Acupuncture Balance Method Bruce Ferguson DVM, MS Holistic Veterinary Care www.naturalvet.org

Prelude „

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I am about to share with you ideas which I have put into practice to achieve excellent clinical results Why did I choose to explore novel point location and combinations? Why didn’t I just practice what I was taught?

Prelude „ „

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I am fortunate to have studied with numerous TCVM experts There are 4 in particular who I would like to honour for inspiring me to investigate acupuncture point use and location Dr. Are Thoreson Dr. Richard Tan Dr. Keija Zhang Dr. Jan Still

Prelude „

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Are Thorenson was the first TCVM expert who I met who doubted the Transpositional Location of quadruped LIV 3 He also noted that Equine anatomy was so different from humans, that Equine distal acupuncture points would not be strictly transposable This initial contact set my mind wondering….

Prelude „

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Richard Tan, a human acupuncturist, is famous for his “Revolutionary Acupuncture” which achieves rapid clinical results His system has 3 major subsystems, but depends upon Anatomic Imagery Anatomic Imagery acupuncture utilizes both mirror imagery and microsystems Both are based upon Anatomical Tissue Similarity

Prelude „

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Both are based upon Anatomical Tissue Similarity We would all agree that the front and rear distal quadruped leg and foot are much more similar than the human hand and foot Viewing the symmetry and tissue similarity, novel acupuncture point locations and coupling automatically arise

Prelude „

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The leader of TCVM in China for more than 30 years, and Dr. Xie’s mentor, Dr. Keija Zhang was an amazing inspiration When I was “on the search” for all species LIV 3 after Are’s inspiration, I asked Dr. Zhang where he placed LIV 3 in the dog Dr. Zhang laughed at me as if I was a foolish child, then, with a grin, asked me where I thought LIV 3 was on a horse!

Prelude „

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Dr. Zhang explained that EVERYTHING that makes LIV 3, Tai Chong, exist, is HUMAN and not found in the same way in quadrupeds! Thus, LIV 3 exists ONLY as a human point Although we may still search for and use clinically acupuncture points which resemble human points such as LIV 3 Conclusion? Lighten up about point names and locations

Prelude „

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Finally, Dr. Jan Still inspired me with a few simple words about 6 years ago that have changed my practice forever Jan said that each day of clinical practice, for at least one patient, try using a protocol that you have not previously used In other words, do miniature “experiments” or clinical case studies to expand your treatment regimen

Fei Boxiong

費伯雄 1800-1870

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“There exist no miraculous „methods in the world, only „plain ones and the „perfection of the plain „is miraculous” „

AP reduces crying in infants with infantile colic: a randomised, controlled, blind clinical study „

Landgren K, Kvorning N, Hallström I. Acupunct Med. 2010 Oct 1

OBJECTIVE: To investigate whether AP reduces the duration and intensity of crying in infants with colic „ Patients and methods 90 otherwise healthy infants, 2-8 weeks old, with infantile colic were randomised in this controlled blind study „

AP reduces crying in infants with infantile colic: a randomised, controlled, blind clinical study „

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81 completed a structured programme consisting of six visits during 3 weeks to an AP clinic in Sweden Parents blinded to the allocation of their children met a blinded nurse The infant was subsequently given to another nurse in a separate room, who handled all infants similarly except that infants allocated to receive AP were given minimal, standardised AP for 2 s in LI04

AP reduces crying in infants with infantile colic: a randomised, controlled, blind clinical study „

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RESULTS: There was a difference (p=0.034) favouring the AP group in the time which passed from inclusion until the infant no longer met the criteria for colic The duration of fussing was lower in the AP group the first (74 vs 129 min; p=0.029) and second week (71 vs 102 min; p=0.047) as well as the duration of colicky crying in the second intervention week (9 vs 13 min; p=0.046) was lower in the AP group The total duration of fussing, crying and colicky crying (TC) was lower in the AP group during the first (193 vs 225 min; p=0.025) and the second intervention week (164 vs 188 min; p=0.016)

AP reduces crying in infants with infantile colic: a randomised, controlled, blind clinical study „

