ONE NEEDLE

· THERAPY

PAIN SYNDROMES
Wei-Chieh Young
ONE NEEDLE THERAPY:
PAIN SYNDROMES

By Dr. Wei-Chieh Young

Translated By Kitty Wong-Robertson

AMERICAN CHINESE MEDICAL C ULTURE C ENTER

One Needle Therapy: Pain Syndromes

B y Young, \ Vei-Chieh
Translated by Kitty Wong-Robertson
Published in the United States of America
by American Chinese J\leclical Culture Cente1; Los Angeles
First Edition,.June 2018
Printed in Taiwan

Copyright 2018 © by \Vei-Chieh Young

All Rights ReserYed. No part of this book may be reproduced, transmitted or
stored in an information retrieval systme in any form or by any means, electron­
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 Table of Contents

Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . .. . . . . . . . .... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Editors' Notes . ..
. . . . . .. .
. .. . . . .... .. . .. ....... . . .. . . . . ... .. . . ...... . . . . . .. . . . . . . . . . . . .. . . . . . .. . . . . . . . . . . . ...
. . ... 4

Acknowledgem.entfrom the Translator .... . ... . ... .. .... . . . .... .. ..... .

.. .. . . . . ... . ... ..
.. . . .. 5

PART I: NEUROLOGICAL AND MOTOR SYSTEM DISORDERS

Ch 1. General Di cussion . . . . . .. . . .... ... . . .. . . .. ..

. . . .. . .. . ... . . . ... ... ... . .. .
.. .. . . . .. .. .. . .... .. .. . . . 7
. . .. .

Ch 2. The Meridian and Connecting 1Vlcridian Pathways ................................ 25

Ch 3. Guidelines for Choosing Acuptmcture Points to Treat Pain .. .. .. .. .. . . 35 . . . .. . . .

Ch 4. Essential Guidelines for Differentiating & Treating Pain Syndrnmes .. .... '�7

PART II: PAIN SYNDROMES

Ch 1. Headache ... . . . . . . . . . . . . . . . . . . . . . . .. . . . . .. . . . . . .. . .... . .... .. . . . .. . . . . . . . ... .... . .... .. ....... ..... .. .. ... 67

Ch 2. rfrigcminal c u ralgi ............................................................................... 99

a

Ch 3. eek Soft Tissue Injury . .. .. .. . . . . .... .... ... .. ... ... .

. . . ... . . .. .. . .. ...
.. . . . . . . .. .... ... . . l 08
. .. ..

Ch 4. Cervical pondylosis . ... . . . . . . . .. . . . ... .... . . . . . . .. .. .. . . . . . . . .. . . . .... . .... .. . . . . ..... ... ... . . . . 116
.

Ch 5. Periarthritis of' the Shoulder ...... . . .

.. .. .... . ... . . . . . . . . . . . . .. . . . . . . . . ..... . ............. . . 124
. .

Ch 6. Elbow Pain .. . .. . ...... . . .. .... . . .. . .. . . . . . .... . . . . .. .

. . . .. . .. .. . .. .. . .. .. .. . . ..... . ....
. ... ..... . . .... . 135

Ch 7. TcnosynO\ritis of' the Wrist and Hand, Finger and Wrist Pain ............ .. 141
.

Ch 8. Back Pain ..... ... .. . .. .. ......

. .. .. . . .. . . . . . . . . .....
.. . . . . .. . . . .. . .. . . . . . . . ....... . . . . . . . .. ............. 157

Ch 9. Acute Lumbar Sprain .. . . . . .. . . . . . . . . . .. . . . . . .. . ... . .. .. ... . .. . . . . . . . . . . . .. ......... ..... . ... . ... 165

Ch 10. Lumbar Muscle Sprain (Psoas P ai n .................................................... 185 )

Ch 11. Sacral/Coccyx Pain ... . ... . ... . .... . ........... . . . . . . . ... . .. . . . . . . . .. .

.... . . .. . . .. .... . . . .. ..... 193

Ch 12. Sciatica . . . . . . ... . . . . . . . . .. . . . . . . . .. . . . . . . . .. . . .. . .. . . . .... . . . . . . . . . . . . . . ..... . . .. ..... . ... .... . .. .. 199

.. .. .

Ch 13. J(nee Pain.. . . . . . ..... . .... ... .... . ... . . . . ... .. . ..... .. .. .. ... ... .
. . . .. .. .. .. .. .. . .. . . . . . . .. . .... . . .... 212

Ch 14. Ankle Sprain and Pain ......... . ........ . ...... . ... . . . . .. . . . . . . . . . .... .. . ... ....... .. ... 223
. . . . . . .

Ch 15. Heel and ole Pain ... . . .. . . .. . . . . .

. . . . .. .. . . ... . . . . . . . . . . .... . . . .. . . . . .. . . . . ... . . .. ... . ... . ...... 228
Ch 16. Chest Pain ......... . .... . .... . .... ..... . .. ..
. . . . . . .. .. .. . . ..
. . .. . .. . . ..... .. . ....... . . . . .. . . .. . ... . ... 235

Ch 17. Hypochondriac Pain .... . . ... .. . . . .. . .. ... .. . . .. . . ...... ........... . .. ... . .......... . . . . . . . ... . 2<�2
.

Ch 18. Gastritis and Stomachache . .. .... . . .. .. . . . . . . . . .. . . .. . . . .

.. . . . . .. . . . . . . . . . .. . .. . . ...... . .... 249

Ch 19. Lower Abdominal Pain & Acute Lower Abdominal Pain ................... 262
Ch 20. Biliary Colic . . . . . . . . . .. .. ... . . . .. . . . . . . . . . .. . . ..... . . . .
. . . . . . . . . . .. . .... . . . .. . . . . . . . . . .. .. . . . . . . . .... 277
Ch 21. Renal Colic . . . . .... . . . . . . . . . . . . . . . . . ......... . .. . . . .. . . . ... . ..... . . . ... . .... ... .. . . . . . . . . . . .... . ..... 282
Ch 22. Dysmenorrhea . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .... . . . . . . . . . . . . . . ... . . . . . . . . . . .. . . . . . . . . . . . 290
Ch 23. Genital Pain .... .. . . . .. . . . . .. . . .... . . . . . .. .. . . .. . . . . . ... . . . . . . . . .. . . . . . .. . . .. . . . .. . . ... . .. . . . . . . . . . . . 300
Ch 24. Rectal Pain . . . . . . . .. . . ... . . . .. . . . . .. . . . .... .. . ... . . . . . . . . . . . . . . .... . . . .. . . . . . .. . . . . . . . . ... . . . . . . . . . ... 305
Ch 25. Eye Pain . .................................... . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . .. . ..... . . .. . . .... . . . ... 310
Ch 26. Earache . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . 315
Ch 27. I ose Pain .. .. . . .. . .. . . . ..... . .. . .. . . . . . . ... . . . . .. . . .. . ... . . ....... .. . . . . .. . . .. . . . . . . . . . . ... . . ......... 321
Ch 28. Toothache . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . .. . . . . . .. .. . . . . . . . ........ ... . . . ...... . . . . . . .. . . . . ............ 327
Ch 29. Sore Throal. .. . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 337

Bibliography . . . .. ......... . . . . ... . .. . . . . . . . .. . . . . . . . . . . . . . . . . .. . .. ..... . . ... . . . . . . . . . . . . . . . . . . . . ... ... . . . . . . . . 349

Index . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 356

II
 / Prefaa

PREFACE:

Wei-Chieh Young's One Needle Therapy-Pain Syndrome

�Iany people are aware of acupuncture as a means of trcatmem for pain and
there is an increasing demand for a competent acupuncturist to assist in pain
management. Howcve1; all acupuncturists arc not equal. Just as in any other
profession, there arc many levels of knowledge and competence between prac­
titioners. It is nol unusual to bear people complain that they ha\·e seen many
acupuncturists and been in erted with many needles, but the results were not
ati factory.

ln acupuncture, more is not necessarily bcller: The number of needles

that a practitioner uses does nol necessarily correlate with his or her results.
In this respect using acupuncture is comparable lo using herb .Just as it is not
necessary to use many herbs to treat a di ·order it is likcwi c not necessary lo
use many needle lO treat a disorder. ome acupuncturists insert many needles
around the affected area, as if shooting at a target in the dark. This will not
work and vvill often create more pain for the patient. Practitioners who have
studied extensively and have a proper understanding of acupuncture know
that if they have properly identified the pathologies and arc familiar with the
theory of acupuncture, they can often resoh-c pain with the u c of only one
needle. The effeCLi\·e use or one needle is both an art and a cicnce. Study and
research in simplifying the formula by using just a few needles is as importam
as in simplifying the formula by using just a few herbs.

In my school years, we were required to memorize ZhenJiu Da Cheng «

tf·�*JV(;» and lo learn by heart early odes uch as Biao Yao Fu «f�imJJtit» ,
Bai Zheng Fu «�ffiEP.fit» and Zhou Hou Ge «JM���)) . Thi enabled me
to core hjgh marks at the exams for Chinese mcdjcine practitioners and gave
me a solid foundation for my clinical practice of over 40 years.

There is a saying, "\i\lhen we know the songs and odes of herbal formulas
by heart, we will be able to face difficult clinical cases at ca c." It is the same
with acupuncture songs and odes. \ Vhc n we know the acupuncture songs and
ode by heart, \\·e will also be able to face difficult clinjcal cases at ease. The vast
majority of the songs and odes mention treatment by using only one needle,
an ancient and the simplest form of one nceclle therapy. One needle theory is

I
One. \eedlr TherajJ)' /

the re ult of the hard work of practitioners who preceded us. A small number
,
of songs and odes use '·pairing point . or "corre ponding points". However,
using only one of the two points is often very effective and can be regarded as
a form of one needle therapy just the combination of the dual one needle is
more effective. By repeatedly applying and reOect.ing on these songs and odes,
I have gained many new insights which have led to my special creation and
invention or new acupuncture formulas.

I have personally put forth tremendous efforts in studying the treatment

of pain syndromes. I ha\·e also written several books on the treatment of pain.
From the beginning of my practice, I have been selecting treatment points
according LO the ancient and traditional methods. That is, when the disorder is
Jo,,· on the body, select a point that is high on the body. And when the disorder
is on the left side of the body, select a point that is on the right side of the body.
Through the years, I have developed a practice of using fewer and fewer nee­
dles and not needling the affected areas. Through further study and research,
I de\·eloped my own personal tJ1eory of "One Needle Therapy". The greatest
feature of my one needle therapy is the selection of distal points and mainly
needling the limbs. This is convenient, safe and most importantly, effective. I
use only a few needles and achieve speedy and effective results.

This book is divided into two parts: "General Theory" and "Other
Theories". "General Theory" introduces the types of pain, pathogenesis and
diagnosi . Secondly, it introduces the general law of acupuncture in treatment
of pain syndrome. "Other Theories'' describes a ,·ariety of pains, from the
limbs and even the internal organ , as well as va1;ous pains of the five sense
organs. Clinically commonly seen pain syndromes arc also included. For each
treatment of pain, groups of special efe
f cts one needle points are introduced.
There arc also e;..-planations of the underlying reasons that a particular point is
effective and the theory of selecting such poinL accordingly. This will giYc the
user more confidence in selecting the point to use clinically with agility.

The work herein is part of my p1·ivate and unpublished lecture and teach ­

ing materials derived from my 40 years of clinical and teaching experience.

I titled those materials Wei-Chieh Young's One Needle Therapy. Although
most of those materials are unavailable co the general public, I am making
chis work herein a\·ailable for those who want to further their studie in the
critically important field of pain management. \ \'hile I have made the study

2
 / Prefi1ce

and practice of acupuncture my life's work, I can never learn all there is to be
known in the field. The \-vork herein only reflects my limited range of knowl­
edge. It surely contains some shortcomings or errors and I humbly ask for your
opinion to correct them.

Wei-Chieh Young
Written i n Los Angeles, Spring 2017
Remarks: The Korean version of this book
was published in 20 1 6 at Seoul Korea

3
One.\eed/e TherajJ.JI /

EDITORS' NOTES

In 2007, I, Mandy, went with Dr. \Vei-Chieh Young volunteering our services
to the people of Kyrhyztan. After a complicated and exhausting journey, we fi­
nally arrived at Bishkeh, the capital of Kyrhyztan. For two days, we saw many
patients, most of whom had multiple health issues. Because there was a vvcight
limit Lo our luggage, we were limited in the number of needles that we could
bring. However, Dr. Young, using only one needle on each person v,1as able to
resolve multiple symptoms for that person with phenomenal results. Dr. Young
had brought one of his students , Dr. Yun Lee, who could speak Russian. She
was multi-tasking: translating, taking notes and manipulating the needles at
the same time. She was beyond busy and the trip for her was a real eye-opener!

\\Then we return to Los Angeles, Dr. Young began to organize his years of
accumulated notes and finished the first draft of One Needle Therapy. Since
2008, Dr. Young taught three One Needle Therapy classes. Two years ago,
we invited Leonard Capozzi to translate the book into English. He finished
Part I, a total of 4 chapters, howeve1� due to personal reasons, he was unable
to continue with the translation. \Ve then invited one of Dr. Young's students,
Dr. Kitty Wong-Robertson, DOM to continue the translation of the following
chapters regarding pain syndrome. In addition to managing her patient load
she was able to complete the translation in a little over a year's time; no easy
feat.

We would like to take this opportunity to express our gratitude to Kitty and
Len. They have made it possible for practitioners from all over the world to
have access to this book as a reference. Using one needle to treat many disor­
ders is invaluable, especially for those practitioners who arc servicing remote
and underprivileged areas.

Mandy Young
Alice Young
Editors-in-Chief

4
 / Ack11owledgeme11tfro111 the translator

ACKNOWLEDGEMENT FROM THE TRANSLATOR:

I wish to extend my deepest gratitude to Dr. \ Vei-Chieh Young, my teach­

er, guide and mentm; whose brilliance and generosity in sha1ing his years of
knowledge and experience continue to inspire me.

ly heartfelt thanks to Susan Schrag, my very precious friend, \\·ho gives me

endless support intelligent suggestions, encouragement and \\·ho mocks my
Chinglish.

I dedicate this work to my mother \\�thout whom none of this would be po si­
ble, to the memory of my dear father and to my patients who place their trust
in me and their health in my hands. They bring me courage, joy and hope.

Kitty Wong-Robertson, DOM

L.Ac. (KS)
Dipl. O.�I. _ ICCA0?\1)
Doctor of 01iencal f\Ieclicine (- � I )
. .

Heartland Oriental � lcdicine, LLC

\Vichi ta, KS

J
 ChajJ/er 1 / General Discussion

PART I
NEUROLOGICAL AND MOTOR SYSTEM DISORDERS

Chapter 1

General Discussion

In the last 50 years acupuncture has steadily gained popularity around the
world. Vve know from clinical experience that acupuncture is able to success­
fully treat a wide variety of difficult medical conditions, but it is mostly known
for its ability to quickly and effectively treat pain. In tlus book I "'rill discuss
many very effective acupuncture points and needling techniques for address­
ing a wide range of pain syndromes. But first it is important to deepen our
knowledge about the nature and mechanisms of pain, only then will we be
able to fully realize the potential of the points and thereby get even faster and
more effective results with our patients.

I. GENERAL CONCEPTS ABOUT PAIN

Almost everyone has experienced some form of pain, but what exactly is pain,
and what causes pain in the body? It's possible that many people don't know
the answer to these questions. In fact, it's difficult to give a precise definition of
pain. Here we will look at some basic concepts about pain, special characteris­
tics of pain as a sensory experience, the mechanisms that generate pain in the
human body and some of the different manifestations of pain in the context
of injury and disorder.

A. Special Characteristics of Pain

Pain is a subjective sensation tl1at results from an internal or external stimulus
produced by disorder or injury. The ability to perceive pain is a form of sense
perception that operates in the nervous system in much the same way as our
5 primary senses operate. The perception of pain has some characteristics in
common with these other types of sense perception but it also has some unique
attributes.

7
One. \eedle Tliem/J)' /Part I: . \eurological & I fotor �·stem Disorders
.

1. Pain is a prim.itive sense perception. \Vhcn a stimulus reaches a

certain intensity, whether it be mechanical, temperaLUre related or chemical, it
has the abiJity to damage tissues and cause pain. Experiencing pain is problem
enough, but in the minds of most people pain i also closely linked wit.h the
·

fear of disorder. For thi reason there is ahrnys a trong emotional respon c Lo
pain, and it is no "·onder that pain i the problem for which people mo t oft.en
seek medical at.tention. From the biological perspecti,·c pain can be seen as a
warning signal that prompts the organism into a series of defensive responses.
Fur example, when we touch a hot pot on the stove we perceive a burning
pain and the body's reflexive response, prompted by this warning signal, is to
immediately withdraw the hand in order to avoid further injury \\ith regard
to sen ations of cold it is the same process. \ Vhen our hand touches a block of
ice at fir t there is a cool-cold feeling, which rnight c\·cn be pleasant, but with
continued contact the sensation intensifies and pain occurs. If the warning
signal is not heeded it can result in frostbite. Another example is the hunger
pain experienced by people with gastric ulcers. This type of pain is a signal Lo
immediately eat something to neutralize excess stomach acid and moderate
the discomfort. And finally, if people with heart di order exercise too \igorous­
ly it can result in an inadequate blood supply to the heart, inducing angina, a
se,·ere pain in the chest that can also radiate to the boulders, arms and abdo­
men. As soon as this type of pain appears the person knows to stop exercising
in order to protect the heart from more serious consequences.
2. Pain is a very com.plex senseperception. People's perceptions relat­
ed to pain are not at all consistent. Besides the variations in how people expe­
rience degrees of pain, there arc many types of pain: tabbing pain colicky
or g1ipping and twisting pain, di tending pain and burning pain among many
others. Pain also al\\·ays includes an emotional component which relates to a
person's subjective histmy and their possible concerns about the pain relating
to some more serious medical condition. \i\/e can say \\�th confidence that pain
is a very complex phenomenon.

B. The Mechanisms of Pain

Researchers still don't have a perfect understanding of the mechanisms that
generate pain but there have been ad,·ances in our understanding of some
of the essential aspects of the process. New theories are always established
and further developed on the foundation of previous theories and the same
is true here. The Gate Control Theory is the most comprehensive and rcprc­
sentati,·e or the themies that explain the interaction between sense receptors
in the peripheral nenuus sy stem (P.:\S) and ,·arious chemical substances that
mediate the pain process.
In the outermost structures of the skin there arc many sense receptors and
free nerve endings. \\hen these ne1Ye endings recei\'e a certain stimulus they
immediately release strong chemical substances which in turn produce pain.

8
 Chapter 1 I General Disrnssion

The most important among these substances are prostaglandins, Substance P

and bradykinin. These chemicals function to regulate communication between
nerves and the surrounding tissues.
sually these ubslances, called pain-inducing substance , are present in
small quantities in the body and are tored inside the nerYe endings or sur­
rounding tissue wailing Lo spring into action. A good example is Substance
P. As soon as a tissue is inj ured or inflamed the damaged cells in that area dis­
solve and produce a large amount of this and other pain-inducing substances.
Interestingly, instead of aU of these substances causing pain some of them
actually induce an analgesic effect in the body.
The signals that generate pain, as with other senso1y signals, are consid­
ered part of a complex neuro-bio-electric communication process. These sig­
nals follow specific nerve pathways to deliver infor mation to the thalamus and
the cerebral cortex where Lhe informaLion related to the severity and location
of the pain is processed. When a particular part of the body is injured the
person might let out a groan, and then use their hands to .massage the painful
area in an attempt to relieve the discomfort. This is the general process for ho'vv
pain is generated and then relie\·ed in the body.
In 1965 Ronald r-.Iclzack of the niversity of London and icGill
university in Canada and Patrick \Vall jointly proposed Lhe Gate ContTol
Theory of pain. They discovered that the nervous system, regardless of the
situation, only has the capacity to process a certain amount of sensory signals.
When these signals exceed a certain limit specific cells in Lhe spinal cord are
activated that inhibit more sensory signals from being processed. It's as if these
cell· are defending a gate and keeping the extra pain signals from being pro­
ces eel in the cencral nervous system (CNS). An example of thi is when pain
signals from an injury and sensory signals from the person mas aging around
the injury all meet in the spinal cord at the same time. The result is that the
"gale" that would allow more pain signals to enter is closed and the pain sig­
nals cease registering, or are reduced. The mechanism works this way; the
sensations of rubbing the painful area are carried by thick nc1ve fibers, which
transmit signals quickly, and inhibit the sensations of pain that are transmitted
by thin nerve fiber which transmit signals rclati\·ely slowly. \ Vhen we instinc­
li\·cly rub a painful area of the body it makes perfect sense since it really does
help to reduce the pain.
One of medicine's forefathers, the Greek physician Hippocrates once said:
"When a person experiences two types of pain at once they will only feel the
stronger of the two." Vve can use Gate Control Theory to understand this
idea. Many people come to the clinic for treatment of back pain. That might
be their only complaint until the back pain is improved and only then, for
example, do they realize that their leg also hurts. Some people who are afraid
or acupuncture needles will clench their hands or tighten up their entire body
wlicn I.he needles arc being inserted. In this way they lessen I.he sen sali on they

9
One .J\"eedle TI1eraPJ' /Part I: .Veurological & .\Jotor System Disorders

feel from the needles. This is a very practical example of how the Gate Control
Theory works, and one that is often een in clinical practice.
\\Then a person experiences pain the brain and spinal cord concurrently
produce strong chemical substances called endorphins which impede the pain
pathway in the nervous system. \ Vith regard to acupuncture, there is a long
history of research which shows that when a needle is inserted into a particular
point on the body the stimulus is transmitted from Lhe nerve endings to the spi­
nal cord, brainstern and thalamus. Thjs leads Lhe brain to produce SHT and
endorphins vvhich both help to lessen or eliminate the pain.
Exercise can also have a strong analgesic efe
f cl because it stimulates the
body to produce endorphjns and also activates the mechanisms described by
the Gate Control Theory. From the perspective of allopathic medicine acu­
puncture's analgesic effect can be understood in the same way.
Acupuncture and pharmaceutical meilicines work in different ways lo
relieve pain. Pharmaceutical medicines act directly on the C S and can create
dependency in their users. Acupuncture works by stimulating the nerve end­
ings in the P JS, which then prompts the nervous system to release the above
mentioned pain-relieving chemicals that regulate the way the pain signals are
processed and registered.
From the perspective of Chinese medicine acupuncture works to eljmi­
nate pain as a symptom, but it also eliminates the rooL cause of the pain by
regulating the meridians and connecting vessels and supporting the healthy
functioning of the internal organs. Acupuncture's ability to treat pain is one
of the "dazzling pearls" in Lhe field of pain management . For this reason we
can confidently promote acupuncture as tl1e best of all methods to treat pain.

II. TYPES OF PAIN

There are many different types of pain. The varieties most often seen in the
clinic are neuralgia, rheumatoid and osteoarthritis, visceral pain, and reflex
pain, also known as Complex Regional Pain Syndrome (CRPS), to name just a
few. Here we will briefly talk about neuralgia, rheumatoid arthritis and osteo­
arthritis.
A. Neuralgia
Neuralgia is a pain syndrome that usually develops gradually and as a result the
early S)mptoms of most neuralgias are not clearly e\ident to the person. The
affected area simply feels a bit numb, or even completely lacking in sensation,
and the person either ignores the sensations or isn't e\·en aware that something
is wrong. By the time the symptoms become more severe and clearly evident
it is often difficult to achieve a rapid cure. When someone notices that a part
of their body is experiencing a lack of sensation or numbness it is best to seek
medical attention right away.
:\Teuralgia is the term used to describe tl1e often intense, typically intermit­
tent pain that occurs along the course of a nerve or in the surrow1ding tissue

JO
 Chn/J/er 1 / General Discussion

as the result of inAammation. Ie uralgia has several definjng characlerislics:

1) the pain is usually qu i te severe, 2) it is usually of sudden onset, 3) i t occurs
in a well-defined area of the body and follows the course of the nerves, and 4)
"·hen it occurs in tissue near the surface of the slcin pressure i n that area causes
intense pain. The causes for neuralgia arc many, but atrophy, weakness and
strain of the muscles and fascia are the pri mary reasons.
Neuralgia can happen in almost any part of the body. The most common
and serious types of neuralgia affect the trigemjnal nerves of the head and
face, the intercostal nerves of the chest and the sciatic ne rves that run from t he
lower back through the buttocks and through their connecting nerves down
the lower limbs.
The most common types of neuralgia occur in the following areas of the
body:

The Head and Face:

Trigerninal neuralgia usually affects one half of the face and causes severe
pain. It is usually of sudden onset. Touching the slcin on the face or t he
tissue on the inside of the m o u th can provoke intense pain. Speaking and
eating can also cause severe pain.
Occpital
i neuralgia affects the upper neck, the back of the head, the hind­
brain and sometimes the mandible. The pain can occur on e i t h e r one
side or both sides of t he body and in some cases can include all t hese
areas al once.
Glossopharyngeal neuralgia affects the base of t he tongue, the throat,
the soft palate and the tonsils. In some cases it can also effect the ears
and eyes.

The Neck and Shoulders:

Cervical neuralgia mainly affects the side of the neck but due to the dis­
tribution of the nerve plexus i t can also cause pain in the shoulder and
the back of Lhe head.
Brachia[ neuralgia causes soreness and pain of the shoulde1� and pain,
stiffness and numbness of the upper arm. It can be mistaken for frozen
shoulder.

The Chest:
lntercostal neuralgia affec ts the nerves that run between the ribs in the
chest, causing pain and a feeling of res trai n t in the chest and some t i m es
the back The pain often radiates fro m one ide of the body towards the
.

mjdline. Intercostal neuralgia affects the left side of the body more often
than the right side.

11
One .Needle Therapy I Part 1: .Neurological & ,\/otor S_ystem Disorders

Neuralgia of the diaphragm affects the lower anterior thoracic region at

or near the insertion of the diaphragm. The pain can extend laterally
and be accompanied by a feeling of heavy pressure in the depression
below the sternum. In some cases the pain can also affect the shoulders,
arms and neck.

The Lumbar Region and the Legs:

Lumbar neuralgia can affe ct the low back, Lhe thigh, the lower leg and
foot, and pans of the pelvis including the area around the coccygeal
bone and external genitalia. The lumbar plexus is very complex with the
nerves exiting from between the vertebrae and then dispersing through
the muscles of the lumbar and inguinal areas and then, through their
branches, down into the muscles and surface tissues of the legs and feet.
Any of the muscles, tendons or ligaments that are along these nerve
pathways can experience pain that originates in the lumbar spine.
Sciatic neuralgia results from irritation of the sciatic nerve, which starts
as a collection of nerve roots that exit the lower spine and then combine
into one larger nerve that runs down the back of the thigh and, through
its branches, into the legs and feet. Sciatic pain is usually one-sided and
can involve the lower back and gluteus area, as well as the inner thigh,
the lower leg and the soles of the feet. The sciatic nerve can also generate
pajn that is felt in the genitalia and anus.
Femoral neuralgia affects the lateral thigh and calf and causes weakness,
impaired mO\·ement or sensory abnormalities. The pain is usually not
severe and can be accompanied by a tingling sensation, numbness or the
sensation of the skin being pulled tight.

B. Arthritis and Soft Tissue Rheumatism (Rheumatism)

Arthritis, soft tissue rheumatism and neuralgia are quite different in their clin­
ical presentations. Neuralgia is characterized by intense and usually intermit­
tent pain along the course of an inflamed nerve. Arthritis is marked by pain­
ful inflammation and stiffness of the joints. Soft tissue rheumatism involves
inflammation and pain in the muscles and fascia. The term "rheumatism" is
often misunderstood and creates confusion since its definitions vary widely.
In fact, the term should include both arthritis and soft tissue rheumatism, but
from now on we will only use the term lo refer to soft tissue rheumatism.
Rheumatism is generally much easier to treat than arthritis, although both
are characterized by pain, stiffness and motor impairment. The pathological
changes that come with arthritis are limited Lo the joints and cartilage. Soft
tissue rheumatism affects the muscles, tendons, ijgaments, fascia and bursae.

12
 Chapter 1 I General Discussion

To better under tand the differences between arthritis and rheumatism it's
important to know the basic anatomy of a joint.
Joints can be divided into tJuee main categories: freely mo,·eable, slightly
mo,·eable and immoveable. Freely moYcable joint , also called synovial joints,
are the most common and include the joints in the neck, shoulde1� elbows,
"·rists, fingers, hips, knees, ankles and toes. An example of a slightly moveable
joint is where tl1c rib. meet the sternum. Immoveable joints include t11e sutures
of the cranium and the sacral and coccygea1 vertebrae.
The basic structure of a freely moveable joint includes the 1) articular
surfaces, 2) the joint capsule and 3) the articular cavity.
There are two articular surfaces in each freely moveable joint: the articular
head and the glenoid fossa. The articular head is spherical and smooth and it
fits perfectly into the socket created by the glenoid fossa. The articular surfaces
are covered by a layer of smooth and strong articular cartilage that allows the
joint surfaces to move freely.
Every freely moveable joint is surrounded by a ligamcntous sac called the
joint capsule. The joint capsule stabilizes the joint and is crucial for its proper
functioning. The thin inner layer of the joint capsule is richly supplied with
blood and is called the synovial membrane. The thick outer layer is very tough
and is called the fibrous membrane. The joint capsule attaches to the perios­
teum around the outside of each bone near the articular head. In addition to
the joint capsule each freely moveable joint is stabilized and functions properly
tl1anks to its related ligaments, tendons and muscles.
The articular cavity, or joint cavity, is the space between the articular sur­
faces. This space is sealed by the joint capsule and contains a small amount of
synovial fluid. The fluid acts to lubricate the joint and nourish the cartilage.
If the joint cartilage is damaged and becomes inflamed the joint will
become artl1ritic. This can either take place gradually, as with osteoarthritis, or
suddenly, as with arthritis that results from an injury. Auto-immune disorders
such as rheumatoid arthritis and lupus e1)'thematosus cause inflammation of
the synovial membrane, and in tl1eir later stages can also cause damage to the
joint cartilage. The synovial fluid itself can also become inflamed, leading to
gouty arthritis, or what is commonly called gout. Septic arthritis, also known
as infectious arthritis, occurs when a joint becomes inflamed and painful as a
result of a bacteria or virus tl1at enters the joint through the bloodstream or by
way of a penetrating inj ury.
Soft tissues include ligaments, tendons, fascia, the joint capsule, muscle
tissue and cartilage. Ligaments are a short band of tough, fibrous connective
tissue which connects two bones and helps stabilize a joint. Tendons are flex­
ible bands of strong, fibrous tissue which connect muscle to a bone. They arc
co,·ered by a membrane which protects the tendons and allows them to stretch
and slide witl1our adhering to the surrounding tissues. A joint moves because
the attached muscles work in harmony, certain ones comracLing and others

73
One Needle Thera/JJ I Part I: Neurological & Motor fiystem Disorders

relaxing, while the tendons allow the muscles to exert their pulling force on
the bones.
Inflammation of either the tendons or the muscles can cause pain. When
the tendon is inAamed it is called tendinitis. This usually results from over-ac­
tivity and strain. \1\Then a muscle is inflamed it is called myositis. When a per­
son is experiencing pain in a muscle and there is no inflammation it is called
myalgia.
Myofascial tissue is a thin, strong, fibrous connective tissue that encloses
and separates layers of muscle. Myofascial tissue is made of collagen, the same
material that makes up tendons and ligaments, and is found throughout the
body. On the palms of the hands and the soles of the feet the myofascial tissue
provides support and protection for the muscles and bones. \IVhen the myofas­
cial tissue of the hands becomes inflamed it can cause the ring and little finger
to become stiff and difficult to extend. Inflammation of the myofascial tissue in
the soles of the feet can lead to intense heel pain.
Synovial bursae are small, fluid-fill ed sacs in the connective tissue that act
to lubricate the areas between the muscles, tendons, ligaments, bones and skin.
The synovial bursae facilitate the gliding of muscles and tendons over bony and
ligamentous parts of the body, such as in the shoulders, elbows, hands, knees
and feet. When the bursae become inflamed and painful it is called bursitis.
Cartilage is found in many parts of the body besides the synovial joints,
and when any cartilage becomes inflamed and painful it is called chondritis.
One common form of chondritis is chostocondritis, which occurs in tl1e chest
wall where the ribs attach to the sternum. The pain caused by costochondritis
is commonly mistaken for a heart attack.

C. The Most Common Forms of Arthritis

Arthritis related to inflam,rnation of the synovial m,em,brane: \IV hen
arthritis affects the synovial membrane it causes this very thin membrane
to thicken. Concurrently, the articular cavity fills '"rith inflamed cells that
release an enzyme which very slowly erodes the articular surfaces. Over
time this leads to destruction and deformity of the joint. Rheumatoid
arthritis, lupus erythematosus and psoriatic arthritis are examples of this
type of arthritis.
Adhesive arthritis, sometimes called capsulitis, results fl-om inflammation
of the tendons and ligaments in the areas where bones meet. This is an
example of ilie most basic ariliritic process and it includes conclitions
such as ankylosing spondylitis, \ Vright's syndrome (thoracic outlet syn­
drome), psoriatic arthritis and enteropathic ariliritis.
Degenerative arthritis affects most people as they age. Examples of
degenerative arthritis arc osteoarthritis, osteoporosis and neuropathic

14
 Cha/1/er I I General Discussion

osteoarthropathy, which is the progressive degenerat.ion and eventual

deformation of a weight-bearing joint.
Crystal arthropathy is characterized by the deposit.ion of tiny crystals in
the joints. The body's immune system seeks to expel the crystals and
inflammation results. Examples of this type of arthritis are gout and
pseudo gout.
Septic arthritis is an extremely painful form of arthritis that results from
an infectious bacteria entering the joint cavity. The most common patho­
gens involved in septic arthritis arc staphylococcus, the bacillus neisseria
and the tubercle bacillus. If not promptly treated the pathogen that caus­
es septic arthritis can destroy the affected joint and spread to other parts
of the body causing more severe disorder and sometimes, depending on
the pathogen, death.

D. The Most Common Forms of Soft Tissue Rheumatism

Pain limited to local areas of the body:

Tendinitis usually results from overuse of a tendon. \ Vhen the tendon i
inflamed any movement, pressure or pulling action causes pain. The
parts of the body most commonly affected by tendinitis are the shoul­
ders, elbows, wrists, fingers, hips, knees, ankles and fect.
lnfiam:rnation of a ligament often affects the knees and ankles.
Fasciitis, inflammation of the connective tissue, is most likely to occur in
areas where bony structures meet, such as the neck, the back, the hands
and the feet. One of the most common forms of fasciitis affects the sole
of the foot and is called plantar fasciitis. This condition is often mistak­
enly referred to as heel spurs, but heel spurs are the result of bony spurs
that form on the heel bone, not from inflammation of the fascia.
Bursitis, the inflammation of a bursa, is often accompanied by tendinit.i .
The most commonly affected joints are the shoulde1� hip and knee.
Capsulitis, somet.imes called adhesive capsulitis, is characterized by
inflammation, pain and stiffness of the joint capsule. Capsulitis usually
effects the shoulder joint and when the condition is serious it significantly
decreases mobility.
Costochondritis, also known as chest wall pain, is the mo t common from
of soft tissue rheumatism. It affects the cartilage that connects the ster­
num to the adjoining ribs. Due to the location of the pain it is often
mistaken for heart pain.
Nerve c01npression syndrmne results when a tendon or ligament
becomes swollen or inflamed and puts pressure on a nearby nerve. As a

15
One, \eedle Therapy I Part I: }leuro/ogical & Motor .�stem Disorders

result the person experiences pain or num b ness, often in the wrist, palms
and fingers, as with carpal tunnel syndrome, or in the upper thigh or
outer part of the leg.

Pain that is experienced throughout the body:

Psychogenic pain results from emotional factors that amplify the expe­
rience of a minor pain, creating the experience of more severe pain.
Psychogenic pain is not related to true rheumatic pain.
Fibromyalgia the inflammation of fibrous connective tissue, is charac­
terized by generalized pain throughout the body. It is usually accompa­
nied by sleep disturbances, stiffness, fatigue and someLirnes anxiety an d
depression. Lab tests and imaging exams are all normal. F ibromyalgia
has a strong emotional component.
Polymyositis is characterized by pain and weakness in the muscles result­
ing from inflammation and damage to the muscle tissue. The majority of
people with polymyositis also ex'])e ri ence skin lesions, rashes and damage
to the superficial blood vessels.
Polymyalgia rheumatica mostly affects people over the age of fifty. It
causes pain in the musc le s of the neck, shoulders, hips and the proximal
portions of the large muscle groups throughout the b ody. The onset of
pain can be grad ual or it can progress quickly. The majority of people
w ith polymyalgia experience very severe morning stiffn ess. If the condi­
tion persists the person can de,·elop fatigue, fever, weight loss and joint
pam.

III. THE PATHOGENESIS OF PAIN ACCORDING TO CHINESE

MEDICINE
Chinese medicine's ability to e ffec tively treat pain is based on two fundamen­
tal principles: 1) the identification of patterns of disharmony in a person and
2) seeing the person and their presenting problem as part of an integrated
whole. Already more than 3000 years ago in Huang Di NciJing <<-]i{r,'ff pgfr.�»
the various etiologies and mechanisms of p ain were discussed in great detail.
Later generations of physicians and scholars further developed and improved
on these theories.
There are many chapters in Huang Di Neijing «1{1if pg ��» tl1at discuss
pain syndromes. The most pertinent of these are in Su \'Ven Chapter 39 -
Ju Tong Lun « * r..,•$'.Jffi �» and Chapter 43 - Bi Lun « * M·��» ; and
in Ling Shu Chapter 53 - Lun Tong «'.m::ff.ll! · �:Jffi » and Chapter 27 - Zhou
Bi « * M ·.ffil �» . The most c ompl et e discussion on the s ubject is in Su Wen
Chapter 3 9 -Ju Tong Lun « * r..�·��Uli'» .
In Huang Di NciJing «•111 pg � » the discussion on pain emphasizes the
following three points: a) when circulation is impeded there is pain, b) when

16
 Cha/1/er 1 / General Discussion

there is tension there is pain , and c) when there is lack of nourishment there
1s pam.
We will add four other points to further clarify the meaning of these three
main points.

A. When circulation is impeded there is pain

1. Impeded circulation of qi in the meridians and connecting vessels:
Su Wen Chapter 39 -Ju Tong Lun «� rp� ·��Mili» says, "When cold qi enters
the meridians and resides there the person weeps and cannot move; when the
cold qi resides outside the vessels the blood is diminished, and when it resides
in the vessels the qi doesn't move; in the end this results in pain."
The last part of this passage clearly states that pain results from poor cir­
culation of qi. The middle of the passage, howeve1� is less clear, since i t is
not referring to a deficiency of blood, but to how a cold pathogen causes the
meridians and connecting vessels to shrink, makes the blood more viscous, and
impedes the circulation of blood. ·when the circulation of blood is impaired
the circulation of qi is also impaired. This is the most common mechanism
for pain syndromes and is often seen in external cold patterns, with pain from
yang deficient cold, with patterns related to blood stasis and as a result of some
external injuries.

2. Pressure on local tissues:

Su Wen Chapter 39 - Ju Tong Lun «�rP� ·��tlfli» says, "When cold qi
enters the meridians and connecting vessels it presses close against the warm
qi already present and the vessels become over-full and painful; if the cold qi
lingers the warm qi moves towards the surface and further expands the vessels;
the qi and blood then become disordered, the pain becomes intense and the
area cannot be touched."
Where this passage says the vessels are over-full and the qi and blood are
disordered it means that the meridians and connecting vessels are congested
and the qi and blood are not circulating properly. This leads to increased pres­
sure in the vessels, which causes them to expand, which produces pain. If the
local area was already painful the increased congestion and pressure make the
pam worse.
When the normal circulation of qi and blood is impeded the cold patho­
gen also causes an accumulation of fluid in the local tissues which then spreads
to the surrounding sinews, vessels and skin. This extra fluid further impedes
the circulation of qi and blood, increasing the pressure and exacerbating the
pam.

17
One Xeed/e Thera/J)' /Part I· .Veurological & .\lo/or S_)'slem Disorders

B. When there is tension there is pain

3. Tension and contraction of the sinews and vessels:

Su ''Ven Chapter 39 -Ju Tong Lun «�r.,i ·�:Jm��» says, "When cold qi settles
outside the vessels they become cold. \\!hen the vessels are cold they contract.
\\!hen the vessels conu·act they become tense. \ Vhen 1.he vessels are tense they
pull on the minute connecting ves els and there is pain." It also says, "When
cold settles between the intestines and the stomach, below the diaphragm, the
blood does not circulate and the minute connecting vessels tighten, causing
pain."
\ Vhether caused by an external pathogen, an internal pathogen or a mus­
culoskeletal problem this type of pain results from the excessive contraction
and pulling of the connecting vessel , or in the language of western medicine
from the hypertonicity of the mu des and fascia.
External pathogens can generate this type of pain anywhere in the body,
including the head. Cold, damp or heat pathogens can attack the interior and
cause acute abdominal cramping or colicky pain, as in sudden turmoil disor­
der. Liver yang uprising or the movement of internal liver wind can also cause
cramping and pulling pain. These types of pain all result from the same basic
mechanism and can be summarized simply: "when there is tension tl1ere is
pain."
Besides twists, pulls and bruises the majority of muscle pains arc caused
by overuse, which creates tension in the tissues. In Ling Shu Chapter 1 0 Jin-

Mai « ��· $!*» says, '"N'hen the sinews of hand taiyin meridian are over­
strained tl1erc is cramping pain."
\\ hen a muscle is taxed for a long time it is forced to continually contract
and doesn't have adequate time to recover. The blood vessels that pass through
the muscle arc repeatedly compressed which obstructs the normal flow of
blood and creates a certain degree of blood stasis and deficiency. This in turn
leads to a Jack of O:>-.'Ygen, a form of qi stasis, and the normal metabolism of
the muscle is disrupted. The muscle is then prompted to release inflammatory
substances 1.ha1. produce pain. The. e inflammamry chemicals include acidic
metabolic waste products, histamine, 5-HTP and bradykinin. These substanc­
es stimulate the sensory nerves which carry pain messages to the brain's pain
reception center, the part of the central nervous system where the sensation
of pain is registered. If a muscle is continually strained, tense and tired it
experiences a chronic lack of blood and oxygen and continually releases the
chemicals that produce pain.
This type of pain, which re ults from overuse of a muscle, is called myo­
fascial pain syndrome. Chinese medicine calls this taxation injury or taxation
damage. These days most of the people who visit the doctor for pain relief arc
suffering from this type of pain; for example, when a person uses the computer

18
 Cha/J/er 1 / G'eneral Discussion

too much, which can produce pain or the cervical vertebrae, carpal tunnel
pain and tenosynovitis.
Of course, the concept "when there is tension there is pain" is related to
the concept "when circulation is impeded there is pain". Qj and blood stagna­
tion arc always a part of this picrure; when a muscle is tense it experiences a
local stagnation or qi and blood. In turn the local stagnation of qi and blood
will produ ce more tension, and more pain.
Acupuncture's ability to promote the flow or qi and blood is very effective
in treating muscle pain. \,Yestern medicine's main treatment for muscle pain
is muscle relaxing drugs, which can help with symptom relief but which can't
cure the condition.
Xue Zheng Lun «Jfn.-m�» says, "When there is blood stasis in the merid­
ians, collaterals and visceral organs the person will experience whole body
pain. Blood stasis disrup ts the normal ftow of qi, which leads to obstruction,
'vvhich then leads to pain." Pain from an injury to a local area of the body
results from the same mechanism; the circulation of blood is affected, t he stat­
ic blood then impedes the flow of qi in the meridians and collaterals and this
leads to pain.
Huang Di Nei Jing «Jl:t1if pg ��» attributes most pain to the presence or
cold qi. The greater the cold the greater the pain. A cold pathogen is a yin
pathogen which by nature condenses and solidifies and easily i njures yang qi.
\!Vhen yang qi is harmed it causes qi and blood to stagnate which impedes
the flow through the meridians and collaterals and causes pain. In Su Wen
Chapter 62 - Tiao Jing Lun «:*" fgH'J����» it says, "Blood and qi like
warmth and dislike cold. Cold contracts and therefore im pedes flow, warmth
disperses and therefore promotes flow." Su \t\Ten Chapter 39 Ju Tong Lun «
-

:* rpi•�:®�» says, '"When heat is applied pain stops immediately." For this
reason warm herbs are the most effective for treating this type of pain.
Chinese herbal medicine is effective because it relieves pain by addressing
the root of the problem, muscle tension and poor circulation. In treating cold­
type pain the appropriate Chinese herbs tonify qi and nourish blood, move
blood and transform blood stasis, free the meridians and open the collaterals
and warm the mer·idians and disperse cold.

C. When there is lack of nourishment there is pain

4. Blood Deficiency and Shortage of Qi:

Ling Shu Chapter 47 - Ben Zang «��· *!ll» says, "When the blood is
harmonized the meridians and collaterals flow smoothly, this helps restore the
balance of yin and yang, the sinews and bones become strong and the joints
move freely." Su \Ven Chapter 39 -Ju Tong Lun «:*rpi •�:Jii � » says, "\Vhen
blood is defic ient the flow in the vessels is not smooth and pain results." The
same idea is p resented in Ling Shu Chapter 64· Yin Yang Er Shi Wu Ren «
-

19
One eedle Therapy / Part I: Neurological & ivlotor .!i;istem Disorders
N

��· �m= -T.liA» where it says, ''\ Vhen qi and blood are lacking it is easy
to develop cramps, pain follows."
So we see that impeded circulation alone cannot explain all types of pain.
There are some types of pain that result from deficiency, that is from the sin­
ews and vessels not receiving the qi and blood Lhey require in order to be warm
and well-nourished. As a result the muscles become tense and contract, circu­
lation is impeded and there is pain. Blood moistens and nourishes the i n ternal
organs, the 9 portals (the 2 eyes, 2 ears, 2 nostrils, mouth and the 2 Jo,,,ver yin,
or the tongue and throat) and all the tissues of the body. Yi Lin Gai Cuo «�
;fiti&iti» says, "When the original q i i s deficient i t can't reach the blood ves­
sels; when the blood vessels lack qi, movement slows, and there is stagnation."
\!\Then the original qi is deficient it leads to a generalized qi deficiency which
weakens the heart, this in turn leads to an arterial insufficiency. Arte1;a1 insuffi­
ciency means that the movement of blood through the vessels is not adequate,
circulation slows and becomes sluggish, blood stasis develops and the meridi­
ans and collaterals become blocked, resulting in pain.
This mechanism is one of the main etiologies of pain and explains the
saying "when there is lack of nourishment there is pain." Of course, Huang
Di Neijing «:Vi1ir pg�.fil» doesn't ignore other etiologies. These other ex'J)lana­
tions arc scattered throughout the various chapters but none are as important
as the three that we have just examined.

IV. THE ETIOLOGY OF PAIN ACCORDING TO CHINESE

MEDICINE
According to the theory of the three disorder factors pain results from either
external causes, internal causes, or causes that can't be categorized as either
internal or external. The most commonly seen external factors are wind, cold,
heat, and damp. The most common internal factors are qi deficiency, yang
deficiency, blood deficiency and yin deficiency. The factors which are cate­
gorized as neither internal nor external arc blood stasis, qi stagnation and
phlegm turbidity.
When treating pain the first step is to identify the location of the pain and
its cause and then, according to the correct pattern identification, to choose
the appropriate acupuncture points and proceed with treatment.

A. External Factors
\Vhen pain results from an external pathogen the following disorder mecha­
nisms and characteristics arc present:
1. Pain Cause by Wind: I n Chinese medicine wind, whether external or
internal, is considered the source of the 1 00 disorders. External vvind directly
attacks the muscles, sinews and Yessels and produces pain. It manifests most­
ly in the joints and muscles and is characterized by moving pain that has no
set location, an aversion to wind and a pulse that is floating and moderate. I t

20
 Chaj1ter I / General Discussion

often combines with the damp pathogen which causes pain in the limbs that is
accompanied by a feeling of fatigue and heaviness. The tongue coating in this
case is white and greasy and the pulse is floating and slippery. This pattern is
usually seen in rheumatoid arth1;tis. It is also often accompanied by a cold or
heat pathogen in which case it becomes wind-cold or wind-heat pain.
The defining characteristic of pain caused by a wind pathogen is that the
pain has no fixed location in the body. The pain can also manifest suddenly,
and be accompanied by spasms, cramps and dizziness. This is most often seen
with some types of headache and with high blood pressure, stroke and epilep­
sy. The treatment principle is to eliminate wind and stop pain.
With internal wind there is the movement of liver wind or wind phlegm
which agitates internally and causes head and eye pain or pain in the limbs.
Internal wind is usually related to blood deficiency, deficiency of the kidney
and liver yin or wind phlegm harassing the interior.
2. Pain Caused by Cold: Cold is a yin pathogen and is characte1;zed
by its ability to contract and create tightness. An external cold pathogen can
either attack the exterior, causing restraint at the muscle layer, or it can pen­
etrate directly to the interior and disrupt the qi mechanism. ·when it disrupts
the qi mechanism the movement of yang qi is depressed. The yang qi is then
not able to spread through the meridians and collaterals, warrning and pro­
moting the smooth flow of qi and blood as it goes. Eventually the qi and blood
stagnate, resulting in pain.
Endogenous yang deficiency can lead to an internal cold condition that
blocks the normal flow in the meridians and collaterals. The qi and blood then
move sluggishly, which precipitates pain.
Cold-type pain is characterized by hypertonicity and tightness. The pain
usually appears suddenly and in fixed locations, and it responds well to warmth,
both applied externally and taken as warm drinks. The person ·with this type
of pain will sometimes complain of cold hands and feet. Their tongue is white
and their pulse is tight. This clinical picture is common in rheumatoid arth1;tis.
3. Pain Caused by Danipness: The damp pathogen is heavy, turbid and
sticky vVhen someone is exposed to a damp environment and the damp patho­
gen enters into the body it easily represses the flow of qi and stagnates circula­
tion in the meridians and collaterals. This pattern presents vvitl1 soreness and
heaviness, or fatigue and heaviness, along with a sensation of being bound by
a heavy cloth. There can also be a feeling of fullness and oppression in the
chest and abdomen, poor appetite, st-icky and wet stools and numbness in the
limbs. When the weather is cloudy and damp the pain and other symptoms
can be exacerbated. The tongue is usually white and sticky and the pulse is
soggy. Arthritis of the lower limbs is usually of tl1e damp vadety The damp
pathogen rarely manifests in the head and face and when it does it is usually
accompanied by a wind pathogen.

21
One Needle Therapy / Part I: .Neurological & )vfotor S)lslem Disorders

4. Pain Caused by Heat: An external heat palhogen or any external

pathogen that enters the interior and turns to heat can consume nutritive qi
and blood. The nutritive qi and blood then stagnate and pain results. Heat
pathogens are yang by nature, therefore the affected area is usually hot, red,
swollen and painful. The person might have skin sores that are also swollen,
red and painful. This type of pain is similar to what people 'vvith gout eJ\.'Pe­
rience; the pain is distending in nature and so intense that the area can't be
touched. The person will have an aversion to heat and crave cold, have a pro­
nounced thirst and dark yellow urine, a fast pulse and a tongue that has a thin
yellow coating.

B. Internal Factors
If the function of the internal organs is not adequate or the qi, blood and
Auids are weak, it can create a deficiency of qi, blood, yin and yang. This
state of general deficiency can result in a painful condition that is marked by a
continuous soreness or ache accompanied by a lack of strength. Qi deficiency
is marked by lack of strength, a weak voice or too little energy to speak and
spontaneous sweating. Blood deficiency is marked by a lusterless complexion,
dizziness, palpitations and a racing heartbeat. Yang deficiency is marked by a
fear of the cold and cold limbs, wet stools, and a fatigue that is exacerbated
by exposure to environmental cold or cold food and drinks. Yin deficiency is
marked by 5 center heat (heat in the chest, the palms and the soles of the feet)
and dark yellow urine.
1. Qj Deficient Pain: This type of pain results from over-fatigue, which
injures the qi, or when the person's center qi is deficient, and the nutritive qi
and blood stagnate. Qi deficient pain is relatively mild and chronic by nature.
It is accompanied by a weak voice, fatigue and weakness, poor appetite and
absorption, spontaneous sweating, a pale tongue and a weak pulse.
2. Blood Deficient Pain: Excessive blood loss, or excessive thinking, both
damage the heart blood and cause blood deficiency. In addition, if the body's
ability to absorb nutrients is compromised, or if the spleen's transforming and
transporting function is weak, it can cause a nutritive qi and blood deficiency.
All of these examples can lead to malnourishment which can eventually result
in pain. Clinically this type of pain is dull and empty or it can manifest as mus­
cle tension. The person can also have a lusterless complexion, dizziness with
clouded vision, palpitations and a racing heartbeat, pale lips, a pale tongue
with a white coat and a fine pulse.
3. Yang Deficient Pain: If a person has a constitutional yang deficiency,
or if their yang qi has been damaged by a long disorde1� or if bitter and cold
herbs have been wrongly prescribed, the meridians and collaterals lose their
warmth and nourishment. This leads to slow circulation and stagnation of qi
and blood which will eventually result in pain. 'When the person comes in con­
tact with cold or is very tired the pain will be worse. The person will have cold

22
 Chapter I I General Discussion

limbs and an aversion to cold. Their stools will be wet. They might experience
spontaneous sweats. Their tongue will be pale with a white coating, and the
pulse will be sunken and without strength.
4. Yin Deficient Pain: If someone has a heat condition for a prolonged
period of time, or if they sweat profusely, it can damage the yin. As a result the
yin fluids are insufficient, the meridians and collaterals are not nourished and
moistened adequately and pain results. This type of pain comes and goes. The
person might also experience 5 center heat, night sweats, constipation, dark
yellow urine, a red and dry tongue and a fine and fast pulse.

C. Factors That Are Neither Internal Nor External

I. Pain.from Qi Stagnation: Mental and emotional disturbances are the
main factors that lead to pain from qi stagnation. Anxiety, excessive thinking,
anger and any other emotional disturbance can stagnate the qi i n the internal
organs and cause pain. This type of pain feels distending and stifling in nature
and usually manifests in the chest, lateral costal regions and the abdomen. Pain
from qi stagnation is mostly seen with disorders that effect the internal organs
and is often accompanied by belching or flatulence. After belching, passing gas
or taking a deep breath the person often feels relief Qj stagnation pain appears
or worsens with emotional upset, and its location is not fixed. The tongue has
a white coating and the pulse is wiry.
2. Pain from Blood Stagnation: Blood stagnation can result from an
external injury, like knife wounds and impact injuries, or from qi stasis and
deficiency, which disrupt healthy blood flow. This type of pain manifests in a
fixed location, is worsened by touch and is chronic, unremitting and stabbing
in nature. Blood stagnation pain in the chest is often accompanied by a stifling
sensation and rapid breathing, and in the abdomen it is often accompanied
by palpable masses. Blood stagnation pain gets \.Vorse in the afternoon and at
night and can also be accompanied by dark purple blotches on the skin, or by
bleeding. The tongue is typically a blue-green or purple color and it can have
stasis speckles.
3. Pain.from Phlegm Rheum: Phlegm rheum, also known as water qi, is
a type of turbid phlegm that restricts the free and smooth movement of yang
qi. We have already seen that when the warming and spreading action of yang
qi is compromised it disrupts the normal qi mechanism and causes stagnation
in the meridians and collaterals. Phlegm rheum easily disrupts the flow of qi
in the chest, flanks and abdomen, leading to a stifling sensation and a feeling
of fullness in those areas. This discomfort can be accompanied by breathing
difficulties such as shortness of breath or distressed and rapid breathing. The
pain associated with phlegm rheum is sometimes accompanied by tingling and
numbness in the limbs. Phlegm rheum tends to rise up in the body and can
manifest as a groggy feeling, a headache, or with dizziness, nausea and vom­
iting. The tongue is usually white and greasy and the pulse wiry and s]jppery.

23
One Needle T!teraPJ' / Pmt I: Neurological & Jlotor S
y stem Disorders

4. Pain from Parasitosis: Parasitic pain usually occurs in the abdo­

men around the umbilicus and is characterized by irs sudden appearance and
disappearance.
5. Painfrom Dietary Intemperance: This condition affects the abdo­
men and results from a person eating or drinking too much or too quickly.
Besides being painful the abdomen is also sensitive to touch and pressure. The
person often feels nauseous or has to vomit, their breath is bad and their stools
are smelly. This pain is most often seen in people \vith chronic gastroenteritis
or other conditions related to poor digestion.

24
 Chapter 2 / The 1\Jeridian and Co1111ecling Meridian Pathwa)'S

Chapter 2

The Meridian and Connecting

Meridian Pathways

Chinese proverb says: "If one docs not understand the functions of the
internal organs and the pathways of the meridians and connecting meridians
all attempts at treatment will be mistaken." Both of these points are important
in treating someone with an illness, but without a doubt knowing the meridian
and connecting meridian pathways in detail is the most important.
People who tudy acupuncnire usually have a good general concept of the
meridian pathways but they are not always familiar with the detailed distri bu­
tion of all the meridians and connecting meridians. This can have a serious
e1Tect on treatment outcomes. Therefore, one needs to do a thorough investi­
gation of the meridian and connecting meridian pathways, and only in this
way can one effectively treat pain.
I ow we will take a look at the pathways of the meridians and connecting
meridians in different parts of the body.

I. THE HEAD AND FACE

The three yang meridians of the hands and feet and Du meridian, the body's
primary yang meridian, all reach the head. For this reason it is said: "The
head is the meeting place of all the yang meridians." The three hand yang
meridians run from the hands to the head, and the three foot yang meridians
run from the head to the feet. Hand and foot yangming meridians all distribute
over the front part of the head and face.
Foot yangming Stomach meridian starts in the region where the nose
meets the forehead, passes through the area below the infraorbital ridge and
travels down to enter the upper teeth and gums. It then circles the outer lips
and travels to the mandible where it curves upward and ascends in front of the
ear following the anterior hairline. It passes Shangguan GB-3 and then reaches
the corner of the forehead. Foot yangming Stomach m e ri dia n links areas of

25
One. \eedfe TlteraPJ' /Part I: .\'eurological & .\lo/or System Disorders

the entire face and is the main meridian used to treat problems in this area.
There is a saying: "Disorders of the face all pertain to the stomach." The fore­
head, the upper and lo"·er cheek, the manclibular joint, the manclibular angle,
the upper teeth and the surface around the outside of the lips are all part of
the area covered by foot yangrning Stomach meridian.
Foot yangming Large Intestine me1iclian enters the lower teeth and gums,
circles the outer lips, and then crosses to the opposite side of the face where it
reaches the nostril and the ala nasi and links with Stomach mericlian.
Foot taiyang Urinary Bladder meridian passes through the occipital area
on each side of the body's midline and reaches the top of the head, the fore­
head and the inner canthi.
Hand taiyang Small Intestine mcriclian passes through the side of the neck
and a cends across the cheek before entering the ear. From the cheek another
branch reaches the inner and outer canthi where it joins with foot taiyang
Urinary Bladder meridian and hand shaoyang Sanjiao meridian.
Hand and foot shaoyang meridians mostly di tribute o\·er the sides of the
head. Foot shaoyang Gallbladder mericlian reaches the temple, the ea1� the
area around the ear and the mastoid process. Hand shaoyang Sanjiao meridi­
an reaches the ear, the area around the ear and the cheek.
Yangming passes through the occipital area and reaches the top o[ the
head along the rnidline of the body.
Some of the yin meridians also reach the head and face through deeper
levels of the body: a) foot taiyin Spleen meridian reaches tl1e root of the tongue
and spreads through tl1e sublingual area; b) foot shaoyin Kidney meridian
reachc both sides of the root of the tongue; c) footjueyin Liver mericlian pass­
es through the back of the throat, reaches the palate and then enters the eyes;
from there tl1e internal pathway emerges at the forehead, and a branch reach­
es the top of the head where the mericlian joins with Du meridian; another
branch travels down from the eyes to reach the inner cheeks and then circles
the inner lips; cl) hand shaoyin Heart me1;clian reaches the eyes; e) Ren me1;d­
ian passes through the neck and the jaw along the body's anterior midline,
circles the inner lips and then ascends to meet Chengqi ST- I below the eyes.
In addition, Yangwei mericlian ascends the neck and crosses in front of the car
co reach the forehead, it then circles around behind the ear to reach the nape
of the neck. Finally, Yinqiao and Yangqiao meridian meet at the inner canthi
of tl1e eyes.
Although many other mericlians do not directly reach the head and face
they do have an indirect connection witl1 these areas.
)Jow ""e will look at specific areas of the head and face to see their import­
ant me1;dian connections.
I. The Forehead: I ) foot yangrning Stomach meridian folJows the hairline
and reaches the forehead. '\Then the forehead has pain, especially when it feels
like a tight belt around the head, acupuncture points on Stomach meridian

26
 Chapter 2 / The Meridian and Co1111ecli11g .\ leridian Pnthwqys

can be chosen to good effect; 2) foot taiyang Urina1y Bladder meridian starts
at the inner camhus, it then ascends through the forehead and reaches the top
or the head. For frontal headaches and vertex headaches points on rina1y
Bladder meridian can be chosen to good effe ct; 3) foot j ueyin Liver meridian
connects with the eyes and then emerges at Lhe forehead before ascending to
meet yangming at the vertex. \\ hen there is forehead pain choosing points
from Liver meridian produces good results.
2. The Vertex: I) both the left and right trajectories of foot taiyang
Urinary Bladder meridian intersect al the vertex; for pain at the Yertcx points
from Urinary Bladder meridian are effective; 2) yangming follows the midline
of the body and passes through the vertex, so points on yangming are effective
to treat pain at the vertex especially when it is right along the midlinc; 3) foot
jucyin Liver meridian reaches the vertex so points from Liver meridian can
treat vertex headaches; 4-) hand shaoyang Sanjiao meridian and foot shaoyang
Gallbladder divergent meridian also reach the ,·ertcx, so when the diagnosis
is appropriate, points from these two meridians can also be effe ctive for vertex
headaches.
3. The Brain: yangming pertains to the brain: 1) foot taiyang Urinary
Bladder meridian connects to the brain; 2) foot yangming Stomach divergent
meridian reache the eyes and from there enters the brain; 3) foorjueyin Liver
meridian meets yangming at the top of the head and enter. Lhe brain. Points
from yangming, Liver meridian, Stom<ich meridian and Urinary Bladder
meridian can all be used for pain that aficcts the brain.
4. The Posterior Head: I ) foot taiyang Urinary Bladder meridian i the
main meridian that runs through the posterior part of the head. Yangwei
meridian also reaches the back of the head in the area or Fengfu DU- l 6.
eedling Shugu UB-65 is the best point for treating posterior headaches.
5. The Side ofthe Head: I ) shaoyang meridian is the main meridian that
pertains to the side of the head; hand shaoyang covers the anterior part and
fool shaoyang co,·ers the posterior part. Yangwei meridian also travels to the
side of the head. Foot taiyang Urinary Bladder meridian al o has a branch that
descends from the vertex, passes through the sides of the head and reaches
the ear apex. The ear is the center point of the ides of the head and there
arc many meridians that reach the ears (see below). Hand and foot shaoyang
meridians are the main meridians used to treat one-sided headache, bul when
the pain is located above Lhe ear apex points from Urinary Bladder meridian
can also be effectivc.
6. The Eyes: The liver opens into Lhe eyes, and the following meridians
connect with the eyes: l ) foot jueyin Liver meridian; 2) hand shaoyin Heart
meridian; 3) foot shaoyang Gallbladder divergent meridian; and 4) fool yang­
ming Stomach meridian. The meridians that reach the area around Lhe eyes
are: I ) Yinqiao meridian; 2) Yangqiao meridian inqiao and Yangqiao merid­
ians meet al the inner canthus); 3) foot taiyang Ur;nary Bladder meridian

27
One c \eerlle Them/lJ' / Part I: AeuroLogicaL & .\Jotor System Disorders

which starts at the inner canthus; 4) foot shaoyang Gallbladder meridian starts
at the outer canthus and passes through the temple; 5) hand taiyang Small
Inrestine meridian meets both the outer and inner canthus; 6) hand shaoyang
Sanjiao meridian meets the outer canthus; 7) Ren mc1idian.
7. The Ears: The kidney open into the cars, and the follm,-ing meridi­
ans cmer the ears: 1) foot shaoyang Gallbladder meridian starts at the outer
canthus, descends to the area anterior to the ear and then ascends toward the
angle or the forehead, it then descends behind the ea1� ascends again to reach
the forehead and descends once again to the area behind the ear, iL then trav­
els across the neck anterior to hand shaoyang meridian before reaching the
shoulde1; a branch enters the ear from the posterior aspect and then emerges
anterior to the ear before traveling to the area near the outer canthus of the
eye; 2) hand taiyang SmaJI Intestine meridian meets the outer cantJrns and
also enters the ear; 3) hand shaoyang Sanjiao meridian reaches the nape of
the neck, travels around the ear and then ascends to the lateral encl of the
eyebrow, a branch then enters the ear from the posterior aspect and exits the
ear anteriorly, passes in front of Shangguan GB-3 and meets the outer can thus
where it joins with Gallbladder meridian; 4) hand yangming Large Intestine
luo meridian enters the ear and joins the Zong He Mai (Gathering Place of the
Ieridians) ; 5) hand and foot shaoyin, hand and foot taiyin and foot y angming
all ha,·c connecting meridians that reach the inner car.
The following meridians reach areas outside the car but don't enter the
ear: l ) foot taiyang Urinary Bladder meridian has a branch that reaches the
ear apex· 2) foot yangming Stomach meridian passes through the mandibular
area and then in front or the ea1:
8. The Nose: The lungs open into the nose. The meridians that reach
the area around the nose include: 1) hand yangming Large Intestine meridi­
an reaches the area around the nostrils; 2) foot y angming Stomach meridian
reaches the area where the nose joins the forehead and from there descends
along the border of the nose; 3) hand taiyang Small Intestine meridian has a
branch that reaches the nose; 4) foot jueyin Liver meridian passes through the
posterior aspect of the throat, reaches the nasopharyrL....:, ascends to the fore­
head and then connects \Vith the eyes.
9. The Mouth and Lips: The spleen opens into the mouth and manifests
in the lips. Foot yangming Stomach me1idian enters the mouth and circles the
lips, hand yangming Large Intestine meridian emers the mouth, y angming
and Chong n1eridian circle around the moulh, and footjuey in Liver meridian
circles around the inside of the lips. Ren meridian reaches the lower lips, and
Yangqiao meridian reaches the corners of the mouth.
10. The Tongue: The heart opens into the tongue. 1) foot taiyin Spleen
meridian meets the root of the tongue and then spreads over its lm,·er surface;
2) foot haoyin Kidney meridian ascends through the throat and reaches the

28
 Cha/Jler 2 / The .\Jeridian and Ci11111ecti11g .\leiidian Pa!hwqp

root of the tongue; 3) hand shaoyin Heart divergent meridian reaches the root
or the tongue.
11. The Teeth and Gums: foot yangming tomach meridian enters the
upper teeth and gums, hand yangrning Large Intestine meridian enters the
lower teeth and gums, hand yangming luo meridian connects with the upper
and lower teeth and gums.

II. THE NECK AND THROAT

1. The Throat: 1 he following meridians reach the throat: I ) Ren merid­
ian and Chong meridian both meet in the throat; 2) fool yangming Stomach
meridian and foot shaoyin Kidney meridian both pass through the throat;
3) foot j ucyin Liver meridian follows the po. terior aspect of the throat and
then reaches the nasopharynx, the eyes and the forehead; 4) hand shaoyin
Heart meridian leaves the heart and travels upwards Lo meet the throat before
connecting with the eyes; 5) a branch of foot taiyin Spleen me1idian ascends
through the diaphragm and the csophagu before reaching the throat and
the base or the tongue; 6) hand taiyin Lung primary meridian reaches the
throat area; 7) hand taiyin Lung divergent meridian, hand yangming Large
Intestine divergent meridian and hand jueyin Pericardium divergent meridian
all ascend aero the throat.
2. The Neck: yangming runs through the posterior miclli nc or the neck,
Ren meridian runs t hrnngh t he anterior midlinc of the neck, and the six yang
primary meridians all pass through the neck before reaching the head. The
distribution of these six yang meridians from anterior LO posterior : 1) foot
yangming Stomach meridian passes through the anterior aspect or the neck
in the area where the pulsation of the carotid artery can be felt; 2) hand yang­
ming Large Intestine meridian passes through the antcrolateral part of the
neck where the pulsation of the facial artery can be felt; 3) hand taiyang Small
Intestine meridian passes through the lateral aspect or the neck in the area
below the angle or the mandible; 4) hand shaoyang aajiao meridian pass­
es through the lateral aspect of the neck, approximately below the earlobe
and posterior border of the car; 5) foot shaoyang Gallbladder meridian passes
through the lateral aspect or the neck in the area below the ma toid process
(Gallbladder and aruiao meridians cross in this area); 6) foot taiyang Urinary
Bladder meridian passes throug·h the posterior aspect oC the neck on the later­
al aspect of the trapezius muscle 1 .5 cun from yangming that runs along the
postc1ior midlinc.

III. THE CHEST, THE BREASTS, THE ABDOMEN AND THE

UMBILICUS
The front part or the body's trw'lk is made up of the chest, breasts, abdomen
and umbilical area. The surface of the chest and abdomen have four merid­
ians that pass through the area: l) Ren mc1·idian which passes th ro ugh the

29
One Xeedle Them/JJ' / Part I:, \eurological & \fotor Sj1stem Disorders
.

body's midline; 2) foot shaoyin l(jdney meridian which is 2 cun lateral to the
body's midline on the chest and is 0.5 cun from the midline on the abdomen;
3) foot yangming Stomach meridian is 4 cun lateral to the body's midline on
the chest and is 2 cun from the midline on the abdomen; +) foot taiyin Spleen
meridian which is 2 cun lateral lo foot yangming Stomach meridian on both
t.he chest and the abdomen.
I. The Chest: on the front of the body Ren meridian follows the mid­
line, passes through the center of the chest and then ascends to reach the
face. Hand shaoyang Sanjiao meridian disperses at Shanzhong REN- I 7 and
spreads through the chest. A deep branch of foot jueyin Liver meridian also
passes through the area of Shanzhong REN- 1 7 as it ascends towards the
throat. Handjueyin Pericardium meridian originates in the center of the chest
at Shanzhong RE="J- 1 7 . Chong meridian originates in the lower abdomen and
ascends along both sides of the midline to reach the center of the chest and
then disperses. Yinqiao meridian ascends through the inside of the chest not
far from the miclli ne. Foot shaoyin Kidney meridian passes through the center
of the chest.
Further out from the midline, Stomach meridian passes through the cen­
ter of the breast at the nipple. Spleen meridian, which runs lateral to Stomach
meridian, also reaches the chest, a does the Great Luo-Connecting meridian
of the Spleen, which separates from Spleen primary meridian on the lateral
chest and then spreads through the chest and lateral costal region. Pericardium
primary meridian originates in the chest and both Pericardium luo and diver­
gent meridians enter the chest. Hearl meridian, Pericardium meridian and
Lung meridian all leave their pertaining organ and pass through the lateral
chest before ente1ing the upper arm (of course, each hand meridian connects
with its pertaining organ and also reaches the chest) . Finally, foot shaoyang
Gallbladder meridian descends from the supraclavicular fossa to enter the
chest.
2. The Breasts: foot yangming Stomach meridian passes through the cen­
ter of the breast at the nipple and also disperses through the breast; hand
yangming Large Intestine primary me1idian runs from the hand to the breast;
in addition, Stomach meridian's Great Luo-Connecting meridian (which is
named Xu Li) exits under the right breast. When treating breast conditions
the brea t area in general pertains lo the stomach and the nipple in particular
pertains to the live1�
3. The Abdomen: Ren meridian runs along the midline of the abdomen,
and the Luo-Connecting meridian of Ren meridian spreads over the abdo­
men; foot yangming Stomach primary meridian enters the abdomen; the three
foot yin meridians all reach the abdomen and meet at Guanyuan REN-4.
In treatment the area above the umbilicus is called the upper abdomen and
pertains to taiyin meridian, the area below the umbilicus is called the lower
abdomen (or smaller abdomen) and pertains to Chong and Ren meridians.

30
 Chapter 2 / The .\leridian and Co1111ecli11g .\leridian Palhwap

The area directly around the umbilicus pe rtai n s to shaoyin meridian. The
area lateral to and below the umbilicus i s caUed the lateral lower abdomen and
p e rtai ns to jueyin meridian.
4. The Umbilicus: When treating pain around the umb i l ic us it is com­
mon to Lhink fir t about shaoyin meridian. Foot haoyin K.idney meridian pass­
es 0.5 cun lat era l to the umbilicus as it ascends through the abdomen. The
other merid.ians that d .ispc rse around the umbilicus arc: Ren mcrid.ian, which
co nnects with the umbilicus; Chong meridian, which starts at Qichong ST-30;

and foot yangming Stomach merid.ian, which passes 2 c u n lateral to the umbi­
licus as it ascends through the abdomen.

Iv. THE LOWER BACK, THE UPPER BACK, THE SPINE AND THE
BUTTOCKS
ow we turn our auenlion to Lhe posterior aspect of the body: the lower back,
the back, the spine and the gluteal region . Yangming runs al ong the midlinc
of the back and has many points that are used to treat the lower back. Lateral
to yangming run the two branches or foot taiyang Uri na ry Bladder merid­

ian; and of cour. c foot shao)i n Kidney meridian spread into the spine and
strongly influences the entire lower back.
1. The Lower Back: foot taiyang Urinary Bladder merid.ian passes
through lower back, its two branches ascending 1 .5 cun and 3 cun lateral to
the midline; foot shaoyin KidnP.y clivr.rgent me1·idian enters the lumbar ver­
tebrae and enters the lower back and connects with the k.idneys; and flnaUy
yangm.ing runs along the spine and pas es U1rough the lower back.
2. The Upper Back: of the three meridians that pass through the lower
back only foot shaoyin docsn t reach the upper back. H>ot taiyang and yang­
ming reach both the lower and the upper back. The three hand yang meridians
also pass through the upper back and all meet at Dazhui D U- 1 4. Proce e ding in
order from the acromion towards the scapula they arc hand yangming Large
Intestine meridian, hand shaoyang Sanjiao meridian and hand ta.iyang Small
Intestine meridian. In add i Lion , Gallbladder meridian passes through the
shoulder, meets the three hand yang meridians at Dazhui D - 1 4 and passes
through the scapula region on the way back to the shoulder before descending
down the side of the body.
3. The Spine: Lhe entire length of the spine is traversed by yangm i ng. In
the lower back foot shaoyin Kidney me ridi an connects with the spine, and in
the upper back Dazhui D U- 1 4 is the meeting place of all yang meridians.
4. The Buttocks: the distribution of meridians in the buttocks i s the same
as the d.isu·ibution of meridians in the lower back.

V. THE LATERAL ASPECT OF THE TRUNK

The Sides of the Body: the mai n meridian wh.ich passes Llu·ough the sides of
the body is foot shaoyang Gallbladder meridian. It passes t hro ugh the lateral

31
One Needle T!iem/J)' / Part I: Neurological & J\ lotor ($yste111 .Disorders

side of the ribs and chest before reaching the hip. Foot jueyin Liver merid­
ian also reaches the sides or the body in the hypochondriac region. An inner
branch passes through the diaphragm, as does an inner branch of Gallbladder
meridian. A branch of handjueyin Pericardium meridian emerges at the axilla
before proceeding down the arm. Finally, the Great Luo-Connecting meridian
of foot jueyin meridian spreads oul over the costal region.

VI. THE GENITALS

The Ante1ior and Posterior Yin (the Genitals and the Anus): The meridians
that connect directly with both the external and internal reproductive organs
are Chong meridian, Ren meridian, yangming and footjueyin Liver meridian.
The meridians that connect with the external reproductive organs are foot
shaoyang Gallbladder meridian and Yinqiao meridian.
1. The Genitals: The meridians and connecting me1idians that reach the
genitals are: l ) foot jueyin Liver meridian crosses the inner thigh, enters the
genital region, circles the genitals and then reaches the lower abdomen; 2) foot
jueyin Liver divergent meridian crosses the inner thigh and then connects with
the testicles and the penis; 3) Ren meridian originates in the uterus (or deep
in the lower abdomen in men) at the level just above the pubic hairline and
greatly influences the genital organs; 4) yangming originates along the body's
midline in the lower abdomen just below the border or the pubic bone, the
meridian enters the genitals and then descends to the perineum; 5) Yinqiao
meridian passes through the inner thigh before reaching the genitals; 6) foot
shaoyang Gallbladder meridian exits at Qjehong ST-30 and circles the geni­
tals; 7) foot shaoyang Gallbladder primary meridian enters the genitals togeth­
er with jueyin meridian.
2. The Anus: foot taiyang divergent meridian reaches the anus and the
rectal area.

VII. THE INTERNAL ORGANS

1. The Liver: the meridians t11at meet the liver are footjueyin LiYer merid­
ian, foot shaoyang Gallbladder meridian and root shaoyin Kidney meridian,
which ascends to meet the liver and then passes through the diaphragm.
2. The Heart: hand shaoyin Heart meridian originates from the heart
and then exits the heart to meet its pertaining connective tissues; hand taiyang
Small Intestine me1idian meets the hean; foot Laiyin Spleen meridian has a
branch that ascends from the stomach, passes through the diaphragm and
enters the heart; foot shaoyin Kidney meridian has a branch that exits the lungs
to connect with the heart; yangming connects with the heart; other meridians
like foot taiyang Urinary Bladder meridian, foot shaoyang Gallbladder merid­
ian, foot yangming Stomach divergent meridian and hand jueyin Pericardium
connecting meridian all reach the heart.

32
 Chapter 2 / The Me1idia11 and Co1111ecli11g ,\/e1idia11 Pathuxo•s

3. The Spleen: foot taiyin Spleen meridian enters the spleen; foot yang­
ming Stomach meridian connects with the spleen.
4. The Lung: hand taiyin Lung meridian reachc the lung; hand yang­
ming Large Inte tine meridian connect with the lung; hand shaoyin Heart
meridian enter. the lung; foot shaoyin Kidney meridian enters the lung; fool
jueyin Liver meridian has a branch that passes through the diaphragm and
enters the lung.
5. The Kidney: foot shaoyin Kidney meridian enters the kidney; foot tai­
yang Urinary Bladder meridian connects with the kidney; yangming also con­
nects with the kidney.
6. The Sto-mach: foot yangming Stomach meridian enter the stom­
ach; foot taiyin Spleen meridian connects with the tomach; foot jucyin Liver
meridian curves around the stomach; hand taiyin Lung mc1idian meets the
stomach; hand taiyang Small Intestine meridian reaches the stomach.
7. The Other Internal Organ.s: the pericardium, gallbladde1; sanjiao and
urinary bladder arc all reached by their own meridian and the meridian or
their interior-exterior paired organ; in addition, the large and small intestine,
besides being reached by their own meridian and the meridian or their interi­
or-exterior paired organ, arc reached by Spleen meridian.

VIII. THE FOUR LIMBS

1. The Arm.s: bf'causc the heart, l u ngs and pericardium are all in the
upper jiao their meridians and connecting meridians all pass through the
arms. For this reason their interior-exterior paired organs (the small intestine,
the large intestine and the sanjiao respectively) also pass through the arms.
The zang organ arc yin and lra\·el along the yin aspect or both the arms and
leg , that is the area or lighter skin. The fu organs arc yang and travel along
the yang aspect or the arms and legs, that is the area or relaLi,·ely darker skin.
The )in and yang aspect of the arms and leg each ha,·e three e,·enly
spaced meridian . I) on the yin aspect of the hand, on the side or the little
rmge1; is hand shaoyin Heart meridian which exit at the Lip of the litllc finger;
2) hand jueyin Pericardium meridian passes through the center of the palm
and exits at the lip of the middle finger; 3) hand taiyin Lung meridian travels
through the yin aspect or the hand at the thumb and exits al the tip of the
thumb; ll) hand yangming Large Intestine meridian starts at the tip of the
index flnger on the yang aspect of the hand; 5) the middle finger and the sides
of the ring linger on the yang aspect of the hand are the shaoyang area, and
hand shaoyang Sanjiao meridian starts at the tip of the ring finger; 6) hand
taiyang Small Inte tine meridian tarts al the tip or the liulc finger and passes
through the yang a pect or the hand on the side of the little finge1:
The three yang meridians are exterior, and the three yin meridian · arc
interior. Taiyang' corresponding interior meridian is shaoyin, shaoyang's cor­
rc po nd i ng imc1·ior meridian is jueyin, and yangming's corresponding imcrior

33
One . \eedle TheraPJ' / Part I: . \eurological & .\lotor S)•stem DisorderJ

meridian is taiyin. The meridian distribution is an excelJent ilJustration of the

principles of yin-yang and interior-exterior.
2. The Legs: the meridian distribution on the legs is also coordinated
according to the interior-exterior relationship of the meridians. I n sequence,
we start with 1) foot yangming Stomach meridian whose main branch enters
the medial aspect of the middle toe, with a branch also reaching the lateral
aspect of the middle toe; 2) foot shaoyang GalJbladder meridian enters the
fourth toe; 3) foot taiyang Urinary Bladder meridian passes through the base
oC the 5th metatarsal and reaches the side of the little toe; on the yin aspect of
the foot, following the above sequence to match their paired organ, we have 4)
foot taiyin Spleen meridian, 5) foot jucyin Liver meridian and 6) foot shaoyin
Kidney meridian.
Taiyin Spleen meridian and jueyin Liver meridian cross each other in the
area of the ankle and lower leg. Ling Shu Chapter 2 Ben Shu «�m·:ifs:Jliiru »
-

says that foot jueyin meridian starts at the border of the small patch of hair
on the big toe Gust proximal to the 1st metatarsophalangcal joint), travels to
the ankJe I cun anterior to tl1c medial malleolus, then 8 cun aboye the medial
maJleolus it crosses over behind Spleen meridian, so we know that below that
point the meridian u-avels in front of Spleen meridian.
This chapter has looked at the distribution of the meridians throughout
the body. Understanding the distribution of the me1·idians and connecting
meridians helps in understanding the mechanisms and pathways of both dis­
order and treatment. This shows the importance of knowing the meridian and
connecting meridian pathways in depth.

3.J
 Cha/J/er 3 / G'uidelinesfor Choosing Ac11jJ1111ct11re Points lo 71-eat Pain

Chapter 3

Guidelines for Choosin g

Acupuncture Points to Treat Pain

The locations, indications and functions of the acupuncture points along the
fourteen primary meridian va1y a great deal. For Lhis reason the classical liter­
ature provides many guidelines for how to select the appropriate points to treat
different disorders. In this chapter, based on the relevant literature and my own
extensive teaching and clinical experience, I will introduce the guidelines that
Master Tung used for choosing primary meridian points lo treat pain, as well
as information on some of his Extraordinary Points to treat pain.

I. GENERAL PROPERTIES OF ACUPUNCTURE POINTS FOR

TREATING PAIN

A. Acupuncture Points can Treat Pathology in Their Local Area.

There is a classical saying which expresses this idea well: "The points of a
meridian treat the parts of the body traversed by that meridian." For example,
to treat a headache any point on the head can be chosen. If any of the five sense
organs are affected or in pain any local point can be used. If the abdomen is in
pain or experiencing some other pathology then one can choose points on the
abdomen. The same theo1y holds true for Master Tung's extraordinary points,
although in practice Master Tung rarely used local points.

B. Disorder can be Treated in the Areas Where a Meridian Passes.

Obviously, the meridians and the acupuncture points are closely related.
The acupuncture points are areas where qi in a particular meridian collects
and effuses, so by stimulating a point we can treat disorder along the cor­
responding me1;dian or in its associated organ. For example, all the points
along the Lung meridian can treat respiratory disorders that affe ct the lung
organ, such as coughing, wheezing and other manifestations of rebellious qi.
These points can also treat problems along the meridian and connecting vessel

35
One Needle ThemPJ' / Part I: . Veurological & J\fotor Sj•slem Disorders

pathways. For example, Taiyuan LU-9, Yuji LU 1 0, Lieque LU- 7, Chize LU-5
-

and Kongzui LU-6 all treat coughing and wheezing, and they also treat chest
pain. The point Zusanli ST-36, Fenglong ST-40, � Ienjin 66.05 (one of !\laster
Tung's extraordinary points on Stomach meridian) , Xiangu ST-43, l eiting
ST-44 etc. all treat the forehead, the temple area around Taiyang [EX], the
teeth and gums, disorders of the throat and gastrointestinal disorders and pain.

C. The Acupuncture Points of the Three Hand and Foot Yang

Meridians
The acupuncture points of the three hand and foot yang meridians can
treat disorders and pain of the head, face and the fi,·e sense organs. The three
hand yang meridians travel from the hands to the head, and the three foot
yang meridians travel from the head to the feet; this is why they are able to
treat conditions of the head, face and five sense organs. For example, on the
hand and foot shaoyang meridians, the points Sanchasan A.04 (a Master
Tung point in the same location as Yemen SJ-2), Zhongzhu SJ-3, Zhigou SJ-6,
Zulinqi GB-4 1 and Xiaxi GB-43 all can treat shaoyang type headache that
manifests on one side of the head. On hand and foot yangming meridians the
points Dabai 22.04 (a Master Tung point in the same location as Sanjian Ll-3),
Quchi Ll- 1 1 , Neiting ST-44 and � Ienjin 66.05 (a !\faster Tung point in the
depression posterior to Xiangu ST-43) can all treat yangming headache (which
affects the forehead).

D. The Acupuncture Points of the Three Hand and Foot Yin Meridians
The acupuncture points of the three hand and foot yin meridians treat
disorders and pain of the chest and abdomen. This is so because the three
hand and foot yin meridians pass through the chest and abdomen. Howeve1�
the three hand yin meridians predominantly treat the chest, and Lhe three foot
yin meridians predominantly treat the abdomen. For example, Taiyuan LU-9,
Chize LU-5, Nciguan PC-6, Daling PC-7 and Ximen PC-4 can treat oppres­
sion in the chest, dyspnea, cough and chest pain. Taichong LIV-3 Gongsun
SP-+, Yinlingquan SP-9, Sanyinjiao SP-6 and Dadu SP-2 can treat abdominal
distension and pain, and rebellious qi. Of course, points of the three hand
yin meridians can also treat the lower abdomen, and points of the three foot
yin meridians can treat disorders of the chest and diaphragm. For example,
Neiguan PC-6 can treat abdominal pain, and Taixi KID-3 can treat chest and
heart pain.

E. Points on the Back and Lwnbar Region

Points on tl1e back and lumbar region can treat disorders of the internal
organs, and acute conditions. The points on the back and lumbar region per­
tain to taiyang meridian and Du me1;dian. The special quality of these points
is in treating locaJ problems and disorders of the internal organs. The points

36
 C/10/Jter 3 / Cuidl'liuesfor ChoosingAc11p1111ct11re Points to Treat Pain

of the upper back are good at diffusing lung q i and calming rebellious q i in
order to treat coughing and wheezing and other disorders of the lu ngs as well
as chest pain. The ljvcr and ga l l bl adde r back-shu points arc good at treating
di orders of th e li\·er and gal l bl adde r as well as rib pain. The points on the
back that are at the level of the abdomen are good at treating gast rointes t i nal
di orders and abdominal pain. The poin ts on the lower back and gluteal region
arc good at regu lat i ng the !unctions of the e li mi nato ry organs, regu lati ng men­
struation and treating pain in the lumbar and gl uteal regions. These points on
the lower back and gluteal re gion arc mo sLly used for treating acute conditions,
and in these cases it is very effective to bleed the poin ts However, they can also
.

be very effective for treating chronic conditions and in these situations moxi­
bustion is often u ed. Points on the back can al o be selected acco rd ing to the
zang fu organ ilisorder pattern that is present. In these cases the appropriate
back-shu points that co rrespond to the affected organ or organs are selected.
Bleeding the back poin ts can be effective to treat a wide variety of disorders,
espec ia l ly chronic pain. For example, knee pain is treate d using �laster Tung s '

extraordinary point Sanjin DT07 (in the area between Jucyinshu B- 1 4 a nd

Gaohua ngshu UB-43). l•br elbow pain 1 Iaster Tung s p oin t S h u anghe DT 16
'

(in the area around Dac ha ng hu B-25 and Xiaochangs hu B-27) is very
e ffec t ive .

F. The Acupuncture Points on the Chest and Abdomen

The acupuncture points on the chest and a bdom en all treat disorders of
the rive zang and six fu organ s 'Vhen these p oin ts a re nee dled they predom­
.

inanLly treat chronic conditions, and wh en they are bled they predominantly
treat acute conditions. The chest and abdo m i nal points arc located on tl1e
three hand and foot yin meridians, Stomach meridian and Ren meridian.
The po ints above tllc sternum can desce nd qi, treat coughing and wheezing,
treat disorders of the esophagus and resolve chest pai n For example, Zhongfu
.

L - 1 , S hanzh ong REN- I 7 and Shufu K ID-27 can all treat cough and chest
pain. On the upper abdomen, in the area above the umbilicus, the points can
treat stomach pain and vomiting. On the lower abdom en, in the area below
the u mbilic us tl l e poin ts can treat disorders and pain that affect the reproduc­
,

tive organs.

II. UNIQUE PROPERTIES OF SPECIFIC ACUPUNCTURE POINTS

FOR TREATING PAIN

A. Jing-Well Points
':Jing-well points arc good for treating acute di sorders. Shaoshan g LU- J I
"

h as an excellent curative effect on ac ute sore throat and tonsillitis. \IVhcn a

L hrec-cclged neeclle i use to bleed S h aos hang LU- 1 1 sore throat from the com­
mon cold is immediaLcly relieved, and the cold resolves more quickly.

37
One. \eedle Therapy / Part I· J\eurological & .Uotor S)'Stem Dsorders
i

Shangyang LI- 1 is effective for treating sore throat, swelling of the throat
and pain of the forehead. When this point is paired with Shaoshang LU- 1 1
and they are bled sore throat from the c01IB11on cold is immediately relieved.
Lidui ST-4-5 treats red, swollen and painful eyes, including infections of
the eyelid, and toothache. ·when this point is paired with eiguan PC-6 it
effectively treats burning stomach pain.
Shaoze SI- 1 treats eye disorders and eye pain, swollen and sore throat,
headache, dcafoess and tinnitus. It also treats ulnar nerve pain that affects the
hand, wrist, elbow or arm. ''V11c n the point is bled it effectively treats pain from
trigeminal neuralgia.
Shaochong HT-9 treats acute keratosis when it is bled with a three-edged
needle.
Guanchong SJ- I treats disorders of the head such as headache, pain of
the ears and eyes, especially of the inner canthus, and acute sore throat. For
sore throat the point is bled with a three-edged needle.
Qiaoyin GB-44 treats disorders of the eyes. It is also ve1y effective for
treating intercostal pain.

B. Ying-Spring Points
"Ying-spring points treat the external meridians and pain that results from
the conh·action of an external pathogen." Ling Shu «•W pgf.�·fil:� says,
"Ying-spring points treat the external meridians a nd the fu organs." Ying­
spring points are located in anatomical areas that are relatively shallow and
can be used to treat disorders of the surface layer of the body and any patho­
logical change that appears along the course of a meridian. Ying-spring points
on yang meridians are water points and ying-spring points on yin meridians
are fire points. Therefore, when muscle and sinew pain results from an exter­
nal wind-damp pathogen, whether the pathogen is cold or hot by nature, the
appropriate ying-spring points will be effective to address the pain.
Yuji LU- 1 0 is good for external contractions, sore throat and tonsillitis. It
can also treat back sLrain and contusions to the chest and lateral costal region.
In addition, Yuji LU- 1 0 can treat pain of the palms, pain from inflammation
of the tendon sheaths (tenosynovitis), pain of the shoulders and arms, and
sacrum and coccyx pain, especially vvhen it is provoked by coughing.
Erjian LI-2 is very effective to treat pain of the lower teeth. It is also effec­
ti,·e for inflammation and pain of the shoulder joint. It can also treat muscle
strain and low back pain.
Neiting ST-44 is used to treat pain of the upper teeth and is very effective
for menstrual pain as well.
Dadu SP-2 can treat both acute and chronic low back pain.
Qiangu SI-2 is ,·ery effective for treating neck, shoulder and arm pain.
Tonggu UB-66 treats vertex headache.

38
 Chapter 3 / Guidelinesfor Choosi11gAc11pu11ct11re Points to 7i-eat Pain

Yemen SJ-2 i ollen used to treat sore throat and is very effective for this
condiLion. This poim is also good at treating any pains that result from the
contraction of an external pathogen.
Xiaxi GB-43 treats disorders of the eye . It is also effectiYe for treating sci­
atic pain that affects Gallbladder meridian. l t also treats pain, di tension and
fullness or the chest and lateral costal region.
Xingjian LI -2 treats headaches that result from rising liver fire, red and
painful, swollen eyes, and pain of the lateral costal region. It can also treat
headache with vertigo, and is often used to treat pain related to glaucoma. IL
also treats intercostal neuralgia, and distension and pain of the chest, lateral
costal region and the lower abdomen. It is also often used ,·cry effectively to
treat knee pain, and welling or the knee. In addition, it also treat pain of the
lower cheek and jaw when it is difficult to open the mouth.

C. Shu-Stream Points
"Shu-stream points treat heaviness oC the body and for joint pain." Shu­
stream points on yang meridians pertain to wood element which masters wind.
hu- tream point on yin meridians pertain to earth element which masters
damp. Shu-stream point are good at treating wind-damp and Lherefore are
indicated for treating hca,riness of the body and for joint pain. Heaviness of
the body and for joim pain often results [ram a condition where the earth
clement is ovcnvhclmed by clampness o r when qi of the earth element (spleen
qi) is insufficient. This condition can also result when the wood (liver) and
earth (spleen) clements arc not harmonized. Huang Di Neijing «j{1if 01 f.;fil »
adds another guideline for when to use shu- tream points when it ays, "If the
disorders come and goes periodically then choose shu-strcam points." This
means shu-stream point are good for treating disorders that reappear, worsen
or spontaneously abate at specific times. In these cases one can coordinate the
points chosen v.riLh the Lime of day that the disorder reappears or worsens;
this means choosing shu-stream points from Lhe meridians that master the
particular time period when the disorder manifests. This is called Stem and
Branch point selection, or Iidday-i\ I idnight point selection (-TLf7Jit:I±). For
example, if a disorder manifests predominantly during the (i,·er period, from
l -3am, then choo e shu-stream point from Liver meridian, Taichong LIV-3. I f
the disorder manifest predominantly during the stomach period, from 7-9am,
then choose shu-strcam point from Stomach meridian, Xiangu ST-43, and so
on. Below are some simple examples o[ how to use the different shu-strcam
points to treat pain.
Taiyuan LU-9 very effecti,·ely treats colds and Au since it pertains to the
lung, and also ,·ery effectively treats heaviness of the body and for joint pain
ince it pertains to earth clement, which masters damp. Za Bing Xue Fa Ge
« �M�.1C7*�» ays, "Taiyuan LU-9 can treat both one-sided and bilateral
headaches and when Lieque LL"-7 is combined the results are even better."

39
One Needle Therapy / Part I: Neurological & Motor System Disorders

Sanjian Ll-3 is the shu-stream point of Large Intestine meridian and very
effecti,·ely treats any pain syndrome that manifests along the course of the
meridian. IL is ,·ery effective in treating pain from ttigeminal neuralgia, eye
pain and headache. If the headache is from a common cold the results are very
good, especially if paired with Yemen SJ-2. I t can also treat stomach pain, low
back pain, sciatic pain, precorclial chest pain and frozen shoulder.
Xiangu ST-43 is the wood point on Stomach meridian, which pertains to
earth element, and effectively regulates the liver and spleen to treat conditions
that result fro m the liver and spleen (vvood and earth) not being in harmony.
This point is effective for treating all types of pain anywhere along the course
of the meridian. I t is often used to treat one-sided headache in the area around
the extra point Taiyang [EX]. It is also very effective for stomach pain.
Taibai SP-3 treats hemorrhoid pain and abdominal pain with difficult
defecation.
Houxi SI-3 treats low back pain, and is very effective for strained neck, as
well as any problem with the cervical vertebrae. It treats acute strain of the low
back and problems with the vertebrae of the low back, as well as sciatic pain
associated with taiyang meridian and pain from trigeminal neuralgia.
Shugu UB-65 is the point of choice to treat occipital headache, and also
quickly resolves ,·ertex headache. It also u·eats low back pain, pain along the
inner edge of the scapula as well as sciatic pain that runs along taiyang merid­
ian through the thigh and lower leg.
Tai.xi KID-3 very effectively treats colicky or gripping pain of the kidneys.
IL is also effective for toothache.
Daling PC-7 treats acute gastritis, as well as chest and heart pain. It is also
effective for treating inflammation of the wrist joint.
Zhongzhu SJ-3 is effective for tonsillitis and toothache and can treat any
pain that aflccts the arms, wrists and fingers. It is especially effective to treat
shoulder pain and a variety of diITerent types of back pain, low back pain and
pain that effects the vertebrae. For example, it treats vertebral bone spurs and
Yertebral pain in the area level with the heart. It also treats heart pain that pen­
etrates to the back, chronic lo"" back pain, pain from acute lower back strain,
low back pain that is worse upon sitting down and standing up, pain that cir­
cles the low back like a belt, pain of the low back that is related to disorder of
the kidney organ and sciatic pain. Finally, Zhongzhu SJ-3 also treats pain of
the lateral malleolus and ankle.
Zulinqi GB-4 1 treats any pain along the Gallbladder mei-idian. It is one
of the primary points used to treat disorders of the eyes. It is also an effective
point for treating pain of the uterus, stomach and gallbladder.
Taichong LIV-3 treats vascular headaches and vertex headaches effec­
tively. It can also u·eat \!Vind-Fire toothache and deficient Fire toothache. It
treats temporomandibular joint pain, shoulder pain that is accompanied by
pain of the hand, stomach pain, inflammation or the gallbladder, gallstones,

40
 Chapter 3 / G11ideli11esfor C'l1oosi11g.Acupu11cture Points lo 1iwl Pain

hernia and menstrual pain. And finally, becau e Liver meridian u-avcls deeply
through the throaL Taichong LIV-3 can also ,·ery effe ctively treat ore LhroaL.

D.Jing-River Points
':Jing-river points can treat pain of the parts of the body that arc related
to the voice." In the classical literature it says, ':Jing-river point is indjcatcd for
disorders manifesting as changes in the patient's Yoice". These points arc used
for any pathological changes that lead to disorders of the throat and voice.
l<or example, Yangxi LI-5 treats sore throat, toothache and earache. It is
also very effective for treating low back pain.
Jiexi ST-4 1 combined with Shangqiu SP-5 and Qjuxu GB-40 can treat
pain of the instep, swelling of the ankle and pain from a tv.;isted ankle (Yu
Long Ge «.:Ii���» ) . According to holographic correspondence Jiexi ST-41
can also treat comusions and pain of the wrist. Master Tung often used a
three-edged needle to bleed along the Linc connectingJiexi ST-4 1 with I citing
ST-44 to very effectively treaL toothache.
Shangqiu SP-5 treaLs problems of the local area like sprains of the ankle
and foot, and inOammation of the joints of the ankle and foot. Throughout the
classical acupuncture literature Shangqiu SP-5 is consistently mentioned as a
primary point to treat pain of the instep.
Lingdao HT-4 treats neuralgia and paralysis of the ulnar nerve.
Yanggu SI-5 is effective to treat neuralgia affecting the hand and arm, as
well as many disorders of the hand, wrist, arm and shoulder.
Kunlun UB-60 treats occipital headache, and pain of the bone al Lhe eye­
brow. It can also treat eye pain, trained neck, back and low back pain. It is al o
very effective for toothache, especially when it results from kidney fire rising
up in the body i Zang Jin Jian «@*1i£il» ). It can free tJ1e meridians
and vessels to u·eat low back pajn especially low back pain that manife. ts on
taiyang meridian. It al o treats strained neck and hypertonicity of the houldcr,
as well as being especially effective to treat spinal pain.
Fuliu KID-7 is good for treating either acute or chronic low back pain. So
whether the person is suffering from a chronjc condition stemming from kid­
ney deficiency or from an acute strain or trauma to the low back Fu Liu KID-7
shows good results. Fuliu KID-7 is also often used to treat heal pain and pain
from bone spurs.
Jianshj PC-5 treats heart pain, includjng angina, generalized chest pain
and thoracic oppression. I t is most effective for Lhese conditions when pai red
wim Neiguan PC-6. Paired with Neiguan PC-6 it also treats sciatic pain that
results from patJ1ology of Heart meridian, and pain along the 11Udlinc of the
posterior trugh.
Zhigou SJ-6 treats chest and epigastric glomus and oppression, lateral cos­
ta1 pain and intercostal neuralgia. It also treats acute back sn·ain, backache
with difficulty turning t.hc rrunk to one side and sciatic pain. \\Then paired

41
One .\'eedle TherafaJ' / Part I- �eurological & .\lotor S)'Stem Disordei:r

with v\Taiguan SJ-5 it is especially effective for treating sciatic pain that appears
along the course of Gallbladder meridian.
Yangfu GB-38 is especially effective [or treating swollen tonsils and
migraine headache that accompany a cold or flu resulting from wind damage.
It also treaLs pain along the course of the Gallbladder primary meridian and
connecting vessels. It is often paired "ith Zhigou SJ-6 and I eiguan PC-6 to
treat chest and lateral costal pain. It is also good for whole body joint pain, and
swelling of the lymph nodes under the arms.
Zhong[eng LIV-4 treats genital retraction and difficult urination (Yi Zong
Jinjian « �ffi�il» ) . It also treats inflammation of the testicles, inflamma­
tion of the urinary bladder and urethra, and related conditions.

E. He-Sea Points
"He-sea points master rebellious qi and discharge from the body." The
zang fu organs all have their ovvn pathology related to rebellious qi. v\Then liver
qi is rebellious it results in ascendant liver yang. \i\fhen lung qi is rebellious it
results in vvbeezing and coughing. \Vhen stomach qi is rebellious it results in
constipation, nausea and vomiting. \ Vhen spleen qi is rebellious it results i n
belching, hiccups and abdominal distension. \\Then kidney q i i s rebellious i t
results i n urinary stoppage. In a l l o f these cases the he-sea point from the pri­
mary meridian of the affected organ is a good choice for treatment. One can
also choose the he-sea p oint Crom a meridian that corresponds to the primary
meridian of the affected organ. For example, when there is headache from
high blood pressure one can choose Yanglingquan G B-34 because of the inte­
rior-exterior relationship of Liver and Gallbladder meridians. One could also
choose Quchi LI- l l because the her and the large intestine are related. When
there is stomach pain one can choose the he-sea point of Stomach meridian,
Zusanli ST-36, or the he-sea point of the Lung meridian, Chize LU-5, which
would also be effective given its connection with the middle jiao and stomach.
"\\Then dietary irregularity leads to disorder the He-sea points are chosen."
\'\Then there are digestive disturbances the common points chosen are Zusanli
ST-36, Quchi Ll- 1 1 , Yinlingquan SP-9, and other he-sea points. Chize LU-5,
\ Veizhong UB-40, Zusanlj ST-36 and other he-sea points can be bled with a
three-edged needle to treat disorders from dietary irregularity and any acute
pathology of the gastrointestinal tract.
"\Vhen the meridians are full blood stagnates." \Vhen there is blood stasis
in the meridians and connecting vessels the he-sea point on the affected merid­
ian can be bled to good effe ct. For example, Weizhong UB-40, Chize LU-5,
Quchi LI- 1 1, Zusanli ST-36 and other he-sea points are often bled to treat
problem. that result from blood stasis. This is especially true for long-standing
pain, which is often accompanied by blood stasis.
Finally, "the he-sea points treat their respective fu organs." Actually, the
he-sea points can also treat the zang organs but here we will focus on two of

42
 Chapter 3 I Guidelinesfor ChoosingAc11p1111c/11re Points lo 7i-eal Pain

the fu organs. First, the stomach. When the stomach is weak and flaccid nee­
dling Zusanli ST-36 strengthens gastric motility, and when it is tense, like in the
case of a pyloric spasm, needling Zusanli ST-36 relaxes the stomach. Or the
gallbladder, and Yanglingquan GB-34. Imaging studies show that in healthy
adults without gallbladder pathology needling Yanglingquan GB-34 improves
the gallbladder's motility and emptying ability. Accordingly, we can infer that
Yanglingquan GB-34 would be helpful in treating gallstones.

F. Xi-Cleft Points
Xi-cleft points are inclicated for acute clisorders, usually acute excess condi­
tions, and pain sp1dromes that result from the sudden disruption of the flow of
qi in the meridians. "Xi" means a gap, a cleft or a space, and these points arc
located where the qi and blood converge and accumulate, which makes them
especially dynamic in their action, and very good al treating acute conclitions
that involve their related organ and meridian. For example, the xi-cleft point
of Lung meridian, Kongzui LU-6, is ve1y effective to treat asthma, especially
when it is paired >vith either Chize LU-5 or Yuji LU l 0. It also treats hemopty­
-

sis, bronchiectasis and tuberculosis (combined with Yinxi HT-6) very effective­
ly. The xi-cleft point of Pericardium meridian, Ximen PC-4, is ,·ery effective
for fright palpitations, unsettled mind (combined with Shen men HT-7), angina
and premature heart beats (combined with the back-shu point of the heart,
Xinshu l JB- 1 5, and Shanzhong REN- 1 7). And our final example, the xi-cleft
point of the stomach, Liangqiu ST-34, is very effective to treat stomach pain.

