Châm cứu đổng thị cho các vấn đề hô hấp

Tung’s Acupuncture for Respiratory Conditions
(Ireland 2019)

www.asianmedicine.org

Distant Point Needling

Tung’s Acupuncture
Treatment of Respiratory Disorders

董氏針灸肺臟處方學
HENRY MCCANN, DAOM, LAC

馬爾博 中 醫 博 士

!  “Hence, those who know well how to use the

needles [i.e., the superior acupuncturist], from the
yin they pull the yang and from they yang they pull
the yin. With the right they treat the left and with
the left they treat the right.”
!  Yin

Yang Ying Xiang Da Lun, SW5; tr. Unschuld, 2011,
vol I, p.120
故善用鍼者，從陰引陽，從陽引陰，以右治左，以左治右

Principle
《述而》 子曰：不憤不啟，不悱不發,
舉一隅不以三隅反，則不復也。
The Master said, "I do not open up the truth to one who is

not eager to get knowledge, nor help out any one who is
not anxious to explain himself. When I have presented
one corner of a subject to any one, and he cannot from it
learn the other three, I do not repeat my lesson.”
Analects Chapter 7

© Dr. Henry McCann, 2019
All right reserved, copying prohibited

Principle

理
理：治玉也。

1


Tung’s Acupuncture for Respiratory Conditions
(Ireland 2019)

Tung Family Acupuncture
!  Family lineage

dating back to Han
Dynasty*
!  Passed down from
father to eldest son
!  Incorporates unique
set of extra points, as
well as 14 channel

points

Master Tung Ching Chang
!  Treated patients with

father as young man
!  Joined KMT Army to
fight the Japanese
and then
Communists
!  Unable to finish
formal education due
to chaotic times

© Dr. Henry McCann, 2019
All right reserved, copying prohibited

www.asianmedicine.org

Master Tung Ching Chang

!  Last member of the

Tung family to
practice acupuncture
!  Born in 1916, Ping
Du Cty., Shandong
Province, ROC

Master Tung Ching Chang

!  1949 fled to Taiwan

with Chiang Kai
Shek’s army
!  Treated fellow
soldiers while
enlisted
!  Retired from military
in early 1960’s and
opened his first
clinic in Taipei

2


Tung’s Acupuncture for Respiratory Conditions
(Ireland 2019)

Master Tung Ching Chang
!  While in Taipei became

well known for his
effective treatment;
many patients came as
referrals from other
Chinese medical
practitioners
!  Treated over 300,000
patients in his career
!  Treated Pres. Lon Nol of

Cambodia

Master Tung Ching Chang
!  Eventually directly

trained 73 students,
memorialized on his
burial epitaph
!  Denied a license in
Taiwan as a Chinese
doctor
!  Died of stomach cancer
in 1975 shortly after
closing his clinic for
good

© Dr. Henry McCann, 2019
All right reserved, copying prohibited

www.asianmedicine.org

Cultural Renaissance Movement
文化復興運動
!  Begun in 1966 by Chiang Kai

Shek in opposition to
Cultural Revolution in the
PRC
!  Touched Tung deeply and
made him decide to take

students; first student was
Lin Ju Chu in 1962
!  1973 agreed to the
publication of a book on his
acupuncture in Chinese;
written with Yuan Guo Ben

Characteristics of Tung’s Acupuncture

簡 – (jiǎn) Simple
易 – (yì) Easy
效 – (xiào) Effective
Wang CM, Yi L. Clinical Study of Master Tung’s Acupuncture. Paper presented at the WFAS
International Acupuncture 2010 Conference.

3


Tung’s Acupuncture for Respiratory Conditions
(Ireland 2019)

www.asianmedicine.org

Tung’s Points

Characteristics of Tung’s Acupuncture

!  Pre-TCM classical acupuncture systemExtensive use

of unique extra points

!  Almost exclusive use of distal point treatment;
points needled mostly contralaterally
!  Minimal number of needles per treatment (usually <
6 needles)
!  Use of special point combination and stimulation
techniques, including bleeding

!  “Orthodox channel extra points” 正經奇穴
!  Distributed over entire body
!  Organized by zone of distribution; have an original

Chinese name and a modern numbering system
(e.g., Ling Gu 22.05)
!  Not associated with channels, but rather “reflex
areas” 神經
!  Literally,

concept

“nerves”; these are Tung’s original channel

!  Each zone functions similar to a microsystem

Zone Characteristics

Point Distribution
Zone

Location

Number of Points

1

Fingers

27 (55)

2

Palm and dorsal hand

11 (22)

3

Forearm

4

Upper Arm

5

Plantar aspect of foot

6

Dorsal Foot

7

Leg/Calf

28 (2)

8

Thigh

32 (12)

9

Ear

10

Head

25 (2)

Ventral and Dorsal Trunk

160+

VT and DT

© Dr. Henry McCann, 2019
All right reserved, copying prohibited

16
17 (9)
6
6

!  Certain zones have special characteristics
!  Finger, hands, head treat more acute conditions

and get faster symptom relief
!  Leg and thigh (especially thigh) treat more chronic
and recalcitrant conditions
!  Trunk points are mostly bled, not needled

8

4


Tung’s Acupuncture for Respiratory Conditions
(Ireland 2019)

www.asianmedicine.org

Point Locations

Points of the dorsal trunk

from
McCann & Ross, 2014

Point Indications

33.04 Huo Chuan (Fire Threaded)
3 cun proximal to the wrist on the dorsal
forearm on the San Jiao channel,
overlaps with Zhi Gou (SJ-6)