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The relative difference from baseline throughout the intervention weeks showed differences between groups for fussing in the first week (22 vs 6 min; p=0.028), for colicky crying in the second week (92 vs 73 min; p=0.041) and for TC in the second week (44 vs 29 min; p=0.024), demonstrating favour towards the AP group CONCLUSIONS: Minimal AP shortened the duration and reduced the intensity of crying in infants with colic Further research using different AP points, needle techniques and intervals between treatments is required

Circadian Cycle of Qi 3:00 am 1:00 am

5:00 am

Lung

Liver 11:00 pm

Large Intestine

Gall Bladder

Jueyin

Taiyin

Shaoyang

Triple Heater

Yangming

Stomach Shaoyang

Yangming

9:00 pm

9:00 am Jueyin

Taiyin

Pericardium

Spleen Shaoyin

Shaoyin

Taiyang 7:00 pm

7:00 am

Taiyang

Kidney Bladder

Heart

Small Intestine

5:00 pm

1:00 pm 3:00 pm

11:00 am

Richard Tan’s Balance Method „

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Biographical and publications information may be found at www.drtanshow.com Dr. Tan’s Balance Techniques are based upon the I Ching (Ba Gau/Eight Trigrams and 64 Hexagrams) and Taoism I will omit his philosophical development of the Balance Method and focus on the clinical applications

Richard Tan’s Balance Method „ „ „ „ „

Minimal needle Distal point-only Obtains clinical results very rapidly Easy to use in the clinic Effective in the treatment of a wide range of both internal and external channel blockages and imbalances

An Acupuncturist’s Acupuncture „

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There is an extensive history of various acupuncture techniques used throughout the world Most “modern” acupuncture taught in TCM and TCVM training programs is “herbal” acupuncture

“Herbal” Acupuncture „

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In “herbal” acupuncture, both individual acupuncture points and point combinations are used as “herbal” singles and formulas For example „

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Hou San Li, ST 36 is roughly equivalent to Ren Shen, Panax ginseng Tai Xi, KI 3 is roughly equivalent to Shu Di Huang, Cooked Rehmannia

“Herbal” Acupuncture „

Further, the patient is usually diagnosed by a combination of 8 Principles „

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Fundamental Substances „

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Yin/Yang, Hot/Cold, Excess/Deficient, Internal/External Qi, Blood and Body Fluids

And Zang-Fu Organ „

Kidney, Heart, Spleen, Stomach, etc.

“Herbal” Acupuncture „

Thus a dog with lethargy, loose stools, weak pulse, and pale, moist tongue might be diagnosed with „

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And treated with the herbal formula „

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Spleen Qi Deficiency

Si Jun Zi Tang, Four Gentlemen Decoction

And acupunctured at such points as „

BL 20, BL 21, CV 12, and ST 36

Examples of Herbal Acupuncture „

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Golden Needle Wang Le-Ting: A 20th Century Master’s Approach to Acupuncture Yu Hui-chan and Han Fu-ru Blue Poppy Press, 2001 Boulder, CO, USA ISBN 0-936185-78-3

“Herbal” Acupuncture „

“Old Ten Needles” „

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Shang Wan (CV 13), Zhong Wan (CV 12), Xia Wan (CV 10), Qi Hai (CV 6), Tian Shu (ST 25 bilateral), Nei Guan (PC 6 bilateral) and Zu San Li (ST 36 bilateral)

Based upon Li Dong-yuan’s Pi Wei Lun (Treatise on the Spleen and Stomach) Bu Zhong Yi Qi Tang (Supplement the Center and Boost the Qi Decoction)

An Acupuncturist’s Acupuncture „

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An “acupuncturist’s acupuncture” is focused on adjusting the Qi in the Jing-Luo Channels and Collaterals, commonly after making a channel diagnosis Essentially the acupuncturist wants the patient to “point” to the problem which is then rectified by various acupuncture point applications based upon “Balance” and microsystems techniques

An Acupuncturist’s Acupuncture „

The effect of “an acupuncturist’s acupuncture” is described in Chinese as „ „ „ „

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Li, Stand Gan, Under Jian, See Ying, Shadow

This implies that the effect of such treatment should be as rapid as seeing one’s shadow when standing in the sunshine

Microsystems Acupuncture „

Include but not limited to „ „ „

Auriculotherapy Scalp acupuncture Facial acupuncture „ „

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Nose acupuncture Tongue acupuncture

Korean hand-needling Foot acupuncture

Extra Points or Microsystems Acupuncture ?

