OM301
Advanced Acupuncture Techniques (ACU521)
Diagrams of Acupuncture Manipulations, a first Chinese-English book on the manipulations of needles, is divided into six chapters.
Chapter 1:
Essentials of Acupuncture This chapter introduces general knowledge related to acupuncture, including information about holding the needle, obtaining acuesthesia (sensations experienced during acupuncture), and withdrawing the needle.
Chapter 2:
Needling Techniques of the Filiform Needle Considered the core of the book, this chapter covers various techniques related to the use of the filiform needle. It includes over 10 kinds of supplement缸y techniques used before and after needling, over 20 kinds of supplementary needling techniques, 8 kinds of general strengthening and reducing techniques, about 23 kinds of complex needling techniques, and other needling techniques.
Chapter 3:
Needling Techniques in Neijing This chapter primarily focuses on introducing the Nine Needling and Five Needling Techniques mentioned in the ancient Chinese medical text known as the Neijing. It may provide insights into the historical and traditional aspects of acupuncture.
Chapter 4:
Penetrated Techniques This chapter delves into various specialized needling techniques that involve penetrating the skin. It specifically mentions Twelve Needling Techniques, Three Needling Techniques, and Qi Directing Needling, totaling about 53 kinds of special penetrated needling techniques.
Chapter 5:
Artistic Needling In this chapter, the author explores 44 kinds of artistic needling techniques that have shown effectiveness in clinical use. These techniques likely involve skillful and precise needle manipulation.
Chapter 6:
Special Needling Techniques The final chapter introduces 11 additional special needling techniques. It is unclear what these techniques specifically entail without further information.
Overall, the book appears to provide a comprehensive overview of various acupuncture techniques, including traditional, specialized, and artistic approaches. It covers a wide range of needling techniques that practitioners can utilize in their clinical practice.
CHAPTER 2 NEEDLING TECHNIQUES FOR THE FILIFORM NEEDLES
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CHAPTER 2
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SECTION 1
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SECTION 2
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SECTION 3
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SECTION 4
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SECTION 5
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SECTION 6
SECTION 1 BASIC TECHNIQUES FOR MANIPULATION
SECTION2 SUPPLEMENTARY TECHNIQUES USED BEFORE AND AFTER NEEDLING
SECTION 3 SUPPLEMENTARY TECHNIQUES FOR MANIPULATION
SECTION 4 GENERAL STRENGTHENING AND REDUCING TECHNIQUES
SECTION 5 COMPLICATED NEEDILING TECHNIQUES
SECTION 1 BASIC TECHNIQUES FOR MANIPULATION
1 . Lifting and thrusting techniques
2. Rotating techniques
SECTION2 SUPPLEMENTARY TECHNIQUES USED BEFORE AND AFTER NEEDLING
The supplementary techniques used before and after needling are for the purpose of better performance of the needling methods and better therapeutically efficacy of needling.
1 . Measuring
(1) Measuring with fingers
(2) Measuring through pressing
(3) Measuring through detaching and moving
(4) Measuring through rotating
(5) Measuring through shaking
2. Nail scratching
3. Nailing
4. Holding by Fingers
5. Fingering
6. Holding
7. Pinching
8. Knocking
9. Pressing
10. Tapping
11. kneading
12. Digging
SECTION 3 SUPPLEMENTARY TECHNIQUES FOR MANIPULATION
•Supplementary techniques are complements for the basic manipulating techniques and are used to promote and reinforce De Qi (acu-esthesia).
1. Insertion
2. Rotation
3. Twisting
4. Flicking
5. Scraping
6. Finger Moving
7. Stirring
8. Swinging
9. Swaying
10. Swaying for dissipation
11. Swirling
12. Tremoring
13. Thrusting
14. Pushing by rotation
15. Pushing
16. Suppressing
17. Knocking
18. Flying
19. Bending
20. Picking
21. Protruding
22. Bending and cushioning
23. Seeking
24. Withdrawing
25. Retaining
26. Lifting
27. Pulling
SECTION 4 GENERAL STRENGTHENING AND REDUCING TECHNIQUES
1. 提插补泻法
Strengthening and reducing techniques by lifting and thrusting
When Qi is obtained after insertion, the needle is manipulated from the shallow region to the deep region with more thrusting and less lifting as well as repeatedly heavy thrusting and gentle lifting. This is the strengthening technique, thrusting as the main technique.
2. 捻转补泻法
Strengthening and reducing techniques by rotation
•Clockwise (Left rotation) of the needle, with the thumb pushing forward and the index finger backward, means strengthening
Contraclockwise (Right rotation) of the needle, with the thumb pushing backward and the index finger forward, means reducing
3. 徐疾补泻法
Strengthening and reducing techniques by speed
•Slow insertion and quick withdrawal mean strengthening.
• While quick insertion and slow withdrawal means reducing
4. 迎随补泻法
Strengthening and reducing techniques by confrontation and following
the tip of needle following the meridian route to nourish qi means strengthening.
The tip confronting the meridian route to reduce means reducing.
5. 呼吸补泻法
Strengthening and reducing techniques according to respiration
•To insert or rotate the needle in the exhalation of the patient and to withdraw the needle in the inhalation means strengthening.
The opposite practice means. reducing
6. 九六补泻法
Nine-Six strengthening and reducing techniques.
•Six means reducing
•Nine strengthening.
7. 开阖补泻法
Strengthening and reducing techniques by opening and closing the needled acupoint
•After withdrawing the needle, immediately press the needled acupoint means strengthening. while to enlarge the needled acupoint by swaying means reducing.
8. 平补平泻法
Normal strengthening and reducing (even) techniques
The needle is manipulated slowly and evenly by lifting, thrusting and rotating to strengthen the stimulation when it is inserted into a certain depth.
SECTION 5 COMPLICATED NEEDILING TECHNIQUES
1. Shao Shan Huo/Heat-inducing method
•Clinical Application
•This is a powerful tonify method which is applicable to Deficiency cold syndromes.
•Method
The needle is inserted and manipulated in the shallow, middle and deep regions. The needle is manipulated for nine times by means of quick insertion and slow lifting (or rotation) in each layer from the shallow region to the deep region in turn, then the needle is withdrawn to the shallow region, which is called one time.
The way of needling. can be repeated for several times to induce heat sensation.依穴位可刺的深度，分作浅、中、深三层或浅、深两层操作。
针刺先浅后深，每层（部）依次各施紧按慢提（或用捻转）法九数，然后退针至浅层，称为一度。如此反复施术数度，使之能引起温热感。2. Tou Tian Liang/Cold-inducing method
•Clinical Application
•This is a strong reducing technique used to reduce heat in treating Excessive heat syndrome.