Palpitations, forearm pain, carpal
tunnel syndrome, constipation

33.05 Huo Ling (Fire Mound)
5 cun proximal to the wrist, 2 cun
proximal to Huo Chuan (33.04) on the
dorsal forearm on the San Jiao channel

Chest pain or sense of chest
oppression, pain of the arm or
forearm, sciatica

33.06 Huo Shan (Fire Mountain)
6.5 cun proximal to the wrist, 1.5 cun
proximal to Huo Ling (33.05) on the
dorsal forearm on the San Jiao channel

Chest pain, pain in the forearm
or hand, sciatica

33.07 Hua Fu Hai (Fire Bowel Ocean)
8.5 cun proximal to the wrist, 2 cun

proximal to Huo Shan (33.06) on the
muscular prominence of the dorsal
forearm, on the San Jiao channel, close
to Shou San Li (L.I.-10)

Cough, asthma, common cold,
rhinitis, dyspnea, anemia,
dizziness, blurry vision, eye
strain, sciatica, aching of legs
and low back

33.08 Shou Wu Jin (Arm Five Metal)
6.5 cun proximal to the wrist, on the
ulnar side of the dorsal forearm, 0.5 cun
ulnar to the San Jiao channel and to
Huo Shan (33.06), between the San
Jiao and Small Intestine channels

Sciatica, abdominal pain, calf
pain, leg pain, pain or
numbness of the feet and calves
due to spinal problems

33.09 Shou Qian Jin (Arm 1000 Metal)
1.5 cun proximal to Shou Wu Jin
(33.08), on the ulnar side of the dorsal
forearm, 0.5 cun ulnar to the San Jiao
channel, between the San Jiao and
Small Intestine channels

Sciatica, abdominal pain, calf
pain, leg pain, pain or
numbness of the feet and calves
due to spinal problems

As one can see, Tung uses Western terminology !
“After 1929 when Chinese physicians decided to move their
medicine into the domain of state to gain for it equality before
the law, a new strategy was needed … An initial suggestion
put forward by the newly established Institute of National
Medicine under the directorship of Lu Yuanlei was to
accomplish this integration by abolishing Chinese medical
disease terms altogether and replace them with biomedical
nosologies.”
Scheid, V. Patterns, syndromes, types: who should we be and what should
we do? Eur. J. Oriental Med. 11: 2014.

© Dr. Henry McCann, 2019
All right reserved, copying prohibited

In his own writing Tung himself said
that he used western disease terms for
the purpose of modernizing and
popularizing his system, and promoting
an aspect of traditional Chinese culture.
爰用現代語文。撰述本書。旨在發揚國粹。
Tung CC. 董氏鍼灸正經奇穴學 [Tung Lineage Acupuncture
Study of Orthodox Channel Curious Points]. Privately
published notes, 1968.

5


Tung’s Acupuncture for Respiratory Conditions
(Ireland 2019)

www.asianmedicine.org

Acupuncture
Location
Needling

Core Theory 理論

?

Indication
Results

Black box: causal chains are unknown
A model is required which links acupoints and
their effects in a reliable way

Analysis…
But with which

Model ?

The model of Tung’s Acupuncture
is based on classical references to

the harmonic interaction of man
and universe
!  Zhi Zhen Yao Da Lun (Su Wen Ch. 74)
!  天地之大紀，人神之通應也。
!  Tian di zhi da ji, ren shen zhi tong ying ye.
!  Heaven and earth are the great principle, man’s
shen-spirit penetrates and reflects it.

© Dr. Henry McCann, 2019
All right reserved, copying prohibited

6


Tung’s Acupuncture for Respiratory Conditions
(Ireland 2019)

Classical References to Point Functions
!  Si Qi Yi Ri Fen Wei Si Shi (Ling Shu Ch. 44)
!  黃帝曰：願聞四時之氣。岐伯曰：春生，夏長，秋收，

冬藏，是氣之常也。人亦應之。
!  Huang

Di asked: I hope to hear about the Qi of the four
seasons. Qi Bo replied: spring engenders, summer
flourishes, autumn harvests, winter stores. This is the
constant of Qi. Man also responds to this movement.

 

www.asianmedicine.org

Classical References to Point Functions
!  Zhen Jiu Da Cheng Volume V (Quoting Nan

Jing Ch. 65, 74)
!  又曰：春刺井，井者東方春也。萬物之始生，故言井。冬

刺合，合者北方冬也，陽氣入藏，故言合。
!  It

is also said: in spring needle the well point. The well
[belongs to] the east and spring, the beginning of life
for the ten thousand things; thus it is called the well. In
winter, needle the uniting point. The uniting [belongs
to] the north and winter, when yang qi enters storage;
thus it is called uniting.
" Yang

JZ, Wilcox L. (trans.) The Great Compendium of Acupuncture and
Moxibustion: Zhen Jiu Da Cheng Vol IX. Portland, OR: The Chinese Medicine
Database, 2010.

Man and Nature are in Harmony

Guiding Principle: Correspondence
“Heaven, Earth and Humanity [are] in Harmony”

!  Tian Di Ren He 天地人合

(天地人和 tian di ren he)

!  Man is a Microcosm or Hologram of the natural

Interpretation:

world
!  In the body we have numerous Taiji Holograms
(Taiji Quanxi 太極全息）

According to Chinese philosophy man is a microcosm or
hologram of the natural world with structural and functional
characteristics corresponding to those of its immediate
environment and nature, as well as to those of the universe.

