1 : In acupuncture, when to select points on the affected side, and when to select only the point on the opposite side of the body is more appropriate?

This question may be answered with the following descriptions. 1. Treating pains: In general, in treating the pain syndromes, needling the opposite side of the body is more appropriate. The reason is because the nerves cross to the opposite side of the body. This matches the so-called “cross channel needling is called Miaoci, which means to needle the right side of the body when the disease is located in the left side”. (Ode of Elucidate Mysteries).2.Treating functional disorders: Either the opposite or the same (affected) side of points may be selected, though sometimes the affected side is more effective. For example, needling the opposite side point to treat the frozen shoulder is effective, but sometimes needling the affected side is more effective. However, if the disorder is with pain, then selecting the opposite side point is better. Or in this case, points on both sides may be selected. Treating tinnitus, needling Fengshi (GB31) is very effective; however, needling the Fengshi (GB31) on the affected side is even better. Treating Bell’s palsy (facial never paralysis), when the face slants toward to the right side, which indicates the disease (paralysis) is located on the left side, the left side (affected side) points should be selected. 3.Blood-letting: Because the blood vessels flow circularly without crossing to the other side, blood-letting in general is performed at the affected side of the body. Although some points such as Jing-well points are selected on the opposite side as that in Miaoci, those cases are somehow treating pains as well. 4.Supplementing or reducing technique: in some cases, selecting the affected side is more appropriate.5.Moxibustion: Moxibustion is usually on the local and affected side. For example moxa on the Yangchi (SJ4) (affected side) to treat uterus leaning to one side and hernia. The above are the general guidelines. The clinical applications should be flexible and change accordingly.

8: Sanjiao channel is good at clearing fire. How to apply it to clinical practice?

Sanjio channel is exterior-interior related to the pericardium channel. It not only is good at regulating qi, but also clearing heat, especially heat in the upper Jiao (its pathway runs to arm and head). Clearing Sanjiao fire will benefit the upper orifices, such as Sanchasan (A.04) (Yimen) (SJ2) and Zhongzhu (SJ3) for fire eyes (red, swollen eyes). To treat tinnitus and deafness, select Sanchasan (Yimen) (SJ2), Zhongbai (22.06) (Zhongzhu SJ3), and Huochan (33.04) (Zigou SJ6). Select Zhongbai (Zhongzhu SJ3) and Weiguan (SJ5) to treat deaf-mute. To treat sore throat, needle Sanchasan (Yimen SJ2), and Zhongbai (Zhongzhu SJ3).

To clear and resolve fire heat to treat heart-vexed, needle Guanchong (SJ1), Sanchasan (Yimen SJ2). To treat febrile diseases without sweating, Guanchong (SJ1), Sanchasan (Yimen SJ2), Zhongbai (Zhongzhu (SJ3), Weigua (SJ5), Huochan and/or (Zhigou SJ6) all are effective. To treat Xiaoke (waste-thirst), Yangchi (SJ4) is often selected and result is pretty good. Because regulating Sanjiao and clearing fire is an important treatment strategy in bringing down the blood sugar level. Many Tung’s points that are able to treat Xiaoke follow the rule (located on the Sanjiao channel). Zhishen point is located on the ring finger, the Sanjiao channel, is for treating dry mouth.

7: Foot Taiyin spleen channel not only is good at treating digestive system diseases, but also good at treating reproductive system diseases located in the lower abdomen. Why is that?

Foot Taiyin spleen channels starts at Yinbai (SP1) point, runs along the medial and anterior aspect of the foot. It continues travels upward to the lower abdomen and intersects with Zhongji (RN3), Guanyuan (RN4) points of the Ren meridian before homing to the spleen and connecting with the stomach. It then continues upward and passes the lateral ribs and ascends to the side of the esophagus and finally proceeds up to the root of the tongue.

Spleen channel is good at treating reproductive system diseases. Other than the points around toe tips (ex. Yinbai (SP1)), points between Sanyinjiao (SP6) and Chongmen (SP12) are effective for those diseases. Xiasanhuang (the lower three emperors) points are effective points for treating reproductive system diseases.

Many gynecological disorders are caused by the spleen deficiency. Sanyinjiao (SP6) is called “the Sanli ((foot) three miles) of the females” and is similar to Yinlingquan (SP9) that has very broad indications. Xiehai (SP10) is also called “the sea of blood” and hence treats any blood-related diseases, for example, uterine bleeding and irregular menstruation. Sanyinjiao (SP6) is believed to effectively treat breech delivery, transverse or oblique lie or any abnormal delivery since ancient. To treat metrorrhagia, Yinbai (SP1), Diji (SP8) and Sanyinjiao (SP6) are selected to bring the blood back to the spleen. It can be clearly seen from those examples that foot Taiyin spleen channel is closely related to reproductive organ diseases, especially uterine diseases. The above mentioned diseases that are treated by Sanyinjio (SP6) can also be treated by Renhuang (77.21) point or Daoma of the Renhuang and Shenguan point for even stronger result.

6: Why both the small intestine and Sanjiao channels govern the ear diseases? Why the indications of those two channels are similar?

