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Advanced
Tung Style

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Acupuncture: •
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ANESTHESIOLOGY/�
PAIN MANAGEMENT f-+
The Acupuncture of Master Tung Ching-Chang and its
Applications in Pain Management.
Compiled, Collated, and Translated by:

James H. Maher, M.S., D.C., O.M.D., Ph.D., Dipl. Ac.
Foreword by:

Grigory Chernyak, M.D., DABMA

Assistant Clinical Professor of Anesthesiology
University of Oklahoma Health Sciences Center, College of Medicine
Anesthesiology and Pain Management Department
Veterans Administration Medical Center
Oklahoma City, Oklahoma

Advanced
Tung Style
Acupuncture
Series:
Volume 5


To my wife Mo Chiaen-Yun, whose love, support, and encouragement
enabled this entire series to come to fruition.



Copyright: No portion of this publication, except for brief review, may be reproduced, stored in a
retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying,
recording, or otherwise, without the prior written permission of the copyright holder.
Disclaimer: This book is intended as an educational reference for licensed healthcare practitioners
only. Because professional training and expertise are essential for the safe and effective practice of
acupuncture, this manual is not intended for use by the laity. All treatment suggestions made within
this text must be employed by qualified practitioners only. All non-practitioner readers should
consult with their health care provider regarding suggestions made within this manual. Great care
has been taken to ensure the accuracy of the information contained within this reference and is
presented for educational purposes only. The staff and authors of MCY, LC recognize that clinicians
accessing this information will have varying levels of training and expertise; consequently, we
accept no responsibility for the results obtained by the application of the information contained
within this text. Nor are the staff and authors of MCY, LC liable for the safety and suitability of the
treatment suggestions, either alone or in combination with others. Neither the author of this reference,
nor MCY, LC can be held responsible for errors of fact, translation, or omission, nor for any
consequences arising from the use or misuse of the information contained herein. The use of
acupuncture during pregnancy, or while nursing, must oniy be performed by those qualified to
provide such services.

ISBN-13:

978-0-9827197-1-8


v

Contents

Acknowledgements......................................................................................................................................vi
Foreword.....................................................................................................................................................vii
Introduction. . ..
. . . . . . . . ..
. . . . .. .
. . . . . . . . . ix
Legend
xi
Table of Contents.......................................................................................................................................xiii
Prof. Dr. Ching-Chang Tung.....................................................................................................................xvii
Upper Extremity
.
.
...
.
1
Lower Extremity
..
.
.. .

.
64
Head/Face .
.. .
. . ... . . .
.. ..
.
. .
138
Chest/Thorax . . ...
.
.. . . ...
.
. . . . 190
Vertebral Column
..
.
. . . .... .. .
.
. ..203
Appendices:
Point Index
..
.
.
.. .
.
239
Pain Index . . .
....

.
.
253
Bibliography
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VI

Acknowledgements
This book, as with all worthwhile endeavors, would not have been possible without the

inspiration, input, and assistance of many individuals.
Yeshua, my redeemer and the 'boss of me'.

Prof. Dr. Ching-Chang Tung for being the genius that he was.

Drs. So Tin-Yao, Ted Kaptchuk, Andrew Gamble, and all the 'old' professors of the New

England School of Acupuncture for helping me get my acupuncture 'feet wet' way back in the early
1980's.

Drs. Hsiao Hung-Hsun, Hwang Wei-San, Chang Yung-Hsien, and He Ch'ao-Hsi my Taiwanese

professors at the Tainan Provincial and China Medical Teaching Hospitals who taught me to demand
more of myself for my patients than I ever thought possible.

Drs. Lai Chin-Hsiung, Hu Ping-Ch'uan, Young Wei-Chieh, Wang Min-Chuan, Li Kuo-Cheng,

and Meng Chieh for being so selfless and sharing their expertise with 'old hundred names'.

Drs. Wangden Carson, Palden Carson, and Miriam Lee for frrst introducing the Tung Style of

Acupuncture into the English speaking acupuncture community.

Drs. C.K. Lo, Chairman, S.K. Tsui, Vice-Chairman, and Z.R. Sun, Clinical Director of the

International Acupuncture Institute, Hong Kong/Shen Zhen, PRC for instilling in me the desire to

translate Chinese works into English for the benefit of all.

Drs. Paul Jaskoviak, John Chambers, and the Hon. Judge Charles J. Rogers for going to bat for

me in the 'bottom of the ninth' when I was behind one to nothing.

Drs. Edward R. Maher, Sr., James E. Bailey, and Laurence Altshuler for being physicians cut

from a superior mold.

My mother Mary Frances Maher, my sister Michaela F. Maher, and my brothers Dr. Edward R.

Maher, Jr. and Maj. Joseph M. Maher for all their support these many long years.

My patients over the last 20+ years for teaching me the things only a patient can teach a

physician.

My daughter, Carolyn, for her painstaking efforts in producing the artwork and diagrams.

My friends, professors, and colleagues at the Oklahoma Center for Neuroscience, Graduate

College of Medicine, University of Oklahoma Health Sciences Center: Drs. Beverley Greenwood-Van

Meerveld, my mentor and Center Director; Robert W. Blair, Course Director- Medical Neuroscience;

Daniel O'Donoghue, Daniel M�eill, Kyung W. Chung, Tarisai Dandajena, and J. White in the

Department of Cell Biology for allowing me to participate in the Clinical Anatomy education of the next

generation of Physician Assistants and Dentists; David Garrison for directing my research into the
application of advanced imaging techniques in the investigation of the neurological mechanisms of
acupuncture; and finally, Grigory Chemyak from the Department of Anesthesiology for being able to

converse about acupuncture, both as an acupuncturist and as a biomedically trained physician.