Extra Points or Microsystems Acupuncture ?

Non-”Classical” Acupuncture „

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Modern TCM textbooks are based upon classics written by erudite scholars Much of the rich history of regional TCM herbal and acupuncture therapy has been lost Occasionally we are able to see into the tactics of such non-classical acupuncture

Non-”Classical” Acupuncture „

Master Tong’s Acupuncture „

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An Ancient Alternative Style in Modern Acupuncture Practice Miriam Lee, Blue Poppy Press, 2002

Family Style of Acupuncture „ „

Very few points per treatment Generally uses contralateral and asymmetrical needling

Can We Rationally Organize Acupuncture Point Function? „

Humans create interpretations or “models” of natural systems in order to „

Organize seemingly disparate data „

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For example, Master Tong’s Acupuncture consists of seemingly endless lists of novel points, each with a plethora of functions

Test hypotheses Generate novel uses of current knowledge

Can We Rationally Organize Acupuncture Point Function? „

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Richard Tan believes that there is a hidden “code” in the Ba Gua and Circadian Clock which allows us immediate, rational access to acupuncture point functions Let’s examine his “model” or Balance Systems/Techniques/Methods

Overview of Dr. Tan’s “1,2,3” „

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Step 1: Diagnose which acupuncture channel or channels is/are involved Step 2: Choose a Balance Technique „ Local Balance for well-localized dysfunction „ Global Balance for functional disorders or broad pain Step: Choose Points to Treat „ Mirror „ Image „ Ba Gua „ “Special Points”: 4 Magic, 8 Magic, 12 Magic

Richard Tan’s Balance Method „

Point Location „

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It is important to palpate ahshi or tender points when locating distal points for treatment The textbook descriptions of point locations are intended to help you “get close” to the actual point, which is then found by palpation

Importance of Sensitive Points „

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Zhongguo Zhen Jiu. 2011 Feb;31(2):134-8. [Return of Qibo: on hypothesis of sensitization state of acupoints]. [Article in Chinese] Chen RX, Kang MF, Chen MR. Affiliated Hospital of Jiangxi College of TCM, Nanchang 330006, China. [email protected]

To discuss the hypothesis of the sensitization state of acupoints based on the original definition and the localization method of acupoint from Internal Classic as well as the clinical evidence of heat-sensitive moxibustion Acupoints are different in the states, named resting and sensitization The acupoints of sensitization state are the reactive sites of disease on the body surface, also the best sites for acupuncture and moxibustion treatment

Importance of Sensitive Points „

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The acupoints are the specific sensitive sites on the body surface relevant with diseases with the best therapeutic effects Hence, the acupoints of sensitization state are of dynamic variability In clinical application, only the two-step location method, preliminary and accurate localizations (sensitive probing localization) from Internal Classic can localize the acupoints precisely, rather than one-step location method such as proportional measurement or body surface landmark localization. The nature and property of acupoints are different based on the functional state, not just on the fixed locations

Importance of Sensitive Points „

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Zhen Ci Yan Jiu. 2010 Aug;35(4):311-4. [Paying attention to the heat thermal sensitivity of moxibustion is the key for raising the curative effect]. [Article in Chinese] Chen RX, Chen MR, Kang MF, Chi ZH, Zhang B. Department of Acu-moxibustion and Rehabilitation, the Affiliated Hospital of Jiangxi College of Chinese Medicine, Nanchang 330006, China. [email protected]

When moxibustion is applied to a certain acupoint in the patient, a regional heat sensitive reaction may be found In the present paper, the authors expound its conception and appearing regularities, its relationship with the "arrival of qi" of Chinese medicine, and its clinical application in guiding acupoint selection and heat-stimulation quantity

Importance of Sensitive Points „

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Heat sensitive reaction during moxibustion ("heat sensitive moxibustion") is frequently seen in people undergoing pathological conditions and correlates highly with the diseases It characterizes in dynamic changes in the location along with the state of the disorders and in being not always to coincide with the standard meridian acupoint location

