Notes form the Lingshu

y The Jing-river-Metal movement is a movement of passage. If this passage is blocked by needling agains the current, the
blood and energy in the channel stagnate into a state of compression/obstruction. In contrast, regulatory needling (in the
direction of the current) harmonizes the blood and energy.
y The energy of the channel reaches the He-sea point because of the propulsion of the Jing-river point. If the passage is
blocked (Jing-river point), the phenomena of stagnation and obstruction develop in the channel.` Zhong Yu Si

y In clinical practice, Jianshi (XB 5) is the specific point to treat all rebellious and chronic diseases, all febrile diseases,
intermittent fever and chills, and all cases of schizophrenia, paranoid dementia and alienation.

y Tonggu (BL 66) communicates with Rangu (Ki 2)
y Kunlun (Bl 60) is the source-place of water, the sea of stars`.
o In women, needling this point may trigger miscarriage.

y The five organs are joined with the Five Movements and the six bowels respond to the Six Energies.
- The five organs join with the Five Movements of earth to respond to the energies of birth, growth, transformation,
concentration and conservation.
- The bowels respond the the Six Energies of heaven.
- The Five Movements of earth respond to the Six Energies of heaven. In man, the heavenly energies respond to the
three Yang and the three Yin channels of the earth.
- To precisely locate the point being looked for, palpate to ascertain a painful reaction. The effectiveness of the needling
depends on it.

y The large intestine and the small intestine depend upon the stomach, that is to say on the Zu Yangming channel.

y The vessel that departs from Weiyang (BL 39) belongs to both Zu Taiyang (Bl) and Shou Shaoyang (SJ). This
secondary, lower Sanjiao (SJ) vessel is parallel to Zu Taiyang (Bl) and Zu Shaoyang (GB).
y $ branch of Taiyang (Bl) located 5.0 cun superior to the malleolus deeply penetrates the calf and resurfaces at Weiyang
(Bl 39) and, along with the principal channel of the bladder, solidly anchors the lower Sanjiao (SJ) vessel.
y Fullness in this lower Sanjiao (SJ) vessel manifests as urinary retention with cystitis and painful urination, while
emptiness of this vessel manifests as urinary incontinence. In the first case, disperse Weiyang (Bl 39); and in the second
case, tonify it.
y $ vessel emerges from Weiyang that descends towards the foot almost to the fifth toe, between Zu Taiyang and Zu
Shaoyang. Therefore this vessel is the Luo Bie` (longitudinal luo) of both the Zu Taiyang and Shou Shaoyang channels.

y Zang Gai Chi teaches: The large and small intestines belong to the stomach. Sanjiao (SJ) manifests at the Luo` of
Taiyang (Bl) and merges with Shou Shaoyang (SJ). The six bowels first appear at the three Yang channels of the foot
and then merge with the three Yang channels of the hand. The upper half of the body responds to heaven and the lower
half to the earth. If the six bowels appear first at the three Yang channels of the foot, it is because their origin comes
from earth.`
y Yu Shi elucidates: The Jingmai respond to the Jing Shui (waterways, rivers) of the earth and communicate with heaven.
This is why certain points at the neck and nape bear the name Tian` (heaven).
y Fengfu (GV 16) also bears the name Sheban (root of the tongue); to find this point, ask the patient to speak quickly and
loudly, and the point will swell. This point is forbidden to moxa at the risk of causing muteness.
Notes form the Lingshu

y The localization of points may vary, depending on the individual (and thus sometimes diverge, according to
practitioners).
y $ll acupuncture points are situated either on nerve fibers or on blood capillaries (a result of our research on acupuncture
analgesia in 1971).
y The pathological points sought for are always painful.

y Shou Taiyin (LU) is master` of the energy of the entire organism and the hundred currents` (energetic) gather there.
y If the skin is rich with blood and energy, and if the departing/returning movement and favorable/contrary movements are
perpetual, it is by grace of Shou Taiyin (LU) and Shou Yangming (LI) which animate the first impetus.
y It is forbidden to needle Wuli (LI 13). The blood and energy which are always in movement at the radial pulse come
from the exterior, and it is Wuli (LI 13) that brings them to the interior (pulse).