Finally, Mo Chiaen-Yun (Jennifer) my wife, Carolyn my daughter, and J.J. my son for all their

love, caring, and support without which my life means naught.


vii

Foreword

I first became interested in acupuncture when I was a medical student back in Russia some 25
years ago. My interest with respect to Chinese medicine in general, and acupuncture in particular, has
grown consistently ever since. I have always been amazed and intrigued by the wisdom and depth of
Chinese medicine; the notion that every human being is a part of the Universe and should function in
harmony with the universe is, indeed, profound.
Likewise, according to Chinese medicine, all organs and systems within the body should
function in harmony with each other and in harmony with the mind. Conventional, allopathic medicine,
which focuses on understanding the individual organ and, therefore, delves deeper and deeper into the
function and pathology of that individual organ, has lost this panoramic view. Chinese medicine in
general and acupuncture in particular, offers humanity the tools to bring us back in harmony within
ourselves and within the Universe. It achieves this harmony by gently tuning and regulating the invisible
connecting network of energy pathways penetrating the entire body as one colossal, intricate web.
Over time, I came to the realization that the manner in which acupuncture achieves what it does
in the body is simply to initiate the body's own self-healing processes; it does so by employing the
internal mechanisms that we all possess but do not intellectually know how to self-engage.
Having spent many years learning acupuncture from a number of different teachers in diverse
countries around the globe, as well as having been involved in a number of acupuncture research
projects, publishing these results in several major scientific journals, I have come to the realization that
acupuncture is not merely a technique and a method of intervention, but rather a philosophy, an art, and
a science unto itself.
Being an anesthesiologist and a Pain Management Specialist, I have found it clinically very
effective integrating alternative medicine with conventional, allopathic medicine when addressing
problems within my specialty. I have come to understand the role and the limitations of each approach
and this allows my patients to benefit from the best of both types of medicine.
Throughout the history of mankind, healing the ailments humankind has not been undertaken
merely as a business, but rather it has been the calling, the dedication, and the destiny for the physician.
Only physicians who were genuinely devoted and unequivocally committed to the art of healing were

able to successfully help their patients.
Dr. Jim Maher, the author of this book, is definitely one of them. Having known him for many
years and having the honor of being his personal friend, I have had the opportunity to observe his skills
as a Doctor and the enthusiasm with which he studies and practices acupuncture. In order to obtain his
extensive training in acupuncture he opted to undertake the long and arduous route; he has spent even
more time honing his acupuncture skills and has accumulated many years of very successful practice.
Dr. Maher began his studies in Chinese medicine in the early 80's at the New England School of
Acupuncture, followed by nearly a decade between Mainland China, Hong Kong, and Taiwan learning
various acupuncture styles in these countries. Living overseas, Dr. Maher mastered the Chinese
language, and this has afforded him the ability to read and professionally translate original Chinese texts
into his native English. Being a translator of scientific literature myself, I know how important is to be a
specialist in the area of science you are translating and specialists with these skills are extremely rare.


viii
The Tung style of acupuncture Dr. Maher learned in Taiwan, the Republic of China, is quite

different from the traditional 'TCM' acupuncture promulgated by the Peoples' Republic of China and

taught in most Western Colleges of Acupuncture and Chinese Medicine. This Tung style of acupuncture

uses fewer treatment points than its TCM counterpart and these Tung points are often located very

distant to the area of pathology or chief complaint; it typically demonstrates a very high degree of
effectiveness when employed correctly.
The information contained within this text was compiled and translated by Dr. Maher from a

number of different Chinese sources on Dr. Tung's acupuncture. The manner with which he has
described and illustrated the methods of applying the Tung Style of Acupuncture in Pain Management

was done so effectively, that virtually any acupuncture practitioner can learn from this text. With this,

his fifth volume in the Advanced Tung Style Acupuncture Series, Dr. Maher continues to provide the

global acupuncture community with yet another contribution to, and furtherance of, the practice of
acupuncture.

It is my desire that all practitioners who utilize acupuncture in a Pain Management setting will

learn and benefit from Dr. Maher's work. I have learned, from my many years in the practice of
Anesthesiology and Pain Management, that this knowledge can never stand still and must always be

expanded and improved upon for the benefit of our patients.

Having a deep appreciation for the breadth of his knowledge, the dedication to his patients and

his profession, and the conviction of his beliefs, it is my pleasure to recommend this body of work to

any acupuncture professional who wishes to enhance his/her clinical efficacy especially in the pain
management setting.

Grigory Chernyak, M.D., DABMA

Assistant Clinical Professor of Anesthesiology

University of Oklahoma Health Sciences Center

Anesthesiology and Pain Management Department

Veterans Administration Medical Center

Oklahoma City, Oklahoma


IX

Introduction
This volume, the fifth in the Advanced Tung Style Acupuncture Series, was originally intended
to be a section contained within Volume 4, the Neurology text. The actual physical size of Volume 4,
however, precluded the inclusion of this section; the book would simply have been much too
cumbersome. The penning of Volume 5, like that of Volume 4, was first suggested by one of the many
acupuncture physicians whose patients had derived clinical benefit from data contained in the previous
volumes. He stated emphatically, "You have to continue bring more of this most effective acupuncture
to the English speaking acupuncture community- it's not easy to learn Chinese, and you're the only
way we're going to get this information!" His request, coupled with the outpouring of support I was
blessed with from those of you who purchased the earlier volumes, directly contributed to the inception
of these later texts.
The topic of this section, now 'Volume', 'Anesthesiology/Pain Management' was predicated
upon conversations I had had with a member of the Anesthesiology and Pain Management faculty at the
College of Medicine of the University of Oklahoma Health Sciences Center in Oklahoma City,
Oklahoma, where I earned my Master's in Neuroscience. As a board certified anesthesiologist, Grigory
Chernyak, M.D., DABMA has spent a considerable amount of time, travel, and personal finances in his
career pursuing alternatives to the opioid management of pain conditions. Dr. Chernyak has spent an
appreciable amount of time studying with some of the renowned acupuncturists in the People's Republic
of China, Japan, and the Republic of Korea. He is, as of this writing, the sole academic physician
practicing in Oklahoma with Diplomate status from the American Board of Medical Acupuncture and is
an expert in So Juk Acupuncture (Korean Hand & Foot Acupuncture). Dr. Chernyak is an accomplished
acupuncturist in his own rite and he has graciously assented to write the foreword for this volume. I had
the pleasure of having treated Dr. Chernyak as a patient and we had his issues resolved in two treatments
using the Tung Style of Acupuncture. He was, to say the least, intrigued as well as interested in how this
new form of acupuncture (to him, anyway!) might be used in the Pain Clinic. This prompted me to begin