Importance of Sensitive Points „

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The heat sensitive phenomenon of moxibustion is one of the manifestations in the activated functional activities of meridian of Chinese medicine just like the arrival of the qi caused by acupuncture stimulation It is also a sign of activation of the human endogenous functional regulative system Therefore, thinking highly of the heat sensitive reaction of moxibustion is the key point for raising the curative effect in clinical practice

Richard Tan’s Balance Method „

Point Location „

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In this system, acupuncture points are 3dimensional Generally the Balance Method works best when needle are inserted to a depth which allows the needles to “stand up” on their own

Richard Tan’s Balance Method „

Point Location „

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In deciding where to look for possible appropriate points, use either the “Anatomical Image” of the limbs “Mirror” „ „ „ „

Digits correspond on hands and feet Carpus corresponds to the tarsus Elbow to the knee Shoulder to the hip

Richard Tan’s Balance Method „

Point Location „

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Or in deciding where to look for possible appropriate points, use the “Anatomical Image” of the thorax and abdomen “Image” „ „ „ „

The hand and foot “images” the head The carpus and tarsus “images” the neck Elbow and knee “images” the central abdomen Shoulder and hip “images” the lower abdomen and genitals

Anatomic Tissue Similarity „

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Whether we use the “mirror” for the limbs or the anatomic “image” for the axial body We should first choose to needle tissues that have an Anatomic Tissue Similarity to the primary affected tissue

Anatomic Tissue Similarity „

Why does the Nan Jing tell us “needle skin deep to treat skin diseases, needle muscle deep to treat muscle diseases, needle into the tendons and ligaments to treat tendons and ligaments, and needle bone deep to treat the bones”?

Richard Tan’s Balance Method „

Needles/Technique „ „

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Needle until De Qi response is elicited De Qi sensation delivers a powerful signal to the patient’s channel system This is very important in making the distal point approach both efficacious and rapid Sensation should be somewhere between “can’t feel it” and “let me out of here!”

Richard Tan’s Balance Method „

Treatment Time and Frequency „

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Rapid improvement in pain, numbness and range of motion Needle retention should be 45 min-1 hr Re-treat before clinical signs fully reappear This allows the clinician to “stay ahead” of the condition with continued and additive reduction in clinical signs

5 Core Systems of Balance Method „ „

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#1- Anatomical Image System #2- Bie Jing or Branching Channel System #3- The Interior/Exterior Relationship #4- The Chinese Clock: Opposite System #5- The Chinese Clock: Neighbor System

The Unspoken 6th System „ „

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I tend to call it channel clearing May be a form of microsystems acupuncture Especially useful on quadrupeds in imaged on the distal carpel/tarsal, metacarpel/metatarsal and phalangeal area

The Unspoken 6th System „ „ „

Usually my first choice in treatment May be “coupled” with system 1 Thus, treating TH 3 on the Shaoyang channel may simultaneously treat shoulder (TH) and coxofemoral (GB) Qi/Blood Stagnation

#1- Anatomical Image System „

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Employs the Chinese concept of channel-based anatomical zones and imagery This system always treats points that are located on the corresponding channel Treats on the opposite, diagonal side of the patient’s body

#1- Anatomical Image System „

For this system you must remember the Chinese channel names and locations! „ „ „ „ „ „

Taiyang=Small Intestine and Bladder Shaoyang=Triple Burner and Gallbladder Yangming=Large Intestine and Stomach Taiyin=Lung and Spleen Shaoyin=Heart and Kidney Jueyin=Pericardium and Liver

The Limbs all “Mirror” one another „

Toes and fingers mirror each other „

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E.g. right front lateral 5th finger (SI Tai Yang channel) is treated by left lateral 5th toe (BL Tai Yang channel)

Tarsi mirror the carpi „

Right foot medial ankle injury (SP Tai Yin channel) may be treated by left medial carpus (LU Tai Yin channel)

The Limbs all “Mirror” one another „

Stifles mirror the elbows „

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Left antero-lateral knee injury (ST Yangming channel) may be treated by right antero-lateral elbow (LI Yangming channel)

Hips mirror the shoulders „

Left lateral shoulder injury (TH Shaoyang channel) may be treated by right lateral hip (GB Shaoyang channel)

The Axial Body is “Imaged” „

“Image” „ The hand and foot “images” the head „ The carpus and tarsus “images” the neck „ Elbow and knee “images” the central abdomen „ Shoulder and hip “images” the lower abdomen and genitals

The Axial Body is “Imaged” „

Chest Pain may be thought to be traversed by the CV, KID, LIV Channels „ „ „

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CV is balanced by GV KID is balanced by HT LIV is balanced by PC

An Image of the chest on the forearm thus places the most effective PC point at the level of PC 6!

