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ACUPUNCTURE 1,2,3 for Pain

Dr. Richard Tan, L.Ac., O.M.D.

Lotus Institute of Integrative Medicine


PO Box 92493, City of Industry, CA 91715
www.eLotus.org
626-780-7182

Outline for Acupuncture 1,2,3


Introduction
Acupuncture 1,2,3
Step 1
Step 2
Step 3
Lunch
Treatment Strategies
Practical Considerations
On Stage Demonstration

Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715


Tel: 626-780-7182 Fax: 626-609-2929 Website: www.eLotus.org Email: info@eLotus.org 1
Step 1
Determine the Sick Meridian(s)
When needling, identify the sick channels the
acupuncture way (not TCM, zang fu diagnosis
way for herbs)
Chinese anatomy identifying the channels.
Yin side and yang side. 3 sections for each side.
Yangming (frontal yang, front of the dark meat),
shaoyang (in between, lateral side), taiyang (major
yang, most yang part, back side of the dark meat).
Taiyin (double yin, frontal white meat), shaoyin (minor
yin, backside of the white meat), jueyin (in between,
medial side)

Case Study: Carpal tunnel


Case: pain shooting through the wrist up to the
middle finger.
Step 1: Determine the sick channel, the
acupuncture way
Hand jueyin PC is sick
Step 2: Find a balancing channel
System 1: Foot jueyin (LR) balances hand jueyin
Step 3: Mirror Image to locate
Needle the LR channel where??? Wrist mirrors where
on the LR channel?? Needle the ankle to treat the
wrist. LR4,3,2,1 (cover the whole area because the
problem is a shooting pain to the finger). Needle the
OPPOSITE SIDE!!! or wont work.

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Tel: 626-780-7182 Fax: 626-609-2929 Website: www.eLotus.org Email: info@eLotus.org 2
If pain shifts
If the pain also shows up on hand taiyin,
treat the foot taiyin (sp 4,5,2,1).
Step 1: Dx. Hand Taiyin Lu sick
Step 2: Choose balancing ch. Foot Taiyin
Step3: Choose point/location using mirror,
ankle to toe area (SP 4,5,2,1)

Tip
If you dont see immediate effect or
improvement, evaluate where the problem is. It
could be
1. Your diagnosis of the sick channel is wrong
and therefore everything else after that is wrong.
2. You did not pick the correct treatment
channel, or patient does not respond well to that
system. Pick another treatment channel
3. You did not quite pick the right spot according
to imaging and the mirror concept. Palpate again
the ashi point and needle again.

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Tel: 626-780-7182 Fax: 626-609-2929 Website: www.eLotus.org Email: info@eLotus.org 3
Tip
If the patient says the pain is the same after you
needle, ask Where is the pain now? There
should improvement (if your diagnosis is right
and your selection of point location is right).
Usually, patient will say the pain shifted or
changed place. The pain didnt change place, it
hurted before but is more noticeable now since
the primary pain is gone.
Because if you ask the patient are you better?
they will ususally say the same. 1. they are so
used to saying that or 2. they want more
sympathy or more attention.

When to use mirror vs. image


Use mirror concept when treating limb
problem. Arm treats leg, leg treats arm.
(carpal tunnel syndrome, treat the ankle,
dont needle the neck)
When treating head and trunk problems,
use image concept to locate where to
needle.

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Tel: 626-780-7182 Fax: 626-609-2929 Website: www.eLotus.org Email: info@eLotus.org 4
Step 2
Choose the Treatment Vessel(s)
System 1
System 2
System 3
System 4
System 5

SYSTEM 1:
Chinese Name Sharing
Needle the opposite side of the pain

du (governing) ren (conception)


SI (Hand Taiyang ) BL (Foot Taiyang )
TH (Hand Shaoyang ) GB (Foot Shaoyang )
LI (Hand Yangming ) ST (Foot Yangming )
LU (Hand Taiyin ) SP (Foot Taiyin )
HT (Hand Shaoyin ) KI (Foot Shaoyin )
PC (Hand Jueyin ) LR (Foot Jueyin )

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SYSTEM 2:
Branching Meridian
(yin balance yang, yang balance yin)
Needle either side of the pain
SI (Hand Taiyang ) SP (Foot Taiyin )

TH (Hand Shaoyang ) KI (Foot Shaoyin )

LI (Hand Yangming ) LR (Foot Jueyin )

LU (Hand Taiyin ) BL (Foot Taiyang )

HT (Hand Shaoyin ) GB (Foot Shaoyang )

PC (Hand Jueyin ) ST (Foot Yangming )

Carpal tunnel case using system 2


LU (Hand Taiyin ) sick (step 1)
Step 2: treat BL (Foot Taiyang )
Step 3: BL 60, 62, 65, 67 (pick the aship points nearby these points)
PC (Hand Jueyin ) sick (step 1)
Step 2: treat ST (Foot Yangming )
Step 3: ST 41-45 (pick the aship points nearby these points)

Choose any system. They all work. Some system work better on some
patients than others. Do one system at a time. If you dont see the
desired result, change to another system, take out the needles from
the previous system.

