Influential Acupuncture Influential Acupuncture Treatments for Relieving Treatments for Relieving Pain (ancient and modern Pain (ancient and modern

methods/protocols)methods/protocols)Baisong Zhong Ph.D, L.Ac, M.D(China)Baisong Zhong Ph.D, L.Ac, M.D(China)

Associate Prof. of ACAOMAssociate Prof. of ACAOM

Website: www.easternbalancetcm.comWebsite: www.easternbalancetcm.comE-mail: E-mail: Bzhong@acaom.edu

100 million Americans have pain issue. More than half of 100 million Americans have pain issue. More than half of respondents (51%) felt they had little or no control over their respondents (51%) felt they had little or no control over their pain. Six out of ten patients (60%) said they experience pain. Six out of ten patients (60%) said they experience breakthrough pain one or more times daily, severely breakthrough pain one or more times daily, severely impacting their quality of life and overall well-being.( 2006 impacting their quality of life and overall well-being.( 2006 Voices of Chronic Pain Survey. (American Pain Foundation). Voices of Chronic Pain Survey. (American Pain Foundation). Prescription painkillers are considered a major contributor to Prescription painkillers are considered a major contributor to the total number of drug deaths. In 2007, for example, nearly the total number of drug deaths. In 2007, for example, nearly 28,000 Americans died from unintentional drug poisoning, 28,000 Americans died from unintentional drug poisoning, and of these, nearly 12,000 involved prescription pain and of these, nearly 12,000 involved prescription pain relievers.( Unintentional Drug Poisoning in the United States, relievers.( Unintentional Drug Poisoning in the United States, National Center for Injury Prevention and Control, Centers for National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, July 2010. Disease Control and Prevention, July 2010. http://www.cdc.gov/HomeandRecreationalSafety/pdf/poison-issue-brief.pdf).).

This presentation is based on the following ancient acupuncture This presentation is based on the following ancient acupuncture books and some famous acupuncturists’ experiences in books and some famous acupuncturists’ experiences in modern with the feeling that I have used in clinic. modern with the feeling that I have used in clinic.

1. Huang Fumi. Zhenjiu Jia Ji Jing(A-B Classic of Acupuncture and 1. Huang Fumi. Zhenjiu Jia Ji Jing(A-B Classic of Acupuncture and Moxibustion. 259.)Moxibustion. 259.)

2. Xun Simiao. Qian Jin Yao Fang(Valuable Prescriptions. Middle of 72. Xun Simiao. Qian Jin Yao Fang(Valuable Prescriptions. Middle of 7thth century)century)

3. Xu Feng. Zhenjiu Da Quan(A Complete Works in Acupuncture and 3. Xu Feng. Zhenjiu Da Quan(A Complete Works in Acupuncture and Moxibustion, 1439)Moxibustion, 1439)

4. Liao Runhong. Zhenjiu Ji Cheng(Collection of Acupuncture and 4. Liao Runhong. Zhenjiu Ji Cheng(Collection of Acupuncture and Moxibustion)Moxibustion)

5. Wang Tao.Wai Tai Mi Yao(The Medical secrets of an Official. 752)5. Wang Tao.Wai Tai Mi Yao(The Medical secrets of an Official. 752)

6. Wang Zhi Zhong. Zhenjiu Zhi Sheng Jing(Experience of Acupuncture 6. Wang Zhi Zhong. Zhenjiu Zhi Sheng Jing(Experience of Acupuncture and Moxibustion. 1220)and Moxibustion. 1220)

7. Bai Zheng Fu(Acupuncture for A Hundred Diseases in Verse)7. Bai Zheng Fu(Acupuncture for A Hundred Diseases in Verse)

8. Biao You Fu(Song to Elucidate Mysteries.1235)8. Biao You Fu(Song to Elucidate Mysteries.1235)

9. Xi Hong Fu(Song of Xi Hong)9. Xi Hong Fu(Song of Xi Hong)

10. Yu Long Fu(Song of Jade Dragon)10. Yu Long Fu(Song of Jade Dragon)

11. Lan Jiang Fu(Song of Lan Jiang)11. Lan Jiang Fu(Song of Lan Jiang)

13. He Pu Ren. Zhenjiu Zhi 13. He Pu Ren. Zhenjiu Zhi Tong(Acupuncture for Relieving Pain. Tong(Acupuncture for Relieving Pain. 1990)1990)

14. Qiu Mao Liang. Zhenjiu Zhi Fa Yu 14. Qiu Mao Liang. Zhenjiu Zhi Fa Yu Chu Fang(Therapy and Formula of Chu Fang(Therapy and Formula of Acupuncture and Moxibustion. 1995)Acupuncture and Moxibustion. 1995)

15. Gao Li Shan. Zhenjiu Xin Fei 15. Gao Li Shan. Zhenjiu Xin Fei (Experience of Acupuncture and (Experience of Acupuncture and Moxibustion.1997)Moxibustion.1997)

Dr. He Puren(Dr. He Puren( 贺普仁贺普仁 )) ，， Born in May 1926. Chief Physician, Born in May 1926. Chief Physician, Professor. National famous M.D.Professor. National famous M.D.