y The ministerial fire of Shou Jueyin (XB) arises from kidney Yang and gathers in the sub-cardiac region to form an organ
system.
y Shaoyang (SJ = Fire) belongs to the kidney, and kidney is linked to Taiyin (Lu = Water), in such a way that within the
Kidney-Lung-Sanjiao` system, Yin and Yang, water and fire become allies.

y The non-return of the Shangjiao (upper jiao to cardia) causes sour belching.
y The non-return of the Zhongjiao (middle jiao to fundus) causes dyspepsia.
y The non-return of the Xiajiao (lower jiao to pylorus) causes urinary incontinence.

y Chi position of the right pulse Kidney Yang / Sanjiao
y Chi position of the left pulse Kidney Yin / Bladder

y In cases of cramps, needle the patient standing up, and the cure will be immediate.
y In cases of impotence (of any limb) and cold feet, needle the patient in the supine position with the limbs spread well
apart, and a sensation of relief will be felt immediately.
y When there is obstruction of blood and energy leading to contraction or sensation of cold, it is necessary to spread the
four limbs so that energy can circulate in conformance with the four seasons.
y 7Ke energy of tKe four seasons corresponds to tKat of certain SKX (antiqXe) points. He wKo Xses tKem jXGLcLoXsly wLOO
rapLGO\ obtaLQ a cXUe.
y The source-energy is always in an insufficient state when there is illness in the internal organs.

y If the radial pulse (Qi Kou) is empty and if we either needle the He-sea points on the Yang channels to treat the Yang
(external) diseases, or if we leave the needle in place to wait for the arrival of the Yang energy, the energy of the interior
will be utterly exhausted.
y $ very small, very supple, superficial radial pulse that can only be felt with light digital pressure and that disappears
under stronger pressure is a sign revealing emptiness of the kidney, with exhaustion of the marrow and disturbances in
the Jing (quintessence). This is a sign of Yin emptiness/exhaustion at the interior.
y $ radial pulse that is extremely galloping and very soft, disappearing under light finger pressure, is a serious
pathognomonic sign indicating that Yang energy is heading for exhaustion.

Pathological Patterns of Perverse Energy: Invasion of the Organs and Bowels
Xie Qi Zang Fu Bing Xing
Notes form the Lingshu
y 3erverse energy attacks the upper half of the body, and humidity, the lower half.
y :KeQ peUYeUse eQeUJ\ affects a maQ LW Goes QoW KaYe a coQsWaQW OocaWLoQ. :KeQ LW LQYaGes YLQ LW seeps WowaUGs WKe
boweO aQG wKeQ LW LQYaGes YaQJ LW UeacKes WKe cKaQQeO.`
y 2nce perverse energy has penetrated the organism, the place where it settles is not constant; it either touches the Yin or
the Yang in order to settle into the organ or bowel. $nd so the problem becomes complex.
y The gathering places of perverse energy are found on the face. 3erverse energy only affects man when his Yang energy
is in emptiness, or during physical overwork.
y When it reaches the face, it descends into YanJPinJ; when it attacks the nape, it descends to 7ai\anJ; when it attacks
the cheek, it descends into Shao\anJ; when it attacks the thorax, back and sides, the channels are harPed.
o The term it descends.` means that perverse energy is found first in the skin which is Yang belonging to the
Sunluo (energetic capillaries) and the Luo (secondary vessels), before diving down towards the Yang channels.
This is why the text states: :hen perverse energy attacks the Yang, it flows into the channels.
y In general, invasion of the Yin begins at the arms and legs where the skin on the medial aspect is thin and the flesh soft.
For this reason, wind invasion always takes place in the Yin areas of the limbs.
o Invasion of the Yin begins . on the medial aspect of the arms and legs, where the Luomai of the three Yin
circulate.
y 'uring wind invasion, the organs are not necessarily affected, for when it reaches the channel it triggers fullness in the
energy of the organ. Because of this, it is forced to deviate towards the bowel.
This is the reason why perverse energy flows into the channels when it invades Yang, and slips into the bowels when
invading Yin.
y The skin` is part of the body`s external zone, belonging to the three Yang channels. The skin and dermoskeleton are the
first area to be affected by perverse energy invasion. 3erverse energy stays there before infiltrating the LXomai.