" Quan

Xi = Microsystem/Hologram

Yang L. 周易与中医学 [The Zhou Changes and Chinese Medicine]. Beijing:
Beijing Science Technology Publishing House, 1999.

© Dr. Henry McCann, 2019
All right reserved, copying prohibited

On a smaller scale, analogous rules of correspondence can be
observed within the human organism: parts of the body can
be viewed as microsystems or holograms representing the
whole. Likewise, channels and tissues have various

correspondences. This provides us with a reliable tool for
point selection.

7


Tung’s Acupuncture for Respiratory Conditions
(Ireland 2019)

www.asianmedicine.org

Rules of Diagnosis and Treatment
!  Holographic Correspondence
! 

Identifying diseased locations of the body to choose
treatment location

!  Channel Correspondence
! 

!  Large Taiji
! 
! 
! 

Identify diseased channels to choose treatment channels

!  Tissue Correspondence
! 

Holographic Correspondence

Identify diseased Zang-Fu and tissues to choose point
location and needling methods

McCann H, Ross H-G. Practical Atlas of Tung’s Acupuncture. Munich: Müller and Steinicke,
2012.
Shubs J. The foundations of channel theory. Journal of Chinese Medicine 100 Oct 2012:53-61.
Young WC. Lectures on Tung’s Acupuncture: Therapeutics. Rowland Heights, CA: American
Chinese Medical Culture Center, 2008.
Wang M. 董氏奇穴精要整理. Shenyang: Liaoning Science and Technology Publishing House,
2011.

Body mapped out onto large regions of the body
Limb to limb, trunk to limb
Elbow and knee are pivot points
" Originally

described in martial arts and Qigong classics

!  Medium Taiji
! 
! 
! 

Body mapped out onto distal extremities
Five Shu points make a microsystem
Wrist and ankle are pivot points (i.e., location of Shu-stream pt.)

!  Small Taiji
! 
! 

Body mapped out onto small structure, such as long bones
Ear, hand or scalp acupuncture are examples of this mapping

Tung’s Correspondence of the extremities [Large Taiji]
Tung’s Correspondence of arm and Leg [Large Taiji]

Projection Arm ! Leg
Correspondence

© Dr. Henry McCann, 2019
All right reserved, copying prohibited

Projection Arm ! Leg
Inverse Correspondence

Projection arm ! arm
Correspondence

Projection leg ! leg
correspondence

Projection arm ! arm
Inverse correspondence

Projection leg ! leg
Inverse Correspondence

8


Tung’s Acupuncture for Respiratory Conditions
(Ireland 2019)

Large Taiji: Correspondence between head, trunk and extremities

www.asianmedicine.org

Correspondence between head, trunk & distal parts of the extremities
[Medium Taiji]

Top of the head

Knee-navel-elbow level

Genital area

Small Taiji

Small Taiji

!  Most completely described by Zhang Yingqing,

developer of ECIWO theory in early 1970s (prior to
publication of any material on Tung’s acupuncture
correspondences)
!  Similar time period of other microsystem

development such as Korean hand acupuncture by
Tae Woo Yoo
!  ECIWO describes that all small parts of the body are
microsystems (全息), and all long bones can be
microsystems
! Zhang

YQ. ECIWO and Its Applications to Medicine. Jinan: Shandong Science and Technology Press,
1991.
Zhang YQ. ECIWO and Its Applications to Medicine. Jinan: Shandong Science and Technology Press, 1991.

© Dr. Henry McCann, 2019
All right reserved, copying prohibited

9


Tung’s Acupuncture for Respiratory Conditions
(Ireland 2019)

www.asianmedicine.org

Small Taiji – Long Bones

McCann H, Ross H-G. Practical Atlas of Tung’s Acupuncture. Munich: Müller and
Steinicke, 2012.

Channel Correspondence – Same Name Channels

Zhang YQ. ECIWO and Its Applications to Medicine. Jinan: Shandong Science and Technology Press, 1991.

Wu Zang Bie Tong 五臟別通: Branching Connections of the
Five Zang [Su Wen 6 & Yi Xue Ru Men]

!  Branching connections describe Yin-Yang channels
!  Taiyang tx Taiyang

!  UB treats SI

!  Shaoyang tx Shaoyang

!  GB treats SJ

!  Yangming tx Yangming

!  St treats LI

!  Taiyin tx Taiyin

!  Sp treats Lu

!  Shaoyin tx Shaoyin

!  Kd treats Ht

!  Jueyin tx Jueyin

!  Lv treats Pc

pairings (as opposed to Yin-Yin or Yang-Yang as

described already)
!  Described in many early classics such as the Yi Xue
Ru Men (Entering the Gate of Medicine – Ming
Dynasty); derived also from Su Wen Chapter 6
!  Also known as Zang Fu Bie Tong 臟腑別通 (Yang)
McCann H, Ross H-G. Practical Atlas of Tung’s Acupuncture. Munich: Müller and Steinicke, 2012.
Young WC. Lectures on Tung’s Acupuncture: Therapeutics. Rowland Heights, CA: American Chinese Medical Culture
Center, 2008.
Wang M. 董氏奇穴精要整理. Shenyang: Liaoning Science and Technology Publishing House, 2011.