Dr. Tan’s 6th System? „

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Similar to “Channel Clearing” technique with distal points Or microsystems application „

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Why choose Hou Xi SI 3 for shoulder and neck pain? Why choose Zu Ling Qi GB 41 for lateral headache? Why choose Lie Qi LU 7 to “clear” the head and neck?

#1- Anatomical Image System: Summary „

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Diagnose the channel or channels involved by Chinese channel name Locate the area(s) along the affected channel(s) where there is pain or blockage Choose the appropriate diagonal channel Using the “anatomical image” principle, find and needle ahshi points on the diagonal channel (contralateral) that correspond with the area of pain or blockage

#1- Anatomical Image System: Example „

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17.5 year old Corgi cross Carpel flexion inhibition Pain in dorsolateral carpus Which channel? Which corresponding channel to treat? Roughly which point to treat?

#1- Anatomical Image System: Example „

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A 53 year old male complains of lower back pain Channels Involved? Balancing Channels? Area Imaged? What Points?

#2- Bie Jing or Branching Channel System „

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Uses another set of relationships between the channels according to energetic levels Unlike System #1, the same name energetic channel is not the one used for treatment Instead, treat according to Bie Jing

#2- Bie Jing or Branching Channel System „

Bie Jing „ „ „

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Taiyang and Taiyin treat one another Jueyin and Yangming treat one another Shaoyang and Shaoyin treat one another

As in system #1, hand channels treat foot channels and foot channels treat hand channels

#2- Bie Jing or Branching Channel System „

Examples of this system include „ „ „ „ „ „

Hand Taiyin (LU) treats foot Taiyang (BL) Hand Taiyang (SI) treats foot Taiyin (SP) Hand Shaoyin (HT) treats foot Shaoyang (GB) Foot Shaoyin (KID) treats hand Shaoyang (TH) Foot Yangming (ST) treats Hand Jueyin (PC) Foot Jueyin (LIV) treats hand Yangming (LI)

#2- Bie Jing or Branching Channel System „

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In system #2, both contralateral and ipsilateral treatment may be used Depends upon location of strong ahshi Thus a Shaoyin (HT) carpel flexion pain may be treated by an ahshi point found on the foot Shaoyang (GB) channel „

E.g. GB 40, Qiuxu

The Axial Body is “Imaged” „

“Image” „ The hand and foot “images” the head „ The carpus and tarsus “images” the neck „ Elbow and knee “images” the central abdomen „ Shoulder and hip “images” the lower abdomen and genitals

The Axial Body is “Imaged” „

Urinary Bladder Pain may be thought to be traversed by the CV, KID, ST Channels „ „ „

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CV is balanced by GV KID is balanced by TH ST is balanced by PC

An Image of the lower abdomen on the forearm thus places the most effective TH point at TH 10-11!

#2- Bie Jing or Branching Channel System: Summary „

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Uses Yang channels to treat Yin channels Uses hand channels to treat foot channels, and vice versa If the disharmony is unilateral, Bie Jing treats the selected point on the side that elicits the most ahshi sensitivity

#2- Bie Jing or Branching Channel System: Example „

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10 year old shepherd cross Left lateral stifle pain and stiffness Which channel? Which channel to treat? Roughly which point?

#2- Bie Jing or Branching Channel System: Example „

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35 year old male with lumbar strain What channel? What Balancing channel? What point?