y Chapter 63 of the SXZeQ: :heQ JXest perYerse eQerJ\ (Ke) LQYaGes aQ orJaQLsP Lt fLrst PoYes LQto the pLOocXtaQeoXs
s\steP. FroP there Lt eLther GLssLpates or takes the SXQ LXo (OLttOe LXo or LQterstLtLaO LXo) pathZa\s; froP the SXQOXo Lt
eLther GLssLpates or spreaGs to the LXoPaL (secoQGar\ YesseOs); froP the LXoPaL Lt eLther GLssLpates or spreaGs to the
JLQJPaL (prLQcLpOe YesseOs-chaQQeOs) OLQNeG to the fLYe orJaQs. FroP there Lt LQYaGes the stoPach aQG LQtestLQes.`


How does perverse energy attack the Organs?
y Worry, sadness, fear and fright injure the heart.
Cold attacks the body, and ingesting cold drinks harms the lung. The aggression of these two types of cold damages the
internal and the external simultaneously, causing an upward afflux of energy.
'uring a fall that causes internal blood stasis, ore even during strong anger, energy climbs and does not re-descend; it
accumulates in the hypochondria and harms the liver.
Wounds and blows, sexual relations while intoxicated, or exposure to wind while sweating harms the spleen.
3hysical effort such as lifting heavy weights, sexual misuse or bathing while sweating injures the kidney.


Chapter 5 3aragraph 7

Huangdi:
How are the Xing (form) and the Qi (energy) when they are part of adverse (Ni) phenomena?
Qibo:
Notes form the Lingshu
When Xing and Qi are insufficient, if the disease is one of excessive Qi, that is to say that perverse energy is
victorious, it must be dispersed immediately. However, when Xing and Qi are insufficient, if the disease is one of Qi
insufficiency, it must be immediately tonified.
When Xing and Qi are insufficient and the disease is of Qi insufficiency, Yin and Yang are also insufficient.
Therefore, needling is contraindicated, because of the risk of exacerbating the insufficiency. Exacerbating the insufficiency
causes drying up of Yin and Yang, and exhaustion of blood and energy, which is accountable for emptiness in the five
organs characterized by drying of the muscles and impoverishment of the marrow. In this case, old patients will die, and
young ones will recover with difficulty.
In Xing and Qi excess leading to the disease of excessive Qi, Yin and Yang are in excess and the perverse energy must be
dispersed in order to balance emptiness and fullness. This is why it is said: 'isperse excess and tonify insufficiency.
To needle without discerning which is adverse and which is favorable is to provoke confrontation between
essential energy and perverse energy.
To tonify the over-full is to cause the overflowing of Yin and Yang to the four sides with gastrointestinal bloating,
hepatopulmonary hypertrophy, and fusion of Yin and Yang.
To disperse emptiness is to exacerbate the Jingmai insufficiency, with gastrointestinal stenosis, thinning of the skin
and withering of the hair heralding the fatal stage.
This is why it is said: The knot and peg of needling consists of balancing Yin and Yang. $fter regulation, the Jing
(quintessence) energy becomes luminous, the Shen (mind) merges with the Qi (energy) and gathers internally.
It is also said: The great worker regulates energy; the average worker disturbs the pulse and the little worker dries
the energy and puts life in danger.
Because of this, a mediocre doctor must be very attentive when observing changes in the energy of the five organs.
He must thoroughly examine the responses of the five pulses, and the emptiness and fullness in the Jing and Luo, before
determining the points to needle.

y In sum, a doctor must be able to perfectly appreciate the stage of disease progression in the five organs, to differentiate
between the five types of pulses, and to appreciate emptiness and fullness in the Jingmai and delicacy and firmness in
the skin . in order to determine the points to needle.