Capital State Medical MD, a national non-material cultural Capital State Medical MD, a national non-material cultural heritage of heritage of

traditional medicine project representative inheritors.traditional medicine project representative inheritors.

Dr. Qiu Maoling(Dr. Qiu Maoling( 邱茂良邱茂良 )) ，， 1913 Born in Zhejiang Longyou 1913 Born in Zhejiang Longyou Temple next village. Qiu Maoliang went to TCM specialized Temple next village. Qiu Maoliang went to TCM specialized school in 1928, and studied with Zhang Shan Leischool in 1928, and studied with Zhang Shan Lei

learning women Division, then obtaining the pass. After learning women Division, then obtaining the pass. After graduating in 1932, graduating in 1932,

he opened an acupuncture school. He has been practiced he opened an acupuncture school. He has been practiced in Jiangsu Provincial in Jiangsu Provincial

Traditional Chinese Medicine College of Technology (the Traditional Chinese Medicine College of Technology (the Nanjing MedicalNanjing Medical

predecessor). Served as the attending physician acupuncture, predecessor). Served as the attending physician acupuncture, director, chief physician, professor of acupuncture department. director, chief physician, professor of acupuncture department.

Dr. Gao Lishan(Dr. Gao Lishan( 高立山高立山 ), Chief Physician), Chief Physician Since 1963, worked in Guang An Men Hospital, Beijing.Since 1963, worked in Guang An Men Hospital, Beijing. Specialized in acupuncture for pain, stomach problems, stroke Specialized in acupuncture for pain, stomach problems, stroke

sequelae, TCM miscellaneous diseasessequelae, TCM miscellaneous diseases

1.1. Influential Acupuncture Treatments for Influential Acupuncture Treatments for Relieving Relieving Pain of headPain of head

Fore headache:Fore headache: GB20, St 8--expel wind heat GB20, St 8--expel wind heat LI4, St44--clear Yangming heat LI4, St44--clear Yangming heatOcipal headache:Ocipal headache: Yintang, GB20– expel wind heat, calm mind Yintang, GB20– expel wind heat, calm mind UB2, UB62—expel wind, open UB UB2, UB62—expel wind, open UB Migraine Migraine GB34, GB40—clear heat and mind GB34, GB40—clear heat and mind SJ6, Taiyang 3 needles(1 perpendicular, 1 toward SJ6, Taiyang 3 needles(1 perpendicular, 1 toward St3, 1 toward GB8) clear GB heat St3, 1 toward GB8) clear GB heat Add both PC7 if painful severe. Add both PC7 if painful severe.

Case 1. Female, 30 years old. Left headache radiates to left eye 5 years. 8/10 of pain. The pain is worse at some time. She also has anxiety, nausea and thirsty, gnawing of stomach, white tongue coating and wiry pulse.

Diagnose: headache due to the heat flaring up of liver, GB and stomach.Treatment: clear heat, calm the heat and unblock channelsPoints: GB34, GB40, SJ6, Taiyang 3 needles(1 perpendicular, 1 toward St3, 1 toward GB8) and 4 gates. She felt the pain less about 50% after the first treatment, all pain was gone after 3 times treatment. No reoccur in 6 months.

Vertex: Vertex:

(1)Du20, KI 1—clear heat and guide heat downward(1)Du20, KI 1—clear heat and guide heat downward Liv2, Liv8—nourish yin and blood, clear heat Liv2, Liv8—nourish yin and blood, clear heat

(2)Si Shen Chong, 4gates(2)Si Shen Chong, 4gates

All headache:All headache:

GB20, St8, UB2—expel wind heatGB20, St8, UB2—expel wind heat LI4, Liv3—regulate Qi and blood LI4, Liv3—regulate Qi and blood

2. Influential Acupuncture Treatments 2. Influential Acupuncture Treatments for Relieving Chest Painfor Relieving Chest Pain

(1)Chest pain due to heart: (1)Chest pain due to heart:

UB14, UB15UB14, UB15——open yang and regular Qiopen yang and regular Qi

PC6, Ren12PC6, Ren12——remove blood stasis, tonify Qiremove blood stasis, tonify Qi

Ren17, PC6, and Ki6—regulate Ht and Ki, Qi and bloodRen17, PC6, and Ki6—regulate Ht and Ki, Qi and blood

(2)Chest pain due to lung:(2)Chest pain due to lung:

UB13, Lu1UB13, Lu1——regular lung Qiregular lung Qi

Ren17, PC6Ren17, PC6——regular and descend Qiregular and descend Qi

Irregular Ht beatsIrregular Ht beats——PC6PC6

slow Ht beatslow Ht beat——Du25Du25

Rapid Ht beatRapid Ht beat——PC5PC5

Pericardial distressPericardial distress——Ren17, SI1Ren17, SI1

Pain between breastPain between breast——SI11, Lu9 SI11, Lu9

3. 3. Influential Acupuncture Treatments for Relieving Influential Acupuncture Treatments for Relieving Hypochondriac painHypochondriac pain