•Method
When inserted into the deep region, the needle is manipulated in the deep, middle and shallow regions, characterized by quick lifting and slow pressing or rotation for six times in each levels, which is known as one time.
This method is performed repeatedly for several times to produce cool sensation.
针刺入后直插深层，依穴位的可刺深度分作浅，中，深三层，或钱，深两层操作。先深后浅，依次在每一层中各施紧提慢按（或捻转）六数（一进三退两次，或一进二退三次），称为一度。如此反复施术数度，使之产生凉感。
3. Yáng zhōng yǐn yīn fǎ/ Yin-hiding-in-yang method
•Clinical Application
•Yin-hiding-in-yang is characterized by first strengthening and then reducing.
•Method
•The strengthening technique is first performed in the shallow region ( nine times of quick pressing and slow lifting) and then reducing technique is performed in the deep ( six times of quick lifting and slow pressing)
视穴位的可刺深度，分浅（ 5 分）、深(1 寸）两层操作。先在浅层行补法--紧按慢提九数，再进入深层行泻法--紧提慢按六数。
4. Yīn zhōng yǐn yáng fǎ/ Yang-hiding-in-yin method
•Clinical Application
•Yang-hiding-in-yin is characterized by reducing first and then strengthening.
•Method
•The needle is manipulated by reducing technique in the deep region (six times of quick lifting and slow pressing) and then withdrawing to the shallow region (nine times of quick pressing and slow lifting) for the performance of strengthening technique.
与阳中隐阴相反，进针后先在深层行泻法--紧提慢按行六数，再退到浅层行补法--紧按慢提行九数，是一种先泻后补的方法。
5. Zǐ wǔ dǎo jiù fǎ/ Left-right rotating, up-down thrusting-lifting method
•Clinical Application
•This method aims at directing the qi of yin and yang, as well as simultaneous strengthening and reducing.
It is also effective for subduing swelling and inducing diuresis. So, it can be used to treat edema and flatulence, etc.
•Method
•When Qi is obtained, nine times of quick pressing and slow lifting are performed first followed by six times of quick lifting and slow pressing and rotation.
This technique is performed repeatedly.是进针得气后，先紧按慢提九数，再紧提慢按六数，同时结合左右捻转，反复施行。
6. Lóng hǔ jiāo zhàn fǎ / Dragon-tiger-struggle method
•Clinical Application
•This technique is quite effective in relieving pain.
•Method
•When inserted and Qi obtained, the needle is rotated left first ( the thumb rotates forward for nine times) and then to the right ( the thumb rotates backward for six times) .
•This method can be performed repeatedly or in the shallow, middle and deep regions.
方法是进针得气后，先以左转为主，即以拇指向前用力捻转九数，再以拇指向后用力捻转六数；如此反复施行多次，也可分浅、中、深三层重复进行。
7. Lóng hǔ shēng jiàng fǎ/Dragon-tiger-ascending-descending method
•Clinical Application
•This method is mainly used to move qi and relieve pain, treat pain and disharmony between ying and wei.
•Method
•manipulates the needles alternately with left and right hands. The right thumb goes forward, and the needle is rotated to the left; the left thumb goes forward, and the needle is rotated to the right. and the manipulation can be combined with pressing downwards and lifting upwards, so as to promote the qi flow in the meridians.
进针得气后，医者以左右手交替运针，右手拇指向前，捻针左转；左手拇指向前，捻针右转；一左一右，两手同时并用，并可配合下按上提，即下插上提之法，以促使经气运行。
8. Lóng hǔ shēng téng/ Dragon-tiger rising method
•Clinical Application
•This method belongs to Meridian-Stimulating-for-Qi-Promoting methods, and can be used to treat symptoms resulted from stagnation of qi and blood, such as pain in the chest and abdomen, etc.
After insertion of the needle. and arrival of Qi,
a. the needle is swirled for 1 circle to the left and
b. pressed downwards, then
c. it’s swirled again for 1 circle to the right and pressed downwards,
e. the needle is pushed and bent by the middle finger. Repeat the manipulation for nine times after which
f. needle is inserted to the deep region. Then,
g. the needle is swirled for 1 circle to the right and
h. lifted upwards,
i. which is followed by swirling for 1 circle to the left and
j. lifting upwards, and the bow method by pushing and
k. bending the needle with the middle finger is applied. Repeat the manipulation for six times.
进针得气后，先在浅部做左盘动作一圈并下按，再做右盘动作一圈井下按，再用中指按捺针身如拔弩机之状，如此反复9次，然后将针入深部，做右盘并上提动作一圈，再做左盘井上提动作一圈，再以中指按捺针身做弩法，如此反复6 次。
9. Lóng hǔ jiāo téng / Dragon-tiger crossing-rising method
•Clinical Application
•The method can promote qi and move qi.
•It is mainly used to treat acute conjunctivitis, initial onset of carbuncles and febrile diseases.
•Method
•The needle is rotated alternately to the left and right for twenty-seven times. After a while, the needle is rotated forwards with the thumb and pressed downwards (thrust), and the needle tail is flicked to promote qi,
• then pressed downwards and lifted upwards to move qi.
进针得气后，先以一左一右捻针27 次，稍息，再以拇指向前转针并下按（插），并用拇指弹动针尾以催气，行下按上提动作以使气行。
10. Jìn qì fǎ / Qi-pushing method
•Clinical Application
•To treat pain of the back, waist, elbow and knee as well as general migratory pain.
•Method
•When inserted into the deep region ( 9 fen) and Qi obtained, the needle is manipulated with strengthening technique ( nine times of quick pressing and slow lifting) . Then the needle is pressed flat with the tip pointing upward (to proximal regions) so as to direct Qi upward.
进针后刺入深层（ 9 分），将气后施行补法，如紧按慢提九数。然后将针卧倒，针尖向上（向心）让针下感应上行。
11. Liú qì fǎ / Retention of qi method
•Clinical Application
•To disperse abdominal masses.
•Method
•When inserted into the middle region and Qi obtained, the needle is manipulated by strengthening technique ( such as nine times of quick pressing and slow lifting) , then thrusted to the deep region and lifted to the original region to maintain Qi so as to dissipate stagnation.