G. The Eight Influential Points

The eight influential points are also called the eight meeting points, treat
clisordcrs that affect particular anatomical or functional systems in the body.
The influential point of the zang organs is Zhangmcn LIV- 1 3, the influen­
tial point of the fu organs is Zhongwan REN- 1 2, the influential point of qi
is Shanzhong RE - 1 7, the influential point of blood is Geshu UB- 1 7, the
influential point of sinews and tendons is Yanglingquan GB-34, the influential
point of marrow is Xuanzhong GB-39, the influential point of bones is Dazhu
UB- 1 l and the influential point of vessels is Taiyuan LU-9.
Zhangmen LIV- 1 3 is the influential poinc of the five zang organs and it
is also the front-mu point of the spleen. The nourishment of the five zang
organs relies on the spleen, so Zhangmen LIV- 1 3 is able to treat ail clisordcrs
that effect the five zang organs, especially when there is a liver imbalance that
effects the spleen. Zhongwan RE L 1 2 is the influential point of the fu organs,
and is also the front-mu point of the stomach. It treats a wide variety of disor­
ders that affect the fu organs, but is especially effective for djgestive disorders
and is often chosen for disorders that affect the spleen and stomach, especialJy
stomach pain. Yanglingquan GB-34 is the influential point of the sinews and
tendons and is very eITeetive for treating disorders of these tissues, es p ecially

43
One Needle Ther(/;py / Part I· Neurological & Mo/or Sys/em Disorders

pain. It is also very effective for lreating rib pain, one-sided headache and
shoulder pain.
Xuanzhong GB-39 is the influential point of marrow and treats disorders
of the brain and blood. It is also very effective to treat hip pain. Taiyuan LU-9
is the influential point of vessels and treats thrombotic vasculitis. An example
of this is when there is a deep vein thrombosis which causes severe pain in the
calf muscle.

H. Yuan-Source Points
Yuan-source points are closely related to the body's original qi and are the
principle points used to treat disorders of their pertaining organs and merid­
ians. The original qi is the root of the internal organs and the meridians, and
yuan-source poims themselves arc the areas on the body where the original qi
stays and can be accessed.
Yuan- ource points are generally used to treat disorders of the five zang
organs, but through the body's intc1;or-exterior relationships they can also
treat disorders of the SL"X fu organs, as well as disorders along the course of the
meridians. One special quality of yuan-source points is their ability to both
supplement deficiency and drain excess. Therefore they are able to treat defi­
cient conditions, excess conditions, cold or hot conditions and acute or chronic
conditions. Yuan-source points can treat pain affecting the internal organs, or
pain that occurs anywhere along the course of the me1;dians.
Hegu LI-4 is the yuan-source point of Large Intestine meridian and is
often used Lo treat the five sense organs. There is a famous saying: "For dis­
orders of the face and mouth Hegu Ll-4 is best." This includes providing
outstanding results when treating problems of the teeth, the eyes, the nose and
the throat. Hegu LI--1 treats toothache and sensitivity of the teeth, and is the
primary point used to treat toothache. If the toothache is on the right side of
the mouth the point is needled on the left side and vice versa. When dong qi
(moving qi) neeclling technique is used with strong stimulation the toothache
can be stopped immediately. Hegu LI-4 is especially good for treating lower
toothache. If Zusanli ST-36 is paired with this point then both upper and
lower toothache is treated effectively. It also treats a swollen and painful throat,
acute tonsillitis, colds and flu. If paired with Shaoshang LU- 1 1 the results are
even bertcr. Finally, Hegu LI-4 also treats dysmenorrhea and heel pain.
The yuan-source point of the Small Intestine meridian, \Vangu SI-4, is
related to wood and masters disorders where flexibility is impaired. \i\Tangu
SI-4 can very effe ctively treat many varieties of wind-damp pain, including
rheumatism of the wrist, shoulder, back and neck. \Vangu SI-4 also treats low
back pain, and bowlegs very effectively. Za Bing Xue Fa Ge «*!E�J'Cl'*f.lJ\»
says, "When leg pain originates in the low back \tVangu SI-4 is best." It is
exceptional for treating sciatic pain that radiates down the leg from the low

44
 1a/1ler 3 / Guidelinesfor ChoosingAcu/mnclure Points lo Ti-eat Pain
G'l

back. When Wangu SI-4 is paired wiLh Howo SI-3 the combination is espe­
cially cfTcctive for sciatic pain and low back pain.
The yuan-source point of Urinary Bladder meridian, Shugu UB-65, treals
occipilal headache. \\Then paired with Taichong LIV-3 it can u·eat severe head­
aches. \\Then paired wilh Neiguan PC-6, Tongli HT-5 and Xinshu UB- 1 5 i t
t reats heart pain and myocarditis. This point also treats knee pain and pain of
lhe hip joint.
The yuan-source point of Sanjiao meridian, Yangchi u-+, very effe ctively
Lreats wrist pain (Yi Zongjin Jian «.W-*:llt i� » ). It is also very effeelive for
lrcating frozen houlder accompanied by wrist pain (Shen NongJing «;fill�
t.�» , Yi Zongjinjian «l}-*:llt ll » ) . Based on holographic correspondence
lhis point can al o lreat sprain of the ankle joint. v\Then paired with Quchi
LI- 1 1 , Hegu Ll-4 and Waiguan SJ-5 it can treat elbow pain accompanied by
wrist pain. l\ loxibu Lion applied to Yangchi SJ-+ can also treat acute orchitis
(inflammation of the testicles).
The yuan-source point of Gallbladder meridian, Qiuxu GB-40, effective­
ly treals pain of the head, eyes and cars. One way it docs this is by clearing
depressed heat in the liver and gallbladder that travels upward along the course
of the meridians to disturb lhe head, eyes and ears. Qiuxu GB-40 also treats
intcrcostal neuralgia, and inflammation and pain of the gallbladder, including
biliary colic. It al o treats pain of the instep and ankle.

I. The Luo-Connecting Points

The luo-connecting points treat disorders that affect two meridians simul­
taneously. The majority of the luo-connecting points arc located in areas
where the exterior and interior meridians meet. The special characteristic of
the luo-connecting poims is their ability to treal di orders related to an exte­
rior and interior meridian at the same Lime. For this reason there is a saying:
"\tVhcn you needle a luo-connecting point you treat disorder that effects two
meridians." The luo-connecting poinls have the following guidelines for use in
clinical practice.
First, luo-connecting points treat disorders of their pertaining meridian
and their inte1iorly-exteriorly related meridian. For example, the luo-con­
necting point of hand taiyin Lung meridian, Lieque LU-7, treats cough and
dyspnea, which pertain lo Lung meridian, but it can also treat disorders of
hand yangming Large Intestine meridian, like toothache, facial paralysis,
and head and neck pain. There is a saying, "For problem. of the head and
neck seek Lieque LU-7." Another example is the luo-connecting point of fool
yangming Stomach meridian, Fenglong ST-40, which treats throat bi, vomit­
ing, mania and stomach pain, all of which pertain to Stomach meridian. In
addition, Fenglong ST-40 also treats facial edema, edema of the limbs, heart
pain, oppression in the chest and generalized heaviness of the body, which all
pertain to foot taiyin Spleen mcridjan. The luo-connccLing point of Spleen

45
One .Needle Therapy / Part !: . \euro/ogica/ & Motor System Dsorders
i

meridian, Gongsun SP-4, besides Lreating any disorder o[ Spleen meridian,

can also treat stomach pain, diarrhea, frontal headache, etc. which all pertain
to Stomach meridian. The other luo-connecting points all follow this pattern.
Second, luo-connecting points treat both acute and chronic disorders.
\t\fhen acupuncture points on the connecting vessels are bled they can effec­
tively treat a wide variety of disorders. Under normal conditions, the super­
ficial connecting vessels are an important pathway for qi and blood to move
from the interior to the exterior of the body. \ Vhen a pathogen attacks the
body qi and blood stagnate. If not treated properly in the acute stage the stag­
nant blood, pathogenic qi, wind, phlegm and damp pathogens can accumulate
in the meridians and with time as the condition becomes chronic they can
move from the meridians into the connecting vessels. There is an old saying,
"Early signs of disorder manifest in the meridians, but an enduring disorder
enters the connecting vessels." In Lhese cases, when the connecting vessels are
bled with a three-edged needle disorder pathogens can quickly and effectively
be removed from the body. For example, bleeding the luo-connecting point of
foot yangming Stomach meridian, Fenglong ST-40, is an effective way to treat
an enduring phlegm pathogen vvhich is often at the root of many difficult to
treat disorders.
Third, certain luo-connecLing points are used to treat disorders related to
Lhe eight extraordinary meridian. The points Lieque LU-7 , Gongsun SP-4,
ciguan PC-6 and \ Vaiguan SJ-5 are confluent points of t he eight extraordi­
nary meridians. Lieque LU-7 opens the Ren meridian, Gongsun SP-4 opens
the Chong meridian, l eiguan PC-6 opens the Yinwei and Waiguan SJ-5
opens the Yan�,·ei meridian. These four luo-connecting points not only treat
pain and other pathologies of their pertaining organ and meridian, and their
interiorly-exteriorly related organ and meridian, but they also treat pain and
other disorders of their related extraordinary meridian. From this we sec that
the clinical scope of the luo-connecting points is very wide, and why these
points are so useful in the clinic.

46
 C'lwpter-1/EssentiaLG'uideli11esforDi.fferentiatinga11d1imti11gPai11Sj•1ubvi11es

Chapter 4

Essential Guidelines for

Differentiating and Treating Pain
Syndromes

The One eedle Therapy emphasizes choosing acupuncture points in coordi­

nation with certain factors related to Lime and pace. This holistic approach is
based on the concept that we humans arc one with the natural world. This is a
key element in l\ Iastcr Tung's acupuncture and is an important reason why the
One Needle Therapy achieves uch desirable results i n the clinic.

I. THE CONCEPT OF TIME

\ Vhen treating pain using the One l ccdle Therapy i t is important to consider
the time at which the pain occurs as well as the time at which treatment is
given. When these factors arc coordinated the clinical results will. be much
better.

A Time in Relation to Pain

All pain syndromes can be categorized as either acute or chronic and the
appropriate acupuncture points are chosen accordingly.
I. Acute Pain and New Pain Syndro?nes
For acute pain syndromes there arc a number of gujdeJincs to keep in mind
when choosing acupuncture points.
a. Xi-cleft Points
Xi-cleft points are indicated for any acute conrution and for any painful condi­
tion. 'Xi' means a gap or space. The xi-cleft points are places along the merid­
ian pathways where qi and blood converge as if they -vvere pouring into a small
gap or hole. These arc also points where qi and blood enter and exit the body
more deeply. Besides Liangqiu ST-34, the xi-cleft point of Stomach meridian
which is superior and lateral to the knee, all the other xi-cleft points arc found
on the four limbs below the elbows and knees.
One. \eedle Therapy / Part /: • 1\ e11rological & .\fotor �i·stem Disorders

The xi-cleft points are pecifically indicated to treat acute conditions, in

particular acute-excess conditions, and pain that appears along d1e course of
their pertaining meridian or that affects their pertaining organ. For example,
Lung meridian's xi-cleft point, Kongzui LU-6, treat asthma, and when it is
paired with Chize LU-5 or Yt0 i LU- I 0 it is even more effective. Kongzui LU-6
also treats hemopty is, bronehiectasis and tuberculo is, and will be even more
effecti\'e for these conditions when paired with Yinxi HT-6. Ximen PC-4,
the xi-cleft point of Pericardium meridian, treats fright palpitations, anxiety
(paired with Shen men HT-7), angina and premature ventricular contractions
(paired \\�Lh the back-shu point of the heart and Shanzhong RE LI 7).
In general, the xi-cleft points arc used to treat acute-excess conditions and
pain syndromes that result from the sudden obstruction and disorder of d1e Qj
of their pertaining meridian or organ.
l\ifastcr Tung's extraordinary point Oishi 3 3 . 1 4 is localed at the corre­
sponding site of Lung meridian's xi-cleft point, Kongzui LU-6, and is very
effective for treating acute lung conditions, asthma and the common cold.
Another of Master Tung's points, Jiexue 88.28, is located close to Liangqiu
ST-34, the xi-cleft point of Stomach meridian, which is a yangming meridian
and therefore has abundant qi and blood. Jicxue 88.28 is especially good for
regulating qi and blood that has become affected due to a trauma or injury,
and also treats fainting as a result of acupuncture treatment.

b. Ah-shi Points
It is easy to locate the ah-shi points. "If you press a spot and it hurts, that's
the point." Howeve1� pain isn't the only indicator of an ah-shi point. These
points are also located in areas where pressure provides relief from pain. A
patient's reaction to pressure on a painful area helps distinguish whether a
painful condition is of an excess or deficient type. If pressure produces more
pronounced pain the condition is of an excess type; if pressure provides relief
d1en the condition is of a deficient type. Ah-shi points only appear when there
is a painful condition or other disorder that compromises the healthy flow of
qi and blood.
For the most part, ah-shi points appear in the local area around an injury
or focal point of an disorde1� but there are also times when the ah-shi point is
not in d1e local area. In these cases there will usually be a meridian relationship
benveen the ah-shi point and the affected or irtjured area, or there will be a
relationship based on some other factor such as pain that appears with pressure
on a back-shu point, a front-mu point, or an intersection point like Sanyinjiao
SP-6. Howeve1� there are also examples of ah-shi points that appear in places
where there is no meridian or other speciaJ relationship.
Ah-shi points can be \·e1y effective and are co1wenient to use, howe\·er, in
the clinic i t is necessary to be careful; an acupuncturist cannot rely exclusively
on ah-shi points to treat disorder and stop pain, nor can one use ah-shi points

48
 OiajJler4/EssentiaLC11ide/i11e4QrDjfferentiati1iga11d1irati11gPai11Sy11dr0111es

as the primary points of a treatment protocol. t be t , ah-shi points arc only

u cd as part of an acupuncture prescription and e1Ye to assist the treatment
in combination \\ith other primary points.

c. Treating in Response to Pathological Changes

\ \ hen there is an iajury or disorder there are often characteristic pathological
changes. ff it's not a change in color i t could be some other distinguishing
sign. For example, the skin color may be red or a greenish-blue, or areas of
the body may be swollen, painful or itchy. According lo these pathological
changes we can choose the appropriate treatment, whether it be acupuncture,
blooclletting or moxibustion. In some cases it is appropriate to simply massage
the area, or lo apply Gua Sha (scraping) therapy. These interventions do not
have to be limited to areas where there arc established acupuncture points or
meiidian pathway . This approach is based on obse1ving where the patholog­
ical changes occur and u-cacing that area. This can be a very effecti\·e therapy
of treatment.

d. The Five Shu Points

(i)jing- Well Points

\ Vhcn a disorder affe cts the zang (viscera) organs choose the jing-wcll points.
\1Vhcn the flow in the twelve meridians is not smooth and balanced it can
lead to qi inversion.
Jing-well points arc very good for treating acute disorders. The ancients
knew that when someone loses consciousness there is a problem with the
zang organs. This is true for stroke and syncope (fainting) , and for any other
disorder that manifests pathological changes at the level of consciousness.
The j ing-well points arc able to "awaken the brain and open the portals,"
calm the spirit and discharge heat, drain excess and dispel pathogens. For
this reason the jing-wcll points are often used to quickly revi\·e consciousness
in emergency situations. They are also good for treating acute pain and acute
external contractions. For example, when Shaoshang LU- l I or Shangyang
LI- I are pricked to bleed it can immediately stop a sore throat resulting from
an external contraction, or if acupuncture or bleeding is applied to Shaozc
SI- 1 it can stop pain from trigeminal neuralgia.

(ii) Ying-Spring Points

When a disorder manifests with discoloration choose the ying-spring points.
The ying-spring points govern the external meridians.
Ying-spring points are second in line when treating acute conditions.
Ying- pring point treat the external me1-idian and arc also the preferred
points to clear heat in the body. The fact that ying-spring points trea t the

49
One J \eedle Therapy I Part I: Neurological & 1\Iotor S_ystem Disorders

external meridians means that they are especially suited for treating external
contractions. External contractions can be of either the wind-cold or wind­
heat variety, and the ying-spring points, depending on whether they are on a
yin or yang meridian, pertain to fire or wate1� making them suitable for treat­
ing either type of external contraction. Although external contractions are
not as serious as either a stroke or a resulting coma Lhey are still considered
acute conditions. For example, external wind contractions are characterized
by a sudden onset, the frequent movement of symptoms in the b ody, and
many changes in pathology during the course of the disorder. Their only dif­
ference from a stroke and resulting unconsciousness is the degree of severity.

2. Chronic Pain

a. Shu-Stream. Points
These points are mainly used to treat heaviness in the body and for joint pain,
especially when the pain comes and goes.
Shu-stream points arc very good for treating chronic pain syndromes where
the pain varies in intensity, at times being more severe and at times less severe,
or absent all together. Clinically, besides pain from cancer or wind-damage,
e.g. stroke-related pain, almost all other types of pain are characterized by this
changing nature.Joint pain and a feeling of heaviness in the body, or pain that
affects the tendons and muscles, are the most common conditions that respond
well to the Shu-stream points.
According to cla sical acupuncture theory shu-stream points can be cho­
sen according to the time of day when a particular pain syndrome manifests.
For example, if a pathological condition recurs every night sometime shortly
after 3am, when the lung organ is dominant, we can use the shu-stream point
of Lung meridian, Taiyuan LU-9 to treat that condition. This is true for a pain
syndrome or any other condition.

b. He-Sea Points
These points master the fu organs 0Jowels). Chronic disorder enters the fu
organs and creates stasis. In this case the he-sea points should be treated with
bleeding therapy.
The he-sea points are mostly used to treat chronic conditions, especially
those that affect the zang fu (viscera and bowels). The classics say, "He-sea
points treat disorders of tl1e internal organs" and "\i\lhen the meridians are
full the blood is affected and disorder appears in the stomach. Improper diet
also leads to disorder. In both of these cases the he-sea points are selected."
The first passage is referring to the ability of the he-sea points to treat disor­
ders tlMt affe ct the viscera and bowels. The next passage says that blood stasis
often results from chronic disorder, and that in these cases it is good to bleed
the he-sea points, vvhich arc located around the crook in the elbows and knees.

50
 Chapter-l/Esse11tialGuideli11esfarDjffere1t1 ati
i 11ga11dTreati11gPai11.!iJ11dro111es

According to Chinese medicine chronic disorder always affects the kidneys and
for this reason it is also necessary to supplement the kidneys. Chronic disorder
also affects the funcLion of the spleen and stomach so it is necessary to supple­
ment Lhem as well. The he-sea points on the yang meridians pertain to earth.
The he-sea points on the yin meridians pertain to water. Earth corresponds
to the spleen and stomach and is the basis of post-heaven essence. Water cor­
responds to the kidney and is the basis of pre-heaven essence. 1 eedling the
he-sea points can therefore regulate both the pre-heaven and post-heaven con­
stitution. For this reason these points are good to treat disorders that affect the
viscera and bowel .
c. Luo-Connecting Points
Chronic disorder emers Lhe connecting ,·essel . \Vhen stasis and phlegm appear
together needle Fcnglong ST-40.
Fcnglong ST-40 can be bled for any difficult to treat disorder involving
the internal organs. Fcnglong ST-40 known a the meeting point of phlegm,
and is also the luo-connecting point of Stomach meridian. The stomach and
pleen have an exterior-interior relationship so Fenglong ST-40 is able to treat
disorders Lhat affect the spleen. According to Chinese medicine the spleen is
the source of phlegm and the lungs arc where phlegm is stored. High fat con­
centrations in the blood, or high cholesterol, is considered a phlegm condi­
tion. Fcnglong ST-40 is an extremely effective point for treating these types of
conditions. Chinese medicine considers chronic disorders, strange disorders,
miscellaneous disorders and difficult to treat disorders all to be a result of
blood stasis and phlegm. Therefore, bleeding Fcnglong ST-40 gets to the root
of chronic disorders, strange disorders, miscellaneous disorders and difficult to
treat disorders that result from a combination of blood stasis and phlegm. In
fact, if initially it is unclear what to do in response to a difficult lo treat clisordcr
one can start by bleeding the area around Fenglong ST-40

B. Time in Relation to Acupuncture Treatment

I. The Four Seasons Needling Therapy
There are a number of needling systems that prescribe acupuncture points
depending on the time of year or the time of day. The Four Seasons Needling
Therapy was first mentioned in Huang Di Nei Jing «:JUir 17'J *�» and calls
for needling ying-spring points in the spring, shu-steam points in the summer�
he-sea points in the fall and jing-weU points in Lhe winter. A imilar approach
is the Four Seasons in One Day Needling Therapy ( I - El lm Mff}JliU� J )
which suggests needling ying-spring points in the morning, shu-stream points
in the afternoon, he-sea points in the evening and jing-well points at night.
Ling Shu Chapter 44 - Shun Qi Yi Ri Fen Wei Si Shi Pian «��·JI�� - 13
Jt � lm Mf�» offers the following: the winter is governed by the zang (disorder
111 Lhe zang organs), and in the winter the jing-weU points are needled; the

51
One . Veed/e T/zeraPJ' / Part L . \eurologica/ & Motor System Dsorders
i

spring is governed by the colors (disorder manifested i n the complexion), and

in the spring the ying-spring points are needled; the summer is gO\·erned by
the seasons (disorders which come and go), and i n the summer the shu-stream
points are needled; the long summer is governed by the five tones (disorder
manifested in the voice), and during the long summer t h e jing-river points are
needled; the autumn i governed by taste (disorder caused by too much food
and drink), and in the autumn the he-sea points are needled. This chapter
goes on to say: spring is the season or birth, summer is the season of gTowth,
autumn is the season of harvest, winter i s the season of storage, these arc the
normal movements of qi throughout the year. vVhen the day is divided into
four seasons the early morning is spring, midday is summer, late afternoon
is autumn and nighttime is winter. Based on what we know about the trans­
formations of qi during the course of the year we can better understand the
changes an disorder goes through during the course of a day and treat accord­
ingly This approach can be very effe ctive in the clinic. According to the Four
Seasons _ eedling Therapy in the morning one primarily chooses the ying­
spring points, around noontime one primarily chooses the shu-stream points,
at dusk one primarily chooses the he-sea points, and late at night one primarily
chooses the j ing-well points. \1Vhen using these point selection therapies in the
clinic we first identify the primary meridian that is affected and then choose
one point according to one of the above therapies. Then, based on the partic­
ular problem that is being treated we can strategically choose one or two other
points to assist the treatment.

2.Other Therapies ofAcupuncture that Consider Tim,e in Choosing

Points
One very simple therapy is choosing points from the meridian that corre­
sponds to the time of day when a patient comes for treatment. Another more
sophisticated therapy is Midday-Midnight Point Selection (Zi Wu Liu Zhu r
Lf-ifitti:) which uses points based on the daily stems I a Jia Fa *fl3 Ef3 it) and
the daily branches IIa Zi Fa *fl3rit). Using this therapy one must consult the
appropriate charts. First the dominant meridian for the day is identified and
then depending on the time of treatment the appropriate "open" points can
be chosen.

3. Choosing Points Without Respect to Tim,e

Of course, choosing effective acupuncture points can be done without using
any of the th e rapies that consider the time of day or the time of year but
combining proper point selection with these various therapies will make any
treatment more effective.

52
 C!ia/J/er4/Esse11tialG'11ide/i11esjorDjftferen iati11ga11d1i-eati11gPai11�111dromes

II. THE CONCEPT OF SPACE: DIAGNOSIS AND POINT

SELECTION
vVhen considering the concept of space in relation to acupuncture treatments
the foUowing three steps are most important: 1) identifying the site of the pain
and the affected meridians, 2) accurately selecting and locating the acupunc­
ture points, and 3) integrating these first lwo steps into diag11osis and treatment.
The first step is identifying the site of the pain and the affected meridians.
The next step is choosing points that will treat the pain in that particular area.
In this way the arrow will reach its mark and provide the effective treatment we
are looking for. This process involves considering all the diagnostic information
that we can gather related to the meridians and collaterals, viscera and bowels
(zang fu) and Lhe fi,·e types of tissue in the body.

A. Meridians and Connecting Vessels

The first consideration when choosing acupuncture points to treat pain is iden­
tifying the location of the pain and the affected meridians. There is a saying,
"The acupuncture points of a meridian treat the parts of the body travelling
along that meridian." So, points are chosen from the meridian or meridians
which pass through the painful area. The more familiar we are with the merid­
ians the easier it will be lo choose lhe appropriate points and get our desired
results. This highlights the importance of knowing not only d1e general course
of the meridians but also their detailed pathways and connections with other
meridians.

I. The pathways of individual nwridians:

It is very important to know the pathways of the individual meridians. For
example, stomach meridian travels from the face down d1e neck, across the
chest and abdomen, and then down the lateral leg to the foot.

2. The pathways of different meridians in the same anatomical area:

It is also very important to know in great detail which me1idians pass through
various anatomical regions. For example, around the nose we find Large Intes­
tine me1idian and Stomach meridian, and running down the center of the
nose is Du meridian. On the inside of the nose, running deep, there is Liver
meridian. This is why Hegu LI-4 and Taichong LIV-3 used together can treat
sinus problems and other pathologies d1at affect the nose, and is an example
of external pathways joining with internal pathways to treat disorder. Another
example is the mouth. Large Intestine meridian and Stomach meridian circle
around the outside of the mouth, the Liver meridian passes through the inside
of Lhe mouth. In addition, we see that the lower he-sea point of Large Intestine
meridian, Shangjuxu ST-3 7, is very effective to treat deviation o[ the moud1
and problems wid1 Lhe eyes, as is Taichong LIV-3.
Besides considering the individual pathways of the twelve primary meridi­
an. it is also very important to consider the exterior-interior relationships of the

53
One . \eed/e Therapy / Part I- .\eurological & ,\lo/or System Disorders

meridians, the connections between meridians or the same name (for exam­
ple between hand shaoyang Sanjiao and foot shaoyang Gallbladder meridi­
ans) and the connections between the branching meridians based on t-.Iaster
Tung's FiYc Zang Exo-a Relationship Theory (for example between Kidney
and anjiao meridians) . Only in this way will our diagnosis and treatment be
comprehensive and effective.

B. The Viscera and Bowels (Zang Fu)

"ff one doesn't understand the internal organs and the meridians then any
attempt to treat an disorder will be mistaken." This quote emphasizes the
importance or an acupuncturist ha\ing a detailed understanding of both the
internal organs and the meridians. All of the phy iological and motor func­
tions of the body are reflections of the profound relationship between them
and one shouldn't be favored over the other. To get desirable result in the
clinic it is always necessary to consider the internal organs and the meridians
together in arriving at a diagnosis and performing treatment.

C. Precise Location of the Pain Related to the Various Body Tissues

1. The Five Tissues (Skin, Vessels, Muscle, Sinews, Bone):
If Lhe pain affects the sinews then needle points that relate to or that are close
to the sinews; if the pain affects the bones then needle points that relate to
or that are close to the bones, etc. For example, frozen shoulder is a pain
syndrome that affects the sinews, so needling Chize LU-5 close to the tendon is
,·ery effective. Or for sciatic pain from kidney deficiency one can achic,·c very
effccti,·e results by needling Sanjian LI-3 or Houxi SI-3 close to the bone or
Fengshi GB-3 1 to touch the bone.

2. Upper, Middle and Lower (Holographic Correspondence of the Body):

It is important to identify where the pain is located in relation to the uppe1�
middle and lower sections of the body. Take the forearm for example, which
can be divided into an upper, middle and lower ection. Neiguan PC-6 is
located in the upper section so it effectively treats heart conditions; Ganmcn
33. 1 1 i · located in the middle section of the arm and corresponds to the
middle jiao so it effectively treats liver conditions; Xinmen 3 3 . 1 2 is located in
the lower section and effectively treats knee pain and coccygeal pain. However,
according to reverse holographic correspondence, Xinmen 3 3 . 1 2 is located i n
the upp er section, h enc e it treats he art condit i o ns .

III. THE DOS AND DON'TS OF PAIN TREATMENT

\\Then treating pain syndromes the proper point selection isn't the only thing to
keep in mind. There are a number of other factor that can greatly influence
the effectiveness of treatment and that must be emphasized.

54
 G1wpter4/Essmtia/GuidelinesfarDfffermtiati1iga11dTrcati1igPan
i !iJmdromes

A. Foods to Avoid:
If Lhcsc dietary guidelines are not followed not only can it negate the e ffective­
ness of the acupuncture treatments but it can actually make the pain condition
worse. \ Vhen treating pain syndromes it is important to advise patients to avoid
cold and raw foods, especially foods that are eaten icy cold like ice cream or
drinks that arc taken directly from the refrigerator or with ice. It is also good
to advise patients to avoid peanuts, bananas and glutinous rice. \ Vhen being
treated for an itchy condition it is important to avoid seafood, chicken and hot
chili peppers. Of course, it is always important to give dietary advice based on
a patient's particular condition and constitution.

B. Suitable Exercise:
For some conditions, like frozen shoulder or hemiplegia, physical activity is
an important part of recovery. For others, like sciatic pain or stiff neck, rest is
more important.

C. Keeping the Body Warm:

Exposure to cold lead to many disorder and is one of the main factors in
wind-damp (rheumatic) pain. This highlights the importance of keeping the
body warm.

IY. SPECIAL TOPICS FOR DISCUSSION

When treating pain syndromes there are a couple of concepts to keep in mind
that will contribute greatly to the effectiveness of treatment.

A. Itchy and Painful Sores Pertain to the Heart

Shaofu HT-8 is the fire point of the fire meridian. It promote and regulates
Aow to the heart, clears heart fire and settles and stabilizes the heart. It also very
cITcctively treats i tching, and any condition characterized by pain and itching
together. In addition, the heart and gallbladder are connected, so Gallbladder
meridian's Fengshi GB-3 1 is very effective to stop pain and stop itching.

B. The Internal Organs all Depend on the Gallbladder

u \Ven Chapter 9 Liu Jie Zang Xiang Lun «/\ftn'��iiiU » says, "The
-

functions of the other eleven organs rely on the normal function of the gall­
bladder." We know that with a modified xiao chai hu tang, an herbal formula
closely related to shaoyang meridian, we can treat a wide variety of disorders.
Based on the same reasoning, many points that pertain to shaoyang meridian
such as Fengshi GB-3 1 , Xuanzhong GB-39, Yanglingquan GB-34, Toulinqi
G B- 1 5 and Zulinqi GB-41 can treat many different disorders. The ame is true
for some of faster 1ung's Extraordinary Points that are close to Gallbladder
meridian such as Cesanli 7 7 .22, Cexiasanli 7 7 . 23, Zuwttiin 7 7 .25 and Zuqian­
jin 77. 24:. This i s especially true for Fcngshi GB-3 1 , which is in the same loca-

55
One Needle Therapy / Part J· Neurological & 1\ lotor !$)1stem Disordm

tion as Master Tung's extraordinary point Zhongjiuli 88.25, and which can
treat almost any type of painful condition very effectively.
Fengshi GB-3 1 i s one of the points that I use most frequently i n the clinic.
It is one of the most effective points to treat a v\�de variety of pain syndromes,
especially when the pain is associated '�th shaoyang meridian. When there are
doubts about how to proceed in treating a difficult condition one can always
starL witl1 Zhongjiuli 88.25, which v�ll at least provide some relic( From there,
as the treatments progress and based on a deeper understanding of the condi­
tion, one can add other points in order to get even better results.
\ Vhy is Fengshi GB-3 l so effe ctive at treating such a v\�de variety of con­
ditions? In ancient times Fengshi GB-3 1 was considered an extra point. Zhen
«tt� Ej3 Z:.�» doesn't mention it, and neither does Qjanjin
JiuJia Yi Jing
Yao Fang «-T��.1f» Wai Tai Mi Yao «:5'H3';f£,�» or Tong Ren Shu Xue
Zhenjiu Tujing «(�AJ!ntr1C�i-�IJ�,fil» Only in Zi ShengJing «����»
.

and ZhenJiu Da Cheng «tt�::.knX:» does the point first appear:

Chinese medicine believes that pain syndromes and Wind conditions have
Wind in common. wfany pain conditions come and go, like the v�nd. Fengshi
GB-3 1 is translated as \Vind Market, which suggests the idea that '�nd, and
pain, comes and goes in this location. \ Vhen Master Tung was treating patients
with pain if the person had only one or two areas that were painful he would
use his corresponding extraordinary points, but if the person had many areas
that were painful all over the body he would use Fengshi GB-3 1 , often in com­
bination with Zhongdu GB-32. These two points used together are very good
at relieving generalized body pain. This is a good example of the dao ma
(point coupling) technique, which ,.mJ be addressed in detail belO\��
As just mentioned, Zhongdu GB-32 is another important point in treating
pain. The word "Du" in the name Zhongdu GB-32 means a ditch or a river, a
place where water flows. This points out an important relationship since damp
is often a primary factor in pain syndromes. Fengshi GB-3 l and Zhongdu
GB-32, when needled together, are very effective for treating any wind-damp
pain syndrome. According to the idea "needle into tl1e muscle to treat the mus­
cle" and "needle into the muscle to treat damp" we sec that Fengshi GB-3 1 is
"veil-suited to address botl1 issues since it is located in an area where there is a
large muscle. In addition, Fengshi GB-3 1 is on Gallbladder meridian and the
gallbladder and the liver share an exterior-interior relationship so the point is
able to Lreat disorders of both the gallbladder and the liver. In addition, the
liver and gallbladder master wind and the sinews, and when Fengshi GB-3 1
is needled deeply to strike the bone i t can also be used to treal the kidney. We
see that this one point is therefore able to treat conditions at the level of the
muscles, the sinews and the bones, and from ilie per pective of the five element
theory it can treat any condition resulting from wind, cold and damp.
According to zang fu tl1co1y the li\'er masters the sinews and the kidney
masters the bones, but in Ling Shu Chapter 1 0 -Jing Mai Pian «m�·t.� �

56
 Chapter4/EssentialG'uidelinesforDi.fferenliati11gand1iratingPain/iyndromes

� » there is a contrary opinion that says that shaoyang masters the bones,
and taiyang masters the sinews. As a result, I often use Fengshi GB-3 1 to treat
bone spurs.
Besides this, Yanglingquan GB-34 is the influential point of the sinews,
and Xuanzhong GB-39 is the influential point of marrow. Both being on
Gallbladder meiidian they can treat many diffe rent disorders and add greatly
to Gallbladder meridian's ability to treat disorder. With respect to the fact that
Yanglingquan GB-34 is the influential point of the sinews the classic texts also
says tl1at the "Liver is connected with the sinews and tendons," that "the liver's
qi shows itself in the sinews", and that "the sinews and vessels are all governed
by the liver." There is another saying, "Gallbladder is governed by the liver,
and qi of the liver unites with the gallbladder." Through the interior-exterior
relationship of the liver and gallbladder we see that since the liver masters the
sinews and tendons that the gallbladder will also have a relationship with the
sinews and tendons. Yanglingquan GB-34 is located near the knee, and Su '!\fen
Chapter 1 7 1Iai Yao Jing Wei Lun « * rll� ·Jllif � ffl��fitr» says, "The knee is
-

the abode of the sinews and tendons." The knee is a place in the body where
multiple sinews and tendons congregate. The meridian sinews of the three yin
and yang meridians of the foot all meet at the knee. Yanglingquan GB-34 in
particular is in a location where many sinews meet and for this reason it is the
influential point of the sinews. We can treat the sinews and tendons by nee­
dling the sinews and tendons, and this is the reason why Yanglingquan GB-34
is so effective for disorders of the sinews and tendons, and why Taichong LIV-
3, the shu-stream point of Liver meridian, can very effectively treat knee pain.
The liver master the sinews and tendons and the knee is where many sine\.\1S
and tendons meet.
Xuanzhong GB-39 is the influential point of the marrow. Its alternate
name is Juegu, which means "severed bone." In the classic texts it says the
point is "where the little bone above the ankle ends" and it is "where the bone
ends and the marro..,v forms." Juegu is the place where the bone ends, the bone
and the marrow meet and the marrow congregates. ZhenJiujia Yijing « �i­
ffe. EJ3 Z:,#;fil» says, "This point is located 3 cun above the external malleolus,
where the artery is felt. It is the crossing point for the Lhree yang meridians of
the foot and connects foot shaoyang meridian with foot taiyang and yangming
meridians. The exterior-interior relationship between foot taiyang meridian
and foot shaoyin Kidney meridian explains why Xuanzhong GB-39 is the
influential point of the marrow. The kidney masters and stores the essence,
and the essence produces the marrow." Ling Shu Chapter l 0 Jing Mai Pian -

«il�·�Jllif � » says, "The gallbladder pertains to foot shaoyang and mas­

ters the bones." So, relying on these classic texts we see concretely why Juegu
GB-39, on foot shaoyang Gallbladder meridian, is tJ1e influential point of the
marrow.

57
One .\eedle Therapy / Part I: Xeurological & .\lolor System Disorders

Yanglingquan GB-34 can treat any pathological condition affecting the

sinews and tendons, especially if the condition is functional and exercise
induced. Xuanzhong GB-39 is the influential point of the marrow, and can
treat pain of the hip. Also, being the crossing point of foot taiyang, shaoyang
and yangming meriruans i t is able to treat many rufferent conrutions affecting
many different meriruans. It can very effectively treat the sequela to stroke and
concussion as well as cerebral palsy. It also treats one-sided headaches, trigem­
inal neuralgia, facial paralysis, pain from nighttime grinding of the teeth and
pain of the shoulders, arms and wrists. Finally, Xuanzhong GB-39 can treat a
long list of wind-phlegm induced disorders.

V. AREAS COMMONLY AFFECTED BY PAIN AND THEIR RELATED

MERIDIANS AND ACUPUNCTURE POINTS
For convenience in choosing acupuncture points to address conunon pain
syndromes this chart is organized according to the affected anatomical region
and the pertaining meriruans followed by suggested points.

Anato:mical Regions Pertaining Primary Points Extraordinary

Meridians (Distal) Points

Occipital Region Ur·inary Bladder Shugu UB-65 Zhengjin 77 .0 I

Kunlun UB-60 Zhengzong 77.02

Temporal Region Gallbladder Zulinqi GB-41 Cesanli 77 .22

Sanjiao Zhongzhu SJ-3 Sanchasan A.04
Zhongbai 22.06

Vertex Region Du meridian Shugu UB-65 Zhenghui JOJO.OJ

Urinary Bladder Taichong LIV-3 Zhengzong 77.02
Liver
"Cl
�
� Forehead Stomach Gongsun SP-4 Huosan 66.12
::i:: Tianhuang 77. I 7
Xiangu ST-4·3

Check Bone Small Intestine Houxi SI-3 V\lanshunyi 22.08

(Zygoma) CesanJj 77 .22

Jasal Bones Stomach Xiangu ST-+3 Menjin 66.05

Dabai 22.0+

Mandibular Region Stomach Xiangu ST-43 Huozhu 66.04

Menjin 66.05

Chin Stomach Xiangu ST-43 Menjin 66.05

Ren meridian

58
 C'l10j11er4/EssentiaLGuidelines
JorDjfferentiatingand1i-eatingPainSj111dromes

Anterior Neck Stomach Jiexi ST- 4 1 Menjin 66.05

Region Ren me1idian Taix.i KJD-3 Shengu an 7 7 . 1 8
Kidney meridian
runs alongside the
Ren meridian

..:.:
u Lateral eek Large lntescine Waiguan SJ-5 Sanzhong 77.07
II)
z Region Small Imescine Zulinqi GB-41 Liuwan 66.08
Sar�j iao Hcgu Ll-4 Shuiqu 66.09
Gallbladder Houxi SI-3

Poste1ior 1 eek Gallbladder Shugu UB-65 Zhcngjin 7 7 .0 I

Region Du me1idian Kunlun UB-60 Zhcngzong 77 .02
U1inary Bladder

Venebrac Du me1idian Shugu B-65 Zhcngzong 77 .02

..
II) U1inary Bladder Kunlun UB-60 Erjiaoming I I . I 2
� \Veizhong UB-40
....:i ..:.:
u
eel (lj Paraverteb1·al Urina1-y Bladder Shugu UB-65 Zhongbai 22.06
t p::i Region Kunlun UB-60 Linggu 22.05
0..
0..
0 Scapular Region Small fntestinc Houx.i Sl-3 Chongzi 22.0 I
Chongx.ian 22.02

Axillai-y Linc of the Gallbladder Yanglingquan Liuwan 66.08

Chest GB-34 Huozhu 66.04·

Media.ii Linc of the Ren meridian Ta.ixi KJD-3 Huoehuan 33.04

Chest Du meridian
....
lJ)
II) Parasternal Linc Kidney ' l 'aixi KI D-3 Huochuan 33.04·
..s::
CJ Midclavicular Linc Stomach Liangqiu ST-34 Huochuan 33.04
of the Chest Xfangu ST-43

Hypochondriac Li,·c1� Gallbladder Yanglingquan Huochuan 33.04

Region Spleen GB-3+
Zhigou SJ -6

l\IIedian Line or the Ren meridian Ta.ixi KTD-3 The Shuix.ia.ng 66. 1 4
Abdomen Kidney me ridian

runs alongside the

Ren me1·idian

Midclavieular Line Spleen Ta.ibai P-3 Huoju 66. 1 1

i::
II) of the Abdomen Sanyinjiao SP-6 vl' lenjin 66.05
E .Jiexue 88.28
0
"O
,.Q
< Lateral Line of the Liver Yanglingquan Huochuan 33.04
Abdomen Gallbladder GB-34
Ta.iehong LIV-3

Anterior Genital Liver Taichong UV-3 Li..nggu 22.05

Arca Ligou LN-5 Huozhu 66.04
Shenguan 7 7 . 1 8

59
One .\'eedle T!tera/lJ' / Par/ /: Neurological & ,\lo/or System Disorders

Radial Aspect Lung Taiyuan LU-9 Tushui 22. 1 I

Licque LU-7 Chongzi 22.01
Ill
-s VJ �lidlinc Pericardium >leiguan PC-6 Renhuang 77 . 2 1
...... .c
0 s first then needle
Ill • ..,
Sanyinjiao SP-6
:-g ...J
....
(J)
Ill
"Lnar Aspect He a n TongLi HT-5 firs1 X.inmcn 33. 1 2
.<a
.., c..
c.. then
1l � needle Taixi KJD-3
�
The Palm Pericardium Laogong PC-8 Shenguan 77 . 1 8
Hean Shaofu HT-8 Cesanli 77.22

Ill Radial Aspect Large l mrsLi ne Sanjian Ll-3 Linggu 22.05

-5 VJ 1-lcgu LI-4
...... .c
0 s
Ill . .., l\lidline Sanjiao Yemen SJ-2 Cesanli 77.22
:'S! ...J
(J) .... Zhongzhu Sj-3 Cexiasanli 77.23
Ill
<a c.. Waiguan SJ-5
.... c..
E o Ulnar Aspect 1-loux.i SI-3
� Small Imesrine Xinmcn 33. 1 2
...J
Shenguan 77. 1 8

The Anterior Hip Stomach Xiangu ST-+3 Sanchasan A.04

Linggu 22.05

The LaLeral Hip Gallbladder ZuLinqi GB-41 Linggu 22.05

c..

:2 Sanzhong 77.07

The Poste1ior Hip U1inary Bladder Shugu UB-65 Xirm1en 33. 1 2

Wanshunyi 22.08
v\lanshuncr 22.09

Amerior Aspect Stomach Neiling ST-++ Sanchasan A.O+

VJ Posterior Aspect U1inary Bladder Sh ugu UB-65 Wanshunyi 22.08

.c
v\lanshuner 22.09
s
;J :vlcdial Aspect Live1� Spleen, Gongsun SP-4 Linggu 22.05
....
Ill
Kidney Taichong Ll\'-3 Huozhu 66.04
�
0 Taixi KID-3
...J
Lalcrnl Aspect Gallbladder Yanglingquan Cibai A.06
GB-34 Shouwujin 33.08

I otes: I ) Distal points are considered the primary points in faster Tung's
acupuncture. 2) The distal points listed in the chart can be used alone or can
be combined to strengthen their effect. 3) The extraordinary points listed i n
the chart can b e used alone o r can be combined to strengthen their effect.

VI. DISTAL ACUPUNCTURE POINTS AND THE THREE NEEDLING

TECHNIQUES

A. The Characteristics of One Needle Therapy

We have already seen that the One eedle Therapy for treating pain ern.pha­
sizes the use of distal acupuncture points. I have develo ped three needling tech­
niques, all of which use an even tonifying even reducing technique (ping bu

60
 Cha/Jfer4/Ess
e11lialGuide/i11esf01Differe11 lialingandTiealingPainSy11dromes

ping xie), to further improve Lhe effectiveness of these trealmenls; they arc the
dong qi (moving qi) needling technique, the dao ma (point coupling) needling
technique and the qian yin (guiding) needling technique. Before going into Lhe
specific needling techniques we \.vill examine the reasons for Master Tung's
preference for using distal points.

1. The Advantages of Choosing Distal Acupuncture Points

a. Creating Balance in a Treatm.ent

Biao You Fu «��PJi\'.» says, "Facilitating communication between the
meridians creates a harmony in the acupuncture treatment. When the left side
is diseased choose points on the right side." This approach was emphasized in
ancient acupuncture practice because they knew that when distal points are
needled it creates balance. vVhen we choose points from exteriorly-interiorly
paired meridians if the left side is affected we choose points on the right, and if
the right side is affected we choose points on the left. Using the left side to treat
the right side and the right side to trcal the lefl side has the effe cl of creating
balance in the meridians.

b. Dredging the Meridians:

Biao You Fu «��M» says, "To drain (xie) the connecting vessels needle
distally; if the head is affected then needle the feet." When the points are
properly chosen distal needling has the effect of coursing the mericlians. This
is accomplished in the following two ways: 1) by choosing points from the SL'i:
crossing meridians, or vvhat is also known as the six divisions, that share the
same name; for example, one can choose distal points from the hand and foot
yangming meridian or from the hand and fool shaoyang meridian; or 2) by
choosing points according to the zang fu extraordinary relationships (zang fu
bie tong). According to these relationships the lung connects with the urinary
bladder, the spleen connects with the small intestine, the heart connects with
the gallbladde1� the kidney connects with sanjiao, the pericardium connects
with the stomach and the Liver connects with the large intestine. In this way
not only can we treat many different meridians but there is also the important
benefit of including one hand and one foot meridian, one yin and one yang
meridian, one upper point and one lower poinl, one point that pertains to a
zang organ and one point that pertains to a fu organ. This therapy creates a
very balanced treatment and is an excellent way to course the meridians and
create equilibrium between the upper and lower parts of the body.

c. Treatment Mem.ory
When distal acupuncture points arc needled the stimulation is transmitted
through the higher centers of the central nervous system. With local points,
especially when they are needled shallowly, this isn't the case. \!\Then the higher
centers of the central nervous system are involved the body stores the infor-

61
One Needle TherajJ)I / Part 1: Neurological & ,\fotor System Disorders

mation receiYed from the treatment in its somatic memory. This means that
a person does not have to receive as many treatments, and that t\vo to three
treatments a week is enough to get excellent results in a short time. In today's
busy world ""here patients don't ha,·e time to come for treatment eYery day this
is a big advantage.

d. Safety:
When choosing distal points one moslly uses points on the hands and feet. This
make:; 11ced li 11g co1 1venient and safe. Even when points on the chest, lower
abdomen, back or lumbar area arc used the needling is more shallO\,v, or the
bleeding therapy is used, all of which arc very safe.

B. Needling Techniques: Regulating the Meridian Qi

The One Needle Therapy's needling techniques are not complicated, and
consist of only three types, all of which are used with an even needljng Lher­
apy. They are the dong qi (moving qi) needling technique, the dao ma (point
coupling) needling technique and the qian yin (guiding needling technique).
These techniques are very effective and bring about excellent clinical results.

1. Dong Qi (Moving Qj,) Needling Technique:

I named this needling technique in 1 972 while obsening Master Tung in the
clinic. After inserting the needles distally he instructed his patients to move or
massage the affected orpainCul part of the body in order to move qi and dredge
the meridians. He didn't name this particuJar technique but I decided to call
it dong qi (moving qi) needling technique. �!faster Tung believed that the body
has a natural capacity to fight disorder as well as a corresponding but opposite
point oC balance. The dong qi (mming qi) technique helps the body return to
this balance point through the use of distal points and the gentle movement of
the affected area. This technique creates communication between the merid­
ians and greatly amplifies the needling stimulus and tl1e resulting mm·ement
of qi. This technique is especially effective for pain syndromes and can have
immediate results. For example, for pain from trigeminal neuralgia Master
Tung would needle Cesanli 7 7 .22 and Cexiasanli 77 .23 on the healthy side
and then have the patient bite down on their teeth or move their jaw and the
pain would immediately go away. For sciatic pain l\Iaster Tung would neecUc
Linggu 22.05 and Dabai 22.04 on the healt.hy side and then have the patient
move their painful leg and the pain would immediately go away. Although we
know that by themselves 1'1aster Tung's extraordinary points have remarkable
effects we can't neglect the role played by dong qi (moving qi) technique. This
technique does not have to be limited to use with the extraordinary points
ince it is also sujcable to use with points from the fourteen regular meridians.
Its use docs not ha,·e to be limited to pain S),1dromes either since it is also
effective for treating msorders of the internal organs.
Here's how the technique is used in practice:

62
 Owpter.//Ess e11tialG'uideli11esfarDjffe
re11tiatinga11dTreati11gPai11S
) '11dromes

a. First select the point or points to be used.

b. After insertion of the neecUes and the arrival of qi, indicated by sore­
ness, numbness or a feeling of distension, rotate the needles and a k the patient
to gently move the affected area. \Vhen the pain diminishes, which can happen
immediately, chis means that the qi of the acupuncture point and the qi of
the affected area have joined and the dredging and balanei11g effect has been
achieved. Stop rotating the needles, then, depending on the situation, the nee­
cUes may be retained or removed.
c. for chronic conditions the needles may be retained longer. During the
treatment it is necessary to rotate the needles a number of times in order lo
move qi. The patient can al o be instructed to gently move the affected area
during the treatment.
d. If the chest or abdomen is involved the patient can massage the affect­
ed area or do some deep breathing in order to join the qi of the acupuncture
point with the qi of the affected area, course the meridians and rid the body
of the disorder pathogen. For example, to treat chest pain or stuffiness we can
first neecUe eiguan PC-6 and then instruct the patient to do deep breathing,
which will bring immediate relief.
Dong qi (moving qi) technique is easy to practice, very effective, and can
be used even when it is not clear whether a condition is of a deficient or excess
type. Only distal points are used with this technique since it is necessary for the
patient to move or massage the affected area. \1Vhen I use this technique I pre­
fer to needle the yuan-source points, the luo-connecting points, the shu-strcam
points, the front-mu points, the xi-cleft point and the influential (meeting)
points. As this technique is u. ed more and more in the clinic and its effective­
ness is clearly seen I am sure that its popularity will spread.
2. Dao Ma (Point Coupling) Needling Technique
This is a very special needling technique that was invented by Master Tung.
This technique uses c:wo or tl1ree needles placed nearby each other on the same
meridian in order to amplify the effects of the points. This technique can be
used with Nlaster Tung's extraordinary points or with points from the fourteen
regular meridians and it has remarkably good effects when combined ·with
dong qi (moving qi) technique.
Here's how the technique is used in practice:
a. First select the points to be used.
b. Insert the first needle, for example eiguan PC-6.
c. The second neecUe is inserted in a neighboring point on the same merid­
ian, for example in jianshi PC-5 or Dating PC-7. This is dao ma (point cou­
pling) technique.
d. vVith this technique one can use an even tonifying even reducing tech­
nique (ping bu ping xie).

63
One Needle Thera/Jj' / Part I: "l'{eurological & ,\fotor System Diwrders

e. Dao ma (point coupling) technique can be combined with dong qi (mov­

ing qi) technique in order to strengthen the curative effect.
The use of two adjacent needles on the same meridian is much stronger
and more reliable than placing many needles dispersed across a number of
different meridians. For example, if we use Neiguan PC-6 we would expect a
curati,·e effect equi,·alent to the use of one needle, but if we addjianshi PC-5
we don't gel a curative effect equivalent lo just two needles but an effect that is
equal to three or even five needles. The reason for this is the mutual assistance
and coordination bet\>veen the poincs which has the effect of amplifying their
action and strength.
�Iany areas of the body lend themselves \·veil to dao ma (point coupling)
technique. For example, Neiting ST-44 and Xiangu ST-43 together very effec­
tively treat gastrointestinal disorders· Ieiguan PC-6 andjianshi PC-5 together
have a special curative effect on heart disorder; Zhigou SJ-6 and Waiguan
SJ-5 treat hypochondriac pain, leg pain and sciatic pain; Shousanli LI- 1 0 and
Quchi Ll- 1 1 treats dizziness, rhiniti , shoulder and arm pain, and lower back
and knee pain. Other point coupling combinations arc Hegu Ll-4 and Sanjian
LI-3, Fuliu KID-7 and Taixi KID-3, Shenmai UB-62 andjinmen UB-63, and
many others too numerous to mention one by one.
Finally, dao ma (point coupling) technique can use either two or three
points in a row. \ Vhen three points are used the upper point treats the upper
part of the body, the middle point treats the middle and the lower point treats
the lower. \r\lhen two needles are used the upper needle treats the upper part of
the body and the lower needle treats the lower part of the body.
3. Qian Yin (Guiding) Needling Technique
After many years of clinical experience using dong qi (moving qi) technique I
developed what I call the qian yi (guiding) needling technique. This needling
technique is especially good for treating pain, numbness and itchy conditions.
The effectiveness of the qian yin (guiding) needling technique comes from
its abifay to dredge lhe qi and balance the meridians. The guiding lechnique
uses a distal point from the healthy side of the body and a distal point from the
affected side of the body to create an energetic pattern in the form of a circuit
or loop. This energelic pattern dynamically guides qi through the affected area
as it moves through the circuit. This is a good illustration of why Master Tung
preferred to use distal points instead or local points. Although local points can
move qi they don't move qi as effectively as distal points. \Vhen distal points
are used the painful area is somewhere along the meridian between the two
points. As the polarity of this energetic pattern is established and the qi begins
dredging through the meridians the points mutually guide qi to pass through
the painful area. As the old saying goes "When there is a free-flow of qi there is
no pain". Opening the flow of qi ends the pain. The guiding technique is very
effeclive for this and is even stronger than the dong qi (moving qi) technique.

64
 U1apter-l/Essentia/C'11ide/i11esfarD!fferCT1tiati11gm1d1irati11gPai11Sy11dromes

Here's how the Lcchnique is used in pracLice:

a. First inserl a distaJ point on the hcalLhy side of the body. This serves as
Lhc L reatment poinl.
b. Then insert a distal point on the affected side of the body. This serves
as the guiding poinl.
c. fter the needles arc inserted rotate them simultaneously until the qi
sensation arrives.
d. Ask the palicnl to slightly move or massage the painful area. Rotate
the needles again. for some patients the pain will immediately stop. For some
pa tients just inserling Lhc two distal needles without rolaling them is enough
to resolve the pain. This shows how distal points have a guiding action and

induce a mutuaJ response from each other.

e. Depending on Lhe patient's initial response to the Lrca1ment and tl1eir
overall condition the needles can either be removed or retained. If the needles
arc rclained it is necessary to rotate them at regular intervals Lo promote the
now or Qi.
This needling te chnique is easy to use and very effective. for example, for
left elbow pain one can choose Fengshi GB-3 1 on the right ide, and Hegu
Ll-4 on the lefl. This treatment can immediately resolve elbow pain. Another
example is right-sided shoulder pain. One can choose Fenglong T-40 on the
left side, and Zhongzhu SJ-3 on the right side to immediaLcly stop shoulder
pain. Or for left-sided knee pain one can choose eiguan PC-6 on the right
side and Taichong L T V-3 on the left side lo immediately stop the pain.
Generally speaking, when we use the qian yin (guiding) needling technique
we choose the ying-spring point or the shu-stream point from the affected
meridian on the affected side. This is based on the saying: ·'Ying-. pring points
and shu-stream points treat the external meridians." For pain syndromes the
shu-stream poinls arc primary, based on Lhe saying "Shu-stream points are
indicated for heaviness of' the body and for joint pain." For example, with
shoulder pain involving yangming meridian, besides choosing a distal point
from the healthy side, one can choose Sanjian LI-3 from the affected side as
the guiding point. If Lhe shoulder pain is located on the side of the shoulde1�
which pertains to haoyang me1idian, then one \\·ould use Zhongzhu SJ-3 as
the guiding point. If the posterior aspecl of the shoulder is affected, which
pertains to the taiyang meridian, then Houxi SI-3 would be selected as the
guiding point. Based on these examples we can see how to t reat any type of
pain syndrome.
In short, a distaJ point from the healthy side is chosen as the treatment
point and the shu- trcam point from the affected side is chosen a the guiding
point. The abO\·e examples are good illust rations of how this technique works
and arc all in accord with Huang Di NciJing «jf�� jlg t.�» where il says, "If
the upper is affected then choose poinls Crom the lower (distal points dredge

65
One Needle Therapy / Part I· Neurologi.cal & J1Jotor S
. ) lstem Disorders

qi), if the left side is affected then choose points from the right side (contralat­
eral points balance the meridians)."
If both sides are painful, for example if there is pain in both knees, one
can needle eiguan PC-6 on both sides and then needle Taichong LIV-3 on
both sides. Then, while rotating the needle in Neiguan PC-6 on the left side
the patient is instructed to move the right knee, and vice versa. In this way the
contralateral action of the points is preserved even though both sides of the
body have been needled.
Sometimes the guiding needle doesn't necessarily have to be placed at the
distal end of a limb. For example with facial disorders you can always use
Yingxiang Ll-20 as the guiding needle. This is because Yingxiang Ll-20 is the
terminal point of Large Intestine meridian and the starting point of Stomach
meridian. Since Large Intestine meridian and the Stomach meridian traverse
across the entire face disorders like acne, seborrheic dermatitis, rhinitis, etc.
can be very effectively tTeated with Yingxiang LI-20 acting as the guiding nee­
dle (it also acts as a treatment needle). Examples like this are rare and we can
say that it is a variation on the qian yin (guiding) needling technique.
The qian yin (guiding) needling technique is done this way: One needle is
place in the upper part of the body and one needle is placed in the lower part
of the body. This has the effe ct of connecting and balancing the meridians
and strengthening the effects of the points by strongly dredging the qi. Also,
because one needle is placed on the healthy side and one needle is placed
on the distal end of the diseased side there is an additional balancing effe ct.
Finally, regardless of whether we are talking about the guiding needle or the
treatment needle both have a curative effe ct. vVe can even say that they have a
doubled effect. This is why this technique is so effective.
The qian yin (guiding) needling technique can very effectively be com­
bined with the dao ma (point coupling) technique. For example, if there is
sciatic pain on the left side one can needle Linggu 22.05 and Dabai 22.04 on
the right side and then needle Shenmai UB-62 on the left side. Linggu 22.05
and Dabai 22.04 used together are an example of the dao ma (point coupling)
technique. They mutually strengthen each other. Shenmai UB-62 is then add­
ed as the guiding needle.

C. Summary
There arc many different varieties of needling techniques, and the three
mentioned here definitely do not exhaust the list, but based on my clinical
experience the three therapies I have outlined here are the ones that I find
most effective in the clinic and are therefore the ones that I use the most. These
three therapies not only bring quick results, but even more importantly they
can be used when the acupuncturist isn't sure if the condition being treated is
of an excess or deficient nature, or if there is both excess and deficiency pres­
ent at the same time.

66
 Chapter I / Headache

PART II
PAIN SYNDROMES

Chapter 1

Headache

Headache, a subjective symptom, is a very common complaint seen in clinical

practice. It may be seen in various types of acute and chronic disorders. Head­
ache can be as ocialed \vith a wide range of conditions and causes, including
common cold, five-sense organ disorders (such as sinusitis), neurogenic head­
ache, vascular headache, trigcrninal neuralgia, and cervicogenic headache.
lntracranial disorders, some cardiovascular disorders, and nervous system
disorders may also cause headache.
In Chinese medicine, headache is generally differenLiated into two cate­
gories: exogenous and internal damage. The externally contracled headache
is mainly due to the attack of wind pathogen, and may be further differenti­
aled into cold, heat, or dampness. The inlernal damage headache is fu rlher
differentiated into Liver yang uprising, qi and blood deficiency, damp phlegm
obstruction, and blood stasis and stagnation.
Other than using Chinese herbal medicine, acupuncture is fast and effec­
live for treating headache. According to acupuncture meridian theory, the
location of headache can be divided into three yang meridians and jueyin
headache.
Headache must be carefully e\·aluated before making a diagnosis and t.he
practitioner must take a thorough medical history. Duration (acute or chronic),
time of onset, frequency and intensity of attack, and complications should be
investigated as well. A physical examination and certain diagnostic tests should
be performed to make an accurate diagnosis. Acupuncture is very effe ctive in
lreating headache; however if, after a number of u·eatments without response
or if the severity continuously increases, certain kinds of cranial disorders
should be considered. The origins of the headache must be identified to treat
the root cause in time.

67
One Needle Therapy / Part fl· Pain Sj111dromes

Understanding the meridian theory is the key in treating headache with

acupuncture. The distribution of the meridians in rhe head region is described
in detail in Chapter 2 - Pathv,1ay Distribution of the Meridians and Connecting
Vessels and Selecting Acupoints along the Meridians.

I. FRONTAL HEADACHE
Frontal headache inrnlves pain in the forehead, supra-orbital bone and orbital
regions. I t includes supra-orbital neuralgia and sinusitis headache in modern
medicine.
Supra-orbital pain is ofren due to qi and blood stagnation caused by wind­
heat attacking the meridians. I n modern medicine, it is called cthmoid sinusitis
or frontal sinusitis. As there is obstruction, there is pain and the pain is sudden
onset.
Clinically, supraorbital neuralgia is commonly seen. Because the pain is
located at the orbital region and the forehead and often comes vvith distended
painful sensation of the eyeball, it is called "tuo mu tong" (head-eye pain) or
"mei Ieng gu tong" (supraorbital pain) in Chinese medicine. Sinus headaches
arc ascribed to yangming meridian headache and are mostly caused by bi
yuan (nasosinusitis) that are often due to exogenous (externally contracted)
pathogens, resulting in pathogenic heat disturbance and obstruction of the
nasal orifice. The main symptoms of nasosinusiLis arc nasal obstruction, turbid
nasal discharge and olfactory disorder. Other symptoms are dull ache in the
forehead, dizziness, poor sleep quality, and memory loss. Nasosinusitis is also
called "nao lou" (brain leakage) and is similar to acute or chronic sinusitis in
modern medicine. It is often caused by wind-heat obstructing the nasal orifice
or "gallbladder transmitting heat to the brain".
Frontal headache is mainly located at yangming meridian, secondary to
Urinary Bladder and Du meridians. The pain location is primarily in the fron­
tal area and supraorbital area. Frontal headache is characterized by forehead
pain and supra-orbital distended pain. It can be asc1-ibed to one or more of
the following:
( l ) Foot yangn1ing Stomach meridian travels along the hairline to the
frontal skull. Therefore, pain around the frontal skull area can be effectively
treated by points from the Stomach meridian.
(2) Foot taiyang Urinary Bladder meridian starts from tl1e inner canthus
and ascends along the forehead to the vertex to intersect with Du meridian.
Therefore, frontal and vertex headaches can be treated by points from Urinary
Bladder meridian with good results.
(3) Footjueyin Liver meridian connects with the eye system, emerges from
the forehead and meets Du meridian at the vertex. I t is very good at treating
vertex headache and forehead pain with points from Liver meridian.
In Chinese medicine, frontal headache is differentiated into exogenous
pathogens and internal damage. Exogenous pathogens (externally contracted

68
 Chapter 1 / Headache

pathogens) are often caused by attack from cold or heat pathogens on lai­
yang meridian. Internal damage is mainly addressed to Stomach meridian
due to food i njury such as cold-fluid surging upward or stomach heat attacking
upward.

One Needle Therapy Points for Frontal Headache

The commonly used one needle therapy points for frontal headache are:
Gongsun SP-4; Yinlingquan SP-9; Z hongwan REN- 1 2; Taichong LIV-3;
Fenglong ST-40; Sanjian LI-3 (Dabai 22.04); Shugu UB-65 and Kunlun
UB-60; Zanzhu UB-2.

A. Gongsun SP-4
Location:
Gongsun SP-4 is located posterior to Taibai SP-3, on the medial aspect
of the foot, in the depression distal and inferior to the base of the 1 st meta­
tarsal bone that is at the highest point of the dorsum bone. First locale the
highest point, and then slide the finger toward the shaft of the l st metatar­
sal bone, that i moving the finger inward and downward, in the depression
at the junction of the red and white skin.
Needling:
Ask the patient to sit upright or lie in a supine position. Insert the needle
toward the sole of the foot 0.5 to 0.8 cun. Retain the needle for 30 minutes.
After needling, ask the patient to move the head. During the treatment, for
every 5 minutes, ask the patient to move the head from side lo side for 30
seconds to 1 minute. For chronic disorder, retain the needle for a longer
period of time.
Analysis and Experience:
Gongsun SP-4 is the luo-connecting point of Spleen meridian, which is
interiorly-exteriorly related with Stomach meridian and therefore an im­
portant point for treating stomach disorders. Personally, I often use this
point for treatment of pain around the supraorbital bone, nasal bone, and
frontal area with great results. It is quick to relieve pain because the face
and frontal area are ascribed to yangming meridian. One can treat disor­
ders of nvo meridian by bleeding this poim. Therefore, needling Gongsun
SP-4 is effective in treating frontal headache. Gongsun SP-4 is also one of
the eight confluent points of the eight extra meridians. It connects with
Chong meridian, which is also known as the 'sea of blood'; therefore, it is
effective i n treating headache related to blood vessel disorders.

B. Yinlingquan SP-9
Location:
Yinlingquan SP-9 is located on the medial a pect of the lower leg, in the
depression in the ang.le formed by the medial condyle of the tibia and the

69
One Xeedle Therapy / Part II- Pain 5)ndromes

posterior border of the tibia, at the same level as the medial condyle of the
tibia.
Needling:
Have the patient sit upright with the feet hanging down, or lying in a su­
pine position. Perpendicular insertion 0.5 to 1 .0 cun from the medial as­
pect toward the lateral aspect of the calf. Retain the needle for 30 minutes.
Manipulate the needle every l 0 minutes. Ask the patient to move the af­
fected area every few minutes during treatment.
Analysis and Experience:
Yinlingquan SP-9 is the he-sea point of Spleen meridian. Through the
theory of the interior-exterior relationship of Spleen and Stomach meridi­
ans, as well as the treatment principle of "use he-sea point to treat internal
organs", Yinlingquan SP-9 is vc1y effective in treating frontal headache
and pain in the supraorbital bone and nasal bone area. Yinlingquan SP-9
is located at the upper region of the leg. According to holographic corre­
spondence, Yinlingquan SP-9 corresponds to the head and face. This is
another reason why it is effective in treating headaches.

C. Zhongwan REN-12
Location:
Zhongwan RE - 1 2 is located 4 cun directly superior to the umbilicus,
midway between the umbilicus and the sternocostal angle.
Needling:
Perpendicular insertion 1 .0 to 1 .5 cun. Retain the needle for 30 to 45 min­
utes. ·Manipulate the needle every 1 0 to 1 5 minutes. Every 5 minutes, ask
the patient to move the head for 30 seconds to 1 minute.
Analysis and Experience:
Zhongwan REN- 1 2 is the meeting point of hand taiyang Small Intestine
meridian, hand shaoyang Sanjiao meridian and foot yangming Stomach
meridian. It is the hui-meeting point of fu organs. It is also the front-mu
point of Stomach meridian. Therefore, it is the point of choice in treating
Stomach and Spleen related disorders. Foot yangming meridian traverses
to the forehead, hence frontal headache is also called yangming headache
and is often caused by spleen and stomach disorders. Frontal headache
is often associated with tan yin (phlegm-fluid). During a headache attack
there will also be dizziness, nausea and difficulty in opening the eyes or
nausea. Needling Zhongwan REN- 1 2 strengthens the stomach and expels
phlegm; therefore, i t is ve1y effective in treating frontal headache. Also,
this point is the front-mu point and the gathering place for qi of yangming
Stomach meridian. Yangming meridians have abundant qi and blood;
therefore, it is ve1y good at regulating qi and blood and is extremely ef­
fective i n treating frontal headache caused by deficiency and disharmony
of qi and blood. Zhongwan REN- 1 2 is also effective in descending the

70
 Chapter 1 / Headache

reverse uprising-turbid qi. Once qi in the fu organ is flowing smoothly, the

headache will dissipate. There are many ca cs or chronic frontal headache
being cured within two to three treatments. I have been using Zhongwan
RE - 1 2 to treat frontal headache for almost 40 years. It is recorded in
ZhenJiuJing \Vci «tj·{Rf.��» that I wrote and was published in l 975.

D. Taichong LIV-3 (Huozhu 66.04)

Location:
Taichong LIV-3 is located on the dorsum or the foot, 2 cun proximal to the
head of the 2nd metatarsal of the big toe, in the depression between the
junction or the 1st and 2nd metatarsal bones.
Needling:
Perpendicular insertion from the dorsum toward the plantar aspect or the
foot. After needling, ask the patient to move the head from side to side for
a couple of times, or ask the patient to open and close the eyes to guide and
move qi lo the affect area. The pain should stop immediately.
Analysis and Experience:
Taichong LIV-3 is the shu-stream point or Liver meridian and it is the
earth point or the wood meridian. Since the point is ascribed to earth, it
strongly activates the liver and regulates disharmony between the liver and
the spleen. It is the point of choice in treating pain caused by stress and
emotions. The liver stores blood, therefore, Taichong LIV-3 is effective in
treating headache caused by blood deficiency or liver yang uprising. Since
it is the yuan-source point, it strongly regulates qi and invigorates blood.
Liver meridian "connects with the eyes and emerges at the forehead".
Based on the treatment principle of "the acupuncture points of a merid­
ian treat the pans or the body travelling along that meridian"' this point is
,·ery effective in treat.ing pain around the eyes (also known as supraorbital
neuralgia). ff the point is mo,·ed toward the junction between the 1 st and
2nd metatarsal bones, it becomes Huozhu 66.04, and the result is even bet­
ter. Needling this point alone can often stop the pain immediately and the
patient recovers quickly. According to the treatment principle of "use bone
to treat bone' and the kidney masters the bones, needling this point along
the bone has the function of "tonify1ng the •.vatcr to moisturize the wood."
Furthermore, from my clinical experience, whether the headache is frontal
or vertex, or ""hen it is so painful that it is accompanied by nausea or vom­
iting, this is ascribed to jueyin headache. It is known that disorders of' Liver
meridian affect the spleen and stomach. Therefore, needling Taichong
LIV-3, which ascribes to earth, can treat frontal headache very effectively.
Supra-orbital neuralgia is commonly seen in the clinic. Because the
pain is located at Lhe orbital and forehead and often comes with distended
painful sensation or Lhe eyeball, in Chinese medicine, it is also called "tuo
mu tong" (head and eye pain) or "mei Ieng gu tong" (supraorbital pain.

71
One Xeedle Therapj' / Pait II: Pain Sjllldromes

Taichong LIV-3 soothes the liver and regulates qi, activates the meridians
and invigorates the blood and can stop pain effectively. Clinjcally, it usually
takes one treatment to completely eliminate the headache. In the case of
recurrence, apply acupuncture e\·ery other day for a few days.

E. Fenglong ST-40
Location:
Fenglong ST-40 is located 8 cun superior to the lateral malleolus, or 8 cun
inferior to Dubi ST-35, approximately midway between Dubi ST-35 and
Jiexi ST-4 1 . That is midway betvveen the tibiofemoral joint line and the
lateral malleolus, 2 finger-breaths ( l .5 cun) lateral to the anterior crest of
the tibia.
Needling:
Perpendicular insertion 1 .5 cun. After qi is acquired, ask the patient to
move the head from side to side and the pain should stop quickly. For
chronic headache, retain the needle for 30 to 45 minutes and manipulate
the needle every 1 0 to 1 5 minutes during treatment. Ask the patient to
move the head from side to side for 30 seconds every 5 minutes.
Analysis and Experience:
Since ancient times Fenglong ST-40 has been used to treat headache. Bai
Zheng Fu «N:llEM» says, "use Qjangjian DU- 1 8 and Fenglong ST-40 to
treat unbearable headache." Fenglong ST-40 is the luo-connecting point
of Stomach meridian, as well as the meeting point of phlegm. It is an
excellent point to strengthen the spleen, dispel phlegm, resolve dampness
and activate the collaterals. It can also regulate qi and blood (as yangming
mericLians have abundant qi and blood). Yangming meridians traverse Lhe
forehead and temporal mandibular regions. The pathway of a meridian
reflects the indications of the meridian. Bleeding this point treats both
phlegm and blood stasis simultaneously and is very effective in treating
stubborn headache and various types of difficult, strange and miscella­
neous disorders. Phlegm causes dizziness and vertigo. Since Fenglong ST-
40 is the meeting point of phlegm, it is also excellent in treating vertigo
type headache.

E Sanjian LI-3 (Dabai 22.04)

Location:
Sanjian LI-3 is located on the radial aspect of the index finger; in the sub­
stantial depression proximal to the head of the 2nd metacarpal bone.
Needling:
\Vi th the patient's hand in a loose fist, perpendicular insertion I cun.
Needle from the radial aspect to the ulnar aspect of the hand. After qi is
acquired, ask the patient to move the head from side to side and up and
down. Headache should stop immediately. Generally, retain the needle for

72
 Chapter I / Headache

30 minutes. � Ianipulate the needle every 1 0 minutes and a k the patient

to move the head from side to side and up and down, for 30 seconds to 1
minute.
Analysis and Experience:
Sanj ian LI-3 i s the shu-scrcam point of hand yangming Large I n testine
meridian. Hand and foot yangming same-name meridians connect with
each other. The forehead is traversed by both hand and foot yangming me­
ridians. As the pathway of a meridian reflects the indications of the merid­
ian, the forehead can be treated by po in ts from yangming meridians. Shu­
stream points arc indicted for heaviness of the body and for joint pain and
hence are the most often used points in treating pain syndromes. The head
is al the highest location of the body and is often attacked by wind. This
point belongs to wood and wind and therefore is able to treat wind-related
disorders. Also, through the extraordinary connections of zangfu, the liver
and the large intestine arc connected. Although this point is in the Large
Intestine meridian, it can treat wind-related disorders. It is believed to be a
very effective point in treating headache. Not only does Sanjian LI-3 treat
frontal headache, it treats other types of headache as well. According to
Chinese medicine thco1y, chronic disorder often in1plicatc kidney defi­
ciency. point slightly distal to meet Dabai 22.04 along the side
eedle the
of the 2nd metacarpal bone, according to holographic correspondence, it
corresponds to the head and a better result will be attained.

G. Shugu UB-65
Location:
Shugu UB-65 is located on the lateral aspect of the foot, in the depression
posterior and inferior to the head of the 5th metatarsal bone.
Needling:
Perpendicular insertion l cun. After needling, ask the patient to move the
head from side to side, up and down every few minutes to guide qi to the
affected area. The pain u. ually stops after needling. Retain the needle for
30 minutes. �Ianipulate the needle eve1-y l 0 minutes and ask the patient to
move the head at tl1c same time from side to side, up and down.
Analysis and Experience:
Urinary Bladder meridian starts fromjingming UB- 1 and runs upward to
the forehead and traverses the beginning of the eyebrow. Shugu UB-65 is
the shu-stream point of U rina 1y Bladder meridian. As shu-stream points
arc indicated for heaviness of tl1e body and for joint pai n they are the
,

most frequently used points in the treatment of pain. It is hence effective i n

u·eating all pains along tl1e me1idian pathway. This poim i s the wood point
of water meridian. Wood corresponds to the liver and is clo ely related to
headache. This point has the function of tonifying water co moisten wood

73
One Xeedle Therapy / Pa11 IL Pain S)'ndromes

(tonifying the kidney to nourish the liver.) It is a particularly good point in

treating headache caused by liver and kidney yin deficiency.

H. Kunlun UB-60
Location:
Kunlun UB-60 is located in Lhe depression midway bet\.veen the tip of the
outer malleolus and the Achilles tendon.
Needling:
Oblique insertion 1 .0 cun with the needle pointing toward the inner mal­
leolus. After qi is acquired, ask the patient to move the head or squint to
guide qi toward the affected area. The frontal or supraorbital headache
should subside immediately. Retain the needle for 30 minutes. Manipulate
the needle e\-ery I 0 minutes and ask the patient to repeatedly squint to
move the qi.
Analysis and Experience:
Kunlun UB-60 is the jing-river (fire) point of Urinary Bladder (water) me­
ridian. It has the function of both tonifying \vater and assisting fire, or
nourishing yin and warming yang. Urinary Bladder meridian traverses
through the supraorbital bone, frontal area, vertex and occipital area.
Based on the treatment principle of "the acupuncture points of a meridian
treat the parts of the body travelling along that meridian" it is effective in
treating frontal headache. Furthermore, Kunlun UB-110 c:orresponds to t·he
face in accordance with holographic correspondence. This is one of the
reasons why it is effective in treating headache.Jing-1iver point is indicated
for wheezing, cough and hot and cold of the body· therefore, this point is
good for supraorbital pain and headache due to common cold.

II. MIGRAINE HEADACHE

Migraine headache is commonly seen in clinical practice and is more common
in women than in men. It is a type of intermittent headache. The angioneu­
rotic headache is the type of headache most often seen among migraine head­
aches. In Chinese medicine, migraine headache is ascribed to "pian tau tong"
(one-sided headache) and "tau fcng" (head-wind). It is regarded as vascular,
one-sided headache due to dysfunction of the rela,xation and contraction of
the blood vessels in the head. It is often triggered by cold, fatigue, and mood
changes. Migraine is characterized by recurrent, intermittent and severe head­
ache that is of sudden onset. Prior to the onset, there are often symptoms such
as illusions, loss of vision, numbness of the lips and fingers. At an early stage,
the headache starts on one side and then gradually spreads through the whole
head. The concurrent symptoms may include autonomic dysfunction and
gastrointestinal symptoms such as pale or reel face, conjunctiva! hemorrhage,
aversion to light, lacrimation, fatigue, nausea, vomiting, abdominal distention,
diarrhea, and mood sw-ings. The attacks usually come in cycles and may last

74
 Chapter 1 / Headache

a few hours to a few days. The migraine headache in female occurs more
often around menstruation. The onset often occurs during young adult years.
The pain may be pulsating and drilling, dull ache or stabbing pain. Physical
examination findings arc normal. During the attack, acupuncture is good al
stopping pain by using only one point.
The cervicogenic headache is due lo cervical injury or hypcrostosis, and
soft tissue injury re ulting in cervical artery being compre scd at the place of
foramcn magnum. The compression causes Lhe insufficiency of the cerebral
blood supply. Tlic lesser occipital nerve and great auricular nerve may also be
compressed, eventually causing headache.
The pathways of shaoyang meridians encircle the lateral aspect of the
head. Hand shaoyang anjiao meridian is at the anterior region and foot
shaoyang Gallbladder meridian is at the posterior region, whereas, Yangwci
me1-idian also traverses along the lateral aspect of the head. A branch of foot
taiyang Urinary Bladder me1idian travels from the vertex to lateral head to
the upper angle of the car; therefore, headache located above the ear may
also be related to Urinary Bladder meridian. Stomach meridian winds around
the mandible and traverses to Jiache ST-6. It ascends in front of the ear and
continues along the hairline to Lhc corner of the forehead (postc1ior to Taiyang
[EX]). The regions that are in front of the car and the forehead (from Xiaguan
ST-7 to Touwei ST-8) belong to Stomach meridian. In short, the ear is the
center of the lateral aspect of the head. There are quite a fcv,r meridians that
reach the ears. Please sec the description in Chapter 2. The main points for
treating migraines arc of hand and foot Shaoyang meridians. ligraines above
the car can also be treated by points from Urinary Bladder meridian. :Migraine
around Taiyang [EX], between Xiaguan ST-7 and Touwci ST-8, is ascribed
to tomach meridian.

One Needle Therapy Points for Migraine Headache

The one needle therapy points for migraine headache arc: Zulinqi GB-4· l ,
Xiangu ST-43, .l\Icnjin 66.05, Cesanli 7 7 .22, Sihuawai 77. 1 4, Xuanzhong
GB-39, Sizhukong tJ-23, Fengchi GB-20, Neiguan PC-6 and Taiyang [EX ] .

A . Zulinqi GB-41
Location:
Zulinqi GB-41 is located posterior to the 4th metatarsophalangealjoint in
the depression lateral lo the tendon of extensor digiti minimi brevis. ate:
There is a tendon that goes across the space between the 4·th and 5th meta­
tarsals. The depression superior to the tendon bel:\.Yeen the 4th and 5th
metatarsals is where Zulinqi GB-4 1 lies; whereas the depression below the
tendon between the L�th and 5th metatarsals is the point Diwuhui ST-42.
Needling:
Select t.he point from 1.hc opposit.e side of the affected area. Perpendicular

75
One . \eed/e TheraPJ' / Part II: Pain fi,J•ndromes

insertion 0.8 to 1 . 0 cun. Ask the patient to move the head from side to
side every few minutes. ReLain the needle for 30 minutes; manipulate the
needle every 1 0 minuLes and ask the patient to mo,·e Lhe head from side Lo
side at the same time.
Analysis and Experience:
Zulinqi GB-41 is the shu-stream point of foot haoyang Gallbladder me­
ridian, which traverses along the temporal area. Since shu-stream point
is indicated for pain, it is effect.i,·e in treating migraine headache. This
point is the earth point of wood meridian. It is particularly effective in
treating headache related to stomach or wood-earlh disharmony (the dis­
harmony of the liver and spleen) and headache caused by emotions or
stress. For chronic disorders, insert the needle slightly posterior along Lhe
bone. Because chronic disorders implicate the kidney and kidney masters
the bone, even greater therapeutic result can be achieved by inserting the
needle along the bone to treat kidney-related disorders. This point is also
one of the eight confluent points \\"hich connecls wiLh Dai meridian. It
oothes the meridian and collaterals and is a commonly used point in treat­
ing Yascular and nervous headache.

B. Xiangu ST-43
Location:
Xiang11 ST-4� is located postcriorolateral to the 2nd toe, in the depression
distal to the junction of the 2nd and 3rd metatarsal bones.
Needling:
Perpendicular or oblique insertion 1 .0 eun toward the middle of the plan­
tar aspect of the foot. If the pain is one- ided, needle the opposite foot.
If the pain is on boLl1 sides of the head, needle Xiangu ST-+3 bilaterally.
After needling, ask the patient to mo,·e the head from side to side or mas­
sage the temples. The headache will cease quickly. Retain the needle for
30 minutes. �Ianipulate the needle every 1 0 minutes and ask the patient
to move the head from side to side or massage the temple simultaneously.
Analysis and Experience:
The Stomach meridian "traverses along the hairline, to the forehead" at
Lhe corner of the forehead around Taiyang [EX] area. Xiangu ST-43 is on
the pathway of Stomach meridian. Xiangu ST-43 is the shu-stream point
(wood) of Stomach meridian. Shu-stream point is indicated for heaviness
of the body and for joint pain, it is an important point to treat pain along
the meridian i t belongs to. Xiangu ST-4·3 is the wood point of earth me­
ridian; it is very effective in smoothing the liver and tonif)ing the spleen.
It is also effectiYe in c reating headache caused by Liver qi stagnation and
emotional issues.

76
 Clwpler I / l feadaclte

C. Menjin 66.05
Location:
l\ Ienjin 66.05 is located in the depression anterior to the junction of the
2nd and 3rd metatarsal bones.
Needling:
Oblique or perpendicular insertion alongside the bone for at least 1 .0 cun
toward the middle of the plantar aspect of the foot. If the pain is one­
sided, needle the opposite foot. ff the pain is on both sides, needle Menjin
GG.05 bilaterally. Aft er needling, ask the patient to move the head from
side to side or massage the temple; the headache will stop quickly. Retain
the needle for 30 minutes; manipulate the needle every 1 0 minutes and
ask the patient to move the head from side lo side or massage the temple
simultaneously.
Analysis and Experience:
l\ilcrtjin 66.05 is located posterior to Xiangu ST-43 along the bone. Since
it is located on Stomach meridian, it can treat migraine headache as the
meridian pathway traverse the lateral side of the head. It has the wood­
earth nature same as Xiangu T-4·3, but it i also ascribed to water as it is
needled along the bone. In Chinese medicine, i t is said that chronic disor­
ders eventually implicate the kidney. Therefore this point is especially good
at treating chronic migraine headache. The effect is even better than that
of Xiangu ST-4·3.

D. Cesanli 77.22
Location:
Cesanli 77 .22 is 1 .5 cun lateral (toward shaoyang meridian) to Sihuashang
7 7 .08 (3 cun below the hollow formed when the knee is nexed), it is parallel
to Zusanli ST-36.
Needling:
Perpendicular insertion close to the tibia. Once qi is acquired, ask the pa­
tient to gently move the head from side to side; the headache should stop
immediately. Retain the needle for 30 minute ; manipulate the needle ev­
ery 1 0 minutes and ask the patient to move the head at the same time.
Analysis and Experience:
Cesanli 7 7 .22 is located 1 .5 cun lateral to Zusanli ST-36, between yang­
ming (earth) and shaoyang (wood) meridians. I t is effective for treating
disharmony of vvood and earth, as well as disorders for yangming and
shaoyang me1;dians. It is effective in treating either migraine headache at
shaoyang meridian or migraine headache between shaoyang and yang­
ming meridians. It is especially indicated for treating migraine headache
caused by emotional disturbances (wood and earth disharmony or liver
and spleen disharmony). In chronic cases, it will be more effective if it is
combined with Shenguan 77 . 1 8. Chronic di�orders implicate the kid ney.

77
One .\ eedle Thera/lJ' / Part II: Pain Sj111dro111es

The ability of Shenguan 7 7 . 1 8 to treat the spleen and kidney simultane­

ously makes it effecl.ive in treaLing yangming headache (frontal headache).
The two points compliment each other and the combination enhances the
effectiveness. Cesanli 7 7 . 22 in combination with Shenguan 77 . 1 8 can treat
all kinds or chronic migraine headaches.

E. Sihuawai 77. 1 4
Location:
Sihuavvai 77 . 1 4 is located 1 .5 cun lateral tu (toward shauyang meridian)
Sihuazhong 7 7 . 09 (0.5 ctm superior to Tiaokou ST-38).
Needling:
Perpendicular insertion. Once qi is acquired, ask the patient to gently move
hte head from side to side, and the headache will stop immediately. Retain
the needle for 30 minutes; manipulate the needle every 1 0 minutes and ask
the patient to move the head from side to side at the same time. Usually, use
a three-edge needle to bleed this point will attain better results.
Analysis and Experience:
It is expressed in Chinese medicine "chronic disorders must implicate
blood stasis, difficult disorders must implicate blood stasis", and "strange
disorders must implicate phlegm, miscellaneous disorders must implicate
phlegm". Sihuawai 7 7 . 1 4 is next to Fenglong ST-40, which is the meet­
ing point of phlegm. . Therefore, needling this point can treat phlegm.
Furthermore, bleeding this point can dissolve phlegm and also invigorate
blood, since "Fenglong ST-40 treats phlegm and [blood] stasis simulta­
neously". Pathogenesis of chronic migraine headache is often due to the
combination of phlegm and blood stasis; therefore bleeding Sihuawai
7 7 . 1 4 is very effective. Bleeding Sihuawai 77 . 1 4 and Sihuazhong 77 .09
imultaneously will attain better result and can also treat chronic frontal
headache.

E Xuanzhong GB-39
Location:
Xuanzhong GB-39 is located 3 cun superior to the tip of the external mal­
leolus in the depression posterior to the border of the fibula.
Needling:
Perpendicular insertion approximately 1 .5 to 2 cun on the healthy side.
Once qi is acquired, ask the patient to gently move the head from side
to side; the headache should stop immediately. Retain the needle for 30
minutes; manipulate lhe needle eve1y 1 0 minutes and ask the patient to
move the head from side to side at tl1e same time. Needle every other clay
until the pain stops. Manipulate the needle until needle sensation traverses
along foot shaoyang meridian and reaches the affected site will attain bet­
ter resull.

78
 Chapter I / IIeadache

Analysis and Experience:

Xuanzhong GB-39 is al o known as Jucgu (end of the bone). It is the
luo-connecting point of three foot-Yang meridians; therefore it can treat all
three foot yang meridians disorders. Shaoyang meridians master wind and
yangming meridians master phlegm. Since migraine headache moslly as­
cribes to wind or phlegm, needling Xuanzhong GB-39 will attain excellent
results. This point is very effective for treating migraine headache, facial
paralysis and t1-igeminal neuralgia since all of those disorders are related
to wind and phlegm as this point can dissolve phlegm and dispel wind.
Furthermore, because Xuanzhong GB-39 is the hui-meeting point for the
marrow, this point can al o promote blood c i rculation of the brain, di pel
wind and di olvc phlegm. Thus, i t has a particular ability to treat sequelae
of stroke, cerebral concussion and cerebral palsy. This point can activate qi
of shaoyang meridian to clear the path of the meridian. Since pathogenic
qi has no place to linge1� pain will be alleviated. The path of foot shaoyang
meridian goes from head to foot, traverses along the lateral aspect of the
head, car, eye and neck. sing the treatment principles of "the acupunc­
ture points of a meridian treat the parts of the body travelling along that
meridian" and "to treat disorders at the upper part of the body, use points
at the lower part of the body", to treat head disorders, especially migraine
headaches located on the pathway of the shaoyang meridian, needling
Xuanzhong GB-39 will attain phenomenal results.

G. Sizhukong SJ-23
Location:
Sizhukong SJ-23 is located in the depression on the supraorbital margin, at
the lateral end of the eyebrow.
Needling:
Perpendicular insertion 0.3 cun; or oblique insertion subcutaneously I to
2 cun toward huaigu GB-8 (directly above the apex of the ea1� 1 .5 cun
within the hairline). As Sheng Yu Ge «Jlft.3S.�» says, "Migraine, fron­
tal and head-wind pains are hard Lo treat, neeclle Sizhukong SJ-23 sub­
cutaneously and posteriorly toward Shuaigu GB-8, one needle threading
two points is an exquisite combination." After qi is acquired, quickly and
strongly manipulate the needle, so that the needle sensation will spread
over half of the head. Retain the needle for 20 to 30 minutes. Repeat the
treatment every other day.
Analysis and Experience:
Sizhukong SJ-23 eliminates wind and alleviates pain. This point can clear
and regulate sanjiao's functionality and activities. This is a vei-y famous
point for treating headache since ancient Limes. Needling the point is very
effe ctive; howeve1� bleeding this point is even better. For example, as cited
in Tong Xuan Zhi Yao l· u «:im�J'll�?Jbit» : "Sizhukong J-23 trcaLs

79
One" \redle Thera/JJ' / Par/ II: Pain .$yndromes

unbearable headaches." And in \Vo Yan Ling Xiao Ying Xue Ge «�E
��j[JJ!f.J'C�X» , i t says, "Combine Sizhukong SJ-23 with Fengchi GB-20 to
treat debilitating headaches." Combine Sizhukong SJ-23 with Fengchi GB-
20 will encompass and treat the area with remarkable results. Fengchi GB-
20 is ascribed to Gallbladder meridian. It is the meeLing point of Sanjiao,
Yinqiao and Yangqiao meridian . Thus, it is clearly a very important point
for wind disorders, especially head-wind disorders (such as headache and
dizziness). Sizhukong SJ-23 is also an essential point that treats ordinary
and migraine headaches since ancient time especially when combined with
Fengchi GB-20.

H. Fengchi GB-20 (the affected side)

Location:
Fengchi GB-20 is located in the depression between the upper portion of
the sternocleidomastoid muscle and the trapezius, level with the lowest
point of the car lobe.
Needling:
The patient should be in a prone position or leaning the forehead against
the back oC a chair. leedle 0.5 to 0. 7 cun at Fengchi GB-20 with the needle
directing toward the opposite eye.
Analysis and Experience:
Fengchi GB-20 is the meeting point of Sanjiao, Gallbladde1� Yangwei,
and Yangqiao meridians. As the name implies ("feng" means "wind" in
Chinese), it is an important point to treat disorders associated with wind.
"All wind causes dizziness". It i indicated in treating any symptoms v.r ith
trembling of the body and dizziness. This is an essential point for treating
migraine headache and all kinds of headache. As cited in Sheng Yu Ge «
JWJ� �» , Yu Long Ge « .:li ��!IX» and Yi Zong Jin Jian « f!Hj���»
Fengchi GB-20 is for the treatment of headaches and stopping migraines
or occipital neuralgia immediately. For chronic or stubborn headaches,
three to five treatments will release the headache for a very long time.

I. Neiguan PC-6
Location:
\\Tith the patient's palm facing up, Ieiguan PC-6 is located 2 cun proximal
from the wrist crease (the distance between the wrist crease and the cubical
crease is 1 2 cun). Nciguan PC-6 is located 5/6 of the proximal aspect and
I / 6 of the distal aspect of the forearm from the wrist crease beLvveen the
tendons of palmaris longus and flcxor carpi radialis.
Needling:
Have the patient's palm facing up, perpendicular insertion 0.8 to 1 cun
between the two tendons. Once qi is acquired, ask the patient to move
the head from side to side. The headache should be relieved immediately.

80
 C'lw/Jfer I / Headache

Generally retain the needle fo r 30 minutes. ?\ Ianipulatc the needle every

1 0 minutes and ask the patient to move the head from side to side for 30
seconds to 1 minute at the same time.
Analysis and Experience:
Nciguan PC-6 is one of the eight connuent points of the extraordinary ves­
sels that connects to Yinwei meridian. It is an important acupuncture point.
Neiguan PC-6 is the luo-connecting point of hand j ueyin Pericardium
meridian. Pericardium divergent meridian converges with hand shaoyang
Sanjiao meridian. Thus, it can strongly regulate qi. Furthermore, luo-con­
necting points are especially indicated for blood level di. orders; therefore,
this point can regulate qi and blood. Pericardium meridian is connected
with footjueyin Liver meridian through the connections between the same
name hand and foot meridians. It is therefore an important point for wind
(liver) and phlegm-fire (pericardium is closely related with phlegm-fire). It
is very effective in treating frontal and migraine headache along the path
of yangming meridian. Neiguan PC-6 is especially useful for phlegm-fire,
her "vind and ,·ascular neuralgia with great results.

J. Taiyang [EX] (the affected side)

Location:
Taiyang [EXJ is located on the lateral aspect of the eye (eyeball) and eye­
brow (Sizhukong SJ-23) or above.
Needling:
Bleed the bluish-green vein with a three-edged needle. Once the patient
starts bleeding, quickly roll the patient's head sideway so that d1e blood
will drip away from the patient. Each side of the temple should be bled for
20 to 30 drop of blood. Treatment should be every 7 to 1 0 clays. For mild
headaches, 1 to 2 treatments will stop the pain and for severe headaches,
2 to 3 treatments.
Analysis and Experience:
Taiyang [EX] is an extraordinary point. It i the meeting point of foot
haoyang and foot yangming meridians and where hand taiyang and
hand shaoyang meridians tra,·erse. Yangming [meridian] dominates the
forehead, shaoyang [meridian] dominates the lateral aspect of the head;
therefore this point is good for treating both frontal and temporal head­
aches. Acute di orders are usually related to invasion of wind, whether it
is wind-heat, or wind-cold. These invasions can be expelled by bleeding
this point. As for chronic headaches, as cited in the Huang Di eijing «
Yi* 17'Jfa.�» : "For persistent stagnation, remove it." Severe and chronic
disorders settle in the collaterals. For those disorders that arc decades old,
bleeding is a must to accelerate the healing process or to target the root
cause. Bleeding with a three-edged needle can expel wind and clear the
collalerals, djspcl p a lhogc n s and dissipate sLagnation. Therefore, it may

81
One Needle Therapy / Part II: Pain .':i)ndromes

take only one treatment or for chronic cases or it may require two to three
treannents. Personally, I have treated numerous chronic headache ctisor­
ders that lasted over twenty years and the pain is often alleviated within
three treatments.

III. VERTEX HEADACHE

Du merictian travels on the midlinc of the head; therefore, points of Du merid­
ian can treat headaches along the rnidline of the vertex. Foot taiyang Urinary
Bladder meridian is located 1 .5 cun lateral to Du meridian and its left and right
branches meet and intersect at the vertex. Subsequently, points of Urinary
Bladder merictian can treat vertex headaches. Furthermore, Liver meridian
meets Du mcriclian at the top of the head. Hence, points of foot jueyin Liver
merictian can also treat vertex headaches. That is why the treatment for vertex
headache involves all Du, taiyang andjueyin merictians. I n addition, the diver­
gent meridians of hand and foot shaoyang Sanjiao and foot shaoyang Gall­
bladder meridians also meet at the vertex. Sometimes it is effective to treat
vertex headaches with the points of these two meridians.
Vertex headaches are often seen in patient with neurosis. They are often
accompanied by other neurasthenic symptoms such as poor concentration,
memory loss and insomnia. The pain clusters at the top of the head and the
patient experiences a heavy suppressing sensation of wearing a hat. In Chinese
medicine, vertex headache is often seen in cases of liver yang uprising, and is
often accompanied by symptoms such as dizziness or vertigo.

One Needle Therapy Points for Vertex Headache

The commonly used points that are very effective in one needle therapy for
vertex headache are: Shugu UB-65, Yongquan KID- l , Taichong LIV-3, Houxi
SI-3, Zhiyin UB-67 and Lieque LU-7 .

A. Shugu UB-65 (bilaterally)

Location:
Shugu UB-65 is located on the lateral aspect of the foot, in the depression
posterior and inferior to the head of the 5th metatarsal bone at the junc­
tion of the red and white skin.
Needling:
First, needle one side (generally speaking, needle male patient on tl1e left
and female patient on the right). Perpendicular insertion I cun. Ask the
patient to move the head from side to side eYery few minutes to guide qi to
the affected area. Usually the pain stops immediately after needling. If the
pain persists, needle the other side (all of the follO\<Ving points B through
F below will have the same procedure). Retain the needle for 30 minutes;
manipulate the needle every 1 0 minutes and ask the patient to move the
head from side to side simultaneously.

82
 Chapter 1 / Headache

Analysis and Experience:

Generations of Chinese medicine practitioners preferred to use Yongquan
KID- I to treat vertex headaches. Thjs is mrunly due to the correspon­
dence between the top (head) and the botlom (foot). Some favored using
Truchong LIV-3 instead (due to the path of Liver merirnan ascends to
the vertex). Vertex headache is also known a foot jueyin Liver headache.
Howeve1� Shugu UB-65 is even more effective in treating vertex headaches
than Yongquan KID- I . Urinary Bladder merirnan traverses to the vertex
and enters the brain and thus, Shugu UB-65 is related to the vertex and
the brrun. Shugu UB-65 is the shu-stream point of Urinary Bladder me­
ridian. Shu- tream points are indicated for heaviness of the body and for
joint pain. Shugu UB-65 is also the wood point of Urinary Bladder (water)
meridian. The property of the point is related to wood and the liver; there­
ying the water� moistening the wood and
fore, it has the [unctions of tonif
benefiting the liver. According to fourteen primary mcrirnans or the five
element theories, this point is effe ctive in treating vertex headaches.

B. Yongquan KID-1
Location:
Yongquan KID- I is located on the sole of the feet, in the depression with
the foot in plantar flexion, at the junction of the anterior 1 /3 and posterior
2/3, of the line connecting the base of the 2nd and 3rd toes with the heel.
Needling:
Perpenrncular insertion 0.8 cun. Ask the patient to move the head from
side to side for 30 seconds every few minutes to guide qi to the affected
area. The pain should stop immediately. Retain the needle for 30 minutes;
manipulate the needle every 1 0 minutes and ask the patient to move the
head from side to side at the same Lime.
Analysis and Experience:
Yongquan KID- I is the jing-well (wood) point of Kidney (water) merirnan.
\ Vood corre ponds to the liver and vertex headache is ascribed to jueyin
liver headache. Therefore, this point can tonify water and moisten wood,
which means it can nourish the liver and the kidney. Aecorrnng to holo­
graphjc correspondence, the top of the head corresponds to the sole of the
foot. Thjs is the reason why Yongquan KID- I is effective in treating vertex
headaches. As cited in Zhou Hou Ge «JM��.JiJX» : "For vertex headache

accompanied with difficulty in opening the eyes, needle Yongquan KID- 1 .

This will bring tranquility and good heath." Throughout hjstory physi­
cians have often used this empirical point for vertex headaches.

C. Taichong LIV-3
Location:
According to Yi Zong Jin Jian «{Sf .*��M» , "The point [Taichong

83
One Needle TherapJ1 / Part II: Pain fiyndromes

LIV-3] is located on the dorsum of the foot, approximately 2 cun proximal

to Xinjian LN-2, in the depression where the foot tarsal artery is pul­
sating." To locate the point, slide the finger bet\-veen the big toe and 2nd
toe and reach for the deepest point where it coincides \.Yith l\1Iaster Tung's
point Huozhu 66.0+.
Needling:
Perpendicular insertion 1 . 5 cun. After qi is acquired, ask the patient to
move the head from side to side for 30 seconds every few minutes to guide
qi to the affected area. The pain should stop immediately. Retain the nee­
dle for 30 minutes. Manipulate the needle every 1 0 minutes and ask the
patient to move the head from side to side at the same time.
Analysis and Experience:
Taichong LN-3 is the yuan-source point of Li,·er meridian and is very ef­
fective in treating disorders along this meridian. Liver meridian ascends to
enter hang sang (the nasopharynx area) and connects with the eye system.
It exits through the forehead and meets with D u meridian at the vertex.
Therefore, it can treat vertex headaches as well as intracranial pain. It is
also the shu-stream point of Liver meridian. Shu-stream points are indi­
cated for heaviness of the body and for joint pain. Therefore, it is very
effective in treating pajn symptoms. If the point is needled from Yongquan
KID- I through Taichong LIV-3, it v.ri.11 tonify water to moisten wood and
enhance the effectiveness. The Liver meridian is closely related to menstru­
ation. Therefore, it is particularly good at treating vertex or other types of
headache during menstruation and v.ri.ll usually take one or two treatments.

D. Houxi SI-3
Location:
Houxi SI-3 is located with the patient's hand in a loose fist at the ulnar as­
pect of the palmar crease proximal to the 5th metacarpal phalangeal joint,
at the junction of the red and white skin.
Needling:
With the patient's hand in a loose fist, perpendicular insertion 0.5 to I
cun from the palmar crease toward the palm. Ask the patient to move the
head from side to side for 30 seconds every few minutes to guide qi to the
affected area. The pain should stop immediately Retain the needle for 30
minutes. Manipulate the needle e\·ery I 0 minutes and ask the patient to
move the head from side to side at the same time.
Analysis and Experience:
Houxi SI-3 is the shu-stream (wood) point of hand taiyang Small Intestine
meridian. The hand and foot taiyang meridians communicate with each
other and traverse the lateral aspect of head. Houxi SI-3 is also one of
the eight confluent points and connects to Du meridian. Its pathway and
passes through the center of the vertex. This point is ascribed to wood

84
 Chapter J / /-leadaclte

and corresponds with the liver (wood). Therefore it is effective in LreaLing

jueyin Liver headache, also known as vertex headache. Houxi SI-3 is the
shu-stream point of hand taiyang Small Intestine meridian and shu-slream
points are indicaled for hea\-iness of Lhe body and forjoinl pain. Therefore
it is very effectiYe in treating pain syndromes including vertex and occipital
headaches (taiyang meridians also pass through the occipital).

E. Zhiyin UB-67
Location:
Zhiyin UB-67 is localed 0. 1 cun posterior to Lhe corner of the nail on the
lateral aspect of the liltle roe.
Needling:
Perpendicular insert.ion 0. 1 to 0.2 cun. After qi is acquired, ask the patient
to move the head from side ro side for 30 seconds every fe"· minutes to
guide qi lo the affected area. The pain should stop immediately. Retain the
needle for 30 minutes. fanipulate the needle eve1y 1 0 minutes and ask the
patient to move the head from side Lo side at the same time.
Analysis and Experience:
Zhiyin UB-67 is lhe jing-well point of Urinary Bladder meridian. It is the
"root" point of taiyang meridian. It soothes the meridian and collaterals,
regulates yin and yang, clears the head and brightens the eyes. It is effective
for various types of head and facial disorders. I t is indicated for headaches
along and encompassed by the pathway of Urinary Bladder meridian,
which are the lateral, vertex and occipital headaches. As cited in Zhou Hou
Ge «,ij•j1��» : "For head and facial disorders, needle Zhi)-in UB-67."