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SYSTEM 3:
Exterior Interior Relationship
Needle the opposite side of the pain
Upper limb balances with upper limb, lower w/ lower
SI (Hand Taiyang ) HT (Hand Shaoyin )

TH (Hand Shaoyang ) PC (Hand Jueyin )

LI (Hand Yangming ) LU (Hand Taiyin )

LU (Hand Taiyin ) LI (Hand Yangming )

HT (Hand Shaoyin ) SI (Hand Taiyang )

PC (Hand Jueyin ) TH (Hand Shaoyang )

SYSTEM 4:
Chinese Clock Opposite
Needle either side of the pain *same as System2
GB (Foot Shaoyang ) * HT (Hand Shaoyin )
11-1 midnight 11-1 noon
LR (Foot Jueyin ) SI (Hand Taiyang )
1-3 am 1-3 pm
LU (Hand Taiyin ) * BL (Foot Taiyang )
3-5 am 3-5 pm
LI (Hand Yangming ) KI (Foot Shaoyin )
5-7 am 5-7 pm
ST (Foot Yangming ) * PC (Hand Jueyin )
7-9 am 7-9 pm
SJ (Hand Shaoyang ) SP (Foot Taiyin )
9-11 am 9-11 pm

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SYSTEM 5:
Chinese Clock Neighbors
Needle the opposite side of the pain *same as System1
GB (Foot Shaoyang ) * TH (Hand Shaoyang )
11-1 midnight 9-11pm
LR (Foot Jueyin ) LU (Hand Taiyin )
1-3 am 3-5 am
LI (Hand Yangming ) * ST (Foot Yangming )
5-7 am 7-9 am
SP (Foot Taiyin ) HT (Hand Shaoyin )
9-11 am 11-1 noon
SI (Hand Taiyang ) * BL (Foot Taiyang )
1-3 pm 3-5 pm
KI (Foot Shaoyin ) PC (Hand Jueyin )
5-7 pm 7-9 pm

Basic Balance Method class and Wonders


of Needles class cover these 5 systems in
depth. www.drtanshow.com

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Tel: 626-780-7182 Fax: 626-609-2929 Website: www.eLotus.org Email: info@eLotus.org 8
System 6
Use the same channel to treat the same
channel. But dont needle the affected
area.
GB41 (foot image head) to treat temporal
headache. System 6
SJ 3 treat side headache too. SJ balance
GB (hand balances the head)

Dr. Tans Balance Method


SYSTEM 1
Systems 1-5
SYSTEM 2 SYSTEM 3 SYSTEM 4 SYSTEM 5

Channels Name Branching Interior/Exterio Clock Clock


r Opposite Neighbor
LU SP BL LI BL LR
Hand Taiyin
LI ST LR LU KI ST
Hand Yangming
ST LI PC SP PC LI
Foot Yangming
SP LU SI ST SJ HT
Foot Taiyin
HT KI GB SI GB SP
Hand Shaoyin
SI BL SP HT LR BL
Hand Taiyang
UB SI LU KI LU SI
Foot Taiyang
KI HT SJ BL LI PC
Foot Shaoyin
PC LR ST SJ ST KI
Hand Jueyin
SJ GB KI PC SP GB
Hand Shaoyang
GB SJ HT LR HT SJ
Foot Shaoyang
LR PC LI GB SI LU
Foot Jueyin

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Case Study: Knee Pain
Step 1: Knee pain, LR, SP, ST, GB on the right side.
Step 2: (PC, HT) or (PC, TH) can treat all 4 sick channels
LR, SP, ST and GB. No need to use many needles. For
advanced practitioners or those with only a few needles in
your clinic.
System 1: LR(PC), SP(LU), ST(LI), GB(TH)
System 2: LR(LI), SP(SI), ST(PC), GB(HT)
System 3: LR(GB), SP(ST), ST(SP), GB(LR)
System 4: LR(SI), SP(TH), ST(PC), GB(HT)
System 5: LR(LU), SP(HT), ST(LI), GB(TH)
Step 3: Image or Mirror? Mirror to treat limb problem.
Where on the arm mirrors the knee. Elbow!
PC on the elbow (opposite side), HT on the elbow (same side).
Remember, systems 1,3,5, you needle the opposite side. Systems
2,4 either side