进针后刺人中层（ 7 分），得气后施行补法，如紧按慢提九数，然后将针直插至深层，再提针回原处，使气留针下而消积聚。
12. Chōu tiān fǎ/ Repeated lifting and pressing method
•Clinical Application
•To treat paralysis, sores and other cutaneous diseases.
•Method
•After the insertion, the needle is lifted and thrusted or rotated for nine times to promote Qi, then lifted and thrusted in various directions, and finally thrusted and pressed perpendicularly.
是进针后先提插或捻转九数以促使得气，再向周围做多向提插，然后再下直刺按纳。
13. Yùn qì fǎ / Qi-transporting method
•Clinical Application
•To promote qi flow and to stop pain.
•Method
•The needle is inserted perpendicularly and then lifted and thrusted or rotated for six times. After Qi is obtained, the needle is pointed obliquely to the focus of the disease and the: patient is asked to take deep breath for five times for qi to flow to the location of the disease.
先进针直刺做提插或捻转6 次，得气后将针斜向病所，深吸气五口，使气至病所
14. Tí qì fǎ / Qi-lifting method
•Clinical Application
•To strengthen the healthy qi to eliminate pathogenic factors and to promote qi flow for the treatment of unsmooth flow of qi and blood as well as obstruction by invasion of exogenous pathogenic factors, such as cold and numbness of the limbs .
•The needle is manipulated in the Human region by six-numbered quick lifting and slow pressing techniques for 6, 12 or 18. . . times according to the condition of Qi. With the arrival of Qi, the needle is rotated to promote meridian qi circulation.
•At the same time the needle is mildly lifted to concentrate the meridian qi and to accumulate yingqi and weiqi underneath the needle.
先在人部紧提慢按六阴数泻之，可行6,12,18· …··不等，根据针下气至情况决定泻法次数。等气至后再左右捻针，催行经气，同时轻轻将针上提，而使经气集中，营卫之气汇聚于针下。
15. Zhōng qì fǎ/ Qi-mediating method
•Clinical Application
•To eliminate mass, to harmonize yin and yang; to direct yang to the yin region and vice versa.
•Method: Judge the yin or yang location of the disease first.
•If the disease is located in the yang, the needle is inserted to the yang region, quickly pressed and slowly lifted for nine times and then pushed to the yin region ( an angle of 45 。is formed between the skin and the needle) by bending the body of the needle with the tip pointing to the direction of the focus of the disease. The patient is asked to exhale for five times. Then the needle is held straight. After a while it is withdrawn.
•If the disease is located in the yin, the needle is inserted into the yin region, quickly lifted and slowly pressed for six times. After Qi is obtained, the needle is lifted to the yang region and bent ( an angle of 45 。is formed between the needle and the skin) .
•The needle points to the focus of the disease and the patient is asked to inhale for five times. Then the needle is held straight. After a while, it is withdrawn.
如在阳则先行运气之法，即将针刺入阳分，紧按慢提，行九阳数得气；刺入阴分，扳倒针身（约与皮肤呈45 。角），针尖朝向病所，令患者呼气五口；然后扶针直立，停片刻后出针。
如在阴则亦先行运气之法，即将针刺人阴分，紧提慢按，行六阴数，得气；提针至阳分，扳倒针身（约与皮肤呈45 。角），针尖朝向病所，令患者吸气五口；然后扶针直立，停片刻后出针。
16. Rè bǔ fǎ/ Pyretic(Heat) strengthening method
•Clinical Application
•To treat asthenia(deficiency) cold syndrome.
the thumb of the right hand rotated the needle forward for 3 - 5 times. When heavy and sunken sensation is felt beneath the needle, the needle is heavily thrusted and lightly lifted for 3 – 5 times at the area with De qi. The thumb rotates the needle forward for another 3 - 5 times and the point of the needle reaches the area with De qi and keeps the heavy and sunken sensation beneath the needle to produce heat sensation beneath the needle.
医者左手示指或拇指紧按针穴，右手将针刺入穴内，候其气至。左手加重压力，右手拇指向前连续捻按3 ～ 5 次，候针下沉紧，针尖拉着有感应的部位，连续重插轻提3 ～ 5 次。拇指再向前连续捻按3 ～ 5 次，针尖顶着产生感觉的部位守气，使针下继续沉紧，产生热感。根据病情留针后，急们穴孔。
17. Liáng xiè fǎ Cold reducing method
•Clinical Application
•To treat Excessive heat syndrome.
the thumb of the right hand rotates the needle backward for 3 - 5 times. When heavy and sunken sensation is felt beneath the needle, the needle is withdrawn a little and the point of the needle is lightly trusted and heavily lifted for 3 - 5 times in the area with De qi. The thumb rotates the needle backward for another 3 - 5 times.
After the retention of the needle according to the pathological conditions concerned, the needle is quickly withdrawn without closing the needled acupoint.
医者左手示指或拇指紧按针穴，右手将针刺入穴内，候其气至。左手减轻压力，右手拇指向后连续捻提3 ～ 5 次，候针下沉紧，提退1 分左右，针尖向有感应的部位，连续轻插重提3 ～ 5次。拇指向后再连续捻提针3 ～ 5 次，针尖拉着产生感应的部位守气，使针下松滑，产生凉感。根据病情留针后，急速将针拔出、不扪针孔。
18. Jìn huǒ bǔ fǎ/ Strengthening method by inducing heat
•Clinical Application
•This method is less simulative than heat-producing needling and it has the same indications as those.
The patient is asked to exhale and then the needle is inserted for 1 fen, when De qi is felt, the needle is quickly pressed and slowly lifted for 3 time in the area with De qi. Each time the needle is trusted 1 fen, this procedure is repeated for 3 times to produce pyretic sensation beneath the needle.
If there is no pyretic sensation, the patient is asked to inhale by the nose and exhale by the mouth for 3 times to make the point of the needle tremor so as to produce pyretic sensation.
令患者口中呼气，随其呼气用指切速刺法，将针刺入1 分，候有感应，则用针尖拉着有感应的部位，连续地紧按慢提3 次，每进针1 分，则按上法连续操作3 次，以取得针下温热感。如无热感，则令患者做鼻吸口呼的自然呼吸3 次，使针尖颤动而针下有热感至。如有热感，则慢慢将针拔出，急按针孔。
19. Jìn shuǐ xiè fǎ/ Reducing method by inducing cool sensation
•The method is less simulative than cold-inducing technique and it has the same indications.
As the patient inhales and insert the needle into the deep region by stretching the skin with the pressing hand and without rotation of the needle.