E Lieque LU-7
Location:
\\Then crossi11g the hukou of the hands, the index finger of the top hand
should be placed on top of the radius of the other hand. The point is lo­
cated in the depression at the tip of the index finger of the top hand.
Needling:
Oblique-subcutaneous insertion 0.5 to I cun at Lieque LU-7 witl1 the
tip of the needle pointing toward the elbow. Once qi is acquired, ask the
patiem to mo\·e the head moderately from side to side for 1 minute. For
chronic headache, retain the needle for 30 minutes. Manipulate the needle
every l 0 minutes and ask the patient to move the head from side to side for
l minute at the same Lime.
Analysis and Experience:
Lieque L -7 ha been recognized as an essential point for lateral and fron­
tal headaches since ancient times. As cited in Lan Jiang Fu «mlffM » :
"To treat headache, one must search for Lleque LU-7 . " This point is one
of the eight confluent points and connects w1th Ren meridian. Ren and Du

85
One . \eed/e ThemjJ) / Part fl: Pain Sjmdromes

meridians are interiorly-exteriorly related. Du meridian traverses along the

vertex and the occipital. Lieque LU-7 is the luo-connecting point or Lung
meridian. The lung governs qi and the luo-connecting points are essential
to vascular disorders. Therefore, this point can regulate both qi and blood.
The divergent meridian of hand taiyin Lung meridian merges with the
divergent meridian of hand yangming Large Intestine meridian. As hand
yangming meridian runs along the neck region, needling Lieque LU-7 is
effective for treating vertex headaches. This point is located at the upper
forearm ctnd corresponds to the head region according to holographic cor­
respondence, another reason why Lieque LU-7 is effective for headaches.

Iv. OCCIPITAL HEADACHE

The main meridians that travel in the occipital area are: Du meridian in the
center, foot taiyang Urinary Bladder meridian alongside Du meridian, and
Yang.Nei meridian, which travels to Fengfu D U- 1 6 at the occipital. Occipi­
tal headache is mostly related to taiyang and Du meridians. Needling Shugu
UB-65 of Urinary Bladder meridian to n-eat occipital headaches is most effec­
tive. Occipital headache is commonly seen in patient with hypertension, cervi­
cal and soft tissue injury and occipital neuralgia, as well as in cases of menin­
gitis and brain tumors. If the occipital headache is accompanied by projectile
vomiting, high fever and rigidity of the neck, it may be related to intracranial
disorders (such as brain tumor). If the practitioner suppects that this might
be the case, refer the patient to a medical doctor for further diagnosis. :Niost
occipital headaches are caused by occipital neuralgia (nerve pain that spreads
through the occipital region) and the pain may ascend to the vertex. If the
occipital headache is caused by a common cold, it can be aggravated when the
patient moves the head or coughs. Generally, with occipital headache, tender­
ness can be found at the exit poim of the occipital nerves (Fengchi GB-20).

One Needle Therapy Points for Occipital Headache

The commonly used one needle therapy points for occipital headache are:
Shugu UB-65, Kunlun UB-60, Houxi SI-3, Zhiyin UB-67 and Fengchi GB-20.

A. Shugu UB-65
Location:
Shugu UB-65 is located on the lateral aspect of the 5th metatarsal bone,
in the depression proximal to the 5th metatarsophalangeal joint, at the
j unction of the red and white skin.
Needling:
Perpendicular insertion 1 cun. Ask the patient to move the head from side
to side every few minutes to guide the qi to the affected area. The headache
should stop immediately after needling. Retain the needle for 30 minutes.

86
 Chapter I / Headache

Manipulate the needle every 1 0 minutes and ask the patient to move the
head from side lo side at the same time.
Analysis and Experience:
The pathways of Urinary Bladder and Du meridians traverse through the
occipital area. rinary Bladder meridian lravels alongside Du meridian.
According to Tong Xuan Zhi Yao Fu «:im�fll�tllftt » : "Bleed the distal
points; needle the fool for disorders of the head." This is very effective in
using the distal poinL Shugu UB-65 to treat occipital headaches. Shugu
UB-65 is the shu-strcam point of Urinary Bladder meridian and shu­
strcam points arc indicated for heaviness of the body and for joint pain. It
is the point of choice to treat pain, especially any pain in any location along
Urinary Bladder meridian. As the wood point of Urinary Bladder ('.vater)
meridian, it upplements water to moisten wood, or supplements kidney
lo moisten the liver. So according to the theo1-ies of the fourteen prima1y
meridians or the five clement, it is an extremely effective point for treating
occipital headache.

B. Kunlun UB-60
Location:
Kunlun UB-60 is located posteriorly to l11e lateral malJeolus, in the de­
pression midway between the tip of the lateral malleolus and the Achilles
tendon.
Needling:
Oblique insertion with the tip of the needle pointing toward the front edge
of the inner mallcolus. When qi is acquired, ask the patient lo move the
head from side lo idc or to frown and squim repeatedly to guide qi to the
affected area. Frontal or superciliary bone pain should subside immediately.
Analysis and Experience:
Kunlun UB-60 is lhe jing-river and fire point of Urinary Bladder merid­
ian. It is the fire point of water meridian and soothes qi and blood, clears
the head and eyes, tonifies water and assists fire (i.e. nourish yin and warm
yang). Urina1y Bladder meridian traver. es through the frontal, vertex and
occipital areas of the head. Based on the treatment principle of "the acu­
puncture points of a meridian treat the parts of the body trm·elling along
lhat meridian ", it can treat occipital headache. Kunlun UB-60 is located
between the heel and lhe metatarsophalangeal joint. According to holo­
graphic correspondence, it corresponds to the head and face, another rea­
son why it is effective in treating headaches.

C. Homci SI-3
Location:
With the patient's hand in a loose fist, Houxi SI-3 is located at l11e ulnar

87
One Needle Therapy / Par/ IL Pain S
yndromes

end of the palmar crease proximal to the 5th metacarpal phalangeal joint
at the junction of the red and white skin.
Needling:
'Vi th the patient's hand in a loose fist, perpenclicular insertion 0.5 to l cun
medially from the lateral aspect of the fist. Once qi is acquired, every few
minutes ask the patient to move the head from side to side for 30 seconds
Lo guide qi to the affected area. After needling, the pain should stop im­
mediately. Retain the needle for 30 minutes. Manipulate the needle every
l 0 minutes and ask the patient to move the head from side to side at the
same time.
Analysis and Experience:
Houxi SI-3 is the shu-stream (wood) point of hand taiyang Small Intestine
meridian. Because taiyang me1iclians of hand and foot connect to each
other by the same name, they travel through both sides of the occipital
area. This is also one of the eight confluent points which connects with
Du meridian. Du mericlian traverses through the middle of the occipital
area. Therefore, Houxi SI-3 treats occipital headache. Shu-stream point
is indicated for heaviness of the body and for joint pain. Therefore Houxi
SI-3 is very effective for treating pain and headaches, especially occipital
headache.

D. Zhiyin UB-67
Location:
Zhiyin UB-67 is located 0. 1 cun posterior to the corner of the nail on Lhe
lateral aspect of the little toe.
Needling:
Perpendicular insertion 0. 1 to 0 . 2 cun. Aft er qi is acquired, ask the patient
to move the head from side to side for 30 seconds to guide qi to the affected
area. The pain should subside immediately. Retain the needle for 30 min­
utes. Manipulate the needle every 1 0 minutes and ask t11e patient to move
the head from side to side al the same time.
Analysis and Experience:
The pathway of Urinary Bladder mericlian runs alongside Du meridian
and traverses to the vertex and occipital area of the head. I t is the jing-well
point of Urinary Bladder mericlian and where yin and yang meet. As it
is the encling and beginning point of qi and blood flow, i t is indicated Lo
soothe the meridians and collaterals, regulate yin and yang, clear the head
and brighten ilie eyes. Furthermore, Urinary Bladder meridian "begins" at
the face and head and "ends" at Zhiyin UB-67. Accorcling to holographic
correspondence, the head and foot correspond to each oilier. Therefore,
it is very cffectiYe in u·cating occipital headaches. As mentioned in Zhou
Hou Ge «�•t 1!J:�» : "r eedle Zhiyin UB-67 for head and face clisordcrs."
It is very effecti\'e in Lreating any clisorders in both head and face, and is

88
 Cltaj>ler I / Headache

especially effective in treating headaches such as vertex and occipital head­

ache located on Urinary Bladder meridian.

E. Fengchi GB-20
Location:
Fengchi GB-20 is located in the depression belween the upper porlion
of the sternocleidomasLoid muscle and the Lrapezius, level vvith Lhe lowc t
point of the car lobe.
Needling:
Have the patient in a prone position or leaning the forehead againsl the
back of a chair. Oblique insertion 0.5 to 0. 7 cun at Fengchi GB-20 with
the tip of Lhe needle Loward the opposite eye. Manipulate the needle using
the technique of lifting and thrusting, but \vlth more twirling motion until
the patient clearly feels the sensations of soreness, tingling and distention.
Retain the needle for 30 minutes. :Manipulate the needle every l 0 minutes.
Analysis and Experience:
Fengchi GB-20 is the meeting point of Sanjiao and Gallbladder meridians
and of Yangwei and Yangqiao meridians. As its name implies, it is an es­
sential point in sedating wind. It has always been a very important point
in treating lateral and frontal head-"vind headaches. In fact, it is effective
in treating aLI types of headaches. Shang Han Lun «m��» says, "For
unresolved taiyang disordc1; first needle Fengchi GB-20, Fengfu DU- 1 6."
ConsequentJy, iL treats taiyang disorders as well. Sheng Yu Ge «J�J:.3!.{JJX» ,
Yu Long Ge «.3!.�glITJ(» and Yi Zongjinjian «�*�iii » all indicate
tJ1at Fengchi GB-20 is essential in treating headaches. It treats migraine
headaches and occipital neuralgia instantaneously. For chronic and stub­
born headaches, it only needs three to five trealments to obtain great re­
sults for a long time.

V. FRONTAL AND MIGRAINE HEADACHES

ifigraine frontal headaches include frontal headache and migraine headache,
bul some considered the term to include headache of the whole head.

One Neeclle Therapy Points for Frontal and Migraine Headaches

The following are a few of the dynamic one needle Lherapy points for temporal
and frontal headache: Licquc LU-7, Taiyuan LU-9, Fengchi GB-20, Taiyang
[EX] , Zhongzhu SJ-3, Yemen SJ-2, Dabai 22.04 and ear apex.

A. Lieque LU-7
Location:
\ Vhen cro ing the hukou of the hands, the index finger of the top hand
should be placed on top of the radius of the other hand. The point is lo­
cated in the depression at the tip of the index finger of the top hand.

89
One Needle Therapy /Part JI: Pain S_yndromes

Needling:
''\'hen treating headaches, the intercepting technique is usually used.
Oblique-subcutaneous insertion 0.5 to 1 cun with the Lip of the needle to­
ward Taiyuan LU-9. After qi is acquired, ask the patient to move the head
moderately from side to side and up and clown for 1 minute. For chronic
disorders, retain the needle for 30 minutes. Manipulate the needle every
1 0 minutes and ask the patient to move the head from side to side for 1
nunute.
Analysis and Experience:
Liequc LU-7 is one of the four command points. It has been recognized
as one of the most important points for treating frontal and temporal
headache since ancient times. Si Zong Xue Ge « llY�1\:mz» states: "Use
Lieque LU-7 to treat head and neck disorders." Xi Hung Fu «� 5lM»
says, "Use Lieque LU-7 to treat frontal and lateral headaches and when
combined with Taiyuan LU-9 (strongly reducing the point), all the head­
aches will respond and be alb·iated." Lan Jiang Fu «m!IT.Pffi:» says,
"One must seek (needle) Lieque LU-7 for headaches." This point has been
known for all kinds of neck disorders, frontal and temporal headaches.
Lieque LU-7 is the luo-connecLing point of Lung meridian and it is inte­
riorly-exteriorly related to Large Intestine meridian. Since it is one of the
eight confluent points and connects to Ren meridian, it treats disorders re­
lated lo the Lung, Large Intestine, and Ren meridians. As a luo-connecting
point, it is indicated for blood vessel related disorders. This point is located
on Lung meridian, and Lung masters qi, therefore Lieque LU-7 regulates
both blood and qi. According to the extraordinary connection, the lung is
connected with the urinary bladder, which passes through the vertex, fron­
tal and occipital areas of the head, and enters the brain. Also, according to
holographic correspondence, Lieque LU-7 corresponds to the head. These
are all the reasons why Lieque LU-7 is an excellent point for frontal and
temporal headaches.

B. Taiyuan LU-9
Location:
With the patient's palm facing up, locate the point in the depression at the
wrist crease on the lateral aspect of the radial artery where the pulse is
detected.
Needling:
Perpendicular insertion 0.3 to 0.4 cun from the lateral aspect of the palm
toward the dorsal aspect of the hand. After qi is acquired, ask the patient
to move the head moderately from side to side and up and down for l min­
ute. For chronic disorder, retain the needle for 30 minutes. ivianipulate the
needle every l 0 minutes and ask the patient to move the head for 1 minute.

90
 Chapter I / Ill'adache

Analysis and Experience:

Taiyuan LU-9 has been an essential point in treating fromal and lateral
headaches since ancient times. Please refer to '�alysis and Experience"
of Section 1 . 1 1 A Lieque LU-7 for details. This point is the inAuential
-

point of ,-es els and is good for treating vascular disorders. Taiyuan L -9
is the shu-stream and earth point of Lung meridian. Therefore, it has a
strong indication to regulate qi and blood. I t is located at the wrist crease
which corre ponds to the head according to holographic correspondence.
From the above, we can conclude that Taiyuan LU-9 is an excellent point
in treating frontal and lateral headaches.

C. Fengchi GB-20 (affected side)

Location:
Fengchi GB-20 is located below the occiput, in the depression between the
origins of the sternocleidomastoid and the trapezius muscles, level with the
ear lobe.
Needling:
Have the patient in a prone position or sitting with the head against the
back of a chair. Oblique in ·ertion 0.5 to 0. 7 cun with the tip of the nee­
dle towards the opposite orbital. Manipulate the needle by less lifting and
thrusting, but with more twirling until the patient feels the sen ation of sore­
ness, tingling and distention. Retain the needle for 30 minutes. Manipulate
the needle every I 0 minutes.
Analysis and Experience:
Fengchi GB-20 is the meeting point for Sanjiao, Gallbladder meridians
and Yangqiao meridians. It is an important point for treating all kinds
of headaches, particularly frontal and temporal headaches. Shang Han
Lun «f��Mff » says, "Taiyang disorders. . . if not resolved, first needle
Fengchi GB-20, Fengfu DU- 1 6." Obviousl); Fengchi GB-20 treats taiyang
disorders as well. Yi Zong Jin Jian <«W:*��» , Sheng Yu Ge «Jln .:tt
�» and Yu Long Ge «Ji���» all indicate that Fengchi GB-20 as an
important point for headaches. As for migraine headaches and occipital
neuralgia, needling Fengchi GB-20 can achieve immediate results. This
point also treats headaches due to common cold.

D. Taiyang [EX] (bilateral)

Location:
Taiyang is the area that is located between the lateral end of the eyebrow
(Sizhukong SJ-23) and the outer canthus or the bluish-green veins that are
superior to the aforementioned.
Needling:
Bleed the bluish-green vein with a three-edged needle. Once the patient
starts bleecling, quickly roll the patient's head to the side so that the blood

91
One Xeedle Therapy / Part II: Pain �ndmmes

will drip away from the patient. Each side of the temples should obtain 20
to 30 drops or blood. Treatment should be every 7 to 1 0 days. For mild
headaches, the pain should be alleviated within one to two treatments and
for severe headache, two to three treatments.
Analysis and Experience:
Please refer to '1\nalysis and faq)erience" of Section 1 .4 J - Taiyang [EX]
for details.

E. Zhongzhu SJ-3
Location:
Zhongzhu SJ-3 is located 1 cun posterior to Yemen Sj-2, in the depression
proximal to tl1e 4tl1 and 5th metacarpophalangeal joints.
Needling:
With the patient's hand in a loose fist, perpendicular insertion 0.5 to 0.6
cun. Strongly manipulate the needle by twisting and tl1rusling. Once qi is
acquired, ask the patient to move the head moderately from side to side for
l minute. Retain the needle for 30 minutes. Manipulate tl1e neeclle every
1 0 minutes and ask the patient to move the head for l minute.
Analysis and Experience:
Zhongzhu SJ-3 is the shu-stream and wood point of Sanjiao meridian.
Shu-stream points are indicated for pain. Zhongzhu SJ-3 stops pain by
dredging the meridian qi. Shaoyang meridian is indicated for disorders
of the lateral aspect of the head whereas yangming meridian is indicated
for frontal headache and headache around the temples. Zhongzhu SJ-3 is
located in the shaoyang meridian and it is ascribed to wood. It therefore is
effective for yangming headache (frontal and lateral headaches), which is
indicated by Stomach as well as shaoyang meridians migraine headache.

F. Sanchasan A.04 (Yemen SJ-2)

Location:
Sanchasan A.04 is located on the dorsal aspect of the hand, at the margin
of the web bet\veen the 4th and t11e 5th fingers, in the depression when the
patient's hand in a fist below t11e tendon.
Needling:
\ Vith the patient's hand in a loose fist, perpendicular insertion l to 1 .5 cun
below the tendon and alongside the metatarsal bone but avoiding the su­
perficial vein. The patient may have the sensation or soreness, tingling or
heavy distention at the needling site. Once qi is acquired, ask the patient to
move the head moderately for 1 minute. Retain tl1e neeclle for 30 minutes.
l\i lanipulate the neeclle every l 0 minutes and ask the patient to move the
head for l minute. It is often effective even when only one side is neeclled.
Otherwise, after 1 0 minutes, needle the opposite Sanjian LI-3 or Dabai
22.04. The headache should alJe,'iate or vanish immediately.

92
 Oiapter 1 / Headache

Analysis and Experience:

Sanchasan A.04· is cficctive in treating headaches caused by common cold,
sinusitis, neurasthenia, or arteriosclerosis of the brain. Some practitioners
prefer using Yemen SJ-2 for those disorder "·hich is also ,·e1y effective.
Yemen SJ-2 is the ying-spring point of anjiao meridian and ying-spring
points are indjcatcd for febrile and externally contracted disorders as men­
tioned in Huang Di Neijing «Jt1if pg f.�» . Yemen SJ-2 can expel wind
and calm pain. Since Sanchasan A.OLJ. is located close to Yemen SJ-2, it
treats all the disorders that Yemen SJ-2 indicated. Needling Sanchasan
A.04 along the tendon corresponds with the liver and wind; along Lhe
bone corresponds with the kidney and cold. By needling Yemen SJ-2 one
cun through Zhongzhu SJ-3 (earth), it corresponds with the spleen and
dampness and hence it also has the function of Zhongzhu SJ-3. Therefore,
Sanchasan A.0'� is excellent for all kinds of headaches. It is even more
effective when combined with Sanjian LI-3 or Dabai 22.04. This point is
also good at treating five sense organ disorders.

G. Sanjian LI-3 (Dabai 22.04)

Location:
anjian LI-3 i located in the depression proximal to Lhe head of the 2nd
metacarpal bone on the radial aspect of the index f inger.
Needling:
With the patient's hand in a loose fist, perpendicular insertion L cun di rect­
ing from the ulnar to the radial aspect of the hand. Once qi is acquired,
ask the patient to move the head left and right, up and clown. The patient
hould feel immediate relief. Retain the needle for 30 minutes. � Ianipulate
the needle every I 0 minutes and ask the patient to move the head for 30
seconds to 1 minute simultaneously.
Analysis and Experience:
Sanjian LI-3 is the shu-stream point of hand yangming Large Intestine me­
ridjan. Shu-stream point is indicated for hea,iness of the body and for joint
pain. Sanjian Ll-3 is one of the most frequently used points for pain. Since
the head is located on top of the body, its disorder is often caused by wind.
anjian LI-3 is ascribed to wood, which is related to wind; therefore, it can
treat ""ind disorders. This point is not only effective for frontal (yangming)
headaches, i t is also very good i n treating other headaches as well. Chinese
practitioners believe that most chronic disorders often implicate kidney
deficiency. I f it is a chronic disorder, needling distally along the bone "'rill
reach Dabai 22.04, which is adjacent to the 2nd metacarpal bone. This will
tonify the kidney. ccording to holographic correspondence, is ascribed to
the head; therefore, it is effecti'e in treating headaches.

93
One Needle Therafl_Y I Part 11: Pain Syndromes

H. Erjian [EX]
Location:
Apex of the ear is located at the highest point on the lateral aspect of the
helix.
Needling:
Use a three-edged needle or a lancet, gently prick the highest point of the
lateral aspect of the helix. The car should bleed immediately.
Analysis and Experience:
The pathway of taiyang meridians ascend to the upper helix and shaoyang
meridians encircle the ears, bleeding the apex of the ear can treat frontal,
lateral and vertex headaches located along those meridian pathways. I n
addition, taiyang me1iclians govern the exte1ior; hence bleeding this point
treats exterior and wind syndrome and is particularly effective for frontal
and lateral headaches caused by common cold.

VI. INTRACRANIAL HEADACHE

There are four major meridians connect with the brain: ( l ) Du mericlian is
ascribed to the brain, (2) Foot taiyang Urinary Bladder meridian branches out
to enter the brain, (3) Fool yangming Stomach me1iclian traverses to the eyes
and enters the brain and (4) Foot jucyin Liver mericlian meets with Du merid­
ian at the vertex. Therefore, points that are located on Du, Live1� and Urinary
Bladder meridians can all treat intracranial headache.

One Needle Therapy Points for lntracranial Headache

The commonly used one needle therapy points for intracranial headache are:
Shugu UB-65, Yongquan KID- I , Taichong LIV-3 and Zhiyin UB-67.

A. Shugu UB-65 (bilateral)

Location:
S hugu UB-65 is located on the lateral aspect of the small toe, in the depres­
sion poste1ior and inferior to the head of the 5th metatarsal bone at the
junction of the red and white skin.
Needling:
Perpendicular insertion 1 cun. Ask the patient to move the head every few
minutes to guide qi to the affe cted area. Once needled, vertex headache
should stop immediately. Retain the needle for 30 minutes. Manipulate the
needle every 10 minutes and ask the patient to move the head at the same
time.
Analysis and Experience:
Shugu UB-65 is excellent in treating vertex headaches. Urinary Bladder
meridian traYels to the vertex and enters the brain; therefore, U1inary
Bladder meridian is related to the vertex and the brain. Shugu UB-65 is
the shu-stream point of Urinary Bladder meridian and is indicated for

94
 Oia/Jler I / Headache

heaviness of the body and for joint pain. This point is the wood point of
Urinary Bladder (water) mcriclian and has the function of tonifying water
to moisten wood. According to the fourteen primary meridians and five
element theories, it is very effective in treating vertex headache.

B. Yongquan KID-1
Location:
Yongquan KID- I is located on the sole of the foot, in the depression with
the foot in plantar Acxion, al the junction of the anterior l /3 and posterior
2/3 of the line connecting the base of the 2nd and 3rd toes with the heel.
Needling:
Perpendicular insertion 0.8 cun and ask the patient to move the head for
30 seconds every few minutes to guide qi to the affected area. Headache
should be alleviated immecliatcly. Retain the needle for 30 minutes.
Manipulate the needle every l 0 minutes and ask the patient to move the
head at the same time.
Analysis and Experience:
Yongquan KID- I is the jing-well (wood) point of Kidney (water) merid­
ian. Wood corresponds with the liver and vertex headache belongs to juc­
yin headache. Tcedling this point will tonify water to moisten wood and
therefore it has the effect of con ifying the liver and moi tening the kidney.
Furthermore, the vertex of the head and the sole of the foot correspond to
each other according to holographic correspondence, another reason this
point is effective in treating Yertcx headaches. Zhou Hou Ge «M1��JX »
says, "When vertex headache accompanied with difficulty in opening the
eyes; needling Yongquan KID- I will surely b1ing peace and heath."

C. Taichong LIV-3
Location:
According to Yi ZongJinJian «·�.*�it» , Taichong LIV-3 is located
approximately 2 cun proximal to Xingjian LIV-2, where one can feel the
pulse bet\.veen the tarsal bones. To locate the point, palpate the dorsum of
the foot in the depression clistal to the junctions of the I st and 2nd meta­
tarsal bones, where it coincides with Master Tung's point Huozhu 66.04.
Needling:
Perpendicular insertion 1 . 5 cun. Once qi is arrived, ask the patient to move
the head for 30 seconds every few minutes to guide qi to the affected area.
Headache should subside immediately after needling. Retain the needle for
30 minutes. �Ianipulatc the needle every l 0 minutes and ask the patient to
move the head at the same time.
Analysis and Experience:
Taichong LIV-3 is the yuan-source point of Liver meridian and is very
effective in treating Liver meridian related diso1,ders. Since Liver meridian

95
One . \eedle Therapy / Part 11: Pain S_)'lzdrome.1

goe to the nasopharynx and then the eye, it traverses through the forehead
and a ccnds to the \·ertex to meet with Du meridian, Taichong LIV-3 treats
\·ertex headache and intracranial headache. As the shu-stream point of
Li\·cr meridian, it is indicated for hea\ines of the body and for joint pain;
therefore, it is very effective in treating pain. ::\feedling Taichong LIV-3 to­
\rnrd Yongquan KID- I '"'ill ha,·e the function of tonifying water to moisten
"·ood; t herefore, the result is e\·en more pronounced. As Liver me1idian
is closely related to menstruation, this point is especially good for treating
menstrual licadacl1e::; and it generally cakes only one creatmenc.

D. Zhiyin UB-67
Location:
Zh.iyin UB-67 is located 0. 1 cun posterior to the corner of the nail on the
lateral aspect of the little toe.
Needling:
Perpendicular insertion 0. 1 to 0 . 2 cun. Once qi i arrived, ask the patient
·

to move the head e,·ery few minutes to guide qi to the affected area. The
headache should subside immediately. Retain the needle for 30 minutes.
l\Ianipulatc the needle every l 0 minutes and ask the patient to move the
head at the same time.
Analysis and Experience:
U1inary Bladder meridian traverses alongside Du meridian. It ascends
Lo the vertex and occipital and from the vertex it enters the brain. Thus,
Urinary Bladder meridian is related to the vertex and the brain. Zhiyin
UB-67 is the jing-well point of Urinary Bladder meridian, and is the meet­
ing point of yin and yang. As the beginning and ending point of the flow of
qi and blood, it is indicated for dredging the meridians and collaterals, reg­
ulating yin and yang, clearing the head and brightening the eyes. Urinary
Bladder meridian jie (originate·) at the face and head and gen (ends) at
Zhiyin B-67. According to holographic correspondence, jie and gen cor­
respond to each other; therefore, Zh.iyin UB-67 is ,·cry effective when treat­
ing occipital headaches. According to Biao You Fu «�1!4filltit» , "Bleed the
distal points; needle the foot for disorders of the head." Zhou Hou Ge «
M�!if.JX» says, " eedle Zhiyin UB-67 for head and face disorders." Zhiyin
UB-67, a distal point, is particularly effective for head and face disorders.
It is especially indicated for disorders along and encompassed by the path
of Urinary Bladder meridian, vertex and occipital headache as well as
i ntracranial headache.

SUMMARY
\ Vhen treating headache, if one can grasp any of the one needle therapy
point theories in the preceding sections, the result will be excellent. Howe,·er,
by combining two of the one needle therapy points, the result is even more

96
 Clia/Jfrr I / Headache

dynamic. The combination of the points can be sclcc[ed in accordance with

the location of th e headache and incorporate wi[h one distal and one proximal
points.
Frontal headache is best treated by distal points from Spleen meridian
(spleen is interiorly-exteriorly related to stomach). Points such a Gongsun SP-+
or Yinlingquan SP-9 are excellent. Followed by Sanjian LI-3, a hand yang­
ming point is very effective. As for proximal points Yintang [EX ] or Zanzhu
UB-2 can be selected. These points are also indicated for headaches caused by
e>rc, nose, throat or febrile disorder. Tong Xuan Zhi Yao Fu «:ifil"E"1��Jbil;»
) says, "For foggy brain with red eyes, reduce Zanzhu UB-2." According to
holographic correspondence, the location of Yintang [EX] corresponds lo the
lung and hence ir is especially suitable for febrile disorders and frontal head­
ache caused by common cold. One can retain the needle at Zanzhu UB-2 and
Yintang [EX] if needed. However, with strong stimulation 'vvithout retaining
the needle, they erve as the guiding points for Gongsun SP-4 or Yinlingquan
P-9.
�Lgraine headaches are best treated by bleeding Taiyang [EX] (a prox­
imal point) or by needling the distal points in the hand and foot shaoyang
meridians such a Zhongzhu SJ-3 and Zulinqi GB-4 l . Retain the needle for
30 minutes. .Manipulate the needles periodically during the treatment. As for
local points, needle Xuanlu G B-5 subcutaneously to thread along the lateral
;:ispr.ct of the head. Bai Zheng Fu «8*-ltit» says, "nee dle Xuanlu GB-5 and
Hanyan GB-4 to slop migraine headache."
Occipital headaches are be t treated by distal points in the hand and foot
taiyang meridians, especially the shu-stream points Houxi SI-3 and Shugu
UB-65. As for local points, Tianzhu UB- 1 0 is recommended. Huang Di Tei
Jing, Ling Shu Chapter 24 -Jue Bing «Jitr,'ff �f.;fil·J£�» JJXW9rro ays, "Treat
jueyin headache that starts with pain in the neck and follows by pain in the
spine and lumbar, first needle Tianzhu B- 1 0 then select points from foot tai­
yang meridian." Biao You Fu «1J�P.ilt» says, "To treat head-wind and head­
ache, needle Shcnmai UB-62 and Jinmen UB-63." Both points are ascribed
to foot taiyang meridian and are effective at treating the occipital headache as
well.
Vertex headaches arc often treated by distal points, such as Yongquan
KID- l or Taichong LIV-3. As the treatment principle says, "for disorder that
is low on the body, select a point that is high on the body." Zh ou Hou Ge « M
q��» says, "For vertex headache accompanied wiLh djfficulty in opening the
eyes; needling Yongquan K I D - I will bring tranquility and good heath." In fact
Taichong LIV-3 may be chosen to pacify reverse qi Aow of the u\·cr. Pers o na ll y,
I prefer Shugu B-65 as it can tonify water to moisten wood and Lhc result is
quite good. As for local point, Baihui DU-20 can be selected. Neiguan PC-6,
a point in hand jueyin meridian is also effective as it connects with Lhc same

97
One .\eedle Therapy / Part IL Pain Spzdromes

name footjueyin meridian and is indicated for nourishing the heart and paci­
f)ring the liver lo extinguish the wind.
General headaches can be treated by Sanjian LI-3 (according to holo­
graphic correspondence, it is the head point. Therefore it is often the therapeu­
tic point for headaches). One can choose Lieque L -7 (according ro four com­
mand points, "for head and neck disorde1� needle Lieque LU-7") or Taiyuan
LU-9 (hui- mceting point of vessel and since it i located on Lung meridian, it
regulates qi and blood) and according to holographic correspondence, it is also
indicated for head disorders. As Xi I long Fu «f.t 5M.ii\: » says, "selecl Lieque
LU-7 to treat frontal and lateral headache and strongly reduce Taiyuan LU-9,
all the headaches "ill respond and subside." Fengchi GB-20 and Hegu LI-4
can al o be selected i n u·eating general headaches. Yu Long Ge «.nfi� l!fX »
says, "generally, there are two types or frontal and migraine headaches. If the
headache is accompanied by phlegm fluid, needle Fengchi GB-20; if "rithout
phlegm fluid, needle Hegu LI-4." Tong Xuan Zhi Yao Fu «:Im}rm �M»
says, "For wind pathogen causing stiff neck, select Fengfu DU- 1 6; for dizziness
and \·ertigo, select :Fengchi GB-20." This citation indicates that Fengchi GB-20
and Fengfu D - 1 6 are essential in treating head disorders.
Stubborn or chronic headaches are often accompanied by blood stasis.
Bleeding Taiyang [EX], ear apex or veins at the back or the ear will address
the root cause and accelerate the reco,·ery time.
According to my several decades of experience in treating all kinds or
headaches, distal points are the main points to use. I try to avoid local points as
much as possible. After needling, apply dongqi (moving qi) needling technique
(ask the patient to move the affected site while manipulating or retaining the
needle) and it will accelerate the healing process and enhance the effectiveness.

98
 Chapter 2 / Trigemina/ Neum(efa

Chapter 2

Trigeminal Neuralgia

Trigeminal neuralgia is a pain condition that affects the trigeminal ner<e in the
face. The symptoms are episodes of excruciating pain lasting short periods of
time. This condition is more likely to occur in middle age and affects women
more often than men.
Trigeminal neuralgia most commonly invokes the middle branch (the
maxillary nerve or V2) and lower branch (mandibular nerve or V3) of the tri­
geminal nerve. The pain involved at the top branch (ophthalmic nerve or V I )
is less frequently seen. Rarely docs the pain involve all three branches on one
side or both sides at the same time. The pain is spomaneous and excruciating,
stabbing, tearing or burning and may be accompanied by pain on the side of
the face, facial spasms, lacrimation, running nose and drooling. The attack
u ually lasts from a few seconds to several minutes. The epi odes of intense
pain may continue and can repeat within se\·eral days. There may be a few
or dozens of episodes a day. It can be triggered by activities such as talking,
chewing, brushing teeth or touching certain areas called "trigger points". The
severity of the pain makes it difficult to perform daily activities such as washing
the face, brushing the teeth or eating.
\IVhen primary trigeminal neuralgia is accompanied by other symptoms
such as other nervous system inju1-y, persistent or intensified pain, one may
consider it as a secondary trigeminal neuralgia or it could be intracranial dis­
order. One must examine the root cause and treat the disorder accordingly.
Trigeminal neuralgia is located on the cheek and at the forehead, where
yangming and shaoyang meridians travel. It is closely related to foot yang­
ming Stomach meridian. Botl1 foot yangming Stomach and foot shaoy­
ang Gallbladder meridians encircle the lateral a pect of the head and face.
furthermore, Small Intestine meridian ascends to cross the check and tra­
verses to the outer canthus of the eye, enters the ear; a branch from the check

99
One ]veedle Therafl)' / Par/ fl: Pain !iJndromes

to the check bone, along the nose to the inner canthus and travels obliquely
to the zygomatic bone. This part is closely related to trigeminal neuralgia. In
Chinese Medicine, this disorder is ascribed to face pain, head-wind, toothache,
superciliary pain and yangming headache.
In the Zheng Zhi Zhun Sheng «�7il*fa.Jll! » by \ Vang Ken Tang of Ming
dynasty, this disorder is called "facial pain" and it is believed that the etiology is
"wind (pathogens) lodged in the meridians and collaterals, causing blood stag­
nation". Exteriorly concracted wind-heat or wind-cold, or uprising of li,·cr and
gallbladder confined heat can cau e qi and blood stagnation in the meridian
and collaterals. As expressed in the saying, "without movement there is pain",
blood stasis can cause pain in the face.
Primary trigeminal neuralgia i a stubborn and difficult disorder to treat.
1v iodern science does not have an absolute effective treatment free of side
effects. Clinically speaking, in comparison, acupuncture is the more effective
treatment.
The disorder is often triggered by mood changes and fatigue. Therefore,
during the treatments, patients are advised to avoid over-exertion, irritation
and spicy foods.

ONE NEEDLE THERAPY POINTS FOR TRIGEMINAL NEURALGIA

The commonly used one needle therapy points for trigeminal neuralgia are:
Cesanli 7 7 .22, Houxi SI-3, Sanjian LI-3, Sihuawai 7 7 . 1 4, Shenguan 7 7 . 1 8,
Taibai SP-3, Sanyinjiao SP-6, Erjian [EX] , Quanliao SI- 1 8, Xiaguan ST-7
and Taiyang [EX] .

A. Cesanli 77.22
Location:
Cesanli 7 7 . 2 2 is located 1 .5 cun lateral to Sihuashang 7 7 .08. It is 3 cun
below lateral Xiyan (Dubi ST-35), parallel to Zusanli ST-36.
Needling:
Perpendicular insertion and needle along the tibia toward shaoyang me­
ridian. After qi is acquired, ask the patient to move the mouth and cheek
for 1 to 2 minutes. The pain should subside immediately. Retain the needle
for 30 minutes. Manipulate the needle every 1 0 minutes and ask the pa­
tient to repeat the facial exercise for l to 2 minutes at the same time.
Analysis and Experience:
The affected areas of trigeminal neuralgia are the cheeks and forehead.
The cheeks and forehead are mainly covered by yangrning and shaoyang
meridians. Cesanli 7 7 .22 is located 1 .5 cun lateral to Zusanli ST-36 be­
tween yangming (earth) and shaoyang (wood) meridians; therefore, it is
good for treating disorders caused by disharmony of wood and earth. I t
i s effective in treating disorders o f yangming and shaoyang meridians, es­
pecially in treating pain disorders resulting from concurrent disorders of

zoo
 Cha/Jler 2 / Trigemina/ Neuralgia

both merimans such as lrigeminal neuralgia involving the area between

shaoyang and yangming meridians. This poinl is especially effective if the
pain is triggered or worsened by mood changes (which is known as dishar­
mony of wood (liver) and earth (spleen)). For chronic disorder with frontal
or migraine headache or trigeminal neuralgia, combining this point with
Shcnguan 7 7. 1 8 will enhance the effect. One reason is that chronic disor­
ders often implicate the kidney and nccclling Shenguan 7 7 . 1 8 will tonify
the kidney. Anolher rea on is that although henguan 7 7 . l 8 is ascribed
Lu S p l e en meridian, it connects lo Small Intestine meriman th ro u gh the
theory of extraormnary connections of zangfu. As the pathway of Small
Intestine meridian traYer es to the cheeks, henguan 7 7 . 1 8 is effective in
treating trigcminal neuralgia. Cesanli 7 7.22 and Shcnguan 7 7 . 1 8 compli­
ment each olhcr and amplify the eflcctivencss of the treatment.

B. Houxi SI-3
Location:
With the patient's hand in a loose fist, Houxi SI-3 is located at the ulnar
aspect of the palmar crease proximal to the 5 th metacarpal phalangcal
joint, at the junction of the red and white skin.
Needling:
'Vith the patienl's hand in a loose fist, perpendicular insertion 0.5 to 1 cun
(approximately 0.8 cun) from the lateral aspect to the medial aspect of the
palm. Once qi is acquired, ask the patient to exercise the cheek by opening
and closing the mouth (or massage the cheek) for l minute to guide qi to
the affected area. The pain should stop immediately. Retain the needle for
30 minutes. 1\ Ianipulate the needle every 1 0 minutes and ask the patient to
exercise or ma sage the check at the same time.
Analysis and Experience:
Small Intestine meridian has a branch which separates from the meridian
at the supraclavicular fossa to cross the neck and cheek lo the outer can thus
of the eye, and travel posteriorly towards the car. Another branch separates
from the previous branch on the cheek and ascends to the infra-orbital
region, then along the lateral aspect of the nose to the inner canthus and
runs diagonally lo the zygomatic bone. Thi. paragraph indicate lhat the
pathway of Small Intestine meridian passes through the cheeks, zygomatic
bone, nose and the inner and outer canthus, which generally corresponds
to the distribution of trigeminal nerves. "The acupuncture points of a me­
ridian treat the parts of the body travelling along that meridian." Houxi
SI-3 is the shu-strcam point of Small Intestine meridian (wood). Since shu­
stream point is indicated for heaviness of the body and for joint pain, it
is especially effective in treating paroxysmal pain (shu-stream point is in­
dicated for msorders that attack intermittently). Houxi SI-3 is ascribed to
wood and cor-rcsponds wilh \vind. \Vind is unpredictable, and lrigeminal

101
One Xeed/e Therapy I Part II: Pain Syndromes

neuralgia often comes on suddenly like the wind; therefore, this point is
very effective in treating trigeminal neuralgia. Clinical experience shows
that needling the affected side Houxi SI-3 is more effective.

C. Sanjian Ll-3 (Dabai 22.04)

Location:
Sanjian LI-3 is located on the radial aspect of the index finger, in the de­
pression proximal to the head of the 2nd metacarpal bone.
Needling:
' Vith the patient's hand in a loose fist, perpendicular insertion I cun from
the radial aspect toward the ulnar aspect. After qi i acquired, ask the pa­
tient to open and close the mouth to exercise (or massage) the cheek for
l minute to guide qi to the affected area. The pain should subside imme­
diately. Retain the needle for 30 minutes. Manipulate the needle every l 0
minutes and ask the patient to open and close the mouth ro exercise the
check for I minute at the same time.
Analysis and Experience:
Sanjian LI-3 is the shu-stream point of hand yangming Large Intestine
meridian. Shu-stream point is indicated for heaviness of the body and for
joint pain and is one of the most commonly used points for pain. Face
and head regions of yangming meridian pathway correspond to the dis­
tribution of Lhe trigeminal nerves. This is based on the p rinciple of "the
acupuncture points of a meridian treat the parts of the body travelling
along that meridian". This point is ascribed to wood and corresponds to
wind. One of the characteristics of wind is its unpredictability; trigerninal
neuralgia is sudden onset like the wind. Therefore, Sanjian LI-3 is very
effective in treating trigeminal neuralgia. According to Chinese medicine,
chronic disorders often implicate the kidney. If the trigeminal neuralgia is
chronic, it is better to needle Sanjian LI-3 distally along the bone, which is
equivalent to Dabai 22.04. Dabai 22.04 is located close to the 2nd meta­
carpal bone. According to holographic correspondence, it corresponds to
the head. Thus, Dabai 22.04 is also an outstanding point for pain located
on the head and face.

D. Sihuawai 77 . 14
Location:
Sihuawai 7 7 . 1 4 is located 1 .5 cun lateral (towards shaoyang meridian)
to Sihuazhong 7 7 .09 (Sihuazhong 7 7 .09 is 0.5 cun superior to Tiaokou
ST-38).
Needling:
Generally speaking, this point is bled to attain better results. Look for the
bluish-green veins (that is venous vessels) in the region of the point. Use a
three-edged needle to quickly prick the vein approximately 0. 1 to 0.2 cun

1 02
 Chapter 2 / Trigemiual Neuralgia

deep. Let it bleed for about 20 to 30 drops of blood. Once the bleecling
starts, pain should subside immediately. Repeat the treatment once a week
until the pain i totally aUeviated.
Analysis and Experience:
Sihuawai 7 7 . 1 4· is located close to 1'cnglong ST-40 and hence treats facial
pain along the pathway of yangming meridians. It is expressed in Chinese
medicine theory: "chronic disorders must implicate blood stasis, di!T-icull
disorders must implicate blood stasis", and "strange disorders must impli­
cate phlegm, miscellaneous clisorders must implicate phlegm''. Sih uawai
7 7 . 1 4 is close to Fenglong ST-40, which is the meeting point of phlegm.
Therefore thi point is indicated for phlegm-related disorders. Bleecling
this point treats both phlegm and blood stasis: "treat phlegm and blood
stasis simultaneously". The mechanism of rrigeminal neuralgia, especially
in chronic ca es, often inrnh-es obstruction of phlegm and blood stasis.
Hence, bleeding this point is particularly effective for this disorder. I n ad­
dition, Sihuawai 7 7 . 1 4 is located between Gallbladder and Stomach me­
ridians and has a particular ability in treating trigeminal neuralgia as the
disorder im·oh-es both meridians.

E. Shenguan 77.18
Location:
Locate Shenguan 7 7 . 1 8 at 1 . 5 cun in£Crior to Yinlingquan SP-9 in the me­
dial aspect of the tibia.
Needling:
Perpendicular insertion 1 .5 to 2 cun. After qi is acquired, ask the patient to
open and close the mouth to exercise (or massage) the face for l minute to
guide qi to the affected area. The pain should subside immediately. Retain
the needle for 30 minutes. l\lanipulate the needle every I 0 minutes and ask
the patient to open and close the mouth and exercise the face for 1 minute
at t.he same time.
Analysis and Experience:
Shenguan 7 7 . 1 8 is an important point for tonifying the kidney. I t is located
inferior to Tianhuang 7 7 . l 7 (same as Yinlingquan SP-9). As Yinlingquan
SP-9 is the water point of earth mericlian, it can tonify the spleen and
kidney simultaneously. Shenguan 77 . 1 8 strengthens the spleen, enhances
qi and dispels dampness. It tonifies the kidney and dispels cold, thus it
treats cold and dampness simultaneously and can treat disorders along the
Spleen me1idian, to which it belongs, with exceptional results. The path­
way of Small I ntestine meridian traverses through the affected areas of
trigeminal neuralgia. Through the extraorclinary connection of the spleen
and small inte tine, Shenguan 7 7 . 1 8 is also effective in treating trigeminal
neuralgia. Because Yinlingquan SP-9 is good at treating disorder on the

103
One Needle Therapy / Par/ ff: Pain S_)'l1dro111es

forehead, this point, which is inferior to Yinlingquan SP-9, is also good at

treating facial and shoulder disorders.

E Taibai SP-3
Location:
On the medial a pect of the 1 st metatarsal bone, Taibai SP-3 is 1 .5 cun
posterior to the metartarsophalangeal joint at the junction of the red and
white skin.
Needling:
The patient should sit upright with the feet hanging down during needling.
Perpendicular insertion 1 .5 cun. After qi is acqufred ask the patient to open
and close the mouth to exercise (or massage) the cheek for I minute to
guide qi to the affected area. The pain should subside immediately. Retain
the needle for 30 minutes. Manipulate the needle every 1 0 minutes and
ask the patient lo open and close the mouth and exercise the cheek for 1
minute at the same time.
Analysis and Experience:
Taibai SP-3 is the shu-stream point of Spleen meridian. Shu-stream point
is indicated for heaviness of the body and for joint pain. The pathway
of Small Intestine meridian tra,·erses through the affected areas of tri­
geminal neuralgia. Through the extraordinary connections of the spleen
and small intestine, this point is effective in treating trigeminal neuralgia.
In addition, as the yuan-source point of Spleen meridian, it is strongly
indicated in regulating the spleen and stomach and is especially good at
regulating qi mechanism (cited from Tong Xuan Zhi Yao Fu «ii!f �1�
�Jti\:» ). Furthermore, shu-stream points correspond to the five-sense or­
gans of the face in accordance with holographic correspondence, which is
another reason that Taibai SP-3 is effective for trigeminal neuralgia. (For
details regarding Taiji and holographic correspondences, please refer to
Chapter 1 of my publication Tung Shi Qi Xue Jiang Zuo - Zh.i Liao Xue
« 1i �MJ\:l'WJJ* - �m*»

G. Sanyinjiao SP-6
Location:
On the posterior border of the tibia, Sanyinjiao SP-6 is located 3 cun su­
perior to the medial malleolus.
Needling:
Perpendicular insertion 1 .5 cun. After qi is acquired, ask the patient to
open and close the mouth to exercise (or massage) the cheek for l minute
to guide qi to the affected area. Pain should subside immediately. Retain
the needle for 30 minutes. Manipulate the needle every 1 0 minutes and
ask the patient to open and close the mouth and exercise the cheek for 1
minute at the same time.

104
 Cha/1/er 2 / 1i-igeminal .Neuralgia

Analysis and Experience:

Sanyinjiao SP-6 is the meeting point of pleen, Liver and Kidney me­
ridians. It can soothe Lhe liver and dispel wind, strengthen the spleen LO
enhance qi and tonify the kidney to dispel coldness. I r is exceptional at
treating disorders of Spleen meridian to which it belongs. The pathway of
Small Intestine meridian traverses through the affected areas of trigeminal
neuralgia. Through the extraordinary connection of the spleen and small
intestine, and its ability to treat the combination of wind-clamp-cold disor­
ders, Sanyinjiao SP-6 is effective in treating t rigeminal neuralgia.

H. Erjian [EX]
Location:
Erjian [EX] is located at the lateral aspect of the highest point of the helix.
Needling:
Prick and bleed E1jian [EA.l by using a three-edged needle or a lancet.
Simply prick the point gently and blood should come out quickly.
Analysis and Experience:
The pathway of taiyang meridian traverses aJong the region above the car.
The pathway of shaoyang meridian encircles the ear. Therefore, pricking
the car apex treats frontaJ and migraine headache as well as trigeminal
neuralgia that are along the pathways of taiyang and shaoyang meridi­
ans. Since taiyang (meridian) masters the exterior and shaoyang (merid­
ian) masters wind, this point is good at treating exterior-wind syndromes.
Pricking the ear apex is also suitable for pain induced by the common cold.

I. Quanliao SI-18
Location:
Quanliao Sl- 1 8 is located directly below the outer cantus, in the depres­
sion at tl1e lower border of zygomatic bone (the highest point of the check
bone), levels with Yingxiang LI-20.
Needling:
Have the patient sit upright and facing forward. Needle the opposite
(healthy) Quanliao SI- 1 8. Perpendicular insertion 0.8 to 1 cun, strongly
twirling, lifting and thrusting the needle; then massage the affected area on
the cheek for l to 2 minutes. Retain the needle for 30 minutes. Manipulate
the needle every 1 0 minutes and ask the patient to massage the affected
area on the check for J to 2 minutes at the same time. 01� select Quanliao
SI- 1 8 on the same (affected) side by using reducing technique to acquire
qi sensation. Once qi is acquired, the patient \Vill feel an "electric current"
sensation spread over the whole check. Needle the palienr by using reduc­
ing or even tonifying even reducing technique. Retain the needle for 30
minutes. ·Manipulate the needle every 1 0 minutes with even tonifying even
1·educing techni que.

105
One .\eedle TherajJy / Part II: Pain Sj11dromes

Analysis and Experience:

The pain of trigeminal neuralgia i usually at the cheek, zygomatic region
and forehead. Quanliao SI- 1 8 i the meeting point of hand taiyang Small
Intestine and hand shaoyang Sanjiao meridian ; therefore, this point has
always been one of the frequently used points for treating trigeminal neu­
ralgia and facial muscle spasm. Throughout history physicians ha\·e used
Quanliao S I- 1 8 mostly for deviation of the eye and mouth, ceaseless tv.�tch­
ing of the eyelid, swelling of the face and toothache. Zhen jiu Da Cheng
« �tfk.An.lt» says, " [Quanliao SI- 1 8] treats deviation of the mouth, red
face, yello'vv eyes, ceaseless twitching of the eyelid, swollen cheek (infra-or­
bital region) and toothache." Since bleeding Quanliao SI- 1 8 can dredge qi
of the facial area, it is effective in clearing heat, dispelling wind, opening
meridian and invigorating collaterals to stop pain as expressed in the say­
ing "\ Vithout mo,·ement there is pain, with mo\'ement there is no pain."

J. Xiaguan ST-7
Location:
Xiaguan ST-7 is located in front of the car, at the lower border of the
zyaomatic arch in the depression anterior to the condyloid process of the
mandible.
Needling:
Needle the opposite (healthy) Xiaguan ST-7 with the mouth closed.
Perpendicular insertion slightly inferior 0.5 cun with strong manipulation
of the point by twirling, thrnsting and lifting, tl1en massage the painful
area in the cheek for 1 to 2 minutes. Retain the needle for 30 minutes.
l\Ianipulate the needle every I 0 minutes and ask the patient to massage
the affected area in the cheek for I to 2 minutes at the same time. Or, select
Xiaguan ST-7 on the same (affected) side by using reducing technique.
After inserting the needle, strongly stimulate the point by lifting and thrust­
ing or pecking. \ \ hen the affected side of the face starts having the "electric
current" sensation, tl1at is, "when qi has reached the affected area", the
re ult is more effectiYe.
Analysis and Experience:
Xiaguan ST-7 is the meeting point of foot yangming and foot shaoyang
meridians. It is effective in treating pain in the face and the region where
the face and side of the face meet, such as toothache, gingivitis, Bell's palsy,
tinnitus, earache and deafness. ' Trigeminal neuralgia is a disorder of the
combination of shaoyang and yangming meridians; therefore, Xiaguan
ST-7 can treat it very effe ctively.

K. Taiyang [EX] (affected side)

Location:
Taiyang [EX] is located at the lateral aspect of the outer canthus and the

106
 Chapter 2 / 1iigemi11al .Ne11mlgia

lateral aspecc of the eyebrow (Sizhukong SJ-23 ), or the bluish-purple veins

or blood vessels above the eyebrow.
Needling:
Bleed the bluish-purple vein with a three-edged needle; then quickly roll
the patient's head to the side, so that the blood drips away from the patient.
Bleed bilaterally for 20 to 30 drops of blood. Repeat every 7 to 1 0 days
until the pain is totally resolved. For better results, patient should receive
acupuncture between bleeding sessions.
Analysis and Experience:
Taiyang [EX] is an extraordinary point and the meeting point of foot
shaoyang and foot yangming meridians. Hand taiyang and hand shaoyang
meridians also encircle this point. Yangming meridians govern the fore­
head and shaoyang meridians govern the side of the head. This point i ,
therefore, effective for all types of head and facial pains. Acute disorders
arc often ascribed to wind, which could be wind-heat or wind-cold and
can be dispelled by using bleeding techniques. s for chronic trigeminal
neuralgia, as stated in Huang Di cijing «Ji{;;ff pg fa.� » : "For persistent
stagnation, remove it." Chronic disorders often have pathogens lodged in
the vessels and bleeding tecl111ique is a must to accelerate recovery lime or
address the root cause.

SUMMARY
Trigeminal neuralgia is a commonly seen clinical disorder. The pain docs
not settJe in one meridian or branch but often involves two me1·idians or
two branches. It can involve the upper and middle or the middle and lower
branches. In such case, select treatment points from each meridian or each
branch, although if combined, select only one treatment point from each
branch.

107
One . \eedle Thera/J.J' / Part If- Pain S_yndromes

Chapter 3

Neck Soft Tissue Injury

Inj w-y of the soft tissue of d1e neck is also called "injury of the tendons of the
neck" and "luozhen" in Chinese medical terminology This is often caused by
sprained tendons and collaterals of the neck while engaging in physical activ­
ities or over-exerting the neck. These injuries lead to qi and blood stagnation
and blockage of meridians and collaterals. Other causes could be improper
sleeping position, sleeping on pillows that arc too high, or the meridians and
collaterals being attacked by external pathogens. External pathogens such as
wind-cold can lead to qi and blood stasis causing tendons to become spas­
modic and leading to the disorder. Its etiology is ascribed to shang jin (inj ury
of the tendon) category in Chinese medicine.
Clinically, the patient has a stiff neck, severe local spasmodic pain and
pain upon palpation. The neck has limited range of motion and the pain is
aggravated with activity, particularly when turning the neck to one side, pain
presents on the other side. The pain may radiate toward the shoulder and
upper arm when the head is turned. The head may tilt toward the affected side
and the chin toward the healthy side. Frequent and prolonged stiff neck may
develop into cervical spondylosis. The treatment principle for this disorder is
equivalent to the modern treatments of over-exertion causing cervical spondy­
losis or rheumatism of the neck muscles.
From LI 1e asp ec t of the theory of the primary fourteen meridians: Du
meridian traverses along the rniclline of the posterior region of the neck while
Ren meridian traverses along the midline of the anterior aspect of the neck.
The six yang meridians traverse along the neck and ascend to the head. The
distribution of the six yang meridians from the anterior to the posterior of the
neck is as follO\vs: l . Foot yangrning Stomach meridian runs along the anterior
aspect of the neck at the pulsation of the carotid artery. 2. Hand yangming
Large Intestine meridian runs along d1e anterior and lateral aspect of the neck

108
 Chapter 3 I Neck Sofl Tissue Injury

at the pulsation of the facial artery. 3 . Hand taiyang Small Intestine merid­
ian runs along the lateral aspect of the neck around the mandibular angle.
(The above three meridians traverse in front of the ears and the following
three meridians traverse behind the ears). 4. Hand shaoyang Sanjiao merid­
ian traverse along the lateral aspect of the neck around the earlobe and Lhc
posterior edge of the ea1� 5 . Foot shaoyang Gallbladder meridian runs along
the lateral aspect of the neck around tJ1e posterior edge of the mastoid pro­
cess. (Gallbladder and Sanjiao meridians intersect at Lhe neck region). 6. Foot
taiyang Urinary Bladder meridian traverses along the posterior aspect of Lhe
neck around the lateral edge of the trapezius muscle, and descends 1 .5 cun
along both sides of Du meridian. Luozhen (stiff neck) is treated mainly by
using the points from Du, hand and foot Taiyang meridians and secondary by
the points from Gallbladder meridian.

ONE NEEDLE THERAPY POINTS FOR NECK SOFT TISSUE

INJURY
There are many effective one-needle therapy points for luozhen (neck soft
Lissue injury). The most commonly used points arc as follows: Chongzi 22.0 1 ,
Chongxian 22.02, Houxi SI-3, Chengjiang RE -24, Zhongzhu SJ-3, eiguan
PC-6,Juegu (Xuanzhong) GB-39, Shugu UB-65, Zhengjin 7 7 . 0 1 and Luozhcn
[EX] (Shangbai 22.03).

A. Chongzi 22.01
Location:
Chongzi 22.0 l is located 1 cun inferior to hukou, that is, the web between
the 1 st and 2nd metacarpal bones.
Needling:
With the patient's palm facing up, the point is located 1 cun inferior to
hukou (the web that lies between the 1 st and 2nd metacarpal bones).
Perpendicular insertion 0.5 to 1 cun (approximately 0.8 cun). Once qi is
acquired, every few minutes ask the patient to move the head for l min­
ute to guide qi to the affected area. Once the needle is inserted, the neck
should rela,x immediately. Retain the needle for 30 minutes; manipulate
every l 0 minutes and ask the patient to move the neck at the same time.
Analysis and Experience:
When there is pain in the neck and shoulder area, blue veins often ap­
pear in the area of Chongzi 2 2 . 0 1 and Chongxian 22.02. This indicates
pathological changes. These points can be used for therapeutic treatments.
This point lies on the pathway of Lung meridian and is good for treating
respiratory system disorders and chest pain. Through the extraordinary
connection of the lung and urinary bladder, Lhis point also treats shoulder
and back pain. The location of this point is in Gen gua ( �!�) of the eight

109
One .,Yeedle ThemPJ' / Part fl· Pain /iyndromes

trigrams in the palm. As Gen symbolizes the mountain and the back, this
point can treat back pain as well.

B. Chongxian 22.02
Location:
Chongxian 22.02 is located 2 cun inferior to hukou (the web between the
1 st and 2nd metacarpal bones). It communicates with Linggu 22.05 on
the dorsum of the hand. '1Vith the palm facing up and the five fingers
held closely together, draw a line through the middle of the index finger
(verLically) and the metacarpophalangeal joint of the thumb (horizontally)
and locate Chongzi 22 . 0 1 at the intersection. Then dra"v a line parallel to
the border of the radial aspect, where Chongxian 22.02 is located I cun
obliquely below Chongzi 22.0 I .
Needling:
Perpendicular insertion 1 cun by using a 1 .5 cun needle. Usually, nee­
dling only Chongzi 22. 0 1 will be sufficient. For better results, needle both
Chongzi 22.0 1 and Chongxian 22.02 concurrently. After qi is acquired,
for every few minutes ask the patient to move the neck for 1 minute to
guide qi to the affected area. After needling, the patient's neck should relax
immediately. Retain the needle for 30 minutes. Every 1 0 minutes manip­
ulate the needle for I minute and ask the patient to move the neck at the
same time. It is even better when combined with Chengjiang REN-24.
If the pain is predomjnantly located on the neck aTea, select Chongxian
22.02. Howeve1� i f the pain is predominantly located on the shouldet� use
Chongzi 22.0 l . If neck and shoulders are both in pain, needling Chongzi
22.0 1 and Chongxian 22.02 simultaneously will attain better results.
Afterwards, add Chengjiang RE L24 and ask tl1e patient to move the neck
and shoulder; the result will be more significant and the pain will be alle­
viated immediately.
Analysis and Experience:
Chongxian 22.02 is located on Lung meriilian. Through extraorilinary
correspondence between the lung and urinary bladder, it is very effe ctive
in treating neck, shoulder and back pain. I t is specifically inilicated for
treating neck and shoulder pain. For over 30 years, I have used this point
to treat hundreds of cases of stiff neck with immediate results.

C. Houxi Sl-3
Location:
'Vith the patient's hand in a loose fist, Houxi SI-3 is on the ulnar border of
the hand, at the intersection of the red and white skin proximal to the head
of the 5ili metacarpal bone.
Needling:
"'ich the patient's hand in a loose fist, perpenilicular insertion 0.5 to 1

JJO
 Chapter 3 /.Yeck Sqfl Tissue hy·uYJ•

cun (approximately 0.8 cun) from the lateral aspect to the medial a pect
of the fist. Once qi is acquired, e\·er·y few minutes, ask the patient to move
the neck for l minute, to guide qi to the affe cted area. Once the needle is
inserted, the neck should relax immediately. Retain the neec!Je for 30 min­
utes; manipulate the needle every I 0 minutes and ask the patient lo move
the neck at the same time.
Analysis and Experience:
As cited in Huang Di eiJing, Ling Shu Chapter 24 - Za Bing «�.:(1jf j.)\J
#�·m:M» *!EW9��: "For neck pain that cannot move side to side, needle
hand taiyang'', which indicates the point Houxi SI-3. ZhenJiu Da Cheng
«t!-�*J&:» ) and Zhen Jiu Ju Ying «iJ·�� .9!!)> also tate: "Houxi
SI-3 is indicated for stiff neck that cannot turn from side to side." Houxi
SI-3 is the shu-stream (wood) point of hand taiyang Small Intestine me­
ridian. Hand taiyang meridian corresponds to the same-named foot tai­
yang meridian which passe through both ides of the neck (hand taiyang
meridian branches out Lo the shoulders). Also, Houxi SI-3 is the conAuent
point that connects to Du meridian. Du meridian pathway traverses along
the midline of the occipital of the head. Therefore, Hou.xi SI-3 is one of
the most commonly used points for treating stiffness of the nape of the
neck and neck pain. Houxi SI-3 is the shu-stream point of Small Intestine
meridian. Shu-stream points are indicated for heaviness of the body and
for joint pain. IL is an essential point in treating stiffoess and severe neck
pain. Homi SI-3 is especially known for opening and dredging qi of tai­
yang meridian. It alleviates spasms of the tendons and is ver·y effe ctive in
treating stiff neck. There is a modern saying, "Select Houxi SI-3 to treat
neck disorders."

D. Chengjiang REN-24
Location:
Chengjiang RE -24 is located in the depression below the lower lip.
Needling:
Oblique insertion 0.2 to 0.3 cun anteriorly-inferiorly to posterior-superi­
orly. Once qi is acquired, every few minutes ask d1e patient to move the
neck for 1 minute to guide qi to d1e affe cted area. The neck should relax
once the neec!Je is inserted. Retain the neec!Je for 30 minutes. Every 1 0
minutes manipulate the needle for I minute and ask the patient to move
the neck at the same time.
Analysis and Experience:
As recorded in classical text , the most frequently used point in the primary
fourteen meridians for stiff neck is Chengjiang REr -24. Uany classical
texts document Chengjiang REN-24· as the point of choice for stiff neck.
Chengjiang REN-24 is the meeting point of Ren, Du, hand and foot yang­
ming meridian. Du meridian passes through Lhe midline of the occipital.

I II
One Needle Therapy / Part II· Pain Syndromes

Ren me1idian nourishes yin. Yangming meridians have abundant qi and

blood and therefore can regulate qi and blood. Utilizing the correspon­
dence between front and back means utilizing yin to treat yang (using
points from Ren meridian ro a-cat disorders of Du meridian). Therefore,
Chengjiang REN-24 is especially effective ·when treating pain located at
the center of the back of the neck.

E. Zhongzhu SJ-3
Location:
Zhongzhu SJ-3 is located l cun posterior to Yemen SJ-2, in the depression
proximal to the 4th and 5th metacarpophalangeal joints.
Needling:
With the patient's hand in a loose fist, perpendicular insertion 0.8 to
cun proximalJy. Once qi is acquired, every few minutes ask the patient
to move the neck for 1 minute, to guide qi to the affected area. The neck
should relax once the needle is inserted. Retain the needle for 30 minutes.
1 Ianipulate the needle every 1 0 minutes and ask the patient to move the
neck at the same time.
Analysis and Experience:
Sanjiao meridian starts at the ulnar aspect of the ring finger. It runs along
the lateral aspect of the arm and ascends to the shoulder and the neck. It
then passes through the ears, eyes, cheeks and forehead. According to the
treatment principle of "the acupuncture points of a meridian treat the
pans of the body o·avelling along that meridian". Zhongzhu SJ-3 is the
shu-stream point of Sanjiao meridian. In Difficulty 68 of an Jing - Liu
Shi Ba Nan « '11£#� » m.7\-t J\�lt says, "Shu-stream points are indicated
for heaviness of the body and for joint pain." Therefore, this point treats
disorders involving heaviness and pain in the neck, shoulder and back
along shaoyang meridian. The tendon of hand shaoyang me1idian tra­
\·erses along the neck and meet the tendon of taiyang meridian. Luozhen
(stiff neck) is a disorder of the tendon. Needling Zhongzhu SJ-3, which is
ascribed to wood will pacify the meridian qi, soothe the tendons and invig­
orate the collaterals. \1Vood corresponds to liver. Li\·er masters the tendons.
This achieves the treatment principle of "with movement there is no pain".

F. N eiguan PC-6
Location:
\ Vith the patient's palm facing up, Neiguan PC-6 is located 2 cun proximal
to the w1ist crease (the distance ben,·een the cubital crease and w1ist crease
is 1 2 cun. The point is 5/6 proximal from the cubital crease and I / 6 distal
from the wrist crease). It lies bet\-veen the tendons of palmar:is longus and
flexor carpi radialis.

1 12
 Cha/J/er 3 /Neck Sq/I Tissue !11}111)1

Needling:
Wilh the patient's palm facing up, perpendicular insertion 0.8 Lo l cun
belween the tendons. Once qi is acquired, lhe patient should feel sore, dis­
tended, tingling, or heavy en ations. Ask the patient to move the head from
side lo side and up and down, and the patient should feel relief. Generally,
retain the needle for 30 minutes. lanipulate the needle every 1 0 minutes
and ask the patient to exercise lhe neck for 30 second: to 1 minute at lhe
same time.
Analysis and Experience:
eiguan PC-6 is one of lhe cighl confluent points and is connected lo Yinwei
in Linking) meridian. Clinically, il is a commonly used and vc1y imporl-
anl point. It is also the luo-connccting point of hand jueyin Pericardium
meridian. Pericardium divergent meridian converges with hand shaoyang
Sanjiao meridian, and il a-ongly regulates qi. Further, luo-connecling
points are excellent for treating blood-level disorders. eiguan PC-6 is an
excellent point in regulating qi and blood simultaneously. \Vi th the same­
name connection belwecn hand j ucyin Pericardium and foot jueyin Liver
me1-idians, this point can also lrcal Lendon disorders that arc asc1ibed to
liver, wood and wind. According lo Huang Di I eiJing «�W '7'1t.�» , the
luo-connecting point of Pericardium meridian treats "excessive syndrome
with acute heart pain and deficient syndrome with stiff head and neck".
This indicates lhrit Nr.igurin PC-G is suitable for stiffness of Lhc head and
neck and is therefore very effective for luozhen (stiff neck).

G. Xuanzhong GB-39
Location:
Xuanzhong GB-39 is located 3 cun superior to the prominence of the lat­
eral malleolu , at the point posterior lo the fibuJa.
Needling:
Perpendicular inserlion l .5 to 2 cun at Xuanzhong GB-39 on the opposite
(healthy) side. Once qi is acquired, ask the patient to move cl1e neck from
side to side and up and down. The patient should feel the neck relaxing im­
mediately. Retain cl1e needle for 30 minutes. fanipulale cl1e needle once
every 1 0 minutes and ask the patient to exercise the neck for 30 seconds to
1 minute at the same time.
Analysis and Experience:
Xuanzhong GB-39 is also namedjuegu (end of the bone). It is the hui-meel­
ing point of the marrow. It is also the major connecting point for the three­
foot yang meridians; therefore, it can treat disorders or those three yang
meridians. The three-fool yang meridians lravel to the neck. According to
the treatment principle or "the acupuncture points or a meridian treat the
parts of cl1e body travelling along lhat meridian" and "u e points from the
low<.;r body to t rea t disorders of the upper body", ne<.;dJing this p oint can

1 13
One Needle TherajJJ I Part II: Pain SJmdromes

dredge the mc1idian and invigorate the collaterals. Therefore, it can alle­
viate neck pain and attain quick results for stiff neck. Although it can treat
disorders of the three foot yang meridians, it is most effective for lateral
neck pain that is related to foot shaoyang meridian .

H . Shugu UB-65
Location:
Shugu UB-65 is located on the lateral aspect of the small toe at the junc­
tion of the red and white skin. It is at the depression postc1ior to the 5th
metatarsal bone, that is, the lateral edge of the foot in the depression pos­
terior to the 5th metatarsal bone.
Needling:
Perpendicular insertion 1 cun. vVhen qi is acquired, the patient should
feel sore, distended, tingling and heavy sensations. Ask the patient to move
the neck from side to side and up and down. The patient should feel im­
mediate relief Retain the needle for 30 minutes. Eve1y 10 minutes ask the
patient to move the neck for 30 seconds to 1 minute.
Analysis and Experience:
The pathways of Urinary Bladder and Du meridians pass through the
neck and Urinary Bladder meridian and traverse along both sides encom­
passing the Du meridian. As cited in Huang Di Neijing, Ling Shu Chapter
26 - Za Bing «:Wi'r'if pgf.�·m:�» �ltlf��; : "For neck pain that cannot move
up and down, needle foot taiyang." 'Needle foot taiyang' here means nee­
dle Shugu UB-65. From personal e>..'Perience, it can also treat neck pain
when moving the neck from side to side; it is just that Shugu UB-65 is
better for treating neck pain caused by moving the neck up and down. As
shu-stream point of Urinary Bladder meridian, it is indicated for heavi­
ness of the body and for joint pain and is one of the most frequently used
points. I t is ve1y effective i n treating pain along the pathway of Urinary
Bladder meridian. Shugu UB-65 is the wood point of Urinary Bladder
meridian (water). Because wood corresponds with tendons, Shugu UB-65
is especially effective in treating stiff neck pain.

I. Zhengjin 77.01
Location:
Zhengjin 7 7 .0 l is located in rJ1e center of the Achilles tendon, 3.5 cun
superior to the heel.
Needling:
Perpendicular insertion using a 2 cun needle. Quickly insert the needle;
it is more effective if the needle reaches the bone. Strongly manipulate
the needle by thrusting, lifting and twisting the needle. Ask the patient to
move the neck up and down and from side to side. When the pain is on the
left, needle the right Zhengjin 77 .0 l and vice versa. When both sides are

114
 Chapter 3 /. Veck efi Tissue l11j11T)'

affe cted, needle bilaterally at the same time. Retain the needle for 30 min­
utes. Manipulate the needle once eve ry 1 0 minutes and ask the patient to
repeat the exercise the neck at the same time. Usually, only one treatment
is sufficient.
Analysis and experience:
Zhengjin 7 7.0 I is located on the Achilles tendon (the neck of the leg).
According to reverse holographic correspondence of Lhe foot and body,
it corresponds to the neck; therefore, it is especially indicated for neck dis­
orders. This point is needled into the Achilles tendon in accordance with
the treatment principle of "use tendon to treat tendon". In terms of the
theory of the primary fourteen meridians, the pathway of Urinary Bladder
meridian traverses to the neck. This is quite significant in treating neck
disorders. Zhengjin 7 7 .0 I is therefore excellent in treating neck pain and
stiff neck.

]. Luozhen [EX]
Location:
On the dorsal aspect of the patient's hand, the point is located 0.5 cun
proximal to the metacarpophalangeal joint of the index and midcllc fingers.
Needling:
With the patient's hand in a loose fist, quickly insert a 1 cun neeclle. Strongly
manipulate the needle by lifting, thrusting and twisting and ask the patient
to move the neck up and down and from side to side at the same time.
When there is pain on the left, needle the right Luozhen [EX] and vice
versa. Needle bilaterally if both sides are affected. Retain the needle for
30 minutes. 1 Ianipulate the needle every I 0 minutes and ask the patient
to repeat the neck exercise at the same time. Usually, only one treatment is
sufficient. Daily treatment is recommended if necessary.
Analysis and experience:
Luozhen [EX] is a commonly used empirical point for stiff neck (also
known as wry neck). It moves qi, invigorates blood and dredges the merid­
ians. I t is mainly used for stiff neck with discomfort at the lateral aspect of
the neck, that is, disorders of shaoyang meridian.

SUMMARY
Clinically, neck pain resulting from soft tissue injuries is commonly seen. The
pain often spreads lo the shoulders and the back. The above-mentioned points
are mainly indicated for treating neck pain and most of them are able to treat
back and shoulders syndromes as well. Studying this section can help further
understanding of the treatments of the neck and shoulder or neck and back
pain. For pain at shoulder joint, refer to the text for treatment of periarthritis
of the shoulder.

1 15
One ./I eedle Thera/JJ' / Part II· Pain Sj111dromes

Chapter 4

Cervical Spondylosis

Cervical spondylosis, also called cervical spondylotic syndrome, is caused by

degeneration of cen�cal cartilage and formation of bone spur (often caused
by cervical hypertrophy or posterior protrusion of the inrervertebral cervical
disc). This causes narrowing of the cervical disc space and compresses one or
more of Lhe spinal nerves, arteries and sympathetic nerves that branch out of
the cervical vertebra, causing a complex syndrome; therefore, it is called cervi­
cal spondylotic syndrome.
The disorder progresses slowly and mostly affects people middle aged or
older; however, in recent years, the rrend of this disorder appearing in younger
people has been increasing. The symptoms are recurrence of neck and shoul­
der pain with the pain often radiating co one or both sides Loward the upper
limbs and worsening when the neck is over exerted. Severity of the disorder
depends on the area and the scope of involvement of tl1e nerve roots. In mild
cases, numbness and weakness of the hands and fingers or atrophy of the
muscles may appear. In severe cases it can lead to paralysis or incontinence
of urination or defecation. If the palhology is associated with spinal artery
or autonomic nep;es, symptoms of dizziness, tinnitus, tightness of chest and
heart palpitation may be present.
During physical examination, t here may be tenderness or trigger points
found at che neck and shoulder regions. Bot.h brachia! plexus nerve u-action
test and compression test of intervertebral foramen show positive. On exam­
ination of the nervous system, decreased muscle strength, atrophy of the mus­
c l es, painful skin, hypoesthesia and weakening of the tendon reflex are found.

An x-ray can assist in a more accurate diagnosis. Clinically, there are five cat­
egories of cervical spondylosis: nerve-root type (bone spur compressing t11c
root of the nerve root), spinal cord type (protruding of the hyperplasia of
the spinal disc), vertebral artery type (hyperplasia of bone compressing the

116
 Chapter 4 / Cervical S/1011dylosis

vertebral artery), sympathetic nerve type and combination type. The combi­
nation type is the most commonly seen. Cervical clisc herniation most often
occurs bel:\.veen the 5th, 6th and 7th vertebrae (the 6th and 7th cervical nerves
are the ones most often compressed.)
Cervical spondylosis belongs to bi (painful obstruction) and wei (atrophy)
syndromes in Chinese medicine. I t is due to qi and blood stagnation causing
pain and numbne s. In chronic cases, the tendon are malnourished and bi and
wei syndromes develop. According to Chinese meclicine theory, kidney mas­
ters the bones and generates marrow. When kidney qi is plentiful, the essence
and marrow arc abundant. \Vhen kidney yang is abundant, the bones become
strong, there will be good health. The cervical vertebrae are securely located
between the thoracic vertebrae and the relatively heavy head and have a large
range of motion· e pecially the section bel:\veen the 5th and 7th \·ertebrae,
where there is not much protection. As people age, kidney function decreases,
kidney qi becomes weak, there vvill be deficiency of mingmcn fire (or "Jife­
fire"), kidney essence and kidney yang. The generation of essence and marrow
is inadequate and the bones become malnourished causing degeneration of
the bone. In addition, wind-cold attack, external injury (recurring luozhen,
or stiff neck, with inadequate treatments); and overexertion (chronically bad
posture at the de k) all contribute to the atrophy of the cervical intervertebral
discs, narrov.�ng of the cervical inteivertebral pace, thickening of the liga­
ments and swelling of the joints. Under these circumstances, deformation and
hyperplasia (bone spurs) of the cervical spine causes compression of the nerves
and blood vessels of the spinal cord. Clinically, symptoms such as pain, heavi­
ness and numbne s of the neck, shoulder and upper extremities may appear.

ONE NEEDLE THERAPY POINTS FOR CERVICAL SPONDYLOSIS

The commonly used one needle therapy points for cervical spondylosis are:
Houxi SI-3, Feng. hi GB-3 1 , Shugu UB-65, Weizhong UB-40, Renzhong
DU-26, Chengjiang REN-24, Yingu K I D- 1 0, Kunlun UB-60 and Zhengjin
77.0 I .

A. Houxi Sl-3
Location:
With the patient's hand in a loose fist, Houxi SI-3 is located on the ulnar
border of the hand, al the junction of the red and white skin, proximal to
the head of the 5th metacarpal bone.
Needling:
\Vith the patient's hand in a loose fist, perpendicular insertion 0.5 to 1 cun
(approximately 0.8 cun) from the lateral aspect toward the meclial aspect
of the fist. Once qi is acquired, ask the patient to gently and slowly rotate
the neck every few minutes in a wide range for 1 minute Lo guide qi to the

117
One Needle Therapy / Part JI: Pain 5;yndromes

affected area. Retain the needle for 30 minutes; manipulate the needle ev­
ery 1 0 minutes and ask the patient to repeat the neck exercise at the same
time.
Analysis and Experience:
HoLL"'>i SI-3 is the shu-stream point of hand taiyang Small Intestine me­
ridian. Shu-Stream points are indicated for heaviness of the body and for
joint pain. Consequently, Houx.i SI-3 is excellent for treating pain, soothing
the tendons and expelling wind. Hand and (oot taiyang meridians are con­
nected with each other through the same name correspondence. Pathway
of foot taiyang encompasses Du meridian and enters the spine. Houxi SI-3
is one oC the eight confluent points, which is connected to Du meridian.
Du meridian masters yang qi of the whole body. Lower back pain and
acute lumbar sprain are due to the blockage of yang qi of Du meridian.
Therefore, needling Houxi SI-3 can transport yang qi and treat lower back
pain. Houxi Sl-3 is connected to Du meridian and Du meridian travels
through the spine. \Vhcn the needle reaches "human" level, it is good for
treating cervical pain; when it reaches the "earth" level, it is good for treat­
ing lower back pain.

B. Fengshi GB-31
Location:
Fengshi GB-3 1 is located on the lateral aspect i n the depression in the mid­
dle of the thigh. This point is located 7 cun superior to the popliteal crease
laterally between two tendons where the tip of the middle finger reaches
when a person stands erect with the arm extended on the side.
Needling:
Perpendicular insertion 2 cun; it is better if the tip of the needle reaches
the femur. Once qi is acquired, every few minutes ask the patient to rotate
the neck in a vvide range, gently and slowly for 1 minute, tO guide qi to
the affected area. Retain the needle for 30 minutes; manipulate the needle
every 1 0 minutes and ask the patient to repeat the neck movement at the
same time.
Analysis and Experience:
Fengshi GB-3 1 is very effective when needled deeply to reach the bone.
As cited in Huang Di Nei Jing, Ling Shu Chapter 1 0 - Jing Mai « Jit'fff
17'] fa,�• ilm » fa,���: "Shaoyang is indicated for disorders related to the
bone", that is 'shaoyang masters the bones'. If the needle is inserted deeply
to reach the bone at Fengshi GB-3 1 , it can u-eat liver and kidney simul­
taneously. Since Fengshi GB-3 1 is ascribed to shaoyang meridian and is
widely applicable for bone spurs. I have several hundred cases of success­
ful treatment of bone spurs at the cervical and lumbar spine during the
last 35 years. The combination I most frequently used is the combination
of Renzhong DU-26, Wanshunyi 22.08 (Houxi SI-3), Fengshi GB-3 1 and

1 18
 Clta/J/er 4 / Cervical Spo11dj1/ossi

Shugu UB-65. Needling Renzhong DU-26, \Vanshunyi 22.08 and Fengshi

GB-3 1 not only relieves the pain and numbness, i t also treats the root cause
of the disorder .

C. Shugu UB-65
Location:
Shugu UB-65 is located on the lateral aspect of the smaLI toe at the j u nc­
tion of the red and white skin, in the depression posterior to the 5th meta­
tarsal bone. That is, the p oi n t is located on the lateral aspect of the foot in
the depression posterior to the 5th metatarsal bone.
Needling:
Perpendicular insertion I cun. Once qi is acquired, ask the patient to gen­
tly and slowly rotate the neck eve1·y few minutes in a \\nde range for 1
minute to guide qi to tl1e affected area. Retain the needle for 30 minutes;
manipulate Lhc needle every 1 0 minutes and ask the patient to repeat the
neck exercise at the same time.
Analysis and Experience:
Shugu UB-65 is the shu-stream (wood) point of Urina1y Bladder (water)
meridian. Shu-stream points arc indicated for hea�ness of the body and
for joint pain. They arc effective in treating pain and difficulty in exten­
sion and ftexion of the joints in the meridian to which they belong. This
is wood point of water (Urinary Bladder) meridian. Consequent ly, it can
moisten wood by tonifying water and is indicated for many disorders. Due
to the circulating character of the meridian pathway, Shugu UB-65 is very
effective for pain in any location in the back of the body. Urinary Bladder
meridian traverses along both sides of the spine and its divergent meridian
enters the spine. Kidney masters the bones. 1·inary Bladder meridian is
interiorly-exteriorly related to Kidney meridian; therefore this point is ef­
fective i n treating cenrical and lumbar bone spurs. When combined \\rith
Houxi SI-3 or Fcngshi G B-3 1 , it becomes a dynamic formula.

D. Weizhong UB-40
Location:
\Veizhong UB-40 is located in the middle of the popliteal crease.
Needling:
Bleed the point once a week. \!\Then the point starts bleeding, ask the pa­
tient to rotate the neck gently and slowly in a \\ride range for 2 to 3 minutes.
Analysis and experience:
Weizhong UB-40 is the he-sea point of Urinary Bladder meridian.
Urinary Bladder meridian traverses along botJ1 sides of the spine and its
divergent meridian enters tl1e spine. Urinary Bladder meridian is interior­
ly-exteriorly related to Kidney meridian. Kidney masters the bones. Since
\'\Teizhong UB-40 is the xi-cleft point of blood, this is the point of choice

1 19
One Needle Them}!)' / Par/ II: Pain S)lndromes

for bleeding. For chronic and severe pains that are along the pathway of
Urinary Bladder meridian, bleeding this point can obtain exceptional re­
sults. Disorders of the neck are due to long-term stagnation and bleeding
can move the blood and dissipate blood stasis. Bleeding Weizhong UB-40
to treat stiffness of the neck and cervical spondylosis "'rill achieve remark­
able outcomes and accelerate the healing process.

E. Renzhong DU-26
Location:
Renzhong DU-26 is located above the upper lip at the junction of the up­
per 1 /3 of the philtrum.
Needling:
Needle with the patient sitting upright. Obliquely-superiorly insertion 0.2
to 0.3 cun. Better results \<\rill be obtained if the needle reaches the alveolar
ridge. Once qi is acquired, ask the patient Lo rotate the neck gently and
slowly in a wide range of motion for 1 minute to guide qi to the affected
area. Retain the needle for 30 minutes; manipulate the needle every 1 0
minutes and ask the patient to repeat the neck exercise at tl1e same time.
Analysis and Experience:
Renzhong DU-26 is in Du meridian that traverses through the spine. It
is also the meeting point of hand and foot yangming and Du meridians.
Hand and foot yangming meridians have abundant qi and blood and they
are excellent at regulating qi and blood. According to the treatment prin­
ciple of "the acupuncture points of a meridian treat the parts of the body
travelling along that meridian", this is an essential point for treating spinal
disorders. Renzhong DU-26 is, therefore, exceptional in treating cervical
and lumbar spurs. If needled to the alveolar ridge as indicated by "use
bone to treat bone'', better results v\rill be attained.

E Chengjiang REN-24
Location:
Chengjiang RE -24 is located in the depression below the lower lip.
Needling:
Obliquely-superiorly insertion 0.2 to 0.3 cun. Once qi is acquired, ask the
patient to rotate the neck gently and slowly in a wide range of motion for
1 minute to guide qi to the affected area. Retain the needle for 30 minutes;
manipulate the needle every 1 0 minutes and ask the patient to repeat the
neck exercise at the same time for l minute.
Analysis and experience:
« mf 35.�» , Bai Zheng Fu «8
As cited in ancient texts Sheng Yu Ge
&.!tit» ) and \Vo Yan Ling Xiao Ying Xue Ge «CiA:E-�%0!�/'C �» ,
Chengjiang REN-24 is the most frequently used point in the treatment of
neck rigidity among the fourteen primary meridians. Chengjiang REN-24

120
 Clza/Jler -/. / Cervical Sp01urylosis

is the meeting point of Ren, Du, hand and foot yangming meridians. Du
meridian traverses through the spine. Ren meridian nourishes yin and kid­
ney. Yangming meridians have abundant qi and blood and can strongly
regulate qi and blood. Therefore, as the meeting point of those meridians
Chengjiang REN-24 is able to treat cervical spondylosis. This is also a
powerful poim in sedating pain and is a commonly used crucial point in
treating nerYe disorders. This also reAects the treatment principle of "cor­
responds the front and back, treating the back by using the point in front".

G. Yingu KID-10
Location:
With the patient sitting upright and the feet naturally placed on the noo1�
Yingu KID- 1 0 is located at the medial end of the popliteal crease, in the
depression posterior to the medial condyle of the tibia between the semi­
membranosu tendons.
Needling:
Perpendicular insertion laterally and inferiorly. Once qi is acquired, retain
the needle for 30 minute. . i\ Ianipulate the needle every 5 to 1 0 minutes
and ask the patient to move the neck slowly with a wide range of motion
turning left and right, to the sides then up and clown.
Analysis and Experience:
Yingu KID - I 0 is the he-sea point of foot shaoyin Kidney meridian. I t is an
important point of Kidney meridian. As the he-sea point of Kidney merid­
ian, it is the point at which qi collects and enters the body. It is the meeting
point of Chong and Yinwei meridians. The pathway of Kidney meridian
ascends through the spine. Kidney masters the bones. Yingu KID- l 0 is
the water point of water (Kidney) meridian, so i t is a true water point (ac­
cording to the five element theory). Consequently, i t is the point of choice
for tonifying the kidneys. It is especially effective in treating disorders of
the kidney and the bones. Huang Di Nei Jing, Ling Shu Chapter 7 l -
Xie Ke « :fHif �fo.�·��» ���� says, "Pathogenic energy in the kidney
lodges bet\-veen two popliteaJ fossa (at the back of the knee)." That is where
Weizhong UB-40 and Yingu KID- I 0 are located. Yingu KID- I 0 is located
at the medial encl of the poplitcal crease; therefore, needling Yingu KID-
1 0 can treat cervical spondylosis and lumbar disorders. Needling Yingu
KID- 1 0 can nourish yin and strengthen yang and tonify kidney essence to
nourish the bones. Once the bones are nourished, hyperplasia of the bones
will be gradually diminished and the stagnancy of the compressed tissues
will be relieved and the healing process begins.

121
One .Veed/e Tlzerap)I / Part II: Pain Sjindromes

H. Kunlun UB-60
Location:
Kunlun UB-60 is located in the depression midway between the prom­
inence of the lateral malleolus and the posterior border of the Achilles
tendon.
Needling:
Oblique insertion 1 cun with the tip of the needle directed toward the
front edge of the medial malleolus. Once qi is acquired, retain the needle
fur 30 minutes; manipulate the needle every 5 to I 0 minutes and ask the
patient to move the neck slowly with a wide range of motion turning left
and right, to the sides then up and down. Manipulate the needle every 5 to
l 0 minutes and ask the patient to repeat Lhe neck exercise at the same time.
Analysis and experience:
According to my personal experience as cited in my book Zhen Jiu Jing
Wei «it�k��» which was published in 1 9 75: "Kunlun UB-60 is an
excellent point for treating spinal pain." This point is named "Kunlun"
because one said it is located at the lateral malleolus, and the protrusion
of the bone is high like the Kunlun Mountains in China. Another saying
is that the spine is high like the Kunlun Mountains and can be treated by
the point KunJun UB-60. Kunlun UB-60 is the j ing-river point of Urinary
Bladder meridian. The pathway of Urinary Bladder meridian traverses
along both sides of Du meridian. Divergent meridian of the urinary blad­
der enters the spine. Based on the treatment principle of "the acupuncture
points of a meridian treat the parts of the body travelling along that me­
ridian", this point treats cervical cLisorders.

I. Zhengjin 77.01
Location:
Zhengjin 7 7 . 0 I is located in the midclle of the Achilles tendon, 3 . 5 cun
superior to the heel.
Needling:
Perpendicular insertion 2 cun. Insert the needle quickly. If the needle
reaches the bone the effect will be better. Strongly manipulate the needle
by lifting, thrusting and t\.visting the needle and ask the patient to move the
neck up and down and left and right at the same time. If the pain is on
the left, needle right Zhengjin 7 7 . 0 1 and vice versa. When both sides are
affected, needle both Zhengjin 7 7. 0 1 at the same time. Retain the needle
for 30 minutes. i\! Ianipulate the needle once every l 0 minutes and ask the
patient to repeat the neck exercise. Usually only one treatment is sufficient.
Analysis and experience:
Zhengjin 77 .0 I is located on the "neck of the leg" (Achilles tendon). It cor­
responds to the neck accorcLing to reverse correspondence of the foot and
the body It is \·ery effective in treating neck disorders. This point is needled

122
 Clwpler 4 / Cm•ical Spondylosis

into the Achilles tendon in accordance with the treatment principle of "use
tendon to treat tendon". vVhen needled deeply to reach the bone, it then
treats disorders of the bone, therefore treating the bones and tendons of
the neck simultaneously. The pathway of Urinary Bladder meridian tra­
verses to the neck, the reason why this point is very effective in treating
neck pain, stiff neck and cervical spondylosis.

123
One_ Veed/e Therapy / Part 11: Pain !ifndromfs

Chapter 5

Periarthritis of the Shoulder

Pcriarthritis of the shoulder is caused by degeneration and inflammation of

the soft tissue around the shoulder joint. It is also called "adhesive capsulitis".
Since it is most commonly seen in people who are in their 50's, it is also known
as "fifty-year-old people's shoulder" or "fifty shoulder". The main character­
istics of this disorder are the pain is often one-sided with restricted range of
motion of the arm (whether it is flexion, extension, adduction or abduction).
The shoulder pain is mild at onset, but gets worse over time. The pain may
radiate to the neck and upper arm, and is worse at night. Often the patient is
awakened by pain (known as rest pain). In the mornjng, the pain is reduced
with increased movements.
Frozen shoulder typically develops slowly. It can severely affect everyday
activities, such as brushing hair and dressing. As the disorder progresses from
the painful stage to freezing stage, the connective tissues become adhesive,
completely freezing the range of motion. This condition is knov.rn as frozen
shoulder. It is often caused by sprain, fatigue and attack of wind-cold. It is often
seen in middle-aged females and i a stubborn disorder among the elderly.
Periarthritis of the shoulder is ascribed to "bi syndrome" in Chinese med­
icine. It is also called "shoulder and back pain", "frozen shoulder", "shoulder
bi" and "leaking shoulder wind". It is believed that the pathogenesis is due to
weakened qi and blood as a person ages or the contraction of cold at the local
site and overexertion.

ONE NEEDLE THERAPY POINTS FOR PERIARTHRITIS OF THE

SHOULDER
The commonly used one needle therapy points for periarthritis of the shoulder
are: Shenguan 7 7 . 1 8 , Sanjian LI-3 (Dabai 22 .04) , Xiajuxu ST-39, Tiaokou
ST-38, Zhongzhu SI-3, Shousanli LI-I 0, Yanglingquan GB-34,Jianyu L l - 1 5,

124
 Cliapter 5 / Pe1iarthritis ef the . 11011/der

Nao hu SI- 1 0 Tianzong I-1 1 , Jianjing GB-2 l , Chize LU-5 and Zuwujin
7 7 . 25.

A. Shenguan 77 .18
Location:
henguan 7 7 . 1 8 is located 1 .5 cun inferior to Yinlingquan SP-9, at Lhe
medial aspect or the rjbia.
Needling:
Perpendicular insertion l .5 co 2 cun. Once qi is acquired, ask the patienl
to repeatedly Oex, extend, adduct and abduct the affected arm and stretch
the range of motion as much as possible. Retain Lhe needle for 30 minutes.
l\l f anipulate the needle every l 0 minutes and ask the patient to move and
lift the shoulder at the same time.
Analysis and Experience:
Shenguan 7 7 . 1 8 is a very important point in tonifying the kidney. This
point is located inferior to Tianhuang 77 . 1 7 and it is indicated for toni­
fying both kidney and spleen inlingquan SP-9 is the water point of an
earth meridian and can tonify both kidney and spleen). Shenguan 7 7 . 1 8 is
considered vc1y effective in treating sciatica, back pain, headache and achy
lumbar associated with kidney deficiency. I t i also excellent in treating
the numbness and pain or the hand. Through the connection or spleen
and small intesline, il is especially c!Iective in treating shoulder pain and
frozen shoulder. After needling, ask the patient lo move Lhe fingers or raise
the arm and remarkable results can be seen. According Lo holographic
correspondence, Tianhuang 7 7. 1 7 'inlingquan SP-9) corresponds to the
head. Shenguan 77 . 1 8, which is located inferiorly to Tianhuang 7 7 . I 7,
corresponds to the neck and shoulder. This is another reason why it is
efTective in treating frozen shoulder. I have alleviated the frozen shoulder
of a high-ranking government official permanently using Shenguan 7 7 . 1 8
with only one treatment. It is very effective i n acute cases and is even more
suitable for chronic cases.

B. Sanjian LI-3 (Dabai 22.04)

Location:
Sanjian LI-3 is localed on the radial aspect of the index finge1; in the de­
pression proximal to the head of the 2nd metacarpal bone.
Needling:
With the patiem's hand in a loose fist, perpendicular insertion 1 cun from
Lhe radial aspect directed to the ulnar aspect of the pal m . Once qi is ac­
quired, ask the patient to repeatedly flex, extend, adduct and abduct the
afTe cted arm and extend the range of motion as much as possible. Retain
the needle for 30 minutes. l\!anipulate the needle once e\·e1y l 0 minutes
and ask the patient to move and lift the shoulder al the same Lime.

125
One Needle TheraPJ' / Part II: Pain Symdromes

Analysis and Experience:

The pathway of hand yangming meridian "rises along the lateral aspect
of the upper arm to the shoulder joint" and is indicated for "pain at the
inferior aspect of the shoulder". Sanjian LI-3 is located on hand yangming
meridian. Based on the treatment principle of "the acupuncture points of
a meridian treat the parts of the body travelling along that meridian'', i t
treats shoulder pain. Sanjian LI-3 i s the shu-stream point o f hand yang­
ming meridian. Shu-stream points are indicated for heaviness of the body
and for joint pain. Therefore, Sanjian LI-3 is effective in treatingjoint pain
all over the body. It especially imigorates qi and blood of hand yangming
me1idian and can case shoulder pain. It also has significant effe ct in treat­
ing upper back pain. Since this point is ascribed to wood, it is especially
indicated for tendon disorder . Frozen shoulder is often associated \vith
tension tendons di orders. Therefore, it is effective in using shu-stream
wood point to treat this disorder. According to Chinese medicine, chronic
disorders often implicate kidney deficiency. When needling Sanjian LI-3
along the bone, it is equivalent to Dabai 22.04. According to holographic
correspondence, points that are at the same level along the 2nd metacarpal
bones, location of Sanjian LI-3, is equivalent to "shoulder points" (incli­
cated for shoulder clisorders) and are especially effective. Dabai 22.04 can
also be used as a diagnostic point for periarthritis a a reference. The point
will be tender while it is palpated.

C. Xiajuxu ST-39
Location:
Xiajuxu ST-39 is located 9 cun inferior to the lateral Xiyan (Dubi ST-35),
I cun inferior to Tiaokou ST-38, one fingerbreadth lateral from the ante-
1ior border of the tibia.
Needling:
With the patient lying in a supine position or sitting up straight with fee t on
the ftoOJ� insert the needle 1 .5 to 2 cun. Once qi is acquired, ask the patient
to repeatedly flex, extend, adduct and abduct the affe cted arm and stretch
the range of motion as much as possible. Retain the needle for 30 minutes.
Manipulate the needle once every 1 0 minutes and ask the patient to repeat
the shoulder exercise at the same time.
Analysis and Experience:
Xiajuxu ST-39 is located on foot yangming Stomach meridian which has
abundant qi and blood; therefore, Xiajuxu ST-39 is very good at regulating
qi and blood. It is the lower he-sea point of hand taiyang Small Intestine
meridian. The pathway of hand taiyang Small Intestine meridian traverses
along the lateral aspect of the upper arm to the posterior aspect of the
shoulder joint, zigzags from the inferior fossa to the superior fossa of the
scapula. Therefore bleeding this point can treat both hand taiyang and foot

126
 Chapter 5 I Periartluitis ef the Shoulder

yangming disorders. It is significanLly effectiYe in treating shoulder pain

caused by periarthritis and shoulder sprain.

D. Tiaokou ST-38
Location:
Tiaokou ST-38 is localed 8 cun below Dubi ST-35, one fingerbreadth lal­
eral from the anterior border of the tibia.
Needling:
Perpendicular insertion 2.5 to 3 cun by using through-needling technique
from Tiaokou ST-38 direcled toward Chengshan UB-57. For right shoul­
der pain, selecl the point from the healthy (lefl:) side. Once qi is acquired,
strongly manipulate the needle by using reducing technique. At the same
time, ask the patient Lo exercise the affe cted shoulder. Retain the needle for
30 minutes. Manipulate the needle once every 5 to I 0 minutes and ask Lhe
patient to repeat exercising the affected shoulder at the same time.
Analysis and Experience:
Periarthritis or the shoulder is closely related to hand taiyang mall Intestine
mericl.ian and hand yangming Large Intestine mericl.ian. The treatment
principle primarily uses points from these two mericl.ians. Tiaokou ST-38
is ascribed to foot yangming Stomach mericl.ian and Cheng han UB-5 7 is
from foot taiyang Urinary Bladder meridian. Combining these 2 points
can regulate both yangming and Laiyang meridians. Yangming meridian
has abundant qi and blood and is effective in regulating qi and blood.
Huang Di NeiJing, Ling Shu Chapter 10 - Jing iVIai «JiHfi i?;J #�·�fl�»
t.� !V&� states: "Taiyang is incl.icated for tendon disorders." It is effective in
soothing the tendons. Needling Tiaokou ST-38 treats both yangming and
Laiyang mericl.ians and can regulate qi and blood, soothe the Lcndons and
invigorate the collaterals. Based on Lhe treatment principle of "the acu­
puncture points of a meridian treat the parts or the body travelling along
that meridian" and through the principle of the correspondence belwecn
hand and foot yangming and taiyang mericl.ians and as cited in Huang Di
NeiJing, Ling Shu Chapter 9 - Zhong Shi «JHif j?;j#,fil·�ifi1» �M:11f6: "If
the disorder is below, selccl the points above.' By using the above princi­
ples, needling Tiaokou ST-38 toward Chengshan UB-5 7 treats disorder on
the upper part of the body by selecting points from the lower part of Lhe
body. It treats the disorder by using a cl.istal point so that it can dredge the
mericl.ian and guide qi toward the affected area. It can also treat the left
side of the body by using points on the right side to balance the body and
atlain great results. This technique is most suitable for acute cases.

127
One . \eedle Thera/J}' / Part II: Pain �'lldromes

E. Zhongzhu SJ-3
Location:
Zhongzhu SJ-3 is located l cun proximal to Yemen SJ-2, in the depression
between the 4th and 5th metacarpal bones, L cun proximal to Yemen SJ-2.
Needling:
\ \ ith the patient's hand i n a loose fist, perpendicular insertion proximally
0.8 to l cun. Once qi is acquired, ask the patient to repeatedly flex, extend,
adduct and abduct the affected arm and stretch the range of motion as
much as possible. Retain the needle for 30 minutes. Manipulate the needle
once every l 0 minutes and at the same time, ask the patient to repeat the
exercise.
Analysis and Experience:
Sartjiao meridian starts from the ulnar aspect of the ring :finger and tra­
verses up the lateral aspect of the arm to the shoulder and neck. It then
passes through the cars, eyes, cheeks and forehead. Consistent with the
treatment principle of "the acupuncture points of a meridian treat the
parts of the body n-avelling along that meridian'', needling Zhongzhu SJ -3,
a distal point of the Sanjiao meridian, treats shoulder and back pain. As
cited in ancient texts such as Xi Hong Fu «Jt 5l.Jtit» : "Chronic shoulder
and back pain due to the attack of cold, needle Zhongzhu SJ-3". Zhou
Hou Ge «Jlt1��» also says, "Use Zhongzhu SJ-3 to treat all types of
shoulder and back disorders." Zhongzhu SJ-3 is the shu-stream point of
Sanjiao meridian. Difficulty 68 of Nan Jing «l!Ufil» m/\+ JUlt says,
"Shu-stream points are indicated for heaviness of the body and for joint
pain." Therefore, this point can treat disorders of the neck, shoulder and
back pain 'vvith heavy sensation. Hand shaoyang sinew meridian traverses
along the neck and merges with the collaterals of taiyang sinew merid­
ian. Periarthritis of the shoulder is a disorder of the spasm of the tendon.
Zhongzhu SJ-3 is ascribed to wood and corresponds lo the liver. Liver mas­
ters the tendon. Zhongzhu SJ-3 can then dredge the meridian qi, soothe
the tendon and invigorate the collaterals to achieve the treatment princi­
ple of "when there is movement, there is no pain". Combining treatment
with shoulder exercise will improve the range of motion until the pain
diminishes.

E Shousanli LI-10
Location:
Shousanli LI- 1 0 is located on the posterior and radial aspecL of the fore­
arm, 2 cun distal to Lhe elbow crease, on the line connecting Quern LI- l 1
and Yangxi LI-5. With the patient's hand in a loose fist, the point is in the
depression on the brachioradialis muscle.
Needling:
\\Tith the patient's hand in a loose fist and the elbow flexed, perpendicular

128
 Chapter 5 I Pe1iarthritis ef the Shoulder

insertion 1 cun. Once qi i acquired, strongly manipulate the needJe by

lifting, thrusting and t:wisLing. sk the patient to move the shoulder at dif­
ferent angles for 3 to 5 minutes (note that while exercising, keep the hand
in a loose fist and the clbo,,· flexed). Retain the needle for 3 0 minutes.
� Ianipulate the needle once eve1·y I 0 minutes and ask the paLient Lo repeat
the exercise at the same time.
Analysis and Experience:
Shousanli LI- I 0 is an important point of Large Intestine meridian. Large
Intestine meridian has abundant qi and blood and is strongly indicated
for regulating qi and blood. As recorded in ancient texts, Tong Xuan Zhi
Yao Fu «:im'if:f��Jllit» , Sheng Yu Ge «JWf 3S.�» , Xi Hong Fu « f/f; �k
Jtit» and Za Bing Xue Fa Ge «lf:lt'�.1C�llfk» and in accordance 'vvi th the
pathway of Large Intestine meridian, Shousanli LI- l 0 has been an essen­
tial point in treating shoulde1; back and arm pain throughout history. I t can
also treat shoulder or back pain radiating to the umbilical region.

G. Yanglingquan GB-34
Location:
Yanglingquan GB-34 is located on the lateral aspect of the leg in the de­
pression anterior and inferior to the head of Lhe fibula.
Needling:
Perpendicular insertion 1 .5 to 2 cun on the affected side. Once qi is ac­
quired, ask the patient to repeatedly flex, extend, adduct and abduct the
affected arm and streLch the range motion of as much as possible. ReLain
the needle for 30 minutes. ::vlanipulate the needJe once every I 0 minutes
and ask the patient to repeat the exercise of the shoulder at the same time.
For better result<;, palpate and look for painful points \\Tith the index finger
around Yanglingquan GB-3-t and needle the most painful point.
Analysis and Experience:
Yanglingquan GB-34 is the he- ca point of foot shaoyang Gallbladder me­
ridian. It is al o the influemial (hui-meeting) point of Lendon . IL is, there­
fore, excellent in treating tendon disorders. Periarthritis of the shoulder
causing inability to raise the shoulder is a disorder of tendon and can be
treated by needling this point. Huang Di Nei jing, Ling Shu Chapter I -

Jiu Zhen Shi Er Yuan «:i'.•Hif j?g�·�;ffil » j1tt+=m.:�

stated: "For dis­
order that is on the upper part of the body pertaining to the internal [zang
organs], needle YinJingquan S P-9; for disorder that is on the upper part of
the body pertaining to the external [fu organs], select Yanglingquan GB-
34." As described in my book, Huang Di NeiJing Su ' Ven Yijic «jli{Tif j7g
�� · * r1:1, �.M» , which was published in 1 97 6 Yanglingquan GB-34 treaLs
migraine headache, shoulder pain and wrist pain, often \vith greal success.

129
One . \ eedle TherapJ' / Part II: Pain Syndromes

H. Zuwujin 77 .25
Location:
Zuwujin 7 7 .25 is located 2 cun lateral and 4 cun inferior to Zusanli ST-36.
Needling:
Perpendicular insertion I to 2 cun. Once qi is acquired, ask the patient
to stretch the effected arm forward and laterally toward the back several
times. Retain the needle for 30 minutes. Manipulate the needle once every
1 0 minutes and ask the patient to repeat the exercise.
Analysis and Experience:
The word ')in" in Zuwujin 77 2 5 means "metal" which is related to lung
.

and large intestine. This point can treat throat disorder of the respiratory
system, enteritis and shoulder pain. Zuwujin 7 7 .25 very effectively treats
neck and shoulder that cannot turn left and right or stretch to the back.
According to my personal experience, needling points from yangrning me­
ridian is especially indicated for shoulders that cannot be lifted; needling
points from shaoyang meridian for shoulders that cannot be extended left
and right.