the collection of pain management data from the Tung Style Acupuncture found in the Chinese literature.
As stated above, this fifth volume in the Advanced Tung Style Acupuncture Series is focused
strictly on the treatment of pain. The treatment suggestions contained herein are directed towards usage
in a pain management setting, much like that employed by the busy anesthesiologist in the pain
management clinic. These protocols are meant to be employed in a 'cut to the chase' method of
assessing the patient's specific needs and inserting needles to ameliorate the pain as rapidly as possible.
The current text contains over 250 treatment formulae for a wide variety of commonly encountered pain
disorders. These prescriptions are intended to provide insight into the treatment of your specific patients'
needs. As was the case with the earlier volumes, the application of the information contained herein is
predicated upon a base level of understanding of the acupuncture of Master Tung Ching-Chang as
presented by Drs. Wei-Chieh Young, Palden Carson, Wang Min-Chuan, Robert Chu, Esther Su, Richard
Tan, Miriam Lee, Susan Johnson, etc; this text is NOT a primer in Tung Style acupuncture.
The 'disorder' index found in Volume 4 (suggested by a colleague who had procured the earlier
texts) has proven a great success and, therefore, I have included an expanded 'pain index' in this volume.
This 'pain index' should facilitate locating specific treatment protocols without having to pour through
the entire contents of the text; an exceedingly important feature, especially when minutes count. Within
said index, I have attempted to render some of the arcane anatomical lexicon into the vernacular, all
while maintaining the integrity of anatomical parlance. Hopefully, this addition will render the text a
little more 'user friendly', as it has with Volume 4.


X

As was the case in previous volumes, the information contained herein was culled from different
Chinese language sources authored by various experts from Taiwan. Please NOTE: there ARE point
location discrepancies. One should employ the point locations, as delineated by the proposing authority,
for a particular treatment protocol addressing a specific disorder; this is to say that the points and their
locations are those which should be employed for the proposed prescription. One should also employ the
author(s) recommended needling technique(s) when provided. ONE SHOULD REMEMBER, THERE
ARE DISCREPANCIES (sometimes significant) AMONGST THE VARIOUS TAIWANESE

AUTHORS, AND ONE SHOULD EMPLOY THE LOCATIONS AND NEEDLING TECHNIQUES
SPECIFIC TO THE AUTHOR(S) PROVIDING THE PRESCRIPTION - THIS IS WHAT
HE/SHE!fHEY HAVE FOUND TO WORK FOR HIM/HER/THEM FOR THAT SPECIFIC PAIN
DISORDER!
In conclusion, it is my sincerest desire that this volume, like the previous volumes, provide the
busy acupuncture physician with some of the tools requisite to treating many of the more challenging
chronic pain disorders facing medicine today. It is in the treatment of pain, as with neurological
disorders, where acupuncture truly shines and, in particular, where the Tung Style of Acupuncture
eclipses all other techniques.

jim maher


xi

LEGEND
The following legend helps to identify the appropriate point locations with the author(s) suggesting the
point prescription. The transliteration is not the Pinyin used in the PRC, rather it is a system commonly
employed on Taiwan, ROC by the Far Eastern Dictionary Company.

* CCC= IIJMIJ.JJJlt llllbt Ch'en T'ing, Ch'en Nai-Li, and Chou Ting-Wen.
=

• CKS � � iJII& Ch'en Hsiao-Ching, K'uang Yu-Chen, and�u Shan-Yu.

+ HPC= i!iJM Hu �ng-Ch'uan.
a HCL= � JIJatt *fBI Hung Li-Yueh, Chou Han-Luan, and Lin Yu-Shan.
=

0 LCH Mtit Lai Chin-Hsuing.

*LKC= *ill& Li Kuo-Cheng.
* HSH= llfJlt � ._ Hsiao Yu-Ling,�u Shan-Yu, and Huang Jui-Hsuing.
*MC= .M Meng Chieh.
• PRC State Administration of TCM locations.



X Ill

PAIN:
U1!1!er Extremitt:
Complex Regional Pain Syndrome (MC)
Collar Bone/Clavicular (CCC)
Shoulder Blade/Scapulalgia (CCC)
Shoulder Blade/Scapulalgia (IIPC)
Shoulder Blade/Scapulalgia (MC)
Shoulder/Glenohumeral (CCC-I)
Shoulder/Glenohumeral (CCC-2)
Shoulder/Glenohumeral; Minor (XSII)
Shoulder/Glenohumeral; Severe (XSII)
Shoulder to Brachium (CCC-I)
Shoulder to Brachium (CCC-2)
Shoulder to Brachium (CCC-3)
Arm/Brachialalgia (CCC)
Arm/Brachialalgia (IIPC)
Arm/Brachialalgia (MC) [LI-1)
Arm/Brachialalgia (MC) [LI-2)
Arm!Brachialalgia (MC) [SJ)
Arm/Brachialalgia (MC) [SI-1)