Withdraw the needle a little when Qi is felt, slowly press and heavily lift the needle three times for 1 fen upward and downward to produce cold sensation beneath the needle.
When I fen is retreated, the needle is manipulated for 3 times with the above procedure to produce cool sensation.
令患者口中吸气，随其吸气，押手用舒张法，缓慢地、不捻不转地将针进至穴位深层（地部），候针下有感应时，将针提退1分，在1 分上下的范围内连续地慢按紧提3 次，每提退1 分，则按上法连续操作3 次，以取得针下凉感。如有麻凉或触电样感觉，则将针急速拔出，不闭针孔。
20. Qīng lóng bǎi wěi fǎ/ Blue-dragon-wagging-tail method
•Clinical Application
•This method aims at directing qi and warming the meridian to promote the circulation of qi and blood.
Clinically it is used to cure various abdominal mass, goiter, tumors, scrofula, arthralgia and other problems due to the stagnation of qi, blood and meridians.•Method
•The needle is inserted to the shallow region obliquely; or the deep region first then the shallow region, with the tip pointing to the location of the disease in question. When Qi is obtained, the handle of the needle is rotated slowly, like the steersman turning the helm, from the right to the left to transmit meridian qi. to distant region.
将针斜向浅刺，或先深后浅，针尖刺向病所，得气后，再将针柄缓缓摆动，好像手扶船舵或左或右而调整航向一样，以推动经气向远端传导。
21. Bái hǔ yáo tóu fǎ/ White-tiger-shaking-head method
•Clinical Application
•This technique is used to promote meridian qi flow and to reduce excessive factors.
•Method
•When inserted perpendicularly deep into the muscle, the needle is shaken quickly like the ringing of a bill, Lift the needle while shaking.At the same time one end of the meridian is pressed by the fingers of the left hand to close the meridian at this direction, qi to flow to the other direction and to the location of the disease.
直刺捻转进针，直达深层（地部），得气后将针快速左右摇动，如手摇铃一样，边摇边提针。与此同时，于所针揄穴经脉的一端，用左手指按压，让此端经脉关闭，使经气沿经脉向另一端传导运行，直达病所。
22. Cāng guī tàn xué fǎ/ Black-tortoise-exploring-hole method
•Clinical Application
•This method is effective to promote the circulation of qi, dredging meridians and directing Qi from the shallow region to the deep region and other directions.
•Method
•When inserted into the selected acupoint, the needle is with-drawn to the shallow region and then trusted to various directions in the shallow, middle and deep regions like a tortoise exploring its holes.
将针刺入穴位后，先退至浅层，然后更换针尖方向，前后左右多向透刺，浅、中、深三层逐渐加深，如龟入土深穴四方钻剔。向不同方向探刺以寻找最佳针刺感应，或加大剌激量以增强得气感。
23. Chì fèng yíng yuán fǎ/ Red-phoenix-meeting-its-source method
•Clinical Application
•This method is used to promote qi circulation, and promote the flow of meridian qi.
•Clinically it can be used to treat various pain disorders.
•Method
• When inserted into the deep region with Qi obtained, the needle is lifted to the shallow region. Then insert it into the middle region.
The needle is manipulated with a flying technique, like a red phoenix spreading its wings to promote the circulation of meridian qi.
先将针直剌入深层，得气后再上提至浅层，候气摇针，再插入中层，然后用提插捻转，结合一捻一放，形如赤凤展翅飞旋，以达通行经气的作用
SECTION 6 OTHER NEEDLING TECHNIQUES
1. 刺营卫法 Needling ying and wei method
•Clinical Application
•To regulate Ying-nutrient qi and wei-defensive qi.
•Method
•(1) The needling of wei-yang phase should be shallow with transverse needling technique.
•(2) For the needling of wei phase, the needle is quickly inserted into the skin by the right hand and is rotated, thrusted, and lifted to stimulate the first layer of Qi.
•(3) When needling Ying-yin phase, should be not to impair wei in the superficial layer. Before needling, the acupoint should he pressed by the left hand first to dissipate weiqi in the shallow region, then the needle is inserted into the deep region.
(1）针刺卫阳部分，只宜浅刺，用沿皮横刺，以免伤及深层营气；
(2）刺卫方法：右手持针速刺至皮下，用捻转和提插等方法剌激第一针感层，或用平刺法，达到应有针感后起针。
(3) 刺营法：左手按压皮肤，使血散开，右手持针刺人皮下，再直刺至深部或疼痛之所，达到应有针感后起针。
2. 单刺术 Single needling method
•Clinical Application
•Since the Stimulation is mild, it is used to treat children and those who have never received needling treatment or patients with extreme weakness.
•Method
•When inserted into the muscles, the needle is withdrawn quickly.
针刺达肌层间，立即将针拔出
3. 旋捻术 Rotatory needling method
•Clinical Application
•For stimulation purpose.
•Method
•When the needle is being inserted or withdrawn, the needle is rotated quickly with the thumb and index finger of the right hand and this is a relatively strong stimulative technique.
在针刺人时或刺入后或拔出之际，右手的拇、示二指将针左右旋转（捻转），是一种稍强的剌激手法。
4. 雀啄术 Sparrow-pecking method
•Clinical Application
•This technique is used for stimulation only.
•Method
When inserted into the required depth, the needle is lifted and thrusted rapidly like sparrow pecking.在针尖到达一定深度后，将针体上提下插，如雀之啄食状，频频急速上下运动。
5. 屋漏术 Leakage-needling method
•Clinical Application
•This technique is used for strong stimulation.
•Method
• Inserted 1/3, the needle is manipulated by sparrow-pecking method;
•inserted another 1/3, the needle is again manipulated by sparrow-pecking method;
•withdrawn 1/3 each time, the needle is manipulated in the same way.
与雀啄术稍有不同，即针体的1/3 刺入，微行雀啄术；再进1/3 ，仍行雀啄术；在退针之际，亦如刺入时，每退1/3行雀啄术而出针。
6. 震颤术 Tremoring-needling method
•Clinical Application
•For excitation of flaccid vessels, muscles and nerves.
•Method
•The needle is tremor slightly up and down when manipulated by scraping or flicking the handle of the needle with the index finger to shake the upper part of the handle of the needle.
在针刺后行轻微上下的震颤，或在针柄上抓搔数次，或用示指频频轻口口，摇动针柄上端。
7. 乱针术 Irregular-needling method
•Clinical Application
•For strong stimulation to induce and relieve congestion and stagnation of blood.