I . Jianyu LI-15
Location:
\ \ ith the patient's arm abducted,Jianyu LI- 1 5 is in the depression anterior
to the shoulder. This point lies in the middle of the origin of the deltoid
muscle, posterior to the humeroacromial joint.
Needling:
Have the patient sit upright or lie in a supine position with the upper ex­
tremity abducted. Using a 3-cun needle, quickly insert into Jianyu LI- 1 5
towards the humerus subcutaneously, then further insert the needle in(eri­
orly and distally 2 cun. Once qi is acquired, strongly manipulate the nee­
dle. Retain the needle for 30 minutes. Manipulate the needle once every 5
to I 0 minutes.
Analysis and Experience:
Jianyu LI- 1 5 is the meeting point of hand yangming Large Intestine and
Yangqiao meridians. Throughout history, it is a major and commonly used
point indicated for shoulder and arm pain. ZhenJiuJia YiJing «tt�lfl
Z:,�» says, ''.Jianyu LI- 1 5 is indicated for inflammation of shoulder, fin­
ger and arm pain." As said in the Yu Long Fu «:EJlU.lit » : ''.Jianyu Ll - 1 5
can treat wind-damp attacking the shoulders." Chang Sangjun Tian Xing
Ii Jue Ge «���J(��l·��» says, "Selcct jianyu LI- 1 5 for arthriti:;
with spasm and bi syndrome of the arm." It is clear thatJianyu LI- 1 5 is an
empirical point for shoulder and arm pain.

130
 Chapter 5 I Pe1iarthritis of the Shoulder

J. Naoshu SI-10
Location:
With the patienc si tting upright and the arm abducted, the point is on the
posterior aspect of the shoulder in the depression inferior to the scapular
spine directly superior to the posterior auxiliary crca c.
Needling:
Oblique insertion 0.8 to I cun with the needle directed anteriorly-inferi­
orly. Once qi is acquired, st.rongly manipulate the point by lifting, thrusting
and t'vvisting. Retain the needle for 30 minutes.
Analysis and Experience:
Naoshu SI- I 0 is the meeting point of hand taiyang Small Intestine,
Yangwei and Yangqiao meridians. Zhen Jiu Jia Yi Jing «#� Ej3 Z.J�»
says, " [For] swollen shoulder that is cold and hot causes pain in the scap­
ula, [and for] aching in the arm and shoulder." Tong Ren Shu Xue Zhen
Jiu Tu Jing «�Affntr/\tJ·�'dD!�» says, " [For] pain of the boulder with
inability to lift the arm, needle Naoshu SI- I 0." I t is clear that throughout
history physicians have used Naoshu Sl- 1 0 as an important point in treat­
i ng frozen shoulder. It is also a diagnostic point. When it i painful upon
palpation this indicates there is pcriarthritis of the shoulder. It effect ively
treats upper arm and shoulder disorders.

K. Tianzong SI- 1 1
Location:
Tianzong SI- I I is located on the scapular. Tianzong SI- I I Naoshu SI­
i 0 andJianzhcn Sl-9 form an equilateral triangle. I t is dircclly inferior to
Bingfeng SI- 1 2 and level with Shendao D U - I 1 .
Needling:
With the patient sitting upright or lying on the side, use the even tonifying
even reducing technique, perpendicular insertion appro>cimately 1 cun at
Tianzong SI- I I on the affe cted side. The patient should feel orencss, tin­
gling and distention at the site. Once the sensation ascends to the deltoid
area or when the sensation reaches the fingers, remove the needle. Do not
retain the needle. Then needle the healthy side Tianzong SI- 1 1 by lifting,
thrusting and twisting with heavy reducing technique until qi is acquired.
There should be soreness, tingling, heavy and distended sensation. Ask
the patient to exercise the affected upper extremity by repeatedly lilt ing,
stretching, flexing, extending backward and moving the arm in as wide a
range of motion as possible. Retain the needle for 30 minutes. Manipulate
the needle every l 0 minutes for l minute and ask the patient to repeat
exercising tl1e shoulder.
Analysis and Experience:
Small Intestine meridian "runs along the lateral aspect of the upper arm to
the posterior aspccL of the shoulder joint, zigzags from the inferior fossa lo

131
One. \eedle Therapy / Pmt II: Pain Syndromes

the supc1ior fossa of the scapula". "The acupuncture points of a meridian

treat the parts of the body travelling aJong that meridian." Tianzong SI- I 1
is a point on hand taiyang Small Intestine meridian. As cited in Zhen Jiu
Jia YiJing «tt� If' Z.�-fil» : " [For] heavy shoulder, painful elbow and arm
that are unable to lift, select Tianzong SI- 1 1 ." Zhenjiu Da Cheng «tt�
*-r&.» and Tong Ren Shu Xue Zhenjiu TuJing «j!ii] Aflrilr/t tt � ll� »
aJso mention that Tianzong SI- I I treats "painful shoulders and scapular"
and "soreness of the shoulder and arm". Clinically, Tianzong SI- 1 ] can
effe cl.ivc::l y ln.:at chronic or acute periarchritis of the shouldec

L.Jianjing GB-21
Location:
Jianjing GB-2 1 is located on the shoulder m idway between Dazhui D -14
and the Lip or the acromion.
Needling:
Perpendicular insertion approxi mately l cun. Once qi is acquired, use
lifting, tJ1 rusting and twisting techniques. Then lift the neeclle to the sub­
cutaneous level; with the needle directed toward the neck, scapular and
acrorn.ion, manipulate strongly in different directions. Retain the nee­
clle for 30 minutes. ote that the neeclle should not be inserted too deep
perpendicularly. This is to avoid needling into the pleuraJ ca\�ty causing
pneumothorax.
Analysis and Experience:
Jianjing GB-2 1 is the meeting point of hand shaoyang Sanjiao, foot shaoy­
ang gallbladder, foot yangm.ing Stomach and Yangwei meridians. It is a
commonly u ed point for shoulder disorders. It is an important point in
treating pain and difficulty in lifting the arm and shoulder and pain of the
back and shoulder (see Zhcnjiujia Yi Jing «ti-� Ef3 Z.�&!» ) , Tong Xuan
Zh.i Yao Fu «:im�j��P.ftt » , Yi Zongjinjian «�*�ifi» , Yu Long Fu
«.:li'A'�Jti\» ) . It may be combined witJ 1 jianyu LI- 1 5, Tianzong SI- 1 1 , or
Tianliao SJ- 1 5 for better results.

M. Chize LU-5
Location:
With the patient's palm facing up and elbow slightly bend, Chize LU-5 is
located 011 the cubital crease, in the depression 011 the lateraJ aspect of the
tendon m. biceps brachii.
Needling:
With the patient's palm facing up and elbow slightly bend, perpendicu­
lar insertion I cun. Avoid neeclling the cubitaJ vein. Use the "breathing
while tonifying and reducing" technique. '\Then the patient inhales, insert
the needle. Insert the needle deeper when the patient inhales again and
quickly manipulate the needle to "push" qi toward the affe cted area. 'Vhen

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 Clta/Jfer 5 / Periarthritis ef lhe Shoulder

the patient exhales, simply hold onto the needle. Once qi is acquired, again
when the patient inhales, trongly manipulate the needle by using reducing
technique and twist the needle quickly. Again when the patient exhales,
hold the needle. At that time, qi has already attained at the affected site.
Then when the patient exhales, remove the needle without pressing on
the needle sice. Once the needle i. removed, ask the patient to lift the arm
immediately. The patient should be able to raise the arm much higher and
have a much broader range of motion.
Analysis and Experience:
Chize LU-5 i the he-sea point of Lung meridian and is a cribed to water.
·Metal generates water and is the son point of Lung meridian. According
to five-element theory, when the lung is excessive, it will over-control wood.
\ Vhcn wood is being over-controlled, the tendons become spastic. By se­
dating this point, it can soothe the tendons and invigorate the collaterals.
lt is effective in treating spasms of various parts of the body. A branch of
Liver meridian enters the lung and the meridians are clircctly connected
with each other. Liver masters tl1e tendons. Therefore, thi point is effective
in treating tendon disorders, especially \vhen needling this point alongside
tl1c tendon. Consequently, Chizc LU-5 is excellent in treating frozen shoul­
der. Lung ma ters qi and i closely related to breathing. Apply reducing
technique from "breathing while tonifying and reducing" technique will
have even greater therapeutic effect. It is often called the "magic" needling
technique.

SUMMARY
The author has treated hundreds of cases of periarthritis of the shoulder
using all the pre\'iously mentioned points but mainly the distal points. When
needling, apply dong (moving) qi technique, which is, ask the patient to exer­
cise tl1e shoulder to guide qi to the affected area to attain better results.
If there is clearly a trigger point on tl1e shoulder region, first needle the
corresponding point on the opposite foot. Then find the meridian where the
trigger point belongs to. " bu-stream points are indicated for heaviness of the
body and for joint pain" and "ying-spring and shu-stream points treat the out­
er meridian". Selecting shu-stream or ying-spring points on the affected side

as the tl1erapeutic point or the qianyin (guiding) point will produce remarkable
results. For example, if the pain is located on the anterior medial aspect of
the shoulder (ascribed to Lung meridian), select Yuji LU- l 0. If the pain is
located at the lateral aspect of the shoulder (ascribed to yangming meridian),
select Sanjian LI-3. If the pain is at tl1e lateral posterior aspect of the shoul­
der (ascribed to shaoyang meridian), select Zhongzhu SJ-3 . And if the pain is
at tl1e posterior aspect of the shoulder (ascribed to taiyang meridian), select
Houxi SI-3. AlLhough Sanjian LI-3, Zhongzhu tJ-3 and Houxi I-3 arc all

133
One lveed/e TheraPJ' / Part II: Pain Syndromes

guicli11g points, they are also treatment points. Therefore selecLion of these
points gives a double dose of treatments with even more remarkable results.
Periarthritis of the shoulder is closely related to hand taiyang Small
Intestine and hand yangming Large Intestine meridians. The treatment points
are mainly selected from these two meridians. Additionally, Lung meridi­
an and Large Intestine meridian are interiorly-exteriorly related. Yangming
meridian of the hand and foot are connected by the same nan1e. Spleen and
Small I ntestine mericlians correspond to each othe1� Therefore, select the
points located on these meridians or µuiuts frum the meridian that master the
tendons to attain excellent therapeuLic results.
Although there are many other empirical points that effectively treat peri­
arthriLis of the shoulder, such as Quyuan SI- 1 3, Yangchi SJ-4, Jugu LI- 1 6 and
Zhongping [EX] , I have only described those based on my personal e;.,'Perience.
Patients with periarthritis of the shoulder have limited motion in all direc­
tions and should combine treatments with exercise to accelerate the healing
process and prevent adhesion of the tissues. Stretching exercises are usually the
cornerstone of treating frozen shoulder. The patient should be instructed as
follows. Warm up the shoulder before exercise. The best way is to take a warm
shower or a bath for 1 0 to 1 5 minutes. The patient can also use a moist heating
pad or damp towel but may not be as effecLive. In performing the following
exercises, stretch to the point of tension but not pain: 1 . Finger walk: Face the
wall, with the elbow of the affected side slightly bent, slowly walk the fingers
up the wall until the arm is raised as far as it can comfortably go. Slowly lower
the arm with the help of the good arm, if necessary. Repeat 1 0 Lo 20 times. 2 .
Pendulum stretch: Rela,x the shoulders, stand and lean over slightly, allowing
the affected arm to hang down. Swing the arm in a small circle clockwise and
anti-clochvise for 20 to 30 minutes. 3. Squatting: Squatting with the arms
behind the back leaning against a desk or the back of a chair: With the palms
on the desk (or back of a chair), start squatting down naturally as low as can
be. Repeat multiple times.
Periarthritis of the shoulder is a commonly seen motor system clisor­
der. It most commonly affects people between the ages of 40 and 60, and
occurs in women more often than in men. Other \·vays to achieve better results
are to receive treatment conti11uously (at least non-stop for a long period of
time) and self-rehabilitate at the same time. Acupuncture is still the best tech­
nique in treaLing frozen shoulder. Combining acupuncture treatments with
the above-mentioned points and simultaneous self-rehabilitation will achieve
exceptional results in a short period of time.

134
 Chapter 6 / Elbow Pain

Chapter 6

Elbow Pain

Disorders of the elbow joinL and the surrounding oft tissues can cause elbow
pain. Excluding arthritis of the elbow, this chapter will discuss the commonly
seen radial aspect elbow pain. The condilion is also known as lateral epicondy­
litis (inflammation of the outside elbow bone). Chinese medicine calls it "elbow
bi" and is commonly known as '·cennis elbow". This is a commonly seen recur­
ring disorder. Since this disorder often seen in tennis players, it is referred to as
"tennis elbow". It is also seen in workers who overly exert their elbow joints or
who repeatedly pronate and supinate their forearms. \ Vorkers who frequently
u e their hands uch as chefs and domestic helper , often develop tennis elbow.
Volleyball players, table tennis players, blacksmiths, machinists and electricians
all frequently rotate their forearms (e.g. twisting the electric wires, clothes and
towels) and repeatedly flex and extend their wrists. These all contribute to tl1e
development of tennis elbow.
The etiology of this disorder is the repetition of forceful rotation of the
forearm and flex.ion and extension of the wrist. This causes recurrent and
cumulative injury of the extensor carpi radialis tendon. This in turn instigates
the muscle fibers to wear and tear and hyperemia under the periosteum which
results in chronic aseptic inflammation of the lateral epicondyle and pain of
the radial posterior aspect of the elbow.
This disorder usually develops slowly and lingers for a lung Lime. The
patient often feels the weakening of the lateral aspect of the affected elbow or
limited strength in holding onto an object or worsening of the pain when using
strength to hold and rotate a fist (such as twisting a towel). The pain alleviates
when the elbow is resting. The pain is often limited to the area around the later­
al and supe1;or aspect of the condyle of the h umerus where there is often pain
upon palpation. The pain is more pronounced when carrying heavy objects
w it h the extension or flexion of the elbow or when rotat ing the forearm. It is

135
One Needle Therapy / Part 11: Pain S]mdromes

especially excruciating when clenching a fis t, lifting heavy objects, or twisting

an object. The pain may radiate to the wrist and the lateral dor. al aspect of
the hand. Gencrally,joinl movements are normal. Usually the pain worsens at
night and sometimes disturbs sleep.
In Chinese medicine, tennis elbow is ascribed to injured tendon in the
elbow. It is within the scope of "elbow bi" or "tendon bi" syndromes. It is
belie,·ed that tennis elbow is caused by qi stagnation and blood stasis due to
repetitive overexertion and rotation of the elbow, causing injury of the merid­
ian qi and the fascia. In ancient times i t is called "bi" syndrome, which is pain
instigated by local blood stasis and obstruction of the blood flow in the merid­
ians and collaterals. This phenomenon coincides with "adhesion" in modern
medicine. As for treatment principle, whether it is herbal formula, acupunc­
ture, tuina (Chinese style massage), massage or operation, the goal is to loosen
the adhesion to alleYiatc pain.
Since the disorder is occupational or work related, during the course of
treatment the patient should avoid repetitive movement or reduce the move­
ment of the affected elbow and should avoid carrying heavy objects to prevent
the adhesion of the fascia. This will help alleviate the pain and accelerate Lhe
healing process. If the disorder is caused by elbow attacked by cold, the patient
should avoid exposure to cold.
Empirically speaking, acupuncture is the most effective modality in treat­
ing tennis elbow. If combining acupuncture with tuina, herbal formula and
external application of Chinese herbs vvill attain better result faste1� When
using acupuncture, try to avoid needling the affected area if at all possible.
l eedling the corresponding point on the opposite side with qianyin (guiding)
technique will be more effective. If necessary, bleed the jing-well points on
the fingers or the back-shu points to move the blood, dissipate stagnation and
accelerate recovery time.
Currently, the most commonly used therapeutic treatments for tennis
elbow are: sulfur moxa on ahshi or local points, intradermal neeclle therapy
on trigger points and ginger moxa. Others needle Futu LI- 1 8 . Personally, I use
distal points instead and achieve excellent results.

ONE NEEDLE THERAPY POINTS FOR ELBOW PAIN

The commonly used one needle therapy points for elbow pain are: Quhou
[YWC-EX] (Posterior to Quchi LI- I 1 ), Linggu 22.05, Shousanli LI- 1 0, Cesanli
7 7 .22, Futu Ll- 1 8 and Huofuhai 33.07.

A. Quhou [YWC-EX]
Location:
\ \ ith the patient's elbow flexed and hand on the chest, firsl locate the point
in the depression at the lateral end of the cubital crease (Quchi LI- 1 1 ),

136
 Chapter 6 / Elbow Pain

then extend to the epicondyle of the humerus. Anterior to the bone is the
point Quhou [YWC-EX].
Needling:
Perpendicular insertion 1 .5 cun along the bone on the opposite (healthy)
side. After needling, ask the patient Lo extend the affected arm and flex the
elbow l to 2 minutes. Retain the needle for 30 minutes. Manipulate the
needle every l 0 minutes and ask the patient to repeat the elbow exercise
at the same time.
Analysis and Experience:
Quhou [Y\1\fC-EX] , is an extraordinary point founded by Dr. Wei-Chieh
Young. It is located posterior to Quchi LI- 1 l at the end of the transverse
cubital crease, anterior border of the bone. This technique is similar to
"duan ci" (adjacent needling) mentioned in Huang Di Ieijing «jli{tfi: l?\J
t.�» . As cited in Huang Di Nei jing, Ling Shu Chapter 7 Guan Zhen -

« jifi'if pq f.:� · m �» �i-j-�;: "Duan ci (adjacent needling) i indicated for

bone bi S)mdrome." After the inserLion, manipuJate the needJe slightJy until
it touches the bone. Apply the Lifting and thrusting technique. The peri­
osteum has abundant nerves and blood vessels. \ Vhen the point is needled
along or touching the bone, it is ve1y effective in treating disorders related
to the joint through 'periosteum conduction' according to modern studies.
Inflammation of the lateral epicondylitis of the humerus (tennis elbow) is
ascrihed to bone bi syndrome. Therefore, needling Quchi LI- 1 1 closely
along the bone to treat tennis elbow is ve1-y effective. It w111 only take a
few treatments to alleviate the pain. Using a point from the left to treat
disorders on the right will balance the body and allow the affected area to
exercise during tJ1e treatment to increase therapeutic effects.

B. Linggu 22.05
Location:
Linggu 22.05 is located on the dorsal aspect of the hand. The point is
located at the junction of the index finger and the thumb, where the 1 st
and 2nd metacarpal bones meet. Linggu 22.05 is directly opposite to and
communicates with Chongxian 22.02.
Needling:
Perpendicular insertion 1 .5 cun on the opposite (healthy) Linggu 22.05.
With the patient's hand in a loose fist, insert the needle where the 1 st and
2nd metacarpal bones meet. After needling, ask the patient to extend the
affected arm and flex the elbow for l to 2 minutes. Retain the needle for
30 minutes. �Ianipulate the needJe every 1 0 minutes and ask the patient Lo
exercise the affected elbow at the same time.
Analysis and Experience:
Linggu 22.05 corresponds to the kidney when needled along the bone and
the reason is as described in Section A Quhou (Y\ VC-EX) . Insert Linggu

137
One Needle Therapy / Part 11: Pain Syndromes

22.05 with the needle along the bone to treat lateral epicondylitis (tennis
elbow) is very effective. Lateral epicondylitis of the humerus is basically lo­
cated on the lateral edge of Large Intestine mericlian. By needling Linggu
22.05 on the same (affected) side, i t allows the affected elbow to exercise
during needle retention. Since Lhis point is on the affected side, it serves as
the therapeutic point as well as the qianyin (guicling) point to attain better
results.

C. Shousanli LI- 10
Location:
Shousanli LI- 1 0 is located on the radial aspect of the forearm, 2 cun distal
to the cubital crease, with the patient's hand in a loose fist and the elbow
flexed; the point is in the depression on the line between Quchi LI- 1 1 and
Yangxi LI-5.
Needling:
V\Tith the patient's hand in a loose fist and the elbo"v flexed, perpendicular
insertion about l cun on the opposite (healthy) side. Once qi is acquired,
use lifting, thrusting and n.virling techniques with strong stimulation. Ask
the patient to extend the arm and flex the elbo"v for l to 2 minutes. Retain
the needle for 30 minutes. Manipulate the neeclle eve1y 1 0 minutes and ask
the patient to repeat exercising the elbow at the same time.
Analysis and Experience:
Shousanli Ll- 1 0 is an important. point of Large Intestine meridian. Large
Intestine meridian has abundant qi and blood. This point is strongly in­
clicated for regulating qi and blood, expcUing \<Vind and invigorating the
collaterals. This point induces strong neeclle sensations and is excellent in
treating clisorders of the rnericlian. Due to [its location in] the pathway
of Large Intestine rne1-iclian, Shousanli LI- I 0 has been known throughout
history as aJ.1 important point for treating shoulder and back pain as well
as aJ.·m pain (Tong Xuan Zhi Yao Fu «:ifil 'B,"f��P.Jit» , Sheng Yu Ge «
Mf35.:mx» , Xi Hong Fu «friBMJit» and Za Bing Xue Fa Ge «-*!£(p;j)C
r!:mx» ) . Shousanli LI- 1 0 is located at the end of a protruding muscle or
"thick muscle". Th rou ghou t history physicians often consider this muscle
as "tendon". Therefore, Shousanli LI- 1 0 is \.videly used for treating tendon
clisorders and is considered as the special point for tennis elbow.

D. Cesanli 77.22
Location:
Cesanli 7 7.22 is located superior and 1 .5 cun lateral (toward Shaoyang
meridian) to Sihuashang 7 7.08 (3 cun inferior to Xiyan [EX] , level with
Zusanli ST-36).
Needling:
Perpendicular insertion and needle along the fibula. Once qi is acquired,

138
 Chapter 6 / Elbow Pain

ask the patient to extend the arm and flex the affected elbow for I to 2
minutes. Retain the needle for 30 minutes. l\Ianipulate the needle every l O
minutes and ask the patient to repeat the exercise of the affected elbow at
the same time.
Analysis and Experience:
Cesanli 7 7 . 22 is located 1 .5 cun lateral to Zusanli ST-36, between yang­
ming and shaoyang meridians. Therefore this point has a particular ability
in treating combination of yangming and shaoyang syndromes. Tennis el­
bow is commonly involved yangming and shaoyang meridians. According
to holographic correspondence oC hand and foot, Cesanli 7 7 .22 is located
on the area corresponding to the painful area of the tennis elbow; thus, it
is indicated for treating tennis elbo\<v. If this point couples ''�th Ccxiasanli
7 7 .23, the treatment will be considerably more effective because the two
points compliment each ot her.

E. Futu LI-18
Location:
Futu LI- 1 8 i located on the lateral aspect of the neck, le,·el with the Lip
of laryngeal prominence, between the sternal and clavicular head of Lhe
sternocleidomastoid muscle. 1 .5 cun posterior to Renying ST-9.
Needling:
Perpendicular insertion approximately 0.5 cun directed toward the neck
(the artery and vein of the neck is deep at the site of the point). Deep in­
sertion is contraindicated. The depth of the needle should depend on the
constitution of the patient. Once qi is acquired, the patient should have the
sensation of electric current radiating to the hand. Upon the feeling of the
sensation, remove the needle immediately. Do not retain the needle. \ hen
the needle is removed and before the sensation has subsided, a k the patient
to extend the arm and nex the affected elbow for l to 2 minUleS. Repeat the
treatment every other day by using the same needling technique.
Analysis and Experience:
Futu LI- 1 8 is ascribed to Large Intestine meridian. It dredges the meridian
and regulates qi and blood. It is an empirical point for arm pain. The ther­
apeutic effectiveness is closely related to the needle sensation. If the needle
sensation is properly induced, the therapeutic effe ct is significantly better.
This point is more effective in acute or mild cases. For chronic or more
severe cases, it will take a longer period of time.

E Huofuhai 33.07
Location:
In the forearm, Huofuhai 33.07 is 2 cun posterior to Huoshan 33.06 on
the prominence of the muscle. This point is located on Sanjiao meridian.
\1\fith the patient's hand in a loose f is t, rotate the wrist in an anti-clockwise

139
One Needle Thera/J) I Par/ II: Pain S)'11dronzes

direction, close to Shousanli LI- I 0, i n the depression on the brachioradialis

muscle.
Needling:
Perpenclicular insertion approxjmately I cun, with the patient's hand in a
loose fist and elbow flexed. Once qi is acquired, strong manipulation with
lifting, thrusting and twirling of the needle. Ask the patient to extend the
arm and flex the elbow for 1 to 2 minutes. Retain the needle for 30 min­
utes. Manipulate the needle every 1 0 minutes and ask the patient to repeat
the exercise at the same Lime.
Analysis and Experience:
H u ofuhai 33.07 is equivalent to Shousanli LI- 1 0. The only difference is the
methods in locating these points. Huofuhai 33.07 has stronger indications
than Shousanli LI- l 0. Please refer to ''l\nalysis and fu..'.Periencc" of Section
6.1C - Shousanli LI- 1 0 for details.

140
 G!1apter 7 / Te11osy11ovitis ef the I Vi-isl and Hand, Finger and M lt-ist Pain

Chapter 7

Tenosynovitis of the Wrist and Hand,

Finger and Wrist Pain

Finger and vvri t pains are commonly seen in clinical practice and are mostly
related lo disorders of the tendons and tendon sheaths. Finger pains arc often
due Lo sprain, m·erexcrtion or arthritis. These disorders often happen to those
who overuse their fingers and wrists for long periods of Lime. The constant
rubbing on the tendon sheaths results in thickening and stenosis of the tendon
sheath and results in traumatic inflammation, which .leads to s\\·clling, pai n ,
numbness and limited range of motion. This chapter will discuss tcnosynovi­
tis stcnosing of mallcolus radialis, trigger f ingc1; ganglion cyst carpal tunnel
syndrome and f inge r pain . These disorders are ascribed to "tendon inj u ry"
and "wind bi syndrome" of the fingers and wrists in Chinese medicine.

I. TENOSYNOVITIS STENOSING OF MALLEOLUS RADIALIS

Tcnosynovitis tenosing of mallcolus radialis is often seen in people vvho work
with their hands, housewives, writers or jou rn alists (t11erefore, it is also known
as mother's hands or writer's hands). \!\Then the tendinous sheath of abductor
pollicis Jongus and extensor pollicis brevis muscles is being rubbed under the
distal radius for a long period of time, the tendon and tendon sh eath become
thickened. fa·emually, this will cause traumatic inflammation and impairment
of range of motion.
The main symptoms are: pain at the radial styloid process, impaired move­
ment of the thumb, inability to lift heavy objects or even pour wate1: The pain
may radiate to t11e forearm. Ask the patient to flex the iliumb across the palm
and the fingers Aexed over the iliumb. Then the practitioner will deviate t he
wrist toward the ulnar (Eiehhoff's test). The affected area (the radial sty l oid
process) may have excruciating pain. For severe cases, there "'rill be swelling or
a pa.inful spot the size of a bean when palpated at the radial styloid process.

141
One Veedle Therapy / Pait 11: Pain S)lndromes

Acupuncture is the best and most effective treatment for this disorder.
D u ri ng treatment, the patient should avoid activities that involve the thumbs
and wrist j o in ts, for example, knitting, carrying relatively heavy babies or writ­
ing. The pati e nt should try to rest as much as possible and also keep the affect­
ed area warm. \Nearing a wrist brace will acc e ler ate the healing process.

One Needle Therapy Points for Tenosynovitis Stenosing of Malleolus

Radialis
The commonly used one needle the rapy points for t enosy n oviti s ste nosing of
malleolus radialis are: \Vuhuyi 1 1 . 27- 1 as the main p oin t . Others are Yangxi
LI-5, Shenguan 7 7 . 1 8, Yanglingqu an GB-34 and C esanli 7 7 .22.

A. Wuhuyi 1 1 .27-1
Location:
Wuhuyi 1 1 .27- 1 is one of the five-poi n t unit that is located in the proximal
to the radial and paJmar aspect of the thumb. The five-point unit is located
on Line A of the 1 st metacar pal bone of the yin and lateral aspect of the
pal m (along the thumb at the j unction of the red and white skin). There arc
a total of 5 points. To locate them, the segment between the two creases is
divided into L'< equal portions. From the distal crease toward the proximal
crease, in the order of \1Vuhuyi 1 1 . 2 7- 1 , \Nuhu'er l l .27-2, Wuhusan 1 1 .2 7 -
3 , \1Vuhusi 1 1 .27-4 and Wuhuwu 1 1 .27-5.
Needling:
Needle the opposite (healthy) \Vuhuyi 1 1 . 27- 1 . After needling, ask the pa­
tient to gentJy move the affected wrist left and right for 1 to 2 minutes.
(Note: the patient must not move the wrist up and down or the pain will be
worsened). Retain the needle for 30 minutes. Manipulate the needle every
5 to 1 0 minutes and ask the patient to repeat the wrist ex ercise at the same
time.
Analysis and Experience:
\ Vuhu 1 1 .2 7 is a set of points that are widely used. Their ar range ment and
indication are closely related to holographic correspondence. The hand
is a labori ng organ and the foot is a motor organ. They are closely re­
lated with the cranial nerves. That is the reason w hy points on the hands
and feet arc extrem ely effective for head disorders. Of all the fingers, the
thumb is the stronge s t . The thumb is especially related closely to t he brain;
therefore it is excellent for calming the spirit and alleviating pain. Master
Tung believes that Wuhu 1 1 . 2 7 is indicated for the spleen, which maste rs
the extrem it i e s. Although i t is said that "[the spleen] treats swe ll in g bones
of the whole body'', \1Vuhu 1 1 . 2 7 mainly treats the four extremities. In ad­
dition, from the perspective of the distribution of Wuhu 1 1 .2 7 , accordi ng
to holographic correspondence, \Vuhuyi 1 1 .2 7 - 1 and Wuhu 'er 1 1 .27-2 are
on the superior aspect of this fi\·e-point group, hence, it treats sore and

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 Chapter 7 / TenoSJ•110i•itis ef the 1 1 nst and Hand, fi'nger and I V iist Pain

painful fingers, myotenositis, trigger finger� rheumatoid arthritis and finger

pain with satisfactory results. �lany cases of myotenositis were u·eated suc­
cessfully by using Wuhuyi 1 1 .2 7- 1 .

B. Yang.xi LI-5
Location:
Yangxi Ll-5 is located on the radial aspect of the wrist in the depression
between extensor pollicis longus and brevis tendons, posterior to the pisi­
form bone when the thumb is raised (anatomical snuffbox).
Needling:
Needle the opposite (healthy) Yangxi LI-5. After inserting the needle, ask
the patient to gently move the wrist left and right !Or 1 to 2 minutes. Retain
the needle for 30 minutes. 1\ lanipulate the needle every 5 to 1 0 minutes
and ask the patient to move the wrist at the same time.
Analysis and Experience:
From the standpoint of Chinese medicine, tenosynovitis stenosing of mal­
leolus radialis is ascribed to tendon disorders. Yangxi LI-5 is the jing-river
point of hand yangrning Large I ntestine meridian. It is located distally to
the radial stylus and between the tendons of m. extensor pollicis longus
and brevis. In accordance with the treatment principle of "use tendon to
treat tendon", Yangxi LI-5 i effective in treating tenosynovitis stenosing of
malleolus radialis

C. Shenguan 77.18
Location:
henguan 7 7 . J 8 is located 1 .5 cun inferior to Yinlingquan SP-9, at the
medial aspect of the tibia.
Needling:
Perpendicular insertion 1 .5 to 2 cun. Once qi is acquired, ask the patient to
gently move the affected wrist left and right for I to 2 minutes. Retain the
needle for 30 minutes. Manipulate the needle every 5 lo 1 0 minutes and
ask the patient to repeat the exercise at the same time.
Analysis and Experience:
Shenguan 7 7 . 1 8 is located inferiorly to Yinlingquan SP-9 (Tianhuang
7 7 . I 7) and is ascr·ibed to pleen meridian. Yinlingquan SP-9 is the he-sea
and water point of earth meridian and tonifies the spleen and kidney si­
multaneously. It is effective in treating all kinds of pain due to spleen and/
or kidney deficiency. From the extraordinary connection of Small Intestine
and Spleen meridians, Shenguan 7 7 . 1 8 is exceptionally effective in treat­
ing arm and shoulder pain and the inability to raise the arm and shoulder
(frozen shoulder). It also treats pain and numbness of the hand and te­
nosynovitis. According to holographic correspondence, Tianhuang 7 7 . 1 7
'inlingq uan SP-9) corresponds to the head, whereas Shenguan 77 . 1 8

1 43
One .Aeedle TlzeraPJ' / Part JI· Pain Sjmdromes

corresponds to the neck, shoulder and hand. Therefore, it is effective in

treating tenosynovitis stenosing or malleolus radialis.

D. Yanglingquan GB-34
Location:
Yanglingquan GB-34 is located on the lateral aspect of the lower leg, in the
depression anterior and inferior to the head of the fibula.
Needling:
eedle the opposite Q1ealthy) Yanglingquan Gil-34. After needling, ask lhe
patient to gently move the wrist left and right for I lo 2 minutes. Retain the
needle for 30 minutes. Manipulate the needle every 5 to 1 0 minutes and
ask the patient to move lhe affected hand at the same time.
Analysis and Experience:
Yanglingquan GB-34 is the he- ea point of foot shaoyang Gallbladder me­
ridian. It is indicated for clearing and draining the liver and gallbladder
and is often used to treat liver and gallbladder disorders. Difficulty 45 of
Nanjing «JU�» � !ZY -l-1L�t£ says, "Tendons meet at Yanglingquan GB-
34". This point is the hui-meeting point o[ tendons. It is also where tendon
qi meets and can relax the tendons and benefit the joints, and an important
point for treating tendon disorders. Yanglingquan GB-34 effectively treats
tendon disorders of the whole body all together.
Yanglingquan GB-34· can treat any disorders of the muscle of the whole
body, joints and disorders that are related to the fascia, such as arthritis and
the disorders of the soft tissues of the shoulders, neck and knees as well as
hemiplegia and atrophy and paralysis of the lower extremities. As cited in
Huang Di Nei Jing, Ling Shu «J!Hif pgf.�·m:.:M» : " [For] disorders that
are high and external, treat with Yanglingquan GB-34". This poinl is very
effective for disorders of the neck and shoulder such as stiff neck and fro­
zen shoulder. Using Yanglingquan GB-34 to treat pain "in the upper part
of the body by selecting point from the JO\,ver part of the body" '"'ill attain
excellent results.

E. Cesanli 77.22
Location:
Cesanli 7 7 .22 is located 1 .5 cun lateral (toward shaoyang meridian) to
Sihuashang 7 7 .08 (3 cun inferior Lo the hollow formed when the knee is
flexed). It is parallel to Zusanli ST-36.
Needling:
Perpendicular insertion l to 1 .5 cun along the tibia. Once qi is acquired,
ask the patient to gently move the 'vvrist from side to side (do not move the
wrist up and down). Retain the needle for 30 minutes. Manipulate the nee­
dle once every 5 to 1 0 minutes and ask the patient to move the wrist from
side to side at the same Lime.

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 Chapter 7 I TellOJ)'llOVitis ef the 1 1 fist and Ha11d, Fi11ger and r I 'n'st Pain

Analysis and Experience:

Cesanli 7 7 .22 is located between f foot] yangming (earth) and [ foot] shaoy­
ang (wood) meridians. It is effective for treating pain of the muscles and
tendons, which is a combination or disorder from both meridians simul­
taneously. Through the correspondence of the same name hand and foot
meridians, Cesanli 7 7 . 22 can also treat the combination of disorders of
hand yangming and hand shaoyang meridians. Cesanli 7 7 .22 is excellent
for stenosing tenosynovil.is at the radial styloid process where yangming
pathway traverses and where it is most painful.

II. TRIGGER FINGER

Trigger finger, which is also known as stenosing tenosynovitis, i a condition
in which a finger gets stuck in a bent position. Instead of a smooth, continual
flexion or extension, the finger stays at half-bend position and cannot flex or
extend. The patient has to u e the other hand to help extend or Aex the finger;
the digit stutters then snaps closed or extended. There is a "ka-chi" sound (or
crepitus); therefore it is called "trigger finger" or "trigger sound finger".
Trigger finger includes tenosynovitis of flexor hallucis longu and tenosy­
novitis of extensor pollicis brcvis. The pain often occurs at the proximal meta­
carpophaJangeal joint and can be excruciating.
Trigger finger is caused by chronic overuse of the finger. \Vear and tear of
the finger's Aexor tendon sheath, congestion, edema and hyperplasia causing
inAammation narrows the space within the sheath that surrounds the tendon
in the affe cted finger. This leads to stenosis of the tendon sheath, constraint
of the tendon and compression, which can change the . hape of the tendon
to the shape of a gourd (may feel the hardening of the tendon the size of a
grain of rice) and it is called nodules of the tendon . The badly swollen tendon
nodule presses against the narrow tendon sheath and causes pain. The range
of motion of the finger is greatly compromised and it will take extra effort to
increase it. I n such case, the tendon nodule goes back and forth in the narrow
tendon sheath causing excruciating pain and a "ka-chi" sound (or crepitus).

One Needle Therapy Points for Trigger Finger

The one needle therapy point of choice for trigger finger is v\!uhuyi 1 1 . 2 7- 1 ,
followed by Waiguan SJ-5 and at the site of sheath tendon sclerosis.

A. Wuhuyi 1 1 .27-1
Location:
Please refer to "Local.ion" of Section 7 .2 A - \Vuhuyi 1 1 . 27- 1 for details.
Needling:
Please refer to "Needling" of Section 7 .2 A - \Vuhuyi I l .27- 1 for details.

1 -15
One Aeedle Thera/;y I Part JI· Pain Syndrome�

Analysis and Experience:

Please refer to ''l\nalysis and Experience" of Section 7. 2 A - \Nuh uyi
1 1 . 2 7 - 1 for details.

B. Hardening of the Ganglion

Location:
The hardening of the ganglion i. located on the radial aspect of the af­
fected palm in the 1 st metacarpal bone.
Needling:
First, find the exact location of the nodule and perform standard steriliza­
tion. Use a fine three-edged needle (or a thick needle) and quickly insert
perpendicularly until the tip of the needle reaches the nodule. Ask the pa­
tient to extend or flex the affected finger as much as possible. Meanwhile,
the practitioner will move the tip of the needle from the hardened area
along the tendon by moving the needle up and down. A "ka-chi" sound (or
crepitus) can be heard and the patient should be able to extend or flex the
affected area much easier.
Analysis and Experience:
Trigger finger is often caused by chronic overuse of the finger. The wear­
ing and tearing of the finger's flexor tendon sheath, congestion, edema
and hyperplasia causing inflammation narrows the space within the sheath
that surrounds the tendon in the affected finger. This leads to stenosis of
the tendon sheath, constraining of the tendon and compression to change
the shape of the tendon to the shape of a gow·d (may feel the hardening
of the tendon the size of a grain of rice) and it is called nodules of the ten­
dons. The badly swollen tendon nodule presses against the narrow tendon
sheath and cause pain. Chinese medicine considers this a disorder of blood
stagnation and phlegm congestion.

C. Waiguan SJ-5
Location:
\Vaiguan SJ-5 is located on the lateral aspect of the forearm, 2 cun above
the wrist crease between the radial and ulnar bones.
Needling:
eedJe the opposite (healthy) \Vaiguan SJ-5. Perpendicular insertion 0.5
to I cun. Manipulate the needle by using the reducing technique. Once qi
is acquired, lift, thrust and twist the needle for 1 to 2 minutes; then retain
the needle and ask t11e patient to extend and flex the affected finger. Retain
the needle for 30 minutes. Manipulate the needle every l 0 minutes and
ask the patient to exercise the affected finger 30 seconds to 1 minute at the
same time.
Analysis and Experience:
\iVaiguan SJ-5, one of the eight confluent points and is connected to

1-16
 ChajJter 7 / Tenosynovitis ef the I Vrisl and Hand, Finger and I Vrisl Pain

Yangwei meridian, is an essential point in clinical practice. It is also lhe

luo-connecting point for hand shaoyang Sanjiao me1iclian. Its branch con­
nects with hand jueyin Pericardium meridian; therefore it is strongly in­
dicated for regulating qi. Luo-connecting point is good for treating blood
level disorders; hence this point can regulate both qi and blood. According
to Yi Zong Jin Jian «.!&iH��il» , Waiguan SJ-5 treats five-finger pain.
It is especially effective in treating trigger finger of the midclle and ring
fingers.

D. Jing-well Points of the Meridians

Location:
Select the jing-well point of the meridian where the affe cted finger is
located.
Needling:
Select the jing-well point of the same (afTe cted) side. For example, if the
trigger finger is the ring finger of the left hand , since the ring finger is
located along the path of Sanjiao meridian, bleed the jing-well point of
the left Sanjiao meridian (in this case, i t will be Guanchong SJ- 1 ) until a
fow drops of blood appear. Please refer to " Ieedling" of Section 7 .4 B -

Hardening of the Ganglion for details.

Analysis and Experience:
Please refer to '1\.nalysis and Experience" of Section 7.4 B - Hardening of
the Ganglion for details.

III. GANGLION CYST

Ganglion cyst is a commonly seen clinical disorder. It is a tumor or swelling
on a joint or covering of a tendon. It looks like a sac of liquid (cyst). Inside the
cyst is a thick, stid.J', clear� colorless , jellylike material. Ganglion cysts are more
common in vvomen and young adults who are physically active. The cause of
ganglion cysts involve a flaw in the joint capsule or tendon sheath. One large
cyst or many smaller ones may develop. Ganglion cysts most commonly occur
on the back of the hand at the wrist joint or on the dorsum of the foot. They
can also be seen on the medial or lateral aspect of the knee or in the popliteaJ
space. They are of slow onset and the etiology of ganglion cysts may be related
to injury of the local area, trauma or history of chronic overuse and tendon
injury causing qi and blood stagnation.
Ganglion cyst is a local swelling that is hemispherical, smooth and with
a well defined edge. It is not connected to the skin. Early stage ganglion cysts
are usually soft and elastically Auctuant. Sometimes, they disappear on their
own. They may recur over time or if they are constantly irritated , the cysts will
be hardened and feel like a protruding bone. The affected area can be sore
and can cause flaccidity of the limb. Clinically speaking, the harder the cyst,

147
One Xeedle Thera/J.J' / Part JI· Pain �J•ndromes

the cleaner and easier to squeeze out the colorless, transparent and gelatinous
sticky fluid with best results. For ganglion cysts with multiple sacs, squeeze out
the fluid as much as possible for a lower rate of recurrence. A strict sterilization
proces is required to prevent secondary infection.
There are many \mys to needle ganglion cysts, such as using a three-edged
needle, a fire needle or a filiform needle. Select either the ahshi point or the
highest point of the cyst.
For mild cases, squeezing the cy t with the fingers may cause it to dissipate.
For chronic cases, it is better to insert an acupuncture needle into the cysts.
Withdraw the needle and squeeze out some pus and blood; this will attain
better results. After a few treatments the cysts should be diminished. A lancet
can also be used to prick the cyst and squeeze out some fresh blood. During
the treatments, the patient should limit the use of the w1ist or it can be used in
conjunction with hot compress or topical application.

A. At the Highest Point of the Ganglion Cyst

Location:
At the highest point of the ganglion cyst.
Needling:
Use a three-edged needle (or a lancet) to bleed the ganglion cyst. After the
usual sterilization procedure, use a three-edged needle (or a lancet) perpen­
dicular insertion to quickly prick the highest point or the cyst in a shallow
manner. Yello·wish liquid and blood should come out. Use the thumbs to
squeeze around the punctured site to remove as much fluid as possible. Put
a dry, sterilized cotton ball over the punctured site; then stabilize the cotton
ball by using a piece of 3-5cm bandage. Repeat the treatment every 5 to 7
days using the same technique .
Analysis and Experience:
Ganglion cysts are cystic tumors containing gelatinous fluid. Pricking the
cyst with a three-edged needle or a lancet and squeezing out the fluid will
directly soothe the qi and blood or the meridian, dissipate the nodule or the
affccted area and expel stasis to regenerate the tissue and the ganglion cysts
is removed. Clinical experience ·hows that the more clear gelatinous fluid
being squeezed out, the better the result and less po sibility of recurrence.
The procedure must follow strict sterilization guidelines to prevent second­
ary infection. In recent years, I have used this technique to treat ganglion
cysts with immediate results. Often only one treatment was needed.

B. At the highest point of the ganglion cyst

Location:
At the highe t point of the gangljon cyst.
Needling:
By using "fire needling" technique: hold a three-edged needle with a pair

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 Chapter 7 / TetlOSJ'llOvitis ef the 1 1 mt and Hand, Finger and 1 1 iist Pain

or forceps with the right hand, stabilize the forceps with the right thumb,
index and middle finger and prepare to insert. Squeeze the ganglion cyst
with the left thumb and index finger and push it aside to avoid any blood
vessels and make the cyst protrude. Place the three-edged neecUe above
the alcohol lamp until it turns red; Lhen quickly insert the needle into the
ganglion cyst and remove the needle immediately. Then, squeeze around
the punctured site and stid.·y fluid should come out. Squeeze until the cyst
is totally drained. Use an alcohol-soaked cotton ball to clean the site and
put a bandage over il. Keep the punctured site dry for 3 days. Usually only
a one-time treatment is required. ff the cyst recurs, repeat the treatment
after l 0 days.
Analysis and Experience:
Clinical obse1Yation shows that fire needling can effectively treat ganglion
cysts from the root and without recurrence. If the technique is performed
correctly, the patient will suffer no pain. To treat this disorder, the ganglion
cyst must be needled locally or perpendicularly. The previously mentioned
techniques are similar to one another. The most important thing is to pay
attention to the procedures after the treatment. �lake sure after the nee­
dling to put pre sure at the site and hold it to stabilize the treatment and
gel the best effecl.

C. Ah-shi Point
Location:
The ah-shi point of the ganglion cyst.
Needling:
Select a heavier gauge needle (26 to 28 gauge) and insert at the highest
point of the ganglion cyst. Use through neeclling technique in all directions
to break open the membrane of the cyst. Drain as much gelatinous Auid
out as possible and the cyst should dissipate. Or use the "chicken claw (
JR)" needling technique. Insert one needle i n the middle, then 3 needles
in a t riangular format (JR). After all the needles are inserted use lifting,
thrusting and twirling techniques then use a circular motion to open the
cyst. Immediately before removing tl1e neecUe , twirl the needles in big
circles so that blood or yellowish nuid comes out. Squeeze as much fluid
out as possible.
Analysis and Experience:
The technique is simple and easy to perform. During the treatment, if
the fluid i squeezed out, the cyst will gradually diminish and eventually
disappear. This technique ,,@ take more treatments tlrnn that of the three­
edge needle and the disorder tends to recu1: However, applying the same
treatment technique wi.11 still be effective if it does recur.

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One Needle Therapy / Part IL Pain Syndromes

Iv. CARPAL TUNNEL SYNDROME

Carpal tunnel syndrome occurs when the median nerve is compressed by
the inflamed, swollen or thickened tendons of the flexor digitorum inside the
carpal tmmel. It is commonly seen in carpenters, painters, cooks, homemakers
and others and who usc their hands repeatedly. Some women develop carpal
tunnel syndrome during pregnancy and most of them have spontaneous post­
partum resolution. The incidence of carpal tunnel syndrome is higher in
females than males. Females ages 30 to 60 are five times more likely than males
to get this disorder. Patients with diabetes, hypothyroidism, obesity, rheuma­
tism and Reynaud's disorder have an even higher rate. �owadays, long-term
computer users who work on the keyboard or mouse, or those whose postures
are incorrect are also prone to this disorder. These people have now become
the major population who has the clisorde1�
Symptoms of carpal tunnel can be weakness or clumsiness on the affected
hand. The radial aspect of the thumb, index and ring finger of the affected
hand may have slow response to sensitivities (numbness), pins and needles feel­
ing, tingling, pain and excruciating pain at night. The pain can be so severe
that it may even wake the patient. There may be \•veakness when trying to
make a fist. Pain will reduce after the wrist moves a little. In severe cases or at
the late stage of carpal tunnel syndrome, the thenar may show signs of atro­
phy, weakness of the muscles and the radial aspect of the thumb, index, middle
and ring fingers will have lost sensation.
The best treatment for this disorder is acupuncture. Select the points that
arc related to the median nerve. 'When qi is acquired, the needle sensation
should reach the fingers. However, do not stimulate the point too strongly
because this could cause nerve damage. For the end stage of carpal tunnel
syndrome when the sensation of the fingertips are reducing, bleed the 1 2 jing­
weU points or Shixuan [EX] to dispel blood stasis and dredge the meridians.

One Needle Therapy Points for Carpal Tunnel Syndrome

The commonly used one needle therapy points for carpal tunnel syndrome are
I eiguan PC-6, Waiguan SJ-5, Zhongzhu SJ-3, Wuhuyi 1 1 . 2 7- 1 , Cesanli 7 7 . 2 2
and Yangchi SJ-4.

A. Neiguan PC-6
Location:
With the patient's palm facing up, eiguan PC-6 is located 2 cun proximal
to the wrist crease (the distance between the cubital crease and the wrist
crease is 1 2 cun. The point is 5/6 proximal from the cubital crease and 1 / 6
distal from the \Nrist crease). I t lies between the tendons o f palma1;s longus
and flexor carpi radialis, on the medial aspect of the arm directly opposite
to Waiguan SJ-5.

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 Chapter 7 / Tenosynovitis ef the J I rist and Hand, Finger and v Viist Pain

Needling:
With the patient's palm facing up, perpendicular insertion 0.8 to 1 cun
between the tendons (on the affected side). Once qi is acquired, manipulate
the needle by lifting and thrusting up and down, left and right to spread
the qi tmvm·d the middle, index and ring fingers. Then, remove the needle
and immediately ask the patient to move the wrist up and down then left
and right. Repeat the treatment every other day with the same techniq ue .

Alternatively, needle eiguan PC-6 on the healthy (opposite) side. Once qi

is acquired, manipulate the needle by lifting and th ru sti n g up and down,
left and right to spread the qi toward the middle, index and ring fingers.
Then ask the patient to move the affected wrist up and dovvn then left and
right. Repeat the treatment every other day with the same technique.
Analysis and Experience:
Neigua n PC-6, an important and commonly used point, is one of the
eight conflu ent points of the eight extraordinary meridians. It connects
with Yinwei meridian. It is the luo- c on n ec ting point of hand jueyin
Pericardium meridian. From the location of eiguan PC-6, Perica rdiu m
meridian branches out to hand shaoyang Sar�jiao meridian. Therefore,
it can strongly regulate qi. As a lu o-conne c ti n g point, it is also good at
treating disorders at the blood level. Hand jueyin and foot jueyin are the
same name meridians and correspond with each other. Footjueyin masters
" te n don disorders. Therefore, points of hand j ueyin ( Peric ardi u m) merid­
"

ian are effective to treat disorders associated with tendons. If the needle
sensation travels to the affected site, the result will be much better and will
accelerate the healing process.

B. Waiguan SJ-5
Location:
On the dorsal (lateral) aspect of the forearm, Waiguan SJ-5 is located on
the line connecting Yangchi SJ-4 and the tip of the elbow, 2 cun proximal
to the wrist crease. The point lies between the radial and ulnar bones.
Needling:
First needle Waiguan SJ-5 on the opposite (healthy) side. However, if both
wrists have carpal tunnel syndrome and one side is worse than the other,
take the worst side as the affected side. First needle the opposite side and
if the result is not satisfactory, then needle the same side. Perpe n dic u l ar
insertion 0.5 to I cu n Once qi is acquired, ask the patient to move the af­
.

fected wrist left and right, forwa rd and backward. Retain the needle for 30
minutes. l\!Iani pul ate the needle every 5 to I 0 minutes and ask the patie n t
to repeat the wrist exercise for a few minutes at the same time.
Analysis and Experience:
As stated in Yi Zang Jin Jian's Ci Jiu )Gn Fa Simo «l[i.*�ifi·�ilj �it'
1**�» : "Waiguan SJ-5 treats five fingers pain." Waiguan SJ-5 is the

151
One .Needle Tlzera/J)I / Part II: Pain SyndromfS

luo-connecting point of Sar�jiao meridian. It is the place where Sanjiao me­

ridian branches out to hand jueyin Pericardium meridian. It can strongly
regulate qi. Luo-connecting points are indicated for blood level disorders.
This point can regulate both qi and blood simultaneously. It is also one of
the eight confluent points connecting vvith Yangwei meridian. It is an im­
portant and commonly used point. It is very effective for disorders on the
pathways of hand and foot shaoyang and hand j ueyin meridians. Yangwei
meridian also connects with the five fingers. Hand shaoyang meridian cor­
responds to the same-named foot shaoyang meridian. Foot shaoyang mas­
ters bone disorders. Through the extraordinary connections between san­
jiao and kidney, \Vaiguan SJ-5 also treats bone disorders, especially those
associated with Sanjiao meridian. Therefore, it is quite effective in treating
carpal tunnel syndrome.

C. Zhongzhu SJ-3
Location:
Zhongzhu Sj-3 is located 1 cun posterior to Yemen SJ-2, in the depression
proxin1al to the 4th and 5th metacarpo-phalangeal joints.
Needling:
With the patient's hand in a loose fist, insert the needle perpendicularly
from the dorsum of the hand to the side of the palm for approxin1ately
0.8 to 1 cun. Once qi is acquired, ask the patient to move the wrist left and
right, forward and backward. Retain d1e needle for 30 minutes. Manipulate
the needle every 5 to 1 0 minutes and ask the patient to repeat exercising
the wrist every few minutes.
Analysis and Experience:
Ling Guang Fu «mJ'tM» says, "If the five fingers are not working prop­
erly, select Zhongzhu SJ-3." As cited in "CiJiu Xin Fa Slrno" in Yi Zong
Jin Jian «�*� ai·}fiU P'<.1C,'��jl» : "Zhongzhu SJ-3 treats the extremi­
ties for loss of sensation, munbness, tremor, spasm and lack of strength".
The descriptions match d1e symptoms of carpal tunnel syndrome such as
numbness, pain and weaknesses. That indicates Zhongzhu SJ-3 is effective
in tTeating carpal tunnel syndrome. Zhongzhu SJ-3 is the shu-stream point
of Saajiao meridian. Shu-stream points are indicated for heaviness of the
body and for joint pains. Therefore, this point can treat disorders with
heaviness and pain along the pathway of shaoyang meridians. The sinew
meridian of hand shaoyang meridian traverses Lo the neck and merges
with the sinew meridian of taiyang meridian. Disorders such as rigidity
of the sinew of both shaoyang and taiyang meridians can be treated by
Zhongzhu SJ-3. Liver governs the tendons. This point is ascribed to wood
and corresponds Lo the live1� It can soothe the meridian qi, soothe the ten­
dons and invigorate the collaterals. It is expressed in the saying, "vVithout
movement there is pain, with movement there is no pain." Combined

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 C'lia/Jler 7 / Te11osy11ouitis ef the 1 1 iisl and Iland, Finger and IM-ist Pain

acupuncture with wrist-strengthening exercises will help relieve pain and

increase the range of motion.

D. Wuhuyi 1 1 .27-1
Location:
Please refer to "Location" of SecLion 7 .2 A - \Vuhuyi l 1 . 2 7 - 1 for details.
Needling:
Perpendicular insertion 0. 2 to 0.3 eun at the junction of the red and white
skin. Once qi is acquired, ask the patient to move the wrist left and right
and bad.,vard and fo1ward. Retain the needle for 30 minutes. Manipulate
the needle every 5 to l 0 minutes and ask the patient to exercise the wrist
left and right, backward and forward at the same time.
Analysis and Experience:
The five \ Vuhu points have wide application. They arc very effe ctive for
heel, foot and hand pain. The hands are the laboring tools and they arc
closely related to the nerves of the brain. Therefore, acupuncture points
that are located on the hands have strong therapeutic indications. The
thumb has the strongest indications of all fingers. The thumb has the
frequently u cd points such as Fuke l l .24, Zhiwu l 1 .26, Zhixian 1 1 . 25
Wuhu 1 1 .2 7 and haoshang LU- I l . The arrangements and indications
of the \Vuhu points are closely related to holographic correspondence.
Wu huyi l l .2 7 - l and Wuhu'er l l . 27-2 (Wuhu'cr 1 1 . 27-2 is oftrn used as
a complementary point, also known as daoma (point coupling) point for
\Vuhuyi 1 1 . 27- 1 ) are the most distal of the five Wuhu points. They treat
disorders of the upper part of the body, such as finger pains, tcnosynovitis,
trigger fingers and rheumatoid arthritis with great results. They are also
indicated for carpal tunnel yndromc.

E. Cesanli 77.22
Location:
Cesanli 7 7 .22 i located superiorly to Sihuashang 7 7 .08 and 1 .5 cun lateral
(toward shaoyang meridian). Cesanli 7 7 . 2 2 is 3 cun inferior to Xiyan [EX] ,
level with Zu anli T-36.
Needling:
Perpendicular insertion l to 1 .5 cun and needle along the bone. Once qi is
acquired, ask the patient to move the wrist left and right and forward and
backward. Retain tl1c needle for 30 minutes. fanipulatc the needle every
5 to 1 0 minutes and ask the patient to repeat the wrist exercise every few
minutes.
Analysis and Experience:
Cesanli 7 7 .22 is located 1 .5 cun lateral to Zusanli ST-36, between yang­
ming (earth) and shaoyang (wood) meridians. It is strongly indicated for dis­
pelling ,vind and is good for d i so rd ers of disharmony of wood and earth. It

153
One J\"eedle Therapy I Part If: Pain /iyndromes

can treat various disorders of yangming and shaoyang meridians. Cesanli

7 7 .22 is particularly good for pains associated with concurrent disorders
of raiyang and shaoyang meridians. It also treats concurrent disorders of
hand yangming and hand shaoyang meridians through connections of the
same name hand and foot meridians. Ccsanli 7 7 .22 is an empirical point
for wrist and palm pains. When coupled with Cexiasanli 7 7 .23 (to form a
daoma, or point coupling technique), the two points compliment with each
other and attains better results.

E Yangchi SJ-4
Location:
Yangchi SJ-4 is located on the dorsum of the wrist, at the level of the wrist
joint in the depression bet\-veen the tendons of extensor digitorum commu­
nis and extensor digiti minimi. Follow the interspace between the 4th and
5th metacarpals proximally from Zhongzhu SJ-3 into the depression at the
level of the wrist joint. Divide the dorsum of the wrist into 4 equal parts.
This point is located at the depression at the junction 1/4 from the ulnar
aspect and % from the radial aspect of the dorsum of the wrist.
Needling:
Iecdle the opposite (healthy) Yangchi SJ-4. Perpendicular insertion 0.3 -
0.5 cun from the dorsum of the hand toward the palm of the hand. Once
qi is acquired, ask the patient to move the wrist left and right, forward and
backward. Retain the needle for 30 minutes. Manipulate the needle every
5 to I 0 minutes and ask the patient to repeat the wrist exercise every few
minutes.
Analysis and Experience:
Yangchi SJ-4 is the yuan-source point of sanjiao meridian. It is strongly
indicated for regulating qi. As cited in "Ci Jiu Xin Fa Shuo" in Yi ZongJin
Jian « ·i1 -* 11£ii:•J:FU � 1�,r!�Jt » : "Yangchi SJ-4 masters xiao ke syndrome,
irritation, d1y mouth, malaria-like alternating heat and cold, wrist pain
caused by injury, inability to hold objects and difficulty in lifting the arm".
Shen ongjing «;f$J{:JJ� » says, "Yangchi SJ-4 treats pain and weakness
of the \NJ.ists." Throughout history physicians have used this point to treat
vvrist pain (Yi Zongjinjian «fi*�ifl» ) with excellent results.

V.FINGER PAIN
One Needle Therapy Points for Finger Pain
The one needle therapy point of choice for finger pain is 'l\Tuhuyi 1 1 .27- 1 .
Other points such as Shenguan 7 7 . 1 8, Yanglingquan GB-34, \Vaiguan SJ-5,
Cesanli 7 7 .22 arc also very effective.

154
 Chapter 7 I Te110S)111ovitis ef the Wrist and Hand, Finger and llf!iist Pain

A. Wuhuyi 1 1 .27-1
Location:
Please refer co "Location" of Section 7 . 2 A - \Vuhuyi 1 1 .2 7 - 1 for details.
Needling:
Please refer to " Ieeclling" of Sect.ion 7 . 2 A - \Vuhuyi 1 1 .27- 1 for details.
Analysis and Experience:
Please refer to ''Analysis and Experience" of Section 7.2 A Wuhuyi -

1 1 .2 7 - 1 for detaiJs.

B. Shenguan 77 . 1 8
Location:
Please refer to "Location" of Section 7 .2 C - Shenguan 7 7 . 1 8 for details.
Needling:
Please refer to "Needling" of Section 7 .2 C - Shenguan 7 7 . 1 8 for detail .
Analysis and Experience:
Please refer to "Analysi and Experience" of eel.ion 7 . 2 C - henguan
7 7 . 1 8 for details.

C. Yanglingquan GB-34
Location:
Please refer to "Location" of Section 7 . 2 D - Yanglingquan GB-34 for
details.
Needling:
Needle the opposite (healthy) Yanglingquan GB-34. After needJing, ask the
pat. ient to gently move the affected finger for l to 2 minutes. Retain the
needle for 30 minutes. Manipulate the neeclle every 5 to l 0 minutes and
ask t11e patient to move the affected finger at the same time
Analysis and Experience:
Please refer to ''l\nalysis and Expe1-ience" of Section 7 .2 D Yanglingquan -

GB-34 for details.

D. Waiguan SJ-5
Location:
Please refer to "Location" of Sect. ion 7 .4 C - \Vaiguan SJ-5 for details.
Needling:
Please refer to "Needling" of Section 7.4 C - Waiguan SJ-5 for details.
Analysis and Experience:
Please refer to '1\nalysis and Experience" of Section 7 . 4 C - Waiguan SJ-5
for details.

E. Cesanli 77 .22
Location:
Please refer to "Location" of Section 7. 7 E - Cesanli 77 .22 for details.

155
One Needle Therapy / Part IL Pain Syndromes

Needling:
Perpendicular insertion l to 1 .5 cun along the bone. Once qi is acquired,
ask the patient to move the finge1: Retain the needle for 30 minutes.
·Manipulate the needle every 5 to 1 0 minutes. Ask the patient to move the
affected wrist every fev,r minutes, that is, to exercise the wrist left and right,
front and back (ask the patient to move the affected finger for 30 seconds
to I minute).
Analysis and Experience:
Please refer to '�alysis and Expc1ience" of Section 7 . 7 E - Cesanli 7 7 .22
for details.

156
 Cha/Jler 8 / /Jack Pain

Chapter 8

Back Pain

Back pain is one of Lhe most frequently seen modern disorders and is often
combined with soreness in the lumbar. People often call it aches and pains
of the lower back. External injury, pinal degeneration, stress and cold-damp
conditions can all cause back pain. Improper posture will accelerate spinal
wear and tear and worsen the condition.
Back pain ofcen corresponds with gender. \t\fomcn are more prone to back
pain for several reasons. A woman's spine curves more than a man's which
tends to cause backache. Second, women tend to exercise less than men and
they have weaker back muscles and less muscular endurance. That being so,
\,·omen's backs are more prone to injury. During pregnancy, women lose large
quantities of bone mass. To balance her body during pregnancy, a woman's
spine is forced to over-bend. If not gelling enough nutrition postpartum, wom­
en can easily ha,·e backaches and pain. \1 omen often lose bone density at a
faster rate after age 35 and even faster at menopause clue lo decreased estro­
gen. \ Vomen with very large breasts have greater load at the back and lumbar
and are more likely to suffer backache and pain. \ Vomen who work outside Lhe
home often have clerical jobs and incorrect posture at the desk can also cause
back pain. vVomen who wear little clothing in an air-conditioned environment
expose their back to wind and cold pathogens, sooner or later they develop
back pain.
Occupation and back pain are closely related. Those who hunch over a
desk arc more likely to suffer shoulder and back pain. Drivers and movers are
prone to injury at the upper and lower back. Stress at work, chronic mental
and physical fatigue, anxiety, pensiveness, heightened starlle response imerfer­
ing with REM sleep and insomnia 'vvill also cause back and lumbar aches and
pains. Improper posture while sitting, walking, standing, lying down, or lifting

157
One Needle Therapy / Part ll: Pain S)lndromes

heavy objects will increase the chance of developing back and lumbar pain in
the long run.

ONE NEEDLE THERAPY POINTS FOR BACK PAIN

The commonly used one neeclle therapy points are: Chongzi 22.0 1 , Chongx­
ian 22.02, Houxi SI-3, Shugu UB-65, Zhcngjin 7 7 . 0 1 , Biguan ST-3 1 , Shen­
guan 7 7 . 1 8, Zanzhu UB-2, Chengshan UB-57 and Weizhong UB-40.

A. Chongzi 22.01
Location:
Chongzi 2 2 . 0 1 is located between the 1 st and 2nd metacarpal bones, 2
cun from Lhe web bet\-veen the thumb and index finger. It is opposite to
and communicates with Linggu 22.05. With the five fingers close together,
extend the midline of the palmar aspect of the index finger and draw a
horizontal line from the proximal knuckle of the thumb; the point Chongzi
2 2 . 0 1 is located at the intersection. Draw a line parallel to the border of
the palmar aspect of tbe radial bone, where Chongxian 22.02 is located l
cun obliquely below Chongzi 22.0 1 .
Needling:
With the patient's palm facing up, perpendicular insertion 0 . 5 to 1 cun
(approximately 0 . 8 cun). Once qi is acquired, ask Lhe patient to exercise the
lower back every few minutes for l minute to guide qi to the affected area.
Once the needle is inserted, the patient's back should relax immediately.
Retain the neeclle for 30 minutes. � Ianipulate tbe neeclle every l 0 minutes
and ask the patient to exercise the lower back at the same time.
Analysis and Experience:
Chongzi 22.01 is the point of choice for treating back pain. With back and
shoulder pain, bluish veins often appear at the area around Chongzi 22. 0 1
and Chongxian 22.02. Those veins reflect a disorder and also present an
a\·enue for treatment. The point is located on the pathway of Lung me­
ridian; therefore, it can treat respiratory system disorders and chest pain.
Because Lung and Urinary Bladder meridians are connected, i t can also
treat back and shoulder pain.

B. Chongxian 22.02
Location:
Chongxian 22.02 is located between the l st and 2nd metacarpal bones, 2
cun from the web; that is between the thumb and index finger. It is opp osite
to and communicates with 22.05 Linggu 22.05. Please refer to "Location"
of Section 8 . 3 A - Cbongzi 22.01 for detail.
Needling:
Use a 1 .5 cun neeclle and insert to the depth of 1 cun. Usually, i t i s suffi­
cient to use one neeclle only (Chongzi 22 . 0 1 ) , however� better results will be

158
 Chapter 8 / /Jack Pain

attained if boLh points arc needled concurrently. Please refer to "Needling"

of Section 8.3A Chongzi 22.0 1
- for detail.
Analysis and Experience:
This point is locaccd on the pathway of Lung meridian; therefore, it is ef­
fective in n-eating respiratory system disorders and chest pain. Through tl1e
extraordina1y connections between Lw1g and rinary Bladder meridians,
it is an especially effective point for treating neck, shoulder and back pain.
While both Chongzi 22.0 l and Chongxian 22.02 are effective in treating
neck, shoulder and back pain, Chongxian 22.02 is the more effective point
to treat neck and back pain and Chongzi 22.0 I is the more effective point
to treat shoulder and back pain. If there is pain in neck, shoulder and back,
use boili points for best results. The treatment effect will even be better if
the patient can exercise Lhc back periodically during treatment; the pain is
often lessened immediately.

C. Houxi SI-3
Location:
Houxi SI-3 is located on the ulnar aspect of ilie hand, with the patient s
hand in a loose fi. t, ilie point is located at the intersection of the red and
white skin, proximal to the head of the 5th metacarpal bone.
Needling:
With the patient's hand in a loose fist, perpendicular insertion 0.5 to 1 cun
(approximately 0.8 cun) from the lateral aspect to the medial aspect of
the fist. Please refer to " cedling" of Section 8 . 3 A - Chongzi 22.0 l for
details.
Analysis and Experience:
Chongzi 2 2 . 0 1 is indicated for shoulder and back pain. Chongxian 22.02
is indicated for neck and back pain. Houxi SI-3 is indicated for upper and
lower back pain. All ilirec points can provide immediate relief. Houxi SI-3
is the shu-stream point of hand taiyang mall Intestine meridian. Shu­
strcam points arc indicated for heaviness of the body and for joint pain.
Hand taiyang me1idian traverses along ilie shoulder joint and ilie scapula
area. Based on the treatment principle of "the acupuncture points of a
meridian treat the parts of the body travelling along that meridian" and
taiyang meridian of hand and foot are connected, Houxi SI-3 can treat all
kinds of back pain.

D. Shugu UB-65
Location:
Shugu UB-65 is located on ilie lateral aspect of the small toe at the in­
tersection of me red and white skin in the depression posterior to the 5m
metatarsal bone. That is, the point is located on the lateral edge of the foot
in the depression posterior to the 5th metatarsal bone.

159
One Needle TherajJ)I / Part II: Pain 8_yndrames

Needling:
Perpendicular insertion l cun. Once qi is acquired, that is when the patient
feels the sensation of achiness, clistention, tingling and heaviness, ask the
patient to exercise the back left and right, forward and backward. The back
should feel relaxed immediately. For manipulation and exercise, please re­
fer to " Ieedling" of Section 8.3 A - Chongzi 2 2 . 0 1 for details.
Analysis and Experience:
Urinary Bladder and Du meridians travel t h rough the back. Urinary
Bladder rnericlian lravels alo11g uulh sides of Du meridian. Shugu UB-65 is
the shu-stream point of Urinary Bladder meridian. Shu-stream points are
indicated for heaviness of the body and for joint pain. Therefore, Shugu
UB-65 is one of the most frequently used points for treating pain, however,
it is especially effective in treating back pain and pain along the spinal area
,,·here Urina1y Bladder meridian pathway traverses. This point is wood
point of Uri nary Bladder (water) meridian. Tendon corresponds to wood;
consequently Shugu UB-65 is very effective in treating severe neck and
back spasm pain.

E. Zhengjin 77.01
Location:
Zhengjin 7 7 .0 l is located in the middle of the Achilles tendon, 3 . 5 cun
superior to the heel.
Needling:
Quickly insert a 2 cun needle perpendicularly. The effect is better if the
needle reaches the bone. Strongly manipulate the needle by lifting, thrust­
ing and twisting the needle and ask the patient to move the back at the
same time. If the pain is on the left, needle the point on the right and vice
versa. '1Vhen both sides are affected, needle both sides at the same time.
Analysis and Experience:
Zhengjin 7 7.0 1 is located on the Achilles tendon which corresponds to
the head according to reverse correspondence of leg and body trunk.
Therefore, Zhengjin 77 .0 l is very effective in treating neck disorders.
Needle this point into the Achilles tendon, as it is in accordance \vitb the
treatment principle of "use tendon to treat tendon". I have noticed in pa­
tients whose Achilles tendon is severed, the head immediately drops or tilts
to one side. The pathway of Urina1y Bladder meridian traverses to the
neck, so Zhcngjin 7 7 . 0 1 is very effective in treating neck pain and stiff neck.
When needled with Zhengzong 7 7 .02 together as daoma (point coupling)
technique, the effectiveness will be amplified.

E Biguan ST-31
Location:
Biguan ST'-3 1 is located on the anterior aspect of the upper thigh, in the

1 60
 Chapter 8 / Back Pain

depression lateral to the a1torius muscle, at the junction of a verlical line

from the anterior superior iliac spine and a horizontal line le,·eled with the
lower border or the pubic syrnphysis.
Needling:
Perpendicular insertion I to 1 .5 cun. Once qi is acquired, ask the patient to
move the back and shoulder I to 2 minutes. For manipulation and exercise,
please refer to " Ieedling" or Section 8.3 - Chongzi 22.0 I for details.
Analysis and Experience:
Biguan ST-3 l is ascribed to foot yangming Stomach meridian. It is ve ry ef­
fective in regulating qi and blood. I have used this point to treat the shoul­
der area as ociated with upper back pain with great results. It is particu­
larly effective for women with these disorder . As cited in my books Zhen
Jiujing Wei «it�J��.\t» published in 1 9 75; and ZhenJiuJing Xue Xue
«j-j·�d�/I:*» published in 1 979. Biguan T-3 1 is located on the thigh,
according to holographic correspondence, it corresponds to the shoulder;
therefore, it is effective in treating pain in the shoulder and upper back. I
have used this point to trcar shoulder disorder associated with upper back
pain due to playing mahjong non-slop for a few days with very good effect.

G. Shenguan 77 .18
Location:
Shenguan 7 7 . 1 8 is located 1 . 5 cun inferior to Yinlingquan SP-9, at the
medial aspect of the tibia.
Needling:
Perpendicular insertion 1 .5 to 2 cun. Once qi is acquired, ask the patient to
lifL the arm and exercise the back and shoulder. For manipulation and ex­
ercise, please refer to " cedling" of Section 8.3 A - Chongzi 22.0 I above
for details.
Analysis and Experience:
Shcnguan 7 7 . 1 8 is a very important point for tonifying the kidney. This
point is located inferior to Ymlingquan SP-9, a water point of earth me­
ridian, which tonifies both kidney and spleen. Shenguan 7 7 . 1 8 is indicated
for sciatica, back pain, headache, and achy lumbar pain due to kidney
deficiency. It i also effective in treating pain and neuropathy of the hand .
Through the extraordina1y connection between Spleen and Small Intestine
meridians, it is especially indicated for shoulder and back pain. Arrcr the
needle is inserted and the patient exercises the back and shoulder, the result
can be attained immediately. Since Yinlingquan SP-9 corresponds to the
head according to holographic correspondence, Shenguan 7 7 . 1 8 corre­
sponds to the neck and shoulder. Th is is another reason Shenguan 7 7 . 1 8 is
effective in treating shoulder and back pain.

161
One Needle Therapy / Part II: Pain Syndromes

H. Zanzhu UB-2
Location:
Zanzhu UB-2 is located on the face in the depression on the eyebrow close
to the medial end.
Needling:
Oblique insertion (about 80°) using a short needle. Quickly insert obliquely
0.5 cun. When the patient experiences achiness and distention, slowly twist
the needle 1 to 2 minutes. The patient will most likely complain that the
sensation spreads to the forehead and the orbital of the eye. For manipu­
lation and exercise, please refer to " eedling" of Section 8 . 3 A - Chongzi
22.0 1 for details.
Analysis and Experience:
The pathways of Du and Urinary Bladder meridians are distributed in the
back. Urinary Bladder meridian traverses along both sides of Du merid­
ian. Zanzhu UB-2 is ascribed to foot taiyang Urinary Bladder meridian
and is connected to Du meridian. Shoulder and back pains are disorders
of Urinary Bladder and Du meridians. Needling Zanzhu UB-2 can soothe
and regulate the meridian qi of Urinary Bladder and Du meridians. Ask
the patient to exercise the affected area during insertion and manipulation
will activate and guide qi to the affected area so as to dredge the meridians,
invigorate collaterals and alleviate pains.

I. Chengshan UB-57
Location:
Chengshan UB-5 7 is located on the lower leg, in the depression formed
below the belly of the gastrocnemius muscle when the muscle is flexed.
Needling:
Perpendicular insertion 0.8 to I cun from the posterior aspect to the ante­
rior aspect of the leg. Once qi is acquired, ask the patient to lift the upper
arm and exercise the back and shoulder. For manipulation and exercise,
please refer to " eedling" of Section 8.3 A - Chongzi 2 2 . 0 1 above for
details.
Analysis and Experience:
Chengshan UB-5 7 is ascribed to fooL taiyang Urinary Bladder meridian,
which pathway traverses through the upper back. Based on the treatment
principle of "the acupuncture points of a meridian treat the parts of the
body travelling along that meridian" this point is widely used for treating
back pain. It is cited in my books Zhen Jiu Jing Wei «tt�t.��» as
early as in 1 975; and Zhen Jiu Xue Wei Xue «tf-�j'({_il:�» in 1 979.
For those vvith severe or chronic disorders, bleeding Chcngshan UB-5 7
will attain great results and many years of suffering will often be alleviated
immediately.

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 Chapter 8 / Back Pain

J. Weizhong UB-40
Location:
Weizhong B--1-0 is located at the back of the knee, on the popliteal crease,
in the depression midway between the tendons of biceps femoris and sem­
itendinosus muscle. To locate the point, hm·e the patient lie in a prone
position with the leg slightly flexed or have Lhe patient standing upright.
Needling:
Eitl1er of the following techniques is appropriate.
( I ) Perpendicular insertion 1 .5 cun. Once qi is acquired, lift, thrust and
twirl the needle and ask the patient to lift the upper limb and exercise the
back and shoulder. Retain the needle for 30 minutes. ·Manipulate the nee­
dle every 10 minutes and ask the patient to exercise the back and shoulder
at the same time.
(2) Bleeding Technique. \ \'ith the patient in a prone position quickly
bleed the vein. If the veins are hard to find, ask the patient to stand close
to a wall witl1 the legs extended. After standardized sterilization, use a
three-edged needle to prick the "angry" (bulging) veins. When the veins
are pricked, blackish-brown blood will tart to flow. Let the blood flow
freely until it tops voluntarily (generally, about I Occ of blood). Bleed both
Wcizhong UB-40 at the same time. If the symptoms persist, repeal the
treatment in one week.
Analysis and Experience:
Si Zang Xue Ge «IZ9��.1C�» stated: "treat [disorders o� the lower back
with Weizhong B-40"; Bai Zheng Fu «� :ID:Jtit» also mentioned the use
of Weizhong UB-40 for treating lower back pain. Weizhong UB-40 is the
he-sea point of Urinal)' Bladder meridian which traver cs along the back
and is also the xi-cleft of blood. Urinary Bladder meridian has little qi but
abundant blood, hence it is suitable for bleeding. Bleeding this point is
very important for severe and chronic pain along the pathway of Urinary
Bladder meridian. Besides b·eating lumbar and leg pain, it also has a par­
ticular ability to alleviate back pain. Bleeding can activate the blood and
dissipate stagnation and can accelerate the recovery time.

APPENDIX: PREVENTION AND MAINTENANCE FOR BACK PAIN

The following procedures will help release and prevent back pain. Most
important is to maintain correct posture through good habits:
Good standing posture. \ Vhen standing, keep the head up, chin pulled
back, chest out and abdomen in. A good standing posture will help relax the
back muscles. For those who work in a standing position, slightly elevate one
foot on a step stool to keep the back straight.
Good sitting posture. Sit up with the back straight. The lumbar and but­
tocks should be close to the back of the chair. Do not sit on a chair that is

1 63
One Needle Therapy / Part fl: Pain Syndromes

too deep, too high or too soft. Do not sit twisted or leaning against the chair.
Ele,·ate the feet with a footrest if need to be sitting for a long time.
Good driving posture. Do not sit too far away from the pedals as this may
cause the leg to overstretch and put additional strain on the lumbar. Take a
break and exercise the lumbar when driving long distances. This will help
protect the back.
Proper 1vfattress. Sleep in a mattress that is not too soft nor too hard, a
mattress that gives the back the best support. A mattress that is either made of
wood p lanks or that is 2 inches thick can give the back the real rest it needs.
When sleeping on the back, slightly elevate the feet with a pillow to avoid put­
ting too much strain on Lhe stomach and the lumbar region. A better sleeping
position is to sleep on one side with both legs bent to straighten the back.
When getLing into bed, first sit on the edge of the bed, then slowly and gently
place the legs onto the bed. When getting out of the bed, turn the b ody to the
side, gently and slm-vly rise to a sitting position on the edge of the bed, then put
the legs on tl1e ground and stand when ready.
Proper Lifting Technique. To lift a heavy load, first stand close to the
object, bend the knees and squat dovm to reach tl1e object while keeping the
back straight. Do not make a turn by twisting the lumbar but by moving the
legs to turn the vvhole body around. Only handle a h eavy load within one's
ability. When picking up an object from the ground, pul a hand on a desk or
chair to help support the body, then bend the knees to reach the object to avoid
spraining the back and lumbar.

1 64
 Chapter 9 /Acute Lumbar Sprain

Chapter 9

Acute Lumbar Sprain

Acute lumbar sprain is commonly known as "shan yao" (t�,�) in Chinese

medicine. It is often induced by improper po lure (whether stationary or
pcrformjng an activity), use of inappropriate force, injury from an external
blow, or sudden trauma to the lumbosacral muscles and tendons during stren­
uous exercise. \Vith acute lumbar strain there i pain and restricted Aexion
and extension of the lumbar. For those who arc not active and are suddenly
carryi ng or moving heavy objects, the weight of the objects is more than what
the muscles can hancUe, thereby causing injury to the muscles.
During a sprain injury, the patient often hears a "ka-cha" breakjng sound
(or crepitus). The lumbar 'vvill suddenly have a "bursting" or "quick breakjng"
feeling, followed by excruciat.ing lower back pain and limited range of motion.
The next clay, the lower back will be so painful that the patient cannot get out
of bed and will have a hard time turning the body. In severe cases the pain
becomes so excruciat.ing that the pat.ienl will not be able to perform any act.iv­
ities. As cited i n ji n Gui Yi «�ltl-» : "Lumbago with blood stasis is caused
by sudden strain of lumbar muscles and over exertion in lifting excessively
heavy objects . . . acute excruciating pain limits the body from turning from
side to side". The pain is aggravated by coughing, sneezing or activities of any
kind. The patient will take any strained position to avoid any movements that
may induce pain. Physical examinations often find tensed lumbar muscles and
trigger points that radiate downward. ff there arc signs of nerve root pain, it is
very possible that the pain is caused by a herniated disc al the lumbar region.
X-rays will diagno c and rule out the possibility of bone fracture or other
di orders.
Treating acute lumbar sprain with acupuncture often allains great results.
The pathway of taiyang meridian travels through the back and lumbar.
Treating acute lumbar pain is based on se lec ting distal point along Urinary

165
One Needle Therapy I Part II: Pain Syndromes

Bladder meridian. For patients with strong constitutions, the treatment can
be done in a siLLing posiLion with Lhe patienL Aexing and extending the lum­
bar during treatmem. When manjpulating and retaining the neecUe, ask the
patient to stretch or flex the lumbar at the same time. 1 eecUing Renzhong
DU-26 and Houxi SI-3 can have immediate results. For patients \Nith severe
pain, bleeding Weizhong UB-40 can ease the pain immediately and accelerate
the recovery time.
Patients with acute lumbar sprain should be bedridden and rest to relax
the lumbar muscles. They should also sleep on fu·m mallresses (avoiding a
soft mattress or sofa) and should reduce activities. Retaining good posture and
avoiding strong force co the affected region will prevent recurrence. To avoid
acute lumbar sprain, use the strength of the legs when moving heavy objects
and not the slrength of the lumbar alone. If the patient is sleep deprived and
the next morning feels soreness at the lumbar region, actions should be taken
to protect the lumbar. This includes massage, use of heat compress or wearing
a lumbar support belt.

ONE NEEDLE THERAPY FOR ACUTE LUMBAR SPRAIN

The most commonly used one needle therapy points for acute lumbar sprain
are: Renzhong DU-26, Houxi SI-3, \Veizhong UB-40, Fuliu KID-7, Linggu
22.0 t , Feiyang UB-58, Shousanli LI- 1 0, Zhigou SJ-6, Zanzhu UB-2, Zhong­
zhu SJ-3, Sanchayi A.02, Yintang [EX] , Tiaokou ST-38, Yanglao SI-6, E1ji­
aoming l l . 1 2, Zhengjin 7 7 .0 1 , Huozhu 66.04, Erjian [EX] , and Yaotongdian
[EX] .

A . Renzhong DU-26
Location:
Renzhong DU-26 is located on the face, at the junction of the upper 1 /3
and the middle 1 /3 of the phillrum. The patient should sit upright or be
lying in a supine position to locate the point.
Needling:
There are 2 techniques of neecUing for acute lumbar sprain:
( 1 ) Standard NeecUing Technique: Pinch the 2 muscles alongside the
philtrum. Oblique insertion 0.5 cun with the neecUe directed 1 5° upward.
Once qi is acquired, strongly manipulate the needle by tv.risting it. The
best result is achieved when the patient tears up. Meanwhile, ask the pa­
tient to move the lower back slO\·vly. Retain the neecUe 20 to 30 minutes.
Manipulate the needle every 5 minutes and ask the patient Lo exercise the
lower back by turning side to side, bending forward and backward, and
squatting down at the same time.
(2) Another ecdling Technique: Needle Renzhong DU-26 toward
Yingxiang LI-20. If the pain is on the left, needle Renzhong DU-26
obliquely toward right Yingxiang LI-20 and vice versa. Once qi is acquired,

166
 Chapter 9 /Acute lumbar Sprain

manipulate the needle and ask the pat.ient lo bend the lower back at the
same time. The patient should feel relaxed at the lumbar after needling.
Repeat the treatment daily until all symptoms have totally disappeared.
Analysis and Experience:
Yu Long Ge «.:IT.�gllfX» states: "Needle Renzhong DU-26 with reducing
technique for severe back pain and sprained lumbar pain." Tong Xuan
Zhi Yao Fu «illi. �1���» says, "Rcnzhong DU-26 can get rid of spas­
tic pain al the lower back." Renzhong DU-26 is ascribed to Du meridian,
which passes through the center of the spine. Therefore, it can d redge
the stagnant qi of Du meridian and treat lower back pain and stiff neck.
The qi of Du meridian connects with the nearby hand and foot yang­
ming meridians, which enhances its connection to the upper and lower
back. According to the treatment principle of "the acupuncture points of
a meridian treat the parts of the body travelling along that meridian , '

Renzhong DU-26 can relax the tendons and benefit the joints. This will
have excellent results for pain alongside the spine, especially acute lumbar
sprain. Renzhong DU-26 dredges and regulates Du meridian. It is espe­
cially effective and fast for disorders at the center of the spine. As cited i n
Yu Long Ge «.3s:lfg�.fX» : "When there i s pain a n d stiffness i n the spine,

reduce Renzhong DU-26. It is also indicated for acute lumbar sprain or

soreness." According to holographic correspondence, Renzhong DU-26
corresponds to the lumbar. Besides Renzhong DU-26, other points that arc
at the same level of Renzhong DU-26 also treat lumbar pain.

B. Houxi SI-3
Location:
'\Tith the patient's hand in a loose fist, Houxi SI-3 is located on the ulnar
aspect of the hand in the depression at the intersection of the reel and
white skin proximal Lo the head of the 5th metacarpal bone.
Needling:
For one-sided lower back pain, needle the opposite (healthy) Houxi SI-3.
This point will also work for the same (affected) side. Howeve1; if the pain
is in the middle of the spine and on both sides, then needle Houxi SI-3
on both sides. Perpendicular insertion quickly l to 1 .5 cun, and strongly
manipulate by lifting, thrusting and twisting the needle. Ask the patient to
exercise the affected lower back area (slowly increasing the range of mo­
tion and speed), bending fonvard and backward and turning side to side.
Retain the needle for 30 minutes. Manipulate the needle 2 to 3 tin1es and
ask the patiem to repeat the exercise. Remove the needle "·hen the lower
back is more flexible or when the patient can move more easily. If the pa­
tient has a good constitution, the result is better when the patient is sitting
or standing, rather than lying down during treatment.

167
One Aeedle Thera}l)' / Part IL Pain Syndromes

Analysis and Experience:

Through the connections bet..veen the same name hand and foot shaoyang
meridians, Houxi SI-3 is the shu-stream point of hand taiyang meridian.
Hand taiyang and foot taiyang meridian are connected through the con­
nections between same-named me1idians; therefore, qi of these two me­
ridians are connected. \'Vhen the pain is located on the side of the lower
back, the disorder is associated with foot taiyang meridian. Houxi SI-3
is the shu-stream point of hand taiyang meridian and its qi is connected
with foot taiyang meridian through the same name meridian connections.
Therefore, Houxi SI-3 soothes the qi of taiyang meridian and needling
Houxi SI-3 can attain the best results. This point is also one of the eight
confluence points and it connects to Du meridian. The pathway of Du me­
ridian travels through the spine and enters the brain. It also runs posteri­
orly at the nape of the neck along the side of the spine to the lumbar. It has
been said, "vVhen there are disorders at Du meridian, the spine "'� be stiff
and bend backward". For all disorders of Du meridian, select Houxi SI-3.
It can also treat disorders of the neck, back, lumbar and lower extremities.
Homci SI-3 is a shu-stream point. It is said that, "shu-stream points are in­
dicated for heaviness of the body and for joint pain". Therefore, this point
can treat heavy limbs and pain syndromes. Acute lumbar sprain can cause
injury of qi of Du and Urinary Bladder meridians. In addition, Houxi SI-3
is ascribed to wood and has the functions of soothing the tendons and in­
vigorating the collaterals. It is especially effective for relieving spasm of the
tendons and collaterals. Houxi SI-3 dredges the qi flow of Small Intestine
and Du meridians which promotes healing of the damaged tissue. This is
a very effective one needle therapy point in treating acute lumbar sprain,
including the center and lateral sides of the spine. It usually takes only one
treatment to see great improvement. Most of the time complete recovery
can be achieved with one treatment.

C. Weizhong UB-40
Location:
\ Veizhong UB-40 is located at the back of the knee, on the popliteal crease,
in the depression midway between the tendons of the biceps femoris and
semitendinosus muscle. To locate the point, have the patient either lying in
a prone position with the leg slightly flexed or standing upright. Generally,
the patient is in a prone position. For those patients who cannot be in a
prone position whether on account of acute lumbar sprain, noxious sores
at the lower extremities, or excruciating pain due to blood stasis, those pa­
tients should be standing erect. \Vhen standing, the patient should face the
wall with the lower legs locked in straight.
Needling:
After standard sterilization, use a tlu·ec-edgcd needle and prick t11e "angry

1 68
 Chapter 9 /Acute lumbar Sj;rain

\·eins" (engorged veins) around \Vcizhong UB-40. Remove the needle im­
mediately. Purplish-brown blood will start flowing. Let the blood flow until
it stops naturally (generally 5 to 1 0 cc of blood, or until the blood turns
from deep purple to bright red). \ Vcizhong U B-40 on both legs should be
pricked at the same time. Howe,·cr, the technique must be performed skill­
fully, ljghtly and with precision.
Remarks:
When bleeding \ Veizhong UB-40, the amount of blood flow must be care­
fully monitored. The patient's constitution must also be taken into con­
sideration. This technique is contraindicated for patients who have vveak
constitutions, poor health due to chronic illness, pregnant women, patients
who are anemic, any patients with collapsing, exhaust.ion or wasting disor­
ders, women who have had multiple miscarriages, and patients who bleed
easily or those who have lost a lot of blood.
Analysis and Experience:
Weizhong UB-40 is the he-sea point of Urinary Bladder meridian. It is
also one of the four command points. It is indicated for soothing the ten­
dons, invigorating the collaterals, dissipating blood stasis and calming pain.
Therefore, it is a very important point for treating lower back pain. i
Zang Xue Ge «!2!1f.\l!\.1\�» says, "Search \Veizhong U B-40 for [disorders
o� the lower back." This indicates that vVeizhong UB-40 treats any lov.rer
back pain. Yu Long Ge «.:Ii���» states: "To treat spinal back spasm
pain, reduce Rcnzhong DU-26; it can also treat lumbar sprain pain. One
can also select \Veizhong UB-40 that treats any lower back disorders." Xi
Hong Fu «J$5Mlfit» says, "\Veizhong UB-40 specializes in treating pain
in the lumbar area". Ling Guang Fu «�JIGM» also states: "Weizhong
UB-40 calms all kinds of lower back pain". Tho e are the conclusions from
the experience of physicians throughout history in using \ Veizhong B-40
to treat lower back pain.
Urinary Bladder meridian starts from the inner canthus at Jingmjng
UB- 1 and descends from the head to the feet. A branch traverses along
both sides of the spine and reaches the lumbar region. It then enters the
body cavity and connects "'�th the kidneys and joins its pertaining organ,
the urina1y bladdec Another branch from the lumber region descends
through the gluteal region along both sides of the spine and ends at the
popliteal fossa. Yet another branch traverses along the medial border of'
the scapula along both sides of the spine, passing through the gluteal re­
gion downward along the lateral and posterior aspects of the thigh and
meeting with the preceding branch descending from the lumbar region
in the popliteal fossa at Weizhong UB-40. \ Veizhong UB-40 is the eras -
ing point of the e two branches of Urinary Bladder meridian. Based on
the treatment principle of "the acupuncture points of a meridian treat
the pans of the body Lravclling along that meridian", \Vcizhong UB-40 is

1 69
One Veedle Therapy / Part IL Pain Syndromes

very e ffe ctive in treating acute lumbar sprain located along the pathway of
Urinary Bladder meridian.
Bleeding \Veizhong UB-40 is to use the "collaterals bleeding" technique
to bleed this point. As cited in Huang Di NeiJing, Su Wen Chapter 41 - Ci
Yao Tong «JHif pg �,fil·:*" r"'� » wlJW'.111 : "Lumbago that is along foot taiyang
meridian causes patients heavy pain in the neck, pine, buttocks and back.
Treat these disorders by bleeding Xizhong (cleft center, another name for
Weizhong UB-40) of the primary taiyang meridian". It frequently men­
tions the bleeding technique. Lacer ancient texts such as QianJin Yao Fang
«T-:Ji:�:1J» , Wai Tai Mi Yao « 5'� 3 f£·�» , Tong Ren Zhen Jiu Shu
Xue Tu Jing « 11�.AiHk.!filtr/\: llii! �,fil » , ZhenJiu Da Quan «it�jc�» ,
Zhen Jiu Da Cheng «it�jc fi.X:» and even Yi Zong Jin Jian « lfi *�
it» all state that \1Veizhong UB-40 is indicated for lower back pain.
\i\Teizhong UB-40, also known as Xizhong (cleft center), is the he-sea
point of foot taiyang Urina1y Bladder meridian, which has scanty qi but
abundant blood. The he-sea point Weizhong UB-40 is therefore particu­
larly suitable for bleeding. In ZhenJiu Da Cheng «it�::kfi.X:» , this point
is called Xuexi (blood cleft). Pain from acute lumbar sprain is mostly caused
by injury from falls or twisting of the lower back leading to qi and blood
stag11ation that cause pain. Bleeding Weizhong UB-40 at those superfi­
cially engorged veins can invigorate the blood and dissipate the stagnation
thereby opening and regulating the qi of the meridian in accordance with
the principle of "without movement there is pain v.rith movement there is
no pain", and strengthen the lumbar and knees. Therefore \rVeizhong UB-
40 is excellent in treating acute lumbar sprain.

D. Fuliu KID-7
Location:
Fuliu KID-7 is located 2 cun directly superior to Tai.xi KID-3, midway
between the medial border of tl1e tibia and Achilles tendon.
Needling:
Perpendicular insertion 0.5 to 0.8 cun from the medial aspect to the lateral
aspect of the leg and ask the patient to move the lower back at the same
time. Retain the needle for 20 to 30 minutes. Manipulate the needle every
5 minutes and ask the patient to move the lower back at the same time.
Analysis and Experience:
Although predisposition to acute lumbar sprain stems from improper pos­
ture or carrying o\·erly heavy objects, it is often related to kidney deficiency.
Kidney meridian is interiorly-exteriorly related to Urinary Bladder me­
ridian. When kidney qi is deficient, it will influence the qi and blood flow
of Urinary Bladder meridian. \Vhen the patient does not pay attention to
the body, lumbar sprain will easily happen. Since Fuliu KID-7 is a cribed
to metal and the mother point of Kidney meridian, it is indicated for

1 70
 C'l1apter 9 /Acute Lumbar Sprain

tonifying the kidney and strengthening the lower back. Metal pertains to
lung that masters qi. Fuliu KJD-7, a metal point, can strongly regulate qi.
It is especially effective in treating lumbar sprain and hypochondriac pain.
Throughout history, Fuliu KID-7 is regarded as an important point in
treating lower back pain, especially acute lumbar sprain. Xi Hong Fu «
Jm 7L P.lit» states: "Fulju KID-7 is indicated for eliminating qi stagnation
at the lumbus." Yi Zongjinjian « Wffi ��» states: "If there is blood
strangury (xue Lin), moxa Fuliu KJD-7; when there is lower back pain
caused by qi stagnation, needle Fuliu KID-7." Tai Yi Ge « * Z:.m:k» and
Tong Ren Shu Xue Zhen jiu Tu jing «fi!J AJMtrJ\:tj· ffi: IJ#�» also made
similar statements. Here Lhe "lower back pain caused by qi stagnation"
means acute lower back sprain, which is the same as acute lumbar sprain.

E. Linggu 22.05
Location:
Linggu 22.05 is located posterior to Hegu LI-4 at the junction between the
index finger and thumb, the 1 st and 2nd metacarpal bones.
Needling:
ff the affected side is on the left, needle right Linggu 22.05 and vice versa.
But if the pain is in the middle or on both sides of the spine, needle Linggu
22.05 on both hands. With the patient's hand in a loose fist, insert the
needle between the thumb and index finger in the junction between the
lst and 2nd metacarpal bones. eedle along the bone. Perpendicular in­
sertion l to 1 .5 cun and ask the patient to exercise the lower back at the
same time. Retain the needle for 30 minutes. \1 1 .fanipulate the needle every
l 0 minutes and ask the patient to exercise the lower back at the same time.
Analysis and Experience:
Needling along the bone at Linggu 22.05 will communicate with kidney
and correspond to the bone. The technique of needling along the bone
is equivalent to duan ci (�:fDllU adjacent needling) mentioned in Huang Di
Nei Jing «]liHir 179#�» . In Huang Di Nei Jing, Ling Shu Chapter 7 -
Guan Zhen «ji{fjri*J f.�·fil:�» 'i?�tfiij says, "Duan ci (adjacent needling)
is indicated for bone bi. Slowly manipulate the needle up and down along
the bone to go deeper to reach the bone." Needling close to the bone will
transmit signals through periosteum conduction to treat rnsorders of the
bone and joint with excellent results.
Linggu 22.05 is located between Hegu LI-4 (wood) and Yangxi LI-5, (fire).
I t has the characters of both vmod and fire; therefore, it strongly warms
yang. When treating hemiplegic, the effect of Linggu 22.05 is equivalent
to the formulas bu yang huan wu tang and zhcn wu tang. However, when
treating sciatica, the effect of Linggu 22.05 is equivalent to the formula du
Imo ji sheng tang. Linggu 22.05 is asc1-ibed to Large Intestine meriruan,
which is interiorly-exteriorly corresponded to Lung meridian. Ling "Gu"

1 7I
One ,\"eedle TherafaJ' / Part II- Pain Syndromes

("gu" means bone) corresponds to the kidney. Regardless of whether the

sciatica is ascribed to taiyang or shaoyang meridians, Linggu 22.05 is very
effective, so much so that none of the points from the primary fourteen me­
ridians has the effects that come close to Linggu 22.05. Needle left Linggu
22.05 to treat disorder on the right and vice versa. Linggu 22.05 also has
particular ability to ease swelling pain of the groin or the inability to lift
the leg due to weakness. It can also effectively treat Lhe rare case of sciatica
that radiates to the anterior medial aspect of the thigh and lower leg then
to che medial aspect of the foot.
According lo holographic correspondence, Linggu 22.05 corresponds to
the lower jiao region that comprises of the lower back, leg and foot. This
point should be needled deeply. eeclling Linggu 22.05 alone is already
effective in treating sciatica. If combined with Dabai 22.04, the result is
even more astounding.
Linggu 22.05 and Dabai 22.04 are both located on Large Intestine me­
ridian. Yangming meridian has abundant qi and blood. These two points
can strongly regulate qi and blood. They also encompass Hegu LI-4· (yu­
an-source point of Large Intestine meridian); therefore, they have a par­
ticular ability to tonify qi. These two points should be needled close to the
bone, which corresponds to kidney. Through the extraordinary connection
between the large intestine and the liver, they can treat liver (tendon) dis­
orders. Therefore, Linggu 22.05 and Dabai 22.04 together treat bone and
tendon disorders. 1eedless to say, they are very effective in treating lower
back pain and sciatica. Linggu 22.05 is located on Large Intestine merid­
ian which ascribes lo metal and masters qi. Inserting the needle close to
the bone corresponds to kidney; therefore, it is excellent in treating lumbar
sprain related to kidney qi.

E Feiyang UB-58
Location:
\,\ ith the patient sitting upright and the feet fl.at on the floor, locate Feiyang
UB-58 about l cun lateral and inferior to Chengshan UB-5 7 , 7 cun supe­
rior to Kunlun UB-60.
Needling:
The patient should be sitting upright or lying in a prone position. After
standard sterilization, use a 30-gauge needle; perpendicular insertion 1 .5
to 2 cun at the opposite (healthy) Feiyang UB-58. l\tfoderate manipulation
and ask the patient to exercise the lower back. Retain the needle for 30
minutes. Manipulate the needle a total of 3 times during the treatment and
ask the patient to exercise the lower back at the same time.
Analysis and Experience:
Feiyang UB-58 is the luo-connectingpoint of foot taiyang Urinary Bladder
meridian. It is where the mer-idian qi branches to meet with foot shaoyin

1 72
 Cha/Jfer 9 / .rl.cufe lumbar . /1rai11

Kidney meridian which soothes the meridian and invigorate the collater­
als. cute lumbar sprain often manifests at the medjal and lateral pathway
of Urinary Bladder meridian to the point between Daimai GB-26 (8.5
cun lateral and 0.2 cun superior to the umbilicus) and Jingmen GB-25
(9.5 cun lateral lO and 0.5 cun superior to the umbilicus). Jingmen GB-25
is the front-mu point of Kidney meridian where qi and blood of Kidney
meridian gather.
Lumbar sprain often obstructs the communication of qi of the interior­
ly-exteriorly connected Kid ney and Urinary Bladder meridians. fciyang
UB-58 is where Urinary Bladder meridjan branches out to J(jdncy me­
ridian. It can strengthen the communications bel:\vecn the two meridians,
soothe and dredge both rinary Bladder and Kidney meridjans to treat
any disorders involving these l:\vo interiorly-exteriorly related meridians.
Feiyang UB-58 then dredges the stagnation and soothes the meridian qi;
with that the pain wiU automatically cease. This point is very effective in
treating lumbar and leg pain. In recent years, Feiyang l."B-58 has often
been used to treat sciatica with atisfactory re ults.

G. Shousanli Ll-10
Location:
Have the patient hold the arm on the side with the elbow flexed. Shousanli
LI- 1 0 is located on the .l ine connecti ng Yangxi LI-5 and Quchi LI- 1 1 , 2
cun inferior to Quchi Ll- 1 l .
Needling:
Needling combined with cupping technique. Needle the opposite Shousanli
·
LI- I 0. If the pain is in the middle or on both sjdes of the spine, needle
Shousanli LI- I 0 on both . ides. fter standard sterilization, quickly inscn
the needle perpendicularly about I cun. Once qi is acqujred, ask the pa­
tient to exercise the lower back by stretching, turning slowly from side to
side, and gradually increasing the speed . After pain has subsided, ask the
patien t to rest for a few minutes and then remove the needle. If there is
swelling in the lower back, cupping can be used. Put 2 to 3 cups on the
affected area, and retain the cups for 5 to l 0 minutes.
Analysis and Experience:
Shousanli Ll- 1 0 is ascribed to hand yangming Large Intestine meridian.
Yangrillng meridians have abundant qi and blood. All yangming merid­
ians points are indicated to regulate the digestive system and soothe the
meridian qi. Shousanli LI- I 0 is good for treating disorders of the meridian
and collaterals. It is located on a tendon and is indicated for treating ten­
don related disorders. Shousanli LI- I 0 is located on a muscle mass, there­
fore i t can also treat muscle related ds i orders. eedling Shousanli LI- I 0
can attajn a very strong needle sensation. It is often used for upper arm
and shoulder pain 01· ncuropalhy of t.hc hands, hemiplcgic, alrophy of

1 73
One Aeedle Thera}JJ' / Part II: Pain Syndromes

the muscles and delayed response of the senses. Hand yangming meridian
traverses from the elbovv, then ascends to the shoulder, and meets with Du
meridian at Dazhui DU- 1 4. Hand yangming sinew meridian "goes around
the scapula and along both sides of the spine". According to the treatment
principle of ' the acupuncture points of a meridian treat the parts of the
body travelling along that meridian", it can treat acute lumbar strain. As
cited in ZhenJiuJu Ying «itfk.�lt5$)> : " [For] acute lumbar sprain and
pain, select Shousanli LI- 1 0", this indicated that Shousanli Ll- 1 0 can treat
acute lumbar sprain. Zhen Jiu Ji a Yi Jing «t�P'<: !fl Z:.. f.� » also says, "for
painful lumbar that [the patient] cannot lie down, treat with Shousanli
LI- 1 O." According to holographic correspondence, Shousan.li LI- 1 0 corre­
sponds to the lower back and is eITective in treating all kinds of acute lum­
bar strain. Shousanli LI- 1 0 is ascribed to hand yangming Large Intestine
meridian. \Vith miu ci (contralateral insertion) technique this point will
dredge meridian qi, soothe the tendons and invigorate the collaterals.

