12/03/2019
GV1, GV20, BL52
 A prolonged illness
 Protruding haemorrhoids
 Swelling around in and around the anus
 Aching, pain and bleeding from the anus
 Prolapse of the rectum
3 4
ER BAI
 An enduring, prolonged disease
 Protruding haemorrhoids that can be pushed
back inside the body
 Haemorrhoids that protrude with bowel
movements or coughing
 Swelling around the inside and outside of the
anus
 Anal pain and bleeding
Wei Zhong (BL40), Chi Ze
(LU5) & Ren Zhong (GV26)
Zhen Jiu Da Cheng (The great compendium of 
acupuncture and moxibustion)
 Author – Yang Ji‐zhou ; Ming dynasty
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Needle GV26 first to free the Qi flow in Du meridian

Sooth liver Qi, move blood


 Then needle BL40 to further strengthen the kidney functions

and assist to clear any form of stasis in lumbar region
and restore menstruation
Amenorrhea
 Finally needle LU5 to enhance the free flow of Qi in the
San Yin Jiao (SP 6), Qu Chi (LI 11), Zu San Li
meridian
(ST36) and Zhi Gou (SJ6)
 After obtaining Qi, allow needles to stay for 30 minutes

* In the case of acute lumbar sprain with severe pain, heavily

drain GV26 -> bleed BL40->drain LU5

 With the correct depth and angle.
 Even supplementing/ even draining technique
 Leave it for 20 to 30 minutes
 Needle from the feet to top
 Remove needle from top to the feet
 Take notice on the precautions for each point
 Action: Sooth the liver qi stagnation,
quicken blood flow and free flow Chong
and Ren meridian to restore menstruation
 Indication: no free flow of menses for
several month, lower abdominal distension
and pain, dislike pressure, hypochondria or
rib side pain, easily angered, tense,
irritability, pain in hips, purple dark tongue
body with teeth mark or strawberry dots,
deep and taut pulse.

 CV 6 (Qi Hai)

崩 


LR 1 (Da Dun)
KD10 (Ying Gu)
LR 3 (Tai Chong)

- Metrorrhagia & Metrostaxis

-
漏 


KD 2 (Rang Gu)
SP 6 (San Yin Jiao)
 CV 3 (Zhong Ji)

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 Actions: Smooth and move liver qi, clear heat and

stop bleeding
 Indications: Profuse or scantly amount of blood
being discharged that is deep red in colour, thick in
consistency and has a foul odour, a dry mouth and
desire for drinks, heart vexation, easily angered,
abdominal (hypochondriac) pain aggravated by
pressure, constipation, red tongue with yellow coat,
slippery and rapid pulse

 Fengchi (GB-20)  First needle GB20 obliquely towards nose

 Hegu (LI-4) (0.8-1.2 cun)
 Then needle SJ23 transversely towards
 Sizhukong (SJ-23) Taiyang (EX) (0.5-1.0cun)
 Lastly, needle LI4 perpendicularly 0.8-
1.2cun
 Draining technique is to be used for all
points
 Retain for 20min

First

Moxa Shen Shu(BL23) & Tai Xi (KI3) – moxa cone

Second
Remove the moxa cone when either 2/3 of the cone is burnt down or the
patient says it is too hot

Shen Shu(BL23), Tai Xi(Ki3), Wei Zhong(BL40),

Bai Huan Shu(BL30)
Then
Needle Wei Zhong(BL40) and Bai
Retain the needles for 30 minutes
Huan Shu(BL30)

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 Production and Transformation of Qi & Blood

 Post-natal source: Spleen & Stomach
 Pre-natal source: Essence.
 When ZuSanLi St-36, SanYinJiao Sp-6 and
Tonify Qi Benefit Blood XueHai Sp-10 are used together, they:
 Fortify and move Spleen & Stomach
 Supplement Qi and boost Blood.

 Use even supplementing/even draining

technique on all points.
 Retain the needles for 30 minutes.
 Needle or moxibustion once a day, every other
day.

◈ Qi deficient heat,
 Zhong Wan (CV12)
◈ low-grade fever in the afternoon which will not recede,
 Zu San LI (ST 36)
 Pi Shu (BL 20) ◈ fatigue, chilled limbs, scanty intake, afraid of cold,

 Qi Hai (CV 6) ◈ spontaneous sweating, heart palpitations,

 Da Zhui (GV 14) ◈ loose stools, bodily weakness,

 Yang Chi (TE4) ◈ lassitude of the spirit, a pale yellow face,

◈ pale white lips, thin, white tongue coating, and a deep, fine ,
forceless pulse

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 Use grain- of- wheat- sized moxa

on each point

 5 cones on Zhong wan (CV12)

He Gu (LI4), Shang Xing (GV23), Bai Lao (M-HN-30), Feng Fu (GV16)

 7 cones on Zu san li (ST36)
and Pi shu (BL 20)

 5 cones on Qi Hai(CV 6), Da Zhui (GV 14), and

Yang Chi (TE4).