•Method
•When inserted to a certain depth, the needle is immediately withdrawn beneath the skin and then thrusted slowly or quickly, forward, or backward to the left or to the right freely.
在针刺入一定深度后，立即提至皮下，再行刺入，或快或慢，或向前向后，或向左向右，随意徐进。
8. 间歇术 Intermittent-needling method
•Clinical Application
•To treat Vasodilation or muscular flaccidity.
•Method
•Inserted ,to a certain depth, the needle is rotated, lifted and thrusted for several times.
•Retained for a while, the needle is rotated, lifted and thrusted again.
•After a while of retention. the previous procedure is repeated for several times.
针刺入一定深度后，时而捻转提插数次，留置片刻，再提插捻转数次，再留置之，重复数次。
9. 滞针留针法 Retaining-needling method
•Clinical Application
•Strong stimulation is used for strong constitution with excessive syndromes.
•Method
•Inserted into the muscles, the needle is rotated unidirectionally so that the point of the needle twines with the muscular, fibers, and then: other strengthening or reducing techniques can be applied.
针刺入肌层后，行单向捻搓，使针尖与周围组织纤维缠住滞紧，然后再行其他手法或补泻。
10. 关闭辅助行气法 Close-open supplementary technique for promoting qi flow
•Clinical Application
•To promote qi flow.
•Method
•The left hand helps the right hand to lift and thrust or rotate the needle to promote qi flow. In the manipulation of the needle, if qi flows back when it is desired to flow forward, the thumb of the left hand presses the back part of the needle to prevent qi from flowing back. If qi is desired to flow back, the front part of the needle is pressed. If qi flows to both sides, the. side is pressed to direct qi to flow along the meridian forward.
即运用左手来辅助右手进行提插或捻转的行气方法。当行针时，欲气前行，而气反向后行，这时可用左手拇指按压针后部位，以控制经气的向后行。欲气后行则可按压在针前部位，如气向两边者，可按压在旁，以使气循经前行。
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CHAPTER 3-5
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CHAPTER 3
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CHAPTER 4
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CHAPTER 5
CHAPTER 3 NEEDLING TECHNIQUES IN NEI JING
CHAPTER 4-Penetrated Needling
CHAPTER 5-Artistic Needling
CHAPTER 3 NEEDLING TECHNIQUES IN NEI JING
第一节九刺法
SECTION 1 NINE NEEDLING TECHNIQUES
1. 输刺 Shu needling
•Clinical Application
•It is used to treat diseases of five zang-organs.
•Method
•To treat diseases of the five zang-organs, Ying-Spring and Shu Stream points and the Back-Shu points of the five zang organs can be selected.
2. 远道刺 Distal needling
•Clinical Application.
•It is used to treat diseases of the six fu organs.
•Method
•The diseases of the six fu organs are treated by needling the lower He-Sea acupoints on the three yang meridians of the foot. This means “treating the upper disease by needling the lower part of the body" and “He-Sea acupoint functioning to treat the fu organs”.
3. 经刺 Meridian needling
•Clinical Application
To treat the disorders of the meridian
•Method
This method is used to treat the stagnation of qi and blood as well as accumulation phenomena ( such as blood stasis, harden and tenderness) over the circulating route of the meridian proper by needling the acupoints on the affected meridian alone4. 络刺 Collateral needling
•Clinical Application
•It is used to treat excessive heat syndromes.
•Method
To needle the small collaterals shallowly to induce bleeding
5. 分刺 Muscular needling
•Clinical Application
•This method is used to treat Bi Zheng, Wei Zheng or old trauma.
•Method
This method mainly inset the needles directly into the muscles attached to the bones
6. 大泻剌
Major reducing needling
•Clinical Application
•To dredge pus and ascites
•Method
This method is used to incise or to puncture for the elimination of pus and blood and dredging of ascites in the area with abscess, hematoma or edema
7. 毛刺 Cutaneous needling
•Clinical Application
•To treat cutaneous numbness and superficial diseases.
•Method
•To needle shallowly into the skin and not deep into the muscles.
8. 巨刺 Opposite-side needling
•Clinical Application
•To treat the disorders on the left side by needling the right side and vice versa.
•Method
To treat the disorder on the left side by needling the right side and vice versa. Since qi in the meridians exchanges from the left to the right, this method can also treat diseases
9. 淬剌 Cauterized needling
•Clinical Application
•This method is used to treat cold pain, scrofula and carbuncle.
•Method
The needle is burned red 1/3 - 1/2 and then immediately inserted into the selected acupoint
第二节 十二剌法
SECTION 2
TWELVE NEEDLING TECHNIQUES
1. 偶刺 Symmetrical needling
•Clinical Application
• This method is used clinically to treat visceral diseases by the combination of the Front Mu points and Back shu points.
•Method
•One hand presses the front (corresponding to Front-Mu point on the chest), the other hand presses the back (corresponding to Back Shu point). The needles are inserted into the tenderness felt on the front and back.
•Such a front-back needling technique is known as symmetrical needling, also called “ yinyang needling”
2. 报刺 Trigger needling
•Clinical Application
•To treat migratory pain or diseases.
•Method
•To needle the region felt painful by the patient.
•When the needle is manipulated, ask the patient whether the pain of the needled region is stopped.
Then tenderness on the other region is needled
3. 恢刺 Rehabilitating needling
•Clinical Application
•To treat obstructive pain due to cramps of musculature by needling around the affected region.
•Method
•The needle is inserted beside the joint.
When Qi is obtained, ask the patient to move the joint and repeatedly change the direction of needling for dredging the meridians and. Relieving spasm of the tendons
4. 齐刺Ranked needling
•Clinical Application
•To treat deep obstructive, pain over a small region.
•Method
One needle is inserted into the middle and two are on both sides. Three needles are inserted together. That is why it is so named
5. 扬刺 Surrounded needling
•Clinical Application
•To treat obstructive disease with superficial cold retention in a larger area.
•Method
One needle is inserted on the middle and four others are inserted on the upper, lower, left and right respectively. The needled area is not concentrated, so it is called surrounded needling
6. 直针刺 transverse needling
•Clinical Application
•To treat superficial and collateral disease by shallow needling.
•Method:
Knead the acupoint and needle by the skin
7. 输刺 Shu needling
•Clinical Application
•To dissipate pathogenic heat through directing yang away from yin.