H. Zhigou SJ-6
Location:
Zhigou SJ-6 is located 1 cun directly proximal to Waiguan SJ-5.
Needling:
Have tl1e patient sitting upright. Use a 1 .5 cun 30-gauge needle, oblique in­
sertion superiorly about 1 cun. v
1 lanipulate the needle by lifting, thrusting
and tvvisting until qi is acquired. Then, twisting in a wider range of motion
for l to 2 minutes and ask the patient to stand, sit, bend, 1:\-vist and squat
at the same time. Retain the needle for 20 to 30 minutes. fanipulate the
needle every 5 to 1 0 minutes and ask the patient to repeat the exercise at
the same time.
Analysis and Experience:
Zhigou SJ-6 is the jing-river point of hand shaoyang Sanjiao meridian . In
Difficulty 38 of l an Jing - San Shi Ba Nan «�U�» �-= +}\�l says,
"Sanjiao is a branch of source qi. I t masters all qi." Sanjiao guides the en­
try and exit of the source qi and transmits the source qi through the whole
body. Poor circulation can cause pathological changes such as qi stagnation
and blood stasis. Sanjiao meridian regulates qi and blood. Zhigou SJ-6 is
an important point to disperse qi, dispel stagnation and resolve masses.
Acute lumbar sprain is caused by obstructed qi mechanism, qi stagnation
and blood stasis. Teedling Zhigou SJ-6 will soothe qi mechanism, dredge
the meridian and collaterals and invigorate the blood to resolve blood sta­
sis to achieve the treatment principle of ''vvithout movement there is pain,
with movement there is no pain". Zhigou SJ-6 i s ascribed to fire and tl1cre­
fore has a particular ability to case the pain of acute sprain, especially of
a cold type, with satisfactory results. Lumbar pain often implicates kidney
deficiency. Zhigou SJ-6 is ascribed to shaoyang Sanjiao meridian. Through

1 74
 Chapter 9 / .-Jcule Lumbar Sprain

the extraordinary connections between sanjiao and kidne); Zhigou SJ-6

can also regulate the kidney. Therefore needling Zhigou SJ-6 is an excel­
lent choice for treating acute lumbar sprain.

I. Zanzhu UB-2
Location:
Zanzhu UB-2 is located on the face, at the medial end of the eyebrow, on
the supraorbital notch.
Needling:
Insert a 1 cun needle perpendicularly at both Zanzhu UB-2 for 0. 1 to 0.2
cun until they reach the bone. \\Then the patient has the sensation of sore­
ness and distension, manipulate the needles by using reducing technique.
Lift and thrust repeatedly for 3 to 5 minutes and ask the patient to exerci e
the lower back al the same time. Retain the needle for 30 minutes. Repeal
lifting and thrusting every I 0 minutes for I minute and ask d1e patient to
exercise the lower back al the same time. Repeat the treatment every other
clay.
Analysis and Experience:
Zanzhu UB-2 is ascribed to fool taiyang Urinary Bladder meridian.
Lumbago usually occurs on Urinary Bladder meridian. Taiyang meridian
traverses through the lumbar region. "The acupuncture points of a merid­
ian treat the parts of the body travelling along that meridian" and hence,
by selecting Zanzhu UB-2 to guide qi to the affected area, lumbar pain
will be alleviated. The lumbar houses the kidney. eedling Zanzhu UB-2
to reach the bone will correspond with the kidney and the results will be
satisfactory.

J. Zhongzhu SJ-3
Location:
Zhongzhu SJ-3 is located on the dorsum of the hand between the 4·th and
5th metacarpal bones in the depression 1 cun posterior to Yemen !J-2.
Needling:
Oblique insertion l to 1 .5 cun at a 30° angle directed toward the wrist,
manipulate strongly. Once qi is acquired, ask the patient to exercise the
lower back. Retain the needle for 30 minutes. Manipulate the needle every
1 0 minutes and ask the patient to exercise the lower back at the same time.
Pain should subside immediately.
Analysis and Experience:
Zhongzhu SJ-3 is the shu-stream point of Sanjiao meridian. Shu-stream
points are "indicated for heaviness of the body and for joint pain". Through
the extraordinary connection between sanjiao and kidney, Zhongzhu SJ-3
can tonify the kidney. Therefore, it can effectively treat all kinds of kidney
deficiency disorders. It is also effeclive in treating both acute and chronic

175
One.\ eedle Thera/JJ' / Part II: Pain SJ'ndromes

lumbar pain. Zhongzhu SJ-3 is ascribed to wood which corresponds with

the liver and li\'er masters tendon. This point can dredge qi and blood and
can achieve the treatment principle of "without movement there is pain,
with movement there is no pain". Hand shaoyang sinew meridian travels
to che neck to meet with taiyang sinew meridian. According to the treat­
ment principles of "selecting the distal point" and "the acupuncture points
of a meridian treat the parts of the body travelling along that meridian",
Zhongzhu SJ-3 is very effective in treating acute or chronic lumbar pajn.
The results are mostly immediate. Often it only takes one treatment and
the technique is simple and easy.

K. Sanchayi A.02
Location
Sanchayi A.02 is located in the junction of the 2nd and 3rd phalanges on
the dorsum of the hand.
Needling:
Have the patient sit upright or stand erect and with the patient's hand in
a loose fist. After standard stc1-i)jzation, use a 2 cun 30-gauge needle and
insert perpendicularly directed toward the palm. The depth of the needle
should reach approximately 1 to 1 .5 cun. Manipulate the needle by twist­
ing it. Once qi is acquired, manipulate the needle only with the strength
the patient can handle. Ask the patient to bend forward and backward,
turning side to side, lifting the legs and squatting at the same time. Retain
the needle for 30 minutes. Nfanipulate the needle every 1 0 minutes and ask
the patient to repeat the exercise at the same time.
Analysis and Experience:
Sanchayi A.02 is one of "t\ifaster Tung's points. It is equivalent to the 2nd
point of Baxie [EX] points. It has the functions of tonifying the lung and
regulating qi. It is effective in treating hypochondriac pain. Sanchayi A.02
is excellent for treating lumbar sprain. Clinical observation shows that it
will accelerate the recovery time. v\fhen treating lumbar sprain, only one
side (often the healthy side) is needled. During retention of the needle ask
the patient to exercise the lumbar area to ensure satisfacto1y results.

L. Yintang [EX]
Location:
Yintang [EX] is located midway between the eyebrows.
Needling:
Have the patient sit upright or stand erect. After standard sterilization, use
the left thumb and index finger to pinch and lift the skin in between the
eyebrmv �in tang [EX J ) while the right hand holds the needle. Quickly in­
sert a 1 .5 cun needle obliquely for approximately 1 cun, \lvith the tip of the
needle directed tO\rnrd the tip of the nose. Once qi is acquired, strongly

176
 Clta/Jfer 9 /Acute Lumbar Sprain

manipulate the needle to the strength that the patient can handle and ask
the patient to move the lower back from side to side and bend for-ward and
backward. Retain the needle for 20 to 30 minutes. Manipulate the neeclle
once or twice and ask the patient to repeat the exerci c at the same time.
Usually one treatment is sufficient.
Analysis and Experience:
Yin tang [EX] i an extraordinary point located in Du meridian. \ Vhen
there are pathological changes in Du meridian, there will be the stiffoess
o[ the spine and opisthotonus. Renzhong DU-26, also a point of Du me­
ridian, is an effective point for acute lumbar sprain. Yintang [EX], a point
of Du meridian gives the ame satisfactory effect as Rcnzhong D -26 in
the treatment of acute lumbar sprain. From the perspective of holographic
correspondence, Renzhong DU-26 corresponds to the meeting area of the
middle and lower jiao, and at the level of the lumbar, therefore, it treats
lumbago. From the pcrspcctiYe of reverse holographic correspondence,
Yintang [EX] at the level of the eyebrows also corresponds to the meet­
ing area of the midclle and lo\\·er jiao, at the lumbar. Therefore it also
treats l umbago. Acute lumbar sprains arc often localized and arc caused
by the hypcrtonus and muscle spasm. Needling Yintang [EX] can promote
the circulation of qi and blood of Du meridian and rcla..x the hypcrtonic
muscles at the pathway of the meridian and the tense muscles in the area.
Therefore needling Yin tang [EX] to treat acute lumbar sprains gives sat­
isfactory effect.

M. Tiaokou ST-38
Location:
Tiaokou ST-38 is located on the anterior and lateral of the lower leg, 8
cun inferior to Dubi ST-35, 1 cun lateral to the anterior crest of the tibia.
Needling:
Have the patient in a sitting position (sitting in a chair with the feet re­
laxed on the noor) or lying in a supine position. After standard sterilization,
needle the point with a 3 cun needle. After qi is acquired, manipulate the
needle strongly for 1 minute and ask the patient to exercise the lower back
from side to ide, forward and backward and to increase the range of mo­
tion until the pain is reduced or totalJy diminished. Retain the nccclle for
20 to 30 minutes. Ask the patient to repeat the exercise of the lower back
every 5 minutes for 30 seconds to I minute.
Analysis and Experience
Lumbar sprain usually results from the impediment or poor circulation
of qi and blood. Tiaokou ST-38 is ascribed to foot yangming meridian.
Yangming meridians have abundant qi and blood. eedling Tiaokou
ST-38 can dredge the meridian, regulate qi and harmonize qi and blood.
\ Vhcn the circulation ol qi and blood is unobstructed, according to the

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One .Needle Thera}lJ' / Part 11· Pain S)mdromes

principle of "when there is movement there will be no pain", acute lumbar

sprain can be treated. Tiaokou ST-38 is located in the midcUe of the calf,
which corresponds to the lumbar through holographic correspondence,
another reason it can treat lumbar pain.

N. Yanglao SI-6
Location:
With the patient's palm on the chest, Yanglao SI-6 is located on the dor­
sum of the head of the ulna at the depression close to the radial aspect of
the high point of the styloid process of the ulna. That is the point is located
in the depression posterior to and in the medial aspect of the styloid pro­
cess of the ulna. To locate the point, raise the patient's hand, flex the elbow,
and turn the forearm backward; a shallow cleft can be clearly seen. The
point is located anteriorly to the cleft. If the palm changes its direction, the
cleft will close by itsel(
Needling:
Needle the healthy (opposite) Yanglao SI-6 by directing the tip of the nee­
dle toward I eiguan PC-6. Oblique insertion 1 cun (oblique insertion l cun
directed superiorly along the cleft of the radial aspect of the ulnar bone).
Once qi is acquired, strongly manjpulatc the needle for 1 minute so that qi
passes through the elbow and shoulder until it reaches the lower back. Ask
the patient to exercise the lower back from side to side, bending forward
and backward and increasing the range of motion until the pain is reduced
or totally diminished. Retain the needle for 20 to 30 minutes and ask the
patient to repeat the exercise every 5 minutes for 30 seconds to 1 minute.
Analysis and Experience:
Yanglao SI-6 is the xi-cleft point of hand taiyang meridian. Xi-cleft points
are indicted for acute disorders. Through the connections of d1e same
name hand and foot taiyang meridians, the points of both hand and foot
taiyang meridians can treat lumbar pain, regulate and dredge the merid­
ians and aclueve the treatment principle of "with movement there is no
pain". Leijing Tu Yi «�J[t,;� � � » says, "Yanglao SI-6 treats heavy and
painful lumbar associated with inability to rotate from side to side, diffi­
culty i n standing and sitting, spasm of the tendon, bone bi (arthritis), and
inability to extend and flex". Clinical expe1ience shows that this point is
effective in treating acute lumbar sprain.

0. Erjiaoming 1 1 . 1 2
Location:
Erjiaonung 1 1 . 1 2 is a set of two points located on the ilUdline of the dor­
sum of the middle finger. The proximal phalange of the middle finger is
divided into 3 equal segments. One point is on the I /3 of the segment and
the other is on the 2/3 of the segment.

178
 Chapter 9 /Arnie lumbar Sprain

Needling:
Use a 0.5 cun needle, subcutaneous insertion 0.2 CLU1 'vvith the tip of the
needle directed toward the lateral aspect of the hand (tov,1ard the little
finger). Once qi is acquired, strongly manipulate the needle for l minute
and ask the patient to exercise the lower back left and right, bending for­
ward and backward, slowly increasing the range of motion until the pain is
reduced or totally diminished. Retain the needle for 20 to 30 minutes and
ask the patient to repeat the exercise of the lower back every 5 minutes for
3 0 seconds to l minute.
Analysis and Experience:
Master Tung believes E1jiaoming I 1 . 1 2 is beneficial for Kidney meridian;
therefore, it can treat acute lumbar strain, hypochondriac and kidney defi­
ciency. The middle finger corresponds wi Lh Du meridian and the mid-line
of the body, therefore, it treats lower back pain, especially pain along the
spme.

P. Zhengjin 77.01
Location:
Zhengjin 7 7 .0 I is located in the center of the Achilles tendon, 3.5 cun
superior to the heel.
Needling:
Patients '<vith a strong constitution can sit upright; patients with weaker
constitu ti on should lie on the side. Zhengjin 7 7 . 0 l is located on the Achilles
tendon. Perpendicular insertion 0 . 8 to l cun (for better results, needle
through the tendon). Once qi is acquired, strongly manipulate the neecUe
for l minute and ask the patient to exercise the lower back side to side and
bending forward and backward at the same time. Retain the needle for 20
to 30 minutes. Ask the patient to repeat the exercise every 5 minutes for 30
seconds to I minute.
Analysis and Experience:
Zhengjin 7 7 . 0 1 is located on the Achilles tendon. Based on the principle
of "treating tendons with tendons", it is ve1y effective in treating tendon
disorders including acute lumbar sprain. Zhengjin 7 7 .0 l is encompassed
by Kidney and Urinary Bladder me1idians, therefore it is very effective
in treating lumbar pains that arc on the pathway of Urina1y Bladder
meridian.

Q Huozhu 66.04
Location:
Huozhu 66.04 is located on Liver meridian posterior to Taichong LIV-3
between the l st and 2nd metatarsal bones.
Needling:
Perpendicular i nsertion I to 1 . 5 cun with the tip of the needle directed

1 79
One .Needle Therapy / Part II: Pain S)lndromes

toward the plantar aspect of the foot. Once qi is acquired, ask the patient
to endure the pain and move the lower back side to side and bachvard and
forward. Retain the needle for 20 to 30 minutes. : Manipulate the needle
every 5 minutes and ask the patient to repeat the exercise of the lower back
at the same time.
Analysis and Experience:
Huozhu 66.04 is located posterior to Taichong LIV-3 and in the depres­
sion anterior to the junction of the 1 st and 2nd metatarsal bones. (Some
books define the location or Taichong LIV-3 is in the depression distal to
the j unction of the 1 st and 2nd metatarsal bones. In this case, Taichong
LIV-3 and Huozhu 66.04 are located at the same site. For more informa­
tion, please refer to page 5 2 1 in my book Zhen Jiu Jing Xue Xue «it�
��1C�» . Huozhu 66.04 is equivalent to Taichong LIV-3 as cited in many
books throughout history. It is the shu-stream and yuan-source point of
the foot j ueyin meridian. Yuan-source points are indicated for regulating
qi. "Liver masters tendons''. This point treats tendon spasm. Sprains are a
type or tendon and hypochondriac disorder and therefore, this point can
treat both. Huang Di N eiJing, Ling Shu Chapter l 0 -Jing Mai «Jl{W pg
��-��» �!*� says, "Footjueyin Liver meridian . . . when the meridian
is in distress, there •..vi i! be lumbago and inability to extend and flex." The
Liver meridian itself can treat lumbar pain with inabiljty to bend fonvard
and backward. Better results will be obtained by inserting the point along
the bone to correspond with the kidney and have the ability to tonify water
to moisten wood. Often it only takes one needle to stop the pain and accel­
erate the recovery time.

R. Erjian [EX]
Location:
Erjian [EX] is located at the top of the helix of the ear.
Needling:
Bleed the point by using a three-edged needle or lancet.
Analysis and Experience:
Foot taiyang Urinary Bladder meridian pathway traverses aboYe the ears.
Thus Erjian [EX] effectively treats the parts of the body traversed by
Urinary Bladder meridian. Although the volume of blood from pricking
this point is much less than that of Weizhong UB-40; still, it invigorates
blood to resolve stasis. Kidney opens to the ears and lumbago is related
to kidney. Therefore, Erjian [EX] is indicated for treating acute lumbar
sprain.

S. Yaotongdian [EX]
Location:
Yaotongdian [EX] is a set of 2 points. Have the patient extend all 5 fingers.

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 Chapter 9 I Acute Lumbar . prain

The point is located l .5 cun distal from the wrist crea5e on the dorsum of
the hand between the radial aspect of the 2nd extensor tendon and the ul­
nar aspect of the 4th extensor tendon. For one needle therapy, only needle
the point on the ulnar aspect of the 4th extensor tendon.
Needling:
l eedle the opposite (healthy) Yaotongdjan [EX] . The patient extends all
five fingers \\ith the palm facing down. After standard sterilization, use a
I cun or a l .5 cun needle perpendicular insertion 0.5 to 0.8 cun at the 4th
extensor tendon. Once qi i acquired, ask the patient to endure the pain
and move the lower back . ide to side and bach.'ward and forward. Retain
the needle for 20 to 30 minutes. Manipulate the needle every 5 minutes
and ask the patient to repeat the exercise at the same time. If the pain per­
sists, needle the other point that is on the 2nd extensor tendon by using the
same technique. Retain the needle for 20 to 30 minutes and ask the patient
to repeat the exercise every 5 minutes for 30 seconds to l minute.
Analysis and Experience:
Yaotongdian [EX] is an empirical point that is very effective i n treating
acute lumbar sprain . The radjaJ aspect of the 2nd extensor tendon and
the ulnar aspect of the 4th extensor tendon are related to lung and kidney
respectivcl)� Therefore, Yaotongdian [EX] can tonify lung and kjdney qi.
Yaotongdjan [EX] has the same successful effects in treating acute lum­
bar sprain as those of Fuliu KID-7, the j ing-river metal point of Kidney
meridian.

T. Xinmen 33. 12
Location:
Xinmen 33. 1 2 is located at the depression 1 .5 cun superior and distal to
the olecranon.
Needling:
Locate the point with the patient's hand on the chest. ){jnmen 3 3 . I 2 is
located on Small I n testine meridian in the depression 1 .5 cun superior and
distal to the olecranon. It is in the vicinity of ){jaohai Sl-8, the he-sea point
of Small Intestine meridian. Perpendicular insertion 1 .5 to 2 cun. Once
the needle sensation is attained, strongly manipulate the needle for I nun­
ute and ask the patient to move the lumbar in all directions. I ncrease the
range of motion gradually until the pain diminishes or disappears. Retain
the needle 20 to 30 minutes and ask the patient to repeat the exercise every
5 minutes for 30 seconds to I n-ll n ute.
Analysis and Experience:
Xinmen 33. 1 2 is located on Small Intestine meridian and is close to
){jaohai Sl-8, the he-sea point of Small Intestine me1-idian. From the per­
spective of ordinary holographic correspondence, Xinmen 3 3 . 1 2, which is
nca1- the elbow, corresponds to the area abo,·e the lumbar. '\lhcreas, from

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One l•leedle Therapy / Part II· Pain Syndromes

the perspective of reverse holographic correspondence, Xinmen 3 3 . 1 2

corresponds with the buttocks. Therefore, it can treat any disorders above
and below the lumbar area. Since it is needled along the bone, Xinmen
3 3 . 1 2 applies the following principles: ( 1 ) use bone to treat bone (body
correspondence); (2) use bone to treat the kidney; (3) hand and foot taiyang
meridian connects to each other; and (4) taiyang meridian encompasses
the pathway of Du meridian. Therefore, Xinmen 33. 1 2 effectively treats
the pain along the spine and both sides of the spine that are traversed by
taiyang merictian.

U. Majinshui 1010.13
Location:
Majinshui 1 0 1 0. 1 3 is located O. l 5 cun in the depression directly inferior to
the outer canthus and inferior to the lower border of the zygomatic bone.
Needling:
Perpendicular insertion 0. 1 to 0 . 3 cun. Once qi is acquired, ask the patient
to endure the pain and move the lumbar in all directions. Retain the nee­
dle for 20 to 30 minutes. Manipulate the needle once every 5 minutes and
ask the patient to repeat the exercise at the same time.
Analysis and Experience:
The horizontal line across the face through Renzhong DU-26 is the "lum­
bago line". Majinshui 1 0 1 0. 1 3, which is located inferior to this line, cor­
responds to the kidney. Since this needle is inserted close to the zygomatic
bone, it, again, corresponds to the kidney. Majinshui 1 0 1 0 . 1 3 is excellent
for kidney stones leading to renal colic. IL is also very effective for pain due
to acute lumbar sprain. Majinshui 1 0 1 0. 1 3 is often combined witl1 Xiabai
2 2 . 0 7 , or Xinxiabai [EX] (which is needling Xiabai 22.07 along the bone).
I was fortunate enough to have discovered this new point. This combina­
tion treats kidney colic and kidney stones with great success.

SUMMARY
Acute lumbar sprain is frequently seen clinically. I t is often the result of injury
to sacral spine muscle or interspinous ligament caused by over stretching or
strains from exercising, lift ing heavy objects, and improper posture. Acute
lumbar sprain can cause local qi and blood stagnation and the obstruction of
meridians and vessels. Acupuncture can "dredge the meridians and vessels,
harmonize qi and blood" and attain excellent results. "One Needle Therapy"
is particularly good at treating this disorder. The treaunent requires very few
needles so the discomfort is minimal yet achieves quick results. We will discuss
point selection, treatment technique, needle manipulation, needle retention
and pathogenesis as follows.

182
 Cha/Jler 9 /Acute Lumbar Sprain

On Point Selection:
In recent years there have been many articles about treatments of acute
lumbar sprain with "One Needle Therapy". There are many points known
for treating this disorder. Some examples are Du meridian point such as
Renzhong DU-26; taiyang meridian points such as Houxi Sl-3, Yanglao SI-6,
Shugu UB-65, Weizhong UB-40,Jingming UB- 1 , Chengshan UB-5 7, Feiyang
UB-58 and Zhibian UB-54; shaoyang meridian points such as Zulinqi GB-4· l ,
Zhongzhu SJ-3 and Waiguan SJ-5; yangming meridian's posterior Hegu (pos­
terior Ll-4) (Linggu 22.05) and Tiaokou ST-38; extraordina1-y points such as
Yintang [EX], iushang [EX] and Yaotongdian [EX] , and Master Tung's
points Erjiaoming 1 1 . 1 2, Linggu 22.05, Wanshunyi 22.08 and Zhengjin 7 7 . 0 1
as well a s Lower 6 , and Lower 5 o f wrist and ankle acupuncture. The rate of
effectiveness for treating acute lumbar sprain is over 90% and sometimes can
even reach 1 00%. This indicates that One Needle Therapy is reliable and
effective in the treatment of acute lumbar sprain.

On Needling Techniques:
The intensity during manipulation, duration and needle retention should
be closely noted. In general, the needles should be strongly manipulated while
patients exercise the affected site. This technique is called dong qi (moving
qi) needling technfr1 ue which is commonly used. The technique is suitable for
palicnts with joint, mu scl e or soft tissue iajurics. This regulates qi and blood
and increases the metabolism of the local tissue, accelerates recovery time and
effectively relieves Lhe pain at the local site. However, for patients \Vith weak
constitution, strong manipulation may cause needle fainting.
During needle retention, use the "moving-retaining technique" and ask
the patient to exercise the affected area every several minutes. As for needle
retention, many practitioners retain the needle for l 0 to 1 5 minutes. However;
according to my personal experience, 30 minutes with two to three manipula­
tions in between attains better results.

The Principles On Selecting the Point:

Point selection and combination slrongly affects the therapeutic effe ct.
The primary treatment points for acute lumbar sprains are distal points along
the affected meridian. If the disorder is located in the midline of the back, it
is mostly due to inj uries or the interspinous ligament. Since it is in the path­
way of Du meridian, needling Renzhong DU-26 gives the best result. If t he
disorder is on both sides or the spine, it is in the pathway of foot taiyang
meridian and it is most likely caused by injuries of the sacrum spinous muscle
and lumbar fascia. It is best to select Houxi SI-3 through the connections of
the same name hand and foot me1idians. If the disorder is in foot taiyang and
foot shaoyang meridians, involving the buttocks and thigh, ofi:en the injury
is of the sacrum spinous muscle and gluteus m axi m us In this case,
. n eed li ng

183
One Needle TherajJy / Par/ II: Pain S)mdromes

Yaotongdian lEXJ gives the best result. If the disorder is on both sides of the
lumbar where shaoyang, taiyang and Yangwei meridians traverse, Toulinqi
GB- 1 5 will be most effective. This indicates that point selection and treatment
results are related.
\ Vhen there is an acute lumbar sprain, the soft tissues of the lumbar expe­
rience pathological changes of qi stagnation and blood stasis. Needling a cer­
tain acupuncture point can regulate qi, invigorate blood, resolve stasis and
dredge the meridian and the injured soft tissues will gradually recover. If a
distal point is selected, the patient will be able to exercise the lumbar area while
the practitioner manipulates the needle. If using one point alone does not give
the anticipated result, another point can be selected for treatment and should
be able to promptly eliminate or reduce the pain.

184
 Chapter 1 0 / lumbar ,\Juscle Sprain (Psoas Pain)

Chapter 10

Lumbar Muscle Sprain

(Psoas Pain)

Lumbar muscle Lrain is the main cause of chronic lmver back pain. Lumbar
muscle strain means the muscles at the lumbar region and the ligaments are
chronically stretched and injured. Due to the location of the lumbar muscles
in the mid-section of the body, they are involved in the extension and laleral
rotation of the trunk and LUrning from side to ide. Therefore, the lumbar
muscles are more susceptible to injury.
The leading causes of lumbar muscle strain arc:
1 . External injury (sprain and strain): In patients \-vith acute lumbar sprains,
inj u ry from fall or external force, the trauma cau es tl1e ligaments, tendons or
muscles to tear resulting in hemorrhaging, cellular alterations, adhesion and
pam.
2. Over-exertion: Prolonged repetitive over-exertion, improper posture
(such as overextending the lumbar while working) and heavy physical labor
involving certain lumbar muscles results in an accumulation of lumbar strain
which causes lumbar pain.
3. Cold-Dampness: The lumbar region contracts wind-cold-damp patho­
gens, which resulls in qi and blood disharmony or qi stagnation and blood
stasis causing obstruction of qi and blood. Chronic disorder will deplete blood
and essence, causing the lumbar muscles to become malnourished, muscle
spasm and metabolite accumulation, all of which results in lumbar pain.
The symptoms of lumbar muscle strain are manifested as lower back pain.
It is usually chronic, recurring and often last for months or years. Lower back
pains are often manifested as subtle pain, distended pain and may be accom­
panied by heaviness or stiITness and difficulty in holding one position. Standing
or sitting for long periods of time often aggravates the condition. Bending or
stretching the lumbar as well as turning over in bed can induce pain causing
interrupted sleep. The pain usually subsides with rest. Howeve1; the pain may

185
One Aeedle Therafry I Part II: Pain S)ndromes

return with even the slightest exertion or weather changes, or external patho­
genesis such as cold and damp. There is no obvious impairment of activity.
Physical examination may find increased lumbar muscle tightness. There may
be tender points at the lateral lumbar muscles, crista iliaca, and sacrnm. X-rays
often show normal results.
Over-exertion of the lumbar muscles is within the scope of "lumbar pain"
in Chinese medicine. In the early stages of lumbar muscle strain, the treatment
principle is to invigorate blood, disperse stasis, dissipate swelling and stop pain.
In later stages or chronic cases, the treatment p1inciple is to tonif)r the kidney
and strengthen the lower back, soothe the tendons and dredge the meridians.
The patien t should try to avoid wind, cold and over exertion. In intermediate
stages, both treatment pri nciples are applied to address the symptoms and the
underlying causes.
Two t hi ngs need to be addressed during treatments: The first is to elimi­
nate the etiology. Those who need to bend their waists for long periods of time
should take time w regularly stand upright to rest the contracted erector spinae
muscles. Be mindful when turning or nvisting the body and wear a lumbar sup­
port belt while lifting heavy objects. The second is to exercise the back muscle
Lo strength it and avoid further i njuries.

ONE NEEDLE THERAPY POINTS FOR LUMBAR MUSCLE SPRAIN

The commonly used one needle therapy points for treating lumbar muscle
strain are: Fuliu KlD-7, Feiyang UB-58, Linggu 22.05, Houxi SI-3, Wans­
hunyi 22.08, Shenshu UB-23, Kunlun UB-60, Zanzhu UB-2, Zbongzhu SJ-3,
and Xinmen 3 3 . 1 2.

A. Fuliu KID-7
Location:
Fuliu KID-7 is located 2 cun superior to Taixi KID-3, midway between the
medial posterior aspect of the tibia and Achilles tendon.
Needling:
Perpendicular insertion 0.5 to 0.8 cun from the medial aspect toward the
lateral aspect of the lower leg.
Analysis and Experience:
Fuliu KID-7 is the metal point of Kidney me1idian. I t strongly regulates
the function of qi and treats acute lumbar sprain. This poi nt can also ton­
ify the kidney to treat lumbar pain due to kidney deficiency, i.e. deficiency
of kidney qi. U1inary Bladder meridian is interiorly-exteriorly related to
Kidney meridian. Kidney qi deficiency will affect the functions of Urinary
Bladder meridian and the activities of qi and blood resulting in lumbar
pain. Fuliu KID-7 is the metal and mother point of Kidney (water) merid­
ian. Use the treatment principles of " t onify the mother point to treat de­
ficiency" and "tonify metal to generate water". Therefore tonifying Fuliu

186
 Chapter 1 0 / lumbar Muscle Sprain(Psoas Pain)

KID-7 can tonify the kidney. This can quickly eliminate pain clue to kidney
dysfunction caused by kidney deficiency.

B. Feiyang UB-58
Location:
Have the patient sit upright. Feiyang UB-58 is approximately l cun lateral
and inferior to Chengshan UB-5 7 and 7 cun superior to Kunlun UB-60.
Needling:
Have the patient sit upright or lie in a prone position. After standard ste1·­
ilization, select the opposite (healthy) Feiyang UB-58. Use a 28 gauge nee­
dle, perpendicular insertion 2 cun; medium manipulation and ask the pa­
tient to exercise the lower back at the same time. Retain the needle for 20
to 30 minutes. Manipulate the needle for a total of 3 times for I minute
each d uring the treatment.
Analysis and Experience:
Feiyang UB-58 is the luo-connecting point of foot taiyang U rinary Bladder
meridian. The meridian qi branches out at Feiyang UB-58 and connects
with foot shaoyin Kidney meridian. Lower back pain is usually related to
Kidney and Urinary Bladder meridians. Although chronic lower back pain
is manifested on Urinary Bladder meridian, it is related to kidney defi­
ciency. Qi and blood stagnation cause obstruction of the interiorly-exteri­
orly related Kidney and Urinary Bladder meridians, which leads to pain.
Feiyang UB-58 is the luo-connecting point of foot taiyang Urinary Bladder
meridian. Luo-connecting points are indicated for dredging the meridians
and activating the vessels and are quite effective in treating disorders as­
sociated with interiorly-exteriorly related meridians. Since Feiyang UB-58
connects Kidney and Urinary Bladder meridians, dredges the meridians
and activates the stagnant qi within the meridians; it can stop lower back
pain. Feiyang UB-58 is also quite effective for cystitis and sciatica.

C. Linggu 22.05
Location:
Linggu 22.05 is located at the j u nction between the index finger and
thumb, the 1 st and 2nd metacarpal bones. I t is directly opposite to and
communicate with Chongxian 22.02.
Needling:
With the patient sitting upright or lying i n a prone position, needle the op­
posite (healthy) Linggu 22.05. After standard sterilization, use a 28-gauge
needle and insert perpendicularly 2 cun; medjum manipulation and ask
the patient to exercise the lower back at the same time. Retain the needle
for 20 to 30 minutes. Manipulate the needle a total of 3 times for I minute
each during treatment.

187
One Needle Thera/J)' / Part IL Pain S)'11dromes

Analysis and Experience:

The word "gu" in Linggu 22.05 means bone, which "corresponds to kid­
ney''. ''Vhen needling this point along the bone wiU connect to the kidney.
Through the treatment principle of "large intestine connects to the liver",
this point can treat both liver sinev< and bone disorders. Also since this
point is located on Large Intestine meridian, which ascribed to metal, it has
the function of "tonifying the metal to generate \Vater". It is very effective
in treating acute or chronic lower back pain as well as sciatica. According
to holographic correspondence, Llnggu 22.05 masters the lower jiao. The
needle should be deeply inserted lo connect "'"ith upper, middle and lower
Jiao.

D. Houxi SI-3
Location:
On the ulnar border of the little finger (the 5th metacarpal bone), in the
sub tantial depression proximal to the crease of the 5th metacarpal bone,
at the junction of the red and white skin.
Needling:
WiLh the patient sitting upright or lying in a prone posilion, needle the
opposite (healthy) Houxi SI-3. fVtcr standard sterilization, use a 28-gauge
needle and insert perpenclicularly 2 cun; medium manipulation and ask
the patient to exercise the lower back at the same time. Retain the needle
for 20 to 30 minutes. Manipulate Lhe needle a total of 3 times for l minute
each during treatment.
Analysis and Experience:
Houxi Sl-3 is one of the eight confluent points. It is connected with Du
meridian, as well as with Shenmai UB-62 at Yangqiao meridian. Du me­
ridian is the sea of yang meridians, and Yangqiao meridian masters the
lateral yang meridians. Therefore, it is very effective in treating many dis­
orders. It is especially effective for headache, stiff neck, conjunctivitis, sore
throat, numbness and spasm of the extremities, lower back pain, leg pain
and knee pain.
Houxi SI-3 is the shu-stream point of hand taiyang Small Intestine me­
ridian, which has a branch that connects with foot taiyang Urinary Bladder
meridian. Through hand and foot taiyang same name connection, nee­
dling Houxi SI-3 has excellent effe ct for lumbar muscle pain. Since Houxi
SI-3 also connects with Du meridian, it can also treat spinal clisorders,
especially lower back pain.

E. Wanshunyi 22.08
Location:
\\ anshunyi 22.08 is located on the lateral aspect of the 5th metacarpal
bone, 2.5 cun distal to the wrist crease.

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 Chapter 1 0 / Lumbar Muscle Sprain(Psoas Pain)

Needling:
Have the patient sitting upright or lying in a prone position. eeclle the
opposite (healthy) Wanshunyi 22.08. After standard sterilization, use a
28-gauge needle; perpendicular insertion 2 cun; medium manipulation
and ask the patient to exercise the lower back at the same time. Retain the
needle for 20 to 30 minutes. Manipulate the neecUe a total of 3 times for l
minute each during treatment.
Analysis and Experience:
Master Tung considers \Nanshunyi 22.08 a kidney point. It is effective in
treating disorders associated with kidney deficiency. This is also used as
a diagnostic point. If Wanshunyi 22.08 area is weak and feeble, it indi­
cates kidney deficiency. Through the hand and foot taiyang meridian same
name connection, Wanshunyi 22.08 is very effective in treating lower back
pain along the pathway of foot taiyang meridian. Coupling this point with
\IVanshun'er 22.09 or neeclling this point along the bone w111 attain even
better results.

F. Shenshu UB-23
Location:
Shenshu UB-23 is located 1 .5 cun lateral to the lower border of the 1 4th
spinous process (2nd lumbar vertebra) or 1 .5 cun lateral to Nlingmen DU-4
(at the same level as the umbilicus). Locate the point with the patient sitting
upright. Another simple way to locate the point: vvith the middle fingers
palpate the navel and slide the hands laterally toward the back. The point
where the fingers meet is Mingmen DU-4. Shenshu UB-23 is located 1 .5
cun lateral to l\!Iingmen DU-4 (howeve1� this technique is not for obese
patients whose bellies hang down).
Needling:
Use a 30-gauge neeclle perpendicular insertion directed anteriorly and
inferiorly 0.5 cun. Medium manipulation and ask the patient to exercise
the lower back at the same time. Retain the needle for 20 to 30 minutes.
Manipulate the needle a total of 3 times for 1 minute each during treat­
ment. If only one side is affected, then only neeclle the opposite (healthy)
Shenshu UB-23.
Analysis and Experience:
Shenshu UB-23 is the back-shu point of Kidney meridian. It is located
at the lower back and corresponds to the kidney organ where kidney qi
collects and transports. It can tonify kidney yin, strengthen the brain and
marrow, improve hearing and vision and benefit the lower back. I t is espe­
cially effective for treating lower back and genitourinary disorders. Kidney
is the origin of congenital constitution and the root of life-fire. Shenshu
UB-23 can tonify congenital constitution and is a point for strengthening
the body. Injuries c a u s ed by chronic overuse of low back muscles, or by

189
One Needle TlierafJ)I / Part If: Pain Syndromes

external factors such as wind-damp can all lead to jing (essence) and blood
deficiency. Malnourishment of the 10\·ver back muscles leads to lower back
pain. Shenshu UB-23 tonifies and benefits kidney jing and strengthens the
lumbar and spine. Ancient texts such as Yu Long Ge <CE�iBfJz» , Sheng
Yu Ge «Jm:Ji.�» , Yi Zang Jin Ji.an «·\!Hi���» , and v\To Yan Ling
Xiao Ying Xue Ge «C!i\*��0!�1\�» all mention that this point is
good for treating frequent urination and lumbago due to kidney deficiency.

G. Kunlun UB-60
Location:
Locate Kunlun UB-60 posterior to the lateral malleolus, in the depression
midway betv;een the lateral malleolus and Achilles tendon.
Needling:
Needle the opposite (healthy) Kunlun UB-60. Oblique insertion 1 cun,
with the tip of the needle directed toward the anterior border of the media
malleolus. Once qi is acquired, ask the patient move the lower back and
immediate relief should follow.
Analysis and Experience:
Urinary Bladder meridian has two branches traveling along the lumbar
spine. One branch is I .5 cun lateral to the spine and the other is 3 cun
lateral to the spine. Base on the treatment principle of "the acupuncture
points of a meridian treat the parts of the body travelling along that merid­
ian" Kunlun UB-60 can treat lower back pain. It is the jing-river (fire) point
of Urinary Bladder ('vvater) meridian; therefore. it treats both water and
fire disorders. It can nourish yin and warm yang. It is especially effective
in treating kidney yang deficiency and cold-damp disorders. Kunlun UB-
60 is very effective in treating chronic low back disorders caused by cold
invasion, external injury, and fatigue due to over exertion. Za Bing Xue
Fa Ge «�fr31Ci*-�fX» states: "Use Kunlun UB-60 to treat the back and
lower back pain." Combining Kunlun UB-60 with Chengshan UB-57 will
have special effect in treating sciatica that radiates along taiyang meridian.
Needling Kunlun UB-60 bilaterally is especially effective in treating spinal
pam.

H . Zanzhu UB-2
Location:
Zanzhu UB-2 is located on the face, in the depression close to the medial
end of the eyebrow, superior to the eye.
Needling:
Use a l cun needle perpendicular insertion 0. 1 to 0.2 cun to both Zanzhu
UB-2 (until the needle reaches the bone). Once the patient experiences
soreness and distention, manipulate the needle with reducing technique,
repeatedly lifting and thrusting for 3 to 5 minutes and ask the patient to

190
 Chapter 1 0 / Lumbar Muscle Sprain(Psoas Pain)

move the lower back al the same Lime. Retain the needle for 30 minutes.
Repeat lifting and thrusting the needle every 1 0 minutes for 1 minute and
ask the patienL to move the lower back at the same lime. Repeat the treat­
ment every other day.
Analysis and Experience:
Zanzhu UB-2 is ascribed to foot taiyang Urinary Bladder meridian.
Lumbago usually locates along Urinary Bladder meridian. "The acu­
puncture points of a meridian treat the parts of the body travelling along
that meridjan." Foot taiyang meridian travels through the lumbar area.
eedling Zanzhu UB-2 can transmit qi to the lumbar area and resolve
pain. In addition, according to reversed holographic correspondence, the
eyebrow corresponds Lo the lumbar and therefore Zanzhu UB-2 is effective
in treating lumbago.

I. Zhongzhu SJ-3
Location:
Zhongzhu SJ-3 is localed on the dorsum of the hand, in the depression
proximal lo Lhe 4th and 5Lh metacarpal-phalangeal joints, 1 cun posterior
from the web emen SJ-2).
Needling:
\Vith the patient's hand in a loose fist, locate the point midway between the
4th and 5th mctacarpal-phalangeal joints. Perpendicular insertion 0.5 cun
from the lateral aspect of the dorsum of the hand to the lateral aspect of
the palm of the hand.
Analysis and Experience:
Zhongzhu SJ-3 is the shu-stream point of hand shaoyang Sanjiao merid­
ian. This poinL mainly treats disorders along Sanjiao meridian. This point
also treats lower back pain caused by wind-cold invasion along shaoyang
meridian. Zhongzhu SJ-3 is ascribed to wood, which corresponds lo Liver
and sinews. I L can treat pain caused by fw1ctional disorders. The sinew me­
ridian of hand shaoyang meridian traverses to the neck area and connects
with the sinew meridian of taiyang meridian; therefore, Zhongzhu SJ-3
can also treat lower back pain along taiyang meridian.
Through the "extraordjnary connection between sanjiao and kidney",
Zhongzhu SJ-3 tonifies the kidney. It treats disorders caused by kidney de­
ficiency. This point is very effective in treating acute lumbar sprain as well
as chronic lower back pain.

J. Xinmen 33.12
Location:
Xinmen 33. 1 2 is located in the depression 1 .5 cun superior and distal Lo
the olecranon.

191
One. \eedle Therap)' / Part JI: Pain Sp1dromes

Needling:
Locate the point with the patient's hand on the chest. Xinmen 33. 1 2 is
located on Small Intestine meridian in the depression 1 .5 cun superior
and distal to the olecranon. It is in the vicinity of Xiaohai SI-8, the he-sea
point of Small Intestine meridian. Perpendicular inserti.on 1 .5 to 2 cun.
Once the needle sensation is attained, strongly manipulate the needle for
I minute and ask the patient to move the lumbar in all directions. Retain
the needle 20 to 30 minutes and ask the patient to move the ltm1bar in all
directions every 5 minutes. Patient should experience immediate relief
Analysis and Experience:
Xinmen 33. 1 2 is located on Small Intestine meridian and is close to
Xiaohai SI-8. From the perspective of ordinary holographic correspon­
dence, Xinmen 3 3 . 1 2, which is near the elbow, corresponds to the sacrum
area. It can treat thigh pain in the medial aspect (including the groin area)
and sciatic pain (especially sciatic pain that radiates along the taiyang me­
ridian because hand taiyang meridian is connected to foot taiyang me­
ridian). When needling close to the bone, this point is very effective i n
treating lumbar muscle strain based o n the follov.ring treatment principles:
(1) use bone to treat bone (body correspondence); (2) holographic corre­
spondence; (3) hand taiyang meridian connects to foot taiyang meridian;
and (4) taiyang meridian encompasses the pathway of Du meridian.

1 92
 ClwjJ/er 1 1 / Sacral/Cocry•x Pain

Chapter 11

Sacral/Coccyx Pain

Coccyx Pain (Coccydynia) is a commonly seen pain syndrome. It is involved

"ith the coccygeal ,·eitebrae (tailbone) or its surrounding soft tissue. Often the
pain is severe, especially when sitting. The most common causes of coccyx pain
are contusion, trauma, broken tailbone or broken bones belmv the sacrum
area. Often trauma, contusion or acute injury t.hat has not completely healed
turns into chronic pain. The coccyx is located at the base of the spine. Coccyx
pain o!i:en involves pain in the lumbar area or the sacrum; therefore, it is also
called curving lumbar pain or lumbosacral pain. Generally speaking, kidney
deficiency, blood stasis, qi stagnation, external cold damp invasion, or sitting
on uneven surfaces can all lead to lumbosacral spinal pain. In Chinese medi­
cine theory, injury from fall or trauma is the leading cause of qi stagnation,
blood stasis and meridian blockage resulting in pain.
In the absence of exogenous pathogens, kidney deficiency is the most com­
mon cause of coccyx pain. However, lumbosacral pain can be associated with
\\·omen's menstruation, after giving birth, inflammation of the fallopian tubes
and ovaries, cenicitis and pelvic inflammatory disorder. During menstruation
a retroverted uterus (or Lilted uterus) often congests vvith blood causing pres­
sure to the lower back which leads to lumbosacral pain. Therefore, when work­
ing on women especially those of childbearing age, the practitioner should
cumidcr gynecological disorders and t reat accordingly. In elderly patients with
no history of exogenous injury, bone disorders such as osteoporosis should be
considered as a possible cause for lumbosacral pain.
Coccyx pain is being treated according to syndrome differentiation, for
example,
1. Kidney Deficiency: The pathways of Du meridian and foot shaoyin
Kidney meridian travel through the coccyx. Kidney masters the bone. Kidney
deficiency can cause coccyx pain. The pain is relie,·ed by warmth and pressure,

193
One Aeedle Thera/�Y /Part II: Pain Sj1J1dromes

and exacerbated by fatigue. The treatment principle should focus on tonif ying
the kidney and strengthening the bones. Inserting the needle along the bone
will warm yang and dispel cold.
2. Blood Stasis: There is a history of trauma to the coccyx. Coccyx pain
is worsened by pressure. The range of motion of the coccyx is limited when
walking, sitting and lying down. There may be blood stasis and swelling in the
affected area. The treatment principle is to invigorate blood and resolve stasis
to stop pain. It is also advisable to bleed Weizhong UB-40.
3. Damp-Heat: There arc concurrent symptoms of coccyx pain such as
yellowish, reddish or scanty urine and difficulty in urination. Women may also
have turbid and foul smelling vaginal discharge. The tongue coating is yellow,
thick and greasy. The pulse is stringy and slippery. The treatment principle is
to clear heat and eliminate dampness.

ONE NEEDLE THERAPY POINTS FOR SACRAL/COCCYX PAIN

The effective one needle therapy points for treating sacral/coccyx pain are:
Xinmen 3 3 . 1 2 , Baihui DU-20, Houhui 1 0 1 0.06, Yuji LU- I O, Renzhong
DU-26, Weizhong U B- 40, Haibao 66.0 1 , and Houding D U- 1 9.

A. Xinmen 33.12
Location:
Xinmen 33. 1 2 is located in the depression 1 .5 cun distal to the acromion
of the ulna.
Needling:
Have the patient place the palm on the chest. Xinmen 3 3 . 1 2 is in the de­
pression proximal to the Small Intestine mericlian. It is located in the de­
pression 1 .5 cun distal from the tip of the elbow at the medial and inferior
aspects of the ulna1�
Analysis and Experience:
Xinmen 33. 1 2 is located on the Small Intestine meridian, close to Xiaohai
SI-8. From the perspective of ordinary holographic correspondence, this
point, which is near the elbow, corresponds to the sacrum area. It can treat
thigh pain in the medial aspect (including the groin area) and sciatic pain
(especially sciatic pain that radiates along the taiyang meridian because
hand taiyang is connected to foot taiyang meridian by the same name).
\\/hen needling close to the bone, this point is very effective in treating coc­
cyx pain based on the following treatment principles: ( l) use bone to treat
bone (body correspondence); (2) holographic correspondence; (3) hand tai­
yang meridian connects to foot taiyang meridian by the same name; and
(4) raiyang meridian encompasses the pathway of Du meridian.

194
 C'liap!er I I / acra//Coccyx Pain

B. Baihui DU-20
Location:
Baihui DU-20 is located on the crown of the head, 5 cun superior to the
hairline, or at the crossing point of the midline of the head and the line
connecting Lhe apex of the ears.
Needling:
With the patient sitting upright, use a 1 cun needle perpendicular insertion
0.3 lo 0.5 cun. While manipulating the needle, ask the patient to exer­
cise the affected area or the sacrum for one minute. Retain lhe needle for
30 minutes and ask the patient Lo move around, standing and squatting.
Manipulate the needle once every 1 0 minutes and ask the patient to repeat
the exercise.
Analysis and Experience:
Baihui DU-20 is located at the top of the head. The pathway of Du me­
ridian begins at Changqiang DU- .I , which is localed at the genital area and
passes through the tailbone. It then ascends through the spine and travels
to the top of Lhe head. It then meets with hand and foot of the three yang
meridians at Baihui DU-20. This is based on the treatment principle of
"the acupuncture points of a meridian treat the parts of the body travel­
ling along that meridian". eedling Baihui DU-20 will have the treatment
effect of "using the upper pan of the body to treat lower body disorders".
Therefore, needling Baihui DU-20 can treat pain caused by trauma to the
coccyx and injuries to the surrounding soft tissues.

C. Houhui 10 10.06
Location:
Houhui 1 0 1 0.06 is located 1 . 6 cun directly posterior to Zhenghui 1 0 1 0.0 1 .
Houhui 1 0 1 0.06 shares the same location of Houding D U- 1 9.
Needling:
Use a 1 cun needle perpendicular insertion 0 . 3 to 0.5 cun. While manipu­
lating the needle, ask the patient to exercise the tailbone for about 1 mi11-
ute. Retain the needle for 30 minutes. During that time, ask the patient to
move around, stand, and squat. Nlanipulate the needle every 1 0 minutes
and ask the patient to exercise the tailbone at the same time.
Analysis and Experience:
The treatment principle of this point is the same as that of Baihui DU-20.
Based on holographic correspondence between the head and sacrum, this
point is very effective in treating coccygeal vertebrae pain. \ ith the same
principle, needling the coccygeal vertebrae area can treat pain at Houhui
lO 1 0.06 area. When combined with Baihui D -20 as dao ma (point cou­
pling) points, the results are even more effective.

195
One Needl.e Therapy / Part 11: Pain !iJ!ndromes

D. Yuji LU-10
Location:
Yuji LU- 1 0 is located in the depression posterior to the l st metacarpal
joint, located on the radial aspect in the middle of the metacarpal bone, at
the junction of the red and white skin.
Needling:
Have the patient sitting upright or lying supine. Perpendicular insertion
1 .5 cun with the tip of the needle directed toward the middle of the palm.
1 Ianipulate the needle by Lifting, twirling and thrusting and at the same
time ask the patient to cough forcefully several times. Then ask the patient
to exercise the tailbone by squatting and standing. Retain the needle for 20
to 30 minutes. Manipulate the needle every 5 minutes and ask the patient
to exercise the tailbone and cough at the same time to ensure a satisfacto1y
result.
Analysis and Experience:
According to ancient texts such as the Zhen Jiu Za Yi Jing « it� Efl Z:,
��» , Zhen Jiu Da Cheng «it�7cnX:» and Ton g Ren Shu Xue Zhen
Jiu TuJing «j15J)\1fir1\it�li��» , Yuji LU- 1 0 treats coccyx pain caused
by coughs which is a frequently seen clinical disorder. As recorded in Zhen
Jiu Da Cheng «tt�:*JV<:» , needling Yuji LU- 1 0 to treat coccyx pain
caused by cough attains great results. A branch of Urinary Bladder me­
ridian travels from the coccyx into Du meridian (spine). It is said that the
coccyx is associated with Du and
U ri na ty Bladder meridians. Cough is a
Lung meridian disorder. Needle Yuji LU- I 0 will be able to treat coccyx
pain through the treatment principle of the lung communicates witl1 the
urinary bladde1:
t-.1foreover, coccyx pain is often caused by trauma due to falls. Falling
can harm qi mechanism. Chaotic reverse qi often drifts away from its me­
ridian and causing pain. Lung masters qi of the whole body. Needle Yuji
LU- 1 0 v.ri.ll disperse lung qi and regulate qi. When qi mechanism is Rav.rin g
smoothly, according l o t h e treatment principle o f "with movement, there is
no pain", therefore Yuji LU- I 0 can treat coccyx pain due to cough.

E. Renzhong DU-26
Location:
Renzhong DU-26 is located on the face, at the junction of the upper 1 /3
a n d middle l / 3 o f the philtrum.
Needling:
Strongly manipulate Renzhong DU-26 for I 0 seconds and ask the patient
to exercise the lower back by standing, bending or squatting, or using the
right amount of force, ha,·c the patient place the affected area onto the
corner o[ a chair or table and massage the tailbone. Retain the needle for
30 minutes. � Ianipulate the needle every 5 minutes and ask the patient to

196
 Cha/Jler 1 I I . acral/C:ocC)'x Pain

repeat the exercise al the same time. Repeat the treatment once a day or
e\·e1·y other day.
Analysis and Experience:
The principle of treating pain at the coccygeal vertebrae is to regulate
the qi mechanism of Du meridian. Renzhong DU-26 is ascribed to Du
meridian. IL is the crossing point of Du meridian and hand and foot yang­
ming meridians. According to the treatment principles of "the acupunc­
ture points of a meridian treat the parts of the body travelling along that
meridian" and "selecting distal poi n t and using upper body point to t reat
lower body disorders", Rcnzhong DU-26, a point at the top of the head
is selected to treat the disorder of the tail (at the end). Renzhong DU-26
strongly regulates the qi mechanism of D u meridian; therefore, it can treat
coccyx pain with great results.

E Weizhong UB-40
Location:
Weizhong UB-40 is located in the middle of the popliteal crease.
Needling:
Bleed Weizhong U B-40 once a week. The patient's condition determine.
the quant..i ty of the blood and the technique used. UsualJy the point will
bleed from I to 5 ml. Stop the bleeding when the blood turns from purple
to red.
Analysis and Experience:
\ Veizhong B-40 is the he-sea point of Urinary Bladder meridian. Urinary
Bladder mc1idian encompasses and travels along the spine, and the di­
vergent meridian of Urinary Bladder meridian enters the pine. Urinary
bladder is inte1iorly-exteriorly related to kidney. Kidney masters the bone.
1oreove1; \ Veizhong UB-40 is the xi-cleft of blood, it is the point of choice
for bleeding. Urinary Bladder meridian has scanty qi but abundant blood·
therefore, \ \ eizhong UB-40 is suitable for bleeding. It is very effe ctive in
treating any disorders with blood stagnation and heat toxin. Bleeding
\Veizhong UB-40 can treat any cvere and chronic pain along Urinary
Bladder meridian with excclJent results. It is very effective in treating coc­
cyx pain because it is often caused by blood stagnation due to trauma.
Bleeding this point can invigorate the blood and move stagnation; there­
fore, accelerate the recovery time. As cited in Huang Di Nei Jing, Ling
Shu «fi1-if l*Jfa.,fil·��» : "When the kidney is attacked by pathogens, the
pathogenic qi lingers at the popliteal fossa." Weizhong UB-+O is located
in tJ1e middle of the popliteal crease. Coccyx pain is ascribed to pathogen
of the kidner That is why needling Weizhong B-40 to treat coccyx pain
attains excellent results.

197
One J\"eedle ThemPJ' / Part II: Pain Syndromes

G. Haibao 66.01
Location:
Haibao 66.0 I is located in the medial aspect of the big toe, in the middle
o[ the 1 st metatarsal bone. i.e. on the left side of the right big toe and right
side of the left big toe and posterior to the toenail. Master Tung's point
Haibao 66.0 1 is located posterior to Yinbai SP- 1 , and anterior to Dadu
SP-2 in the middle of the joint at the junction of the red and white skin.
Needling:
Insert the
n eedle 0. 1 tu 0.3 cun.

Analysis and Experience:

According to holographic correspondence of the leg and the trunk, the
location of Haibao 66.0 l corresponds to the lower back and coccyx, there­
fore, it can treat hernia, genital area disorders and coccyx pain.

H. Houding DU-19
Location:
Houding DU- 1 9 is located on the head, 5.5 cun directly superior to the
posterior hairline.
Needling:
Subcutaneous insertion at Houding DU- 1 9 by using the qian yin (guiding)
needling technique. While manipulating the needle, ask the patient to take
deep breaths and exercise the lower back. Retain the needle for 1 hour.
Repeal the treatment once a da)�
Analysis and Experience:
H ouding D U- 1 9 is a point of Du meridian. It strongly regulates qi, resolves
stasis, disperses obstruction and stops the coccyx pain where the pathway
of Du meridian travels. This is based on the principle of "treating lower
[body] disorder with upper [body] points". When using Houding DU- 1 9
to treat coccyx pain, the needle should be retained for a longer period time,
generally l hour. Ask the patient to take deep breaths and move the coccyx
around while manipulating the needle.

198
 01apter 12 / . ciatica

Chapter 12

Sciatica

ciatica, also known as sciatic pain, is a syndrome commonly seen in adults.

ciatic nerves start al L4, L5 and from S I to S3 vertebrae and branch out
lo the lateral and poslerior aspects of the lower extremities. The pain that
radiates along the path of the nerve is called sciatica. Clinical presentation of
sciatica typically affects one leg only. The main symptom is shooting pain start­
ing from the bultock or hip radiating lo the back or the thigh, popliteal fossa,
posterior and lateral aspect of Lhe lower leg ending in the lateral aspect of the
foot. The pain can be burning or tingling (feels like pins and needles). The pain
is aggravated when sitting or slancling, bending, moving, exerting, defecating,
u1inating, coughing or sneezing. The pain tends to be worse at night.
The etiology of sciatica can be set into two categories, primary and sec­
onda1y. Primary sciatica is the inflammation of the sciatic ne1ve; t.he etiology
i due to cold, damp, trauma or infection. Secondary sciatica is related to t.he
pathology of the surrounding tissue of the nerve pathway causing mechani­
cal compression or adhesion. econdary sciatica is often caused by hernialed
discs, spinal tumors or spinal nodules. Furthe1; disorders of the interverlebral
joint, sacroiliac joint and pelvic cavity as well as l umbosacral soft tissue strain
can also cause secondary sciatica. Sciatica is the classic symptom of a herniat­
ed disc. It is often accompanied by lumbar pain. It may occur a few hours or
few days after injury to the lumbar area.
Nerve root sciatica is a result of a compressed nerve root, whereas, neural
slem sciatica is caused by inflammation at the neural stem. Nerve root sciatica
often has pain radiating from t.he lumbar downwards. Nerve root sciatica is
aggravated by coughing, sneezing, flexing the neck or straining Lhe lumbar.
Due to excruciating pain, the patient often freezes in a certain posture and is
afraid to move. To reduce the pain, the patient often bends the knees and hip
and slants the body to,,,vard the healthy side. The more commonly seen posture

199
One Needle Therapy / Part II: Pain !iJ111dromes

is that the pati.ent bends the lumbar sideways with the buttocks sticking out.
When in a supine position, the affected side of the lumbar cannot lift more
than 40-50°. Even the slightest movement can cau e the pain to radiate down­
wards. This symptom indicates the presence of a herniated disc.
Depending on the involvement of various nerve roots, the area of pain
and sensory disturbances at the lower extremity are also different. For exam­
ple: L4 area (on rare occasions) causes pain i n the anterior-medial aspect of
the thigh and lower leg and medial aspect of the ankle; L5 area (more fre­
quent) causes pain along the anterior-lateral aspect of the lower leg to the top
of the foot and S 1 (more frequent) causes pain along the posterior aspect of
the thigh, posterior-lateral aspect of the lower leg to lateral aspect of the foot.
e1ve stretching tests assist in the diagnosis of sciatica; these tests include
straight leg raise (SLR) test, dorsiflexion of the foot (Bragard sign), flexing the
leg at the hip and extending it at the knee (Lasegue maneuver), and forward
bending or the trunk while standing (Neri sign). There will clearly be trigger
points along the pathway of the sciatic nerve. Common locations of the trigger
points are huatuojiaji at L4 and L5, Zhibian UB-54, Huantiao GB-30,Juliao
GB-29, Chengfu UB-36, Weizhong UB-40, Yanglingquan GB-34, Waiqiu
GB-36, Chengshan UB-57, and Kunlw1 UB-60. ff the ne1ve root at S l is
compressed, the ankle reflex may be diminished or non-existence. At a later
stage, the affected muscles will atrophy.
In Chinese medicine, this disorder is known as "tun gu feng" (wind of the
buttock and thigh) and is ascribed to "bi syndromes". Huang Di eijing, Ling
Shu «JiHif pg ��·�M» calls it 'zhou bi' (whole body bi syndrome). It is dif­
ferent from the 'zhong bi' (poly bi-syndrome) which is migratory. The pain is
often caused by qi and blood stagnation and cannot travel freely which results
in wind-cold-damp pathogens attacking the meridians. This can also be caused
by sprains, strains and trauma. "\ Vhen there is no movement, there is pajn".
The acute pain travels and radiates along the shaoyang and Urinary Bladder
meridians. In Chinese medicine, the characteristics of nerve pain are "radiates
up and down along the meridians and unable to go lefr and right". Symptoms
as described in Chinese medicine such as "the lumbar feels as if it is broken,
the leg fails to bend, the popliteal fossa seems to be frozen and the calf feels
like it is tearing" are ascribed to foot taiyang meridian disorders. If the pain is
along the lateral aspect of the lower extremity, it is ascribed to foot shaoyang
meridian disorders. In rare cases, if the pain radiates from the lumbar to the
anterior aspect of the thigh, this indicates that some of the femoral nenres are
affected and that foot yangming and foot taiyin meridians are involved.
In Chinese medicine, lumbago and leg pains are separated into three cat­
egories. They are '\vind-darnp", "kidney deficiency", and "stasis and stagna­
tion". Acupuncture can relieve the pain quickly. Clinical experience shows that
Master Tung points Linggu 22.05 and Dabai 22.04 are the most practical.
They can treat all types of lumbago and leg pains. In addition, tuj na, and

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 Uwpter 12 / Sciatica

external herbal applications also help lo relieve symptoms as well as accelerate

the recovery time. Preventive mea urcs, which are similar to those discussed
in lumbar mu de strain, should be taken to avoid recurrence of the disorder.
It is advi ed to avoid needling the local points when treating sciatica. If
the local points musl be used, neeclle the point only until mild needle sensation
is acquired. Avoid over-stimulating the point to prevent nerve damage which
manifests as burning sensation of nerve enclings. In the acute stage, administer
acupuncture treatment once a day. \ Vhen the symptoms arc relieved, apply
Ll1e treatment every other day. l\lly personal experience is that choosing clislal
points works much better.
Proximal points are often selected. Zhibian UB-54, wbjch is located close
to the foramina, where the nerves travel out from the spinal column, is most
frequently selected. elect one side Zhibian UB-54 or lo strengthen the needle
sensation and select both sides so that tl1e sensation will radiate downwards
along the sciatic nerve, or select Chcngfu UB-36 and Yinmcn UB-37 that arc
localed on the sciatica nerve body. For pain along the lateral aspect where
shaoyang mericlian traverses, add Yanglingquan GB-34, Juliao GB-29 which
locates at the hip region, or where there is tenderness when epithelial nerve
of the hip is palpated. If the sciatica is on the posterior aspect where taiyang
meridian traverses, add Weizhong UB-4·0 and Chengshan UB-5 7. Or accord­
ing to the pain level when palpating the paraspinal muscles and the degree
of nerve root involvement, needle Dachangshu UB-25, Qjhaishu UB-24 and
Shcnshu UB-23. Or needle points that are along tl1e spine and when needling
the appropriate dep th , the necclle sensation will radiate downwards. Distal
points such as Houxi SI-3 and Wangu SI-4 (for taiyang meridian sciatica);
Zhongzhu SJ-3 and Yemen SJ-2 (for shaoyang meridian sciatica) arc elected
especially for acute pain disorders.

ONE NEEDLE THERAPY POINTS FOR SCIATICA

The commonly used one needle therapy points for treating sciatica arc:
B iyj
1 0 1 0.22, Linggu Dabai
22.04, Fengshi GB-3 l , \Veizhong UB-40,
22.05,
\\.angu SI-4, Xiaguan ST-7, hugu UB-65, Zulinqi GB-4 1 , Xinmcn 33. 1 2,
Shouqianjin 33.09, Zhibian UB-54, Huantiao GB-30, Zhongji REN-3 and
Shenque REN-8.

A. Biyi 1010.22
Location:
B iyi 1 0 1 0.22 is located in the depression midway of the superior border
of the ala nasi.
Needling:
Neeclle 0. 1 to 0.2 cun and ask lhc patient to exercise the lower back and
leg for a few minutes to guide qi to the affected area. Retain the needle for

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One \eed/e Therapy / Part fl: Pain �ndromes

30 minutes. Manipulate the needle every I 0 minutes and ask the patient to
exercise the lm-vcr back and leg at the same time.
Analysis and Experience:
I often use this point to treat sciatica with excellent results. This point is
located between Du meridian and hand and foot yangming meridians. I t
strongly warms the yang a n d regulates qi a n d blood. Biyi 1 0 1 0.22 works on
the lung, spleen and kidney and mainly treats the disorders by regulating
qi. It is indicated for disorders cause by qi deficiency and qi stagnation.
This point can also tonify kidney, lift the spirit and eliminate fatigue. This is
because spleen masters the four limbs and kidney is the organ of strength.
Also, all the yang meridians ascend to the head and face. The nose is the
highest point of the face. There fore Biyi l 0 1 0.22 is strongly indicated for
regulating qi and warming the yang. That is why this point is effective in
eliminating fatigue and treating ciatica.

B. Linggu 22.05
Location:
Linggt.122.05 is located at the junction between the index finger and thumb,
the 1st and 2nd metacarpal bones posterior to Hegu Ll-4.
Needling:
eedle left Linggu 22.05 for disorder on the right and vice versa.
Perpendicular insertion 1 .5 cun. Ask the patient to exercise the lower back
and legs every few minutes to guide qi to the affe cted area. The pain should
subside immediately afler needling. Retain the needle for 30 minutes .
. Manipulatethe needle every l 0 minutes and ask the patient to exercise the
lower back and legs at the same time.
Analysis and Experience:
Linggu 22.05 lies between Hegc1 LI-4 (wood) and Yangxi LI-5 (fire). It has
the properties of wood and fire; therefore, it strongly warms the yang. Its
effectiveness in treating hemiplcgic is the same as the herbal formulas bu
yang huan wu tang and zhen wu tang. Its effectiveness in treating sciat­
ica is the same as du huo ji shcng tang. Linggu 22.05 is located on Large
Intestine meridian, which is interiorly-exteriorly related to Lung meridian.
The word "gu" in Linggu 22.05 means bone, which corresponds to kidney.
Needling along the bone is very effective in treating sciatica that radiates
along taiyang or shaoyang meridian. No points in the fourteen meridians
show better treatment results. The needle is inserted on the opposite of the
affected side using the treatment principle of "use the lefl to rreat the right;
and use the right to treat the left''. Ir is also very effective in treating groin
distension pain and difficulty i n raising the leg (due to weakness or the leg).
Therefore, it is even effective in treating sciatica stemming from L4 (rare)
which radiates to the anterior aspect of the thigh and medial aspect or the
lower leg and ankle. According to holographic correspondence, Linggu

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22.05 corresponds lo d1e lower jiao, lower back, leg and foot. This is why
it is so effective in treating sciatica by needling this point alone. When cou­
pling with Dabai 22.04, the results will be e,·en better. This point should
be needled deeply.

C. Dabai 22.04
Location:
Dabai 22.04 is located on the dorsum aspect of the hand in the depression
between the 1st and 2nd metacarpal bones. Dabai 22.04 is equivalent lo
Sanjian LI-3 of the Large I n testine meridian; however, needling along the
bone will achieve better errects.
Needling:
Perpendicular insertion 1 .5 cun along the bone and ask the patient to ex­
ercise the lower back and legs every few minutes to guide qi to the affected
area. The pain should sub ide immediately after needling. Retain the nee­
dle for 30 minutes. l\Ianipulate the needle e\·ery 1 0 minutes and ask the
patient to exercise the lower back and legs at the same time.
Analysis and Experience:
According to holographic corre pondence, the radial aspect of the 2nd
metacarpal bone can be divided into 1 2 regions. From the distal joint to the
proximal joint, the regions correspond lo the head, neck, upper extremity,
lung, live1� stomach, duodenum, kidney, lower back, lower abdomen, leg,
and foot respectively. Dabai 22.04 is located at the melacarpophalangeal
joint and corresponds to the head. Linggu 22.05 corresponds lo the leg
and foot. In the reversed holographic correspondence, Linggu 22.05 cor­
responds to d1e head; and Dabai 22.04 corresponds to the leg. Therefore,
bod1 Linggu 22.05 and Dabai 22.04- can t reat sciatica very effectively.
Linggu 22.05 and Dabai 22.04 are bod1 located on Large Intestine me­
ridian, which has abundant qi and blood. Both poinls strongly regulate
qi and blood. Since Hegu LC-4 (yuan-source point of Large Intestine me­
ridian) is located between these two points, needling these two points can
strongly tonify qi. \Vhen these two points arc needled along the bone, they
connect wiili the kidney. Through the extraordinary connection of the
large intestine and liver, these points also treat liver sinew disorders. Since
they can treat both bone and sinews disorders they are excellent points for
sciatica.

D. Fengshi GB-31
Location:
Fengshi GB-3 1 is located in the middle of the midline on the lateral aspect
of the dllgh.
Needling:
Use a 2 cun neecUe until it reaches the bone. Perpendicular insertion 1 cun

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One . \eedle Therap)' / Part II: Pain �yndromes

and ask the patient to exercise the lower back and legs every few minutes
to guide qi to Lhe affected area. The pain should sub ide immediately after
needling. Retain the needle for 30 minutes. l\!Ianipulate the needle every
I 0 minutes and ask Lhe palient to exercise the lower back and legs at the
same time.
Analysis and Experience:
tengshi GB-3 1 is ascribed to Gallbladder meridian and shaoyang merid­
ian masters the wind. Fengshi GB-3 1 is the "gathering place for wind";
therefore, it strongly indicates wind disorders and has a calming effe ct. It
is especially effecti,·e in treating ,·arious disorders on the lateral aspecl o f
the body, particularly along the Gallbladder meridian. Fengshi GB-3 1 i s
an in1portant point for calm.ing all kinds o f pa.in a s well a s for soothing the
spirit. It also strongly disperses wind. Couple with Qjlixue A.O 1 (Zhongdu
GB-32) for even better results.
As cited in Huang Di Nei Jing, Ling Shu «Jllt 1W l7;J��·m:�» : "The
functions of the other eleven organs rely on the normal function of the
gallbladder." Gallbladder meridian can strongly calms. Fengshi GB-3 l
has a particular ability to ease pain. According to the treatment princi­
ple, "shaoyang masters the bone", this point can treat lumbar bone spurs.
Inserting the needle until it reaches the bone is very effective in treating
both liver and kidney.

E. Weizhong UB-40
Location:
Weizhong UB-40 is located in the middle of the popliteal crease.
Needling:
Have the patient stand facing the wall with the legs apart standing straight.
After standard ste1ilization, use a three-edged needle to prick the "angry"
(bulging) veins around VVeizhong UB-40 and remove the needle immedi­
ately. Brown-pw-plish blood will appear. Let the blood ftovv freely until it
sLOps voluntarily (usually in the amount of 5 to 1 Oml) and when the blood
turns from purple to bright red. Bleed Weizhong UB-40 on the affected
side (however, both Weizhong UB-40 can also be bled at the same time
when necessa1y). The Lechnique should be skillful and precise. Patients
with weaker constitutions should be in a prone position. Usually repeat the
treatment once a week.
Contra.indication: Those who are deficient or of weak constitution, suf­
fer from chronic illnesses and are weak, pregnant women, patients who are
anemic, any kind of collapse disorders and habitual miscaniage, hemor­
rhaging and patients who bleed easily.
Analysis and Experience:
Bleeding \ Veizhong UB-40 can reduce pain at the lower back and legs
immediately. Weizhong UB-40 is the he-sea point of Urinary Bladder

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meridian. It traverses along and encompasses lhe spine with a branch that
travels into the spine. Urinary Bladder meridian is inleriorly-exleriorly re­
lated to Kidney meridian, which masters the bone. Wcizhong U B-4·0 is also
the xi-cleft point of blood; therefore, it is the point or choice for bleeding.
Urinary Bladder meridian has scanty qi but abundant blood; therefore,
it is suitable for bleeding. Bleeding this point is very effective in treating
blood stagnation and heat toxin as well as any severe and chronic pain
along Urinary Bladder meridian. It is extremely effcclive in treating sciat­
ica because it is usually caused by chronic stagnation. Bleeding Weizhong
UB-4·0 can invigorate the blood and dispel stasis, accelerating the recovery
time. In Huang Di ei jing, Ling Shu Chapter 7 1 - Xie Ke «jli{1lf 17'J*�·
if;jj/i » ti��� slates that: "When the kidney is attacked by pathogens, Lhc
pathogenic qi lingers at the poplitcal fossa". Wcizhong UB-40 is located in
the middle of the popliteal fossa and that is why bleeding Weizhong UB-40
can treat sciatica.

F. Wangu SI-4
Location:
Wangu SI-4 is located on Lhe ulnar aspect of the palm in the depression
bet\-vecn the base of the 5th metacarpal joint and the hamate bone at the
junction of the red and ·white skin.
Needling:
Select lhe opposite (heal.thy) Wangu SI-4. Use a 1 .5 cun needle, perpen­
dicular insertion 1 cun and ask the patient to exercise the lower back and
legs every few minutes to guide qi to the aITected area. Pain should slop
immediately after needling. Retain the needle for 30 minutes. Manipulate
the needle every I 0 minutes and ask the patient to exercise the lower back
and legs at the same time.
Analysis and Experience:
The small intestine is known for separating the pure from the turbid. It
regulates defecation and urination. It strongly dispels dampness. Spleen
masters dampness and the four extremities. Through the extraordinary
connections between the spleen and small intestine, points of small intes­
tine arc also very effective in treating rheumatism (wind-dampness) of the
four extremities. This is the same reason why back-shu point of the Small
Intestine meridian, Xiaochangshu UB-2 7 , treats rheumatism. Wangu SI-4·
is the yuan-source point of Small Intestine meridian; therefore it is very ef­
fective at eliminating dampness to stop pain. According to Yu Long Ge «
3!.1!��» , Wangu SI-4 is excellent in treating wrist pain as well as shouldc1�
back, and neck pain. Through the connections of the same name hand
and foot meridians, the points in hand taiyang meridian are also effective
in treating pain in foot taiyang meridian. Za Bing Xue Fa Ge «�;!�/\:
f'!!f/\» mentions thal vVangu SI-4 can treat lumbago Lhat radiates to the

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One Aeedle Therapj1 / Part If- Pain Sj111dromes

legs, which is known as "sciatica" in modern medicine. Houxi SI-3, the

shu-stream point of hand taiyang meridian, also treats sciatica. Combining
Hou.xi SI-3 and \Vangu SI-4 to form a ciao ma (point coupling) technique
to n·eat sciatica attains the best result. Based on the fourteen me1;dian the­
ory, this combination is most suitable for treating the sciatica along foot
taiyang me1;clian.

G. Xiaguan ST-7
Location:
Xiaguan ST-7 is located inferior to the lower border of the zygomatic arch,
anterior to the mandibular condyle in the depression between the zygo­
matic arch and mandibular notch. Needle the point with the mouth closed.
Needling:
Perpendicular insertion 1 cun and ask the patient to exercise the lower
back and legs every few minutes to guide qi to the affected area. The pain
should stop immediately after needling. Retain the needle for 30 minutes.
Manipulate the needle every 1 0 minutes and ask the patient to exercise the
lower back and legs at the same time.
Analysis and Experience:
Xiaguan ST-7 is the meeting point of foot yangming and foot shaoyang
meridians. Sciatica is often caused by qi and blood impediment resulting
from wind-cold-damp attacking the meridians. Yangming meridian mas­
ters dampness while shaoyang meridian masters wind. Xiaguan ST- 7, a
meeting point of foot yangming and shaoyang meridians expels vvind and
dispels dampness to stop pain. Stomach meridian has abundant qi and
blood. Needling the point of Stomach me1;dian will regulate qi and blood,
and soothe the meridian. Once the circulation of qi and blood flows freely
and the me1;dian is well nourished, the pain stops naturally. Needling this
point to treat sciatica is an illustration of the principle or "using point
above to treat disorder below". This technique is especially effective for
lower extremities that are weak and heavy. Xiaguan ST-7 is more suitable
for sciatica along the front and lateral sides or the legs (which is the path­
way of foot yangming and shaoyang meridians.)

H. Shugu UB-65
Location:
Shugu UB-65 is located lateral and posterior to the 5th metatarsophalan­
geal joint at the junction of the red and white skin. That is, this point is
located on the lateral aspect of the foot and posterior to the 5th metatar­
sophalangeal joint.
Needling:
Perpendicular insertion l CLm. Ask the patient to exercise Lhe lower back
and legs for a few minutes at the same time to guide qi to the affected

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 Chapter 12 / Sciatica

area. Pain should subside immediately. Retain the needle for 30 minutes.
·Manipulate the needle every l 0 minutes and ask Lhe patient to exercise the
lower back and legs at the same Lime.
Analysis and Experience:
Shugu UB-65 is the shu-stream point of foot taiyang Urinary Bladder
meridian. Shu-stream points are indicated for heaviness of the body and
for joinl pain. This point is ascribed to wood, which corresponds to ten­
dons (hence it also communicates with shaoyang meridian). It is eflective
in treating pain and inability to Aex and extend along the pathway of the
meridian. Because it is wood point of water rinary Bladder) meridian, it
is very good at Lonifying water to moisten wood and treats many disorders.
Due to the cycle of the pathway, Shugu UB-65 treats all kinds of pain in
the posterior aspect of the body along the meridian pathway. When this
point is needled close to the bone, it corresponds to the kidney. Kidney
masters the bone. Therefore, Shugu UB-65 is excellent at treating sciatica.

I. Zulinqi GB-41
Location:
Zulinqi GB-41 is in the depression posterior to the 4th metatarsophalan­
geal joint and lateral to the tendon of extensor digiti minimi. With the
patient sitting upright, palpate and locate the point between the 4th and
5th metatarsophalangeal joints.
Remark: Zulinqi GB-41 is located superior to the tendon between the
4-th and 5th metatarsophalangeal joints, whereas the point that is inferior
to the tendon is Diwuhui ST-42.
Needling:
Perpendicular insertion I cun. After needling, ask the patient to exercise the
lower back and legs every fev,r minutes to guide qi to the affected area. Pain
should subside immediately. Retain the needle for 30 minutes. !fanipulate
the needle every l 0 minutes and ask the patient to exercise the lower back
and legs at the same time.
Analysis and Experience:
Zulinqi GB-41 is the shu-su-eam point of shaoyang Gallbladder meridian.
Shu-stream points are indicated for pain. Gallbladder meridian traverses
along the lateral aspect of the body and hence this point is very effe ctive
for pain along the lateral aspect of the body. Zulinqi GB-41 is the wood
point of wood meridian and therefore is suitable for tendon disorders.
\1Vhen treating chronic cases, insert the needle along the bone. According
to Chinese medicine theOIJ', chronic disorder often implicates the kidney.
eedling along the bone corresponds to the kidney. This point dredges
the meridian and treats sciatica along foot shaoyang meridian with unsur­
passed results.

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One . \ eedle Therapy / Part 11: Pain Sj111dromes

J. Xinmen 33.1 2
Location:
Xinmen 33 . 1 2 is located 1 .5 cun distal to the elbow in the depression on
the medial aspect and inferior co the ulna. It is located closely to Small
Intestine meridian, in the vicinity to Xiaohai SI-8, the he-sea point of
small intestine.
Needling:
'\Tith the patient's hand on the chest, perpendicular insertion 1 cun. Ask
the patient Lo exercise the lower back and legs every few minutes to guide
qi to the affe cted area. Once the needle is inserted the pain should subside
immediately. Retain the needle for 30 minutes. Nlanipulate the needle ev­
ery I0 minutes and ask the patient to exercise the lower back and legs at
the same time.
Analysis and Experience:
This point is close to Xiaohai SI-8, the he-sea point of Small Intestine me­
ridian. From the perspective of holographic correspondence, the proximal
end of the forearm corresponds to the sacrum. It can treat pain of the me­
dial thigh, including the groin, and sciatica, especially when the pain runs
along foot taiyang meridian. Because this point is needled along the bone,
it is especially effe ctive for lumbar spurs and sciatica.
Needling along the bone is an illustration of treatment principles of ( I )
use bone to treat bone (body correspondence); (2) holographic correspon­
dence; (3) hand and foot same name connection; and (4) taiyang meridian
encompasses Du meridian. Therefore, Xinmen 3 3 . 1 2 is excellent for treat-
111g pam.

K. Shouqianjin 33.09
Location:
Shouqianjin 33.09 is located in the lateral aspect of the ulna, 1 .5 cun prox­
imal to Shouwujin 33.08. (Shouwujin 33.08 is located on the lateral aspect
of the ulna, 6.5 cun proximal to the lateral aspect of the pisiform bone).
The point is approximately 0.5 cun lateral to Sanjiao meridian.
Needling:
'1\lith the patient's hand on the chest, the point is on the lateral aspect of
the ulnar bone. Perpendicular insertion l cun and ask the patient to exer­
cise the lower back and legs every few minutes to guide qi to the affected
area. Once the needle is inserted the pain should subside immediately.
Ianipulatc the needle every 1 0 minutes and ask the patient to exercise the
lower back and legs at the same time.
Analysis and Experience:
I often use Shouqianjin 33.09 to treat sciatica along foot shaoyang merid­
ian as well as pain, aches, and numbness of the calf. It is located between
hand taiyang and shaoyang meridians, and is under the tendon and ilistal

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 Clinpter 12 / Sciatica

to t.he bone. Therefore, houqianjin 33.09 treats both tendon and bone
disorders and communicate vvith the liver and kidney I t is very effective
for sciatica.

L. Zhibian UB-54
Location:
Zhibian UB-54 is localed 3 cun lateral to Du meridian, level with the 4th
sacral foramen. Find and ncecUe the point with the patient lying in a prone
position.
Needling:
With the patient lying in a prone position, use a 4 cun needle, manipulate
and insert the needle 3 to 4 cun. Once qi i acquired, manipulate the nee­
dle to guide qi to the affected area. Retain the needle for 30 to 45 minutes.
Repeat the trcaLmcnt once a day or every other day until all symptoms
di appear.
Analysis and Experience:
Tender spots arc often found at Zhibian UB-54 in patients with sciatica.
Zhibian B-5+ is ascribed to taiyang meridian. A is said in Zhen Jiu Jia
YiJing «tt�Ef:l Z:,��» , "Zhibian UB-54 is indicated for painfuJ lumbar,
cold sacrum, difficulties in Oexion and extension or the back, genital pain,
tcnesmus and dysuria." Tong Ren Shu Xue Zhen Jiu TuJing «}lii] .A.Jlfili/'C
tJ·�iJ��» also says, "Zhibian UB-54 treats l umbago with difficulties in
flexion and extension of the back, reddish and difficult urination, heavy
lumbar and bullock that cannot lift." Zhibian UB-54 strengthens the lum­
bar and knees, and soothes the meridian qi of Urina1y Bladder meridian.
The point is Yery effective in treating lumbar and leg pain, as weU as sci­
atica. Zhibian UB-54 should be needled with needle sensation radiating
toward the affected site lo attain better results.

M. Huantiao GB-30
Location:
With the patient lying on the side or in a prone position, Huantiao GB-30
is located at the junction of the lateral l / 3 distance between the promi­
nence of the greater trochanter and 2 cun superior to the coccyx.
Needling:
Perpendicular insertion 3 cun using a 4 cun needle. Manipulate the nee­
dle by lifting, thrusting and twirling to guide qi to the affected area or qi
spreads to the lower limb until it reaches the heel. Retain the needle 30
to 45 minutes. Repeat the treatment once a day until all the symptoms
disappear.
Analysis and Experience:
Zhen Jiu Jia Yi Jing «it� Efl Z:,��» says, "Huantiao GB-30 is indicated
for lumba1· pain radiating lo hypochondrium, buttock spasm, and a lower

209
One Needle TheraPJ' I Part II: Pain S)ndromes

leg that is painfol, numb and unable to extend and flex." Ancient Chinese
medicine texts indicated that Huantiao GB-30 is an important point in
treating lumbar and leg pain (sciatica). If this point is properly manipu­
lated, the needle sensation will radiate from the buttock downward to the
foot. That will enable the smoolh flow of meridian qi and regulate qi and
blood to attain satisfactory results lo treat sciatica.

N. Zhongji REN-3
Location:
Zhongji REI -3 is located l cun inferior to Guanyuan RE -4 which is 4
cun inferior to the navel.
Needling:
Perpendicular insertion 0.5 to 1 .5 cun.
Analysis and Experience:
Zhongji REN-3 i. the front-mu point of Urinary Bladder meridian. It cul­
tivates the origin, assists in the process of qi transformation, and clears
and dispels damp heat. It is also the meeting point of the foot three yin
(Spleen, Live1� and Kidney) and Ren meridians. Spleen masters dampness
and controls the muscles. Liver masters wind and controls tendons. Kidney
maslers cold and controls bone. Sciatica is related to wind, cold, and damp.
\ Vhen in distress, the tendons, bones, and muscles are all in pain. Ieedling
Zhongji RE L3 will quickly relieve even severe sciatica along Urinary
Bladder meridian.

0. Shenque REN-8
Location:
Shenque RE -8 is located in the middle of the navel.
Needling:
Moxa Shenque REN-8 with a slice of raw ginger placed over the navel.
Moxa 5 to 1 0 cones each time.
Analysis and Experience:
Shenque RE L8 strengthens spleen yang, harmonizes the stomach, reg­
ulates the intestines, restores yang and rescues from the cold, and opens
the orifices to resuscitate. Howeve1� this point is contraindicated for acu­
puncture, and can only be used with application of moxibustion. For sci­
atica and leg spasms, it will only take a few applications of moxibustion
to Shenque RE -8. This also treats arthritis of the four extremities and
frozen shoulders. This is even indicated for chronic and stubborn cases
with excellent results with only a few applications. Shenque REN-8 is the
taiji center of the body. Major taiji corresponds to the elbows and knees;
medium taiji corresponds to the wrists and ankles; and minor taij i cor­
responds to the palms and soles. Based on the principle of "treating the

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four extremities with the center'', applications of moxibustion to Shenque

REN-8 treat the elbow , knees, wrists, ankles, palms and sole .

SUMMARY
Most practitioners prefer to select local points when treating sciatica. Zhibian
UB-54, located where the sciatic nerves exit, is the most popular choice. This
can be used alone or for better results, combined with Huantiao GB-30. This
will increase needle sensation and cause it to travel downward along the sciatic
nerves. Chengfu UB-36 and Yinmen UB-3 7 , the points located at the sciatic
nerve trunk, are frequently used as well. vVhen pain travels along the lateral
aspect of the leg, shaoyang meridian pathway, the treatment should combine
with Yanglingquan GB-34.Juliao GB-29, a tender point of the superior gluteal
cutaneous nerve, located on the side of the buttock can also be selected. \Nhen
pain travels along the posterior aspect of the leg, taiyang meridian pathwa)�
add \ Veizhong UB-40 and Chengshan B-5 7. Some prefer to use Dachang­
shu UB-25, Qihaishu UB-24 or Shenshu UB-23 when there arc tender spots
al the nerve roots or alongside the spine. Or use jiaj i points at the appropriate
depth to spread needle sensation downward.
Distal points in fact give better results. Houxi SI-3 and Wangu SI-4· (for
sciatica along taiyang meridian); Zhongzhu SJ-3 and Yemen SJ-2 (for sciati­
ca along shaoyang meridian) are often selected. Howevc1� the most effective
points are Master 1'ung's Linggu 22.05 and Dabai 22.04. Distal points are
particularly effective for sciatica at the acute stage.
Acupuncture is very effectiYe in treating sciatica. Hovveve1� if sciatica is
caused by tumors or tuberculosis, the primary syndromes must be addressed
first. Sciatica caused by intervertebral disc herniation or bone spur may need
to combine tui na for better results. In tJ1e acute stage, the patient should bed
rest. Patients with herniated disc should sleep on a firm mattress, stay warm
and avoid cold. They should always maintain good postures and wear lumbar
supports when working and should use the knees rather than the back to squat.

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One Needle Thera/JJ' / Part II- Pain SJ111dromes

Chapter 13

Knee Pain

Because lhe knee joint is the most aclive and load bearing of all the joints in
the body, it is prone to pain and injury more often than any otherjoints. Of all
the joints in the body, the knee joint has the largest area of synovial membrane.
Traumatic synovitis is more often seen in the knee than in any other joint.
Most patients have a history of injury due to trauma, fall or over exertion. The
synovial membrane thickens due to chronic aggravation and inflammation,
which leads to adhesion and functional obstruction of the knee joint. Although
some patients have no prior external Lrauma lo their knees, extended chronic
accumulative irtjuries may lead to a degenerative joint.
Knee joint pain syndrome involves pain and swelling of the knee; the
more swelling the more painful. The pain worsens after extensive exertion and
subsides after resting. The joint is painful when palpated and presents varying
degrees of functional obstruction. During the acute stage, the knee should be
supporled (stabilize the local area) to avoid further irritation. This will also
reduce the conge tion of blood and edema of the synovial membranes to con­
trol further swelling. During the chronjc stage, the patient should exercise and
strengthen the quadriceps. That will help reduce the remaining swelling and
recuperate the weak and atrophied muscles and tendons.
Degenerative osteoarthritis of the knee is also known as hypertrophic
arthritis, proliferative anhritis and degenerative arthritis of the knee. Primary
knee arth1itis occurs most frequently in the elderly whereas secondary knee
arthritis may occur in any age group, but more often within the female popu­
lation. This disorder has a slow onset. It can be caused by minor inj uries due to
trauma, cold weather, lifting heavy objects or standing for long periods of time.
In the initial stage, the knee joint becomes sore and inflexible and painful in
the morning, or "vhen standing after sitting for a long period of time. The pain
\Vill dissipate after some activities, but will return if the patient engages in too

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 Chapter 13 / Knee Pain

much activities or stands for long periods of time. The pain '"'ill increase if the
patient takes long walks. The greatest characteristic symptom of this disorder
is difficully going up and down the stairs or squatting. In severe stages, the knee
will be painful while resting and may affect the sleep. The pain will intensify
when the weather is cold and damp.
l\ifost patients feel pain in the medial aspect of the knee. Upon palpation,
the practitioner may encounter round or rope-like nodules which are sore and
painful to the patients. When moving the knee joint, there will be a slight
rubbing or "ka-cha" sound (or crepitus). The condition can progress to joint
swelling and muscle atrophy. It can also lead to deformity and limited knee
movemenl. This often presents as "knock-knee" and, if the patient is obese,
the joint will not move freely and the patient may limp. This disorder vvill
not be detected by blood, mucin, or rheumatoid factor serum uric acid tests.
Howeve1� X-rays of the affected knee will show narrowing of the joint space
and bone growth 0)one spurs).
This disorder is ascribed to bi syndrome in Chinese medicine. In Chinese
medicine, this disorder stems from liver and kidney deficiency causing internal
injury; exogenesis of wind-cold-damp, disharmony of qi and blood, inj ury,
trauma or chronic over exertion. This pathogenesis leads to sluggish qi and
blood and obstruction of meridians and vessels. According to Chinese mecli­
cine theory, chronic disorder often implicates liver and kidney deficiency, flaccid
tendon and atrophy of the bones an d knee function impairment. Intensive and
continuous acupuncture sessions combined with bleeding will achieve more
satisfactory results. The best points for bleeding are Master Tung's "shaving
bone" points (�tlfi·J\: points that are neeclled along the bone), namely Sihuaxia
77 . 1 1 and Sihuafu 77 . 1 0, for this disorder.
Chinese medicine believes that "the knee houses the tendons". Therefore
Xingjian LIV-2 and Taichong LIV-3, points of Liver meridian which master
the tendons, are very effective in treating knee pain. eiguan PC-6 is located
between two tendons and connects with the liver. Through the relationship of
the same name hand and footjueyin meridians, Neiguan PC-6 is also indicat­
ed for treating knee pain with great effectiveness.

ONE NEEDLE THERAPY POINTS FOR KNEE PAIN

The commonly used one needle therapy points for knee pain are: eiguan
PC-6, Taichong LIV-3, Xingjian LIV-2, Xinmen 3 3 . 1 2, Jianzhong 44.06,
Danxue 1 1 . 1 3, Gaohuangshu UB-43 (bleed), Chize LU-5, Quchi Ll- 1 1 ,
Yanglingq uan GB-34- and Huozhu 66.04.

A. Neiguan PC-6
Location:
With the patient's palm facing up, eiguan PC-6 is located 2 cun above the
wrist crease (the distance between the wrist crease and the cubital crease is

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One Needle Therapy / Part IL Pain S)111dromes

1 2 cun). It is located 5/6 of the proximal aspect and 1 /6 of the distal as­
pect of the forearm. The point lies between the tendons of palmaris longus
and flexor carpi radialis.
Needling:
H ave the patient's palm facing up. If the affected side is on the left, se­
lect 1;gbt Neiguan PC-6 and vice versa. Perpendicular insertion 0.8 to 1
cun between the two tendons. Once qi is acquired, ask the patient to ex­
tend and flex the knee. The pain should be relieved immediately. Retain
L.hc needle fur 30 minutes and manipulate the needle every 1 0 minutes.
Alternatively, retain the needle for 45 minutes and manipulate the needle
every 1 5 minutes and ask the patient to repeat the exercise of the knee for
30 seconds to l minute at the same time.
Analysis and Experience:
Neiguan PC-6 is my personal point of choice in treating knee pain. It is
discussed in detail in Zhen Jiu Jing Wei «j-f-Jd��» which was pub­
lished in 1 9 7 5. Teiguan PC-6 is one of the eight confluent points of the
extraordinary meridians. I t is the confluent point of Yinwei meridian and
a frequently used point. Neiguan PC-6 is Lhe luo-connecting point of
hand jueyin Pe1;cardium meridian which is connected to hand shaoyang
Sanjiao meridian. It strongly regulates qi. Furthermore, luo-connecting
points are indicated for blood level disorders. This point regulates qi and
blood. According to extraordinary connections of zangfu organs (Zang Fu
Bie Tong JJiJU(f)3ij:@.), Pericardium meridian is connected with foot yang­
ming Stomach meridian. Since yangming meridians have abundant qi and
blood, Neiguan PC-6 strongly regulates qi and blood. Stomach meridian
passes through Xiyan [EX] ("the knee eye") and closely corresponds to
knee pain. Neiguan PC-6 is the luo-connecting point of Pericardium me-
1;dian and is located between two tendons. Based on the treatment prin­
ciple of "treating tendons with tendons", it is very effective in treating dis­
orders such as spasms and stiffness of the joints. It is excellent in treating
knee pain.

B. Taichong LIV-3
Location:
On the dorsum of the foot, Taichong LIV-3 is located 2 cun proximal to
the head of the 2nd metatarsal of the big toe, between the junction of the
1 st and 2nd metatarsal bones. According to Yi Zong Jin Jian «U*�
�» this point is located approximately 2 cun superior to Xingjian LIV-2.
,

The pulse of the vessel underneath can be sensed between the tarsal bones.
To locate the point, palpate the dorsum of the foot in the depression dis­
tal to the junctions of the 1 st and 2nd metatarsal bones superiorly until it
reaches the junction of the two bones. This coincides with Master Tung's
point H uozhu 66.04

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 Chapter 13 / Knee Pain

Needling:
Perpendicular insertion 1 .5 cun directed from the dorsum of the foot to­
ward the sole of the foot. Once qi is acquired, ask the patient to extend and
flex t.he knee. The pain should be relieved immediately. Retain the needle
for 30 minutes and manipulate the needle every l 0 minutes. Alternatively,
retain the needle for 45 minutes and manipulate the needle every 1 5 min­
utes and ask the patient to repeat the exercise of the knee for 30 seconds Lo
l minute at the same time.
Analysis and Experience:
As cited in various ancient Chinese medicine texts, the most effective and
frequently used point to treat knee pain is Taichong LIV-3 . Ancient texls
such as Zhou Hou Ge «n-J���» and Xi Hong Fu «J�BlM» indicated
thal Taichong LIV-3 treats knee pain; Tong Xuan Zhi Yao Fu « :im.�3'§'
�)!lit» and Sheng Yu Ge «Im 33.m:I\» say that Taichong LIV-3 treats diffi­
culty in walking. Taichong LIV-3 is the yuan-source point of Liver merid­
ian; therefore it strongly regulates qi. Additionally, liver stores blood. This
is expressed in the saying "treat blood [in order] to treat wind disorders".
Taichong LIV-3 can then soothe the liver, regulate qi, dredge the merid­
ians and activate blood. Furthermore, Taichong LIV-3 is the shu-stream
and yuan-source point of Liver (wood) meridian. This point is ascribed to
earth and is the earth point of \.VOod meridian. Therefore, it can soothe
liver and disperse wind (function of wood). Since it is the earth point of
wood meridian, it can expel dampness by regulating the spleen and stom­
ach (function of earth). Knee pain is often caused by wind and clamp con­
ditions. Taichong LIV-3 treats wind and dampness disorders and can treat
knee pain. Chinese medicine believes that the knees house the tendons.
Liver masters tendons. Taichong LIV-3 is located on Liver (wood) merid­
ian; therefore it can treat tendon disorders. Since Taichong LIV-3 is the
earth point of Liver meridian, it can treat muscle as well as liver and spleen
disorders. Under Taichong LIV-3 lies the taichong vessel. If needling the
point more proximally toward the bone, it will be equivalent to Huozhu
66.04 and the result is even better. This complies with the treatment princi­
ple of "treating bones with bones". With that, it corresponds to kidney and
it is especially good for treating bone pain disorders. For tl1e above reasons,
Taichong LIV-3 treats tendon, muscle, bone and vessel disorders and has
exceptional therapeutic results.
I often combine eiguan PC-6 (on the healthy side) with Taichong LIV-3
(on the affected side) to treat knee pain and receive instantaneous results.
Both Neiguan PC-6 and Taichong LIV-3 are treatment points. Taichong
LIV-3 on the affected side is also the guiding point. Guiding points mostly
are ying-spring and shu-stream points, especially the latter. Shu-stream
points are indicated for heaviness of the body and for joint pain. Either
Neiguan PC-6 or Taichong LIV-3 can treat knee pain. One of the points

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One Xeedle ThcrafaJ' / Part 11: Pain Sjmdromes

is on the upper extremity ( eiguan PC-6) and the other is on the lower ex­
tremity (Taichong LIV-3). Combining these two points and neecliing them
contralaterally activate the communication between them, resulting in reg­
ulating qi and accelerate the recovery time with excellent results.

C. Xingjian LIV-2
Location:
Xingjian LIV-2 is located on the dorsum of the foot ben-veen the 1 st and
2nd metatarsal boue:s, proximal to the margin of the web at the junclion
of the red-and-white skin.
Needling:
Perpendicular insertion 1 .5 cun from the dorsum of the foot toward the
sole of the foot. Once qi is acquired, ask the patient to extend and flex the
knee. The pain should be relieved immediately. Retain the neeclie for 30
minutes and manipulate the needle every l 0 minutes. Alternatively, retain
the needle for 45 minutes and manipulate the neeclie every 1 5 minutes and
ask Lhe patient to repeat the exercise of the knee for 30 seconds to 1 minute
at the same time.
Analysis and Experience:
According to ancient acupuncture texts Wo Yan Ling Xiao Ying Xue Ge
« !;i,\::E- � �Jl/'C�» , Sheng Yu Ge «)Wf��» and Tong Xuan Zhi Yao
Fu «:illl � tlit�M» , to effectively treat knee pain, distal point Xingjian
LIV-2 is frequently used. Xingjian LIV-2 is the ying-spring point of Liver
meridian. Ying-spring and shu-stream points are classically indicated
for disorders of the outer meridians. Xingjian LIV-2 is ascribed to Liver
(wood) meridian; therefore, i t treats tendon disorders. Any points that
are ascribed to fire strengthen fire. Since Xingjian LIV-2 is the fire point
of Liver meridian, it strengthens the heart. There is also taichong vessel
passing underneath it; therefore, it is very effective in treating knee pain.
Xingjian LIV-2 is similar to Master Tung's points tl1at are ascribed to fire
and that treat knee pain.

D. Xinmen 33. 1 2
Location:
Xinmen 33. 1 2 is located in the depression 1 .5 cun distal to the acromion
of tl1e ulna, needle the point along the bone. Xinmen 3 3 . 1 2 is located close
to Small I ntestine meridian in the vicinity of Xiaohai SI-8.
Needling:
Place the patient's palm on the chest. Insert the needle 1 .5 to 2 cun. Once
qi is acquired, ask the patient to extend and flex the knee. The pain should
be relieved immediately. Retain the needle for 30 minutes and manipulate
the needle every I 0 minutes. Alternatively, retain the neeclie for 45 minutes

216
 Chapter 13 / Knee Pain

and manipulate the needle every 1 5 minutes and ask the patient lo repeat
the exercise of the knee for 30 seconds to I minute at the same time.
Analysis and Experience:
Xinmen 33. 1 2 is located close to Xiaohai SI-8, the he-sea point of Small
Intestine meridian. It is interiorly-exteriorly related to Heart meridian;
therefore, it i eITecLive in treating heart disorders. Originall); i\Iaster Tung
did not use rhis point to treat knee pain. I have obse1ved that most of
Master Tung's points that u-eat heart disorder can also treat knee pain
and I use this point to treat knee pain with great results. Furthermore, this
point is located close to the elbow; according to holographic correspon­
dence, it corresponds to the knee. Therefore, it is excellent for knee pain
(especially effective in medial knee pain). Since Xinmen 3 3 . l 2 should be
needled along the bone and hand taiyang masters the synovial Auids, it i
especially effective in treating bone spurs and degenerative arthritis of the
knee (deficiency in synovial Auids). In recent years, I have used this point to
treat knee pain, especially for knee pain caused by bone spurs. Combining
Xinmen 33. 1 2 (opposite/healthy side) and Taichong LN-3 (affected side)
as the qianyin (guiding) point, the result is e\·en more instantaneous.

E. Jianzhong 44.06
Location:
Jianzhong 44.06 is located on the lateral side of the humerus, 2 . 5 cun in­
ferior from the acrornionjoint.Jianzhong 44.06 is located in the middle of
the deltoid muscle. Empirically, it is 3 cun inferior to the acromion joint.
Needling:
Perpendicular insertion 1 .5 cun. For knee pain on the left, neecUe right
Jianzhong ++.06 and vice versa. Once qi is acquired, ask the patient to
extend and flex the knee. The pain should be relieved immediately. Retain
the needle for 30 minutes and manipulate the needle every l 0 minutes.
Alternatively, retain the needle for 45 minutes and manipulate the needle
every 1 5 minutes and ask the patient to repeat the exercise of the knee for
30 seconds to I minute at the same time.
Analysis and Experience:
Jianzhong 4-t.06 is very effective in treating knee and shoulder pain. It is
located in the middle of the triceps, which is a massive muscle. It is ex­
pressed in the sayings, "tendon is an especially protruding muscle" and
"solid muscle ascribed to tendon". Additionally, solid, striated and strong
muscles arc all ascribed to tendon (for details, refer to Advanced Course
in Tung's Acupuncture lecture notes). The knee houses the tendons and
according lo the treatment principle of "treat tendons with tendons'', this
point can treat knee pain. l\faster Tung often used this point to treat knee
pain and with great results.

217
One. \eedle TherafaJ' /Part ff- Pain S)'ndromes

E Danxue 1 1 . 1 3
Location:
Danxue 1 1 . 1 3 is located on the clor aJ aspect of the middle finger. A set of
2 points. They are located on boLh sides of the proximal phalan.'X, midway
between the metacarpophalangeaJ and proximaJ inter-phaJangeaJjoints at
the junction of the red and white skin.
Needling:
Insen a 0.5 cun needle the depth of 0 . 1 to 0.2 cun. Once qi is acquired, ask
the patient to extend and flex the knee. The pain should be relieved imme­
diately. Retain the needle for 30 minutes and manipulate the needle every
1 0 minutes. Alternatively, retain the needle for 45 minutes and manipulate
the needle e,·ery 1 5 minutes and ask the patient to repeat the exercise of
the knee for 30 seconds to I minute at the same time.
Analysis and Experience:
Thi point is located in the middle finger on Pe1icardium meridian.
Stomach me1idian traverses the knee. Through the extraordinary con­
nections bet\,·een pericardium and stomach, this point is ve1y effective in
treating knee pain, the same principle as in '}\naJysis and E>..-pe1ience" of
Section 1 3 . 1 C - Neiguan PC-6.

G. Erjiaoming 1 1 .12
Location:
Erjiaoming 1 1 . 1 2 is a set of 2 points located on the mid.line of the proximal
phalanx on the dorsal aspect of the middle finger which is divided into 3
sections. The first point is located in the middle of the proximal phalanx
on the dorsal aspect of the middle finger� l /3 distal to the metacarpopha­
langeal joint. The second point is 2/3 distal to the metacarpophalangcal
joint.
Needling:
In ert a 0.5 cun needle subcutaneously, obliquely and laterally (towards the
little finger) 0.2 cun. Once qi is acquired, ask the patient co extend and fl.ex
the knee. The pain should be relieved immediately. Retain the needle for
30 minutes and manipulate Lhe needle every 1 0 minutes. Alternatively, re­
tain the needle for 45 minutes and manipulate the needle every 1 5 minutes
and ask the patient to repeat the exercise of the knee for 30 seconds to l
minute at the same time.
Analysis and Experience:
Erjiaoming 1 l . 1 2 is located on Pericardium meridian. Stomach meridian
traverses the knee and is closely related to Xiyan [EX] and knee pain.
Through the extraordinary connections between pericardium and stom­
ach, Lhis point set is yery effective in treating knee pain; the ame principle
a in '�alysis and Experience'' of Section 1 3 . 1 C - eiguan PC-6.