Procedures & Methods of using combination:

 Epistaxis
 Fever, cough with scanty phlegm, dry mouth or oral 1) Needle ShangXing(GV23) and retain needle for 20 minutes after
obtaining Qi
thirst desiring to drink, vexation and agitation, bad OR
breath, dry, bound stools ShangXing (GV23) to bleed
2) Needle HeGu (LI4) and stimulate until sensation spreads to shoulder
 Red tongue with yellow coating region and retain needle for 20 minutes
3) Needle BaiLao(M-HN-30) and retain needle for 20 minutes
 Rapid pulse 4) Needle FengFu(GV16) with the tip of the needle at a downward angle
 Caution:
◦ Do not angle tip of needle upwards and avoid deep needling of GV16 to prevent spinal cord
damage
 Treatment Principles: Clear Lung and stomach heat,
stop nose bleeding  If nose bleeding does not stop, moxa ShangXing (GV23) with 10 cones
or for 10 minutes with a moxa roll
 Cold compress may be given simultaneously

Meridian Jing-Well Ying-Spring Shu-Stream Jing- He-Sea

Meridian Jing-Well Ying-Spring Shu-Stream Jing-River He-Sea
(Wood) (Fire) (Earth) River (Water)
(Metal) (Water) (Wood) (Fire) (Earth)
(Metal)
Three Yang Meridians of the Hand
Three Yin Meridians of the Hand Large Intestine Shangyang Erjian Sanjian Yangxi Quchi
Lung Shaoshang Yuji Taiyuan Jingqu Chize (LI 1) (LI 2) (LI 3) (LI 5) (LI 11)
(LU 11) (LU 10) (LU 9) (LU 8) (LU 5) Triple Energiser Guanchong Yemen Zhongzhu Zhigou Tianjing
(TE 1) (TE 2) (TE 3) (TE 6) (TE 10)
Pericardium Zhongchong Laogong Daling Jianshi Quze Small Intestine Shaoze Qiangu Houxi Yanggu Xiaohai
(PC 9) (PC 8) (PC 7) (PC 5) (PC 3) (SI 1) (SI 2) (SI 3) (SI 5) (SI
8)
Heart Shaochong Shaofu Shenmen Lingdao Shaohai Three Yang Meridians of the Foot
(HT 9) (HT 8) (HT 7) (HT 4) (HT 3) Stomach Lidui Neiting Xiangu Jiexi Zusanli
(ST 45) (ST 44) (ST 43) (ST 41) (ST 36)
Three Yin Meridians of the Foot Gallbladder Zuqiaoyin Xiaxi Zulinqi Yangfu Yangling
Spleen Yinbai Dadu Taibai Shangqiu Yinlingquan (GB 44) (GB 43) (GB 41) (GB 38) quan
(SP 1) (SP 2) (SP 3) (SP 5) (SP 9) (GB 34)
Bladder Zhiyin Zutonggu Shugu Kunlun Weizho
Liver Dadun Xingjian Taichong Zhongfeng Ququan (BL 67) (BL 66) (BL 65) (BL 60) ng
(LR 1) (LR 2) (LR 3) (LR 4) (LR 8) (BL
40)
Kidney Yongquan Rangu Taixi Fuliu Yingu
(KI 1) (KI 2) (KI 3) (KI 7) (KI 10)

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Mother Point Son Point Time

(Tonifying) (Reducing)
Lung Taiyuan (LU 9) Chize (LU 5) 3‐5 寅 (Yin)
Large Intestine Quchi (LI 11) Erjian (LI 2) 5‐7 卯 (Mao)
Stomach Jiexi (ST 41) Lidui (ST 45) 7‐9 辰 (Chen)
Spleen Dadun (SP 2) Shangqiu (SP 5) 9‐11 巳 (Si)
Heart Shaochong (HT 9) Shenmen (HT 7) 11‐13 午 (Wu)
Small Intestine Houxi (SI 3) Xiaohai (SI 8) 13‐15 未 (Wei)

Bladder Zhiyin (BL 67) Shugu (BL 65) 15‐17 申 (Shen)

Kidney Fuliu (KI 7) Yongquan (KI 1) 17‐19 酉 (You)
Pericardium Zhongchong (PC 9) Daling (PC 7) 19‐21 戌 (Xu)
Triple Energiser Zhongzhu (TE 3) Tianjing (TE 10) 21‐23 亥 (Hai)

Gallbladder Xiaxi (GB 43) Yangfu (GB 38) 23‐1.00 子 (Zi)

Liver Ququan (LR 8) Xingjian (LR 2) 1.00‐3.00 (Chou)