#3- The Interior/Exterior Relationship „

Utilizes Zang-Fu organ pairs taught in all TCVM classes „ „ „ „ „ „

Lung/Large Intestine Kidney/Bladder Liver/Gallbladder Heart/Small Intestine Pericardium/Triple Heater Spleen/Stomach

#3- The Interior/Exterior Relationship „

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Unlike Systems #1 and #2, hand channels treat hand channels and foot channels treat foot channels Using the Zang-Fu pair relationship, treat the paired channel on the opposite side E.g. Lateral left elbow pain (around LI 11) is treated by right LU 5 Works well for acute injuries

#3- The Interior/Exterior Relationship „ „ „

Also good for internal medical disorders To treat many types of abdominal pain Remember that the thorax and abdomen are “imaged” on the front and rear legs

“Image” technique for chest and abdomen „

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The carpus and tarsus “images” the neck The elbow and knee “images” the central abdomen The shoulder and hip “images” the lower abdomen and genitals

Zang-Fu Pairs and Images „

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For abdominal pain, the SP and ST channels traverse the area of the abdomen where the pain emanates SP channel treats ST channel and vice versa Stifle “images” the abdomen Thus ST 36 treats abdominal SP channel pain and SP 9 treats abdominal ST channel pain!

The Axial Body is “Imaged” „

“Image” „ The hand and foot “images” the head „ The carpus and tarsus “images” the neck „ Elbow and knee “images” the central abdomen „ Shoulder and hip “images” the lower abdomen and genitals

The Axial Body is “Imaged” „

Urinary Bladder Pain may be thought to be traversed by the CV, KID, ST Channels „ „ „

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CV is balanced by GV KID is balanced by BL ST is balanced by SP

An Image of the lower abdomen on the leg thus places the most effective treatment points at BL 40 and SP 9-ish!

#3- The Interior/Exterior Relationship: Summary „ „ „

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Treats the contralateral side Arms treat arms, legs treat legs Treats Yin channels for Yang and Yang channels for Yin Treats the Zang-Fu paired channel

The Interior/Exterior Relationship: Example „

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7 year old Great Dane with cardiomyopathy Which channel? Which channel to treat? Roughly which point?

The Interior/Exterior Relationship: Example „

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35 year old male with epicondylitis What channel? What Balancing channel? What point?

#4- The Chinese Clock: Opposite System „

The affected channel is treated by using the channel directly opposite on the clock diagram „ „ „ „ „ „

HT/GB (Shaoyin/Shaoyang) SI/LIV BL/LU (Taiyang/Taiyin) KID/LI PC/ST (Jueyin/Yangming) TH/SP

#4- The Chinese Clock: Opposite System „

The affected channel is treated by using the channel directly opposite on the clock diagram „

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Note the highlights above are the same as Bie Jing System #2! As with System #2, you may treat ipsilaterally or contralaterally

Circadian Cycle of Qi 3:00 am 1:00 am

5:00 am

Lung

Liver 11:00 pm

Large Intestine

Gall Bladder

Jueyin

Taiyin

Shaoyang

Triple Heater

Yangming

Stomach Shaoyang

Yangming

9:00 pm

9:00 am Jueyin

Taiyin

Pericardium

Spleen Shaoyin

Shaoyin

Taiyang 7:00 pm

7:00 am

Taiyang

Kidney Bladder

Heart

Small Intestine

5:00 pm

1:00 pm 3:00 pm

11:00 am

#4- The Chinese Clock: Opposite System „

Effective for the treatment of any kind of blockage related to the channel „

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External or Internal

For example, scapular pain on the SI channel may be treated by needling distal hindlimb LIV channel ahshi points

#4- The Chinese Clock: Opposite System: Summary „ „

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Based on the Chinese circadian clock Treats Yang channels for Yin channel disharmonies and Yin channels for Yang channel disharmonies Treat hand channels for foot problems and vice-versa Depending upon palpation and ahshi findings, uses either ipsilateral or contralateral side for treatments

#4- The Chinese Clock: Opposite System: Example „

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15 year old red heeler cross Chronic lumbar pain Which channel? Which channel to treat? Roughly what point?

#4- The Chinese Clock: Opposite System: Example „

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53 year old female with lateral headache Which Channels affected? Which Channels Balance? Which Point to Treat?