Small intestine channel travels toward the head region. It passes the neck and lateral head, enters the ears and terminates at facial region. It is effective in treating febrile or blood-congestion diseases in those regions. It is particularly effective in treating ear diseases. Needling points of the small intestine will unobstruct the ears and benefit the orifices, mainly treat tinnitus, and weak of hearing. Points selected for those problems are Tingguon (SI19), Wanshunyi (22.08) and Wanshuner (22.09) or (SI3, and SI4).

Hand Tai Yang governs the “humor (ye)” related disease. The described indications related to the above quote are deafness, yellowing of the eyes, swelling of the cheek, pain in the neck, submandibular region, shoulder, upper arm, elbow and posterior aspect of the forearm. Several Tung’s extraordinary points that are located on the small intestine channel such as Yenhuang (11.23) (eye yellow) treats yellowish eyes; Wanshuner (22.09) Changmen (33.10) (intestine gate) and Ganmen (33.11 (liver gate) all treat liver diseases (including yellowish eyes). Wanshunyi and Wanshuner are also essential points for treating tinnitus.

Hand Shao Yang governs the “qi” related diseases. The exterior channel diseases of Sanjiao include deafness, swelling of the throat, throat bi, (abnormal) perspiration, and pain in the outer and inner canthus. Sanjiao channel travels along the upper limb and the lateral head. Most tinnitus and deafness are caused by qi deficiency or qi obstruction. Clinically the points of Sanjiao channel are often selected to treat tinnitus and deafness. For example, Zhongzhu (SJ3) in the fourteen-channels or Zhongbai and Xiabai in Tung’s acupuncture are essential points in treating tinnitus and deafness. Blood-letting (pricking) Guanchong (SJ1), the Jing-well point of the Sanjiao channel, to treat swollen throat and throat obstruction is very effective.

Sanjiao channel travels along the upper limb toward the upper ankle of the ear (behind the ear), to the cheeks and infraorbital regions. It treats pains located on the frontal head, lateral head, chest, ribs, and upper limbs. Because Sanjiao channel is yang channel, it mainly treats febrile diseases or blood-congested disorders located in the ears, nose, throat and facial regions. The indications are similar to those of the large intestine and small intestine channels. Sanjiao, large intestine, and small intestine channels have many in common. Sanjiao and small intestine channel are very alike particularly the point locations. Both channels are fire channels and hold the same position related to the monarch fire and prime minister fire. Their indications are alike too.

5: Could you briefly talk about how to apply the point combination of the extraordinary connections of the Zang Fu organs (Zang Fu Bei Tong) to clinical practice?

Point selections based on Zang Fu Bei Tong is a very practical needling method. Previous discussions have talked about the point selection from single channel, such as LI 11 on the large intestine channel to treat dizziness or vertigo related to the liver channel; and PC6 on the pericardium channel to treat stomach disorders. However, the point combinations from mutually connected organs are more important and very often applied to clinical practice. Examples are as below.

1. Extraordinary connections of lung and urinary bladder: LU5 on the lung channel and BL40 on the bladder channel compose the “four flex pair 四彎配”, which is the most important point combination for blood-letting. It will treat many miscellaneous and difficult and complex diseases. Lung channel is good at treating skin disorders while BL40 on the bladder channel is good at treating boil and carbuncles. Blood-letting on BL40 and Zhiwu (11.26) point (on the lung channel) forms a great combination for various skin diseases. Those are the effective combination examples of the extraordinary connections of the lung and bladder.

2. Extraordinary connections of the spleen and small intestine: Shenguan (77.18), a point on the spleen channel, and SI3, a point on the small intestine, form the very effective combination for treating the frozen shoulder. Shenguan and Wanshuanyi (22.08) and Wanshuaner (22.09) form a good combination to expel dampness and effectively treat lumbago. Those are the examples of the extraordinary connections of the spleen and small intestine.

3. Extraordinary connection of kidney and Sanjiao: Song of Jade Dragon and Ode of Jade Dragon both indicate that SJ6 and KD6 combination is for treating constipation. Zhongzhu (SJ3) on the Sanjiao channel and Fuliu (KD7) on the kidney channel form a great combination in treating lumbago. Those are the examples of the extraordinary connection of the kidney and Sanjiao.

4. Extraordinary connection of the heart and gallbladder: Fengshi (GB31) on the gallbladder channel and Shaofu (HT8) on the heart channel form a very good combination in expelling wind and stopping itchiness. Qiaoyin (GB44) and Shenmen (HT7) form an effective combination on treating insomnia and dreamful sleep. Those are the examples of the extraordinary connection of the heart and gallbladder.

5. Extraordinary connection of stomach and pericardium: The combination of Neiguan (PC6) and Zusanli (ST36) effectively treats stomach, heart, lung organ diseases, and many internal diseases, for example: digestive, circulation and respiratory system disorders. The effectiveness is through the extraordinary connection of the pericardium and stomach. This point combination is the most commonly used one in regulating heart, stomach and respiratory systems.

6. Extraordinary connection of liver and large intestine: The combination of Hegu (LI4) and Taichong (LV3) is called “four gates” which not only good at treating nasal disease (Song of Point Applications for Miscellaneous Disease), but also treats many major diseases. It is particularly strong at sedating and also is the most commonly used point pair. Besides, Dajien (11.01), Xiaojien (11.02) and Dadun (LV1) form an effective combination in treating hernia and frontal and posterior yin diseases (genital and anus disorders). Those are the examples of the extraordinary connection of the liver and large intestine.