© Dr. Henry McCann, 2019
All right reserved, copying prohibited

10


Tung’s Acupuncture for Respiratory Conditions
(Ireland 2019)

www.asianmedicine.org

Yin Yang Li He Lun (SW6)

Three Yang

太陽為開
Taiyang is the open
陽明為闔
Yangming is the close
少陽為樞

Shaoyang is the pivot

Wu Zang Bie Tong 五臟別通
Branching Connections of the Five Zang

Yang

Channels

Tai Yang

Open

Three Yin

太陰為開
Taiyin is the open
厥陰為闔
Jueyin is the close
少陰為樞
Shaoyin is the pivot

SI ! Sp
Tai Yang ! Tai Yin

Shao Yang

Pivot

Yang Ming

Close

Hand ! Foot

Lu ! UB

SJ ! Kd
Shao Yang ! Shao Yin

Hand ! Foot

Ht ! GB

Yin

Channels

Tai Yin

Open

Shao Yin

Pivot

Jue Yin

Close

LI ! Lv
Yang Ming ! Jue Yin

Hand ! Foot

Pc ! St

Tissue Correspondence

Clock Channel Correspondence

Needle depth should target appropriate tissues and
location of disease
!  “Diseases include those at the surface and those
deep; piercing includes shallow and deep. Always go
to the respective structures; never go too far in this
way.” (Discourse on the Essentials of Piercing,
SW50)
!  《刺要論》

歧伯對曰：病有浮沈，刺有淺深，各至其理，無過其道

!  According

to Gao Shishi this refers to the different tissues of
the body (i.e., skin, flesh, vessels, sinews, bones)

© Dr. Henry McCann, 2019
All right reserved, copying prohibited

11


Tung’s Acupuncture for Respiratory Conditions
(Ireland 2019)

www.asianmedicine.org

Tissue Correspondence

Tissue Correspondence
!  “Huang Di asked: I would like to hear about piercing the

shallow and deep sections. Qi Bo replied: When piercing
the bones, do not harm the sinews; when piercing the
sinews, do not harm the flesh; when piercing the flesh do
not harm the vessels; when piercing the vessels do not
harm the skin. When piercing the skin do not harm the
flesh; when piercing the flesh do not harm the sinews;
when piercing the sinews do not harm the
bones.” (Discourse on the Restrictions of Piercing, SW51)
!  《刺齊論》 黃帝問曰：願聞刺淺深之分. 歧伯對曰：刺骨者無
傷筋，刺筋者無傷肉，刺肉者無傷脈，刺脈者無傷皮，刺皮
者無傷肉，刺肉者無傷筋，刺筋者無傷骨.

From Guan Zhen
! 
! 

The first is called one-half needling (ban ci). For one-half needling,

shallowly insert, then quickly withdraw the needle without needling to
injure the flesh. It is like removing fine hair and is used to treat the skin
qi. It is in resonance with the lungs.

!  二曰豹文刺，豹文刺者，左右前後針之，中脈為故，以取經絡之血者，此心

之應也 。
! 

The second is called the leopard's spots acupuncture (bao wen ci). The
leopard's spots form of needling involves needles in left and right, front
and back. This affects the center of the channels, and is used to treat the
blood of the major channels. It is in resonance with the heart.

Tissue Correspondence
From Guan Zhen

! 

The third is called gate needling (guan ci). Gate needling is to needle left
and right directly to exhaust the upper muscles. This is used for
rheumatism of the muscles. Take care not to draw blood. This is in
resonance with the liver.

!  四曰合谷刺，合谷刺者，左右雞足，針於分肉之間，以取肌痺，此脾之應也
! 

The fourth is called adjacent valleys acupuncture. Adjacent valleys
acupuncture is to needle left then right from the same hole, like a
chicken's foot. Needle to the division between the flesh. This treats

rheumatism of the muscles. It is in resonance with the spleen.

© Dr. Henry McCann, 2019
All right reserved, copying prohibited

Tissue Correspondence

(Ling Shu 7)

!  三曰關刺，關刺者，直刺左右盡筋上，以取筋痺，慎無出血，此肝之應也。

(Ling Shu 7)

From Guan Zhen

(Ling Shu 7)

! 
!  The

fifth is called transmitted needling (shu ci). Transmitted
needling is to insert directly and withdraw directly. The depth
of the insertion reaches the bones. This is used to treat
rheumatism of the bones. It is in resonance with the kidneys.

12


Tung’s Acupuncture for Respiratory Conditions
(Ireland 2019)

www.asianmedicine.org

Tissue Correspondence
To Treat

Needle

!  Skin

!  Skin and Lung

!  Vessels

!  Vessels and Heart

!  Flesh

!  Flesh and Spleen

!  Sinew

!  Sinew and Liver

!  Bone

!  Bone and Kidney

Needle Rules and Methods
!  Needle distal and contralateral; bleed

ipsilateral

!  Dao Ma (Coupled Horses) Technique 倒馬針

法

!  AlsoknownasHuiMa回馬

!  Dao Yin (Guiding) 導引針法or Dong Qi

(Moving) Technique 動氣針法

!  Simple stimulation technique, long retention
McCann H, Ross H-G. Practical Atlas of Tung’s Acupuncture. Munich: Müller and Steinicke, 2012.
Li GZ. 台灣董氏針灸倒馬針刺療法 [Taiwan’s Tung Lineage Dao Ma Needle Therapy]. Taipei: Zhi Yuan
Bookstore, 1999.
Wang M. 董氏奇穴精要整理. Shenyang: Liaoning Science and Technology Publishing House, 2011