Pain due to liv: UB19, Liv13Pain due to liv: UB19, Liv13

Pain due to GB: UB17, UB18, SJ7, GB34Pain due to GB: UB17, UB18, SJ7, GB34

GB40 to Ki6, Long Yan for shingles( it is on the ulnar border of the GB40 to Ki6, Long Yan for shingles( it is on the ulnar border of the hand with fist clenched, at ulnar end of the third transverse of the hand with fist clenched, at ulnar end of the third transverse of the little finger)little finger)

4. 4. Influential Acupuncture Treatments for Relieving Influential Acupuncture Treatments for Relieving Abdominal painAbdominal pain

(1)Sp,St,LI and SI are related to digestion disorder(1)Sp,St,LI and SI are related to digestion disorder

Ren12, St25, Ren6, PC6, St36Ren12, St25, Ren6, PC6, St36

(2)Ki, UB, reproduction, urine are related disorders. Lu7, Ren6, Ren2, (2)Ki, UB, reproduction, urine are related disorders. Lu7, Ren6, Ren2,

Sp6, Sp10, Sp9Sp6, Sp10, Sp9

(3)St pain(3)St pain Ren11,12,13, St25, Ren6,PC6, St36Ren11,12,13, St25, Ren6,PC6, St36

(4)Abdominal pain due to period: (4)Abdominal pain due to period: UB54UB54

5. 5. Influential Acupuncture Treatments for Relieving Influential Acupuncture Treatments for Relieving Back PainBack Pain

(1)Ht and Lu: upper T7—UB13, UB15(1)Ht and Lu: upper T7—UB13, UB15

(2)Liv and GB: Between T7-14—UB16,UB18,UB19(2)Liv and GB: Between T7-14—UB16,UB18,UB19

(3)Between Scapula—Du14(3)Between Scapula—Du14

(4)Shoulders and back: SI3, SJ3 (4)Shoulders and back: SI3, SJ3

6. Lower Back Pain—UB23, Du4,Du3+ UB40 6. Lower Back Pain—UB23, Du4,Du3+ UB40 (1)Acute lower LBP: Du26, UB2(1)Acute lower LBP: Du26, UB2

(2)LBP aggravated by coughing: GB34(2)LBP aggravated by coughing: GB34

6. 6. Influential Acupuncture Treatments for Influential Acupuncture Treatments for Relieving Extremity painRelieving Extremity pain

(1)upper: LI15, LI11, LI4, SJ6, SI3(1)upper: LI15, LI11, LI4, SJ6, SI3

(2)lower: GB30, GB31, GB34, ST38, UB62(2)lower: GB30, GB31, GB34, ST38, UB62

7. Shoulder pain: puncture SJ5 of healthy side, 7. Shoulder pain: puncture SJ5 of healthy side, St38. St38.

8. Facial pain8. Facial pain (1)fore headache: UB2, GB14, Yuyao(1)fore headache: UB2, GB14, Yuyao (2)upper : St2, St3, GB3 (2)upper : St2, St3, GB3 (3)lower : Ja Chengjiang, St6,St7 (3)lower : Ja Chengjiang, St6,St7

9. Toothache: 9. Toothache: First puncture Ren24, then First puncture Ren24, then Du16, St8 Du16, St8 (1)upper teeth: St7, St44 (1)upper teeth: St7, St44 (2)lower teeth: St6, LI4 (2)lower teeth: St6, LI4

10. Throat pain10. Throat pain (1)acute: bleeding LI1 and Lu11, LI4(1)acute: bleeding LI1 and Lu11, LI4

(2)chronic: Lu7, Ki6, Ren22(2)chronic: Lu7, Ki6, Ren22

(3)Lu10, San Xiang(3)Lu10, San Xiang

Acupuncture for DiseasesAcupuncture for Diseases

1.Trigeminal neuralgia----St25 or fire needles for the 1.Trigeminal neuralgia----St25 or fire needles for the local.local.

2. Torticollis ---GB2 or GB392. Torticollis ---GB2 or GB39

3. Cholecystitis —LI 113. Cholecystitis —LI 11

from GB40 to KI 6from GB40 to KI 6

4. Frozen shoulder--- St38 to UB57 UB14 towards under scapulae5. Phantom pain---Si Shen Chong, ear point that relates to the location of pain

6. Ascariasis and gall balder stone—Dan Nang Xue(Gall Balder), Ashi(Saline 0.5cc, inject under skin).

7. Brachial plexus neuragia __ 7. Brachial plexus neuragia __ Bicong.Bicong.

(acute pain at onset across the top of (acute pain at onset across the top of the shoulder-blade followed by the shoulder-blade followed by

weakness and atrophy on muscles weakness and atrophy on muscles supplied in most cases by superior supplied in most cases by superior

brachial plexus.)brachial plexus.)

Thank You !Thank You !