Arm/Brachialalgia (MC) [SI-2)
Arm/Brachialalgia (MC) [Lung-1)
Arm/Brachialalgia (MC) [Lung-2)
Arm/Brachialalgia (MC) [Unspecified)
Arm/Brachialalgia (MC) [PC-1)
Arm/Brachialalgia (MC) [PC-2)
Arm!Brachialalgia (MC) [Heart-I)
Arm!Brachialalgia (MC) [Heart-2)
Arm!Brachialalgia; 2° to Flexor Muscle
Strain (XSII)
Arm!Brachialalgia; 2° to Extensor Muscle
Strain (XSII)
Forearm/Antebrachialalgia (CCC)
Forearm/Antebrachialgia (MC) [Unspec.)
Forearm/ Antebrachialgia (MC) [L.I.-1)
Forearm/Antebrachialgia (MC) [L.I.-2)
Forearm/Antebrachialgia (MC) [SJ-1)
Forearm/Antebrachialgia (MC) [SJ-2)
Forearm/Antebrachialgia (MC) [SI-1)
Forearm/Antebrachialgia (MC) [SI-2)
Forearm/Antebrachialgia (MC) [Lung-1)
Forearm/Antebrachialgia (MC) [Lung-2)
Forearm/Antebrachialgia (MC) [PC)

1
2
2
3
4
5

5
6
6
7
7
8
8
9
10
12
14
15
16
17
18
19
20
22
23
24
26
27
28
29
30
31
32
33
34
35

36
38
40

Forearm/Antebrachialgia (MC) [Ht)
Wrist/Carpodynia (HPC)
Wrist/Carpodynia (MC)
Wrist/Carpodynia; 2° to Minor Sprain
Strain (XSII)
Wrist/Carpodynia; 2° to Severe Sprain
Strain (XSII)
Hand (IIPC)
Hand (MC) [Unspecified)
Hand (MC) [LI-1)
Hand (MC) [LI-2)
Hand (MC) [SJ-1)
Hand (MC) [SJ-2)
Hand (MC) [SI)
Hand (MC) [Lung-1)
Hand (MC) [Lung-2)
Hand (MC) [PC-1)
Hand (MC) [PC-2)
Hand (MC) [Ht-1)
Hand (MC) [Ht-2)
Fingers/Dactylodynia; Index (MC)
Fingers!Dactylodynia (MC)
Fingers/Dactylodynia; Interphalangeal
Joint(s) (MC)
Thumb; 2° to Minor Sprain/Strain (XSII)
Thumb; 2° to Severe Sprain/Strain (XSII)

42
44
45
46
46
47
48
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63

Lower Extremit:y:
Sciatic Distribution/Sciatica (CCC-1)
Sciatic Distribution/Sciatica (CCC-2)
Sciatic Distribution/Sciatica (CCC-3)
Sciatic Distribution/Sciatica (CCC-4)

Sciatic Distribution/Sciatica (CCC-5)
Sciatic Distribution/Sciatica (CCC-6)
Sciatic Distribution/Sciatica (CCC-7)
Sciatic Distribution/Sciatica (CCC-8)
Sciatic Distribution/Sciatica (IIPC-1)
Sciatic Distribution/Sciatica (IIPC-2)
4
Sciatic Distribution/Sciatica- Foot Shao
2
Yang Gallbladder Channel (MC)
4
Sciatic Distribution/Sciatica- Foot Tai
2
Yang Bladder Channel (MC)
Thigh/Femoral; Medial (CCC)
Thigh/Femoral; Medial (HPC)
Thigh/Femoral; Lateral (HPC)
Thigh/Femoral (IIPC)

64

64

65
65
66
66
67
68
69

70
72
73
74
75
76
78


xiv
Thigh/Femoral (XSH)
Thigh/Femoral (MC) [ST-1)
Thigh/Femoral (MC) [ST-2)
Thigh/Femoral (MC) [GB)
Thigh/Femoral (MC) [BI-1)
Thigh/Femoral (MC) [BI-2)
Thigh/Femoral (MC) [Sp-1]
Thigh/Femoral (MC) [Sp-2]
Thigh/Femoral (MC) [Liver]
Thigh/Femoral (MC) [KI-1]
Thigh/Femoral (MC) [KI-2)
Knee/Genua) (CCC-1)
Knee/Genua) (CCC-2)
Knee/Genual 2° to Arthritis (CCC-1)
Knee/Genua) 2° to Arthritis (CCC-2)
Knee/Genua) 2° to Arthritis (CCC-3)
Knee/Genua) 2° to Sprain (CCC)
Knee/Genua) (HPC)
Knee/Genual; Popliteal (HPC)
Knee/Genual (MC)

Knee/Genual 2° to Trauma (XSH)
Leg*/Cruralgia; Bilateral (CCC)
Leg*/Cruralgia; Anterior (CCC)
Leg*/Cruralgia (MC) [ST-1)
Leg*/Cruralgia (MC) [ST-2]
Leg*/Cruralgia (MC) [GB)
Leg*/Cruralgia (MC) [BI-1]
Leg*/Cruralgia (MC) [BI-2]
Leg*/Cruralgia (MC) [Sp-1]
Leg*/Cruralgia (MC) [Sp-2]
Leg*/Cruralgia (MC) [Liver-1]
Leg*/Cruralgia (MC) [Liver-2]
Leg*/Cruralgia (MC) [KI-1)
Leg*/Cruralgia (MC) [KI-2)
Leg*/Calf/Suralgia (CCC)
Leg*/Calf/ Suralgia; Medial (CCC)
Leg*/Calf/Suralgia- Swelling (CCC-1)
Leg*/Calf/Suralgia- Swelling (CCC-2)
Leg*/Calf/Suralgia- Swelling (CCC-3)
Leg*/Calf/Suralgia (MC)
Leg*/Calf/Suralgia (XSH)
Ankle; Lateral (CCC)
Ankle 2° to Sprain/Strain (XSH)
Foot/Pedalgia- Swelling (CCC)
Foot/Pedalgia (MC) [ST-1)
Foot/Pedalgia (MC) [ST-2)
Foot/Pedalgia (MC) [GB-1)
Foot/Pedalgia (MC) [GB-2)
Foot/Pedalgia (MC) [BL-1)

