm/lower leg
Shoulder/hip joint
Top of shoulder/top of hip
Reverse Imaging
Elbow/knee
Upper arm/upper leg
Shoulder/hip joint
Top of shoulder/top of hip
Activating Qi or De Qi method
Contralateral insertion plus movement of the affected area to move or activate the Qi.
Inducing Qi or Chien Yin method
Contralateral insertion plus same-side (ipsilateral) distal needling at the Shu Stream point to
guide the Qi.
Distal Bloodletting
Master Tong techniques use it not just distally, but all over, often combined with cupping.
This is referred to as treatment of vascular pathology as blood stagnation induces many
ailments.
This may not shake out like you think, by the wayyou can use bleeding on the back in the
Tong system to treat knee problems!
There are 7 lines on the back: the two UB lines, the two Jiaji lines, and the Du line.
Some of the points (like Liver 2 and 3) in the Tong system may be slightly different than you
learned them in Point Locations.
The original Master Tong system does not focus on tonifying or reducingthough some of
the disciples of Tong do add this.
Different depths give different effects
(i.e., 77.18 at cun = SP, 1 cun = KI)
Slightly funky matching of collaterals:
Lung
Spleen
Heart
Kidney
Pericardium
Bladder
Small Intestine
Gallbladder
San Jiao
Stomach
Finger Points
11.06
Location: center of ulnar aspect of ring finger.
Indications:
o Gynecology:
Uterine pain, tumors
Irregular menstruation
Leucorrhea with redish cast
Fallopian tube blockage
Retroversion of uterus
Vaginal swelling
Frequent miscarriage
11.24
Location: 2 points ulnar margin of thumb. Divide proximal
phalanx into 3 equal parts, points lie on dividing lines.
Indications:
o Gynecology:
Uteritis
Pain (ac or chron) of uterus
Hysteroma
Female sterility
Irregular menses, dysmenorrhea, menorrhea, scanty
menses
o Other:
Distention of lower abdomen
11.17 (this is the Mu or Wood anger point)
Location: 2 points on ulnar aspect of index finger. Divide
proximal phalanx into 3 equal parts, points lie on dividing
lines.
(Draw a tic-tac-toe board. Insert on the crossings on the
ulnar side.)
Indications:
o Liver stuff
Hyperactivity of Liver fire
Irritability
(Used clinically for almost any emotional instability)
Hand Points
22.01
Location:
In thenar area, about 1 cun from skin fold, between 1st and 2nd MCs.
You can use the edge of the index finger, draw a line
straight down, measure 1 cun from that skin fold. This is
the flip side of Ling Gu, 22.05.
Indications:
o Back Pain
o Respiratory:
Pneumonia (great point)
Common cold
Cough
Asthma (great for kids with asthma)
22.02
Location:
At the joint between 1st and 2nd MCs, about 1 cun distal and
parallel with the edge of the 1st MC from 22.01.
Flip side of Da Bai, 22.04.
Indications
o High fever
o Pneumonia
o Pain
Knee Pain
Back Pain
22.04 Da Bai
Location:
1.2 cun distal to the bony junction of the 1st and 2nd MCs.
Indications:
o Asthma in childhood (use blood letting)
o High fever (most effective)
o Sciatica due to Lung xu.
22.05 Ling Gu
Location:
At bony junction of 1st and 2nd MCs, can deep insert
through to 22.02
Indications
o Pain
Sciatica, Lumbago
Leg pain
Migraine
o Hearing problems
Tinnitus
Hearing impairment
o Paralysis
Bells Palsy
Hemiplegia
o Gynecological
Hyper or oligo-menorrhea
Amenorrhea
Difficult delivery
Polyuria
66.05
Location:
2 cun proximal to the webbing between 2nd and 3rd toes.
Just prox to ST 432 cun prox from ST 44.
Indications:
o Stomach/Intestine stuff:
Enteritis
Gastritis
Abdominal pain (combine with Ling gu)
Dysentery
Appendicitis
Rectal prolapse
o Menstrual cramps
o Temporal migraine
o Nasal congestion
66.06
Location:
1.5 cun proximal to the webbing between 3rd and 4th toes.
Single point treatment!
Indications:
o Splenomegaly
o Liver disease
o Cholecystitis
o Poliomyelitis
o Leukemia
o Indigestion
o Fatigue
Advanced Needling 2 Spring 2009
www.CatsTCMNotes.com
Page 12 of 17
66.07
Location:
1 cun proximal to the webbing between the 3rd and 4th toes
Indications:
Same as above minus leukemia
o Splenomegaly
o Liver disease
o Cholecystitis
o Poliomyelitis
o Indigestion
o Fatigue
66.10
Location:
1.5 cun proximal to the medial side of 1st MTP
Single point treatment!
Preggers contraindication!
Indications:
o Dizziness/Vertigo
o Palpitations
o Heart weakness due to hypertension
o Nasal pain
o Vertigo
77.19 Earth emperor
Location:
7 cun proximal to medial malleolus beside medial border tibia.
Not for preggers!
Indications:
o Edema
o Glomerulonephritis
o Diabetes
o Early ejaculation
o Impotence
o Gonorrhea
o Hematuria
o Uterine myoma
o Lumbago due to KI xu
77.21 Human Emperor
Location:
4 cun below 77.19 (3 cun above medial malleolus) on medial posterior border of tibia.
Basically, SP 6
Not for preggers!
Indications:
o Gonorrhea
o Impotence
o Early ejaculation
o Lumbago
o Hand numbness due to diabetes
o Dizziness
o Acute neck pain
77.22
Location:
1.5 cun lateral to ST 36 on a horizontal line.
Indications:
o Toothache due to gingivitis
o Facial nerve palsy
77.23
Location:
2 points first one is 2 cun below 77.22, 2nd one is 2 cun below that.
Indications:
o Same as 77.22.
Thigh Points
Use only these 3 in one leg. And only pick one or two for treatment.
Use one point each leg to tx hypertension.
88.01
Location:
Midline of the anterior thigh, 5 cun superior to upper border of the patella.
Indications:
o Heart stuff
Heart disease
Coronary disease
Acute pericarditis
Cardiac rheumatism
Palpitations
o Floaters in vision
o Stomach ache
o Cerebral ischemia
88.02
Location:
Midline of the anterior thigh, 2 cun above 88.01 (7
cun superior to upper border of the patella).
Indications:
o Same as 88.01
88.03
Location:
Midline of the anterior thigh, 4 cun above 88.01 (9
cun superior to upper border of the patella).
Indications:
o Same as 88.01
Face Points
1010.19
Location:
0.4 cun directly below corner of the mouth.
Indications:
o Fibromyalgia and CFS due to KI xu
o Vertigo
o Blurred vision
o Lumbago, low back sprain/strain due to Qi blockage
1010.20
Location:
0.5 cun medial to 1010.19.
Indications:
Same as above plus asthma/cough
o Fibromyalgia and CFS due to KI xu
o Vertigo
o Blurred vision
o Lumbago, low back sprain/strain due to Qi blockage
o Asthma, cough