•Method:
The needle is inserted perpendicularly deep to wait for acu-esthesia and when Qi is obtained, the needle is slowly withdrawn
8. 短剌 Short needling
•Clinical Application
•To treat deep located disease like obstructive disorder of the bone.
•Method
Insert the needle slowly to the deep by slight shaking and then rotate it mildly when it gets near the bone
9. 浮刺 Superficial needling
•Clinical Application
•To treat Superficial illness by shallow needling.
•Method
Transverse needling or obliquely shallow needling
10. 阴刺 Yin needling
•Clinical Application
•To treat yin cold.
•Method
To needle an acupoint on the right and left sides simultaneously
11. 旁针刺 Accompanied needling
•Clinical Application
•This method is used to treat stubborn obstructive syndrome with obvious tenderness, fixed location and prolonged course.
•Method
One needle is inserted perpendicularly, another is inserted obliquely beside
12. 赞刺
Repeated and sparse needling
•Clinical Application
•To treat carbuncle, furuncle and erysipelas.
•This method belongs to bloodletting needling methods.
•Method
•The needle is inserted. perpendicularly, and withdrawn straightly, characterized by shallow needling and quick withdrawal of the needle.
•This is a repeated, sparse, shallow and bloodletting technique.
第三节五刺法
SECTION 3
FIVE NEEDLING TECHNIQUES
1. 半刺 Semi-needling
•Clinical Application
•To treat wind and cold attack of the superficies, fever, cough, and other diseases involving the lung as well as some skin diseases.
•Method
The needle is inserted only into the skin and then is quickly withdrawn like the pulling a piece of body hair
2. 豹纹刺 Leopard-spot needling
•Clinical Application
•To treat tumescent (swollen) and pyretic (fevered) pain.
•Note
•Since the heart controls blood and vessels·,. this method works on the regulation of cardiac qi.
•Method
To select one acupoint as the centre and to needle sparsely around for blood-letting
3.关刺 Joint needling
•Clinical Application
•To treat obstructive disorder of the tendons.
•Method
This method focuses on needling the tendons around the joints. Since the tendons converge around the joints, the tendons and muscles of the four limbs all end near the joints
4. 合谷刺 Hegu needling
•Clinical Application
•To treat obstructive problems.
•Note
•This technique is characterized by inserting the needle into the muscles. Since muscles are controlled by the spleen, this method can regulate spleen qi.
•Method
To insert the needle deep into the regions with thick muscles, then to withdraw the needle to the shallow region and push the needle obliquely to both sides
5. 输刺 Shu needling
•Clinical Application
•To treat obstructive pain of the bones (including diseases located in the deep regions) .
•Note
•Since kidney controls bones, this method can regulate renal qi.
•Method
This method means to insert the needle perpendicularly deep to the bones and withdraw straightly.
第四节三剌法和导气法
SECTION 4 TRIPLE NEEDLING AND QI-DIRECTING TECHNIQUES
1. 三剌法 Triple needling techniques
•Clinical Application
•To remove pathogenic factors and to maintain the healthy qi.
•Method
•The needle is inserted to the shallow layer first to expel pathogenic factors and promote blood circulation,
•then to the middle layer to disperse yinqi and
finally the deep layer for the purpose of descending meridian
2. 导气法 Qi-directing technique
•Clinical Application
•This method does not have the effect of reducing and strengthening, it is used to treat Qi not move smoothly.
•Method
•When inserted into certain depth, the needle is manipulated evenly, slowly and mildly with lifting, thrusting and rotating techniques to obtain Qi. The speed of lifting, thrusting and rotation are the same. When Qi is reached, the needle is retained for a while and then withdrawn.
CHAPTER 4-Penetrated Needling
•Penetrated needling is a special needling technique.
•This way of needling requires needling from one acupoint into another one, accomplishing the purpose of needing two or more acupoints with one needle.
•Penetrated needling is characterized by use of fewer needles, the stimulation of more acupoints and alleviation of pain produced by needling.
•The coordinated effect of several acupoints is helpful for effective treatment.
3. 通天针 Tongtian needling
•Clinical Application
•It is used to treat cold, headache, vertigo, meniere’s disease, multiple neuritis, facial spasm, hypotension, coma, collapse, disease of eyes, ears and nose, gynecological disease, and reproductive disease, etc.
•Method
•The needle is inserted beneath the skin from Shenting(DU24) to Baihui (DU20).
8. 率谷对锋刺 Shuaigu duifeng needling
•Clinical Application
•If is mainly used to treat obstinate headache and stiff pain of the neck.
•Method
•One needle is inserted from Taiyang to Shuaigu (GB8).
•Another needle is inserted from Fengchi(GB20) to Shuaigu(GB8).
10. 清耳术 . Ear-clearing needling
•Clinical Application
•It is mainly used for treat deafness, tinnitus ear carbuncle.
•Method
•One needle is inserted from Ermen(SJ21) to Tinghui(GB2).
•Another needle is inserted from Xiaguan(ST7) to Tinggong(SI19).
11. 二龙针 Two dragons needling
•Clinical Application
•It is mainly used to treat epilepsy, neurasthenia, rhinitis, nasal sinusitis, and multiple neuritis.
•Method
•The needle is inserted beneath the skin from Quchai(UB4) to Tong tian(UB7).
16. 大地向颊剌 Da di to jia needling
Clinical Application
The method is used to treat facial paralysis, deviation of the mouth and toothache.
•Method
•One needle is inserted from Dicang(ST4) to Penetrate to Jiache(ST6), 1 - 1.2 cun. Then Daying (ST5) is penetrated to Jiache needle the depth is 1 -1.2 cun.
17. 八字针 Bazi needling
•Clinical Application
•It is mainly used to treat headache, migraine, vertigo, neurasthenia, facial paralysis, toothache, facial spasm, Meniere’s disease and multiple neuritis.
•Method
•The needle is inserted beneath the skin from Hanyan (GB4) to Qubin(GB7).
20. 清明术 Technique for improving eyesight
•Clinical Application
•To treat eye diseases.
•Method
The needle is inserted from Gaohuang(UB43) through to Jianzhongshu(SI15).
21. 四花至阳刺 Sihua zhiyang needling
•Clinical Application
•The method is used to treat hiccup.
•Method
•UB17 (Geshu) to DU9 (Zhiyang) a depth of 0. 3 -0. 5 cun. After the acu-esthesia is obtained,
•Then needle from to UB19 (Danshu) to DU9 (Zhiyang)
Retain the needles for 20 minutes
24. 胸膺对锋刺
Opposite sword-blade needling on the chest
•Clinical Application
•The method is used to treat chest pain and palpitation.