Case Study: Sprained ankle


Step 1: ST, GB, BL
Step 2:
System 1: ST(LI), GB(SJ), BL(SI)
System 2: ST(PC), GB(HT), BL(LU)
System 3: ST(SP), GB(LR), BL(KI)
System 4: same as 2
System 5: same as 1
Step 3:
Needle the wrist area using the mirror concept
Acute case with swelling, patient needs to come
in every day for treatment

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Case 3: Shoulder Pain
Step1: Right side shoulder pain, everywhere, all
ROM is about 20-40% only

Tips:
frontal, raising problem, LI is usually sick, sometimes the
lung.
If the problem is lateral, abduction problem, Shaoyang
prolem.
Aduction, taiyang problem.
Reaching to the back can be yangming or taiyang problem.
Under the armpit, rotating cuff problem, its PC or HT
problem
If pain is

Case 3: Shoulder Pain


Step2:
System 1: ST, GB, BL, SP, LR
System 2: LR, KI, SP, BL, ST, GB
System 3: LU, LR, KI, LI, TH, SI
System 4: KI, HT, LR, TH, ST, GB
System 5: LI (ST), TH(GB), SI(UB), LU(LR), PC(KI),
HT(SP)
KI, LR, SP (3 yin foot channels) can be used to
balance all six channels on the upper limb.
Step3:
Needle the 3 foot yin channels on the hip. Opposite
side of the shoulder, medial side of the groin area.

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System 1
Chinese name sharing system
If the chinese names are the same, they
can be used to treat each other.
Example: Hand Taiyang can treat Foot
Taiyang. Foot yangming balance with
hand yangming., etc.
Anatomically, frontal dark meat on the arm
will balance the front dark meat part on the
leg. Posterior balances the posterior part.
Similarity in anatomy.

Step 3
Select Point(s) Using Mirror and Image
Concepts

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Step 3: Point(s) Selection using
the Mirror Concept
Shoulder = Hip

Elbow=Knee

Hand = Foot
Wrist = ankle
Finger = Toe

Step 3: Point(s) Selection using


the Reverse Mirror Concept
Shoulder = Foot

Elbow = Knee

Hand = Hip

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Step 3: Point(s) Selection using
the Image Concept
Hand = Head = Foot

Wrist = neck = ankle

Elbow = Umbilicus = Knee

Shoulder = Genitals = Hip

Step 3: Point(s) Selection using


the Reverse Image Concept
Hand = Genitals = Foot

Elbow = Umbilicus = Knee

Shoulder = Head = Hip

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Step 3: Point(s) Selection using
the Image Concept

Hand = Forehead = Foot

Elbow = Eye = Knee

Shoulder = Chin = Hip

Step 3: Point(s) Selection using


the Reverse Image Concept

Hand = Forehead = Foot

Elbow = Eye = Knee

Shoulder = Chin = Hip

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Tel: 626-780-7182 Fax: 626-609-2929 Website: www.eLotus.org Email: info@eLotus.org 15
Nausea, morning sickness, heartburn..we use PC6.
Why? Where does PC6 image? If the neck is the wrist
and elbow is the umbilicus, the epigastric area/chest is
where PC6 is.
Diagnosis for nausea, morning sickness.what is the
sick channel? Ren, KI, ST channels are sick. (ST
because the channels pass by there, not because there
is stomach (organ) problem. Thats zang fu diagnosis for
herbal prescription).
ST, KI need to be balanced.
Which channel can balance ST and KI together??? PC
and LI

Mirror Concept

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Neuropathy on the toes
Numbness, tingling, burning pain on all the toes
When treating toes and fingers, forget the channels and
the 3 steps and 5 systems.
Just Mirror the fingers with toes.
Focus on the yin and yang sides of the toes and the in
between. Palm mirrors the bottom of the foot. Dorsal
side of the fingers mirror the dosal side of the toes. The
sides of the fingers mirrors the sides of the toes. Tips
mirros the tips.
How many needles?? As many as it takes, sometimes
10-20.
Map the fingers with the toes. Needle the OPPOSITE
SIDE of the problem.

Diabetes
Lime juice, one each per day for diabetic
patients (not insulin dependent). (dont
take this with the medication at the same
time. 3 hours apart) Cut the lime in half,
squeeze and add water. Do this for at
least 3-6 months. When sugar level
stabilizes, drink a couple of times a week.

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Protocol
After needle insertion, must obtain qi
sensation. Deeper is fine, especially if the
pain is deep.
to 1 hour treatment time.
First time patients, see them at least twice
a week. For acute, excruciating, constant
pain, they need to come in daily until
symptoms alleviate.