79
80
80
81
82
84
86
88
90
91
92
93
93
94
94
95
95
96
97
98
100
101
102
103
104
105
106
107
108
109

110
111
112
1 13
114
114
115
1 16
116
1 17
1 18
119
119
120
121
122
123
124
125

Foot/Pedalgia (MC) [BL-2)
Foot/Pedalgia (MC) [Sp-1)
Foot/Pedalgia (MC) [Sp-2)
Foot/Pedalgia (MC) [Liver-1]
Foot/Pedalgia (MC) [Liver-2]
Foot/Pedalgia (MC) [KI-1)
Foot/Pedalgia (MC) [KI-2]
Heei/Calcaneodynia (MC-1)
Heei/Calcaneodynia (MC-2)
Heei/Calcaneodynia (CCC)

Heei/Calcaneodynia; Minor (XSH)
Heei/Calcaneodynia; Severe (XSH)
Toes/Digital (HPC)

126
127
128
129
130
131
132
133
134
135
135
136
137

Head/Face:
Head/Cephalalgia; Non-specific (CCC)
138
138
Head/Cephalalgia; Global (CCC)
Head/Cephalalgia; Non-specific (HPC)
138
138
Head/Cephalalgia; Global (HPC)
Head/Cephalalgia; Post-traumatic (HPC) 139
Head/Cephalalgia - Cold/Flu (HPC)
140

141
Head/Cephalalgia - Qi Vacuity (LKC)
Head/Cephalalgia - Qi/Biood Dual Vacuity,
Body Frail (LKC)
141
Head/Cephalalgia - Blood Vacuity (LKC) 142
Head/Cephalalgia - Organic Brain Disease
143
(LKC-1)
Head/Cephalalgia - Organic Brain Disease
143
(LKC-2)
Head/Cephalalgia - Organic Brain Disease
144
(LKC-3)
Head/Cephalalgia - Organic Brain Disease
144
(LKC-4)
Head/Cephalalgia - 'Kidney-Depletion'
145
(LKC)
Head/Cephalalgia; 'Zang-Fu' Induced
146
(LKC-1)
Head/Cephalalgia; 'Zang-Fu' Induced
146
(LKC-2)
Head/Cephalalgia 2° to 'External
Factors/Pathogens' (LKC)
147

Head/Cephalalgia- Concomitant High Fever
148
(LKC)
Head/Cephalalgia 2° to Hypertension
148
(LKC)
149
Head/Cephalalgia; Global (MC)


XV

Head/Cephalalgia; Frontal (CCC)
Head/Cephalalgia; Frontal (HPC-1)
Head/Cephalalgia; Frontal (HPC-2)
Head/Cephalalgia; Frontal (LKC-1)
Head/Cephalalgia; Frontal (LKC-2)
Head/Cephalalgia; Frontal (LKC-3)
Head/Cephalalgia; Frontal (LKC-4)
Head/Cephalalgia; Frontal (LKC-5)
Head/Cephalalgia; Frontal (MC)
Head/Cephalalgia; Temporoparietal
(CCC-1)
Head/Cephalalgia; Temporoparietal
(CCC-2)
Head/Cephalalgia; Temporoparietal
(HPC-1)
Head/Cephalalgia; Temporoparietal
(HPC-2)
Head/Cephalalgia; Temporoparietal

(LKC-1)
Head/Cephalalgia; Temporoparietal
(LKC-2)
Head/Cephalalgia; Temporoparietal
(LKC-3)
Head/Cephalalgia; Temporoparietal
(LKC-4)
Head/Cephalalgia; Temporoparietal
(MC-1)
Head/Cephalalgia; Temporoparietal
(MC-2)
Head/Cephalalgia; Temporoparietal
(MC-3)
Head/Cephalalgia; Temporoparietal
(MC-4)
Head/Cephalalgia; Temporoparietal
(MC-5)
Head/Cephalalgia; Temporoparietal;
Minor (XSH)
Head/Cephalalgia; Temporoparietal;
Severe (XSH)
Head/Cephalalgia; Vertex (HPC-1)
Head/Cephalalgia; Vertex (HPC-2)
Head/Cephalalgia; Vertex (LKC-1)
Head/Cephalalgia; Vertex (LKC-2)
Head/Cephalalgia; Occipital (CCC-1)
Head/Cephalalgia; Occipital (CCC-2)
Head/Cephalalgia; Occipital (CCC-3)
Head/Cephalalgia; Occipital (HPC-1)
Head/Cephalalgia; Occipital (HPC-2)

Head/Cephalalgia; Occipital (LKC-1)

150
150
151
152
152
153
153
154
155
156
156
157
158
159
159
160
161

175
Head/Cephalalgia; Occipital (LKC-2)
Head/Cephalalgia; Occipital (LKC-3)
176
176
Head/Cephalalgia; Occipital (LKC-4)
177
Head/Cephalalgia; Occipital (LKC-5)
178
Head/Cephalalgia; Occipital (MC)

Facial/Prosopalgia; Supraorbital (CCC) 179
Facial/Prosopalgia; Supraciliary (LKC-1) 179
Faciai/Prosopalgia; Supraciliary (LKC-2) 180
Facial/Prosopalgia; Supraciliary (LKC-3) 180
181
Head/Cephalalgia; Sinus (HPC)
Facial/Prosopalgia; Trigeminal Distribution
182
(HPC-1)
Facial/Prosopalgia; Trigeminal Distribution
183
(HPC-2)
Facial/Prosopalgia; Trigeminal Distribution
184
(MC)
Atypical Facial/Prosopalgia; Nasal (MC) 184
Atypical Facial/Prosopalgia (HPC)
185
Faciai/Prosopalgia; Zygomaticofacial
186
(HPC)
Facial/Prosopalgia; Zygomaticofacial
187
(MC)
188
Eye/Ophthalmalgia (MC)
Head/Cephalalgia- Glossopharyngeal
Distribution (HPC)
189
189

Tongue/Glossodynia (MC)