Location & Therapy of the 'ifferent Layers of the Body
Layers of the body 'isease (Localization) Treatment (specific points)
Skin & Flesh
(Yang of the Yang)
Yang region of Yang channels He-sea points on the Yang channels
Yang region of Yin channels Luo points on the Yang channels
Muscles & Bones
(Yin of the Yang)
Yin region of Yin channels
Ying-spring & Shu-stream points on the
Yin channels
Yin region of Yang channels Jing-river points on the Yin channels

Chapter VI Longevity and Brevity: The Hard and Soft 3aragraph 5

THE THREE TY3ES 2F ENERGETIC ILLNESS
y We needle the Ying to make blood circulate, the Wei to make energy circulate, and the Han Bi to pull in heat.
y Ying disease is characterized by alternating cold and heat (fever and chills), with slight increases and decreases in the
blood and energy.
y Wei disease is characterized by intermittent pains of energetic origin.
Notes form the Lingshu
y The Wind-Cold guest` (Ke) can cause gastrointestinal syndromes, while Han Bi is characterized by pains in fixed
locations with cutaneous paresthesias.
y Ying, Wei & Han Bi diseases are all of internal origin.
y Han Bi is caused by Cold-Water.
y The kidney controls the skeletal system.
y The needling of Ying must be carried out in accordance with the technique of bleeding, for blood comes from Ying
energy.
Indeed, in cases of excess Ying energy, the Yang cannot triumph over the Yin; and in cases of insufficient Ying energy
Yin cannot triumph over Yang, which causes alternating cold and heat and a severe insufficiency of Qi. Thus, the blood
is chased away by Yang energy and floods into the top (surface) as well as the bottom (depths). So the disease is one of
blood that must be treated by bleeding.
y The needling of Wei must be carried out according to the technique of energy evacuation.
y The Wind-Cold guest` (Ke) localized in the stomach and intestines is an internal condition of energetic origin. Because
of this, when treating these illnesses it is necessary to evacuate the (perverse) Qi.
Similarly, Han Bi diseases localize in the channels; needling must be associated with the technique of revulsion
(application of poultices or plasters) in the aim of reheating the deep layer, because the pains are fixed in location and
always accompanied by cutaneous paresthesias.
o These poultices are comprised of the following four ingredients:
$lcohol 90% 20.0 Jin (pounds)
Fructus Zanthoxyli (Huajiao) 1.0 Jin
Rhizoma Zingiberis (Ganjiang) 1.0 Jin
Ramulus Cinnamomi (GuizKi) 1.0 Jin
TKe four ingredients are minced finely and macerated in tKe alcoKol. TKen, add:
y Cotton 1.0 Jin
y Silk fabric 4.0 Sheng
To soak in the same alcohol.
3ut everything in a tightly sealed jar to avoid evaporation. Then, bury the jar in the middle of very hot
ashes from burned horse dung.
$fter five days and five nights, pull out the cotton and silk and let them dry in the sun. once dry, replace
them to soak in the same alcohol. Repeat this once a day until the liquid in the jar is completely used up.
For the end of this procedure, use the medicinal residues in the jar, the silk and the cotton. With the silk,
make several bags 6.0-7.0 (10.0 Chinese) meters long, and put the cotton and the residues inside them.
$t the time of treatment, heat the bag over mulberry wood ashes, then apply it onto the area affected by
Han Bi after needling.
This procedure allows for the introduction of heat into the painful area. When the bag has cooled, use
another one that has been heated, and repeat the application in this way about thirty times.
Each application triggers sweating. It is important to dry the body well before each new application.
$fter the treatment, the patient should get up and perform a few exercises in his room, avoiding any
exposure to wind.
$nd so, after each needling, the application of medicinal poultices activates recovery from Han Bi disease.
Such is the method called intromission of heat.

y Man receives Water and Fire energies from the natural world and transforms them into the Five Movements. The Kidney
receives the a priori Jing Qi (energetic quintessence) in order to distribute it to the five organs. If water and fire are not
Notes form the Lingshu
in a synergistic state, the five organs will lose their connection and Han Bi syndrome follows. This is why we use fire to
assist water.
y The lung is master of the pilocutaneous system.
y GXL XLQ, mXlberry aQd sLlk fLbers are prodXcts specLfLc to the treatmeQt of lXQg dLseases.
y In common people, blood and energy are compact and impure. $fter needling, fire (moxibustion) must be used. In
contrast, in rich and noble folk, the energy and blood are pure and slippery; after needling, poultices must be used in
accordance with the intromission of heat method.