Treatment Strategies for Pain


Headache
Facial Paralysis/Bells Palsy
Neck and Shoulder Pain
Carpal Tunnel Syndrome
Back Pain
Knee Pain
Stomach Pain
Irritable Bowel Syndrome
Uterine Fibroids

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Treating Internal Disorders
1. Harmonize YANG YIN
channel channel
YIN YANG
channel channel

2. Attack

**acupuncture medicine and herbal


medicine are different.

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HEADACHE p.327
Dynamic balance. No need to do bilateral
12 channels all present.
LEFT RIGHT
PC 9, HT 9, LU 11 LI 4, SI 3, TH 3
(jing well points, (shu/source stream
tips to image vertex, points) images temporal
top of head) area in the head
ST 36, BL 40, KI 3, LR 4, SP 6 (all
GB 34 (he sea more proximal to shu
points) points (images head,
occipital level)

FACIAL PARALYSIS
BELLS PALSY
Herbal Rx / Zang Fu Differentiation

p.702 Symmetry

Indication: Bells Palsy

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FACIAL PARALYSIS
BELLS PALSY (GB, ST, LI
sick) p.705
LR and PC are main tx ch.
LEFT RIGHT

LI 3, TH 3 Ah shi points around LU


5 to LU 6, PC 3 to PC 4,
HT 3 to HT 4
LR 8ashi (system3, GB 41, ST 43
so needle opposite
side of the prob)

NECK & SHOULDER PAIN


p.581
Acupuncture/Balance Method:
Opposite side of the Same side as the pain
pain
HT 4, HT 5, HT 7 SI 3, TH 3

GB 39, BL 65 SP 6 or ah shi points


nearby

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CARPAL TUNNEL SYNDROME
p.204
Acupuncture/Balance Method:
Opposite side of the Same side as the pain
pain
LI 5, SI 5, TH 4

SP 5, LR 4, KI 2, BL 60, GB 40, ST 41
KI 3

BACK PAIN p.209


Acupuncture/Balance Method:
Opposite side of the Same side as the pain
pain
SI 3,4 Lingku, Dabai, LU 5, LU 6, or ah shi
Zhongbai points nearby. Balances
BL, major sick ch of back
pain
KI 4, KI 7, or ah shi BL 65 or ah shi points
points nearby , nearby
balances UB ch
(sacroiliac area)

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Tips
Pc7.3 images lower abdomen, excellent
for menstrual pain
If the back pain is right on the du channel,
on the spine, balance with the ren channel

If the back pain is in between channels, in


between UB (taiyang) and GB (shaoyang)
channels, what do you do? Do you just
treat in between the hand taiyang and
hand shaoyang or do you follow 1,2,3 and
figure out where to needle according to the
systems?

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Back pain, master tungs points
Lingku, Dabai, Zhongbai, 3points opposite
side of the pain.

KNEE PAIN
Herbal Rx / Zang Fu Differentiation

p.525
p.530

Indications: Acute or chronic knee pain


from sports or traumatic injuries or
degeneration

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KNEE PAIN p. 528
Acupuncture/Balance Method:
Needle ah shi points around LI 11, LU 5, HT 3

Needle the side that is more tender upon


palpation

If the pain is deep, needle the elbow up to 1.5


to 2 cun

So jing dian. SI3 to LI3, to use metacarpal


bone (head) to image the body, as the
bone gets narrow (thats where the neck
is), these So Jing Dian points treat neck
pain

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STOMACH PAIN
Or any and all digestive disorders (GI
Harmony)
LEFT RIGHT

TH 5, LI 4 PC 6, LU 7

SP 6, ST 36, GB 34
Dr. Tans LV point

Dr. Tans Liver Point


On the medial anterior
side of the condyle of
the tibia bone,
superior to
Yinlingquan (SP 9).
Palpate for ah shi
points and use oblique
insertion on the bone.
This point is about 1
inch in diameter.
Either one point or
several ah shi points
can be needled here.

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IRRITABLE BOWEL
Herbal Rx / Zang Fu Differentiation

p.453
p.269

Indication: IBS

IRRITABLE BOWEL p.455


Acupuncture/Balance Method:
LEFT RIGHT

LI 4(optional), LU 7, LU 6, PC 6
Lingku, dabai,
zhongbai
LR 4, SP 4, SP 6, ST 34, ST 36, ST 38,
SP 9 or ah shi points nearby

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UTERINE FIBROIDS p.648
Acupuncture/Balance Method:
LEFT RIGHT

TH 5, Lingku HT 5, PC 6, zhong
guan (PC7.3)

LR 3, SP 4 ST 39, ST 40
(influential point for
chong mai), KI 6

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practice becoming an active, vital and integral
resource in the health needs of the
community.

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