Commonly Used Points for
Lung Disorders

常用穴位
肺

© Dr. Henry McCann, 2019
All right reserved, copying prohibited

Classical References to Lung Pathology
!  “In the case of a Lung disease, one pants and coughs from

qi moving contrary [to its regular course]. There is pain in
the shoulders and back. Sweat flows. The sacrum, the yin
[region], the thighs, the knees, the thigh bone, the calves,
the shin, the feet – they all have pain. In the case of
depletion, and if one is short of Qi, one is able to breath
consecutively. The ears are deaf and the throat is
dry.” (Zang Qi Fa Shi Lun, SW22)
!  肺病者，喘欬逆氣，肩背痛，汗出尻陰股膝髀腨胻足皆痛，
虛則少氣不能報息，耳聾嗌乾

13


Tung’s Acupuncture for Respiratory Conditions
(Ireland 2019)

Classical References to Lung Pathology
• 

“All Qi oppression and stagnation, without exception they
are associated with the Lung.” (Zhi Zhen Yao Da Lun,
SW74)
" 

諸氣膹鬱，皆屬於肺

!  “The Lung is the official functioning as chancellor and

mentor. Order and moderation originate in it.” (Ling Lan

Mi Dian Lun, SW8)
" 

肺者，相傅之官，治節出焉

Xiao Jian 11.02 小間穴, Ce Jian 側間穴32

www.asianmedicine.org

Xiao Jian 11.02 小間穴, Ce Jian 側間穴
!  Location: (Xiao Jian) on the palmar aspect of the index finger,

midway between Da Jian (11.01) and the PIP joint on the radial
margin of the phalangeal bone; (Ce Jian) on the palmar surface
of the index finger, midway between Da Jian (11.01) and the
proximal digital crease on the radial margin of the phalangeal
bone
!  Functions: benefits the Lung, stops cough, clears heat and
swelling, stops pain  (Lung, Heart, Six Fu Reaction Area)
!  Indications: Dyspnea, eye pain, chronic bronchitis, expectoration
of yellow mucous, palpitations, mounting pain (疝 Shan), knee
pain, enteritis, Small Intestine Qi (小腸氣), asthma, tonsillitis
!  Needle: 0.2-0.3" insertion

Shuang Chuan 雙喘穴
!  Location: 2 point group; on the palmar surface of

the index finger, at the ulnar and radial margins of
the PIP joint
!  Functions: benefits the Lungs and transforms

phlegm, frees the channels and quickens the
network vessels, clears heat and settles pain  (Lung
Reaction Area)
!  Indications: Bronchitis, shortness of breath, lung
inflammation, high fever
!  Needle: 0.1-0.2" oblique insertion, or prick to bleed

© Dr. Henry McCann, 2019
All right reserved, copying prohibited

14


Tung’s Acupuncture for Respiratory Conditions
(Ireland 2019)

Mu 11.17 木穴

www.asianmedicine.org

Mu 11.17 木穴

!  Location: 2 (alternately 3) point group; evenly distributed

on the palmar proximal phalanx of the index finger along
the ulnar margin of the phalangeal bone 
!  Functions: Courses Liver and rectifies qi, quickens blood
and expels wind (Lung Reaction Area)
!  Indications: Dry eyes, tearing, excessive sweating,
dermatitis of the hands, common cold, acute eczema,

itching of the skin, nasal discharge, sinusitis 
!  Needle: 0.2-0.3" insertion

Zhi Si Ma 11.07 指駟馬穴

Zhi Si Ma 11.07 指駟馬穴

!  Location: 3 point group; evenly distributed on the dorsal

middle phalanx of the index finger along the ulnar margin
of the phalangeal bone  
!  Functions: courses Wind and resolves the exterior;
regulates and harmonizes Qi and Blood  (Lung Reaction
Area)
!  Indications: Dry eyes, tearing, excessive sweating,
dermatitis of the hands, common cold, acute eczema,
itching of the skin, nasal discharge, sinusitis 
!  Needle: 0.2-0.3" insertion

© Dr. Henry McCann, 2019
All right reserved, copying prohibited

15


Tung’s Acupuncture for Respiratory Conditions
(Ireland 2019)

Ling Gu 22.05 靈骨穴

www.asianmedicine.org

Ling Gu 22.05 靈骨穴

!  Location: On the dorsum of the hand, at the junction of the first

and second metacarpal bones, on the Large Intestine channel  
!  Functions: Frees the channels and quickens the network vessels,

clears and regulates Lung qi, frees and descends the Stomach
and intestines, frees the qi and disperses stasis 
!  Indications: Migraine, low back pain, sciatica, facial paralysis,
hemiplegia, tinnitus, deafness, menstrual disorders (irregular,
scanty, profuse, absent), polyuria, incontinence, foot pain,
intestinal pain, difficult labor, angina pectoris, emphysema,
pneumonia 
!  Needle: 0.5-2.0" perpendicular insertion; can be needled through
to the thenar eminence (Hand Taiyin Channel) 
!  Notes: Contraindicated in pregnancy

Da Bai 22.04 大白穴

Da Bai 22.04 大白穴

!  Location: On the dorsum of the hand, in a depression 1 cun distal to

! 

! 

