how is dispersing method done according to Ling Shu?
- insert quick, withdraw slow, leave hole open
- hold needle tightly & then insert (quickly), when the patient feels the Qi, wave the needle & enlarge the hole, then pull the needle out with a twist so that the “evil energy” can be excreted along the needle
describe the tonifying method according to the Ling Shu
- insert slow, withdraw quick, close/press the hole immediately
- insert the needle “wittingly yet unwittingly, the insertion is advancing yet stopping, and the feeling of the patient is like a mosquito bite on the skin”
what is the energetics of Jing-Well pts
exit - external, channel - energy initiates / “issues” out
the qi at the Jing-Wells is the most external, unstable, volatile, shallow & narrow
- needled when person can’t initiate or move out
what is the energetics of Ying-Spring?
Qi / Channel - energy “Flows”
*needled when person has hard time moving, getting a flow going
what is the energetics of Shu-Stream?
Qi has direction, channel-energy “pours”
-these points are the most reactive to needling towards or against the flow / directing energy or pathology toward or away from the body
*needled when person does not know where to go, has no direction
what is the energetics of Jing-River?
Qi has good momentum and really moves, there’s lots of crossroads and interaction, channel-energy “passes through”
- tonified when person can’t interact, or has trouble passing through;
- sedate if there is over-stimulation with world/people
what is the energetics of He Sea?
things converge / come together, the channel-energy “gets into”, the energy units & flows deep within the body, the waterway is broad
*needled when person can’t come back to themselves, needs union?
list the jing well and their pt location
LU11: radial side of thumb
LI 1: radial side of index finger
ST 45: lateral side of 2nd toe
SP 1: medial side of great toe
HT 9: radial side of little finger
SI 1: ulnar side of little finger
UB 67: lateral side of small toe
KD 1: sole of foot, at the junction of later 1/3 and posterior 2/3 of foot when foot is in plantar flexion
list ying spring and their pt location
LU 10: radial aspect of midpt of 1st metacarpal bone
LI 2: radial side of index finger, distal to metacarpal-phalangeal joint
ST 44: proximal to web margin b/t 2nd and 3rd toe, depression distal to 2nd metatarso-digital joint
SP 2: medial side of great toe, anterior and inferior to the 1st metatarso-phalangeal joint
HT 8: b/t 4th and 5th metacarpal bone with palm up, where tip of little finger rest when fist is made
SI 2: loose fist, ulnar end of crease in front of metacarpo-phalangeal joint of little finger
UB 66: in depression anterior and inferior to 5th metatarso-phalangeal joint
KD 2: anterior and inferior to medial malleolus, in depression on the lower border of tuberosity of navicular bone
list shu-stream and their location
LU 9: radial end of transverse crease of wrist, in depression on lateral side of radial artery
LI 3:
ST 43:
SP 3:
HT 7:
SI 3:
UB 65:
KD 3: depression b/t medial malleolus and tendo calcaneus, at the level of tip of medial malleolus
list Jing-RIver and their location
LU 8: 1 cun above the transverse crease of the wrist in depression on lateral side of radial artery
LI 5: thumb tilted upward, depression b/t tendons of m. extensor pollicus longus and brevis
ST 41: b/t tendons of m. extensor digitorum longus and hallucis longus
SP 5: distal and inferior to medial malleolus, midway b/t tuberosity of navicular bone and tip of medial malleolus
HT 4: palm face upward, radial side of tendon m flexor carpi ulnaris, 1.5 cun above transverse crease of wrist
SI 5: at ulnar end of transverse crease on the dorsal aspect of wrist, distal to styloid process of ulna
UB 60: depression b/t tip of external malleolus and Achilles tendon
KD 7: 2 cun directly above KI 3 on anterior border of tendo calcaneous
list He Sea and their location
LU 5: cubital crease, in the depression of radial side of tendon m. biceps brachii
LI 11: lateral end of transverse cubital crease, midway b/t LU 5 and lateral epicondyle of humerus