218
 Chapter 13 / Knee Pain

H. Gaohuangshu UB-43
Location:
Gaohuangshu UB-43 is located on Urinary Bladder meridian, 3 cun lat­
eral to and level vvith T4.
Needling:
Prick the point to bleed wilh a three-edge needle (or a lancet). To treat the
pain on the left, prick the right Gaohuangshu UB-43 and vice versa.
Analysis and Experience:
Pricking Gaohuangshu UB-43 to acquire a few dmps of blood will treat
acute or chronic knee pain, often with instantaneous effects. This point is
located next to Jueyinshu UB- 1 4 which is ascribed to pericardium. It can
strengthen the heart to treat the knees. Lightly bleed a point on the upper
part of the body to treat disorder of the lower part of the body is an illus­
tration of the treatment principle of "bleed Lhe distal point; needle the foot
for disorder of the head". Since Lhis point is related to the pericardium, its
treatment principle is the same as in "Analysis and Experience" of Section
1 3 . l C - Neiguan PC-6.

I. Chize LU-5
Location:
With the patient's palm facing up and the forearm slightly flexed, Chjze
LU-5 is located at the cubital crease on the radial aspect of the biceps
brachii tendon.
Needling:
Perpendicular insertion 1 to 1 .5 cun. For left knee pain, needle right Chize
LU-5 and vice versa. Once qi is acquired, ask the patient to extend and Aex
the knee. The pain should be relieved immediately. Retain tJ1e needle for
30 minutes and manipulate the needle every 1 0 minutes. Alternatively, re­
Lain lhe needle for 45 minutes and manipulate the needle every 1 5 minutes
and ask the patient to repeat the exercise of the knee for 30 seconds to 1
minute al the same time.
Analysis and Experience:
Chize LU-5 is the he-sea and son point of Lung meridian. Reduce Chize
LU-5 to stop metal from over-controlling wood. This "'rill release and
soothe the tendons, allowing the knee to move freely. l\IIeanwhile, inserting
the point with the needle along t11e tendon illustrates the treatment princi­
ple of "needle along the tendons to treat tendons". This is another reason
that this point is effective in treating knee pain. Chize LU-5 corresponds
to the knee according to major taiji correspondence and therefore it treats
knee pain. Zhou Hou Ge «ij>J-��ilJ'l(» says, "When the knee joint swells
and inflames like that of a crane's and is unable to walk, Chize LU-5 can
soothe the tendons and bone pain." This, again, indicates thal Chize LU-5
can treat knee pain.

219
One, \eedle Themj;y I Part 11: Pain S)'ndromes

]. Quchi LI- 1 1
Location:
\Vi th the patient's elbow bent and the hand on the chest, Quchi LI- 1 1 is
located in the depression at the lateral end of the cubital crease.
Needling:
Perpendicular insertion l to 1 .5 cun. For left knee pain, needle right Quchi
LI- 1 1 and vice versa. Once qi is acquired, ask the patient to extend and
flex the knee. The pain should be relieved immediately. Retain the needle
for 30 minutes and manipulate the needle every 1 0 minutes. Alternatively,
retain the needle for 45 minutes and manipulate the needle every 1 5 min­
utes and ask the patient to repeat the exercise of the knee for 30 seconds to
1 minute at the same time.
Analysis and Experience:
Quchi LI- 1 1 is the he-sea point of Large Intestine meridian. Through the
extraordinary connections of the large intestine and live1; this point also
treats tendon disorders. Liver masters the tendons and knee pain is as­
cribed to tendon disorders. Quchi LI- 1 1 is also corresponds to the knee
according to the major taiji correspondence and therefore it can treat knee
pain. Zhou Hou Ge «flt���» says, "When the knee joint swells and
inflames like the crane's and is unable to walk, Chize LU-5 can soothe the
tendons and bone pain. Quchi LI- 1 1 is also magnificent." This citation in­
dicates that not only Chize LU-5 can treat knee pain, so can Quchi LI-1 1 .

K. Yanglingquan GB-34
Location:
Yanglingquan GB-34 is located on the lateral aspect of the lower leg, in the
depression anterior and inferior to the head of the fibula.
Needling:
Perpendicular insertion 1 to 1 .5 cun. For left knee pain, needle right
Yanglingquan GB-34 and vice versa. Once qi is acquired, ask the patient to
extend and Aex the knee. The pain should be relieved immediately. Retain
the needle for 30 minutes and manipulate the needle eve1y I O minutes.
Alternatively, retain the needle for 45 minutes and manipulate the needle
every 1 5 minutes and ask the patient to repeat the exercise of the knee for
30 seconds to 1 minute at the same time.
Analysis and Experience:
Yanglingquan GB-34 is the he-sea point of foot shaoyang Gallbladder me­
ridian. Liver masters the tendons whereas shaoyang masters the bones.
Yanglingquan GB-34 is the influential point of tendons. It treats both ten­
dons and bones; therefore, it is indicated for knee disorders. Ieedling the
point on the healthy side allows the affe cted knee to exercise. It is knmvn
as dong qi (moving qi) needling technique and attains much better results.

220
One. Veedle Thera/lJ' / Part 11: Pain Syndromes

knees warm. The patient can wear knee support during the day and wrap the
knee with a towel at night. Especially during the summe1� the patient should
avoid cold showers at the affected knee immediate after exercising. The patient
should also avoid air-conditioning or a fan directly blowing at the affe cted
knee. In addition, frequent squatting and standing can further aggravate the
affected knee.

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 Cha/J/er 13 / Knee Pain

L. Huozhu 66.04
Location:
Huozhu 66.04 is located proximal to Taichong LIV-3 in the depression
distal to the junctions of the I st and 2nd metatarsal bones.
Needling:
Perpendicular insertion 1 to 1 .5 cun. For lefr knee pain, needle right
Huozhu 66.04 and vice versa. Once qi is acquired, ask the patient to ex­
tend and flex the knee. The pain should be relieved immediately. Retain
the needle for 30 minutes and manipulate the needle eYery 1 0 minutes.
Alternatively, retain the needle for 45 minutes and manipulate the needle
every 1 5 minutes and ask the patient to repeat the exercise of the knee for
30 seconds to 1 minute at the same time.
Analysis and Experience:
Huozhu 66.04 is located proximal to Taichong LIV-3 but is closer to the
bone. Some think that this is the original Taichong LIV-3 in ancient times.
Taichong LIV-3 is indicated for arthritis and tendon-muscle disorders
(please refer to '�nalysis and Experience" of Section 1 3 . 1 B - Taichong
LIV-3 for details). Taichong vessel also lies beneath the point. Further,
Huozhu 66.04 should be needled along the bones and thus corresponds
to the kidney. It is especially indicated for bone pain disorders. eedling
Huozhu 66.04 can treat tendon, muscle, bone and vessel all together and it
is extremely effective for knee pain.

SUMMARY
Bone spurs can often develop in the knee, causing pain. Combining the above
treatment techniques with Sihuazhong 7 7 .09 and Sihuaxia 7 7 . 1 I with the
needles inserted along the bone will increase the effectiveness of tJ1e treatment
for bone spurs. Needling Xinmen 33. 1 2 with Taichong LIV-3 combined with
bleeding Sanjin DT.07 (Gaohuangshu UB-43) weekly will accelerate the recov­
ery time.
Over the last several decades, I have used: ( l ) eiguan PC-6 combined
,,·ith Taichong LIV-3; or (2) Xinmen 33. 1 2 combined with Huozhu 66.04 to
treat knee pain for hundreds of patients. Many of my students use die above
two combinations to treat knee pain with excellent results. However, combin­
ing the above-mentioned techniques with bleeding at Gaohuangshu UB-43
will accelerate the recovery time.
The knees are required to support considerable weight and activities.
In addition to receiving treatment, it is important for the patient to have a
regulated lifestyle. It is especially desirable for obese patients to lose weighr.
It is also crucial to have adequate rest. The affected knee joint often cannot
bear the same stress as the healthy knee joint. It may be too taxing for some
patients to engaging in normal activities. Therefore, it is helpful to arrange
some time during the day to lie dovm and rest. It is also important to keep the

221
 Chapter 1 4 /Ankle Sprain and Pain

Chapter 14

Ankle Sprain and Pain

Acute ankle sprain is often cau ed by sudden trauma such as over-pronation

or over-supination of the foot. It often happens when walking on uneven pave­
ments or acute onset during exercise. A sprained ankle is often swollen, pain­
ful when palpated and bruised. It is a commonly seen trauma of the joint in
external injuries. The selected points and needling techniques described in this
chapter are also applicable for other kinds of ankle pain including chronic or
long-term ankle pain.

ONE NEEDLE THERAPY POINTS FOR ANKLE SPRAIN (ANKLE

PAIN)
The commonly used one needle therapy points for ankle sprain (ankle pain)
are: Xiaojie A.05, Waiguan SJ-5, Yangchi SJ-4, Yanglao SI-6 and Weizhong
UB-40.

A. Xiaojie A.05
Location:
Xiaojie A.05 is located on the radial aspect of the 1 st metacarpal bone
(along Lung meridian) at the junction of the red and white skin.
Needling:
With the patient's hand in a loose fist with the thumb flexed under the
other four fingers, insert the needle 1 .5 cun along the bone with the tip of
the needle directed toward Daling PC-7. After qi is acquired, manipulate
the needle and ask the patient to exercise the affected ankle, gradually in­
creasing the intensity and range of motion. The ankle pain should subside
immediately. Retain the needle for 30 minutes. fanipulate the needle 3 to
4 times during treatment and ask the patient to exercise the affected ankle
at the same time.

223
One .\ eedle Them/1.J' / Part 11: Pain S
_yndromes

Analysis and Experience:

x.iaojie A.05 is \·ery effective in treating ankle pain due to sprain. The
treaanenl principle is based on holographic correspondence, the medial
malleolus is closely related Lo Spleen meridian, vvhereas lateral malleolus
is closely related to Urinary Bladder meridian. Although x.iaojie A.05 is
located on the Lung meridian, through the connection of hand and foot
same name meridians, it is connected to foot laiyin Spleen meridian. Since
Lung and Urinary Bladder meridians are connected through extraordi­
nary correspondence, Xiaqjie A.OS can rreat both medial and lateral ankle
sprains. I have simply used Lhis point and treated hundreds of patients with
medial and lateral ankle sprains, including many nationally well-known
athletes. Most of them recovered with only one treatment.

B. Waiguan SJ-5
Location:
'Vaiguan SJ-5 is located 2 cun above Lhe wrist crease between the radial
and ulnar bones, directly opposite to Ieiguan PC-6.
Needling:
Ieedle the opposite (healthy) side. Witl1 the palm facing down and all the
fingers extended; ' Vaiguan SJ-5 is 2 cun proximal to Yangchi SJ-4, between
the radial and ulnar bones. Perpendicular insertion 0.5 to I cun from the
dorsal aspect to the palmar aspect of the forearm. After qi is acquired,
manipulate the needle by lifting, tl1rusting, and twisting it 2 to 4 times
and ask the patient co exercise the affe cted ankle with increasing intensity.
Ankle pain should subside immediately. Retain the needle for 30 minutes.
Manipulate the needle 3 to 4 times and ask tl1e patient to repeat tl1e ankle
exercise at the same time.
Analysis and Experience:
'Vaiguan SJ-5 is very effective in treating ankle sprain. Zhen Jiu Da Cheng
« H�::kfi.lt» states: "Waiguan SJ-5 is indicated for red, swollen, and
painful ankle." This point is the luo-connecting point of Sanjiao merid­
ian; it also connects to hand jucyin Pericardium meridian. Sanjiao is the
"fatl1er of yang qi'', pericardium is the "mother of yin blood". Therefore,
Waiguan SJ-5 can soothe qi and blood of the whole body, invigorate tl1e
meridian and collaterals, regulate qi and stop pain. It communicates with
Zulinqi GB-+ 1 . \\Then \Vaiguan SJ-5 is combined with Zulinqi GB-4 1 , it
can treat disorders along the hand and foot shaoyang meridians and their
related zangfo organs.
' Vaiguan SJ-5 is also one of the eight confluent points and connects with
Yangwei meridian. Yang.vei meridian connects with all yang meridians,
and communicates with Du meridian. It is closely related to taiyang and
shaoyang meridians. Yang.vei meridian originates atjinmcn UB-63, which
is located inferior to the lateral malleolus. Ieedling vVaiguan SJ-5 can

224

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 Chapter I 4 /Ankle Sprain nnd Pain

reach the ankle through Yangwei meridian and will soOLhe the tendon
and imigorare the collateral to alleviate pain. Clinically, thi point is often
used for sprained ankle with excellent results.

C. Yangchi SJ-4
Location:
With the patient's hand in a loose flst, Yangchi SJ-4 is located in the d pres­
sion directly proximal to the 3rd and 4th metacarpal bones on the wrist
crease between the tendons of extensor digitorum communi and extensor
digiti minimi.
Needling:
Perpendicular insertion 0.3 to 0.5 cun, from the dorsal aspect toward the
palmar aspect of the forearm.
Analysis and Experience:
Yangchi SJ-4 is very cffecti,·e in treating acute ankle sprain. It is consis­
tent with the treatment principle from Huang Di Neijing «JtW,: IAJt.�» ,
"If the disorder is below, elect the points abm·e." Yangchi J-+ is the yu­
an-source point of hand shaoyang Sanj iao meridian where yuan (original)
qi traverses and gathers.Japanese acupuncturist Sawada Ken said, "When
treating sy temic disorder , Yangchi SJ-4 must be selected." Yangchi SJ-4
regulates the qi mechanism to aUeviate the obstruction of the functions of
the internal organs.
Yangchi SJ-4· is especially indicated for sp ra i ned ankle that is along foot
shaoyang meridian. Through the same name connection, hand and foot
shaoyang meridians connect at Tongziliao GB- I , at the outer canthus
of the eye. Foot shaoyang meridian descends to the ankle. Through foot
shaoyang meridian, which reache. to the ankle, needling Yangchi SJ-4 can
dredge the meridian and activate the collaterals, soothe the tendon. and
benefit the joints. AdditionaUy, Yangchi SJ-4 is located on the wrist joint
and corresponds with the anJ<le joinl. Therefore, it is strongly indicated for
ankle sprain.

D. Yanglao SI-6
Location:
With the patient's palm on the chest, Yanglao SI-6 is located on the dorsal
aspect of the ulna head, in the depression close to the radial side of the
high point of the styloid process of the ulna. That is, the point is located in
the depression posterior to and in the medial aspect of the styloid process
of the ulna. To locate the point, raise the patient's hand, flex the elbow,
and turn the forearm backward. A shaUow cleft is apparent. The point is
located anterior to the cleft. If the direction of the palm is changed, the
cleft closes automatically.

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One Needle Therafi)I I Part II: Pain fiyndromes

Needling:
With the patient's arm flexed and hand lifting up and Lhe patient's forearm
rotating backward, there is a shallow cleft. The point is at the top of the
shallow cleft. (If the palm turns, the cleft ""ill be closed). Perpendicular
insertion 0.3 to 0.5 cun.
Analysis and Experience:
Yanglao SI-6 is located close to the mist, which corresponds to the ankle. It
is indicated for ankle pain especially when there are trigger points around
the area. U rin ary Bladder meri di a n traverses the lateral ankle. Most ankle
pains are along the Urinary Bladder meridian. Spleen meridian is indi­
cated for medial ankle pain. In addition to Yanglao SI-6 is located close
to the wrist and corresponds to the ankle, it is ascribed to hand taiyang
meridian. Since the hand and foot same name meridians correspond to
each other, therefore it treat<; lateral ankle pain. Furthermore, there is the
extraordinary connection between small intestine and spleen; therefore
Yanglao SI-6 treats medial ankle pain. Yanglao SI-6 is also a xi-cleft point
which is indicated for acute pain. Therefore, this point is especially effec­
tive for acute ankle sprain.

E. Weizhong UB-40
Location:
Weizhong UB-40 is located in the middle of the popliteal crease. The point
is located in the depression between two tendons. When locating the point,
the patient should be either lying in a prone position with the knee slightly
bent or standing with the lower legs extended.
Needling:
Bleed Weizhong UB-40 on the affected side. The patient maybe in a prone
position or standing upright. After standard sterilization, use a three-edge
needle to prick the "angry" (engorged) veins around Weizhong UB-40 and
remove the needle immediately. Brovmish-purple blood will flow instantly.
Let the blood flow freely until it stops voluntarily (usually in the amow1t of
5 to l Oml) or when tl1e blood turns from purple to bright red. Manipulation
should be skillful and precise.
l ote: When bleeding Weizhong UB-40, special attention must be paid
to the amount of blood and patients' constitution. The technique must be
used carefully for patients of weak constitutions, have chronic illness and
weak, pregnant women, anemic, any kind of exhaustion or wasting disor­
ders and habitual mi carriage, patients who had had lost a lot of blood and
patients who bleed easily.
Analysis and Experience:
Bleeding Weizhong UB-40 is esp e ci ally effective for ankle sp rain, particu­
larly for those red and swollen ankles. Ankle sprains that are red and swol­
len are often at the lateral ankle. Lateral ankle and the urinary bladder are

226
 Chapter 14 /Ankle Sprain and Pain

closely related. As the he-sea point of Urinary Bladder meridian, Wcizhong

UB-40 soothes the tendons, invigorates the meridians, slrength en s the legs
and lumbar, disperses summer heat, stops ,·omiting and diarrhea, and
drains blood toxin. This is the point of choice for bleeding. Ancient texts
mentioned \\'eizhong UB-40 treats: back pain radiates to the lumbar (Bai
Zheng Fu «sVl:JIDt» ) ; lumbar pain (Za Bing Xue Fa Ge «��m!'Cfk
m7\» , «�::YGM» ) and Xi Hong Fu «nB�M» ) ; lumbar
Ling Guang Fu
and foot pain (Tong Xuan Zhi Yao Fu «:illi 1rf� �}fit» ) ; leg and bullock
wind (Yu Long Ge «.:IT.H'��» ) , buttock and knee spasm of the tendons
(Yi Zong Jin Jian «�*��» ) and foot wind (Zhou Hou Ge «JM·q3t
W\» ) . These ancient texts conclude that \ Veizhong UB-40 is effective in
treating low back, lumba1� hip, buttock, knee, and foot disorders. Bleeding
this point is very effective in treating both medial and lateral ankle sprain.

ADDITIONAL DISCUSSION
It is very rare that using the abO\·e-mentioned points to treat ankle pains will
have litLle or no effects. When this docs happen we should consider the follow­
ing: the point location may be inaccurate; the depth of the needle may be
too shallow; after needle insertion, moving qi technique was not applied and
the patient did not exercise the affected area. Most importantly, if the ankle
is red or swollen it will be difficult to alleviate the pain. In this case, use zhi zi
(fructus garadeniae) powder or chi xiao dou (semen phaseoli) powder m i xed
with egg white as an external poultice and apply to the alTected area to reduce
the s·vVelling. Furthermore, pricking the swollen area to let out some blood
or yellowish fluid will also reduce the S\velling instantaneously. Additionally,
bleeding at Weizhong UB-40 of the alTccted leg will accelerate the process of
reducing swelling. Another technique is to first needlejiexue 88.28 to regulate
qi and blood, help reduce redness and swelling caused by acute sprains. This
can also treat ankle sprain. Once the redness, swelling and pain are reduced,
combining with any of the above-mentioned points will attain better results.

227
One .'\"eedle TherapJ' / Par/ If· Pain Syndromes

Chapter 15

Heel and Sole Pain

Heel pain is a commonly seen pain syndrome and is often bilateral, worse
when walking. The pain can be so excruciating that it is unbearable to walk or
stand. The etiology ,·aries among diffe rent age groups. Fracture at the calca­
ncus, nodule, tumor, osteomyclitis, calcaneal apophysitis and gout can cause
heel pain. Howeve1� the more commonly seen etiologies are Achilles tendon­
itis, calcaneal bursitis, inflammation of the heel pad, plantar aponeurositis and
calcaneal spurs.
Calcaneal spur is the most common cause or heel pain. This is a kind or
degenerative condition that often de,·elops after middle age. It mostly occurs
between ages 40 - 60 and is more often seen in women. Chronic m·er exertion
and injury causing the bone and its surrounding soft tissue to degenerate. This
is most commonly seen in postpartum and obese patients. Overweight and
over exertion put excessive pressure on the origin of the plantar aponeurosis,
which undergoes structural deformation locally and results in sterile inAam­
mation and edema. Chronic aggra,·at.ion on the calcaneal tuberosity causes
bone spurs. Some bone spurs do not have symptoms. Hm.vever, when a person
is walking with a heavy load, the spur compresses against the bursa of the cal­
caneal tuberosity and heel fat pad, \\"hich can cause bursitis and inflammation
of the fat pad. In addition, if the plantar aponeurosis is being continuously
pulled, it will result in sterile inflammation and cause pain.
The onset of this disorder is slow and may take months or years to devel­
op. I t is generally one-sided. The pain mostly occurs when chan ging position
from lying or sitting for extended periods of Lime to standing. There is pain
when the heel touches the floor. Often there is stabbing pain but no redness or
swelling. The pain may subside after a few painful steps; however, the pain will
get wor e if the patient is standing or "·alking for a long period of time. It is
painfol when the heel bone area i being pre. sed.

228
 Cha/J/rr 15 / Heel and Sole Pain

I t is note\\·onhy that X-rays often do not reflect clinical S)m1ptoms. Patients

with bone spurs may be symptom free, while those with symptoms may not
have bone spurs. There arc many cases where symptoms disappeared after
treatment, but the bone spur was still present on an X-ray. Therefore, t reat­
ment should emphasize resolving chronic i njury inflammation, without undue
concern about the bone spur.
Chinese medicine believe that this disorder often occurs in the mid­
dle-aged and elderly. The etiology is due to liver and kidney deficiency, maJ­
nutriLion of the tendon and vessels, blood stasis, or cold-damp pathogens, qi
and blood stagnation, and external injury or over exertion. Furthe1� Kidney
meridian traver cs around the medial malleolus. If the heel is so painful that
it cannot touch the ground, it is most likely kidney deficiency due to old age.
This has the pathological mechanism of the the01-y of degenerative and soft
tissue disorders.
Heel pain among adolescents is often caused by epiphysitis of the calca­
neus. Tt often happens after . trenuous exercise leading to ischemic necrosis
of the epiphyseal cartilage. Early symptoms of this disorder arc not obvious.
Pain gradually progress after standing or v;alking for long periods of time.
Local pain intensifies only ""hen pressed. X-ray shows thickening shadow of
the calcaneus. The pain usually diminishes shortly after adequate rest, wearing
shoes with soft orthotics, or applying a hot pack locally. Acupuncture is quite
effective in tre.ating this kind of heel pain.
Other heel pain caused by bone nodules or osteomyclitis is usually swell­
ing pain and can be accompanied by a chronic abscess. X-ray shows a reduc­
tion of bone density. This type of heel pain results from inflammatory degen­
eration. I t is often caused by residual toxins from disorders such as chronic
carbuncles, mea les, or tuberculosis. The toxins penetrate the bones. If the
heel pain is caused by qi and blood stagnation resulting from traumatic inju­
ries, combining acupuncture with bleeding will attain better results.
The main cause of heel pain in young adults is related to rheumatic and
rheumatoid arthritis at the calcaneus. It often occurs by contracting external
pathogens such as wind-clamp. This happens clue to sleeping outdoors over­
night without covet� walking through water or working in clamp conditions.
The characteristic of tl1is kind of heel pain is acute onset, mostly symmetric,
heavy sensation in the lower extremities, difficulty in walking and edema. The
patient also has systemic symptoms such as fatigue, spontaneous perspiration
and whole body aches and pains. The treatment principle should be elimi­
nating pathogens and djspersing cold, followed by dredging and opening the
meridians and collaterals.

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One Aeedle Therapy / Part II: Pain Syndromes

ONE NEEDLE THERAPY POINTS FOR HEEL AND SOLE PAIN

The commonly used one needle therapy points for heel pain are: Linggu
22.05, Daling PC-7, Zugendian [EX] , Baihui DU-20, Fengchi GB-20, Shugu
UB-65 and Wuhuwu 1 1 . 27-5.

A. Linggu 22.05
Location:
On the dorsum of the hand, Linggu 22.05 is located in the junction be­
tween the index finger and thumb, the 1 st and 2nd metacarpal bones. It is
posterior to Hegu LI-4 in the ju net.ion bet\.veen the I sr and 2nd metacarpal
bones.
Needling:
With the patient's hand held in a loose fist, needle Linggu 22.05 on the
opposite (healthy) side. Insert the needle ben.veen the thumb and index
finger in the junction beween the 1 st and 2nd metacarpal bones and nee­
dle along the bones. Perpendicular insertion 1 .5 cun and ask the patient to
stomp on the affected heel and exercise the heel for 1 to 2 minutes. Retain
the needle for 30 minutes. Manipulate the needle every 1 0 minutes and ask
the patient lo repeat the exercise at the same time.
Analysis and Experience:
Heel pain is a commonly seen disorder. According to Chinese medicine,
it is ascribed to bone-bi syndrome caused by external pathogens, such as
wind, cold and dampness. Linggu 22.05, located beween Hegu Ll-4 (wood)
and Yangxi LI-5 (fire), is indicated for regulating qi and warming yang.
It is very effective for treating disorders caused by wind, cold and damp.
According to holographic correspondence, Linggu 22.05 corresponds to
the heel. Therefore, it can also treat heel pain. Nfodern medicine believes
that heel spurs could cause heel pain. Based on the treatment principle of
"treating bone with bone", needling this point along the bone will tonify
the kidney to treat heel spurs with exceptional results. Clinical experience
shm.vs that those who have a warm sensation at the affected heel area after
needling (usually between 5 to 1 0 minutes after insertion), will have better
therapeutic results.

B. Daling PC-7
Location:
Daling PC-7 is located in the middle of the wrist crease in the depression
bet\>veen the tendons of palmaris longus and ftexor carpi radialis.
Needling:
Needle Daling PC- 7 on the opposite (healthy) side (if the point is sore when
palpated, better results will be attained). After standard sterilization, insert
the needle 0.5 cun at Daling PC-7 . Use even-tonifying even-reducing tech­
nique until the patient feels a sore, numbing, heavy or distended sensation

230
 Cha/Jler 15 / Heel and Sole Pain

al the affected area. During manipulation, ask the patient to stomp the
affected heel. l ote that the manipulaLion should not be too strong. ReLain
the needle for 30 minutes. Manipulate the needle every I 0 minutes and ask
the patient to repeat the exercise al the same time.
Analysis and Experience:
Treating heel pain with Daling PC-7 is based on the Lrealment principle
of "if the disease is below, select points above". The pain will generally
subside after 5 to I 0 minutes. DaJing PC-7 is the yuan-source point of
hand jueyin Pericardium meridian. Yuan-source points are indicated for
soothing the tendon and invigorating the blood. Clinically, it is often used
Lo treat local tendon and meridian injuries such as carpal Lunnel syndrome,
drop-wrist and spasms of the hand. According to holographic correspon­
dence, Daling PC-7 corresponds to Lhe heel and therefore needling Daling
PC-7 can treat heel pain. Daling PC-7 is also an empirical point for heel
pam.

C. Zugendian [EX]
Location:
Zugendian [EX] is located 0.5 cun inferior co Daling PC-7 on the line con­
necting Da!ing PC-7 and Laogong PC-8, at the junction •;.. from Daling
PC-7 and 31.. from Laogong PC-8.
Needling:
eedle Zugendian [EX] on the opposite (healthy) side by using a 28 to 30
gauge needle. Oblique insertion 0.3-0.5 c u n to"vvard Lhe finger. Once qi
is acquired and when the patient has the sensation of soreness, tingling,
heaviness or distension, increase the intensity and the range of manipu­
lation to the degree the patient can Lolerale. Ask the patient to stomp Lhe
affe cted heel and exercise lhe heel for l -2 minutes. ReLain the needle for
30 minutes. Manipulate the needle every lO minutes and ask the patienL to
repeat the exercise al the same time. Repeat the treatment every other day.
Analysis and Experience:
Based on the treatment principle of "if the disease is below, select points
above", Daling PC-7 is a distal point for this disorder. Zugendian [EX] is
a specific empirical point for heel pain which is in accordance with ho­
lographic correspondence. Sometimes lhe treatment result is even better
than Daling PC-7. Regardless of the cause of heel pain, this treatment
principle is effective. For less severe disorders, the pain can be resolved
with one or two treatments. For chronic disorders, it may need a few more
treatments.

D. Baihui DU-20
Location:
Baihui DU-20 is located on the crown of the head, at the crossing point

231
One Needle Therapy / Part II: Pain Syndromes

of the mid.line of the head and the line connecting the apex of the ears
(midpoint of the line connecting the two ear apex).
Needling:
After standard sterilization, insert a 30-gauge needle in Baihui DU-20 with
tonifying technique. eedle along the Du me1idian from the posterior to­
ward the anterior aspect at Baihui DU-20. l\!Iove the needle 3 times for­
ward and I time backward, from shallow to deep, hold the needle tightly
and slowly lift 9 times. Ask the patient to stomp the affected heel and ex­
ercise the heel for I to 2 minutes at the same time. Retain t11e needle for
30 minutes. Manipulate the needle every 1 0 minutes and ask the patient to
repeat the exercise at the same time. Once the needle is removed, quickly
close the insertion site. Repeal the treatment once a day.
Analysis and Experience:
Heel pain is often caused by kidney yang deficiency, descending original
yang and kidney deficiency with dampness residing. Kidney meridian tra­
verses around the whole heel and is closely related to Du meridian. Du
meridian masters all yang me1idians and it i s the sea of yang me1idians. It
can raise the descending original yang and regulate kidney qi to treat sole
(heel) pain. Also, according to holographic correspondence, Baihui DU-20
corresponds to the heel. That is why it is effective in Lreating heel pain.

E. Fengchi GB-20
Location:
Fengchi GB-20 is located behind the ears and posterior to the occipital
bone, in the depression inferior to the posterior hairline. vVith the patient
sitting in an upright position, use tl1e finger to palpate the point in the de­
pression below tl1e occipital bone. Alternatively, the point is on the neck,
inferior to the occipital bone, lateral to and level with :Fengfu D U- 1 6 in the
depression between the upper portion of the sternocleidomastoid muscle
and tl1e trapezius.
Needling:
With d1e patient sitting upright, needle ilie healthy Fengchi GB-20. Use a
28 or 30-gauge needle with the tip pointing toward the opposite eye. Insert
the needle 0.5 to l cun. Once qi is acquired, quickly manipulate the needle
for I or 2 minutes and ask the patient to stomp the affected heel and exer­
cise the heel 5 to I0 times. Retain the needle for 30 minutes. Manipulate
the needle every I 0 minutes and repeat the exercise at the same time. This
technique is for one-sided heel pain.
Analysis and Experience:
Qj.ao (fiti) means heel. Needling Fengchi GB-20 to treat heel pain is in ac­
cordance with Difficulty 28 of an Jing - Er Shi Ba Nan « �jl}�» Jg.=
+J\.Jlt "Yangqiao meridian starts at the middle of the heel, follovvs the
lateral malleolus and ascends to Fengshi GB-3 1 " and "Yinqiao meridian

232
 Chapter 15 / Heel and Sole Pain

also starts in Lhe middle or the heel, follows the medial mallcolus ascends
to the throat and intersects with and penetrates Chong meridian.' This ex­
plains the principle of the cycles of Yinqiao and Yangqiao meridians. The
qi of these two meridians are connected with foot shaoyin and foot taiyang
meridians. According LO the treatment principle or "if the disease is below,
select points above" needling Fengchi GB-20 can reach the heel through
Yangqiao and Yinqiao meridians. It can e>q)el wind and drain dampness,
clear the meridian and .invigorate blood. Based on the treatment principle
of '\.vith movement, there is no pain", i t achieves the purpose of treating
heel pain.

F. Shugu UB-65
Location:
On the lateral aspect or the foot, Shugu UB-65 is located in the depression
posterior and inferior to the head or the 5th metatarsal bone, in the junc­
tion of the red and white skin.
Needling:
Perpendicular insertion I cun at Shugu UB-65 on the healthy side and
ask the patient to stomp the affected heel then exercise the heel for I to 2
minutes. Retain the needle for 30 minutes. Manipulate the needle every I 0
minutes and ask the patient to repeat the exercise at the same rime.
Analysis and Experience:
Shugu UB-65 is the shu-stream point of Urinary Bladder meridian. As
"shu-stream points arc indicated for heaviness of the body and for joint
pain", they are tJ1c most commonly used points for pain. They arc espe­
cially effective in treating pains that traverse in the pathways of their cor­
responding meridians. Shugu UB-65 is the wood point of water meridian
rinary Bladder) and is indicated for nouri hing ·water to moisten wood;
therefore it can treat numerous disorders. Heel pain is mostJy due to kid­
ney deficiency. Bladder and Kidney meridians arc exteriorly and interiorly
related; therefore points of Urinary Bladder meridian can treat disorders
of Kidney meridian. Bone spurs often cause heel pain. Shugu UB-65 is
generally needled along the bone; therefore it is very effective in treating
heel pain. Kidney masters the bones, needling a point along the bone treats
kidney. Therefore, Shugu UB-65 is very effective in treating heel pain.

G. Wuhuwu 1 1 .27-5
Location:
Wuhuwu 1 1 .27-5 is located on the radial aspect of the proximal segment
on the palmar side of the U1umb.
Needling:
The Wuhu I I . 2 7 five-point unit is located on Line A (along the thumb
at the junction of the red-and-white skin). Thci-c are a total of 5 po i n ts .

233
One Needle Therajry / Part !I: Pain Syndromes

Divide the segment bet:\.veen the two creases into six equal portions from
the distal crease tovvard the proximal crease, in the order of Wuhuyi 1 1 .2 7-
1 , \Vuhu'er 1 1 .27-2, Wuhusan 1 1 .27-3, Wuhusi 1 1 . 27-4 Wuhuwu 1 1 .27-5.
Needle Wuhuwu 1 1 .27-5 on the healthy side. After insertion, ask the pa­
tient to stomp the affected heel and exercise the heel for 1 minute. Retain
the needle for 30 minutes. ·Manipulate the needle every 5 to 1 0 minutes
and ask the patient to repeat the exercise for l minute at the same time.
Analysis and Experience:
The Wuhu 1 1 .2 7 points have wide application. The sequential arrange­
ment and function of the five points are closely related to holographic
correspondence. Master Tung believed that 'Vuhuwu 1 1 . 2 7-5 is indicated
for the spleen. Spleen masters the four limbs. Although Wuhu po.ints "treat
swelling bones", they are mainly .indicated for the extremities. According to
holographic correspondence, 'Vuhuwu 1 1 .27-5 corresponds to the lowest
part of the body, which is the ankle and heel. Therefore, vVuhuwu 1 1 .27-5
is effective in treating heel pain.

234
 ChajJ/er 1 6 / C'l1est Pain

Chapter 16

Chest Pain

Chest pain is a commonly seen clinical condition. Causes of chest pain may
include, but are not limited to, pathological changes of the chest wall, chest
organs or mediastinum. The chest houses the heart and the lung. Lung masters
qi and is the center of the ascending and descending of qi mechanism. H eart
masters blood and directs the circuJation of blood. Chest pain is often related
to the heart and l ung. The etiologies of chest pain are qi stagnated in the chest,
phlegm obstructed in the lung or blood stasis in collaterals of the heart. These
all can contribute to obstruction of lung qi, blockage of chest yang, sl uggish
heart blood and blood stasi. at the chest collaterals causing chest pain.
For chest pain caused by external injuries or trauma, bone fractures, lung
abscess or esophageal disorde1� the practitioner should treat the original cause
of the disease, which will not be covered in this chapter.
The intensity of chest pain docs not always reflect the severity of its pri­
mary cau es. Therefore 'vvhen treating chest pain, one must pay special atten­
tion to its characteristics. First, make thorough inquiry of the patient about
the etiology, location (such as precordial area, posterior sternum, or along the
intercostal space), time when the pain occurs (such as breathing or coughing,
when pressed, or when eating), nature of the pain, i n tensity of the pain, if the
pain radiates (such as sharp pain, continuous dull ache or colic pain) and fac­
tors that alleviate or aggravate the pain. If necessary, request patients to take
tests such as X-ray, electrocardiography and serological enzyme examination.

ONE NEEDLE THERAPY POINTS FOR CHEST PAIN

The most commonly used one needJe therapy points for chest pain are:
Neiguan PC-6, Yttji LU- I 0, Chongxian 22.02, Huoling 33.05, Huobao 55.0 I ,
Sihuazhong 77.09, Sihuawai 7 7. 1 4, Tangshan 88.02 and Simazhong 88. 1 7 .

235
One Veed/e Therajry / Part II: Pain Syndromes

A. Neiguan PC-6
Location:
\Vi th the patient's palm facing up, Neiguan PC-6 is located 2 cun proximal
from the wrist crease, between the tendons of palmaris longus and flexor
carpi radialis.
Needling:
Perpendicular insertion 1 to 1 .5 cw1. Retain the needle for 30 minutes.
Manipulate every 1 0 minutes. Strongly apply reducing technique to in­
crease the 11ecdle sernaliun ;:tnd ask tl1e patient lu inhale deeply al the s<:tme
time to guide qi to the chest.
Analysis and Experience:
Neiguan PC-6 is clinically known as one of the most frequently used acu­
puncture points and is indicated for many disorders. Neiguan PC-6 is the
luo-connecting point of hand jueyin Pericardium meridian. A branch of
Pericardium meridian diverges to hand shaoyang Sanjiao meridian. The
two me1idians intersect again in the chest. Furthermore, Neiguan PC-6
is one of the eight confluent points and connects with Yinwei meridian.
Yinwei meridian masters yin of the entire body, which, through Gongsun
SP-4, connects with Chong meridian. The network meets at the heart,
chest and stomach. Therefore, Neiguan PC-6 can treat disorders of the
heart, chest and stomach. Wu Zang Xue Ge «JiJ!/\:iifJ.:» which was ,

written in recent years, says, " eiguan PC-6 is indicated for disorders of
the chest cavity". This indicates that Neiguan PC-6 is considered a ma­
jor point as important as Zusanli ST-36, Hegu LI-4, Lieque LU-7 and
\ Veizhong UB-40 for disorders of the chest.
Neiguan PC-6 is ascribed to hand j ueyin meridian. "It is located in
Pericardium meridian and connects to Heart meridian". It is closely re­
lated to the heart and is especially indicated for heart disorders. In addition
to treating angina, it can release pain. eedling I eiguan PC-6 is proven
to be effective in improving the left ventricular function and strengthening
myocardial contractility. This indicates that needling Neiguan PC-6 has
significant effects over the function of the heart.
eiguan PC-6 is the luo-connecting point of Pericardium meridian.
Heart masters blood and collaterals. eiguan PC-6 is also connected to
the Sanjiao meridian, which masters qi and regulates circulation of qi and
blood of the L 2 regular meridians. Needling eiguan PC-6 is effective
for improving disorders caused by qi and blood stagnation. Furthermore,
_ ciguan PC-6 is indicated for calming and pain relief It treats all kinds of
pain syndromes. Neiguan PC-6 can also soothe and regulate the qi circu­
lation of the chest. It is very effective for chest pain, hypochondriac pain,
binding sensation in the chest, asthma, distention of the chest and epi­
gastria, fullness and distended sensation on the hypochondriac region.

236
 Uwpter 16 / Chest Pain

B. Yuji LU-10
Location:
In the depre sion posterior to the I st metacarpal joint, Yuji LU- L 0 is lo­
cated on the radial aspect in the middle of the metacarpal bone, at the
junction of the red and white skin.
Needling:
• eedle Yuji LU- 1 0 on both sides. Locate the trigger point around Yuji
LU- I 0, perpendicular insertion approximately 0.5 to 1 cun. After qi is ac­
quired, manipulate the needle by twisting, lifting and thrusting strongly
and ask the patient to breathe deeply at the same time. Retain the needle
for 30 minutes and manipulate the needle every I 0 minutes.
Analysis and Experience:
As cited in Huang Di Neijing , Ling bu Chapter 24 Jue Bing «Jr�: j?.j
fo.:� · m �» }Jim: "Whether the patient is lying down or resting, the pain is
less. However, the pain is aggravated upon exertion with facial complexion
remaining the same. This kind of reverse organ qi pain is called heart-lung
organ pain and should be treated by selecting Yuji LU- 1 0 and Taiyuan
LU-9." According to Tong Ren Zhen jiu Shu Xue Tu jing «ijli]Jdlifii /t it
� 113»?.:�» : ' Select Yuji LU- l 0 . . . which is indicated for bi (neuropathy)

that spreads to the chest and back. It is so painful that the patient cannot
rest. ' These ancient texts indicated that Yuji LU- 1 0 treats chest pain. Yuji
LU- 1 0 is the ying-spring point of I . 1 1 ng meridian and can effectively clear
lung heat. Yttii LU- 1 0 is mainly used for treating chest pains due to lung
and pleura disorders. Generally the symptoms are relieved once needled.

C. Chongxian 22.02
Location:
Chongxian 22.02 is located on the palmer aspect of the patient's hand,
Chongxian 22.02 is located 2 cun inferior to the web between the 1 st and
2nd metacarpal bones. It communicates vvith Linggu 22.05 which is lo­
cated on the dorsal aspect of the hand (i.e., it is opposite to Linggu 22.05
on the other side of the hand). \Vith the patient's palm facing up and the
five fingers held together, draw a line from the index finger and the first
knuckle of the thumb and locate Chongzi 22.0 l at the intersection. Then
draw a line parallel to the border of the radial aspect, where Chongxian
22.02 is located ( I cun obliquely inferior to Chongzi 22.0 I ).
Needling:
Perpendicular insertion 1 cun using a 1 .5 cun needle. Only one point
(Chongzi 22.0 1 ) is sufficient; however, needle both points (Chongzi 22.0 1
and Chongxian 22.02) at the same time will attain beller results. After qi is
acquired, manipulate the needle by lifting, thrusting and twisting strongly
and ask the patient to take deep breaths at the same time. Retain the needle
for 30 minutes. 1anipulate the needle every l 0 minutes.

237
One .Needle ThemPJ' / Part 11: Pain SJ1ndmmes

Analysis and Experience:

Chongxian 22.02 is located within Lung meridian and is close to Yuji LU­
I 0. Needling Chongxian 22.02 can relieve chest pains and treat respira­
to1y disorders related to the lung such as pneumonia, bronchitis, bronchial
asthma and phlegm that is difficult to expectorate. This point is strongly
indicated for disorders of the lung and pleura leading to chest pain. Most
often the symptoms vvill be released immediately.

D. Huoling 33.05
Location:
Huoling 33.05 is located 2 cun proximal to Zhjgou SJ-6.
Needling:
With the patient's palm on the chest, the point is located 2 cun proximal to
Huochuan 33.04. Insert the needle 0.5 to l cun (Huoshan 33.06 is 2 cun
proximal to Huoling 33.05; better results will be attained if both points
arc needled at the same time). Once qi is acquired, strongly manipulate
the needles by thrusting, lifting and l:\yjsting and ask the patient to exercise
deep breathing to guide qi to the chest. Retain the needles for 30 minutes.
l\tfanipulate the needles eve1y l 0 minutes and ask the patient to exercise
deep breathing at the same time.
Analysis and Experience:
Huoling 33.05 is on Sar�jiao meridian which is exte1iorly-interiorly related
to Pericardium meridian. It is indicated for tightness of the chest, chest
congestion and chest pain. For these reasons, with deep needling through
Sanjiao meridian, Huoling 33.05 has a particular ability to treat chest pain,
tightness of the chest and chest distension with great results. Additionally,
in accordance with holographic correspondence, this point is located on
the upper jiao of the arm, another reason Huoling 33.05 treats chest pain.

E. Huobao 55.01
Location:
Huobao 55.0 1 is located in the center of the distal crease of the plantar
aspect of the 2nd toe. This point is also called Duyin [EX] .
Needling:
With the patient in a supine position, locate the point in the center of the
distal crease of the plantar aspect of the 2nd toe. Perpendicular insertion
0 . 3 to 0.5 cun. Bleed the point with a three-edged needle. Immediate re­
sults can be observed once dark brown blood is present.
Analysis and Experience:
Huobao 55.0 l (means "fire encompassing") is often selected to n-eat disor­
ders of jucyi.n pericardium. It is very effective for relieving angina pectoris
with colicky pain. However, pricking Huobao 55.0 1 can obtain even bet­
ter results. Huobao 55.0 l is located on Stomach me1idian. Through the

238
 Chapter 16 / Chest Pain

extrao rd i nary connection between Stomach and Pericardi u m me ridi ans,

needling Huobao 55.0 I is ,·ery effccti,·e for relieving chest pain due to
angina pccto ris.

F. Sihuazhong 77 .09
Location:
Sihuazhong 7 7 .09 is located +.5 cun directly inferior to Sihuashang 7 7 .08 .
In anotl1cr words, Sihuazhong 7 7 .09 i 0.5 cun anterior to Tiaokou ST-38.
Needling:
\!\Tith a three-edged needle to bleed the bl u ish -g reen veins around
Sih ua zh o ng 77.09 to relea. e dark brown blood.
Analysis and Experience:
Sihuazhong 7 7 .09 is a ve1y widely used p oi nt. Bl eeillng i t with a three­
edged neeclJe is very effective for hardening of the arteries and is espe­
cially eITecti,·e for pul mo n ary heart disorders leading to tightening and
pain of the chest. Sihuazhong 77.09 is located on tomach meridian be­
tween Shangj u xu ST-37 (lower he-sea point of Large Intestine meridian)
and Xiajuxu ST-39 (lower he-sea point of Small Intestine me rid ian), in
tl1e middle of the cal( The nature and location of the poi n t is assoc i­
ated with "middle" or "center" which i s stro ngly indicated for regulating
stomach and in testi nes. i huazho n g 77 .09 is indicated for disorders of the
heart and lung. Since it is in the middle of the lower leg as well as on
Stomach meridian, it strongly regulates the earth. According to the treat­
ment p 1;nciple of "reduce me son LO strengthen the mother", bleeding
the eartl1 (son) to st re n gth en the fire (mo the r) can also generate the metal.
T herefo re , Sihuazhong 7 7 .09 is very effective for pulm on ary heart disor­
ders and bleeding this point will have even better results. Please note that
when bleeillng Sihuazhong 7 7 .09, it is safer to be at least 0.5 cun away
from the fibula.

G. Sihuawai 77.14
Location:
Sihuawai 77 . 1 4 is located 1 .5 cun lateral to Sihuazhong 7 7 .09.
Needling:
Prick the point with a three-edged needle to release the dark brown blood.
Analysis and Experience:
Sihuawai 7 7 1 4 i s one of tl1e most
. i mp ortan t po i nts for ble edi ng. It is also
Master Tu ng's point of choice to bleed. It is ,·cry e ffective in t re at ing chest
distension and chest pain. Simply p1;ck tl1e bluish-green veins around
the poi nt and not necessarily ilie point itself. Sihuawai 77 . 1 4 is located
close to Fenglong ST-40, the "hui-mccting point of phlegm " . Needling
Sihuawai 7 7 . 1 4 will resolve ph legm while bleeding i t wi ll invigo ra te blood.
Therefore, ir creats both phlegm and blood stasis sy nd romes at the same

239
One \eedle Thera/�Y / Part II: Pain Syndromes

time. Bleeding this point is especially indicated for difficult and compli­
cated djsorders. \\Then combined with Sihuazhong 7 7.09 the results are
even better. Bleeding this point is very effective in treating heart disorders
caused by phlegm and blood stasis as well as lung disorders which all can
cause chest pain.

H. Tongshan 88.02
Location:
Tangshan 88.02 is located 2 cun superior to Tongguan 88.0 I (Tongguan
88. 0 1 is located on the anterior midline of the femur, 5 cun superior to the
knee crease).
Needling:
Perpendicular insertion 0.5 to 0.8 cw1. Once qi is acquired, strongly ma­
nipulate the needle by thrusting, lifting and twisting and ask the patient
to breathe deeply at the same time. Retain the needle for 30 minutes and
manipulate the needle every 1 0 minutes.
Analysis and Experience:
Tongguan 88.0 1 , Tangshan 88.02 and Tongtian 88.03, are the essential
points in treating heart and blood circulation disorders. This set of points
is located closely to Stomach meridian. Through the extraordinary con­
nections between stomach and pericardium, this point can treat heart dis­
orders. Futu ST-32, which lies between Tongguan 88.0 l and Tongshan
88.02, is the luo-connecting point of vessel and collateral (cited from Zhen
Jiu Da Cheng «tt�:;kpj(;» ) . According to the treatment pri nciple of
"use vessels to treat \·essels'', Tangshan 88.02, therefore, is quite effective in
treating heart disorders including chest pain.

I. Simazhong 88. 1 7
Location:
\Vith the patient stands erect and with hands alongside the thighs,
Simazhong 88. 1 7 is 3 cun anterior to the point at the middle finger tips.
Needling:
Perpendicular insertion 0.8 to 2.5 cun. Once qi is acquired, strongly ma­
nipulate the needle by thrusting, lifting and twisting. Ask the patient to
breathe deeply at the same time. Retain the needle for 30 minutes and
manipulate the needle every 1 0 minutes.
Analysis and Experience:
Sin1azhong 88. 1 7 is especially indicated for chest pain caused by deficiency
o[ lung mechanism, or chest and back pain due to external chest trauma.
Simashang 88. 1 8, Simazhong 88.1 7 and Simaxia 88. 1 9 are particularly
effective points for the lung organ disorder syndromes. Simazhong 88. 1 7
treats chest pain, intercostal pain and chest pain radiating to the back. It is
an essential point for tonifying and regulating qi, hence it can treat many

240
 Chapter 1 6 / Chest Pain

syndromes. Sima points (88. 1 7, 88. 1 8 and 88. 1 9) are located on fool yang­
ming Stomach meridian which has abundant qi and blood, therefore Lhese
points are excellent for regulating qi and blood.

241
One. \eedle TheraPJ' / Part II: Pain !:iJ111dromes

Chapter 1 7

Hypochondriac Pain

Hypochondriac pain is a disorder characterized by pain over the unilateral or

b ilateral sides of the hypochondriac region. This pain is the result of disor­
ders of the hypochondriac region and chest wall. The etiologies are contusion,
su·ain or injury of the ribs or soft tissue and intercostal neuritis. The pain is
usually localized and worsened when pressed. The characteristics of the pain
can be subtle, distended, dull, piercing, or colicky. The pain is aggravated by
deep breathing, coughing, sneezing, or when raising the arms.
Besides straining of the chest and back muscles, or contusion resulting
from obstmctions of the collaterals, costal chondritis (inflammation of the cos­
tal cartilage) is also a common cause of hypochondriac pain. Costal chondri­
tis mostly occurs at the area between the second rib and its costal cartilages.
Swelling is observed in the affected area. Pain in the hypochondriac region
can be caused by intercostal neuralgia (i.e. episodic, sharp, radiating pain from
areas innervated by one or more intercostal nerves) and shjngles (most likely
caused by viral infection) can also cause pain in the hypochondriac region.
Sometimes hypochondriac pain is attributed to disorders of the organs in
the chest and abdominal cavities. Examples include acute or chronic abnor­
malities of the liver; gallbladder or pleura. Since the hypochondriac region is
located closely lo the liver, the pain in the hypochondriac area is often related
to the liver. Liver locates behind the r; b cage and its meridian traverses hypo­
chondi;ac regions on b otl1 sides. Liver qi stagnation, blood stasis and liver
yi n deficiency can cause hypochondriac pain. Huang Di Nei Jing, Ling Shu
Chapter 20 Wu Xie «JtW pg �,film;tm • li?f��» says, "When the pathogens
-

are in the liver, there will be hypochondriac pain." Distended pain that moves
around in the hypochondriac area is often increased with emolional changes
accompanied with reduced appetite and tightness in the chest. This is called

212
 Cha/Jfer 1 7 / HJ1poclwndriac Pain

liver qi stagnation in Chinese medicine and should be differentiated from chest

wall pain.
This disorder belongs to the category of "hypochondriac pain" in Chinese
r ledicine. Over exertion, chronic cough, bone and tendon Lrauma, wind-heat
v
stagnation, emotional stress and depression and obstruction of Liver meridian
and collateral resulting in loss of ability to spread liver qi can all contribute Lo
qi stagnation and blood stasis, resulting in pain. Depending on the condition
of qi and blood, hypochondriac pain manifests with different characteristics:
qi stagnation causes distending pain; blood stasis causes stabbing pain; where­
as blood deficiency causes dull pain.
The most commonly selected points for hypochondriac pain are Zhigou
SJ-6 and Yanglingquan GB-34, which are ascribed to hand and foot shaoy­
ang meridians respectively. Biao You F u «f!tm!M» says, "for hypochondri­
ac and rib pain, needle Feihu (another name for Zhigou SJ-6)" . Tong Xuan
Zhi Yao Fu «:iil "R t��Jliit » says, "For pain at hypochondria and ribs, nee­
dle Yanglingquan GB-34 and the pain will stop immediately." Both points
should be strongly manipulaLed with reducing Lechnique and ask the patienl to
breathe deeply and stretch the body at the same time to guide qi to the chest
and hypochondriac regions. Qjmrn GB-40 is the yuan-source point of foot
shaoyang meridian. It may be needled deeply toward Zhaohai KID-6. Qjmen
LIV- 1 4-, Taichong LIV-3, Ganshu UB- 1 8 and Danshu UB- 1 9 are all used Lo
disperse the stagnated liver qi and free the obstructed hypochondriac region .
If the pain area is relatively sizeable, Neiguan PC-6 can b e added to remove
the congested qi and relieve chest tightness.

ONE NEEDLE THERAPY POINTS FOR HYPOCHONDRIAC (RIB)

PAIN
The commonly used one needle therapy points for hypochondriac (rib) pain
are: Yanglingquan GB-34, Zhigou SJ-6, Qiuxu GB-40, Zhaohai KID-6,
I eiguan PC-6, Sanchasan A.04, Yuji LU- 1 0 and Xingjian LIV-2.

A. Yanglingquan GB-34
Location:
On the lateral aspect of the lower leg, in the depression anterior and infe­
rior to the head of the fibula.
Needling:
Perpendicular insertion 1 .5 to 2 cun on the affected side. Aft er qi is ac­
quired, use reducing technique (or strongly manipulate the needle) and
ask the patient to breathe deeply and stretch the body to guide qi to the
hypochondria. The pain should subside immediately. ReLain the needle for
30 minutes. Manipulate the needle every 1 0 minutes and ask the patient to
breathe deeply and stretch the body to guide qi to the hypochondria.

243
One , \eedle Them/)_)' / Part II- Pain .�)'lldromes

Analysis and Experience:

Yanglingquan GB-34 is the he-sea point of foot shaoyang Gallbladder
meridian. Due to the region the meridian pathway traverses, it was com­
monly agreed in ancient texts that Yanglingquan GB-34 is the point of
choice in treating hypochondriac pain. Za Bing Xue Fa Ge «�m/\:r!
�» ays, "Only need Yanglingquan GB-34 to treat hypochondriac pain."
Tong Xuan Zhi Yao Fu «:i.fil'E":f���» say , " Hypochondriac and rib
pain can be relieved immediately by needling Yanglingquan GB-34." As
cited in Wo Yan Ling Xiao Ying Xue Ge «�:E-�%/:fflt/\:�» : "Needle
Yanglingquan GB-34 will immediate stop hypochondriac pain, especially
when combined with Zhigou tJ-6", which emphasizes the excellent re­
sults when it is combined with Zhigou SJ-6. He-sea point drain adverse
flow of qi. Since Yanglingquan GB-34 is the he- ea point of Gallbladder
meridian, it can regulate the zangfu organs and benefits qi of haoyang
meridian, thereby stopping the hypochondriac pain.

B. Zhigou SJ-6
Location:
Zhigou SJ-6 is located on the posterior aspect of the forearm, I cun di­
rectly proximal to '\'aiguan !J-5 3 cun proximal to Yangchi !J-4, in the
depression between the ulna and radial bones.
Needling:
Perpendicular insertion 1 .5 to 2 cun on the healthy (opposite) side. After qi
is acquired, strongly manipulate the needle by thrusting, lifting and twist­
ing and ask the patient to breathe deeply and tretch the body at the same
time to guide qi to the hypoehondi;a. All of the symptoms should subside
immediately. Retain the needle for 30 minutes. l\ [anipulate the needle ev­
ery 5 to 10 minutes and ask the patient to breathe deeply and stretch the
body at the same time.
Analysis and Experience:
1 eedling Zhigou SJ-6 is especially indicated for treating intcrcostal neu­
ralgia. Hypochond1;ac pain originates from the li\·er and gallbladder. The
liver is located beneath the hypochondrium; its meridian tra,·erses in the
hypochon®ac region. The gallbladder is atcachcd to the liYer and its col­
laterals are also distributed over the same regions. Shaoyang andjucyin are
interiorly-exteriorly related to each other and both hand and foot shaoy­
ang meridians pass through the hypochondriac region. "The acupuncture
points of a meridian treat the parts of the body travelling along that merid­
ian.· As cited in Zhen Jiu Jia Yi Jing «H� Efl Z.J,fil» : '1\.c utc hypochon­
d1;ac pain can be rreated by Zhigou SJ-6." Biao You Fu «fl�l!lit» says,
".l\eedle Feihu (Zhigou Sj-6) to relie\·e pain in the 1;bs and hypochondriac
area." Yu Long Ge «.3S.'A'g�» says, "Zhigou SJ-6 possess an extraordi­
nary effect in treating hypochondriac pain accompanied by constipation."
 Chapter 1 7 / 1-lj'/Jocho11drinc Pain

Yi ZongJinjian «�*�ii» says, "Zhigou SJ-6 . . . lor hypochondriac

pain." All of these classic texts highly suggest Zhigou SJ-6 is especially in­
dicated for hypochondriac pain.
In addition, Wuo Yan Ling Xiao Ying Xue Ge « rJA ::F-f&l%(Jf�/\:�»
and Sheng Yu Ge «Jl�.:li�» say, "Needle Yanglingquan GB-34 and
Zhigou SJ-6 the pain in the hypochondriac and costal regions will stop
immediately." Zhigou SJ-6 treats intercostal neuralgia with outstanding re­
sult especially when combined with Yanglingquan GB-34.
Zhigou SJ-6 is ascribed to hand shaoyang Sanjiao meridian. Zhigou SJ-6
can soothe the now of qi, free the obstruction and open the orifices, acti­
vate the collaterals and disperse stagnation, and regulate zangfu organs. It
is particularly eAective in treating hypochondriac pain caused by liver qi
stagnation.
Empirically speaking, although both Yanglingquan GB-34 and Zhigou
J-6 are important in treating hypochondriac pain, Yanglingquan GB-34
eems to be more effective in treating the lateral region and Zhigou SJ-6
the anterior region.

C. Qiuxu GB-40
Location:
Qiuxu GB-40 i. located anterior and inferior to the external mallcolus in
the depression on the lateral aspect of the tendon of extensor digitorum
longus. Or draw a line along the anterior edge and inferior edge of the lat­
eral malleolus, locate Qiuxu GB-40 in the depression at the crossing point
of the two line .
Needling:
With the patient sitting upright or lying in a supine position, needle the op­
posite Q1ealthy) QitLxu GB-4-0. After standard sterilization, perpendicular
insertion I to 1 .5 cun by using a 1 .5 to 2 cun needle. After qi is attained,
manipulate the needle by rotating in a wide range for I minute and ask the
patient to breathe deeply and stretch the body at the same time to guide
qi to the hypochondria. Retain the needle for 30 minutes. �!fanipulate the
needle every I 0 minutes by rotating in a wide range (strongly reducing
technique) to trengthen the needle sensation and ask the patient to breathe
deeply and stretch the body at the same time.
Analysis and Experience
Qiuxu GB-40 is the yuan-source point of foot shaoyang Gallbladder me­
ridian. Qiuxu GB-+O can disperse blood stasis, soothe the liver qi and ben­
efit Lhe gallbladder. It is an important point in treating stagnant liver and
gallbladder qi and pain in chest and hypochondriac area. Zhen j i u j ia Yi
Jing «tt� 1'13 Z:.f.�» says, "Qiu..xu GB-40 is indicated for lower back pain
and pain on both sides of the hypochondriac region. It is al o indicated for
sore <:tnd cramped legs." Qian Jin Yao Fang «T-��1J» says, "Qiuxu

2-15
One .\ eedle Therapy / Part IL Pain Syndromes

GB-40 relie\'es stabbing pain in the chest." Qjuxu GB-40 is commonly

used nowadays to treat intercostal neuralgia, cholecystitis and biliary colic.
lntercostal neuralgia is caused by qi and blood tagnation of the meridians
and collaterals in the chest and hypochondriac regions. 'Vithout movement
in the collaterals there is pain. Qjuxu GB-40 is t.he yuan-source point of
Gallbladder me1·idian. Yuan-source point is where the original (source) qi
of the zangfu organs traverses and stays in each meridian. Needling Qjuxu
GB-40 can smooth the qi Aow in foot shaoyang Gallbladder me1idian.
Once qi and blood flow smoothly, the pain cau ed by stagnation will disap­
pea1� Therefore, Qiuxu GB-40 is an important point in treating chest and
hypochondriac pain.
Needling Qjm...'U GB-40 can achieve outstanding results in alleviating
\'arious kind of pain of the chest and hypochondriac region. Through
neeclling from QjtL-xu GB-40 to\\'ard Zhaohai K.ID-6 can effectively and
quickly relieve pain of biliary colic. It can al o quickly relie\·e difficult
breathing or shortness of breath caused by hypochondriac pain.

D. Zhaohai KID-6
Location:
'Vith the patient sitting upright, Zhaohai KID-6 is located in the depres­
sion inferior to the tip of the medial mallcolus.
Needling:
After standard ste1ilization, perpendicular insertion 1 to 1 .5 cun on the
opposite (healthy) Zhaohai KID-6. ;vfanipulate t.he needle by repeatedly
lifting, thrusting and twisting and apply reducing technique to trengthen
the needle sensation. Ask the patient to breathe deeply and stretch the
body at the same time to guide qi to the hypochondria. Retain the neecUe
for 30 minutes. Manipulate the needle every 5 to 1 0 minutes and ask the
patient to breathe deeply and stretch the body at the same time.
Analysis and Experience:
Zhaohai K.ID-6 is ascribed to Kidney meridian and is one of the eight
confluent points. Emotional distress, liver qi tagnation, cold, trauma and
fall can all cause qi stagnation and blood stasis resulting in hypochondriac
pain. Combine Zhaohai KID-6 and Zhigou SJ-6 (Yu Long Ge <(li'ff�
li!i\» ) to treat constipation. Combine Zhaohai KID-6 and Dadun LIV- 1 to
treat cold hernia (Bai Zheng Fu «'jg!IJEJlilt» ). In one ancient text, Zhaohai
KlD-6 is combined with point from Sanjiao me1idian and the other with
point from Liver meridian. This indicated that Zhaohai KID-6 is related
to Liver and Gallbladder meridians. The pathway of Kidney me1idian as­
cends through the liver and diaphragm and then to the chest. This dredges
the meridians and regulates qi and blood. Therefore, Zhaohai KID-6 is
effective in treating hypochondriac pain (intercostal neuralgia).

2-/.6
 Chapter 17 / Hypoclzondriac Pain

E. Neiguan PC-6
Location:
With the patient's palm facing up, the point is located 2 cun above the wrist
crease bet\"1een the tendons of palmaris longus and flexor carpi radialis.
Needling:
Perpendicular insertion with stimulation by lhrusting, lifting and twisting
to guide qi to Waiguan SJ-5. Then use reducing technique to strengthen
the needle sensation and ask the patient to breathe deeply and stretch the
body al the same time to guide qi to the hypochondria. Retain the needle
for 30 minutes. Manipulate the needle every 5 to I 0 minutes and ask the
patient to breathe deeply and stretch the body al the same time.
Analysis and Experience:
Neiguan PC-6 is the luo-connecting point of hand jueyin meridian and its
branch reaches shaoyang meridian. Both Neiguan PC-6 and ' Vaiguan SJ-5
are of the eight extraordinary points. Needling Neiguan PC-6 through
\Vaiguan SJ-5 strongly regulates qi and blood of all twelve meridians. It
can also dredge lhe meridians and collaterals to relieve pain. It is especially
effective in treating chest and hypochondriac pain resulting from qi stag­
nation and blood stasis.

E Sanchasan A.04
Location:
With the patient's hand in a loose fist, the point is located 0.5mm (approx­
imately 0.2 cun) distal to the tendon between the 4lh and 5th metacar­
pal-phalange joints.
Needling:
Ieedle the opposite (health} Sanchasan A.04. Perpendicular insertion l
to l .5 cun along the bone distal to the vein . Once qi is acquired, ask the
patient to breathe deeply and stretch the body al the same time to guide
qi to the hypochondria. Retain the needle for 30 minutes. Manipulate the
needle every 5 to 1 0 minutes and ask the patient to breathe deeply and
stretch the body al the same time.
Analysis and Experience:
Hypochondriac pain is a commonly seen syndrome. Sanchasan A.04 is as­
cribed to Master Tung's acupuncture point system. It is located i n Sanjiao
meridian. The same name hand and foot meridians communicate with
each other. Both hand and foot shaoyang meridians pass through the hypo­
chondriac regions. According to the treatment principle of "the acupunc­
ture points of a meridian treat the parts of the body travelling along that
meridian", Sanchasan A.04, a point in hand shaoyang meridian, treats
hypochondriac pain with good results. This point is usually needled along
the tendon and bone to correspond with the liver and kidney respectively.

247
One, \eedle TheraPJ' / Par/ II: Pain S)'ndromes

LiYcr is also related to hypochondriac pain, another reason Sanchasan

A.04 is effective in treating hypochondriac pain.

G. Yuji LU-10
Location:
Yuji LU- 1 0 is located in the depression posterior to the 1 s t metacarpal
joint, located on the radial aspect in the middle of the metacarpal bone at
the junction of the red and white skin.
Needling:
Perpendicular insertion close Lo 1 cun, then manipulate by twisting the
needle during insertion. After qi is acquired ask the patient to breathe
deeply and stretch the body at the same time to guide qi Lo the hypochon­
dria. Retain the needle for 30 minutes. Manipulate the needle every 1 0
minutes and ask the patient to breathe deeply and stretch the body at the
same time.
Analysis and Experience:
Yuji LU- 1 0 is the ying-spring point of hand taiyin Lung meridian. I t is
asc1;bed to water. It can clear deficient heat and regulate lung qi. It is effcc­
ti,·e in treating hypochondriac pain accompanied by dry throat, in;tability
and vexatious heat. It is particularly effective if there is also chest pain.

H. Xingjian LIV-2
Location:
Xingjian LIV-2 is located on the dorsum of the foot between the 1 st and
2nd toes, 0.5 cun proximal to the margin of the web at the junction of the
red and white skin.
Needling:
Perpendicular insertion 0.8 to 1 cun by twisting the needle. Once qi is ac­
quired ask the patient to breathe deeply and stretch the body at the same
time to guide qi to the hypochondria. Retain the needle for 30 minutes.
fanipulate the needle every 1 0 minutes and ask the patient to breathe
deeply and stretch the body at the same time.
Analysis and Experience:
"Ying-spring and shu-stream points treat disorder of the outer me1;dian",
whereas outer meridian is related to me1;dians and collaterals and is eHcc­
tive in treating primary neuralgia. Huang Di NciJing, Ling Shu Chapter
20 - Wu Xie «JBlf 17'J*�·��» n3J�� says "When the pathogens arc
in the liver causing hypochondriac pain, select Xingjian LIV-2." Whereas
Xinjian is the ying-spring point of Liver meridian. Liver meridian pathway
traverses inferiorly to the hypochondria. Clinically, select Xingjian LIV-2
to calm hypochondriac pain.

248
 Chapter 18 / Gastritis and Stomachache

Chapter 18

Gastritis and Stomachache

I. EPIGASTRIC PAIN (STOMACHACHE)

Epigastric pain is commonly known as stomachache. It is a commonly seen
disorder. It refers to pain that is located in the epigastric (upper abdominal)
area. This disorder can be caused by deficiency cold, damp heat, irregular
diet or liver qi attacking the stomach. The pain caused by liver qi stagnation
is bloating pain which often radiates to the hypochondriac region. The pain
caused by damp heat is a burning pain and is often accompanied by borbo­
rygmus and acid regurgitation. The tongue has a yellow greasy coating. The
pain caused by spleen and stomach deficiency cold is a dull ache or cold pain.
Often the patient likes heat and massage. The patient is often fatigued and the
tongue has a white coating with a weak pulse. The pain caused by stomach yin
deficiency is characterized by dry lips and mouth and a red, dry tongue with
little or no coating. This can be summarized as qi stagnation and blood stasis.
\!\There there is blockage, there is pain.

II. STOMACH AND DUODENAL ULCERS

Stomach and duodenal ulcers are often called peptic ulcers. In Chinese medi­
cine, they are ascribed to "liver and stomach qi pain" or "epigastric pain".
Peptic ulcers have an extremely high incidence rate and are one of tl1e most
commonly seen digestive system disorders. This mostly happen to adolescence
and young, strong adults. Duodenal ulcers are more commonly seen than
stomach ulcers.
Stomach and duodenal ulcers arc characterized by pain in the upper
abdomen. The pain often manifests with the following characteristics:
1. Rhythmicpain: This pain is closely related to diet. In general, stomach
ulcer pain usually happens 30 m�inutes to 2 hours after a meal. Duodenal ulcer

249
One . \"eedle TheraPJ' / Part IL Pain Sj'lldromes

pain usually happens two to four hours after a meal. The pain may last until
the next meal is eaten .
2. Periodic episodes: In general fall to early spring are the seasons of
peptic ulcers. Peptic ulcers tend to reoccur shortly after recovery. They become
progressively worse O\·er time and can become chronic with brief periods of
relief
3. The characteristics ofthepain: The pain Ie,·el may be minor or severe
and usually lasts at least an ho u c The pain often subsides after eating. At onset,
there is a slight tenderness in the upper abdomen. For epigastric ulcers, trigger
points can be found on the midlinc or on the left aspect of the midline of the
body. As for duodenal ulcer, t rigge r points can often be found on the righ t
aspect of the midline of the body. Howeve1� when th e pain radiates to the back
bet\,·een the 8th and the I 0th thoracic spine area, this indicates that the ulcer
ha gone Lo a chronic state of perforation and may damage the nearby organs
or organs located posterior to the stomach.
In add i t i o n to upper abdominal pai n, other symptoms include belching
when the stomach is empty, acid regurgitation and borborygmus. There may
be nausea when there is pain or after a meal.
In Chinese medicine, peptic ulcers are mainly due to the following:
1. Emotional stress: This i due to emotional issues, such as nerYous­
ness, stress, worry, pensiveness and anger. These emotional stres es can cause
qi stagnat io n resulting in stomach's inabi l i ty to descend which can eventually
lead to liver and stomach disharmony and gradually, the disorder develops.
2. Im.proper diet: This is caused by diet issues such as irregular meals,
o\·er-consump t ion of raw or cold food; consuming roo much fried food result­
ing in sp leen yang deficiency or o\·er consump t ion of spicy food causing inju­
ries to the spleen and stomach. \Vhen the spleen fails to transform and trans­
port and stomach qi fails to descend, this causes stomachache.
In rece n t years, it has b e e n discovered that ulcer disorders are often related
to H . pylori infection. If peptic ulcers are nOL regulated properly after treat­
ment, they become chronic and haYe high recurrence rates. It is exprc sed in
the saying, "chronic disorders can cause pathogen entering the luo (collateral)
b·el". That causes qi stagnation a nd blood stasis, or results in middle qi defi­
ciency and spleen yang de fic ie ncy. \ Vhen qi is too weak to control blood, this
can cause hematemesis (the vomiting of blood), blood i n the stool, and perfo­
ration. \ Veakcncd righteous qi cau ·ed by the disorder will lead to coagulation
of path ogeni c qi and forms obstruction.

III. CHRONIC GASTRITIS

Primary chronic gastric ulcer, also called chronic gastritis is the leading disor­
der among all stomach disorders. Ir i stubborn and i commonly seen among
middle-aged people. The pathological changes of this chronic disorder are

250
 Chapter 18 I Gastritis and Sto111achache

mainly due to inflammation of the lining of the stomach (also known as endo­
gastritis).
The causes of this disorder are unknown. It may be related to the fol­
lowing: improper diet, smoking, O\·er consumption of alcohol, spicy, raw or
cold foods, emotional stress, vitamin B deficiency or improper treatment of
acute gastritis. Other causes arc biliary rcAux, malnutrition and autoimmune
disorder.
In Chinese medicine, chronic gastritis is ascribed to "cpigastric pain" or
'stuffiness and fullness [of the Stomach)". Chinese medicine believes that the
main etiology of this disorder stems from the spleen and stomach. Emotional
disorders if manifested as worry 'vvill inj u re the spleen; if manifested as anger
and depression 'vill injure the liver. This causes liver qi to lose its function to
disperse, and the spleen fails to transfer and transport which leads to stomach
qi disorder. Furthermore, improper diet can cause obstruct.ion of stomach qi,
and results in stomach qi mechanism impediment and failure to harmonize
and descend and eventually lead to gastritis.
The main symptoms of gastritis arc stomachache, reduced appetite,
abdominal distension, belching and acid regurgitation. Other symptoms
include duU and distended ache in the upper abdominal region which becomes
worse after meals, and indigestion symptoms such as poor appetite, belching
and vomiting.
Modern medicine usually categorizes chronic gastritis into the following
three categories:
1. Chronic Superficial Gastritis (CSG): Superficial gastritis is a term
often used to desc1;be the initial stages of chronic gastritis. Superficial gastritis
is often asymptomatic or it may have any of the abo,·e-mentioned symptoms
that are relatively mild.
2. Chronic Hypertrophic Gastritis: This is characterized by thickening
of the stomach mucosa and excessive stomach acid production resultinO" in
acid regurgitation, borborygmus and more se,·ere stomachache. There may
also be gastric bleeding.
3. Chronic Atrophic Gastritis: The atrophy of the stomach lining causes
a decrease in stomach acid secretion. Therefore in most cases patients will have
either low or nearly non-existent stomach acid. In addition to the above-men­
tioned symptoms of fullness and belching, there will also be anemia, emacia­
tion and diarrhea. In the later stage, chronic atrophic gastritis may lead to mal­
nutrition, emaciation, anemia and atrophy of the tongue. It can even become
malignant and lead to stomach cancer.
Prevention and proper treatment of chronic gastritis is the best way to
reduce the risk of stomach cancer. Other than receiving appropriate treat­
ment, patients with any kind of stomach disorder need to pay close attention to
nuu-ition. Proper diet and a healthy eating habit are ,·ery important (it is best lo

251
One Feedle. Therapy I Part IL Pain Syndromes

eat at regular hours and in regular amounts). ever over-consume. Stay away
from raw, cold temperature or cold natured, and spicy foods.

One Needle Therapy Points for Stomachache and Gastritis

The one needle therapy points for stomachache and gastritis I frequently use
are: Liangqiu ST-34, Zusanli ST-36, Zhongwan REN- 1 2, Zhengjin 7 7 .0 1 ,
Yintang [EX] , Tushui 22. 1 1 , Sihuashang 7 7 .08 and Silmawai 7 7 . 1 4.

A. Liangqiu ST-34
Location:
With the patient's knee flexed, the point is located 2 cun above the superior
lateral border of the patella in the depression between the tvvo tendons.
Needling:
'Vith the patient's knee slightly bent, insert tl1c needle quickly and apply
twisting, lifling and thrusting techniques with qi acquired by the depth of
the needle. After qi is acquired, gently massage the stomach. Stomachache
should stop immediately. Retain the needle for 30 minutes. Manipulate the
needle every 5 to 1 0 minutes and ask the patient to massage the stomach
at the same time.
Analysis and Experience:
Liangqiu ST-34 stops acute stomachache immediately. It is the xi-cleft
point of Stomach meridian. Xi-cleft points are where qi and blood of
the meridians deeply converge. They regulate qi, stop pain, astringe and
stop bleeding. Yangming meridians have abundant qi and blood. Since
Liangqiu ST-34 is the point with abundant qi and blood in the meridian
that has abundant qi and blood, it is strongly indicated for regulating qi
and blood. It is very effective in treating acute disorders of the stomach.
Its effectiveness in sedating the pains of ilie stomach and intestines is quick
and undisputable.

B. Zusanli ST-36 (Sihuashang 77.08)

Location:
Zusanli ST-36 is located on the anterio-lateral aspect of the lower leg. I t
i s 3 cun inferior t o Dubi ST-35, one finger (middle finger) width lateral
from the anterior border of the tibia (ilie result is better if a tender point
around Zusanli ST-36 is found). Sihuashang 7 7 .08 is located 3 cun inferior
to Xiyan [EX] , on the lateral aspect of the tibia, level vvid1 Zusanli ST-36.
Needling:
1 . Insert a 3 cun needle in the depth of 2 cun. After qi is acquired, strongly
manipulate by thrusting, lifting and tvvisting the needle. Retain the needle
for 30 minutes and manipulate the needle once every 1 0 minutes.
- OR -
2. Select the point by using temporal method: Needle the point according

252
 C!ta/Jler 1 8 / C:ast1itis and Stomachnche

to zi wu liu zhu branch-based method (-=flfYfrEr±�l'ff }'t branch-based

method of the midnight-noon and ebb-Dow doctrine). Every morning at
chen hours (l&lf.f belween 7 lo 9), needle Zusanli ST-36 on boLh sides.
Retain the needle for 30 minutes and manipulate the needle every 5 to I 0
minutes.
- OR -
3. Bleedi n g technique: Mainly bleed Sihuashang 7 7 .08, i . e . use a three­
edged needle to prick the bl uish-g re en veins around Zusanli ST-36 to lcl
out stagnated blood. ole: When using the bleeding technique, it is safer
and more blood can be attained when tJ1e point is pricked away from the
Libia.
Analysis and Experience:
Xi Hong Fu «frt�l.Jllit» says, " ecdling upper and lower hand and foot
sanli points (namely Shousanli LI- I 0 and Zusanli S1-36 respectively) will
dispel indigestion and qi stagnation." Zusanli ST-36 is the he-sea point
of foot yangm i ng SLomach meridian. Stomach meridian is ascribed to
"carlh". He-sea poinls of yang me ri dians are also ascribed to "earth". This
point is earth point of an earth meridian, which makes it a "genuine" earth
point. "He-sea points are indicated for internal fu organs disorders" and
he-sea points arc the points of choice to treat disorders of fu organs. He­
sea points are especially indicated for any disorders of the meridians they
belo ng to. Accord i n g 10 anr.ienl Chinese medicine texts, Zusanli ST-36 is
an i mp o rt ant point in regulating the stomach and intestines and in trealing
various types of digest ive system disorders. Huang Di Nei Jing, Ling Shu
Chapter 4 Xie Qj Zang Fu Bing Xi ng « Jii * 173 t.�· fil::ffi » ��n�J.llft�
-

%� says, "Stomach disorder causes distension in the stomach. Epigastric

pain at the heart posilion radiates to the hypochondria. The pathway from
the pharynx to the diaphragm is obstructed resulting i n i nab il ity to eat and
drink. These conditions can be treated by needli ng Zusanli ST-36." Hu a ng
Di Nei Jing, Ling Shu Chapter 20 - Wu Xie «:Y{ff, 173fa.�·m:�» 3i�l���­
says, "\ Vhen pathogen is in the spleen and stomach, there \\-ill be painful
muscles. If yang qi is excessive and yin qi is deficient, there will be heat in
the middle jiao and Lhe patient is often thirsty. If yang qi is deficient, there
will be cold in the middle jiao and there will be borborygmus and abdom­
inal pain. If both yin and yang arc excessive, or both are defic ient, then
there will be cold and heat [in the middle jiao]. All of them can be treated
by needling Zusanli ST-36." This indicates that Zusanli ST-36 is a "two­
way' point as it can treat both cold and heat, and regulate deficiency and
excess. Regardless of the stomach disorders that are due to cold, heal, de­
fici e ncy or excess, Zusanli ST-36 can regulate and treat them all . It is very
effective for stomachache and gastritis. Zusanli ST-36 is also indicated for
upper abdominal pain, abdominal fullness and clistcmion, poor appetite,
belching, borborygmus, and vomiting of watery Ouid.

253
One Xeedle TheraPJ' / Par/ IL Pain !:>)ndromes

Zi wu liu zhu na zi fa -Tlf7iff�flf'.-¥* (branch-based method of the

midnight-noon and ebb-flow doctrine) theory is based on the selected
point's two-way capability to tonify deficiency, reduce excess, regulate cold
and heat. \!\Then inserting the needle at Zusanli ST-36 at a specific time, in
this case, chen time (JlfU� between 7 to 9am), when qi of foot yangming
me1idian is the strongest), the effect will be even more significant.
Chronic stomachache often implicates blood stasis. Bleeding Sihuashang
7 7. 08 can move blood and dispel stagnation and treat the root cause of the
disorder. Furthermore, for acute stomachache, bleeding the bluish-purple
\·eins can attain immediate results.

C. Zhongwan REN-12
Location:
Zhongwan REI - 1 2 is located on the midline of the upper abdomen, 4
cun superior to the umbilicus. \\Tith the patient lying in a supine position,
the point is halfway between the umbilicus and the lower border of the
sternum.
Needling:
Zhongwan REN- 1 2 is located 4· cun superior to the umbilicus on Lhe mid­
line of the upper abdomen. Locate the point with the patient lying in a
supine position. The practitioner places the nail of the left thumb on the
point, while thf'. right hand holrls the neeclle. Quickly insert the needle
subcutaneously along the thumbnail, then slowly and gently push the nee­
dle perpendicularly approximately 1 cun. Avoid puncturing the internal
organ. Once qi is acquired, manipulate the needle witl1 medium strength.
Retain the needle for 30 minutes. :Manipulate the needle once every 5 lo
l 0 minutes. During the treatment, add moxa to the needle. Better results
will be attained if fire-cupping is applied after necclling.
Analysis and Experience:
Zhen Jiu Jia Yi Jing«H� "13 Z:,��» says, "for distended stomach, ab­
dominal fullness, gasu·algia, burnt stench smell, loss of appetite and con­
stipation, neeclle Zhongwan RE - 1 2. " Clinically, Zhongwan RE L J 2 is
fairly widely used. It is an essential point in treating gastrointe tinal dis­
orders. Zhongwan RE - 1 2 is the meeting point of Ren, hand taiyang,
hand shaoyang and fool yangming meridians. It is also a front-mu point.
Front-mu points are located in the chest and abdominal area where me-
1idian qi gathers. Zhongwan RE - 1 2 is the front-mu point of the stom­
ach, and is where the meridian qi of foot yangming Stomach meridian
gathers. It strengthens the spleen, benefits the stomach, regulates qi and
invigorates blood. It can also warm the middle jiao, dispel cold, clear heat,
resoh·e dampness, help digestion and eliminate food stagnation. It treats all
kinds of spleen and stomach disorders. Spleen and stomach deficiency cold
and chronic disorders of the stomach organ are all within the indication

254
 Cha/1ter 18 I Gastritis and Stomachache

of thi. point. Clinically, Zhongwan REN- 1 2 is commonly used to treat

stomach organ disorders such a stomach spa m, stomach prosis, stomach
and duodenal ulcers, acute and chronic gastritis, indigestion, and intestinal
obstruction.
Zhongwan REN- 1 2 is the hui-meeting point of fu organs, a point where
qi of the six fu organs gather. Zhang Jing Yue said, "This point is the
hui-meeting point of' lu organs. Therefore it treats various types of zangfu
organ disorders." Zhongwan RE - 1 2 can treat all kinds of fu organ disor­
ders. Clinically, it is commonly used to treat stomachache, abdominal pain,
borborygmus, diarrhea, jaundice, and constipation.
In treating tomach disorders, Zhongwan RE - l 2 is an example of the
theory of " [use] yin points [to] treat yang disorders; [ useJ yang points [to]
treat yin disorders." Zhon�,·an REN- 1 2 is located on Ren meridian. Ren
meridian tra\·crses the chest and abdominal regions and is ascribed to yin.
Stomach is a fu organ that is ascribed to yang. Use Zhon�van REN- 1 2 (a
yin point) co treat disorders in the stomach (yang) fu organ, utilizing the
thco1-y of " [u e] yin points (ro] treat yang disorders". As the front-mu point
of stomach organ, Zhon�van REl - 1 2 can strongly balance and dredge;
therefore, treat all kinds of stomach disorders.

D. Zhengjin 77.01 (Achilles Tendon)

Location:
On the Achilles tendon, 3.5 cun superior to the heel.
Needling:
\Vich the paticm either lying in a supine posit.ion or sitting upright. Quickly
insert a 2 cun needle perpendicularly l to 1 .5 cun. Manipulate the needle
by lifting, thrusting and twisting. After qi is acquired, retain the necclle for
30 minutes. 1\Ianipulate the neeclle once every I 0 minutes. E"ery few min­
ute , ask the patient co breathe deeply and pull in the lower abdomen co
guide qi to the stomach LO attain faster results.
Analysis and Experience:
Zhengjin 77.0 I is in the center of the Achilles tendon (the "neck" of the
leg). It is one of Master Tung's acupuncture points. This point is needled
directly into the Achilles tendon. According to Chinese medicine theory,
"use tendons to treat tendons". This point also treats cramps syndrome.
Hence it is indicated for stomachache and spasm pain, and leg cramps.

E. Yintang [EX]
Location:
On the miclli n e of the anterior of the face, midway bet\veen the medial
ends of the eyebrows, with the tip of the neeclle directed toward the tip of
the nose.

255
One -:-.eedle Therapy / Part ff: Pain !i_yndromes

Needling:
\ \ ith the patient sitting up leaning back with support or lying i n a supine
po ition. The practitioner pinches the skin at Yintang [EX] with the left
hand and holding a 1 cun needle in the right hand. Insert the needle sub­
cutaneously 0.3 to 0.5 cun with the tip of the needle pointing downward.
� I anipulate the needle by thrusting, lifting and twisting until the tip of the
nose has the sensation of soreness, distention and heaviness. Retain the
needle for 30 minutes. Nlanipulate the needle once every 1 0 minutes by
using either tonifying or reducing technique.
Analysis and Experience:
Yintang [EX] is an extraordinary point. It is located on the pathway of
Du meridian between the eyebrows. It is indicated for pacifying liver qi,
regulating spleen and stomach, resolving dampness and stagnation, sooth­
ing the meridians and collaterals, and regulating qi and blood. eedling
Yin tang [EX] can also treat stomach-related disorders such as gastritis and
gastric ulcer. In t.he chapter of "Five Colors" in the Spiritual Pivot ( «m
m •.li �» ) , i t says, "The mid-point betvveen the eyebrows (known as que
zhong �J;J �) is associated \Ni th lung disorders; the area between the eyes is
associated with heart disorders; directly below the heart (vvhich is the nasal
column) is associated with liver disorders; to the left of the liver area (nasal
column) is associated with gallbladder disorders; below the nasal column
(which is the tip of the nose) is associated with spleen disorders and on both
sides of the tip of the nose (the ala nasi) is associated with stomach disor­
ders." Quezhong is another name for Yintang [EX] which corresponds to
the lung. It is effective in treating gastritis, chronic stomach disorders, and
loose stool or diarrhea. This is because Lung meridian starts in the middle
jiao (near Zhongwan REN- 1 2). It descends to connect with Large Intestine
meridian, and then to the opening of the stomach. From the reverse cor­
respondance of the face, eyebrow corresponds to large intestine. Therefore
needling Yintang [EX] can regulate lung qi, spleen and stomach. That is
why Yintang [EX] can treat spleen and stomach disorders such as acute or
chronic gastritis and gastric ulcer.

F. Tushui 22. 1 1 (Yuji LU-10)

Location:
On the midpoint of the medial aspect of the 1 st metacarpal at the junction
of the red and white skin.
Needling:
By using a 1 .5 cun needle, quickly insert l cun at Tushui 22 . 1 1 . Manipulate
the needle by lifting, thrusting and twisting. After qi is acquired, retain the
needle for 30 minutes. Manipulate the needle once every 1 0 minutes.
Analysis and Experience:
Tu hui 22. 1 1 is the same as Yuji LU- 1 0. The name of the point means

256
 Chapter 18 / C'astritis and Stomachache

"earth-water". This indicates that the point can alleviate dampness in the
stomach through the intestines to prevent damp earth from over-restrain­
ing kidney water (kidney masters urination and defecation). It can efl'ec­
Lively treat cold syndrome of the stomach ean.h (water corre ponds to cold)
and is good at treating chronic diarrhea due to dampness of the spleen.
According to chc Huang Di Nei Jing «j)!(Wf j?gf.�» , gastrointestinal dis­
order can be diagnosed by examining the thcnar eminence. In Huang Di
Tcijing, Ling Shu Chapter 1 0 -Jing Mai «JtWf j?g fa.,fil ·��» fa.,filj!i��' it
says, "v\Then there is cold in the stomach, the collaterals on the thenar
eminence will be green; when there is heat in the stomach, the collaterals
on the thenar eminence \\ill be red." According to clinical ob crvation,
the thenar eminence of a constipated patient is often reddi h· the thenar
eminence of a diarrhea patient is often dark bluish veins on the surface. ff
the patient has enteritis or severe diarrhea, there will be 'angry' blue veins
on the thenar eminence. The thenar eminence can be used to diagnose as
welJ as treat the pathological changes.
This point is effective in treating gastritis, chronic stomach di orders, and
wate1y stools. It i due to Lung meridian starts from the middle jiao (near
Z hong\rnn REN- 1 2) and descends to connect with the large intestine.

G. Sihuashang 77 08 .

Location:
The point is located 4.5 cun directly inferior Lo Sihuashang 77.08, i.e. 0.5
cun superior to Tiaokou ST-38.
Needling:
Bleed the point with a three-edged needle.
Analysis and Experience:
This point is located 0.5 cun superior to Tiaokou ST-38 and is a very
commonly used point. Using a three-edged needle lo bleed this point v.rill
treat cardiovascular sclerosis, acute gastralgia, enteritis, tightness of the
chest and pleuritis with excellent results. Sihuazhong 77 .09 is located on
the Stomach meridian in the middle of the calf between hangjuxu ST'-37
0ower he-sea point of Large Intestine meridian) and Xiajuxu ST-39 0owcr
he-sea point of the mall Intestine meridian). The nature and location of
Sihuazhong 7 7 .09 arc associated with "midclle" or "center'', therefore it is
strongly indicated for regulating spleen and stomach.

H. Sihuawai 77 . 14
Location:
1 .5 cun lateral to ihuazhong 7 7 .09.
Needling:
The point is located l .5 cun lateral to Sihuazhong 7 7 .09. Bleed the point
with a three-edged needle to let out black blood.

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One. \eedle Therap)' / Part II: Pain S.J"1dro111eJ

Analysis and Experience:

Sihuawai 7 7 . 1 4 is located close to Fenglong T-40. Fenglong ST-40 is the
luo-connecting point of Stomach meridian. It connects with Spleen and
tomach me1idians and hence treats disorders of both meridians. It is the
point of choice for bleeding. \ Vhen bleeding this point, look for bluish veins
around Si huawai 7 7 . 1 4 area. It is not necessary to bleed the exact location
of the point. In Chinese medicine theory, it is believed that, "chronic disor­
ders, difficult disorders and strange disorders must implicate blood stasis".
It is also believed that, "chronic disorders, difficult disorders and strange
disorders must implicate phlegm." Furthe1� because "Fenglong ST-40 is
the hui-meeting point of phlegm'', pricking this point will invigorate blood
and dissipate phlegm. Sihuawai 77 . 1 4 is specially indicated for treating all
kinds of complicated, difficult, and miscellaneous disorders. If pricking
ihuawai 7 7 . 1 4 and Sihuazhong 77 .09 simultaneously, Lhe effect is even
better. This point is the point of choice for bleeding according to Master
Tung. It invigorates blood and resolves phlegm. Bleeding Sihuawai 77 . 1 4
to treat chronic disorders that cannot be resolved ""ill achieve miraculous
results.

Iv. STOMACH CRAMPS

Stomach cramps is a sudden, intermittent, cramping kind of severe pain in the
stomach. It usually happens after overeating, overd1inking, or over consuming
raw, cold or hard to digest food. The pain is sudden onset, sometimes accom­
panied with vomiLing or nausea. It is ascribed to "stomach or gastric pain" in
Chinese medicine. The etiology of Stomach cramps is due to food accumula­
tion (indigestion), cold pathogen obstructing stomach resulting in malfunction
of stomach qi mechanism and stagnation of qi and blood causing pain.

One Needle Therapy Points for Stomach Cramps

The commonly u ed one needle therapeutic points for stomach cramps are:
Liangqiu ST-34, Laogong PC-8, Chengshan B-5 7, Zhengjin 77 .0 l , Zhong­
wan REN- 1 2, Suliao DU-25, Sihuazhong 7 7 .09 and Sihuawai 7 7 . 1 4.

A. Liangqiu ST-34
Location:
See 1 8.4 Stomachache and Gastritis section.
Needling:
See 1 8.4 Stomachache and Gastritis section.
Analysis and Experience:
See 1 8.4 Stomachache and Gastritis section.

258
 Clia/Jler 18 / Gastrits
i and Stonzachadie

B. Laogong PC-8
Location:
With the patient's hand held i n a loose fist, the point is located where the
tip of the middle finger falls, at the center of the palm between the 2nd and
3rd metacarpal bones, along the radial side of the 3 rd metacarpal bone.
Needling:
After standard sterilization, perpendicular insertion 0.3 to 0.5 cun. Apply
the even-tonifying even-reducing technique. Retain the needle for 30 min­
utes and manipulate the needle once every l 0 minutes.
Analysis and Experience:
Laogong PC-8 is the ying-spring point of hand j ueyin Pericardium me­
ridian. Through the extraordinary connection betvveen pericardium
and stomach this point can treat stomach disorders. Also, hand j ueyin
Pericardium meridian and foot jueyin Liver meridian have the same name
and communicate with each other. Liver masters the tendons and there­
fore masters cramps; consequently Laogong PC-8 is especially effective for
stomach cramps caused by liYer qi attacking the stomach. Hand jueyin
Pericardium meridian is asc1ibed to fire. All ying-spring points of yin me­
ridians are also ascribed to fire. Laogong PC-8 is a fire point within a fire
meridian, therefore, it is a genuine fire point. Ying-spring points are in­
dicted for body heat. Heart is ascribed to fire. Laogong PC-8 is indicated
for clearing heart fire, eliminating vexation beat and calming the spirit. It
is also one of "nine needles for returning the yang". It resuscitates i n case
of emergency. In clinical practice, it can treat many mental disorders due
to exuberant heart fire, such as irritability, palpitation, insonu1ia, coma and
delirious speech, and mania and restlessness. Laogong PC-8 can also stop
pain. It is especially suitable for deficient stomach cramps due to cold.
The patient vvill feel a warm sensation in the stomach while the needle is
being manipulated and the pain stops immediately. Often one treatment
for stomach cramps ""ill suffice. Remarks: Laogong PC-8 corresponds to
the middle jiao according to minor Taiji correspondence on the palm. It
is located in the san jiao ting (triangle pavilion) area in palm diagnosis.
Laogong PC-8 can also be used to diagnose stomach disorders.

C. Chengshan UB-57
Location:
The point is located in the depression in the muscle inferior to the gastroc­
nemius when the tips of the toes are extended.
Needling:
Needle the point that is located inferior to the gastrocnemius. Perpendicular
insertion 1 .5 to 2 cun by using even-tonifying-even-reducing technique.
Retain the needle for 30 minutes and manipulate the needle once every
1 0 minutes.

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One Needle Therapy / Part II: Pain Syndromes

Analysis and Experience:

Chengshan UB-5 7 is indicated for relaxing the tendons and invigorating
the collaterals, and regulating zang fu organs. I t is commonly used to treat
cramps (as cited in Sheng Yu Ge «Mf :li�» , Ling Guang Fu «iB'GM» ,
Tong Xuan Zhi Yao Fu «:im�:J'�JO.lit» and Yi Zongjinjian «IHK�
�» ) ; and hemoIThoids (as cited i n Zhou Hou Ge «JJH��» , Bai Zheng
Fu «N11EM» , Ling Guang Fu «m::YtP.lit» , Yi Zongjin jian <«�.*�
�» ). Chengshan UB-5 7 is located in the depression directly below the
junction bel:\.veen the medial and lateral heads of the gastrocnemius mus­
cles. According to Chinese medicine theory, "use tendon to treat tendon'',
it is indicated for relieving any kinds of cramps and stopping pain. Using
Chengshan UB-5 7 to treat stomach cramps attains satisfactory results.

D. Zhengjin 77.01 (The Achilles Tendon)

Location:
See 1 8.4 Stomachache and Gastritis section.
Needling:
See 1 8.4 Stomachache and Gastritis section.
Analysis and Experience:
See 1 8.4 Stomachache and Gastritis section.

E. Zhongwan REN-1 2
Location:
See 1 8.4 Stomachache and Gastritis section.
Needling:
See 1 8.4 Stomachache and Gastritis section.
Analysis and Experience:
See 1 8.4 Stomachache and Gastritis section.

E Suliao DU-25
Location:
On t11e tip of tl1e nose.
Needling:
Perpendicular insertion 0.2 to 0.3 cun. No manipulation. Generally, pain
will be relieved immediately.
Analysis and Experience:
Suliao DU-25 is a point in Du meridian. I t is excellent in warming yang
and is a commonly used point for resuscitation. This point lies between
yangming meridians. Through holographic correspondence, Suliao DU-
25 corresponds with spleen and stomach. Clinical practice has proven that
i t is very effective in treating acute stomach dissention pain, th.at is, stom­
ach cramps.

260
 Chapter 18 / G'ast1its
i and Stomachache

G. Sihuazhong 77 .09
Location:
See 1 8 .4 Stomachache and Gastritis section.
Needling:
Sec 1 8.4 Stomachache and Gastritis section.
Analysis and Experience:
See 1 8.4 Stomachache and Gastritis section.

H. Sihuawai 77. 14
Location:
Sec 1 8.4 Stomachache and Gastritis section.
Needling:
See 1 8.4 Stomachache and Gastritis section.
Analysis and Experience:
See 1 8.4 Stomachache and Gastritis section.

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One. Veedle Therapy

Chapter 19

Lower Abdominal Pain &

Acute Lower Abdominal Pain

I. LOWER ABDOMINAL PAIN

All the pains located in the area inferior to the stomach and superior to the
pubic bone are generalized as abdominal pain. Clinically, abdominal pain is
one of the most commonly seen disorders. Abdominal pain syndrome involves
multiple organs and is a complicated syndrome. The pain can appear standing
alone. IL can also be caused by the organic or functional pathological changes
of the abdominal organs and can be implicated in a variety of zangfu organs
disorders. The pain can be caused by pathological changes stemming from
organs external to the abdomen or systemic infection, endocrine and meta­
bolic disorders, allergies, blood disorders and other systemic disorders.
There are many etiologies causing abdominal pain. To identify these dis­
orders, the practitioner must fully investigate the location of the pain and must
fully understand the characteristics of the pain. The etiology of abdominal
pain can be generalized into the following categories: l) Stomach and duode­
nal ulcers, 2) Acute pancreatitis, 3) Chronic pancreatitis, 4) Acute cholecystitis,
5) Gallstones, 6) Urinary tract stones, 7) Appendicitis, 8) Intestinal obstruction,
9) Peritonitis, 1 0) Gynecological disorders (such as (a) ectopic pregnancy, (b)
rotation of ovarian cyst and (c) Salpingitis or acute salpingitis), 1 1 ) Intestinal
parasites, 1 2) Trauma and 1 3) Others.
Because abdominal pain involves a wide range of etiologies, it can be diffi­
cult to diagnose. Some acute and excruciating abdominal pains can be caused
by severe abdomen inflammation which results in severe irritation of the
abdominal membrane. This is generally called "acute abdominal syndrome"
which must be properly diagnosed.
Abdominal pains have a wide range of etiologies. In Chinese medicine,
they are roughly as follows:

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 Chapter 19 / LowerAbdominal Pain &Acute Lower Abdominal Pain

Exterior pathogenic attacks: For example, cold pathogen impairs qi flow

resulting in congealment of the collaterals causing blood stasis and pain. This
is so called "congealing cold and qi stagnation". Heat pathogen steams the
collaterals causing swelling of the collaterals and abdominal pain.
Improper diet: Overeating, O\"erdrinking, or over-consuming fatty and
difficult-to-digest or spicy foods impairs the functions of transformation and
transportation of spleen and stomach. Eventually food stagnation and heat
accumulation in the stomach and intestines cause pain.
Impaired funcLions of zangfo organs: Over consumption of cold and raw
food injure spleen yang, weakened constitution causes spleen yang deficiency,
chronic disorders result in kidney yang deficiency and failure to warm spleen
yang. All of the above can weaken the transformation and transportation func­
tions of the spleen resulting in cold damp stagnation leading to abdominal
pain. Other etiologies such as worry and anger can damage the liver. Liver qi
stagnation turns into fire causing pain along the pathv,ray of Llver meridian.
Qj stagnation: \rVhen there is qi stagnation, there is no movement and
when there is no movement, there is pain. Qj stagnaLion is a basic etiology of
abdominal pain.
Blood stasis: Blood stasis is the pathogenic change of blood. Blood stasis
can impair the flow of blood and cause pain.
Chongji (worm accumulation): Parasites block zangfu organs and merid­
ians resulting in pain.
Abdominal pain caused by gastrointestinal spasm, gastroenteritis and indi­
gestion often starts with cold pathogen attacking the abdomen, or over-con­
suming raw and cold food causing injury to the middle yang. When cold accu­
mulation stagnates in the middle yang, qi is unable to now smoothly causing
obstruction of qi mechanism resulting in pain.
To differentiate abdominal pain, it is important to pay attention to the
location and characteristics of the pain:
The location of abdominal pain: fost stomachache is related to stomach.
Periumbilical pain relates to spleen and intestines. Hypochondriac pain and
pain in the lower lateral abdomen are ascribed to liver. Lower abdominal pain
relates to the uterus and urinary bladder.
Characteristics o[ abdominal pain: l ) Abdominal pain accompanied
by nausea or vomiting usually belongs to stomach disorders. 2) Upper right
abdominal. pain accompanied aversion to cold, fever, nausea, vomi ting, or diar­
rhea and jaundice usually belongs to liver and gallbladder system disorders. 3)
Pe1;umbilical pain or lower left abdominal pain with aversion to cold, fever,
nausea, vomiting, diarrhea and pain aggravated by pressure is usually related
to intestinal disorders. 4) Intermittent pain at the periumbilicus area but not
aggravated by pressure usually belongs to intestinal parasites. The above are
the general p1;nciples of differentiation and deserve attention.

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One }ieedle Therapy

One Needle Therapy Points for Abdominal Pain

The commonly used one needle therapy points for abdominal pain are: eiguan
PC-6 l eiguan PC-6 towards Waiguan SJ-5), Liangqiu ST-34, Gongsun SP-4,
Menjin 66.05, Sihuashang 7 7 08 Sihuazhong 7 7 .09, Sihuawai 7 7 . 1 4, Sanyin­
. ,

jiao SP-6, Zhongwan REN- 1 2 and Yingu KID- I 0.

A. Neiguan PC-6 (Neiguan PC-6 towards Waiguan SJ-5)

Location:
'Vith the patient's palm facing up, Nciguan PC-6 is located on the line con­
necting Quze PC-3 and Dating PC- 7, 2 cun proximal to the wrist crease
between the tendons of palmaris longus and fiexor carpi radialis.
Needling:
Select Neiguan PC-6 on either side and insert the needle 1 cun deep, use
"pecking, lifting and thrusting" technique and ask the patient to breathe
deeply and massage the stomach at the same time until the stomachache
totally disappears. Retain the needle for 30 minutes. Manipulate the needle
once every 5 minutes. Repeat the same needling technique and ask the pa­
tient to breathe deeply and gently massage the stomach at the same time.
Analysis and Experience:
Neiguan PC-6 treats a wide range of disorders. Clinically, it is one of the
most frequently used points. Neiguan PC-6 is one of the eight confluent
points which connect with Yinwei meridian. Yinwei meridian masters the
whole body's yin meridians. ciguan PC-6 pairs with Gongsun SP-4, a
confluent point connects with Chong meridian. Yinwei and Chong merid­
ians meet at the heart, chest and stomach. Therefore, Neiguan PC-6 can
treat disorders of the heart, chest and stomach. 1eiguan PC-6 is also the
luo-connecting point of hand jueyin Pericardium meridian. eiguan PC-
6, therefore, enters and treats the heart and chest. Pericardiwn divergent
meridian enters hand shaoyang Sanjiao meridian. Sanjiao meridian travels
through the three jiao from the chest to abdomen. Therefore, Neiguan
PC-6 can also treat middle and lower jiao disorders. Clinical e>..'Perience
shows that needling Neiguan PC-6 can significantly increase the pain and
thermal thresholds. Therefore, it can warm the meridian to stop pain.
Deep needling Neiguan PC-6 towards Waiguan SJ-5 is more effective.
Waiguan SJ-5 is the luo-connecting point of Sanjiao meridian. It is often
used as a complimentary point to treat abdominal disorders. For example,
it is paired with Daling PC-7 to treat abdominal pain (Yu Long Ge «33.13'�
�» ); with Zhigou SJ-6 to treat constipation witl1 abdominal pain (Yu Long
Fu «33.ff�J!lit» ); and with Zhaohai KID-6 to purge tlie placenta (Biao You
Fu «m�J!lit» ) Yangji-Zhou said, "Sanjiao is the father of yang qi; peri­
.

cardium is the mother of yin blood." These two points when combined
can regulate qi and blood of the whole body. eiguan PC-6 penetrating

264
 Chapter 1 9 I Lower Abdominal Pain &rlcute Lower Abdominal Pain

through Waiguan SJ-5 can regulate yin, yang, qi and blood. The combina­
tion is often more effective than needling eiguan PC-6 alone.

