Cardinal Points of Acupuncture - PDFNot sure which point to treat? This chart contains 41 Cardinal points that are specific for conditions, functions and areas of the body.
Each point is mapped out, listed by condition, point name is also listed by Chinese name with detailed description of point location.
Point formulas for many commonly treated conditions. These formulas contain many points, ideally one should keep the number of points used in any one session to a minimum. Usually, the number would be under 10. Master acupuncturists usually use less than 5 points. The ultimate aim of the Master is to cure with only 1 point.
Step 5 provides an additional combinatorial possibility, but has no extensive tradition in Chinese medicine except for concepts connected to the extraordinary vessels. All pairs of Yin extraordinary vessels can be opened by using a 5-step combination which includes the very commonly used technique to combine the master points of the paired extraordinary vessels [35]. The master point of the primarily treated extraordinary vessel is needled at first, then the master point of the paired extraordinary vessel, called the coupled point, is needled secondly. Chong Mai (SP-4, Gongsun) and Yin Wei Mai (PC-6, Neiguan), Ren Mai (LU-7, Lique), and Yin Qiao Mai (KI-6, Zhaohai) represent this 5-step combination [24, 35, 36].
The possibilities for finding a balanced treatment strategy can be described by the steps that have to be taken in the Chinese clock to combine acupuncture points. Merging the data of all systems, the steps in the Chinese clock showing a possibility for balancing are the following. Steps 1, 2, and 3 are possible so is step 6. Step 4 is not a combinatorial possibility. Step 5 is a combinatorial possibility, but has no tradition in TCM, except in the theory of the extraordinary vessels [35, 36], might lead to an imbalance in multipoint combinations. A summary is given in Table 3.
There was no region of pain on the ST-meridian. There were painful Ashi points on the BL-meridian, very mild above and below the knee but severe in the area of the ankle. The pain was much more prominent on the left side.
Then we looked at the right leg for a yin meridian that balances the SI- and the BL-meridian. According to Table 4 the KI- and the SP-meridians were candidates. The KI-meridian is the first step clockwise of the BL-meridian as well as the second step clockwise of the SI-meridian. The SP-meridian is the third step counterclockwise of the the BL-meridian as well as the second step of the SI-meridian. Applying Image and Mirror concept on the lower extremities we again palpated the KI- and SP-meridian for Ashi point in the region around the ankle, the hip region and the region above and below the knee. There was no region of pain on the KI meridian. There were painful Ashi points on the SP-meridian, very mild above and below the knee but severe in the area of the ankle.
Our observations do not have to be considered as being the only concept in acupuncture. There are more possibilities like balancing yin and yang meridians on one extremity, applying bilateral treatment of the same meridian, there are microystems like scalp and ear acupuncture, as well as empirically determined point combinations, that do not follow the concept of balancing [29, 40, 41].
But the concept of of a balanced treatment has a long tradition in TCM and in the historical writings [23], so we consider it to be a rational basis for logical and reproducible acupuncture strategies.
Interestingly, there are 5 ideally balanced acupuncture patterns for every meridian. Four of them represent a balance that is found in 2 or 3 of the above calculated systems for every meridian pair (Table 2). These patterns are four neighbours in a row in the Chinese Clock.
Further investigation of the correlation of the described ideally balanced acupuncture patterns and the Zheng patterns might lead to an improvement of clinical treatment. The 5 patterns for every meridian described above and the reduction to 15 patterns for all meridians due to overlapping might explain the overlapping of Zheng patterns, resulting in similar patterns to different diseases as well as different patterns for similar diseases [51].
Even though pain has been the focus of most clinical research on acupuncture [52], there are no controlled studies with hard data on the effect of balanced 4-point or meridian combinations in pain research so far. This is a necessity for future trials. By transferring this theoretical consideration into research we have been describing an empirical systematic approach for the achievement of immediate effects in the treatment of localised pain. This can be used as a research protocol for future trials as well as a treatment protocol. While it is a protocol for immediate effects, studies can be cost effective because it can reduce the number of treatments to one.