ST 36: 3 cun below ST 35, 1 finger breadth from anterior border of tibia
SP 9: on lower border of medial condyle of tibia, in depression posterior and inferior to medial condyle of tibia
HT 3: at the midpoint of line connecting medial end of cubital crease and medial epicondyle of humerus
SI 8: depression b/t olecranon of ulna and medial epicondyle of humerus
UB 40: midpt of transverse crease of popliteal fossa, b/t tendons of m. biceps femoris and m. semitendinosus
indications of Jing Well
- fullness below the Heart
- disease of Zang
- Clear heat, restore consciousness & rescue collapse
- treat the “uppermost” reaches of the channel ( the most distal points on any channel clear excess & heat from the opposite end of the channel)
indications of Ying Sping
- clear heat in body
- changes in complexion (color)
- diseases of Yang Channels (with Shu-Stream)
- diseases of Zang Organ (with Shu Stream)
indications of Shu Stream
- Disease of Yang Channels (with Ying Spring)
- Disease of Zang Organ (with Ying Spring)
- heaviness of the body and pain of the joints
- disease which attack intermittenly
indications of Jing River
- cough & dyspnoea, chills & fever
- disease manifesting as changes in a patient’s voice
- disease of the sinews & bones (yin jing-river points only)
indications of of He Sea
- counterflow qi & diarrhea
- disease of ST & disorders resulting from irregular eating & drinking
- disease of Fu Organs
- disease of Skin (Yang He Sea points only, ex. BL 40, LI 11)
what are the Luo points and their locations?
LU 7: superior to styloid process of radius, 1.5 cun above transverse crease of wrist bt brachioradial muscle and tendon of long abductor muscles of thumb
LI 6: 3 cun above crease of wrist, on radial side of arm
ST 40: 8 cun superior to tip of external malleolus, lateral to ST 38 about 2 finger-breadth lateral to anterior border of tibia
SP 4: distal and inferior to base of 1st metatarsal bone
HT 5: with palm face up, radial side of tendon m. flexor carpi ulnaris, 1 cun above transverse wrist crease
SI 7: 5 cun proximal to dorsal crease of wrist
UB 58: 7 cun above UB 60, on posterior border of fibula, about 1 cun lateral and inferior to UB 57
KI 4: posterior and inferior to medial malleolus, in depression anterior to medial side of attachement of Achilles tendon
PC 6:
SJ 5:
GB 37:
LV 5:
why are mother and son points important?
according to Nan Jing
“in case of deficiency reinforce the mother, in cases of excess reduce the child”
what are the xi-cleft points and their locations?
LU 6: 7 cun above transverse wrist crease
LI 7: 5 cun above crease of wrist
ST 34: 2 cun above laterosuperior border of patella with knee flexed
SP 8: 3 cun below SP 9
HT 6: .5 cun above transverse wrist crease on radial side of tendon of m. flexor carpi ulnaris
SI 6: dorsal to the head of ulna; boney cleft of the radial side of styloid process of ulna
UB 63: lateral side of foot, directly below anterior border of the external malleolus, on lower border of the cuboid bone
KI 5: 1 cun directly below KI 3, in the depression of the medial side of tuberosity of calcaneum
PC 4:
SJ 7:
GB 36:
LV 6:
what are xi-cleft points indicated for?
- can drive PF into the level of the Bones - Joints, bleed, disperse, or cup & add other points to direct the pathology out of the body (i.e. shu stream + jing well)
- often used for pain, esp Yang xi-cleft points (disperse)
- yin xi-clefts can be used to help the Zang hold onto or manage yin-fluids and blood (for leakage tonify, for stasis disperse)
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Antique Points21
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Mu, BL-back Shu, KD-front Shu, Hui pts30
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ghost pts, 4 masters of jin-yuan, earth protocol, windows of sky & doorway to earth pts28
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command pts, tx sequence & pt selection, 11 heavenly star, Four Seas, WTS, DTE, Gu-qi model37
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therapeutic action based upon pathology & physiology12