162
162

Chest/Thorax:

163
164
165
166
167
168
169
170
170
171
171
172
173
174
175

190
Chest/Thoracalgia (CCC-1)
Chest/Thoracalgia (CCC-2)
190
191
Chest/Thoracalgia (CCC-3)
191

Chest/Thoracalgia (CCC-4)
192
Chest/Thoracalgia (CCC-5)
192
Chest/Thoracalgia (CCC-6)
Chest/Thoracalgia- TraumaticaUy Induced
(XSH)
193
Chest/Thoracalgia- Neuropathic (XSH) 194
195
Chest/Thoracalgia (MC)
196
Pleurodynia (CCC)
197
Rib/Costalgia- Unilateral (CCC-1)
197
Rib/Costalgia- Unilateral (CCC-2)
197
Rib/Costalgia- Unilateral (CCC-3)
198
Rib/Costalgia- Unilateral (CCC-4)
198
Rib/Costalgia- Bilateral (CCC-1)
Rib/Costalgia- Bilateral (CCC-2)
199
Rib/Costalgia (MC)
200


XVI

Flank-Rib/Costalgia; Minor (XSH)
Flank-Rib/Costalgia; Severe (XSH)

202
202

Vertebral Column:
Vertebrai!Rachialgia (CCC-1)
203
Vertebrai!Rachialgia (CCC-2)
203
Vertebrai/Rachialgia (CCC-3)
204
Vertebrai!Rachialgia- Herniated Disc
(MC)
205
Vertebrai/Rachialgia (MC)
206
Vertebrai!Rachialgia; Thoracolumbar
208
(CCC)
Neck/Cervicodynia - Cervical Sprain/Strain
(CCC-1)
209
Neck/Cervicodynia - Cervical Sprain/Strain
�cc�
2M
Neck/Cervicodynia - Spondylosis Deformans
210

(CCC-1)
Neck/Cervicodynia - Spondylosis Deformans
(CCC-2)
211
Neck/Cervicodynia - Spondylosis Deformans
(CCC-3)
2 12
Neck/Cervicodynia - Spondylosis Deformans
(CCC-4)
2 13
Neck/Cervicodynia (HPC)
2 14
Neck/Cervicodynia (MC)
2 15
Upper Back/Dorsalgia to Shoulder (CCC) 216
217
Upper Back/Dorsalgia (CCC-1)
2 17
Upper Back/Dorsalgia (CCC-2)
218
Upper Back/Dorsalgia (CCC-3)
2 18
Upper Back/Dorsalgia (CCC-4)
Upper Back/Dorsalgia (XSH-1)
2 19
Upper Back/Dorsalgia (XSH-2)
220
Interscapular (CCC)
221
Lumbar /Lumbalgia - Degenerative Disc

222
Disease (HPC)
224
Lumbar/Lumbalgia (CCC-1)
Lumbar/Lumbalgia (CCC-2)
224
225
Lumbar!Lumbalgia (CCC-3)
225
Lumbar/Lumbalgia (CCC-4)
226
Lumbar/Lumbalgia (CCC-5)
226
Lumbar!Lumbalgia (CCC-6)
Lumbar/Lumbalgia (HPC)
227
228
Lumbar/Lumbalgia (MC)
Lumbar/Lumbalgia - Acute Sprain-Strain
230
(XSH)

Lumbar/Lumbalgia; Chronic- Impaired
232
Kidney Function (XSH)
233
Myalgia; Lumbar Region (CCC-1)
233
Myalgia; Lumbar Region (CCC-2)
234

Myalgia; Lumbar Region (CCC-3)
234
Myalgia; Lumbar Region (CCC-4)
Sacrococcygeaii'Sacrococcydynia' (HPC) 235
Lumbar!Lumbalgia - Spondylosis Deformans
(HPC)
236

Appendices:
Point Index
Pain Index
Bibliography

239
253
26 1


(]!roj. (J)r. Cfii1lfj-Ciia:ne �U1liJ
1916,..,1975



1

Pain: Upper Extremity; Complex Regional Pain Syndrome (MC)

1.

Alternate DMG 88-05 'Thigh Nine Miles Three Needles' with DMG 88-11 'Thigh 579 Miles

Three Needles' (MC):
•
DMG 88-05 'Thi h Nine Miles Three Needles':
1
3
i. Zhong Jiu Li : This point is located in the center of the midline (coronal

f

ii.
iii.

•

plane) on the lateral thigh(@ 9 cun proximal to the transverse popliteal crease);
Needle 0.8 to 1.5 cun. {Lung Branch and Limb Resiliency Reaction Areas}
3 3
4
Shang Jiu Li : This point is located 1.5 cun anterior to Zhong 1 Jiu3 Le on the
lateral thigh; Needle 0.8 to 1.5 cun. {Heart and Kidney Reaction Areas}
4
3 3
Xia Jiu Li : This point is located 1.5 cun posterior to Zhong 1 Jiu3 Le on the
lateral thigh; Needle 0.8 to 1.5 cun. {Thoracic and Lower Extremity Reaction
Areas}

DMG 88-11 'Thigh 579 Miles Three Needles':
i. Wu3 Li3: This point is found along the coronal plane of the lateral thigh, 5

cun

proximal to the transverse popliteal crease; Needle 0.8 to 1.0 cun. {Lung Branch
Reaction Area}
ii. Qi1 Li3: This point is found along the coronal plane of the lateral thigh, 7 cun
proximal to the transverse popliteal crease; Needle 0.8 to 1.0 cun. {Lung Branch
Reaction Area}
3 3
iii. Jiu Li : This point is located in the center of the midline (coronal plane) on the
lateral thigh (@ 9 cun proximal to the transverse popliteal crease); Needle 0.8 to
1.5 cun. {Lung Branch and Limb Resiliency Reaction Areas}

*

DMG

*

Xi

4

88-05 'Thigh 9 Miles 3 N'

DMG

88-1 1 'Thigh 579 Miles 3 N'


2
Pain: CoUar Bone/Clavicular (CCC)

1.