#5- The Chinese Clock: Neighbor System „

Use the Chinese circadian clock to find neighbors of the same polarity „ „ „ „ „ „

LI/ST (Yangming/Yangming) SP/HT SI/BL (Taiyang/Taiyang) KID/PC TH/GB (Shaoyang/Shaoyang) LIV/LU

#5- The Chinese Clock: Neighbor System „

The affected channel is treated by using the neighbor channel of the same polarity on the clock diagram „

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Note the highlights above are the same as #1- Anatomical Image System! As with System #1, you should treat contralaterally

Circadian Cycle of Qi 3:00 am 1:00 am

5:00 am

Lung

Liver 11:00 pm

Large Intestine

Gall Bladder

Jueyin

Taiyin

Shaoyang

Triple Heater

Yangming

Stomach Shaoyang

Yangming

9:00 pm

9:00 am Jueyin

Taiyin

Pericardium

Spleen Shaoyin

Shaoyin

Taiyang 7:00 pm

7:00 am

Taiyang

Kidney Bladder

Heart

Small Intestine

5:00 pm

1:00 pm 3:00 pm

11:00 am

#5- The Chinese Clock: Neighbor System „

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Very effective for the treatment of localized channel-related pain and/or blockages Used when the channels and points palpated give a positive ahshi response For example, left LU 5 pain may coincide with right LIV 8 ahshi which is then used for treatment

#5- The Chinese Clock: Neighbor System: Summary „

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Uses the same polarity neighbor to diagnose and treat Treats hand channels with foot channels and vice-versa Treats contralateral blockages

#5- The Chinese Clock: Neighbor System: Example „

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2 year old Mastiff with hip and elbow dysplasias Which channel(s)? Which channels to treat? Roughly which points?

#5- The Chinese Clock: Neighbor System: Example „

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54 year old male with bilateral shoulder bursitis from too much hugging Which channel(s)? Which channels to treat? Roughly which points?

3 Steps to use All Systems „

Make a diagnosis by anatomic channel systems „

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Choose a Balancing channel „

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What channel(s) cross the area of disharmony? Using one of the 5 systems

Choose the ahshi point from step 2 „

Using either “mirror” or “image”

Summary Treatment Table Channel Pathology

System 1 Treat Contralateral

System 2 Treat Ipsi-or Contralateral

System 3 Treat Contralateral

System 4 Treat Ipsi-or Contralateral

System 5 Treat Contralateral

LU

SP

BL

LI

BL

LIV

LI

ST

LIV

LU

KID

ST

ST

LI

PC

SP

PC

LI

SP

LU

SI

ST

TH

HT

HT

KI

GB

SI

GB

SP

SI

BL

SP

HT

LIV

BL

Summary Treatment Table Channel Pathology

System 1 Treat Contralateral

System 2 Treat Ipsi-or Contralateral

System 3 Treat Contralateral

System 4 Treat Ipsi-or Contralateral

System 5 Treat Contralateral

BL

SI

LU

KID

LU

SI

KID

HT

TH

BL

LI

PC

PC

LIV

ST

TH

ST

KID

TH

GB

KI

PC

SP

GB

GB

TH

HT

LIV

HT

TH

LIV

PC

LI

GB

SI

LU

Global Balance „

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Global Balance is used when there is multi-system or functional disease or non-localized pain and includes: Dynamic Balance „

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Yin-Yang Energetic

Static Balance „

Yin-Yang „

Ba Gua

Global Balance: Dynamic

TH 3

SP 3

LU 9

GB 41

Global Balance: Infection

SI 8 SI 3

LIV 8 LIV 3

HT 7 HT 3

GB 34 GB 41

Global Balance: Static

Yin

Yang

Yang

Yin

Global Balance: Endocrine

including depression due to hormone imbalances

HT 3 HT 7

GB 34 GB 41

SJ 1 SJ 4

SP 1 SP 4

Global Balance

Yin

Yang

Yang

Yin

Global Balance

Yin

Yang

Yang

Yin

8 Magic Points

LU 7, PC 6

LI 4, TH 5

ST 36, GB 34

LIV 8, SP 9

Global Balance: 12 Magic Points PC 9 HT 9 LU 11

ST 36 GB 34 BL 40

LI 4 SJ 3 SI 3

LIV 4 or 5 KID 7 SP 6

Global Balance: Quick and Dirty for Low Back Pain LI 4.5 LI 3.5 SJ 3.5 SI 4

KID 2 KID 4 KID 7

Lu 5-6 ah shi HT 3-3.5

GB 41 BL 65