! 
! 

the junction of the first and second metacarpal bones (locations vary
based on source)
Functions: Effuses sweat and resolves the exterior, clears the lung
and relaxes the chest, clears and rectifies the upper jiao, clears the
Lung and courses the exterior, rectifies qi and transforms stasis 
Indications: Headache, migraine, lung cancer, emphysema,
pneumonia, sciatica, lumbar pain, back pain, pediatric asthma, high
fever 
Needle: 0.5-1.0" perpendicular insertion, or prick to bleed 
Notes: The combination of Ling Gu 22.05 and Da Bai 22.04
supplements and frees the qi, and also scatters stagnation and
disperses stasis

© Dr. Henry McCann, 2019
All right reserved, copying prohibited

16


Tung’s Acupuncture for Respiratory Conditions
(Ireland 2019)

Metacarpal Three Needles 掌三針
!  Dao Ma Point Group on second metacarpal (Zhang 掌

www.asianmedicine.org

Chong Zi 重子穴 22.01, Chong Xian 重仙穴 22.02
!  Location: (Chong Zi) on the thenar eminence, about 1 cun

stands for ‘metacarpal’ 掌骨)
!  Ling Gu 靈骨 22.05, Da Bai 大白 22.04, and Zhong Kui
重魁
!  Indications: Emphysema, back pain, hemiplegia,
irregular menses, dysmenorrhea, pneumonia, sciatica,
lumbar pain, pediatric asthma, high fever, headache,
nasal pain, trigeminal neuralgia; all chronic diseases,
unusual diseases, all diseases of Qi stagnation or that
lead to stagnation of the Qi

proximal to the margin of the skin fold, between the first
and second metacarpal bones; (Chong Xian) on the thenar
eminence, at the junction of the first and second metacarpal
bones  
!  Functions: Course Wind and resolve the exterior, clear and
drain Lung Qi
!  Indications: Scapular and back pain, knee pain, shoulder
and neck pain, muscle cramps, pneumonia, influenza,
common cold, asthma, chronic obstructive pulmonary
disease, cough
!  Needle: 0.3 – 0.5” perpendicular insertion

Huo Chuan 33.04 火串穴, Huo Ling 33.05 火陵穴,
Huo Shan 33.06 火山穴

Huo Chuan 33.04 火串穴, Huo Ling 33.05 火陵穴,
Huo Shan 33.06 火山穴

!  Location: 3, 5 and 6.5 cun proximal to the wrist on the

dorsal forearm on the San Jiao channel; Huo Chuan 33.04
overlaps with Zhi Gou (SJ-6)
!  Functions: Dredge qi and blood, free the network vessels,
stop pain (Heart Reaction Area; Huo Chuan also Lung
Reaction Area)
!  Indications: Palpitations, chest pain or oppression, forearm
pain, carpal tunnel syndrome, constipation, sciatica,
anterior-lateral lower leg pain
!  Needle: 0.5 – 1” perpendicular insertion

© Dr. Henry McCann, 2019
All right reserved, copying prohibited

17


Tung’s Acupuncture for Respiratory Conditions
(Ireland 2019)

Huo Fu Hai 33.07 火腑海穴

!  Location: 8.5 cun proximal to the wrist, 2 cun proximal to

Huo Shan (33.06) on the muscular prominence of the
lateral surface of the forearm, on the San Jiao channel,
close to Shou San Li (L.I.-10)
!  Functions: Expels wind and depurates the Lungs,

supplements and benefits Kidney water (Heart and Lung
Reaction Areas)
!  Indications: Cough, asthma, common cold, rhinitis,
dyspnea, anemia, dizziness, blurry vision, eye strain,
sciatica, aching of legs and low back
!  Needle: 0.5 – 1” perpendicular insertion

Ren Shi 33.13 人士穴, Di Shi 33.14 地士穴,
Tian Shi 33.15 天士穴

www.asianmedicine.org

Ren Shi 33.13 人士穴, Di Shi 33.14 地士穴,
Tian Shi 33.15 天士穴

!  Location: 4, 7, and 10 cun proximal to the wrist crease on

the ulnar side of the radius of the anterior forearm (1) on
the Pericardium channel or (2) on the Lung channel
!  Functions: Courses the Heart and recitifes Qi, clears and
diffuses the Lung Qi (Heart and Lung Reaction Areas)
!  Indications: Ren: Asthma, coughing, pain in the palm or
fingers, frozen shoulder, (upper) back pain, heart disease,
palpitations; Di: Asthma, rhinitis, arm pain, common cold,
dyspnea; Tian: Asthma, headache, common cold, chest pain
!  Needle: 0.5 – 1” perpendicular insertion

Qu Ling 33.16 曲陵穴, Fen Jin 44.01 分金穴

!  Location: Qu Ling: in the cubital fossa, lateral to the biceps

brachii tendon on the Lung channel; overlaps Chi Ze
(LU-5); Fen Jin: 1.5 cun proximal to Qu Ling
!  Functions: Clears and diffuses Lung Qi, unobstructs the
networks of the Heart (Heart and Lung Reaction Areas)
!  Indications: Muscle spasm, digestive disorders, asthma,
elbow joint pain, palpitations, common cold, rhinitis,
laryngitis
!  Needle: 0.3 – 0.5” perpendicular insertion, or prick to bleed