DMG

77-07 'Seven Tigers Three Needles' (CCC):
•
DMG 77-07 'Seven Tigers Three Needles':

3
i. Qi1 Hu Yi1: This point is located by proceeding

1.5

cun posterior to the apex (as viewed from posterior to
anterior) of the lateral malleolus then 2.0 cun
immediately proximal to the level of the apex of the
lateral malleolus; Needle 0.5 to 1.0 cun. {Thoracic
Cafe Reaction Area}
3
4
ii. Qi Hu Er : This point is located 2.0 cun immediately
proximal to Qi 1 Hu Yi 1 , i.e. 4 cun proximal to the level
of the apex of the lateral malleolus; Needle 0.5 to 1.0
cun. {Thoracic Cage Reaction Area}
1
1
3
iii. Qi Hu San : This point is located 2.0 cun
immediately proximal to Qi 1 Hu3 Er\ i.e. 6 cun

proximal to the level of the apex of the lateral malleolus;
Needle 0.5 to 1.0 cun. {Thoracic Cage Reaction Area}

DMG77-07

Pain: Shoulder Blade/Scapulalgia (CCC)

1.

DMG

77-07 'Seven Tigers Three Needles' (CCC):
•
DMG 77-07 'Seven Tigers Three Needles':

1
i. Qi Hu3 Yi1: This point is located by proceeding

ii.

iii.

1.5

posterior to the apex (as viewed from posterior to
anterior) of the lateral malleolus then 2.0 cun
immediately proximal to the level of the apex of the
lateral malleolus; Needle 0.5 to 1.0 cun. {Thoracic
Cafe Reaction Area}
3

4
Qi Hu Er : This point is located 2.0 cun immediately
proximal to Qi 1 Hu Yi 1 , i.e. 4 cun proximal to the level
of the apex of the lateral malleolus; Needle 0.5 to 1.0
cun. {Thoracic Cage Reaction Area}
1
1
3
Qi Hu San : This point is located 2.0 cun
immediately proximal to Qi 1 Hu3 Er4, i.e. 6 cun
proximal to the level of the apex of the lateral malleolus;
Needle 0.5 to 1.0 cun. {Thoracic Cage Reaction Area}
cun

DMG77-07


3
Pain: Shoulder Blade/Scapulalgia (HPC)

1.

DMG
•

•

88-07 'Upper Three Yellow', Lini Gu3, Fan3 Hou4 Jue2 (HPC):
DMG 88-07 'Upper Three Yellow':

i

i. Ming2 Huan : This point is located in the exact center of the coronal plane on

the medial aspect of the thigh; Needle 1 .5 to 2.5 cun. {General Liver and General
Heart Reaction Areas; shallow needling accesses the Kidney Auxiliary Reaction
Area, mid-level needling accesses the Liver Reaction Area, and deep needling
accesses the Heart Reaction Area}
1
2
ii. Tian Huang : This point is located 3.0 cun immediately proximal to Mini
Huang2 ; Needle 1 .5 to 2.5 cun. {General Gallbladder, Heart Branch and Liver
Branch Reaction Areas}
2
iii. Qe Huang : This point is located 3 cun immediately distal to Ming2 Huang2 ;
Needle 1 .5 to 2.0 cun. {General Gallbladder, Heart Branch and Liver Branch
Reaction Areas}
3
2
Ling Gu : This point is found on the dorsum of the hand, immediately distal to the
articulation of the bases of the 1st and 2nd metacarpal bones - this point communicates
with the palmar point Choni Xian 1 ; Needle 1 .5 to 2.0 cun, i.e. needle through to connect
with Zhong4 Xian 1 • {Lung Branch Reaction Area} CONTRAINDICATED IN
PREGNANCY.

•

Fan3 Hou4 Jue2: This point is located, with the hand in a loose fist, on the dorsum of the

hand, 1 .0 cun distal to Lini Gu3 along the shaft of the first metacarpal (the point is

located in the depression found at the junction of the shaft and the head of the first
metacarpal bone); Needle 0.4 to 0.6 cun - retain the needle for 30 minutes. {Lung
Reaction Area} (Ling2 Gu3 is located on the dorsum of the hand, immediately distal to
the articulation of the bases of the 1 st and 2nd metacarpal bones.)

¥

i

Lin Gu
4
2
Fan Hou Jue
3

Tian

DMG

2
Huang

88-07 'Upper 3 Yellow'

3


4
Pain: Shoulder Blade/Scapulalgia (MC)

1.

Xin1 Xi1, DMG 77-07 'Seven Tigers Three Needles', Xin1 Men2, 'Let' affected region of
scapula (MC):
1 1
•
Xin Xi : This 2 point hand grouping is located on the dorsum of the middle phalanx

•

•

of the 3 rd digit, one on either side of the bone (one on the radial line and one on the
ulnar line), at the proximal-distal midpoint of the phalanx; Needle 0.5 fen (i.e. 0.05
cun) . {Vertebral and Heart Organ Branch Reaction Areas}
DMG 77-07 'Seven Tigers Three Needles':
1
3 1
i. Qi Hu Yi : This point is found on a line which is 1 .5

cun posterior to the apex
(as viewed from posterior to anterior) of the lateral malleolus and is located 2.0
cun superior to the level of the aforementioned apex; Needle 0.5 to 0.8 cun
{Thoracic Cage Reaction Area}
4
1
3
ii. Qi Hu Er : This point is found on the line delineated above and is located 2.0
3 1
cun proximal to Qi 1 Hu Yi ; Needle 0.5 to 0.8 cun {Thoracic Cage Reaction