•Method
•The needle is inserted from Xuanji(Ren21) to Zhongting(Ren16) to a depth of 1. 2 -1. 5 cun, till the acuesthesia is obtained.
Then Zhongting(Ren16) is needled upwards beneath the skin towards Xuanji (Ren21) with The same method
29. 下腹芒针三排刺
Triple-row needling with elongated needle on the lower abdomen
•Clinical Application
•The method is mainly used to treat obesity. It can also be applied for urogenital diseases.
•Method
•One needle is inserted from below Shenque（Ren8) to the direction of Qugu (Ren2).
•Then the same method is applied to Huangshu(KD16) to Hengu(KD11).
31. 脾减肥针对向剌
Opposite needling on the spleen meridian for weight control
•Clinical Application
•The method is mainly used to treat obesity with overmuch fatty tissue beneath the abdominal skin.
•Method
•First, Fuai(SP16) is needled To the direction of Daheng(SP15); then Fujie(SP14) is in serted with the same method to the direction of Daheng(SP15), till the acu-esthesia is obtained respectively.
32. 腹部交叉减肥术
Weight control technique by intersected needling on the abdomen
•Clinical Application
•The method is mainly used to treat obesity and potbelly.
•Method
•One needle is inserted in Fuai(SP16) to it’s opposite Fujie(SP14) beneath the skin. Then the points on the opposite side are inserted with the same method, till the acu-esthesia is obtained.
33. 带脐枢减肥术
Weight control technique by dai qi shu
•Clinical Application
•This method is mainly used to treat lateral abdominal obesity seen in over weighted patients.
•Method
•inserted from Daimai(GB26) towards Wushu(GB27) and the center of the umbilicus, till the soreness and distending is obtained in the lateral abdomen.
• Then electro-acupuncture stimulation can be applied to the needle for consecutive 10 - 20 minutes.
•Treat once every or every other day.
35. 穿甲针 Needling of hardness
•Clinical Application
•It is used to treat paralysis of the upper limbs, sequela of infantile paralysis, numbness of the upper limbs, difficulty in raising shoulders, pain of the shoulder and elbow joints.
•Method
•The needle is inserted from Tianjing(SJ10) through Qinglengyuan(SJ11) into the upper Xiaoluo(SJ12).
The acu-esthesia can be transmitted to the shoulder and down to hand
36. 曲池丁字刺
T-shaped needling of Quchi
Clinical Application It is mainly used to treat paralysis of the upper limbs, pain of the shoulder and elbow joints, sore throat, hypertension, high fever.
•Method
•One needle is inserted from Quchi(LI11) through into Shaohai(HT3). Another needle is inserted 1 cun perpendicular into Quze (PC3).
The acuesthesia is numb or sore, and the feeling may transmit to the wrist or hand
38. 陵泽向郗刺
Ling Ze pointing to xi needling
•Clinical Application
•This method is mainly used to treat heart problems such as palpitation.
•Method
•The needle is inserted from Daling(PC7)towards Ximen(PC4); then another needle is insered from Quze(PC3) towards Ximen(PC4).
•It’s advisable to obtain the acu-esthesia that will radiate to fingers, elbows and forearms.
41. 催眠术 Hypnosis needling
•Clinical Application
•It is mainly used to treat insomnia, epilepsy, psychosis, palpitation, heart failure, hypertension, hypotension, sleepwalking, dreaminess, neurasthenia and hysteria.
•Method
•The needle is inserted beneath the skin form Shenmen(HT7) through Yinxi(HT6) to Tongli(HT5) and Lingdao(HT4).
•The acu-esthesia is numb, sore and distending in the shoulder or hand.
45. 冲阳针
Yang-thrusting needling
•Clinical Application
•It is mainly used to treat paralysis, sequela of infantile paralysis, numbness and pain of legs and multiple neuritis.
•Method
•The needle is inserted beneath the skin from Weizhong(UB40) to Chengfu(UB36).
The acu-esthesia appeas like sore, numb and distending or electrical sensation in the hip or foot.
46. 健脾针
Spleen-invigorating needling
•Clinical Application
•It is mainly used to treat infantile dyspepsia, stomachache, nephritis and paralysis of limbs.
•Method
•The needle is inserted from Futu(ST32) and puncture obliquely upward to Biguan(ST31).
•The acu-esthesia is sore, numb and distending in the hip.
52. 汗定针
Hidrosis-stopping needling
•Clinical Application
•It is mainly used to treat polyhidrosis, ankidrosis, edema, retention of urine, enuresis, nephritis, cystitis and urethritis.
•Method
•The needle is inserted from Shuiquan(KD5) and obliquely through Dazhong(KD4) and Taixi(KD3) to Fuliu(KD7). The acu-esthesia is sore, numb and distending feeling of the sole or knee.
53. 安行针
Leg-strengthening needling
•Clinical Application
•It is mainly used to treat pain of the ankle, inflammation of the foot, and inflammation of the knee joint.
•Method
•The needle is inserted from Shuiquan (KD5) transversely through Zhaohai (KD6), Rangu (KD2) and Gongsun (SP4) to Taibai(SP3).
•The acu-esthesia is sore, numb and distending feeling of the heel, sole and toes.
CHAPTER 5-Artistic Needling
•Artistic needling means to use two or more needles to puncture two or more acupoints or tenderness.
•
•This method is developed by the author and is more effective than the needling of one single acupoint in clinic treatment. This is the result of many years study and summarization.
•
•Since the performance of this kind of needling appears like artistic work, it is called artistic needling.
1 . Needling four sides of Baihui
•Clinical Application
•It is used to treat headache, insomnia, dementia, epilepsy and anal prolapsed.
Method: To needle beneath the skin from Baihui (DU20) to Si shen cong
2. Four-flowered needling toward Baihui
•Clinical Application
•It is used to treat headache, insomnia, dementia, epilepsy and anal prolapsed.
Method: inserting the needle from Si shen cong to Bai hui (Du20).
4. Three needles for intelligence
•Clinical Application
•This method can be used to treat children’s weakness, brain underdevelopment, hyperkinetic syndrome of childhood (ADHD) and senile dementia, etc.
•Note：
•Caution in children with fontanel.
1st way, insert the needle From GB13 (Ben Shen) and Du 24 (Shen Ting) towards Baihui .1-1.5cun for adults.