© Dr. Henry McCann, 2019
All right reserved, copying prohibited

18


Tung’s Acupuncture for Respiratory Conditions
(Ireland 2019)
Yi Zhong 77.05 一重穴, Er Zhong 77.06 二重穴,
San Zhong 77.07 三重穴

www.asianmedicine.org

Yi Zhong 77.05 一重穴, Er Zhong 77.06 二重穴,
San Zhong 77.07 三重穴

!  Location: Between Gallbladder and Stomach channels;1 cun

anterior to the fibula and 3, 5 and 7 cun proximal to the lateral
malleolus

!  Functions: Removes accumulations and clears stasis, breaks qi
and moves blood (Heart, Lung and Spleen Reaction Areas)
!  Indications: Hyperthyroidism, tonsillitis, deviation of the eye and
mouth (facial hemiparesis), migraine, mastitis, fibrocystic breast
disease, breast tumors, meningitis, liver disease, splenomegaly,
rib-side pain, abdominal masses, brain tumor, pain on the
medial upper arm
!  Needle: 1 – 2” perpendicular insertion, or prick to bleed with
three-edged needle

Si Hua Shang 77.08 四花上穴

Si Hua Three Needles 四花三針

!  Location: 3 cun distal to Xi Yan (ST-35); on the

Stomach channel, located at Zu San Li (ST-36)
!  Functions: Courses the Heart and clears the Lung,

regulates the Spleen and Stomach (Heart and Lung
Reaction Areas)
!  Indications: Asthma, toothache, dizziness,
palpitations, coronary artery disease, vomiting, sudden
turmoil
!  Needle: Shallow perpendicular needling for Lung
problems, deeper needling for Heart problems

© Dr. Henry McCann, 2019
All right reserved, copying prohibited

19


Tung’s Acupuncture for Respiratory Conditions
(Ireland 2019)

Si Hua Zhong 77.09 四花中穴
!  Location: 4.5 cun distal to Si Hua Shang (77.08 = ST-36),

on the Stomach channel, 0.5 cun proximal to Tiao Kou
(ST-38)
!  Functions: Courses the Heart and clears the Lung, regulates
the Spleen and Stomach (Heart and Lung Reaction Areas)
!  Indications: Asthma, coronary artery disease, carditis,
arteriosclerosis, eye pain, pain in the heart or sensation of
suffocation and discomfort, stomachache, swelling of the
bones, frozen shoulder, index finger pain, elbow pain
!  Needle: Shallow perpendicular needling for Lung problems,
deeper needling for Heart problems

Wai San Guan 77.27 外三關穴

www.asianmedicine.org

Si Hua Xia 77.11 四花下穴
!  Location: 5 cun distal to Si Hua Zhong 77.09
!  Functions: Rectifies the Spleen and harmonizes the

Stomach (Heart, Lung and Six Fu Reaction Areas)
!  Indications: Enteritis, stomach ache, dyspnea,

edema, bruxism; treats bone spurs when needled
against the bone
!  Needle: 0.5 – 1” perpendicular insertion

Wai San Guan 77.27 外三關穴

!  Location: 3 point group; on the line connecting the head of

the fibula and the lateral malleolus between mm. peroneus
brevis and extensor digitorum longus; at the 1/4, 1/2 and
3/4 junctions, on the Gallbladder channel
!  Functions: Disperses stasis and scatters binds, diffuses the
Qi and Blood (Lung Reaction Area)
!  Indications: Tonsillitis, mumps, laryngitis, abscesses,
tumors, fibrocystic breasts, pain in the shoulder and arm
!  Needle: 0.5 – 1.5” perpendicular insertion

© Dr. Henry McCann, 2019
All right reserved, copying prohibited

20


Tung’s Acupuncture for Respiratory Conditions
(Ireland 2019)

Zu Si Ma 足駟馬

www.asianmedicine.org

Zu Si Ma 足駟馬

!  Location: Si Ma Zhong 88.17 is located 3 cun anterior to the point

touched by the middle finger when the patient is standing with hands at
their side (i.e., at Feng Shi GB-31), on the Stomach channel; Si Ma
Shang 88.18 is located 2 cun proximal to Si Ma Zhong; Si Ma Xia 88.19
is located 2 cun distal to Si Ma Zhong (all on the Stomach channel, on
the lateral margin of the femur)
!  Functions: Frees and regulates the water passages, courses wind and
resolves the exterior, regulates Lung (Lung and Liver Reaction Areas)
!  Indications: Ribside pain, back pain, sciatica (due to weakness of
Lung), chest pain, pulmonary tuberculosis, coughing, lung disorders in
general, facial paralysis, conjunctivitis, asthma, pleurisy, breast pain,
rhinitis, tinnitus, dermatological disorders, otitis, hemiplegia
!  Needle: 1” – 2” perpendicular insertion

Shui Tong 水通穴 1010.19 & Shui Jin 水金穴 1010.20

Shui Tong 水通穴 1010.19 & Shui Jin 水金穴 1010.20

!  Location: 0.4 cun inferior to the corner of the mouth

(Shui Ting), and 0.4 cun obliquely medial (and a little
inferior) to Shui Tong
!  Functions: Benefits the Kidneys, secures the Root,
warms the channels and frees the network vessels
(Kidney Reaction Area)
!  Indications: Low back pain, acute lumbar sprain,
rheumatism, vertigo, dizziness, fatigue, dyspnea,

asthma
!  Needle: Oblique needling from medial to lateral to
connect Shui Tong 1010.19 and Shui Jin 1010.20