Acupuncture treatment based on TCM usually requires an individual diagnosis which leads to an individual treatment strategy [29]. This approach is in some aspects contradictory to controlled clinical trials in which treatment procedures are usually uniform. Trials with individual treatments are often considered to be less scientific. This is a severe problem for the design of studies on TCM treatments and an obstacle for publication in highly ranked journals. Otherwise TCM experts criticise that controlled trials do not reflect the practice of acupuncture. In controlled trials often no diagnostic framework is applied resulting in a lack of individualisation to address specific TCM imbalances and symptoms [53].
Our protocol potentially solves this problem because it offers a rational, reproducible procedure independent of examiner experience, but the resulting treatment procedure is an individual. This has many advantages. The necessary acupuncture pattern is developed during examination. The pattern of treatment is not fixed before treatment, so probands of the treatment group are not at risk, to get an ineffective treatment for their condition. While the treatment is developed in a rational examination process, the probands will have a good chance to get a corresponding treatment to their body reaction. This will increase the efficacy of the treatment procedures. Anyhow limitation of this protocol are, that it is only based on theoretical consideration and personal experience of the authors. It has to be further approved in clinical trials.
For over two hundred years, and possibly much longer, on the island of Okinawa, the ancient document called the Bubishi has been passed down from generation to generation. Information from that document such as the 36 Vital Points, Shichen points and bi-hourly attacks will be examined. This book will not discuss the history of the original Bubishi. Nor will it provide any insight into the healing and philosophical aspects that it contains. Patrick McCarthy, whose translation of the Bubishi is discussed below, has already amply covered that in his excellent work. This book will answer some of the questions posed by the information that was presented in the original Bubishi concerning martial science. That document, which is cryptic in many ways, basically states that there are thirty-six points on the body that are vital from a combative perspective. No explanation was given to why the points were selected or how they are to be attacked. This book will provide the answer to those questions and many more by examining the original Bubishi by using the laws, theories and concepts of Traditional Chinese Medicine.
Abbreviations are used in this text for the acupuncture points. Those used are standard in the majority of Traditional Chinese Medicine textbooks. For example; when a reference is made to Stomach Meridian Point Nine it will be noted as ST-9. Please refer to Table I-2 for an explanation of the Meridian abbreviations.
There are numerous descriptions of acupuncture points that are covered in this book. The format that is used in Part I, the section that goes into detail on all the points of the Extraordinary Vessels, will first list the associated meridian, which will utilize the abbreviations in Table I-2. The actual point number (CV-1 for example) will followed by the Chinese point name and then the English translation. Special attributes of the point will be listed next (Intersection point, Alarm Point, etc.). If the point is bilateral, which means that it is found on both the right and left sides of the body, this will be stated. Some Extraordinary Vessel points are not bilateral. Next will be a short description of the physical location of the point from a TCM perspective, followed by general Western anatomy features that are present at the location. Last will be a comments section that will provide methods that can be utilized to attack the point will be given and the energetic effects of the strike may be mentioned. You will find that there are a small amount of points that are found in more that one of the Extraordinary Vessels. These are Intersection Points between two Extraordinary Vessels and are listed under both the vessels. This might be a little redundant to the reader, but I believe it is important to have the information readily available in the event that someone is studying one specific vessels. It is only six points, but I want to make you aware. For a more detailed examination of point locations I suggests several of the Chinese Medicine textbooks that are mentioned in the Bibliography.
In Part III there is a complete list of the 36 Vital Points found in the Bubishi with detailed comments on their combative utilization. Seventeen out of the 36 Vital Points are Extraordinary Vessels Points which were covered under basic point descriptions in Part I. Part III goes into much more detail about the points. I want to make the reader aware of this distinction. Part I contains general point descriptions of all the points of all the Extraordinary Vessels. Part III contains more detailed point descriptions of thirty-six points that are found in the Bubishi, seventeen of which are Extraordinary Vessels points. I hope that eliminates any confusion.
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