B. Liangqiu ST-34
Location:
With the patient in a supine position or sitting upright and knees flexed,
Liangqiu ST-34 is located 2 cun superior to the patella on the line connect­
ing with the anterior superior iliac spine (ASIS) .
Needling:
After standard sterilization, needle Liangqiu ST-34 perpendicularly I to 2
cun. Use the "pecking, lifting and thrusting" technique and ask the patient
to breathe deeply and massage the stomach at the same time until the
stomachache disappears. Retain the needle for 30 minutes. Manipulate
the neecUe once every 5 minutes and ask the patient to gently massage the
stomach and breathe deeply at the same time.
Analysis and Experience:
Xi-cleft points are where qi and blood of the meridians deeply converge.
They have abundant qi and blood and can strongly regulate qi and blood.
Liangqiu ST-34 is the xi-cleft point of foot yangming meridian. Yangming
meridians have abundant qi and blood. Therefore, Liangqiu ST-34 is a
point with abundant qi and blood in the meridian that has abundant qi
and blood. It is the strongest point in the whole body that regulates qi and
blood. I t is particularly suitable for acute disorders causing disharmony of
qi and blood. It can soothe the liver; harmonize the stomach, regulate qi
and stop pain. In clinical practice, it is tl1e most often used point to treat
stomach fu organ disorders, especially in acute conditions.
Liangqiu ST-34 is also an effective point in treating abdominal pain and
acute abdominal pain. In clinical practice, no matter the cause of the ab­
dominal pain, Liangqiu ST-34 has remarkable analgesic effects. That is be­
cause Liangqiu ST-34 is tl1e xi-cleft point of foot yangming meridian. Xi­
cleft point is mainly used in treating acute syndromes of the meridian and
organ to which it belongs. Clinical practice proves that needling Liangqiu
ST-34 can stop pain quickly, simply and safely. It is an effective technique
in treating acute abdominal pain.
There are many clinically successful cases to prove that Liangqiu ST-34
can quickly and totally relieve abdominal pain. However; after the pain is
relieved, the cause of the pain must be investigated and furtl1er treated.
Note: Liangqiu ST-34 is contraindicated during pregnancy.

C. Menjin 66.05
Location:
Menjin 66.05 is located in t11e depression anterior to the junction of the
2nd and 3rd metatarsal bones, posterior to Xiangu ST-43.

265
One Xeed!e Thera/JJ'

Needling:
Perpendicular insertion approximately 2 cun. Apply the "pecking, lifting
and thrusting" technique and ask the patient to gently massage the stom­
ach and breathe deeply at the same time until the stomachache disappears.
Retain the needle for 30 minutes. Manipulate the needle once every 5 min­
utes and ask the patient to gently massage the stomach and breathe deeply
at the same time.
Analysis and Experience:
This point is called tvlenjin 66.05 ("men" means door, ')in" means metal).
Jin (metal) relates to "lung'', "large intestine'', "qi" and meridians. Menjin
66.05 is the shu-stream point of Stomach meridian. Shu-stream points are
indicated for heaviness of the body and for joint pain. It is very effective in
treating pain of its same name meridian, namely Large Intestine meridian.
This point is ascribed to Stomach me1idian and is the wood point of earth
(Stomach) meridian. Therefore it is good at treating disorders caused by
disharmony of the liver and spleen. Menjin 66.05 is a special point and
is very effective in treating gastroenteritis (related to stomach and intes­
tine). Regardless of the syndromes of diarrhea, needling this point 'vVill
treat it effectively. In acute diarrhea, there is usually pain. Menjin 66.05
can dredge the liver (wood), regulate the spleen and stomach (earth) effec­
tively In chronic diarrhea, the condition is usually accompanied by kidney
deficiency. Since this point is inserted along the bone, it corresponds to the
kidney. It can tonif)r metal to generate water; therefore, it is very effective
in treating chronic diarrhea. The same principles apply in treating abdom­
inal pain.

D. Gongsun SP-4
Location:
Gongsun SP-4 is located on the medial aspect of t11e foot, in the depression
distal and inferior to the base of the 1 st metatarsal bone in the depression
at the junction of ilie reel and "·lute skin.
Needling:
Perpendicular insertion approximately 1 .5 cun. Use the "pecking, lift­
ing and thrusting" technique and ask the patient to breathe deeply and
massage the stomach at the same time until the stomachache disappears.
Retain the needle for 30 minutes. l\ifanipulate the needle once eve1y 5 min­
utes and ask the patient to gently massage the stomach and breathe deeply
and at the same time.
Analysis and Experience:
Gongsun SP-4 is the luo-connecting point of foot taiyin Spleen merid­
ian. Its branch connects with foot yangrning Stomach meridian. Spleen
and stomach are interiorly-exteriorly related. Therefore, it is an important
point in treating spleen and stomach disorders. It is also good at treating

266
 Chn/1/er I 9 / Lower Abdominal Pain &Acule Lower Abdominal Pain

abdominal disorders. Huang D i Nei Jing «j)lt1if �#�» says, "' Vhcn Lhe
spleen collateral is excessive and Lhe intestines have sharp pain, drain
Gongsun SP-4. When iL [the spleen] is deficient and distended, tonify
Gongsun SP-4." Needling Gongsun SP-4 alone can treat disorders below
the umbilicus. Lan Jiang Fu «MrIJ!lit» ) says, "Use Gongsun SP-4 Lo treat
disorders below the umbilicus". Gongsun SP-4 is also one of the eight con­
fluent points. It goes through Chong meridian. Through Yinwei meridian,
it connects with Neiguan PC-6 of Pericardium meridian and treat disor­
ders and pains of Lhe slomach, heart and the chest 'vViLh excellenl rcsulls.
Xi Hong Fu «Jit 5l.PJi\» says, "Gongsun S P-4 will alleviate stomacha he,
however ,.vhcn combined with Neiguan PC-6, the underlining cause will
be resolved as well." Za Bing Xue Fa Ge «ff;!tffel/'CY!fJX» says, "Gongsun
SP-4 and Jciguan PC-6 Logether Lreat stomachache."
Studies indicate that Gongsun SP-4 can be used to diffe rentiate the cLiol­
ogy of lower abdominal pain between the function and organic disorder .
If the pain stops after needling the etiology is probably functional. On the
other hand, if the pain recurs or remains, it i often organic.

E. Sihuashang 77.08
Location:
Sihuashang 77.08 is located 3 cun below Lhe depression formed when the
knee is flexed, para.lid to Zusanli ST-36 and lateral to Lhe tibia.
Needling:
Bleeding technique is applied to Sihuashang 7 7 .08. Find the bluish-green
veins around Zusanli ST-36 and bleed the ,·eins with a three-edged ncccllc.
Note: It is safer and ea ier to bleed when the insertion is slightly away from
tl1e tibia.
Analysis and Experience:
Zusanl.i ST-36 is the he-sea point of foot yangming Stomach meridian.
Stomach meridian is ascribed to "earth". He-sea points of yang meridi­
ans are also ascribed to eart11. Since Zusanli ST-36, the he-sea poinL of
Stomach meridian is an earth point of earth meridian, it is a genuine earth
point. "He-sea points treat internal fu organs." He-sea points are poinLs
of choice to treat fu organ disorders. Zusanli ST-36 can treat all disor­
ders related to stomach fu organ. Through the connections between the
same name hand and foot meridians, this point can also treat pathological
changes of hand yangming Large Intestine meridian.
Since ancient cimes, Zusanli ST-36 has been an important point for reg­
ulating the functions of stomach and intestines and treating all kinds o f
digestive system disorders. Huang D i Nei Jing, Ling Shu Chapter 2 0 -
Wu Xie «Ji1if !?g#�·��» .li!�;fg says, "When the pathogens arc in the
spleen and stomach, there will be muscle pain. \i\fhen yang qi is excess and
yin qi is deficienL, there will be heat in the middle jiao and the patient is

267
One Needle Therapy

often thirsty. When yang qi is deficient, there will be cold i n the middle
jiao, borborygmus and abdominal pain. \!\!hen yin and yang qi are either
both deficient or excess there will be a combination of cold and heat.
All these disorders can be regulated and treated by Zusanli ST-36." This
explains that Zusanli ST-36 can treat both cold and heat syndromes and
can regulate both deficient and excess (sometimes known as the "two-way"
function). In additional to treating stomach disorders, i t can also treat ab­
dominal pain, regardless whether the pain is cold, heat, deficient or excess.
Chronic abdominal pains are usually accompanied by blood stasis.
Bleeding Sihuashang 7 7 .08 can imigorate blood to resolve stasis, which
treats the root cause. As for acute abdominal pain, simply bleed the bluish
veins around Si.huashang 7 7 .08 for immediate results.

E Sihuazhong 77 .09
Location:
Sihuazhong 77 .09 is located 4.5 cun directly inferior to Sihuashang 77 .08;
0.5 cun superior to Tiaokou ST-38.
Needling:
Bleed the point with a three-edged needle.
Analysis and Experience:
Sihuazhong 7 7 .09 is located 0.5 cun superior to Tiaokou ST-38 and is a
widely used point. Pricking this point to bleed with a 3-edged needle is
effective in treating cardiovascular sclerosis, acute stomachache, enteritis,
tightness of the chest and pleuritis. This point is in Stomach meridian, in
the middle of the calf betvveen Shangjuxu ST-37 (lower he-sea point of
Large Intestine meridian) and Xiajtua1 ST-39 (lower he-sea point of Small
Intestine meridian). Both the location and nature of the point are associ­
ated with "middle" or "center". This point strongly regulates the stomach
as well as large and small intestines. Bleeding this point is particularly ef­
fective in treating gastroimestinal disorders.

G. Sihuawai 77.14
Location:
Sihuawai 7 7 . 1 4 is located 1 .5 cun lateral to Sihuazhong 7 7 .09.
Needling:
Bleed t11e point with a three-edged needle to let out black blood.
Analysis and Experience:
Sihuawai 7 7 . 1 4 is located close to Fenglong ST-40. Fenglong ST-40 is
the luo-connecting point of Stomach meridian. It connects Spleen and
Stomach meridians and therefore it can treat disorders of both meridi­
ans. Through the correspondence ben.veen the same name hand and foot
meridians, it can also treat disorders of foot yangming Large Intestine me­
ridian. Fenglong ST-40 is also a Yery important point for bleeding. Simply

268
 C/zajJler 19 / Lower Abdominal Pain &Acute Lower Abdominal Pain

bleed the bluish-green veins around Sihuawai 7 7. 1 4 will be sufficient. In

Chinese medicine, it is believed that "chronic disorders, difficult disorders
and strange disorders implicate blood stasis"; and "chronic disorders, diffi­
cult disorders and strange disorders implicate phlegm." Fenglong ST-40 is
the hui-meeting point of phlegm. Pricking Sihuawai 7 7 . 1 4 will invigorate
blood as well as resolve phlegm. This point is especially indicated for treat­
ing various kinds of complicated, difficult and miscellaneous disorders. If
Sihuawai 77 . 1 4 and Sihuazhong 77 .09 are pricked together, better results
will be attained. This point was the most frequently used bleeding point
by Master Tung. It invigorates blood and resolves phlegm. Pricking it gives
outstanding effectiveness in treating chronic and difficult-to-treat disorders.

H. Sanyinjiao SP-6
Location:
Sanyinjiao SP-6 is located 3 cun superior to the medial malleolus, posterior
to the tibia.
Needling:
After needling, lift and thrust the needle to attain the needle sensation.
Once qi is acquired, again twist and lift the needle tightly and tl1rust the
needle slowly. Repeat the same technique 3 times to disperse the needle
sensation then retain the needle for 20 minutes.
Analysis and Experience:
Sanyinjiao SP-6 is the meeting point of foot taiyin Spleen, foot jueyin Liver
and foot shaoyin Kidney meridians. It is a commonly used and important
point for disorders of digestive, urinary and reproductive systems. It is the
point of choice in treating gynecological disorders. Lower abdominal pain
usually relates to spleen, liver and kidney. Sanyinjiao SP-6 is very effective
in treating lower abdominal pain, especially lower abdominal cramps.

I. Zhongwan REN-12
Location:
Zhongwan RE -12 is located on the anterior midline, 4 cun superior to
the umbilicus.
Needling:
Perpendicular insertion 1 .5 cun. If the patient is deficient, use tonifying
technique. If the patient is excess, use reducing technique. Retain the nee­
dle for 20 minutes. Repeat the treatment daily.
Analysis and Experience:
Zhongwan REN- 1 2 is the meeting point of hand taiyang Small Intestine,
hand shaoyang Sanjiao, foot yangming Stomach and Ren meridians. It is
also the front-mu point of Stomach meridian, the hui-meeting point of fu
organs and one of the nine needles to restore yang. Long-term clinical evi­
dence has proven that Zhongwan REN- 1 2 tonifies the middlejiao, benefits

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One . Veed/e TheraPJ'

middle qi, warms yang, ascends clea r essence, expels dampness and re­
solves turbidity, harmonizes the middle jiao and descends the reversed qi.
It is one of the most fre q ue ntly used points for treati n g spleen, stomach
and abdominal disorders. It is very effective i n trea ti ng abdominal pain.

J. Yingu KID- I 0
Location:
Witl1 tl1e patient sitting upright, ascending from Zhubin KID-9, when the
knee is flexed; pal pal e lhe depression between the tendons of m. semiten­
dinosus and semimembranosus on the medial aspect of the popliteal fossa.
Yin gu KID- 1 0 is inferior to the knee on the medial aspect of the popliteal
fossa.
Needling:
Perpendicular i nse rt i on 0.5 cun with the tip of the needle directing from
the medial aspect of Yingu KID- I 0 toward tl1c lateral and inferior aspect
of the knee.
Analysis and Experience:
Yingu KID- 1 0 is the he-sea water point of foot shaoyin Kidney meridian.
Kid ney meridian encompasses Ren meridian. Therefore, Yingu KID- 1 0
can treat Ren me1idian disorders. This point is located at the medial aspect
of the popliteal fossa. According to major taiji, the knee corresponds to the
umbilicus. Therefore, this point is very effective in tre ati ng peri-umbilical
pain. Tong Xuan Zhi Yao Fu « ill! 1rtlif�.l!fit » says, "Yingu KID- 1 0 is in­
dicated for abdominal and umbilical pain . " Wo Yan Ling Xiao Ying Xue
Ge « IM* l��)[J!.1\�» says, "To treat umbilical and abdominal pains,
reduce foot shaoyin water (Yingu KID- I 0) and combi ne witl1 Xingjian
LIV-2." This explains that this point is effective i n t reati n g abdominal pain
a rou nd the umbilicus and can also be combined with Xingjian LIV-2.

II. ACUTE LOWER ABDOMINAL PAIN

Acute abdominal pain is one of the most commonly seen clinical disorders. It
i s often seen in disorders such a s diarrhea, dysentery, hern ia, parasitic accumu­
lation, appendicitis and gynecological disorders. It is usually caused by internal
accumulation of cold pathogen, spleen yang deficie ncy and food stagnation.
Modern medical syndromes such as acute enteritis, dyse n tery, appendicitis and
dysmenorrhea all ascribe to this category.

One Needle Therapy Points for Acute Abdominal Pain

The commonly used one needle therapy points for acute abdominal pain are:
eiguan PC-6 (Neiguan PC-6 needle through Waiguan SJ-5), Liangqiu ST-34,
She nq ue REN-8, Dannangxue [EX] , Ji nji n [EA.1 Yuye [EX] , Sihuazhong
7 7 .09 and Sihuawai 7 7 . 1 4.

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 Cha/Jter 19 /Lower Abdominal Pain &Acute Lower Abdominal Pain

A. Neiguan PC-6 (Neiguan PC-6 through Waiguan SJ-5)

Location:
With the patient's palm facing up, Neiguan PC-6 is located on the line con­
necting Quze PC-3 and Daling PC-7, 2 cun proximal to the wrist crease
between the tendons of palmaris longus and flexor carpi radialis.
Needling:
Select Neiguan PC-6 on either side, perpendicular insertion until the ti.p
of the needle touches Waiguan SJ-5 on the other side (howeve1� the needle
should just touch the point and must not penetrate the skin). Apply "peck­
ing, lifting and thrusting" technique continuously and ask the patient to
breathe deeply repeatedly. Massage the stomach at the same time for a few
minutes until stomachache disappears. Retain the needle for 30 minutes.
Manipulate the needle once every 5 minutes and ask the patient to gently
massage the stomach and breathe deeply at the same time for 1 minute. If
both Neiguan PC-6 are selected, eit11er the practitioner or the nurse can
massage the patient's stomach during treatment.
Analysis and Experience:
This technique is indicated for acute abdominal pain due to stomach
cramps, acute gastritis, acute gastroenteritis, intestinal spasm, biliary duct
ascariasis (biliary duct round'vvorm) and cholecystitis. The etiology of acute
abdominal pain is impaired flow of qi and blood. Therefore the treatment
p rinci ple is to regulate qi and blood. Nei guan PC-6 is luo-connccting point
of handjueyin meridian. Its branch connects with hand shaoyang Sanjiao
meridian. Biao You Fu «;f� �PJit» says, "For distended chest and abdom­
inal pain, needle Neiguan PC-6." Yu Long Ge «.:&.��-JM\» says, "For qi
stagnation in the abdomen causing excruciating pain, select eiguan PC-
6. Neiguan PC-6 is one of the eight confluent points that connects with
Yinwei. Using it to treat abdominal disorders will regain health forever."
eiguan PC-6 not only treats chest disorders, it is also an essential point for
treating various abdominal disorders.
Waiguan SJ-5 is ilie luo-connecting point of Sanjiao meridian. Neiguan
PC-6 is ascribed to Pericardium meridian. Pericardium meridian starts in
the middle of the chest. Its branch descends ilirough the diaphragm and
connects \Vith sanjiao. Zhen Jiu Da Cheng «tt�*.nlt» refers to pericar­
dium as "the mother of yin blood" and sanjiao as "the father of yang qi".
Pericardium and sanjiao together regulate the functions of qi and blood
of ilie whole body. Therefore, eiguan PC-6 penetrating to Waiguan SJ-5
is very effective in treating abdominal pain due to qi and blood disorder.
Furiliermore, Teiguan PC-6 also connects with footjueyin Liver meridian
t11rough the correspondence between the same name hand and foot merid­
ians. Liver masters tendons and spasms. Deep insertion of Neiguan PC-6
towards Waiguan SJ-5 combining with deep breathing while manipulating
Lhe needle will relieve acute abdominal pain and can also improve spasms

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One Xeedle Therapy

of the abdominal organs from any kind of aggravation. It is excellent for

stopping pain.
Please refer to ''Analysis and Experience" of Section 1 9.3 A - Teiguan
PC-6 for treatment principle.

B. Liangqiu ST-34
Location:
\ Vith the patient lying in a supine position or sitting upright and with the
knee flexed, the point is located 2 cuu superior lu Lhe palella on the line
connecling with the anterior superior iliac spines (ASIS).
Needling:
After standard sterilization, perpendicular insertion approximately 1 to 2
cun. Use the "pecking, lifting and thrusting" technique and ask the patient
to massage the stomach and breathe deeply at the same time until the
stomachache disappears. Retain the needle for 60 minutes and manipulate
the needle once every 5 minutes and ask the patient to gently massage the
stomach and breathe deeply at the same time.
Analysis and Experience:
Please refer to ''Analysis and Experience" of Section 1 9 . 2 B - Liangqiu
ST-34 for details.

C. Shenque REN-8
Location:
In the middle of the umbilicus, locate Shenque REN-8 with the patient
lying in a supine position.
Needling:
I . \ Vith the patient lying in a supine position and the abdomen exposed,
place finely ground and dry-fried salt into the umbilicus (Shenque REN-
8). Cut a piece of ginger around 5 mm thick and pierce it a fev,, times then
place the ginger on the salt-filled umbilicus. Position and light a big moxa
cone on top of the ginger. Bum 5 to 1 0 cones.
- Or -
2 . \Vith the patient lying in a supine position and the abdomen exposed,
place finely ground and dry-fried salt into the umbilicus (Shenque REN-8),
the thickness of the salt is about 0.3 mm (about 0. 1 cun) and the diameter
is about 2 to 3 mm (about l cun); then place a moxa cone over the salt.
Burn the moxa until the patient starts to feel a warm sensation. Use a
spoon to smudge the fire (Note: do not let the moxa get too hot or smudge
too strong to avoid burning the patient). The patient can feel a noticeable
warming sensation at the umbilicus spreading toward the abdomen. This
strengthens the effects of dredging the meridians.
Note: The practitioner should pay special attention to avoid burning the
patient. During treatment, if the area gets too hot, more salt can be added.

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 Chapter 19 /Lower Abdominal Pain &Acute Lower Abdominal Pain

Analysis and Experience:

Shenque RE -8 is indicated for strengthening spleen yang, harmonizing
stomach, regulating intestines, warming yang and reversing counter-flow
(resuscitation) and opening orifices to restore consciousness. It is an es­
sential point in warming and restoring yang to resuscitate. However, this
point is only suitable for moxibustion, not for needling. This point is in the
center of the umbilicus. It can strongly tonify yuan (original) qi, strengthen
spleen and benefit kidneys. During pregnancy, the fetus receives nutrition
through the umbilical cord. Umbilicus is the root of life. Therefore, moxa
at Shenque REN-8 can strongly tonify yuan qi, strengthen the spleen and
stomach, benefit kidney qi and therefore regulate the whole body.
Disorders such as acute diarrhea, abdominal pain, indigestion or cold
pathogen attacking the abdomen and overconsumption of raw and cold
food cause cold stagnation in the middle jiao resulting in yang qi impedi­
ment and stagnation of qi mechanism resulting in acute lower abdomjnal
pain and diarrhea. l\1oxa Shenque REN-8 can restore yang and resuscitate
and warm the yang and fu organs, scatter coldness and alleviate pain. Not
only can this point treat severe abdominal pain, it can also stop vomit­
ing and diarrhea, relieve constipation, expel gas and eliminate abdominal
distention.

D. Dannangxue [EX] (gallbladder point)

Location:
Dannangxue [EX] is located approximately 1 cun inferior to Yanglingquan
GB-34 \Nhere there is an obvious sensation of soreness when palpated.
Needling:
After standard sterilization, quickly insert the needle approximately 1 to
1 .5 cun. Once qi is acquired, manipulate the needle in a wider range of
motion and more rapidly. Most likely the patient will feel the needle sen­
sation as soreness, numbness and distension at the site. The stronger the
patient feels the needle sensation, the better the result in stopping the pain.
After qi is acquired, retain the needle for 30 to 60 minutes. Manipulate
the needle once every 5 to l 0 millutes. Strongly manipulate the needle by
twisting, thrusting and lifting for 30 seconds (as strong as the patient can
handle). Usually the pain will subside in 5 minutes to half an hour and the
result is satisfactory.
Analysis and Experience:
Dannangxue [EX] is a relatively recently discovered extraordinary point.
It was first recorded in Zhong Hua Wai Ke Za Zhi, 8th Issue, 1 959 ( 1 9591¥
�8-5J}t « 9=1¥;.H4)f.!E�» ) . It says, "The tender spot about 1 cun inferior
to Yanglingquan GB-34." It is indicated for acute cholecystitis, cholelithi­
asis, biliary ascariasis and acute onset of chronic cholecystitis. As it mainly
treats disorders or gallbladde1� it is also named the "gallbladder point".

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One Aeedle Therapy

Dannangxue [EX] is located inferior to Yanglingquan GB-34. I t is

on the pathway of foot shaoyang Gallbladder meriruan. It is superior to
Vhiqiu GB-36, between he-sea and xi-cleft points. As the he-sea point of
foot shaoyang meriruan, Yanglingquan GB-34 treats gallbladder fu organ
djsorders. As the xi-cleft point of foot shaoyang meridian, Wajqiu GB-36
is inrucated for treating acute disorders of gallbla dd er fu organ and me­
ridjan. Dannangxue [EX] is located between them; therefore, it has the
actions and indications of both points. The point is needled at the sensitive
point while the gallbladder is having a spasm. The needle sensation is quite
strong and is "transmitted through the meridian" to reach the disorder site.
Gallbladder spasm that is caused by cholecystitis or cholelithiasis is mostly
an excessive syndrome of gallbladder fu organ. According to the treat­
ment principles of "treat excessive syndrome with reducing technique"
and "treat obstruction syndrome with eliminating technique '' , n eedlin g
Dannangxue [EX] with strong "reducing" manipulation, the result will
be more effective. Other research has proven that needling Dannangxue
[EX] will regulate t he function of gallbladder qi mechanism and stimulate
the co n trac tio n of the gallbladder so that the bile can be expelled. Once
the gallbladder is free of obstruction, "where tl1ere is movement, there is
no pain". Therefore, needling Dannangxue [EX] has significant effects
on gallbladder spasm caused by acute abdominal pain wi t h biliary origin,
cholecystitis, cholclithiasis and biliary ascariasis.

E . Jinjin [EX] or Yuye [EX]

Location:
Jinjin [EX] or Yuyc [EX] are located on the purple vein underneath the
tongue. Jinjin [EX] is the p oin t on the left and Yuye [EX] is the point on
the righ t.
Needling:
Use a three-edge d needle to bleed the points. Usually one treatment is
sufficient.
Analysis and Experience:
Jinjin [EX] or Yuye [EX] are extraordinary points. They are located un­
derneath the tongue. They can open orifices, drain heat, invigorate blood
to resolve stasis and dredge the meridians. It is effective to needle the points
when blood stasis obstructs the tongue orifice. · fongue is the window of the
heart. Stomach meridian is ascribed to stomach and scatters on the spleen,
then ascends to reach the heart. Therefore, needling the tongue can regu­
late spleen and stomach and harmonize stomach to descend the reversed
qi. Treating cold syndrome by needling Jinjin [EX] and Yuye [EX] for
abdominal p ain, especially caused by acute gastroenteritis, is very effective.

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 Chapter 19 / Lower Abdominal Pain &Acute Lower Abdominal Pain

E Sihuashang 77 .08
Location:
Sihuashang 77 .08 is located 3 cun below the hollow formed when the knee
is flexed, parallel to Zusanli ST-36, lateral to the tibia.
Needling:
Bleeding technique is mainly applied on Sihuashang 77 .08. Find the blu­
ish-green veins around Zusanli ST-36 and bleed the veins with a three­
edged needle.
Note: It is safer and easier to bleed when the needle is away from the tibia.
Analysis and Experience:
Please refer to '1\nalysis and Experience" of Section 1 9 . 2 E - Sihuashang
7 7. 08 for details.

G. Sihuazhong 77 .09
Location:
Sihuazhong 77.09 is located 4.5 cun inferior to Sihuashang 7 7 .08, 0.5 cun
superior to Tiaokou ST-38 on the Stomach meridian.
Needling:
Use a three-edged needle to bleed the point.
Analysis and Experience:
Please refer to '1\nalysis and Experience" of Section 1 9.2 F - Sihuazhong
77 .09 for details.

H. Sihuawai 77 . 14
Location:
Sihuawai 7 7 . 1 4 is located 1 .5 cun lateral to Sihuazhong 77.09.
Needling:
Bleed the point by using a three-edged needle and let out black blood.
Analysis and Experience:
Please refer to '1\nalysis and Experience" of Section 1 9 . 2 G - Sihuawai
7 7 1 4 for details.
.

SUMMARY
When abdominal pain is the major symptom, aggravated by palpation and
accompanied with abdon1inal muscle rigidity or anti-pulsation, or palpa­
ble mass, it should be considered as acute abdominal syndrome (for details,
refer to Section 1 9.3 Acute Abdominal Pain). In many cases this is a medical
emergency requiring urgent and specific diagnosis and treatment. It is unwise
to treat the pain 'vvithout knowing the specific diagnosis because that might
delay the appropriate treatments. Before knowing the specific diagnosis, do
not prescribe analgesic because that may mask the symptoms and affect the
accuracy of the diagnosis and will eventually impede the required and appro-

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One_ Veed/e Therapy

priate treatments. However, if the pain is difficult to bear, other than the above
points, the following points may alleviate pain and have some treatment effects:
1 . Diji SP-8: it is a trigger and treatment point for pancreatitis.
2. Liangqiu ST-34: it is a trigger and treatment point for stomach cramps,
gastric distension and perforation caused by ulcer.
3. Wenliu LI-7: it is a trigger and u·eatment point for intestinal obstruction
and intestinal pe1foralion.
4. Yanglao SI-6: it is a trigger and treatment point for appendicitis and
intestinal perforation.
5. Zhongdu LIV-6: it is a trigger and treatment point for cholelithiasis and
liver and gallbladder disorders.
6. 'Vaiqiu GB-36: it is a trigger and treatment point for cholelithiasis and
cholccystitis.

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 Chapter 20 / Biliaiy Colic

Chapter 20

Biliary Colic

Biljary colic is a syndrome that manifests with colic of the gallbladder. It is

ascribed to acute abdominal syndromes. The pain is a result of gallstones, bile
duct stones, biliary duct ascariasis, or acute cholecystitis.
The patient who suffers from acute cholecystitis will have acute onset of
continuous pain in the upper right abdomen. The pain is severe and often
radiates to the right shoulder or right scapula. Most patients also have other
symptoms such as fever, aversion to cold, chills, nausea, vomiting, pressured
pain inferior to the right ribs close to the area of gallbladder, spasm of the
abdominal muscle and pain which is aggravated by taking deep breaths. The
overall white blood cell count increases. The patient might also have mild
jaundice.
Biliary colic caused by gallstones usually occurs after a full or greasy meal.
The pain is excruciating. It is mostly at the upper middle or upper right abdo­
men and radiates to the right scapula or right shoulder. The pain can cause
fidgeting, bending, rolling, or even crying and screaming, spontaneous sweat­
ing, pale face, and nausea and vomiting. The duration of the attack varies.
Howeve1� most of the time the attack is short and not more than a couple of
hours. The accompanying symptoms may be indigestion, such as the upper
middle and upper right abdomen having the sensation of fullness, heat in the
stomach, belching, acid regurgitation and abdominal distention. These symp­
toms become more profound after consuming greasy foods. X-ray will be able
to accurately determine if the patient has gallstones.
Biliary colic is ascribed to "hypochondriac pain" and 'jaundice" in
Chinese medicine. Chinese medicine believes that gallstones are caused by bile
accumulation, a result of liver qi stagnation. For one, chronic damp heat in the
spleen will also form gallstones. Damp heat in the spleen is usually caused by
over consumption of greasy, fatty and spicy foods. For another, when liver qi is

277
One Needle Therapy I Part IL Pain Syndromes

stagnated, it will result in attacking the spleen and stomach, causing damp heat
which impairs the transformation and transportation function of the spleen
and eventually results in damp heat accumulation. Once the gallstones are
formed, there will be obstruction. There is a saying that "the six fu organs work
when there is no obstruction" and "when there is obstructions, there is pain".
Therefore, different degrees of pain 'Nill occur (including distended pain in the
upper right abdomen, pressme pain at the gallbladder region and even biliary
colic.)
Since cholelithiasis and cholecystitis often occur simultaneously, they have
similar symptoms and treatment principles. Acupuncture can relax the spasms
and relieve biliary colic. Besides relieving the colic caused by gallstones, acu­
puncture also assists the expelling of the stones. Clinical experience shows that
acupuncture is more effective in expelling relatively smaller or sand-like stones
only.

ONE NEEDLE THERAPY POINTS FOR BILIARY COLIC

The commonly used one needle therapy points for biliary colic are: Muzhi
1 0 1 0 . 1 8, Zhongdu GB-3 2, Taichong LIV-3, Dannangxue [EX], Danshu
UB- 1 9, Xiabai 22.07 and Huozhi 88. 1 5.

A. Muzhi 1010.18
Location:
Muzhi 1 0 1 0. 1 8 is located 1 cun lateral and superior to Majinshui 1 0 1 0. 1 3.
Needling:
Perpendicular insertion 0 . 1 to 0.3 cun.
Analysis and Experience:
Muzhi 1 0 1 0 . 1 8 is located close to Xiaguan ST- 7. Xiaguan ST-7 is the
meeting point of Stomach and Gallbladder meridians. Therefore, Muzhi
1 0 1 0. 1 8 is very effective for gallbladder disorders. It is particularly indi­
cated for cholelithiasis, a disorder related to both gallbladder and stom­
ach. As its name implies, liver relates to wood, and the branch of wood
is gallbladder. This point treats all types of gallbladder disorders and is
particularly effective for cholelithiasis. Therefore, it is certainly effective in
treating biliary colic.

B. Zhongdu GB-32
Location:
Zhongdu GB-32 is located on the lateral aspect of the thigh (femur) infe­
rior to Fengshi GB-3 1 or 5 cun superior to the popliteal crease, in the de­
pression between the lateral vastus muscle and biceps muscle of the thigh
and forms a straight line with Huantiao GB-30.

278
 Chapter 20 / Biliary Colic

Needling:
With the patient's knee flexed, perpendicular insertion 1 .5 cun posteriorly
and medially from the lateral aspect of the thigh.
Analysis and Experience:
Zhongdu GB-32 is located 2 cun inferior to Fengshi GB-3 1 of Gallbladder
meridian. It is slightly inferior to its opposite point, Huozhi 88. 1 5 which is
located on the medial aspect of the thigh. Huozhi 88. 1 5 can treat jaundice
that is accompanied by dizziness, blurred vision, back pain and cholecys­
titis. Since this point is located on Gallbladder meridian, it directly acts on
the gallbladder and the effectiveness is more direct.

C. Taichong LIV-3
Location:
Taichong LIV-3 is located on the dorsum of the foot, 2 cun proximal to the
head of the 2nd metatarsal of the big toe, between the j unction of the 1 st
and 2nd metatarsal bones.
Needling:
With the patient lying in a supine position, perpendicular insertion 1 cun
by using a 1 .5 cun needle, or with the tip of the needle directed superiorly
insert approximately 1 cun. Manipulate the needle continuously by lifting,
thrusting and tv.risting for about 1 minute. Then strongly manipulate the
needle until the patient cannot bear the pain from the needle. Retain the
needle for 45 minutes. During the treatment, strongly manipulate the nee­
dle periodically.
Analysis and Experience:
Taichong LIV-3 is the yuan-source and shu-stream point of foot j ueyin
Liver meridian. Huang D i Nei Jing, Ling Shu Chapter 1 - Jiu Zhen Shi
Er Yuan «J!Nif P9*,fil•;l�» iLtt+=llf:� says, "For five zang organs
disorders, the n.velve yuan-source points are selected." Yuan-source points
are classically indicated for regulating the functions of the internal (fu) or­
gans. Liver and gallbladder are interiorly-exteriorly related to each other.
Taichong LIV-3 soothes the liver and benefits the gallbladder. Therefore
Taichong LIV-3 is an important point in treating liver and gallbladder dis­
orders. Taichong LIV-3 is a shu-stream point. Shu-stream points are indi­
cated for heaviness of the body and for joint pains. Taichong LIV-3 is the
earth point of Liver (wood) meridian. Liver masters dredging. Therefore,
Taichong LIV-3 is particularly effective in dredging and soothing the liver
(wood) and regulating the spleen and stomach (both ascribed to earth).
Since the liver also masters the tendons, points from Liver meridian are
effective for spastic or cramping pains. Therefore, Taichong LIV-3 is also
an essential point for cholecystitis and cholelithiasis.

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One Needle Therapy / Part JI· Pain Syndromes

D. Dannangxue [EX]
Location:
Dannangxue [EX] is located approximately I cun inferior to Yanglingquan
GB-34 where there is a sensation of soreness when palpated.
Needling:
Perpendicular insertion 1 lo 1 .5 cun. After qi is acquired, increase the
range of motion and frequency. Retain the needle for 30 minute and ma­
nipulate the needle once every 3 to 5 minutes. l\!Iost of the time, the pain
should subside immediately.
Analysis and Experience:
Dannangxue [EX] is a trigger point located about 1 cun infC1;or to
Yanglingquan GB-34. It is an extraordinary point that was discovered i n
the 20th century. It was first documented in Zhong H u a ' Vai Ke Z a Zhi,
8th Issue, 1 959 ( l 9591:j:: � 8t't « 9=1$5'�f4s�!Ut» ) . This point is located
in the pathway of foot shaoyang Gallbladder meridian. It is inferior to the
knee, between Yanglingquan GB-34, the he-sea point and Waiqiu GB-
36, the xi-cleft point of Gallbladder meridian. Yanglingquan GB-34 and
Waiqiu GB-36 are effective for acute disorders of Gallbladder me1;dian
and the gallbladder fu organ. Dannangxue [EX] point acts as a trigger
point when there is disorder in the gallbladder. \ Vhen there is biliary colic,
Dannangxue [EX] will be very sensitive to the touch. ·when the point is
needled, the patient will experience strong needle sensation that "traverse
along the pathway to the disorder site". "vVhen qi is acquired at the disor­
der site, the obstruction is removed and the pain stops".

E. Danshu UB-19
Location:
Danshu UB- 1 9 is located l .5 cun inferolateral to and level with the LOth
thoracic spinous process (Tl 0).
Needling:
Oblique insertion approximately 0.5 cun. Hold the needle tightly witl1 slow
insertion. \ Vhen the needle sensation becomes tronger, retain the needle
for I 0 minutes then quickly remove the needle.
Analysis and Experience:
Danshu UB- 1 9 is a point on the back that ascribed to foot taiyang merid­
ian. It corresponds to the gallbladder fu organ. It is indicated for clearing
and draining heat pathogens of the liver and gallbladder. It also regulates
qi and opens the diaphragm. It is an essential point for any type of gall­
bladder disorder. To treat cholecystitis and biliary colic, bleed this point to
drain excess heat of the liver and gallbladder will stop the pain.

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 Chapter 20 /Biliary Colic

E Xiabai 22.07
Location:
Xiabai 22.07 is located on the dorsal aspect of the patient's hand, between
the 4th and 5th metacarpal bones, 1 .5 cun proximal to the metacarpopha­
langeal joint (that is l cun proximal to Zhongbai 22.06).
Needling:
With the patient's hand in a loose fist, insert the needle 0.5 cun. After qi is
acquired, manipulate the needle with medium-strong stimulation. Retain
the needle for 30 minutes. Manipulate the needle once every 5 minutes. If
pain persists, manipulate more frequently and with stronger manipulation.
Analysis and Experience:
Xiabai 22.07 is located in hand shaoyang Sanjiao meridian. It is at the
same location as jingling [EX] and is directly proximal to Zhongzhu SJ-3
of Sa�jiao meridian. Therefore it has the same actions and indications of
Zhongzhu SJ-3 and Zhongbai 22.06. Since Xiabai 22.07 is located dis­
tal to the wrist, it corresponds to tl1e hypochondriac and rib regions in
accordance with holographic correspondence. Through the connections
between the same name hand and foot shaoyang meridians, this point
communicates with the gallbladder and therefore can treat gallbladder dis­
orders. Clinical experience has proven that Xiabai 22.07 is very effective in
stopping biliary colic. Most of the pain can be stopped within 10 minutes
after needling.

G. Huozhi 88. 15
Location:
Huozhi 88. 1 5 is located 1 .5 cun inferior to Minghuang 88. 1 2. (Minghuang
88. l 2 is located in the center of the medial aspect of the thigh).
Needling:
Perpendicular insertion l cun at the medial aspect of the thigh.
Analysis and Experience:
Huozhi 88. 1 5 is located on Liver meridian. Liver and gallbladder are
interiorly-exteriorly related. Huozhi 88. 1 5 can treat jaundice, dizziness,
blurred vision, back pain associated with jaundice, cholecystitis and gall­
stones. Huozhi 88 . 1 5 when paired with Qjhuang 88. 1 4, which is 1 .5 cun
inferior to Huozhi 88. 1 5 , will attain better results in treating jaundice, cho­
lecystitis, gallstones and stopping pain.

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One J\"eedle TherajJ_y I Part II: Pain S_yndromes

Chapter 21

Renal Colic

Renal colic is a type of pain mostly caused by renal and ureteral stones. The
pain is often of sudden onset and manifested as continuous dull pain or inter­
mittent excrucialing cramping pain in the back. It may last a few minutes or
a few hours. The pain caused by nephrolithiasis (kidney stone) may radiate to
the back and lower abdomen, whereas the pain caused by ureter stones may
radiate to the genital area and inner thigh. The pains are so excruciating that
the patient is unable to sit or sleep. Other symptoms are nausea, vomiting, cold
sweat and various degree of bloody urine. The pain might stop suddenly, but
the kidney area of the affected side usually has pain when pressed or tapped.
If the stones are lodged in tl1e renal calyx, it may be as)m1ptomatic or a feeling
slight distension in the back.
Renal colic caused by stones in the urinary system is ascribed to tl1e cate­
gories of "stone lin", "heat !in" and "lumbago" in Chinese medicine. Chinese
medicine believes that damp-heat accumulated in the lower jiao is the origi­
nal cause of lin syndrome. Impurities in the urine coagulate and obsu,uct the
urethra, blocking the excretion and qi mechanism becomes sluggish. As the
saying, "when there is obstruction, there is pain"; tl1erefore, colic occurs. The
pathogenesis can be summarized into three categories: damp-heat in the lower
jiao, kidney qi deficiency, and qi stagnation and blood stasis. The meridians
that are mostly involved are foot taiyang Urinary Bladder and foot shaoyin
Kidney. However, foot jueyin Liver meridian is also involved because it path­
way en ci rcl es the geniLal area and it masters the draining and dispersing of qi.

ONE NEEDLE THERAPY POINTS FOR RENAL COLIC

The commonly used one needle therapy points for renal colic are: Xiabai
2 2 . 0 7 , Taixi KID-3, Waiguan SJ-5, Taichong LIV-3, Chengshan UB-57,

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 Chapter 2 1 / Renal Colic

Shenshu UB-23, eibai [EX] , Zusanli ST-36, \l\leizhong UB-40 and Majins­
hui 1 0 1 0. 1 3.

A. Xiabai 22.07
Location:
On the dorsal aspect of the patient's hand, Xiabai 22.07 is located between
the 4th and 5th metacarpal bones, 1 .5 cun proximal to the junction of the
metacarpophalangeal. (i.e. 1 cun proximal to Zhongbai 22.06).
Needling:
\1\Tith the patient's hand in a loose fist, perpendicular insertion 0 . 5 cun.
After qi is acquired, medium to strong manipulate. Retain the needle for
30 minutes. l\!Ianipulate the needle once every 5 minutes. If the pain per­
sists, apply stronger manipulate with increased frequency.
Analysis and Experience:
The location of Xiabai 22.07 is equivalent to the extraordinary point
Jingling [EX] . It was first cited in the Xiao Er Tui Na Fang Mai Huo Ying
Mi Zhi Quan Shu «1J,.,�11.E*1f1*ti!r�*..0 §'�:S:» . This point is located
directly posterior to Zhongzhu SJ-3 on Sartiiao meridian. Therefore the
actions and indications of Xiabai 22.07 are the same as those of Zhongbai
22.06 and Zhongzhu SJ-3. Through extraordinary connection between
tl1e kidney and sanjiao, this point can effectively treat kidney deficiency
disorders. This point is also indicated for lumbago. Since Xiabai 22.07
corresponds to the kidney and lumbar, and insertion of the needle is along
the bone which also corresponds to the kidney; therefore Xiabai 22.07 is
very effective in treating renal colic. In most cases, the pain stops within 10
minutes after needling. Few patients may have residual pain after the treat­
ment but the pain will diminish gradually in two to three days.

B. Taixi KID-3
Location:
Taixi KID-3 is located 0.5 cun posterior to the medial malleolus, in the
depression at the artery above the heel midway between the posterior bor­
der of the medial malleolus and the Achilles tendon, directly opposite to
Kunlun UB-60.
Needling:
Select both Taixi KID-3. Needle the points after standard sterilization.
Once qi is acquired, medium to strong manipulation until the patient feels
tl1e sensation of tingling and distension spreads toward the feet. Retain
the needles for 30 to 90 minutes. Manipulate t11e needles periodically and
increasingly stronger until tl1e sensation of tingling and distension spreads
to the feet.
Analysis and Experience:
Taixi KID-3 is the shu-stream and yuan-source point of Kidney meridian.

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One Yeedle Therapy I Part II: Pain Sjmdromes

It can regulate sanjiao, unblock qi mechanism, transport qi and eliminate

water. This point is ascribed to earth. As earth point of water meridian, it
treats both earth and water, i.e. spleen and kidney, respectively. It nourishes
yin, strengthens the lumbar, ronifies kidney, clears and eliminates damp­
heat to alleviate pain. In clinical practice, Taixi KID-3 treats renal colic
due to calculus with satisfactory results. From personal exrperience, I have
treated many cases of renal colic caused by urinary stones with l 00% suc­
cess rate.

C. Waiguan SJ-5
Location:
\Vaiguan SJ-5 is located 2 cun above the wrist crease between the radial
and ulnar bones, directly opposite to eiguan PC-6.
Needling:
\'\Tith the patient's palm facing down perpendicular insertion 0.5 to 1 cun.
Once qi is acquired, manipulate the needle by lifting, thrusting and twist­
ing 2 to 4 times and ask the patient to exercise the lumbar area at the same
time. The pain should subside immediately. Retain the needle for 30 min­
utes. Repeat the manipulation 3 to 4 times and ask the patient to exercise
the lumbar area at the same time.
Analysis and Experience:
Waiguan SJ-5 is the luo-conncctingpoint of hand shaoyang Sanjiao merid­
ian, and one of the eight confluent points that connects with Yangwei me­
ridian. Sanjiao masters all qi and controls qi transformation of the whole
body. Sanjiao also connects with kidney and can dredge 'Nater passages to
treat kidney disorders. eedling \ Vaiguan SJ-5 can enhance the distribu­
tion of yuan-source qi to the whole body, clear and eliminate damp-heat,
dredge water passages and regulate qi mechanism, open the meridians and
collaterals, regulate qi and stop pain. Therefore, it is very effective in treat­
ing renal colic. In most cases, the pain should stop immediately.

D. Taichong LIV-3
Location:
On the dorsum of the foot, 2 cun proximal to the head of the 2nd meta­
tarsal of the big toe, benveen the junction of the 1 st and 2nd metatarsal
bones.
Needling:
Select both Taichong LIV-3. Perpendicular insertion from the dorsal as­
pect of the feet toward the plantar aspect of the feet. Once qi is acquired,
manipulate the needles by twisting, lifting and thrusting and ask the patient
to exercise the back to guide qi to the affected area. The pain should be
alle\iated immediately. Retain the needles for 30 minutes.

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 Chapter 21 / Renal Colic

Analysis and Experience:

Taichong LIV-3 is the yuan-source and shu-strcam point of foot jueyin
Liver meridian. Yuan-source point is where the activity of the original qi
of the body manifests. It is specially indicated for treating disorder of its
respective organs, whereas, shu-stream points are generally indicated for
pain. Taichong LIV-3 is frequently used to treat disorders of t11e liver and
gallbladder. However� it can also treat low back pain. As cited in the ancient
text Shi Er Xue Zhu Zhi Za Bing Ge «+=/\±�*!€��» : "Taichong
LIV-3, located 2 cun posterior to t11c joint of the big toe . . . it also treats
low back pain with amazing effectiveness. '
Taichong LIV-3 can disperse and regulate (jver qi, clear and drain
damp-heat, invigorate blood and stop pain. It is very effective in stopping
pain due to biliary colic and renal colic. Since the pathways of Liver and
Gallbladder meridians are related lo the urinary tract location, Taichong
LIV-3 is parcicularly effective for colic caused by ureter stones.

E. Chengshan UB-57
Location:
Chengshan UB-5 7 is located on the posterior mid.line, in the depression
below the gastrocncmius belly of the lower leg.
Needling:
Perpendicular insertion 0.8 to l cun from the posterior aspect of I he
calf toward the anterior aspect of the lov,rcr leg. After qi is acquired, ask
the patient lo exercise t11e lower back. Retain the needle for 30 minutes.
!fanipulare the needle once every l 0 minute and ask the patient lo exer­
cise t11e lower back at t11e same rime.
Analysis and Experience:
Chcngshan UB-57 is ascribed to foot taiyang U rina 1y Bladder meridian.
Urinary Bladder meridian traverses the lower back. Urinary Bladder and
Kidney meridians arc cxte1iorly and interiorly related. This point can ac­
tivate meridian qi according to "when the obstruction is removed, there is
no pain". Chengshan UB-57 is also indicated for spastic pain wit11 great
effect.

E Shenshu UB-23
Location:
Shenshu UB-23 i. located 1 .5 cun lateral LO the lower border of the spinous
process of the 1 4th vertebra (the 2nd lumbar vertebra (L2)). It is located
1 .5 cun lateral to Mingmen DU-4 (which is lc\·el wit11 t11e umbilicus), select
the point with the patient sitting upright. Another simple way to locate the
point: the practitioner places the midcUe fingers on the umbilicus and slides
the fingers, one on each side, toward the patient's back. Mingmen DU-4 is
localed where Lile 2 fingers meet. Shcnshu UB-23 is located 1 .5 cun la teral

285
One. \eedle TheraPJ' / Part II: Pain Sj'lldromes

to �lingmen DU-4 (however this technique is not too accurate \\·hen used
on a patient \\"ho i obese with the belly hanging down).
Needling:
\ \ ith the patient sitting upright or lying in a prone position, locate Shenshu
B-23. Perpendicular insertion 0.5 cun by using a 30-gauge needle with
lhe tip of the needle directed from the back anteriorly and inferiorly with
medium manipulation. Massage the lumbar area for the patient at the
same time. Retain the needle for 30 minutes and manipulate the needle I
minute for e\·ery 5 minutes.
Analysis and Experience:
ln Chinese medicine, this syndrome is differentiated as accumulation of
damp-heat to form stones. vVhen there is obstruction, there is pain. The
meridians that are involved arc mainly foot taiyang Urinary Bladder and
foot shaoyang Kidney meridians. "Lower back is the palace of the kidneys.
" Shenshu CB-23 is located on Urinary Bladder meridian. As the "shu"
point of the kidney, it is where qi of the respective zangfu meridian qi in­
fu ed and is directly related to the respective organ. Therefore, it can treat
di orders of its corresponding zangfu organ. Needling Shenshu UB-23 can
dredge kidney qi and stop pain.

G. Neibai [EX]
Location:
eibai [EX] is located on the dorsal aspect of the patient's hand between
the metacarpal bones of the middle and ring fingers. It is located in the de­
pres ion on the posterior border of the junction of the 3rd and 4th meta­
carpal bones, mid\rny between the junction of the dorsal wrist crease and
the head of the metacarpal bone. LeYel with Xiabai 22.07. i'\eibai [EX] is
located between the 3rd and 4th metacarpal bones, 2 cun proximal to the
metacarpophalangeal joint (i.e. 1 .5 cun proximal to Cibai A.06).
Needling:
Needle with the patient's hand in a loose fist. After standard sterilization,
perpendicular insertion 0.3 cun. \Vhcn qi is acquired, the patient should
ha,·e soreness and tingling sensation spreading toward the tip of the fin­
gers. Medium to strong manipulation. If the pain persists, retain the needle
for 30 minutes and increase the intensity of manipulation periodically.
Analysis and Experience:
eibai [EX] is an empirical point. It is needled along the bone and corre­
sponds with the kidneys. ·Master Tung's points that arc located on the yang
aspect of the middle finger are all indicated for the kidney and liver. From
the perspective of taiji corrcspuudeuce, Nt.:ibai [EX] and Xiabai 22.07
both correspond to the kidney and lower back. Therefore, it is effective in
treating renal colic.

286
 C'lwpter 21 / Renal Colic

H. Zusanli ST-36
Location:
Zusanli ST-36 is located on the lateral and superior aspect of the lower
leg, 3 cun below Dubi ST-35 one finger-breath (middle finger) lateral to
the anterior border of the tibia 0ook for the ore spot when palpate along
Zusanli ST-36). Master Tung's point Sihuashang 7 7 .08, whjch is equiva­
lent to Zusanli ST-36, is 3 cun inferior to Xiyan [EX] , lateral to the tibia
and level with Zusanli ST-36.
Needling:
Select both Zusanli ST-36. Use a 3 cun needle and insert 2 cun deep.
Once qi is acquired, strongly manipulate the needle by Lifting, thrusting
and twisting and ask the patient to massage or exercise the lumbar area at
the same time. Retain the needle for 30 minutes. Manipulate the needle
once every 5 to I 0 minutes.
Analysis and Experience:
Zusanli ST-36 is the he-sea (earth) point of foot yangming Stomach (earth)
meridian an earth point in the earth meridian. It is a commonly used point
to treat Stomach and abdominal disorders. It i also a point that strength­
ens the body. As cited in the ancient text Zhen Jiu Jia Yi Jing «�t� Ej3
Z, f.�» that Zusanli ST-36 is indicated for "patients with back pain that
cannot turn side to side". Other ancient texts also have similar descriptions
to Zusanli ST-36 treat i ng the rental colic syndrome. Clin iclll prllctire i n di ­
cated that Zusanli ST-36 alleviates renal colic caused by the body expelling
the stones after extracorporeal lithotripsy.

I. Weizhong UB-40
Location:
\Veizhong UB--+O i located at the back of the knee, on the popliteal crease,
in the depres ion mjclway between the tendons of the biceps fcmoris and
semitendinosus muscle. To locate the point, ha,·e the patient either lying in
a prone position with the leg slightly flexed or standjng upright. Generally,
t11e patient is in a prone position. For those patients who cannot be in a
prone position whether on account of acute lumbar sprain, noxious sores
at the lower extremities, or excruciating pain due lo blood stasis, those pa­
tients should be standing erect. When standing, the patienr should face the
wall with the lower legs locked in straight.
Needling:
Afi:er standard sterilization, use a three-edged needle and prick the "angry
veins" (engorged veins) around Weizhong UB-40. Remove the needle im­
mediately. Purplish-brown blood will start flowing. Let the blood flow until
it stops naturally (generally 5 to l 0 cc of blood or until the blood turns
from deep purple to b1-ight red). \ Veizhong UB-40 on both legs should be

287
One, Veedle Therap_y / Part ff: Pain Syndromes

pricked at the same time. However, the technique musl be performed skill­
folly, lightly and with precision.
Remarks:
\\Then bleeding Weizhong UB-40, the amount of blood flow must be care­
fully monitored. The patient's constitution must also be taken into con­
sideration. This technique is contraindicated for paLients who have weak
constitutions, poor health due to chronic illness, pregnant women, patients
who are anemic, any patients with collapsing, exhaustion or vvasting disor­
ders, women who have had multiple miscarriages, and patients '<vho bleed
easily or those who have lost a lot of blood.
Analysis and Experience:
Weizhong UB-40 is the he-sea point of Urinary Bladder meridian. It is
also one of the four command points. It is indicated for soothing the ten­
dons, invigorating the collaterals, dissipating blood stasis and calming pain.
Therefore, it is a very important point for treating lower back pain. Si
Zong Xue Ge « 12!1�1\�.&» says, "Search Weizhong UB-40 for [disorders
of] the lower back". This indicates that Weizhong UB-40 treats any lower
back pain. Yu Long Ge «.3S.a�» states: "To treat spinal back spasm
pain, reduce Renzhong DU-26; it can also treat lumbar sprain pain. One
can also select \Veizhong UB-40 that treats any lower back disorders." Xi
Hong Fu «J$i]l.l!ftt » says, "\I Veizhong UB-40 specializes in treating pain
in the lumbar area." Ling Guang Fu «m:JIGM» also states: "Weizhong
UB-40 calms all kinds of lower back pain". Those arc the conclusions from
the experience of physicians throughout history in using Weizhong UB-40
to treat lower back pain.
Urinary Bladder meridian starts from the inner canthus at Jingming
UB-1 and descends from the head to the feet. A branch traverses along
both sides of the pine and reaches the lumbar region. It then enters the
body cavity and connects with the kidneys and joins its pertaining organ,
the urinary bladder. Another branch from the lumber region descends
through the gluteal region along both sides of the spine and ends at the
popliteal fossa. Yet another branch traverses along the medial border of
the scapula along both sides of the spine, passing through the gluteal re­
gion dowmvard along the lateral and posterior aspects of the thigh and
meeting with the preceding branch descending from the lumbar region
in the popliteal fos a at Weizhong UB-40. Weizhong UB-40 is the cross­
ing point of these two branches of Urinary Bladder meridian. Based on
the treatment principle of "the acupuncture points of a me1;dian treat
the parts of che body travelling along that meridian ', \iVeizhong UB-40 is
very effective in treating acute lumbar sprain located along the pathway of
Urinary Bladder meridian.
Bleeding Weizhong UB-40 is to use the "collaterals bleeding" technique
to bleed this point. As cited in Huang Di NeiJing, Su Wen Chapter 4 1 - Ci

288
 Chapter 21 / Renal Colic

Yao Tong «:Jt* � #,ill · *"r"� » :JfiUMl!?�: "Lumbago that is along foot taiyang
meridian causes patients heavy pain in the neck, spine, buttocks and back.
Treat these disorders by bleeding Xizhong (cleft center, another name for
Weizhong UB-40) of the primary taiyang meridian". I t frequently men­
tions the bleeding technique. Later ancient texts such as Qja.n jin Yao Fang
«���J]» , Wai Tai Mi Yao «��a-f.£·�» , Tong Ren Zhen jiu Shu
Xue Tu jing «�IPJ).. tfjkHiJtr1C!it�» , Zhen Jiu Da Quan «ifjk*�» ,
Zhen Jiu Da Cheng «itjk*fflt» and even Yi Zong Jin Jian «·�*�
1.lli'i » all state that Weizhong UB-40 is indicated for lower back pain.
Weizhong UB-40, also known as Xizhong (cleft center), is the he-sea
point of foot taiyang Urinary Bladder meridian, which has scanty qi but
abundant blood. The he-sea point Weizhong UB-40 is therefore particu­
larly suitable for bleeding. In Zhen Jiu Da Cheng «ifjk*fi.l,(:» , this point
is called Xuexi (blood cleft). Pain from acute lumbar sprain is mostly caused
by injury from falls or twisting of the lower back leading to qi and blood
stagnation that cause pain. Bleeding Weizhong UB-40 at those superfi­
cially engorged veins can invigorate the blood and dissipate the stagnation
thereby opening and regulating the qi of the meridian in accordance with
the principle of "without movement there is pain, ,'\Tith movement there is
no pain", and strengthen the lumbar and knees. Therefore Vleizhong UB-
40 is excellent in treating acute lumbar sprain.

J. Majinshui 1010.13
Location:
Majinshui 1 0 1 0. 1 3 is located 0 . 1 5 cun in the depression directly inferior to
tl1e outer canthus and inferior to the lower border of the cheekbone, below
Quanliao S I- 1 8.
Needling:
Perpendicular insertion 0 . 1 to 0.3 cun.
Analysis and Experience:
The horizontal line across the face through Renzhong DU-26 is the "lum­
bago line". \i
l fajinshui 1 0 1 0 . 1 3 , which is located inferior to this line, is ex­
cellent for kidney stones lead to renal colic. It is also very effective for pain
caused by acute lumbar sprain and exercise-related transient abdominal
pain (ETAP). Majinshui 1 0 I 0. 1 3 is often combined \'\Tith Xiabai 22.07, or
Xinxiabai [EX] (which is needling Xiabai 22.07 along the bone). I was for­
tunate enough to have discovered this new point. This combination treats
kidney colic and kidney stones \'\Tith great success.

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One Needle Theraf;y I Part II- Pain Syndromes

Chapter 22

Dysmenorrhea

Dysmenorrhea refers to the lower abdominal pain before, during or after

menstruation. The pain usually starts a few hours before the menstrual flow
and i s an intermittent cramping sensation. Other symptoms may include pale
face, cold sweats, cold hands and feet, nausea, vomiting, diarrhea and aching
lower back. Severe dysmenorrhea may even cause fainting. Dysmenorrhea is
a common gynecological disorder and an acute condition. Clinical practices
have shown acupuncture is effective in treating dysmenorrhea with relatively
minimal or no risk of side effects. Acupuncture can relieve the symptoms of
dysmenorrhea or alleviate the underlying cause.
According to Chinese Medicine syndrome differential.ion, qi stagnation
and blood stasis, or cold-damp congealment and obstruction usually lead to
dysmenorrhea.
Internal etiology of dysmenorrhea is mainly caused by qi stagnation and
blood stasis and typically occurs prior to or at the beginning of the menstrual
flow. However, it may also happen between menstrual cycles, such as during
ovulation. Thickening of the ovary wall and difficulty in releasing the eggs
may cause dysmenorrhea. For dysmenorrhea caused by stasis and stagnation,
there will be clots in the menstrual blood. Abdominal pain will be alleviated
once the clots are discharged. The pain will completely disappear when the
period ends.
External causes are exposure to cold during menstruation resulting in
cold congealment. It can be further differentiated into deficiency and excess.

Excessive cold dysmenorrhea is due to cold pathogens lodged in the blood

vessels resulting in blood congealment causing dysmenorrhea. Deficient cold
is further categorized into qi deficiency and kidney deficiency. The deficiency
causes bao mai (the uterine vesse l) to become under-nourished resulting i n
dysmenorrhea.

290
 Chapter 22 I Dysmenorrhea

In addition, blood deficiency, phlegm damp, liver stagnation and deficiency,

all can cause dysmenorrhea. Women are more prone to suffer from emotional
disturbances, especially worries, over thinking, depression and anger. Often
dysmenorrhea is due to qi and blood disharmony resulting from liver stagna­
tion and spleen deficiency. Q} and blood dysfunctions of zang fu organs can
also cause dysmenorrhea. In women of childbearing age, qi and blood injuries
from sexual activities, childbirth, lactation and miscarriage can cause blood
stasis. When combined liver and kidney deficiency with irregularity of Chong
and Ren m eridi ans, the chance of infection can increase. Infectious disorders
of the genitalia, endometrial adhesion and pelvic inflammation disorders can
all cause irregular and difficult menstrual flow resulting in dysmenorrhea.
In clinical practice, dysmenorrhea cause by qi stagnation with blood stasis
cold congealment with qi stagnation are most commonly seen. Those due to
deficiency and heat are not as common. Regardless of the causes, the main
treatment principle is to "dredge" [the meridian] . The basic and main treat­
ment principle is to invigorate blood to warm the meridians. Acupuncture is
very effective in treating dysmenorrhea. The best treatment time is during
menstrual flow. The treatment should start 7 days prior to the initiation of the
menstruation and patient should receive acupuncture once every other day
until the menstruation ends.

ONE NEEDLE THERAPY POINTS FOR DYSMENORRHEA

The commonly used one needle therapy points for dysmenorrhea are: Menjin
66.05, Neiting ST-44, Zhiyin UB-67, Xingjian LIV-2, Chengshan UB-57,
Chengjiang REN-24, Sanyinjiao SP-6, Fuke 1 1 .24, Shiqizuixia [EX] , Ciliao
LB-32 and TaichongLIV-3.

A. Menjin 66.05
Location:
Menjin 66.05 is located in the depression anterior to the junction of the
2nd and 3rd metatarsal bones. eedle alongside the bone.
Needling:
Oblique insertion or perpendicular insertion 1 .0 cun from the dorsal aspect
of the foot toward the sole. Once qi is acquired, twist the needle and ask
the patient to massage the lower abdomen or practice the Kegel exercise
at the same time. Retain the needle for 30 minutes. Repeat manipulation
and exercise once every 5 minutes. Duration of treatment should be 2 days
prior to the commencement of menstruation or 2 days prior to the com­
mencement of dysmenorrhea, until the pain stops during menstruation.
Analysis and Experience:
The word 'jin" in Menjin 66.05 means metal. It corresponds with lung
and large intestine and regulates qi. Basically, it is the same point as Xiangu
ST-4-3 of foot yangming Stomach meridian. Xiangu ST-43 is the wood

291
One .Needle Therapy / Part II· Pain Syndromes

point of earth meridian. It is indicated for dredging the liver and regu­
lating qi. It also regulates liver and spleen. For menstrual disorders, one
must dredge the liver. Since Xiangu ST-43 is ascribed to wood, it dredges
the liver. Furthermore, it is located on yangming meridian. Yangming me­
ridians have abundant qi and blood and can regulate qi and blood. Since
Menjin 66.05 contains the word ')in", it can also regulate qi. Therefore,
Xiangu ST-43 is very effective in treating physiological pain.

B. Neiting ST-44
Location:
Neiting ST-44 is located proximal to the web margin between the 2nd and
3rd metatarsal bones, in the depression distal and lateral to the 2nd meta­
tarsodigital joint.
Needling:
Perpendicular insertion 1 .0 cun from the dorsal aspect of the foot toward
the sole. Once qi is acquired, needle by using the twisting technique and
ask the patient to massage the lower abdomen or practice the Kegel ex­
ercise at the same time. Retain the needle for 30 minutes and repeat the
manipulation and exercise once every 5 minutes. Duration of treatment
should be 2 days prior to the commencement of menstruation or 2 days
prior to the commencement of dysmenorrhea, until the pain stops during
menstruation.
Analysis and Experience:
As cited in ShenJiuJing Lun «:flflffd�tmiJ» : "For dizziness and cramping
pain of the lower abdomen during menstruation, moxa Neiting ST-44." It
demonstrates that moxa Neiting ST-44 is effective in treating dizziness and
cramping pain of the lower abdomen during menstruation. Clinical expe­
rience also indicates that needling this point is also effective for dysmenor­
rhea. Neiting ST-44 is the ying-spring point of Stomach meridian. Ying­
spring points can warm the meridians as well as disperse heat. Stomach
meridian has abundant qi and blood. Therefore, this point can clear damp
heat and regulate qi and blood to calm pain. Furthermore, Neiting ST-44
is indicated for lower abdominal disorder such as distended lower abdo­
men, as cited in Yu Long Ge «.:EffUJJ\ » and Tong Xuan Zhi Yao Fu «:iffi.
E":f��Plie » It is very effective in treating dysmenorrhea especially when
.

combined with Sanyinjiao SP-6.

C. Zhiyin UB-67
Location:
Zhiyin UB-67 is located 0. 1 cun posterior to the corner of the toenail on
the lateral aspect of the little toe.
Needling:
eedling (or needling with moxibustion) technique: Select Zhiyin UB-67.

292
 Chapter 22 / Dysmenorrhea

After standard sterilization, insert the needle 0.3 to 0.5 cun. Once qi is
acquired, mainly twist the needle. Retain the needle for 30 minutes and
manipulate the needle once every 5 minutes. Duration of treatment should
be 2 days prior to the commencement of menstruation or 2 days prior to
the dysmenorrhea, until it is pain free during menstruation. For patients
who are often cold, add moxibustion. See below for moxibustion technique
for Zluyin UB-67.
Moxibustion at Zhiyin UB-67: Have the patient in a sitting position.
The practitioner should have a moxa stick in each hand with one end lit.
Hold the moxa sticks over both Zhiyin UB-67 laterally or anteriorly about
l cun. Fix and stabilize the moxa sticks at Zhiyin UB-67. The skin around
Zhiyin UB-6 7 should feel warm until the surrounding skin turns red. Each
moxa treatment should last 5 to 1 0 or 20 minutes. Three days prior to
menstruation until the end of menstruation is counted as one course (moxa
treatment can also be used during menstruation).
Analysis and Experience:
Kidney opens to the two lower yin orifices (the genitalia and anus). It mas­
ters growth and reproduction. Kidney essence is strongly related to the de­
velopment of uterus and the regularity of menstruation. L'rinary bladder
and kidney are exteriorly and interiorly related. Zruyin UB-67 is ascribed
to Urinary Bladder meridian. Urinary Bladder meridian connects with
Kidney meridian at Zhiyin UB-67. Clinical practice indicates that Urinary
Bladder meridian connects v.rith the uterus. As recorded in Shang Han
Luo «1�*�» the formula tao he cheng qi tang (;tJ��ffe��) treats
,

blood accumulation syndrome in Urinary Bladder meridian. I personally

often use this formula to treat delirium caused by amenorrhea. I also use
gui zhi fu ling wan (t!ifSl��;tL), a formula originated from Jin Gui Yao
Lue «:ili:l!'f��» to treat gynecological disorders such as blood stasis in
the uterus and uterine fibroids with excellent results. The herb gui zhi (f!
.;fSl) is in both tao he cheng qi tang (�j��ffe��) and gui zhi fu ling wan (f!
tt��;tL). Gui zhi (f!tx) is an important herb for Urinary Bladder merid­
ian and can treat disorders of the uterus.
In Nfastcr Tung's acupuncture, through extraordinary correspondence
of the lung and urinary bladder, needling the points from Lung meridian
can treat disorders of Urinary Bladder meridians. For example, Master
Tung's points Chongzi 22.0 1 and Chongxian 22.02 are located on the
palm and can treat back pain vvith outstanding effect. They can also treat
uterine fibroids. Fuke 1 1 .24, the most important points for gynecological
disorders, are located on the thumb and are very close to Lung meridian.
According to the extraordinaiy connections bet\.Yeen Lung and Urinary
Bladder meridians, and the communications between Urinary Bladder
meridian and the uterus, Fuke 1 1 .24 can treat gynecological disorders.
Zhiyin UB-67 is the jing-wcll point of Urinary Bladder meridian.

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One Needle Therapy / Part II: Pain Syndromes

Jing-well points open the orifices. Therefore, Zhiyin UB-67 can open the
01ifices of Urinary Bladder and the uterus. Clinical experience indicates
that performing moxibustion on (or needling) Zhiyin UB-67 can treat any
kind of uterine disorder, such as malposition of the fetus, difficult labor
and retention of the placenta. eedling Zhiyin UB-67 can regulate the
uterus Chong, Ren Du meridians to open the meridian qi regulate qi and
blood. Regardless of whether the dysmenorrhea is caused by cold, heat,
deficient or excess, needling Zhiyin UB-67 is very effective. For dysmenor­
rhea due to deficiency cold and cold-damp coagulation, combining moxi­
bustion with acupuncture will attain even better results.

D. Xingjian LIV-2
Location:
Xingjian LIV-2 is located on the dorsum of the foot between the 1 st and
2nd toes, 0.5 cun proximal to the margin of the web at the junction of the
red and white skin.
Needling:
Insert the needle approximately 0 . 5 cun. Use the even-tonifying, even-re­
ducing techniques. Have the patient massage the lower abdomen and prac­
tice the Kegel exercise at the same time. Retain the needle for 30 minutes.
the manipulation and exercise every 5 minutes. Duration of treatment will
be 2 days prior to the commencement of the menstruation or 2 days prior
to the dysmenorrhea, until it is pain free during the menstrual period.
Analysis and Experience:
Xingjian LIV-2 is the ying-spring point of foot jueyin Liver meridian. It is
indicated for nourishing yin blood and descending liver qi. Liver meridian
traverses around the genitalia and can treat painful genital areas. It treats
lower abdomen pain caused by liver qi stagnation and blood stasis with sat­
isfactory results. This kind of dysmenorrhea symptoms is often manifested
prior to or during menstruation "'rith lower abdomen pain and combined
with breast discomfort.

E. Chengshan UB-57
Location:
Chengshan UB-5 7 is located in the depression below the gastrocnemius
belly.
Needling:
�\!Vith the patient in a prone position, select Chengshan UB-5 7 on both
legs. Slowly insert the needles until the patient feels strong needle sensation
and ask the patient to massage the lower abdomen and practice the Kegel
exercise at the same time. Retain the needle for 30 minutes and manipulate
the needle every 5 minutes. Ask the patient to massage the lower abdomen
and practice the Kegel exercise at the same time. Duration of treatment

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 Clwj1ler 22 / Dysrnenorrhea

should be from 2 days prior to the commencement of menstruation or 2

days prior to the dysmenorrheal, until it is pain free during menstruation.
Repeat the treatment every day or every other day.
Analysis and Experience:
Chengshan UB-57 is a very effective empirical point for dysmenorrhea.
As cited in ancient texts such as Sheng Yu Ge «MY .:IT.tlf)(» , Ling Guang
Fu «�:YGJtit» , Tong Xuan Zhi Yao Fu «:im�}��M» and Yi Zong
Jin Jian «ff*��» , Chengshan UB-57 is indicated for soothing the
tendons, activating the collaterals and regulating zangfo organs. It is often
used for muscle cramps. This point is located in the depression formed be­
low the gastrocnemius muscle belly. According to the treatment principle
of "use muscle to treat muscle", Chengshan UB-5 7 can relax spasms and
stop pain. It is very effective in treating any kind of cramps. Therefore, by
needling Chengshan UB-5 7, it can treat pain caused by a cramping uterus
and attain satisfactory results. There are records of many successful cases
by needling this point.

F. Chengjiang REN-24
Location:
Chengjiang RE -24 is located on the midline in the chin in the depression
directly below the border of the lower lip in the mentolabial groove.
Needling:
Oblique insertion 0.3 to 0.5 cun with the needle directed in an angle an­
teriorly-inferiorly toward posteriorly-superiorly. Once the patient feels the
acquired qi, quickly manipulate the needle by lifting, thrusting and twisting
for 30 seconds. Retain the needle for 30 minutes. Nlanipulate the needle
once every 5 to l 0 minutes. Usually a course of treatment is 3 days prior
to until the end of menstruation. Repeat the treatment every day or every
other day.
Analysis and Experience:
The location of dysmenorrhea is in the uterus, which is closely related to
Chong and Ren meridians. Huang Di NeiJing, Su Wen Chapter 1 - Shang
Gu Tian Zhen Lun «Ji1(1if pg ��· � r1=1� » ...t.15 �--tffie says, "When Ren me­
ridian is accessible and Chong meridian thrives, menstruation begins." Ren
meridian masters all yin meridians of the body. It starts at the uterus and
traverses along the midline of the abdomen. Ren meridian is also known
as the 'sea of all yin meridians' . Therefore needling Chengjiang REN-24,
ascribed to Ren meridian, can regulate Chong and Ren meridians, and
tonify yin blood. Chengjiang REN-24· can also be regarded as the jing-well
point of Ren meridian. Jing-well points can open the orifices and expel
cold. Ren meridian connects vvith the genital region; therefore, Chengjiang
REN-24 can ·warm yang and open the orifice of the genital region. It is
also the crossing point of h and and foot yangming meridians. Both hand

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One Needle Therapy / Part IL Pain Syndromes

and foot yangming meridians can regulate qi and blood. Dysmenorrhea

is often caused by disharmony of qi and blood, qi stagnation and blood
stasis, or deficient cold of the lower jiao. Therefore, needling Chengjiang
REN-24 to treat dysmenorrhea will have satisfactory results.

G. Sanyinjiao SP-6
Location:
Sanyinjiao SP-6 is located 3 cun directly superior to the tip of the medial
malleolus on the posterior border of the tibia.
Needling:
Perpendicular insertion 1 .5 cun. Use reducing technique to lift, thrust and
twist the needle. Retain the needle for 30 minutes. Manipulate the needle
once every 5 minutes and ask the patient to massage the lower abdomen
and practice the Kegel exercise at the same time to guide qi to the affected
area.
Analysis and Experience:
Sanyinjiao SP-6 is ascribed to foot taiyin Spleen meridian. It is also the
meeting point of the three yin meridians, namely spleen, liver and kidney.
It is an essential and commonly used point for treating disorders of the
digestive, urinary and reproductive systems. Sanyinjiao SP-6 is the point
of choice for gynecological disorders. This point is an important point in
regulating blood. It disperses qi and invigorates blood, dredges the merid­
ian and resolves blood stasis. Sanyinjiao SP-6 treats dysmenorrhea caused
by either deficiency or excess. It is particularly effective in cases with blood
stasis in which the patient has pain that is aggravated by pressure and pur­
plish-red menstrual blood vv:ith clots.

H. Fuke 1 1 .24
Location:
Fuke 1 1 .24 is a set of 2 points that are located on the ulnar aspect of the
proximal segment of the thumb on the red and white skin. The first point
is 0.3 cun on the ulnar aspect of the midline of the proximal segment of
the thumb, 1 /3 from the 2nd finger crease; and the second point is 2 / 3
from the 2nd finger crease.
Needling:
Insert the needle 0.2 to 0.3 cun along the phalanx. The two points are
needled at the same time and it is known as the daoma (point coupling)
technique.
Analysis and Experience:
Fuke 1 1 .24 regulates and treats any uterine disorders. It is located on the
pathway of Lung meridian. Lung communicates with urinary bladder
which communicates with the uterus. For blood stasis in the uterus use
tao he cheng qi tang (t}���*1:i$J). For gynecological disorders use gui

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 ChajJ/er 22 / DyJmenorrhea

zhi fu ling wan (if!tt1fi:�}l) . These are the examples of utilizing taiyang
meridians formulas to effectively treat uterine disorders. Fuke 1 1 . 24 is a
commonly used and a powerful set of points for gynecological disorders.
It is very effective in treating dysmenorrhea. The result will be better if
combined with Menjin 66.05 or Neiting ST-44.

I. Shiqizhuixia [EX]
Location:
Shiqizhuixia [EX] is located on the midline of the lower back, in the de­
pression below the spinous process of the 5th lumbar vertebra (L5).
Needling:
With the patient lying in a prone position, select Shiqizhuixia [EX] after
standard sterilization. Perpendicular insertion approximately 1 cun. Once
qi is acquired, quickly twist the needle with strong stimulation. During
manipulation, ask the patient to suck in the lower abdomen and practice
the Kegel exercise at Lhe same time to guide qi to the lower abdomen.
Continue manipulating the needle for 30 seconds to 1 minute. When the
pain has subsided or dfrninished, retain the needle for 30 minutes. Repeat
the manipulation and exercise every 5 minutes. Begin the treatment 7 days
prior to menstruation. Repeat the treatment every other day until the end
of menstruation.
Analysis and Experience:
Shiqizhuixia [EX] is an extraordinary point and an effective empirical point
in treating dysmenorrhea. It is also known as "yao kong" (an empty space at
the lumbar ��). It was first cited in Qj.anJing Yi Fang Chapter 24 «.:P�
ftjf» : "To treat malposition of the fetus with moxibustion, moxa 5 cones
at Shiqizhuixia [EX] ." ZhenJiu Kong XueJi Qj. Liao Fa Bian Lan «H
ffi: fL/'CJkjl;:Jlr!{j!�» says, "Shiqizhuixia [EX], an extraordinary point.
. . treats malposition of the fetus and lumbago." Both citations indicated
that Shiqizhuixia [EX] can treat uterine disorders. Shiqizhuixia [EX] is an
extraordinary point on Du meridian. It is closely related to Du meridian,
which is known as "the sea of all yang meridians" and can regulate the
yang qi of the whole body. Therefore, needling Shiqizhuixia [EX] can
regulate all yang meridians to activate qi and invigorate blood. vVhen qi
moves, blood moves. V\Then there is no obstruction, there is no pain. From
the perspective of modern anatomy, the nerves distributed at Shiqizhuixia
[EX] are related to the reproductive organs. Needling Shiqizhuixia [EX]
can treat dysmenorrhea by regulating the contraction of the uterus to re­
lieve uterine spasm and pain.

J. Ciliao UB-32
Location:
\IVith the patient lying in a prone position, the point is located between the

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midline of the spine and Pangguangshu UB-28 at the 2nd sacral foramen.
To locate the point, place the index finger between Xiaochangshu UB-27
and the midline of the spine, and the little finger is placed on the superior
aspect of the sacral angle (which is the round bone of the size of a soy bean
that is superior to the tail bone). Then place the middle finger and the ring
finger at equal distance between the index finger and little finger. Ciliao
UB-32 is located directly under the middle finger.
Needling:
\!\Tith the patient lying in a prone posiLion, perfectly locate Ciliao UB-32
and insert a 30-gauge needle 1 .5 to 2 cun deep. The patient can feel the
needle sensation spreading toward Lhe lower abdomen, genitalia, anus and
rectum. This technique is for treating disorders of urinary and reproduc­
tive systems, and disorders of the rectum and anus. vVhen the patient feels
a distended or tingling sensation in the lower abdomen, slightly rotate the
needle by using the reducing technique. Retain the needle for 30 minutes.
fv lanipulate the needle once e\·ery I 0 minutes. For dysmenorrhea due to
cold, adding moxa will accelerate the recovery time.
Analysis and Experience:
Needling Ciliao UB-32 can usually stop dysmenorrhea quickly. Regardless
of the syndrome of the dysmenorrhea, needling Ciliao UB-32 is effective in
stopping the pain. Ciliao UB-32 is an important point in tl1e lumbar-sacral
region of Urinary Bladder meridian. I t is one of the baliao (eight liao)
points. The region from lumbar to sacrum along both sides of tl1e spine
is where the pathvvays of foot shaoyin and foot taiyang Du meridians tra­
verse. Du meridian penetrates the spine and is ascribed to kidney. Foot
shaoyin meridian is ascribed to kidney and connects with the ui;nary blad­
der. Foot taiyang meridian travels along the spine and connects with the
kidneys. Those three meridians are closely related to the kidney. Kidney
masters tl1e two yins (the genitals and anus) and governs reproduction and
growth. Du, Chong and Ren meridians all originated from the uterus.
There is a saying, "same 01;gin, three branches". Needling Ciliao UB-32
can regulate Chong and Ren meridians, tonify kidney and strengthen the
lumbar, regulate qi and invigorate blood, clear and drain damp heat, and
regulate menstruation to stop pain. Therefore, it is a very important point
in treating lumbago, gynecological disorders, reproductive and urinary sys­
tem disorders. It is an effective point in treating dysmenorrhea.

K. Taichong LIV-3
Location:
Taichong LIV-3 is located in the depression between the l st and 2nd meta­
tarsal bones, 2 cun proximal from the web between the l st and 2nd toes.
Needling:
Perpendicular insertion 0 . 5 to l cun directed from the dorsum to Lhe sole

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 G'lw/Jler 22 / D_J1sme11orrhea

of the foot. Once qi is attained, manipulate Lhe needle and ask the patienl
to massage the lower abdomen or perform Lhe Kegel exercise. Retain the
neeclJe for 30 minutes. Repeat manipulation and exerci e every 5 minutes.
The initial treatment is 2 days prior to the menstrual period or 2 days
before dysmenorrhea occurs until the pain subsides during menstruation
period. Generally Lreatment can be given during the menstruation period
to stop Lhe pain.
Analysis and Experience:
J\s mentioned in Huang Di 1 ei Jing, Su Wen Chapter l - Shang Gu
Tian Zhen Lun «Ji1(i ��·*r"'� » J:.1f5'(J1�fitr, it says, "When a female
reaches the age of J 4, the Taichong vessel is Cl.ill, followed by menstrua­
tion; therefore, she can bear children." Taichong vessel is related to men­
struation. Taichong LIV-3 is the yuan-source point of Liver meridian and
where the branch of Chong meridian meet. The liver masters the storage
of blood and Chong meridian is the "sea of blood . Li,·er also masters the
dredging and opening [of the meridian] and likes lO be spread and dislikes
. uppression. Taichong LIV-3 is the earth point of a wood meridian, it can
regulate the di harmony of li,·er and spleen. Therefore, if Ji,·er qi is stag­
nated, the patient may experience emotional distress, depression, swollen
livc1� irregular menstruation and dysmenorrhea. Needling Taichong LIV-3
can spread and regulale liver qi. In addition, Taichong LIV-3 is also a shu­
st rc'1m poi n t . S h 1 H;tn�am point is indicated for pain syndrome; t herefore,
it is excellent in treating dysmenorrhca. If combined with Sanyinjiao SP-6,
the result is even better.

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One Needle Therapy / Part IL Pain Syndromes

Chapter 23

Genital Pain

Genital pain can be caused by inflammation such as urinary tract infection,

orchitis, epididymitis and prostatitis. It can also be caused by traumatic injuries
(both male and female) and pruritus disorders such as genital abscesses.

I. URINARY TRACT INFECTION

l\!Iost frequently, E. coli bacteria cause urinary tract infection. Acute pyelo­
ncphritis and acute cystitis are forms of acute urinary tract infection disor­
ders. The symptoms of acute urinary tract infection are acute onset, dysuria,
frequent urination, urination urgency and a burning sensation of the urinary
tract. Acute pyelonephritis also has the symptoms of chills and fever, lumbago
and proteinuria. In addition, acute cystitis has pain in the lower abdomen.
Chronic pyelonephritis is a chronic urinary tract infection which also has
symptoms of dysuria and frequent urination but to a lesser extent with irregu­
lar low-grade fever and lumbago.

II. ACUTE AND CHRONIC PROSTATITIS

Prostatitis is a common adult male disorder. Acute onset is often due to upper
respiratory tract infection, overwork, mastLU"bation and retention of urine.
Improper treatment at the acute phase and delayed treatment can cause the
disorder to become chronic.
Prostatitis pain is mainly located at the perineum, lumbosacral region and
inside the anus. Sometimes it may involve the suprapubic region as well as the
penis and testicles. The kind of pain vvill be drooping, distended and dull.
Prostatitis has the symptoms of polyuria, urination urgency and dysuria
due to post urinary tract infection. Other symptoms may include discomfort or
a burning sensation during urination, or white discharge from the urinary tract
during defecation. Some patients will have the symptoms of reduced libido,

300
 ChajJler 23 / Genital Pain

premature ejaculation, impotence and spermatorreah. Other neurasthenia

symptoms such as fatigue, sore legs and back, insomnia or excessive dreams
can also be present.
This disorder must be treated aggressively. If the disorder is not treated
in time, it will become chronic and can lead to neurasthenia, pyelonephritis,
arthritis, neuritis and iritis.

One Needle Therapy Points for Genitalia Pain

The commonly used one needle therapy points for painful genitalia are: Xing­
jian LIV-2, Waijian l 1 .04, Fujian 1 1 .03, Taichong LIV-3, Linggu 22.05, Qj.hai
REN-6 and Lieque LU-7.

A. Xingjian LIV-2
Location:
Xingjian LIV-2 is located on the dorsum of the foot between the 1 st and
2nd toes, approximately 0.5 cun proximal to the margin of the web at the
junction of the red and white skin.
Needling:
Perpendicular insertion 0.5 to 1 cun with even-tonifying even-reduc­
ing technique. Ask the patient Lo perform Kegel exercise to guide qi to­
wards the lower abdomen. Retain the needle for 30 minutes. Manipulate
the needle every 5 minutes and ask the patient to perform Kegel exercise
simultaneously.
Analysis and Experience:
Xingjian LIV-2 is the ying-spring and fire point of Liver meridian. It is
the son point of the Liver meridian. It treats liver excess syndrome and is
equivalent to the formula long dan xie gan tang (��Jlti�Jff �). Ying-spring
point treats heat syndrome, therefore, this point treats heat syndrome of
the reproductive organs and inflammation. Xingjian LIV-2 treats repro­
ductive organ disorders (foul-smelling genitalia, irregular menstruation,
uterine bleeding), enuresis and cholelithiasis colic with magnificent results.

B. Waijian 1 1 .04
Location:
Waijian 1 1 .04 is located on the B-Line at the palmar aspect of the index
finger. Divide B-Line into 3 equal sections. Fujian 1 1 .03 is at the lower
portion and Waijian 1 1 .04 is at the upper portion.
Needling:
Perpendicular insertion 0.3 cun using even-tonifying, even-reducing
techniques. For manipulation and exercise, please refer to "Needling" of
Section 23.4 A - Xingjian LIV-2 for details.
Analysis and Experience:
Through the arm-torso correspondence of major taiji, 'iVaijian 11.04 ti-eats

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One Needle Therapy I Par/ II: Pain Syndromes

disorders such as genital hernia, urinary tract infection, small intestinal

hernia and prostatitis. Liver meridian encircles the genitalia. Liver com­
municates with large intestine; therefore, this point al o treats disorders of
the genitalia.

C. Fujian 1 1.03
Location:
Fujian 1 1 .03 is located on the B-Line at the palmar aspect of the index
finger. Divide B-Line into 3 equal :secLiom;. FLuian 1 1 .03 is at tl1e lower
portion and Waijian I l .04 is at the upper portion.
Needling:
Please refer to "Needling" of Section 23.4 B - Waijian 1 1 .04 for details.
Analysis and Experience:
Please refer to '1-\nalysis and Experience" of Seclion 23.4 B \ Vaijian
-

1 1 .04 for details.

D. Taichong LIV-3
Location:
Taichong LIV-3 is located on the dorsum of the foot in the depression 1 .5
to 2 cun distal to the junction of the 1 st and 2nd metatarsal bones. With
the patient sitting upright with the feet on the AoOJ� slide the finger along
the interspace between the 1 st and 2nd metatarsal bones to the depression
anterior to the joint or slide the finger along the interspace between the 1 st
and 2nd metatarsal bones until it reaches the joint.
Needling:
Perpendicular insertion 0.8 to 1 cun by using even-tonifying, even-reduc­
ing technique. For manipulation and exercise, please refer to "1 eeclling"
of Section 23.4 A - Xingjian LIV-2 for details.
Analysis and Experience:
Taichong LIV-3 is the yuan-sow-ce point of Liver mericlian. It strongly
regulates qi and the liver. As the yuan-source point of Liver meridian, i t
treats all Liver meridian clisorders. Liver meridian encircles the genitalia.
Taichong LIV-3 is the shu-stream point of Liver mericlian. Ying-spring and
shu-stream points treat disorders of the external mericlians; therefore, they
can treat genitalia disorders effectively. Through the leg-torso correspon­
dence of major taiji, this point corresponds to the abdomen and the pubic
area. This is why Taichong LIV-3 effectively treats genitalia clisorders.

E. Linggu 22.05
Location:
\ Vith the patient's hand in a loose fist, the point is located in the junction of
the 1 st and 2nd metacarpal bones.

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 Chapter 23 / Genital Pain

Needling:
Perpendicular insertion approximately 1 to 1 .5 cun by using even-tonify­
ing, even-reducing techniques. For manipulation and exercise, please refer
to "Needling" of Section 23.4 A - Xingjian LIV-2 for details.
Analysis and Experience:
Through the arm-torso correspondence of major taiji, the point Linggu
2 2 . 0 5 treats disorders of the genitalia. According to micro taiji, this point
is at the lowest region of the lowest part of the body; thus, this point ef­
fectively treats genitalia disorders and the foot. Liver meridian encircles
the genitalia. Liver communicates with large intestine; therefore, it treats
genitalia disorders.

E Qihai REN-6
Location:
Qihai REN-6 is located 1 .5 cun inferior to the umbilicus. 2 finger-width
below the umbilicus, on the midline halfway between the umbilicus and
Guanyuan RE -4.
Needling:
Perpendicular insertion 0.8 to 1 .2 cun using even-tonifying even-reducing
technique. For manipulation and exercise, please refer to " eedling" of
Section 23.4 A - Xingjian LIV-2 for details.
Analysis and Experience:
Qihai REN-6 is a key acupuncture point for treating urinary tract and re­
productive system disorders. Xi Hong Fu «m'5lPit» says, "Qihai REN-6
is specialized in treating five !in (stranguria) syndromes, first needle Qihai
REN-6 then followed by Zusanli ST-36 and breathe deeply." Bai Zheng Fu
« s1.IEP.ilt» says, "Needling Sanyinjiao SP-6 and Qihai REN-6 together
will especially treat white leucorrhea and chronic spermatorreah. " Ling
Guang Fu «fil:*i.l!Ji\» says, " Qihai REN-6 and Xuehai SP- 1 0 together
treat five lin syndrome." Therefore, Qihai RE -6 is a very important point
that treats five lin syndromes (blood lin, heat lin, qi lin, stone lin and turbid
lin).

G. Lieque LU-7
Location:
Interlock the thumb and index finger of one hand with those of the other;
Lieque LU-7 is located 1 .5 cun above the wrist crease at the end of the
index finger in the depression between the tendons.
Needling:
Needle transversely in the direction towards the elbow so that the needle
sensation \Nill transmit toward the elbow.
Analysis and Experience:
In the eight confluent point system, Lieque LU- 7 passes through Ren

303
One Aeedle Thera/;y / Part If- Pain S)'ndromes

meriruan and communicates with Zhaohai K.ID-6. Furthermore, Zhaohai

KID-6 passes through Yinqiao me1iclian and the four meriruans (namely
Lung, Ren, Kidney and Yinqiao) gather at the lung system (trachea) be­
tween the throat and the diaphragm. Therefore, Lieque LU-7 treats sore
throat, cough, cold phlegm, headache and tenderness of the pecroralis ma­
jor muscles. Since Liequc LU-7 communicates with Zhaohai K.ID-6, this
point can also treat genital pain, hcmaturia and spermatorreah. Clinically,
Lieque LU-7 is very eflcctivc for treating male rusorders such as urinary
incontinence, genital pain, enuresis, hematuria and spermatorreah.

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 Chapter 24 / Rectal Pain

Chapter 24

Rectal Pain

Rectal pain is a very common symptom in anorectal disorders. The character­

istic of the pain differs from disorder to disorder. Distended pain of the rectum
is mostly caused by fistula or abscess at the anus. Sharp pain in the anus is
mostly caused by anal fissure or external hemorrhoids while burning pain of
the anus is often caused by anal fissure or abscess at the anus.

I. ANAL FISSURE
Anal fissure happens when tl1ere is lesion at the skin of the anal canal. It
often happens in the young and strong. Following hemorrhoids, it is the most
commonly seen anorectal disorder.
It is extremely painful and has a burning sensation or a sensation of being
cut by a knife. The pain will subside after defecation and will recur during the
next defecation. Therefore, to avoid painful defecation, some patients will hold
until they absolutely have to go before they can bear the pain again during
defecation.
'iVherever tl1e skin cracks, tl1ere is blood. However, anal fissure cracks are
usually skin-deep and bleeding due to anal fissure is not common. The only
time when blood is present will be bright red blood on the surface of the stool
or on the toilet paper. Anal fissure sometimes irritates the peripheral nerve
fiber of the anus, causing an itching sensation. 'Nhcn the area is infected, the
itching sensation is even more substantial.

II. THROMBOSED EXTERNAL HEMORRHOID

Thrombosed external hemorrhoid is ascribed to the category of external
hemorrhoid. Thrombosed external hemorrhoids are formed when the veins
break caused by too much force during defecation or after strenuous exercise.
When the vein breaks, it causes blood clots which leads to the acute throm-

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One Needle TherajJ_J / Part fl: Pain Syndromes

bosed external hemorrhoid which often appear on both sides of the skin of
the anus.
This disorder is sudden onset. The patient will suddenly feel that there is
a swollen tumor at the anus. This tumor is very sensitive even to the slightest
touch. Therefore, when the patient defecates, sits, walks or even coughs it can
aggravate the pain. The patient can hardly sit or stand and suffers from severe
debilitating pain.

III. INCARCERATION OF THE HEMORRHOID

Beginning phase internal hemorrhoids are relatively small and do not prolapse.
Second phase internal hemorrhoids are relatively larger and often bleed. They
also prolapse during defecation and retract on their own afterwards. Third
phase internal hemorrhoids are often painful. It is because the hemorrhoids
protrude from the anus and are being pushed back inside repeatedly. \!\T hen
this happens the tissue becomes loose. Therefore, during defecation, coughing
or even sneezing, standing or walking, the internal hemorrhoids protrude from
the anus and must be pushed back manually. After many times of hemorrhoid
protrucling and pushing back, the anus can become inflamed and bleed caus­
ing swelling and pain, dampness and an unsanitary condition. This, in turn,
causes itchiness, cliscomfort and clistress.
'1\lhen the protruding internal hemorrhoids do not retract in time, this
sometimes causes spasms of the anal spbincte1� When the blood supply is shut
off, there will be edema at the anus and it is extremely painful. The internal
hemorrhoids thrombose (clot) which makes it difficult Lo retract to the original
state. This is called incarceration of the hemorrhoid.
Internal incarceration of the hemorrhoids causes painful anus and impairs
mobility 'Nhen the internal hemorrhoids protrude from the anus, there are
obvious signs of stagnated blood in the internal hemorrhoids. The color may
become purple and there may be increased oozing and edema of the anal
verge or even necrosis of the hemorrhoids, causing infection. A small number
of patients may have systemic symptoms such as fever or decreased appetite.
Internal incarceration of the hemorrhoids is a complication of the sec­
ond or third stage of internal hemorrhoids. The symptoms of internal hemor­
rhoids are bloody stools and prolapse. Only when it is incarcerated does severe
pam occurs.

rv. PERIANAL ABSCESS (ANORECTAL ABSCESS)

''\'hen the perianal fissure has an occmrence of acute and chronic suppura­
tive infection and the formation of abscess, it is known as anorectal abscess.
This clisordcr is caused by over-consumption of greasy foods, spicy foods and
alcoholic beverages, and heat toxins are collected at the anus. Also, an infected
anus can lead to anal gland infection suppuration. The main symptoms are
pain and swelling at Lhe perianal area, along with various degrees of systemic

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 Chapter 24 / Rectal Pain

symptoms, such as aversion to cold with fever, loss of appetite, dry stools,
scanty dark urine and dry and bitter taste in the mouth.

One Needle Therapy Points for Anus Pain

The commonly used one needle therapy points for anus pain are: \tVeizhong
UB-40, Shugu UB-65, Chengshan UB-57, Yinjiao DU-28 and Erbai [EX] .

A. Weizhong UB-40
Location:
Weizhong UB-40 is located at the midpoint of the transverse crease of the
popliteal fossa.
Needling:
Bleed Weizhong UB-40 once a week. After bleeding, gently and slowly
move the sacrum with a big circular motion for 2 to 3 minutes or perform
the Kegel exercise for 1 minute.
Analysis and Experience:
Weizhong UB-40 is the he-sea point of Urinary Bladder meridian. Urinary
Bladder meridian ascends alongside the spine and its divergent meridian
enters the spine. Urinary Blackler meridian is interiorly-exteriorly coupled
with Kidney meridian while kidney masters the bones. Weizhong UB-40
is a blood-xi point and is the point of choice for bleeding. Urinary Bladder
meridian has abundant blood but scanty qi; therefore, it is an excellent
point for bleeding technique. To treat all kinds of blood stasis and heat
toxins, use a three-edged needle to bleed the point will attain good results.
As for chronic and severe pains along Urinary Bladder meridian, bleeding
Weizhong UB-40 can bring exceptional results. Hemorrhoids are forms of
anal venous aneurysms, they are caused by long-term blood stasis. Since
bleeding moves blood and disperses blood stasis, it accelerate the recovery
time. Weizhong UB-40 is the point of choice for hemorrhoids. For chronic
hemorrhoids, bleeding Weizhong UB-40 once or twice will resolve the
hemorrhoids and is especially effective for anal pain.

B. Shugu UB-65
Location:
Shugu UB-65 is located on the lateral aspect of the foot, in the depression
posterior and inferior to the lateral aspect of the head of the 5th metatarsal
bone at the junction of the red and white skin.
Needling:
Perpendicular insertion 0.8 to 1 .0 cun. After needling, ask the patient to
move the sacrum or perform Kegel exercise and contract the lower ab­
domen to guide qi to the affected area. Once needled, the anal pain will
quickly stop. Retain the needle for 30 minutes. Manipulate the needle ev­
ery 10 minutes and ask the patient to move the sacrum.

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One .Needle TheraPJ' / Part fl- Pain S)ndromes

Analysis and Experience:

Urinary Bladder cli\·ergent meridian and Du meridian circulate the anal­
sacral area. Urinary Bladder meridian ascends alongside Du me1idian.
Select the distal point Shugu UB-65 to treat painful anal-sacral area. Shugu
UB-65 is the shu-stream point of Urinary Bladder meridian and "shu­
stream points are indicated for heaviness of the body and for joint pain", i t
is a very commonly used point t o treat pain. Therefore, i t is very effective to
treat the pain that is along Urinary Bladder meridian. Furthermore, Shugu
UB-65 is the wood point of Uri n ary Bladder meridiau (waler me ridian) ,
it will tonify \Nater to nourish wood, tonify the kidney to nourish the liver.
Regardless of whether we are looking at Shugu UB-65 from the aspect of
primary mericlian, five clements or characteristics of the point, Shugu UB-
65 is an effective point to treat anus pain. It is also an eflective point for
postoperative pain after anal surgery.

C. Chengshan UB-57
Location:
Chengshan UB-5 7 is located in the depression formed below the belly of
the gastrocnemius muscle.
Needling:
Perpendicular insertion 0.8 to l .O cun. v\Then qi is acquired, ask the patient
to move the sacrum or perform the Kegel exercise and contract the lower
abdomen to guide qi to the sacrum. Retain the needle for 30 minutes.
Manipulate the needle every 1 0 minutes and ask the patient to move the
sacrum simultaneously.
Analysis and Experience:
Chengshan UB-5 7 is very good in treating anal-sacral pain. This is because
Urinary Bladder divergent meridian c irculates the anal-sacral area. The
point will treat wherever the mericlian traverses. As for chronic or more
severe anal-sacral pain, bleeding Chengshan UB-5 7 will have even better
results.

D. Yinjiao DU-28
Location:
Yinjiao DU-28 is located inside the mouth, in the superior frenulum, at
the junction of the upper lip and the gum. With the patient sitting upright,
locate Yiajiao DU-28 inside the upper lip, on the upper 1 /3 of the gap of
the front teeth, that is, at the depression of the band or fibrous tissue con­
necting the upper lip and gum.
Needling:
To treat hemorrhoids disorders, lift the patient's upper lip to e:>..rpose the
point, prick and bleed the point. To treat other disorders, oblique insertion

308
 Chaj1fer 2 4 / Rectal Pain

directed superiorly 0. 1 to 0.3 cun. Retain the needle for 30 minutes and
manipulate the point every 1 0 minutes.
Analysis and Experience:
This point is the meeting point of Ren, Du and foot yangming meridians.
This point is very good in treating anal fissure pain, blood in the stool and
external and internal hemorrhoids. As for patients who suffer severe fissure
pain, needle Yinjiao DU-28 and retain the needle for 30 minutes; the pain
will subside immensely.

F. Erbai [EX]
Location:
Erbai [EX] is a set of 2 points which are located on the ftexor aspect of
the forearm, 4 cun proximal to the cubital crease. One of the points lies on
the ulnar aspect of the tendon of fiexor carpi radialis and the other on the
radial aspect of the tendon of flexor carpi radialis.
Needling:
Perpendicular insertion 0.8 to 1 .0 cun or oblique proximal insertion 1 to
1 .5 cun.
Analysis and Experience:
According to middle taiji correspondence (wrist-ankle correspondence), 3
to 4 cun proximal to the cubital crease corresponds to the anus. Therefore
Erbai [EX] is very effective for treating anus disorders. One of the points
is 1 .0 cun proximal to Jianshi PC-5 which is on the Pericardium meridian
and connects with yangming meridian. The other point is on Lung me­
ridian, which has the interior-exterior relationship with the large intestine.
Both points can treat hemorrhoid and anus disorders by itself; however it
is more effective when combined.

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One Needle Therapy / Part II: Pain Syndromes

Chapter 25

Eye Pain

A number of eye disorders can cause eye pain. In this chapter we will be discuss­
ing such disorders including glaucoma, red eye (acute catarrhal conjunctivi­
tis), conjunctiva and corneal pain caused by foreign objects. vVe must make a
syndrome differentiation from the characteristics, condition, severity and loca­
tion of the pain, combining with accompanying syndromes.

I. GLAUCOMA
Chinese medicine believes that the etiology of glaucoma is often injury of the
seven emotions. Shen Shi Yao Han «:ff:.fJi 3* !1i» says, '1\Jthough it is said
that [glaucoma] is caused by head-wind, it can also be caused by phlegm­
damp or fire, depression, worry, anger and anxiety." As mentioned in Zheng
Zhi Zhun Sheng «mriJifAAJ!» : "Those wit h yin and blood deficiency, with
an overly exhausted and anxious mind, often have this disorder [glaucoma] ".
Symptoms are sudden onset headache or migraine headache with swelling
pain of the eyes so excruciating that t.he patient feels like the eyeballs are about
to pop out. The pain includes orbital pain accompanied by impaired vision,
nausea and vomiting or dry and bitter taste in the mouth. There are red and
green rings when look into the light. A treatment plan should involve calming
the liver and draining the fire.

II. RED-EYE (ACUTE CATARRHAL COI'UUNCTIVITIS)

Red eye, in Chinese medicine is conunonly known as huo yan (fire eye) and in
vVestern medicine as acute cardiocular conjunctivitis or pink eye. It is charac­
terized by acute onset and involves both eyes. There is significant conjunctiva!
hyperemia and a large amount of mucopurulem secretions, itchy eyes, and
a sensation of burning and foreign object in the eyes. At night, the patient
will have secretion sticking to the eyelids and eyelashes such that the eyes are

310
 Cha/Jter 25 I Eye Pain

"glued" shut i n the morning. Chinese medicine believes that it is caused by

exogenesis such as vvind-heat. This happens when there is an epidemic of infec­
tion which is known as "earth attacking the eyes". 'i\'estern medicine believes
that it is caused by bacteria or viral infection which is highly contagious and is
commonly contracted in the arm)� schools, kindergartens and factories.

One Needle Therapy Points for Eye Pain

The commonly used one needle therapy points for eye pain are: Xingjian
LIV-2, Er:jian [EX], Taiyang [EX] , Quchi LI- 1 1 , Sanjian LI-3, Xiaxi GB-43,
Zulinqi GB-4 1 , Qiaoyin GB-44 and Guanchong SJ- 1 .