2nd way is to needle From GB13 (Ben Shen) and Du 24 (Shen Ting) downwards along the forehead skin. 1 cun. This is used more in children
7. Zanzhu three-direction needling
•Clinical Application
•The method is used to treat headache, pain in the supra-orbital bone, blurred vision and eye problems, etc.
1. Zanzhu (UB2) towards Yuyao
2.Zanzhu (UB2) towards Jingming(UB1)
3.Zanzhu (UB2) towards Yin Tang
8. Triple needling of nose
•Clinical Application
•This method is to use three needles to puncture in the direction of the nose to treat nasal disease.
•It is used to treat various nasal diseases and constipation.
Ying xiang (LI20), and yin tang
9. Shang xia guan needling
•Clinical Application
•The method can be used to treated motor impairment of the jaw, toothache/ deafness and deviation of the mouth and eye, etc.
First, Shangguan(GB3) is needled perpendicularly 0. 5 cun.
Then, Xiaguan(ST7) is needled perpendicularly to 1cun.
16. Needling technique on the three points of the back
•Clinical Application
•The method is used to treat asthma, cough and backache, etc.
Needling points UB11, UB12.UB13
The needle is inserted obliquely at 45° angle towards the spine slowly with rotating method, the depth is 0. 5-0. 8 cun. Retain the needles for 15 -30 minutes.
17. Four-flowered needling
•Clinical Application
•It is mainly used to treat emaciation, thoracic distress, cough and asthma.
The needle is inserted obliquely (slightly downward) from UB17(Geshu)
Another needle is inserted UB19(Danshu) obliquely upward to the spine with a depth of 0. 5 -0. 8 cun
19 . Jiao tai needling
•Clinical Application
•The method can be used to treat insomnia and spermatorrhea due to disharmony between the Heart and Kidney.
First Xinshu(UB15) is needled obliquely to the spine to a depth of 0. 5 -0. 8 cun.
Then Shenshu(UB23) is needled obliquely to the spine to a depth of 1. 2 - 1. 5 cun.
23. Needling on the three points of the sacral region
•Clinical Application
•This method is used to treat anal problems.
First, DU2 (Yao shu) is needled to a depth of 0. 5 -1 cun;
then UB35 (Huiyang) is needled to a depth of 1. 5 - 2 cun. Retain the needles for 15 - 30 minutes
24, Needling technique on the three points of the hip
•Clinical Application
•The method can be applied to atrophy and pain of the lower limbs, hemiplegia, pain in the waist and hip, sciatica, infantile paralysis and soft tissue problems around hip joints, etc.
UB54 (Zhibian) is inserted at an angle of 90°
GB30 (Huantiao) is inserted at an angle of 70°. The depth varies from 2 to 6 cun,
GB29 (Juliao) can he inserted perpendicularly or obliquely, and the depth varies from 1 to 3 cun till get Qi or distention is obtained.
28. Needling for the promotion of lactation
•Clinical Application
•It is used to treat hypogalactia, mastitis and retention of milk.
The needle is inserted from ST18 (Rugen) with an angle of 30° 0. 5 - 0. 8 cun to the direction of ST17 (Ruzhong).
Another needle is inserted from Ren 17 (Danzhong) to the direction of ST17 (Ruzhong) with an angle of 15° beneath the skin.
33. Needling of the upper abdominal triangle
•Clinical Application
•It is used to treat gastric disease and upper abdominal pain.
Method
Ren12 (Zhongwan) is needled slightly oblique downward with an angle of 70°.
SP15 (Fuai) on both sides is needled obliquely from the external to the internal upward with an angle of 45 °, 1 - 1. 5 cun in depth.
35. Needling of the lower abdominal triangle
•Clinical Application
•It is used to treat nocturnal emission, impotence, dysmenorrhea, leukorrhea, prolapse of the uterus frequent and urgent urination or enuresis
Method
Ren4 (Guanyuan) and ST29 (Guilai) are needled obliquely downward with an angle of 70°, 1 -2 cun in depth.
38. Water-moving technique
•Clinical Application
•The method is mainly used to treat renal edema.
Ren4 (Guanyuan), Ren3 (Zhongji) and ST28 (Shuidao) are selected; and needled for 0. 5 -1. 5 cun, distending should radiate to the pubic symphysis.
Then Ren9 (Shuifen) is needed for 0, 5-1 cun, distending feeling.
40. Inverted eight needling
•Clinical Application
•The method is mainly used to treat retention of urine, intestinal problems and urogenital diseases.
The eight points of ST25 (Tianshu), ST26 (Wailing), ST27 (Daju) and ST28 (Shuidao) are selected and inserted obliquely with 1. 5 cun filiform needles at an angle of 45° to midline of the Ren meridian. The acu-esthesia is soreness and distending, or possible heavy and falling feeling, or pubic twitching, etc.
41. Menstruation regulating technique
•Clinical Application
•The method can be used to treat irregular menstruation, including irregular periods, heavy or decreased menses which may be dark or light.
Ren6 (Qihai), Ren3 (Zhongji) and St29(Guilai) are needled from the superior to the inferior. It's advisable to obtain the Qi of soreness and distending that will radiate to the pubic region or the genitals. Retain the needles for 30 minutes.
42. Needling of Zhongji triangle
•Clinical Application
•It is used to treat nocturnal emission, impotence, dysmenorrhea leucorrhagia, prolapse of uterus, frequent and urgent urination or enuresis etc.
This method is divided into upper triangle needling and lower triangle needling.
The former means to needle Ren3 (Zhongji) and KD13 (Qixue) with an angle of 70°, the latter means to needle Ren3 (Zhongji) and KD11 (Henggu) with an angle of 70°. The depth in both cases 1 ~ 2 cun
45. Heart opening technique
•Clinical Application
•This way of needling is mainly used to treat angina pectoris and pain in the cardiac region.
Neddles inserted in three points of PC4 (Ximen), PC6 (Neiguan) and PC7 (Daling) perpendicularly. The needling depth 0. 5 -0. 8.
49. Triple needling on the ankle
• Clinical Application
•This method is mainly used to treat sprain and pain around the ankle and foot ptosis.
•Note
•This method is prohibited in pregnant women.
First, KD3 (Taixi) and UB60 (Kunlun) are inserted to a depth of 1 - 1. 5 cun with the numb and distending feeling radiating to the heel; then ST41 (Jiexi) is inserted to a depth of O. 5 cun with numb and distending feeling radiating to the toes. Retain the needles for 20-30 minutes