Area}
1
1
3
iii. Qi Hu San : This point is found on the line delineated above and is located
4.0 cun proximal to Qi 1 Hu3 Yi 1 ; Needle 0.5 to 0.8 cun {Thoracic Cage
Reaction Area}
1
2
Xin Men : This point is on the Hand Tai4 Yang2 Small Intestine Channel and is
located with the palm of the hand placed on the epigastrium - the point is in a
depression palpated 1 .5 cun distal to the proximal extremity of the olecranon process
of the ulna bone; Needle unilaterally only 0.4 to 0.7 cun. {Heart Branch Reaction
Area}

-

DMG 77-07 '7 Tigers 3 N'


5
Pain: Shoulder/Glenohumeral (CCC-1)
[50 Years Shoulder]
1. DMG 44-03 'Shoulder Center Vertical Three Needles' (CCC):
•
DMG 44-03 'Shoulder Center Vertical Three Needles':
1
1
i. Jian Feng : This point is located 0.5 cun distal

lt- to the center of the space between the acromion r/,.�-;;J�[':;;�
process of the scapula and the head of the
humerus (i.e., 0.5 cun distal to LI- 1 5 WH0);
Needle 0.5 to 2.0 cun. {Extremity Branch and
Heart Auxiliary Reaction Areas}
1
1
ii. Jian Zhong : This point is located 2.0 cun
distal to Jian 1 Feng 1 on the Hand Yang2 Ming2
Large Intestine Channel (i.e., 2.5 cun distal to
LI- 1 5 WH0); Needle 0.5 to 2.0 cun. {Extremity
Branch and Heart Auxiliary Reaction Areas}
1
4
iii. Jian Zhon : This point is located 2.0 cun
�
distal to Jian Zhong 1 on the Hand Yani Mini
Large Intestine Channel; Needle 0.5 to 2.0 cun.
{Extremity Branch and Heart Auxiliary Reaction Areas}

I

�.'

Pain: Shoulder/Glenohumeral (CCC-2)
[50 Years Shoulder]
1. DMG 44-04 'Shoulder Inferior Transverse Three Needles' (CCC):
•
DMG 44-04 'Shoulder Inferior Transverse Three Needles':
i. Jian4 Zhon 1 : This point is located 2.0 cun

;

ii.

distal to Jian Zhong 1 (i.e. 5.0 cun distal to LI- ;1
/ ,,
15 WHO on the Hand Yani Mini Large
Intestine Channel); Needle perpendicular
insertion 0.5 to 1 .5 cun or oblique insertion
from proximal to distal 1 .5 cun to 2.0 cun.
{Heart Branch, Lung Branch, Liver Branch,
'*
Kidney Auxiliary Reaction Areas}
2
3
I
Li Bai : This oint is located 2.0 cun anterior
i
p
\
to Jian4 Zhong on the same transverse plane;
Needle perpendicular insertion 0.5 to 1 .5 cun
or oblique insertion from proximal to distal
1 .5 cun to 2.0 cun. {Heart Branch, Lung
l
Branch, Liver Branch, Kidney Auxiliary
i ,
:
D

44-M
Reaction Areas}
1
4
Xia Qu : This point is located 2.0 cun posterior to Jian4 Zhong1 on the same
transverse plane; Needle perpendicular insertion 0.5 to 1 .5 cun or oblique
insertion from proximal to distal 1 .5 cun to 2.0 cun. {Heart Branch, Lung
Branch, Liver Branch, Kidney Auxiliary Reaction Areas}
\

i

iii.

·


Pain: Shoulder/Glenohumeral; Minor (XSH)

1.

1
2
Needle the contralateral Jian Ning (angle from proximal to distal)- have the patient move
the shoulder through its ROM's to 'Lead the Qi' through the
affected regions (XSH):
2
1
•
Jian Ning : This point is located on the dorsum of

the hand at the radial side of the articulation of the 2nd
metacarpal bone with the proximal phalanx of the
index finger; Needle (angled from proximal to distal)
closely adherent to the 2nd metacarpophalangeal joint
0.2 to 0.3 cun. {Heart and Lung Branch Reaction
Areas}

Pain: Shoulder/Glenohumeral; Severe (XSH)

1.

First, 'let' the involved areas of the shoulder, then needle
4
1
contralateral Si Zhi , Shen4 Guan1, DMG 77-06 'Lateral Three
Passes' - have the patient move the shoulder through its ROM's to
'Lead the Qi' through the affected regions (XSH):
4
1
•
Si Zhi : This point is located 4.5 cun proximal to the medial

•

•

malleolus along the medial border of the tibia; Needle,
obliquely 30° from distal to proximal, 0.6 to 1 . 2 cun.
CONTRAINDICATED IN PREGNANCY. {Heart Branch,

Four Extremities, and Kidney Branch Reaction Areas}
1
4
1
Shen Guan : This point is located 1 .5 cun distal to Tian
Huang2 on the medial side of the proximal leg; Needle 0.5 to
2.0 cun. {Six Bowel Reaction Area} (Tian 1 Huang2 is located
1 .0 cun distal to Sp-9 WHO)

DMG 77-06 'Lateral Three Passes:
1
1
4
4
i. Wai San Guan Er : This point is located on the

lateral aspect of the leg at the midpoint of a line
extending from the proximal extremity of the head of
the fibula to the apex (as viewed from posterior to
anterior) of the lateral malleolus; Needle 1 .0 to
Let
1 .5 cun. {Lung Reaction Area}
:/.=:;;;;;�:;��
_ ii. Wai4 San1 Guan1 Yi1: Locate this point by
1
4
4
1
bisecting the distance from Wai San Guan Er
to the apex (as viewed from posterior to anterior)

of the lateral malleolus along the course of the
aforementioned line; Needle 1 .0 to 1 .5 cun. {Lung
Reaction Area}
1
1
1
4
- iii. Wai San Guan San : Locate this point by
bisecting the distance from Wai4 San 1 Guan 1 Er4
to the proximal extremity of the head of the fibula
along the course of the aforementioned line;
Needle 1 .0 to 1 .5 cun. {Lung Reaction Area}