© Dr. Henry McCann, 2019
All right reserved, copying prohibited

21


Tung’s Acupuncture for Respiratory Conditions
(Ireland 2019)

www.asianmedicine.org

POSTERIOR
TRUNK ZONES

Shui Tong 水通穴 1010.19 & Shui Jin 水金穴 1010.20

Back Heart and Lung Zone
後背心肺區
!  Location:
!  On

the posterior upper back from T1 down to the level
of T5–6
!  Indications:
!  Severe common cold, chills and fever, sudden turmoil
(霍亂), chest pain, chest oppression, back pain,

enlarged heart, nausea and vomiting from externally
contracted disease evils, mental illness, bone spurs,
coronary heart disease, shortness of breath, asthma,
eye diseases, myocardial infarction

© Dr. Henry McCann, 2019
All right reserved, copying prohibited

Lung Zone 肺區
!  Location:

On the lateral leg. It extends
from the area lateral to Zu
San Li (ST-36) down to about
3 cun above the lateral
malleolus
!  Indications:
!  Disorders of the lungs and
upper jiao, including
pneumonia, asthma,
bronchitis, chronic
obstructive pulmonary
disorders, chest pain,
pulmonary edema, dyspnea,
arrhythmias, etc
! 

22

Tung’s Acupuncture for Respiratory Conditions
(Ireland 2019)

www.asianmedicine.org

LUNG ZONE - MESOTHELIOMA

LUNG ZONE - MESOTHELIOMA

Heart Zone 心區, or
Lower Leg Yang Ming Zone 小腿陽明區

Acupuncture Points

!  Location:
!  On the anterior lower leg from
the knee down to just above
the ankle over the leg Yang
Ming channel
!  Indications:
!  Weakness of the Heart zang,
cardiovascular disease,
palpitations, chest pain,
angina, arrhythmias,
pulmonary edema, congestive
heart failure, disorders of the
eye due to Heart patterns, etc

© Dr. Henry McCann, 2019
All right reserved, copying prohibited

23


Tung’s Acupuncture for Respiratory Conditions
(Ireland 2019)

www.asianmedicine.org

Acupuncture Points

Tung’s rules simplified:
from diagnosis to therapy
Diseased
Channels

Diseased
Tissues / Zang Fu

Diseased
areas

Channel
Correspondence

Tissue / Zang Fu
Correspondence

Holographic
Correspondence

Potentially effective
acupuncture points

Huo Ying 火硬穴 66.03

Huo Ying 火硬穴 66.03

!  Location: On the dorsum of the foot; between the 1st and 2nd toes, 0.5

cun proximal to the MTP joints, on the Liver channel, overlapping Xing
Jian LR-2; according to Li Guo Zhen this point is 0.5 cun proximal to
Xing Jian LR-2
!  Functions: Frees and benefits the water passageways, strengthens the
Heart and settles palpitations 
!  Indications: Syncope, myocardial infarction, palpitations; tumors of the
uterus, uterine leiomyomas, retained placenta, inflammation of the
uterus; chin pain, pain of the temporo-mandibular joint, grinding teeth
(from stress), dizziness, enlargement of the bones 
!  Needle: 0.3 – 0.5” perpendicular insertion; or bleed small spider nevi in
this area

© Dr. Henry McCann, 2019
All right reserved, copying prohibited

24


Tung’s Acupuncture for Respiratory Conditions
(Ireland 2019)

Huo Zhu 火主穴 66.04

www.asianmedicine.org

Precision in Point Location

!  Location: On the dorsum of the foot; between the 1st and 2nd toes,

! 
! 

! 
! 

proximal to Huo Ying (66.03) at the metatarsal junction, on the Liver
channel, overlaps with Tai Chong LR-3; according to Li Guo Zhen this
point is 0.5 cun distal to Tai Chong LR-3
Functions: Frees and benefits the lower jiao, sooths the Liver and
rectifies qi 
Indications: Emergency point for myocardial infarction, enlargement
of the bones, headache, inflammation or tumors of the uterus, gastrointestinal diseases, liver diseases, neurasthenia, pain in the hands and
feet 
Needle: 0.3 – 1” perpendicular insertion
Notes: combined frequently with Huo Ying 66.03 as a Dao Ma group;
combine with Ling Gu 22.05 for headache, pain in numerous areas of
the body (upper and lower balance point combination)

Precision in Point Location

!  Are Huo Ying 66.03 and Huo Zhu 66.04 really

different points from Xing Jian LR-2 and Tai Chong
LR-3?

No!!!

Precision in Point Location
!  “Acupuncture points are hard to locate on healthy individuals.

!  In the  Zhen Jiu Zi Sheng Jing 針灸資生經 (written

in the Song dynasty, c. 1180) Tai Chong LR-3 is
located either 1.5 or 2 cun posterior to the “base
joint” (MTP joint) of the big toe (在足大指本節後二
寸或寸半陷中). 

However, when Qi stagnates or pathological Qi invades from the
outside, the point becomes depressed or protrudes. Qi, which is
invisible, is thus transformed into a ‘quality’ that can be palpated and
distinguished. This is what is known as an active point, which serves as
both a point for diagnosis as well as treatment.” [Denmei, S.: Finding
effective acupuncture points. Eastland Press, 2003, p. 5]
!  “... the actual location of any point is not necessarily where that point

is located by techniques of proportional measurement. Rather, the
point is the place where one can best get the Qi and facilitate the
arrival of Qi. It is not fixed.” [Wang Ju-Yi & J.D. Roberson: Applied
Channel Theory in Chinese Medicine, Eastland Press, 2008, p. 535]

© Dr. Henry McCann, 2019
All right reserved, copying prohibited

25