A. Xingjian LIV-2
Location:
Xingjian LIV-2 is located 0.5 cun proximal to the web margin between the
big and 2nd toes.
Needling:
Perpendicular insertion 0.5 to 1 cun using even-tonifying, even-reducing
technique. Ask the patient to blink during manipulation. Retain the needle
for 30 minutes. Manipulate the needle once every 5 minutes and ask the
patient to blink at the same time.
Analysis and Experience:
Xingjian LIV-2 is the ying-spring point of Liver meridian. Ying-spring
points are indicated for heat syndrome. Therefore this point treats fire and
heat syndrome and inflammation. Since it is also the son point of Liver me­
ridian, it drains excess syndrome of Liver meridian. When the liver is stag­
nant, it can generate fire and Xingjian LIV-2 can drain it. Furthermore,
this is also an important point for dredging the liver and regulating qi. It is
equivalent to the herbal formula long dan xie gan tang (��IMfi�Jlf�) which
is very effective for treating excess and fire syndromes of the genitalia and
the eyes. Personally, I have used Xingjian LIV-2 to treat many cases of
glaucoma with exceptional results.

B. Erjian [EX]
Location:
Er:jian [EX] is located at the apex of the ear.
Needling:
Select the ear on the affected side. After the usual disinfection, quickly
prick the ear apex by using a three-edge needle or a lancet. Usually there
will be blood dripping out, if not, squeeze the point to attain a few drops
of blood.
Analysis and Experience:
Taiyang meridian traverses to the ear apex, while shaoyang meridian en­
circles the eai: Since there are taiyang and shaoyang meridians around the

311
One Needle Them/JJ' / Par/ II: Pain Syndromes

eat� bleeding this point can u·eat eye pain along Lhese meridians. Pricking
the point to bleed accelerates the recovery time and produces effective
resulls.

C . Taiyang [EX] (affected side)

Location:
Taiyang [EX] is located posterior to the midpoint between the lateral ex­
tremity of the eyebrow (Sizhukong SJ-23) and the outer canthus of the eye
or superior lo Sizhukong SJ-23.
Needling:
Prick and bleed the blujsh-green veins
Analysis and Experience:
Taiyang [EX] is an exu·aordinary point. Surrounding Taiyang [EX] area
is where foot shaoyang and foot yangming meridians meet with hand tai­
yang and hand shaoyang meridians. Yangming meridians start from the
inner canthus and shaoyang meridians encircle the inner and outer can­
thus, therefore, this point is indicated for any eye disorders. Glaucoma is
ascribed to \·Vind-heat. Bleeding Taiyang [EX] scatters heat and is excellent
for glaucoma.

D. Quchi Ll- 1 1
Location:
With the elbow flexed, Quchi LI- 1 1 is located in the depression on the
lateral end of the transverse cubical crease. Locate the point with patient's
hand on the chest.
Needling:
Perpendicular insertion 0.5 to I cun.
Analysis and Experience:
Quchi LI- 1 1 is the he-sea poinl of Large Intestine meriilian. It has a calm­
ing effect, can lower blood pressure and is also indicated for insomnia.
Quchi LI- 1 1 is often used to treat ilisorders of the five sense organs. As
recorded in Za Bing Xue Fa Ge «�fr;!/\:��» it is said that Quchi LI-
,

1 1 is an especially effective point for conjunctivitis and blepharitis (inflam­

mation of the eyelid). Since large intestine corresponds to the live1� Quchi
Ll-1 1 can also reduce intraocular pressure.

E. Sanjian LI-3
Location:
Sanjian LI-3 is located in the depression on the radial aspect of the index
finge1� proximal to the head of the 2nd metacarpal bone.
Needling:
Perpendicular insertion 0.5 cun from the radial aspect to the ulnar aspect.
For better results, needle along the bone.

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 Chapter 25 / l!.)e Pain

Analysis and Experience:

Sanjian LI-3 i the shu-stream point of Large Intestine me1idian. It is espe­
cially effecti,·e for eye pain and headache. Its drains pathogenic heat, ben­
efits the throat and regulates organ qi. Sanjian LI-3 can treat eye disorders
and is ascribed to Large Intestine meridian. Bai Zheng Fu « s:llEJIDt »
says, "\ Vhen the eyes are blurry, immediately select Zanzhu UB-2 and
Sanjian LI-3." Yan Kejiejing «H&;f-HJ1!�» recorded that: "Sanjian LI-3
treats eye disorders and dry mouth." Empirically, Sanjian LI-3 is indicated
for many disorders of the face. According Lo Five Element Theory, lung
and large intestine arc ascribed to metal. When metal is strong, the kidney
water will generate itself. The pupil of the eye is ascribed to kidney. When
kidney water is plentiful the eyes will be bright. Large Intestine meridian
traverses Lo the face and meets ·with Stomach meridian and reaches the
eyes. Since large intestine corresponds with the liver and Sanjian LI-3 is as­
cribed to wood, again, this point also corresponds with the liver. Therefore,
since ancient times, anjian LI-3 is the point of choice for eye disorders.

E Xiaxi GB-43
Location:
Xiaxi GB-43 is located in the depression on the dorsum of the foot be­
tween the 4th and 5th toes, 0.5 cun proximal to the margin of the web at
the junction of the red and white skin.
Needling:
\Vi th the patient sitting upright, needle Xiaxi GB-43 in the depression
on the lateral a peel of the 4th toe. Perpendicular insertion 0.5 to l cun
with even-tonifying, even-reducing technique and ask the patient to blink.
Retain the needle for 30 minutes. Manipulate the needle once e\·ery 5 min­
ute and ask the patient to blink at the same time.
Analysis and Experience:
Xiaxi GB-43 i · the ying-sp1ing and water poim of Gallbladder meridian.
Since it i a water point of wood meridian, it treats the Liver and kidney
simultaneously. Xia.xi GB-43 is also effective for eye disorders. Yi ZongJi
Jian «ii*�it» says, "[Xia.xi G B-43] also treats red eyes and deafness
and pain of the ears."

G. Zulinqi GB-41
Location:
Zulinqi GB-41 is located on the dorsal of the foot, in the depression below
the junction of the 4th and 5th metatarsals. (Remarks: there is the Lendon
of extensor digitorum longus that lies on the 4th toe. Zulinqi GB-4 1 is
uperior to the tendon and in between the two bones. Diwuhui ST-42 lies
inferior to the tendon).

313
One �eedfe TheraPJ' / Par/ II: Pain Sj•ndromes

Needling:
Select the po int opposite to the affec te d area. Pe rp en d i c u la r insertion 0.8
to 1 cun and ask the patient to blink every few minut es Retain the needle
.

for 30 mi nutes . Ianipulate the needle once every 1 0 minutes and ask the
patient to blink at the same time.
Analysis and Experience:
Zulinqi GB-4 1 is the shu-stream p oint of shaoyang (Gallbladder) merid­
ian. Gallbladder meridian traverses to the eyes. This po int is the earth
point of wood meridian. It is especially effective for any disorders related
to the stomach or disha rm ony of wood and earth (disharmony of the liver
and spleen), negat ive emotions and stress. If the disorder is chronic, then
move the point a little more p roximal and needle along the bone. It is said
that chronic disorders implicate the kidney. Needling close to the bone ""ill
c orrespo nd with the kidney for an esp ecial ly sat i sfac tory result. Zulinqi
GB-4 1 is also indicated for pain along Gallbladder meridian and is an im­
portant point for ophthalmology.

314
 Chapter 26 / Earache

Chapter 26

Earache

Earache has many etiologies, for instance, trauma, otitis externa (O E) , boils
in the ear canal, acute otitis media and cancer at the middle ear. Here we will
be focusing on otitis externa (OE) and acute otitis media. For those middle
aged and older experiencing red, foul smelling discharge along with difficulty
opening the mouth, this may indicate middle ear cancer. Once that is found,
the patient should go to a specialist for early diagnosis and take the appropriate
treatment.

I . DISORDERS OF THE EXTERNAL AUDITORY CANAL AND

OTITIS EXTERNA (OE)
Otitis externa circumscribed is also known as boils in the ear canal. It is the
result of infection of hair follicle in the external auditory canal or localized
suppurative infection of the sebaceous gland. The patient has excruciating
pain of the ea1� the pain impedes opening of the mouth or chewing. The
pain is worse when yawning and can even affect hearing and sleeping. During
examination, single or multiple small boils can be seen outside the ear canal
cartilage. In the beginning there is localized redness and swelling. Gradually
there will be small bumps that are very tender to the touch. vVhen the boil
matures, it v.iill ulcerate and blood and pus will ooze out.
Otitis externa (OE) (diffuse inflammation or infection of the external audi­
tory or ear canal (EAC)), is the inflammation of the skin or subcutaneous tis­
sue of the external ear canal. Symptoms of an acute onset are characterized
by diffuse inflammation and swelling (the same as boil of the ear canal). For
patients with less severe disorder, there will be slight hyperemia, swelling and
sometimes sticky, oozing substance or flakes. For patients with a more severe
disorder, there may be external auditory canal ulcers and thick, oozing pus.
Further, the area surrounding the ears may have edema and swelling of the

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One .Needw Therapy / Part JI- Pain Syndromes

lymph nodes. For those vvith chronic disorder, the skin of the ear or the ear
canal is thickened; there may also be narrowing of the canal, and perhaps
flakes and pungent secretion deep in the external auditory canal.
To prevent pain and infection of the external auditory canal, one must
pay special attention to proper ear hygiene, stop the bad habit of digging into
the ear and prevent any dirty water getting into the eai� especially when going
swimming. During the illness, the patient should keep the external auditory
canal clean. If the ear canal ulcerated, the patient should clean it often. Make
sure the patient sleeps with the affected ear on the pillow so that the pus can
drain easier; however, the patient should not put too much pressure locally
because this will increase pain.

II. ACUTE OTITIS MEDIA

Acute otitis media is acute inflammation of the middle ea1� There are suppu­
rative and non-suppurative otitis media. If treatment is untimely or improper,
an acute disorder can easily become chronic.

III. ACUTE SUPPURATIVE OTITIS MEDIA

The pathogens causing acute suppurative otitis media are mostly hemo­
lytic streptococcus and staphylococcus aureus pneumococcal. They can cause
various degrees of pathological changes to the tympanic membrane mucosa,
periosteum, and even bone tisslH: of the tympanum.
For mild disorders, there will be tympanum mucosa1 swelling, hyperemia
followed by increased exudate due to inflammation, excessive pus creating
more pressure which oppress the tyrnpanic membrane, causing it to convex
and finally perforating. Symptoms of acute suppurative otitis media are ear­
ache, hearing loss, tinnitus, pus exudates from the ear and distended pain that
is often deep in the ear. Sometimes, the pain coincides with the heartbeat. The
pain can be dispersed toward the pharynx, teeth or on the same side of the
affected ear. Earache can be relieved after the exudate of the pus. Tinnitus is
often low-pitched like the sound of a bomb. Hearing loss is more obvious when
there is increased exudate while the eardrum is still intact. Once the eardrum
is perforated there will be exudate of pus and hearing will improve. Initially,
there will be bloody purulent pus which will then turn sticky. The symptoms
at the initial stage of the disorder are feve1� headache, loss of appetite, general
malaise and other systemic symptoms. Once the purulent exudates from the
external auditory canal, most of the symptoms will disappear rapidly.
Acute non-suppurative otitis media is often secondary to the acute inflam­
mation of the nasal and pharyngeal mucosa or lymphoid tissue. It affects the
function of the eustachian tube. Sinusitis, tonsillitis, nasopharyngeal mass or
sudden changes in atmospheric pressure can also induce the disorder.

316
 Chapter 26 / l:,(irad1e

One Needle Therapy Points for Earaches

The commonly u ed one needle therapy points for earaches arc: Tai.xi KID-3,
Yemen SJ-2, Sanchasan A.04, Zhongzhu Sj-3, Fengshi GB-3 1 , Yongquan
KID- I , Shousanli Ll- 1 0 and Ziwu l l .26.

A. Taixi KID-3
Location:
Tai-xi KID-3 is located 0.5 cun posterior to the medial malleolus, superior
to the ealcaneus in the depression where the arte1y lies. It is leveled with
the tip of the medial malleolus in the depression midway between the tip
of the medial mal.leolus and the medial margin of the Achilles tendon.
Needling:
After needling and qi is acquired, ask the patient to use both hands to
pinch the nostrils and gently blow the air from inside out. Repeat every 5
minutes.
Analysis and Experience:
Kidney open Lo the ears, therefore when there is earache, it is closely re­
lated to the kidney. Taixi KID-3 is the shu-stream point of Kidney merid­
ian and it can effectively treat pain along Kidney meridian. Taixi KJD-3
is also the yuan-source point of Kidney meridian, therefore it can also
regulate the kidney organ and treat ear disorders and is frequently used to
treat parotitis.

B. Yemen SJ-2
Location:
\Vi th the patient's hand in a loose fist. The poim is located between the ring
and little finger, 0.5 cun proximal to the margin of the red and white skin.
Needling:
After qi is acquired, ask the patient to use both hands to pinch the nostrils
and gently blow the air from inside out. Repeat every 5 minutes.
Analysis and Experience:
Yemen SJ-2 is the ying-spring point of Sanjiao meridian. Ying-spring points
are indicated for body heat. Needling this point can treat heat syndrome of
Sanjiao meridian. However, this point is more effective for disorders of the
middle and uppcrjiao, such as congested heat causing disorders of the five
orifices and swelling of tl1e gingival glands and ear disorders (from Yi Zang
JinJian «·§Hi���fi» and Bai Zheng Fu «811EM» ). Sanjiao meridian
encircles tl1e ear, ying-spring points are indicated for outer meridians and
tl1erefore, Yemen SJ-2 can treat earache effe ctively.

C. Sanchasan A.04
Location:
Sanchasan A.OL� is located adj acent to Yemen SJ-2 which is between the

317
One .\eedle Therapy / Part JI: Pain Syndromes

ring and little finger, 0.5 cun proximal to the margin ol the red and white
skin.
Needling:
Sanchasan A.04 is needled close to the bone. With the patient's hand in a
loose fist, needle along the bone I to 1 .5 cun. There may be sore, tingling,
heavy and distended feeling at the needling site. After qi is acquired, ask
the patient to use both hands to pinch the nostrils and gently blow the air
from inside out. Repeat every 5 minutes.
Analysis and Experience:
Yemen SJ-2 is the ying-spring point for hand shaoyang Sanjiao meridian.
Sanjiao meridian encircles the ear and ying-spring points are indicated for
febrile disorders and exogenous disorders. As mentioned in Huang Di Nei
Jing «Jt1if l7'J ��» : "Ying-spring and shu-stream points are indicated for
outer meridians." 'Outer meridians' refers to the meridians and collaterals
and to exterior pathogens. Therefore, ying-spring points can clear heat
and drain fire, dissipate wind and alleviate pain. Sanchasan A.04 is located
closely to Yemen SJ-2 and according to taiji correspondence this point cor­
responds to the five sense organs. Sanchasan A.04 is also an important
point for five sense organs disorders. Besides the indications of Yemen SJ-
2 , needling Sanchasan A.04 along the tendon corresponds with wind and
the liver; along tl1e bone, it corresponds with kidney. Kidney opens into
the ear. When needling 1 cun deep, it reaches Zhongzhu SJ-3 (ascribed
to earth), therefore, it also has the indications of Zhongzhu SJ-3. With all
of the above reasoning, Sanchasan A.04 can treat earache caused by any
etiology with excellent results.

D. Zhongzhu SJ-3
Location:
Zhongzhu SJ-3 is located in the depression 1 cun proximal to Yemen SJ-2
betw·een the 4th and 5th metacarpophalangeal joints.
Needling:
After qi is acquired, ask the patient to use both hands to pinch the nostrils
and gently blow the air from inside out. Repeat every 5 minutes.
Analysis and Experience:
Sanjiao meridian begins at the ulnar aspect of the tip of the ring finger,
travels up to the posterior aspect of the forearm and continues up the
posterolateral aspect of the upper arm to the shoulder and reaches the
ears, eyes, face and forehead. This is in accordance with the principle
of "The acupuncture points of a meridian treat the parts of the body
travelling along that meridian." Select the points away from the affected
area. Zhongzhu SJ-3 is the shu-srream point of Sanjiao meridian. Nanjing
Chapter 68 - Di Llu Shi Ba l an «)'iU�·�/\ + J\.lil» says, "Shu-stream
point is indicated for heaviness of the body and for joint pain." Therefore,

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 Chapter 26 / Earache

this point can treat heaviness and pain disorders along shaoyang meridian.
Zhongzhu Sj-3 can dredge meridian qi, stretch Lhe tendons and acLivate
the collateral to reach the goal of "with mO\·ement there is no pain."

E. Fengshi GB-31
Location:
Fengshi GB-3 l is located in the middle of the lateral aspect of the thigh,
7 cun superior to the knee between the two tendons. The poinr is located
where the tip of the middle finger reaches when the patient stands erect
with the arms extended by the sides.
Needling:
In Lhe midclle of the lateral aspect of the Lhigh, perpendicular inserLion 2
cun. The effect is even better if the needle reaches the bone. Once qi has
acquired ask the patient to hold the nostril and blow gently from inside
out. Repeal e,·cry 5 minutes.
Analysis and Experience:
Feng hi GB-3 1 is a frequently used point for alleviation of pain and for
calming effect (. trongly scatter 'vind). As mentioned in Huang Di Neijing,
Ling Shu «:vNif P9 *�·��» : "The functions of the other eleven organs
rely on tl1e normal functions of the gallbladder." Gallbladder meridian is
the longest meridian that traverses the head and has the most points on the
head. It strongly calms because "The acupuncture points of a meridian
treat the parts oC the body travelling along that meridian." Gallbladder
meridian encircles the ear, therefore Fengshi GB-3 1 is quite effective for
earache.

F. Yongquan KID-I
Location:
Yongquan KlD-1 is located on the sole of the foot. Between tl1e 2nd and
3rd metatarsal bones, approximately l /3 of the distance ben,·een Lhe base
of tl1c 2nd toe and the heel, in the depression formed when the foot is
plantar flexed.
Needling:
Perpendicular insertion 0.3 to 0.5 cun. Once qi is acquired, ask the patient
to hold the nostrils with both hands and gently blow the nose inside out.
Repeat every 5 minutes.
Analysis and Experience:
Yongquan KID- I clears kidney heat and reduces yin fire. It is the j ing-well
point of Kidney meridian. Jing-well points are indicated for orifice disor­
ders. Since kidney opens into the ear, Yongquan K l D- 1 is effective for car
disorders.

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One Needle Therapy / Part II: Pain �ndromes

G. Shousanli LI-10
Location:
Shousanli LI- 1 0 is located on the radial aspect of the forearm, 2 cun distal
to Quchi LI- 1 1 . Locate the point with the elbow flexed and with the radial
aspect of the arm upwards. Shousanli LI- 1 0 is I 0 cun proximal to Yangxi
LI-5 and 2 cun distal to Quchi LI- I I. The muscle will bulge when pressed
and the point lies on this bulging area.
Needling:
Perpendicular insertion 1 to 2 cun. Once qi is acquired, ask the patient
to hold the nostrils with both hands and gently blow the nose inside out.
Repeat once every 5 minutes.
Analysis and Experience:
Earache is related to reverse of the kidney and large intestine qi. Using just
Taixi KID-3 alone or combining vvith Shousanli LI- I 0 to treat earache are
very effective. This point is also indicated for parotitis.

H. Ziwu 1 1 .26
Location:
Ziwu 1 1 .2 6 is located on the dorsum of the proximal phalange of the
thumb in the middle of t11e C-Line.
Needling:
Prick to bleed the bluish-green veins. Immediately effective when black
blood appears.
Analysis and Experience:
Ziwu 1 1 . 26 is indicated for otitis externa (OE) (an inflammation or infec­
tion of the external auditory canal (EAC)). The external auditory canal is
generally red, swollen, ulcerous, and is exuding pus causing earache. Ziwu
1 1 . 26 treats all syndromes of ulcerous and oozing wounds. Prick this point
to bleed to treat an inflamed and oozing ear to stop earache.

320
 Chapter 27 /Nose Pain

Chapter 2 7

Nose Pain

Nose pain is the main symptom of many disorders. This chapter we v.rill discuss
nasal boils and acute sinusitis. There are many nose disorders not discussed
here; in general, to treat nose pain, the points in this chapter are useful.

I. NASAL BOILS
lasal boil is the acute inflammation of the hair follicle, sebaceous glands or
sweat glands of the nasal vestibule, tip of the nose and the ala nasi. Nasal
boils are mostly a unilateral nasal cavity disorder caused by digging in tl1e
nose or pulling nose hair. This damages the skin and allows bacteria to invade
and infect the skin. Chronic nasal vestibular inflammation can easily develop
secondary to the disorde1� Diabetic patients with nasal boils can easily have
recurrences and delayed recovery time.
The early stage of a nasal boil in the nasal vestibular often involves swell­
ing, burning and pain and tenderness. In severe cases, there may be systemic
symptoms such as fever, aversion to cold and headache. \!\!hen examining the
nasal cavity, there can be obvious redness, hardening and swollen mound v.rith
a nose hair in the middle. There may also be spots of yellow pus on top of the
red and swollen area. A nasal boil generally breaks open, drains out blood and
pus and heals itself There may also be swelling lips, jaw or the lymph nodes
belo-w the jaw that is tender to the touch. Although usually there is only a single
boil; however, there can also be multiple boils. If the patient uses the hand to
squeeze or handle the boil improperly, it can cause serious intracranial compli­
cations such as cavernous sinus thrombophlebitis and can be life-t11reatening.

II. ACUTE SINUSITIS

Acute sinusitis often occurs in a single sinus. The main symptoms are head­
ache, local pain and increased secretions from the nasal cavity. There is nasal

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One Needle TI1erapy / Part 11: Pain Syndromes

congestion on the affected side. In the nasal cavity there is also a great deal of
sticky and thick clischarge which is difficult to cleat� There are also systemic
symptoms such as loss of smell with general malaise, fatigue, loss of appetite,
aversion to cold, fever, sore throat and cough .
Anything that blocks the natural flow of sinus can lead to sinusitis. Nasal
mass, turbinate hypertrophy, deviated septum, foreign obj ect in the nasal, ton­
silli ti s, tooth abscesses and suppurative odontogenic infections can all cause
sinusitis. For those who arc sensitive, acute sinusitis can often become chronic.
The etiology of acute sinusitis is often pneumococcus. Others such as staphy­
lococcus, streptococcus, influenza bacilli, Gram-negative bacilli can also cause
the disordei:
There are four kinds of acute sinusitis. They are acute maxillary sinusitis,
acute porcoid sinusitis, acute ethmoid sinusitis and acute sph enoid sinusitis.
Clinically, the acute maxillary sinusitis is the most frequently seen. Acute max­
illary sinusitis is located on the forehead. The pain is ofte n ligh t in the morn­
ing and more severe in tl1e afternoon. Other symptoms include red swollen
cheeks, tenderness and percussion-sensitive upper teeth. Acute porcoid sinus­
itis is more comm on ly seen in the inner canthus (in ner corner of the eye).
This can invoh·e nasion pain, redness and swelling of the inner canthus and
tenderness. Treatment plan is to eradicate the root ca use, control the infection,
and prevent complications.

One Needle Therapy Points for Nose Pain

The commonly used one needle therapy points for nose pain are: Dabai 22.04
(Sanjian LI-3), Quchi LI- 1 1 , Neiting ST-44, M enjin 66.05 (Xiangu ST-43),
Sanchasan A.04 (Yemen SJ-2), Taichong LIV-3, Shaoshang LU- 1 1 and Muxue
1 1 . 1 7.

A. Dabai 22.04 (Sanjian LI-3)

Location:
Daba.i 22.04 is located on the raclial aspect of the index finger, in the de­
pression proximal lo the head of the 2nd met aca rpal bone.
Needling:
vVith the patient's hand in a loose fist, perpendicular insertion 1 cun from
the radial aspect to the ulnar aspect. Once qi is acquired, ask the patient
to gently blow the nose or exercise the nose (or massage the nose gently)
for I minute to guide qi to the nose. Retain the needle for 30 minutes.
l\lanipulate the needle once every 1 0 minutes and ask the patient to gently
blow and exercise the nose (or massage the nose gently) for 30 seconds.
Analysis and Experience:
Sanjian LI-3 is tl1e shu-stream point of hand yangming Large Intestine
meridian. Shu-stream points are inclicated for heaviness of the body and
for joi nt pain. They are the most commonly used points for pain. Large

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 Chapter 2 7 /Nose Pain

Intestine meridian encircles both sides of the nose and encompasses the
nose. According to the theory, " The acupuncture points of a meridian
treat the parts of the body travelling along that meridian." Therefore, it
treats nose pain very effectively. If this point is needled along the bone, it
is equivalent to Dabai 22.04 which is closely located to the 2nd metacar­
pal bone. According to taiji correspondence, it corresponds to the head.
Hence, Sanj ian LI-3 is also a specially indicated for the pain of the five
sense organs.

B. Quchi Ll- 1 1
Location:
Quchi LI- I I is located at the lateral aspect of the elbow, in the depression
at the end of the transverse cubital crease.
Needling:
Needle with the forearm resting on the chest. Perpendicular insertion 0.5
to 1 cun. Once qi is acquired ask the patient to gently blow the nose to
exercise the nose (or massage the nose gently) for 30 seconds to guide qi
to the nose. Retain the needle for 30 minutes. Manipulate the needle once
every 1 0 minutes and ask the patient to gently blow and exercise the nose
(or massage the nose gently) for 30 seconds.
Analysis and Experience:
Quchi LI- I I is tl1e he-sea point of Large Intestine meridian. It is very
effective for head and face disorders. It is frequently used for head, face,
ear, eyes, mouth and nose disorders (Za Bing Xue Fa Ge «�!t:J�/'ci'!-1\fX» ) .

Large Intestine meridian is knovvn for having abundant qi and blood. Lung
and large intestine are interiorly-exteriorly related and he-sea points treat
disorders of the organs. Quchi LI-1 1 is also indicated for dredging wind,
releasing exterior and regulating qi and blood. Therefore, tllls point is ex­
cellent to treat "Lung opening into the nose (orifice)" disorders.

C. Neiting ST-44
Location:
eiting ST-44 is located on the dorsum of the foot, between the 2nd and
3rd toes, 0.5 cun proximal to the margin of the web.
Needling:
Perpendicular insertion 0.5 to 1 cun with the tip of the needle directed
from the dorsum to the sole of the foot. Once qi is acquired manipulate
the needle as the main treatment. Ask the patient to gently blow the nose
to exercise the nose (or massage the nose gently) for 30 seconds to guide qi
to the nose. Retain the needle for 30 minutes. Manipulate the needle once
every l 0 minutes and ask the patient to gently blow and exercise the nose
(or massage the nose gently) for 30 seconds.

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One . \eedle Thera/J)' I Part II: Pain Sj1J1dromes

Analysis and Experience:

Foot yangming Stomach meridian begins at Lhe lateral side of the nose,
meets \\�th taiyang meridian, descends laterally along the outside of the
no e and enter the upper teeth (i.e. foot yangming Stomach me1;dian,
begins at the ala nasi where Yingxiang LI-20, the last point of hand yang­
ming meridian, is located. It then ascend left and right and intersect at the
nasion and meet with foot taiyang meridian on the side). " The acupunc­
ture points of a me1;dian treat the parts of the body travelling along that
rneri<lia11." ·eiting ST-44 is the )ring-spring point of Stomach meridian. It
clears stomach fire. Therefore, it is also especially indicated for the follow­
ing disorders: toothache and gingival enlargement, epistaxis, tonsillitis and
pharyngitis. It also treats nasal pain.

D. Menjin 66.05 (Xiangu ST-43)

Location:
l\ Ienjin 66.05 is located in the depression anterior to the junction of the
2nd and 3rd metatarsal bones. 1 eedle alongside the bone.
Needling:
Perpendicular insertion 1 cun or "ith the tip of the needle directed to the
sole of the foot. Once qi is acquired manipulate the needle as the main
treatment. Ask the patient to gently blow the nose to exercise the nose (or
massage the nose gently) for 30 econds to guide qi to the nose. Retain the
needle for 30 minutes. Manipulate the needle once every 10 minutes and
ask the patient to gently blow and exercise the nose (or massage the nose
gently) for 30 seconds.
Analysis and Experience:
The word ''jin" (means "metal ') in Menjin 66.05 corresponds with the
Jung and large intestine. It regulates qi. Basically, it is equivalent to Xiangu
T-43 of foot yangming Stomach meridian. Foot yangming Stomach me-
1;dian begins at Yingxiang LI-20, ascends left and right and intersects at
the nasion. "The acupuncture points of a meridian treat the parts of the
body travelling along that meridian." Menjin 66.05 is ascribed to wood
in an earth meridian. ·wood is related to the liver, therefore this point can
dredge the liver. Since Liver meridian traverses deep inside the nose and
Stomach meridian traverses outside the nose, l\ Iertjin 66.05 treats disor­
ders external and i n ternal to the nose.

E. Sanchasan A.04 (Yemen SJ-2)

Location:
Sanchasan A.04 is located in Lhe depression between Lhe ring and little
fingers. The point that is adjacent to it and located below the tendon is
ancha an A.0+.

324
 Chapter 2 7 /Nose Pain

Needling:
·with the patient making a loose fist, avoid the superficial veins, perpendic­
ular insertion l to 1 .5 cun along the tendon. The patient may experience
soreness, tingling, heavy and rustended sensation. Once qi is acquired ask
the patient to gently blow the nose to exercise the nose (or massage the
nose gently) for 30 seconds to guide qi to the nose. Retain the needle for 30
minutes. rvianipulate the needle once every 10 minutes and ask the patient
to gently blow and exercise the nose (or massage the nose gently) for 30
seconds.
Analysis and Experience:
Accorrung to taiji correspondence, Sanchasan A.04 corresponds with, and
is an important point, in treating disorders of the five sense organs. Since
it is adjacent to Yemen SJ-2, it also has its indications. In adrution, nee­
dling close to the tendons corresponds to the liver and needling close to the
bones corresponds to the kidney. Furthermore, needling in the depth of l
cun will reach Zhongzhu SJ-3 (ascribed to earth) and will have the inruca­
tions of Zhongzhu SJ-3. Sanchasan A.04 is excellent in treating nose pain
regardless of the etiology.

F. Taichong LIV-3
Location:
Taichong LIV-3 is located on the dorsum of the foot, in the depression
distal to the junction of the I st and 2nd metatarsal bones. With the patient
sitting upright, palpate the point in the depression distal to the junction
of the 1st and 2nd metatarsal bones. Or palpate with the finger along the
metatarsal bones to the end where they meet.
Needling:
Perpendicular insertion 0.8 to 1 cun. Once qi is acquired ask the patient
to gently blow the nose to exercise the nose (or gently massage the nose)
for 30 seconds to guide qi to the nose. Retain the needle for 30 minutes.
Manipulate the needle once every 1 0 minutes and ask the patient to gently
blow and exercise the nose (or massage the nose gently) for 30 seconds.
Analysis and Experience:
Taichong LIV-3 is the yuan-source point of Liver meridian. It strongly
regulates qi and liver, especially when it is a yuan-source point. Therefore
it is inrucated for any liver disorders. Liver rneriruan ascends into the nose
and reaches the brain. Taichong LIV-3 is excellent for nose pain. Liver
and large intestine correspond with each other. Large Intestine meriruan
encircles the lateral aspect of the nose, while Liver meridian ascends to the
nasopharynx to treat the nasal cavity. Therefore, Taichong LIV-3 is espe­
cially inrucated for nose disorders.

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One Needle Therapy / Part II: Pain Syndromes

G. Shaoshang LU- 1 1
Location:
Shaoshang LU- 1 l is located on the radial aspect of the thumb, approxi­
mately 0. 1 cun from the corner of the nail.
Needling:
Use a three-edge needle or a lancet and prick to bleed. First prick the left
hand for male and right hand for female. Prick both hands for the seriously
ill .
Analysis and Experience:
Large Intestine meridian encircles the sides of the nose and encompasses
the nose. "The points of a meridian treat the parts of the body traversed by
that meridian." Therefore, Shaoshang LU- 1 1 is excellent for treating nose
pain. Shaoshang LU- 1 1 is the jing-well point of hand taiyang meridian.
Jing-well points are the beginning and "opening" points of each meridian.
Therefore, Shaoshang LU- 1 1 is especially indicated for acute nose disorder
and nose disorder due to exogenesis. Bleeding this point opens the orifices,
clears heat, activates blood, dissipates swelling, dredges the meridian and
alleviates pain.

H. Muxue 1 1 . 1 7
Location:
Muxue 1 1 . l 7 is a set of 2 acupuncture points located on the palm in the
ulnar aspect of the proximal phalange on the D line. Divide the line into
2 sections where the points lie. Clinically, the proximal point is often the
only one used.
Needling:
Perpendicular insertion 0.2 to 0.3 cun. Once qi is acquired ask the patient
to gently blow the nose to exercise the nose (or gently massage the nose)
for 30 seconds to guide qi to the nose. Retain tlie needle for 30 minutes.
Nlanipulate the needle once every 1 0 minutes and ask the patient to gently
blow and exercise tlie nose (or massage the nose gently) for 30 seconds.
Analysis and Experience:
Muxue 1 1 . 1 7 clears and benefits the head and eyes, opens the orifices and
dredges the liver. Muxue 1 1 . 1 7 is located on the index finger. According
to the theory of "liver communicates with large intestine" this point is
indicated for many disorders. It treats nose disorders due to the indication
of the meridian and its ability to dredge the live1� Since large intestine and
lung are exteriorly and interiorly related, that is another reason Muxue
1 1 . 1 7 is effective for nose disorders. Muxue 1 1 . 1 7 is level with ying-spring
points and it clears large intestine fire. Since liver communicates with large
intestine, it can also clear liver and gallbladder fire. It is very effective for
nose pain.

326
 Chapter 2 8 / Toothache

Chapter 28

Toothache

Toothache is a commonly seen disorder. Toothache can be caused by tooth

caries (decay), pulpitis periodontitis, periapical periodontitis, pericoronitis,
gingivitis, jaw disorders, neurological disorders and some systemic disorders.
Clinical manifestation is toothache and pain aggravated by stimulants such
as cold, hot, sour and sweet. It may be accompanied by swollen or atrophied
gingiva, bleeding gums, loose teeth, swollen and painful cervical lymph nodes,
fever and loss of appetite.
Toothache is the most commonly seen syndrome in dentistry. It may be
originated in the tooth itself, periodontal tissue or nearby tissues causing pain,
trigeminal neuralgia and systemic disorders.

I . DENTAL CARIES (PERIAPICAL PERIODONTITIS, PULPITIS)

The incidence of dental caries (also known as tooth decay) is high, especially
in children. Dental caries is caused when food residue is embedded in the gap
between teeth and fosters bacteria which causes infection of the tooth pulp.
This condition is called pulpitis. The infection penetrates to the surrounding
tissue of the tooth root causing periapical periodorutis.
Dental caries also occurs in the occlusal surface of the tooth causes chang­
es to the color, shape and quality of the tooth. When the condition is serious,
a cavity will result and when the cavity is being infected by bacteria, there will
be debilitating toothache. Most of the pain is spontaneous intermittent pain.
' Pain often occurs or is aggravated during the night. Pain is worsened when
the teeth encounter hot, cold, sweet and sour foods or if food is embedded in
the affected area. Sometimes the pain can be excruciating. There can also be
gingival swelling pain, halitosis and yellow greasy tongue coating. Secondary
infections caused by periapical periodontitis, pulpitis, toothache are especially
severe.

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One Needle Therapy / Part IL Pain Syndromes

II. PERIODONTITIS, GINGIVITIS

Periodontitis and gingivitis are disorders of the tissues surrounding the teeth.
The etiologies are mainly plaque, tartar and calculus. It can also be caused
by food embedded between the teeth and poor dentures. Chinese medicine
believes that the disorder is mainly caused by kidney deficiency or stomach
heat.
The main symptoms of gingivitis are swelling and painful gums, bleeding
gums, or dark or dull red gums. Dental cervix (tooth neck) has calculus accom­
panied by halitosis.
Periodontitis develops from gingivitis. In addition to the symptoms of gin­
givitis, there will also be oozing pus when periodontal is touched and loose
teeth. If the condition is more severe, there will be multiple periodontal
abscesses and perhaps general systemic discomfort and fever.
To treat periodontitis and gingivitis, first remove the stimulating factors,
such as adjusting the teeth occlusal, removing bad dentures and cleaning
embedded food between the teeth. If the following acupuncture points are not
effective, a dentist should be consulted.

One Needle Therapy Points for Toothache

The commonly used one needle therapy points for toothache are: Ncit­
ing ST-44, Jiexi ST-4 1 , Hegu LI-4, Erjian LI-2, Saitjian LI-3, Yemen SJ-2,
Laogong PC-8, Muhuo 1 1 . l O,Jueyinshu UB- 1 4, Kunlun UB-60, Taixi KID-3,
Taichong LIV-3, Chize LU-5, Erjian [EX] , Taiyang [EX] , Anonymous Point,
Xiaguan ST-7 and Pianli LI-6.

A. Neiting ST-44
Location:
Neiting ST-44 is located in the depression between the 2nd and middle
toes.
Needling:
l eedle the affected side (the opposite side is also effective). Twist the needle
while inserting for 0.5 cun. Strong stimulation and ask the patient to bite
down gently. Retain the needle for 30 minutes. Manipulate the needle once
every 5 minutes and ask the patient to bite down gently.
Analysis and Experience:
Neiting ST-44 is the ying-spring point of foot yangming Stomach me­
ridian. It clears deficient heat and tonifies yin blood. Often when there
is heat-uprising in Stomach meridian, there will be swelling and pain of
the teeth, therefore Ieiting ST-44 is especially indicated for this kind of
toothache.

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 Chapter 28 / Toothache

B. Jiexi ST-41
Location:
Directly proximal from the 2nd toe, on the midpoint of the transverse
crease of the ankle, approximately level with the tip of the external malle­
olus, in the depression between the tendons of extensor digitorum longus
and hallucis longus. General approach: the practitioner will move the mid­
dle fingers from the middle of the heel and go around tl1e foot where the
two middle fingers meet. The point is located where we tie the shoelace.
Needling:
Selectjiexi ST-4 1 on the opposite side according to Huang Di Neijing «
Jf11f pg��» : "Use contralateral insertion, needle the right for disorders
on the left." Strong manipulation and ask the patient to bite down gently.
Retain the needle for 30 minutes. Strongly manipulate the needle once
every 5 minutes and ask the patient to bite down gently. Then retain the
needle. Most of tl1e time, the toothache will stop.
Analysis and Experience:
Toothache and Stomach meridian are closely related. Jiexi ST-4 1 is as­
cribed to foot yangming meridian and it corresponds to articulators (or
speech organs), including the tongue and teeth.Jiexi ST-41 clears Stomach
meridian heat, calms the spirit, stops pain and dispels swelling.Jiexi ST-4 1
is also the jing-river point of foot yangming meridian. Since 'jing-river
point is indicated for disorders manifesting as changes in the patient's
voice" it therefore clears Stomach meridian heat, calms the spirit, stops
pain and dispels swelling. Jiexi ST-4 1 has been very effective in treating
many cases of toothache.

C. Hegu LI-4
Location:
Hegu LI-4 is located on the dorsum of the hand, between the 1 st and 2nd
metacarpal bones. Or at the midpoint of the 2nd metacarpal bone and
Yangxi LI-5, close to the index finger.
Needling:
Perpendicular l cun on the opposite Hegu LI-4. Strong manipulation and
twirling and ask the patient to bite down gently. Retain the needle for 30
minutes. Strongly manipulate once every 5 minutes and ask the patient to
bite down gently.
Analysis and Experience:
Hegu LI-4 is the yuan-source point of hand yangming Large Intestine
meridian. It is a very important point for strengthening the auto immune
system. It is also an especially effective point for toothache. Large Intestine
meridian begins at the tip of the index finger and enters the teeth at the
lower gum. Therefore Hegu LI-4 is exceptional for swelling toothache at
the lower gum. ZhenJiuJia YiJing «ttP'<: lf' Z:,#�» says, "Hegu LI-4 is

329
One Needle Therapy / P01t II: Pain Syndromes

indicated for painful and decaying tooth." Si Zong Xue Ge « IZY�.1\�»

says, "Hegu LI-4 is indicated for any disorders of the face and mouth."
From experience, Hegu LI-4 is very effective for acute pulpitis, periapical
periodontitis and pericoronitis.

D. Erjian Ll-2
Location:
With the patient's hand in a fist, E1jian LI-2 is located in the depression on
Ll1t.: radial aspect of the index finger distal to the 2nd metacarp ophalangeal
joint.
Needling:
Perpendicular insertion 0.3 cun \·Vith the tip of the needle directing from
the radial aspect towards the ulnar aspect. Retain the needle for 30 min­
utes. Strong manipulation once every 5 minutes and ask the patient to bite
down gently.
Analysis and Experience:
Eijian LI-2 is the ying-spring water point and the son point of Large
Intestine meridian. Therefore, Erjian LI-2 clears heat and drains excess
syndrome of its own meridian. Erjian LI-2 is very effective for toothache.
From ancient odes such as Yu Long Ge «3S.ft�» , Tian Xing GeJue «
*�3iJi\jf;Jc» and Xi Hong Fu «fr1iBlP.ftt » all believe that Eijian LI-2 can
treat toothache quite effectively. From the perspective of the paths travel
along the meridians, Large Intestine meridian travels to the lower teeth
first; therefore, Erjian LI-2 is especially effective for toothache of the lower
gums.

E. Sanjian Ll-3
Location:
\Vith the patient's hand in a fist, Sanjian LI-3 is located on tlle radial aspect
of the index finger, proximal to the 2nd metacarpal bone.
Needling:
After routine disinfection of the acupuncture point. Perpendicular inser­
tion l to 1 . 5 cun. Retain the needle for 30 minutes. Strongly manipulate
with reducing technique once every 5 minutes and ask the patient to bite
down gently.
Analysis and Experience:
Sanjian LI-3 is indicated for disorders along Large Intestine meridian
where it traverses. Shu-stream point corresponds to the ears, eyes, nose
and mouth. Sanjian LI-3 is often used to treat disorders of the head and
face and is very effective for toothache, nose and throat disorders. As docu­
mented in the Yi ZongjinJian «·� .*�it» and v\To Yan Ling Xiao Ying
Xue Ge « l�,.t5 ���:10!1!1CllJX» both acknowledged tllat Sanjian LI-3 treats
toothache effectively. From the perspective of meridian, Large Intestine

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 Chapter 28 / Toothache

mericlian traverses lower teeth first, therefore it treats toothache on the

lower gums more effectively. The result ""ill even be better if Sanjian LI-3
is combined with Taixi KID-3.

F. Yemen SJ-2 (Sanchasan A.04)

Location:
Yemen SJ-2 is located 0.5 cun proximal to the margin of the web between
the ring finger and little finger in the depression when the patient's fist is
clenched. The point is located at the junction of the red and white skin.
Needling:
Select Yemen SJ-2 and avoid the superficial veins. Perpenclicular insertion
0.5 to 1 cun along the space of the metacarpal bone. Once qi is acquired,
strongly manipulate the needle and ask the patient to bite down gently.
Retain the needle for 30 minutes. Strongly manipulate once every 5 min­
utes and ask the patient to bite down gently.
Analysis and Experience:
According to taiji correspondence, Yemen SJ-2 (Sanchasan A.04-3) corre­
sponds to the five sense organ region. It is t11e point of choice for disorders
of the five sense organs. Points that are neighboring to Yemen SJ-2 have
similar inclications as Yemen SJ-2. When needling along the tendon, it
corresponds to the liver and when needling along the bone, it corresponds
to the kidney. When the insertion is 1 cun, it passes through Zhongzhu
SJ-3 (ascribed to earth), therefore, it also has the indications of Zhongzhu
SJ-3 and treats any toothache effectively. It can also treat any mouth and
tongue pain.

G. Laogong PC-8
Location:
Laogong PC-8 is located in the center of the patient's palm between the
2nd and 3rd metacarpal bones, closer to the raclial aspect of the 3rd meta­
carpal bone, where the tip of the fingers falls when a fist is made.
Needling:
Select Laogong PC-8 on the affected side. Quickly insert the needle per­
pendicularly with strong manipulation and ask the patient to bite down
gently. Retain the needle for 30 minutes. Manipulate the needle once every
5 minutes and ask the patient to bite down gently.
Analysis and Experience:
Laogong PC-8 is the ying-spring point of hand jueyin Pericarclium me­
riclian. It is the fire point of a fire mericlian and therefore it strongly clears
fire. Pericardium communicates with the stomach, so it also clears stomach
fire. Therefore, Laogong PC-8 is very effective for toothache due to yin
deficiency heat.

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One J\ eedle Thera/J)' / Pait 11: Pain �yndromes

H. Muhuo 1 1 . 10
Location:
Muhuo 1 1 . l 0 is located in the center of the distal digital crease of the
middle finger.
Needling:
Subcutaneous needling with the tip of the needle directed toward the little
finger. Strong manipulation and ask the patient to bite down gently. Retain
the needle for 30 minutes. Strongly manipulate once every 5 minutes and
ask the patient co bite down gently.
Analysis and Experience:
The location of Muhuo l l . l 0 is equivalent to the ying-spring point of hand
jueyin Pericardium meridian (Laogong PC-8). It clears deficiency heat and
nourishes yin-blood. Therefore, Muhuo l l . l 0 is excellent for toothache
due to yin deficiency heat. Since Laogong PC-8 is the ying-spring point
of Pericardium meridian, a fire point of a fire meridian, it strongly clears
heat. Since pericardium communicates with the stomach, Muhuo l 1 . 1 0
also clears stomach fire.

1. Jueyinshu UB-14
Location:
Jueyinshu UB- 1 4 is located infe1ior to the 4th tl1oracic vertebrae, 1 .5 cun
lateral to the spine. With the patient sitting upright or in a prone position,
palpate and look for the depression inferior to the 4th thoracic vertebrae,
tl1en l .5 cun laterally.
Needling:
Oblique insertion 0.3 cun from the back with the tip of the needle directed
anteriorly and inferiorly. Or use a three-edged needle or lancet to bleed to
attain a few drops of blood. Ask the patient to bite down gently.
Analysis and Experience:
'Vhen there is toothache, there will be sensitive pain aroundJueyinshu UB-
14. Upon bleeding Jueyinshu UB- 1 4, toothache will disappear. Jueyinshu
UB- 1 4 and pericardium are closely related. Since pericardium communi­
cates with the stomach, Jueyinshu UB- 1 4 can also clear stomach heat.

J. Kunlun UB-60
Location:
Kunlun UB-60 is located behind the ankle joint, in the depression between
the prominence of' the lateral malleolus and the Achilles tendon.
Needling:
With the patient sitting upright and feet on the floor, locate Fuyang UB-
59 and then move the finger to the calcaneus, Kunlun UB-60 i in the de­
pression between the prominence of the lateral malleolus and the Achilles
tendon. Or ask the patient to lie on the side with the affected side on top.

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 Chapter 28 / Toothache

·when needling Kunlun UB-60, oblique insertion 0 . 5 cun directing the tip
of the needle toward the anterior border of the medial malleolus. Strong
manipulation and ask the patient to bite down gently. Retain the needle for
30 minutes and strongly manipulate the needle once every 5 minutes and
ask the patient to bite down gently.
Analysis and Experience:
Kunlun UB-60 is the jing-river point of foot taiyang U rinary Bladder me­
ridian. It pacifies wind, clears heat, activates the meridian and alleviates
pain. It treats toothache effectively. ''.Jing-river point is indicated for disor­
ders manifesting as changes in the patient's voice". Jing-river points cor­
respond to articulators (or speech organs) and therefore treat toothache. It
was also documented in Zhenjiujia Yi Jing «it� If! Z:.#,fil» that Kunlun
UB-60 treats toothache of the upper gum. From experience, Kunlun
UB-60 effectively treats excess or deficient toothaches and can stop pain
immediately.

K. Taixi KID-3
Location:
Taixi KID-3 is located 0.5 cun posterior to the medial malleolus, in the
depression superior to the calcaneus on the arte1y It is located posterior
to the medial malleolus in the middle of a line drawn between the promi­
nence of the medial malleolus and the Achilles tendon. I t is directly oppo­
site to Kunlun UB-60.
Needling:
After routine disinfection, perpendicular insertion 0.5 cun on both Taixi
KID-3. Strong manipulation and ask the patient to bite down gently.
Retain the needles for 30 minutes. Strongly manipulate the needles once
every 5 minutes and ask the patient to bite down gently.
Analysis and Experience:
Taixi KID-3 is the shu-stream point as well as yuan-source point of Kidney
meridian. It regulates and soothes kidney qi. Taixi KID-3 is indicated for
deficiency of kidney yang or kidney yin. Kidney masters the bones; there­
fore, Taixi KID-3 is quite effective for root of tooth pain. Loose teeth in the
elderly ·with associated aching pain are mostly deficiency toothache. If this
type of toothache happens, prevent it by needling Taixi KID-3.

L. Taichong LIV-3 (affected side)

Location:
Taichong LIV-3 is located on the dorsum of the foot, in tl1e hollow be­
tween the l st and 2nd metatarsal bones, 2 cun distal to the junction of the
1 st and 2nd metatarsal bones.
Needling:
Perpendicular insertion l cun from the dorsum of the foot toward

333
One Aeedle Therapy / Part II: Pain Syndromes

Yongquan KID- 1 . Strong manipulation and ask the patient to bite down
gently. Retain the needle for 30 minutes. Strongly manipulate the needle
once every 5 minutes and ask the patient to bite down gently.
Analysis and Experience:
The branch of foot jueyin Li\·er meridian "descends from the eye system
through the cheek and encircles the inner surface of the lips". Taichong
LIV-3 is the shu-stream and yuan-source point of foot jueyin Liver me­
ridian. Since liver communicates vvith large intestine, toothache will be
relieved when Taichong LIV-3 is needled. This technique is excellent for
pain caused by over sensitive dentin.

M. Chize LU-5
Location:
Chize LU-5 is located on the cubital crease of the elbow, in the depression
at the radial aspect of the tendon of biceps brachii. With the arm extended
and the palm facing up, bend the forearm slightly, palpate with the thumb
on the lateral aspect of the cubital crease. ''Vhen bending the forearm,
there is a tendon appearing. On the lateral aspect of the tendon, there is a
large vein. The point is located in the depression lateral to the vein.
Needling:
Select Chize LU-5 on the affected side. After the usual disinfection, per­
pendicular insertion. Once qi is acquired, strong manipulation and ask
the patient to bite down gently. Retain the needle for 30 minutes. Strongly
manipulate the needle once every 5 minutes and ask tl1e patient to bite
down gently.
Analysis and Experience:
Tootl1ache is often due to deficiency fire uprising of the large intestine,
stomach or kidney. Chize LU-5 is the he-sea point of Lung meridian. It
is ascribed to water. It tonifies water and nourishes yin to clear deficiency
heat. According to experience, needling Chize LU-5 can quickly treats
tooiliache.

N. Erjian [EX]
Location:
Erjian [EX] is located on the ear apex. Fold the ear and locate the point (as
mentioned in ZhenJiu Da Cheng «tt�-*nlt » ).
Needling:
Use a three-edged needle or a lancet to prick Erjian [EX] to obtain just a
few drops of blood and ask the patient to bite do"vn gently.
Analysis and Experience:
Eijian [EX] is an extraordinary point. It is indicated for many disorders.
Eijian [EX] can be used on all kinds of pain and excess heat syndromes .
.Modern medicine believes that this point reduces inflammation and fever,

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 Chapter 28 / Toothache

lowers blood pressure and calms the spirit. It is said that Erjian [EX] is in­
dicated for hundreds of disorders. When nothing else works for toothache,
bleed this point.

0. Taiyang [EX]
Location:
Taiyang [EX] is located on the face in the depression 1 cw1 posterior to
the midpoint between the lateral extremity of the eyebrow and the outer
canthus of the eye.
Needling:
Bleed Taiyang [EX] by using a three-edged needle. If there is one-sided
toothache, bleed Taiyang [EX] on the affected side. When there is tooth­
ache on both sides, bleed both Taiyang [EX] and ask the patient to bite
down gently.
Analysis and Experience:
Often toothaches are ascribed to excess heat syndrome. They can be caused
by wind-heat pathogens lingering in yangming meridian, obstruction of qi
and blood turning inwards invading the teeth and gums, excess heat in the
stomach and large intestine or yangming heat rising upward causing tooth­
ache. Bleeding Taiyang [EX] dredges yangming meridian qi, clears heat,
dislodges and regulates qi and blood to stop pain and dissipate swelling.

P. Anonymous Point
Location:
This particular Anonymous Point is located in the depression inferior to
the lateral malleolus.
Needling:
Prick the blood vessels to bleed by using a three-edged needle.
Analysis and Experience:
Master Tung often used this technique. This Anonymous Point is equiv­
alent to the location where foot taiyang meridian traverses. Bleeding this
point can dredge the meridian, activate the vessel, dissipate wind and drain
heat. This technique is better for wind-fire toothache and is affective within
l to 3 treatments.

Q Xiaguan ST-7
Location:
Xiaguan ST- 7 is located at the lower border of the zygomatic arch, in the
depression anterior to the condyloid process of the mandible.
Needling:
Locate the point in the depression 0. 7 to 0 . 8 cun anterior to the earlobe,
at the lower border of the zygomatic arch. There will be an opening when
the mouth is closed and the opening will be closed when the m outh is open.

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One Needle TheraPJ' / Part 11: Pain Syndromes

Teedle with the mouth closed. Select Xiaguan ST-7 on the affe cted side,
transverse insertion 1 to 1 .5 cun throughJiache ST-6. Strong manipulation
and ask the patient to bite dO\rn gently. Retain the needle for 30 minutes.
Strongly manipulate the needle once every 5 minutes and ask the patient
to bite down gently.
Analysis and Experience:
Xiaguan ST-7 is the meeting point of foot yangming Stomach meridian
and foot shaoyang Gallbladder meridian. It activates the meridian and
scatters wind, opens the orifices and benefits the mind. IL is indicated for
disorders of the face and the head, such as toothache, gingivitis, Bell's
palsy, trigeminal neuralgia, tinnitus, deafness and earache. As ZhenJiuJia
Yi Jing «H� lfl Z:,��» says, "Xiaguan ST-7 is indicated for toothache at
the lower gums and swollen cheek." Empirically speaking, Xiaguan ST-7
treated many ca. es of toothache quickly, especially toothache at the upper
gums.

R. Pianli LI-6
Location:
Pianli LI-6 is located 3 cun proximal from the wrist. Draw a line from
Yangxi LI-5 and Quchi LI-I I and divide the line into 1 2 cun where the
point is on the distal 1/4 (9 cun from the elbow crease and 3 cun from the
wrist). I n the depression when crossing hukou of both hands where the tip
of the middle finger lands.
Needling:
Select Pianli LI-6 on the affected side. Oblique insertion 0.3 cun with the
tip of the needle directed toward the elbow. Strong manipulation and ask
the patient to bite down gently. Retain the needle for 30 minutes. Strong
manipulation once every 5 minutes and ask the patient to bite down gently.
Analysis and Experience:
Pianli LI-6 is the luo-connecting point of hand yangming Large Intestine
meridian. Huang Di Nei Jing, Ling Shu Chapter I0 - Jing Mai «:JHif j7g
��·��» t.�fllN :m- says, " . . . branch of hand yangming named Pianli LI-
6. When there is excess, there will be decaying tooth and deafness. \tVhen
there is deficiency, there will be cold teeth and numbness." \!\'hen there
is decaying tooth, there will be tenderness at Pianli Ll-6. Massage Pianli
LI-6 can reduce toothache immediately. This point is especially effective
for toothache caused by decay.

336
 Chapter 29 / Sore Throat

Chapter 29

Sore Throat

ore throat is one of the common symptoms of throat disorder. There arc
many etiologies and disorders Lhat can cause sore and swelling throat. In thi
chapter, we will mainly refer to the upper respiratory tract infection, acute
tonsillitis, acute pharyngitis, chronic pharyngitis, impk laryngitis and tonsillar
abscess causing sore throat. 'Ve will discuss the prevention and treatment of
pharyngitis and acute tonsillitis.

I. PHARYNGITIS
Pharyngitis is a common disorder. It is categorized in tradition Chinese medi­
cine as "throat bi" or "sore throat". Pharyngitis can be acute and chronic.

Acute Pharyngitis
Acute pharyngitis results from acute inAammatory lesions of the mucosa) of
the throat. I t often occurs in spring, autumn and wimer. Cold, overexertion,
and excessive drinking and smoking can weaken the body's defensive system,
and the body becomes increasingly susceptible to infection and disorders. The
onset and complications of the disorder for children can also be caused by
measles, influenza, scarlet fever, whooping cough and other infectious disor­
ders. For adults, other complications such as acute rhinitis, sinusitis or acute
tonsillitis may appear at the same time.
Acute pharyngitis is often acute onset. In the beginning, the symptoms arc
dry and burning sore throat that worsens when swallowing and often radiates
to the cars. In serious disorders, there will be difficulty in swallowing, hoarse­
ness dysphasia, globus sensation (the sensation of a lump in the throat), inter­
mittent cough accompanied by fever, headache, fatigue, thirst, constipation
and other systemic symptoms. There is visible red and swelling pharynx with
mucosa, edema of the uvula, and tender and swoJJcn glands inferior to the jaw.

337
One. Veedle TlzeraftJ' / Part II: Pain S)mdromes

The disorder is equivalent to wind-heat hou bi (throat painful obstruc­

tion). In Chinese mecticine wind-heat pathogen invades the throat, causing
heat pathogen of the lung and stomach rises up and is trapped in the throat.

Chronic Pharyngitis
Chronic pharyngitis is a chronic inflammatory disorder of the pharyngeal
mucosa. It is a spreadable inflammation of the pharyngeal mucosa, submuco­
sal and lymphatic tissue. The symptoms are sore and dry throat, and dyspha­
gia. The patient feels ctiscomfort at the throat, such as dry, itchy, burning pain,
soreness and globus sensation (the sensation of a lump in the throat). The
systemic symptoms are not obvious. Acute pharyngitis can often turn chronic
if the patient does not sec the doctor in time or has repeated episodes from
which the patient has not totally recovered, or engages in extended smoking,
drinking or constant inhalation of irritating fumes or dust.
The ctisorder is referred Lo as "hou bi" (throat painful obstruction) and
"dry throat" in Chinese medicine. This is due to yin deficiency of lung and
kidney, causing deficiency heat uprising, which follows the merictian to rise and
be bound at the throat so that the throat is not nourished resulting in pharyn­
gitis. It is believed that the pathogens linger after the patient appeared to be
recovered.

One Needle Therapy Points for Sore Throat

The commonly used one needle therapy points for sore throat are: Shaoshang
LU- 1 1 , Shangyang LI- I , Taichong LIV- 3, YLui LU- I 0, Yemen SJ-2, Taixi
KID-3, Guanchong SJ- I , Zhaohai KID-6 and Lianquan REN-23

A. Shaoshang LU- 11
Location:
Shaoshang LU- 1 1 is located on the ractial aspect of the thumb, 0. 1 cun
from the corner of the nail.
Needling:
Hold the patient's thumb tightly with one hand and use the other hand
to prick Shaoshang LU- 1 1 to bleed. Bleed left Shaoshang LU- 1 1 first for
male patient, and right Shaoshang LU- 1 1 first for female patient. For those
seriously ill , bleed both Shaoshang LU- 1 1 . Squeeze out approximately l 0
to 1 5 drops of blood, until it runs bright red from dull red. Ask the patient
to swallow saliva and the patient \Nill immediately feel relief.
Analysis and Experience:
Shaoshang LU- l l is the jing-well point of taiyang merictian. Jing-well
points are located at the beginning of the meridians. Shaoshang LU- 1 1
is characterized as "open", "vhich is very effective for acute and exoge­
nous ctisorders. Bleeding Shaoshang LU- 1 l can resuscitate and drain heat,
move blood and ctissipate swelling, dredge and activate the meridian. It is

338
 Chapter 29 / Sore Throat

excellent for cold and fever, sore throat and tonsillitis. According to ancient
text, any acute throat clisorder; close disorder or pain can be treated by
bleeding this point and works each and every Lime. As mentioned in Yu
Long Ge «�fi��fX» : "Throat moth (ru c !FL�) is difficult to treat and the
practitioner must use a needle to treat this clisorder. Bleecling Shaoshang
LU- I l will cake a turn for the better immecliately." Tong Ren Shu Xue
Jin Jiu Tu Jing « 11lTI A ilflM1\tt � il t.�» says, "Bleeding the point with
a three-edged needle will drain organ heal. Cheng Junchuo (nX;�·t:�'I), a
provincial governor during Tang Dynasty, suddenly experienced swelling
of the submandibular region and obstruction in the throat, and he could
not eat or drink for three days. Zhen Quan (�1i;f'l), a renowned p hysician,
needled Shaoshang LU- 1 1 and the sore throat was relieved immediately."
ZhenJiu Da Cheng «tJ-�.:knX:» says, " [Shaoshang LU-1 1 ] is indicated
for swelling glands that obstructed the throat, . . . for throat moth in chil­
dren." Yi Zong Jin Jian «-'IH¥�fi�» says, "Shaoshang L -11 is indi­
cated for throat bi (throat pain obstruction). ll is amazing that once it is
bled, the throat will open." Shaoshang L -1 1 is especially indicated for
sore throat. The etiology of acute sore throat and acute tonsillitis arc acute
Lung meridian smothery heat pathogen auacking the defensive qi. The
best treatment is to bleed Shaoshang LU- I l . Bleeding often has special
effects on sore and swelJjng throat, throat moth (ru e) and acute tonsillitis.
I have treated many cases of sore throat due lo common cold. After I bled
Shaoshang LU- 1 1 , the pain often stopped immediately and accelerates the
recovery time for common cold as well.

B. Shangyang Ll-1
Location:
On the radial aspect of the index finger, 0. 1 cun from the nail.
Needling:
Hold the patient's thumb tightly with one hand and use tl1e other hand LO
prick the point to bleed. Bleed the left Shangyang LI- 1 first for male and
right Shangyang Ll- l first for female. For more severe clisorders, bleed
both Shangyang LI- l . Squeeze approximately 1 0 to 1 5 drops of blood,
until it runs bright red from dull red. Ask the patient to S\·vallow saliva and
the patient will feel relief immediately.
Analysis and Experience:
Shangyang LI- I is the jing-•vel l and metal point of Large Intestine me­
ridian. I t is a metal point of the metal meridian and therefore a true
metal point. ince the lung is ascribed to metal, Shangyang LI - 1 is the
point of choice for acute lung system disorders. The throat is ascribed to
the lung system and therefore, this point is ,·cry effective for sore throat,
swelling throat and glands. Further; Shangyang LI- l is also ascribed to
yangming meridian. Yangming meridians have abundant qi and blood

339
One_ Veedle Thera/J)' I Part ff: Pain Sj111dromes

and can therefore treat heat syndromes. This point dispels exogenous heat
pathogens and disperses phlegm especially when bled. I often bleed both
Shangyang LI- 1 and Shaoshang LU- 1 1 simultaneously to treat sore throat.
Clinically, it is often used to treat laryngitis and tonsillitis.
Remarks:
Combining Shaoshang LU- 1 1 and Shangyang LI- 1 to treat tJ1roat disor­
ders will attain special effects. Either needle the right Shaoshang LU- 1 1
and left Shangyang LI- 1 or vice versa. For those seriously ill, needle both
points on both sides to attain even better results. Shaoshang LU- 1 1 clears
lung heat and benefits the throat. Shangyang LI- I releases exogenous heat
pathogens and disperses stagnation. Combining bolli points to clear heat
and disperse stagnation will attain excellent results.

C. Taichong LIV-3
Location:
Taichong LIV-3 is located on the dorsum of the foot, in the depression 2
cun (some say l .5 cun) distal to the junction of the l st and 2nd metatarsal
bones. vVhen palpated, the artery can be felt under the finger.
Needling:
Perpendicular insertion l to 1 .5 cun toward the sole of the foot. Ask the
patient to swallow saliva. The pain v.rili be dissipated immediately.
Analysis and Experience:
Liver meridian "ascends along the back of the throat to the nasopharynx".
This indicates that Liver meridian passes deeply through the throat. "The
acupuncture points of a meridian treat the parts of the body travelling
along that meridian." Taichong LIV-3 is the shu-stream point of Liver
meridian and is specially indicated for pain where the meridian traverses.
Ancient medical articles often mentioned using Taichong LIV-3 to treat
sore tJwoal. Biao You Fu « ��Piit » ) says, "NeecUe Taichong LIV-3 to
o·eat swelling of U1e heart and sore throat effecti,·ely." Tian Xing Shi Er
Xue «:7C£-t =1\» says, "Taichong LIV-3 is located at 2 cun distal to
the junction of the metatarsal bones (between the 1 st and 2nd toes). The
prognosis can be predicted by palpating the artery This point can treat
convulsion and epilepsy, throat disorders and swelling of the heart." They
all say Taichong LIV-3 can treat sore throat effectively. Xi Hong Fu «ffP�l
J!ftt)» says, "To treat acute sore throat, first needle Baihui DU-20, followed
by Taichong LIV-3, Zhaohai KID-6 and Yinjiao DU-28." When treating
sore throat, combine Taichong LIV-3 with Zhaohai K I D-6 and Baihui
DU-20 to attain even better results.

D. Yuji LU-10
Location:
"'ith the patient's palm facing up, located Yuji LU- I 0 on the radial aspect

340
 Chapter 29 / Sore Throat

of the thenar eminence of the hand, in the depression at the midpoint of

t11e l st metacarpal bone at t11e junction of t11e red and white skin.
Needling:
Oblique needling 0.5 cun with the tip of the needle slightly toward the
palm. Once qi has arrived, ask the patient to swallow saliva; the pain will
be relieved immediately Retain the needle for 30 minutes. Manipulate the
needle every 5 minutes and ask the patient to swallow saliva. Repeat for 30
minutes at 5 minutes intervals.
Analysis and Experience:
Yttii LU- 1 0 is the ying-spring point of Lung meridian. Ying-spring points
are indicated for heat in the body. It is also effective to clear heat from
Lung meridian and the lung organ. It is indicated for clearing heat due to
attack of wind-heat to the lung. Yuji LU- 1 0 mainly treats disorders of the
chest and lung. According to Chinese medicine theory, "Ying-spring and
shu-stream points treat outer meridian". Therefore, ying-spring and shu­
stream points are indicated for disorders of the meridians and collaterals
as well as exterior disorder. Yuji LU- 1 0 is exceptional in treating exterior
disorder (exterior disorder is closely related to the lung). It is also effective
for common colds, bronchitis, pneumonia, acute tonsillitis and sore throat
because tl1roat is ascribed to t11e respiratory Qung) system. Clinically, Yuji
LU- 1 0 is commonly used in the treatment of heat pathogens obstructing
Lung meridian causing swelling and painful throat (more effective when
combined with Yemen SJ-2) and acute tonsillitis.
Note:
Bai Zheng Fu «s;IJf Pli\'.>> says, "For sore throat, treat it vv:ith Yemen SJ-2
and Yuji LU- 1 0." From past experience, needling Yemen SJ-2 or Yttji LU-
1 0 alone was effective. There is no need to needle all four points on both
hands. If selecting the left Yemen SJ-2, needle right Yuji LU- 1 0 and vice
versa. Manipulate both needles at the same time and ask the patient to
swallow saliva to guide qi to the affected area. Qj from the two points com­
municate at the throat, therefore the pain stops immediately.

E. Yemen SJ-2 (Sanchasan A.04)

Location:
Yemen SJ-2 is located between the 4th and 5th finger 0.5 cun proximal to
the margin of the web.
Needling:
With the patient's hand in a loose fist, perpendicular insertion 0.5 to
cun. However, it can be needled up to 1 .5 cun. eedle close to the bone
of the ring finger, which is equivalent to Sanchasan A.04, to attain better
affe ct. Once qi arrives, ask the patient to swallow saliva and the pain will
be relieved. Retain the needle for 30 minutes . .Manipulate the needle every

341
One.\eedle Thera/JJ' / Part II· Pain S)'ndromes

5 minutes and ask the patient to swallow saliva. Repeat for 30 minutes at
5 minutes intervals.
Analysis and Experience:
Yemen SJ-2 is the ying-spring point of Sanjiao meridian. Ying-spring
points arc inclicated for heat in the body. Needling this point can clear
pathogenic heat from all three jiaos. It is especially inclicated for obstructed
heat in the upper and middle jiaos causing disorder of the fi,·e sense or­
gans (see Yi ZongJin Jian «·� .*��» and Bai Zheng Fu «�ID:Jflit» .
According to caiji correspondence, ying-spring points correspond to the
five sense organs. By needling this point, it can reach the region of the eye,
ear, mouth and nose. This reflects that this is an important point for clis­
orders of the fi,·e sense organs. I often use Yemen SJ-2 to treat sore throat
(when combined ''ith Ytui L - 1 0, I attained e,·en quicker effe ct). It is also
inclicatcd for tinnitus, earache, otitis meclia, eye disorder, stuffy nose and
toothache. Further, when exogenous pathogens obstruct all three jiaos, the
qi mechanism becomes sluggish. When qi and blood of the upper and
middle jiaos become chaotic, there will be disorders of the throat, head,
face, eye and car. Ieedling Yemen SJ-2 can clear pathogenic heat from the
three jiao . It U'eats head, face, five sense organs and throat clisorder with
positive results. Yemen SJ-2 is the point of choice for five sense organs clis­
orders. Needling this point along the bone of the ring finger and inferior to
the tendon instead of between the two fingers, it is equivalent to Sanchasan
A.04· and has even better effects for disorders of the five sense organs.

E Taixi KID-3
Location:
Taixi KID-3 is located 0.5 cun posterior to the meclial malleolus, in the de­
pression above the calcaneus. It is level with the prominence of the medial
malleolus, between the posterior edge of the medial malleolus and ante­
rior edge of the Achilles tendon. The point is clirectly opposite to Kunlun
UB-60.
Needling:
Oblique insertion 0.5 cun from the meclial malleolus. Once qi is acquired,
ask the patient to swallow saliva and tl1e pain will reduce immediately.
Retain the needle for 30 minutes. Manipulate tl1e needle once every 5
minutes and ask the patient to swallow saliva. Repeat for 30 minutes at 5
minutes intervals.
Analysis and Experience:
Tai.x i KlD-3 is the yuan-source point of Kidney me1iclian. This point can
regulate and release both kidney yin and kidney yang deficiency. As men­
tioned in the �anjin Yao Fang «T-��1J» : "Taixi KID-3 is indicated
for swelling throat with clifficulty in swallowing." Ji Yin Gang Mu «��
fililij § » says, "Lou Quanshan (a renowned Chinese physician), treated a

3./2
 Chapter 29 / Sore Throat

male patient with hou bi (obstruction throat syndrome) by bleeding Taixi

KJD-3. Black blood was drained and after 5 minutes, his throat was totally
recovered." eedling Taixi KJD-3 is very effective in treating sore and
swelling throat.

G. Guanchong SJ-1
Location:
Guanchong SJ- 1 is located on the ring finger along the ulnar aspect of the
nail approximately 0 . 1 cun from the corner of the nail.
Needling:
Oblique insertion with the tip of the needle directed superiorly, or prick
Guanchong SJ- 1 to bleed.
Analysis and Experience:
Guanchong SJ- I is indicated for syndromes deriving from uprising of san­
jiao heat. Yu Long Ge «.:& �iH!X» says, "Heat pathogens from the three
jiaos rising upward obstructing the upper jiao causing bitter taste in the
mouth and parched tongue. It is not easy to treat. Prick Guanchong SJ- 1
to bleed out toxic blood. There will be saliva and all the symptoms will
dissipate." Yu Long Fu «.:&��J!lit» also emphasized that Guanchong SJ- 1
effectively treats heat pathogens obstructing sanjiao. For head and face dis­
orders, needle hand shaoyang jing-well point Guanchong SJ- 1 . Disorders
such as eye (inner cantus) pain and sore throat (acute pharyngitis) will have
great results vvhen pricked to bleed Guanchong SJ- 1 . Its function is similar
to Yemen SJ-2.

H. Zhaohai KID-6
Location:
On the medial aspect of the foot, this point is located in the depression
inferior to the medial malleolus.
Needling:
Select the points on both feet. Perpendicular insertion 0.5 cun. Once qi
arrives, manipulate the needles by lift and thrusting, strong stimulation
until there is some kind of feeling in the throat. Retain the needle for 30
minutes. Repeat the tTeatment once everyday. During manipulation ask
the patient to swallow saliva. Generally the symptoms will be lessened.
The result is even better when there is pain when palpating the point at
Zhaohai KJD-6.
Analysis and Experience:
Zhaohai KJD-6 is one of the eight confluent points, it communicates "'rith
Yinqiao meridian. Through Ren meridian, it meets with Lieque LU-7 .
When combined Zhaohai KJD-6 and Lieque LU-7 together can treat lung,
throat, chest and diaphragm disorders. Lan Jiang Fu «11JYIP.ftt » says,
"For phlegm obstructing the throat, dysphasia and throat wind (swelling

343
One Aeedle Therapy / Part II: Pain Syndromes

and pain ·with difficulty in swallo,,ing), bleeding Zhaohai KID-6 will give
immediate result." According to Biao You Fu «t#l?JfilP.lit» : " [One] must

select Zhaohai KID-6 to treat throat obstruction." Whereas ZhenJiu Jia

Yi Jing «�t� Ej3 Z:, �.fil» says, "Zhaohai KID-6 is indicated for dry throat."
Therefore, this point treats sore throat as well as phlegm obstruction, dys­
phasia and throat wind. To attain better result, prick this point to bleed.

I. Lianquan REN-23
Location:
Lianquan REN-23 is located on the anterior midline of the neck, in the
depression above the laryngeal prominence (Adam's apple). Slightly lift the
head up, the point is located in the depression above the hyoid bone.
Needling:
Oblique insertion 0.3 to 1 cun with the tip of the needle directed superiorly
toward Naohu DU- 1 7 . Once the sore throat has the feeling of tingling
and distension, stop further insertion. During needling, ask the patient to
swallow and the symptoms will immediately relieve. If there is pain when
Zhaohai KID-6 is pressed after needling, retain the needle for 30 minutes.
Manipulate the needle once every 5 minutes and ask the patient to swallow.
Analysis and Experience:
LianquanRE -23 is located at the laryngeal prominence. It is the meeting
point of Ren meridian and Yinwei meridian. It clears heat, benefits the
throat and dissipates nodules. The needle sensation can reach the throat,
cheek and ear and can reach the affected area directJy. Lianquan REN-23
is an important point to treat throat, tongue and trachea disorders. This
also has a certain effect for acute p haryngitis, acute attack of chronic phar­
yngitis and tonsillitis.

II. ACUTE TONSILLITIS

Acute tonsillitis is an acute inCTammation of the tonsils, mainly caused by bacte­
rial infections. Acute tonsillitis is originated mainly from hemolytic streptococ­
cus. Staphylococcus, streptococcus pneumoniae, influenza bacilli and viruses
can also be pathogenic. Pathogens often lodge in the oral or tonsil area of
healthy people. When people have a strong constitution, they can resist these
pathogens. Howeve1� when a person has a cold, is overexerted, over-consumes
alcohol or tobacco or is over-stressed, the constitution becomes weakened and
large quantities of bacte1ia can invade the tonsil tissue causing disorder.
The main symptoms of this disorder are sore throat, fever, chills and swell­
ing red tonsil. There will be suppuration when the disorder worsens. Sore
throat is worsened when swallowing or coughing. Sometimes dysphagia or the
pain will spread toward the ear� and even aphasia. Because of swallowing pain,
infants often cry and refuse to eat. This disorder is acute onset with chills,
fever of 1 02°F or higher, headache, fatigue, loss of appetite and systemic body

344
 Chapter 29 / Sore T hroat

aches. Children can have drowsiness, vomiting, diarrhea, comulsions and oth­
er nervous and dige tive system symptoms. The patient manife t acute illness
symptoms such a flushing cheeks, halitosis (bad breath) and thick tongue coat­
ing. There can also be engorged mucosa, swollen red mnsil, severe and round,
scauered abscess in various sizes, swollen and painful bilateral lymph nodes
below the jaw. Laboratory tests can find an increased number of white blood
cells and neutrophil count. Prolonged and often recurring episodes can be
developed into chronic tonsillitis.
This disorder is described as "moth throat". This disorder is caused by
wind-heat and seasonal pathogens attack the lung and stomach combining
with heat and phlegm.

One Needle Therapy Points for Acute Tonsillitis

The commonly used one needle therapy points for acute tonsillitis arc:
haoshang LU- 1 1 , hangyang LI- 1 , veins behind the ear, Chize LU-5, Yuji
LU- 1 0, Yemen SJ-2, housanli LI- 1 0 and Hegu LI-4.

A. Shaoshang LU- 11
Location:
Shaoshang L - I 1 is located on the radial a pect of the thumb, 0. 1 cun
from the corner of the nail bed.
Needling:
Prick the point to bl.eccl. Left Shaoshang LU-1 1 for male and right for fe­
male. For more severe disorders, bleed the point on both hands.
Analysis and Experience:
Bleeding Shao hang LU- I I can clear lung heat, open the orifice and ben­
efit the throat. Often immediately after bleeding the point, patient will feel
much better. haoshang LU- 1 1 is an important point for throat syndromes.
Please refer to " naJysis and E>-.rperience" of Section 29.2 A Shaoshang
-

LU- 1 1 for details.

B. Shangyang LI-1
Location:
Shangyang LI- I is located on the radial aspect of the index finger; 0. 1 cun
from the nail.
Needling:
Bleed the left Shangyang LI-1 for male and right Shangyang LI-1 for fe­
male. For more severe disorders, bleed both Shangyang LI- I .
Analysis and Experience:
Please refer to ''Analysis and Experience" of Section 29.2 B - Shangyang
LI- 1 for details.

345
One Needle Thera/JJ I Part II: Pain Sj/fldromes

C. Veins Behind the Ear

Location:
The bluish-green veins behind the ears.
Needling:
First rub the ear on the affected side until there is redness at the area. Then
look for the bluish-green veins on the back of the ear. Prick the veins to
bleed then squeeze to obtain 3 to 5 drops of blood. Perform once a day,
alternating the ears.
Analysis and Experience:
This is "pricking the collaterals" technique. It is indicated for excess and
heat syndromes. It can clear heat and relieve swelling and dredge the col­
laterals. Taiyang meridians ascend to the ear and shaoyang meridians
go around the ear. Taiyang meridians treat external and wind disorders;
therefore, bleeding the veins behind the ear is effective for both disorders.
It is particularly effective for common colds, feve1� tonsillitis and swelling of
the tonsils as well as itchy rash.

D. Chize LU-5
Location:
Chize LU-5 is located on the cubital crease, on the radial aspect of the
tendon m. biceps brachii.
Needling:
Perpendicular insertion 1 cun. Strong stimulation by twisting the needle
can stop the pain quicker or prick to bleed. Ask the patient to expose the
forearm, prick the bluish-green veins. Select left Chize LU-5 for male and
right Chize LU-5 for female.
Analysis and Experience:
Chize LU-5 is the water point of Lung meridian which can treat scorching
and heat disorder of the lung. It is the water point of the metal meridian
and is indicated for clearing lung heat. This is also an especially effec­
tive point for pharyngitis and tonsillitis. The throat is ascribed to lung and
stomach. Bleeding Chize LU-5 is a stronger reducing technique. Therefore,
bleeding Chize LU-5, can clear heat, scatter pathogen, dissipate swelling
and alleviate pain.

E. Yuji LU- 10
Location:
Please refer to "Location" of Section 2 9 . 2 D Yuji LU- 1 0 for details.
-

Needling:
Please refer to " Teedling" of Section 29.2 D Yuji LU- 1 0 for details.
-

Analysis and Experience:

Please refer to '1-\nalysis and £:.,'Perience" of Section 29.2 D Yuji LU- 1 0
-

for details.

346
 Chapter 29 / Sore Throat

E Yemen SJ-2
Location:
Please refer to "Location" of ection 29.2 E Yemen SJ-2 for details.
-

Needling:
Please refer to "Needling" of Section 29.2 E Yemen SJ-2 for details.
-

Analysis and Experience:

Please refer to " nalysis and Experience' of Section 29.2 E Yemen SJ-2
-

for details.

G. Shousanli LI-10
Location:
With the elbow Oexed, Shousanli LI- I 0 is located on the radial aspect or
the forearm, on the line connecting Yangxi LI-5 and Quchi LI- I I , 2 cun
below the tran ,·er e cubital crease.
Needling:
For one-sided ton illitis, needle housanli LI- I 0 on the affected side. If ton­
sillitis is on both sides, needle Shousanli LI- I 0 on both sides. Perpendicular
insertion I cun. Once qi is acquired, ask the patient to swallow saliva.
Analysis and Experience:
Shousanli LI- I 0 is the shu-stream point of hand yangming Large Intestine
meridian. It is incLicated for clispctling wind, opening the collaterals and
clearing heat from yangming meridian. This .is a very important reflecting
point for tonsillitis. The needle sensation of this point is extremely sensi­
tive. I L can clear the heat and alleviate the pain of tonsillitis.

H. Hegu LI-4
Location:
Hegu LI-4 i located on Lhe dorsum of the hand, between the l st and 2nd
metacarpal bones, and on the raclial aspect of tJ1e midpoint of the 2nd
metacarpal bone. Ir is at the highest point when the 1 st and 2nd fingers are
closed together. With the hand stretched and the thumb and index finger
spread open, in the depression anterior to the junction of the I st and 2nd
metacarpal bones. Or ask tJ1e patient to make a fist with the thumb over
the l st metacarpal bone of the index finger, needle the highest point of the
protruding muscle.
Needling:
Perpendicular insertion 0.5 to l cun with the tip of the needle directed
toward the clistal aspect of the 2nd metacarpal bone. Once qi is acqui red,
retain the needle for 30 minutes. Manipulate the needle once every 5 or I 0
minutes. Repeat for 30 minutes at 5 minutes intervals. Repeat every day.
Analysis and Experience:
Acute tonsilliti is due to lung and stomach fire uprising. \Vind-heat patho­
gen travels upward and lodges in the throat. Jeedling Hcgu LI-+ can clear

347
One Needle Therap_y / Part If: Pain Syndromes

yangming heat, scatter pathogen and alleviate pain. Hegu LI-4 is the yu­
an-source point of Large Intestine meridian. It is an important point in en­
hancing the natural healing power of the au toi mmu ne system. The branch
of Large Intestine meridian ascends to the neck from Quepen ST- 1 2, then
through the neck it goes to the lower gum, turns back to go around the
upper lip. The left branch goes to the right and the right branch goes to
the left. It then encircles the nostrils and meet with foot yangming Stomach
meridian. Through Lhe re lationship of the meridian, Hegu LI-4 is indi­
cated for disorders of the whole head and face. That is vvhy Si Zang Xue
Ge « llQ��.1C�» says, "Hegu LI-4 is indicated for any disorders of the
head and face". Therefore, using Hegu LI-4 to treat disorders of the teeth,
eyes, nose and throat produces excellent results.
The points selected to treat sore throat are often ascribed to Lung and
Large Intestine meridians. For acute pharyngitis, during treatment, one
should rest, stay calm and drink plenty of water.

348
 / Bib!iogra/Jhy

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<J1engjiu Da Q!wn Ling Cua11g Fu tt�*� • �J'(;f!Jit he Complete Collection of

Acupuncture and Moxibustion-Ode of Spirilual Lighl), by Xu Feng t�fill. !\ling
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<J1en]iu Da Q!wrr-Tian Xing Shi Er Xue it� *� • ,'!l§:JI]·�x£+ =:A:::JX (The Com­
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Twelve Heavenly Star Points), by Xu Feng 1�Jij,_ l\fing Dynasty, 1 439. This song
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353
One.Yeed/e Therap_v I

as composing of 1 1 poin ts . One more point was later added in the collections .(hen
Jiu Da QJwn LO consist of 1 2 points in total .

.<J1enJiu Da OJwn-Xi Hong Fu tt�::k� ff/i iJlP.Jit (Ode of Xi Hung from the Complete
•

Collecuon of Acupuncture and Ioxibustion), by Xi Hong ff/i �l (ca. South Song

Dynasty). Complied by Xu Feng t%®..

;:Jzen Jiu Ju Ying tt���:9!f (T he Glorious Anthology of Acupuncture and Mox.ib us ­

tion) , by Gao Wu JWJ�. Ming Dynasty, 1 529 .

.(hen Jiu Ju Ying-Lan Jiang Fu Wj·��:9!f tMffJ!Jlt (The Glorious Anthology of Acu­
•

puncture and Mox:ibustion--Ode to Holding Back the River), Gao Wu JWJ�. l\iling
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.<Jzen Jiu Ju Ying- Yu Long Fu �i"��:9!f ��gj!Jlt (The Glorious Anthology of Acu­
•

puncture and Moxibustion--Odc of the Jade Dragon), by Gao Wu i\¥/i�. Ming

Dynasty, 1529 .

.<J1enJiuJu Ying-.<Jwu Hou Ge jj�·q�mJ\ (The Glorious Anthology of Acupuncture-Song

tO Keep up your Sleeve) , by Gao \Vu JWJ�. Nling Dynasty, 1 529 .

.<J1en ]i11g .<J1i Nan-Biao You Fu �Hfil!�WJ ��J!Jlt (D irec tory of the Canons of Acu­
•

puncture-The Ode to the Streamer out of the Dark), by Dou Hanqin �ilJHR�.
Jin-Yuan Dynasty, 1 24 l .

.<J1e11 Jiu Ji.a Yi Jing tt� EJl Z:,� (The Systematic Classic of Acup unc tu re and Mox.i­
b ustion) , by Huang Fu Mi j! ffi�.Jin Dynasty, 282 .

.(heng .<J1i .(!tun Sheng m�*#.11!1! (Standards of PatLerns and Treatments), by \ Vang Ken
Tang .:Eif'.£. Nling Dynasty, 1 602 .

.(i ShengJing �1:.� (The Classic of Supporting Life with Acupuncture and Moxibus­
tio n) , by Wang Zhi Zhong .:Ettl, i:j::t . So ng Dynasty, I 220.

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Shanghai Zhongshan Hospit al _tw�-!2f ll7t�f;t Jm i:p L1J 12f.f\1C. 1959 . .<Jwng Yi .<Jwng
lao i:j::t l2f. i:j::t � rilff�,f1:fill.:@:�� : 34f9tl5f,f]f!IH�r. (transl ation of article name),
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Young, Wei-Chieh f�l.ii OO . 1975. <J1en ]iu Jing Wei tJ-P<t�trt (The Longitudes and
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Young, v\lei-Chieh f�i!Efm. 1975. <fwz Jiu Jing M1:i j"j-P(t,�t:,r; (The Longitude and
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Young, Wei-Chieh �ifld�. 1976. Huang Di Nei Jing Su r �n Y i Jie jf1if i*J *�·* r"� ti'­
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355
One J\"eedle TheraPJ' I

Index

Ah-shi 48-49, 149 Dachangshu UB-25 37, 2 1 1 ,

Anonymous Point 328, 335 Dadun LIV- I 246
Baihui DU-20 97, 194-1 95, 230-232, Dadu SP-2 36, 38, 198
340 Daimai GB-26 173
Biguan ST-31 158, 1 60 - 1 6 1 Daling PC-7 36, 40, 63, 223, 230-23 1 ,
Bingfeng SI- 1 2 131 264, 271
Biyi 1 0 10.22 201 -202 Dannangxue [EX) 270, 273-274, 278,
Cesanli 77.22 55, 58, 60, 62, 75-77, 280
100- 1 0 1 , 136, 138- 139, 144-145, Danshu UB- 19 243, 278, 280
150- 1 5 1 , 1 53 - 1 56 Danxue 1 1 . 1 3 213, 2 1 8
Cexiasanli 77.23 55, 60, 62, 154 Dazhui DU- 14 3 1 , 174
Changqiang DU-1 195 Dazhu UB- 1 1 43
Chengfu UB-36 200-201 , 2 1 1 Diji SP-8 276
Chengjiang REN-24 109- 1 1 2, 1 1 7, Oishi 33. 14 48
120- 1 2 1 , 29 1 , 295-296 Diwuhui ST-42 75, 207, 313
Chengshan UB-57 127, 1 58, 162, Dubi ST-35 72, 126-127, 177, 252,
172-173, 183, 187, 190, 20 1 , 2 1 1 , 287
258-260, 282, 285, 291, 294-295, Duyin [EX] 238
307-308 Erbai [EX] 307, 309
Chize LU-5 36, 42-43, 48, 54, 125, Erjian [EX] 94, 100, 105, 166, 180,
132-133, 213, 2 1 9-220, 328, 334, 3 1 1 , 328, 334-335
345-346 Erjian LI-2 38, 328, 330
Chongxian 22.02 59, 109- 1 10, 137, Erjiaoming 1 1 . 1 2 59, 166, 1 78 - 1 79,
158- 1 59, 187, 235, 237-238, 293 1 83, 2 1 8
Chongzi 22.0 I 59, 60, 109- 1 1 0, 158- Feiyang UB-58 166, 172- I 73, 183,
162, 237, 293 1 86 - 1 87
Cibai A.06 60 Fengchi GB-20 75, 80-81, 86, 89, 9 1 ,
Ciliao UB-32 29 1 , 297-298 98, 230, 232-233
Dabai 22.04 36, 58, 62, 66, 69, 72-73, Fengfu DU-16 86, 89, 9 1 , 98, 232
89, 92-93, 102- 1 03, 124-126, 172- Fenglong ST-40 45-46, 5 I, 65, 69, 72,
173, 200-20 1 , 203, 2 1 1 , 322-323. 78, 103, 239, 258, 268-269
See also Sanjian LI-3

356
 I Index

Fengshi GB-31 54-57, 65, 1 1 7-1 19, Jiexue 88.28 48, 59, 227
20 1 , 203-204, 232, 278-279, 3 1 7, Jingling [EX] 281, 283
319 Jingmen GB-25 173
Fujian 1 1 .03 301 -302 Jingming UB- 1 73, 169, 183, 288
Fuke 1 1.24 153, 29 1, 293, 296-297 Jinjin [EX] 270, 274
Fuliu KID-7 4 1 , 64, 166, 170- 1 7 1 , Jinmen UB-63 64, 97, 224
1 8 1 - 1 82, 186 Jueyinshu UB- 1 4 37, 219, 328, 332
Futu LI- 1 8 136, 139 Jugu Ll - 1 6 134
Futu ST-32 240 Juliao GB-29 201, 2 1 1
Fuyang UB-59 332 Kongzui LU-6 36, 43, 48
Ganmen 33. 1 1 54 Kunlun UB-60 4 1 , 58-59, 69, 74,
Ganshu UB- 1 8 243 86-87, 1 17, 122, 172, 186-1 87,
Gaohuangshu UB-43 37, 213, 2 19, 190, 200,283, 328, 332-333, 342
221 Laogong PC-8 60, 23 1 , 258-259, 328,
Geshu UB-17 43 331 -332
Gongsun SP-4 46, 58, 60, 69, 97, 264, Liangqiu ST-34 43, 47-48, 59, 252,
266-267 258, 265-266, 270, 272-273, 276
Guanchong SJ-1 38, 147, 3 1 1 , 338, Lianquan REN-23 338, 344
343 Lidui ST-45 38
Guanyuan REN-4 30, 210, 303 Lieque LU-7 39, 45-46, 60, 82, 85-86,
Haibao 66.01 194, 198 89-9 1, 98, 236, 301, 303-304, 343
Hegu LI-4 44-45, 53, 59-60, 64-65, Ligou LIV-5 59
98, 1 7 1 - 172, 183, 202-203, 230, Lingdao HT-4 41
236, 328-330, 347-348, Linggu 22.05 59-60, 62, 66, 136-138,
Houding DU-1 9 194-195, 198 158, 1 7 1 - 173, 183, 186-1 88, 200-
Houhui 1 0 1 0.06 194-195 203, 2 1 l, 230, 237, 301-303
Houxi SI-3 40, 45, 54, 58-60, 65, 82, Liuwan 66.08 59
84-88, 97, 100-1 02, 109- 1 1 1 , 1 17- Luozhen [EX] 1 15
1 1 9, 133, 158- 1 59, 166-168, 183, Majinshui 1 0 1 0. 1 3 182, 278, 289,
184, 186, 188, 206, 2 1 1 , Menjin 66.05 36, 58-59, 75, 77, 264-
Huantiao GB-30 200-20 l , 209-2 1 1 , 266, 291 -292, 297, 322, 324. See
278 also Xiangu ST-43
Huobao 55.01 235, 238-239 Minghuang 88. 1 2 281
Huochuan 33.04 59, 238 Mingmen DU-4 189, 285-286
Huofuhai 33.07 136, 139-140 Muhuo l 1 . 1 0 328, 332
Huoju 66. 1 1 59 Muxue 1 J . l7 326,
Huoling 33.05 235, 238 Muzhi 1010.18 278
Huosan 66.12 58 Naoshu SI-10 1 25, 131
Huoshan 33.06 139, 238 Neibai [EX] 283, 286
Huozhi 88.15 278-279, 281 Neiguan PC-6 36, 41 -42, 45-46, 54,
Huozhu 66.04 58-60, 7 J , 84, 95, 60, 63-66, 75, 80-81, 97, 109, 1 12-
166, 179-180, 213-215, 221. See 1 1 3, 150- 1 5 1 , 178, 2 1 3-216, 2 1 8-
also Taichong LIV-3 219, 22 1, 224, 235-236, 243, 247,
Jiache ST-6 75, 336 264-265, 267, 270-272, 284
Jianjing GB-21 125, 132 Neiting ST-44 36, 38, 41, 60, 64, 29 1 -
Jianshi PC-5 4 1 , 63-64, 309 292, 297, 322-324, 328
Jianyu LI- 1 5 124, 130, 132 Niushang [EX) 183
Jianzhen SI-9 131 Pangguangshu UB-28 298
Jianzhong 44.06 213, 2 1 7 Pianli Ll-6 336,
Jiexi ST-41 4 1 , 59, 72, 328-329 Qiangjian DU- 18 72

357
One Xeedle Therapy /

Qiangu SI-2 38 Shenguan 77. 1 8 59-60, 77-78, 100-

Qiaoyin GB-44 38, 3 1 1 1 0 1 , 103, 124-125, 142-143, 154-
Qichong ST-30 3 1 -32 155, 158, 1 6 1
Qihai REN-6 301, 303 Shenmai UB-62 64, 66,97, 188
Qihaishu UB-24 211 Shenmen HT-7 43, 48
Qihuang 88.14 281 Shenque REN-8 201 , 210-2 1 1, 270,
Qilix:ue A.0 l 204 272-273
Qimen LIV-1 4 243 Shenshu UB-23 186, 189- 1 90, 2 1 1 ,
Qiuxu GB-40 41, 45, 243, 245-246 283, 285-286
Quanliao SI-18 100, 105-106, 289 Shiqizhuixia [EX] 297
Quchi LI-1 1 36, 42, 45, 64, 128, 136- Shixuan [EX] 150
138, 173, 213, 220, 3 1 1 -3 1 2, 320, Shouqianjin 33.09 201 , 208-209
322-323, 336, 347 Shousanli LI-10 64, 1 24, 128- 1 29,
Quepen ST-1 2 348 136, 138, 140, 166, 173-174, 253,
Quhou [YWC-EX] 136-137 3 1 7, 320, 345, 347
Quyuan SI- 1 3 134 Shouwujin 33.08 60, 208
Renhuang 77.21 60 Shuaigu GB-8 79
Renying ST-9 1 39 Shuanghe DT. 1 6 37
Renzhong DU-26 1 17 - 1 20, 166-167, Shufu KID-27 37
169, 177, 182-183, 1 94, 196-197, Shugu UB-65 27, 40, 45, 58-60, 73,
289 82-83, 86-87, 94, 96-97, 109, 1 14,
Sanchasan A.04 36, 58, 60, 92-93, 243, 1 17, 1 19, 158- 160, 183, 201 , 206,
247-248, 317-318, 322, 324-325, 207, 230, 233, 307-308
331, 341 -342. See also Yemen Shuiqu 66.09 59
SJ-2 Shuixiang 66.14 59
Sanchayi A.02 166, 176 Sihuafu 77.10 213
Sanjian LI-3 36, 40, 54, 60, 64-65, 69, Sihuashang 77.08 77, 138, 144,
72-73, 92-93, 97-98, 100, 102, 153, 239, 252-253, 257-258,
124-126, 133, 203, 3 1 1 -3 1 3, 322- 264, 267-268, 275-276, 287. See
323, 328, 330-331. See also Dabai also Zusanli ST-36
22.04; See also Dabai 22.04 Sihuawai 77.14 75-76, 78, 100, 102-
Sanjin DT.07 37, 221 10� 235, 239, 252, 257-258, 261 ,
Sanyinjiao SP-6 36, 48, 59-60, 100, 264, 268-270, 275
104-105, 264, 269, 292-293, 296- Sihuaxia 77. 1 1 2 13, 22 1
297, 299, 303 Sihuazhong 77.09 78, 102, 22 1, 235,
Sanzhong 77.07 59-60 239-240, 257-258, 261, 264, 268-
Shangbai 22.03 109 270, 275
Shangguan GB-3 25, 28 Simashang 88. 1 8 240
Shangjuxu ST-37 53, 239, 257, 268 Simaxia 88.1 9 240
Shangqiu SP-5 41 Simazhong 88. 1 7 235, 240
Shangyang LI-1 38, 49, 338-340, 345 Sizhukong SJ-23 75, 79-81, 9 1 , 107,
Shanzhong REN - 1 7 30, 37, 43, 48 312
Shaochong HT-9 38 Suliao DU-25 258, 260
Shaofu HT-8 55, 60 Taibai SP-3 40, 59, 100, 104
Shaoshang LU- 1 1 37-38, 44, 49, 153, Taichong LIV-3 36, 39-41, 45, 53,
322, 326, 338-340, 345 57-60, 65, 66, 69, 71-72, 82-84,
Shaoze Sl-1 38, 49 94-98, 179-1 80, 2 1 3-21 7, 221 ,
Shendao DU-1 1 131 243, 278-280, 282, 284-285, 298-
299, 30 l-302, 322, 325, 328, 333-
334, 340. See also Huozhu 66.04

358
 / index

Taixi KID-3 36, 40, 59-60, 64, 170, Xiabai 22.07 182, 278, 281-283, 286,
186, 282-284, 3 1 7, 320, 328, 331, 289,
333, 338, 342-343 Xiaguan ST-7 75, 1 00, 106, 20 1 , 206,
Taiyang [EX] 36, 40, 75-76, 81, 89, 278, 328, 335-336
91 -92, 97-98, 100, 106-107, 3 1 1 - Xiajuxu ST-39 1 24, I 26, 239, 257, 268
3 1 2, 328, 335 Xiangu ST-43 36, 39-40, 58-60,
Taiyuan LU-9 36, 39, 43-44, 50, 60, 64, 75-77, 265, 291 -292, 322,
89-91, 98, 237 324. See also Menjin 66.05; See
Tianhuang 77.17 103, 125, 143 also Menjin 66.05
Tianliao SJ-15 132 Xiaochangshu UB-27 37, 205, 298
Tianzhu UB- 1 0 97 Xiaohai SI-8 181, 192, 194, 208,
Tianzong SI- 1 1 125, 1 3 1 - 132 2 16-2 1 7
Tiaokou ST-38 78, 102, 124, 126-127, Xiaojie A.OS 223-224
166, 177- 1 78, 183, 239, 257, 268, Xiaxi GB-43 36, 39, 3 1 1, 3 1 3
275 X imen PC-4 36, 43, 48
Tongguan 88.01 240 Xingjian LIV-2 39, 213-214, 216, 248,
Tonggu UB-66 38 270, 291, 294, 301 -303, 3 1 1
Tongli HT-5 45, 60 Xinjian LIV-2 84
Tongshan 88.02 235, 240 Xinmen 33. 1 2 54, 60, 1 8 1 - 182, 186,
Tongtian 88.03 240 1 9 1 - 1 92, 1 94, 20 1, 208, 2 1 3, 2 1 6-
Tongziliao GB- I 225 2 1 7, 221
Toulinqi GB- 1 5 55 Xinshu UB-1 5 43, 45
Touwei ST-8 75 Xinxiabai [EX] 182, 289
Tushui 22. l l 60, 252, 256. See Xiyan [EX] 138, 153, 214, 2 1 8, 252,
also Yuji LU-10 287. See also Dubi ST-35
Veins Behind the Ear 346 Xuanlu GB-5 97
Waiguan SJ-5 45-46, 59-60, 64, 145- Xuanzhong GB-39 43-44, 55, 57-58,
147, 150- 1 52, 154-155, 174, 183, 75, 78-79, 1 1 3
223-224, 244, 247, 264-265, 270- Xuehai SP- 10 303
271, 282, 284 Yangchi SJ-4 45, 134, 150- 1 5 1 , 1 54,
Waijian 1 1 .04 301 -302 223-225, 244
Waiqiu GB-36 200, 274-276, 280 Yangfu GB-38 42
Wangu SI-4 44-45, 201, 205-206, 2 1 1 , Yanggu SI-5 41
Wanshuner 22.09 60 Yanglao SI-6 166, 178, 183, 223, 225-
Wanshunyi 22.08 58, 60, 1 18-1 19, 226, 276
183, 186, 188-189 Yanglingquan GB-34 42-43, 55, 57,
Weizhong UB-40 42, 1 1 7, 1 19-121, 58-60, 124, 129, 142, 144, 154,
158, 163, 166, 168- 171, 180, 182- 155, 201-2 1 1 , 2 1 3, 220-221, 243-
183, 194, 197, 20 1 , 204-205, 2 1 1 , 245, 273-274, 280
223, 226-227, 236, 283, 287-289, Yangxi LI-5 4 1 , 128, 138, 142-143,
307 1 7 1 , 173, 202, 230, 320, 329, 336,
Wenliu LI-7 276 347
Wuhu 1 1 .27 142, 153 Yaotongdian [EX] 166, 180- 181,
Wuhu'er 1 1 .27-2 142, 153, 234 183-184
Wuhusan 1 1 .27-3 142, 234 Yemen SJ-2 36, 39-40, 60, 89, 92-93,
Wuhusi 1 1 .27-4 142, 234 128, 152, 175, 191, 2 1 1, 3 1 7-318,
Wuhuwu 1 1 .27-5 142, 230, 233-234 322, 324-325, 328, 331, 338, 3 4 1 -
Wuhuyi 1 1 .27-1 142- 143, 145-146, 343, 345, 347. See also Sanchasan
150, 153- 1 56, 234 A.04
Yinbai SP-I 198

359
One Needle Therapy I

Yingu KID- 1 0 1 17, 1 2 1 , 264, 270 Zhubin KID-9 270

Yingxiang LI-20 66, 105, 166, 324 Ziwu l l.26 3 1 7, 320
Yinjiao DU-28 307-309, 340 Zugendian [EX] 230-231
Yinlingquan SP-9 36, 42, 69-70, 97, Zulinqi GB-41 36, 40, 55, 58-60,
103-104, 125, 129- 1 30, 143-144, 75-76, 97, 183, 201, 207, 224, 3 1 1 ,
161 3 1 3-3 1 4
Yinmen UB-37 201, 2 1 1 Zuqianjin 77.24 55
Yintang [EX] 97, 166, 176-177, 183, Zusanli ST-36 36, 42-44, 77, 130, 138-
252, 255-256 139, 144, 1 53, 236, 252-254, 267-
Yinxi HT-6 43, 48 268, 275-276, 283, 287, 303. See
Yongquan KID-1 82-84, 94-97, 317, also Sihuashang 77.08
319, 334 Zuwujin 77.25 55, 125, 130
Yuji LU-1 0 36, 38, 43, 48, 133, 194,
1 96, 235, 237-238, 243, 248,
256, 338, 340-342, 345-346. See
also Tushui 22. 1 1
Yuye [EX] 270, 274
Zanzhu UB-2 97, 158, 162, 166, 175,
186, 190- 1 9 1
Zhangmen LIV- 1 3 43
Zhaohai KID-6 243, 246, 264, 304,
338, 340, 343-344
Zhenghui 1 010.01 58, 195
Zhengjin 77.01 58-59, 109, 1 14 - 1 15,
1 1 7, 122, 158, 160, 166, 179, 183,
252, 255, 258, 260
Zhengzong 77.02 58-59, 160
Zhibian UB-54 183, 200-201, 209,
211
Zhigou SJ-6 36, 41 -42, 59, 64, 166,
174- 1 75, 238, 243-247, 264
Zhiwu 1 1.26 153
Zhixian 1 1 .25 153
Zhiyin UB-67 82, 85-86, 88, 94, 96,
291 -294
Zhongbai 22.06 58-59, 28 1 , 283
Zhongdu GB-32 56, 204, 278-279
Zhongdu LIV-6 276
Zhongfeng LIV-4 42
Zhongfu LU-1 37
Zhongji REN-3 201, 2 1 0
Zhongjiuli 88.25 56
Zhongping [EX] 134
Zhongwan REN-12 43, 69-71, 252,
254-258, 260, 264, 269
Zhongzhu SJ-3 36, 40, 58, 60, 65, 89,
92-93, 97, 109, 1 1 2, 128, 133, 150,
152, 154, 166, 175- 177, 183, 186,
1 9 1 , 2 1 1, 281, 283, 317-319, 325,
331

360